    [Congressional Bills 115th Congress]
    [From the U.S. Government Publishing Office]
    [H.R. 1892 Enrolled Bill (ENR)]

            H.R.1892

                         One Hundred Fifteenth Congress

                                     of the

                            United States of America

                              AT THE SECOND SESSION

             Begun and held at the City of Washington on Wednesday,
               the third day of January, two thousand and eighteen

                                     An Act

     To amend title 4, United States Code, to provide for the flying of the
    flag at half-staff in the event of the death of a first responder in the
                                  line of duty.

        Be it enacted by the Senate and House of Representatives of the
    United States of America in Congress assembled,
    SECTION 1. SHORT TITLE.
        This Act may be cited as the ``Bipartisan Budget Act of 2018''.

                    DIVISION A--HONORING HOMETOWN HEROES ACT

    SECTION 10101. SHORT TITLE.
        This division may be cited as the ``Honoring Hometown Heroes Act''.
    SEC. 10102. PERMITTING THE FLAG TO BE FLOWN AT HALF-STAFF IN THE EVENT
    OF THE DEATH OF A FIRST RESPONDER SERVING IN THE LINE OF DUTY.
        (a) Amendment.--The sixth sentence of section 7(m) of title 4,
    United States Code, is amended--
            (1) by striking ``or'' after ``possession of the United
        States'' and inserting a comma;
            (2) by inserting ``or the death of a first responder working in
        any State, territory, or possession who dies while serving in the
        line of duty,'' after ``while serving on active duty,'';
            (3) by striking ``and'' after ``former officials of the
        District of Columbia'' and inserting a comma; and
            (4) by inserting before the period the following: ``, and first
        responders working in the District of Columbia''.
        (b) First Responder Defined.--Such subsection is further amended--
            (1) in paragraph (2), by striking ``, United States Code; and''
        and inserting a semicolon;
            (2) in paragraph (3), by striking the period at the end and
        inserting ``; and''; and
            (3) by adding at the end the following new paragraph:
            ``(4) the term `first responder' means a `public safety
        officer' as defined in section 1204 of title I of the Omnibus Crime
        Control and Safe Streets Act of 1968 (34 U.S.C. 10284).''.
        (c) Effective Date.--The amendments made by this section shall
    apply with respect to deaths of first responders occurring on or after
    the date of the enactment of this Act.

       DIVISION B--SUPPLEMENTAL APPROPRIATIONS, TAX RELIEF, AND MEDICAID
        CHANGES RELATING TO CERTAIN DISASTERS AND FURTHER EXTENSION OF
                           CONTINUING APPROPRIATIONS

       Subdivision 1--Further Additional Supplemental Appropriations for
                     Disaster Relief Requirements Act, 2018

         The following sums in this subdivision are appropriated, out of
    any money in the Treasury not otherwise appropriated, for the fiscal
    year ending September 30, 2018 and for other purposes, namely:

                                    TITLE I

                           DEPARTMENT OF AGRICULTURE

                             AGRICULTURAL PROGRAMS

                       Processing, Research and Marketing

                            Office of the Secretary

        For an additional amount for the ``Office of the Secretary'',
    $2,360,000,000, which shall remain available until December 31, 2019,
    for necessary expenses related to crops, trees, bushes, and vine losses
    related to the consequences of Hurricanes Harvey, Irma, Maria, and
    other hurricanes and wildfires occurring in calendar year 2017 under
    such terms and conditions as determined by the Secretary:  Provided,
    That the Secretary may provide assistance for such losses in the form
    of block grants to eligible states and territories:  Provided further,
    That the total amount of payments received under this heading and
    applicable policies of crop insurance under the Federal Crop Insurance
    Act (7 U.S.C. 1501 et seq.) or the Noninsured Crop Disaster Assistance
    Program (NAP) under section 196 of the Federal Agriculture Improvement
    and Reform Act of 1996 (7 U.S.C. 7333) shall not exceed 85 percent of
    the loss as determined by the Secretary:  Provided further, That the
    total amount of payments received under this heading for producers who
    did not obtain a policy or plan of insurance for an insurable commodity
    for the 2017 crop year, or 2018 crop year as applicable, under the
    Federal Crop Insurance Act (7 U.S.C. 1501 et seq.) for the crop
    incurring the losses or did not file the required paperwork and pay the
    service fee by the applicable State filing deadline for a noninsurable
    commodity for the 2017 crop year, or 2018 crop year as applicable,
    under NAP for the crop incurring the losses shall not exceed 65 percent
    of the loss as determined by the Secretary:  Provided further, That
    producers receiving payments under this heading, as determined by the
    Secretary, shall be required to purchase crop insurance where crop
    insurance is available for the next two available crop years, and
    producers receiving payments under this heading shall be required to
    purchase coverage under NAP where crop insurance is not available in
    the next two available crop years, as determined by the Secretary:
    Provided further, That, not later than 90 days after the end of fiscal
    year 2018, the Secretary shall submit a report to the Congress
    specifying the type, amount, and method of such assistance by state and
    territory and the status of the amounts obligated and plans for further
    expenditure and include improvements that can be made to Federal Crop
    Insurance policies, either administratively or legislatively, to
    increase participation, particularly among underserved producers, in
    higher levels of coverage in future years for crops qualifying for
    assistance under this heading:  Provided further, That such amount is
    designated by the Congress as being for an emergency requirement
    pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and
    Emergency Deficit Control Act of 1985.

                          Office of Inspector General

        For an additional amount for ``Office of Inspector General'',
    $2,500,000, to remain available until expended, for oversight and audit
    of programs, grants, and activities funded by this subdivision and
    administered by the Department of Agriculture:  Provided, That such
    amount is designated by the Congress as being for an emergency
    requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget
    and Emergency Deficit Control Act of 1985.

                         Agricultural Research Service

                            buildings and facilities

        For an additional amount for ``Buildings and Facilities'',
    $22,000,000, to remain available until expended, for necessary expenses
    related to the consequences of Hurricanes Harvey, Irma, and Maria:
    Provided, That such amount is designated by the Congress as being for
    an emergency requirement pursuant to section 251(b)(2)(A)(i) of the
    Balanced Budget and Emergency Deficit Control Act of 1985.

                              Farm Service Agency

                         emergency conservation program

        For an additional amount for the ``Emergency Conservation
    Program'', for necessary expenses related to the consequences of
    Hurricanes Harvey, Irma, and Maria and of wildfires occurring in
    calendar year 2017, and other natural disasters, $400,000,000, to
    remain available until expended:  Provided, That such amount is
    designated by the Congress as being for an emergency requirement
    pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and
    Emergency Deficit Control Act of 1985.

                     Natural Resources Conservation Service

                   watershed and flood prevention operations

        For an additional amount for ``Watershed and Flood Prevention
    Operations'', for necessary expenses for the Emergency Watershed
    Protection Program related to the consequences of Hurricanes Harvey,
    Irma, and Maria and of wildfires occurring in calendar year 2017, and
    other natural disasters, $541,000,000, to remain available until
    expended:  Provided, That such amount is designated by the Congress as
    being for an emergency requirement pursuant to section 251(b)(2)(A)(i)
    of the Balanced Budget and Emergency Deficit Control Act of 1985.

                           RURAL DEVELOPMENT PROGRAMS

                             Rural Housing Service

                  rural housing insurance fund program account

        For an additional amount for ``Rural Housing Insurance Fund Program
    Account'', $18,672,000, to remain available until September 30, 2019,
    for the cost of direct loans, including the cost of modifying loans as
    defined in section 502 of the Congressional Budget Act of 1974, for the
    rehabilitation of section 515 rental housing (42 U.S.C. 1485) in areas
    impacted by Hurricanes Harvey, Irma, and Maria where owners were not
    required to carry national flood insurance:  Provided, That such amount
    is designated by the Congress as being for an emergency requirement
    pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and
    Emergency Deficit Control Act of 1985.

                            Rural Utilities Service

                 rural water and waste disposal program account

        For an additional amount for the ``Rural Water and Waste Disposal
    Program Account'', $165,475,000, to remain available until expended,
    for grants to repair drinking water systems and sewer and solid waste
    disposal systems impacted by Hurricanes Harvey, Irma, and Maria:
    Provided, That not to exceed $2,000,000 of the amount appropriated
    under this heading shall be for technical assistance grants for rural
    water and waste systems pursuant to section 306(a)(22) of the
    Consolidated Farm and Rural Development Act:  Provided further, That
    such amount is designated by the Congress as being for an emergency
    requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget
    and Emergency Deficit Control Act of 1985.

                             DOMESTIC FOOD PROGRAMS

                           Food and Nutrition Service

    special supplemental nutrition program for women, infants, and children
                                     (wic)

        For an additional amount for the ``Special Supplemental Nutrition
    Program for Women, Infants, and Children'', $14,000,000, to remain
    available until September 30, 2019, for infrastructure grants to the
    Commonwealth of Puerto Rico and the U.S. Virgin Islands to assist in
    the repair and restoration of buildings, equipment, technology, and
    other infrastructure damaged as a consequence of Hurricanes Irma and
    Maria:  Provided, That such amount is designated by the Congress as
    being for an emergency requirement pursuant to section 251(b)(2)(A)(i)
    of the Balanced Budget and Emergency Deficit Control Act of 1985.

                          commodity assistance program

        For an additional amount for ``Commodity Assistance Program'' for
    the emergency food assistance program as authorized by section 27(a) of
    the Food and Nutrition Act of 2008 (7 U.S.C. 2036(a)) and section
    204(a)(1) of the Emergency Food Assistance Act of 1983 (7 U.S.C.
    7508(a)(1)), $24,000,000, to remain available until September 30, 2019,
    for necessary expenses of those jurisdictions that received a major
    disaster or emergency declaration pursuant to section 401 or 501,
    respectively, of the Robert T. Stafford Disaster Relief and Emergency
    Assistance Act (42 U.S.C. 5170, 5191) related to the consequences of
    Hurricanes Harvey, Irma, and Maria or due to wildfires in 2017:
    Provided, That notwithstanding any other provisions of the Emergency
    Food Assistance Act of 1983, the Secretary of Agriculture may provide
    resources to Puerto Rico, the Virgin Islands of the United States, and
    affected States, as determined by the Secretary, to assist affected
    families and individuals without regard to sections 204 and 214 of such
    Act (7 U.S.C. 7508, 7515) by allocating additional foods and funds for
    administrative expenses from resources specifically appropriated,
    transferred, or reprogrammed:  Provided further, That such amount is
    designated by the Congress as being for an emergency requirement
    pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and
    Emergency Deficit Control Act of 1985.

               RELATED AGENCIES AND FOOD AND DRUG ADMINISTRATION

                    Department of Health and Human Services

                          food and drug administration

                            buildings and facilities

                         (including transfer of funds)

        For an additional amount for ``Buildings and Facilities'',
    $7,600,000, to remain available until expended, for necessary expenses
    related to the consequences of Hurricanes Harvey, Irma, and Maria:
    Provided, That such amount may be transferred to ``Department of Health
    and Human Services--Food and Drug Administration--Salaries and
    Expenses'' for costs related to repair of facilities, for replacement
    of equipment, and for other increases in facility-related costs:
    Provided further, That obligations incurred for the purposes provided
    herein prior to the date of enactment of this subdivision may be
    charged to funds appropriated by this paragraph:  Provided further,
    That such amount is designated by the Congress as being for an
    emergency requirement pursuant to section 251(b)(2)(A)(i) of the
    Balanced Budget and Emergency Deficit Control Act of 1985.

                         GENERAL PROVISION--THIS TITLE

        Sec. 20101. (a) Section 1501(b) of the Agricultural Act of 2014 (7
    U.S.C. 9081(b)) is amended--
            (1) in paragraph (1), in the matter before subparagraph (A), by
        inserting ``sold livestock for a reduced sale price, or both''
        after ``normal mortality,'';
            (2) in paragraph (2), by striking ``applicable livestock on the
        day before the date of death of the livestock, as determined by the
        Secretary.'' and inserting the following:
        ``affected livestock, as determined by the Secretary, on, as
        applicable--
                ``(A) the day before the date of death of the livestock; or
                ``(B) the day before the date of the event that caused the
            harm to the livestock that resulted in a reduced sale price.'';
            and
            (3) by adding at the end the following new paragraph:
            ``(4) A payment made under paragraph (1) to an eligible
        producer on a farm that sold livestock for a reduced sale price
        shall--
                ``(A) be made if the sale occurs within a reasonable period
            following the event, as determined by the Secretary; and
                ``(B) be reduced by the amount that the producer received
            for the sale.''.
        (b) Section 1501(d)(1) of the Agricultural Act of 2014 (7 U.S.C.
    9081(d)(1)) is amended by striking ``not more than $20,000,000 of''.
        (c) Section 1501(e)(4)(C) of the Agricultural Act of 2014 (7 U.S.C.
    9081(e)(4)(C)) is amended by striking ``500 acres'' and inserting
    ``1,000 acres''.
        (d) Section 1501 of the Agricultural Act of 2014 (7 U.S.C. 9081) is
    amended--
            (1) in subsection (e)(4)--
                (A) by striking subparagraph (B); and
                (B) by redesignating subparagraph (C), as amended by
            subsection (c), as subparagraph (B); and
            (2) in subsection (f)(2), by striking ``subsection (e)'' and
        inserting ``subsections (b) and (e)''.
        (e) Section 1501 of the Agricultural Act of 2014 (7 U.S.C. 9081),
    as amended by this section, shall apply with respect to losses
    described in such section 1501 incurred on or after January 1, 2017.
        (f) The amounts provided by subsections (a) through (e) for fiscal
    year 2018 are designated by the Congress as being for an emergency
    requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget
    and Emergency Deficit Control Act of 1985.

                                    TITLE II

                             DEPARTMENT OF COMMERCE

                      Economic Development Administration

                    economic development assistance programs

                         (including transfers of funds)

        Pursuant to section 703 of the Public Works and Economic
    Development Act (42 U.S.C. 3233), for an additional amount for
    ``Economic Development Assistance Programs'' for necessary expenses
    related to flood mitigation, disaster relief, long-term recovery, and
    restoration of infrastructure in areas that received a major disaster
    designation as a result of Hurricanes Harvey, Irma, and Maria, and of
    wildfires and other natural disasters occurring in calendar year 2017
    under the Robert T. Stafford Disaster Relief and Emergency Assistance
    Act (42 U.S.C. 5121 et seq.), $600,000,000, to remain available until
    expended:  Provided, That the amount provided under this heading is
    designated by the Congress as being for an emergency requirement
    pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and
    Emergency Deficit Control Act of 1985:  Provided further, That within
    the amount appropriated, up to 2 percent of funds may be transferred to
    the ``Salaries and Expenses'' account for administration and oversight
    activities:  Provided further, That within the amount appropriated,
    $1,000,000 shall be transferred to the ``Office of Inspector General''
    account for carrying out investigations and audits related to the
    funding provided under this heading.

                National Oceanic and Atmospheric Administration

                      operations, research, and facilities

        For an additional amount for ``Operations, Research, and
    Facilities'' for necessary expenses related to the consequences of
    Hurricanes Harvey, Irma, and Maria, $120,904,000, to remain available
    until September 30, 2019, as follows:
            (1) $12,904,000 for repair and replacement of observing assets,
        Federal real property, and equipment;
            (2) $18,000,000 for marine debris assessment and removal;
            (3) $40,000,000 for mapping, charting, and geodesy services;
        and
            (4) $50,000,000 to improve weather forecasting, hurricane
        intensity forecasting and flood forecasting and mitigation
        capabilities, including data assimilation from ocean observing
        platforms and satellites:
      Provided, That the amount provided under this heading is designated
    by the Congress as being for an emergency requirement pursuant to
    section 251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit
    Control Act of 1985:  Provided further, That the National Oceanic and
    Atmospheric Administration shall submit a spending plan to the
    Committees on Appropriations of the House of Representatives and the
    Senate within 45 days after the date of enactment of this subdivision.

                   procurement, acquisition and construction

        For an additional amount for ``Procurement, Acquisition and
    Construction'' for necessary expenses related to the consequences of
    Hurricanes Harvey, Irma, and Maria, $79,232,000, to remain available
    until September 30, 2020, as follows:
            (1) $29,232,000 for repair and replacement of Federal real
        property and observing assets; and
            (2) $50,000,000 for improvements to operational and research
        weather supercomputing infrastructure and for improvement of
        satellite ground services used in hurricane intensity and track
        prediction:
      Provided, That the amount provided under this heading is designated
    by the Congress as being for an emergency requirement pursuant to
    section 251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit
    Control Act of 1985:  Provided further, That the National Oceanic and
    Atmospheric Administration shall submit a spending plan to the
    Committees on Appropriations of the House of Representatives and the
    Senate within 45 days after the date of enactment of this subdivision.

                         fisheries disaster assistance

        For an additional amount for ``Fisheries Disaster Assistance'' for
    necessary expenses associated with the mitigation of fishery disasters,
    $200,000,000, to remain available until expended:  Provided, That funds
    shall be used for mitigating the effects of commercial fishery failures
    and fishery resource disasters declared by the Secretary of Commerce in
    calendar year 2017, as well those declared by the Secretary to be a
    direct result of Hurricanes Harvey, Irma, or Maria:  Provided further,
    That the amount provided under this heading is designated by the
    Congress as being for an emergency requirement pursuant to section
    251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control
    Act of 1985.

                             DEPARTMENT OF JUSTICE

                         United States Marshals Service

                             salaries and expenses

        For an additional amount for ``Salaries and Expenses'' for
    necessary expenses related to the consequences of Hurricanes Harvey,
    Irma, and Maria, $2,500,000:  Provided, That the amount provided under
    this heading is designated by the Congress as being for an emergency
    requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget
    and Emergency Deficit Control Act of 1985.

                        Federal Bureau of Investigation

                             salaries and expenses

        For an additional amount for ``Salaries and Expenses'' for
    necessary expenses related to the consequences of Hurricanes Harvey,
    Irma, and Maria, $21,200,000:  Provided, That the amount provided under
    this heading is designated by the Congress as being for an emergency
    requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget
    and Emergency Deficit Control Act of 1985.

                        Drug Enforcement Administration

                             salaries and expenses

        For an additional amount for ``Salaries and Expenses'' for
    necessary expenses related to the consequences of Hurricanes Harvey,
    Irma, and Maria, $11,500,000:  Provided, That the amount provided under
    this heading is designated by the Congress as being for an emergency
    requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget
    and Emergency Deficit Control Act of 1985.

                             Federal Prison System

                             salaries and expenses

        For an additional amount for ``Salaries and Expenses'' for
    necessary expenses related to the consequences of Hurricanes Harvey,
    Irma, and Maria, $16,000,000:  Provided, That the amount provided under
    this heading is designated by the Congress as being for an emergency
    requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget
    and Emergency Deficit Control Act of 1985.

                            buildings and facilities

        For an additional amount for ``Buildings and Facilities'' for
    necessary expenses related to the consequences of Hurricanes Harvey,
    Irma, and Maria, $34,000,000, to remain available until expended:
    Provided, That the amount provided under this heading is designated by
    the Congress as being for an emergency requirement pursuant to section
    251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control
    Act of 1985.

                                    SCIENCE

                 National Aeronautics and Space Administration

           construction and environmental compliance and restoration

        For an additional amount for ``Construction and Environmental
    Compliance and Restoration'' for repairs at National Aeronautics and
    Space Administration facilities damaged by hurricanes during 2017,
    $81,300,000, to remain available until expended:  Provided, That the
    amount provided under this heading is designated by the Congress as
    being for an emergency requirement pursuant to section 251(b)(2)(A)(i)
    of the Balanced Budget and Emergency Deficit Control Act of 1985.

                          National Science Foundation

                        research and related activities

        For an additional amount for ``Research and Related Activities''
    for necessary expenses to repair National Science Foundation radio
    observatory facilities damaged by hurricanes that occurred during 2017,
    $16,300,000, to remain available until expended:  Provided, That the
    amount provided under this heading is designated by the Congress as
    being for an emergency requirement pursuant to section 251(b)(2)(A)(i)
    of the Balanced Budget and Emergency Deficit Control Act of 1985:
    Provided further, That the National Science Foundation shall submit a
    spending plan to the Committees on Appropriations of the House of
    Representatives and the Senate within 45 days after the date of
    enactment of this subdivision.

                                RELATED AGENCIES

                           Legal Services Corporation

                   payment to the legal services corporation

        For an additional amount for ``Payment to the Legal Services
    Corporation'' to carry out the purposes of the Legal Services
    Corporation Act by providing for necessary expenses related to the
    consequences of Hurricanes Harvey, Irma, and Maria and of the calendar
    year 2017 wildfires, $15,000,000:  Provided, That the amount made
    available under this heading shall be used only to provide the mobile
    resources, technology, and disaster coordinators necessary to provide
    storm-related services to the Legal Services Corporation client
    population and only in the areas significantly affected by Hurricanes
    Harvey, Irma, and Maria and by the calendar year 2017 wildfires:
    Provided further, That such amount is designated by the Congress as
    being for an emergency requirement pursuant to section 251(b)(2)(A)(i)
    of the Balanced Budget and Emergency Deficit Control Act of 1985:
    Provided further, That none of the funds appropriated in this
    subdivision to the Legal Services Corporation shall be expended for any
    purpose prohibited or limited by, or contrary to any of the provisions
    of, sections 501, 502, 503, 504, 505, and 506 of Public Law 105-119,
    and all funds appropriated in this subdivision to the Legal Services
    Corporation shall be subject to the same terms and conditions set forth
    in such sections, except that all references in sections 502 and 503 to
    1997 and 1998 shall be deemed to refer instead to 2017 and 2018,
    respectively, and except that sections 501 and 503 of Public Law 104-
    134 (referenced by Public Law 105-119) shall not apply to the amount
    made available under this heading:  Provided further, That, for the
    purposes of this subdivision, the Legal Services Corporation shall be
    considered an agency of the United States Government.

                         GENERAL PROVISION--THIS TITLE

        Sec. 20201. (a) In recognition of the consistency of the Mid-
    Barataria Sediment Diversion, Mid-Breton Sound Sediment Diversion, and
    Calcasieu Ship Channel Salinity Control Measures projects, as selected
    by the 2017 Louisiana Comprehensive Master Plan for a Sustainable
    Coast, with the findings and policy declarations in section 2(6) of the
    Marine Mammal Protection Act (16 U.S.C. 1361 et seq., as amended)
    regarding maintaining the health and stability of the marine ecosystem,
    within 120 days of the enactment of this section, the Secretary of
    Commerce shall issue a waiver pursuant to section 101(a)(3)(A) and this
    section to section 101(a) and section 102(a) of the Act, for such
    projects that will remain in effect for the duration of the
    construction, operations and maintenance of the projects. No
    rulemaking, permit, determination, or other condition or limitation
    shall be required when issuing a waiver pursuant to this section.
        (b) Upon issuance of a waiver pursuant to this section, the State
    of Louisiana shall, in consultation with the Secretary of Commerce:
            (1) To the extent practicable and consistent with the purposes
        of the projects, minimize impacts on marine mammal species and
        population stocks; and
            (2) Monitor and evaluate the impacts of the projects on such
        species and population stocks.

                                   TITLE III

                             DEPARTMENT OF DEFENSE

                        DEPARTMENT OF DEFENSE--MILITARY

                           OPERATION AND MAINTENANCE

                        Operation and Maintenance, Army

        For an additional amount for ``Operation and Maintenance, Army'',
    $20,110,000, for necessary expenses related to the consequences of
    Hurricanes Harvey, Irma, and Maria:  Provided, That such amount is
    designated by the Congress as being for an emergency requirement
    pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and
    Emergency Deficit Control Act of 1985.

                        Operation and Maintenance, Navy

        For an additional amount for ``Operation and Maintenance, Navy'',
    $267,796,000, for necessary expenses related to the consequences of
    Hurricanes Harvey, Irma, and Maria:  Provided, That such amount is
    designated by the Congress as being for an emergency requirement
    pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and
    Emergency Deficit Control Act of 1985.

                    Operation and Maintenance, Marine Corps

        For an additional amount for ``Operation and Maintenance, Marine
    Corps'', $17,920,000, for necessary expenses related to the
    consequences of Hurricanes Harvey, Irma, and Maria:  Provided, That
    such amount is designated by the Congress as being for an emergency
    requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget
    and Emergency Deficit Control Act of 1985.

                      Operation and Maintenance, Air Force

        For an additional amount for ``Operation and Maintenance, Air
    Force'', $20,916,000, for necessary expenses related to the
    consequences of Hurricanes Harvey, Irma, and Maria:  Provided, That
    such amount is designated by the Congress as being for an emergency
    requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget
    and Emergency Deficit Control Act of 1985.

                    Operation and Maintenance, Defense-Wide

        For an additional amount for ``Operation and Maintenance, Defense-
    Wide'', $2,650,000, for necessary expenses related to the consequences
    of Hurricanes Harvey, Irma, and Maria:  Provided, That such amount is
    designated by the Congress as being for an emergency requirement
    pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and
    Emergency Deficit Control Act of 1985.

                    Operation and Maintenance, Army Reserve

        For an additional amount for ``Operation and Maintenance, Army
    Reserve'', $12,500,000, for necessary expenses related to the
    consequences of Hurricanes Harvey, Irma, and Maria:  Provided, That
    such amount is designated by the Congress as being for an emergency
    requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget
    and Emergency Deficit Control Act of 1985.

                    Operation and Maintenance, Navy Reserve

        For an additional amount for ``Operation and Maintenance, Navy
    Reserve'', $2,922,000, for necessary expenses related to the
    consequences of Hurricanes Harvey, Irma, and Maria:  Provided, That
    such amount is designated by the Congress as being for an emergency
    requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget
    and Emergency Deficit Control Act of 1985.

                  Operation and Maintenance, Air Force Reserve

        For an additional amount for ``Operation and Maintenance, Air Force
    Reserve'', $5,770,000, for necessary expenses related to the
    consequences of Hurricanes Harvey, Irma, and Maria:  Provided, That
    such amount is designated by the Congress as being for an emergency
    requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget
    and Emergency Deficit Control Act of 1985.

                 Operation and Maintenance, Army National Guard

        For an additional amount for ``Operation and Maintenance, Army
    National Guard'', $55,471,000, for necessary expenses related to the
    consequences of Hurricanes Harvey, Irma, and Maria:  Provided, That
    such amount is designated by the Congress as being for an emergency
    requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget
    and Emergency Deficit Control Act of 1985.

                                  PROCUREMENT

                            Other Procurement, Navy

        For an additional amount for ``Other Procurement, Navy''
    $18,000,000, to remain available until September 30, 2020, for
    necessary expenses related to the consequences of Hurricanes Harvey,
    Irma, and Maria:  Provided, That such amount is designated by the
    Congress as being for an emergency requirement pursuant to section
    251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control
    Act of 1985.

                         REVOLVING AND MANAGEMENT FUNDS

                         Defense Working Capital Funds

        For an additional amount for ``Defense Working Capital Funds'' for
    the Navy Working Capital Fund, $9,486,000, for necessary expenses
    related to the consequences of Hurricanes Harvey, Irma, and Maria:
    Provided, That such amount is designated by the Congress as being for
    an emergency requirement pursuant to section 251(b)(2)(A)(i) of the
    Balanced Budget and Emergency Deficit Control Act of 1985.

                      OTHER DEPARTMENT OF DEFENSE PROGRAMS

                             Defense Health Program

        For an additional amount for operation and maintenance for
    ``Defense Health Program'', $704,000, for necessary expenses related to
    the consequences of Hurricanes Harvey, Irma, and Maria:  Provided, That
    such amount is designated by the Congress as being for an emergency
    requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget
    and Emergency Deficit Control Act of 1985.

                                    TITLE IV

                           CORPS OF ENGINEERS--CIVIL

                             DEPARTMENT OF THE ARMY

                                 investigations

        For an additional amount for ``Investigations'' for necessary
    expenses related to the completion, or initiation and completion, of
    flood and storm damage reduction, including shore protection, studies
    which are currently authorized or which are authorized after the date
    of enactment of this subdivision, to reduce risk from future floods and
    hurricanes, at full Federal expense, $135,000,000, to remain available
    until expended:  Provided, That of such amount, not less than
    $75,000,000 is available for such studies in States and insular areas
    that were impacted by Hurricanes Harvey, Irma, and Maria:  Provided
    further, That funds made available under this heading shall be for
    high-priority studies of projects in States and insular areas with more
    than one flood-related major disaster declared pursuant to the Robert
    T. Stafford Disaster Relief and Emergency Assistance Act (42 U.S.C.
    5121 et seq.) in calendar years 2014, 2015, 2016, or 2017:  Provided
    further, That such amount is designated by the Congress as being for an
    emergency requirement pursuant to section 251(b)(2)(A)(i) of the
    Balanced Budget and Emergency Deficit Control Act of 1985:  Provided
    further, That the Assistant Secretary of the Army for Civil Works shall
    provide a monthly report to the Committees on Appropriations of the
    House of Representatives and the Senate detailing the allocation and
    obligation of these funds, including new studies selected to be
    initiated using funds provided under this heading, beginning not later
    than 60 days after the enactment of this subdivision.

                                  construction

        For an additional amount for ``Construction'' for necessary
    expenses to address emergency situations at Corps of Engineers
    projects, and to construct, and rehabilitate and repair damages caused
    by natural disasters, to Corps of Engineers projects, $15,055,000,000,
    to remain available until expended:  Provided, That of such amount,
    $15,000,000,000 is available to construct flood and storm damage
    reduction, including shore protection, projects which are currently
    authorized or which are authorized after the date of enactment of this
    subdivision, and flood and storm damage reduction, including shore
    protection, projects which have signed Chief's Reports as of the date
    of enactment of this subdivision or which are studied using funds
    provided under the heading ``Investigations'' if the Secretary
    determines such projects to be technically feasible, economically
    justified, and environmentally acceptable, in States and insular areas
    with more than one flood-related major disaster declared pursuant to
    the Robert T. Stafford Disaster Relief and Emergency Assistance Act (42
    U.S.C. 5121 et seq.) in calendar years 2014, 2015, 2016, or 2017:
    Provided further, That of the amounts in the preceding proviso, not
    less than $10,425,000,000 shall be available for such projects within
    States and insular areas that were impacted by Hurricanes Harvey, Irma,
    and Maria:  Provided further, That all repair, rehabilitation, study,
    design, and construction of Corps of Engineers projects in Puerto Rico
    and the United States Virgin Islands, using funds provided under this
    heading, shall be conducted at full Federal expense:  Provided further,
    That for projects receiving funding under this heading, the provisions
    of section 902 of the Water Resources Development Act of 1986 shall not
    apply to these funds:  Provided further, That the completion of ongoing
    construction projects receiving funds provided under this heading shall
    be at full Federal expense with respect to such funds:  Provided
    further, That using funds provided under this heading, the non-Federal
    cash contribution for projects eligible for funding pursuant to the
    first proviso shall be financed in accordance with the provisions of
    section 103(k) of Public Law 99-662 over a period of 30 years from the
    date of completion of the project or separable element:  Provided
    further, That up to $50,000,000 of the funds made available under this
    heading shall be used for continuing authorities projects to reduce the
    risk of flooding and storm damage:  Provided further, That any projects
    using funds appropriated under this heading shall be initiated only
    after non-Federal interests have entered into binding agreements with
    the Secretary requiring, where applicable, the non-Federal interests to
    pay 100 percent of the operation, maintenance, repair, replacement, and
    rehabilitation costs of the project and to hold and save the United
    States free from damages due to the construction or operation and
    maintenance of the project, except for damages due to the fault or
    negligence of the United States or its contractors:  Provided further,
    That such amount is designated by the Congress as being for an
    emergency requirement pursuant to section 251(b)(2)(A)(i) of the
    Balanced Budget and Emergency Deficit Control Act of 1985:  Provided
    further, That the Assistant Secretary of the Army for Civil Works shall
    provide a monthly report to the Committees on Appropriations of the
    House of Representatives and the Senate detailing the allocation and
    obligation of these funds, beginning not later than 60 days after the
    enactment of this subdivision.

                       mississippi river and tributaries

        For an additional amount for ``Mississippi River and Tributaries''
    for necessary expenses to address emergency situations at Corps of
    Engineers projects, and to construct, and rehabilitate and repair
    damages to Corps of Engineers projects, caused by natural disasters,
    $770,000,000, to remain available until expended:  Provided, That of
    such amount, $400,000,000 is available to construct flood and storm
    damage reduction projects which are currently authorized or which are
    authorized after the date of enactment of this subdivision:  Provided
    further, That such amount is designated by the Congress as being for an
    emergency requirement pursuant to section 251(b)(2)(A)(i) of the
    Balanced Budget and Emergency Deficit Control Act of 1985:  Provided
    further, That the Assistant Secretary of the Army for Civil Works shall
    provide a monthly report to the Committees on Appropriations of the
    House of Representatives and the Senate detailing the allocation and
    obligation of these funds, beginning not later than 60 days after the
    enactment of this subdivision.

                           operation and maintenance

        For an additional amount for ``Operation and Maintenance'' for
    necessary expenses to dredge Federal navigation projects in response
    to, and repair damages to Corps of Engineers Federal projects caused
    by, natural disasters, $608,000,000, to remain available until
    expended, of which such sums as are necessary to cover the Federal
    share of eligible operation and maintenance costs for coastal harbors
    and channels, and for inland harbors shall be derived from the Harbor
    Maintenance Trust Fund:  Provided, That such amount is designated by
    the Congress as being for an emergency requirement pursuant to section
    251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control
    Act of 1985:  Provided further, That the Assistant Secretary of the
    Army for Civil Works shall provide a monthly report to the Committees
    on Appropriations of the House of Representatives and the Senate
    detailing the allocation and obligation of these funds, beginning not
    later than 60 days after the enactment of this subdivision.

                     flood control and coastal emergencies

        For an additional amount for ``Flood Control and Coastal
    Emergencies'', as authorized by section 5 of the Act of August 18, 1941
    (33 U.S.C. 701n), for necessary expenses to prepare for flood,
    hurricane and other natural disasters and support emergency operations,
    repairs, and other activities in response to such disasters, as
    authorized by law, $810,000,000, to remain available until expended:
    Provided, That funding utilized for authorized shore protection
    projects shall restore such projects to the full project profile at
    full Federal expense:  Provided further, That such amount is designated
    by the Congress as being for an emergency requirement pursuant to
    section 251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit
    Control Act of 1985:  Provided further, That the Assistant Secretary of
    the Army for Civil Works shall provide a monthly report to the
    Committees on Appropriations of the House of Representatives and the
    Senate detailing the allocation and obligation of these funds,
    beginning not later than 60 days after the enactment of this
    subdivision.

                                    expenses

        For an additional amount for ``Expenses'' for necessary expenses to
    administer and oversee the obligation and expenditure of amounts
    provided in this title for the Corps of Engineers, $20,000,000, to
    remain available until expended:  Provided, That such amount is
    designated by the Congress as being for an emergency requirement
    pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and
    Emergency Deficit Control Act of 1985:  Provided further, That the
    Assistant Secretary of the Army for Civil Works shall provide a monthly
    report to the Committees on Appropriations of the House of
    Representatives and the Senate detailing the allocation and obligation
    of these funds, beginning not later than 60 days after enactment of
    this subdivision.

                              DEPARTMENT OF ENERGY

                                ENERGY PROGRAMS

                  Electricity Delivery and Energy Reliability

        For an additional amount for ``Electricity Delivery and Energy
    Reliability'', $13,000,000, to remain available until expended, for
    necessary expenses related to the consequences of Hurricanes Harvey,
    Irma, and Maria, including technical assistance related to electric
    grids:  Provided, That such amount is designated by the Congress as
    being for an emergency requirement pursuant to section 251(b)(2)(A)(i)
    of the Balanced Budget and Emergency Deficit Control Act of 1985.

                          Strategic Petroleum Reserve

        For an additional amount for ``Strategic Petroleum Reserve'',
    $8,716,000, to remain available until expended, for necessary expenses
    related to damages caused by Hurricanes Harvey, Irma, and Maria:
    Provided, That such amount is designated by the Congress as being for
    an emergency requirement pursuant to section 251(b)(2)(A)(i) of the
    Balanced Budget and Emergency Deficit Control Act of 1985.

                         GENERAL PROVISIONS--THIS TITLE

        Sec. 20401.  In fiscal year 2018, and each fiscal year thereafter,
    the Chief of Engineers of the U.S. Army Corps of Engineers shall
    transmit to the Congress, after reasonable opportunity for comment, but
    without change, by the Assistant Secretary of the Army for Civil Works,
    a monthly report, the first of which shall be transmitted to Congress
    not later than 2 days after the date of enactment of this subdivision
    and monthly thereafter, which includes detailed estimates of damages to
    each Corps of Engineers project, caused by natural disasters or
    otherwise.
        Sec. 20402.  From the unobligated balances of amounts made
    available to the U.S. Army Corps of Engineers, $518,900,000 under the
    heading ``Corps of Engineers--Civil, Flood Control and Coastal
    Emergencies'' and $210,000,000 under the heading ``Corps of Engineers--
    Civil, Operations and Maintenance'' in title X of the Disaster Relief
    Appropriations Act, 2013 (Public Law 113-2; 127 Stat. 25) shall be
    transferred to ``Corps of Engineers--Civil, Construction'', to remain
    available until expended, to rehabilitate, repair and construct Corps
    of Engineers projects:  Provided, That those projects may only include
    construction expenses, including cost sharing, as described under the
    heading ``Corps of Engineers--Civil, Construction'' in title X of that
    Act or other construction expenses related to the consequences of
    Hurricane Sandy:  Provided further, That amounts transferred pursuant
    to this section that were previously designated by the Congress as an
    emergency requirement pursuant to the Balanced Budget and Emergency
    Deficit Control Act are designated by the Congress as an emergency
    requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget
    and Emergency Deficit Control Act of 1985:  Provided further, That the
    Assistant Secretary of the Army for Civil Works shall provide a monthly
    report to the Committees on Appropriations of the House of
    Representatives and the Senate detailing the allocation and obligation
    of these funds, beginning not later than 60 days after the enactment of
    this subdivision.

                                    TITLE V

                              INDEPENDENT AGENCIES

                        General Services Administration

                            real property activities

                             federal buildings fund

        For an additional amount to be deposited in the ``Federal Buildings
    Fund'', $126,951,000, to remain available until expended, for necessary
    expenses related to the consequences of Hurricanes Harvey, Maria, and
    Irma for repair and alteration of buildings under the custody and
    control of the Administrator of General Services, and real property
    management and related activities not otherwise provided for:
    Provided, That funds may be used to reimburse the ``Federal Buildings
    Fund'' for obligations incurred for this purpose prior to enactment of
    this subdivision:  Provided further, That not more than $15,000,000
    shall be available for tenant improvements in damaged U.S. courthouses:
     Provided further, That such amount is designated by the Congress as
    being for an emergency requirement pursuant to section 251(b)(2)(A)(i)
    of the Balanced Budget and Emergency Deficit Control Act of 1985.

                         Small Business Administration

                          office of inspector general

        For an additional amount for the ``Office of Inspector General'',
    $7,000,000, to remain available until expended:  Provided, That such
    amount is designated by the Congress as being for an emergency
    requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget
    and Emergency Deficit Control Act of 1985.

                         disaster loans program account

                         (including transfer of funds)

        For an additional amount for the ``Disaster Loans Program Account''
    for the cost of direct loans authorized by section 7(b) of the Small
    Business Act, $1,652,000,000, to remain available until expended:
    Provided, That up to $618,000,000 may be transferred to and merged with
    ``Salaries and Expenses'' for administrative expenses to carry out the
    disaster loan program authorized by section 7(b) of the Small Business
    Act:  Provided further, That none of the funds provided under this
    heading may be used for indirect administrative expenses:  Provided
    further, That the amount provided under this heading is designated by
    the Congress as being for an emergency requirement pursuant to section
    251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control
    Act of 1985.

                                    TITLE VI

                        DEPARTMENT OF HOMELAND SECURITY

        DEPARTMENTAL MANAGEMENT, OPERATIONS, INTELLIGENCE, AND OVERSIGHT

                          Office of Inspector General

                             operations and support

        For an additional amount for ``Operations and Support'' for
    necessary expenses related to the consequences of Hurricanes Harvey,
    Irma, and Maria, $25,000,000, to remain available until September 30,
    2020, for audits and investigations of activities funded by this title:
     Provided, That such amount is designated by the Congress as being for
    an emergency requirement pursuant to section 251(b)(2)(A)(i) of the
    Balanced Budget and Emergency Deficit Control Act of 1985.

                   SECURITY, ENFORCEMENT, AND INVESTIGATIONS

                       U.S. Customs and Border Protection

                             operations and support

        For an additional amount for ``Operations and Support'' for
    necessary expenses related to the consequences of Hurricanes Harvey,
    Irma, and Maria, $104,494,000, to remain available until September 30,
    2019:  Provided, That such amount is designated by the Congress as
    being for an emergency requirement pursuant to section 251(b)(2)(A)(i)
    of the Balanced Budget and Emergency Deficit Control Act of 1985:
    Provided further, That not more than $39,400,000 may be used to carry
    out U.S. Customs and Border Protection activities in fiscal year 2018
    in Puerto Rico and the United States Virgin Islands, in addition to any
    other amounts available for such purposes.

                  procurement, construction, and improvements

        For an additional amount for ``Procurement, Construction, and
    Improvements'' for necessary expenses related to the consequences of
    Hurricanes Harvey, Irma, and Maria, including for the reconstruction of
    facilities affected, $45,000,000, to remain available until September
    30, 2022:  Provided, That such amount is designated by the Congress as
    being for an emergency requirement pursuant to section 251(b)(2)(A)(i)
    of the Balanced Budget and Emergency Deficit Control Act of 1985:
    Provided further, That funds are provided to carry out U.S. Customs and
    Border Protection activities in Puerto Rico and the United States
    Virgin Islands, in addition to any other amounts available for such
    purposes.

                    U.S. Immigration and Customs Enforcement

                             operations and support

        For an additional amount for ``Operations and Support'' for
    necessary expenses related to the consequences of Hurricanes Harvey,
    Irma, and Maria, $30,905,000, to remain available until September 30,
    2019:  Provided, That such amount is designated by the Congress as
    being for an emergency requirement pursuant to section 251(b)(2)(A)(i)
    of the Balanced Budget and Emergency Deficit Control Act of 1985.

                  procurement, construction, and improvements

        For an additional amount for ``Procurement, Construction, and
    Improvements'' for necessary expenses related to the consequences of
    Hurricanes Harvey, Irma, and Maria, $33,052,000, to remain available
    until September 30, 2022:  Provided, That such amount is designated by
    the Congress as being for an emergency requirement pursuant to section
    251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control
    Act of 1985.

                     Transportation Security Administration

                             operations and support

        For an additional amount for ``Operations and Support'' for
    necessary expenses related to the consequences of Hurricanes Harvey,
    Irma, and Maria, $10,322,000, to remain available until September 30,
    2019:  Provided, That such amount is designated by the Congress as
    being for an emergency requirement pursuant to section 251(b)(2)(A)(i)
    of the Balanced Budget and Emergency Deficit Control Act of 1985.

                                  Coast Guard

                               operating expenses

        For an additional amount for ``Operating Expenses'' for necessary
    expenses related to the consequences of Hurricanes Harvey, Irma, and
    Maria, $112,136,000, to remain available until September 30, 2019:
    Provided, That such amount is designated by the Congress as being for
    an emergency requirement pursuant to section 251(b)(2)(A)(i) of the
    Balanced Budget and Emergency Deficit Control Act of 1985.

                    environmental compliance and restoration

        For an additional amount for ``Environmental Compliance and
    Restoration'' for necessary expenses related to the consequences of
    Hurricanes Harvey, Irma, and Maria, $4,038,000, to remain available
    until September 30, 2022:  Provided, That such amount is designated by
    the Congress as being for an emergency requirement pursuant to section
    251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control
    Act of 1985.

                  acquisition, construction, and improvements

        For an additional amount for Acquisition, Construction, and
    Improvements'' for necessary expenses related to the consequences of
    Hurricanes Harvey, Irma, Maria, and Matthew, $718,919,000, to remain
    available until September 30, 2022:  Provided, That, not later than 60
    days after enactment of this subdivision, the Secretary of Homeland
    Security, or her designee, shall submit to the Committees on
    Appropriations of the House of Representatives and the Senate a
    detailed expenditure plan for funds appropriated under this heading:
    Provided further, That such amount is designated by the Congress as
    being for an emergency requirement pursuant to section 251(b)(2)(A)(i)
    of the Balanced Budget and Emergency Deficit Control Act of 1985.

                PROTECTION, PREPAREDNESS, RESPONSE, AND RECOVERY

                      Federal Emergency Management Agency

                             operations and support

        For an additional amount for ``Operations and Support'' for
    necessary expenses related to the consequences of Hurricanes Harvey,
    Irma, and Maria, $58,800,000, to remain available until September 30,
    2019:  Provided, That such amount is designated by the Congress as
    being for an emergency requirement pursuant to section 251(b)(2)(A)(i)
    of the Balanced Budget and Emergency Deficit Control Act of 1985.

                  procurement, construction, and improvements

        For an additional amount for ``Procurement, Construction, and
    Improvements'' for necessary expenses related to the consequences of
    Hurricanes Harvey, Irma, and Maria, $1,200,000, to remain available
    until September 30, 2020:  Provided, That such amount is designated by
    the Congress as being for an emergency requirement pursuant to section
    251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control
    Act of 1985.

                              disaster relief fund

        For an additional amount for ``Disaster Relief Fund'' for major
    disasters declared pursuant to the Robert T. Stafford Disaster Relief
    and Emergency Assistance Act (42 U.S.C. 5121 et seq.), $23,500,000,000,
    to remain available until expended:  Provided, That the Administrator
    of the Federal Emergency Management Agency shall publish on the
    Agency's website not later than 5 days after an award of a public
    assistance grant under section 406 or 428 of the Robert T. Stafford
    Disaster Relief and Emergency Assistance Act (42 U.S.C. 5172 or 5189f)
    that is in excess of $1,000,000, the specifics of each such grant
    award:  Provided further, That for any mission assignment or mission
    assignment task order to another Federal department or agency regarding
    a major disaster in excess of $1,000,000, not later than 5 days after
    the issuance of such mission assignment or mission assignment task
    order, the Administrator shall publish on the Agency's website the
    following: the name of the impacted State, the disaster declaration for
    such State, the assigned agency, the assistance requested, a
    description of the disaster, the total cost estimate, and the amount
    obligated:  Provided further, That not later than 10 days after the
    last day of each month until a mission assignment or mission assignment
    task order described in the preceding proviso is completed and closed
    out, the Administrator shall update any changes to the total cost
    estimate and the amount obligated:  Provided further, That for a
    disaster declaration related to Hurricanes Harvey, Irma, or Maria, the
    Administrator shall submit to the Committees on Appropriations of the
    House of Representatives and the Senate, not later than 5 days after
    the first day of each month beginning after the date of enactment of
    this subdivision, and shall publish on the Agency's website, not later
    than 10 days after the first day of each such month, an estimate or
    actual amount, if available, for the current fiscal year of the cost of
    the following categories of spending: public assistance, individual
    assistance, operations, mitigation, administrative, and any other
    relevant category (including emergency measures and disaster
    resources):  Provided, further, That not later than 10 days after the
    first day of each month, the Administrator shall publish on the
    Agency's website the report (referred to as the Disaster Relief Monthly
    Report) as required by Public Law 114-4:  Provided further, That of the
    amounts provided under this heading for the Disaster Relief Fund, up to
    $150,000,000 shall be transferred to the Disaster Assistance Direct
    Loan Program Account for the cost to lend a territory or possession of
    the United States that portion of assistance for which the territory or
    possession is responsible under the cost-sharing provisions of the
    major disaster declaration for Hurricanes Irma or Maria, as authorized
    under section 319 of the Robert T. Stafford Disaster Relief and
    Emergency Assistance Act (42 U.S.C. 5162):  Provided further, That of
    the amount provided under this paragraph for transfer, up to $1,000,000
    may be transferred to the Disaster Assistance Direct Loan Program
    Account for administrative expenses to carry out the Advance of Non-
    Federal Share program, as authorized by section 319 of the Robert T.
    Stafford Disaster Relief and Emergency Assistance Act (42 U.S.C. 5162):
     Provided further, That such amount is designated by the Congress as
    being for an emergency requirement pursuant to section 251(b)(2)(A)(i)
    of the Balanced Budget and Emergency Deficit Control Act of 1985.

                 RESEARCH, DEVELOPMENT, TRAINING, AND SERVICES

                    Federal Law Enforcement Training Centers

                             operations and support

        For an additional amount for ``Operations and Support'' for
    necessary expenses related to the consequences of Hurricanes Harvey,
    Irma, and Maria, $5,374,000, to remain available until September 30,
    2019:  Provided, That such amount is designated by the Congress as
    being for an emergency requirement pursuant to section 251(b)(2)(A)(i)
    of the Balanced Budget and Emergency Deficit Control Act of 1985.

                  procurement, construction, and improvements

        For an additional amount for ``Procurement, Construction, and
    Improvements'' for necessary expenses related to the consequences of
    Hurricanes Harvey, Irma, and Maria, $5,000,000, to remain available
    until September 30, 2022:  Provided, That such amount is designated by
    the Congress as being for an emergency requirement pursuant to section
    251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control
    Act of 1985.

                         GENERAL PROVISIONS--THIS TITLE

        Sec. 20601.  The Administrator of the Federal Emergency Management
    Agency may provide assistance, pursuant to section 428 of the Robert T.
    Stafford Disaster Relief and Emergency Assistance Act (42 U.S.C. 5121
    et seq.), for critical services as defined in section 406 of the Robert
    T. Stafford Disaster Relief and Emergency Assistance Act for the
    duration of the recovery for incidents DR-4336-PR, DR-4339-PR, DR-4340-
    USVI, and DR-4335-USVI to--
            (1) replace or restore the function of a facility or system to
        industry standards without regard to the pre-disaster condition of
        the facility or system; and
            (2) replace or restore components of the facility or system not
        damaged by the disaster where necessary to fully effectuate the
        replacement or restoration of disaster-damaged components to
        restore the function of the facility or system to industry
        standards.
        Sec. 20602.  Notwithstanding section 404 or 420 of the Robert T.
    Stafford Disaster Relief and Emergency Assistance Act (42 U.S.C. 5170c
    and 8187), for fiscal years 2017 and 2018, the President shall provide
    hazard mitigation assistance in accordance with such section 404 in any
    area in which assistance was provided under such section 420.
        Sec. 20603.  The third proviso of the second paragraph in title I
    of Public Law 115-72 under the heading ``Federal Emergency Management
    Agency--Disaster Relief Fund'' shall be amended by striking ``180
    days'' and inserting ``365 days'':  Provided, That amounts repurposed
    pursuant to this section that were previously designated by the
    Congress as an emergency requirement pursuant to the Balanced Budget
    and Emergency Deficit Control Act are designated by the Congress as an
    emergency requirement pursuant to section 251(b)(2)(A)(i) of the
    Balanced Budget and Emergency Deficit Control Act of 1985.
        Sec. 20604. (a) Definition of Private Nonprofit Facility.--Section
    102(11)(B) of the Robert T. Stafford Disaster Relief and Emergency
    Assistance Act (42 U.S.C. 5122(11)(B)) is amended to read as follows:
                ``(A) In general.--The term `private nonprofit facility'
            means private nonprofit educational (without regard to the
            religious character of the facility), utility, irrigation,
            emergency, medical, rehabilitational, and temporary or
            permanent custodial care facilities (including those for the
            aged and disabled) and facilities on Indian reservations, as
            defined by the President.
                ``(B) Additional facilities.--In addition to the facilities
            described in subparagraph (A), the term `private nonprofit
            facility' includes any private nonprofit facility that provides
            essential social services to the general public (including
            museums, zoos, performing arts facilities, community arts
            centers, community centers, libraries, homeless shelters,
            senior citizen centers, rehabilitation facilities, shelter
            workshops, broadcasting facilities, houses of worship, and
            facilities that provide health and safety services of a
            governmental nature), as defined by the President. No house of
            worship may be excluded from this definition because leadership
            or membership in the organization operating the house of
            worship is limited to persons who share a religious faith or
            practice.''.
        (b) Repair, Restoration, and Replacement of Damaged Facilities.--
    Section 406(a)(3) of the Robert T. Stafford Disaster Relief and
    Emergency Assistance Act (42 U.S.C. 5172(a)(3)) is amended by adding at
    the end the following:
                ``(C) Religious facilities.--A church, synagogue, mosque,
            temple, or other house of worship, educational facility, or any
            other private nonprofit facility, shall be eligible for
            contributions under paragraph (1)(B), without regard to the
            religious character of the facility or the primary religious
            use of the facility. No house of worship, educational facility,
            or any other private nonprofit facility may be excluded from
            receiving contributions under paragraph (1)(B) because
            leadership or membership in the organization operating the
            house of worship is limited to persons who share a religious
            faith or practice.''.
        (c) Applicability.--This section and the amendments made by this
    section shall apply--
            (1) to the provision of assistance in response to a major
        disaster or emergency declared on or after August 23, 2017; or
            (2) with respect to--
                (A) any application for assistance that, as of the date of
            enactment of this Act, is pending before Federal Emergency
            Management Agency; and
                (B) any application for assistance that has been denied,
            where a challenge to that denial is not yet finally resolved as
            of the date of enactment of this Act.
        Sec. 20605. (a) The Federal share of assistance, including direct
    Federal assistance, provided under section 407 of the Robert T.
    Stafford Disaster Relief and Emergency Assistance Act (42 U.S.C. 5173),
    with respect to a major disaster declared pursuant to such Act for
    damages resulting from a wildfire in calendar year 2017, shall be 90
    percent of the eligible costs under such section.
        (b) The Federal share provided by subsection (a) shall apply to
    assistance provided before, on, or after the date of enactment of this
    Act.

    federal cost-share adjustments for repair, restoration, and replacement
                             of damaged facilities

        Sec. 20606.  Section 406(b) of the Robert T. Stafford Disaster
    Relief and Emergency Assistance Act (42 U.S.C. 5172(b)) is amended by
    inserting after paragraph (2) the following:
            ``(3) Increased federal share.--
                ``(A) Incentive measures.--The President may provide
            incentives to a State or Tribal government to invest in
            measures that increase readiness for, and resilience from, a
            major disaster by recognizing such investments through a
            sliding scale that increases the minimum Federal share to 85
            percent. Such measures may include--
                    ``(i) the adoption of a mitigation plan approved under
                section 322;
                    ``(ii) investments in disaster relief, insurance, and
                emergency management programs;
                    ``(iii) encouraging the adoption and enforcement of the
                latest published editions of relevant consensus-based
                codes, specifications, and standards that incorporate the
                latest hazard-resistant designs and establish minimum
                acceptable criteria for the design, construction, and
                maintenance of residential structures and facilities that
                may be eligible for assistance under this Act for the
                purpose of protecting the health, safety, and general
                welfare of the buildings' users against disasters;
                    ``(iv) facilitating participation in the community
                rating system; and
                    ``(v) funding mitigation projects or granting tax
                incentives for projects that reduce risk.
                ``(B) Comprehensive guidance.--Not later than 1 year after
            the date of enactment of this paragraph, the President, acting
            through the Administrator, shall issue comprehensive guidance
            to State and Tribal governments regarding the measures and
            investments, weighted appropriately based on actuarial
            assessments of eligible actions, that will be recognized for
            the purpose of increasing the Federal share under this section.
            Guidance shall ensure that the agency's review of eligible
            measures and investments does not unduly delay determining the
            appropriate Federal cost share.
                ``(C) Report.--One year after the issuance of the guidance
            required by subparagraph (B), the Administrator shall submit to
            the Committee on Transportation and Infrastructure of the House
            of Representatives and the Committee on Homeland Security and
            Governmental Affairs of the Senate a report regarding the
            analysis of the Federal cost shares paid under this section.
                ``(D) Savings clause.--Nothing in this paragraph prevents
            the President from increasing the Federal cost share above 85
            percent.''.
        Sec. 20607.  Division F of the Consolidated Appropriations Act,
    2017, is amended by inserting the following at the end of Title V:
        ``Sec. 545. (a) Premium Pay Authority.--During calendar year 2017,
    any premium pay that is funded, either directly or through
    reimbursement, by the `Federal Emergency Management Agency--Disaster
    Relief Fund' shall be exempted from the aggregate of basic pay and
    premium pay calculated under section 5547(a) of title 5, United States
    Code, and any other provision of law limiting the aggregate amount of
    premium pay payable on a biweekly or calendar year basis.
        ``(b) Overtime Authority.--During calendar year 2017, any overtime
    that is funded, either directly or through reimbursement, by the
    `Federal Emergency Management Agency--Disaster Relief Fund' shall be
    exempted from any annual limit on the amount of overtime payable in a
    calendar or fiscal year.
        ``(c) Applicability of Aggregate Limitation on Pay.--In determining
    whether an employee's pay exceeds the applicable annual rate of basic
    pay payable under section 5307 of title 5, United States Code, the head
    of an Executive agency shall not include pay exempted under this
    section.
        ``(d) Limitation of Pay Authority.--Pay exempted from otherwise
    applicable limits under subsection (a) shall not cause the aggregate
    pay earned for the calendar year in which the exempted pay is earned to
    exceed the rate of basic pay payable for a position at level II of the
    Executive Schedule under section 5313 of title 5, United States Code.
        ``(e) Effective Date.--This section shall take effect as if enacted
    on December 31, 2016.''.

                                   TITLE VII

                           DEPARTMENT OF THE INTERIOR

                    United States Fish and Wildlife Service

                                  construction

        For an additional amount for ``Construction'' for necessary
    expenses related to the consequences of Hurricanes Harvey, Irma, and
    Maria, $210,629,000, to remain available until expended:  Provided,
    That such amount is designated by the Congress as being for an
    emergency requirement pursuant to section 251(b)(2)(A)(i) of the
    Balanced Budget and Emergency Deficit Control Act of 1985.

                             National Park Service

                           historic preservation fund

        For an additional amount for the ``Historic Preservation Fund'' for
    necessary expenses related to the consequences of Hurricanes Harvey,
    Irma, and Maria, $50,000,000, to remain available until September 30,
    2019, including costs to States and territories necessary to complete
    compliance activities required by section 306108 of title 54, United
    States Code (formerly section 106 of the National Historic Preservation
    Act) and costs needed to administer the program:  Provided, That grants
    shall only be available for areas that have received a major disaster
    declaration pursuant to the Robert T. Stafford Disaster Relief and
    Emergency Assistance Act (42 U.S.C. 5121 et seq.):  Provided further,
    That individual grants shall not be subject to a non-Federal matching
    requirement:  Provided further, That such amount is designated by the
    Congress as being for an emergency requirement pursuant to section
    251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control
    Act of 1985.

                                  construction

        For an additional amount for ``Construction'' for necessary
    expenses related to the consequences of Hurricanes Harvey, Irma, and
    Maria, $207,600,000, to remain available until expended:  Provided,
    That such amount is designated by the Congress as being for an
    emergency requirement pursuant to section 251(b)(2)(A)(i) of the
    Balanced Budget and Emergency Deficit Control Act of 1985.

                        United States Geological Survey

                     surveys, investigations, and research

        For an additional amount for ``Surveys, Investigations, and
    Research'' for necessary expenses related to the consequences of
    Hurricanes Harvey, Irma, and Maria, and in those areas impacted by a
    major disaster declared pursuant to the Robert T. Stafford Disaster
    Relief and Emergency Assistance Act (42 U.S.C. 5121 et seq.) with
    respect to wildfires in 2017, $42,246,000, to remain available until
    expended:  Provided, That such amount is designated by the Congress as
    being for an emergency requirement pursuant to section 251(b)(2)(A)(i)
    of the Balanced Budget and Emergency Deficit Control Act of 1985.

                              Departmental Offices

                                Insular Affairs

                           assistance to territories

        For an additional amount for ``Technical Assistance'' for financial
    management expenses related to the consequences of Hurricanes Irma and
    Maria, $3,000,000, to remain available until expended:  Provided, That
    such amount is designated by the Congress as being for an emergency
    requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget
    and Emergency Deficit Control Act of 1985.

                          Office of Inspector General

                             salaries and expenses

        For an additional amount for ``Salaries and Expenses'' for
    necessary expenses related to the consequences of Hurricanes Harvey,
    Irma, and Maria, $2,500,000, to remain available until expended:
    Provided, That such amount is designated by the Congress as being for
    an emergency requirement pursuant to section 251(b)(2)(A)(i) of the
    Balanced Budget and Emergency Deficit Control Act of 1985.

                        Environmental Protection Agency

                         hazardous substance superfund

        For an additional amount for ``Hazardous Substance Superfund'' for
    necessary expenses related to the consequences of Hurricanes Harvey,
    Irma, and Maria, $6,200,000, to remain available until expended:
    Provided, That such amount is designated by the Congress as being for
    an emergency requirement pursuant to section 251(b)(2)(A)(i) of the
    Balanced Budget and Emergency Deficit Control Act of 1985.

              leaking underground storage tank trust fund program

        For an additional amount for ``Leaking Underground Storage Tank
    Fund'' for necessary expenses related to the consequences of Hurricanes
    Harvey, Irma, and Maria, $7,000,000, to remain available until
    expended:  Provided, That such amount is designated by the Congress as
    being for an emergency requirement pursuant to section 251(b)(2)(A)(i)
    of the Balanced Budget and Emergency Deficit Control Act of 1985.

                       state and tribal assistance grants

        For an additional amount for ``State and Tribal Assistance Grants''
    for necessary expenses related to the consequences of Hurricanes
    Harvey, Irma, and Maria for the hazardous waste financial assistance
    grants program and for other solid waste management activities,
    $50,000,000, to remain available until expended:  Provided, That none
    of these funds allocated within Region 2 shall be subject to cost share
    requirements under section 3011(b) of the Solid Waste Disposal Act:
    Provided further, That such amount is designated by the Congress as
    being for an emergency requirement pursuant to section 251(b)(2)(A)(i)
    of the Balanced Budget and Emergency Deficit Control Act of 1985.

           Administrative Provision--Environmental Protection Agency

        Of amounts previously appropriated for capitalization grants for
    the State Revolving Funds under title VI of the Federal Water Pollution
    Control Act or under section 1452 of the Safe Drinking Water Act to a
    State or territory included as part of a disaster declaration related
    to Hurricanes Irma and Maria, all existing grant funds that are
    available but not drawn down shall not be subject to the matching or
    cost share requirements of sections 602(b)(2), 602(b)(3) of the Federal
    Water Pollution Control Act nor the matching requirements of section
    1452(e) of the Safe Drinking Water Act and shall be awarded to such
    state or territory:  Provided, That, notwithstanding the requirements
    of section 603(d) of the Federal Water Pollution Control Act or section
    1452(f) of the Safe Drinking Water Act, the state or territory shall
    utilize the full amount of such funds, excluding existing loans, to
    provide additional subsidization to eligible recipients in the form of
    forgiveness of principal, negative interest loans or grants or any
    combination of these:  Provided further, That such funds may be used
    for eligible projects whose purpose is to repair damage incurred as a
    result of Hurricanes Irma and Maria, reduce flood damage risk and
    vulnerability or to enhance resiliency to rapid hydrologic change or a
    natural disaster at treatment works as defined by section 212 of the
    Federal Water Pollution Control Act or a public drinking water system
    under section 1452 of the Safe Drinking Water Act:  Provided further,
    That any project involving the repair or replacement of a lead service
    line shall replace the entire lead service line, not just a portion.

                                RELATED AGENCIES

                           DEPARTMENT OF AGRICULTURE

                                 Forest Service

                           state and private forestry

        For an additional amount for ``State and Private Forestry'' for
    necessary expenses related to the consequences of Hurricanes Harvey,
    Irma, and Maria, $7,500,000, to remain available until expended:
    Provided, That such amount is designated by the Congress as being for
    an emergency requirement pursuant to section 251(b)(2)(A)(i) of the
    Balanced Budget and Emergency Deficit Control Act of 1985.

                             national forest system

        For an additional amount for ``National Forest System'' for
    necessary expenses related to the consequences of Hurricanes Harvey,
    Irma, and Maria, $20,652,000, to remain available until expended:
    Provided, That such amount is designated by the Congress as being for
    an emergency requirement pursuant to section 251(b)(2)(A)(i) of the
    Balanced Budget and Emergency Deficit Control Act of 1985.

                      capital improvement and maintenance

        For an additional amount for ``Capital Improvement and
    Maintenance'' for necessary expenses related to the consequences of
    Hurricanes Harvey, Irma, and Maria, and the 2017 fire season,
    $91,600,000, to remain available until expended:  Provided, That such
    amount is designated by the Congress as being for an emergency
    requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget
    and Emergency Deficit Control Act of 1985.

                         GENERAL PROVISION--THIS TITLE

        Sec. 20701.  Agencies receiving funds appropriated by this title
    shall each provide a monthly report to the Committees on Appropriations
    of the House of Representatives and the Senate detailing the allocation
    and obligation of these funds by account, beginning not later than 90
    days after enactment of this Act.

                                   TITLE VIII

                              DEPARTMENT OF LABOR

                     Employment and Training Administration

                        training and employment services

                         (including transfers of funds)

        For an additional amount for ``Training and Employment Services'',
    $100,000,000, for the dislocated workers assistance national reserve
    for necessary expenses directly related to the consequences of
    Hurricanes Harvey, Maria, and Irma and those jurisdictions that
    received a major disaster declaration pursuant to the Robert T.
    Stafford Disaster Relief and Emergency Assistance Act (42 U.S.C. 5121
    et seq.) due to wildfires in 2017, which shall be available from the
    date of enactment of this subdivision through September 30, 2019:
    Provided, That the Secretary of Labor may transfer up to $2,500,000 of
    such funds to any other Department of Labor account for reconstruction
    and recovery needs, including worker protection activities:  Provided
    further, That these sums may be used to replace grant funds previously
    obligated to the impacted areas:  Provided further, That of the amount
    provided, up to $500,000, to remain available until expended, shall be
    transferred to ``Office of Inspector General''for oversight of
    activities responding to such hurricanes and wildfires:  Provided
    further, That such amount is designated by the Congress as being for an
    emergency requirement pursuant to section 251(b)(2)(A)(i) of the
    Balanced Budget and Emergency Deficit Control Act of 1985.

                                   job corps

        For an additional amount for ``Job Corps'' for construction,
    rehabilitation and acquisition for Job Corps Centers in Puerto Rico,
    $30,900,000, which shall be available upon the date of enactment of
    this subdivision and remain available for obligation through June 30,
    2021:  Provided, That such amount is designated by the Congress as
    being for an emergency requirement pursuant to section 251(b)(2)(A)(i)
    of the Balanced Budget and Emergency Deficit Control Act of 1985.

                    General Provisions--Department of Labor

                deferral of interest payments for virgin islands

        Sec. 20801.  Notwithstanding any other provision of law, the
    interest payment of the Virgin Islands that was due under section
    1202(b)(1) of the Social Security Act on September 29, 2017, shall not
    be due until September 28, 2018, and no interest shall accrue on such
    amount through September 28, 2018:  Provided, That such amount is
    designated by the Congress as being for an emergency requirement
    pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and
    Emergency Deficit Control Act of 1985.

                     flexibility in use of funds under wioa

        Sec. 20802. (a) In General.--Notwithstanding section 133(b)(4) of
    the Workforce Innovation and Opportunity Act, in States, as defined by
    section 3(56) of such Act, affected by Hurricanes Harvey, Irma, and
    Maria, a local board, as defined by section 3(33) of such Act, in a
    local area, as defined by section 3(32) of such Act, affected by such
    Hurricanes may transfer, if such transfer is approved by the Governor,
    up to 100 percent of the funds allocated to the local area for Program
    Years 2016 and 2017 for Youth Workforce Investment activities under
    paragraphs (2) or (3) of section 128(b) of such Act, for Adult
    employment and training activities under paragraphs (2)(A) or (3) of
    section 133(b) of such Act, or for Dislocated Worker employment and
    training activities under paragraph (2)(B) of section 133(b) of such
    Act among--
            (1) adult employment and training activities;
            (2) dislocated worker employment and training activities; and
            (3) youth workforce investment activities.
        (b) The Virgin Islands.--Except for the funds reserved to carry out
    required statewide activities under sections 127(b) and 134(a)(2) of
    the Workforce Innovation and Opportunity Act, the Governor of the
    Virgin Islands may authorize the transfer of up to 100 percent of the
    remaining funds provided to the Virgin Islands for Program Years 2016
    and 2017 for Youth Workforce Investment activities under section
    127(b)(1)(B) of such Act, for Adult employment and training activities
    under section 132(b)(1)(A) of such Act, or for Dislocated Worker
    employment and training activities under section 133(b)(2)(A) of such
    Act among--
            (1) adult employment and training activities;
            (2) dislocated worker employment and training activities; and
            (3) youth workforce investment activities.

                    DEPARTMENT OF HEALTH AND HUMAN SERVICES

                   Centers for Disease Control and Prevention

                    cdc-wide activities and program support

                         (including transfer of funds)

        For an additional amount for ``CDC-Wide Activities and Program
    Support'', $200,000,000, to remain available until September 30, 2020,
    for response, recovery, preparation, mitigation, and other expenses
    directly related to the consequences of Hurricanes Harvey, Irma, and
    Maria:  Provided, That obligations incurred for the purposes provided
    herein prior to the date of enactment of this subdivision may be
    charged to funds appropriated by this paragraph:  Provided further,
    That of the amount provided, not less than $6,000,000 shall be
    transferred to the ``Buildings and Facilities'' account for the
    purposes provided herein:  Provided further, That such amount is
    designated by the Congress as being for an emergency requirement
    pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and
    Emergency Deficit Control Act of 1985.

                         National Institutes of Health

                             office of the director

        For an additional amount for fiscal year 2018 for ``Office of the
    Director'', $50,000,000, to remain available until September 30, 2020,
    for response, recovery, and other expenses directly related to the
    consequences of Hurricanes Harvey, Irma, and Maria:  Provided, That
    obligations incurred for these purposes prior to the date of enactment
    of this subdivision may be charged to funds appropriated by this
    paragraph:  Provided further, That funds appropriated by this paragraph
    may be used for construction grants or contracts under section 404I of
    the Public Health Service Act without regard to section 404I(c)(2):
    Provided further, That such amount is designated by the Congress as
    being for an emergency requirement pursuant to section 251(b)(2)(A)(i)
    of the Balanced Budget and Emergency Deficit Control Act of 1985.

                    Administration for Children and Families

                    children and families services programs

        For an additional amount for ``Children and Families Services
    Programs'', $650,000,000, to remain available until September 30, 2021,
    for Head Start programs, for necessary expenses directly related to the
    consequences of Hurricanes Harvey, Irma, and Maria, including making
    payments under the Head Start Act:  Provided, That none of the funds
    appropriated in this paragraph shall be included in the calculation of
    the ``base grant'' in subsequent fiscal years, as such term is defined
    in sections 640(a)(7)(A), 641A(h)(1)(B), or 645(d)(3) of the Head Start
    Act:  Provided further, That funds appropriated in this paragraph are
    not subject to the allocation requirements of section 640(a) of the
    Head Start Act:  Provided further, That funds appropriated in this
    paragraph shall not be available for costs that are reimbursed by the
    Federal Emergency Management Agency, under a contract for insurance, or
    by self-insurance:  Provided further, That up to $12,500,000 shall be
    available for Federal administrative expenses:  Provided further, That
    obligations incurred for the purposes provided herein prior to the date
    of enactment of this subdivision may be charged to funds appropriated
    under this heading:  Provided further, That such amount is designated
    by the Congress as being for an emergency requirement pursuant to
    section 251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit
    Control Act of 1985.

                            Office of the Secretary

                public health and social services emergency fund

                         (including transfers of funds)

        For an additional amount for the ``Public Health and Social
    Services Emergency Fund'', $162,000,000, to remain available until
    September 30, 2020, for response, recovery, preparation, mitigation and
    other expenses directly related to the consequences of Hurricanes
    Harvey, Irma, and Maria, including activities authorized under section
    319(a) of the Public Health Service Act (referred to in this
    subdivision as the ``PHS Act''):  Provided, That of the amount
    provided, $60,000,000 shall be transferred to ``Health Resources and
    Services Administration--Primary Health Care'', for expenses related to
    the consequences of Hurricanes Harvey, Irma, and Maria for disaster
    response and recovery, for the Health Centers Program under section 330
    of the PHS Act:  Provided further, That not less than $50,000,000, of
    amounts transferred under the preceding proviso, shall be available for
    alteration, renovation, construction, equipment, and other capital
    improvement costs as necessary to meet the needs of areas affected by
    Hurricanes Harvey, Irma, and Maria: Provided further, That the time
    limitation in section 330(e)(3) of the PHS Act shall not apply to funds
    made available under the preceding proviso:  Provided further, That of
    the amount provided, not less than $20,000,000 shall be transferred to
    ``Substance Abuse and Mental Health Services Administration--Health
    Surveillance and Program Support'' for grants, contracts, and
    cooperative agreements for behavioral health treatment, crisis
    counseling, and other related helplines, and for other similar programs
    to provide support to individuals impacted by Hurricanes Harvey, Irma,
    and Maria:  Provided further, That of the amount provided, up to
    $2,000,000, to remain available until expended, shall be transferred to
    ``Office of the Secretary--Office of Inspector General'' for oversight
    of activities responding to such hurricanes:  Provided further, That
    obligations incurred for the purposes provided herein prior to the date
    of enactment of this subdivision may be charged to funds appropriated
    under this heading:  Provided further, That funds appropriated in this
    paragraph shall not be available for costs that are reimbursed by the
    Federal Emergency Management Agency, under a contract for insurance, or
    by self-insurance:  Provided further, That such amount is designated by
    the Congress as being for an emergency requirement pursuant to section
    251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control
    Act of 1985.

           General Provision--Department of Health and Human Services

         direct hire authority for certain emergency response positions

        Sec. 20803. (a) In General.--As the Secretary of Health and Human
    Services determines necessary to respond to a critical hiring need for
    emergency response positions, after providing public notice and without
    regard to the provisions of sections 3309 through 3319 of title 5,
    United States Code, the Secretary may appoint candidates directly to
    the following positions, consistent with subsection (b), to perform
    critical work directly relating to the consequences of Hurricanes
    Harvey, Irma, and Maria:
            (1) Intermittent disaster-response personnel in the National
        Disaster Medical System, under section 2812 of the Public Health
        Service Act (42 U.S.C. 300hh-11).
            (2) Term or temporary related positions in the Centers for
        Disease Control and Prevention and the Office of the Assistant
        Secretary for Preparedness and Response.
        (b) Expiration.--The authority under subsection (a) shall expire
    270 days after the date of enactment of this section.

                            DEPARTMENT OF EDUCATION

                          Hurricane Education Recovery

                         (including transfer of funds)

        For an additional amount for ``Hurricane Education Recovery'' for
    necessary expenses related to the consequences of Hurricanes Harvey,
    Irma, and Maria, or wildfires in 2017 for which a major disaster or
    emergency has been declared under sections 401 or 501 of the Robert T.
    Stafford Disaster Relief and Emergency Assistance Act (42 U.S.C. 5170
    and 5190) (referred to under this heading as ``covered disaster or
    emergency''), $2,700,000,000, to remain available through September 30,
    2022, for assisting in meeting the educational needs of individuals
    affected by a covered disaster or emergency:  Provided, That such
    amount is designated by the Congress as being for an emergency
    requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget
    and Emergency Deficit Control Act of 1985:  Provided further, That--
            (1) such funds shall be used--
                (A) to make awards to eligible entities for immediate aid
            to restart school operations, in accordance with paragraph (2);
                (B) for temporary emergency impact aid for displaced
            students, in accordance with paragraph (2);
                (C) for emergency assistance to institutions of higher
            education and students attending institutions of higher
            education in an area directly affected by a covered disaster or
            emergency in accordance with paragraph (3);
                (D) for payments to institutions of higher education to
            help defray the unexpected expenses associated with enrolling
            displaced students from institutions of higher education
            directly affected by a covered disaster or emergency, in
            accordance with paragraph (4); and
                (E) to provide assistance to local educational agencies
            serving homeless children and youth in accordance with
            paragraph (5);
            (2) immediate aid to restart school operations and temporary
        emergency impact aid for displaced students described in
        subparagraphs (A) and (B) of paragraph (1) shall be provided under
        the statutory terms and conditions that applied to assistance under
        sections 102 and 107 of title IV of division B of Public Law 109-
        148, respectively, except that such sections shall be applied so
        that--
                (A) each reference to a major disaster declared in
            accordance with section 401 of the Robert T. Stafford Disaster
            Relief and Emergency Assistance Act (42 U.S.C. 5170) shall be
            to a major disaster or emergency declared by the President in
            accordance with section 401 or 501, respectively, of such Act;
                (B) each reference to Hurricane Katrina or Hurricane Rita
            shall be a reference to a covered disaster or emergency;
                (C) each reference to August 22, 2005 shall be to the date
            that is one week prior to the date that the major disaster or
            emergency was declared for the area;
                (D) each reference to the States of Louisiana, Mississippi,
            Alabama, and Texas shall be to the States or territories
            affected by a covered disaster or emergency, and each reference
            to the State educational agencies of Louisiana, Mississippi,
            Alabama, or Texas shall be a reference to the State educational
            agencies that serve the states or territories affected by a
            covered disaster or emergency;
                (E) each reference to the 2005-2006 school year shall be to
            the 2017-2018 school year;
                (F) the references in section 102(h)(1) of title IV of
            division B of Public Law 109-148 to the number of non-public
            and public elementary schools and secondary schools in the
            State shall be to the number of students in non-public and
            public elementary schools and secondary schools in the State,
            and the reference in such section to the National Center for
            Data Statistics Common Core of Data for the 2003-2004 school
            year shall be to the most recent and appropriate data set for
            the 2016-2017 school year;
                (G) in determining the amount of immediate aid provided to
            restart school operations as described in section 102(b) of
            title IV of division B of Public Law 109-148, the Secretary
            shall consider the number of students enrolled, during the
            2016-2017 school year, in elementary schools and secondary
            schools that were closed as a result of a covered disaster or
            emergency;
                (H) in determining the amount of emergency impact aid that
            a State educational agency is eligible to receive under
            paragraph (1)(B), the Secretary shall, subject to section
            107(d)(1)(B) of such title, provide--
                    (i) $9,000 for each displaced student who is an English
                learner, as that term is defined in section 8101 of the
                Elementary and Secondary Education Act of 1965 (20 U.S.C.
                7801);
                    (ii) $10,000 for each displaced student who is a child
                with a disability (regardless of whether the child is an
                English learner); and
                    (iii) $8,500 for each displaced student who is not a
                child with a disability or an English learner;
                (I) with respect to the emergency impact aid provided under
            paragraph (1)(B), the Secretary may modify the State
            educational agency and local educational agency application
            timelines in section 107(c) of such title; and
                (J) each reference to a public elementary school may
            include, as determined by the local educational agency, a
            publicly-funded preschool program that enrolls children below
            the age of kindergarten entry and is part of an elementary
            school;
            (3) $100,000,000 of the funds made available under this heading
        shall be for programs authorized under subpart 3 of Part A, part C
        of title IV and part B of title VII of the Higher Education Act of
        1965 (20 U.S.C. 1087-51 et seq., 1138 et seq.) for institutions
        located in an area affected by a covered disaster or emergency, and
        students enrolled in such institutions, except that--
                (A) any requirements relating to matching, Federal share,
            reservation of funds, or maintenance of effort under such parts
            that would otherwise be applicable to that assistance shall not
            apply;
                (B) such assistance may be used for student financial
            assistance;
                (C) such assistance may also be used for faculty and staff
            salaries, equipment, student supplies and instruments, or any
            purpose authorized under the Higher Education Act of 1965, by
            institutions of higher education that are located in areas
            affected by a covered disaster or emergency; and
                (D) the Secretary shall prioritize, to the extent possible,
            students who are homeless or at risk of becoming homeless as a
            result of displacement, and institutions that have sustained
            extensive damage, by a covered disaster or emergency;
            (4) up to $75,000,000 of the funds made available under this
        heading shall be for payments to institutions of higher education
        to help defray the unexpected expenses associated with enrolling
        displaced students from institutions of higher education at which
        operations have been disrupted by a covered disaster or emergency,
        in accordance with criteria established by the Secretary and made
        publicly available;
            (5) $25,000,000 of the funds made available under this heading
        shall be available to provide assistance to local educational
        agencies serving homeless children and youths displaced by a
        covered disaster or emergency, consistent with section 723 of the
        McKinney-Vento Homeless Assistance Act (42 U.S.C. 11431-11435) and
        with section 106 of title IV of division B of Public Law 109-148,
        except that funds shall be disbursed based on demonstrated need and
        the number of homeless children and youth enrolled as a result of
        displacement by a covered disaster or emergency;
            (6) section 437 of the General Education Provisions Act (20
        U.S.C. 1232) and section 553 of title 5, United States Code, shall
        not apply to activities under this heading;
            (7) $4,000,000 of the funds made available under this heading,
        to remain available until expended, shall be transferred to the
        Office of the Inspector General of the Department of Education for
        oversight of activities supported with funds appropriated under
        this heading, and up to $3,000,000 of the funds made available
        under this heading shall be for program administration;
            (8) up to $35,000,000 of the funds made available under this
        heading shall be to carry out activities authorized under section
        4631(b) of the Elementary and Secondary Education Act of 1965 (20
        U.S.C. 7281(b)):  Provided, That obligations incurred for the
        purposes provided herein prior to the date of enactment of this
        subdivision may be charged to funds appropriated under this
        paragraph;
            (9) the Secretary may waive, modify, or provide extensions for
        certain requirements of the Higher Education Act of 1965 (20 U.S.C.
        1001 et seq.) for affected individuals, affected students, and
        affected institutions in covered disaster or emergency areas in the
        same manner as the Secretary was authorized to waive, modify, or
        provide extensions for certain requirements of such Act under
        provisions of subtitle B of title IV of division B of Public Law
        109-148 for affected individuals, affected students, and affected
        institutions in areas affected by Hurricane Katrina and Hurricane
        Rita, except that the cost associated with any action taken by the
        Secretary under this paragraph is designated by the Congress as
        being for an emergency requirement pursuant to section
        251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit
        Control Act of 1985; and
            (10) if any provision under this heading or application of such
        provision to any person or circumstance is held to be
        unconstitutional, the remainder of the provisions under this
        heading and the application of such provisions to any person or
        circumstance shall not be affected thereby.

                   General Provision--Department of Education

        Sec. 20804. (a) Notwithstanding any other provision of law, the
    Secretary of Education is hereby authorized to forgive any outstanding
    balance owed to the Department of Education under the HBCU Hurricane
    Supplemental Loan program established pursuant to section 2601 of
    Public Law 109-234, as modified by section 307 of title III of division
    F of the Consolidated Appropriations Act, 2012 (Public Law 112-74), as
    carried forward by the Continuing Appropriations Resolution, 2013
    (Public Law 112-175).
        (b) There are authorized to be appropriated, and there are hereby
    appropriated, such sums as may be necessary to carry out subsection
    (a):  Provided, That such amount is designated by the Congress as an
    emergency requirement pursuant to section 251(b)(2)(A)(i) of the
    Balance Budget and Emergency Deficit Control Act of 1985.

                         GENERAL PROVISIONS--THIS TITLE

                         (including transfer of funds)

        Sec. 20805.  Funds appropriated to the Department of Health and
    Human Services by this title may be transferred to, and merged with,
    other appropriation accounts under the headings ``Centers for Disease
    Control and Prevention'' and ``Public Health and Social Services
    Emergency Fund'' for the purposes specified in this title following
    consultation with the Office of Management and Budget:  Provided, That
    the Committees on Appropriations in the House of Representatives and
    the Senate shall be notified 10 days in advance of any such transfer:
    Provided further, That, upon a determination that all or part of the
    funds transferred from an appropriation are not necessary, such amounts
    may be transferred back to that appropriation:  Provided further, That
    none of the funds made available by this title may be transferred
    pursuant to the authority in section 205 of division H of Public Law
    115-31 or section 241(a) of the PHS Act.
        Sec. 20806.  Not later than 30 days after enactment of this
    subdivision, the Secretary of Health and Human Services shall provide a
    detailed spend plan of anticipated uses of funds made available in this
    title, including estimated personnel and administrative costs, to the
    Committees on Appropriations:  Provided, That such plans shall be
    updated and submitted to the Committees on Appropriations every 60 days
    until all funds are expended or expire.
        Sec. 20807.  Unless otherwise provided for by this title, the
    additional amounts appropriated by this title to appropriations
    accounts shall be available under the authorities and conditions
    applicable to such appropriations accounts for fiscal year 2018.

                                    TITLE IX

                               LEGISLATIVE BRANCH

                        GOVERNMENT ACCOUNTABILITY OFFICE

                             Salaries and Expenses

        For an additional amount for ``Salaries and Expenses'',
    $14,000,000, to remain available until expended, for audits and
    investigations relating to Hurricanes Harvey, Irma, and Maria and the
    2017 wildfires:  Provided, That such amount is designated by the
    Congress as being for an emergency requirement pursuant to section
    251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control
    Act of 1985.

                                    TITLE X

                             DEPARTMENT OF DEFENSE

                  Military Construction, Navy and Marine Corps

        For an additional amount for ``Military Construction, Navy and
    Marine Corps'', $201,636,000, to remain available until September 30,
    2022, for necessary expenses related to the consequences of Hurricanes
    Harvey, Irma, and Maria:  Provided, That none of the funds made
    available to the Navy and Marine Corps for recovery efforts related to
    Hurricanes Harvey, Irma, and Maria in this subdivision shall be
    available for obligation until the Committees on Appropriations of the
    House of Representatives and the Senate receive form 1391 for each
    specific request:  Provided further, That, not later than 60 days after
    enactment of this subdivision, the Secretary of the Navy, or his
    designee, shall submit to the Committees on Appropriations of House of
    Representatives and the Senate a detailed expenditure plan for funds
    provided under this heading:  Provided further, That such funds may be
    obligated or expended for planning and design and military construction
    projects not otherwise authorized by law:  Provided further, That such
    amount is designated by the Congress as being for an emergency
    requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget
    and Emergency Deficit Control Act of 1985.

                   Military Construction, Army National Guard

        For an additional amount for ``Military Construction, Army National
    Guard'', $519,345,000, to remain available until September 30, 2022,
    for necessary expenses related to the consequences of Hurricanes
    Harvey, Irma, and Maria:  Provided, That none of the funds made
    available to the Army National Guard for recovery efforts related to
    Hurricanes Harvey, Irma, and Maria in this subdivision shall be
    available for obligation until the Committees on Appropriations of the
    House of Representatives and the Senate receive form 1391 for each
    specific request:  Provided further, That, not later than 60 days after
    enactment of this subdivision, the Director of the Army National Guard,
    or his designee, shall submit to the Committees on Appropriations of
    the House of Representatives and the Senate a detailed expenditure plan
    for funds provided under this heading:  Provided further, That such
    funds may be obligated or expended for planning and design and military
    construction projects not otherwise authorized by law:  Provided
    further, That such amount is designated by the Congress as being for an
    emergency requirement pursuant to section 251(b)(2)(A)(i) of the
    Balanced Budget and Emergency Deficit Control Act of 1985.

                         DEPARTMENT OF VETERANS AFFAIRS

                         Veterans Health Administration

                                medical services

        For an additional amount for ``Medical Services'', $11,075,000, to
    remain available until September 30, 2019, for necessary expenses
    related to the consequences of Hurricanes Harvey, Irma, and Maria:
    Provided, That such amount is designated by the Congress as being for
    an emergency requirement pursuant to section 251(b)(2)(A)(i) of the
    Balanced Budget and Emergency Deficit Control Act of 1985.

                         medical support and compliance

        For an additional amount for ``Medical Support and Compliance'',
    $3,209,000, to remain available until September 30, 2019, for necessary
    expenses related to the consequences of Hurricanes Harvey, Irma, and
    Maria:  Provided, That such amount is designated by the Congress as
    being for an emergency requirement pursuant to section 251(b)(2)(A)(i)
    of the Balanced Budget and Emergency Deficit Control Act of 1985.

                               medical facilities

        For an additional amount for ``Medical Facilities'', $75,108,000,
    to remain available until September 30, 2022, for necessary expenses
    related to the consequences of Hurricanes Harvey, Irma, and Maria:
    Provided, That none of these funds shall be available for obligation
    until the Secretary of Veterans Affairs submits to the Committees on
    Appropriations of the House of Representatives and the Senate a
    detailed expenditure plan for funds provided under this heading:
    Provided further, That such amount is designated by the Congress as
    being for an emergency requirement pursuant to section 251(b)(2)(A)(i)
    of the Balanced Budget and Emergency Deficit Control Act of 1985.

                          Departmental Administration

                          construction, minor projects

        For an additional amount for ``Construction, Minor Projects'',
    $4,088,000, to remain available until September 30, 2022, for necessary
    expenses related to the consequences of Hurricanes Harvey, Irma, and
    Maria:  Provided, That such amount is designated by the Congress as
    being for an emergency requirement pursuant to section 251(b)(2)(A)(i)
    of the Balanced Budget and Emergency Deficit Control Act of 1985.

                         GENERAL PROVISION--THIS TITLE

        Sec. 21001.  Notwithstanding section 18236(b) of title 10, United
    States Code, the Secretary of Defense shall contribute to Puerto Rico,
    100 percent of the total cost of construction (including the cost of
    architectural, engineering and design services) for the acquisition,
    construction, expansion, rehabilitation, or conversion of the Arroyo
    readiness center under paragraph (5) of section 18233(a) of title 10,
    United States Code.

                                    TITLE XI

                          DEPARTMENT OF TRANSPORTATION

                        Federal Aviation Administration

                                   operations

                        (airport and airway trust fund)

        For an additional amount for ``Operations'', $35,000,000, to be
    derived from the Airport and Airway Trust Fund and to remain available
    until expended, for necessary expenses related to the consequences of
    Hurricanes Harvey, Irma, and Maria, and other hurricanes occurring in
    calendar year 2017:  Provided, That such amount is designated by the
    Congress as being for an emergency requirement pursuant to section
    251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control
    Act of 1985.

                            facilities and equipment

                        (airport and airway trust fund)

        For an additional amount for ``Facilities and Equipment'',
    $79,589,000, to be derived from the Airport and Airway Trust Fund and
    to remain available until expended, for necessary expenses related to
    the consequences of Hurricanes Harvey, Irma, and Maria, and other
    hurricanes occurring in calendar year 2017:  Provided, That such amount
    is designated by the Congress as being for an emergency requirement
    pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and
    Emergency Deficit Control Act of 1985.

                         Federal Highway Administration

                              federal-aid highways

                            emergency relief program

        For an additional amount for the ``Emergency Relief Program'' as
    authorized under section 125 of title 23, United States Code,
    $1,374,000,000, to remain available until expended:  Provided, That
    notwithstanding section 125(d)(4) of title 23, United States Code, no
    limitation on the total obligations for projects under section 125 of
    such title shall apply to the Virgin Islands, Guam, American Samoa, and
    the Commonwealth of the Northern Mariana Islands for fiscal year 2018
    and fiscal year 2019:  Provided further, That notwithstanding
    subsection (e) of section 120 of title 23, United States Code, for this
    fiscal year and hereafter, the Federal share for Emergency Relief funds
    made available under section 125 of such title to respond to damage
    caused by Hurricanes Irma and Maria, shall be 100 percent for Puerto
    Rico:  Provided further, That such amount is designated by the Congress
    as being for an emergency requirement pursuant to section
    251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control
    Act of 1985.

                         Federal Transit Administration

                 public transportation emergency relief program

        For an additional amount for the ``Public Transportation Emergency
    Relief Program'' as authorized under section 5324 of title 49, United
    States Code, $330,000,000 to remain available until expended, for
    transit systems affected by Hurricanes Harvey, Irma, and Maria with
    major disaster declarations in 2017:  Provided, That not more than
    three-quarters of one percent of the funds for public transportation
    emergency relief shall be available for administrative expenses and
    ongoing program management oversight as authorized under sections 5334
    and 5338(f)(2) of such title and shall be in addition to any other
    appropriations for such purpose:  Provided further, That such amount is
    designated by the Congress as being for an emergency requirement
    pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and
    Emergency Deficit Control Act of 1985.

                            Maritime Administration

                            operations and training

        For an additional amount for ``Operations and Training'',
    $10,000,000, to remain available until expended, for necessary
    expenses, including for dredging, related to damage to Maritime
    Administration facilities resulting from Hurricane Harvey:  Provided,
    That such amount is designated by the Congress as being for an
    emergency requirement pursuant to section 251(b)(2)(A)(i) of the
    Balanced Budget and Emergency Deficit Control Act of 1985.

                General Provision--Department of Transportation

        Sec. 21101.  Notwithstanding 49 U.S.C. 5302, for fiscal years 2018,
    2019, and 2020 the Secretary of Transportation shall treat an area as
    an ``urbanized area'' for purposes of 49 U.S.C. 5307 and 5336(a) until
    the next decennial census following the enactment of this Act if the
    area was defined and designated as an ``urbanized'' area by the
    Secretary of Commerce in the 2000 decennial census and the population
    of such area fell below 50,000 after the 2000 decennial census as a
    result of a major disaster:  Provided, That an area treated as an
    ``urbanized area'' for purposes of this section shall be assigned the
    population and square miles of the urbanized area designated by the
    Secretary of Commerce in the 2000 decennial census:  Provided further,
    That the term ``major disaster'' has the meaning given such term in
    section 102(2) of the Disaster Relief Act of 1974 (42 U.S.C. 5122(2)).

                  DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT

                       Community Planning and Development

                           community development fund

                         (including transfers of funds)

        For an additional amount for ``Community Development Fund'',
    $28,000,000,000, to remain available until expended, for necessary
    expenses for activities authorized under title I of the Housing and
    Community Development Act of 1974 (42 U.S.C. 5301 et seq.) related to
    disaster relief, long-term recovery, restoration of infrastructure and
    housing, economic revitalization, and mitigation in the most impacted
    and distressed areas resulting from a major declared disaster that
    occurred in 2017 (except as otherwise provided under this heading)
    pursuant to the Robert T. Stafford Disaster Relief and Emergency
    Assistance Act (42 U.S.C. 5121 et seq.):  Provided, That funds shall be
    awarded directly to the State, unit of general local government, or
    Indian tribe (as such term is defined in section 102 of the Housing and
    Community Development Act of 1974) at the discretion of the Secretary:
    Provided further, That of the amounts made available under this
    heading, up to $16,000,000,000 shall be allocated to meet unmet needs
    for grantees that have received or will receive allocations under this
    heading for major declared disasters that occurred in 2017 or under the
    same heading of Division B of Public Law 115-56, except that, of the
    amounts made available under this proviso, no less than $11,000,000,000
    shall be allocated to the States and units of local government affected
    by Hurricane Maria, and of such amounts allocated to such grantees
    affected by Hurricane Maria, $2,000,000,000 shall be used to provide
    enhanced or improved electrical power systems:  Provided further, That
    to the extent amounts under the previous proviso are insufficient to
    meet all unmet needs, the allocation amounts related to infrastructure
    shall be reduced proportionally based on the total infrastructure needs
    of all grantees:  Provided further, That of the amounts made available
    under this heading, no less than $12,000,000,000 shall be allocated for
    mitigation activities to all grantees of funding provided under this
    heading, section 420 of division L of Public Law 114-113, section 145
    of division C of Public Law 114-223, section 192 of division C of
    Public Law 114-223 (as added by section 101(3) of division A of Public
    Law 114-254), section 421 of division K of Public Law 115-31, and the
    same heading in division B of Public Law 115-56, and that such
    mitigation activities shall be subject to the same terms and conditions
    under this subdivision, as determined by the Secretary:  Provided
    further, That all such grantees shall receive an allocation of funds
    under the preceding proviso in the same proportion that the amount of
    funds each grantee received or will receive under the second proviso of
    this heading or the headings and sections specified in the previous
    proviso bears to the amount of all funds provided to all grantees
    specified in the previous proviso:  Provided further, That of the
    amounts made available under the second and fourth provisos of this
    heading, the Secretary shall allocate to all such grantees an aggregate
    amount not less than 33 percent of each such amounts of funds provided
    under this heading within 60 days after the enactment of this
    subdivision based on the best available data (especially with respect
    to data for all such grantees affected by Hurricanes Harvey, Irma, and
    Maria), and shall allocate no less than 100 percent of the funds
    provided under this heading by no later than December 1, 2018:
    Provided further, That the Secretary shall not prohibit the use of
    funds made available under this heading and the same heading in
    division B of Public Law 115-56 for non-federal share as authorized by
    section 105(a)(9) of the Housing and Community Development Act of 1974
    (42 U.S.C. 5305(a)(9)):  Provided further, That of the amounts made
    available under this heading, grantees may establish grant programs to
    assist small businesses for working capital purposes to aid in
    recovery:  Provided further, That as a condition of making any grant,
    the Secretary shall certify in advance that such grantee has in place
    proficient financial controls and procurement processes and has
    established adequate procedures to prevent any duplication of benefits
    as defined by section 312 of the Robert T. Stafford Disaster Relief and
    Emergency Assistance Act (42 U.S.C. 5155), to ensure timely expenditure
    of funds, to maintain comprehensive websites regarding all disaster
    recovery activities assisted with these funds, and to detect and
    prevent waste, fraud, and abuse of funds:  Provided further, That with
    respect to any such duplication of benefits, the Secretary and any
    grantee under this section shall not take into consideration or reduce
    the amount provided to any applicant for assistance from the grantee
    where such applicant applied for and was approved, but declined
    assistance related to such major declared disasters that occurred in
    2014, 2015, 2016, and 2017 from the Small Business Administration under
    section 7(b) of the Small Business Act (15 U.S.C. 636(b)):  Provided
    further, That the Secretary shall require grantees to maintain on a
    public website information containing common reporting criteria
    established by the Department that permits individuals and entities
    awaiting assistance and the general public to see how all grant funds
    are used, including copies of all relevant procurement documents,
    grantee administrative contracts and details of ongoing procurement
    processes, as determined by the Secretary:  Provided further, That
    prior to the obligation of funds a grantee shall submit a plan to the
    Secretary for approval detailing the proposed use of all funds,
    including criteria for eligibility and how the use of these funds will
    address long-term recovery and restoration of infrastructure and
    housing, economic revitalization, and mitigation in the most impacted
    and distressed areas:  Provided further, That such funds may not be
    used for activities reimbursable by, or for which funds are made
    available by, the Federal Emergency Management Agency or the Army Corps
    of Engineers:  Provided further, That funds allocated under this
    heading shall not be considered relevant to the non-disaster formula
    allocations made pursuant to section 106 of the Housing and Community
    Development Act of 1974 (42 U.S.C. 5306):  Provided further, That a
    State, unit of general local government, or Indian tribe may use up to
    5 percent of its allocation for administrative costs:  Provided
    further, That the sixth proviso under this heading in the Supplemental
    Appropriations for Disaster Relief Requirements Act, 2017 (division B
    of Public Law 115-56) is amended by striking ``State or subdivision
    thereof'' and inserting ``State, unit of general local government, or
    Indian tribe (as such term is defined in section 102 of the Housing and
    Community Development Act of 1974 (42 U.S.C. 5302))'':  Provided
    further, That in administering the funds under this heading, the
    Secretary of Housing and Urban Development may waive, or specify
    alternative requirements for, any provision of any statute or
    regulation that the Secretary administers in connection with the
    obligation by the Secretary or the use by the recipient of these funds
    (except for requirements related to fair housing, nondiscrimination,
    labor standards, and the environment), if the Secretary finds that good
    cause exists for the waiver or alternative requirement and such waiver
    or alternative requirement would not be inconsistent with the overall
    purpose of title I of the Housing and Community Development Act of
    1974:  Provided further, That, notwithstanding the preceding proviso,
    recipients of funds provided under this heading that use such funds to
    supplement Federal assistance provided under section 402, 403, 404,
    406, 407, 408(c)(4), or 502 of the Robert T. Stafford Disaster Relief
    and Emergency Assistance Act (42 U.S.C. 5121 et seq.) may adopt,
    without review or public comment, any environmental review, approval,
    or permit performed by a Federal agency, and such adoption shall
    satisfy the responsibilities of the recipient with respect to such
    environmental review, approval or permit:  Provided further, That,
    notwithstanding section 104(g)(2) of the Housing and Community
    Development Act of 1974 (42 U.S.C. 5304(g)(2)), the Secretary may, upon
    receipt of a request for release of funds and certification,
    immediately approve the release of funds for an activity or project
    assisted under this heading if the recipient has adopted an
    environmental review, approval or permit under the preceding proviso or
    the activity or project is categorically excluded from review under the
    National Environmental Policy Act of 1969 (42 U.S.C. 4321 et seq.):
    Provided further, That the Secretary shall publish via notice in the
    Federal Register any waiver, or alternative requirement, to any statute
    or regulation that the Secretary administers pursuant to title I of the
    Housing and Community Development Act of 1974 no later than 5 days
    before the effective date of such waiver or alternative requirement:
    Provided further, That the eighth proviso under this heading in the
    Supplemental Appropriations for Disaster Relief Requirements Act, 2017
    (division B of Public Law 115-56) is amended by inserting
    ``408(c)(4),'' after ``407,'':  Provided further, That of the amounts
    made available under this heading, up to $15,000,000 shall be made
    available for capacity building and technical assistance, including
    assistance on contracting and procurement processes, to support States,
    units of general local government, or Indian tribes (and their
    subrecipients) that receive allocations pursuant to this heading,
    received disaster recovery allocations under the same heading in Public
    Law 115-56, or may receive similar allocations for disaster recovery in
    future appropriations Acts:  Provided further, That of the amounts made
    available under this heading, up to $10,000,000 shall be transferred,
    in aggregate, to ``Department of Housing and Urban Development--Program
    Office Salaries and Expenses--Community Planning and Development'' for
    necessary costs, including information technology costs, of
    administering and overseeing the obligation and expenditure of amounts
    under this heading:  Provided further, That the amount specified in the
    preceding proviso shall be combined with funds appropriated under the
    same heading and for the same purpose in Public Law 115-56 and the
    aggregate of such amounts shall be available for any of the purposes
    specified under this heading or the same heading in Public Law 115-56
    without limitation:  Provided further, That, of the funds made
    available under this heading, $10,000,000 shall be transferred to the
    Office of the Inspector General for necessary costs of overseeing and
    auditing funds made available under this heading:  Provided further,
    That such amount is designated by the Congress as being for an
    emergency requirement pursuant to section 251(b)(2)(A)(i) of the
    Balanced Budget and Emergency Deficit Control Act of 1985:  Provided
    further, That amounts repurposed pursuant to this section that were
    previously designated by the Congress as an emergency requirement
    pursuant to the Balanced Budget and Emergency Deficit Control Act are
    designated by the Congress as an emergency requirement pursuant to
    section 251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit
    Control Act of 1985.

        General Provisions--Department of Housing and Urban Development

        Sec. 21102.  Any funds made available under the heading ``Community
    Development Fund'' under this subdivision that remain available, after
    the other funds under such heading have been allocated for necessary
    expenses for activities authorized under such heading, shall be used
    for additional mitigation activities in the most impacted and
    distressed areas resulting from a major declared disaster that occurred
    in 2014, 2015, 2016 or 2017:  Provided, That such remaining funds shall
    be awarded to grantees of funding provided for disaster relief under
    the heading ``Community Development Fund'' in this subdivision, section
    420 of division L of Public Law 114-113, section 145 of division C of
    Public Law 114-223, section 192 of division C of Public Law 114-223 (as
    added by section 101(3) of division A of Public Law 114-254), section
    421 of division K of Public Law 115-31, and the same heading in
    division B of Public Law 115-56 subject to the same terms and
    conditions under this subdivision and such Acts respectively:  Provided
    further, That each such grantee shall receive an allocation from such
    remaining funds in the same proportion that the amount of funds such
    grantee received under this subdivision and under the Acts specified in
    the previous proviso bears to the amount of all funds provided to all
    grantees specified in the previous proviso.
        Sec. 21103.  For 2018, the Secretary of Housing and Urban
    Development may make temporary adjustments to the section 8 housing
    choice voucher annual renewal funding allocations and administrative
    fee eligibility determinations for public housing agencies located in
    the most impacted and distressed areas in which a major Presidentially
    declared disaster occurred during 2017 under title IV of the Robert T.
    Stafford Disaster Relief and Emergency Assistance Act (42 U.S.C. 5170
    et seq.), to avoid significant adverse funding impacts that would
    otherwise result from the disaster, or to facilitate leasing up to a
    public housing agency's authorized level of units under contract (but
    not to exceed such level), upon request by and in consultation with a
    public housing agency and supported by documentation as required by the
    Secretary that demonstrates the need for the adjustment.

                                   TITLE XII

                      GENERAL PROVISIONS--THIS SUBDIVISION

        Sec. 21201.  Each amount appropriated or made available by this
    subdivision is in addition to amounts otherwise appropriated for the
    fiscal year involved.
        Sec. 21202.  No part of any appropriation contained in this
    subdivision shall remain available for obligation beyond the current
    fiscal year unless expressly so provided herein.
        Sec. 21203.  Unless otherwise provided for by this subdivision, the
    additional amounts appropriated by this subdivision to appropriations
    accounts shall be available under the authorities and conditions
    applicable to such appropriations accounts for fiscal year 2018.
        Sec. 21204.  Each amount designated in this subdivision by the
    Congress as being for an emergency requirement pursuant to section
    251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control
    Act of 1985 shall be available (or rescinded or transferred, if
    applicable) only if the President subsequently so designates all such
    amounts and transmits such designations to the Congress.
        Sec. 21205.  For purposes of this subdivision, the consequences or
    impacts of any hurricane shall include damages caused by the storm at
    any time during the entirety of its duration as a cyclone, as defined
    by the National Hurricane Center.
        Sec. 21206.  Any amount appropriated by this subdivision,
    designated by the Congress as an emergency requirement pursuant to
    section 251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit
    Control Act of 1985 and subsequently so designated by the President,
    and transferred pursuant to transfer authorities provided by this
    subdivision shall retain such designation.
        Sec. 21207.  The terms and conditions applicable to the funds
    provided in this subdivision, including those provided by this title,
    shall also apply to the funds made available in division B of Public
    Law 115-56 and in division A of Public Law 115-72.
        Sec. 21208. (a) Section 305 of division A of the Additional
    Supplemental Appropriations for Disaster Relief Requirements Act, 2017
    (Public Law 115-72) is amended--
            (1) in subsection (a)--
                (A) by striking ``(1) Not later than December 31, 2017,''
            and inserting ``Not later than March 31, 2018,''; and
                (B) by striking paragraph (2); and
            (2) in subsection (b), by striking ``receiving funds under this
        division'' and inserting ``expending more than $10,000,000 of funds
        provided by this division and division B of Public Law 115-56 in
        any one fiscal year''.
        (b) Section 305 of division A of the Additional Supplemental
    Appropriations for Disaster Relief Requirements Act, 2017 (Public Law
    115-72), as amended by this section, shall apply to funds appropriated
    by this division as if they had been appropriated by that division.
        (c) In order to proactively prepare for oversight of future
    disaster relief funding, not later than one year after the date of
    enactment of this Act, the Director of the Office of Management and
    Budget shall issue standard guidance for Federal agencies to use in
    designing internal control plans for disaster relief funding. This
    guidance shall leverage existing internal control review processes and
    shall include, at a minimum, the following elements:
            (1) Robust criteria for identifying and documenting incremental
        risks and mitigating controls related to the funding.
            (2) Guidance for documenting the linkage between the
        incremental risks related to disaster funding and efforts to
        address known internal control risks.
        Sec. 21209.  Any agency or department provided funding in excess of
    $3,000,000,000 by this subdivision, including the Federal Emergency
    Management Agency, the Department of Housing and Urban Development, and
    the Corps of Engineers, is directed to provide a report to the
    Committees on Appropriations of the House of Representatives and the
    Senate regarding its efforts to provide adequate resources and
    technical assistance for small, low-income communities affected by
    natural disasters.
        Sec. 21210. (a) Not later than 180 days after the date of enactment
    of this subdivision and in coordination with the Administrator of the
    Federal Emergency Management Agency, with support and contributions
    from the Secretary of the Treasury, the Secretary of Energy, and other
    Federal agencies having responsibilities defined under the National
    Disaster Recovery Framework, the Governor of the Commonwealth of Puerto
    Rico shall submit to Congress a report describing the Commonwealth's
    12- and 24-month economic and disaster recovery plan that--
            (1) defines the priorities, goals, and expected outcomes of the
        recovery effort for the Commonwealth, based on damage assessments
        prepared pursuant to Federal law, if applicable, including--
                (A) housing;
                (B) economic issues, including workforce development and
            industry expansion and cultivation;
                (C) health and social services;
                (D) natural and cultural resources;
                (E) governance and civic institutions;
                (F) electric power systems and grid restoration;
                (G) environmental issues, including solid waste facilities;
            and
                (H) other infrastructure systems, including repair,
            restoration, replacement, and improvement of public
            infrastructure such water and wastewater treatment facilities,
            communications networks, and transportation infrastructure;
            (2) is consistent with--
                (A) the Commonwealth's fiscal capacity to provide long-term
            operation and maintenance of rebuilt or replaced assets;
                (B) alternative procedures and associated programmatic
            guidance adopted by the Administrator of the Federal Emergency
            Management Agency pursuant to section 428 of the Robert T.
            Stafford Disaster Relief and Emergency Assistance Act (42
            U.S.C. 5189f); and
                (C) actions as may be necessary to mitigate vulnerabilities
            to future extreme weather events and natural disasters and
            increase community resilience, including encouraging the
            adoption and enforcement of the latest published editions of
            relevant consensus-based codes, specifications, and standards
            that incorporate the latest hazard-resistant designs and
            establish minimum acceptable criteria for the design,
            construction, and maintenance of residential structures and
            facilities for the purpose of protecting the health, safety,
            and general welfare of the buildings' users against disasters;
            (3) promotes transparency and accountability through
        appropriate public notification, outreach, and hearings;
            (4) identifies performance metrics for assessing and reporting
        on the progress toward achieving the Commonwealth's recovery goals,
        as identified under paragraph (1);
            (5) is developed in coordination with the Oversight Board
        established under PROMESA; and
            (6) is certified by that Oversight Board to be consistent with
        the purpose set forth in section 101(a) of PROMESA (48 U.S.C.
        2121(a)).
        (b) At the end of every 30-day period before the submission of the
    report described in subsection (a), the Governor of the Commonwealth of
    Puerto Rico, in coordination with the Administrator of the Federal
    Emergency Management Agency, shall provide to Congress interim status
    updates on progress developing such report.
        (c) At the end of every 180-day period after the submission of the
    report described in subsection (a), the Governor of the Commonwealth of
    Puerto Rico, in coordination with the Administrator of the Federal
    Emergency Management Agency, shall make public a report on progress
    achieving the goals set forth in such report.
        (d) During the development, and after the submission, of the report
    required in subsection (a), the Oversight Board may provide to Congress
    reports on the status of coordination with the Governor of Puerto Rico.
        (e) Amounts made available by this subdivision to a covered
    territory for response to or recovery from Hurricane Irma or Hurricane
    Maria in an aggregate amount greater than $10,000,000 may be reviewed
    by the Oversight Board under the Oversight Board's authority under
    204(b)(2) of PROMESA (48 U.S.C. 2144(b)(2)).
        (f) When developing a Fiscal Plan while the recovery plan required
    under subsection (a) is in development and in effect, the Oversight
    Board shall use and incorporate, to the greatest extent feasible,
    damage assessments prepared pursuant to Federal law.
        (g) For purposes of this section, the terms ``covered territory''
    and ``Oversight Board'' have the meaning given those term in section 5
    of PROMESA (48 U.S.C. 2104).
        This subdivision may be cited as the ``Further Additional
    Supplemental Appropriations for Disaster Relief Requirements Act,
    2018''.

      SUBDIVISION 2--TAX RELIEF AND MEDICAID CHANGES RELATING TO CERTAIN
                                   DISASTERS
                           TITLE I--CALIFORNIA FIRES

    SEC. 20101. DEFINITIONS.
        For purposes of this title--
            (1) California wildfire disaster zone.--The term ``California
        wildfire disaster zone'' means that portion of the California
        wildfire disaster area determined by the President to warrant
        individual or individual and public assistance from the Federal
        Government under the Robert T. Stafford Disaster Relief and
        Emergency Assistance Act by reason of wildfires in California.
            (2) California wildfire disaster area.--The term ``California
        wildfire disaster area'' means an area with respect to which
        between January 1, 2017 through January 18, 2018 a major disaster
        has been declared by the President under section 401 of such Act by
        reason of wildfires in California.
    SEC. 20102. SPECIAL DISASTER-RELATED RULES FOR USE OF RETIREMENT FUNDS.
        (a) Tax-Favored Withdrawals From Retirement Plans.--
            (1) In general.--Section 72(t) of the Internal Revenue Code of
        1986 shall not apply to any qualified wildfire distribution.
            (2) Aggregate dollar limitation.--
                (A) In general.--For purposes of this subsection, the
            aggregate amount of distributions received by an individual
            which may be treated as qualified wildfire distributions for
            any taxable year shall not exceed the excess (if any) of--
                    (i) $100,000, over
                    (ii) the aggregate amounts treated as qualified
                wildfire distributions received by such individual for all
                prior taxable years.
                (B) Treatment of plan distributions.--If a distribution to
            an individual would (without regard to subparagraph (A)) be a
            qualified wildfire distribution, a plan shall not be treated as
            violating any requirement of the Internal Revenue Code of 1986
            merely because the plan treats such distribution as a qualified
            wildfire distribution, unless the aggregate amount of such
            distributions from all plans maintained by the employer (and
            any member of any controlled group which includes the employer)
            to such individual exceeds $100,000.
                (C) Controlled group.--For purposes of subparagraph (B),
            the term ``controlled group'' means any group treated as a
            single employer under subsection (b), (c), (m), or (o) of
            section 414 of the Internal Revenue Code of 1986.
            (3) Amount distributed may be repaid.--
                (A) In general.--Any individual who receives a qualified
            wildfire distribution may, at any time during the 3-year period
            beginning on the day after the date on which such distribution
            was received, make one or more contributions in an aggregate
            amount not to exceed the amount of such distribution to an
            eligible retirement plan of which such individual is a
            beneficiary and to which a rollover contribution of such
            distribution could be made under section 402(c), 403(a)(4),
            403(b)(8), 408(d)(3), or 457(e)(16), of the Internal Revenue
            Code of 1986, as the case may be.
                (B) Treatment of repayments of distributions from eligible
            retirement plans other than iras.--For purposes of the Internal
            Revenue Code of 1986, if a contribution is made pursuant to
            subparagraph (A) with respect to a qualified wildfire
            distribution from an eligible retirement plan other than an
            individual retirement plan, then the taxpayer shall, to the
            extent of the amount of the contribution, be treated as having
            received the qualified wildfire distribution in an eligible
            rollover distribution (as defined in section 402(c)(4) of such
            Code) and as having transferred the amount to the eligible
            retirement plan in a direct trustee to trustee transfer within
            60 days of the distribution.
                (C) Treatment of repayments for distributions from iras.--
            For purposes of the Internal Revenue Code of 1986, if a
            contribution is made pursuant to subparagraph (A) with respect
            to a qualified wildfire distribution from an individual
            retirement plan (as defined by section 7701(a)(37) of such
            Code), then, to the extent of the amount of the contribution,
            the qualified wildfire distribution shall be treated as a
            distribution described in section 408(d)(3) of such Code and as
            having been transferred to the eligible retirement plan in a
            direct trustee to trustee transfer within 60 days of the
            distribution.
            (4) Definitions.--For purposes of this subsection--
                (A) Qualified wildfire distribution.--Except as provided in
            paragraph (2), the term ``qualified wildfire distribution''
            means any distribution from an eligible retirement plan made on
            or after October 8, 2017, and before January 1, 2019, to an
            individual whose principal place of abode during any portion of
            the period from October 8, 2017, to December 31, 2017, is
            located in the California wildfire disaster area and who has
            sustained an economic loss by reason of the wildfires to which
            the declaration of such area relates.
                (B) Eligible retirement plan.--The term ``eligible
            retirement plan'' shall have the meaning given such term by
            section 402(c)(8)(B) of the Internal Revenue Code of 1986.
            (5) Income inclusion spread over 3-year period.--
                (A) In general.--In the case of any qualified wildfire
            distribution, unless the taxpayer elects not to have this
            paragraph apply for any taxable year, any amount required to be
            included in gross income for such taxable year shall be so
            included ratably over the 3-taxable-year period beginning with
            such taxable year.
                (B) Special rule.--For purposes of subparagraph (A), rules
            similar to the rules of subparagraph (E) of section 408A(d)(3)
            of the Internal Revenue Code of 1986 shall apply.
            (6) Special rules.--
                (A) Exemption of distributions from trustee to trustee
            transfer and withholding rules.--For purposes of sections
            401(a)(31), 402(f), and 3405 of the Internal Revenue Code of
            1986, qualified wildfire distributions shall not be treated as
            eligible rollover distributions.
                (B) Qualified wildfire distributions treated as meeting
            plan distribution requirements.--For purposes the Internal
            Revenue Code of 1986, a qualified wildfire distribution shall
            be treated as meeting the requirements of sections
            401(k)(2)(B)(i), 403(b)(7)(A)(ii), 403(b)(11), and 457(d)(1)(A)
            of such Code.
        (b) Recontributions of Withdrawals for Home Purchases.--
            (1) Recontributions.--
                (A) In general.--Any individual who received a qualified
            distribution may, during the period beginning on October 8,
            2017, and ending on June 30, 2018, make one or more
            contributions in an aggregate amount not to exceed the amount
            of such qualified distribution to an eligible retirement plan
            (as defined in section 402(c)(8)(B) of the Internal Revenue
            Code of 1986) of which such individual is a beneficiary and to
            which a rollover contribution of such distribution could be
            made under section 402(c), 403(a)(4), 403(b)(8), or 408(d)(3),
            of such Code, as the case may be.
                (B) Treatment of repayments.--Rules similar to the rules of
            subparagraphs (B) and (C) of subsection (a)(3) shall apply for
            purposes of this subsection.
            (2) Qualified distribution.--For purposes of this subsection,
        the term ``qualified distribution'' means any distribution--
                (A) described in section 401(k)(2)(B)(i)(IV),
            403(b)(7)(A)(ii) (but only to the extent such distribution
            relates to financial hardship), 403(b)(11)(B), or 72(t)(2)(F),
            of the Internal Revenue Code of 1986,
                (B) received after March 31, 2017, and before January 15,
            2018, and
                (C) which was to be used to purchase or construct a
            principal residence in the California wildfire disaster area
            but which was not so purchased or constructed on account of the
            wildfires to which the declaration of such area relates.
        (c) Loans From Qualified Plans.--
            (1) Increase in limit on loans not treated as distributions.--
        In the case of any loan from a qualified employer plan (as defined
        under section 72(p)(4) of the Internal Revenue Code of 1986) to a
        qualified individual made during the period beginning on the date
        of the enactment of this Act and ending on December 31, 2018--
                (A) clause (i) of section 72(p)(2)(A) of such Code shall be
            applied by substituting ``$100,000'' for ``$50,000'', and
                (B) clause (ii) of such section shall be applied by
            substituting ``the present value of the nonforfeitable accrued
            benefit of the employee under the plan'' for ``one-half of the
            present value of the nonforfeitable accrued benefit of the
            employee under the plan''.
            (2) Delay of repayment.--In the case of a qualified individual
        with an outstanding loan on or after October 8, 2017, from a
        qualified employer plan (as defined in section 72(p)(4) of the
        Internal Revenue Code of 1986)--
                (A) if the due date pursuant to subparagraph (B) or (C) of
            section 72(p)(2) of such Code for any repayment with respect to
            such loan occurs during the period beginning on October 8,
            2017, and ending on December 31, 2018, such due date shall be
            delayed for 1 year,
                (B) any subsequent repayments with respect to any such loan
            shall be appropriately adjusted to reflect the delay in the due
            date under paragraph (1) and any interest accruing during such
            delay, and
                (C) in determining the 5-year period and the term of a loan
            under subparagraph (B) or (C) of section 72(p)(2) of such Code,
            the period described in subparagraph (A) shall be disregarded.
            (3) Qualified individual.--For purposes of this subsection, the
        term ``qualified individual'' means any individual whose principal
        place of abode during any portion of the period from October 8,
        2017, to December 31, 2017, is located in the California wildfire
        disaster area and who has sustained an economic loss by reason of
        wildfires to which the declaration of such area relates.
        (d) Provisions Relating to Plan Amendments.--
            (1) In general.--If this subsection applies to any amendment to
        any plan or annuity contract, such plan or contract shall be
        treated as being operated in accordance with the terms of the plan
        during the period described in paragraph (2)(B)(i).
            (2) Amendments to which subsection applies.--
                (A) In general.--This subsection shall apply to any
            amendment to any plan or annuity contract which is made--
                    (i) pursuant to any provision of this section, or
                pursuant to any regulation issued by the Secretary or the
                Secretary of Labor under any provision of this section, and
                    (ii) on or before the last day of the first plan year
                beginning on or after January 1, 2019, or such later date
                as the Secretary may prescribe.
            In the case of a governmental plan (as defined in section
            414(d) of the Internal Revenue Code of 1986), clause (ii) shall
            be applied by substituting the date which is 2 years after the
            date otherwise applied under clause (ii).
                (B) Conditions.--This subsection shall not apply to any
            amendment unless--
                    (i) during the period--

                        (I) beginning on the date that this section or the
                    regulation described in subparagraph (A)(i) takes
                    effect (or in the case of a plan or contract amendment
                    not required by this section or such regulation, the
                    effective date specified by the plan), and
                        (II) ending on the date described in subparagraph
                    (A)(ii) (or, if earlier, the date the plan or contract
                    amendment is adopted),

            the plan or contract is operated as if such plan or contract
            amendment were in effect, and
                    (ii) such plan or contract amendment applies
                retroactively for such period.
    SEC. 20103. EMPLOYEE RETENTION CREDIT FOR EMPLOYERS AFFECTED BY
    CALIFORNIA WILDFIRES.
        (a) In General.--For purposes of section 38 of the Internal Revenue
    Code of 1986, in the case of an eligible employer, the California
    wildfire employee retention credit shall be treated as a credit listed
    in subsection (b) of such section. For purposes of this subsection, the
    California wildfire employee retention credit for any taxable year is
    an amount equal to 40 percent of the qualified wages with respect to
    each eligible employee of such employer for such taxable year. For
    purposes of the preceding sentence, the amount of qualified wages which
    may be taken into account with respect to any individual shall not
    exceed $6,000.
        (b) Definitions.--For purposes of this section--
            (1) Eligible employer.--The term ``eligible employer'' means
        any employer--
                (A) which conducted an active trade or business on October
            8, 2017, in the California wildfire disaster zone, and
                (B) with respect to whom the trade or business described in
            subparagraph (A) is inoperable on any day after October 8,
            2017, and before January 1, 2018, as a result of damage
            sustained by reason of the wildfires to which such declaration
            of such area relates.
            (2) Eligible employee.--The term ``eligible employee'' means
        with respect to an eligible employer an employee whose principal
        place of employment on October 8, 2017, with such eligible employer
        was in the California wildfire disaster zone.
            (3) Qualified wages.--The term ``qualified wages'' means wages
        (as defined in section 51(c)(1) of the Internal Revenue Code of
        1986, but without regard to section 3306(b)(2)(B) of such Code)
        paid or incurred by an eligible employer with respect to an
        eligible employee on any day after October 8, 2017, and before
        January 1, 2018, which occurs during the period--
                (A) beginning on the date on which the trade or business
            described in paragraph (1) first became inoperable at the
            principal place of employment of the employee immediately
            before the wildfires to which the declaration of the California
            wildfire disaster area relates, and
                (B) ending on the date on which such trade or business has
            resumed significant operations at such principal place of
            employment.
        Such term shall include wages paid without regard to whether the
        employee performs no services, performs services at a different
        place of employment than such principal place of employment, or
        performs services at such principal place of employment before
        significant operations have resumed.
        (c) Certain Rules To Apply.--For purposes of this section, rules
    similar to the rules of sections 51(i)(1), 52, and 280C(a) of the
    Internal Revenue Code of 1986, shall apply.
        (d) Employee Not Taken Into Account More Than Once.--An employee
    shall not be treated as an eligible employee for purposes of this
    section for any period with respect to any employer if such employer is
    allowed a credit under section 51 of the Internal Revenue Code of 1986
    with respect to such employee for such period.
    SEC. 20104. ADDITIONAL DISASTER-RELATED TAX RELIEF PROVISIONS.
        (a) Temporary Suspension of Limitations on Charitable
    Contributions.--
            (1) In general.--Except as otherwise provided in paragraph (2),
        subsection (b) of section 170 of the Internal Revenue Code of 1986
        shall not apply to qualified contributions and such contributions
        shall not be taken into account for purposes of applying
        subsections (b) and (d) of such section to other contributions.
            (2) Treatment of excess contributions.--For purposes of section
        170 of the Internal Revenue Code of 1986--
                (A) Individuals.--In the case of an individual--
                    (i) Limitation.--Any qualified contribution shall be
                allowed only to the extent that the aggregate of such
                contributions does not exceed the excess of the taxpayer's
                contribution base (as defined in subparagraph (H) of
                section 170(b)(1) of such Code) over the amount of all
                other charitable contributions allowed under section
                170(b)(1) of such Code.
                    (ii) Carryover.--If the aggregate amount of qualified
                contributions made in the contribution year (within the
                meaning of section 170(d)(1) of such Code) exceeds the
                limitation of clause (i), such excess shall be added to the
                excess described in the portion of subparagraph (A) of such
                section which precedes clause (i) thereof for purposes of
                applying such section.
                (B) Corporations.--In the case of a corporation--
                    (i) Limitation.--Any qualified contribution shall be
                allowed only to the extent that the aggregate of such
                contributions does not exceed the excess of the taxpayer's
                taxable income (as determined under paragraph (2) of
                section 170(b) of such Code) over the amount of all other
                charitable contributions allowed under such paragraph.
                    (ii) Carryover.--Rules similar to the rules of
                subparagraph (A)(ii) shall apply for purposes of this
                subparagraph.
            (3) Exception to overall limitation on itemized deductions.--So
        much of any deduction allowed under section 170 of the Internal
        Revenue Code of 1986 as does not exceed the qualified contributions
        paid during the taxable year shall not be treated as an itemized
        deduction for purposes of section 68 of such Code.
            (4) Qualified contributions.--
                (A) In general.--For purposes of this subsection, the term
            ``qualified contribution'' means any charitable contribution
            (as defined in section 170(c) of the Internal Revenue Code of
            1986) if--
                    (i) such contribution--

                        (I) is paid during the period beginning on October
                    8, 2017, and ending on December 31, 2018, in cash to an
                    organization described in section 170(b)(1)(A) of such
                    Code, and
                        (II) is made for relief efforts in the California
                    wildfire disaster area,

                    (ii) the taxpayer obtains from such organization
                contemporaneous written acknowledgment (within the meaning
                of section 170(f)(8) of such Code) that such contribution
                was used (or is to be used) for relief efforts described in
                clause (i)(II), and
                    (iii) the taxpayer has elected the application of this
                subsection with respect to such contribution.
                (B) Exception.--Such term shall not include a contribution
            by a donor if the contribution is--
                    (i) to an organization described in section 509(a)(3)
                of the Internal Revenue Code of 1986, or
                    (ii) for the establishment of a new, or maintenance of
                an existing, donor advised fund (as defined in section
                4966(d)(2) of such Code).
                (C) Application of election to partnerships and s
            corporations.--In the case of a partnership or S corporation,
            the election under subparagraph (A)(iii) shall be made
            separately by each partner or shareholder.
        (b) Special Rules for Qualified Disaster-Related Personal Casualty
    Losses.--
            (1) In general.--If an individual has a net disaster loss for
        any taxable year--
                (A) the amount determined under section 165(h)(2)(A)(ii) of
            the Internal Revenue Code of 1986 shall be equal to the sum
            of--
                    (i) such net disaster loss, and
                    (ii) so much of the excess referred to in the matter
                preceding clause (i) of section 165(h)(2)(A) of such Code
                (reduced by the amount in clause (i) of this subparagraph)
                as exceeds 10 percent of the adjusted gross income of the
                individual,
                (B) section 165(h)(1) of such Code shall be applied by
            substituting ``$500'' for ``$500 ($100 for taxable years
            beginning after December 31, 2009)'',
                (C) the standard deduction determined under section 63(c)
            of such Code shall be increased by the net disaster loss, and
                (D) section 56(b)(1)(E) of such Code shall not apply to so
            much of the standard deduction as is attributable to the
            increase under subparagraph (C) of this paragraph.
            (2) Net disaster loss.--For purposes of this subsection, the
        term ``net disaster loss'' means the excess of qualified disaster-
        related personal casualty losses over personal casualty gains (as
        defined in section 165(h)(3)(A) of the Internal Revenue Code of
        1986).
            (3) Qualified disaster-related personal casualty losses.--For
        purposes of this subsection, the term ``qualified disaster-related
        personal casualty losses'' means losses described in section
        165(c)(3) of the Internal Revenue Code of 1986 which arise in the
        California wildfire disaster area on or after October 8, 2017, and
        which are attributable to the wildfires to which the declaration of
        such area relates.
        (c) Special Rule for Determining Earned Income.--
            (1) In general.--In the case of a qualified individual, if the
        earned income of the taxpayer for the taxable year which includes
        any portion of the period from October 8, 2017, to December 31,
        2017, is less than the earned income of the taxpayer for the
        preceding taxable year, the credits allowed under sections 24(d)
        and 32 of the Internal Revenue Code of 1986 may, at the election of
        the taxpayer, be determined by substituting--
                (A) such earned income for the preceding taxable year, for
                (B) such earned income for the taxable year which includes
            any portion of the period from October 8, 2017, to December 31,
            2017.
            (2) Qualified individual.--For purposes of this subsection, the
        term ``qualified individual'' means any individual whose principal
        place of abode during any portion of the period from October 8,
        2017, to December 31, 2017, was located--
                (A) in the California wildfire disaster zone, or
                (B) in the California wildfire disaster area (but outside
            the California wildfire disaster zone) and such individual was
            displaced from such principal place of abode by reason of the
            wildfires to which the declaration of such area relates.
            (3) Earned income.--For purposes of this subsection, the term
        ``earned income'' has the meaning given such term under section
        32(c) of the Internal Revenue Code of 1986.
            (4) Special rules.--
                (A) Application to joint returns.--For purposes of
            paragraph (1), in the case of a joint return for a taxable year
            which includes any portion of the period from October 8, 2017,
            to December 31, 2017--
                    (i) such paragraph shall apply if either spouse is a
                qualified individual, and
                    (ii) the earned income of the taxpayer for the
                preceding taxable year shall be the sum of the earned
                income of each spouse for such preceding taxable year.
                (B) Uniform application of election.--Any election made
            under paragraph (1) shall apply with respect to both sections
            24(d) and 32, of the Internal Revenue Code of 1986.
                (C) Errors treated as mathematical error.--For purposes of
            section 6213 of the Internal Revenue Code of 1986, an incorrect
            use on a return of earned income pursuant to paragraph (1)
            shall be treated as a mathematical or clerical error.
                (D) No effect on determination of gross income, etc.--
            Except as otherwise provided in this subsection, the Internal
            Revenue Code of 1986 shall be applied without regard to any
            substitution under paragraph (1).

          TITLE II--TAX RELIEF FOR HURRICANES HARVEY, IRMA, AND MARIA

    SEC. 20201. TAX RELIEF FOR HURRICANES HARVEY, IRMA, AND MARIA.
        (a) Modification of Hurricanes Harvey and Irma Disaster Areas.--
    Subsections (a)(2) and (b)(2) of section 501 of the Disaster Tax Relief
    and Airport and Airway Extension Act of 2017 (Public Law 115-63; 131
    Stat. 1173) are both amended by striking ``September 21, 2017'' and
    inserting ``October 17, 2017''.
        (b) Employee Retention Credit.--Subsections (a)(3), (b)(3), and
    (c)(3) of section 503 of the Disaster Tax Relief and Airport and Airway
    Extension Act of 2017 (Public Law 115-63; 131 Stat. 1181) are each
    amended by striking ``sections 51(i)(1) and 52'' and inserting
    ``sections 51(i)(1), 52, and 280C(a)''.
        (c) Effective Date.--The amendments made by this section shall take
    effect as if included in the provisions of title V of the Disaster Tax
    Relief and Airport and Airway Extension Act of 2017 to which such
    amendments relate.

       TITLE III--HURRICANE MARIA RELIEF FOR PUERTO RICO AND THE VIRGIN
                           ISLANDS MEDICAID PROGRAMS

    SEC. 20301. HURRICANE MARIA RELIEF FOR PUERTO RICO AND THE VIRGIN
    ISLANDS MEDICAID PROGRAMS.
        (a) Increased Caps.--Section 1108(g)(5) of the Social Security Act
    (42 U.S.C. 1308(g)(5)) is amended--
            (1) in subparagraph (A), by striking ``subparagraph (B)'' and
        inserting ``subparagraphs (B), (C), (D), and (E)''; and
            (2) by adding at the end the following new subparagraphs:
            ``(C) Subject to subparagraphs (D) and (E), for the period
        beginning January 1, 2018, and ending September 30, 2019--
                ``(i) the amount of the increase otherwise provided under
            subparagraphs (A) and (B) for Puerto Rico shall be further
            increased by $3,600,000,000; and
                ``(ii) the amount of the increase otherwise provided under
            subparagraph (A) for the Virgin Islands shall be further
            increased by $106,931,000.
            ``(D) For the period described in subparagraph (C), the amount
        of the increase otherwise provided under subparagraph (A)--
                ``(i) for Puerto Rico shall be further increased by
            $1,200,000,000 if the Secretary certifies that Puerto Rico has
            taken reasonable and appropriate steps during such period, in
            accordance with a timeline established by the Secretary, to--
                    ``(I) implement methods, satisfactory to the Secretary,
                for the collection and reporting of reliable data to the
                Transformed Medicaid Statistical Information System (T-
                MSIS) (or a successor system); and
                    ``(II) demonstrate progress in establishing a State
                medicaid fraud control unit described in section 1903(q);
                and
                ``(ii) for the Virgin Islands shall be further increased by
            $35,644,000 if the Secretary certifies that the Virgin Islands
            has taken reasonable and appropriate steps during such period,
            in accordance with a timeline established by the Secretary, to
            meet the conditions for certification specified in subclauses
            (I) and (II) of clause (i).
            ``(E) Notwithstanding any other provision of title XIX, during
        the period in which the additional funds provided under
        subparagraphs (C) and (D) are available for Puerto Rico and the
        Virgin Islands, respectively, with respect to payments from such
        additional funds for amounts expended by Puerto Rico and the Virgin
        Islands under such title, the Secretary shall increase the Federal
        medical assistance percentage or other rate that would otherwise
        apply to such payments to 100 percent.''.
        (b) Disregard of Certain Expenditures From Spending Cap.--Section
    1108(g)(4) of the Social Security Act (42 U.S.C. 1308(g)(4)) is
    amended--
            (1) by inserting ``for a calendar quarter of such fiscal
        year,'' after ``section 1903(a)(3)''; and
            (2) by striking ``of such fiscal year for a calendar quarter of
        such fiscal year,'' and inserting ``of such fiscal year, and with
        respect to fiscal years beginning with fiscal year 2018, if the
        Virgin Islands qualifies for a payment under section 1903(a)(6) for
        a calendar quarter (beginning on or after January 1, 2018) of such
        fiscal year,''.
        (c) Report to Congress.--Not later than July 1, 2018, the Secretary
    of Health and Human Services shall submit a report to the Committee on
    Energy and Commerce of the House of Representatives and the Committee
    on Finance of the Senate that--
            (1) describes the steps taken by Puerto Rico and the Virgin
        Islands to meet the conditions for certification specified in
        clauses (i) and (ii), respectively, of section 1108(g)(5)(D) of the
        Social Security Act (42 U.S.C. 1308(g)(5)(D)) (as amended by
        subsection (a) of this section); and
            (2) specifies timelines for each such territory to, as a
        condition of eligibility for any additional increases in the
        amounts determined for Puerto Rico or the Virgin Islands,
        respectively, under subsection (g) of section 1108 of such Act (42
        U.S.C. 1308) for purposes of payments under title XIX of such Act
        for fiscal year 2019, complete--
                (A) implementation of methods, satisfactory to the
            Secretary, for the collection and reporting of reliable data to
            the Transformed Medicaid Statistical Information System (T-
            MSIS) (or a successor system); and
                (B) the establishment of a State medicaid fraud control
            unit described in section 1903(q) of the Social Security Act
            (42 U.S.C. 1396d(q)).

                          TITLE IV--BUDGETARY EFFECTS

    SEC. 20401. EMERGENCY DESIGNATION.
        This subdivision is designated as an emergency requirement pursuant
    to section 4(g) of the Statutory Pay-As-You-Go Act of 2010 (2 U.S.C.
    933(g)).
    SEC. 20402. DESIGNATION IN SENATE.
        In the Senate, this subdivision is designated as an emergency
    requirement pursuant to section 4112(a) of H. Con. Res. 71 (115th
    Congress), the concurrent resolution on the budget for fiscal year
    2018.

    Subdivision 3--Further Extension of Continuing Appropriations Act, 2018

        Sec. 20101.  The Continuing Appropriations Act, 2018 (division D of
    Public Law 115-56) is further amended by--
            (1) striking the date specified in section 106(3) and inserting
        ``March 23, 2018''; and
            (2) inserting after section 155 the following new sections:
        ``Sec. 156.  In addition to amounts provided by section 101,
    amounts are provided for `Department of Commerce--Bureau of the
    Census--Periodic Census and Programs' at a rate for operations of
    $182,000,000 for an additional amount for the 2020 Decennial Census
    Program; and such amounts may be apportioned up to the rate for
    operations necessary to maintain the schedule and deliver the required
    data according to statutory deadlines in the 2020 Decennial Census
    Program.
        ``Sec. 157.  Notwithstanding section 101, the matter preceding the
    first proviso and the first proviso under the heading `Power Marketing
    Administrations--Operation and Maintenance, Southeastern Power
    Administration' in division D of Public Law 115-31 shall be applied by
    substituting `$6,379,000' for `$1,000,000' each place it appears.
        ``Sec. 158.  As authorized by section 404 of the Bipartisan Budget
    Act of 2015 (Public Law 114-74; 42 U.S.C. 6239 note), the Secretary of
    Energy shall draw down and sell not to exceed $350,000,000 of crude oil
    from the Strategic Petroleum Reserve in fiscal year 2018:  Provided,
    That the proceeds from such drawdown and sale shall be deposited into
    the `Energy Security and Infrastructure Modernization Fund' (in this
    section referred to as the `Fund') during fiscal year 2018:  Provided
    further, That in addition to amounts otherwise made available by
    section 101, any amounts deposited in the Fund shall be made available
    and shall remain available until expended at a rate for operations of
    $350,000,000, for necessary expenses in carrying out the Life Extension
    II project for the Strategic Petroleum Reserve.
        ``Sec. 159.  Amounts made available by section 101 for `The
    Judiciary--Courts of Appeals, District Courts, and Other Judicial
    Services--Fees of Jurors and Commissioners' may be apportioned up to
    the rate for operations necessary to accommodate increased juror usage.
        ``Sec. 160.  Section 144 of the Continuing Appropriations Act, 2018
    (division D of Public Law 115-56), as amended by the Further Additional
    Continuing Appropriations Act, 2018 (division A of Public Law 115-96),
    is amended by (1) striking `$11,761,000' and inserting `$22,247,000',
    and (2) striking `$1,104,000' and inserting `$1,987,000'.
        ``Sec. 161.  Section 458(a)(4) of the Higher Education Act of 1965
    (20 U.S.C. 1087h(a)(4)) shall be applied by substituting `2018' for
    `2017'.
        ``Sec. 162.  For the purpose of carrying out section 435(a)(2) of
    the Higher Education Act of 1965 (HEA) (20 U.S.C. 1085(a)(2)), during
    the period covered by this Act the Secretary of Education may waive the
    requirement under section 435(a)(5)(A)(ii) of the HEA (20 U.S.C.
    1085(a)(5)(A)(ii)) for an institution of higher education that offers
    an associate degree, is a public institution, and is located in an
    economically distressed county, defined as a county that ranks in the
    lowest 5 percent of all counties in the United States based on a
    national index of county economic status:  Provided, That this section
    shall apply to an institution of higher education that otherwise would
    be ineligible to participate in a program under part A of title IV of
    the HEA on or after the date of enactment of this Act due to the
    application of section 435(a)(2) of the HEA.
        ``Sec. 163.  Notwithstanding any other provision of law, funds made
    available by this Act for military construction, land acquisition, and
    family housing projects and activities may be obligated and expended to
    carry out planning and design and military construction projects
    authorized by law:  Provided, That funds and authority provided by this
    section may be used notwithstanding sections 102 and 104:  Provided
    further, That such funds may be used only for projects identified by
    the Department of the Air Force in its January 29, 2018, letter sent to
    the Committees on Appropriations of both Houses of Congress detailing
    urgently needed fiscal year 2018 construction requirements.
        ``Sec. 164. (a) Section 116(h)(3)(D) of title 49, United States
    Code, is amended--
            ``(1) in clause (i), by striking `During the 2-year period
        beginning on the date of enactment of this section, the'; inserting
        `The'; and inserting the following after the first sentence: `Any
        such funds or limitation of obligations or portions thereof
        transferred to the Bureau may be transferred back to and merged
        with the original account.'; and
            ``(2) in clause (ii) by striking `During the 2-year period
        beginning on the date of enactment of this section, the'; inserting
        `The'; and inserting the following after the first sentence: `Any
        such funds or limitation of obligations or portions thereof
        transferred to the Bureau may be transferred back to and merged
        with the original account.'.
        ``(b) Section 503(l)(4) of the Railroad Revitalization and
    Regulatory Reform Act of 1976 (45 U.S.C. 823(l)(4)) is amended--
            ``(1) in the heading by striking `Safety and operations
        account' and inserting `National Surface Transportation and
        Innovative Finance Bureau account'; and
            ``(2) in subparagraph (A) by striking `Safety and Operations
        account of the Federal Railroad Administration' and inserting
        `National Surface Transportation and Innovative Finance Bureau
        account'.
        ``Sec. 165.  Section 24(o) of the United States Housing Act of 1937
    (42 U.S.C. 1437v) shall be applied by substituting the date specified
    in section 106(3) for `September 30, 2017'.''.
        This subdivision may be cited as the ``Further Extension of
    Continuing Appropriations Act, 2018''.

                    DIVISION C--BUDGETARY AND OTHER MATTERS

    SEC. 30001. TABLE OF CONTENTS.
        The table of contents for this division is as follows:

                     DIVISION C--BUDGETARY AND OTHER MATTERS

    Sec. 30001. Table of contents.

                           TITLE I--BUDGET ENFORCEMENT

    Sec. 30101. Amendments to the Balanced Budget and Emergency Deficit
              Control Act of 1985.
    Sec. 30102. Balances on the PAYGO Scorecards.
    Sec. 30103. Authority for fiscal year 2019 budget resolution in the
              Senate.
    Sec. 30104. Authority for fiscal year 2019 budget resolution in the
              House of Representatives.
    Sec. 30105. Exercise of rulemaking powers.

                                TITLE II--OFFSETS

    Sec. 30201. Customs user fees.
    Sec. 30202. Aviation security service fees.
    Sec. 30203. Extension of certain immigration fees.
    Sec. 30204. Strategic Petroleum Reserve drawdown.
    Sec. 30205. Elimination of surplus funds of Federal reserve banks.
    Sec. 30206. Reemployment services and eligibility assessments.

               TITLE III--TEMPORARY EXTENSION OF PUBLIC DEBT LIMIT

    Sec. 30301. Temporary extension of public debt limit.

                        TITLE IV--JOINT SELECT COMMITTEES

    Subtitle A--Joint Select Committee on Solvency of Multiemployer Pension
                                      Plans

    Sec. 30421. Definitions.
    Sec. 30422. Establishment of Joint Select Committee.
    Sec. 30423. Funding.
    Sec. 30424. Consideration of joint committee bill in the Senate.

    Subtitle B--Joint Select Committee on Budget and Appropriations Process
                                     Reform

    Sec. 30441. Definitions.
    Sec. 30442. Establishment of Joint Select Committee.
    Sec. 30443. Funding.
    Sec. 30444. Consideration of joint committee bill in the Senate.

                          TITLE I--BUDGET ENFORCEMENT

    SEC. 30101. AMENDMENTS TO THE BALANCED BUDGET AND EMERGENCY DEFICIT
    CONTROL ACT OF 1985.
        (a) Revised Discretionary Spending Limits.--Section 251(c) of the
    Balanced Budget and Emergency Deficit Control Act of 1985 (2 U.S.C.
    901(c)) is amended by striking paragraphs (5) and (6) and inserting the
    following:
            ``(5) for fiscal year 2018--
                ``(A) for the revised security category, $629,000,000,000
            in new budget authority; and
                ``(B) for the revised nonsecurity category $579,000,000,000
            in new budget authority;
            ``(6) for fiscal year 2019--
                ``(A) for the revised security category, $647,000,000,000
            in new budget authority; and
                ``(B) for the revised nonsecurity category,
            $597,000,000,000 in new budget authority;''.
        (b) Direct Spending Adjustments for Fiscal Years 2018 and 2019.--
    Section 251A of the Balanced Budget and Emergency Deficit Control Act
    of 1985 (2 U.S.C. 901a), is amended--
            (1) in paragraph (5)(B), in the matter preceding clause (i), by
        striking ``and (11)'' and inserting ``, (11), and (12)''; and
            (2) by adding at the end the following:
            ``(12) Implementing direct spending reductions for fiscal years
        2018 and 2019.--(A) OMB shall make the calculations necessary to
        implement the direct spending reductions calculated pursuant to
        paragraphs (3) and (4) without regard to the amendment made to
        section 251(c) revising the discretionary spending limits for
        fiscal years 2018 and 2019 by the Bipartisan Budget Act of 2018.
            ``(B) Paragraph (5)(B) shall not be implemented for fiscal
        years 2018 and 2019.''.
        (c) Extension of Direct Spending Reductions Through Fiscal Year
    2027.--Section 251A(6) of the Balanced Budget and Emergency Deficit
    Control Act of 1985 (2 U.S.C. 901a(6)) is amended--
            (1) in subparagraph (B), in the matter preceding clause (i), by
        striking ``for fiscal year 2022, for fiscal year 2023, for fiscal
        year 2024, and for fiscal year 2025'' and inserting ``for each of
        fiscal years 2022 through 2027''; and
            (2) in subparagraph (C), in the matter preceding clause (i), by
        striking ``fiscal year 2025'' and inserting ``fiscal year 2027''.
    SEC. 30102. BALANCES ON THE PAYGO SCORECARDS.
        Effective on the date of enactment of this Act, the balances on the
    PAYGO scorecards established pursuant to paragraphs (4) and (5) of
    section 4(d) of the Statutory Pay-As-You-Go Act of 2010 (2 U.S.C.
    933(d)) shall be zero.
    SEC. 30103. AUTHORITY FOR FISCAL YEAR 2019 BUDGET RESOLUTION IN THE
    SENATE.
        (a) Fiscal Year 2019.--For purposes of enforcing the Congressional
    Budget Act of 1974 (2 U.S.C. 621 et seq.) after April 15, 2018, and
    enforcing budgetary points of order in prior concurrent resolutions on
    the budget, the allocations, aggregates, and levels provided for in
    subsection (b) shall apply in the Senate in the same manner as for a
    concurrent resolution on the budget for fiscal year 2019 with
    appropriate budgetary levels for fiscal years 2020 through 2028.
        (b) Committee Allocations, Aggregates, and Levels.--After April 15,
    2018, but not later than May 15, 2018, the Chairman of the Committee on
    the Budget of the Senate shall file--
            (1) for the Committee on Appropriations, committee allocations
        for fiscal year 2019 consistent with discretionary spending limits
        set forth in section 251(c)(6) of the Balanced Budget and Emergency
        Deficit Control Act of 1985, as amended by this Act, for the
        purposes of enforcing section 302 of the Congressional Budget Act
        of 1974 (2 U.S.C. 633);
            (2) for all committees other than the Committee on
        Appropriations, committee allocations for fiscal years 2019, 2019
        through 2023, and 2019 through 2028 consistent with the most recent
        baseline of the Congressional Budget Office, as adjusted for the
        budgetary effects of any provision of law enacted during the period
        beginning on the date such baseline is issued and ending on the
        date of submission of such statement, for the purposes of enforcing
        section 302 of the Congressional Budget Act of 1974 (2 U.S.C. 633);
            (3) aggregate spending levels for fiscal year 2019 in
        accordance with the allocations established under paragraphs (1)
        and (2), for the purpose of enforcing section 311 of the
        Congressional Budget Act of 1974 (2 U.S.C. 642);
            (4) aggregate revenue levels for fiscal years 2019, 2019
        through 2023, and 2019 through 2028 consistent with the most recent
        baseline of the Congressional Budget Office, as adjusted for the
        budgetary effects of any provision of law enacted during the period
        beginning on the date such baseline is issued and ending on the
        date of submission of such statement, for the purpose of enforcing
        section 311 of the Congressional Budget Act of 1974 (2 U.S.C. 642);
        and
            (5) levels of Social Security revenues and outlays for fiscal
        years 2019, 2019 through 2023, and 2019 through 2028 consistent
        with the most recent baseline of the Congressional Budget Office,
        as adjusted for the budgetary effects of any provision of law
        enacted during the period beginning on the date such baseline is
        issued and ending on the date of submission of such statement, for
        the purpose of enforcing sections 302 and 311 of the Congressional
        Budget Act of 1974 (2 U.S.C. 633 and 642).
        (c) Additional Matter.--The filing referred to in subsection (b)
    may also include for fiscal year 2019 the deficit-neutral reserve funds
    contained in title III of H. Con. Res. 71 (115th Congress) updated by
    one fiscal year.
        (d) Expiration.--This section shall expire if a concurrent
    resolution on the budget for fiscal year 2019 is agreed to by the
    Senate and the House of Representatives pursuant to section 301 of the
    Congressional Budget Act of 1974 (2 U.S.C. 632).
    SEC. 30104. AUTHORITY FOR FISCAL YEAR 2019 BUDGET RESOLUTION IN THE
    HOUSE OF REPRESENTATIVES.
        (a) Fiscal Year 2019.--If a concurrent resolution on the budget for
    fiscal year 2019 has not been adopted by April 15, 2018, for the
    purpose of enforcing the Congressional Budget Act of 1974, the
    allocations, aggregates, and levels provided for in subsection (b)
    shall apply in the House of Representatives after April 15, 2018, in
    the same manner as for a concurrent resolution on the budget for fiscal
    year 2019 with appropriate budgetary levels for fiscal year 2019 and
    for fiscal years 2020 through 2028.
        (b) Committee Allocations, Aggregates, and Levels.--In the House of
    Representatives, the Chair of the Committee on the Budget shall submit
    a statement for publication in the Congressional Record after April 15,
    2018, but not later than May 15, 2018, containing--
            (1) for the Committee on Appropriations, committee allocations
        for fiscal year 2019 for discretionary budget authority at the
        total level set forth in section 251(c)(6) of the Balanced Budget
        and Emergency Deficit Control Act of 1985, as amended by this Act,
        and the outlays flowing therefrom, and committee allocations for
        fiscal year 2019 for current law mandatory budget authority and
        outlays, for the purpose of enforcing section 302 of the
        Congressional Budget Act of 1974;
            (2) for all committees other than the Committee on
        Appropriations, committee allocations for fiscal year 2019 and for
        the period of fiscal years 2019 through 2028 at the levels included
        in the most recent baseline of the Congressional Budget Office, as
        adjusted for the budgetary effects of any provision of law enacted
        during the period beginning on the date such baseline is issued and
        ending on the date of submission of such statement, for the purpose
        of enforcing section 302 of the Congressional Budget Act of 1974;
        and
            (3) aggregate spending levels for fiscal year 2019 and
        aggregate revenue levels for fiscal year 2019 and for the period of
        fiscal years 2019 through 2028, at the levels included in the most
        recent baseline of the Congressional Budget Office, as adjusted for
        the budgetary effects of any provision of law enacted during the
        period beginning on the date such baseline is issued and ending on
        the date of submission of such statement, for the purpose of
        enforcing section 311 of the Congressional Budget Act of 1974.
        (c) Additional Matter.--The statement referred to in subsection (b)
    may also include for fiscal year 2019, the matter contained in the
    provisions referred to in subsection (f)(1).
        (d) Fiscal Year 2019 Allocation to the Committee on
    Appropriations.--If the statement referred to in subsection (b) is not
    filed by May 15, 2018, then the matter referred to in subsection (b)(1)
    shall be submitted by the Chair of the Committee on the Budget for
    publication in the Congressional Record on the next day that the House
    of Representatives is in session.
        (e) Adjustments.--The chair of the Committee on the Budget of the
    House of Representatives may adjust the levels included in the
    statement referred to in subsection (b) to reflect the budgetary
    effects of any legislation enacted during the 115th Congress that
    reduces the deficit or as otherwise necessary.
        (f) Application.--Upon submission of the statement referred to in
    subsection (b)--
            (1) all references in sections 5101 through 5112, sections 5201
        through 5205, section 5301, and section 5401 of House Concurrent
        Resolution 71 (115th Congress) to a fiscal year shall be considered
        for all purposes in the House to be references to the succeeding
        fiscal year; and
            (2) all references in the provisions referred to in paragraph
        (1) to allocations, aggregates, or other appropriate levels in
        ``this concurrent resolution'', ``the most recently agreed to
        concurrent resolution on the budget'', or ``this resolution'' shall
        be considered for all purposes in the House to be references to the
        allocations, aggregates, or other appropriate levels contained in
        the statement referred to in subsection (b), as adjusted.
        (g) Expiration.--Subsections (a) through (f) shall no longer apply
    if a concurrent resolution on the budget for fiscal year 2019 is agreed
    to by the Senate and House of Representatives.
    SEC. 30105. EXERCISE OF RULEMAKING POWERS.
        Sections 30103 and 30104 are enacted by the Congress--
            (1) as an exercise of the rulemaking power of the Senate and
        the House of Representatives, respectively, and as such they shall
        be considered as part of the rules of each House, respectively, or
        of that House to which they specifically apply, and such rules
        shall supersede other rules only to the extent that they are
        inconsistent therewith; and
            (2) with full recognition of the constitutional right of either
        House to change such rules (so far as relating to such House) at
        any time, in the same manner, and to the same extent as in the case
        of any other rule of such House.

                               TITLE II--OFFSETS

    SEC. 30201. CUSTOMS USER FEES.
        (a) In General.--Section 13031(j)(3) of the Consolidated Omnibus
    Budget Reconciliation Act of 1985 (19 U.S.C. 58c(j)(3)) is amended--
            (1) in subparagraph (A), by striking ``January 14, 2026'' and
        inserting ``February 24, 2027''; and
            (2) in subparagraph (B)(i), by striking ``September 30, 2025''
        and inserting ``September 30, 2027''.
        (b) Rate for Merchandise Processing Fees.--Section 503 of the
    United States-Korea Free Trade Agreement Implementation Act (Public Law
    112-41; 19 U.S.C. 3805 note) is amended by striking ``January 14,
    2026'' and inserting ``February 24, 2027''.
    SEC. 30202. AVIATION SECURITY SERVICE FEES.
        Paragraph (4) of section 44940(i) of title 49, United States Code,
    is amended by adding at the end the following new subparagraphs:
                ``(M) $1,640,000,000 for fiscal year 2026.
                ``(N) $1,680,000,000 for fiscal year 2027.''.
    SEC. 30203. EXTENSION OF CERTAIN IMMIGRATION FEES.
        (a) Visa Waiver Program.--Section 217(h)(3)(B)(iii) of the
    Immigration and Nationality Act (8 U.S.C. 1187(h)(3)(B)(iii)) is
    amended by striking ``September 30, 2020'' and inserting ``September
    30, 2027''.
        (b) L-1 and H-1b Visas.--Section 411 of the Air Transportation
    Safety and System Stabilization Act (49 U.S.C. 40101 note) is amended
    by striking ``September 30, 2025'' each place it appears and inserting
    ``September 30, 2027''.
    SEC. 30204. STRATEGIC PETROLEUM RESERVE DRAWDOWN.
        (a) Drawdown and Sale.--
            (1) In general.--Notwithstanding section 161 of the Energy
        Policy and Conservation Act (42 U.S.C. 6241), except as provided in
        subsection (b), the Secretary of Energy shall draw down and sell
        from the Strategic Petroleum Reserve--
                (A) 30,000,000 barrels of crude oil during the period of
            fiscal years 2022 through 2025;
                (B) 35,000,000 barrels of crude oil during fiscal year
            2026; and
                (C) 35,000,000 barrels of crude oil during fiscal year
            2027.
            (2) Deposit of amounts received from sale.--Amounts received
        from a sale under paragraph (1) shall be deposited in the general
        fund of the Treasury during the fiscal year in which the sale
        occurs.
        (b) Emergency Protection.--The Secretary of Energy may not draw
    down and sell crude oil under this section in quantities that would
    limit the authority to sell petroleum products under subsection (h) of
    section 161 of the Energy Policy and Conservation Act (42 U.S.C. 6241)
    in the full quantity authorized by that subsection.
        (c) Strategic Petroleum Drawdown Conditions and Limitations.--
            (1) Conditions.--Section 161(h)(1) of the Energy Policy and
        Conservation Act (42 U.S.C. 6241(h)(1)) is amended in subparagraph
        (B) by striking ``shortage; and'' and all that follows through
        ``Secretary of'' in subparagraph (C) and inserting the following:
        ``shortage;
                ``(C) the Secretary has found that action taken under this
            subsection will not impair the ability of the United States to
            carry out obligations of the United States under the
            international energy program; and
                ``(D) the Secretary of''.
            (2) Limitations.--Section 161(h)(2) of the Energy Policy and
        Conservation Act (42 U.S.C. 6241(h)(2)) is amended by striking
        ``450,000,000'' each place it appears and inserting
        ``350,000,000''.
    SEC. 30205. ELIMINATION OF SURPLUS FUNDS OF FEDERAL RESERVE BANKS.
        Section 7(a)(3)(A) of the Federal Reserve Act (12 U.S.C.
    289(a)(3)(A)) is amended by striking ``$10,000,000,000'' and inserting
    ``$7,500,000,000''.
    SEC. 30206. REEMPLOYMENT SERVICES AND ELIGIBILITY ASSESSMENTS.
        (a) In General.--Title III of the Social Security Act (42 U.S.C.
    501 et seq.) is amended by adding at the end the following:
        ``SEC. 306. GRANTS TO STATES FOR REEMPLOYMENT SERVICES AND
          ELIGIBILITY ASSESSMENTS.
        ``(a) In General.--The Secretary of Labor (in this section referred
    to as the `Secretary') shall award grants under this section for a
    fiscal year to eligible States to conduct a program of reemployment
    services and eligibility assessments for individuals referred to
    reemployment services as described in section 303(j) for weeks in such
    fiscal year for which such individuals receive unemployment
    compensation.
        ``(b) Purposes.--The purposes of this section are to accomplish the
    following goals:
            ``(1) To improve employment outcomes of individuals that
        receive unemployment compensation and to reduce the average
        duration of receipt of such compensation through employment.
            ``(2) To strengthen program integrity and reduce improper
        payments of unemployment compensation by States through the
        detection and prevention of such payments to individuals who are
        not eligible for such compensation.
            ``(3) To promote alignment with the broader vision of the
        Workforce Innovation and Opportunity Act (29 U.S.C. 3101 et seq.)
        of increased program integration and service delivery for job
        seekers, including claimants for unemployment compensation.
            ``(4) To establish reemployment services and eligibility
        assessments as an entry point for individuals receiving
        unemployment compensation into other workforce system partner
        programs.
        ``(c) Evidence-based Standards.--
            ``(1) In general.--In carrying out a State program of
        reemployment services and eligibility assessments using grant funds
        awarded to the State under this section, a State shall use such
        funds only for interventions demonstrated to reduce the number of
        weeks for which program participants receive unemployment
        compensation by improving employment outcomes for program
        participants.
            ``(2) Expanding evidence-based interventions.--In addition to
        the requirement imposed by paragraph (1), a State shall--
                ``(A) for fiscal years 2023 and 2024, use no less than 25
            percent of the grant funds awarded to the State under this
            section for interventions with a high or moderate causal
            evidence rating that show a demonstrated capacity to improve
            employment and earnings outcomes for program participants;
                ``(B) for fiscal years 2025 and 2026, use no less than 40
            percent of such grant funds for interventions described in
            subparagraph (A); and
                ``(C) for fiscal years beginning after fiscal year 2026,
            use no less than 50 percent of such grant funds for
            interventions described in subparagraph (A).
        ``(d) Evaluations.--
            ``(1) Required evaluations.--Any intervention without a high or
        moderate causal evidence rating used by a State in carrying out a
        State program of reemployment services and eligibility assessments
        under this section shall be under evaluation at the time of use.
            ``(2) Funding limitation.--A State shall use not more than 10
        percent of grant funds awarded to the State under this section to
        conduct or cause to be conducted evaluations of interventions used
        in carrying out a program under this section (including evaluations
        conducted pursuant to paragraph (1)).
        ``(e) State Plan.--
            ``(1) In general.--As a condition of eligibility to receive a
        grant under this section for a fiscal year, a State shall submit to
        the Secretary, at such time and in such manner as the Secretary may
        require, a State plan that outlines how the State intends to
        conduct a program of reemployment services and eligibility
        assessments under this section, including--
                ``(A) assurances that, and a description of how, the
            program will provide--
                    ``(i) proper notification to participating individuals
                of the program's eligibility conditions, requirements, and
                benefits, including the issuance of warnings and simple,
                clear notifications to ensure that participating
                individuals are fully aware of the consequences of failing
                to adhere to such requirements, including policies related
                to non-attendance or non-fulfillment of work search
                requirements; and
                    ``(ii) reasonable scheduling accommodations to maximize
                participation for eligible individuals;
                ``(B) assurances that, and a description of how, the
            program will conform with the purposes outlined in subsection
            (b) and satisfy the requirement to use evidence-based standards
            under subsection (c), including--
                    ``(i) a description of the evidence-based interventions
                the State plans to use to speed reemployment;
                    ``(ii) an explanation of how such interventions are
                appropriate to the population served; and
                    ``(iii) if applicable, a description of the evaluation
                structure the State plans to use for interventions without
                at least a moderate or high causal evidence rating, which
                may include national evaluations conducted by the
                Department of Labor or by other entities; and
                ``(C) a description of any reemployment activities and
            evaluations conducted in the prior fiscal year, and any data
            collected on--
                    ``(i) characteristics of program participants;
                    ``(ii) the number of weeks for which program
                participants receive unemployment compensation; and
                    ``(iii) employment and other outcomes for program
                participants consistent with State performance
                accountability measures provided by the State unemployment
                compensation program and in section 116(b) of the Workforce
                Innovation and Opportunity Act (29 U.S.C. 3141(b)).
            ``(2) Approval.--The Secretary shall approve any State plan,
        that is timely submitted to the Secretary, in such manner as the
        Secretary may require, that satisfies the conditions described in
        paragraph (1).
            ``(3) Disapproval and revision.--If the Secretary determines
        that a State plan submitted pursuant to this subsection fails to
        satisfy the conditions described in paragraph (1), the Secretary
        shall--
                ``(A) disapprove such plan;
                ``(B) provide to the State, not later than 30 days after
            the date of receipt of the State plan, a written notice of such
            disapproval that includes a description of any portion of the
            plan that was not approved and the reason for the disapproval
            of each such portion; and
                ``(C) provide the State with an opportunity to correct any
            such failure and submit a revised State plan.
        ``(f) Allocation of Funds.--
            ``(1) Base funding.--
                ``(A) In general.--For each fiscal year after fiscal year
            2020, the Secretary shall allocate a percentage equal to the
            base funding percentage for such fiscal year of the funds made
            available for grants under this section among the States
            awarded such a grant for such fiscal year using a formula
            prescribed by the Secretary based on the rate of insured
            unemployment (as defined in section 203(e)(1) of the Federal-
            State Extended Unemployment Compensation Act of 1970 (26 U.S.C.
            3304 note)) in the State for a period to be determined by the
            Secretary. In developing such formula with respect to a State,
            the Secretary shall consider the importance of avoiding sharp
            reductions in grant funding to a State over time.
                ``(B) Base funding percentage.--For purposes of
            subparagraph (A), the term `base funding percentage' means--
                    ``(i) for fiscal years 2021 through 2026, 89 percent;
                and
                    ``(ii) for fiscal years after 2026, 84 percent.
            ``(2) Reservation for outcome payments.--
                ``(A) In general.--Of the amounts made available for grants
            under this section for each fiscal year after 2020, the
            Secretary shall reserve a percentage equal to the outcome
            reservation percentage for such fiscal year for outcome
            payments to increase the amount otherwise awarded to a State
            under paragraph (1). Such outcome payments shall be paid to
            States conducting reemployment services and eligibility
            assessments under this section that, during the previous fiscal
            year, met or exceeded the outcome goals provided in subsection
            (b)(1) related to reducing the average duration of receipt of
            unemployment compensation by improving employment outcomes.
                ``(B) Outcome reservation percentage.--For purposes of
            subparagraph (A), the term `outcome reservation percentage'
            means--
                    ``(i) for fiscal years 2021 through 2026, 10 percent;
                and
                    ``(ii) for fiscal years after 2026, 15 percent.
            ``(3) Reservation for research and technical assistance.--Of
        the amounts made available for grants under this section for each
        fiscal year after 2020, the Secretary may reserve not more than 1
        percent to conduct research and provide technical assistance to
        States.
            ``(4) Consultation and public comment.--Not later than
        September 30, 2019, the Secretary shall--
                ``(A) consult with the States and seek public comment in
            developing the allocation formula under paragraph (1) and the
            criteria for carrying out the reservations under paragraph (2);
            and
                ``(B) make publicly available the allocation formula and
            criteria developed pursuant to subclause (A).
        ``(g) Notification to Congress.--Not later than 90 days prior to
    making any changes to the allocation formula or the criteria developed
    pursuant to subsection (f)(5)(A), the Secretary shall submit to
    Congress, including to the Committee on Ways and Means and the
    Committee on Appropriations of the House of Representatives and the
    Committee on Finance and the Committee on Appropriations of the Senate,
    a notification of any such change.
        ``(h) Supplement Not Supplant.--Funds made available to carry out
    this section shall be used to supplement the level of Federal, State,
    and local public funds that, in the absence of such availability, would
    be expended to provide reemployment services and eligibility
    assessments to individuals receiving unemployment compensation, and in
    no case to supplant such Federal, State, or local public funds.
        ``(i) Definitions.--In this section:
            ``(1) Causal evidence rating.--The terms `high causal evidence
        rating' and `moderate causal evidence rating' shall have the
        meaning given such terms by the Secretary of Labor.
            ``(2) Eligible state.--The term `eligible State' means a State
        that has in effect a State plan approved by the Secretary in
        accordance with subsection (e).
            ``(3) Intervention.--The term `intervention' means a service
        delivery strategy for the provision of State reemployment services
        and eligibility assessment activities under this section.
            ``(4) State.--The term `State' has the meaning given the term
        in section 205 of the Federal-State Extended Unemployment
        Compensation Act of 1970 (26 U.S.C. 3304 note).
            ``(5) Unemployment compensation.--The term unemployment
        compensation means `regular compensation', `extended compensation',
        and `additional compensation' (as such terms are defined by section
        205 of the Federal-State Extended Unemployment Compensation Act of
        1970 (26 U.S.C. 3304 note)).''.
        (b) Report.--Not later than 3 years after the date of enactment of
    this Act, the Secretary of Labor shall submit to Congress a report to
    describe promising interventions used by States to provide reemployment
    assistance.
        (c) Adjustment to Discretionary Spending Limits.--Section 251(b)(2)
    of the Balanced Budget and Emergency Deficit Control Act of 1985 (2
    U.S.C. 901(b)(2)) is amended by adding at the end the following:
                ``(E) Reemployment services and eligibility assessments.--
                    ``(i) In general.--If a bill or joint resolution making
                appropriations for a fiscal year is enacted that specifies
                an amount for grants to States under section 306 of the
                Social Security Act, then the adjustment for that fiscal
                year shall be the additional new budget authority provided
                in that Act for such grants for that fiscal year, but shall
                not exceed--

                        ``(I) for fiscal year 2018, $0;
                        ``(II) for fiscal year 2019, $33,000,000;
                        ``(III) for fiscal year 2020, $58,000,000; and
                        ``(IV) for fiscal year 2021, $83,000,000.

                    ``(ii) Definition.--As used in this subparagraph, the
                term `additional new budget authority' means the amount
                provided for a fiscal year, in excess of $117,000,000, in
                an appropriation Act and specified to pay for grants to
                States under section 306 of the Social Security Act.''.
        (d) Other Budgetary Adjustments.--Section 314 of the Congressional
    Budget Act of 1974 (2 U.S.C. 645) is amended by adding at the end the
    following:
        ``(g) Adjustment for Reemployment Services and Eligibility
    Assessments.--
            ``(1) In general.--
                ``(A) Adjustments.--If the Committee on Appropriations of
            either House reports an appropriation measure for any of fiscal
            years 2022 through 2027 that provides budget authority for
            grants under section 306 of the Social Security Act, or if a
            conference committee submits a conference report thereon, the
            chairman of the Committee on the Budget of the House of
            Representatives or the Senate shall make the adjustments
            referred to in subparagraph (B) to reflect the additional new
            budget authority provided for such grants in that measure or
            conference report and the outlays resulting therefrom,
            consistent with subparagraph (D).
                ``(B) Types of adjustments.--The adjustments referred to in
            this subparagraph consist of adjustments to--
                    ``(i) the discretionary spending limits for that fiscal
                year as set forth in the most recently adopted concurrent
                resolution on the budget;
                    ``(ii) the allocations to the Committees on
                Appropriations of the Senate and the House of
                Representatives for that fiscal year under section 302(a);
                and
                    ``(iii) the appropriate budget aggregates for that
                fiscal year in the most recently adopted concurrent
                resolution on the budget.
                ``(C) Enforcement.--The adjusted discretionary spending
            limits, allocations, and aggregates under this paragraph shall
            be considered the appropriate limits, allocations, and
            aggregates for purposes of congressional enforcement of this
            Act and concurrent budget resolutions under this Act.
                ``(D) Limitation.--No adjustment may be made under this
            subsection in excess of--
                    ``(i) for fiscal year 2022, $133,000,000;
                    ``(ii) for fiscal year 2023, $258,000,000;
                    ``(iii) for fiscal year 2024, $433,000,000;
                    ``(iv) for fiscal year 2025, $533,000,000;
                    ``(v) for fiscal year 2026, $608,000,000; and
                    ``(vi) for fiscal year 2027, $633,000,000.
            ``(E) Definition.--As used in this subsection, the term
        `additional new budget authority' means the amount provided for a
        fiscal year, in excess of $117,000,000, in an appropriation measure
        or conference report (as the case may be) and specified to pay for
        grants to States under section 306 of the Social Security Act.
            ``(2) Report on 302(b) level.--Following any adjustment made
        under paragraph (1), the Committees on Appropriations of the Senate
        and the House of Representatives may report appropriately revised
        suballocations pursuant to section 302(b) to carry out this
        subsection.''.

              TITLE III--TEMPORARY EXTENSION OF PUBLIC DEBT LIMIT

    SEC. 30301. TEMPORARY EXTENSION OF PUBLIC DEBT LIMIT.
        (a) In General.--Section 3101(b) of title 31, United States Code,
    shall not apply for the period beginning on the date of the enactment
    of this Act and ending on March 1, 2019.
        (b) Special Rule Relating to Obligations Issued During Extension
    Period.--Effective on March 2, 2019, the limitation in effect under
    section 3101(b) of title 31, United States Code, shall be increased to
    the extent that--
            (1) the face amount of obligations issued under chapter 31 of
        such title and the face amount of obligations whose principal and
        interest are guaranteed by the United States Government (except
        guaranteed obligations held by the Secretary of the Treasury)
        outstanding on March 2, 2019, exceeds
            (2) the face amount of such obligations outstanding on the date
        of the enactment of this Act.
        (c) Restoring Congressional Authority Over the National Debt.--
            (1) Extension limited to necessary obligations.--An obligation
        shall not be taken into account under subsection (b)(1) unless the
        issuance of such obligation was necessary to fund a commitment
        incurred pursuant to law by the Federal Government that required
        payment before March 2, 2019.
            (2) Prohibition on creation of cash reserve during extension
        period.--The Secretary of the Treasury shall not issue obligations
        during the period specified in subsection (a) for the purpose of
        increasing the cash balance above normal operating balances in
        anticipation of the expiration of such period.

                       TITLE IV--JOINT SELECT COMMITTEES
    Subtitle A--Joint Select Committee on Solvency of Multiemployer Pension
                                     Plans

    SEC. 30421. DEFINITIONS.
        In this subtitle--
            (1) the term ``joint committee'' means the Joint Select
        Committee on Solvency of Multiemployer Pension Plans established
        under section 30422(a); and
            (2) the term ``joint committee bill'' means a bill consisting
        of the proposed legislative language of the joint committee
        recommended in accordance with section 30422(b)(2)(B)(ii) and
        introduced under section 30424(a).
    SEC. 30422. ESTABLISHMENT OF JOINT SELECT COMMITTEE.
        (a) Establishment of Joint Select Committee.--There is established
    a joint select committee of Congress to be known as the ``Joint Select
    Committee on Solvency of Multiemployer Pension Plans''.
        (b) Implementation.--
            (1) Goal.--The goal of the joint committee is to improve the
        solvency of multiemployer pension plans and the Pension Benefit
        Guaranty Corporation.
            (2) Duties.--
                (A) In general.--The joint committee shall provide
            recommendations and legislative language that will
            significantly improve the solvency of multiemployer pension
            plans and the Pension Benefit Guaranty Corporation.
                (B) Report, recommendations, and legislative language.--
                    (i) In general.--Not later than November 30, 2018, the
                joint committee shall vote on--

                        (I) a report that contains a detailed statement of
                    the findings, conclusions, and recommendations of the
                    joint committee; and
                        (II) proposed legislative language to carry out the
                    recommendations described in subclause (I).

                    (ii) Approval of report and legislative language.--

                        (I) In general.--The report of the joint committee
                    and the proposed legislative language described in
                    clause (i) shall only be approved upon receiving the
                    votes of--

                            (aa) a majority of joint committee members
                        appointed by the Speaker of the House of
                        Representatives and the Majority Leader of the
                        Senate; and
                            (bb) a majority of joint committee members
                        appointed by the Minority Leader of the House of
                        Representatives and the Minority Leader of the
                        Senate.

                        (II) Availability.--The text of any report and
                    proposed legislative language shall be publicly
                    available in electronic form at least 24 hours prior to
                    its consideration.

                    (iii) Additional views.--A member of the joint
                committee who gives notice of an intention to file
                supplemental, minority, or additional views at the time of
                the final joint committee vote on the approval of the
                report and legislative language under clause (ii) shall be
                entitled to 2 calendar days after the day of such notice in
                which to file such views in writing with the co-chairs.
                Such views shall then be included in the joint committee
                report and printed in the same volume, or part thereof, and
                their inclusion shall be noted on the cover of the report.
                In the absence of timely notice, the joint committee report
                may be printed and transmitted immediately without such
                views.
                    (iv) Transmission of report and legislative language.--
                If the report and legislative language are approved by the
                joint committee pursuant to clause (ii), the joint
                committee shall submit the joint committee report and
                legislative language described in clause (i) to the
                President, the Vice President, the Speaker of the House of
                Representatives, and the majority and minority leaders of
                each House of Congress not later than 15 calendar days
                after such approval.
                    (v) Report and legislative language to be made
                public.--Upon the approval of the joint committee report
                and legislative language pursuant to clause (ii), the joint
                committee shall promptly make the full report and
                legislative language, and a record of any vote, available
                to the public.
            (3) Membership.--
                (A) In general.--The joint committee shall be composed of
            16 members appointed pursuant to subparagraph (B).
                (B) Appointment.--Members of the joint committee shall be
            appointed as follows:
                    (i) The Speaker of the House of Representatives shall
                appoint 4 members from among Members of the House of
                Representatives.
                    (ii) The Minority Leader of the House of
                Representatives shall appoint 4 members from among Members
                of the House of Representatives.
                    (iii) The Majority Leader of the Senate shall appoint 4
                members from among Members of the Senate.
                    (iv) The Minority Leader of the Senate shall appoint 4
                members from among Members of the Senate.
                (C) Co-chairs.--Two of the appointed members of the joint
            committee will serve as co-chairs. The Speaker of the House of
            Representatives and the Majority Leader of the Senate shall
            jointly appoint one co-chair, and the Minority Leader of the
            House of Representatives and the Minority Leader of the Senate
            shall jointly appoint the second co-chair. The co-chairs shall
            be appointed not later than 14 calendar days after the date of
            enactment of this Act.
                (D) Date.--Members of the joint committee shall be
            appointed not later than 14 calendar days after the date of
            enactment of this Act.
                (E) Period of appointment.--Members shall be appointed for
            the life of the joint committee. Any vacancy in the joint
            committee shall not affect its powers, but shall be filled not
            later than 14 calendar days after the date on which the vacancy
            occurs, in the same manner as the original appointment was
            made. If a member of the joint committee ceases to be a Member
            of the House of Representatives or the Senate, as the case may
            be, the member is no longer a member of the joint committee and
            a vacancy shall exist.
            (4) Administration.--
                (A) General authority.--For purposes of enabling the joint
            committee to exercise its powers, functions, and duties under
            this subtitle, and consistent with the Standing Rules of the
            Senate, there is authorized from the date of enactment of this
            Act through February 28, 2019, $500,000 to be allocated--
                    (i) in total during the period October 1, 2017 through
                September 30, 2018; and
                    (ii) any remaining amounts shall be carried forward for
                the period October 1, 2018 through February 28, 2019.
                (B) Expenses.--Expenses of the joint committee shall be
            paid from the contingent fund of the Senate upon vouchers
            approved by the co-chairs, subject to the rules and regulations
            of the Senate.
                (C) Quorum.--Nine members of the joint committee shall
            constitute a quorum for purposes of voting and meeting, and 5
            members of the joint committee shall constitute a quorum for
            holding hearings.
                (D) Voting.--No proxy voting shall be allowed on behalf of
            the members of the joint committee.
                (E) Meetings.--
                    (i) Initial meeting.--Not later than 30 calendar days
                after the date of enactment of this Act, the joint
                committee shall hold its first meeting.
                    (ii) Agenda.--The co-chairs of the joint committee
                shall provide an agenda to the joint committee members not
                less than 48 hours in advance of any meeting.
                (F) Hearings.--
                    (i) In general.--The joint committee may, for the
                purpose of carrying out this section, hold such hearings,
                sit and act at such times and places, require attendance of
                witnesses and production of books, papers, and documents,
                take such testimony, receive such evidence, and administer
                such oaths as the joint committee considers advisable.
                    (ii) Hearing procedures and responsibilities of co-
                chairs.--

                        (I) Announcement.--The co-chairs of the joint
                    committee shall make a public announcement of the date,
                    place, time, and subject matter of any hearing to be
                    conducted, not less than 7 days in advance of such
                    hearing, unless the co-chairs determine that there is
                    good cause to begin such hearing at an earlier date.
                        (II) Equal representation of witnesses.--Each co-
                    chair shall be entitled to select an equal number of
                    witnesses for each hearing held by the joint committee.
                        (III) Written statement.--A witness appearing
                    before the joint committee shall file a written
                    statement of proposed testimony at least 2 calendar
                    days before the appearance of the witness, unless the
                    requirement is waived by the co-chairs, following their
                    determination that there is good cause for failure to
                    comply with such requirement.

                (G) Minimum number of public meetings and hearings.--The
            joint committee shall hold--
                    (i) not less than a total of 5 public meetings or
                public hearings; and
                    (ii) not less than 3 public hearings, which may include
                field hearings.
                (H) Technical assistance.--Upon written request of the co-
            chairs, a Federal agency, including legislative branch
            agencies, shall provide technical assistance to the joint
            committee in order for the joint committee to carry out its
            duties.
                (I) Staffing.--
                    (i) Details.--Employees of the legislative branch may
                be detailed to the joint committee on a nonreimbursable
                basis, consistent with the rules and regulations of the
                Senate.
                    (ii) Staff director.--The co-chairs, acting jointly,
                may designate one such employee as staff director of the
                joint committee.
        (c) Ethical Standards.--Members on the joint committee who serve in
    the House of Representatives shall be governed by the ethics rules and
    requirements of the House. Members of the Senate who serve on the joint
    committee shall comply with the ethics rules of the Senate.
        (d) Termination.--The joint committee shall terminate on December
    31, 2018 or 30 days after submission of its report and legislative
    recommendations pursuant to this section whichever occurs first.
    SEC. 30423. FUNDING.
        (a) Special Reserve.--To enable the joint committee to exercise its
    powers, functions, and duties under this subtitle, within the funds in
    the account for ``Expenses of Inquiries and Investigations'' of the
    Senate, not more than $500,000 shall be allocated from the special
    reserve established in S. Res. 62, agreed to February 28, 2017 (115th
    Congress), for use by the joint committee.
        (b) Expiration.--None of the funds made available by this section
    may be available for obligation by the joint committee after January 2,
    2019.
        (c) Availability Requirements.--For purposes of the joint
    committee, section 20(b) of S. Res. 62, agreed to February 28, 2017
    (115th Congress), shall not apply.
    SEC. 30424. CONSIDERATION OF JOINT COMMITTEE BILL IN THE SENATE.
        (a) Introduction.--Upon receipt of proposed legislative language
    approved in accordance with section 30422(b)(2)(B)(ii), the language
    shall be introduced in the Senate (by request) on the next day on which
    the Senate is in session by the Majority Leader of the Senate or by a
    Member of the Senate designated by the Majority Leader of the Senate.
        (b) Committee Consideration.--A joint committee bill introduced in
    the Senate under subsection (a) shall be jointly referred to the
    Committee on Finance and the Committee on Health, Education, Labor, and
    Pensions, which committees shall report the bill without any revision
    and with a favorable recommendation, an unfavorable recommendation, or
    without recommendation, no later than 7 session days after introduction
    of the bill. If either committee fails to report the bill within that
    period, that committee shall be automatically discharged from
    consideration of the bill, and the bill shall be placed on the
    appropriate calendar.
        (c) Motion to Proceed to Consideration.--
            (1) In general.--Notwithstanding rule XXII of the Standing
        Rules of the Senate, it is in order, not later than 2 days of
        session after the date on which a joint committee bill is reported
        or discharged from the Committee on Finance and the Committee on
        Health, Education, Labor, and Pensions, for the Majority Leader of
        the Senate or the Majority Leader's designee to move to proceed to
        the consideration of the joint committee bill. It shall also be in
        order for any Member of the Senate to move to proceed to the
        consideration of the joint committee bill at any time after the
        conclusion of such 2-day period.
            (2) Consideration of motion.--Consideration of the motion to
        proceed to the consideration of the joint committee bill and all
        debatable motions and appeals in connection therewith shall not
        exceed 10 hours, which shall be divided equally between the
        Majority and Minority Leaders or their designees. A motion to
        further limit debate is in order, shall require an affirmative vote
        of three-fifths of Members duly chosen and sworn, and is not
        debatable.
            (3) Vote threshold.--The motion to proceed to the consideration
        of the joint committee bill shall only be agreed to upon an
        affirmative vote of three-fifths of Members duly chosen and sworn.
            (4) Limitations.--The motion is not subject to a motion to
        postpone. All points of order against the motion to proceed to the
        joint committee bill are waived. A motion to reconsider the vote by
        which the motion is agreed to or disagreed to shall not be in
        order.
            (5) Deadline.--Not later than the last day of the 115th
        Congress, the Senate shall vote on a motion to proceed to the joint
        committee bill.
            (6) Companion measures.--For purposes of this subsection, the
        term ``joint committee bill'' includes a bill of the House of
        Representatives that is a companion measure to the joint committee
        bill introduced in the Senate.
        (d) Rules of Senate.--This section is enacted by Congress--
            (1) as an exercise of the rulemaking power of the Senate, and
        as such is deemed a part of the rules of the Senate, but applicable
        only with respect to the procedure to be followed in the Senate in
        the case of a joint committee bill, and supersede other rules only
        to the extent that they are inconsistent with such rules; and
            (2) with full recognition of the constitutional right of the
        Senate to change the rules (so far as relating to the procedure of
        the Senate) at any time, in the same manner, and to the same extent
        as in the case of any other rule of the Senate.

    Subtitle B--Joint Select Committee on Budget and Appropriations Process
                                     Reform

    SEC. 30441. DEFINITIONS.
        In this subtitle--
            (1) the term ``joint committee'' means the Joint Select
        Committee on Budget and Appropriations Process Reform established
        under section 30442(a); and
            (2) the term ``joint committee bill'' means a bill consisting
        of the proposed legislative language of the joint committee
        recommended in accordance with section 30442(b)(2)(B)(ii) and
        introduced under section 30444(a).
    SEC. 30442. ESTABLISHMENT OF JOINT SELECT COMMITTEE.
        (a) Establishment of Joint Select Committee.--There is established
    a joint select committee of Congress to be known as the ``Joint Select
    Committee on Budget and Appropriations Process Reform''.
        (b) Implementation.--
            (1) Goal.--The goal of the joint committee is to reform the
        budget and appropriations process.
            (2) Duties.--
                (A) In general.--The joint committee shall provide
            recommendations and legislative language that will
            significantly reform the budget and appropriations process.
                (B) Report, recommendations, and legislative language.--
                    (i) In general.--Not later than November 30, 2018, the
                joint committee shall vote on--

                        (I) a report that contains a detailed statement of
                    the findings, conclusions, and recommendations of the
                    joint committee; and
                        (II) proposed legislative language to carry out the
                    recommendations described in subclause (I).

                    (ii) Approval of report and legislative language.--

                        (I) In general.--The report of the joint committee
                    and the proposed legislative language described in
                    clause (i) shall only be approved upon receiving the
                    votes of--

                            (aa) a majority of joint committee members
                        appointed by the Speaker of the House of
                        Representatives and the Majority Leader of the
                        Senate; and
                            (bb) a majority of joint committee members
                        appointed by the Minority Leader of the House of
                        Representatives and the Minority Leader of the
                        Senate.

                        (II) Availability.--The text of any report and
                    proposed legislative language shall be publicly
                    available in electronic form at least 24 hours prior to
                    its consideration.

                    (iii) Additional views.--A member of the joint
                committee who gives notice of an intention to file
                supplemental, minority, or additional views at the time of
                the final joint committee vote on the approval of the
                report and legislative language under clause (ii) shall be
                entitled to 2 calendar days after the day of such notice in
                which to file such views in writing with the co-chairs.
                Such views shall then be included in the joint committee
                report and printed in the same volume, or part thereof, and
                their inclusion shall be noted on the cover of the report.
                In the absence of timely notice, the joint committee report
                may be printed and transmitted immediately without such
                views.
                    (iv) Transmission of report and legislative language.--
                If the report and legislative language are approved by the
                joint committee pursuant to clause (ii), the joint
                committee shall submit the joint committee report and
                legislative language described in clause (i) to the
                President, the Vice President, the Speaker of the House of
                Representatives, and the majority and minority leaders of
                each House of Congress not later than 15 calendar days
                after such approval.
                    (v) Report and legislative language to be made
                public.--Upon the approval of the joint committee report
                and legislative language pursuant to clause (ii), the joint
                committee shall promptly make the full report and
                legislative language, and a record of any vote, available
                to the public.
            (3) Membership.--
                (A) In general.--The joint committee shall be composed of
            16 members appointed pursuant to subparagraph (B).
                (B) Appointment.--Members of the joint committee shall be
            appointed as follows:
                    (i) The Speaker of the House of Representatives shall
                appoint 4 members from among Members of the House of
                Representatives.
                    (ii) The Minority Leader of the House of
                Representatives shall appoint 4 members from among Members
                of the House of Representatives.
                    (iii) The Majority Leader of the Senate shall appoint 4
                members from among Members of the Senate.
                    (iv) The Minority Leader of the Senate shall appoint 4
                members from among Members of the Senate.
                (C) Co-chairs.--Two of the appointed members of the joint
            committee will serve as co-chairs. The Speaker of the House of
            Representatives and the Majority Leader of the Senate shall
            jointly appoint one co-chair, and the Minority Leader of the
            House of Representatives and the Minority Leader of the Senate
            shall jointly appoint the second co-chair. The co-chairs shall
            be appointed not later than 14 calendar days after the date of
            enactment of this Act.
                (D) Date.--Members of the joint committee shall be
            appointed not later than 14 calendar days after the date of
            enactment of this Act.
                (E) Period of appointment.--Members shall be appointed for
            the life of the joint committee. Any vacancy in the joint
            committee shall not affect its powers, but shall be filled not
            later than 14 calendar days after the date on which the vacancy
            occurs, in the same manner as the original appointment was
            made. If a member of the joint committee ceases to be a Member
            of the House of Representatives or the Senate, as the case may
            be, the member is no longer a member of the joint committee and
            a vacancy shall exist.
            (4) Administration.--
                (A) General authority.--For purposes of enabling the joint
            committee to exercise its powers, functions, and duties under
            this subtitle, and consistent with the Standing Rules of the
            Senate, there is authorized from the date of enactment of this
            Act through February 28, 2019, $500,000 to be allocated--
                    (i) in total during the period October 1, 2017 through
                September 30, 2018; and
                    (ii) any remaining amounts shall be carried forward for
                the period October 1, 2018 through February 28, 2019.
                (B) Expenses.--Expenses of the joint committee shall be
            paid from the contingent fund of the Senate upon vouchers
            approved by the co-chairs, subject to the rules and regulations
            of the Senate.
                (C) Quorum.--Nine members of the joint committee shall
            constitute a quorum for purposes of voting and meeting, and 5
            members of the joint committee shall constitute a quorum for
            holding hearings.
                (D) Voting.--No proxy voting shall be allowed on behalf of
            the members of the joint committee.
                (E) Meetings.--
                    (i) Initial meeting.--Not later than 30 calendar days
                after the date of enactment of this Act, the joint
                committee shall hold its first meeting.
                    (ii) Agenda.--The co-chairs of the joint committee
                shall provide an agenda to the joint committee members not
                less than 48 hours in advance of any meeting.
                (F) Hearings.--
                    (i) In general.--The joint committee may, for the
                purpose of carrying out this section, hold such hearings,
                sit and act at such times and places, require attendance of
                witnesses and production of books, papers, and documents,
                take such testimony, receive such evidence, and administer
                such oaths as the joint committee considers advisable.
                    (ii) Hearing procedures and responsibilities of co-
                chairs.--

                        (I) Announcement.--The co-chairs of the joint
                    committee shall make a public announcement of the date,
                    place, time, and subject matter of any hearing to be
                    conducted, not less than 7 days in advance of such
                    hearing, unless the co-chairs determine that there is
                    good cause to begin such hearing at an earlier date.
                        (II) Equal representation of witnesses.--Each co-
                    chair shall be entitled to select an equal number of
                    witnesses for each hearing held by the joint committee.
                        (III) Written statement.--A witness appearing
                    before the joint committee shall file a written
                    statement of proposed testimony at least 2 calendar
                    days before the appearance of the witness, unless the
                    requirement is waived by the co-chairs, following their
                    determination that there is good cause for failure to
                    comply with such requirement.

                (G) Minimum number of public meetings and hearings.--The
            joint committee shall hold--
                    (i) not less than a total of 5 public meetings or
                public hearings; and
                    (ii) not less than 3 public hearings, which may include
                field hearings.
                (H) Technical assistance.--Upon written request of the co-
            chairs, a Federal agency, including legislative branch
            agencies, shall provide technical assistance to the joint
            committee in order for the joint committee to carry out its
            duties.
                (I) Staffing.--
                    (i) Details.--Employees of the legislative branch may
                be detailed to the joint committee on a nonreimbursable
                basis, consistent with the rules and regulations of the
                Senate.
                    (ii) Staff director.--The co-chairs, acting jointly,
                may designate one such employee as staff director of the
                joint committee.
        (c) Ethical Standards.--Members on the joint committee who serve in
    the House of Representatives shall be governed by the ethics rules and
    requirements of the House. Members of the Senate who serve on the joint
    committee shall comply with the ethics rules of the Senate.
        (d) Termination.--The joint committee shall terminate on December
    31, 2018 or 30 days after submission of its report and legislative
    recommendations pursuant to this section whichever occurs first.
    SEC. 30443. FUNDING.
        (a) Special Reserve.--To enable the joint committee to exercise its
    powers, functions, and duties under this subtitle, within the funds in
    the account for ``Expenses of Inquiries and Investigations'' of the
    Senate, not more than $500,000 shall be allocated from the special
    reserve established in S. Res. 62, agreed to February 28, 2017 (115th
    Congress), for use by the joint committee.
        (b) Expiration.--None of the funds made available by this section
    may be available for obligation by the joint committee after January 2,
    2019.
        (c) Availability Requirements.--For purposes of the joint
    committee, section 20(b) of S. Res. 62, agreed to February 28, 2017
    (115th Congress), shall not apply.
    SEC. 30444. CONSIDERATION OF JOINT COMMITTEE BILL IN THE SENATE.
        (a) Introduction.--Upon receipt of proposed legislative language
    approved in accordance with section 30442(b)(2)(B)(ii), the language
    shall be introduced in the Senate (by request) on the next day on which
    the Senate is in session by the Majority Leader of the Senate or by a
    Member of the Senate designated by the Majority Leader of the Senate.
        (b) Committee Consideration.--A joint committee bill introduced in
    the Senate under subsection (a) shall be referred to the Committee on
    the Budget, which shall report the bill without any revision and with a
    favorable recommendation, an unfavorable recommendation, or without
    recommendation, no later than 7 session days after introduction of the
    bill. If the Committee on the Budget fails to report the bill within
    that period, the committee shall be automatically discharged from
    consideration of the bill, and the bill shall be placed on the
    appropriate calendar.
        (c) Motion to Proceed to Consideration.--
            (1) In general.--Notwithstanding rule XXII of the Standing
        Rules of the Senate, it is in order, not later than 2 days of
        session after the date on which a joint committee bill is reported
        or discharged from the Committee on the Budget, for the Majority
        Leader of the Senate or the Majority Leader's designee to move to
        proceed to the consideration of the joint committee bill. It shall
        also be in order for any Member of the Senate to move to proceed to
        the consideration of the joint committee bill at any time after the
        conclusion of such 2-day period.
            (2) Consideration of motion.--Consideration of the motion to
        proceed to the consideration of the joint committee bill and all
        debatable motions and appeals in connection therewith shall not
        exceed 10 hours, which shall be divided equally between the
        Majority and Minority Leaders or their designees. A motion to
        further limit debate is in order, shall require an affirmative vote
        of three-fifths of Members duly chosen and sworn, and is not
        debatable.
            (3) Vote threshold.--The motion to proceed to the consideration
        of the joint committee bill shall only be agreed to upon an
        affirmative vote of three-fifths of Members duly chosen and sworn.
            (4) Limitations.--The motion is not subject to a motion to
        postpone. All points of order against the motion to proceed to the
        joint committee bill are waived. A motion to reconsider the vote by
        which the motion is agreed to or disagreed to shall not be in
        order.
            (5) Deadline.--Not later than the last day of the 115th
        Congress, the Senate shall vote on a motion to proceed to the joint
        committee bill.
        (d) Rules of Senate.--This section is enacted by Congress--
            (1) as an exercise of the rulemaking power of the Senate, and
        as such is deemed a part of the rules of the Senate, but applicable
        only with respect to the procedure to be followed in the Senate in
        the case of a joint committee bill, and supersede other rules only
        to the extent that they are inconsistent with such rules; and
            (2) with full recognition of the constitutional right of the
        Senate to change the rules (so far as relating to the procedure of
        the Senate) at any time, in the same manner, and to the same extent
        as in the case of any other rule of the Senate.

                          DIVISION D--REVENUE MEASURES

    SECTION 40001. TABLE OF CONTENTS.
        The table of contents for this division is as follows:

                          DIVISION D--REVENUE MEASURES

    Sec. 40001. Table of contents.

                    TITLE I--EXTENSION OF EXPIRING PROVISIONS

    Sec. 40101. Amendment of Internal Revenue Code of 1986.

               Subtitle A--Tax Relief for Families and Individuals

    Sec. 40201. Extension of exclusion from gross income of discharge of
              qualified principal residence indebtedness.
    Sec. 40202. Extension of mortgage insurance premiums treated as
              qualified residence interest.
    Sec. 40203. Extension of above-the-line deduction for qualified tuition
              and related expenses.

       Subtitle B--Incentives for Growth, Jobs, Investment, and Innovation

    Sec. 40301. Extension of Indian employment tax credit.
    Sec. 40302. Extension of railroad track maintenance credit.
    Sec. 40303. Extension of mine rescue team training credit.
    Sec. 40304. Extension of classification of certain race horses as 3-year
              property.
    Sec. 40305. Extension of 7-year recovery period for motorsports
              entertainment complexes.
    Sec. 40306. Extension of accelerated depreciation for business property
              on an Indian reservation.
    Sec. 40307. Extension of election to expense mine safety equipment.
    Sec. 40308. Extension of special expensing rules for certain
              productions.
    Sec. 40309. Extension of deduction allowable with respect to income
              attributable to domestic production activities in Puerto Rico.
    Sec. 40310. Extension of special rule relating to qualified timber gain.
    Sec. 40311. Extension of empowerment zone tax incentives.
    Sec. 40312. Extension of American Samoa economic development credit.

          Subtitle C--Incentives for Energy Production and Conservation

    Sec. 40401. Extension of credit for nonbusiness energy property.
    Sec. 40402. Extension and modification of credit for residential energy
              property.
    Sec. 40403. Extension of credit for new qualified fuel cell motor
              vehicles.
    Sec. 40404. Extension of credit for alternative fuel vehicle refueling
              property.
    Sec. 40405. Extension of credit for 2-wheeled plug-in electric vehicles.
    Sec. 40406. Extension of second generation biofuel producer credit.
    Sec. 40407. Extension of biodiesel and renewable diesel incentives.
    Sec. 40408. Extension of production credit for Indian coal facilities.
    Sec. 40409. Extension of credits with respect to facilities producing
              energy from certain renewable resources.
    Sec. 40410. Extension of credit for energy-efficient new homes.
    Sec. 40411. Extension and phaseout of energy credit.
    Sec. 40412. Extension of special allowance for second generation biofuel
              plant property.
    Sec. 40413. Extension of energy efficient commercial buildings
              deduction.
    Sec. 40414. Extension of special rule for sales or dispositions to
              implement FERC or State electric restructuring policy for
              qualified electric utilities.
    Sec. 40415. Extension of excise tax credits relating to alternative
              fuels.
    Sec. 40416. Extension of Oil Spill Liability Trust Fund financing rate.

                 Subtitle D--Modifications of Energy Incentives

    Sec. 40501. Modifications of credit for production from advanced nuclear
              power facilities.

                       TITLE II--MISCELLANEOUS PROVISIONS

    Sec. 41101. Amendment of Internal Revenue Code of 1986.
    Sec. 41102. Modifications to rum cover over.
    Sec. 41103. Extension of waiver of limitations with respect to excluding
              from gross income amounts received by wrongfully incarcerated
              individuals.
    Sec. 41104. Individuals held harmless on improper levy on retirement
              plans.
    Sec. 41105. Modification of user fee requirements for installment
              agreements.
    Sec. 41106. Form 1040SR for seniors.
    Sec. 41107. Attorneys fees relating to awards to whistleblowers.
    Sec. 41108. Clarification of whistleblower awards.
    Sec. 41109. Clarification regarding excise tax based on investment
              income of private colleges and universities.
    Sec. 41110. Exception from private foundation excess business holding
              tax for independently-operated philanthropic business
              holdings.
    Sec. 41111. Rule of construction for Craft Beverage Modernization and
              Tax Reform.
    Sec. 41112. Simplification of rules regarding records, statements, and
              returns.
    Sec. 41113. Modification of rules governing hardship distributions.
    Sec. 41114. Modification of rules relating to hardship withdrawals from
              cash or deferred arrangements.
    Sec. 41115. Opportunity Zones rule for Puerto Rico.
    Sec. 41116. Tax home of certain citizens or residents of the United
              States living abroad.
    Sec. 41117. Treatment of foreign persons for returns relating to
              payments made in settlement of payment card and third party
              network transactions.
    Sec. 41118. Repeal of shift in time of payment of corporate estimated
              taxes.
    Sec. 41119. Enhancement of carbon dioxide sequestration credit.

                   TITLE I--EXTENSION OF EXPIRING PROVISIONS

    SEC. 40101. AMENDMENT OF INTERNAL REVENUE CODE OF 1986.
        Except as otherwise expressly provided, whenever in this title an
    amendment or repeal is expressed in terms of an amendment to, or repeal
    of, a section or other provision, the reference shall be considered to
    be made to a section or other provision of the Internal Revenue Code of
    1986.

              Subtitle A--Tax Relief for Families and Individuals

    SEC. 40201. EXTENSION OF EXCLUSION FROM GROSS INCOME OF DISCHARGE OF
    QUALIFIED PRINCIPAL RESIDENCE INDEBTEDNESS.
        (a) In General.--Section 108(a)(1)(E) is amended by striking
    ``January 1, 2017'' each place it appears and inserting ``January 1,
    2018''.
        (b) Effective Date.--The amendments made by this section shall
    apply to discharges of indebtedness after December 31, 2016.
    SEC. 40202. EXTENSION OF MORTGAGE INSURANCE PREMIUMS TREATED AS
    QUALIFIED RESIDENCE INTEREST.
        (a) In General.--Subclause (I) of section 163(h)(3)(E)(iv) is
    amended by striking ``December 31, 2016'' and inserting ``December 31,
    2017''.
        (b) Effective Date.--The amendment made by this section shall apply
    to amounts paid or accrued after December 31, 2016.
    SEC. 40203. EXTENSION OF ABOVE-THE-LINE DEDUCTION FOR QUALIFIED TUITION
    AND RELATED EXPENSES.
        (a) In General.--Section 222(e) is amended by striking ``December
    31, 2016'' and inserting ``December 31, 2017''.
        (b) Effective Date.--The amendment made by this section shall apply
    to taxable years beginning after December 31, 2016.

      Subtitle B--Incentives for Growth, Jobs, Investment, and Innovation

    SEC. 40301. EXTENSION OF INDIAN EMPLOYMENT TAX CREDIT.
        (a) In General.--Section 45A(f) is amended by striking ``December
    31, 2016'' and inserting ``December 31, 2017''.
        (b) Effective Date.--The amendment made by this section shall apply
    to taxable years beginning after December 31, 2016.
    SEC. 40302. EXTENSION OF RAILROAD TRACK MAINTENANCE CREDIT.
        (a) In General.--Section 45G(f) is amended by striking ``January 1,
    2017'' and inserting ``January 1, 2018''.
        (b) Effective Date.--
            (1) In general.--The amendment made by this section shall apply
        to expenditures paid or incurred in taxable years beginning after
        December 31, 2016.
            (2) Safe harbor assignments.--Assignments, including related
        expenditures paid or incurred, under paragraph (2) of section
        45G(b) of the Internal Revenue Code of 1986 for taxable years
        ending after January 1, 2017, and before January 1, 2018, shall be
        treated as effective as of the close of such taxable year if made
        pursuant to a written agreement entered into no later than 90 days
        following the date of the enactment of this Act.
    SEC. 40303. EXTENSION OF MINE RESCUE TEAM TRAINING CREDIT.
        (a) In General.--Section 45N(e) is amended by striking ``December
    31, 2016'' and inserting ``December 31, 2017''.
        (b) Effective Date.--The amendment made by this section shall apply
    to taxable years beginning after December 31, 2016.
    SEC. 40304. EXTENSION OF CLASSIFICATION OF CERTAIN RACE HORSES AS 3-
    YEAR PROPERTY.
        (a) In General.--Section 168(e)(3)(A)(i) is amended--
            (1) by striking ``January 1, 2017'' in subclause (I) and
        inserting ``January 1, 2018'', and
            (2) by striking ``December 31, 2016'' in subclause (II) and
        inserting ``December 31, 2017''.
        (b) Effective Date.--The amendments made by this section shall
    apply to property placed in service after December 31, 2016.
    SEC. 40305. EXTENSION OF 7-YEAR RECOVERY PERIOD FOR MOTORSPORTS
    ENTERTAINMENT COMPLEXES.
        (a) In General.--Section 168(i)(15)(D) is amended by striking
    ``December 31, 2016'' and inserting ``December 31, 2017''.
        (b) Effective Date.--The amendment made by this section shall apply
    to property placed in service after December 31, 2016.
    SEC. 40306. EXTENSION OF ACCELERATED DEPRECIATION FOR BUSINESS PROPERTY
    ON AN INDIAN RESERVATION.
        (a) In General.--Section 168(j)(9) is amended by striking
    ``December 31, 2016'' and inserting ``December 31, 2017''.
        (b) Effective Date.--The amendment made by this section shall apply
    to property placed in service after December 31, 2016.
    SEC. 40307. EXTENSION OF ELECTION TO EXPENSE MINE SAFETY EQUIPMENT.
        (a) In General.--Section 179E(g) is amended by striking ``December
    31, 2016'' and inserting ``December 31, 2017''.
        (b) Effective Date.--The amendment made by this section shall apply
    to property placed in service after December 31, 2016.
    SEC. 40308. EXTENSION OF SPECIAL EXPENSING RULES FOR CERTAIN
    PRODUCTIONS.
        (a) In General.--Section 181(g) is amended by striking ``December
    31, 2016'' and inserting ``December 31, 2017''.
        (b) Effective Date.--The amendment made by this section shall apply
    to productions commencing after December 31, 2016.
    SEC. 40309. EXTENSION OF DEDUCTION ALLOWABLE WITH RESPECT TO INCOME
    ATTRIBUTABLE TO DOMESTIC PRODUCTION ACTIVITIES IN PUERTO RICO.
        For purposes of applying section 199(d)(8)(C) of the Internal
    Revenue Code of 1986 with respect to taxable years beginning during
    2017, such section shall be applied--
            (1) by substituting ``first 12 taxable years'' for ``first 11
        taxable years'', and
            (2) by substituting ``January 1, 2018'' for ``January 1,
        2017''.
    SEC. 40310. EXTENSION OF SPECIAL RULE RELATING TO QUALIFIED TIMBER
    GAIN.
        For purposes of applying section 1201(b) of the Internal Revenue
    Code of 1986 with respect to taxable years beginning during 2017, such
    section shall be applied by substituting ``2016 or 2017'' for ``2016''.
    SEC. 40311. EXTENSION OF EMPOWERMENT ZONE TAX INCENTIVES.
        (a) In General.--
            (1) Extension.--Section 1391(d)(1)(A)(i) is amended by striking
        ``December 31, 2016'' and inserting ``December 31, 2017''.
            (2) Treatment of certain termination dates specified in
        nominations.--In the case of a designation of an empowerment zone
        the nomination for which included a termination date which is
        contemporaneous with the date specified in subparagraph (A)(i) of
        section 1391(d)(1) of the Internal Revenue Code of 1986 (as in
        effect before the enactment of this Act), subparagraph (B) of such
        section shall not apply with respect to such designation if, after
        the date of the enactment of this section, the entity which made
        such nomination amends the nomination to provide for a new
        termination date in such manner as the Secretary of the Treasury
        (or the Secretary's designee) may provide.
        (b) Effective Date.--The amendment made by subsection (a)(1) shall
    apply to taxable years beginning after December 31, 2016.
    SEC. 40312. EXTENSION OF AMERICAN SAMOA ECONOMIC DEVELOPMENT CREDIT.
        (a) In General.--Section 119 of division A of the Tax Relief and
    Health Care Act of 2006 is amended--
            (1) in subsection (d)--
                (A) by striking ``January 1, 2017'' each place it appears
            and inserting ``January 1, 2018'',
                (B) by striking ``first 11 taxable years'' in paragraph (1)
            and inserting ``first 12 taxable years'', and
                (C) by striking ``first 5 taxable years'' in paragraph (2)
            and inserting ``first 6 taxable years'', and
            (2) in subsection (e), by adding at the end the following:
        ``References in this subsection to section 199 of the Internal
        Revenue Code of 1986 shall be treated as references to such section
        as in effect before its repeal.''.
        (b) Effective Date.--The amendments made by this section shall
    apply to taxable years beginning after December 31, 2016.

         Subtitle C--Incentives for Energy Production and Conservation

    SEC. 40401. EXTENSION OF CREDIT FOR NONBUSINESS ENERGY PROPERTY.
        (a) In General.--Section 25C(g)(2) is amended by striking
    ``December 31, 2016'' and inserting ``December 31, 2017''.
        (b) Effective Date.--The amendment made by this section shall apply
    to property placed in service after December 31, 2016.
    SEC. 40402. EXTENSION AND MODIFICATION OF CREDIT FOR RESIDENTIAL ENERGY
    PROPERTY.
        (a) In General.--Section 25D(h) is amended by striking ``December
    31, 2016'' and all that follows and inserting ``December 31, 2021.''.
        (b) Phaseout.--
            (1) In general.--Section 25D(a) is amended by striking ``the
        sum of--'' and all that follows and inserting ``the sum of the
        applicable percentages of--
            ``(1) the qualified solar electric property expenditures,
            ``(2) the qualified solar water heating property expenditures,
            ``(3) the qualified fuel cell property expenditures,
            ``(4) the qualified small wind energy property expenditures,
        and
            ``(5) the qualified geothermal heat pump property expenditures,
    made by the taxpayer during such year.''.
            (2) Conforming amendment.--Section 25D(g) is amended by
        striking ``paragraphs (1) and (2) of''.
        (c) Effective Date.--The amendment made by this section shall apply
    to property placed in service after December 31, 2016.
    SEC. 40403. EXTENSION OF CREDIT FOR NEW QUALIFIED FUEL CELL MOTOR
    VEHICLES.
        (a) In General.--Section 30B(k)(1) is amended by striking
    ``December 31, 2016'' and inserting ``December 31, 2017''.
        (b) Effective Date.--The amendment made by this section shall apply
    to property purchased after December 31, 2016.
    SEC. 40404. EXTENSION OF CREDIT FOR ALTERNATIVE FUEL VEHICLE REFUELING
    PROPERTY.
        (a) In General.--Section 30C(g) is amended by striking ``December
    31, 2016'' and inserting ``December 31, 2017''.
        (b) Effective Date.--The amendment made by this section shall apply
    to property placed in service after December 31, 2016.
    SEC. 40405. EXTENSION OF CREDIT FOR 2-WHEELED PLUG-IN ELECTRIC
    VEHICLES.
        (a) In General.--Section 30D(g)(3)(E)(ii) is amended by striking
    ``January 1, 2017'' and inserting ``January 1, 2018''.
        (b) Effective Date.--The amendment made by this section shall apply
    to vehicles acquired after December 31, 2016.
    SEC. 40406. EXTENSION OF SECOND GENERATION BIOFUEL PRODUCER CREDIT.
        (a) In General.--Section 40(b)(6)(J)(i) is amended by striking
    ``January 1, 2017'' and inserting ``January 1, 2018''.
        (b) Effective Date.--The amendment made by this section shall apply
    to qualified second generation biofuel production after December 31,
    2016.
    SEC. 40407. EXTENSION OF BIODIESEL AND RENEWABLE DIESEL INCENTIVES.
        (a) Income Tax Credit.--
            (1) In general.--Subsection (g) of section 40A is amended by
        striking ``December 31, 2016'' and inserting ``December 31, 2017''.
            (2) Effective date.--The amendment made by this subsection
        shall apply to fuel sold or used after December 31, 2016.
        (b) Excise Tax Incentives.--
            (1) In general.--Section 6426(c)(6) is amended by striking
        ``December 31, 2016'' and inserting ``December 31, 2017''.
            (2) Payments.--Section 6427(e)(6)(B) is amended by striking
        ``December 31, 2016'' and inserting ``December 31, 2017''.
            (3) Effective date.--The amendments made by this subsection
        shall apply to fuel sold or used after December 31, 2016.
            (4) Special rule for 2017.--Notwithstanding any other provision
        of law, in the case of any biodiesel mixture credit properly
        determined under section 6426(c) of the Internal Revenue Code of
        1986 for the period beginning on January 1, 2017, and ending on
        December 31, 2017, such credit shall be allowed, and any refund or
        payment attributable to such credit (including any payment under
        section 6427(e) of such Code) shall be made, only in such manner as
        the Secretary of the Treasury (or the Secretary's delegate) shall
        provide. Such Secretary shall issue guidance within 30 days after
        the date of the enactment of this Act providing for a one-time
        submission of claims covering periods described in the preceding
        sentence. Such guidance shall provide for a 180-day period for the
        submission of such claims (in such manner as prescribed by such
        Secretary) to begin not later than 30 days after such guidance is
        issued. Such claims shall be paid by such Secretary not later than
        60 days after receipt. If such Secretary has not paid pursuant to a
        claim filed under this subsection within 60 days after the date of
        the filing of such claim, the claim shall be paid with interest
        from such date determined by using the overpayment rate and method
        under section 6621 of such Code.
    SEC. 40408. EXTENSION OF PRODUCTION CREDIT FOR INDIAN COAL FACILITIES.
        (a) In General.--Section 45(e)(10)(A) is amended by striking ``11-
    year period'' each place it appears and inserting ``12-year period''.
        (b) Effective Date.--The amendment made by this section shall apply
    to coal produced after December 31, 2016.
    SEC. 40409. EXTENSION OF CREDITS WITH RESPECT TO FACILITIES PRODUCING
    ENERGY FROM CERTAIN RENEWABLE RESOURCES.
        (a) In General.--The following provisions of section 45(d) are each
    amended by striking ``January 1, 2017'' each place it appears and
    inserting ``January 1, 2018'':
            (1) Paragraph (2)(A).
            (2) Paragraph (3)(A).
            (3) Paragraph (4)(B).
            (4) Paragraph (6).
            (5) Paragraph (7).
            (6) Paragraph (9).
            (7) Paragraph (11)(B).
        (b) Extension of Election To Treat Qualified Facilities as Energy
    Property.--Section 48(a)(5)(C)(ii) is amended by striking ``January 1,
    2017'' and inserting ``January 1, 2018''.
        (c) Effective Date.--The amendments made by this section shall take
    effect on January 1, 2017.
    SEC. 40410. EXTENSION OF CREDIT FOR ENERGY-EFFICIENT NEW HOMES.
        (a) In General.--Section 45L(g) is amended by striking ``December
    31, 2016'' and inserting ``December 31, 2017''.
        (b) Effective Date.--The amendment made by this section shall apply
    to homes acquired after December 31, 2016.
    SEC. 40411. EXTENSION AND PHASEOUT OF ENERGY CREDIT.
        (a) Extension of Solar and Thermal Energy Property.--Section
    48(a)(3)(A) is amended--
            (1) by striking ``periods ending before January 1, 2017'' in
        clause (ii) and inserting ``property the construction of which
        begins before January 1, 2022'', and
            (2) by striking ``periods ending before January 1, 2017'' in
        clause (vii) and inserting ``property the construction of which
        begins before January 1, 2022''.
        (b) Phaseout of 30-Percent Credit Rate for Fiber-optic Solar,
    Qualified Fuel Cell, and Qualified Small Wind Energy Property.--
            (1) In general.--Section 48(a) is amended by adding at the end
        the following new paragraph:
            ``(7) Phaseout for fiber-optic solar, qualified fuel cell, and
        qualified small wind energy property.--
                ``(A) In general.--Subject to subparagraph (B), in the case
            of any qualified fuel cell property, qualified small wind
            property, or energy property described in paragraph (3)(A)(ii),
            the energy percentage determined under paragraph (2) shall be
            equal to--
                    ``(i) in the case of any property the construction of
                which begins after December 31, 2019, and before January 1,
                2021, 26 percent, and
                    ``(ii) in the case of any property the construction of
                which begins after December 31, 2020, and before January 1,
                2022, 22 percent.
                ``(B) Placed in service deadline.--In the case of any
            energy property described in subparagraph (A) which is not
            placed in service before January 1, 2024, the energy percentage
            determined under paragraph (2) shall be equal to 0 percent.''.
            (2) Conforming amendment.--Section 48(a)(2)(A) is amended by
        striking ``paragraph (6)'' and inserting ``paragraphs (6) and
        (7)''.
            (3) Clarification relating to phaseout for wind facilities.--
        Section 48(a)(5)(E) is amended by inserting ``which is treated as
        energy property by reason of this paragraph'' after ``using wind to
        produce electricity''.
        (c) Extension of Qualified Fuel Cell Property.--Section 48(c)(1)(D)
    is amended by striking ``for any period after December 31, 2016'' and
    inserting ``the construction of which does not begin before January 1,
    2022''.
        (d) Extension of Qualified Microturbine Property.--Section
    48(c)(2)(D) is amended by striking ``for any period after December 31,
    2016'' and inserting ``the construction of which does not begin before
    January 1, 2022''.
        (e) Extension of Combined Heat and Power System Property.--Section
    48(c)(3)(A)(iv) is amended by striking ``which is placed in service
    before January 1, 2017'' and inserting ``the construction of which
    begins before January 1, 2022''.
        (f) Extension of Qualified Small Wind Energy Property.--Section
    48(c)(4)(C) is amended by striking ``for any period after December 31,
    2016'' and inserting ``the construction of which does not begin before
    January 1, 2022''.
        (g) Effective Date.--
            (1) In general.--Except as otherwise provided in this
        subsection, the amendments made by this section shall apply to
        periods after December 31, 2016, under rules similar to the rules
        of section 48(m) of the Internal Revenue Code of 1986 (as in effect
        on the day before the date of the enactment of the Revenue
        Reconciliation Act of 1990).
            (2) Extension of combined heat and power system property.--The
        amendment made by subsection (e) shall apply to property placed in
        service after December 31, 2016.
            (3) Phaseouts and terminations.--The amendments made by
        subsection (b) shall take effect on the date of the enactment of
        this Act.
    SEC. 40412. EXTENSION OF SPECIAL ALLOWANCE FOR SECOND GENERATION
    BIOFUEL PLANT PROPERTY.
        (a) In General.--Section 168(l)(2)(D) is amended by striking
    ``January 1, 2017'' and inserting ``January 1, 2018''.
        (b) Effective Date.--The amendment made by this section shall apply
    to property placed in service after December 31, 2016.
    SEC. 40413. EXTENSION OF ENERGY EFFICIENT COMMERCIAL BUILDINGS
    DEDUCTION.
        (a) In General.--Section 179D(h) is amended by striking ``December
    31, 2016'' and inserting ``December 31, 2017''.
        (b) Effective Date.--The amendment made by this section shall apply
    to property placed in service after December 31, 2016.
    SEC. 40414. EXTENSION OF SPECIAL RULE FOR SALES OR DISPOSITIONS TO
    IMPLEMENT FERC OR STATE ELECTRIC RESTRUCTURING POLICY FOR QUALIFIED
    ELECTRIC UTILITIES.
        (a) In General.--Section 451(k)(3), as amended by section 13221 of
    Public Law 115-97, is amended by striking ``January 1, 2017'' and
    inserting ``January 1, 2018''.
        (b) Effective Date.--The amendment made by this section shall apply
    to dispositions after December 31, 2016.
    SEC. 40415. EXTENSION OF EXCISE TAX CREDITS RELATING TO ALTERNATIVE
    FUELS.
        (a) Extension of Alternative Fuels Excise Tax Credits.--
            (1) In general.--Sections 6426(d)(5) and 6426(e)(3) are each
        amended by striking ``December 31, 2016'' and inserting ``December
        31, 2017''.
            (2) Outlay payments for alternative fuels.--Section
        6427(e)(6)(C) is amended by striking ``December 31, 2016'' and
        inserting ``December 31, 2017''.
            (3) Effective date.--The amendments made by this subsection
        shall apply to fuel sold or used after December 31, 2016.
        (b) Special Rule for 2017.--Notwithstanding any other provision of
    law, in the case of any alternative fuel credit properly determined
    under section 6426(d) of the Internal Revenue Code of 1986 for the
    period beginning on January 1, 2017, and ending on December 31, 2017,
    such credit shall be allowed, and any refund or payment attributable to
    such credit (including any payment under section 6427(e) of such Code)
    shall be made, only in such manner as the Secretary of the Treasury (or
    the Secretary's delegate) shall provide. Such Secretary shall issue
    guidance within 30 days after the date of the enactment of this Act
    providing for a one-time submission of claims covering periods
    described in the preceding sentence. Such guidance shall provide for a
    180-day period for the submission of such claims (in such manner as
    prescribed by such Secretary) to begin not later than 30 days after
    such guidance is issued. Such claims shall be paid by such Secretary
    not later than 60 days after receipt. If such Secretary has not paid
    pursuant to a claim filed under this subsection within 60 days after
    the date of the filing of such claim, the claim shall be paid with
    interest from such date determined by using the overpayment rate and
    method under section 6621 of such Code.
    SEC. 40416. EXTENSION OF OIL SPILL LIABILITY TRUST FUND FINANCING RATE.
        (a) In General.--Section 4611(f)(2) is amended by striking
    ``December 31, 2017'' and inserting ``December 31, 2018''.
        (b) Effective Date.--The amendment made by this section shall apply
    on and after the first day of the first calendar month beginning after
    the date of the enactment of this Act.

                 Subtitle D--Modifications of Energy Incentives

    SEC. 40501. MODIFICATIONS OF CREDIT FOR PRODUCTION FROM ADVANCED
    NUCLEAR POWER FACILITIES.
        (a) Treatment of Unutilized Limitation Amounts.--Section 45J(b) is
    amended--
            (1) by inserting ``or any amendment to'' after ``enactment of''
        in paragraph (4), and
            (2) by adding at the end the following new paragraph:
            ``(5) Allocation of unutilized limitation.--
                ``(A) In general.--Any unutilized national megawatt
            capacity limitation shall be allocated by the Secretary under
            paragraph (3) as rapidly as is practicable after December 31,
            2020--
                    ``(i) first to facilities placed in service on or
                before such date to the extent that such facilities did not
                receive an allocation equal to their full nameplate
                capacity, and
                    ``(ii) then to facilities placed in service after such
                date in the order in which such facilities are placed in
                service.
                ``(B) Unutilized national megawatt capacity limitation.--
            The term `unutilized national megawatt capacity limitation'
            means the excess (if any) of--
                    ``(i) 6,000 megawatts, over
                    ``(ii) the aggregate amount of national megawatt
                capacity limitation allocated by the Secretary before
                January 1, 2021, reduced by any amount of such limitation
                which was allocated to a facility which was not placed in
                service before such date.
                ``(C) Coordination with other provisions.--In the case of
            any unutilized national megawatt capacity limitation allocated
            by the Secretary pursuant to this paragraph--
                    ``(i) such allocation shall be treated for purposes of
                this section in the same manner as an allocation of
                national megawatt capacity limitation, and
                    ``(ii) subsection (d)(1)(B) shall not apply to any
                facility which receives such allocation.''.
        (b) Transfer of Credit by Certain Public Entities.--
            (1) In general.--Section 45J is amended--
                (A) by redesignating subsection (e) as subsection (f), and
                (B) by inserting after subsection (d) the following new
            subsection:
        ``(e) Transfer of Credit by Certain Public Entities.--
            ``(1) In general.--If, with respect to a credit under
        subsection (a) for any taxable year--
                ``(A) a qualified public entity would be the taxpayer (but
            for this paragraph), and
                ``(B) such entity elects the application of this paragraph
            for such taxable year with respect to all (or any portion
            specified in such election) of such credit,
        the eligible project partner specified in such election, and not
        the qualified public entity, shall be treated as the taxpayer for
        purposes of this title with respect to such credit (or such portion
        thereof).
            ``(2) Definitions.--For purposes of this subsection--
                ``(A) Qualified public entity.--The term `qualified public
            entity' means--
                    ``(i) a Federal, State, or local government entity, or
                any political subdivision, agency, or instrumentality
                thereof,
                    ``(ii) a mutual or cooperative electric company
                described in section 501(c)(12) or 1381(a)(2), or
                    ``(iii) a not-for-profit electric utility which had or
                has received a loan or loan guarantee under the Rural
                Electrification Act of 1936.
                ``(B) Eligible project partner.--The term `eligible project
            partner' means any person who--
                    ``(i) is responsible for, or participates in, the
                design or construction of the advanced nuclear power
                facility to which the credit under subsection (a) relates,
                    ``(ii) participates in the provision of the nuclear
                steam supply system to such facility,
                    ``(iii) participates in the provision of nuclear fuel
                to such facility,
                    ``(iv) is a financial institution providing financing
                for the construction or operation of such facility, or
                    ``(v) has an ownership interest in such facility.
            ``(3) Special rules.--
                ``(A) Application to partnerships.--In the case of a credit
            under subsection (a) which is determined at the partnership
            level--
                    ``(i) for purposes of paragraph (1)(A), a qualified
                public entity shall be treated as the taxpayer with respect
                to such entity's distributive share of such credit, and
                    ``(ii) the term `eligible project partner' shall
                include any partner of the partnership.
                ``(B) Taxable year in which credit taken into account.--In
            the case of any credit (or portion thereof) with respect to
            which an election is made under paragraph (1), such credit
            shall be taken into account in the first taxable year of the
            eligible project partner ending with, or after, the qualified
            public entity's taxable year with respect to which the credit
            was determined.
                ``(C) Treatment of transfer under private use rules.--For
            purposes of section 141(b)(1), any benefit derived by an
            eligible project partner in connection with an election under
            this subsection shall not be taken into account as a private
            business use.''.
            (2) Special rule for proceeds of transfers for mutual or
        cooperative electric companies.--Section 501(c)(12) is amended by
        adding at the end the following new subparagraph:
                ``(I) In the case of a mutual or cooperative electric
            company described in this paragraph or an organization
            described in section 1381(a)(2), income received or accrued in
            connection with an election under section 45J(e)(1) shall be
            treated as an amount collected from members for the sole
            purpose of meeting losses and expenses.''.
        (c) Effective Dates.--
            (1) Treatment of unutilized limitation amounts.--The amendment
        made by subsection (a) shall take effect on the date of the
        enactment of this Act.
            (2) Transfer of credit by certain public entities.--The
        amendments made by subsection (b) shall apply to taxable years
        beginning after the date of the enactment of this Act.

                       TITLE II--MISCELLANEOUS PROVISIONS

    SEC. 41101. AMENDMENT OF INTERNAL REVENUE CODE OF 1986.
        Except as otherwise expressly provided, whenever in this title an
    amendment or repeal is expressed in terms of an amendment to, or repeal
    of, a section or other provision, the reference shall be considered to
    be made to a section or other provision of the Internal Revenue Code of
    1986.
    SEC. 41102. MODIFICATIONS TO RUM COVER OVER.
        (a) Extension.--
            (1) In general.--Section 7652(f)(1) is amended by striking
        ``January 1, 2017'' and inserting ``January 1, 2022''.
            (2) Effective date.--The amendment made by this subsection
        shall apply to distilled spirits brought into the United States
        after December 31, 2016.
        (b) Determination of Taxes on Rum.--
            (1) In general.--Section 7652(e) is amended by adding at the
        end the following new paragraph:
            ``(5) Determination of amount of taxes collected.--For purposes
        of this subsection, the amount of taxes collected under section
        5001(a)(1) shall be determined without regard to section
        5001(c).''.
            (2) Effective date.--The amendment made by this subsection
        shall apply to distilled spirits brought into the United States
        after December 31, 2017.
    SEC. 41103. EXTENSION OF WAIVER OF LIMITATIONS WITH RESPECT TO
    EXCLUDING FROM GROSS INCOME AMOUNTS RECEIVED BY WRONGFULLY INCARCERATED
    INDIVIDUALS.
        (a) In General.--Section 304(d) of the Protecting Americans from
    Tax Hikes Act of 2015 (26 U.S.C. 139F note) is amended by striking ``1-
    year'' and inserting ``3-year''.
        (b) Effective Date.--The amendment made by this section shall take
    effect on the date of the enactment of this Act.
    SEC. 41104. INDIVIDUALS HELD HARMLESS ON IMPROPER LEVY ON RETIREMENT
    PLANS.
        (a) In General.--Section 6343 is amended by adding at the end the
    following new subsection:
        ``(f) Individuals Held Harmless on Wrongful Levy, etc. on
    Retirement Plan.--
            ``(1) In general.--If the Secretary determines that an
        individual's account or benefit under an eligible retirement plan
        (as defined in section 402(c)(8)(B)) has been levied upon in a case
        to which subsection (b) or (d)(2)(A) applies and property or an
        amount of money is returned to the individual--
                ``(A) the individual may contribute such property or an
            amount equal to the sum of--
                    ``(i) the amount of money so returned by the Secretary,
                and
                    ``(ii) interest paid under subsection (c) on such
                amount of money,
            into such eligible retirement plan if such contribution is
            permitted by the plan, or into an individual retirement plan
            (other than an endowment contract) to which a rollover
            contribution of a distribution from such eligible retirement
            plan is permitted, but only if such contribution is made not
            later than the due date (not including extensions) for filing
            the return of tax for the taxable year in which such property
            or amount of money is returned, and
                ``(B) the Secretary shall, at the time such property or
            amount of money is returned, notify such individual that a
            contribution described in subparagraph (A) may be made.
            ``(2) Treatment as rollover.--The distribution on account of
        the levy and any contribution under paragraph (1) with respect to
        the return of such distribution shall be treated for purposes of
        this title as if such distribution and contribution were described
        in section 402(c), 402A(c)(3), 403(a)(4), 403(b)(8), 408(d)(3),
        408A(d)(3), or 457(e)(16), whichever is applicable; except that--
                ``(A) the contribution shall be treated as having been made
            for the taxable year in which the distribution on account of
            the levy occurred, and the interest paid under subsection (c)
            shall be treated as earnings within the plan after the
            contribution and shall not be included in gross income, and
                ``(B) such contribution shall not be taken into account
            under section 408(d)(3)(B).
            ``(3) Refund, etc., of income tax on levy.--
                ``(A) In general.--If any amount is includible in gross
            income for a taxable year by reason of a distribution on
            account of a levy referred to in paragraph (1) and any portion
            of such amount is treated as a rollover contribution under
            paragraph (2), any tax imposed by chapter 1 on such portion
            shall not be assessed, and if assessed shall be abated, and if
            collected shall be credited or refunded as an overpayment made
            on the due date for filing the return of tax for such taxable
            year.
                ``(B) Exception.--Subparagraph (A) shall not apply to a
            rollover contribution under this subsection which is made from
            an eligible retirement plan which is not a Roth IRA or a
            designated Roth account (within the meaning of section 402A) to
            a Roth IRA or a designated Roth account under an eligible
            retirement plan.
            ``(4) Interest.--Notwithstanding subsection (d), interest shall
        be allowed under subsection (c) in a case in which the Secretary
        makes a determination described in subsection (d)(2)(A) with
        respect to a levy upon an individual retirement plan.
            ``(5) Treatment of inherited accounts.--For purposes of
        paragraph (1)(A), section 408(d)(3)(C) shall be disregarded in
        determining whether an individual retirement plan is a plan to
        which a rollover contribution of a distribution from the plan
        levied upon is permitted.''.
        (b) Effective Date.--The amendment made by this section shall apply
    to amounts paid under subsections (b), (c), and (d)(2)(A) of section
    6343 of the Internal Revenue Code of 1986 in taxable years beginning
    after December 31, 2017.
    SEC. 41105. MODIFICATION OF USER FEE REQUIREMENTS FOR INSTALLMENT
    AGREEMENTS.
        (a) In General.--Section 6159 is amended by redesignating
    subsection (f) as subsection (g) and by inserting after subsection (e)
    the following new subsection:
        ``(f) Installment Agreement Fees.--
            ``(1) Limitation on fee amount.--The amount of any fee imposed
        on an installment agreement under this section may not exceed the
        amount of such fee as in effect on the date of the enactment of
        this subsection.
            ``(2) Waiver or reimbursement.--In the case of any taxpayer
        with an adjusted gross income, as determined for the most recent
        year for which such information is available, which does not exceed
        250 percent of the applicable poverty level (as determined by the
        Secretary)--
                ``(A) if the taxpayer has agreed to make payments under the
            installment agreement by electronic payment through a debit
            instrument, no fee shall be imposed on an installment agreement
            under this section, and
                ``(B) if the taxpayer is unable to make payments under the
            installment agreement by electronic payment through a debit
            instrument, the Secretary shall, upon completion of the
            installment agreement, pay the taxpayer an amount equal to any
            such fees imposed.''.
        (b) Effective Date.--The amendments made by this section shall
    apply to agreements entered into on or after the date which is 60 days
    after the date of the enactment of this Act.
    SEC. 41106. FORM 1040SR FOR SENIORS.
        (a) In General.--The Secretary of the Treasury (or the Secretary's
    delegate) shall make available a form, to be known as ``Form 1040SR'',
    for use by individuals to file the return of tax imposed by chapter 1
    of the Internal Revenue Code of 1986. Such form shall be as similar as
    practicable to Form 1040EZ, except that--
            (1) the form shall be available only to individuals who have
        attained age 65 as of the close of the taxable year,
            (2) the form may be used even if income for the taxable year
        includes--
                (A) social security benefits (as defined in section 86(d)
            of the Internal Revenue Code of 1986),
                (B) distributions from qualified retirement plans (as
            defined in section 4974(c) of such Code), annuities or other
            such deferred payment arrangements,
                (C) interest and dividends, or
                (D) capital gains and losses taken into account in
            determining adjusted net capital gain (as defined in section
            1(h)(3) of such Code), and
            (3) the form shall be available without regard to the amount of
        any item of taxable income or the total amount of taxable income
        for the taxable year.
        (b) Effective Date.--The form required by subsection (a) shall be
    made available for taxable years beginning after the date of the
    enactment of this Act.
    SEC. 41107. ATTORNEYS FEES RELATING TO AWARDS TO WHISTLEBLOWERS.
        (a) In General.--Paragraph (21) of section 62(a) is amended to read
    as follows:
            ``(21) Attorneys' fees relating to awards to whistleblowers.--
                ``(A) In general.--Any deduction allowable under this
            chapter for attorney fees and court costs paid by, or on behalf
            of, the taxpayer in connection with any award under--
                    ``(i) section 7623(b), or
                    ``(ii) in the case of taxable years beginning after
                December 31, 2017, any action brought under--

                        ``(I) section 21F of the Securities Exchange Act of
                    1934 (15 U.S.C. 78u-6),
                        ``(II) a State false claims act, including a State
                    false claims act with qui tam provisions, or
                        ``(III) section 23 of the Commodity Exchange Act (7
                    U.S.C. 26).

                ``(B) May not exceed award.--Subparagraph (A) shall not
            apply to any deduction in excess of the amount includible in
            the taxpayer's gross income for the taxable year on account of
            such award.''.
        (b) Effective Date.--The amendment made by this section shall apply
    to taxable years beginning after December 31, 2017.
    SEC. 41108. CLARIFICATION OF WHISTLEBLOWER AWARDS.
        (a) Definition of Proceeds.--
            (1) In general.--Section 7623 is amended by adding at the end
        the following new subsection:
        ``(c) Proceeds.--For purposes of this section, the term `proceeds'
    includes--
            ``(1) penalties, interest, additions to tax, and additional
        amounts provided under the internal revenue laws, and
            ``(2) any proceeds arising from laws for which the Internal
        Revenue Service is authorized to administer, enforce, or
        investigate, including--
                ``(A) criminal fines and civil forfeitures, and
                ``(B) violations of reporting requirements.''.
            (2) Conforming amendments.--Paragraphs (1) and (2)(A) of
        section 7623(b) are each amended by striking ``collected proceeds
        (including penalties, interest, additions to tax, and additional
        amounts) resulting from the action'' and inserting ``proceeds
        collected as a result of the action''.
        (b) Amount of Proceeds Determined Without Regard to Availability.--
    Paragraphs (1) and (2)(A) of section 7623(b) are each amended by
    inserting ``(determined without regard to whether such proceeds are
    available to the Secretary)'' after ``in response to such action''.
        (c) Disputed Amount Threshold.--Section 7623(b)(5)(B) is amended by
    striking ``tax, penalties, interest, additions to tax, and additional
    amounts'' and inserting ``proceeds''.
        (d) Effective Date.--The amendments made by this section shall
    apply to information provided before, on, or after the date of the
    enactment of this Act with respect to which a final determination for
    an award has not been made before such date of enactment.
    SEC. 41109. CLARIFICATION REGARDING EXCISE TAX BASED ON INVESTMENT
    INCOME OF PRIVATE COLLEGES AND UNIVERSITIES.
        (a) In General.--Subsection (b)(1) of section 4968, as added by
    section 13701(a) of Public Law 115-97, is amended--
            (1) by inserting ``tuition-paying'' after ``500'' in
        subparagraph (A), and
            (2) by inserting ``tuition-paying'' after ``50 percent of the''
        in subparagraph (B).
        (b) Effective Date.--The amendments made by this section shall
    apply to taxable years beginning after December 31, 2017.
    SEC. 41110. EXCEPTION FROM PRIVATE FOUNDATION EXCESS BUSINESS HOLDING
    TAX FOR INDEPENDENTLY-OPERATED PHILANTHROPIC BUSINESS HOLDINGS.
        (a) In General.--Section 4943 is amended by adding at the end the
    following new subsection:
        ``(g) Exception for Certain Holdings Limited to Independently-
    operated Philanthropic Business.--
            ``(1) In general.--Subsection (a) shall not apply with respect
        to the holdings of a private foundation in any business enterprise
        which meets the requirements of paragraphs (2), (3), and (4) for
        the taxable year.
            ``(2) Ownership.--The requirements of this paragraph are met
        if--
                ``(A) 100 percent of the voting stock in the business
            enterprise is held by the private foundation at all times
            during the taxable year, and
                ``(B) all the private foundation's ownership interests in
            the business enterprise were acquired by means other than by
            purchase.
            ``(3) All profits to charity.--
                ``(A) In general.--The requirements of this paragraph are
            met if the business enterprise, not later than 120 days after
            the close of the taxable year, distributes an amount equal to
            its net operating income for such taxable year to the private
            foundation.
                ``(B) Net operating income.--For purposes of this
            paragraph, the net operating income of any business enterprise
            for any taxable year is an amount equal to the gross income of
            the business enterprise for the taxable year, reduced by the
            sum of--
                    ``(i) the deductions allowed by chapter 1 for the
                taxable year which are directly connected with the
                production of such income,
                    ``(ii) the tax imposed by chapter 1 on the business
                enterprise for the taxable year, and
                    ``(iii) an amount for a reasonable reserve for working
                capital and other business needs of the business
                enterprise.
            ``(4) Independent operation.--The requirements of this
        paragraph are met if, at all times during the taxable year--
                ``(A) no substantial contributor (as defined in section
            4958(c)(3)(C)) to the private foundation or family member (as
            determined under section 4958(f)(4)) of such a contributor is a
            director, officer, trustee, manager, employee, or contractor of
            the business enterprise (or an individual having powers or
            responsibilities similar to any of the foregoing),
                ``(B) at least a majority of the board of directors of the
            private foundation are persons who are not--
                    ``(i) directors or officers of the business enterprise,
                or
                    ``(ii) family members (as so determined) of a
                substantial contributor (as so defined) to the private
                foundation, and
                ``(C) there is no loan outstanding from the business
            enterprise to a substantial contributor (as so defined) to the
            private foundation or to any family member of such a
            contributor (as so determined).
            ``(5) Certain deemed private foundations excluded.--This
        subsection shall not apply to--
                ``(A) any fund or organization treated as a private
            foundation for purposes of this section by reason of subsection
            (e) or (f),
                ``(B) any trust described in section 4947(a)(1) (relating
            to charitable trusts), and
                ``(C) any trust described in section 4947(a)(2) (relating
            to split-interest trusts).''.
        (b) Effective Date.--The amendment made by this section shall apply
    to taxable years beginning after December 31, 2017.
    SEC. 41111. RULE OF CONSTRUCTION FOR CRAFT BEVERAGE MODERNIZATION AND
    TAX REFORM.
        (a) In General.--Subpart A of part IX of subtitle C of title I of
    Public Law 115-97 is amended by adding at the end the following new
    section:
    ``SEC. 13809. RULE OF CONSTRUCTION.
        ``Nothing in this subpart, the amendments made by this subpart, or
    any regulation promulgated under this subpart or the amendments made by
    this subpart, shall be construed to preempt, supersede, or otherwise
    limit or restrict any State, local, or tribal law that prohibits or
    regulates the production or sale of distilled spirits, wine, or malt
    beverages.''.
        (b) Effective Date.--The amendment made by this section shall take
    effect as if included in Public Law 115-97.
    SEC. 41112. SIMPLIFICATION OF RULES REGARDING RECORDS, STATEMENTS, AND
    RETURNS.
        (a) In General.--Subsection (a) of section 5555 is amended by
    adding at the end the following: ``For calendar quarters beginning
    after the date of the enactment of this sentence, and before January 1,
    2020, the Secretary shall permit a person to employ a unified system
    for any records, statements, and returns required to be kept, rendered,
    or made under this section for any beer produced in the brewery for
    which the tax imposed by section 5051 has been determined, including
    any beer which has been removed for consumption on the premises of the
    brewery.''.
        (b) Effective Date.--The amendment made by this section shall apply
    to calendar quarters beginning after the date of the enactment of this
    Act.
    SEC. 41113. MODIFICATION OF RULES GOVERNING HARDSHIP DISTRIBUTIONS.
        (a) In General.--Not later than 1 year after the date of the
    enactment of this Act, the Secretary of the Treasury shall modify
    Treasury Regulation section 1.401(k)-1(d)(3)(iv)(E) to--
            (1) delete the 6-month prohibition on contributions imposed by
        paragraph (2) thereof, and
            (2) make any other modifications necessary to carry out the
        purposes of section 401(k)(2)(B)(i)(IV) of the Internal Revenue
        Code of 1986.
        (b) Effective Date.--The revised regulations under this section
    shall apply to plan years beginning after December 31, 2018.
    SEC. 41114. MODIFICATION OF RULES RELATING TO HARDSHIP WITHDRAWALS FROM
    CASH OR DEFERRED ARRANGEMENTS.
        (a) In General.--Section 401(k) is amended by adding at the end the
    following:
            ``(14) Special rules relating to hardship withdrawals.--For
        purposes of paragraph (2)(B)(i)(IV)--
                ``(A) Amounts which may be withdrawn.--The following
            amounts may be distributed upon hardship of the employee:
                    ``(i) Contributions to a profit-sharing or stock bonus
                plan to which section 402(e)(3) applies.
                    ``(ii) Qualified nonelective contributions (as defined
                in subsection (m)(4)(C)).
                    ``(iii) Qualified matching contributions described in
                paragraph (3)(D)(ii)(I).
                    ``(iv) Earnings on any contributions described in
                clause (i), (ii), or (iii).
                ``(B) No requirement to take available loan.--A
            distribution shall not be treated as failing to be made upon
            the hardship of an employee solely because the employee does
            not take any available loan under the plan.''.
        (b) Conforming Amendment.--Section 401(k)(2)(B)(i)(IV) is amended
    to read as follows:

                        ``(IV) subject to the provisions of paragraph (14),
                    upon hardship of the employee, or''.

        (c) Effective Date.--The amendments made by this section shall
    apply to plan years beginning after December 31, 2018.
    SEC. 41115. OPPORTUNITY ZONES RULE FOR PUERTO RICO.
        (a) In General.--Subsection (b) of section 1400Z-1 is amended by
    adding at the end the following new paragraph:
            ``(3) Special rule for puerto rico.--Each population census
        tract in Puerto Rico that is a low- income community shall be
        deemed to be certified and designated as a qualified opportunity
        zone, effective on the date of the enactment of Public Law 115-
        97.''.
        (b) Conforming Amendment.--Section 1400Z-1(d)(1) is amended by
    inserting ``and subsection (b)(3)'' after ``paragraph (2)''.
    SEC. 41116. TAX HOME OF CERTAIN CITIZENS OR RESIDENTS OF THE UNITED
    STATES LIVING ABROAD.
        (a) In General.--Paragraph (3) of section 911(d) is amended by
    inserting before the period at the end of the second sentence the
    following: ``, unless such individual is serving in an area designated
    by the President of the United States by Executive order as a combat
    zone for purposes of section 112 in support of the Armed Forces of the
    United States''.
        (b) Effective Date.--The amendment made by this section shall apply
    to taxable years beginning after December 31, 2017.
    SEC. 41117. TREATMENT OF FOREIGN PERSONS FOR RETURNS RELATING TO
    PAYMENTS MADE IN SETTLEMENT OF PAYMENT CARD AND THIRD PARTY NETWORK
    TRANSACTIONS.
        (a) In General.--Section 6050W(d)(1)(B) is amended by adding at the
    end the following: ``Notwithstanding the preceding sentence, a person
    with only a foreign address shall not be treated as a participating
    payee with respect to any payment settlement entity solely because such
    person receives payments from such payment settlement entity in
    dollars.''.
        (b) Effective Date.--The amendment made by this section shall apply
    to returns for calendar years beginning after December 31, 2017.
    SEC. 41118. REPEAL OF SHIFT IN TIME OF PAYMENT OF CORPORATE ESTIMATED
    TAXES.
        The Trade Preferences Extension Act of 2015 is amended by striking
    section 803 (relating to time for payment of corporate estimated
    taxes).
    SEC. 41119. ENHANCEMENT OF CARBON DIOXIDE SEQUESTRATION CREDIT.
        (a) In General.--Section 45Q is amended to read as follows:
        ``SEC. 45Q. CREDIT FOR CARBON OXIDE SEQUESTRATION.
        ``(a) General Rule.--For purposes of section 38, the carbon oxide
    sequestration credit for any taxable year is an amount equal to the sum
    of--
            ``(1) $20 per metric ton of qualified carbon oxide which is--
                ``(A) captured by the taxpayer using carbon capture
            equipment which is originally placed in service at a qualified
            facility before the date of the enactment of the Bipartisan
            Budget Act of 2018, and
                ``(B) disposed of by the taxpayer in secure geological
            storage and not used by the taxpayer as described in paragraph
            (2)(B),
            ``(2) $10 per metric ton of qualified carbon oxide which is--
                ``(A) captured by the taxpayer using carbon capture
            equipment which is originally placed in service at a qualified
            facility before the date of the enactment of the Bipartisan
            Budget Act of 2018, and
                ``(B)(i) used by the taxpayer as a tertiary injectant in a
            qualified enhanced oil or natural gas recovery project and
            disposed of by the taxpayer in secure geological storage, or
                ``(ii) utilized by the taxpayer in a manner described in
            subsection (f)(5),
            ``(3) the applicable dollar amount (as determined under
        subsection (b)(1)) per metric ton of qualified carbon oxide which
        is--
                ``(A) captured by the taxpayer using carbon capture
            equipment which is originally placed in service at a qualified
            facility on or after the date of the enactment of the
            Bipartisan Budget Act of 2018, during the 12-year period
            beginning on the date the equipment was originally placed in
            service, and
                ``(B) disposed of by the taxpayer in secure geological
            storage and not used by the taxpayer as described in paragraph
            (4)(B), and
            ``(4) the applicable dollar amount (as determined under
        subsection (b)(1)) per metric ton of qualified carbon oxide which
        is--
                ``(A) captured by the taxpayer using carbon capture
            equipment which is originally placed in service at a qualified
            facility on or after the date of the enactment of the
            Bipartisan Budget Act of 2018, during the 12-year period
            beginning on the date the equipment was originally placed in
            service, and
                ``(B)(i) used by the taxpayer as a tertiary injectant in a
            qualified enhanced oil or natural gas recovery project and
            disposed of by the taxpayer in secure geological storage, or
                ``(ii) utilized by the taxpayer in a manner described in
            subsection (f)(5).
        ``(b) Applicable Dollar Amount; Additional Equipment; Election.--
            ``(1) Applicable dollar amount.--
                ``(A) In general.--The applicable dollar amount shall be an
            amount equal to--
                    ``(i) for any taxable year beginning in a calendar year
                after 2016 and before 2027--

                        ``(I) for purposes of paragraph (3) of subsection
                    (a), the dollar amount established by linear
                    interpolation between $22.66 and $50 for each calendar
                    year during such period, and
                        ``(II) for purposes of paragraph (4) of such
                    subsection, the dollar amount established by linear
                    interpolation between $12.83 and $35 for each calendar
                    year during such period, and

                    ``(ii) for any taxable year beginning in a calendar
                year after 2026--

                        ``(I) for purposes of paragraph (3) of subsection
                    (a), an amount equal to the product of $50 and the
                    inflation adjustment factor for such calendar year
                    determined under section 43(b)(3)(B) for such calendar
                    year, determined by substituting `2025' for `1990', and
                        ``(II) for purposes of paragraph (4) of such
                    subsection, an amount equal to the product of $35 and
                    the inflation adjustment factor for such calendar year
                    determined under section 43(b)(3)(B) for such calendar
                    year, determined by substituting `2025' for `1990'.

                ``(B) Rounding.--The applicable dollar amount determined
            under subparagraph (A) shall be rounded to the nearest cent.
            ``(2) Installation of additional carbon capture equipment on
        existing qualified facility.--In the case of a qualified facility
        placed in service before the date of the enactment of the
        Bipartisan Budget Act of 2018, for which additional carbon capture
        equipment is placed in service on or after the date of the
        enactment of such Act, the amount of qualified carbon oxide which
        is captured by the taxpayer shall be equal to--
                ``(A) for purposes of paragraphs (1)(A) and (2)(A) of
            subsection (a), the lesser of--
                    ``(i) the total amount of qualified carbon oxide
                captured at such facility for the taxable year, or
                    ``(ii) the total amount of the carbon dioxide capture
                capacity of the carbon capture equipment in service at such
                facility on the day before the date of the enactment of the
                Bipartisan Budget Act of 2018, and
                ``(B) for purposes of paragraphs (3)(A) and (4)(A) of such
            subsection, an amount (not less than zero) equal to the excess
            of--
                    ``(i) the amount described in clause (i) of
                subparagraph (A), over
                    ``(ii) the amount described in clause (ii) of such
                subparagraph.
            ``(3) Election.--For purposes of determining the carbon oxide
        sequestration credit under this section, a taxpayer may elect to
        have the dollar amounts applicable under paragraph (1) or (2) of
        subsection (a) apply in lieu of the dollar amounts applicable under
        paragraph (3) or (4) of such subsection for each metric ton of
        qualified carbon oxide which is captured by the taxpayer using
        carbon capture equipment which is originally placed in service at a
        qualified facility on or after the date of the enactment of the
        Bipartisan Budget Act of 2018.
        ``(c) Qualified Carbon Oxide.--For purposes of this section--
            ``(1) In general.--The term `qualified carbon oxide' means--
                ``(A) any carbon dioxide which--
                    ``(i) is captured from an industrial source by carbon
                capture equipment which is originally placed in service
                before the date of the enactment of the Bipartisan Budget
                Act of 2018,
                    ``(ii) would otherwise be released into the atmosphere
                as industrial emission of greenhouse gas or lead to such
                release, and
                    ``(iii) is measured at the source of capture and
                verified at the point of disposal, injection, or
                utilization,
                ``(B) any carbon dioxide or other carbon oxide which--
                    ``(i) is captured from an industrial source by carbon
                capture equipment which is originally placed in service on
                or after the date of the enactment of the Bipartisan Budget
                Act of 2018,
                    ``(ii) would otherwise be released into the atmosphere
                as industrial emission of greenhouse gas or lead to such
                release, and
                    ``(iii) is measured at the source of capture and
                verified at the point of disposal, injection, or
                utilization, or
                ``(C) in the case of a direct air capture facility, any
            carbon dioxide which--
                    ``(i) is captured directly from the ambient air, and
                    ``(ii) is measured at the source of capture and
                verified at the point of disposal, injection, or
                utilization.
            ``(2) Recycled carbon oxide.--The term `qualified carbon oxide'
        includes the initial deposit of captured carbon oxide used as a
        tertiary injectant. Such term does not include carbon oxide that is
        recaptured, recycled, and re-injected as part of the enhanced oil
        and natural gas recovery process.
        ``(d) Qualified Facility.--For purposes of this section, the term
    `qualified facility' means any industrial facility or direct air
    capture facility--
            ``(1) the construction of which begins before January 1, 2024,
        and--
                ``(A) construction of carbon capture equipment begins
            before such date, or
                ``(B) the original planning and design for such facility
            includes installation of carbon capture equipment, and
            ``(2) which captures--
                ``(A) in the case of a facility which emits not more than
            500,000 metric tons of carbon oxide into the atmosphere during
            the taxable year, not less than 25,000 metric tons of qualified
            carbon oxide during the taxable year which is utilized in a
            manner described in subsection (f)(5),
                ``(B) in the case of an electricity generating facility
            which is not described in subparagraph (A), not less than
            500,000 metric tons of qualified carbon oxide during the
            taxable year, or
                ``(C) in the case of a direct air capture facility or any
            facility not described in subparagraph (A) or (B), not less
            than 100,000 metric tons of qualified carbon oxide during the
            taxable year.
        ``(e) Definitions.--For purposes of this section--
            ``(1) Direct air capture facility.--
                ``(A) In general.--Subject to subparagraph (B), the term
            `direct air capture facility' means any facility which uses
            carbon capture equipment to capture carbon dioxide directly
            from the ambient air.
                ``(B) Exception.--The term `direct air capture facility'
            shall not include any facility which captures carbon dioxide--
                    ``(i) which is deliberately released from naturally
                occurring subsurface springs, or
                    ``(ii) using natural photosynthesis.
            ``(2) Qualified enhanced oil or natural gas recovery project.--
        The term `qualified enhanced oil or natural gas recovery project'
        has the meaning given the term `qualified enhanced oil recovery
        project' by section 43(c)(2), by substituting `crude oil or natural
        gas' for `crude oil' in subparagraph (A)(i) thereof.
            ``(3) Tertiary injectant.--The term `tertiary injectant' has
        the same meaning as when used within section 193(b)(1).
        ``(f) Special Rules.--
            ``(1) Only qualified carbon oxide captured and disposed of or
        used within the united states taken into account.--The credit under
        this section shall apply only with respect to qualified carbon
        oxide the capture and disposal, use, or utilization of which is
        within--
                ``(A) the United States (within the meaning of section
            638(1)), or
                ``(B) a possession of the United States (within the meaning
            of section 638(2)).
            ``(2) Secure geological storage.--The Secretary, in
        consultation with the Administrator of the Environmental Protection
        Agency, the Secretary of Energy, and the Secretary of the Interior,
        shall establish regulations for determining adequate security
        measures for the geological storage of qualified carbon oxide under
        subsection (a) such that the qualified carbon oxide does not escape
        into the atmosphere. Such term shall include storage at deep saline
        formations, oil and gas reservoirs, and unminable coal seams under
        such conditions as the Secretary may determine under such
        regulations.
            ``(3) Credit attributable to taxpayer.--
                ``(A) In general.--Except as provided in subparagraph (B)
            or in any regulations prescribed by the Secretary, any credit
            under this section shall be attributable to--
                    ``(i) in the case of qualified carbon oxide captured
                using carbon capture equipment which is originally placed
                in service at a qualified facility before the date of the
                enactment of the Bipartisan Budget Act of 2018, the person
                that captures and physically or contractually ensures the
                disposal, utilization, or use as a tertiary injectant of
                such qualified carbon oxide, and
                    ``(ii) in the case of qualified carbon oxide captured
                using carbon capture equipment which is originally placed
                in service at a qualified facility on or after the date of
                the enactment of the Bipartisan Budget Act of 2018, the
                person that owns the carbon capture equipment and
                physically or contractually ensures the capture and
                disposal, utilization, or use as a tertiary injectant of
                such qualified carbon oxide.
                ``(B) Election.--If the person described in subparagraph
            (A) makes an election under this subparagraph in such time and
            manner as the Secretary may prescribe by regulations, the
            credit under this section--
                    ``(i) shall be allowable to the person that disposes of
                the qualified carbon oxide, utilizes the qualified carbon
                oxide, or uses the qualified carbon oxide as a tertiary
                injectant, and
                    ``(ii) shall not be allowable to the person described
                in subparagraph (A).
            ``(4) Recapture.--The Secretary shall, by regulations, provide
        for recapturing the benefit of any credit allowable under
        subsection (a) with respect to any qualified carbon oxide which
        ceases to be captured, disposed of, or used as a tertiary injectant
        in a manner consistent with the requirements of this section.
            ``(5) Utilization of qualified carbon oxide.--
                ``(A) In general.--For purposes of this section,
            utilization of qualified carbon oxide means--
                    ``(i) the fixation of such qualified carbon oxide
                through photosynthesis or chemosynthesis, such as through
                the growing of algae or bacteria,
                    ``(ii) the chemical conversion of such qualified carbon
                oxide to a material or chemical compound in which such
                qualified carbon oxide is securely stored, or
                    ``(iii) the use of such qualified carbon oxide for any
                other purpose for which a commercial market exists (with
                the exception of use as a tertiary injectant in a qualified
                enhanced oil or natural gas recovery project), as
                determined by the Secretary.
                ``(B) Measurement.--
                    ``(i) In general.--For purposes of determining the
                amount of qualified carbon oxide utilized by the taxpayer
                under paragraph (2)(B)(ii) or (4)(B)(ii) of subsection (a),
                such amount shall be equal to the metric tons of qualified
                carbon oxide which the taxpayer demonstrates, based upon an
                analysis of lifecycle greenhouse gas emissions and subject
                to such requirements as the Secretary, in consultation with
                the Secretary of Energy and the Administrator of the
                Environmental Protection Agency, determines appropriate,
                were--

                        ``(I) captured and permanently isolated from the
                    atmosphere, or
                        ``(II) displaced from being emitted into the
                    atmosphere,

                through use of a process described in subparagraph (A).
                    ``(ii) Lifecycle greenhouse gas emissions.--For
                purposes of clause (i), the term `lifecycle greenhouse gas
                emissions' has the same meaning given such term under
                subparagraph (H) of section 211(o)(1) of the Clean Air Act
                (42 U.S.C. 7545(o)(1)), as in effect on the date of the
                enactment of the Bipartisan Budget Act of 2018, except that
                `product' shall be substituted for `fuel' each place it
                appears in such subparagraph.
            ``(6) Election for applicable facilities.--
                ``(A) In general.--For purposes of this section, in the
            case of an applicable facility, for any taxable year in which
            such facility captures not less than 500,000 metric tons of
            qualified carbon oxide during the taxable year, the person
            described in paragraph (3)(A)(ii) may elect to have such
            facility, and any carbon capture equipment placed in service at
            such facility, deemed as having been placed in service on the
            date of the enactment of the Bipartisan Budget Act of 2018.
                ``(B) Applicable facility.--For purposes of this paragraph,
            the term `applicable facility' means a qualified facility--
                    ``(i) which was placed in service before the date of
                the enactment of the Bipartisan Budget Act of 2018, and
                    ``(ii) for which no taxpayer claimed a credit under
                this section in regards to such facility for any taxable
                year ending before the date of the enactment of such Act.
            ``(7) Inflation adjustment.--In the case of any taxable year
        beginning in a calendar year after 2009, there shall be substituted
        for each dollar amount contained in paragraphs (1) and (2) of
        subsection (a) an amount equal to the product of--
                ``(A) such dollar amount, multiplied by
                ``(B) the inflation adjustment factor for such calendar
            year determined under section 43(b)(3)(B) for such calendar
            year, determined by substituting `2008' for `1990'.
        ``(g) Application of Section for Certain Carbon Capture
    Equipment.--In the case of any carbon capture equipment placed in
    service before the date of the enactment of the Bipartisan Budget Act
    of 2018, the credit under this section shall apply with respect to
    qualified carbon oxide captured using such equipment before the end of
    the calendar year in which the Secretary, in consultation with the
    Administrator of the Environmental Protection Agency, certifies that,
    during the period beginning after October 3, 2008, a total of
    75,000,000 metric tons of qualified carbon oxide have been taken into
    account in accordance with--
            ``(1) subsection (a) of this section, as in effect on the day
        before the date of the enactment of the Bipartisan Budget Act of
        2018, and
            ``(2) paragraphs (1) and (2) of subsection (a) of this section.
        ``(h) Regulations.--The Secretary may prescribe such regulations
    and other guidance as may be necessary or appropriate to carry out this
    section, including regulations or other guidance to--
            ``(1) ensure proper allocation under subsection (a) for
        qualified carbon oxide captured by a taxpayer during the taxable
        year ending after the date of the enactment of the Bipartisan
        Budget Act of 2018, and
            ``(2) determine whether a facility satisfies the requirements
        under subsection (d)(1) during such taxable year.''.
        (b) Effective Date.--The amendment made by this section shall apply
    to taxable years beginning after December 31, 2017.

                DIVISION E--HEALTH AND HUMAN SERVICES EXTENDERS

    SEC. 50100. SHORT TITLE; TABLE OF CONTENTS.
        (a) Short Title.--This division may be cited as the ``Advancing
    Chronic Care, Extenders, and Social Services (ACCESS) Act''
        (b) Table of Contents.--The table of contents for this division is
    as follows:

                 DIVISION E--HEALTH AND HUMAN SERVICES EXTENDERS

    Sec. 50100. Short title; table of contents.

                                  TITLE I--CHIP

    Sec. 50101. Funding extension of the Children's Health Insurance Program
              through fiscal year 2027.
    Sec. 50102. Extension of pediatric quality measures program.
    Sec. 50103. Extension of outreach and enrollment program.

                          TITLE II--MEDICARE EXTENDERS

    Sec. 50201. Extension of work GPCI floor.
    Sec. 50202. Repeal of Medicare payment cap for therapy services;
              limitation to ensure appropriate therapy.
    Sec. 50203. Medicare ambulance services.
    Sec. 50204. Extension of increased inpatient hospital payment adjustment
              for certain low-volume hospitals.
    Sec. 50205. Extension of the Medicare-dependent hospital (MDH) program.
    Sec. 50206. Extension of funding for quality measure endorsement, input,
              and selection; reporting requirements.
    Sec. 50207. Extension of funding outreach and assistance for low-income
              programs; State health insurance assistance program reporting
              requirements.
    Sec. 50208. Extension of home health rural add-on.

       TITLE III--CREATING HIGH-QUALITY RESULTS AND OUTCOMES NECESSARY TO
                         IMPROVE CHRONIC (CHRONIC) CARE

               Subtitle A--Receiving High Quality Care in the Home

    Sec. 50301. Extending the Independence at Home Demonstration Program.
    Sec. 50302. Expanding access to home dialysis therapy.

                      Subtitle B--Advancing Team-Based Care

    Sec. 50311. Providing continued access to Medicare Advantage special
              needs plans for vulnerable populations.

                 Subtitle C--Expanding Innovation and Technology

    Sec. 50321. Adapting benefits to meet the needs of chronically ill
              Medicare Advantage enrollees.
    Sec. 50322. Expanding supplemental benefits to meet the needs of
              chronically ill Medicare Advantage enrollees.
    Sec. 50323. Increasing convenience for Medicare Advantage enrollees
              through telehealth.
    Sec. 50324. Providing accountable care organizations the ability to
              expand the use of telehealth.
    Sec. 50325. Expanding the use of telehealth for individuals with stroke.

             Subtitle D--Identifying the Chronically Ill Population

    Sec. 50331. Providing flexibility for beneficiaries to be part of an
              accountable care organization.

       Subtitle E--Empowering Individuals and Caregivers in Care Delivery

    Sec. 50341. Eliminating barriers to care coordination under accountable
              care organizations.
    Sec. 50342. GAO study and report on longitudinal comprehensive care
              planning services under Medicare part B.

       Subtitle F--Other Policies to Improve Care for the Chronically Ill

    Sec. 50351. GAO study and report on improving medication
              synchronization.
    Sec. 50352. GAO study and report on impact of obesity drugs on patient
              health and spending.
    Sec. 50353. HHS study and report on long-term risk factors for chronic
              conditions among Medicare beneficiaries.
    Sec. 50354. Providing prescription drug plans with parts A and B claims
              data to promote the appropriate use of medications and improve
              health outcomes.

         TITLE IV--PART B IMPROVEMENT ACT AND OTHER PART B ENHANCEMENTS

                   Subtitle A--Medicare Part B Improvement Act

    Sec. 50401. Home infusion therapy services temporary transitional
              payment.
    Sec. 50402. Orthotist's and prosthetist's clinical notes as part of the
              patient's medical record.
    Sec. 50403. Independent accreditation for dialysis facilities and
              assurance of high quality surveys.
    Sec. 50404. Modernizing the application of the Stark rule under
              Medicare.

                   Subtitle B--Additional Medicare Provisions

    Sec. 50411. Making permanent the removal of the rental cap for durable
              medical equipment under Medicare with respect to speech
              generating devices.
    Sec. 50412. Increased civil and criminal penalties and increased
              sentences for Federal health care program fraud and abuse.
    Sec. 50413. Reducing the volume of future EHR-related significant
              hardship requests.
    Sec. 50414. Strengthening rules in case of competition for diabetic
              testing strips.

                         TITLE V--OTHER HEALTH EXTENDERS

    Sec. 50501. Extension for family-to-family health information centers.
    Sec. 50502. Extension for sexual risk avoidance education.
    Sec. 50503. Extension for personal responsibility education.

           TITLE VI--CHILD AND FAMILY SERVICES AND SUPPORTS EXTENDERS

     Subtitle A--Continuing the Maternal, Infant, and Early Childhood Home
                                Visiting Program

    Sec. 50601. Continuing evidence-based home visiting program.
    Sec. 50602. Continuing to demonstrate results to help families.
    Sec. 50603. Reviewing statewide needs to target resources.
    Sec. 50604. Improving the likelihood of success in high-risk
              communities.
    Sec. 50605. Option to fund evidence-based home visiting on a pay for
              outcome basis.
    Sec. 50606. Data exchange standards for improved interoperability.
    Sec. 50607. Allocation of funds.

      Subtitle B--Extension of Health Professions Workforce Demonstration
                                    Projects

    Sec. 50611. Extension of health workforce demonstration projects for
              low-income individuals.

                 TITLE VII--FAMILY FIRST PREVENTION SERVICES ACT

           Subtitle A--Investing in Prevention and Supporting Families

    Sec. 50701. Short title.
    Sec. 50702. Purpose.

                 PART I--Prevention Activities Under Title IV-E

    Sec. 50711. Foster care prevention services and programs.
    Sec. 50712. Foster care maintenance payments for children with parents
              in a licensed residential family-based treatment facility for
              substance abuse.
    Sec. 50713. Title IV-E payments for evidence-based kinship navigator
              programs.

                   PART II--Enhanced Support Under Title IV-B

    Sec. 50721. Elimination of time limit for family reunification services
              while in foster care and permitting time-limited family
              reunification services when a child returns home from foster
              care.
    Sec. 50722. Reducing bureaucracy and unnecessary delays when placing
              children in homes across State lines.
    Sec. 50723. Enhancements to grants to improve well-being of families
              affected by substance abuse.

                             PART III--Miscellaneous

    Sec. 50731. Reviewing and improving licensing standards for placement in
              a relative foster family home.
    Sec. 50732. Development of a statewide plan to prevent child abuse and
              neglect fatalities.
    Sec. 50733. Modernizing the title and purpose of title IV-E.
    Sec. 50734. Effective dates.

     PART IV--Ensuring the Necessity of a Placement That Is Not in a Foster
                                   Family Home

    Sec. 50741. Limitation on Federal financial participation for placements
              that are not in foster family homes.
    Sec. 50742. Assessment and documentation of the need for placement in a
              qualified residential treatment program.
    Sec. 50743. Protocols to prevent inappropriate diagnoses.
    Sec. 50744. Additional data and reports regarding children placed in a
              setting that is not a foster family home.
    Sec. 50745. Criminal records checks and checks of child abuse and
              neglect registries for adults working in child-care
              institutions and other group care settings.
    Sec. 50746. Effective dates; application to waivers.

            PART V--Continuing Support for Child and Family Services

    Sec. 50751. Supporting and retaining foster families for children.
    Sec. 50752. Extension of child and family services programs.
    Sec. 50753. Improvements to the John H. Chafee foster care independence
              program and related provisions.

     PART VI--Continuing Incentives to States to Promote Adoption and Legal
                                  Guardianship

    Sec. 50761. Reauthorizing adoption and legal guardianship incentive
              programs.

                         PART VII--Technical Corrections

    Sec. 50771. Technical corrections to data exchange standards to improve
              program coordination.
    Sec. 50772. Technical corrections to State requirement to address the
              developmental needs of young children.

     PART VIII--Ensuring States Reinvest Savings Resulting From Increase in
                               Adoption Assistance

    Sec. 50781. Delay of adoption assistance phase-in.
    Sec. 50782. GAO study and report on State reinvestment of savings
              resulting from increase in adoption assistance.

      TITLE VIII--SUPPORTING SOCIAL IMPACT PARTNERSHIPS TO PAY FOR RESULTS

    Sec. 50801. Short title.
    Sec. 50802. Social impact partnerships to pay for results.

                        TITLE IX--PUBLIC HEALTH PROGRAMS

    Sec. 50901. Extension for community health centers, the National Health
              Service Corps, and teaching health centers that operate GME
              programs.
    Sec. 50902. Extension for special diabetes programs.

                   TITLE X--MISCELLANEOUS HEALTH CARE POLICIES

    Sec. 51001. Home health payment reform.
    Sec. 51002. Information to satisfy documentation of Medicare eligibility
              for home health services.
    Sec. 51003. Technical amendments to Public Law 114-10.
    Sec. 51004. Expanded access to Medicare intensive cardiac rehabilitation
              programs.
    Sec. 51005. Extension of blended site neutral payment rate for certain
              long-term care hospital discharges; temporary adjustment to
              site neutral payment rates.
    Sec. 51006. Recognition of attending physician assistants as attending
              physicians to serve hospice patients.
    Sec. 51007. Extension of enforcement instruction on supervision
              requirements for outpatient therapeutic services in critical
              access and small rural hospitals through 2017.
    Sec. 51008. Allowing physician assistants, nurse practitioners, and
              clinical nurse specialists to supervise cardiac, intensive
              cardiac, and pulmonary rehabilitation programs.
    Sec. 51009. Transitional payment rules for certain radiation therapy
              services under the physician fee schedule.

              TITLE XI--PROTECTING SENIORS' ACCESS TO MEDICARE ACT

    Sec. 52001. Repeal of the Independent Payment Advisory Board.

                               TITLE XII--OFFSETS

    Sec. 53101. Modifying reductions in Medicaid DSH allotments.
    Sec. 53102. Third party liability in Medicaid and CHIP.
    Sec. 53103. Treatment of lottery winnings and other lump-sum income for
              purposes of income eligibility under Medicaid.
    Sec. 53104. Rebate obligation with respect to line extension drugs.
    Sec. 53105. Medicaid Improvement Fund.
    Sec. 53106. Physician fee schedule update.
    Sec. 53107. Payment for outpatient physical therapy services and
              outpatient occupational therapy services furnished by a
              therapy assistant.
    Sec. 53108. Reduction for non-emergency ESRD ambulance transports.
    Sec. 53109. Hospital transfer policy for early discharges to hospice
              care.
    Sec. 53110. Medicare payment update for home health services.
    Sec. 53111. Medicare payment update for skilled nursing facilities.
    Sec. 53112. Preventing the artificial inflation of star ratings after
              the consolidation of Medicare Advantage plans offered by the
              same organization.
    Sec. 53113. Sunsetting exclusion of biosimilars from Medicare part D
              coverage gap discount program.
    Sec. 53114. Adjustments to Medicare part B and part D premium subsidies
              for higher income individuals.
    Sec. 53115. Medicare Improvement Fund.
    Sec. 53116. Closing the Donut Hole for Seniors.
    Sec. 53117. Modernizing child support enforcement fees.
    Sec. 53118. Increasing efficiency of prison data reporting.
    Sec. 53119. Prevention and Public Health Fund.

                                 TITLE I--CHIP

    SEC. 50101. FUNDING EXTENSION OF THE CHILDREN'S HEALTH INSURANCE
    PROGRAM THROUGH FISCAL YEAR 2027.
        (a) In General.--Section 2104(a) of the Social Security Act (42
    U.S.C. 1397dd(a)), as amended by section 3002(a) of the HEALTHY KIDS
    Act (division C of Public Law 115-120), is amended--
            (1) in paragraph (25), by striking ``; and'' and inserting a
        semicolon;
            (2) in paragraph (26), by striking the period at the end and
        inserting a semicolon; and
            (3) by adding at the end the following new paragraphs:
            ``(27) for each of fiscal years 2024 through 2026, such sums as
        are necessary to fund allotments to States under subsections (c)
        and (m); and
            ``(28) for fiscal year 2027, for purposes of making two semi-
        annual allotments--
                ``(A) $7,650,000,000 for the period beginning on October 1,
            2026, and ending on March 31, 2027; and
                ``(B) $7,650,000,000 for the period beginning on April 1,
            2027, and ending on September 30, 2027.''.
        (b) Allotments.--
            (1) In general.--Section 2104(m) of the Social Security Act (42
        U.S.C. 1397dd(m)), as amended by section 3002(b) of the HEALTHY
        KIDS Act (division C of Public Law 115-120), is amended--
                (A) in paragraph (2)(B)--
                    (i) in the matter preceding clause (i), by striking
                ``(25)'' and inserting ``(27)'';
                    (ii) in clause (i), by striking ``and 2023'' and
                inserting ``, 2023, and 2027''; and
                    (iii) in clause (ii)(I), by striking ``(or, in the case
                of fiscal year 2018, under paragraph (4))'' and inserting
                ``(or, in the case of fiscal year 2018 or 2024, under
                paragraph (4) or (10), respectively)'';
                (B) in paragraph (5)--
                    (i) by striking ``or (10)'' and inserting ``(10), or
                (11)''; and
                    (ii) by striking ``or 2023,'' and inserting ``2023, or
                2027,'';
                (C) in paragraph (7)--
                    (i) in subparagraph (A), by striking ``2023'' and
                inserting ``2027,''; and
                    (ii) in the matter following subparagraph (B), by
                striking ``or fiscal year 2022'' and inserting ``fiscal
                year 2022, fiscal year 2024, or fiscal year 2026'';
                (D) in paragraph (9)--
                    (i) by striking ``or (10)'' and inserting ``(10), or
                (11)''; and
                    (ii) by striking ``or 2023,'' and inserting ``2023, or
                2027,''; and
                (E) by adding at the end the following:
            ``(11) For fiscal year 2027.--
                ``(A) First half.--Subject to paragraphs (5) and (7), from
            the amount made available under subparagraph (A) of paragraph
            (28) of subsection (a) for the semi-annual period described in
            such subparagraph, increased by the amount of the appropriation
            for such period under section 50101(b)(2) of the Advancing
            Chronic Care, Extenders, and Social Services Act, the Secretary
            shall compute a State allotment for each State (including the
            District of Columbia and each commonwealth and territory) for
            such semi-annual period in an amount equal to the first half
            ratio (described in subparagraph (D)) of the amount described
            in subparagraph (C).
                ``(B) Second half.--Subject to paragraphs (5) and (7), from
            the amount made available under subparagraph (B) of paragraph
            (28) of subsection (a) for the semi-annual period described in
            such subparagraph, the Secretary shall compute a State
            allotment for each State (including the District of Columbia
            and each commonwealth and territory) for such semi-annual
            period in an amount equal to the amount made available under
            such subparagraph, multiplied by the ratio of--
                    ``(i) the amount of the allotment to such State under
                subparagraph (A); to
                    ``(ii) the total of the amount of all of the allotments
                made available under such subparagraph.
                ``(C) Full year amount based on rebased amount.--The amount
            described in this subparagraph for a State is equal to the
            Federal payments to the State that are attributable to (and
            countable towards) the total amount of allotments available
            under this section to the State in fiscal year 2026 (including
            payments made to the State under subsection (n) for fiscal year
            2026 as well as amounts redistributed to the State in fiscal
            year 2026), multiplied by the allotment increase factor under
            paragraph (6) for fiscal year 2027.
                ``(D) First half ratio.--The first half ratio described in
            this subparagraph is the ratio of--
                    ``(i) the sum of--

                        ``(I) the amount made available under subsection
                    (a)(28)(A); and
                        ``(II) the amount of the appropriation for such
                    period under section 50101(b)(2) of the Advancing
                    Chronic Care, Extenders, and Social Services Act; to

                    ``(ii) the sum of--

                        ``(I) the amount described in clause (i); and
                        ``(II) the amount made available under subsection
                    (a)(28)(B).''.

            (2) One-time appropriation for fiscal year 2027.--There is
        appropriated to the Secretary of Health and Human Services, out of
        any money in the Treasury not otherwise appropriated, such sums as
        are necessary to fund allotments to States under subsections (c)
        and (m) of section 2104 of the Social Security Act (42 U.S.C.
        1397dd) for fiscal year 2027, taking into account the full year
        amounts calculated for States under paragraph (11)(C) of subsection
        (m) of such section (as added by paragraph (1)) and the amounts
        appropriated under subparagraphs (A) and (B) of subsection (a)(28)
        of such section (as added by subsection (a)). Such amount shall
        accompany the allotment made for the period beginning on October 1,
        2026, and ending on March 31, 2027, under paragraph (28)(A) of
        section 2104(a) of such Act (42 U.S.C. 1397dd(a)), to remain
        available until expended. Such amount shall be used to provide
        allotments to States under paragraph (11) of section 2104(m) of
        such Act for the first 6 months of fiscal year 2027 in the same
        manner as allotments are provided under subsection (a)(28)(A) of
        such section 2104 and subject to the same terms and conditions as
        apply to the allotments provided from such subsection (a)(28)(A).
        (c) Extension of the Child Enrollment Contingency Fund.--Section
    2104(n) of the Social Security Act (42 U.S.C. 1397dd(n)), as amended by
    section 3002(c) of the HEALTHY KIDS Act (division C of Public Law 115-
    120), is amended--
            (1) in paragraph (2)--
                (A) in subparagraph (A)(ii)--
                    (i) by striking ``and 2018 through 2022'' and inserting
                ``2018 through 2022, and 2024 through 2026''; and
                    (ii) by striking ``and 2023'' and inserting ``2023, and
                2027''; and
                (B) in subparagraph (B)--
                    (i) by striking ``and 2018 through 2022'' and inserting
                ``2018 through 2022, and 2024 through 2026''; and
                    (ii) by striking ``and 2023'' and inserting ``2023, and
                2027''; and
            (2) in paragraph (3)(A), in the matter preceding clause (i)--
                (A) by striking ``or in any of fiscal years 2018 through
            2022'' and inserting ``fiscal years 2018 through 2022, or
            fiscal years 2024 through 2026''; and
                (B) by striking ``or 2023'' and inserting ``2023, or
            2027''.
        (d) Extension of Qualifying States Option.--Section 2105(g)(4) of
    the Social Security Act (42 U.S.C. 1397ee(g)(4)), as amended by section
    3002(d) of the HEALTHY KIDS Act (division C of Public Law 115-120), is
    amended--
            (1) in the paragraph heading, by striking ``through 2023'' and
        inserting ``through 2027''; and
            (2) in subparagraph (A), by striking ``2023'' and inserting
        ``2027''.
        (e) Extension of Express Lane Eligibility Option.--Section
    1902(e)(13)(I) of the Social Security Act (42 U.S.C. 1396a(e)(13)(I)),
    as amended by section 3002(e) of the HEALTHY KIDS Act (division C of
    Public Law 115-120), is amended by striking ``2023'' and inserting
    ``2027''.
        (f) Assurance of Eligibility Standard for Children and Families.--
            (1) In general.--Section 2105(d)(3) of the Social Security Act
        (42 U.S.C. 1397ee(d)(3)), as amended by section 3002(f)(1) of the
        HEALTHY KIDS Act (division C of Public Law 115-120), is amended--
                (A) in the paragraph heading, by striking ``through
            september 30, 2023'' and inserting ``through september 30,
            2027''; and
                (B) in subparagraph (A), in the matter preceding clause
            (i), by striking ``2023'' each place it appears and inserting
            ``2027''.
            (2) Conforming amendments.--Section 1902(gg)(2) of the Social
        Security Act (42 U.S.C. 1396a(gg)(2)), as amended by section
        3002(f)(2) of the HEALTHY KIDS Act (division C of Public Law 115-
        120), is amended--
                (A) in the paragraph heading, by striking ``through
            september 30, 2023'' and inserting ``through september 30,
            2027''; and
                (B) by striking ``2023,'' each place it appears and
            inserting ``2027''.
    SEC. 50102. EXTENSION OF PEDIATRIC QUALITY MEASURES PROGRAM.
        (a) In General.--Section 1139A(i)(1) of the Social Security Act (42
    U.S.C. 1320b-9a(i)(1)), as amended by section 3003(b) of the HEALTHY
    KIDS Act (division C of Public Law 115-120), is amended--
            (1) in subparagraph (B), by striking ``; and'' and inserting a
        semicolon;
            (2) in subparagraph (C), by striking the period at the end and
        inserting ``; and''; and
            (3) by adding at the end the following new subparagraph:
                ``(D) for the period of fiscal years 2024 through 2027,
            $60,000,000 for the purpose of carrying out this section (other
            than subsections (e), (f), and (g)).''.
        (b) Making Reporting Mandatory.--Section 1139A of the Social
    Security Act (42 U.S.C. 1320b-9a) is amended--
            (1) in subsection (a)--
                (A) in the heading for paragraph (4), by inserting ``and
            mandatory reporting'' after ``reporting'';
                (B) in paragraph (4)--
                    (i) by striking ``Not later than'' and inserting the
                following:
                ``(A) Voluntary reporting.--Not later than''; and
                    (ii) by adding at the end the following:
                ``(B) Mandatory reporting.--Beginning with the annual State
            report on fiscal year 2024 required under subsection (c)(1),
            the Secretary shall require States to use the initial core
            measurement set and any updates or changes to that set to
            report information regarding the quality of pediatric health
            care under titles XIX and XXI using the standardized format for
            reporting information and procedures developed under
            subparagraph (A).''; and
                (C) in paragraph (6)(B), by inserting ``and, beginning with
            the report required on January 1, 2025, and for each annual
            report thereafter, the status of mandatory reporting by States
            under titles XIX and XXI, utilizing the initial core quality
            measurement set and any updates or changes to that set'' before
            the semicolon; and
            (2) in subsection (c)(1)(A), by inserting ``and, beginning with
        the annual report on fiscal year 2024, all of the core measures
        described in subsection (a) and any updates or changes to those
        measures'' before the semicolon.
    SEC. 50103. EXTENSION OF OUTREACH AND ENROLLMENT PROGRAM.
        (a) In General.--Section 2113 of the Social Security Act (42 U.S.C.
    1397mm), as amended by section 3004(a) of the HEALTHY KIDS Act
    (division C of Public Law 115-120), is amended--
            (1) in subsection (a)(1), by striking ``2023'' and inserting
        ``2027''; and
            (2) in subsection (g)--
                (A) by striking ``and $120,000,000'' and inserting ``,
            $120,000,000''; and
                (B) by inserting ``, and $48,000,000 for the period of
            fiscal years 2024 through 2027'' after ``2023''.
        (b) Additional Reserved Funds.--Section 2113(a) of the Social
    Security Act (42 U.S.C. 1397mm(a)) is amended--
            (1) in paragraph (1), by striking ``paragraph (2)'' and
        inserting ``paragraphs (2) and (3)''; and
            (2) by adding at the end the following new paragraph:
            ``(3) Ten percent set aside for evaluating and providing
        technical assistance to grantees.--For the period of fiscal years
        2024 through 2027, an amount equal to 10 percent of such amounts
        shall be used by the Secretary for the purpose of evaluating and
        providing technical assistance to eligible entities awarded grants
        under this section.''.
        (c) Use of Reserved Funds for National Enrollment and Retention
    Strategies.--Section 2113(h) of the Social Security Act (42 U.S.C.
    1397mm(h)) is amended--
            (1) in paragraph (5), by striking ``; and'' and inserting a
        semicolon;
            (2) by redesignating paragraph (6) as paragraph (7); and
            (3) by inserting after paragraph (5) the following new
        paragraph:
            ``(6) the development of materials and toolkits and the
        provision of technical assistance to States regarding enrollment
        and retention strategies for eligible children under this title and
        title XIX; and''.

                          TITLE II--MEDICARE EXTENDERS

    SEC. 50201. EXTENSION OF WORK GPCI FLOOR.
        Section 1848(e)(1)(E) of the Social Security Act (42 U.S.C. 1395w-
    4(e)(1)(E)) is amended by striking ``January 1, 2018'' and inserting
    ``January 1, 2020''.
    SEC. 50202. REPEAL OF MEDICARE PAYMENT CAP FOR THERAPY SERVICES;
    LIMITATION TO ENSURE APPROPRIATE THERAPY.
        Section 1833(g) of the Social Security Act (42 U.S.C. 1395l(g)) is
    amended--
            (1) in paragraph (1)--
                (A) by striking ``Subject to paragraphs (4) and (5)'' and
            inserting ``(A) Subject to paragraphs (4) and (5)'';
                (B) in the subparagraph (A), as inserted and designated by
            subparagraph (A) of this paragraph, by adding at the end the
            following new sentence: ``The preceding sentence shall not
            apply to expenses incurred with respect to services furnished
            after December 31, 2017.''; and
                (C) by adding at the end the following new subparagraph:
        ``(B) With respect to services furnished during 2018 or a
    subsequent year, in the case of physical therapy services of the type
    described in section 1861(p), speech-language pathology services of the
    type described in such section through the application of section
    1861(ll)(2), and physical therapy services and speech-language
    pathology services of such type which are furnished by a physician or
    as incident to physicians' services, with respect to expenses incurred
    in any calendar year, any amount that is more than the amount specified
    in paragraph (2) for the year shall not be considered as incurred
    expenses for purposes of subsections (a) and (b) unless the applicable
    requirements of paragraph (7) are met.'';
            (2) in paragraph (3)--
                (A) by striking ``Subject to paragraphs (4) and (5)'' and
            inserting ``(A) Subject to paragraphs (4) and (5)'';
                (B) in the subparagraph (A), as inserted and designated by
            subparagraph (A) of this paragraph, by adding at the end the
            following new sentence: ``The preceding sentence shall not
            apply to expenses incurred with respect to services furnished
            after December 31, 2017.''; and
                (C) by adding at the end the following new subparagraph:.
        ``(B) With respect to services furnished during 2018 or a
    subsequent year, in the case of occupational therapy services (of the
    type that are described in section 1861(p) through the operation of
    section 1861(g) and of such type which are furnished by a physician or
    as incident to physicians' services), with respect to expenses incurred
    in any calendar year, any amount that is more than the amount specified
    in paragraph (2) for the year shall not be considered as incurred
    expenses for purposes of subsections (a) and (b) unless the applicable
    requirements of paragraph (7) are met.'';
            (3) in paragraph (5)--
                (A) by redesignating subparagraph (D) as paragraph (8) and
            moving such paragraph to immediately follow paragraph (7), as
            added by paragraph (4) of this section; and
                (B) in subparagraph (E)(iv), by inserting ``, except as
            such process is applied under paragraph (7)(B)'' before the
            period at the end; and
            (4) by adding at the end the following new paragraph:
        ``(7) For purposes of paragraphs (1)(B) and (3)(B), with respect to
    services described in such paragraphs, the requirements described in
    this paragraph are as follows:
            ``(A) Inclusion of appropriate modifier.--The claim for such
        services contains an appropriate modifier (such as the KX modifier
        described in paragraph (5)(B)) indicating that such services are
        medically necessary as justified by appropriate documentation in
        the medical record involved.
            ``(B) Targeted medical review for certain services above
        threshold.--
                ``(i) In general.--In the case where expenses that would be
            incurred for such services would exceed the threshold described
            in clause (ii) for the year, such services shall be subject to
            the process for medical review implemented under paragraph
            (5)(E).
                ``(ii) Threshold.--The threshold under this clause for--
                    ``(I) a year before 2028, is $3,000;
                    ``(II) 2028, is the amount specified in subclause (I)
                increased by the percentage increase in the MEI (as defined
                in section 1842(i)(3)) for 2028; and
                    ``(III) a subsequent year, is the amount specified in
                this clause for the preceding year increased by the
                percentage increase in the MEI (as defined in section
                1842(i)(3)) for such subsequent year;
            except that if an increase under subclause (II) or (III) for a
            year is not a multiple of $10, it shall be rounded to the
            nearest multiple of $10.
                ``(iii) Application.--The threshold under clause (ii) shall
            be applied separately--
                    ``(I) for physical therapy services and speech-language
                pathology services; and
                    ``(II) for occupational therapy services.
                ``(iv) Funding.--For purposes of carrying out this
            subparagraph, the Secretary shall provide for the transfer,
            from the Federal Supplementary Medical Insurance Trust Fund
            under section 1841 to the Centers for Medicare & Medicaid
            Services Program Management Account, of $5,000,000 for each
            fiscal year beginning with fiscal year 2018, to remain
            available until expended. Such funds may not be used by a
            contractor under section 1893(h) for medical reviews under this
            subparagraph.''.
    SEC. 50203. MEDICARE AMBULANCE SERVICES.
        (a) Extension of Certain Ground Ambulance Add-on Payments.--
            (1) Ground ambulance.--Section 1834(l)(13)(A) of the Social
        Security Act (42 U.S.C. 1395m(l)(13)(A)) is amended by striking
        ``2018'' and inserting ``2023'' each place it appears.
            (2) Super rural ambulance.--Section 1834(l)(12)(A) of the
        Social Security Act (42 U.S.C. 1395m(l)(12)(A)) is amended, in the
        first sentence, by striking ``2018'' and inserting ``2023''.
        (b) Requiring Ground Ambulance Providers of Services and Suppliers
    to Submit Cost and Other Information.--Section 1834(l) of the Social
    Security Act (42 U.S.C. 1395m(l)) is amended by adding at the end the
    following new paragraph:
            ``(17) Submission of cost and other information.--
                ``(A) Development of data collection system.--The Secretary
            shall develop a data collection system (which may include use
            of a cost survey) to collect cost, revenue, utilization, and
            other information determined appropriate by the Secretary with
            respect to providers of services (in this paragraph referred to
            as `providers') and suppliers of ground ambulance services.
            Such system shall be designed to collect information--
                    ``(i) needed to evaluate the extent to which reported
                costs relate to payment rates under this subsection;
                    ``(ii) on the utilization of capital equipment and
                ambulance capacity, including information consistent with
                the type of information described in section 1121(a); and
                    ``(iii) on different types of ground ambulance services
                furnished in different geographic locations, including
                rural areas and low population density areas described in
                paragraph (12).
                ``(B) Specification of data collection system.--
                    ``(i) In general.--The Secretary shall--

                        ``(I) not later than December 31, 2019, specify the
                    data collection system under subparagraph (A); and
                        ``(II) identify the providers and suppliers of
                    ground ambulance services that would be required to
                    submit information under such data collection system,
                    including the representative sample described in clause
                    (ii).

                    ``(ii) Determination of representative sample.--

                        ``(I) In general.--Not later than December 31,
                    2019, with respect to the data collection for the first
                    year under such system, and for each subsequent year
                    through 2024, the Secretary shall determine a
                    representative sample to submit information under the
                    data collection system.
                        ``(II) Requirements.--The sample under subclause
                    (I) shall be representative of the different types of
                    providers and suppliers of ground ambulance services
                    (such as those providers and suppliers that are part of
                    an emergency service or part of a government
                    organization) and the geographic locations in which
                    ground ambulance services are furnished (such as urban,
                    rural, and low population density areas).
                        ``(III) Limitation.--The Secretary shall not
                    include an individual provider or supplier of ground
                    ambulance services in the sample under subclause (I) in
                    2 consecutive years, to the extent practicable.

                ``(C) Reporting of cost information.--For each year, a
            provider or supplier of ground ambulance services identified by
            the Secretary under subparagraph (B)(i)(II) as being required
            to submit information under the data collection system with
            respect to a period for the year shall submit to the Secretary
            information specified under the system. Such information shall
            be submitted in a form and manner, and at a time, specified by
            the Secretary for purposes of this subparagraph.
                ``(D) Payment reduction for failure to report.--
                    ``(i) In general.--Beginning January 1, 2022, subject
                to clause (ii), a 10 percent reduction to payments under
                this subsection shall be made for the applicable period (as
                defined in clause (ii)) to a provider or supplier of ground
                ambulance services that--

                        ``(I) is required to submit information under the
                    data collection system with respect to a period under
                    subparagraph (C); and
                        ``(II) does not sufficiently submit such
                    information, as determined by the Secretary.

                    ``(ii) Applicable period defined.--For purposes of
                clause (i), the term `applicable period' means, with
                respect to a provider or supplier of ground ambulance
                services, a year specified by the Secretary not more than 2
                years after the end of the period with respect to which the
                Secretary has made a determination under clause (i)(II)
                that the provider or supplier of ground ambulance services
                failed to sufficiently submit information under the data
                collection system.
                    ``(iii) Hardship exemption.--The Secretary may exempt a
                provider or supplier from the payment reduction under
                clause (i) with respect to an applicable period in the
                event of significant hardship, such as a natural disaster,
                bankruptcy, or other similar situation that the Secretary
                determines interfered with the ability of the provider or
                supplier of ground ambulance services to submit such
                information in a timely manner for the specified period.
                    ``(iv) Informal review.--The Secretary shall establish
                a process under which a provider or supplier of ground
                ambulance services may seek an informal review of a
                determination that the provider or supplier is subject to
                the payment reduction under clause (i).
                ``(E) Ongoing data collection.--
                    ``(i) Revision of data collection system.--The
                Secretary may, as the Secretary determines appropriate and,
                if available, taking into consideration the report (or
                reports) under subparagraph (F), revise the data collection
                system under subparagraph (A).
                    ``(ii) Subsequent data collection.--In order to
                continue to evaluate the extent to which reported costs
                relate to payment rates under this subsection and for other
                purposes the Secretary deems appropriate, the Secretary
                shall require providers and suppliers of ground ambulance
                services to submit information for years after 2024 as the
                Secretary determines appropriate, but in no case less often
                than once every 3 years.
                ``(F) Ground ambulance data collection system study.--
                    ``(i) In general.--Not later than March 15, 2023, and
                as determined necessary by the Medicare Payment Advisory
                Commission thereafter, such Commission shall assess, and
                submit to Congress a report on, information submitted by
                providers and suppliers of ground ambulance services
                through the data collection system under subparagraph (A),
                the adequacy of payments for ground ambulance services
                under this subsection, and geographic variations in the
                cost of furnishing such services.
                    ``(ii) Contents.--A report under clause (i) shall
                contain the following:

                        ``(I) An analysis of information submitted through
                    the data collection system.
                        ``(II) An analysis of any burden on providers and
                    suppliers of ground ambulance services associated with
                    the data collection system.
                        ``(III) A recommendation as to whether information
                    should continue to be submitted through such data
                    collection system or if such system should be revised
                    under subparagraph (E)(i).
                        ``(IV) Other information determined appropriate by
                    the Commission.

                ``(G) Public availability.--The Secretary shall post
            information on the results of the data collection under this
            paragraph on the Internet website of the Centers for Medicare &
            Medicaid Services, as determined appropriate by the Secretary.
                ``(H) Implementation.--The Secretary shall implement this
            paragraph through notice and comment rulemaking.
                ``(I) Administration.--Chapter 35 of title 44, United
            States Code, shall not apply to the collection of information
            required under this subsection.
                ``(J) Limitations on review.--There shall be no
            administrative or judicial review under section 1869, section
            1878, or otherwise of the data collection system or
            identification of respondents under this paragraph.
                ``(K) Funding for implementation.--For purposes of carrying
            out subparagraph (A), the Secretary shall provide for the
            transfer, from the Federal Supplementary Medical Insurance
            Trust Fund under section 1841, of $15,000,000 to the Centers
            for Medicare & Medicaid Services Program Management Account for
            fiscal year 2018. Amounts transferred under this subparagraph
            shall remain available until expended.''.
    SEC. 50204. EXTENSION OF INCREASED INPATIENT HOSPITAL PAYMENT
    ADJUSTMENT FOR CERTAIN LOW-VOLUME HOSPITALS.
        (a) In General.--Section 1886(d)(12) of the Social Security Act (42
    U.S.C. 1395ww(d)(12)) is amended--
            (1) in subparagraph (B), in the matter preceding clause (i), by
        striking ``fiscal year 2018'' and inserting ``fiscal year 2023'';
            (2) in subparagraph (C)--
                (A) in clause (i)--
                    (i) by striking ``through 2017'' the first place it
                appears and inserting ``through 2022''; and
                    (ii) by striking `` and has less than 800 discharges''
                and all that follows through the period at the end and
                inserting the following ``and has--

                        ``(I) with respect to each of fiscal years 2005
                    through 2010, less than 800 discharges during the
                    fiscal year;
                        ``(II) with respect to each of fiscal years 2011
                    through 2018, less than 1,600 discharges of individuals
                    entitled to, or enrolled for, benefits under part A
                    during the fiscal year or portion of fiscal year;
                        ``(III) with respect to each of fiscal years 2019
                    through 2022, less than 3,800 discharges during the
                    fiscal year; and
                        ``(IV) with respect to fiscal year 2023 and each
                    subsequent fiscal year, less than 800 discharges during
                    the fiscal year.''; and

                (B) in clause (ii)--
                    (i) by striking ``subparagraph (B)'' and inserting
                ``subparagraphs (B) and (D)''; and
                    (ii) by inserting ``(except as provided in clause
                (i)(II) and subparagraph (D)(i))'' after ``regardless'';
                and
            (3) in subparagraph (D)--
                (A) by striking ``through 2017'' and inserting ``through
            2022'';
                (B) by striking ``hospitals with 200 or fewer'' and
            inserting the following: ``hospitals--
                    ``(i) with respect to each of fiscal years 2011 through
                2018, with 200 or fewer'';
                (C) by striking the period at the end and inserting ``or
            portion of fiscal year; and''; and
                (D) by adding at the end the following new clause:
                    ``(ii) with respect to each of fiscal years 2019
                through 2022, with 500 or fewer discharges in the fiscal
                year to 0 percent for low-volume hospitals with greater
                than 3,800 discharges in the fiscal year.''.
        (b) MedPAC Report on Extension of Increased Inpatient Hospital
    Payment Adjustment for Certain Low-volume Hospitals.--
            (1) In general.--Not later than March 15, 2022, the Medicare
        Payment Advisory Commission shall submit to Congress a report on
        the extension of the increased inpatient hospital payment
        adjustment for certain low-volume hospitals under section
        1886(d)(12) of the Social Security Act (42 U.S.C. 1395ww(d)(12))
        under the provisions of, and amendments made by, this section.
            (2) Contents.--The report under paragraph (1) shall include an
        evaluation of the effects of such extension on the following:
                (A) Beneficiary utilization of inpatient hospital services
            under title XVIII of the Social Security Act (42 U.S.C. 1395 et
            seq.).
                (B) The financial status of hospitals with a low volume of
            Medicare or total inpatient admissions.
                (C) Program spending under such title XVIII.
                (D) Other matters relevant to evaluating the effects of
            such extension.
    SEC. 50205. EXTENSION OF THE MEDICARE-DEPENDENT HOSPITAL (MDH) PROGRAM.
        (a) In General.--Section 1886(d)(5)(G) of the Social Security Act
    (42 U.S.C. 1395ww(d)(5)(G)) is amended--
            (1) in clause (i), by striking ``October 1, 2017'' and
        inserting ``October 1, 2022'';
            (2) in clause (ii)(II), by striking ``October 1, 2017'' and
        inserting ``October 1, 2022''; and
            (3) in clause (iv), by striking subclause (I) and inserting the
        following new subclause:
            ``(I) that is located in--
                ``(aa) a rural area; or
                ``(bb) a State with no rural area (as defined in paragraph
            (2)(D)) and satisfies any of the criteria in subclause (I),
            (II), or (III) of paragraph (8)(E)(ii),''; and
            (4) by inserting after subclause (IV) the following new flush
        sentences:
    ``Subclause (I)(bb) shall apply for purposes of payment under clause
    (ii) only for discharges of a hospital occurring on or after the
    effective date of a determination of medicare-dependent small rural
    hospital status made by the Secretary with respect to the hospital
    after the date of the enactment of this sentence. For purposes of
    applying subclause (II) of paragraph (8)(E)(ii) under subclause
    (I)(bb), such subclause (II) shall be applied by inserting `as of
    January 1, 2018,' after `such State' each place it appears.''.
        (b) Conforming Amendments.--
            (1) Extension of target amount.--Section 1886(b)(3)(D) of the
        Social Security Act (42 U.S.C. 1395ww(b)(3)(D)) is amended--
                (A) in the matter preceding clause (i), by striking
            ``October 1, 2017'' and inserting ``October 1, 2022''; and
                (B) in clause (iv), by striking ``through fiscal year
            2017'' and inserting ``through fiscal year 2022''.
            (2) Permitting hospitals to decline reclassification.--Section
        13501(e)(2) of the Omnibus Budget Reconciliation Act of 1993 (42
        U.S.C. 1395ww note) is amended by striking ``through fiscal year
        2017'' and inserting ``through fiscal year 2022''.
        (c) GAO Study and Report.--
            (1) Study.--The Comptroller General of the United States (in
        this subsection referred to as the ``Comptroller General'') shall
        conduct a study on the medicare-dependent, small rural hospital
        program under section 1886(d) of the Social Security Act (42 U.S.C.
        1395x(d)). Such study shall include an analysis of the following:
                (A) The payor mix of medicare-dependent, small rural
            hospitals (as defined in paragraph (5)(G)(iv) of such section
            1886(d)), how such mix will trend in future years (based on
            current trends and projections), and whether or not the
            requirement under subclause (IV) of such paragraph should be
            revised.
                (B) The characteristics of medicare-dependent, small rural
            hospitals that meet the requirement of such subclause (IV)
            through the application of paragraph (a)(iii)(A) or (a)(iii)(B)
            of section 412.108 of title 42, Code of Federal Regulations,
            including Medicare inpatient and outpatient utilization, payor
            mix, and financial status (including Medicare and total
            margins), and whether or not Medicare payments for such
            hospitals should be revised.
                (C) Such other items related to medicare-dependent, small
            rural hospitals as the Comptroller General determines
            appropriate.
            (2) Report.--Not later than 2 years after the date of the
        enactment of this Act, the Comptroller General shall submit to
        Congress a report containing the results of the study conducted
        under paragraph (1), together with recommendations for such
        legislation and administrative action as the Comptroller General
        determines appropriate.
    SEC. 50206. EXTENSION OF FUNDING FOR QUALITY MEASURE ENDORSEMENT,
    INPUT, AND SELECTION; REPORTING REQUIREMENTS.
        (a) Extension of Funding.--Section 1890(d)(2) of the Social
    Security Act (42 U.S.C. 1395aaa(d)(2)) is amended--
            (1) in the first sentence--
                (A) by striking ``2014 and'' and inserting ``2014,''; and
                (B) by inserting the following before the period: ``, and
            $7,500,000 for each of fiscal years 2018 and 2019''; and
            (2) by adding at the end the following new sentence: ``Amounts
        transferred for each of fiscal years 2018 and 2019 shall be in
        addition to any unobligated funds transferred for a preceding
        fiscal year that are available under the preceding sentence.''
        (b) Annual Report by Secretary to Congress.--Section 1890 of the
    Social Security Act (42 U.S.C. 1395aaa) is amended by adding at the end
    the following new subsection:
        ``(e) Annual Report by Secretary to Congress.--By not later than
    March 1 of each year (beginning with 2019), the Secretary shall submit
    to Congress a report containing the following:
            ``(1) A comprehensive plan that identifies the quality
        measurement needs of programs and initiatives of the Secretary and
        provides a strategy for using the entity with a contract under
        subsection (a) and any other entity the Secretary has contracted
        with or may contract with to perform work associated with section
        1890A to help meet those needs, specifically with respect to the
        programs under this title and title XIX. In years after the first
        plan under this paragraph is submitted, the requirements of this
        paragraph may be met by providing an update to the plan.
            ``(2) The amount of funding provided under subsection (d) for
        purposes of carrying out this section and section 1890A that has
        been obligated by the Secretary, the amount of funding provided
        that has been expended, and the amount of funding provided that
        remains unobligated.
            ``(3) With respect to the activities described under this
        section or section 1890A, a description of how the funds described
        in paragraph (2) have been obligated or expended, including how
        much of that funding has been obligated or expended for work
        performed by the Secretary, the entity with a contract under
        subsection (a), and any other entity the Secretary has contracted
        with to perform work.
            ``(4) A description of the activities for which the funds
        described in paragraph (2) were used, including task orders and
        activities assigned to the entity with a contract under subsection
        (a), activities performed by the Secretary, and task orders and
        activities assigned to any other entity the Secretary has
        contracted with to perform work related to carrying out section
        1890A.
            ``(5) The amount of funding described in paragraph (2) that has
        been obligated or expended for each of the activities described in
        paragraph (4).
            ``(6) Estimates for, and descriptions of, obligations and
        expenditures that the Secretary anticipates will be needed in the
        succeeding two year period to carry out each of the quality
        measurement activities required under this section and section
        1890A, including any obligations that will require funds to be
        expended in a future year.''.
        (c) Revisions to Annual Report From Consensus-based Entity to
    Congress and the Secretary.--
            (1) In general.--Section 1890(b)(5)(A) of the Social Security
        Act (42 U.S.C. 1395aaa(b)(5)(A)) is amended--
                (A) by redesignating clauses (i) through (vi) as subclauses
            (I) through (VI), respectively, and moving the margins
            accordingly;
                (B) in the matter preceding subclause (I), as redesignated
            by subparagraph (A), by striking ``containing a description
            of--'' and inserting ``containing the following:
                    ``(i) A description of--''; and
                (C) by adding at the end the following new clauses:
                    ``(ii) An itemization of financial information for the
                fiscal year ending September 30 of the preceding year,
                including--

                        ``(I) annual revenues of the entity (including any
                    government funding, private sector contributions,
                    grants, membership revenues, and investment revenue);
                        ``(II) annual expenses of the entity (including
                    grants paid, benefits paid, salaries or other
                    compensation, fundraising expenses, and overhead
                    costs); and
                        ``(III) a breakdown of the amount awarded per
                    contracted task order and the specific projects funded
                    in each task order assigned to the entity.

                    ``(iii) Any updates or modifications of internal
                policies and procedures of the entity as they relate to the
                duties of the entity under this section, including--

                        ``(I) specifically identifying any modifications to
                    the disclosure of interests and conflicts of interests
                    for committees, work groups, task forces, and advisory
                    panels of the entity; and
                        ``(II) information on external stakeholder
                    participation in the duties of the entity under this
                    section (including complete rosters for all committees,
                    work groups, task forces, and advisory panels funded
                    through government contracts, descriptions of relevant
                    interests and any conflicts of interest for members of
                    all committees, work groups, task forces, and advisory
                    panels, and the total percentage by health care sector
                    of all convened committees, work groups, task forces,
                    and advisory panels.''.

            (2) Effective date.--The amendments made by this subsection
        shall apply to reports submitted for years beginning with 2019.
        (d) GAO Study and Report.--
            (1) Study.--The Comptroller General of the United States shall
        conduct a study on health care quality measurement efforts funded
        under sections 1890 and 1890A of the Social Security Act (42 U.S.C.
        1395aaa; 1395aaa-1). Such study shall include an examination of the
        following:
                (A) The extent to which the Secretary of Health and Human
            Services (in this subsection referred to as the ``Secretary'')
            has set and prioritized objectives to be achieved for each of
            the quality measurement activities required under such sections
            1890 and 1890A.
                (B) The efforts that the Secretary has undertaken to meet
            quality measurement objectives associated with such sections
            1890 and 1890A, including division of responsibilities for
            those efforts within the Department of Health and Human
            Services and through contracts with a consensus-based entity
            under subsection (a) of such section 1890 (in this subsection
            referred to as the ``consensus-based entity'') and other
            entities, and the extent of any overlap among the work
            performed by the Secretary, the consensus-based entity, the
            Measure Applications Partnership (MAP) convened by such entity
            to provide input to the Secretary on the selection of quality
            and efficiency measures, and any other entities the Secretary
            has contracted with to perform work related to carrying out
            such sections 1890 and 1890A.
                (C) The total amount of funding provided to the Secretary
            for purposes of carrying out such sections 1890 and 1890A, the
            amount of such funding that has been obligated or expended by
            the Secretary, and the amount of such funding that remains
            unobligated.
                (D) How the funds described in subparagraph (C) have been
            allocated, including how much of the funding has been allocated
            for work performed by the Secretary, the consensus-based
            entity, and any other entity the Secretary has contracted with
            to perform work related to carrying out such sections 1890 and
            1890A, respectively, and descriptions of such work.
                (E) The extent to which the Secretary has developed a
            comprehensive and long-term plan to ensure that it can achieve
            quality measurement objectives related to carrying out such
            sections 1890 and 1890A in a timely manner and with efficient
            use of available resources, including the roles of the
            consensus-based entity, the Measure Applications Partnership
            (MAP), and any other entity the Secretary has contracted with
            to perform work related to such sections 1890 and 1890A in
            helping the Secretary achieve those objectives.
            (2) Report.--Not later than 18 months after the date of
        enactment of this Act, the Comptroller General of the United States
        shall submit to Congress a report containing the results of the
        study conducted under paragraph (1), together with recommendations
        for such legislation and administrative action as the Comptroller
        General determines appropriate.
    SEC. 50207. EXTENSION OF FUNDING OUTREACH AND ASSISTANCE FOR LOW-INCOME
    PROGRAMS; STATE HEALTH INSURANCE ASSISTANCE PROGRAM REPORTING
    REQUIREMENTS.
        (a) Funding Extensions.--
            (1) Additional funding for state health insurance programs.--
        Subsection (a)(1)(B) of section 119 of the Medicare Improvements
        for Patients and Providers Act of 2008 (42 U.S.C. 1395b-3 note), as
        amended by section 3306 of the Patient Protection and Affordable
        Care Act (Public Law 111-148), section 610 of the American Taxpayer
        Relief Act of 2012 (Public Law 112-240), section 1110 of the
        Pathway for SGR Reform Act of 2013 (Public Law 113-67), section 110
        of the Protecting Access to Medicare Act of 2014 (Public Law 113-
        93), and section 208 of the Medicare Access and CHIP
        Reauthorization Act of 2015 (Public Law 114-10) is amended--
                (A) in clause (vi), by striking ``and'' at the end;
                (B) in clause (vii), by striking the period at the end and
            inserting ``; and''; and
                (C) by adding at the end the following new clauses:
                    ``(viii) for fiscal year 2018, of $13,000,000; and
                    ``(ix) for fiscal year 2019, of $13,000,000.''.
            (2) Additional funding for area agencies on aging.--Subsection
        (b)(1)(B) of such section 119, as so amended, is amended--
                (A) in clause (vi), by striking ``and'' at the end;
                (B) in clause (vii), by striking the period at the end and
            inserting ``; and''; and
                (C) by inserting after clause (vii) the following new
            clauses:
                    ``(viii) for fiscal year 2018, of $7,500,000; and
                    ``(ix) for fiscal year 2019, of $7,500,000.''.
            (3) Additional funding for aging and disability resource
        centers.--Subsection (c)(1)(B) of such section 119, as so amended,
        is amended--
                (A) in clause (vi), by striking ``and'' at the end;
                (B) in clause (vii), by striking the period at the end and
            inserting ``; and''; and
                (C) by inserting after clause (vii) the following new
            clauses:
                    ``(viii) for fiscal year 2018, of $5,000,000; and
                    ``(ix) for fiscal year 2019, of $5,000,000.''.
            (4) Additional funding for contract with the national center
        for benefits and outreach enrollment.--Subsection (d)(2) of such
        section 119, as so amended, is amended--
                (A) in clause (vi), by striking ``and'' at the end;
                (B) in clause (vii), by striking the period at the end and
            inserting ``; and''; and
                (C) by inserting after clause (vii) the following new
            clauses:
                    ``(viii) for fiscal year 2018, of $12,000,000; and
                    ``(ix) for fiscal year 2019, of $12,000,000.''.
        (b) State Health Insurance Assistance Program Reporting
    Requirements.--Beginning not later than April 1, 2019, and biennially
    thereafter, the Agency for Community Living shall electronically post
    on its website the following information, with respect to grants to
    States for State health insurance assistance programs, (such
    information to be presented by State and by entity receiving funds from
    the State to carry out such a program funded by such grant):
            (1) The amount of Federal funding provided to each such State
        for such program for the period involved and the amount of Federal
        funding provided by each such State for such program to each such
        entity for the period involved.
            (2) Information as the Secretary may specify, with respect to
        such programs carried out through such grants, consistent with the
        terms and conditions for receipt of such grants.
    SEC. 50208. EXTENSION OF HOME HEALTH RURAL ADD-ON.
        (a) Extension.--
            (1) In general.--Section 421 of the Medicare Prescription Drug,
        Improvement, and Modernization Act of 2003 (Public Law 108-173; 117
        Stat. 2283; 42 U.S.C. 1395fff note), as amended by section 5201(b)
        of the Deficit Reduction Act of 2005 (Public Law 109-171; 120 Stat.
        46), section 3131(c) of the Patient Protection and Affordable Care
        Act (Public Law 111-148; 124 Stat. 428), and section 210 of the
        Medicare Access and CHIP Reauthorization Act of 2015 (Public Law
        114-10; 129 Stat. 151) is amended--
                (A) in subsection (a), by striking ``January 1, 2018'' and
            inserting ``January 1, 2019'' each place it appears;
                (B) by redesignating subsections (b) and (c) as subsections
            (c) and (d), respectively;
                (C) in each of subsections (c) and (d), as so redesignated,
            by striking ``subsection (a)'' and inserting ``subsection (a)
            or (b)''; and
                (D) by inserting after subsection (a) the following new
            subsection:
        ``(b) Subsequent Temporary Increase.--
            ``(1) In general.--The Secretary shall increase the payment
        amount otherwise made under such section 1895 for home health
        services furnished in a county (or equivalent area) in a rural area
        (as defined in such section 1886(d)(2)(D)) that, as determined by
        the Secretary--
                ``(A) is in the highest quartile of all counties (or
            equivalent areas) based on the number of Medicare home health
            episodes furnished per 100 individuals who are 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 (but not enrolled in a plan under part C of such
            title)--
                    ``(i) in the case of episodes and visits ending during
                2019, by 1.5 percent; and
                    ``(ii) in the case of episodes and visits ending during
                2020, by 0.5 percent;
                ``(B) has a population density of 6 individuals or fewer
            per square mile of land area and is not described in
            subparagraph (A)--
                    ``(i) in the case of episodes and visits ending during
                2019, by 4 percent;
                    ``(ii) in the case of episodes and visits ending during
                2020, by 3 percent;
                    ``(iii) in the case of episodes and visits ending
                during 2021, by 2 percent; and
                    ``(iv) in the case of episodes and visits ending during
                2022, by 1 percent; and
                ``(C) is not described in either subparagraph (A) or (B)--
                    ``(i) in the case of episodes and visits ending during
                2019, by 3 percent;
                    ``(ii) in the case of episodes and visits ending during
                2020, by 2 percent; and
                    ``(iii) in the case of episodes and visits ending
                during 2021, by 1 percent.
            ``(2) Rules for determinations.--
                ``(A) No switching.--For purposes of this subsection, the
            determination by the Secretary as to which subparagraph of
            paragraph (1) applies to a county (or equivalent area) shall be
            made a single time and shall apply for the duration of the
            period to which this subsection applies.
                ``(B) Utilization.--In determining which counties (or
            equivalent areas) are in the highest quartile under paragraph
            (1)(A), the following rules shall apply:
                    ``(i) The Secretary shall use data from 2015.
                    ``(ii) The Secretary shall exclude data from the
                territories (and the territories shall not be described in
                such paragraph).
                    ``(iii) The Secretary may exclude data from counties
                (or equivalent areas) in rural areas with a low volume of
                home health episodes (and if data is so excluded with
                respect to a county (or equivalent area), such county (or
                equivalent area) shall not be described in such paragraph).
                ``(C) Population density.--In determining population
            density under paragraph (1)(B), the Secretary shall use data
            from the 2010 decennial Census.
            ``(3) Limitations on review.--There shall be no administrative
        or judicial review under section 1869, section 1878, or otherwise
        of determinations under paragraph (1).''.
            (2) Requirement to submit county data on claim form.--Section
        1895(c) of the Social Security Act (42 U.S.C. 1395fff(c)) is
        amended--
                (A) in paragraph (1), by striking ``and'' at the end;
                (B) in paragraph (2), by striking the period at the end and
            inserting ``; and''; and
                (C) by adding at the end the following new paragraph:
            ``(3) in the case of home health services furnished on or after
        January 1, 2019, the claim contains the code for the county (or
        equivalent area) in which the home health service was furnished.''.
        (b) HHS OIG Analysis.--Not later than January 1, 2023, the
    Inspector General of the Department of Health and Human Services shall
    submit to Congress--
            (1) an analysis of the home health claims and utilization of
        home health services by county (or equivalent area) under the
        Medicare program; and
            (2) recommendations the Inspector General determines
        appropriate based on such analysis.

      TITLE III--CREATING HIGH-QUALITY RESULTS AND OUTCOMES NECESSARY TO
                         IMPROVE CHRONIC (CHRONIC) CARE
              Subtitle A--Receiving High Quality Care in the Home

    SEC. 50301. EXTENDING THE INDEPENDENCE AT HOME DEMONSTRATION PROGRAM.
        (a) In General.--Section 1866E of the Social Security Act (42
    U.S.C. 1395cc-5) is amended--
            (1) in subsection (e)--
                (A) in paragraph (1)--
                    (i) by striking ``An agreement'' and inserting
                ``Agreements''; and
                    (ii) by striking ``5-year'' and inserting ``7-year'';
                and
                (B) in paragraph (5)--
                    (i) by striking ``10,000'' and inserting ``15,000'';
                and
                    (ii) by adding at the end the following new sentence:
                ``An applicable beneficiary that participates in the
                demonstration program by reason of the increase from 10,000
                to 15,000 in the preceding sentence pursuant to the
                amendment made by section 50301(a)(1)(B)(i) of the
                Advancing Chronic Care, Extenders, and Social Services Act
                shall be considered in the spending target estimates under
                paragraph (1) of subsection (c) and the incentive payment
                calculations under paragraph (2) of such subsection for the
                sixth and seventh years of such program.'';
            (2) in subsection (g), in the first sentence, by inserting ``,
        including, to the extent practicable, with respect to the use of
        electronic health information systems, as described in subsection
        (b)(1)(A)(vi)'' after ``under the demonstration program''; and
            (3) in subsection (i)(1)(A), by striking ``will not receive an
        incentive payment for the second of 2'' and inserting ``did not
        achieve savings for the third of 3''.
        (b) Effective Date.--The amendment made by subsection (a)(3) shall
    take effect as if included in the enactment of Public Law 111-148.
    SEC. 50302. EXPANDING ACCESS TO HOME DIALYSIS THERAPY.
        (a) In General.--Section 1881(b)(3) of the Social Security Act (42
    U.S.C. 1395rr(b)(3)) is amended--
            (1) by redesignating subparagraphs (A) and (B) as clauses (i)
        and (ii), respectively;
            (2) in clause (ii), as redesignated by paragraph (1), by
        striking ``on a comprehensive'' and insert ``subject to
        subparagraph (B), on a comprehensive'';
            (3) by striking ``With respect to'' and inserting ``(A) With
        respect to''; and
            (4) by adding at the end the following new subparagraph:
        ``(B)(i) For purposes of subparagraph (A)(ii), subject to clause
    (ii), an individual determined to have end stage renal disease
    receiving home dialysis may choose to receive monthly end stage renal
    disease-related clinical assessments furnished on or after January 1,
    2019, via telehealth.
        ``(ii) Clause (i) shall apply to an individual only if the
    individual receives a face-to-face clinical assessment, without the use
    of telehealth--
            ``(I) in the case of the initial 3 months of home dialysis of
        such individual, at least monthly; and
            ``(II) after such initial 3 months, at least once every 3
        consecutive months.''.
        (b) Originating Site Requirements.--
            (1) In general.--Section 1834(m) of the Social Security Act (42
        U.S.C. 1395m(m)) is amended--
                (A) in paragraph (4)(C)(ii), by adding at the end the
            following new subclauses:

                        ``(IX) A renal dialysis facility, but only for
                    purposes of section 1881(b)(3)(B).
                        ``(X) The home of an individual, but only for
                    purposes of section 1881(b)(3)(B).''; and

                (B) by adding at the end the following new paragraph:
            ``(5) Treatment of home dialysis monthly esrd-related visit.--
        The geographic requirements described in paragraph (4)(C)(i) shall
        not apply with respect to telehealth services furnished on or after
        January 1, 2019, for purposes of section 1881(b)(3)(B), at an
        originating site described in subclause (VI), (IX), or (X) of
        paragraph (4)(C)(ii).''.
            (2) No facility fee if originating site for home dialysis
        therapy is the home.--Section 1834(m)(2)(B) of the Social Security
        (42 U.S.C. 1395m(m)(2)(B)) is amended--
                (A) by redesignating clauses (i) and (ii) as subclauses (I)
            and (II), and indenting appropriately;
                (B) in subclause (II), as redesignated by subparagraph (A),
            by striking ``clause (i) or this clause'' and inserting
            ``subclause (I) or this subclause'';
                (C) by striking ``site.--With respect to'' and inserting
            ``site.--
                    ``(i) In general.--Subject to clause (ii), with respect
                to''; and
                (D) by adding at the end the following new clause:
                    ``(ii) No facility fee if originating site for home
                dialysis therapy is the home.--No facility fee shall be
                paid under this subparagraph to an originating site
                described in paragraph (4)(C)(ii)(X).''.
        (c) Clarification Regarding Telehealth Provided to Beneficiaries.--
    Section 1128A(i)(6) of the Social Security Act (42 U.S.C. 1320a-
    7a(i)(6)) is amended--
            (1) in subparagraph (H), by striking ``or'' at the end;
            (2) in subparagraph (I), by striking the period at the end and
        inserting ``; or''; and
            (3) by adding at the end the following new subparagraph:
                ``(J) the provision of telehealth technologies (as defined
            by the Secretary) on or after January 1, 2019, by a provider of
            services or a renal dialysis facility (as such terms are
            defined for purposes of title XVIII) to an individual with end
            stage renal disease who is receiving home dialysis for which
            payment is being made under part B of such title, if--
                    ``(i) the telehealth technologies are not offered as
                part of any advertisement or solicitation;
                    ``(ii) the telehealth technologies are provided for the
                purpose of furnishing telehealth services related to the
                individual's end stage renal disease; and
                    ``(iii) the provision of the telehealth technologies
                meets any other requirements set forth in regulations
                promulgated by the Secretary.''.
        (d) Conforming Amendment.--Section 1881(b)(1) of the Social
    Security Act (42 U.S.C. 1395rr(b)(1)) is amended by striking
    ``paragraph (3)(A)'' and inserting ``paragraph (3)(A)(i)''.

                     Subtitle B--Advancing Team-Based Care

    SEC. 50311. PROVIDING CONTINUED ACCESS TO MEDICARE ADVANTAGE SPECIAL
    NEEDS PLANS FOR VULNERABLE POPULATIONS.
        (a) Extension.--Section 1859(f)(1) of the Social Security Act (42
    U.S.C. 1395w-28(f)(1)) is amended by striking ``and for periods before
    January 1, 2019''.
        (b) Increased Integration of Dual SNPs.--
            (1) In general.--Section 1859(f) of the Social Security Act (42
        U.S.C. 1395w-28(f)) is amended--
                (A) in paragraph (3), by adding at the end the following
            new subparagraph:
                ``(F) The plan meets the requirements applicable under
            paragraph (8).''; and
                (B) by adding at the end the following new paragraph:
            ``(8) Increased integration of dual snps.--
                ``(A) Designated contact.--The Secretary, acting through
            the Federal Coordinated Health Care Office established under
            section 2602 of Public Law 111-148, shall serve as a dedicated
            point of contact for States to address misalignments that arise
            with the integration of specialized MA plans for special needs
            individuals described in subsection (b)(6)(B)(ii) under this
            paragraph and, consistent with such role, shall establish--
                    ``(i) a uniform process for disseminating to State
                Medicaid agencies information under this title impacting
                contracts between such agencies and such plans under this
                subsection; and
                    ``(ii) basic resources for States interested in
                exploring such plans as a platform for integration, such as
                a model contract or other tools to achieve those goals.
                ``(B) Unified grievances and appeals process.--
                    ``(i) In general.--Not later than April 1, 2020, the
                Secretary shall establish procedures, to the extent
                feasible as determined by the Secretary, unifying
                grievances and appeals procedures under sections 1852(f),
                1852(g), 1902(a)(3), 1902(a)(5), and 1932(b)(4) for items
                and services provided by specialized MA plans for special
                needs individuals described in subsection (b)(6)(B)(ii)
                under this title and title XIX. With respect to items and
                services described in the preceding sentence, procedures
                established under this clause shall apply in place of
                otherwise applicable grievances and appeals procedures. The
                Secretary shall solicit comment in developing such
                procedures from States, plans, beneficiaries and their
                representatives, and other relevant stakeholders.
                    ``(ii) Procedures.--The procedures established under
                clause (i) shall be included in the plan contract under
                paragraph (3)(D) and shall--

                        ``(I) adopt the provisions for the enrollee that
                    are most protective for the enrollee and, to the extent
                    feasible as determined by the Secretary, are compatible
                    with unified timeframes and consolidated access to
                    external review under an integrated process;
                        ``(II) take into account differences in State plans
                    under title XIX to the extent necessary;
                        ``(III) be easily navigable by an enrollee; and
                        ``(IV) include the elements described in clause
                    (iii), as applicable.

                    ``(iii) Elements described.--Both unified appeals and
                unified grievance procedures shall include, as applicable,
                the following elements described in this clause:

                        ``(I) Single written notification of all applicable
                    grievances and appeal rights under this title and title
                    XIX. For purposes of this subparagraph, the Secretary
                    may waive the requirements under section 1852(g)(1)(B)
                    when the specialized MA plan covers items or services
                    under this part or under title XIX.
                        ``(II) Single pathways for resolution of any
                    grievance or appeal related to a particular item or
                    service provided by specialized MA plans for special
                    needs individuals described in subsection (b)(6)(B)(ii)
                    under this title and title XIX.
                        ``(III) Notices written in plain language and
                    available in a language and format that is accessible
                    to the enrollee, including in non-English languages
                    that are prevalent in the service area of the
                    specialized MA plan.
                        ``(IV) Unified timeframes for grievances and
                    appeals processes, such as an individual's filing of a
                    grievance or appeal, a plan's acknowledgment and
                    resolution of a grievance or appeal, and notification
                    of decisions with respect to a grievance or appeal.
                        ``(V) Requirements for how the plan must process,
                    track, and resolve grievances and appeals, to ensure
                    beneficiaries are notified on a timely basis of
                    decisions that are made throughout the grievance or
                    appeals process and are able to easily determine the
                    status of a grievance or appeal.

                    ``(iv) Continuation of benefits pending appeal.--The
                unified procedures under clause (i) shall, with respect to
                all benefits under parts A and B and title XIX subject to
                appeal under such procedures, incorporate provisions under
                current law and implementing regulations that provide
                continuation of benefits pending appeal under this title
                and title XIX.
                ``(C) Requirement for unified grievances and appeals.--For
            2021 and subsequent years, the contract of a specialized MA
            plan for special needs individuals described in subsection
            (b)(6)(B)(ii) with a State Medicaid agency under paragraph
            (3)(D) shall require the use of unified grievances and appeals
            procedures as described in subparagraph (B).
                ``(D) Requirements for integration.--
                    ``(i) In general.--For 2021 and subsequent years, a
                specialized MA plan for special needs individuals described
                in subsection (b)(6)(B)(ii) shall meet one or more of the
                following requirements, to the extent permitted under State
                law, for integration of benefits under this title and title
                XIX:

                        ``(I) The specialized MA plan must meet the
                    requirements of contracting with the State Medicaid
                    agency described in paragraph (3)(D) in addition to
                    coordinating long-term services and supports or
                    behavioral health services, or both, by meeting an
                    additional minimum set of requirements determined by
                    the Secretary through the Federal Coordinated Health
                    Care Office established under section 2602 of the
                    Patient Protection and Affordable Care Act based on
                    input from stakeholders, such as notifying the State in
                    a timely manner of hospitalizations, emergency room
                    visits, and hospital or nursing home discharges of
                    enrollees, assigning one primary care provider for each
                    enrollee, or sharing data that would benefit the
                    coordination of items and services under this title and
                    the State plan under title XIX. Such minimum set of
                    requirements must be included in the contract of the
                    specialized MA plan with the State Medicaid agency
                    under such paragraph.
                        ``(II) The specialized MA plan must meet the
                    requirements of a fully integrated plan described in
                    section 1853(a)(1)(B)(iv)(II) (other than the
                    requirement that the plan have similar average levels
                    of frailty, as determined by the Secretary, as the PACE
                    program), or enter into a capitated contract with the
                    State Medicaid agency to provide long-term services and
                    supports or behavioral health services, or both.
                        ``(III) In the case of a specialized MA plan that
                    is offered by a parent organization that is also the
                    parent organization of a Medicaid managed care
                    organization providing long term services and supports
                    or behavioral services under a contract under section
                    1903(m), the parent organization must assume clinical
                    and financial responsibility for benefits provided
                    under this title and title XIX with respect to any
                    individual who is enrolled in both the specialized MA
                    plan and the Medicaid managed care organization.

                    ``(ii) Suspension of enrollment for failure to meet
                requirements during initial period.--During the period of
                plan years 2021 through 2025, if the Secretary determines
                that a specialized MA plan for special needs individuals
                described in subsection (b)(6)(B)(ii) has failed to comply
                with clause (i), the Secretary may provide for the
                application against the Medicare Advantage organization
                offering the plan of the remedy described in section
                1857(g)(2)(B) in the same manner as the Secretary may apply
                such remedy, and in accordance with the same procedures as
                would apply, in the case of an MA organization determined
                by the Secretary to have engaged in conduct described in
                section 1857(g)(1). If the Secretary applies such remedy to
                a Medicare Advantage organization under the preceding
                sentence, the organization shall submit to the Secretary
                (at a time, and in a form and manner, specified by the
                Secretary) information describing how the plan will come
                into compliance with clause (i).
                ``(E) Study and report to congress.--
                    ``(i) In general.--Not later than March 15, 2022, and,
                subject to clause (iii), biennially thereafter through
                2032, the Medicare Payment Advisory Commission established
                under section 1805, in consultation with the Medicaid and
                CHIP Payment and Access Commission established under
                section 1900, shall conduct (and submit to the Secretary
                and the Committees on Ways and Means and Energy and
                Commerce of the House of Representatives and the Committee
                on Finance of the Senate a report on) a study to determine
                how specialized MA plans for special needs individuals
                described in subsection (b)(6)(B)(ii) perform among each
                other based on data from Healthcare Effectiveness Data and
                Information Set (HEDIS) quality measures, reported on the
                plan level, as required under section 1852(e)(3) (or such
                other measures or data sources that are available and
                appropriate, such as encounter data and Consumer Assessment
                of Healthcare Providers and Systems data, as specified by
                such Commissions as enabling an accurate evaluation under
                this subparagraph). Such study shall include, as feasible,
                the following comparison groups of specialized MA plans for
                special needs individuals described in subsection
                (b)(6)(B)(ii):

                        ``(I) A comparison group of such plans that are
                    described in subparagraph (D)(i)(I).
                        ``(II) A comparison group of such plans that are
                    described in subparagraph (D)(i)(II).
                        ``(III) A comparison group of such plans operating
                    within the Financial Alignment Initiative demonstration
                    for the period for which such plan is so operating and
                    the demonstration is in effect, and, in the case that
                    an integration option that is not with respect to
                    specialized MA plans for special needs individuals is
                    established after the conclusion of the demonstration
                    involved.
                        ``(IV) A comparison group of such plans that are
                    described in subparagraph (D)(i)(III).
                        ``(V) A comparison group of MA plans, as feasible,
                    not described in a previous subclause of this clause,
                    with respect to the performance of such plans for
                    enrollees who are special needs individuals described
                    in subsection (b)(6)(B)(ii).

                    ``(ii) Additional reports.--Beginning with 2033 and
                every five years thereafter, the Medicare Payment Advisory
                Commission, in consultation with the Medicaid and CHIP
                Payment and Access Commission, shall conduct a study
                described in clause (i).''.
            (2) Conforming amendment to responsibilities of federal
        coordinated health care office.--Section 2602(d) of Public Law 111-
        148 (42 U.S.C. 1315b(d)) is amended by adding at the end the
        following new paragraphs:
            ``(6) To act as a designated contact for States under
        subsection (f)(8)(A) of section 1859 of the Social Security Act (42
        U.S.C. 1395w-28) with respect to the integration of specialized MA
        plans for special needs individuals described in subsection
        (b)(6)(B)(ii) of such section.
            ``(7) To be responsible, subject to the final approval of the
        Secretary, for developing regulations and guidance related to the
        implementation of a unified grievance and appeals process as
        described in subparagraphs (B) and (C) of section 1859(f)(8) of the
        Social Security Act (42 U.S.C. 1395w-28(f)(8)).
            ``(8) To be responsible, subject to the final approval of the
        Secretary, for developing regulations and guidance related to the
        integration or alignment of policy and oversight under the Medicare
        program under title XVIII of such Act and the Medicaid program
        under title XIX of such Act regarding specialized MA plans for
        special needs individuals described in subsection (b)(6)(B)(ii) of
        such section 1859.''.
        (c) Improvements to Severe or Disabling Chronic Condition SNPs.--
            (1) Care management requirements.--Section 1859(f)(5) of the
        Social Security Act (42 U.S.C. 1395w-28(f)(5)) is amended--
                (A) by striking ``all snps.--The requirements'' and
            inserting ``all snps.--
                ``(A) In general.--Subject to subparagraph (B), the
            requirements'';
                (B) by redesignating subparagraphs (A) and (B) as clauses
            (i) and (ii), respectively, and indenting appropriately; and
                (C) in clause (ii), as redesignated by subparagraph (B), by
            redesignating clauses (i) through (iii) as subclauses (I)
            through (III), respectively, and indenting appropriately; and
                (D) by adding at the end the following new subparagraph:
                ``(B) Improvements to care management requirements for
            severe or disabling chronic condition snps.--For 2020 and
            subsequent years, in the case of a specialized MA plan for
            special needs individuals described in subsection
            (b)(6)(B)(iii), the requirements described in this paragraph
            include the following:
                    ``(i) The interdisciplinary team under subparagraph
                (A)(ii)(III) includes a team of providers with demonstrated
                expertise, including training in an applicable specialty,
                in treating individuals similar to the targeted population
                of the plan.
                    ``(ii) Requirements developed by the Secretary to
                provide face-to-face encounters with individuals enrolled
                in the plan not less frequently than on an annual basis.
                    ``(iii) As part of the model of care under clause (i)
                of subparagraph (A), the results of the initial assessment
                and annual reassessment under clause (ii)(I) of such
                subparagraph of each individual enrolled in the plan are
                addressed in the individual's individualized care plan
                under clause (ii)(II) of such subparagraph.
                    ``(iv) As part of the annual evaluation and approval of
                such model of care, the Secretary shall take into account
                whether the plan fulfilled the previous year's goals (as
                required under the model of care).
                    ``(v) The Secretary shall establish a minimum benchmark
                for each element of the model of care of a plan. The
                Secretary shall only approve a plan's model of care under
                this paragraph if each element of the model of care meets
                the minimum benchmark applicable under the preceding
                sentence.''.
            (2) Revisions to the definition of a severe or disabling
        chronic conditions specialized needs individual.--
                (A) In general.--Section 1859(b)(6)(B)(iii) of the Social
            Security Act (42 U.S.C. 1395w-28(b)(6)(B)(iii)) is amended--
                    (i) by striking ``who have'' and inserting ``who--

                        ``(I) before January 1, 2022, have'';

                    (ii) in subclause (I), as added by clause (i), by
                striking the period at the end and inserting ``; and''; and
                    (iii) by adding at the end the following new subclause:

                        ``(II) on or after January 1, 2022, have one or
                    more comorbid and medically complex chronic conditions
                    that is life threatening or significantly limits
                    overall health or function, have a high risk of
                    hospitalization or other adverse health outcomes, and
                    require intensive care coordination and that is listed
                    under subsection (f)(9)(A).''.

                (B) Panel of clinical advisors.--Section 1859(f) of the
            Social Security Act (42 U.S.C. 1395w-28(f)), as amended by
            subsection (b), is amended by adding at the end the following
            new paragraph:
            ``(9) List of conditions for clarification of the definition of
        a severe or disabling chronic conditions specialized needs
        individual.--
                ``(A) In general.--Not later than December 31, 2020, and
            every 5 years thereafter, subject to subparagraphs (B) and (C),
            the Secretary shall convene a panel of clinical advisors to
            establish and update a list of conditions that meet each of the
            following criteria:
                    ``(i) Conditions that meet the definition of a severe
                or disabling chronic condition under subsection
                (b)(6)(B)(iii) on or after January 1, 2022.
                    ``(ii) Conditions that require prescription drugs,
                providers, and models of care that are unique to the
                specific population of enrollees in a specialized MA plan
                for special needs individuals described in such subsection
                on or after such date and--

                        ``(I) as a result of access to, and enrollment in,
                    such a specialized MA plan for special needs
                    individuals, individuals with such condition would have
                    a reasonable expectation of slowing or halting the
                    progression of the disease, improving health outcomes
                    and decreasing overall costs for individuals diagnosed
                    with such condition compared to available options of
                    care other than through such a specialized MA plan for
                    special needs individuals; or
                        ``(II) have a low prevalence in the general
                    population of beneficiaries under this title or a
                    disproportionally high per-beneficiary cost under this
                    title.

                ``(B) Inclusion of certain conditions.--The conditions
            listed under subparagraph (A) shall include HIV/AIDS, end stage
            renal disease, and chronic and disabling mental illness.
                ``(C) Requirement.--In establishing and updating the list
            under subparagraph (A), the panel shall take into account the
            availability of varied benefits, cost-sharing, and supplemental
            benefits under the model described in paragraph (2) of section
            1859(h), including the expansion under paragraph (1) of such
            section.''.
        (d) Quality Measurement at the Plan Level for SNPs and
    Determination of Feasability of Quality Measurement at the Plan Level
    for All MA Plans.--Section 1853(o) of the Social Security Act (42
    U.S.C. 1395w-23(o)) is amended by adding at the end the following new
    paragraphs:
            ``(6) Quality measurement at the plan level for snps.--
                ``(A) In general.--Subject to subparagraph (B), the
            Secretary may require reporting of data under section 1852(e)
            for, and apply under this subsection, quality measures at the
            plan level for specialized MA plans for special needs
            individuals instead of at the contract level.
                ``(B) Considerations.--Prior to applying quality
            measurement at the plan level under this paragraph, the
            Secretary shall--
                    ``(i) take into consideration the minimum number of
                enrollees in a specialized MA plan for special needs
                individuals in order to determine if a statistically
                significant or valid measurement of quality at the plan
                level is possible under this paragraph;
                    ``(ii) take into consideration the impact of such
                application on plans that serve a disproportionate number
                of individuals dually eligible for benefits under this
                title and under title XIX;
                    ``(iii) if quality measures are reported at the plan
                level, ensure that MA plans are not required to provide
                duplicative information; and
                    ``(iv) ensure that such reporting does not interfere
                with the collection of encounter data submitted by MA
                organizations or the administration of any changes to the
                program under this part as a result of the collection of
                such data.
                ``(C) Application.--If the Secretary applies quality
            measurement at the plan level under this paragraph--
                    ``(i) such quality measurement may include Medicare
                Health Outcomes Survey (HOS), Healthcare Effectiveness Data
                and Information Set (HEDIS), Consumer Assessment of
                Healthcare Providers and Systems (CAHPS) measures and
                quality measures under part D; and
                    ``(ii) the Secretary shall consider applying
                administrative actions, such as remedies described in
                section 1857(g)(2), at the plan level.
            ``(7) Determination of feasibility of quality measurement at
        the plan level for all ma plans.--
                ``(A) Determination of feasibility.--The Secretary shall
            determine the feasibility of requiring reporting of data under
            section 1852(e) for, and applying under this subsection,
            quality measures at the plan level for all MA plans under this
            part.
                ``(B) Consideration of change.--After making a
            determination under subparagraph (A), the Secretary shall
            consider requiring such reporting and applying such quality
            measures at the plan level as described in such subparagraph''.
        (e) GAO Study and Report on State-Level Integration Between Dual
    SNPs and Medicaid.--
            (1) Study.--The Comptroller General of the United States (in
        this subsection referred to as the ``Comptroller General'') shall
        conduct a study on State-level integration between specialized MA
        plans for special needs individuals described in subsection (b)(6)
        (B)(ii) of section 1859 of the Social Security Act (42 U.S.C.
        1395w-28) and the Medicaid program under title XIX of such Act (42
        U.S.C. 1396 et seq.). Such study shall include an analysis of the
        following:
                (A) The characteristics of States in which the State agency
            responsible for administering the State plan under such title
            XIX has a contract with such a specialized MA plan and that
            delivers long-term services and supports under the State plan
            under such title XIX through a managed care program, including
            the requirements under such State plan with respect to long-
            term services and supports.
                (B) The types of such specialized MA plans, which may
            include the following:
                    (i) A plan described in section 1853(a)(1)(B)(iv)(II)
                of such Act (42 U.S.C. 1395w-23(a)(1)(B)(iv)(II)).
                    (ii) A plan that meets the requirements described in
                subsection (f)(3)(D) of such section 1859.
                    (iii) A plan described in clause (ii) that also meets
                additional requirements established by the State.
                (C) The characteristics of individuals enrolled in such
            specialized MA plans.
                (D) As practicable, the following with respect to State
            programs for the delivery of long-term services and supports
            under such title XIX through a managed care program:
                    (i) Which populations of individuals are eligible to
                receive such services and supports.
                    (ii) Whether all such services and supports are
                provided on a capitated basis or if any of such services
                and supports are carved out and provided through fee-for
                service.
                (E) As practicable, how the availability and variation of
            integration arrangements of such specialized MA plans offered
            in States affects spending, service delivery options, access to
            community-based care, and utilization of care.
                (F) The efforts of State Medicaid programs to transition
            dually-eligible beneficiaries receiving long-term services and
            supports (LTSS) from institutional settings to home and
            community-based settings and related financial impacts of such
            transitions.
                (G) Barriers and opportunities for making further progress
            on dual integration, as well as recommendations for legislation
            or administrative action to expedite or refine pathways toward
            fully integrated care.
            (2) Report.--Not later than 2 years after the date of the
        enactment of this Act, the Comptroller General shall submit to
        Congress a report containing the results of the study conducted
        under paragraph (1), together with recommendations for such
        legislation and administrative action as the Comptroller General
        determines appropriate.

                Subtitle C--Expanding Innovation and Technology

    SEC. 50321. ADAPTING BENEFITS TO MEET THE NEEDS OF CHRONICALLY ILL
    MEDICARE ADVANTAGE ENROLLEES.
        Section 1859 of the Social Security Act (42 U.S.C. 1395w-28) is
    amended by adding at the end the following new subsection:
        ``(h) National Testing of Medicare Advantage Value-Based Insurance
    Design Model.--
            ``(1) In general.--In implementing the Medicare Advantage
        Value-Based Insurance Design model that is being tested under
        section 1115A(b), the Secretary shall revise the testing of the
        model under such section to cover, effective not later than January
        1, 2020, all States.
            ``(2) Termination and modification provision not applicable
        until january 1, 2022.--The provisions of section 1115A(b)(3)(B)
        shall apply to the Medicare Advantage Value-Based Insurance Design
        model, including such model as revised under paragraph (1),
        beginning January 1, 2022, but shall not apply to such model, as so
        revised, prior to such date.
            ``(3) Funding.--The Secretary shall allocate funds made
        available under section 1115A(f)(1) to design, implement, and
        evaluate the Medicare Advantage Value-Based Insurance Design model,
        as revised under paragraph (1).''.
    SEC. 50322. EXPANDING SUPPLEMENTAL BENEFITS TO MEET THE NEEDS OF
    CHRONICALLY ILL MEDICARE ADVANTAGE ENROLLEES.
        (a) In General.--Section 1852(a)(3) of the Social Security Act (42
    U.S.C. 1395w-22(a)(3)) is amended--
            (1) in subparagraph (A), by striking ``Each'' and inserting
        ``Subject to subparagraph (D), each''; and
            (2) by adding at the end the following new subparagraph:
                ``(D) Expanding supplemental benefits to meet the needs of
            chronically ill enrollees.--
                    ``(i) In general.--For plan year 2020 and subsequent
                plan years, in addition to any supplemental health care
                benefits otherwise provided under this paragraph, an MA
                plan, including a specialized MA plan for special needs
                individuals (as defined in section 1859(b)(6)), may provide
                supplemental benefits described in clause (ii) to a
                chronically ill enrollee (as defined in clause (iii)).
                    ``(ii) Supplemental benefits described.--

                        ``(I) In general.--Supplemental benefits described
                    in this clause are supplemental benefits that, with
                    respect to a chronically ill enrollee, have a
                    reasonable expectation of improving or maintaining the
                    health or overall function of the chronically ill
                    enrollee and may not be limited to being primarily
                    health related benefits.
                        ``(II) Authority to waive uniformity
                    requirements.--The Secretary may, only with respect to
                    supplemental benefits provided to a chronically ill
                    enrollee under this subparagraph, waive the uniformity
                    requirements under this part, as determined appropriate
                    by the Secretary.

                    ``(iii) Chronically ill enrollee defined.--In this
                subparagraph, the term `chronically ill enrollee' means an
                enrollee in an MA plan that the Secretary determines--

                        ``(I) has one or more comorbid and medically
                    complex chronic conditions that is life threatening or
                    significantly limits the overall health or function of
                    the enrollee;
                        ``(II) has a high risk of hospitalization or other
                    adverse health outcomes; and
                        ``(III) requires intensive care coordination.''.

        (b) GAO Study and Report.--
            (1) Study.--The Comptroller General of the United States (in
        this subsection referred to as the ``Comptroller General'') shall
        conduct a study on supplemental benefits provided to enrollees in
        Medicare Advantage plans under part C of title XVIII of the Social
        Security Act, including specialized MA plans for special needs
        individuals (as defined in section 1859(b)(6) of such Act (42
        U.S.C. 1395w-28(b)(6))). To the extend data are available, such
        study shall include an analysis of the following:
                (A) The type of supplemental benefits provided to such
            enrollees, the total number of enrollees receiving each
            supplemental benefit, and whether the supplemental benefit is
            covered by the standard benchmark cost of the benefit or with
            an additional premium.
                (B) The frequency in which supplemental benefits are
            utilized by such enrollees.
                (C) The impact supplemental benefits have on--
                    (i) indicators of the quality of care received by such
                enrollees, including overall health and function of the
                enrollees;
                    (ii) the utilization of items and services for which
                benefits are available under the original Medicare fee-for-
                service program option under parts A and B of such title
                XVIII by such enrollees; and
                    (iii) the amount of the bids submitted by Medicare
                Advantage Organizations for Medicare Advantage plans under
                such part C.
            (2) Consultation.--In conducting the study under paragraph (1),
        the Comptroller General shall, as necessary, consult with the
        Centers for Medicare & Medicaid Services and Medicare Advantage
        organizations offering Medicare Advantage plans.
            (3) Report.--Not later than 5 years after the date of the
        enactment of this Act, the Comptroller General shall submit to
        Congress a report containing the results of the study conducted
        under paragraph (1), together with recommendations for such
        legislation and administrative action as the Comptroller General
        determines appropriate.
    SEC. 50323. INCREASING CONVENIENCE FOR MEDICARE ADVANTAGE ENROLLEES
    THROUGH TELEHEALTH.
        (a) In General.--Section 1852 of the Social Security Act (42 U.S.C.
    1395w-22) is amended--
            (1) in subsection (a)(1)(B)(i), by inserting ``, subject to
        subsection (m),'' after ``means''; and
            (2) by adding at the end the following new subsection:
        ``(m) Provision of Additional Telehealth Benefits.--
            ``(1) MA plan option.--For plan year 2020 and subsequent plan
        years, subject to the requirements of paragraph (3), an MA plan may
        provide additional telehealth benefits (as defined in paragraph
        (2)) to individuals enrolled under this part.
            ``(2) Additional telehealth benefits defined.--
                ``(A) In general.--For purposes of this subsection and
            section 1854:
                    ``(i) Definition.--The term `additional telehealth
                benefits' means services--

                        ``(I) for which benefits are available under part
                    B, including services for which payment is not made
                    under section 1834(m) due to the conditions for payment
                    under such section; and
                        ``(II) that are identified for such year as
                    clinically appropriate to furnish using electronic
                    information and telecommunications technology when a
                    physician (as defined in section 1861(r)) or
                    practitioner (described in section 1842(b)(18)(C))
                    providing the service is not at the same location as
                    the plan enrollee.

                    ``(ii) Exclusion of capital and infrastructure costs
                and investments.--The term `additional telehealth benefits'
                does not include capital and infrastructure costs and
                investments relating to such benefits.
                ``(B) Public comment.--Not later than November 30, 2018,
            the Secretary shall solicit comments on--
                    ``(i) what types of items and services (including those
                provided through supplemental health care benefits, such as
                remote patient monitoring, secure messaging, store and
                forward technologies, and other non-face-to-face
                communication) should be considered to be additional
                telehealth benefits; and
                    ``(ii) the requirements for the provision or furnishing
                of such benefits (such as training and coordination
                requirements).
            ``(3) Requirements for additional telehealth benefits.--The
        Secretary shall specify requirements for the provision or
        furnishing of additional telehealth benefits, including with
        respect to the following:
                ``(A) Physician or practitioner qualifications (other than
            licensure) and other requirements such as specific training.
                ``(B) Factors necessary for the coordination of such
            benefits with other items and services including those
            furnished in-person.
                ``(C) Such other areas as determined by the Secretary.
            ``(4) Enrollee choice.--If an MA plan provides a service as an
        additional telehealth benefit (as defined in paragraph (2))--
                ``(A) the MA plan shall also provide access to such benefit
            through an in-person visit (and not only as an additional
            telehealth benefit); and
                ``(B) an individual enrollee shall have discretion as to
            whether to receive such service through the in-person visit or
            as an additional telehealth benefit.
            ``(5) Treatment under ma.--For purposes of this subsection and
        section 1854, if a plan provides additional telehealth benefits,
        such additional telehealth benefits shall be treated as if they
        were benefits under the original Medicare fee-for-service program
        option.
            ``(6) Construction.--Nothing in this subsection shall be
        construed as affecting the requirement under subsection (a)(1) that
        MA plans provide enrollees with items and services (other than
        hospice care) for which benefits are available under parts A and B,
        including benefits available under section 1834(m).''.
        (b) Clarification Regarding Inclusion in Bid Amount.--Section
    1854(a)(6)(A)(ii)(I) of the Social Security Act (42 U.S.C. 1395w-
    24(a)(6)(A)(ii)(I)) is amended by inserting ``, including, for plan
    year 2020 and subsequent plan years, the provision of additional
    telehealth benefits as described in section 1852(m)'' before the
    semicolon at the end.
    SEC. 50324. PROVIDING ACCOUNTABLE CARE ORGANIZATIONS THE ABILITY TO
    EXPAND THE USE OF TELEHEALTH.
        (a) In General.--Section 1899 of the Social Security Act (42 U.S.C.
    1395jjj) is amended by adding at the end the following new subsection:
        ``(l) Providing ACOs the Ability To Expand the Use of Telehealth
    Services.--
            ``(1) In general.--In the case of telehealth services for which
        payment would otherwise be made under this title furnished on or
        after January 1, 2020, for purposes of this subsection only, the
        following shall apply with respect to such services furnished by a
        physician or practitioner participating in an applicable ACO (as
        defined in paragraph (2)) to a Medicare fee-for-service beneficiary
        assigned to the applicable ACO:
                ``(A) Inclusion of home as originating site.--Subject to
            paragraph (3), the home of a beneficiary shall be treated as an
            originating site described in section 1834(m)(4)(C)(ii).
                ``(B) No application of geographic limitation.--The
            geographic limitation under section 1834(m)(4)(C)(i) shall not
            apply with respect to an originating site described in section
            1834(m)(4)(C)(ii) (including the home of a beneficiary under
            subparagraph (A)), subject to State licensing requirements.
            ``(2) Definitions.--In this subsection:
                ``(A) Applicable aco.--The term `applicable ACO' means an
            ACO participating in a model tested or expanded under section
            1115A or under this section--
                    ``(i) that operates under a two-sided model--

                        ``(I) described in section 425.600(a) of title 42,
                    Code of Federal Regulations; or
                        ``(II) tested or expanded under section 1115A; and

                    ``(ii) for which Medicare fee-for-service beneficiaries
                are assigned to the ACO using a prospective assignment
                method, as determined appropriate by the Secretary.
                ``(B) Home.--The term `home' means, with respect to a
            Medicare fee-for-service beneficiary, the place of residence
            used as the home of the beneficiary.
            ``(3) Telehealth services received in the home.--In the case of
        telehealth services described in paragraph (1) where the home of a
        Medicare fee-for-service beneficiary is the originating site, the
        following shall apply:
                ``(A) No facility fee.--There shall be no facility fee paid
            to the originating site under section 1834(m)(2)(B).
                ``(B) Exclusion of certain services.--No payment may be
            made for such services that are inappropriate to furnish in the
            home setting such as services that are typically furnished in
            inpatient settings such as a hospital.''.
        (b) Study and Report.--
            (1) Study.--
                (A) In general.--The Secretary of Health and Human Services
            (in this subsection referred to as the ``Secretary'') shall
            conduct a study on the implementation of section 1899(l) of the
            Social Security Act, as added by subsection (a). Such study
            shall include an analysis of the utilization of, and
            expenditures for, telehealth services under such section.
                (B) Collection of data.--The Secretary may collect such
            data as the Secretary determines necessary to carry out the
            study under this paragraph.
            (2) Report.--Not later than January 1, 2026, the Secretary
        shall submit to Congress a report containing the results of the
        study conducted under paragraph (1), together with recommendations
        for such legislation and administrative action as the Secretary
        determines appropriate.
    SEC. 50325. EXPANDING THE USE OF TELEHEALTH FOR INDIVIDUALS WITH
    STROKE.
        Section 1834(m) of the Social Security Act (42 U.S.C. 1395m(m)), as
    amended by section 50302(b)(1), is amended--
            (1) in paragraph (4)(C)(i), in the matter preceding subclause
        (I), by striking ``The term'' and inserting ``Except as provided in
        paragraph (6), the term''; and
            (2) by adding at the end the following new paragraph:
            ``(6) Treatment of stroke telehealth services.--
                ``(A) Non-application of originating site requirements.--
            The requirements described in paragraph (4)(C) shall not apply
            with respect to telehealth services furnished on or after
            January 1, 2019, for purposes of diagnosis, evaluation, or
            treatment of symptoms of an acute stroke, as determined by the
            Secretary.
                ``(B) Inclusion of certain sites.--With respect to
            telehealth services described in subparagraph (A), the term
            `originating site' shall include any hospital (as defined in
            section 1861(e)) or critical access hospital (as defined in
            section 1861(mm)(1)), any mobile stroke unit (as defined by the
            Secretary), or any other site determined appropriate by the
            Secretary, at which the eligible telehealth individual is
            located at the time the service is furnished via a
            telecommunications system.
                ``(C) No originating site facility fee for new sites.--No
            facility fee shall be paid under paragraph (2)(B) to an
            originating site with respect to a telehealth service described
            in subparagraph (A) if the originating site does not otherwise
            meet the requirements for an originating site under paragraph
            (4)(C).''.

             Subtitle D--Identifying the Chronically Ill Population

    SEC. 50331. PROVIDING FLEXIBILITY FOR BENEFICIARIES TO BE PART OF AN
    ACCOUNTABLE CARE ORGANIZATION.
        Section 1899(c) of the Social Security Act (42 U.S.C. 1395jjj(c))
    is amended--
            (1) by redesignating paragraphs (1) and (2) as subparagraphs
        (A) and (B), respectively, and indenting appropriately;
            (2) by striking ``ACOs.--The Secretary'' and inserting
        ``ACOs.--
            ``(1) In general.--Subject to paragraph (2), the Secretary'';
        and
            (3) by adding at the end the following new paragraph:
            ``(2) Providing flexibility.--
                ``(A) Choice of prospective assignment.--For each agreement
            period (effective for agreements entered into or renewed on or
            after January 1, 2020), in the case where an ACO established
            under the program is in a Track that provides for the
            retrospective assignment of Medicare fee-for-service
            beneficiaries to the ACO, the Secretary shall permit the ACO to
            choose to have Medicare fee-for-service beneficiaries assigned
            prospectively, rather than retrospectively, to the ACO for an
            agreement period.
                ``(B) Assignment based on voluntary identification by
            medicare fee-for-service beneficiaries.--
                    ``(i) In general.--For performance year 2018 and each
                subsequent performance year, if a system is available for
                electronic designation, the Secretary shall permit a
                Medicare fee-for-service beneficiary to voluntarily
                identify an ACO professional as the primary care provider
                of the beneficiary for purposes of assigning such
                beneficiary to an ACO, as determined by the Secretary.
                    ``(ii) Notification process.--The Secretary shall
                establish a process under which a Medicare fee-for-service
                beneficiary is--

                        ``(I) notified of their ability to make an
                    identification described in clause (i); and
                        ``(II) informed of the process by which they may
                    make and change such identification.

                    ``(iii) Superseding claims-based assignment.--A
                voluntary identification by a Medicare fee-for-service
                beneficiary under this subparagraph shall supersede any
                claims-based assignment otherwise determined by the
                Secretary.''.

       Subtitle E--Empowering Individuals and Caregivers in Care Delivery

    SEC. 50341. ELIMINATING BARRIERS TO CARE COORDINATION UNDER ACCOUNTABLE
    CARE ORGANIZATIONS.
        (a) In General.--Section 1899 of the Social Security Act (42 U.S.C.
    1395jjj), as amended by section 50324(a), is amended--
            (1) in subsection (b)(2), by adding at the end the following
        new subparagraph:
                ``(I) An ACO that seeks to operate an ACO Beneficiary
            Incentive Program pursuant to subsection (m) shall apply to the
            Secretary at such time, in such manner, and with such
            information as the Secretary may require.'';
            (2) by adding at the end the following new subsection:
        ``(m) Authority To Provide Incentive Payments to Beneficiaries With
    Respect to Qualifying Primary Care Services.--
            ``(1) Program.--
                ``(A) In general.--In order to encourage Medicare fee-for-
            service beneficiaries to obtain medically necessary primary
            care services, an ACO participating under this section under a
            payment model described in clause (i) or (ii) of paragraph
            (2)(B) may apply to establish an ACO Beneficiary Incentive
            Program to provide incentive payments to such beneficiaries who
            are furnished qualifying services in accordance with this
            subsection. The Secretary shall permit such an ACO to establish
            such a program at the Secretary's discretion and subject to
            such requirements, including program integrity requirements, as
            the Secretary determines necessary.
                ``(B) Implementation.--The Secretary shall implement this
            subsection on a date determined appropriate by the Secretary.
            Such date shall be no earlier than January 1, 2019, and no
            later than January 1, 2020.
            ``(2) Conduct of program.--
                ``(A) Duration.--Subject to subparagraph (H), an ACO
            Beneficiary Incentive Program established under this subsection
            shall be conducted for such period (of not less than 1 year) as
            the Secretary may approve.
                ``(B) Scope.--An ACO Beneficiary Incentive Program
            established under this subsection shall provide incentive
            payments to all of the following Medicare fee-for-service
            beneficiaries who are furnished qualifying services by the ACO:
                    ``(i) With respect to the Track 2 and Track 3 payment
                models described in section 425.600(a) of title 42, Code of
                Federal Regulations (or in any successor regulation),
                Medicare fee-for-service beneficiaries who are
                preliminarily prospectively or prospectively assigned (or
                otherwise assigned, as determined by the Secretary) to the
                ACO.
                    ``(ii) With respect to any future payment models
                involving two-sided risk, Medicare fee-for-service
                beneficiaries who are assigned to the ACO, as determined by
                the Secretary.
                ``(C) Qualifying service.--For purposes of this subsection,
            a qualifying service is a primary care service, as defined in
            section 425.20 of title 42, Code of Federal Regulations (or in
            any successor regulation), with respect to which coinsurance
            applies under part B, furnished through an ACO by--
                    ``(i) an ACO professional described in subsection
                (h)(1)(A) who has a primary care specialty designation
                included in the definition of primary care physician under
                section 425.20 of title 42, Code of Federal Regulations (or
                any successor regulation);
                    ``(ii) an ACO professional described in subsection
                (h)(1)(B); or
                    ``(iii) a Federally qualified health center or rural
                health clinic (as such terms are defined in section
                1861(aa)).
                ``(D) Incentive payments.--An incentive payment made by an
            ACO pursuant to an ACO Beneficiary Incentive Program
            established under this subsection shall be--
                    ``(i) in an amount up to $20, with such maximum amount
                updated annually by the percentage increase in the consumer
                price index for all urban consumers (United States city
                average) for the 12-month period ending with June of the
                previous year;
                    ``(ii) in the same amount for each Medicare fee-for-
                service beneficiary described in clause (i) or (ii) of
                subparagraph (B) without regard to enrollment of such a
                beneficiary in a medicare supplemental policy (described in
                section 1882(g)(1)), in a State Medicaid plan under title
                XIX or a waiver of such a plan, or in any other health
                insurance policy or health benefit plan;
                    ``(iii) made for each qualifying service furnished to
                such a beneficiary described in clause (i) or (ii) of
                subparagraph (B) during a period specified by the
                Secretary; and
                    ``(iv) made no later than 30 days after a qualifying
                service is furnished to such a beneficiary described in
                clause (i) or (ii) of subparagraph (B).
                ``(E) No separate payments from the secretary.--The
            Secretary shall not make any separate payment to an ACO for the
            costs, including incentive payments, of carrying out an ACO
            Beneficiary Incentive Program established under this
            subsection. Nothing in this subparagraph shall be construed as
            prohibiting an ACO from using shared savings received under
            this section to carry out an ACO Beneficiary Incentive Program.
                ``(F) No application to shared savings calculation.--
            Incentive payments made by an ACO under this subsection shall
            be disregarded for purposes of calculating benchmarks,
            estimated average per capita Medicare expenditures, and shared
            savings under this section.
                ``(G) Reporting requirements.--An ACO conducting an ACO
            Beneficiary Incentive Program under this subsection shall, at
            such times and in such format as the Secretary may require,
            report to the Secretary such information and retain such
            documentation as the Secretary may require, including the
            amount and frequency of incentive payments made and the number
            of Medicare fee-for-service beneficiaries receiving such
            payments.
                ``(H) Termination.--The Secretary may terminate an ACO
            Beneficiary Incentive Program established under this subsection
            at any time for reasons determined appropriate by the
            Secretary.
            ``(3) Exclusion of incentive payments.--Any payment made under
        an ACO Beneficiary Incentive Program established under this
        subsection shall not be considered income or resources or otherwise
        taken into account for purposes of--
                ``(A) determining eligibility for benefits or assistance
            (or the amount or extent of benefits or assistance) under any
            Federal program or under any State or local program financed in
            whole or in part with Federal funds; or
                ``(B) any Federal or State laws relating to taxation.'';
            (3) in subsection (e), by inserting ``, including an ACO
        Beneficiary Incentive Program under subsections (b)(2)(I) and (m)''
        after ``the program''; and
            (4) in subsection (g)(6), by inserting ``or of an ACO
        Beneficiary Incentive Program under subsections (b)(2)(I) and (m)''
        after ``under subsection (d)(4)''.
        (b) Amendment to Section 1128B.--Section 1128B(b)(3) of the Social
    Security Act (42 U.S.C. 1320a-7b(b)(3)) is amended--
            (1) by striking ``and'' at the end of subparagraph (I);
            (2) by striking the period at the end of subparagraph (J) and
        inserting ``; and''; and
            (3) by adding at the end the following new subparagraph:
                ``(K) an incentive payment made to a Medicare fee-for-
            service beneficiary by an ACO under an ACO Beneficiary
            Incentive Program established under subsection (m) of section
            1899, if the payment is made in accordance with the
            requirements of such subsection and meets such other conditions
            as the Secretary may establish.''.
        (c) Evaluation and Report.--
            (1) Evaluation.--The Secretary of Health and Human Services (in
        this subsection referred to as the ``Secretary'') shall conduct an
        evaluation of the ACO Beneficiary Incentive Program established
        under subsections (b)(2)(I) and (m) of section 1899 of the Social
        Security Act (42 U.S.C. 1395jjj), as added by subsection (a). The
        evaluation shall include an analysis of the impact of the
        implementation of the Program on expenditures and beneficiary
        health outcomes under title XVIII of the Social Security Act (42
        U.S.C. 1395 et seq.).
            (2) Report.--Not later than October 1, 2023, the Secretary
        shall submit to Congress a report containing the results of the
        evaluation under paragraph (1), together with recommendations for
        such legislation and administrative action as the Secretary
        determines appropriate.
    SEC. 50342. GAO STUDY AND REPORT ON LONGITUDINAL COMPREHENSIVE CARE
    PLANNING SERVICES UNDER MEDICARE PART B.
        (a) Study.--The Comptroller General shall conduct a study on the
    establishment under part B of the Medicare program under title XVIII of
    the Social Security Act of a payment code for a visit for longitudinal
    comprehensive care planning services. Such study shall include an
    analysis of the following to the extent such information is available:
            (1) The frequency with which services similar to longitudinal
        comprehensive care planning services are furnished to Medicare
        beneficiaries, which providers of services and suppliers are
        furnishing those services, whether Medicare reimbursement is being
        received for those services, and, if so, through which codes those
        services are being reimbursed.
            (2) Whether, and the extent to which, longitudinal
        comprehensive care planning services would overlap, and could
        therefore result in duplicative payment, with services covered
        under the hospice benefit as well as the chronic care management
        code, evaluation and management codes, or other codes that already
        exist under part B of the Medicare program.
            (3) Any barriers to hospitals, skilled nursing facilities,
        hospice programs, home health agencies, and other applicable
        providers working with a Medicare beneficiary to engage in the care
        planning process and complete the necessary documentation to
        support the treatment and care plan of the beneficiary and provide
        such documentation to other providers and the beneficiary or the
        beneficiary's representative.
            (4) Any barriers to providers, other than the provider
        furnishing longitudinal comprehensive care planning services,
        accessing the care plan and associated documentation for use
        related to the care of the Medicare beneficiary.
            (5) Potential options for ensuring that applicable providers
        are notified of a patient's existing longitudinal care plan and
        that applicable providers consider that plan in making their
        treatment decisions, and what the challenges might be in
        implementing such options.
            (6) Stakeholder's views on the need for the development of
        quality metrics with respect to longitudinal comprehensive care
        planning services, such as measures related to--
                (A) the process of eliciting input from the Medicare
            beneficiary or from a legally authorized representative and
            documenting in the medical record the patient-directed care
            plan;
                (B) the effectiveness and patient-centeredness of the care
            plan in organizing delivery of services consistent with the
            plan;
                (C) the availability of the care plan and associated
            documentation to other providers that care for the beneficiary;
            and
                (D) the extent to which the beneficiary received services
            and support that is free from discrimination based on advanced
            age, disability status, or advanced illness.
            (7) Stakeholder's views on how such quality metrics would
        provide information on--
                (A) the goals, values, and preferences of the beneficiary;
                (B) the documentation of the care plan;
                (C) services furnished to the beneficiary; and
                (D) outcomes of treatment.
            (8) Stakeholder's views on--
                (A) the type of training and education needed for
            applicable providers, individuals, and caregivers in order to
            facilitate longitudinal comprehensive care planning services;
                (B) the types of providers of services and suppliers that
            should be included in the interdisciplinary team of an
            applicable provider; and
                (C) the characteristics of Medicare beneficiaries that
            would be most appropriate to receive longitudinal comprehensive
            care planning services, such as individuals with advanced
            disease and individuals who need assistance with multiple
            activities of daily living.
            (9) Stakeholder's views on the frequency with which
        longitudinal comprehensive care planning services should be
        furnished.
        (b) Report.--Not later than 18 months after the date of the
    enactment of this Act, the Comptroller General shall submit to Congress
    a report containing the results of the study conducted under subsection
    (a), together with recommendations for such legislation and
    administrative action as the Comptroller General determines
    appropriate.
        (c) Definitions.--In this section:
            (1) Applicable provider.--The term ``applicable provider''
        means a hospice program (as defined in subsection (dd)(2) of
        section 1861 of the Social Security Act (42 U.S.C. 1395ww)) or
        other provider of services (as defined in subsection (u) of such
        section) or supplier (as defined in subsection (d) of such section)
        that--
                (A) furnishes longitudinal comprehensive care planning
            services through an interdisciplinary team; and
                (B) meets such other requirements as the Secretary may
            determine to be appropriate.
            (2) Comptroller general.--The term ``Comptroller General''
        means the Comptroller General of the United States.
            (3) Interdisciplinary team.--The term ``interdisciplinary
        team'' means a group that--
                (A) includes the personnel described in subsection
            (dd)(2)(B)(i) of such section 1861;
                (B) may include a chaplain, minister, or other clergy; and
                (C) may include other direct care personnel.
            (4) Longitudinal comprehensive care planning services.--The
        term ``longitudinal comprehensive care planning services'' means a
        voluntary shared decisionmaking process that is furnished by an
        applicable provider through an interdisciplinary team and includes
        a conversation with Medicare beneficiaries who have received a
        diagnosis of a serious or life-threatening illness. The purpose of
        such services is to discuss a longitudinal care plan that addresses
        the progression of the disease, treatment options, the goals,
        values, and preferences of the beneficiary, and the availability of
        other resources and social supports that may reduce the
        beneficiary's health risks and promote self-management and shared
        decisionmaking.
            (5) Secretary.--The term ``Secretary'' means the Secretary of
        Health and Human Services.

       Subtitle F--Other Policies to Improve Care for the Chronically Ill

    SEC. 50351. GAO STUDY AND REPORT ON IMPROVING MEDICATION
    SYNCHRONIZATION.
        (a) Study.--The Comptroller General of the United States (in this
    section referred to as the ``Comptroller General'') shall conduct a
    study on the extent to which Medicare prescription drug plans (MA-PD
    plans and stand alone prescription drug plans) under part D of title
    XVIII of the Social Security Act and private payors use programs that
    synchronize pharmacy dispensing so that individuals may receive
    multiple prescriptions on the same day to facilitate comprehensive
    counseling and promote medication adherence. The study shall include a
    analysis of the following:
            (1) The extent to which pharmacies have adopted such programs.
            (2) The common characteristics of such programs, including how
        pharmacies structure counseling sessions under such programs and
        the types of payment and other arrangements that Medicare
        prescription drug plans and private payors employ under such
        programs to support the efforts of pharmacies.
            (3) How such programs compare for Medicare prescription drug
        plans and private payors.
            (4) What is known about how such programs affect patient
        medication adherence and overall patient health outcomes, including
        if adherence and outcomes vary by patient subpopulations, such as
        disease state and socioeconomic status.
            (5) What is known about overall patient satisfaction with such
        programs and satisfaction with such programs, including within
        patient subpopulations, such as disease state and socioeconomic
        status.
            (6) The extent to which laws and regulations of the Medicare
        program support such programs.
            (7) Barriers to the use of medication synchronization programs
        by Medicare prescription drug plans.
        (b) Report.--Not later than 18 months after the date of the
    enactment of this Act, the Comptroller General shall submit to Congress
    a report containing the results of the study under subsection (a),
    together with recommendations for such legislation and administrative
    action as the Comptroller General determines appropriate.
    SEC. 50352. GAO STUDY AND REPORT ON IMPACT OF OBESITY DRUGS ON PATIENT
    HEALTH AND SPENDING.
        (a) Study.--The Comptroller General of the United States (in this
    section referred to as the ``Comptroller General'') shall, to the
    extent data are available, conduct a study on the use of prescription
    drugs to manage the weight of obese patients and the impact of coverage
    of such drugs on patient health and on health care spending. Such study
    shall examine the use and impact of these obesity drugs in the non-
    Medicare population and for Medicare beneficiaries who have such drugs
    covered through an MA-PD plan (as defined in section 1860D-1(a)(3)(C)
    of the Social Security Act (42 U.S.C. 1395w-101(a)(3)(C))) as a
    supplemental health care benefit. The study shall include an analysis
    of the following:
            (1) The prevalence of obesity in the Medicare and non-Medicare
        population.
            (2) The utilization of obesity drugs.
            (3) The distribution of Body Mass Index by individuals taking
        obesity drugs, to the extent practicable.
            (4) What is known about the use of obesity drugs in conjunction
        with the receipt of other items or services, such as behavioral
        counseling, and how these compare to items and services received by
        obese individuals who do not take obesity drugs.
            (5) Physician considerations and attitudes related to
        prescribing obesity drugs.
            (6) The extent to which coverage policies cease or limit
        coverage for individuals who fail to receive clinical benefit.
            (7) What is known about the extent to which individuals who
        take obesity drugs adhere to the prescribed regimen.
            (8) What is known about the extent to which individuals who
        take obesity drugs maintain weight loss over time.
            (9) What is known about the subsequent impact such drugs have
        on medical services that are directly related to obesity, including
        with respect to subpopulations determined based on the extent of
        obesity.
            (10) What is known about the spending associated with the care
        of individuals who take obesity drugs, compared to the spending
        associated with the care of individuals who do not take such drugs.
        (b) Report.--Not later than 18 months after the date of the
    enactment of this Act, the Comptroller General shall submit to Congress
    a report containing the results of the study under subsection (a),
    together with recommendations for such legislation and administrative
    action as the Comptroller General determines appropriate.
    SEC. 50353. HHS STUDY AND REPORT ON LONG-TERM RISK FACTORS FOR CHRONIC
    CONDITIONS AMONG MEDICARE BENEFICIARIES.
        (a) Study.--The Secretary of Health and Human Services (in this
    section referred to as the ``Secretary'') shall conduct a study on
    long-term cost drivers to the Medicare program, including obesity,
    tobacco use, mental health conditions, and other factors that may
    contribute to the deterioration of health conditions among individuals
    with chronic conditions in the Medicare population. The study shall
    include an analysis of any barriers to collecting and analyzing such
    information and how to remove any such barriers (including through
    legislation and administrative actions).
        (b) Report.--Not later than 18 months after the date of the
    enactment of this Act, the Secretary shall submit to Congress a report
    containing the results of the study under subsection (a), together with
    recommendations for such legislation and administrative action as the
    Secretary determines appropriate. The Secretary shall also post such
    report on the Internet website of the Department of Health and Human
    Services.
    SEC. 50354. PROVIDING PRESCRIPTION DRUG PLANS WITH PARTS A AND B CLAIMS
    DATA TO PROMOTE THE APPROPRIATE USE OF MEDICATIONS AND IMPROVE HEALTH
    OUTCOMES.
        Section 1860D-4(c) of the Social Security Act (42 U.S.C. 1395w-
    104(c)) is amended by adding at the end the following new paragraph:
            ``(6) Providing prescription drug plans with parts a and b
        claims data to promote the appropriate use of medications and
        improve health outcomes.--
                ``(A) Process.--Subject to subparagraph (B), the Secretary
            shall establish a process under which a PDP sponsor of a
            prescription drug plan may submit a request for the Secretary
            to provide the sponsor, on a periodic basis and in an
            electronic format, beginning in plan year 2020, data described
            in subparagraph (D) with respect to enrollees in such plan.
            Such data shall be provided without regard to whether such
            enrollees are described in clause (ii) of paragraph (2)(A).
                ``(B) Purposes.--A PDP sponsor may use the data provided to
            the sponsor pursuant to subparagraph (A) for any of the
            following purposes:
                    ``(i) To optimize therapeutic outcomes through improved
                medication use, as such phrase is used in clause (i) of
                paragraph (2)(A).
                    ``(ii) To improving care coordination so as to prevent
                adverse health outcomes, such as preventable emergency
                department visits and hospital readmissions.
                    ``(iii) For any other purpose determined appropriate by
                the Secretary.
                ``(C) Limitations on data use.--A PDP sponsor shall not use
            data provided to the sponsor pursuant to subparagraph (A) for
            any of the following purposes:
                    ``(i) To inform coverage determinations under this
                part.
                    ``(ii) To conduct retroactive reviews of medically
                accepted indications determinations.
                    ``(iii) To facilitate enrollment changes to a different
                prescription drug plan or an MA-PD plan offered by the same
                parent organization.
                    ``(iv) To inform marketing of benefits.
                    ``(v) For any other purpose that the Secretary
                determines is necessary to include in order to protect the
                identity of individuals entitled to, or enrolled for,
                benefits under this title and to protect the security of
                personal health information.
                ``(D) Data described.--The data described in this clause
            are standardized extracts (as determined by the Secretary) of
            claims data under parts A and B for items and services
            furnished under such parts for time periods specified by the
            Secretary. Such data shall include data as current as
            practicable.''.

         TITLE IV--PART B IMPROVEMENT ACT AND OTHER PART B ENHANCEMENTS
                  Subtitle A--Medicare Part B Improvement Act

    SEC. 50401. HOME INFUSION THERAPY SERVICES TEMPORARY TRANSITIONAL
    PAYMENT.
        (a) In General.--Section 1834(u) of the Social Security Act (42
    U.S.C. 1395m(u)) is amended, by adding at the end the following new
    paragraph:
            ``(7) Home infusion therapy services temporary transitional
        payment.--
                ``(A) Temporary transitional payment.--
                    ``(i) In general.--The Secretary shall, in accordance
                with the payment methodology described in subparagraph (B)
                and subject to the provisions of this paragraph, provide a
                home infusion therapy services temporary transitional
                payment under this part to an eligible home infusion
                supplier (as defined in subparagraph (F)) for items and
                services described in subparagraphs (A) and (B) of section
                1861(iii)(2)) furnished during the period specified in
                clause (ii) by such supplier in coordination with the
                furnishing of transitional home infusion drugs (as defined
                in clause (iii)).
                    ``(ii) Period specified.--For purposes of clause (i),
                the period specified in this clause is the period beginning
                on January 1, 2019, and ending on the day before the date
                of the implementation of the payment system under paragraph
                (1)(A).
                    ``(iii) Transitional home infusion drug defined.--For
                purposes of this paragraph, the term `transitional home
                infusion drug' has the meaning given to the term `home
                infusion drug' under section 1861(iii)(3)(C)), except that
                clause (ii) of such section shall not apply if a drug
                described in such clause is identified in clauses (i),
                (ii), (iii) or (iv) of subparagraph (C) as of the date of
                the enactment of this paragraph.
                ``(B) Payment methodology.--For purposes of this paragraph,
            the Secretary shall establish a payment methodology, with
            respect to items and services described in subparagraph (A)(i).
            Under such payment methodology the Secretary shall--
                    ``(i) create the three payment categories described in
                clauses (i), (ii), and (iii) of subparagraph (C);
                    ``(ii) assign drugs to such categories, in accordance
                with such clauses;
                    ``(iii) assign appropriate Healthcare Common Procedure
                Coding System (HCPCS) codes to each payment category; and
                    ``(iv) establish a single payment amount for each such
                payment category, in accordance with subparagraph (D), for
                each infusion drug administration calendar day in the
                individual's home for drugs assigned to such category.
                ``(C) Payment categories.--
                    ``(i) Payment category 1.--The Secretary shall create a
                payment category 1 and assign to such category drugs which
                are covered under the Local Coverage Determination on
                External Infusion Pumps (LCD number L33794) and billed with
                the following HCPCS codes (as identified as of January 1,
                2018, and as subsequently modified by the Secretary):
                J0133, J0285, J0287, J0288, J0289, J0895, J1170, J1250,
                J1265, J1325, J1455, J1457, J1570, J2175, J2260, J2270,
                J2274, J2278, J3010, or J3285.
                    ``(ii) Payment category 2.--The Secretary shall create
                a payment category 2 and assign to such category drugs
                which are covered under such local coverage determination
                and billed with the following HCPCS codes (as identified as
                of January 1, 2018, and as subsequently modified by the
                Secretary): J1555 JB, J1559 JB, J1561 JB, J1562 JB, J1569
                JB, or J1575 JB.
                    ``(iii) Payment category 3.--The Secretary shall create
                a payment category 3 and assign to such category drugs
                which are covered under such local coverage determination
                and billed with the following HCPCS codes (as identified as
                of January 1, 2018, and as subsequently modified by the
                Secretary): J9000, J9039, J9040, J9065, J9100, J9190,
                J9200, J9360, or J9370.
                    ``(iv) Infusion drugs not otherwise included.--With
                respect to drugs that are not included in payment category
                1, 2, or 3 under clause (i), (ii), or (iii), respectively,
                the Secretary shall assign to the most appropriate of such
                categories, as determined by the Secretary, drugs which
                are--

                        ``(I) covered under such local coverage
                    determination and billed under HCPCS codes J7799 or
                    J7999 (as identified as of July 1, 2017, and as
                    subsequently modified by the Secretary); or
                        ``(II) billed under any code that is implemented
                    after the date of the enactment of this paragraph and
                    included in such local coverage determination or
                    included in subregulatory guidance as a home infusion
                    drug described in subparagraph (A)(i).

                ``(D) Payment amounts.--
                    ``(i) In general.--Under the payment methodology, the
                Secretary shall pay eligible home infusion suppliers, with
                respect to items and services described in subparagraph
                (A)(i) furnished during the period described in
                subparagraph (A)(ii) by such supplier to an individual, at
                amounts equal to the amounts determined under the physician
                fee schedule established under section 1848 for services
                furnished during the year for codes and units of such codes
                described in clauses (ii), (iii), and (iv) with respect to
                drugs included in the payment category under subparagraph
                (C) specified in the respective clause, determined without
                application of the geographic adjustment under subsection
                (e) of such section.
                    ``(ii) Payment amount for category 1.--For purposes of
                clause (i), the codes and units described in this clause,
                with respect to drugs included in payment category 1
                described in subparagraph (C)(i), are one unit of HCPCS
                code 96365 plus three units of HCPCS code 96366 (as
                identified as of January 1, 2018, and as subsequently
                modified by the Secretary).
                    ``(iii) Payment amount for category 2.--For purposes of
                clause (i), the codes and units described in this clause,
                with respect to drugs included in payment category 2
                described in subparagraph (C)(i), are one unit of HCPCS
                code 96369 plus three units of HCPCS code 96370 (as
                identified as of January 1, 2018, and as subsequently
                modified by the Secretary).
                    ``(iv) Payment amount for category 3.--For purposes of
                clause (i), the codes and units described in this clause,
                with respect to drugs included in payment category 3
                described in subparagraph (C)(i), are one unit of HCPCS
                code 96413 plus three units of HCPCS code 96415 (as
                identified as of January 1, 2018, and as subsequently
                modified by the Secretary).
                ``(E) Clarifications.--
                    ``(i) Infusion drug administration day.--For purposes
                of this subsection, with respect to the furnishing of
                transitional home infusion drugs or home infusion drugs to
                an individual by an eligible home infusion supplier or a
                qualified home infusion therapy supplier, a reference to
                payment to such supplier for an infusion drug
                administration calendar day in the individual's home shall
                refer to payment only for the date on which professional
                services (as described in section 1861(iii)(2)(A)) were
                furnished to administer such drugs to such individual. For
                purposes of the previous sentence, an infusion drug
                administration calendar day shall include all such drugs
                administered to such individual on such day.
                    ``(ii) Treatment of multiple drugs administered on same
                infusion drug administration day.--In the case that an
                eligible home infusion supplier, with respect to an
                infusion drug administration calendar day in an
                individual's home, furnishes to such individual
                transitional home infusion drugs which are not all assigned
                to the same payment category under subparagraph (C),
                payment to such supplier for such infusion drug
                administration calendar day in the individual's home shall
                be a single payment equal to the amount of payment under
                this paragraph for the drug, among all such drugs so
                furnished to such individual during such calendar day, for
                which the highest payment would be made under this
                paragraph.
                ``(F) Eligible home infusion suppliers.--In this paragraph,
            the term `eligible home infusion supplier' means a supplier
            that is enrolled under this part as a pharmacy that provides
            external infusion pumps and external infusion pump supplies and
            that maintains all pharmacy licensure requirements in the State
            in which the applicable infusion drugs are administered.
                ``(G) Implementation.--Notwithstanding any other provision
            of law, the Secretary may implement this paragraph by program
            instruction or otherwise.''.
        (b) Conforming Amendments.--(1) Section 1842(b)(6)(I) of the Social
    Security Act (42 U.S.C. 1395u(b)(6)(I)) is amended by inserting ``or,
    in the case of items and services described in clause (i) of section
    1834(u)(7)(A) furnished to an individual during the period described in
    clause (ii) of such section, payment shall be made to the eligible home
    infusion therapy supplier'' after ``payment shall be made to the
    qualified home infusion therapy supplier''.
        (2) Section 5012(d) of the 21st Century Cures Act is amended by
    inserting the following before the period at the end: ``, except that
    the amendments made by paragraphs (1) and (2) of subsection (c) shall
    apply to items and services furnished on or after January 1, 2019''.
    SEC. 50402. ORTHOTIST'S AND PROSTHETIST'S CLINICAL NOTES AS PART OF THE
    PATIENT'S MEDICAL RECORD.
        Section 1834(h) of the Social Security Act (42 U.S.C. 1395m(h)) is
    amended by adding at the end the following new paragraph:
            ``(5) Documentation created by orthotists and prosthetists.--
        For purposes of determining the reasonableness and medical
        necessity of orthotics and prosthetics, documentation created by an
        orthotist or prosthetist shall be considered part of the
        individual's medical record to support documentation created by
        eligible professionals described in section 1848(k)(3)(B).''.
    SEC. 50403. INDEPENDENT ACCREDITATION FOR DIALYSIS FACILITIES AND
    ASSURANCE OF HIGH QUALITY SURVEYS.
        (a) Accreditation and Surveys.--
            (1) In general.--Section 1865 of the Social Security Act (42
        U.S.C. 1395bb) is amended--
                (A) in subsection (a)--
                    (i) in paragraph (1), in the matter preceding
                subparagraph (A), by striking ``or the conditions and
                requirements under section 1881(b)''; and
                    (ii) in paragraph (4), by inserting ``(including a
                renal dialysis facility)'' after ``facility''; and
                (B) by adding at the end the following new subsection:
        ``(e) With respect to an accreditation body that has received
    approval from the Secretary under subsection (a)(3)(A) for
    accreditation of provider entities that are required to meet the
    conditions and requirements under section 1881(b), in addition to
    review and oversight authorities otherwise applicable under this title,
    the Secretary shall (as the Secretary determines appropriate) conduct,
    with respect to such accreditation body and provider entities, any or
    all of the following as frequently as is otherwise required to be
    conducted under this title with respect to other accreditation bodies
    or other provider entities:
            ``(1) Validation surveys referred to in subsection (d).
            ``(2) Accreditation program reviews (as defined in section
        488.8(c) of title 42 of the Code of Federal Regulations, or a
        successor regulation).
            ``(3) Performance reviews (as defined in section 488.8(a) of
        title 42 of the Code of Federal Regulations, or a successor
        regulation).''.
            (2) Timing for acceptance of requests from accreditation
        organizations.--Not later than 90 days after the date of enactment
        of this Act, the Secretary of Health and Human Services shall begin
        accepting requests from national accreditation bodies for a finding
        described in section 1865(a)(3)(A) of the Social Security Act (42
        U.S.C. 1395bb(a)(3)(A)) for purposes of accrediting provider
        entities that are required to meet the conditions and requirements
        under section 1881(b) of such Act (42 U.S.C. 1395rr(b)).
        (b) Requirement for Timing of Surveys of New Dialysis Facilities.--
    Section 1881(b)(1) of the Social Security Act (42 U.S.C. 1395rr(b)(1))
    is amended by adding at the end the following new sentence: ``Beginning
    180 days after the date of the enactment of this sentence, an initial
    survey of a provider of services or a renal dialysis facility to
    determine if the conditions and requirements under this paragraph are
    met shall be initiated not later than 90 days after such date on which
    both the provider enrollment form (without regard to whether such form
    is submitted prior to or after such date of enactment) has been
    determined by the Secretary to be complete and the provider's
    enrollment status indicates approval is pending the results of such
    survey.''.
    SEC. 50404. MODERNIZING THE APPLICATION OF THE STARK RULE UNDER
    MEDICARE.
        (a) Clarification of the Writing Requirement and Signature
    Requirement for Arrangements Pursuant to the Stark Rule.--
            (1) Writing requirement.--Section 1877(h)(1) of the Social
        Security Act (42 U.S.C. 1395nn(h)(1)) is amended by adding at the
        end the following new subparagraph:
            ``(D) Written requirement clarified.--In the case of any
        requirement pursuant to this section for a compensation arrangement
        to be in writing, such requirement shall be satisfied by such means
        as determined by the Secretary, including by a collection of
        documents, including contemporaneous documents evidencing the
        course of conduct between the parties involved.''.
            (2) Signature requirement.--Section 1877(h)(1) of the Social
        Security Act (42 U.S.C. 1395nn(h)(1)), as amended by paragraph (1),
        is further amended by adding at the end the following new
        subparagraph:
                ``(E) Special rule for signature requirements.--In the case
            of any requirement pursuant to this section for a compensation
            arrangement to be in writing and signed by the parties, such
            signature requirement shall be met if--
                    ``(i) not later than 90 consecutive calendar days
                immediately following the date on which the compensation
                arrangement became noncompliant, the parties obtain the
                required signatures; and
                    ``(ii) the compensation arrangement otherwise complies
                with all criteria of the applicable exception.''.
        (b) Indefinite Holdover for Lease Arrangements and Personal
    Services Arrangements Pursuant to the Stark Rule.--Section 1877(e) of
    the Social Security Act (42 U.S.C. 1395nn(e)) is amended--
            (1) in paragraph (1), by adding at the end the following new
        subparagraph:
                ``(C) Holdover lease arrangements.--In the case of a
            holdover lease arrangement for the lease of office space or
            equipment, which immediately follows a lease arrangement
            described in subparagraph (A) for the use of such office space
            or subparagraph (B) for the use of such equipment and that
            expired after a term of at least 1 year, payments made by the
            lessee to the lessor pursuant to such holdover lease
            arrangement, if--
                    ``(i) the lease arrangement met the conditions of
                subparagraph (A) for the lease of office space or
                subparagraph (B) for the use of equipment when the
                arrangement expired;
                    ``(ii) the holdover lease arrangement is on the same
                terms and conditions as the immediately preceding
                arrangement; and
                    ``(iii) the holdover arrangement continues to satisfy
                the conditions of subparagraph (A) for the lease of office
                space or subparagraph (B) for the use of equipment.''; and
            (2) in paragraph (3), by adding at the end the following new
        subparagraph:
                ``(C) Holdover personal service arrangement.--In the case
            of a holdover personal service arrangement, which immediately
            follows an arrangement described in subparagraph (A) that
            expired after a term of at least 1 year, remuneration from an
            entity pursuant to such holdover personal service arrangement,
            if--
                    ``(i) the personal service arrangement met the
                conditions of subparagraph (A) when the arrangement
                expired;
                    ``(ii) the holdover personal service arrangement is on
                the same terms and conditions as the immediately preceding
                arrangement; and
                    ``(iii) the holdover arrangement continues to satisfy
                the conditions of subparagraph (A).''.

                   Subtitle B--Additional Medicare Provisions

    SEC. 50411. MAKING PERMANENT THE REMOVAL OF THE RENTAL CAP FOR DURABLE
    MEDICAL EQUIPMENT UNDER MEDICARE WITH RESPECT TO SPEECH GENERATING
    DEVICES.
        Section 1834(a)(2)(A)(iv) of the Social Security Act (42 U.S.C.
    1395m(a)(2)(A)(iv)) is amended by striking ``and before October 1,
    2018,''.
    SEC. 50412. INCREASED CIVIL AND CRIMINAL PENALTIES AND INCREASED
    SENTENCES FOR FEDERAL HEALTH CARE PROGRAM FRAUD AND ABUSE.
        (a) Increased Civil Money Penalties and Criminal Fines.--
            (1) Increased civil money penalties.--Section 1128A of the
        Social Security Act (42 U.S.C. 1320a-7a) is amended--
                (A) in subsection (a), in the matter following paragraph
            (10)--
                    (i) by striking ``$10,000'' and inserting ``$20,000''
                each place it appears;
                    (ii) by striking ``$15,000'' and inserting ``$30,000'';
                and
                    (iii) by striking ``$50,000'' and inserting
                ``$100,000'' each place it appears; and
                (B) in subsection (b)--
                    (i) in paragraph (1), in the flush text following
                subparagraph (B), by striking ``$2,000'' and inserting
                ``$5,000'';
                    (ii) in paragraph (2), by striking ``$2,000'' and
                inserting ``$5,000''; and
                    (iii) in paragraph (3)(A)(i), by striking ``$5,000''
                and inserting ``$10,000''.
            (2) Increased criminal fines.--Section 1128B of such Act (42
        U.S.C. 1320a-7b) is amended--
                (A) in subsection (a), in the matter following paragraph
            (6)--
                    (i) by striking ``$25,000'' and inserting ``$100,000'';
                and
                    (ii) by striking ``$10,000'' and inserting ``$20,000'';
                (B) in subsection (b)--
                    (i) in paragraph (1), in the flush text following
                subparagraph (B), by striking ``$25,000'' and inserting
                ``$100,000''; and
                    (ii) in paragraph (2), in the flush text following
                subparagraph (B), by striking ``$25,000'' and inserting
                ``$100,000'';
                (C) in subsection (c), by striking ``$25,000'' and
            inserting ``$100,000'';
                (D) in subsection (d), in the flush text following
            paragraph (2), by striking ``$25,000'' and inserting
            ``$100,000''; and
                (E) in subsection (e), by striking ``$2,000'' and inserting
            ``$4,000''.
        (b) Increased Sentences for Felonies Involving Federal Health Care
    Program Fraud and Abuse.--
            (1) False statements and representations.--Section 1128B(a) of
        the Social Security Act (42 U.S.C. 1320a-7b(a)) is amended, in the
        matter following paragraph (6), by striking ``not more than five
        years or both, or (ii)'' and inserting ``not more than 10 years or
        both, or (ii)''.
            (2) Antikickback.--Section 1128B(b) of such Act (42 U.S.C.
        1320a-7b(b)) is amended--
                (A) in paragraph (1), in the flush text following
            subparagraph (B), by striking ``not more than five years'' and
            inserting ``not more than 10 years''; and
                (B) in paragraph (2), in the flush text following
            subparagraph (B), by striking ``not more than five years'' and
            inserting ``not more than 10 years''.
            (3) False statement or representation with respect to
        conditions or operations of facilities.--Section 1128B(c) of such
        Act (42 U.S.C. 1320a-7b(c)) is amended by striking ``not more than
        five years'' and inserting ``not more than 10 years''.
            (4) Excess charges.--Section 1128B(d) of such Act (42 U.S.C.
        1320a-7b(d)) is amended, in the flush text following paragraph (2),
        by striking ``not more than five years'' and inserting ``not more
        than 10 years''.
        (c) Effective Date.--The amendments made by this section shall
    apply to acts committed after the date of the enactment of this Act.
    SEC. 50413. REDUCING THE VOLUME OF FUTURE EHR-RELATED SIGNIFICANT
    HARDSHIP REQUESTS.
        Section 1848(o)(2)(A) of the Social Security Act (42 U.S.C. 1395w-
    4(o)(2)(A)) and section 1886(n)(3)(A) of such Act (42 U.S.C.
    1395ww(n)(3)(A)) are each amended in the last sentence by striking ``by
    requiring'' and all that follows through ``this paragraph''.
    SEC. 50414. STRENGTHENING RULES IN CASE OF COMPETITION FOR DIABETIC
    TESTING STRIPS.
        (a) Special Rule in Case of Competition for Diabetic Testing
    Strips.--
            (1) In general.--Paragraph (10) of section 1847(b) of the
        Social Security Act (42 U.S.C. 1395w-3(b)) is amended--
                (A) in subparagraph (A), by striking the second sentence
            and inserting the following new sentence: ``With respect to
            bids to furnish such types of products on or after January 1,
            2019, the volume for such types of products shall be determined
            by the Secretary through the use of multiple sources of data
            (from mail order and non-mail order Medicare markets),
            including market-based data measuring sales of diabetic testing
            strip products that are not exclusively sold by a single
            retailer from such markets.''; and
                (B) by adding at the end the following new subparagraphs:
                ``(C) Demonstration of ability to furnish types of diabetic
            testing strip products.--With respect to bids to furnish
            diabetic testing strip products on or after January 1, 2019, an
            entity shall attest to the Secretary that the entity has the
            ability to obtain an inventory of the types and quantities of
            diabetic testing strip products that will allow the entity to
            furnish such products in a manner consistent with its bid and--
                    ``(i) demonstrate to the Secretary, through letters of
                intent with manufacturers, wholesalers, or other suppliers,
                or other evidence as the Secretary may specify, such
                ability; or
                    ``(ii) demonstrate to the Secretary that it made a good
                faith attempt to obtain such a letter of intent or such
                other evidence.
                ``(D) Use of unlisted types in calculation of percentage.--
            With respect to bids to furnish diabetic testing strip products
            on or after January 1, 2019, in determining under subparagraph
            (A) whether a bid submitted by an entity under such
            subparagraph covers 50 percent (or such higher percentage as
            the Secretary may specify) of all types of diabetic testing
            strip products, the Secretary may not attribute a percentage to
            types of diabetic testing strip products that the Secretary
            does not identify by brand, model, and market share volume.
                ``(E) Adherence to demonstration.--
                    ``(i) In general.--In the case of an entity that is
                furnishing diabetic testing strip products on or after
                January 1, 2019, under a contract entered into under the
                competition conducted pursuant to paragraph (1), the
                Secretary shall establish a process to monitor, on an
                ongoing basis, the extent to which such entity continues to
                cover the product types included in the entity's bid.
                    ``(ii) Termination.--If the Secretary determines that
                an entity described in clause (i) fails to maintain in
                inventory, or otherwise maintain ready access to (through
                requirements, contracts, or otherwise) a type of product
                included in the entity's bid, the Secretary may terminate
                such contract unless the Secretary finds that the failure
                of the entity to maintain inventory of, or ready access to,
                the product is the result of the discontinuation of the
                product by the product manufacturer, a market-wide shortage
                of the product, or the introduction of a newer model or
                version of the product in the market involved.''.
        (b) Codifying and Expanding Anti-switching Rule.--Section 1847(b)
    of the Social Security Act (42 U.S.C. 1395w-3(b)), as amended by
    subsection (a)(1), is further amended--
            (1) by redesignating paragraph (11) as paragraph (12); and
            (2) by inserting after paragraph (10) the following new
        paragraph:
            ``(11) Additional special rules in case of competition for
        diabetic testing strips.--
                ``(A) In general.--With respect to an entity that is
            furnishing diabetic testing strip products to individuals under
            a contract entered into under the competitive acquisition
            program established under this section, the entity shall
            furnish to each individual a brand of such products that is
            compatible with the home blood glucose monitor selected by the
            individual.
                ``(B) Prohibition on influencing and incentivizing.--An
            entity described in subparagraph (A) may not attempt to
            influence or incentivize an individual to switch the brand of
            glucose monitor or diabetic testing strip product selected by
            the individual, including by--
                    ``(i) persuading, pressuring, or advising the
                individual to switch; or
                    ``(ii) furnishing information about alternative brands
                to the individual where the individual has not requested
                such information.
                ``(C) Provision of information.--
                    ``(i) Standardized information.--Not later than January
                1, 2019, the Secretary shall develop and make available to
                entities described in subparagraph (A) standardized
                information that describes the rights of an individual with
                respect to such an entity. The information described in the
                preceding sentence shall include information regarding--

                        ``(I) the requirements established under
                    subparagraphs (A) and (B);
                        ``(II) the right of the individual to purchase
                    diabetic testing strip products from another mail order
                    supplier of such products or a retail pharmacy if the
                    entity is not able to furnish the brand of such product
                    that is compatible with the home blood glucose monitor
                    selected by the individual; and
                        ``(III) the right of the individual to return
                    diabetic testing strip products furnished to the
                    individual by the entity.

                    ``(ii) Requirement.--With respect to diabetic testing
                strip products furnished on or after the date on which the
                Secretary develops the standardized information under
                clause (i), an entity described in subparagraph (A) may not
                communicate directly to an individual until the entity has
                verbally provided the individual with such standardized
                information.
                ``(D) Order refills.--With respect to diabetic testing
            strip products furnished on or after January 1, 2019, the
            Secretary shall require an entity furnishing diabetic testing
            strip products to an individual to contact and receive a
            request from the individual for such products not more than 14
            days prior to dispensing a refill of such products to the
            individual.''.
        (c) Implementation; Non-application of the Paperwork Reduction
    Act.--
            (1) Implementation.--Notwithstanding any other provision of
        law, the Secretary of Health and Human Services may implement the
        provisions of, and amendments made by, this section by program
        instruction or otherwise.
            (2) Non-application of the paperwork reduction act.--Chapter 35
        of title 44, United States Code (commonly referred to as the
        ``Paperwork Reduction Act of 1995''), shall not apply to this
        section or the amendments made by this section.

                        TITLE V--OTHER HEALTH EXTENDERS

    SEC. 50501. EXTENSION FOR FAMILY-TO-FAMILY HEALTH INFORMATION CENTERS.
        Section 501(c) of the Social Security Act (42 U.S.C. 701(c)) is
    amended--
            (1) in paragraph (1)(A)--
                (A) in clause (v), by striking ``and'' at the end;
                (B) in clause (vi), by striking the period at the end and
            inserting ``; and''; and
                (C) by adding at the end the following new clause:
            ``(vii) $6,000,000 for each of fiscal years 2018 and 2019.'';
            (2) in paragraph (3)(C), by inserting before the period the
        following: ``, and with respect to fiscal years 2018 and 2019, such
        centers shall also be developed in all territories and at least one
        such center shall be developed for Indian tribes''; and
            (3) by amending paragraph (5) to read as follows:
        ``(5) For purposes of this subsection--
            ``(A) the term `Indian tribe' has the meaning given such term
        in section 4 of the Indian Health Care Improvement Act (25 U.S.C.
        1603);
            ``(B) the term `State' means each of the 50 States and the
        District of Columbia; and
            ``(C) the term `territory' means Puerto Rico, Guam, American
        Samoa, the Virgin Islands, and the Northern Mariana Islands.''.
    SEC. 50502. EXTENSION FOR SEXUAL RISK AVOIDANCE EDUCATION.
        (a) In General.--Section 510 of the Social Security Act (42 U.S.C.
    710) is amended to read as follows:
        ``SEC. 510. SEXUAL RISK AVOIDANCE EDUCATION.
        ``(a) In General.--
            ``(1) Allotments to states.--For the purpose described in
        subsection (b), the Secretary shall, for each of fiscal years 2018
        and 2019, allot to each State which has transmitted an application
        for the fiscal year under section 505(a) an amount equal to the
        product of--
                ``(A) the amount appropriated pursuant to subsection (e)(1)
            for the fiscal year, minus the amount reserved under subsection
            (e)(2) for the fiscal year; and
                ``(B) the proportion that the number of low-income children
            in the State bears to the total of such numbers of children for
            all the States.
            ``(2) Other allotments.--
                ``(A) Other entities.--For the purpose described in
            subsection (b), the Secretary shall, for each of fiscal years
            2018 and 2019, for any State which has not transmitted an
            application for the fiscal year under section 505(a), allot to
            one or more entities in the State the amount that would have
            been allotted to the State under paragraph (1) if the State had
            submitted such an application.
                ``(B) Process.--The Secretary shall select the recipients
            of allotments under subparagraph (A) by means of a competitive
            grant process under which--
                    ``(i) not later than 30 days after the deadline for the
                State involved to submit an application for the fiscal year
                under section 505(a), the Secretary publishes a notice
                soliciting grant applications; and
                    ``(ii) not later than 120 days after such deadline, all
                such applications must be submitted.
        ``(b) Purpose.--
            ``(1) In general.--Except for research under paragraph (5) and
        information collection and reporting under paragraph (6), the
        purpose of an allotment under subsection (a) to a State (or to
        another entity in the State pursuant to subsection (a)(2)) is to
        enable the State or other entity to implement education exclusively
        on sexual risk avoidance (meaning voluntarily refraining from
        sexual activity).
            ``(2) Required components.--Education on sexual risk avoidance
        pursuant to an allotment under this section shall--
                ``(A) ensure that the unambiguous and primary emphasis and
            context for each topic described in paragraph (3) is a message
            to youth that normalizes the optimal health behavior of
            avoiding nonmarital sexual activity;
                ``(B) be medically accurate and complete;
                ``(C) be age-appropriate;
                ``(D) be based on adolescent learning and developmental
            theories for the age group receiving the education; and
                ``(E) be culturally appropriate, recognizing the
            experiences of youth from diverse communities, backgrounds, and
            experiences.
            ``(3) Topics.--Education on sexual risk avoidance pursuant to
        an allotment under this section shall address each of the following
        topics:
                ``(A) The holistic individual and societal benefits
            associated with personal responsibility, self-regulation, goal
            setting, healthy decisionmaking, and a focus on the future.
                ``(B) The advantage of refraining from nonmarital sexual
            activity in order to improve the future prospects and physical
            and emotional health of youth.
                ``(C) The increased likelihood of avoiding poverty when
            youth attain self-sufficiency and emotional maturity before
            engaging in sexual activity.
                ``(D) The foundational components of healthy relationships
            and their impact on the formation of healthy marriages and safe
            and stable families.
                ``(E) How other youth risk behaviors, such as drug and
            alcohol usage, increase the risk for teen sex.
                ``(F) How to resist and avoid, and receive help regarding,
            sexual coercion and dating violence, recognizing that even with
            consent teen sex remains a youth risk behavior.
            ``(4) Contraception.--Education on sexual risk avoidance
        pursuant to an allotment under this section shall ensure that--
                ``(A) any information provided on contraception is
            medically accurate and complete and ensures that students
            understand that contraception offers physical risk reduction,
            but not risk elimination; and
                ``(B) the education does not include demonstrations,
            simulations, or distribution of contraceptive devices.
            ``(5) Research.--
                ``(A) In general.--A State or other entity receiving an
            allotment pursuant to subsection (a) may use up to 20 percent
            of such allotment to build the evidence base for sexual risk
            avoidance education by conducting or supporting research.
                ``(B) Requirements.--Any research conducted or supported
            pursuant to subparagraph (A) shall be--
                    ``(i) rigorous;
                    ``(ii) evidence-based; and
                    ``(iii) designed and conducted by independent
                researchers who have experience in conducting and
                publishing research in peer-reviewed outlets.
            ``(6) Information collection and reporting.--A State or other
        entity receiving an allotment pursuant to subsection (a) shall, as
        specified by the Secretary--
                ``(A) collect information on the programs and activities
            funded through the allotment; and
                ``(B) submit reports to the Secretary on the data from such
            programs and activities.
        ``(c) National Evaluation.--
            ``(1) In general.--The Secretary shall--
                ``(A) in consultation with appropriate State and local
            agencies, conduct one or more rigorous evaluations of the
            education funded through this section and associated data; and
                ``(B) submit a report to the Congress on the results of
            such evaluations, together with a summary of the information
            collected pursuant to subsection (b)(6).
            ``(2) Consultation.--In conducting the evaluations required by
        paragraph (1), including the establishment of rigorous evaluation
        methodologies, the Secretary shall consult with relevant
        stakeholders and evaluation experts.
        ``(d) Applicability of Certain Provisions.--
            ``(1) Sections 503, 507, and 508 apply to allotments under
        subsection (a) to the same extent and in the same manner as such
        sections apply to allotments under section 502(c).
            ``(2) Sections 505 and 506 apply to allotments under subsection
        (a) to the extent determined by the Secretary to be appropriate.
        ``(e) Definitions.--In this section:
            ``(1) The term `age-appropriate' means suitable (in terms of
        topics, messages, and teaching methods) to the developmental and
        social maturity of the particular age or age group of children or
        adolescents, based on developing cognitive, emotional, and
        behavioral capacity typical for the age or age group.
            ``(2) The term `medically accurate and complete' means verified
        or supported by the weight of research conducted in compliance with
        accepted scientific methods and--
                ``(A) published in peer-reviewed journals, where
            applicable; or
                ``(B) comprising information that leading professional
            organizations and agencies with relevant expertise in the field
            recognize as accurate, objective, and complete.
            ``(3) The term `rigorous', with respect to research or
        evaluation, means using--
                ``(A) established scientific methods for measuring the
            impact of an intervention or program model in changing behavior
            (specifically sexual activity or other sexual risk behaviors),
            or reducing pregnancy, among youth; or
                ``(B) other evidence-based methodologies established by the
            Secretary for purposes of this section.
            ``(4) The term `youth' refers to one or more individuals who
        have attained age 10 but not age 20.
        ``(f) Funding.--
            ``(1) In general.--To carry out this section, there is
        appropriated, out of any money in the Treasury not otherwise
        appropriated, $75,000,000 for each of fiscal years 2018 and 2019.
            ``(2) Reservation.--The Secretary shall reserve, for each of
        fiscal years 2018 and 2019, not more than 20 percent of the amount
        appropriated pursuant to paragraph (1) for administering the
        program under this section, including the conducting of national
        evaluations and the provision of technical assistance to the
        recipients of allotments.''.
        (b) Effective Date.--The amendment made by this section shall take
    effect as if enacted on October 1, 2017.
    SEC. 50503. EXTENSION FOR PERSONAL RESPONSIBILITY EDUCATION.
        (a) In General.--Section 513 of the Social Security Act (42 U.S.C.
    713) is amended--
            (1) in subsection (a)(1)(A), by striking ``2017'' and inserting
        ``2019''; and
            (2) in subsection (a)(4)--
                (A) in subparagraph (A), by striking ``2017'' each place it
            appears and inserting ``2019''; and
                (B) in subparagraph (B)--
                    (i) in the subparagraph heading, by striking ``3-year
                grants'' and inserting ``Competitive prep grants''; and
                    (ii) in clause (i), by striking ``solicit applications
                to award 3-year grants in each of fiscal years 2012 through
                2017'' and inserting ``continue through fiscal year 2019
                grants awarded for any of fiscal years 2015 through 2017'';
            (3) in subsection (c)(1), by inserting after ``youth with HIV/
        AIDS,'' the following: ``victims of human trafficking,''; and
            (4) in subsection (f), by striking ``2017'' and inserting
        ``2019''.
        (b) Effective Date.--The amendments made by this section shall take
    effect as if enacted on October 1, 2017.

           TITLE VI--CHILD AND FAMILY SERVICES AND SUPPORTS EXTENDERS
     Subtitle A--Continuing the Maternal, Infant, and Early Childhood Home
                                Visiting Program

    SEC. 50601. CONTINUING EVIDENCE-BASED HOME VISITING PROGRAM.
        Section 511(j)(1)(H) of the Social Security Act (42 U.S.C.
    711(j)(1)(H)) is amended by striking ``fiscal year 2017'' and inserting
    ``each of fiscal years 2017 through 2022''.
    SEC. 50602. CONTINUING TO DEMONSTRATE RESULTS TO HELP FAMILIES.
        (a) Require Service Delivery Models To Demonstrate Improvement in
    Applicable Benchmark Areas.--Section 511 of the Social Security Act (42
    U.S.C. 711) is amended in each of subsections (d)(1)(A) and (h)(4)(A)
    by striking ``each of''.
        (b) Demonstration of Improvements in Subsequent Years.--Section
    511(d)(1) of such Act (42 U.S.C. 711(d)(1)) is amended by adding at the
    end the following:
                ``(D) Demonstration of improvements in subsequent years.--
                    ``(i) Continued measurement of improvement in
                applicable benchmark areas.--The eligible entity, after
                demonstrating improvements for eligible families as
                specified in subparagraphs (A) and (B), shall continue to
                track and report, not later than 30 days after the end of
                fiscal year 2020 and every 3 years thereafter, information
                demonstrating that the program results in improvements for
                the eligible families participating in the program in at
                least 4 of the areas specified in subparagraph (A) that the
                service delivery model or models selected by the entity are
                intended to improve.
                    ``(ii) Corrective action plan.--If the eligible entity
                fails to demonstrate improvement in at least 4 of the areas
                specified in subparagraph (A), as compared to eligible
                families who do not receive services under an early
                childhood home visitation program, the entity shall develop
                and implement a plan to improve outcomes in each of the
                areas specified in subparagraph (A) that the service
                delivery model or models selected by the entity are
                intended to improve, subject to approval by the Secretary.
                The plan shall include provisions for the Secretary to
                monitor implementation of the plan and conduct continued
                oversight of the program, including through submission by
                the entity of regular reports to the Secretary.
                    ``(iii) Technical assistance.--The Secretary shall
                provide an eligible entity required to develop and
                implement an improvement plan under clause (ii) with
                technical assistance to develop and implement the plan. The
                Secretary may provide the technical assistance directly or
                through grants, contracts, or cooperative agreements.
                    ``(iv) No improvement or failure to submit report.--If
                the Secretary determines after a period of time specified
                by the Secretary that an eligible entity implementing an
                improvement plan under clause (ii) has failed to
                demonstrate any improvement in at least 4 of the areas
                specified in subparagraph (A), or if the Secretary
                determines that an eligible entity has failed to submit the
                report required by clause (i), the Secretary shall
                terminate the grant made to the entity under this section
                and may include any unexpended grant funds in grants made
                to nonprofit organizations under subsection (h)(2)(B).''.
        (c) Including Information on Applicable Benchmarks in
    Application.--Section 511(e)(5) of such Act (42 U.S.C. 711(e)(5)) is
    amended by inserting ``that the service delivery model or models
    selected by the entity are intended to improve'' before the period at
    the end.
    SEC. 50603. REVIEWING STATEWIDE NEEDS TO TARGET RESOURCES.
        Section 511(b)(1) of the Social Security Act (42 U.S.C. 711(b)(1))
    is amended by striking ``Not later than'' and all that follows through
    ``section 505(a))'' and inserting ``Each State shall, as a condition of
    receiving payments from an allotment for the State under section 502,
    conduct a statewide needs assessment (which may be separate from but in
    coordination with the statewide needs assessment required under section
    505(a) and which shall be reviewed and updated by the State not later
    than October 1, 2020)''.
    SEC. 50604. IMPROVING THE LIKELIHOOD OF SUCCESS IN HIGH-RISK
    COMMUNITIES.
        Section 511(d)(4)(A) of the Social Security Act (42 U.S.C.
    711(d)(4)(A)) is amended by inserting ``, taking into account the
    staffing, community resource, and other requirements to operate at
    least one approved model of home visiting and demonstrate improvements
    for eligible families'' before the period.
    SEC. 50605. OPTION TO FUND EVIDENCE-BASED HOME VISITING ON A PAY FOR
    OUTCOME BASIS.
        (a) In General.--Section 511(c) of the Social Security Act (42
    U.S.C. 711(c)) is amended by redesignating paragraphs (3) and (4) as
    paragraphs (4) and (5), respectively, and by inserting after paragraph
    (2) the following:
            ``(3) Authority to use grant for a pay for outcomes
        initiative.--An eligible entity to which a grant is made under
        paragraph (1) may use up to 25 percent of the grant for outcomes or
        success payments related to a pay for outcomes initiative that will
        not result in a reduction of funding for services delivered by the
        entity under a childhood home visitation program under this section
        while the eligible entity develops or operates such an
        initiative.''.
        (b) Definition of Pay for Outcomes Initiative.--Section 511(k) of
    such Act (42 U.S.C. 711(k)) is amended by adding at the end the
    following:
            ``(4) Pay for outcomes initiative.--The term `pay for outcomes
        initiative' means a performance-based grant, contract, cooperative
        agreement, or other agreement awarded by a public entity in which a
        commitment is made to pay for improved outcomes achieved as a
        result of the intervention that result in social benefit and direct
        cost savings or cost avoidance to the public sector. Such an
        initiative shall include--
                ``(A) a feasibility study that describes how the proposed
            intervention is based on evidence of effectiveness;
                ``(B) a rigorous, third-party evaluation that uses
            experimental or quasi-experimental design or other research
            methodologies that allow for the strongest possible causal
            inferences to determine whether the initiative has met its
            proposed outcomes as a result of the intervention;
                ``(C) an annual, publicly available report on the progress
            of the initiative; and
                ``(D) a requirement that payments are made to the recipient
            of a grant, contract, or cooperative agreement only when agreed
            upon outcomes are achieved, except that this requirement shall
            not apply with respect to payments to a third party conducting
            the evaluation described in subparagraph (B).''.
        (c) Extended Availability of Funds.--Section 511(j)(3) of such Act
    (42 U.S.C. 711(j)(3)) is amended--
            (1) by striking ``(3) Availability.--Funds'' and inserting the
        following:
            ``(3) Availability.--
                ``(A) In general.--Except as provided in subparagraph (B),
            funds''; and
            (2) by adding at the end the following:
                ``(B) Funds for pay for outcomes initiatives.--Funds made
            available to an eligible entity under this section for a fiscal
            year (or portion of a fiscal year) for a pay for outcomes
            initiative shall remain available for expenditure by the
            eligible entity for not more than 10 years after the funds are
            so made available.''.
    SEC. 50606. DATA EXCHANGE STANDARDS FOR IMPROVED INTEROPERABILITY.
        (a) In General.--Section 511(h) of the Social Security Act (42
    U.S.C. 711(h)) is amended by adding at the end the following:
            ``(5) Data exchange standards for improved interoperability.--
                ``(A) Designation and use of data exchange standards.--
                    ``(i) Designation.--The head of the department or
                agency responsible for administering a program funded under
                this section shall, in consultation with an interagency
                work group established by the Office of Management and
                Budget and considering State government perspectives,
                designate data exchange standards for necessary categories
                of information that a State agency operating the program is
                required to electronically exchange with another State
                agency under applicable Federal law.
                    ``(ii) Data exchange standards must be nonproprietary
                and interoperable.--The data exchange standards designated
                under clause (i) shall, to the extent practicable, be
                nonproprietary and interoperable.
                    ``(iii) Other requirements.--In designating data
                exchange standards under this paragraph, the Secretary
                shall, to the extent practicable, incorporate--

                        ``(I) interoperable standards developed and
                    maintained by an international voluntary consensus
                    standards body, as defined by the Office of Management
                    and Budget;
                        ``(II) interoperable standards developed and
                    maintained by intergovernmental partnerships, such as
                    the National Information Exchange Model; and
                        ``(III) interoperable standards developed and
                    maintained by Federal entities with authority over
                    contracting and financial assistance.

                ``(B) Data exchange standards for federal reporting.--
                    ``(i) Designation.--The head of the department or
                agency responsible for administering a program referred to
                in this section shall, in consultation with an interagency
                work group established by the Office of Management and
                Budget, and considering State government perspectives,
                designate data exchange standards to govern Federal
                reporting and exchange requirements under applicable
                Federal law.
                    ``(ii) Requirements.--The data exchange reporting
                standards required by clause (i) shall, to the extent
                practicable--

                        ``(I) incorporate a widely accepted,
                    nonproprietary, searchable, computer-readable format;
                        ``(II) be consistent with and implement applicable
                    accounting principles;
                        ``(III) be implemented in a manner that is cost-
                    effective and improves program efficiency and
                    effectiveness; and
                        ``(IV) be capable of being continually upgraded as
                    necessary.

                    ``(iii) Incorporation of nonproprietary standards.--In
                designating data exchange standards under this paragraph,
                the Secretary shall, to the extent practicable, incorporate
                existing nonproprietary standards, such as the eXtensible
                Mark up Language.
                    ``(iv) Rule of construction.--Nothing in this paragraph
                shall be construed to require a change to existing data
                exchange standards for Federal reporting about a program
                referred to in this section, if the head of the department
                or agency responsible for administering the program finds
                the standards to be effective and efficient.''.
        (b) Effective Date.--The amendment made by subsection (a) shall
    take effect on the date that is 2 years after the date of enactment of
    this Act.
    SEC. 50607. ALLOCATION OF FUNDS.
        Section 511(j) of the Social Security Act (42 U.S.C. 711(j)) is
    amended by adding at the end the following:
            ``(4) Allocation of funds.--To the extent that the grant amount
        awarded under this section to an eligible entity is determined on
        the basis of relative population or poverty considerations, the
        Secretary shall make the determination using the most accurate
        Federal data available for the eligible entity.''.

      Subtitle B--Extension of Health Professions Workforce Demonstration
                                    Projects

    SEC. 50611. EXTENSION OF HEALTH WORKFORCE DEMONSTRATION PROJECTS FOR
    LOW-INCOME INDIVIDUALS.
        Section 2008(c)(1) of the Social Security Act (42 U.S.C.
    1397g(c)(1)) is amended by striking ``2017'' and inserting ``2019''.

                TITLE VII--FAMILY FIRST PREVENTION SERVICES ACT
          Subtitle A--Investing in Prevention and Supporting Families

    SEC. 50701. SHORT TITLE.
        This subtitle may be cited as the ``Bipartisan Budget Act of
    2018''.
    SEC. 50702. PURPOSE.
        The purpose of this subtitle is to enable States to use Federal
    funds available under parts B and E of title IV of the Social Security
    Act to provide enhanced support to children and families and prevent
    foster care placements through the provision of mental health and
    substance abuse prevention and treatment services, in-home parent
    skill-based programs, and kinship navigator services.

                 PART I--PREVENTION ACTIVITIES UNDER TITLE IV-E

    SEC. 50711. FOSTER CARE PREVENTION SERVICES AND PROGRAMS.
        (a) State Option.--Section 471 of the Social Security Act (42
    U.S.C. 671) is amended--
            (1) in subsection (a)(1), by striking ``and'' and all that
        follows through the semicolon and inserting ``, adoption assistance
        in accordance with section 473, and, at the option of the State,
        services or programs specified in subsection (e)(1) of this section
        for children who are candidates for foster care or who are pregnant
        or parenting foster youth and the parents or kin caregivers of the
        children, in accordance with the requirements of that
        subsection;''; and
            (2) by adding at the end the following:
        ``(e) Prevention and Family Services and Programs.--
            ``(1) In general.--Subject to the succeeding provisions of this
        subsection, the Secretary may make a payment to a State for
        providing the following services or programs for a child described
        in paragraph (2) and the parents or kin caregivers of the child
        when the need of the child, such a parent, or such a caregiver for
        the services or programs are directly related to the safety,
        permanence, or well-being of the child or to preventing the child
        from entering foster care:
                ``(A) Mental health and substance abuse prevention and
            treatment services.--Mental health and substance abuse
            prevention and treatment services provided by a qualified
            clinician for not more than a 12-month period that begins on
            any date described in paragraph (3) with respect to the child.
                ``(B) In-home parent skill-based programs.--In-home parent
            skill-based programs for not more than a 12-month period that
            begins on any date described in paragraph (3) with respect to
            the child and that include parenting skills training, parent
            education, and individual and family counseling.
            ``(2) Child described.--For purposes of paragraph (1), a child
        described in this paragraph is the following:
                ``(A) A child who is a candidate for foster care (as
            defined in section 475(13)) but can remain safely at home or in
            a kinship placement with receipt of services or programs
            specified in paragraph (1).
                ``(B) A child in foster care who is a pregnant or parenting
            foster youth.
            ``(3) Date described.--For purposes of paragraph (1), the dates
        described in this paragraph are the following:
                ``(A) The date on which a child is identified in a
            prevention plan maintained under paragraph (4) as a child who
            is a candidate for foster care (as defined in section 475(13)).
                ``(B) The date on which a child is identified in a
            prevention plan maintained under paragraph (4) as a pregnant or
            parenting foster youth in need of services or programs
            specified in paragraph (1).
            ``(4) Requirements related to providing services and
        programs.--Services and programs specified in paragraph (1) may be
        provided under this subsection only if specified in advance in the
        child's prevention plan described in subparagraph (A) and the
        requirements in subparagraphs (B) through (E) are met:
                ``(A) Prevention plan.--The State maintains a written
            prevention plan for the child that meets the following
            requirements (as applicable):
                    ``(i) Candidates.--In the case of a child who is a
                candidate for foster care described in paragraph (2)(A),
                the prevention plan shall--

                        ``(I) identify the foster care prevention strategy
                    for the child so that the child may remain safely at
                    home, live temporarily with a kin caregiver until
                    reunification can be safely achieved, or live
                    permanently with a kin caregiver;
                        ``(II) list the services or programs to be provided
                    to or on behalf of the child to ensure the success of
                    that prevention strategy; and
                        ``(III) comply with such other requirements as the
                    Secretary shall establish.

                    ``(ii) Pregnant or parenting foster youth.--In the case
                of a child who is a pregnant or parenting foster youth
                described in paragraph (2)(B), the prevention plan shall--

                        ``(I) be included in the child's case plan required
                    under section 475(1);
                        ``(II) list the services or programs to be provided
                    to or on behalf of the youth to ensure that the youth
                    is prepared (in the case of a pregnant foster youth) or
                    able (in the case of a parenting foster youth) to be a
                    parent;
                        ``(III) describe the foster care prevention
                    strategy for any child born to the youth; and
                        ``(IV) comply with such other requirements as the
                    Secretary shall establish.

                ``(B) Trauma-informed.--The services or programs to be
            provided to or on behalf of a child are provided under an
            organizational structure and treatment framework that involves
            understanding, recognizing, and responding to the effects of
            all types of trauma and in accordance with recognized
            principles of a trauma-informed approach and trauma-specific
            interventions to address trauma's consequences and facilitate
            healing.
                ``(C) Only services and programs provided in accordance
            with promising, supported, or well-supported practices
            permitted.--
                    ``(i) In general.--Only State expenditures for services
                or programs specified in subparagraph (A) or (B) of
                paragraph (1) that are provided in accordance with
                practices that meet the requirements specified in clause
                (ii) of this subparagraph and that meet the requirements
                specified in clause (iii), (iv), or (v), respectively, for
                being a promising, supported, or well-supported practice,
                shall be eligible for a Federal matching payment under
                section 474(a)(6)(A).
                    ``(ii) General practice requirements.--The general
                practice requirements specified in this clause are the
                following:

                        ``(I) The practice has a book, manual, or other
                    available writings that specify the components of the
                    practice protocol and describe how to administer the
                    practice.
                        ``(II) There is no empirical basis suggesting that,
                    compared to its likely benefits, the practice
                    constitutes a risk of harm to those receiving it.
                        ``(III) If multiple outcome studies have been
                    conducted, the overall weight of evidence supports the
                    benefits of the practice.
                        ``(IV) Outcome measures are reliable and valid, and
                    are administrated consistently and accurately across
                    all those receiving the practice.
                        ``(V) There is no case data suggesting a risk of
                    harm that was probably caused by the treatment and that
                    was severe or frequent.

                    ``(iii) Promising practice.--A practice shall be
                considered to be a `promising practice' if the practice is
                superior to an appropriate comparison practice using
                conventional standards of statistical significance (in
                terms of demonstrated meaningful improvements in validated
                measures of important child and parent outcomes, such as
                mental health, substance abuse, and child safety and well-
                being), as established by the results or outcomes of at
                least one study that--

                        ``(I) was rated by an independent systematic review
                    for the quality of the study design and execution and
                    determined to be well-designed and well-executed; and
                        ``(II) utilized some form of control (such as an
                    untreated group, a placebo group, or a wait list
                    study).

                    ``(iv) Supported practice.--A practice shall be
                considered to be a `supported practice' if--

                        ``(I) the practice is superior to an appropriate
                    comparison practice using conventional standards of
                    statistical significance (in terms of demonstrated
                    meaningful improvements in validated measures of
                    important child and parent outcomes, such as mental
                    health, substance abuse, and child safety and well-
                    being), as established by the results or outcomes of at
                    least one study that--

                            ``(aa) was rated by an independent systematic
                        review for the quality of the study design and
                        execution and determined to be well-designed and
                        well-executed;
                            ``(bb) was a rigorous random-controlled trial
                        (or, if not available, a study using a rigorous
                        quasi-experimental research design); and
                            ``(cc) was carried out in a usual care or
                        practice setting; and

                        ``(II) the study described in subclause (I)
                    established that the practice has a sustained effect
                    (when compared to a control group) for at least 6
                    months beyond the end of the treatment.

                    ``(v) Well-supported practice.--A practice shall be
                considered to be a `well-supported practice' if--

                        ``(I) the practice is superior to an appropriate
                    comparison practice using conventional standards of
                    statistical significance (in terms of demonstrated
                    meaningful improvements in validated measures of
                    important child and parent outcomes, such as mental
                    health, substance abuse, and child safety and well-
                    being), as established by the results or outcomes of at
                    least two studies that--

                            ``(aa) were rated by an independent systematic
                        review for the quality of the study design and
                        execution and determined to be well-designed and
                        well-executed;
                            ``(bb) were rigorous random-controlled trials
                        (or, if not available, studies using a rigorous
                        quasi-experimental research design); and
                            ``(cc) were carried out in a usual care or
                        practice setting; and

                        ``(II) at least one of the studies described in
                    subclause (I) established that the practice has a
                    sustained effect (when compared to a control group) for
                    at least 1 year beyond the end of treatment.

                ``(D) Guidance on practices criteria and pre-approved
            services and programs.--
                    ``(i) In general.--Not later than October 1, 2018, the
                Secretary shall issue guidance to States regarding the
                practices criteria required for services or programs to
                satisfy the requirements of subparagraph (C). The guidance
                shall include a pre-approved list of services and programs
                that satisfy the requirements.
                    ``(ii) Updates.--The Secretary shall issue updates to
                the guidance required by clause (i) as often as the
                Secretary determines necessary.
                ``(E) Outcome assessment and reporting.--The State shall
            collect and report to the Secretary the following information
            with respect to each child for whom, or on whose behalf mental
            health and substance abuse prevention and treatment services or
            in-home parent skill-based programs are provided during a 12-
            month period beginning on the date the child is determined by
            the State to be a child described in paragraph (2):
                    ``(i) The specific services or programs provided and
                the total expenditures for each of the services or
                programs.
                    ``(ii) The duration of the services or programs
                provided.
                    ``(iii) In the case of a child described in paragraph
                (2)(A), the child's placement status at the beginning, and
                at the end, of the 1-year period, respectively, and whether
                the child entered foster care within 2 years after being
                determined a candidate for foster care.
            ``(5) State plan component.--
                ``(A) In general.--A State electing to provide services or
            programs specified in paragraph (1) shall submit as part of the
            State plan required by subsection (a) a prevention services and
            programs plan component that meets the requirements of
            subparagraph (B).
                ``(B) Prevention services and programs plan component.--In
            order to meet the requirements of this subparagraph, a
            prevention services and programs plan component, with respect
            to each 5-year period for which the plan component is in
            operation in the State, shall include the following:
                    ``(i) How providing services and programs specified in
                paragraph (1) is expected to improve specific outcomes for
                children and families.
                    ``(ii) How the State will monitor and oversee the
                safety of children who receive services and programs
                specified in paragraph (1), including through periodic risk
                assessments throughout the period in which the services and
                programs are provided on behalf of a child and
                reexamination of the prevention plan maintained for the
                child under paragraph (4) for the provision of the services
                or programs if the State determines the risk of the child
                entering foster care remains high despite the provision of
                the services or programs.
                    ``(iii) With respect to the services and programs
                specified in subparagraphs (A) and (B) of paragraph (1),
                information on the specific promising, supported, or well-
                supported practices the State plans to use to provide the
                services or programs, including a description of--

                        ``(I) the services or programs and whether the
                    practices used are promising, supported, or well-
                    supported;
                        ``(II) how the State plans to implement the
                    services or programs, including how implementation of
                    the services or programs will be continuously monitored
                    to ensure fidelity to the practice model and to
                    determine outcomes achieved and how information learned
                    from the monitoring will be used to refine and improve
                    practices;
                        ``(III) how the State selected the services or
                    programs;
                        ``(IV) the target population for the services or
                    programs; and
                        ``(V) how each service or program provided will be
                    evaluated through a well-designed and rigorous process,
                    which may consist of an ongoing, cross-site evaluation
                    approved by the Secretary.

                    ``(iv) A description of the consultation that the State
                agencies responsible for administering the State plans
                under this part and part B engage in with other State
                agencies responsible for administering health programs,
                including mental health and substance abuse prevention and
                treatment services, and with other public and private
                agencies with experience in administering child and family
                services, including community-based organizations, in order
                to foster a continuum of care for children described in
                paragraph (2) and their parents or kin caregivers.
                    ``(v) A description of how the State shall assess
                children and their parents or kin caregivers to determine
                eligibility for services or programs specified in paragraph
                (1).
                    ``(vi) A description of how the services or programs
                specified in paragraph (1) that are provided for or on
                behalf of a child and the parents or kin caregivers of the
                child will be coordinated with other child and family
                services provided to the child and the parents or kin
                caregivers of the child under the State plans in effect
                under subparts 1 and 2 of part B.
                    ``(vii) Descriptions of steps the State is taking to
                support and enhance a competent, skilled, and professional
                child welfare workforce to deliver trauma-informed and
                evidence-based services, including--

                        ``(I) ensuring that staff is qualified to provide
                    services or programs that are consistent with the
                    promising, supported, or well-supported practice models
                    selected; and
                        ``(II) developing appropriate prevention plans, and
                    conducting the risk assessments required under clause
                    (iii).

                    ``(viii) A description of how the State will provide
                training and support for caseworkers in assessing what
                children and their families need, connecting to the
                families served, knowing how to access and deliver the
                needed trauma-informed and evidence-based services, and
                overseeing and evaluating the continuing appropriateness of
                the services.
                    ``(ix) A description of how caseload size and type for
                prevention caseworkers will be determined, managed, and
                overseen.
                    ``(x) An assurance that the State will report to the
                Secretary such information and data as the Secretary may
                require with respect to the provision of services and
                programs specified in paragraph (1), including information
                and data necessary to determine the performance measures
                for the State under paragraph (6) and compliance with
                paragraph (7).
                ``(C) Reimbursement for services under the prevention plan
            component.--
                    ``(i) Limitation.--Except as provided in subclause
                (ii), a State may not receive a Federal payment under this
                part for a given promising, supported, or well-supported
                practice unless (in accordance with subparagraph
                (B)(iii)(V)) the plan includes a well-designed and rigorous
                evaluation strategy for that practice.
                    ``(ii) Waiver of limitation.--The Secretary may waive
                the requirement for a well-designed and rigorous evaluation
                of any well-supported practice if the Secretary deems the
                evidence of the effectiveness of the practice to be
                compelling and the State meets the continuous quality
                improvement requirements included in subparagraph
                (B)(iii)(II) with regard to the practice.
            ``(6) Prevention services measures.--
                ``(A) Establishment; annual updates.--Beginning with fiscal
            year 2021, and annually thereafter, the Secretary shall
            establish the following prevention services measures based on
            information and data reported by States that elect to provide
            services and programs specified in paragraph (1):
                    ``(i) Percentage of candidates for foster care who do
                not enter foster care.--The percentage of candidates for
                foster care for whom, or on whose behalf, the services or
                programs are provided who do not enter foster care,
                including those placed with a kin caregiver outside of
                foster care, during the 12-month period in which the
                services or programs are provided and through the end of
                the succeeding 12-month period.
                    ``(ii) Per-child spending.--The total amount of
                expenditures made for mental health and substance abuse
                prevention and treatment services or in-home parent skill-
                based programs, respectively, for, or on behalf of, each
                child described in paragraph (2).
                ``(B) Data.--The Secretary shall establish and annually
            update the prevention services measures--
                    ``(i) based on the median State values of the
                information reported under each clause of subparagraph (A)
                for the 3 then most recent years; and
                    ``(ii) taking into account State differences in the
                price levels of consumption goods and services using the
                most recent regional price parities published by the Bureau
                of Economic Analysis of the Department of Commerce or such
                other data as the Secretary determines appropriate.
                ``(C) Publication of state prevention services measures.--
            The Secretary shall annually make available to the public the
            prevention services measures of each State.
            ``(7) Maintenance of effort for state foster care prevention
        expenditures.--
                ``(A) In general.--If a State elects to provide services
            and programs specified in paragraph (1) for a fiscal year, the
            State foster care prevention expenditures for the fiscal year
            shall not be less than the amount of the expenditures for
            fiscal year 2014 (or, at the option of a State described in
            subparagraph (E), fiscal year 2015 or fiscal year 2016
            (whichever the State elects)).
                ``(B) State foster care prevention expenditures.--The term
            `State foster care prevention expenditures' means the
            following:
                    ``(i) TANF; iv-b; ssbg.--State expenditures for foster
                care prevention services and activities under the State
                program funded under part A (including from amounts made
                available by the Federal Government), under the State plan
                developed under part B (including any such amounts), or
                under the Social Services Block Grant Programs under
                subtitle A of title XX (including any such amounts).
                    ``(ii) Other state programs.--State expenditures for
                foster care prevention services and activities under any
                State program that is not described in clause (i) (other
                than any State expenditures for foster care prevention
                services and activities under the State program under this
                part (including under a waiver of the program)).
                ``(C) State expenditures.--The term `State expenditures'
            means all State or local funds that are expended by the State
            or a local agency including State or local funds that are
            matched or reimbursed by the Federal Government and State or
            local funds that are not matched or reimbursed by the Federal
            Government.
                ``(D) Determination of prevention services and
            activities.--The Secretary shall require each State that elects
            to provide services and programs specified in paragraph (1) to
            report the expenditures specified in subparagraph (B) for
            fiscal year 2014 and for such fiscal years thereafter as are
            necessary to determine whether the State is complying with the
            maintenance of effort requirement in subparagraph (A). The
            Secretary shall specify the specific services and activities
            under each program referred to in subparagraph (B) that are
            `prevention services and activities' for purposes of the
            reports.
                ``(E) State described.--For purposes of subparagraph (A), a
            State is described in this subparagraph if the population of
            children in the State in 2014 was less than 200,000 (as
            determined by the United States Census Bureau).
            ``(8) Prohibition against use of state foster care prevention
        expenditures and federal iv-e prevention funds for matching or
        expenditure requirement.--A State that elects to provide services
        and programs specified in paragraph (1) shall not use any State
        foster care prevention expenditures for a fiscal year for the State
        share of expenditures under section 474(a)(6) for a fiscal year.
            ``(9) Administrative costs.--Expenditures described in section
        474(a)(6)(B)--
                ``(A) shall not be eligible for payment under subparagraph
            (A), (B), or (E) of section 474(a)(3); and
                ``(B) shall be eligible for payment under section
            474(a)(6)(B) without regard to whether the expenditures are
            incurred on behalf of a child who is, or is potentially,
            eligible for foster care maintenance payments under this part.
            ``(10) Application.--
                ``(A) In general.--The provision of services or programs
            under this subsection to or on behalf of a child described in
            paragraph (2) shall not be considered to be receipt of aid or
            assistance under the State plan under this part for purposes of
            eligibility for any other program established under this Act.
                ``(B) Candidates in kinship care.--A child described in
            paragraph (2) for whom such services or programs under this
            subsection are provided for more than 6 months while in the
            home of a kin caregiver, and who would satisfy the AFDC
            eligibility requirement of section 472(a)(3)(A)(ii)(II) but for
            residing in the home of the caregiver for more than 6 months,
            is deemed to satisfy that requirement for purposes of
            determining whether the child is eligible for foster care
            maintenance payments under section 472.''.
        (b) Definition.--Section 475 of such Act (42 U.S.C. 675) is amended
    by adding at the end the following:
            ``(13) The term `child who is a candidate for foster care'
        means, a child who is identified in a prevention plan under section
        471(e)(4)(A) as being at imminent risk of entering foster care
        (without regard to whether the child would be eligible for foster
        care maintenance payments under section 472 or is or would be
        eligible for adoption assistance or kinship guardianship assistance
        payments under section 473) but who can remain safely in the
        child's home or in a kinship placement as long as services or
        programs specified in section 471(e)(1) that are necessary to
        prevent the entry of the child into foster care are provided. The
        term includes a child whose adoption or guardianship arrangement is
        at risk of a disruption or dissolution that would result in a
        foster care placement.''.
        (c) Payments Under Title IV-E.--Section 474(a) of such Act (42
    U.S.C. 674(a)) is amended--
            (1) in paragraph (5), by striking the period at the end and
        inserting ``; plus''; and
            (2) by adding at the end the following:
            ``(6) subject to section 471(e)--
                ``(A) for each quarter--
                    ``(i) subject to clause (ii)--

                        ``(I) beginning after September 30, 2019, and
                    before October 1, 2026, an amount equal to 50 percent
                    of the total amount expended during the quarter for the
                    provision of services or programs specified in
                    subparagraph (A) or (B) of section 471(e)(1) that are
                    provided in accordance with promising, supported, or
                    well-supported practices that meet the applicable
                    criteria specified for the practices in section
                    471(e)(4)(C); and
                        ``(II) beginning after September 30, 2026, an
                    amount equal to the Federal medical assistance
                    percentage (which shall be as defined in section
                    1905(b), in the case of a State other than the District
                    of Columbia, or 70 percent, in the case of the District
                    of Columbia) of the total amount expended during the
                    quarter for the provision of services or programs
                    specified in subparagraph (A) or (B) of section
                    471(e)(1) that are provided in accordance with
                    promising, supported, or well-supported practices that
                    meet the applicable criteria specified for the
                    practices in section 471(e)(4)(C) (or, with respect to
                    the payments made during the quarter under a
                    cooperative agreement or contract entered into by the
                    State and an Indian tribe, tribal organization, or
                    tribal consortium for the administration or payment of
                    funds under this part, an amount equal to the Federal
                    medical assistance percentage that would apply under
                    section 479B(d) (in this paragraph referred to as the
                    `tribal FMAP') if the Indian tribe, tribal
                    organization, or tribal consortium made the payments
                    under a program operated under that section, unless the
                    tribal FMAP is less than the Federal medical assistance
                    percentage that applies to the State); except that

                    ``(ii) not less than 50 percent of the total amount
                expended by a State under clause (i) for a fiscal year
                shall be for the provision of services or programs
                specified in subparagraph (A) or (B) of section 471(e)(1)
                that are provided in accordance with well-supported
                practices; plus
                ``(B) for each quarter specified in subparagraph (A), an
            amount equal to the sum of the following proportions of the
            total amount expended during the quarter--
                    ``(i) 50 percent of so much of the expenditures as are
                found necessary by the Secretary for the proper and
                efficient administration of the State plan for the
                provision of services or programs specified in section
                471(e)(1), including expenditures for activities approved
                by the Secretary that promote the development of necessary
                processes and procedures to establish and implement the
                provision of the services and programs for individuals who
                are eligible for the services and programs and expenditures
                attributable to data collection and reporting; and
                    ``(ii) 50 percent of so much of the expenditures with
                respect to the provision of services and programs specified
                in section 471(e)(1) as are for training of personnel
                employed or preparing for employment by the State agency or
                by the local agency administering the plan in the political
                subdivision and of the members of the staff of State-
                licensed or State-approved child welfare agencies providing
                services to children described in section 471(e)(2) and
                their parents or kin caregivers, including on how to
                determine who are individuals eligible for the services or
                programs, how to identify and provide appropriate services
                and programs, and how to oversee and evaluate the ongoing
                appropriateness of the services and programs.''.
        (d) Technical Assistance and Best Practices, Clearinghouse, and
    Data Collection and Evaluations.--Section 476 of such Act (42 U.S.C.
    676) is amended by adding at the end the following:
        ``(d) Technical Assistance and Best Practices, Clearinghouse, Data
    Collection, and Evaluations Relating to Prevention Services and
    Programs.--
            ``(1) Technical assistance and best practices.--The Secretary
        shall provide to States and, as applicable, to Indian tribes,
        tribal organizations, and tribal consortia, technical assistance
        regarding the provision of services and programs described in
        section 471(e)(1) and shall disseminate best practices with respect
        to the provision of the services and programs, including how to
        plan and implement a well-designed and rigorous evaluation of a
        promising, supported, or well-supported practice.
            ``(2) Clearinghouse of promising, supported, and well-supported
        practices.--The Secretary shall, directly or through grants,
        contracts, or interagency agreements, evaluate research on the
        practices specified in clauses (iii), (iv), and (v), respectively,
        of section 471(e)(4)(C), and programs that meet the requirements
        described in section 427(a)(1), including culturally specific, or
        location- or population-based adaptations of the practices, to
        identify and establish a public clearinghouse of the practices that
        satisfy each category described by such clauses. In addition, the
        clearinghouse shall include information on the specific outcomes
        associated with each practice, including whether the practice has
        been shown to prevent child abuse and neglect and reduce the
        likelihood of foster care placement by supporting birth families
        and kinship families and improving targeted supports for pregnant
        and parenting youth and their children.
            ``(3) Data collection and evaluations.--The Secretary, directly
        or through grants, contracts, or interagency agreements, may
        collect data and conduct evaluations with respect to the provision
        of services and programs described in section 471(e)(1) for
        purposes of assessing the extent to which the provision of the
        services and programs--
                ``(A) reduces the likelihood of foster care placement;
                ``(B) increases use of kinship care arrangements; or
                ``(C) improves child well-being.
            ``(4) Reports to congress.--
                ``(A) In general.--The Secretary shall submit to the
            Committee on Finance of the Senate and the Committee on Ways
            and Means of the House of Representatives periodic reports
            based on the provision of services and programs described in
            section 471(e)(1) and the activities carried out under this
            subsection.
                ``(B) Public availability.--The Secretary shall make the
            reports to Congress submitted under this paragraph publicly
            available.
            ``(5) Appropriation.--Out of any money in the Treasury of the
        United States not otherwise appropriated, there are appropriated to
        the Secretary $1,000,000 for fiscal year 2018 and each fiscal year
        thereafter to carry out this subsection.''.
        (e) Application to Programs Operated by Indian Tribal
    Organizations.--
            (1) In general.--Section 479B of such Act (42 U.S.C. 679c) is
        amended--
                (A) in subsection (c)(1)--
                    (i) in subparagraph (C)(i)--

                        (I) in subclause (II), by striking ``and'' after
                    the semicolon;
                        (II) in subclause (III), by striking the period at
                    the end and inserting ``; and''; and
                        (III) by adding at the end the following:
                        ``(IV) at the option of the tribe, organization, or
                    consortium, services and programs specified in section
                    471(e)(1) to children described in section 471(e)(2)
                    and their parents or kin caregivers, in accordance with
                    section 471(e) and subparagraph (E).''; and

                    (ii) by adding at the end the following:
                ``(E) Prevention services and programs for children and
            their parents and kin caregivers.--
                    ``(i) In general.--In the case of a tribe,
                organization, or consortium that elects to provide services
                and programs specified in section 471(e)(1) to children
                described in section 471(e)(2) and their parents or kin
                caregivers under the plan, the Secretary shall specify the
                requirements applicable to the provision of the services
                and programs. The requirements shall, to the greatest
                extent practicable, be consistent with the requirements
                applicable to States under section 471(e) and shall permit
                the provision of the services and programs in the form of
                services and programs that are adapted to the culture and
                context of the tribal communities served.
                    ``(ii) Performance measures.--The Secretary shall
                establish specific performance measures for each tribe,
                organization, or consortium that elects to provide services
                and programs specified in section 471(e)(1). The
                performance measures shall, to the greatest extent
                practicable, be consistent with the prevention services
                measures required for States under section 471(e)(6) but
                shall allow for consideration of factors unique to the
                provision of the services by tribes, organizations, or
                consortia.''; and
                (B) in subsection (d)(1), by striking ``and (5)'' and
            inserting ``(5), and (6)(A)''.
            (2) Conforming amendment.--The heading for subsection (d) of
        section 479B of such Act (42 U.S.C. 679c) is amended by striking
        ``for Foster Care Maintenance and Adoption Assistance Payments''.
        (f) Application to Programs Operated by Territories.--Section
    1108(a)(2) of the Social Security Act (42 U.S.C. 1308(a)(2)) is amended
    by striking ``or 413(f)'' and inserting ``413(f), or 474(a)(6)''.
    SEC. 50712. FOSTER CARE MAINTENANCE PAYMENTS FOR CHILDREN WITH PARENTS
    IN A LICENSED RESIDENTIAL FAMILY-BASED TREATMENT FACILITY FOR SUBSTANCE
    ABUSE.
        (a) In General.--Section 472 of the Social Security Act (42 U.S.C.
    672) is amended--
            (1) in subsection (a)(2)(C), by striking ``or'' and inserting
        ``, with a parent residing in a licensed residential family-based
        treatment facility, but only to the extent permitted under
        subsection (j), or in a''; and
            (2) by adding at the end the following:
        ``(j) Children Placed With a Parent Residing in a Licensed
    Residential Family-Based Treatment Facility for Substance Abuse.--
            ``(1) In general.--Notwithstanding the preceding provisions of
        this section, a child who is eligible for foster care maintenance
        payments under this section, or who would be eligible for the
        payments if the eligibility were determined without regard to
        paragraphs (1)(B) and (3) of subsection (a), shall be eligible for
        the payments for a period of not more than 12 months during which
        the child is placed with a parent who is in a licensed residential
        family-based treatment facility for substance abuse, but only if--
                ``(A) the recommendation for the placement is specified in
            the child's case plan before the placement;
                ``(B) the treatment facility provides, as part of the
            treatment for substance abuse, parenting skills training,
            parent education, and individual and family counseling; and
                ``(C) the substance abuse treatment, parenting skills
            training, parent education, and individual and family
            counseling is provided under an organizational structure and
            treatment framework that involves understanding, recognizing,
            and responding to the effects of all types of trauma and in
            accordance with recognized principles of a trauma-informed
            approach and trauma-specific interventions to address the
            consequences of trauma and facilitate healing.
            ``(2) Application.--With respect to children for whom foster
        care maintenance payments are made under paragraph (1), only the
        children who satisfy the requirements of paragraphs (1)(B) and (3)
        of subsection (a) shall be considered to be children with respect
        to whom foster care maintenance payments are made under this
        section for purposes of subsection (h) or section 473(b)(3)(B).''.
        (b) Conforming Amendment.--Section 474(a)(1) of such Act (42 U.S.C.
    674(a)(1)) is amended by inserting ``subject to section 472(j),''
    before ``an amount equal to the Federal'' the first place it appears.
    SEC. 50713. TITLE IV-E PAYMENTS FOR EVIDENCE-BASED KINSHIP NAVIGATOR
    PROGRAMS.
        Section 474(a) of the Social Security Act (42 U.S.C. 674(a)), as
    amended by section 50711(c), is amended--
            (1) in paragraph (6), by striking the period at the end and
        inserting ``; plus''; and
            (2) by adding at the end the following:
            ``(7) an amount equal to 50 percent of the amounts expended by
        the State during the quarter as the Secretary determines are for
        kinship navigator programs that meet the requirements described in
        section 427(a)(1) and that the Secretary determines are operated in
        accordance with promising, supported, or well-supported practices
        that meet the applicable criteria specified for the practices in
        section 471(e)(4)(C), without regard to whether the expenditures
        are incurred on behalf of children who are, or are potentially,
        eligible for foster care maintenance payments under this part.''.

                   PART II--ENHANCED SUPPORT UNDER TITLE IV-B

    SEC. 50721. ELIMINATION OF TIME LIMIT FOR FAMILY REUNIFICATION SERVICES
    WHILE IN FOSTER CARE AND PERMITTING TIME-LIMITED FAMILY REUNIFICATION
    SERVICES WHEN A CHILD RETURNS HOME FROM FOSTER CARE.
        (a) In General.--Section 431(a)(7) of the Social Security Act (42
    U.S.C. 629a(a)(7)) is amended--
            (1) in the paragraph heading, by striking ``Time-limited
        family'' and inserting ``Family''; and
            (2) in subparagraph (A)--
                (A) by striking ``time-limited family'' and inserting
            ``family'';
                (B) by inserting ``or a child who has been returned home''
            after ``child care institution''; and
                (C) by striking ``, but only during the 15-month period
            that begins on the date that the child, pursuant to section
            475(5)(F), is considered to have entered foster care'' and
            inserting ``and to ensure the strength and stability of the
            reunification. In the case of a child who has been returned
            home, the services and activities shall only be provided during
            the 15-month period that begins on the date that the child
            returns home''.
        (b) Conforming Amendments.--
            (1) Section 430 of such Act (42 U.S.C. 629) is amended in the
        matter preceding paragraph (1), by striking ``time-limited''.
            (2) Subsections (a)(4), (a)(5)(A), and (b)(1) of section 432 of
        such Act (42 U.S.C. 629b) are amended by striking ``time-limited''
        each place it appears.
    SEC. 50722. REDUCING BUREAUCRACY AND UNNECESSARY DELAYS WHEN PLACING
    CHILDREN IN HOMES ACROSS STATE LINES.
        (a) State Plan Requirement.--Section 471(a)(25) of the Social
    Security Act (42 U.S.C. 671(a)(25)) is amended--
            (1) by striking ``provide'' and inserting ``provides''; and
            (2) by inserting ``, which, in the case of a State other than
        the Commonwealth of Puerto Rico, the United States Virgin Islands,
        Guam, or American Samoa, not later than October 1, 2027, shall
        include the use of an electronic interstate case-processing
        system'' before the first semicolon.
        (b) Exemption of Indian Tribes.--Section 479B(c) of such Act (42
    U.S.C. 679c(c)) is amended by adding at the end the following:
            ``(4) Inapplicability of state plan requirement to have in
        effect procedures providing for the use of an electronic interstate
        case-processing system.--The requirement in section 471(a)(25) that
        a State plan provide that the State shall have in effect procedures
        providing for the use of an electronic interstate case-processing
        system shall not apply to an Indian tribe, tribal organization, or
        tribal consortium that elects to operate a program under this
        part.''.
        (c) Funding for the Development of an Electronic Interstate Case-
    processing System to Expedite the Interstate Placement of Children in
    Foster Care or Guardianship, or for Adoption.--Section 437 of such Act
    (42 U.S.C. 629g) is amended by adding at the end the following:
        ``(g) Funding for the Development of an Electronic Interstate Case-
    processing System to Expedite the Interstate Placement of Children in
    Foster Care or Guardianship, or for Adoption.--
            ``(1) Purpose.--The purpose of this subsection is to facilitate
        the development of an electronic interstate case-processing system
        for the exchange of data and documents to expedite the placements
        of children in foster, guardianship, or adoptive homes across State
        lines.
            ``(2) Requirements.--A State that seeks funding under this
        subsection shall submit to the Secretary the following:
                ``(A) A description of the goals and outcomes to be
            achieved, which goals and outcomes must result in--
                    ``(i) reducing the time it takes for a child to be
                provided with a safe and appropriate permanent living
                arrangement across State lines;
                    ``(ii) improving administrative processes and reducing
                costs in the foster care system; and
                    ``(iii) the secure exchange of relevant case files and
                other necessary materials in real time, and timely
                communications and placement decisions regarding interstate
                placements of children.
                ``(B) A description of the activities to be funded in whole
            or in part with the funds, including the sequencing of the
            activities.
                ``(C) A description of the strategies for integrating
            programs and services for children who are placed across State
            lines.
                ``(D) Such other information as the Secretary may require.
            ``(3) Funding authority.--The Secretary may provide funds to a
        State that complies with paragraph (2). In providing funds under
        this subsection, the Secretary shall prioritize States that are not
        yet connected with the electronic interstate case-processing system
        referred to in paragraph (1).
            ``(4) Use of funds.--A State to which funding is provided under
        this subsection shall use the funding to support the State in
        connecting with, or enhancing or expediting services provided
        under, the electronic interstate case-processing system referred to
        in paragraph (1).
            ``(5) Evaluations.--Not later than 1 year after the final year
        in which funds are awarded under this subsection, the Secretary
        shall submit to the Congress, and make available to the general
        public by posting on a website, a report that contains the
        following information:
                ``(A) How using the electronic interstate case-processing
            system developed pursuant to paragraph (4) has changed the time
            it takes for children to be placed across State lines.
                ``(B) The number of cases subject to the Interstate Compact
            on the Placement of Children that were processed through the
            electronic interstate case-processing system, and the number of
            interstate child placement cases that were processed outside
            the electronic interstate case-processing system, by each State
            in each year.
                ``(C) The progress made by States in implementing the
            electronic interstate case-processing system.
                ``(D) How using the electronic interstate case-processing
            system has affected various metrics related to child safety and
            well-being, including the time it takes for children to be
            placed across State lines.
                ``(E) How using the electronic interstate case-processing
            system has affected administrative costs and caseworker time
            spent on placing children across State lines.
            ``(6) Data integration.--The Secretary, in consultation with
        the Secretariat for the Interstate Compact on the Placement of
        Children and the States, shall assess how the electronic interstate
        case-processing system developed pursuant to paragraph (4) could be
        used to better serve and protect children that come to the
        attention of the child welfare system, by--
                ``(A) connecting the system with other data systems (such
            as systems operated by State law enforcement and judicial
            agencies, systems operated by the Federal Bureau of
            Investigation for the purposes of the Innocence Lost National
            Initiative, and other systems);
                ``(B) simplifying and improving reporting related to
            paragraphs (34) and (35) of section 471(a) regarding children
            or youth who have been identified as being a sex trafficking
            victim or children missing from foster care; and
                ``(C) improving the ability of States to quickly comply
            with background check requirements of section 471(a)(20),
            including checks of child abuse and neglect registries as
            required by section 471(a)(20)(B).''.
        (d) Reservation of Funds To Improve the Interstate Placement of
    Children.--Section 437(b) of such Act (42 U.S.C. 629g(b)) is amended by
    adding at the end the following:
            ``(4) Improving the interstate placement of children.--The
        Secretary shall reserve $5,000,000 of the amount made available for
        fiscal year 2018 for grants under subsection (g), and the amount so
        reserved shall remain available through fiscal year 2022.''.
    SEC. 50723. ENHANCEMENTS TO GRANTS TO IMPROVE WELL-BEING OF FAMILIES
    AFFECTED BY SUBSTANCE ABUSE.
        Section 437(f) of the Social Security Act (42 U.S.C. 629g(f)) is
    amended--
            (1) in the subsection heading, by striking ``Increase the Well-
        Being of, and To Improve the Permanency Outcomes for, Children
        Affected by'' and inserting ``Implement IV-E Prevention Services,
        and Improve the Well-Being of, and Improve Permanency Outcomes for,
        Children and Families Affected by Heroin, Opioids, and Other'';
            (2) by striking paragraph (2) and inserting the following:
            ``(2) Regional partnership defined.--In this subsection, the
        term `regional partnership' means a collaborative agreement (which
        may be established on an interstate, State, or intrastate basis)
        entered into by the following:
                ``(A) Mandatory partners for all partnership grants.--
                    ``(i) The State child welfare agency that is
                responsible for the administration of the State plan under
                this part and part E.
                    ``(ii) The State agency responsible for administering
                the substance abuse prevention and treatment block grant
                provided under subpart II of part B of title XIX of the
                Public Health Service Act.
                ``(B) Mandatory partners for partnership grants proposing
            to serve children in out-of-home placements.--If the
            partnership proposes to serve children in out-of-home
            placements, the Juvenile Court or Administrative Office of the
            Court that is most appropriate to oversee the administration of
            court programs in the region to address the population of
            families who come to the attention of the court due to child
            abuse or neglect.
                ``(C) Optional partners.--At the option of the partnership,
            any of the following:
                    ``(i) An Indian tribe or tribal consortium.
                    ``(ii) Nonprofit child welfare service providers.
                    ``(iii) For-profit child welfare service providers.
                    ``(iv) Community health service providers, including
                substance abuse treatment providers.
                    ``(v) Community mental health providers.
                    ``(vi) Local law enforcement agencies.
                    ``(vii) School personnel.
                    ``(viii) Tribal child welfare agencies (or a consortia
                of the agencies).
                    ``(ix) Any other providers, agencies, personnel,
                officials, or entities that are related to the provision of
                child and family services under a State plan approved under
                this subpart.
                ``(D) Exception for regional partnerships where the lead
            applicant is an indian tribe or tribal consortia.--If an Indian
            tribe or tribal consortium enters into a regional partnership
            for purposes of this subsection, the Indian tribe or tribal
            consortium--
                    ``(i) may (but is not required to) include the State
                child welfare agency as a partner in the collaborative
                agreement;
                    ``(ii) may not enter into a collaborative agreement
                only with tribal child welfare agencies (or a consortium of
                the agencies); and
                    ``(iii) if the condition described in paragraph (2)(B)
                applies, may include tribal court organizations in lieu of
                other judicial partners.'';
            (3) in paragraph (3)--
                (A) in subparagraph (A)--
                    (i) by striking ``2012 through 2016'' and inserting
                ``2017 through 2021''; and
                    (ii) by striking ``$500,000 and not more than
                $1,000,000'' and inserting ``$250,000 and not more than
                $1,000,000'';
                (B) in subparagraph (B)--
                    (i) in the subparagraph heading, by inserting ``;
                planning'' after ``approval'';
                    (ii) in clause (i), by striking ``clause (ii)'' and
                inserting ``clauses (ii) and (iii)''; and
                    (iii) by adding at the end the following:
                    ``(iii) Sufficient planning.--A grant awarded under
                this subsection shall be disbursed in two phases: a
                planning phase (not to exceed 2 years) and an
                implementation phase. The total disbursement to a grantee
                for the planning phase may not exceed $250,000, and may not
                exceed the total anticipated funding for the implementation
                phase.''; and
                (C) by adding at the end the following:
                ``(D) Limitation on payment for a fiscal year.--No payment
            shall be made under subparagraph (A) or (C) for a fiscal year
            until the Secretary determines that the eligible partnership
            has made sufficient progress in meeting the goals of the grant
            and that the members of the eligible partnership are
            coordinating to a reasonable degree with the other members of
            the eligible partnership.'';
            (4) in paragraph (4)--
                (A) in subparagraph (B)--
                    (i) in clause (i), by inserting ``, parents, and
                families'' after ``children'';
                    (ii) in clause (ii), by striking ``safety and
                permanence for such children; and'' and inserting ``safe,
                permanent caregiving relationships for the children;'';
                    (iii) in clause (iii), by striking ``or'' and inserting
                ``increase reunification rates for children who have been
                placed in out-of-home care, or decrease''; and
                    (iv) by redesignating clause (iii) as clause (v) and
                inserting after clause (ii) the following:
                    ``(iii) improve the substance abuse treatment outcomes
                for parents including retention in treatment and successful
                completion of treatment;
                    ``(iv) facilitate the implementation, delivery, and
                effectiveness of prevention services and programs under
                section 471(e); and'';
                (B) in subparagraph (D), by striking ``where
            appropriate,''; and
                (C) by striking subparagraphs (E) and (F) and inserting the
            following:
                ``(E) A description of a plan for sustaining the services
            provided by or activities funded under the grant after the
            conclusion of the grant period, including through the use of
            prevention services and programs under section 471(e) and other
            funds provided to the State for child welfare and substance
            abuse prevention and treatment services.
                ``(F) Additional information needed by the Secretary to
            determine that the proposed activities and implementation will
            be consistent with research or evaluations showing which
            practices and approaches are most effective.'';
            (5) in paragraph (5)(A), by striking ``abuse treatment'' and
        inserting ``use disorder treatment including medication assisted
        treatment and in-home substance abuse disorder treatment and
        recovery'';
            (6) in paragraph (7)--
                (A) by striking ``and'' at the end of subparagraph (C); and
                (B) by redesignating subparagraph (D) as subparagraph (E)
            and inserting after subparagraph (C) the following:
                ``(D) demonstrate a track record of successful
            collaboration among child welfare, substance abuse disorder
            treatment and mental health agencies; and'';
            (7) in paragraph (8)--
                (A) in subparagraph (A)--
                    (i) by striking ``establish indicators that will be''
                and inserting ``review indicators that are''; and
                    (ii) by striking ``in using funds made available under
                such grants to achieve the purpose of this subsection'' and
                inserting ``and establish a set of core indicators related
                to child safety, parental recovery, parenting capacity, and
                family well-being. In developing the core indicators, to
                the extent possible, indicators shall be made consistent
                with the outcome measures described in section 471(e)(6)'';
                and
                (B) in subparagraph (B)--
                    (i) in the matter preceding clause (i), by inserting
                ``base the performance measures on lessons learned from
                prior rounds of regional partnership grants under this
                subsection, and'' before ``consult''; and
                    (ii) by striking clauses (iii) and (iv) and inserting
                the following:
                    ``(iii) Other stakeholders or constituencies as
                determined by the Secretary.'';
            (8) in paragraph (9)(A), by striking clause (i) and inserting
        the following:
                    ``(i) Semiannual reports.--Not later than September 30
                of each fiscal year in which a recipient of a grant under
                this subsection is paid funds under the grant, and every 6
                months thereafter, the grant recipient shall submit to the
                Secretary a report on the services provided and activities
                carried out during the reporting period, progress made in
                achieving the goals of the program, the number of children,
                adults, and families receiving services, and such
                additional information as the Secretary determines is
                necessary. The report due not later than September 30 of
                the last such fiscal year shall include, at a minimum, data
                on each of the performance indicators included in the
                evaluation of the regional partnership.''; and
            (9) in paragraph (10), by striking ``2012 through 2016'' and
        inserting ``2017 through 2021''.

                            PART III--MISCELLANEOUS

    SEC. 50731. REVIEWING AND IMPROVING LICENSING STANDARDS FOR PLACEMENT
    IN A RELATIVE FOSTER FAMILY HOME.
        (a) Identification of Reputable Model Licensing Standards.--Not
    later than October 1, 2018, the Secretary of Health and Human Services
    shall identify reputable model licensing standards with respect to the
    licensing of foster family homes (as defined in section 472(c)(1) of
    the Social Security Act).
        (b) State Plan Requirement.--Section 471(a) of the Social Security
    Act (42 U.S.C. 671(a)) is amended--
            (1) in paragraph (34)(B), by striking ``and'' after the
        semicolon;
            (2) in paragraph (35)(B), by striking the period at the end and
        inserting a semicolon; and
            (3) by adding at the end the following:
            ``(36) provides that, not later than April 1, 2019, the State
        shall submit to the Secretary information addressing--
                ``(A) whether the State licensing standards are in accord
            with model standards identified by the Secretary, and if not,
            the reason for the specific deviation and a description as to
            why having a standard that is reasonably in accord with the
            corresponding national model standards is not appropriate for
            the State;
                ``(B) whether the State has elected to waive standards
            established in 471(a)(10)(A) for relative foster family homes
            (pursuant to waiver authority provided by 471(a)(10)(D)), a
            description of which standards the State most commonly waives,
            and if the State has not elected to waive the standards, the
            reason for not waiving these standards;
                ``(C) if the State has elected to waive standards specified
            in subparagraph (B), how caseworkers are trained to use the
            waiver authority and whether the State has developed a process
            or provided tools to assist caseworkers in waiving nonsafety
            standards per the authority provided in 471(a)(10)(D) to
            quickly place children with relatives; and
                ``(D) a description of the steps the State is taking to
            improve caseworker training or the process, if any; and''.
    SEC. 50732. DEVELOPMENT OF A STATEWIDE PLAN TO PREVENT CHILD ABUSE AND
    NEGLECT FATALITIES.
        Section 422(b)(19) of the Social Security Act (42 U.S.C.
    622(b)(19)) is amended to read as follows:
            ``(19) document steps taken to track and prevent child
        maltreatment deaths by including--
                ``(A) a description of the steps the State is taking to
            compile complete and accurate information on the deaths
            required by Federal law to be reported by the State agency
            referred to in paragraph (1), including gathering relevant
            information on the deaths from the relevant organizations in
            the State including entities such as State vital statistics
            department, child death review teams, law enforcement agencies,
            offices of medical examiners, or coroners; and
                ``(B) a description of the steps the State is taking to
            develop and implement a comprehensive, statewide plan to
            prevent the fatalities that involves and engages relevant
            public and private agency partners, including those in public
            health, law enforcement, and the courts.''.
    SEC. 50733. MODERNIZING THE TITLE AND PURPOSE OF TITLE IV-E.
        (a) Part Heading.--The heading for part E of title IV of the Social
    Security Act (42 U.S.C. 670 et seq.) is amended to read as follows:

          ``PART E--FEDERAL PAYMENTS FOR FOSTER CARE, PREVENTION, AND
                                 PERMANENCY''.

        (b) Purpose.--The first sentence of section 470 of such Act (42
    U.S.C. 670) is amended--
            (1) by striking ``1995) and'' and inserting ``1995),'';
            (2) by inserting ``kinship guardianship assistance, and
        prevention services or programs specified in section 471(e)(1),''
        after ``needs,''; and
            (3) by striking ``(commencing with the fiscal year which begins
        October 1, 1980)''.
    SEC. 50734. EFFECTIVE DATES.
        (a) Effective Dates.--
            (1) In general.--Except as provided in paragraph (2), subject
        to subsection (b), the amendments made by parts I through III of
        this subtitle shall take effect on October 1, 2018.
            (2) Exceptions.--The amendments made by sections 50711(d),
        50731, and 50733 shall take effect on the date of enactment of this
        Act.
        (b) Transition Rule.--
            (1) In general.--In the case of a State plan under part B or E
        of title IV 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 parts I through III of this subtitle, the State plan shall not
        be regarded as failing to comply with the requirements of such part
        solely on the basis of the failure of the plan to meet such
        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 the
        session shall be deemed to be a separate regular session of the
        State legislature.
            (2) Application to programs operated by indian tribal
        organizations.--In the case of an Indian tribe, tribal
        organization, or tribal consortium which the Secretary of Health
        and Human Services determines requires time to take action
        necessary to comply with the additional requirements imposed by the
        amendments made by parts I through III of this subtitle (whether
        the tribe, organization, or tribal consortium has a plan under
        section 479B of the Social Security Act or a cooperative agreement
        or contract entered into with a State), the Secretary shall provide
        the tribe, organization, or tribal consortium with such additional
        time as the Secretary determines is necessary for the tribe,
        organization, or tribal consortium to take the action to comply
        with the additional requirements before being regarded as failing
        to comply with the requirements.

    PART IV--ENSURING THE NECESSITY OF A PLACEMENT THAT IS NOT IN A FOSTER
                                  FAMILY HOME

    SEC. 50741. LIMITATION ON FEDERAL FINANCIAL PARTICIPATION FOR
    PLACEMENTS THAT ARE NOT IN FOSTER FAMILY HOMES.
        (a) Limitation on Federal Financial Participation.--
            (1) In general.--Section 472 of the Social Security Act (42
        U.S.C. 672), as amended by section 50712(a), is amended--
                (A) in subsection (a)(2)(C), by inserting ``, but only to
            the extent permitted under subsection (k)'' after
            ``institution''; and
                (B) by adding at the end the following:
        ``(k) Limitation on Federal Financial Participation.--
            ``(1) In general.--Beginning with the third week for which
        foster care maintenance payments are made under this section on
        behalf of a child placed in a child-care institution, no Federal
        payment shall be made to the State under section 474(a)(1) for
        amounts expended for foster care maintenance payments on behalf of
        the child unless--
                ``(A) the child is placed in a child-care institution that
            is a setting specified in paragraph (2) (or is placed in a
            licensed residential family-based treatment facility consistent
            with subsection (j)); and
                ``(B) in the case of a child placed in a qualified
            residential treatment program (as defined in paragraph (4)),
            the requirements specified in paragraph (3) and section 475A(c)
            are met.
            ``(2) Specified settings for placement.--The settings for
        placement specified in this paragraph are the following:
                ``(A) A qualified residential treatment program (as defined
            in paragraph (4)).
                ``(B) A setting specializing in providing prenatal, post-
            partum, or parenting supports for youth.
                ``(C) In the case of a child who has attained 18 years of
            age, a supervised setting in which the child is living
            independently.
                ``(D) A setting providing high-quality residential care and
            supportive services to children and youth who have been found
            to be, or are at risk of becoming, sex trafficking victims, in
            accordance with section 471(a)(9)(C).
            ``(3) Assessment to determine appropriateness of placement in a
        qualified residential treatment program.--
                ``(A) Deadline for assessment.--In the case of a child who
            is placed in a qualified residential treatment program, if the
            assessment required under section 475A(c)(1) is not completed
            within 30 days after the placement is made, no Federal payment
            shall be made to the State under section 474(a)(1) for any
            amounts expended for foster care maintenance payments on behalf
            of the child during the placement.
                ``(B) Deadline for transition out of placement.--If the
            assessment required under section 475A(c)(1) determines that
            the placement of a child in a qualified residential treatment
            program is not appropriate, a court disapproves such a
            placement under section 475A(c)(2), or a child who has been in
            an approved placement in a qualified residential treatment
            program is going to return home or be placed with a fit and
            willing relative, a legal guardian, or an adoptive parent, or
            in a foster family home, Federal payments shall be made to the
            State under section 474(a)(1) for amounts expended for foster
            care maintenance payments on behalf of the child while the
            child remains in the qualified residential treatment program
            only during the period necessary for the child to transition
            home or to such a placement. In no event shall a State receive
            Federal payments under section 474(a)(1) for amounts expended
            for foster care maintenance payments on behalf of a child who
            remains placed in a qualified residential treatment program
            after the end of the 30-day period that begins on the date a
            determination is made that the placement is no longer the
            recommended or approved placement for the child.
            ``(4) Qualified residential treatment program.--For purposes of
        this part, the term `qualified residential treatment program' means
        a program that--
                ``(A) has a trauma-informed treatment model that is
            designed to address the needs, including clinical needs as
            appropriate, of children with serious emotional or behavioral
            disorders or disturbances and, with respect to a child, is able
            to implement the treatment identified for the child by the
            assessment of the child required under section 475A(c);
                ``(B) subject to paragraphs (5) and (6), has registered or
            licensed nursing staff and other licensed clinical staff who--
                    ``(i) provide care within the scope of their practice
                as defined by State law;
                    ``(ii) are on-site according to the treatment model
                referred to in subparagraph (A); and
                    ``(iii) are available 24 hours a day and 7 days a week;
                ``(C) to extent appropriate, and in accordance with the
            child's best interests, facilitates participation of family
            members in the child's treatment program;
                ``(D) facilitates outreach to the family members of the
            child, including siblings, documents how the outreach is made
            (including contact information), and maintains contact
            information for any known biological family and fictive kin of
            the child;
                ``(E) documents how family members are integrated into the
            treatment process for the child, including post-discharge, and
            how sibling connections are maintained;
                ``(F) provides discharge planning and family-based
            aftercare support for at least 6 months post-discharge; and
                ``(G) is licensed in accordance with section 471(a)(10) and
            is accredited by any of the following independent, not-for-
            profit organizations:
                    ``(i) The Commission on Accreditation of Rehabilitation
                Facilities (CARF).
                    ``(ii) The Joint Commission on Accreditation of
                Healthcare Organizations (JCAHO).
                    ``(iii) The Council on Accreditation (COA).
                    ``(iv) Any other independent, not-for-profit
                accrediting organization approved by the Secretary.
            ``(5) Administrative costs.--The prohibition in paragraph (1)
        on Federal payments under section 474(a)(1) shall not be construed
        as prohibiting Federal payments for administrative expenditures
        incurred on behalf of a child placed in a child-care institution
        and for which payment is available under section 474(a)(3).
            ``(6) Rule of construction.--The requirements in paragraph
        (4)(B) shall not be construed as requiring a qualified residential
        treatment program to acquire nursing and behavioral health staff
        solely through means of a direct employer to employee
        relationship.''.
            (2) Conforming amendment.--Section 474(a)(1) of the Social
        Security Act (42 U.S.C. 674(a)(1)), as amended by section 50712(b),
        is amended by striking ``section 472(j)'' and inserting
        ``subsections (j) and (k) of section 472''.
        (b) Definition of Foster Family Home, Child-Care Institution.--
    Section 472(c) of such Act (42 U.S.C. 672(c)(1)) is amended to read as
    follows:
        ``(c) Definitions.--For purposes of this part:
            ``(1) Foster family home.--
                ``(A) In general.--The term `foster family home' means the
            home of an individual or family--
                    ``(i) that is licensed or approved by the State in
                which it is situated as a foster family home that meets the
                standards established for the licensing or approval; and
                    ``(ii) in which a child in foster care has been placed
                in the care of an individual, who resides with the child
                and who has been licensed or approved by the State to be a
                foster parent--

                        ``(I) that the State deems capable of adhering to
                    the reasonable and prudent parent standard;
                        ``(II) that provides 24-hour substitute care for
                    children placed away from their parents or other
                    caretakers; and
                        ``(III) that provides the care for not more than
                    six children in foster care.

                ``(B) State flexibility.--The number of foster children
            that may be cared for in a home under subparagraph (A) may
            exceed the numerical limitation in subparagraph (A)(ii)(III),
            at the option of the State, for any of the following reasons:
                    ``(i) To allow a parenting youth in foster care to
                remain with the child of the parenting youth.
                    ``(ii) To allow siblings to remain together.
                    ``(iii) To allow a child with an established meaningful
                relationship with the family to remain with the family.
                    ``(iv) To allow a family with special training or
                skills to provide care to a child who has a severe
                disability.
                ``(C) Rule of construction.--Subparagraph (A) shall not be
            construed as prohibiting a foster parent from renting the home
            in which the parent cares for a foster child placed in the
            parent's care.
            ``(2) Child-care institution.--
                ``(A) In general.--The term `child-care institution' means
            a private child-care institution, or a public child-care
            institution which accommodates no more than 25 children, which
            is licensed by the State in which it is situated or has been
            approved by the agency of the State responsible for licensing
            or approval of institutions of this type as meeting the
            standards established for the licensing.
                ``(B) Supervised settings.--In the case of a child who has
            attained 18 years of age, the term shall include a supervised
            setting in which the individual is living independently, in
            accordance with such conditions as the Secretary shall
            establish in regulations.
                ``(C) Exclusions.--The term shall not include detention
            facilities, forestry camps, training schools, or any other
            facility operated primarily for the detention of children who
            are determined to be delinquent.''.
        (c) Training for State Judges, Attorneys, and Other Legal Personnel
    in Child Welfare Cases.--Section 438(b)(1) of such Act (42 U.S.C.
    629h(b)(1)) is amended in the matter preceding subparagraph (A) by
    inserting ``shall provide for the training of judges, attorneys, and
    other legal personnel in child welfare cases on Federal child welfare
    policies and payment limitations with respect to children in foster
    care who are placed in settings that are not a foster family home,''
    after ``with respect to the child,''.
        (d) Assurance of Nonimpact on Juvenile Justice System.--
            (1) State plan requirement.--Section 471(a) of such Act (42
        U.S.C. 671(a)), as amended by section 50731, is further amended by
        adding at the end the following:
            ``(37) includes a certification that, in response to the
        limitation imposed under section 472(k) with respect to foster care
        maintenance payments made on behalf of any child who is placed in a
        setting that is not a foster family home, the State will not enact
        or advance policies or practices that would result in a significant
        increase in the population of youth in the State's juvenile justice
        system.''.
            (2) GAO study and report.--The Comptroller General of the
        United States shall evaluate the impact, if any, on State juvenile
        justice systems of the limitation imposed under section 472(k) of
        the Social Security Act (as added by section 50741(a)(1)) on foster
        care maintenance payments made on behalf of any child who is placed
        in a setting that is not a foster family home, in accordance with
        the amendments made by subsections (a) and (b) of this section. In
        particular, the Comptroller General shall evaluate the extent to
        which children in foster care who also are subject to the juvenile
        justice system of the State are placed in a facility under the
        jurisdiction of the juvenile justice system and whether the lack of
        available congregate care placements under the jurisdiction of the
        child welfare systems is a contributing factor to that result. Not
        later than December 31, 2025, the Comptroller General shall submit
        to Congress a report on the results of the evaluation.
    SEC. 50742. ASSESSMENT AND DOCUMENTATION OF THE NEED FOR PLACEMENT IN A
    QUALIFIED RESIDENTIAL TREATMENT PROGRAM.
        Section 475A of the Social Security Act (42 U.S.C. 675a) is amended
    by adding at the end the following:
        ``(c) Assessment, Documentation, and Judicial Determination
    Requirements for Placement in a Qualified Residential Treatment
    Program.--In the case of any child who is placed in a qualified
    residential treatment program (as defined in section 472(k)(4)), the
    following requirements shall apply for purposes of approving the case
    plan for the child and the case system review procedure for the child:
            ``(1)(A) Within 30 days of the start of each placement in such
        a setting, a qualified individual (as defined in subparagraph (D))
        shall--
                ``(i) assess the strengths and needs of the child using an
            age-appropriate, evidence-based, validated, functional
            assessment tool approved by the Secretary;
                ``(ii) determine whether the needs of the child can be met
            with family members or through placement in a foster family
            home or, if not, which setting from among the settings
            specified in section 472(k)(2) would provide the most effective
            and appropriate level of care for the child in the least
            restrictive environment and be consistent with the short- and
            long-term goals for the child, as specified in the permanency
            plan for the child; and
                ``(iii) develop a list of child-specific short- and long-
            term mental and behavioral health goals.
            ``(B)(i) The State shall assemble a family and permanency team
        for the child in accordance with the requirements of clauses (ii)
        and (iii). The qualified individual conducting the assessment
        required under subparagraph (A) shall work in conjunction with the
        family of, and permanency team for, the child while conducting and
        making the assessment.
            ``(ii) The family and permanency team shall consist of all
        appropriate biological family members, relative, and fictive kin of
        the child, as well as, as appropriate, professionals who are a
        resource to the family of the child, such as teachers, medical or
        mental health providers who have treated the child, or clergy. In
        the case of a child who has attained age 14, the family and
        permanency team shall include the members of the permanency
        planning team for the child that are selected by the child in
        accordance with section 475(5)(C)(iv).
            ``(iii) The State shall document in the child's case plan--
                ``(I) the reasonable and good faith effort of the State to
            identify and include all the individuals described in clause
            (ii) on the child's family and permanency team;
                ``(II) all contact information for members of the family
            and permanency team, as well as contact information for other
            family members and fictive kin who are not part of the family
            and permanency team;
                ``(III) evidence that meetings of the family and permanency
            team, including meetings relating to the assessment required
            under subparagraph (A), are held at a time and place convenient
            for family;
                ``(IV) if reunification is the goal, evidence demonstrating
            that the parent from whom the child was removed provided input
            on the members of the family and permanency team;
                ``(V) evidence that the assessment required under
            subparagraph (A) is determined in conjunction with the family
            and permanency team;
                ``(VI) the placement preferences of the family and
            permanency team relative to the assessment that recognizes
            children should be placed with their siblings unless there is a
            finding by the court that such placement is contrary to their
            best interest; and
                ``(VII) if the placement preferences of the family and
            permanency team and child are not the placement setting
            recommended by the qualified individual conducting the
            assessment under subparagraph (A), the reasons why the
            preferences of the team and of the child were not recommended.
            ``(C) In the case of a child who the qualified individual
        conducting the assessment under subparagraph (A) determines should
        not be placed in a foster family home, the qualified individual
        shall specify in writing the reasons why the needs of the child
        cannot be met by the family of the child or in a foster family
        home. A shortage or lack of foster family homes shall not be an
        acceptable reason for determining that the needs of the child
        cannot be met in a foster family home. The qualified individual
        also shall specify in writing why the recommended placement in a
        qualified residential treatment program is the setting that will
        provide the child with the most effective and appropriate level of
        care in the least restrictive environment and how that placement is
        consistent with the short- and long-term goals for the child, as
        specified in the permanency plan for the child.
            ``(D)(i) Subject to clause (ii), in this subsection, the term
        `qualified individual' means a trained professional or licensed
        clinician who is not an employee of the State agency and who is not
        connected to, or affiliated with, any placement setting in which
        children are placed by the State.
            ``(ii) The Secretary may approve a request of a State to waive
        any requirement in clause (i) upon a submission by the State, in
        accordance with criteria established by the Secretary, that
        certifies that the trained professionals or licensed clinicians
        with responsibility for performing the assessments described in
        subparagraph (A) shall maintain objectivity with respect to
        determining the most effective and appropriate placement for a
        child.
            ``(2) Within 60 days of the start of each placement in a
        qualified residential treatment program, a family or juvenile court
        or another court (including a tribal court) of competent
        jurisdiction, or an administrative body appointed or approved by
        the court, independently, shall--
                ``(A) consider the assessment, determination, and
            documentation made by the qualified individual conducting the
            assessment under paragraph (1);
                ``(B) determine whether the needs of the child can be met
            through placement in a foster family home or, if not, whether
            placement of the child in a qualified residential treatment
            program provides the most effective and appropriate level of
            care for the child in the least restrictive environment and
            whether that placement is consistent with the short- and long-
            term goals for the child, as specified in the permanency plan
            for the child; and
                ``(C) approve or disapprove the placement.
            ``(3) The written documentation made under paragraph (1)(C) and
        documentation of the determination and approval or disapproval of
        the placement in a qualified residential treatment program by a
        court or administrative body under paragraph (2) shall be included
        in and made part of the case plan for the child.
            ``(4) As long as a child remains placed in a qualified
        residential treatment program, the State agency shall submit
        evidence at each status review and each permanency hearing held
        with respect to the child--
                ``(A) demonstrating that ongoing assessment of the
            strengths and needs of the child continues to support the
            determination that the needs of the child cannot be met through
            placement in a foster family home, that the placement in a
            qualified residential treatment program provides the most
            effective and appropriate level of care for the child in the
            least restrictive environment, and that the placement is
            consistent with the short- and long-term goals for the child,
            as specified in the permanency plan for the child;
                ``(B) documenting the specific treatment or service needs
            that will be met for the child in the placement and the length
            of time the child is expected to need the treatment or
            services; and
                ``(C) documenting the efforts made by the State agency to
            prepare the child to return home or to be placed with a fit and
            willing relative, a legal guardian, or an adoptive parent, or
            in a foster family home.
            ``(5) In the case of any child who is placed in a qualified
        residential treatment program for more than 12 consecutive months
        or 18 nonconsecutive months (or, in the case of a child who has not
        attained age 13, for more than 6 consecutive or nonconsecutive
        months), the State agency shall submit to the Secretary--
                ``(A) the most recent versions of the evidence and
            documentation specified in paragraph (4); and
                ``(B) the signed approval of the head of the State agency
            for the continued placement of the child in that setting.''.
    SEC. 50743. PROTOCOLS TO PREVENT INAPPROPRIATE DIAGNOSES.
        (a) State Plan Requirement.--Section 422(b)(15)(A) of the Social
    Security Act (42 U.S.C. 622(b)(15)(A)) is amended--
            (1) in clause (vi), by striking ``and'' after the semicolon;
            (2) by redesignating clause (vii) as clause (viii); and
            (3) by inserting after clause (vi) the following:
                    ``(vii) the procedures and protocols the State has
                established to ensure that children in foster care
                placements are not inappropriately diagnosed with mental
                illness, other emotional or behavioral disorders, medically
                fragile conditions, or developmental disabilities, and
                placed in settings that are not foster family homes as a
                result of the inappropriate diagnoses; and''.
        (b) Evaluation.--Section 476 of such Act (42 U.S.C. 676), as
    amended by section 50711(d), is further amended by adding at the end
    the following:
        ``(e) Evaluation of State Procedures and Protocols To Prevent
    Inappropriate Diagnoses of Mental Illness or Other Conditions.--The
    Secretary shall conduct an evaluation of the procedures and protocols
    established by States in accordance with the requirements of section
    422(b)(15)(A)(vii). The evaluation shall analyze the extent to which
    States comply with and enforce the procedures and protocols and the
    effectiveness of various State procedures and protocols and shall
    identify best practices. Not later than January 1, 2020, the Secretary
    shall submit a report on the results of the evaluation to Congress.''.
    SEC. 50744. ADDITIONAL DATA AND REPORTS REGARDING CHILDREN PLACED IN A
    SETTING THAT IS NOT A FOSTER FAMILY HOME.
        Section 479A(a)(7)(A) of the Social Security Act (42 U.S.C.
    679b(a)(7)(A)) is amended by striking clauses (i) through (vi) and
    inserting the following:
                    ``(i) with respect to each such placement--

                        ``(I) the type of the placement setting, including
                    whether the placement is shelter care, a group home and
                    if so, the range of the child population in the home, a
                    residential treatment facility, a hospital or
                    institution providing medical, rehabilitative, or
                    psychiatric care, a setting specializing in providing
                    prenatal, post-partum, or parenting supports, or some
                    other kind of child-care institution and if so, what
                    kind;
                        ``(II) the number of children in the placement
                    setting and the age, race, ethnicity, and gender of
                    each of the children;
                        ``(III) for each child in the placement setting,
                    the length of the placement of the child in the
                    setting, whether the placement of the child in the
                    setting is the first placement of the child and if not,
                    the number and type of previous placements of the
                    child, and whether the child has special needs or
                    another diagnosed mental or physical illness or
                    condition; and
                        ``(IV) the extent of any specialized education,
                    treatment, counseling, or other services provided in
                    the setting; and

                    ``(ii) separately, the number and ages of children in
                the placements who have a permanency plan of another
                planned permanent living arrangement; and''.
    SEC. 50745. CRIMINAL RECORDS CHECKS AND CHECKS OF CHILD ABUSE AND
    NEGLECT REGISTRIES FOR ADULTS WORKING IN CHILD-CARE INSTITUTIONS AND
    OTHER GROUP CARE SETTINGS.
        (a) State Plan Requirement.--Section 471(a)(20) of the Social
    Security Act (42 U.S.C. 671(a)(20)) is amended--
            (1) in subparagraph (A)(ii), by striking ``and'' after the
        semicolon;
            (2) in subparagraph (B)(iii), by striking ``and''after the
        semicolon;
            (3) in subparagraph (C), by adding ``and'' after the semicolon;
        and
            (4) by inserting after subparagraph (C), the following new
        subparagraph:
                ``(D) provides procedures for any child-care institution,
            including a group home, residential treatment center, shelter,
            or other congregate care setting, to conduct criminal records
            checks, including fingerprint-based checks of national crime
            information databases (as defined in section 534(f)(3)(A) of
            title 28, United States Code), and checks described in
            subparagraph (B) of this paragraph, on any adult working in a
            child-care institution, including a group home, residential
            treatment center, shelter, or other congregate care setting,
            unless the State reports to the Secretary the alternative
            criminal records checks and child abuse registry checks the
            State conducts on any adult working in a child-care
            institution, including a group home, residential treatment
            center, shelter, or other congregate care setting, and why the
            checks specified in this subparagraph are not appropriate for
            the State;''.
        (b) Technical Amendments.--Subparagraphs (A) and (C) of section
    471(a)(20) of the Social Security Act (42 U.S.C. 671(a)(20)) are each
    amended by striking ``section 534(e)(3)(A)'' and inserting ``section
    534(f)(3)(A)''.
    SEC. 50746. EFFECTIVE DATES; APPLICATION TO WAIVERS.
        (a) Effective Dates.--
            (1) In general.--Subject to paragraph (2) and subsections (b),
        (c), and (d), the amendments made by this part shall take effect as
        if enacted on January 1, 2018.
            (2) Transition rule.--In the case of a State plan under part B
        or E of title IV 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 part, the State plan shall not be regarded as failing to
        comply with the requirements of part B or E of title IV of such Act
        solely on the basis of the failure of the plan to meet the
        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 the
        session shall be deemed to be a separate regular session of the
        State legislature.
        (b) Limitation on Federal Financial Participation for Placements
    That Are Not in Foster Family Homes and Related Provisions.--
            (1) In general.--The amendments made by sections 50741(a),
        50741(b), 50741(d), and 50742 shall take effect on October 1, 2019.
            (2) State option to delay effective date for not more than 2
        years.--If a State requests a delay in the effective date, the
        Secretary of Health and Human Services shall delay the effective
        date provided for in paragraph (1) with respect to the State for
        the amount of time requested by the State, not to exceed 2 years.
        If the effective date is so delayed for a period with respect to a
        State under the preceding sentence, then--
                (A) notwithstanding section 50734, the date that the
            amendments made by section 50711(c) take effect with respect to
            the State shall be delayed for the period; and
                (B) in applying section 474(a)(6) of the Social Security
            Act with respect to the State, ``on or after the date this
            paragraph takes effect with respect to the State'' is deemed to
            be substituted for ``after September 30, 2019'' in subparagraph
            (A)(i)(I) of such section.
        (c) Criminal Records Checks and Checks of Child Abuse and Neglect
    Registries for Adults Working in Child-care Institutions and Other
    Group Care Settings.--Subject to subsection (a)(2), the amendments made
    by section 50745 shall take effect on October 1, 2018.
        (d) Application to States With Waivers.--In the case of a State
    that, on the date of enactment of this Act, has in effect a waiver
    approved under section 1130 of the Social Security Act (42 U.S.C.
    1320a-9), the amendments made by this part shall not apply with respect
    to the State before the expiration (determined without regard to any
    extensions) of the waiver to the extent the amendments are inconsistent
    with the terms of the waiver.

            PART V--CONTINUING SUPPORT FOR CHILD AND FAMILY SERVICES

    SEC. 50751. SUPPORTING AND RETAINING FOSTER FAMILIES FOR CHILDREN.
        (a) Supporting and Retaining Foster Parents as a Family Support
    Service.--Section 431(a)(2)(B) of the Social Security Act (42 U.S.C.
    631(a)(2)(B)) is amended by redesignating clauses (iii) through (vi) as
    clauses (iv) through (vii), respectively, and inserting after clause
    (ii) the following:
                    ``(iii) To support and retain foster families so they
                can provide quality family-based settings for children in
                foster care.''.
        (b) Support for Foster Family Homes.--Section 436 of such Act (42
    U.S.C. 629f) is amended by adding at the end the following:
        ``(c) Support for Foster Family Homes.--Out of any money in the
    Treasury of the United States not otherwise appropriated, there are
    appropriated to the Secretary for fiscal year 2018, $8,000,000 for the
    Secretary to make competitive grants to States, Indian tribes, or
    tribal consortia to support the recruitment and retention of high-
    quality foster families to increase their capacity to place more
    children in family settings, focused on States, Indian tribes, or
    tribal consortia with the highest percentage of children in non-family
    settings. The amount appropriated under this subparagraph shall remain
    available through fiscal year 2022.''.
    SEC. 50752. EXTENSION OF CHILD AND FAMILY SERVICES PROGRAMS.
        (a) Extension of Stephanie Tubbs Jones Child Welfare Services
    Program.--Section 425 of the Social Security Act (42 U.S.C. 625) is
    amended by striking ``2012 through 2016'' and inserting ``2017 through
    2021''.
        (b) Extension of Promoting Safe and Stable Families Program
    Authorizations.--
            (1) In general.--Section 436(a) of such Act (42 U.S.C. 629f(a))
        is amended by striking all that follows ``$345,000,000'' and
        inserting ``for each of fiscal years 2017 through 2021.''.
            (2) Discretionary grants.--Section 437(a) of such Act (42
        U.S.C. 629g(a)) is amended by striking ``2012 through 2016'' and
        inserting ``2017 through 2021''.
        (c) Extension of Funding Reservations for Monthly Caseworker Visits
    and Regional Partnership Grants.--Section 436(b) of such Act (42 U.S.C.
    629f(b)) is amended--
            (1) in paragraph (4)(A), by striking ``2012 through 2016'' and
        inserting ``2017 through 2021''; and
            (2) in paragraph (5), by striking ``2012 through 2016'' and
        inserting ``2017 through 2021''.
        (d) Reauthorization of Funding for State Courts.--
            (1) Extension of program.--Section 438(c)(1) of such Act (42
        U.S.C. 629h(c)(1)) is amended by striking ``2012 through 2016'' and
        inserting ``2017 through 2021''.
            (2) Extension of federal share.--Section 438(d) of such Act (42
        U.S.C. 629h(d)) is amended by striking ``2012 through 2016'' and
        inserting ``2017 through 2021''.
        (e) Repeal of Expired Provisions.--Section 438(e) of such Act (42
    U.S.C. 629h(e)) is repealed.
    SEC. 50753. IMPROVEMENTS TO THE JOHN H. CHAFEE FOSTER CARE INDEPENDENCE
    PROGRAM AND RELATED PROVISIONS.
        (a) Authority To Serve Former Foster Youth Up To Age 23.--Section
    477 of the Social Security Act (42 U.S.C. 677) is amended--
            (1) in subsection (a)(5), by inserting ``(or 23 years of age,
        in the case of a State with a certification under subsection
        (b)(3)(A)(ii) to provide assistance and services to youths who have
        aged out of foster care and have not attained such age, in
        accordance with such subsection)'' after ``21 years of age'';
            (2) in subsection (b)(3)(A)--
                (A) by inserting ``(i)'' before ``A certification'';
                (B) by striking ``children who have left foster care'' and
            all that follows through the period and inserting ``youths who
            have aged out of foster care and have not attained 21 years of
            age.''; and
                (C) by adding at the end the following:
                ``(ii) If the State has elected under section 475(8)(B) to
            extend eligibility for foster care to all children who have not
            attained 21 years of age, or if the Secretary determines that
            the State agency responsible for administering the State plans
            under this part and part B uses State funds or any other funds
            not provided under this part to provide services and assistance
            for youths who have aged out of foster care that are comparable
            to the services and assistance the youths would receive if the
            State had made such an election, the certification required
            under clause (i) may provide that the State will provide
            assistance and services to youths who have aged out of foster
            care and have not attained 23 years of age.''; and
            (3) in subsection (b)(3)(B), by striking ``children who have
        left foster care'' and all that follows through the period and
        inserting ``youths who have aged out of foster care and have not
        attained 21 years of age (or 23 years of age, in the case of a
        State with a certification under subparagraph (A)(i) to provide
        assistance and services to youths who have aged out of foster care
        and have not attained such age, in accordance with subparagraph
        (A)(ii)).''.
        (b) Authority To Redistribute Unspent Funds.--Section 477(d) of
    such Act (42 U.S.C. 677(d)) is amended--
            (1) in paragraph (4), by inserting ``or does not expend
        allocated funds within the time period specified under section
        477(d)(3)'' after ``provided by the Secretary''; and
            (2) by adding at the end the following:
            ``(5) Redistribution of unexpended amounts.--
                ``(A) Availability of amounts.--To the extent that amounts
            paid to States under this section in a fiscal year remain
            unexpended by the States at the end of the succeeding fiscal
            year, the Secretary may make the amounts available for
            redistribution in the second succeeding fiscal year among the
            States that apply for additional funds under this section for
            that second succeeding fiscal year.
                ``(B) Redistribution.--
                    ``(i) In general.--The Secretary shall redistribute the
                amounts made available under subparagraph (A) for a fiscal
                year among eligible applicant States. In this subparagraph,
                the term `eligible applicant State' means a State that has
                applied for additional funds for the fiscal year under
                subparagraph (A) if the Secretary determines that the State
                will use the funds for the purpose for which originally
                allotted under this section.
                    ``(ii) Amount to be redistributed.--The amount to be
                redistributed to each eligible applicant State shall be the
                amount so made available multiplied by the State foster
                care ratio, (as defined in subsection (c)(4), except that,
                in such subsection, `all eligible applicant States (as
                defined in subsection (d)(5)(B)(i))' shall be substituted
                for `all States').
                    ``(iii) Treatment of redistributed amount.--Any amount
                made available to a State under this paragraph shall be
                regarded as part of the allotment of the State under this
                section for the fiscal year in which the redistribution is
                made.
                ``(C) Tribes.--For purposes of this paragraph, the term
            `State' includes an Indian tribe, tribal organization, or
            tribal consortium that receives an allotment under this
            section.''.
        (c) Expanding and Clarifying the Use of Education and Training
    Vouchers.--
            (1) In general.--Section 477(i)(3) of such Act (42 U.S.C.
        677(i)(3)) is amended--
                (A) by striking ``on the date'' and all that follows
            through ``23'' and inserting ``to remain eligible until they
            attain 26''; and
                (B) by inserting ``, but in no event may a youth
            participate in the program for more than 5 years (whether or
            not consecutive)'' before the period.
            (2) Conforming amendment.--Section 477(i)(1) of such Act (42
        U.S.C. 677(i)(1)) is amended by inserting ``who have attained 14
        years of age'' before the period.
        (d) Other Improvements.--Section 477 of such Act (42 U.S.C. 677),
    as amended by subsections (a), (b), and (c), is amended--
            (1) in the section heading, by striking ``independence
        program'' and inserting ``program for successful transition to
        adulthood'';
            (2) in subsection (a)--
                (A) in paragraph (1)--
                    (i) by striking ``identify children who are likely to
                remain in foster care until 18 years of age and to help
                these children make the transition to self-sufficiency by
                providing services'' and inserting ``support all youth who
                have experienced foster care at age 14 or older in their
                transition to adulthood through transitional services'';
                    (ii) by inserting ``and post-secondary education''
                after ``high school diploma''; and
                    (iii) by striking ``training in daily living skills,
                training in budgeting and financial management skills'' and
                inserting ``training and opportunities to practice daily
                living skills (such as financial literacy training and
                driving instruction)'';
                (B) in paragraph (2), by striking ``who are likely to
            remain in foster care until 18 years of age receive the
            education, training, and services necessary to obtain
            employment'' and inserting ``who have experienced foster care
            at age 14 or older achieve meaningful, permanent connections
            with a caring adult'';
                (C) in paragraph (3), by striking ``who are likely to
            remain in foster care until 18 years of age prepare for and
            enter postsecondary training and education institutions'' and
            inserting ``who have experienced foster care at age 14 or older
            engage in age or developmentally appropriate activities,
            positive youth development, and experiential learning that
            reflects what their peers in intact families experience''; and
                (D) by striking paragraph (4) and redesignating paragraphs
            (5) through (8) as paragraphs (4) through (7);
            (3) in subsection (b)--
                (A) in paragraph (2)(D), by striking ``adolescents'' and
            inserting ``youth''; and
                (B) in paragraph (3)--
                    (i) in subparagraph (D)--

                        (I) by inserting ``including training on youth
                    development'' after ``to provide training''; and
                        (II) by striking ``adolescents preparing for
                    independent living'' and all that follows through the
                    period and inserting ``youth preparing for a successful
                    transition to adulthood and making a permanent
                    connection with a caring adult.'';

                    (ii) in subparagraph (H), by striking ``adolescents''
                each place it appears and inserting ``youth''; and
                    (iii) in subparagraph (K)--

                        (I) by striking ``an adolescent'' and inserting ``a
                    youth''; and
                        (II) by striking ``the adolescent'' each place it
                    appears and inserting ``the youth''; and

            (4) in subsection (f), by striking paragraph (2) and inserting
        the following:
            ``(2) Report to congress.--Not later than October 1, 2019, the
        Secretary shall submit to the Committee on Ways and Means of the
        House of Representatives and the Committee on Finance of the Senate
        a report on the National Youth in Transition Database and any other
        databases in which States report outcome measures relating to
        children in foster care and children who have aged out of foster
        care or left foster care for kinship guardianship or adoption. The
        report shall include the following:
                ``(A) A description of the reasons for entry into foster
            care and of the foster care experiences, such as length of
            stay, number of placement settings, case goal, and discharge
            reason of 17-year-olds who are surveyed by the National Youth
            in Transition Database and an analysis of the comparison of
            that description with the reasons for entry and foster care
            experiences of children of other ages who exit from foster care
            before attaining age 17.
                ``(B) A description of the characteristics of the
            individuals who report poor outcomes at ages 19 and 21 to the
            National Youth in Transition Database.
                ``(C) Benchmarks for determining what constitutes a poor
            outcome for youth who remain in or have exited from foster care
            and plans the executive branch will take to incorporate these
            benchmarks in efforts to evaluate child welfare agency
            performance in providing services to children transitioning
            from foster care.
                ``(D) An analysis of the association between types of
            placement, number of overall placements, time spent in foster
            care, and other factors, and outcomes at ages 19 and 21.
                ``(E) An analysis of the differences in outcomes for
            children in and formerly in foster care at age 19 and 21 among
            States.''.
        (e) Clarifying Documentation Provided to Foster Youth Leaving
    Foster Care.--Section 475(5)(I) of such Act (42 U.S.C. 675(5)(I)) is
    amended by inserting after ``REAL ID Act of 2005'' the following: ``,
    and any official documentation necessary to prove that the child was
    previously in foster care''.

    PART VI--CONTINUING INCENTIVES TO STATES TO PROMOTE ADOPTION AND LEGAL
                                  GUARDIANSHIP

    SEC. 50761. REAUTHORIZING ADOPTION AND LEGAL GUARDIANSHIP INCENTIVE
    PROGRAMS.
        (a) In General.--Section 473A of the Social Security Act (42 U.S.C.
    673b) is amended--
            (1) in subsection (b)(4), by striking ``2013 through 2015'' and
        inserting ``2016 through 2020'';
            (2) in subsection (h)(1)(D), by striking ``2016'' and inserting
        ``2021''; and
            (3) in subsection (h)(2), by striking ``2016'' and inserting
        ``2021''.
        (b) Effective Date.--The amendments made by subsection (a) shall
    take effect as if enacted on October 1, 2017.

                        PART VII--TECHNICAL CORRECTIONS

    SEC. 50771. TECHNICAL CORRECTIONS TO DATA EXCHANGE STANDARDS TO IMPROVE
    PROGRAM COORDINATION.
        (a) In General.--Section 440 of the Social Security Act (42 U.S.C.
    629m) is amended to read as follows:
        ``SEC. 440. DATA EXCHANGE STANDARDS FOR IMPROVED INTEROPERABILITY.
        ``(a) Designation.--The Secretary shall, in consultation with an
    interagency work group established by the Office of Management and
    Budget and considering State government perspectives, by rule,
    designate data exchange standards to govern, under this part and part
    E--
            ``(1) necessary categories of information that State agencies
        operating programs under State plans approved under this part are
        required under applicable Federal law to electronically exchange
        with another State agency; and
            ``(2) Federal reporting and data exchange required under
        applicable Federal law.
        ``(b) Requirements.--The data exchange standards required by
    paragraph (1) shall, to the extent practicable--
            ``(1) incorporate a widely accepted, non-proprietary,
        searchable, computer-readable format, such as the Extensible Markup
        Language;
            ``(2) contain interoperable standards developed and maintained
        by intergovernmental partnerships, such as the National Information
        Exchange Model;
            ``(3) incorporate interoperable standards developed and
        maintained by Federal entities with authority over contracting and
        financial assistance;
            ``(4) be consistent with and implement applicable accounting
        principles;
            ``(5) be implemented in a manner that is cost-effective and
        improves program efficiency and effectiveness; and
            ``(6) be capable of being continually upgraded as necessary.
        ``(c) Rule of Construction.--Nothing in this subsection shall be
    construed to require a change to existing data exchange standards found
    to be effective and efficient.''.
        (b) Effective Date.--Not later than the date that is 24 months
    after the date of the enactment of this section, the Secretary of
    Health and Human Services shall issue a proposed rule that--
            (1) identifies federally required data exchanges, include
        specification and timing of exchanges to be standardized, and
        address the factors used in determining whether and when to
        standardize data exchanges; and
            (2) specifies State implementation options and describes future
        milestones.
    SEC. 50772. TECHNICAL CORRECTIONS TO STATE REQUIREMENT TO ADDRESS THE
    DEVELOPMENTAL NEEDS OF YOUNG CHILDREN.
        Section 422(b)(18) of the Social Security Act (42 U.S.C.
    622(b)(18)) is amended by striking ``such children'' and inserting
    ``all vulnerable children under 5 years of age''.

    PART VIII--ENSURING STATES REINVEST SAVINGS RESULTING FROM INCREASE IN
                              ADOPTION ASSISTANCE

    SEC. 50781. DELAY OF ADOPTION ASSISTANCE PHASE-IN.
        (a) In General.--The table in section 473(e)(1)(B) of the Social
    Security Act (42 U.S.C. 673(e)(1)(B)) is amended by striking the last 2
    rows and inserting the following:

    ----------------------------------------------------------------------------------------------------------------
    ``2017 through 2023..........................  2
    2024.........................................  2 (or, in the case of a child for whom an adoption assistance
                                                    agreement is entered into under this section on or after July 1,
                                                    2024, any age)
    2025 or thereafter...........................  any age.''.
    ----------------------------------------------------------------------------------------------------------------

        (b) Effective Date.--The amendment made by this section shall take
    effect as if enacted on January 1, 2018.
    SEC. 50782. GAO STUDY AND REPORT ON STATE REINVESTMENT OF SAVINGS
    RESULTING FROM INCREASE IN ADOPTION ASSISTANCE.
        (a) Study.--The Comptroller General of the United States shall
    study the extent to which States are complying with the requirements of
    section 473(a)(8) of the Social Security Act (42 U.S.C. 673(a)(8))
    relating to the effects of phasing out the AFDC income eligibility
    requirements for adoption assistance payments under section 473 of the
    Social Security Act, as enacted by section 402 of the Fostering
    Connections to Success and Increasing Adoptions Act of 2008 (Public Law
    110-351; 122 Stat. 3975) and amended by section 206 of the Preventing
    Sex Trafficking and Strengthening Families Act (Public Law 113-183; 128
    Stat. 1919). In particular, the Comptroller General shall analyze the
    extent to which States are complying with the following requirements
    under section 473(a)(8)(D) of the Social Security Act:
            (1) The requirement to spend an amount equal to the amount of
        the savings (if any) in State expenditures under part E of title IV
        of the Social Security Act resulting from phasing out the AFDC
        income eligibility requirements for adoption assistance payments
        under section 473 of such Act to provide to children of families
        any service that may be provided under part B or E of title IV of
        such Act.
            (2) The requirement that a State shall spend not less than 30
        percent of the amount of any savings described in paragraph (1) on
        post-adoption services, post-guardianship services, and services to
        support and sustain positive permanent outcomes for children who
        otherwise might enter into foster care under the responsibility of
        the State, with at least \2/3\ of the spending by the State to
        comply with the 30 percent requirement being spent on post-adoption
        and post-guardianship services.
        (b) Report.--The Comptroller General of the United States shall
    submit to the Committee on Finance of the Senate, the Committee on Ways
    and Means of the House of Representatives, and the Secretary of Health
    and Human Services a report that contains the results of the study
    required by subsection (a), including recommendations to ensure
    compliance with laws referred to in subsection (a).

      TITLE VIII--SUPPORTING SOCIAL IMPACT PARTNERSHIPS TO PAY FOR RESULTS

    SEC. 50801. SHORT TITLE.
        This subtitle may be cited as the ``Social Impact Partnerships to
    Pay for Results Act''.
    SEC. 50802. SOCIAL IMPACT PARTNERSHIPS TO PAY FOR RESULTS.
        Title XX of the Social Security Act (42 U.S.C. 1397 et seq.) is
    amended--
            (1) in the title heading, by striking ``TO STATES'' and
        inserting ``AND PROGRAMS''; and
            (2) by adding at the end the following:

               ``Subtitle C--Social Impact Demonstration Projects

                                    ``purposes

        ``Sec. 2051. The purposes of this subtitle are the following:
            ``(1) To improve the lives of families and individuals in need
        in the United States by funding social programs that achieve real
        results.
            ``(2) To redirect funds away from programs that, based on
        objective data, are ineffective, and into programs that achieve
        demonstrable, measurable results.
            ``(3) To ensure Federal funds are used effectively on social
        services to produce positive outcomes for both service recipients
        and taxpayers.
            ``(4) To establish the use of social impact partnerships to
        address some of our Nation's most pressing problems.
            ``(5) To facilitate the creation of public-private partnerships
        that bundle philanthropic or other private resources with existing
        public spending to scale up effective social interventions already
        being implemented by private organizations, nonprofits, charitable
        organizations, and State and local governments across the country.
            ``(6) To bring pay-for-performance to the social sector,
        allowing the United States to improve the impact and effectiveness
        of vital social services programs while redirecting inefficient or
        duplicative spending.
            ``(7) To incorporate outcomes measurement and randomized
        controlled trials or other rigorous methodologies for assessing
        program impact.

                     ``social impact partnership application

        ``Sec. 2052.  (a) Notice.--Not later than 1 year after the date of
    the enactment of this subtitle, the Secretary of the Treasury, in
    consultation with the Federal Interagency Council on Social Impact
    Partnerships, shall publish in the Federal Register a request for
    proposals from States or local governments for social impact
    partnership projects in accordance with this section.
        ``(b) Required Outcomes for Social Impact Partnership Project.--To
    qualify as a social impact partnership project under this subtitle, a
    project must produce one or more measurable, clearly defined outcomes
    that result in social benefit and Federal, State, or local savings
    through any of the following:
            ``(1) Increasing work and earnings by individuals in the United
        States who are unemployed for more than 6 consecutive months.
            ``(2) Increasing employment and earnings of individuals who
        have attained 16 years of age but not 25 years of age.
            ``(3) Increasing employment among individuals receiving Federal
        disability benefits.
            ``(4) Reducing the dependence of low-income families on Federal
        means-tested benefits.
            ``(5) Improving rates of high school graduation.
            ``(6) Reducing teen and unplanned pregnancies.
            ``(7) Improving birth outcomes and early childhood health and
        development among low-income families and individuals.
            ``(8) Reducing rates of asthma, diabetes, or other preventable
        diseases among low-income families and individuals to reduce the
        utilization of emergency and other high-cost care.
            ``(9) Increasing the proportion of children living in two-
        parent families.
            ``(10) Reducing incidences and adverse consequences of child
        abuse and neglect.
            ``(11) Reducing the number of youth in foster care by
        increasing adoptions, permanent guardianship arrangements,
        reunifications, or placements with a fit and willing relative, or
        by avoiding placing children in foster care by ensuring they can be
        cared for safely in their own homes.
            ``(12) Reducing the number of children and youth in foster care
        residing in group homes, child care institutions, agency-operated
        foster homes, or other non-family foster homes, unless it is
        determined that it is in the interest of the child's long-term
        health, safety, or psychological well-being to not be placed in a
        family foster home.
            ``(13) Reducing the number of children returning to foster
        care.
            ``(14) Reducing recidivism among juvenile offenders,
        individuals released from prison, or other high-risk populations.
            ``(15) Reducing the rate of homelessness among our most
        vulnerable populations.
            ``(16) Improving the health and well-being of those with
        mental, emotional, and behavioral health needs.
            ``(17) Improving the educational outcomes of special-needs or
        low-income children.
            ``(18) Improving the employment and well-being of returning
        United States military members.
            ``(19) Increasing the financial stability of low-income
        families.
            ``(20) Increasing the independence and employability of
        individuals who are physically or mentally disabled.
            ``(21) Other measurable outcomes defined by the State or local
        government that result in positive social outcomes and Federal
        savings.
        ``(c) Application Required.--The notice described in subsection (a)
    shall require a State or local government to submit an application for
    the social impact partnership project that addresses the following:
            ``(1) The outcome goals of the project.
            ``(2) A description of each intervention in the project and
        anticipated outcomes of the intervention.
            ``(3) Rigorous evidence demonstrating that the intervention can
        be expected to produce the desired outcomes.
            ``(4) The target population that will be served by the project.
            ``(5) The expected social benefits to participants who receive
        the intervention and others who may be impacted.
            ``(6) Projected Federal, State, and local government costs and
        other costs to conduct the project.
            ``(7) Projected Federal, State, and local government savings
        and other savings, including an estimate of the savings to the
        Federal Government, on a program-by-program basis and in the
        aggregate, if the project is implemented and the outcomes are
        achieved as a result of the intervention.
            ``(8) If savings resulting from the successful completion of
        the project are estimated to accrue to the State or local
        government, the likelihood of the State or local government to
        realize those savings.
            ``(9) A plan for delivering the intervention through a social
        impact partnership model.
            ``(10) A description of the expertise of each service provider
        that will administer the intervention, including a summary of the
        experience of the service provider in delivering the proposed
        intervention or a similar intervention, or demonstrating that the
        service provider has the expertise necessary to deliver the
        proposed intervention.
            ``(11) An explanation of the experience of the State or local
        government, the intermediary, or the service provider in raising
        private and philanthropic capital to fund social service
        investments.
            ``(12) The detailed roles and responsibilities of each entity
        involved in the project, including any State or local government
        entity, intermediary, service provider, independent evaluator,
        investor, or other stakeholder.
            ``(13) A summary of the experience of the service provider in
        delivering the proposed intervention or a similar intervention, or
        a summary demonstrating the service provider has the expertise
        necessary to deliver the proposed intervention.
            ``(14) A summary of the unmet need in the area where the
        intervention will be delivered or among the target population who
        will receive the intervention.
            ``(15) The proposed payment terms, the methodology used to
        calculate outcome payments, the payment schedule, and performance
        thresholds.
            ``(16) The project budget.
            ``(17) The project timeline.
            ``(18) The criteria used to determine the eligibility of an
        individual for the project, including how selected populations will
        be identified, how they will be referred to the project, and how
        they will be enrolled in the project.
            ``(19) The evaluation design.
            ``(20) The metrics that will be used in the evaluation to
        determine whether the outcomes have been achieved as a result of
        the intervention and how the metrics will be measured.
            ``(21) An explanation of how the metrics used in the evaluation
        to determine whether the outcomes achieved as a result of the
        intervention are independent, objective indicators of impact and
        are not subject to manipulation by the service provider,
        intermediary, or investor.
            ``(22) A summary explaining the independence of the evaluator
        from the other entities involved in the project and the evaluator's
        experience in conducting rigorous evaluations of program
        effectiveness including, where available, well-implemented
        randomized controlled trials on the intervention or similar
        interventions.
            ``(23) The capacity of the service provider to deliver the
        intervention to the number of participants the State or local
        government proposes to serve in the project.
            ``(24) A description of whether and how the State or local
        government and service providers plan to sustain the intervention,
        if it is timely and appropriate to do so, to ensure that successful
        interventions continue to operate after the period of the social
        impact partnership.
        ``(d) Project Intermediary Information Required.--The application
    described in subsection (c) shall also contain the following
    information about any intermediary for the social impact partnership
    project (whether an intermediary is a service provider or other
    entity):
            ``(1) Experience and capacity for providing or facilitating the
        provision of the type of intervention proposed.
            ``(2) The mission and goals.
            ``(3) Information on whether the intermediary is already
        working with service providers that provide this intervention or an
        explanation of the capacity of the intermediary to begin working
        with service providers to provide the intervention.
            ``(4) Experience working in a collaborative environment across
        government and nongovernmental entities.
            ``(5) Previous experience collaborating with public or private
        entities to implement evidence-based programs.
            ``(6) Ability to raise or provide funding to cover operating
        costs (if applicable to the project).
            ``(7) Capacity and infrastructure to track outcomes and measure
        results, including--
                ``(A) capacity to track and analyze program performance and
            assess program impact; and
                ``(B) experience with performance-based awards or
            performance-based contracting and achieving project milestones
            and targets.
            ``(8) Role in delivering the intervention.
            ``(9) How the intermediary would monitor program success,
        including a description of the interim benchmarks and outcome
        measures.
        ``(e) Feasibility Studies Funded Through Other Sources.--The notice
    described in subsection (a) shall permit a State or local government to
    submit an application for social impact partnership funding that
    contains information from a feasibility study developed for purposes
    other than applying for funding under this subtitle.

                 ``awarding social impact partnership agreements

        ``Sec. 2053.  (a) Timeline in Awarding Agreement.--Not later than 6
    months after receiving an application in accordance with section 2052,
    the Secretary, in consultation with the Federal Interagency Council on
    Social Impact Partnerships, shall determine whether to enter into an
    agreement for a social impact partnership project with a State or local
    government.
        ``(b) Considerations in Awarding Agreement.--In determining whether
    to enter into an agreement for a social impact partnership project (the
    application for which was submitted under section 2052) the Secretary,
    in consultation with the Federal Interagency Council on Social Impact
    Partnerships and the head of any Federal agency administering a similar
    intervention or serving a population similar to that served by the
    project, shall consider each of the following:
            ``(1) The recommendations made by the Commission on Social
        Impact Partnerships.
            ``(2) The value to the Federal Government of the outcomes
        expected to be achieved if the outcomes specified in the agreement
        are achieved as a result of the intervention.
            ``(3) The likelihood, based on evidence provided in the
        application and other evidence, that the State or local government
        in collaboration with the intermediary and the service providers
        will achieve the outcomes.
            ``(4) The savings to the Federal Government if the outcomes
        specified in the agreement are achieved as a result of the
        intervention.
            ``(5) The savings to the State and local governments if the
        outcomes specified in the agreement are achieved as a result of the
        intervention.
            ``(6) The expected quality of the evaluation that would be
        conducted with respect to the agreement.
            ``(7) The capacity and commitment of the State or local
        government to sustain the intervention, if appropriate and timely
        and if the intervention is successful, beyond the period of the
        social impact partnership.
        ``(c) Agreement Authority.--
            ``(1) Agreement requirements.--In accordance with this section,
        the Secretary, in consultation with the Federal Interagency Council
        on Social Impact Partnerships and the head of any Federal agency
        administering a similar intervention or serving a population
        similar to that served by the project, may enter into an agreement
        for a social impact partnership project with a State or local
        government if the Secretary, in consultation with the Federal
        Interagency Council on Social Impact Partnerships, determines that
        each of the following requirements are met:
                ``(A) The State or local government agrees to achieve one
            or more outcomes as a result of the intervention, as specified
            in the agreement and validated by independent evaluation, in
            order to receive payment.
                ``(B) The Federal payment to the State or local government
            for each specified outcome achieved as a result of the
            intervention is less than or equal to the value of the outcome
            to the Federal Government over a period not to exceed 10 years,
            as determined by the Secretary, in consultation with the State
            or local government.
                ``(C) The duration of the project does not exceed 10 years.
                ``(D) The State or local government has demonstrated,
            through the application submitted under section 2052, that,
            based on prior rigorous experimental evaluations or rigorous
            quasi-experimental studies, the intervention can be expected to
            achieve each outcome specified in the agreement.
                ``(E) The State, local government, intermediary, or service
            provider has experience raising private or philanthropic
            capital to fund social service investments (if applicable to
            the project).
                ``(F) The State or local government has shown that each
            service provider has experience delivering the intervention, a
            similar intervention, or has otherwise demonstrated the
            expertise necessary to deliver the intervention.
            ``(2) Payment.--The Secretary shall pay the State or local
        government only if the independent evaluator described in section
        2055 determines that the social impact partnership project has met
        the requirements specified in the agreement and achieved an outcome
        as a result of the intervention, as specified in the agreement and
        validated by independent evaluation.
        ``(d) Notice of Agreement Award.--Not later than 30 days after
    entering into an agreement under this section the Secretary shall
    publish a notice in the Federal Register that includes, with regard to
    the agreement, the following:
            ``(1) The outcome goals of the social impact partnership
        project.
            ``(2) A description of each intervention in the project.
            ``(3) The target population that will be served by the project.
            ``(4) The expected social benefits to participants who receive
        the intervention and others who may be impacted.
            ``(5) The detailed roles, responsibilities, and purposes of
        each Federal, State, or local government entity, intermediary,
        service provider, independent evaluator, investor, or other
        stakeholder.
            ``(6) The payment terms, the methodology used to calculate
        outcome payments, the payment schedule, and performance thresholds.
            ``(7) The project budget.
            ``(8) The project timeline.
            ``(9) The project eligibility criteria.
            ``(10) The evaluation design.
            ``(11) The metrics that will be used in the evaluation to
        determine whether the outcomes have been achieved as a result of
        each intervention and how these metrics will be measured.
            ``(12) The estimate of the savings to the Federal, State, and
        local government, on a program-by-program basis and in the
        aggregate, if the agreement is entered into and implemented and the
        outcomes are achieved as a result of each intervention.
        ``(e) Authority to Transfer Administration of Agreement.--The
    Secretary may transfer to the head of another Federal agency the
    authority to administer (including making payments under) an agreement
    entered into under subsection (c), and any funds necessary to do so.
        ``(f) Requirement on Funding Used to Benefit Children.--Not less
    than 50 percent of all Federal payments made to carry out agreements
    under this section shall be used for initiatives that directly benefit
    children.

                           ``feasibility study funding

        ``Sec. 2054.  (a) Requests for Funding for Feasibility Studies.--
    The Secretary shall reserve a portion of the amount made available to
    carry out this subtitle to assist States or local governments in
    developing feasibility studies to apply for social impact partnership
    funding under section 2052. To be eligible to receive funding to assist
    with completing a feasibility study, a State or local government shall
    submit an application for feasibility study funding addressing the
    following:
            ``(1) A description of the outcome goals of the social impact
        partnership project.
            ``(2) A description of the intervention, including anticipated
        program design, target population, an estimate regarding the number
        of individuals to be served, and setting for the intervention.
            ``(3) Evidence to support the likelihood that the intervention
        will produce the desired outcomes.
            ``(4) A description of the potential metrics to be used.
            ``(5) The expected social benefits to participants who receive
        the intervention and others who may be impacted.
            ``(6) Estimated costs to conduct the project.
            ``(7) Estimates of Federal, State, and local government savings
        and other savings if the project is implemented and the outcomes
        are achieved as a result of each intervention.
            ``(8) An estimated timeline for implementation and completion
        of the project, which shall not exceed 10 years.
            ``(9) With respect to a project for which the State or local
        government selects an intermediary to operate the project, any
        partnerships needed to successfully execute the project and the
        ability of the intermediary to foster the partnerships.
            ``(10) The expected resources needed to complete the
        feasibility study for the State or local government to apply for
        social impact partnership funding under section 2052.
        ``(b) Federal Selection of Applications for Feasibility Study.--Not
    later than 6 months after receiving an application for feasibility
    study funding under subsection (a), the Secretary, in consultation with
    the Federal Interagency Council on Social Impact Partnerships and the
    head of any Federal agency administering a similar intervention or
    serving a population similar to that served by the project, shall
    select State or local government feasibility study proposals for
    funding based on the following:
            ``(1) The recommendations made by the Commission on Social
        Impact Partnerships.
            ``(2) The likelihood that the proposal will achieve the desired
        outcomes.
            ``(3) The value of the outcomes expected to be achieved as a
        result of each intervention.
            ``(4) The potential savings to the Federal Government if the
        social impact partnership project is successful.
            ``(5) The potential savings to the State and local governments
        if the project is successful.
        ``(c) Public Disclosure.--Not later than 30 days after selecting a
    State or local government for feasibility study funding under this
    section, the Secretary shall cause to be published on the website of
    the Federal Interagency Council on Social Impact Partnerships
    information explaining why a State or local government was granted
    feasibility study funding.
        ``(d) Funding Restriction.--
            ``(1) Feasibility study restriction.--The Secretary may not
        provide feasibility study funding under this section for more than
        50 percent of the estimated total cost of the feasibility study
        reported in the State or local government application submitted
        under subsection (a).
            ``(2) Aggregate restriction.--Of the total amount made
        available to carry out this subtitle, the Secretary may not use
        more than $10,000,000 to provide feasibility study funding to
        States or local governments under this section.
            ``(3) No guarantee of funding.--The Secretary shall have the
        option to award no funding under this section.
        ``(e) Submission of Feasibility Study Required.--Not later than 9
    months after the receipt of feasibility study funding under this
    section, a State or local government receiving the funding shall
    complete the feasibility study and submit the study to the Federal
    Interagency Council on Social Impact Partnerships.
        ``(f) Delegation of Authority.--The Secretary may transfer to the
    head of another Federal agency the authorities provided in this section
    and any funds necessary to exercise the authorities.

                                  ``evaluations

        ``Sec. 2055.  (a) Authority to Enter Into Agreements.--For each
    State or local government awarded a social impact partnership project
    approved by the Secretary under this subtitle, the head of the relevant
    agency, as recommended by the Federal Interagency Council on Social
    Impact Partnerships and determined by the Secretary, shall enter into
    an agreement with the State or local government to pay for all or part
    of the independent evaluation to determine whether the State or local
    government project has achieved a specific outcome as a result of the
    intervention in order for the State or local government to receive
    outcome payments under this subtitle.
        ``(b) Evaluator Qualifications.--The head of the relevant agency
    may not enter into an agreement with a State or local government unless
    the head determines that the evaluator is independent of the other
    parties to the agreement and has demonstrated substantial experience in
    conducting rigorous evaluations of program effectiveness including,
    where available and appropriate, well-implemented randomized controlled
    trials on the intervention or similar interventions.
        ``(c) Methodologies to Be Used.--The evaluation used to determine
    whether a State or local government will receive outcome payments under
    this subtitle shall use experimental designs using random assignment or
    other reliable, evidence-based research methodologies, as certified by
    the Federal Interagency Council on Social Impact Partnerships, that
    allow for the strongest possible causal inferences when random
    assignment is not feasible.
        ``(d) Progress Report.--
            ``(1) Submission of report.--The independent evaluator shall--
                ``(A) not later than 2 years after a project has been
            approved by the Secretary and biannually thereafter until the
            project is concluded, submit to the head of the relevant agency
            and the Federal Interagency Council on Social Impact
            Partnerships a written report summarizing the progress that has
            been made in achieving each outcome specified in the agreement;
            and
                ``(B) before the scheduled time of the first outcome
            payment and before the scheduled time of each subsequent
            payment, submit to the head of the relevant agency and the
            Federal Interagency Council on Social Impact Partnerships a
            written report that includes the results of the evaluation
            conducted to determine whether an outcome payment should be
            made along with information on the unique factors that
            contributed to achieving or failing to achieve the outcome, the
            challenges faced in attempting to achieve the outcome, and
            information on the improved future delivery of this or similar
            interventions.
            ``(2) Submission to the secretary and congress.--Not later than
        30 days after receipt of the written report pursuant to paragraph
        (1)(B), the Federal Interagency Council on Social Impact
        Partnerships shall submit the report to the Secretary and each
        committee of jurisdiction in the House of Representatives and the
        Senate.
        ``(e) Final Report.--
            ``(1) Submission of report.--Within 6 months after the social
        impact partnership project is completed, the independent evaluator
        shall--
                ``(A) evaluate the effects of the activities undertaken
            pursuant to the agreement with regard to each outcome specified
            in the agreement; and
                ``(B) submit to the head of the relevant agency and the
            Federal Interagency Council on Social Impact Partnerships a
            written report that includes the results of the evaluation and
            the conclusion of the evaluator as to whether the State or
            local government has fulfilled each obligation of the
            agreement, along with information on the unique factors that
            contributed to the success or failure of the project, the
            challenges faced in attempting to achieve the outcome, and
            information on the improved future delivery of this or similar
            interventions.
            ``(2) Submission to the secretary and congress.--Not later than
        30 days after receipt of the written report pursuant to paragraph
        (1)(B), the Federal Interagency Council on Social Impact
        Partnerships shall submit the report to the Secretary and each
        committee of jurisdiction in the House of Representatives and the
        Senate.
        ``(f) Limitation on Cost of Evaluations.--Of the amount made
    available under this subtitle for social impact partnership projects,
    the Secretary may not obligate more than 15 percent to evaluate the
    implementation and outcomes of the projects.
        ``(g) Delegation of Authority.--The Secretary may transfer to the
    head of another Federal agency the authorities provided in this section
    and any funds necessary to exercise the authorities.

           ``federal interagency council on social impact partnerships

        ``Sec. 2056.  (a) Establishment.--There is established the Federal
    Interagency Council on Social Impact Partnerships (in this section
    referred to as the `Council') to--
            ``(1) coordinate with the Secretary on the efforts of social
        impact partnership projects funded under this subtitle;
            ``(2) advise and assist the Secretary in the development and
        implementation of the projects;
            ``(3) advise the Secretary on specific programmatic and policy
        matter related to the projects;
            ``(4) provide subject-matter expertise to the Secretary with
        regard to the projects;
            ``(5) certify to the Secretary that each State or local
        government that has entered into an agreement with the Secretary
        for a social impact partnership project under this subtitle and
        each evaluator selected by the head of the relevant agency under
        section 2055 has access to Federal administrative data to assist
        the State or local government and the evaluator in evaluating the
        performance and outcomes of the project;
            ``(6) address issues that will influence the future of social
        impact partnership projects in the United States;
            ``(7) provide guidance to the executive branch on the future of
        social impact partnership projects in the United States;
            ``(8) prior to approval by the Secretary, certify that each
        State and local government application for a social impact
        partnership contains rigorous, independent data and reliable,
        evidence-based research methodologies to support the conclusion
        that the project will yield savings to the State or local
        government or the Federal Government if the project outcomes are
        achieved;
            ``(9) certify to the Secretary, in the case of each approved
        social impact partnership that is expected to yield savings to the
        Federal Government, that the project will yield a projected savings
        to the Federal Government if the project outcomes are achieved, and
        coordinate with the relevant Federal agency to produce an after-
        action accounting once the project is complete to determine the
        actual Federal savings realized, and the extent to which actual
        savings aligned with projected savings; and
            ``(10) provide periodic reports to the Secretary and make
        available reports periodically to Congress and the public on the
        implementation of this subtitle.
        ``(b) Composition of Council.--The Council shall have 11 members,
    as follows:
            ``(1) Chair.--The Chair of the Council shall be the Director of
        the Office of Management and Budget.
            ``(2) Other members.--The head of each of the following
        entities shall designate one officer or employee of the entity to
        be a Council member:
                ``(A) The Department of Labor.
                ``(B) The Department of Health and Human Services.
                ``(C) The Social Security Administration.
                ``(D) The Department of Agriculture.
                ``(E) The Department of Justice.
                ``(F) The Department of Housing and Urban Development.
                ``(G) The Department of Education.
                ``(H) The Department of Veterans Affairs.
                ``(I) The Department of the Treasury.
                ``(J) The Corporation for National and Community Service.

                    ``commission on social impact partnerships

        ``Sec. 2057.  (a) Establishment.--There is established the
    Commission on Social Impact Partnerships (in this section referred to
    as the `Commission').
        ``(b) Duties.--The duties of the Commission shall be to--
            ``(1) assist the Secretary and the Federal Interagency Council
        on Social Impact Partnerships in reviewing applications for funding
        under this subtitle;
            ``(2) make recommendations to the Secretary and the Federal
        Interagency Council on Social Impact Partnerships regarding the
        funding of social impact partnership agreements and feasibility
        studies; and
            ``(3) provide other assistance and information as requested by
        the Secretary or the Federal Interagency Council on Social Impact
        Partnerships.
        ``(c) Composition.--The Commission shall be composed of nine
    members, of whom--
            ``(1) one shall be appointed by the President, who will serve
        as the Chair of the Commission;
            ``(2) one shall be appointed by the Majority Leader of the
        Senate;
            ``(3) one shall be appointed by the Minority Leader of the
        Senate;
            ``(4) one shall be appointed by the Speaker of the House of
        Representatives;
            ``(5) one shall be appointed by the Minority Leader of the
        House of Representatives;
            ``(6) one shall be appointed by the Chairman of the Committee
        on Finance of the Senate;
            ``(7) one shall be appointed by the ranking member of the
        Committee on Finance of the Senate;
            ``(8) one member shall be appointed by the Chairman of the
        Committee on Ways and Means of the House of Representatives; and
            ``(9) one shall be appointed by the ranking member of the
        Committee on Ways and Means of the House of Representatives.
        ``(d) Qualifications of Commission Members.--The members of the
    Commission shall--
            ``(1) be experienced in finance, economics, pay for
        performance, or program evaluation;
            ``(2) have relevant professional or personal experience in a
        field related to one or more of the outcomes listed in this
        subtitle; or
            ``(3) be qualified to review applications for social impact
        partnership projects to determine whether the proposed metrics and
        evaluation methodologies are appropriately rigorous and reliant
        upon independent data and evidence-based research.
        ``(e) Timing of Appointments.--The appointments of the members of
    the Commission shall be made not later than 120 days after the date of
    the enactment of this subtitle, or, in the event of a vacancy, not
    later than 90 days after the date the vacancy arises. If a member of
    Congress fails to appoint a member by that date, the President may
    select a member of the President's choice on behalf of the member of
    Congress. Notwithstanding the preceding sentence, if not all
    appointments have been made to the Commission as of that date, the
    Commission may operate with no fewer than five members until all
    appointments have been made.
        ``(f) Term of Appointments.--
            ``(1) In general.--The members appointed under subsection (c)
        shall serve as follows:
                ``(A) Three members shall serve for 2 years.
                ``(B) Three members shall serve for 3 years.
                ``(C) Three members (one of which shall be Chair of the
            Commission appointed by the President) shall serve for 4 years.
            ``(2) Assignment of terms.--The Commission shall designate the
        term length that each member appointed under subsection (c) shall
        serve by unanimous agreement. In the event that unanimous agreement
        cannot be reached, term lengths shall be assigned to the members by
        a random process.
        ``(g) Vacancies.--Subject to subsection (e), in the event of a
    vacancy in the Commission, whether due to the resignation of a member,
    the expiration of a member's term, or any other reason, the vacancy
    shall be filled in the manner in which the original appointment was
    made and shall not affect the powers of the Commission.
        ``(h) Appointment Power.--Members of the Commission appointed under
    subsection (c) shall not be subject to confirmation by the Senate.

                           ``limitation on use of funds

        ``Sec. 2058. Of the amounts made available to carry out this
    subtitle, the Secretary may not use more than $2,000,000 in any fiscal
    year to support the review, approval, and oversight of social impact
    partnership projects, including activities conducted by--
            ``(1) the Federal Interagency Council on Social Impact
        Partnerships; and
            ``(2) any other agency consulted by the Secretary before
        approving a social impact partnership project or a feasibility
        study under section 2054.

                   ``no federal funding for credit enhancements

        ``Sec. 2059. No amount made available to carry out this subtitle
    may be used to provide any insurance, guarantee, or other credit
    enhancement to a State or local government under which a Federal
    payment would be made to a State or local government as the result of a
    State or local government failing to achieve an outcome specified in an
    agreement.

                             ``availability of funds

        ``Sec. 2060. Amounts made available to carry out this subtitle
    shall remain available until 10 years after the date of the enactment
    of this subtitle.

                                    ``website

        ``Sec. 2061. The Federal Interagency Council on Social Impact
    Partnerships shall establish and maintain a public website that shall
    display the following:
            ``(1) A copy of, or method of accessing, each notice published
        regarding a social impact partnership project pursuant to this
        subtitle.
            ``(2) A copy of each feasibility study funded under this
        subtitle.
            ``(3) For each State or local government that has entered into
        an agreement with the Secretary for a social impact partnership
        project, the website shall contain the following information:
                ``(A) The outcome goals of the project.
                ``(B) A description of each intervention in the project.
                ``(C) The target population that will be served by the
            project.
                ``(D) The expected social benefits to participants who
            receive the intervention and others who may be impacted.
                ``(E) The detailed roles, responsibilities, and purposes of
            each Federal, State, or local government entity, intermediary,
            service provider, independent evaluator, investor, or other
            stakeholder.
                ``(F) The payment terms, methodology used to calculate
            outcome payments, the payment schedule, and performance
            thresholds.
                ``(G) The project budget.
                ``(H) The project timeline.
                ``(I) The project eligibility criteria.
                ``(J) The evaluation design.
                ``(K) The metrics used to determine whether the proposed
            outcomes have been achieved and how these metrics are measured.
            ``(4) A copy of the progress reports and the final reports
        relating to each social impact partnership project.
            ``(5) An estimate of the savings to the Federal, State, and
        local government, on a program-by-program basis and in the
        aggregate, resulting from the successful completion of the social
        impact partnership project.

                                  ``regulations

        ``Sec. 2062. The Secretary, in consultation with the Federal
    Interagency Council on Social Impact Partnerships, may issue
    regulations as necessary to carry out this subtitle.

                                  ``definitions

        ``Sec. 2063. In this subtitle:
            ``(1) Agency.--The term `agency' has the meaning given that
        term in section 551 of title 5, United States Code.
            ``(2) Intervention.--The term `intervention' means a specific
        service delivered to achieve an impact through a social impact
        partnership project.
            ``(3) Secretary.--The term `Secretary' means the Secretary of
        the Treasury.
            ``(4) Social impact partnership project.--The term `social
        impact partnership project' means a project that finances social
        services using a social impact partnership model.
            ``(5) Social impact partnership model.--The term `social impact
        partnership model' means a method of financing social services in
        which--
                ``(A) Federal funds are awarded to a State or local
            government only if a State or local government achieves certain
            outcomes agreed on by the State or local government and the
            Secretary; and
                ``(B) the State or local government coordinates with
            service providers, investors (if applicable to the project),
            and (if necessary) an intermediary to identify--
                    ``(i) an intervention expected to produce the outcome;
                    ``(ii) a service provider to deliver the intervention
                to the target population; and
                    ``(iii) investors to fund the delivery of the
                intervention.
            ``(6) State.--The term `State' means each State of the United
        States, the District of Columbia, each commonwealth, territory or
        possession of the United States, and each federally recognized
        Indian tribe.

                                    ``funding

        ``Sec. 2064. Out of any money in the Treasury of the United States
    not otherwise appropriated, there is hereby appropriated $100,000,000
    for fiscal year 2018 to carry out this subtitle.''.

                        TITLE IX--PUBLIC HEALTH PROGRAMS

    SEC. 50901. EXTENSION FOR COMMUNITY HEALTH CENTERS, THE NATIONAL HEALTH
    SERVICE CORPS, AND TEACHING HEALTH CENTERS THAT OPERATE GME PROGRAMS.
        (a) Community Health Centers Funding.--Section 10503(b)(1)(F) of
    the Patient Protection and Affordable Care Act (42 U.S.C. 254b-
    2(b)(1)(F)), as amended by section 3101 of Public Law 115-96, is
    amended to read as follows:
                ``(F) $3,800,000,000 for fiscal year 2018 and
            $4,000,000,000 for fiscal year 2019.''.
        (b) Other Community Health Centers Provisions.--Section 330 of the
    Public Health Service Act (42 U.S.C. 254b) is amended--
            (1) in subsection (b)(1)(A)(ii), by striking ``abuse'' and
        inserting ``use disorder'';
            (2) in subsection (b)(2)(A), by striking ``abuse'' and
        inserting ``use disorder'';
            (3) in subsection (c)--
                (A) in paragraph (1), by striking subparagraphs (B) through
            (D);
                (B) by striking ``(1) In general'' and all that follows
            through ``The Secretary'' and inserting the following:
            ``(1) Centers.--The Secretary''; and
                (C) in paragraph (1), as amended, by redesignating clauses
            (i) through (v) as subparagraphs (A) through (E) and moving the
            margin of each of such redesignated subparagraph 2 ems to the
            left;
            (4) by striking subsection (d) and inserting the following:
        ``(d) Improving Quality of Care.--
            ``(1) Supplemental awards.--The Secretary may award
        supplemental grant funds to health centers funded under this
        section to implement evidence-based models for increasing access to
        high-quality primary care services, which may include models
        related to--
                ``(A) improving the delivery of care for individuals with
            multiple chronic conditions;
                ``(B) workforce configuration;
                ``(C) reducing the cost of care;
                ``(D) enhancing care coordination;
                ``(E) expanding the use of telehealth and technology-
            enabled collaborative learning and capacity building models;
                ``(F) care integration, including integration of behavioral
            health, mental health, or substance use disorder services; and
                ``(G) addressing emerging public health or substance use
            disorder issues to meet the health needs of the population
            served by the health center.
            ``(2) Sustainability.--In making supplemental awards under this
        subsection, the Secretary may consider whether the health center
        involved has submitted a plan for continuing the activities funded
        under this subsection after supplemental funding is expended.
            ``(3) Special consideration.--The Secretary may give special
        consideration to applications for supplemental funding under this
        subsection that seek to address significant barriers to access to
        care in areas with a greater shortage of health care providers and
        health services relative to the national average.'';
            (5) in subsection (e)(1)--
                (A) in subparagraph (B)--
                    (i) by striking ``2 years'' and inserting ``1 year'';
                and
                    (ii) by adding at the end the following: ``The
                Secretary shall not make a grant under this paragraph
                unless the applicant provides assurances to the Secretary
                that within 120 days of receiving grant funding for the
                operation of the health center, the applicant will submit,
                for approval by the Secretary, an implementation plan to
                meet the requirements of subsection (k)(3). The Secretary
                may extend such 120-day period for achieving compliance
                upon a demonstration of good cause by the health center.'';
                and
                (B) in subparagraph (C)--
                    (i) in the subparagraph heading, by striking ``and
                plans'';
                    (ii) by striking ``or plan (as described in
                subparagraphs (B) and (C) of subsection (c)(1))'';
                    (iii) by striking ``or plan, including the purchase''
                and inserting the following: ``including--
                    ``(i) the purchase'';
                    (iv) by inserting ``, which may include data and
                information systems'' after ``of equipment'';
                    (v) by striking the period at the end and inserting a
                semicolon; and
                    (vi) by adding at the end the following:
                    ``(ii) the provision of training and technical
                assistance; and
                    ``(iii) other activities that--

                        ``(I) reduce costs associated with the provision of
                    health services;
                        ``(II) improve access to, and availability of,
                    health services provided to individuals served by the
                    centers;
                        ``(III) enhance the quality and coordination of
                    health services; or
                        ``(IV) improve the health status of communities.'';

            (6) in subsection (e)(5)(B)--
                (A) in the heading of subparagraph (B), by striking ``and
            plans''; and
                (B) by striking ``and subparagraphs (B) and (C) of
            subsection (c)(1) to a health center or to a network or plan''
            and inserting ``to a health center or to a network'';
            (7) in subsection (e), by adding at the end the following:
            ``(6) New access points and expanded services.--
                ``(A) Approval of new access points.--
                    ``(i) In general.--The Secretary may approve
                applications for grants under subparagraph (A) or (B) of
                paragraph (1) to establish new delivery sites.
                    ``(ii) Special consideration.--In carrying out clause
                (i), the Secretary may give special consideration to
                applicants that have demonstrated the new delivery site
                will be located within a sparsely populated area, or an
                area which has a level of unmet need that is higher
                relative to other applicants.
                    ``(iii) Consideration of applications.--In carrying out
                clause (i), the Secretary shall approve applications for
                grants in such a manner that the ratio of the medically
                underserved populations in rural areas which may be
                expected to use the services provided by the applicants
                involved to the medically underserved populations in urban
                areas which may be expected to use the services provided by
                the applicants is not less than two to three or greater
                than three to two.
                    ``(iv) Service area overlap.--If in carrying out clause
                (i) the applicant proposes to serve an area that is
                currently served by another health center funded under this
                section, the Secretary may consider whether the award of
                funding to an additional health center in the area can be
                justified based on the unmet need for additional services
                within the catchment area.
                ``(B) Approval of expanded service applications.--
                    ``(i) In general.--The Secretary may approve
                applications for grants under subparagraph (A) or (B) of
                paragraph (1) to expand the capacity of the applicant to
                provide required primary health services described in
                subsection (b)(1) or additional health services described
                in subsection (b)(2).
                    ``(ii) Priority expansion projects.--In carrying out
                clause (i), the Secretary may give special consideration to
                expanded service applications that seek to address emerging
                public health or behavioral health, mental health, or
                substance abuse issues through increasing the availability
                of additional health services described in subsection
                (b)(2) in an area in which there are significant barriers
                to accessing care.
                    ``(iii) Consideration of applications.--In carrying out
                clause (i), the Secretary shall approve applications for
                grants in such a manner that the ratio of the medically
                underserved populations in rural areas which may be
                expected to use the services provided by the applicants
                involved to the medically underserved populations in urban
                areas which may be expected to use the services provided by
                such applicants is not less than two to three or greater
                than three to two.'';
            (8) in subsection (h)--
                (A) in paragraph (1), by striking ``and children and youth
            at risk of homelessness'' and inserting ``, children and youth
            at risk of homelessness, homeless veterans, and veterans at
            risk of homelessness''; and
                (B) in paragraph (5)--
                    (i) by striking subparagraph (B);
                    (ii) by redesignating subparagraph (C) as subparagraph
                (B); and
                    (iii) in subparagraph (B) (as so redesignated)--

                        (I) in the subparagraph heading, by striking
                    ``abuse'' and inserting ``use disorder''; and
                        (II) by striking ``abuse'' and inserting ``use
                    disorder'';

            (9) in subsection (k)--
                (A) in paragraph (2)--
                    (i) in the paragraph heading, by inserting ``unmet''
                before ``need'';
                    (ii) in the matter preceding subparagraph (A), by
                inserting ``or subsection (e)(6)'' after ``subsection
                (e)(1)'';
                    (iii) in subparagraph (A), by inserting ``unmet''
                before ``need for health services'';
                    (iv) in subparagraph (B), by striking ``and'' at the
                end;
                    (v) in subparagraph (C), by striking the period at the
                end and inserting ``; and''; and
                    (vi) by adding after subparagraph (C) the following:
                ``(D) in the case of an application for a grant pursuant to
            subsection (e)(6), a demonstration that the applicant has
            consulted with appropriate State and local government agencies,
            and health care providers regarding the need for the health
            services to be provided at the proposed delivery site.'';
                (B) in paragraph (3)--
                    (i) in the matter preceding subparagraph (A), by
                inserting ``or subsection (e)(6)'' after ``subsection
                (e)(1)(B)'';
                    (ii) in subparagraph (B), by striking ``in the
                catchment area of the center'' and inserting ``, including
                other health care providers that provide care within the
                catchment area, local hospitals, and specialty providers in
                the catchment area of the center, to provide access to
                services not available through the health center and to
                reduce the non-urgent use of hospital emergency
                departments'';
                    (iii) in subparagraph (H)(ii), by inserting ``who shall
                be directly employed by the center'' after ``approves the
                selection of a director for the center'';
                    (iv) in subparagraph (L), by striking ``and'' at the
                end;
                    (v) in subparagraph (M), by striking the period and
                inserting ``; and''; and
                    (vi) by inserting after subparagraph (M), the
                following:
                ``(N) the center has written policies and procedures in
            place to ensure the appropriate use of Federal funds in
            compliance with applicable Federal statutes, regulations, and
            the terms and conditions of the Federal award.''; and
                (C) by striking paragraph (4);
            (10) in subsection (l), by adding at the end the following:
        ``Funds expended to carry out activities under this subsection and
        operational support activities under subsection (m) shall not
        exceed 3 percent of the amount appropriated for this section for
        the fiscal year involved.'';
            (11) in subsection (q)(4), by adding at the end the following:
        ``A waiver provided by the Secretary under this paragraph may not
        remain in effect for more than 1 year and may not be extended after
        such period. An entity may not receive more than one waiver under
        this paragraph in consecutive years.'';
            (12) in subsection (r)(3)--
                (A) by striking ``appropriate committees of Congress a
            report concerning the distribution of funds under this
            section'' and inserting the following: ``Committee on Health,
            Education, Labor, and Pensions of the Senate, and the Committee
            on Energy and Commerce of the House of Representatives, a
            report including, at a minimum--
                ``(A) the distribution of funds for carrying out this
            section'';
                (B) by striking ``populations. Such report shall include an
            assessment'' and inserting the following: ``populations;
                ``(B) an assessment'';
                (C) by striking ``and the rationale for any substantial
            changes in the distribution of funds.'' and inserting a
            semicolon; and
                (D) by adding at the end the following:
                ``(C) the distribution of awards and funding for new or
            expanded services in each of rural areas and urban areas;
                ``(D) the distribution of awards and funding for
            establishing new access points, and the number of new access
            points created;
                ``(E) the amount of unexpended funding for loan guarantees
            and loan guarantee authority under title XVI;
                ``(F) the rationale for any substantial changes in the
            distribution of funds;
                ``(G) the rate of closures for health centers and access
            points;
                ``(H) the number and reason for any grants awarded pursuant
            to subsection (e)(1)(B); and
                ``(I) the number and reason for any waivers provided
            pursuant to subsection (q)(4).'';
            (13) in subsection (r), by adding at the end the following new
        paragraph:
            ``(5) Funding for participation of health centers in all of us
        research program.--In addition to any amounts made available
        pursuant to paragraph (1) of this subsection, section 402A of this
        Act, or section 10503 of the Patient Protection and Affordable Care
        Act, there is authorized to be appropriated, and there is
        appropriated, out of any monies in the Treasury not otherwise
        appropriated, to the Secretary $25,000,000 for fiscal year 2018 to
        support the participation of health centers in the All of Us
        Research Program under the Precision Medicine Initiative under
        section 498E of this Act.''; and
            (14) by striking subsection (s).
        (c) National Health Service Corps.--Section 10503(b)(2)(F) of the
    Patient Protection and Affordable Care Act (42 U.S.C. 254b-2(b)(2)(F)),
    as amended by section 3101 of Public Law 115-96, is amended to read as
    follows:
                ``(F) $310,000,000 for each of fiscal years 2018 and
            2019.''.
        (d) Teaching Health Centers That Operate Graduate Medical Education
    Programs.--
            (1) Payments.--Subsection (a) of section 340H of the Public
        Health Service Act (42 U.S.C. 256h) is amended to read as follows:
        ``(a) Payments.--
            ``(1) In general.--Subject to subsection (h)(2), the Secretary
        shall make payments under this section for direct expenses and
        indirect expenses to qualified teaching health centers that are
        listed as sponsoring institutions by the relevant accrediting body
        for, as appropriate--
                ``(A) maintenance of filled positions at existing approved
            graduate medical residency training programs;
                ``(B) expansion of existing approved graduate medical
            residency training programs; and
                ``(C) establishment of new approved graduate medical
            residency training programs.
            ``(2) Per resident amount.--In making payments under paragraph
        (1), the Secretary shall consider the cost of training residents at
        teaching health centers and the implications of the per resident
        amount on approved graduate medical residency training programs at
        teaching health centers.
            ``(3) Priority.--In making payments under paragraph (1)(C), the
        Secretary shall give priority to qualified teaching health centers
        that--
                ``(A) serve a health professional shortage area with a
            designation in effect under section 332 or a medically
            underserved community (as defined in section 799B); or
                ``(B) are located in a rural area (as defined in section
            1886(d)(2)(D) of the Social Security Act).''.
            (2) Funding.--Paragraph (1) of section 340H(g) of the Public
        Health Service Act (42 U.S.C. 256h(g)), as amended by section 3101
        of Public Law 115-96, is amended by striking ``and $30,000,000 for
        the period of the first and second quarters of fiscal year 2018,''
        and inserting ``and $126,500,000 for each of fiscal years 2018 and
        2019,''.
            (3) Annual reporting.--Subsection (h)(1) of section 340H of the
        Public Health Service Act (42 U.S.C. 256h) is amended--
                (A) by redesignating subparagraph (D) as subparagraph (H);
            and
                (B) by inserting after subparagraph (C) the following:
                ``(D) The number of patients treated by residents described
            in paragraph (4).
                ``(E) The number of visits by patients treated by residents
            described in paragraph (4).
                ``(F) Of the number of residents described in paragraph (4)
            who completed their residency training at the end of such
            residency academic year, the number and percentage of such
            residents entering primary care practice (meaning any of the
            areas of practice listed in the definition of a primary care
            residency program in section 749A).
                ``(G) Of the number of residents described in paragraph (4)
            who completed their residency training at the end of such
            residency academic year, the number and percentage of such
            residents who entered practice at a health care facility--
                    ``(i) primarily serving a health professional shortage
                area with a designation in effect under section 332 or a
                medically underserved community (as defined in section
                799B); or
                    ``(ii) located in a rural area (as defined in section
                1886(d)(2)(D) of the Social Security Act).''.
            (4) Report on training costs.--Not later than March 31, 2019,
        the Secretary of Health and Human Services shall submit to the
        Congress a report on the direct graduate expenses of approved
        graduate medical residency training programs, and the indirect
        expenses associated with the additional costs of teaching
        residents, of qualified teaching health centers (as such terms are
        used or defined in section 340H of the Public Health Service Act
        (42 U.S.C. 256h)).
            (5) Definition.--Subsection (j) of section 340H of the Public
        Health Service Act (42 U.S.C. 256h) is amended--
                (A) by redesignating paragraphs (2) and (3) as paragraphs
            (3) and (4), respectively; and
                (B) by inserting after paragraph (1) the following:
            ``(2) New approved graduate medical residency training
        program.--The term `new approved graduate medical residency
        training program' means an approved graduate medical residency
        training program for which the sponsoring qualified teaching health
        center has not received a payment under this section for a previous
        fiscal year (other than pursuant to subsection (a)(1)(C)).''.
            (6) Technical correction.--Subsection (f) of section 340H (42
        U.S.C. 256h) is amended by striking ``hospital'' each place it
        appears and inserting ``teaching health center''.
            (7) Payments for previous fiscal years.--The provisions of
        section 340H of the Public Health Service Act (42 U.S.C. 256h), as
        in effect on the day before the date of enactment of Public Law
        115-96, shall continue to apply with respect to payments under such
        section for fiscal years before fiscal year 2018.
        (e) Application.--Amounts appropriated pursuant to this section for
    fiscal year 2018 or 2019 are subject to the requirements contained in
    Public Law 115-31 for funds for programs authorized under sections 330
    through 340 of the Public Health Service Act (42 U.S.C. 254b-256).
        (f) Conforming Amendments.--Paragraph (4) of section 3014(h) of
    title 18, United States Code, as amended by section 3101 of Public Law
    115-96, is amended by striking ``and section 3101(d) of the CHIP and
    Public Health Funding Extension Act'' and inserting ``and section
    50901(e) of the Advancing Chronic Care, Extenders, and Social Services
    Act''.
    SEC. 50902. EXTENSION FOR SPECIAL DIABETES PROGRAMS.
        (a) Special Diabetes Program for Type I Diabetes.--Section
    330B(b)(2)(D) of the Public Health Service Act (42 U.S.C. 254c-
    2(b)(2)(D)), as amended by section 3102 of Public Law 115-96, is
    amended to read as follows:
                ``(D) $150,000,000 for each of fiscal years 2018 and 2019,
            to remain available until expended.''.
        (b) Special Diabetes Program for Indians.--Subparagraph (D) of
    section 330C(c)(2) of the Public Health Service Act (42 U.S.C. 254c-
    3(c)(2)), as amended by section 3102 of Public Law 115-96, is amended
    to read as follows:
                ``(D) $150,000,000 for each of fiscal years 2018 and 2019,
            to remain available until expended.''.

                  TITLE X--MISCELLANEOUS HEALTH CARE POLICIES

    SEC. 51001. HOME HEALTH PAYMENT REFORM.
        (a) Budget Neutral Transition to a 30-day Unit of Payment for Home
    Health Services.--Section 1895(b) of the Social Security Act (42 U.S.C.
    1395fff(b)) is amended--
            (1) in paragraph (2)--
                (A) by striking ``payment.--In defining'' and inserting
            ``payment.--
                ``(A) In general.--In defining''; and
                (B) by adding at the end the following new subparagraph:
                ``(B) 30-day unit of service.--For purposes of implementing
            the prospective payment system with respect to home health
            units of service furnished during a year beginning with 2020,
            the Secretary shall apply a 30-day unit of service as the unit
            of service applied under this paragraph.'';
            (2) in paragraph (3)--
                (A) in subparagraph (A), by adding at the end the following
            new clause:
                    ``(iv) Budget neutrality for 2020.--With respect to
                payments for home health units of service furnished that
                end during the 12-month period beginning January 1, 2020,
                the Secretary shall calculate a standard prospective
                payment amount (or amounts) for 30-day units of service (as
                described in paragraph (2)(B)) for the prospective payment
                system under this subsection. Such standard prospective
                payment amount (or amounts) shall be calculated in a manner
                such that the estimated aggregate amount of expenditures
                under the system during such period with application of
                paragraph (2)(B) is equal to the estimated aggregate amount
                of expenditures that otherwise would have been made under
                the system during such period if paragraph (2)(B) had not
                been enacted. The previous sentence shall be applied before
                (and not affect the application of) paragraph (3)(B). In
                calculating such amount (or amounts), the Secretary shall
                make assumptions about behavior changes that could occur as
                a result of the implementation of paragraph (2)(B) and the
                case-mix adjustment factors established under paragraph
                (4)(B) and shall provide a description of such assumptions
                in the notice and comment rulemaking used to implement this
                clause.''; and
                (B) by adding at the end the following new subparagraph:
                ``(D) Behavior assumptions and adjustments.--
                    ``(i) In general.--The Secretary shall annually
                determine the impact of differences between assumed
                behavior changes (as described in paragraph (3)(A)(iv)) and
                actual behavior changes on estimated aggregate expenditures
                under this subsection with respect to years beginning with
                2020 and ending with 2026.
                    ``(ii) Permanent adjustments.--The Secretary shall, at
                a time and in a manner determined appropriate, through
                notice and comment rulemaking, provide for one or more
                permanent increases or decreases to the standard
                prospective payment amount (or amounts) for applicable
                years, on a prospective basis, to offset for such increases
                or decreases in estimated aggregate expenditures (as
                determined under clause (i)).
                    ``(iii) Temporary adjustments for retrospective
                behavior.--The Secretary shall, at a time and in a manner
                determined appropriate, through notice and comment
                rulemaking, provide for one or more temporary increases or
                decreases to the payment amount for a unit of home health
                services (as determined under paragraph (4)) for applicable
                years, on a prospective basis, to offset for such increases
                or decreases in estimated aggregate expenditures (as
                determined under clause (i)). Such a temporary increase or
                decrease shall apply only with respect to the year for
                which such temporary increase or decrease is made, and the
                Secretary shall not take into account such a temporary
                increase or decrease in computing such amount under this
                subsection for a subsequent year.''; and
            (3) in paragraph (4)(B)--
                (A) by striking ``Factors.--The Secretary'' and inserting
            ``Factors.--
                    ``(i) In general.--The Secretary''; and
                (B) by adding at the end the following new clause:
                    ``(ii) Treatment of therapy thresholds.--For 2020 and
                subsequent years, the Secretary shall eliminate the use of
                therapy thresholds (established by the Secretary) in case
                mix adjustment factors established under clause (i) for
                calculating payments under the prospective payment system
                under this subsection.''.
        (b) Technical Expert Panel.--
            (1) In general.--During the period beginning on January 1,
        2018, and ending on December 31, 2018, the Secretary of Health and
        Human Services shall hold at least one session of a technical
        expert panel, the participants of which shall include home health
        providers, patient representatives, and other relevant
        stakeholders. The technical expert panel shall identify and
        prioritize recommendations with respect to the prospective payment
        system for home health services under section 1895(b) of the Social
        Security Act (42 U.S.C. 1395fff(b)), on the following:
                (A) The Home Health Groupings Model, as described in the
            proposed rule ``Medicare and Medicaid Programs; CY 2018 Home
            Health Prospective Payment System Rate Update and Proposed CY
            2019 Case-Mix Adjustment Methodology Refinements; Home Health
            Value-Based Purchasing Model; and Home Health Quality Reporting
            Requirements'' (82 Fed. Reg. 35294 through 35332 (July 28,
            2017)).
                (B) Alternative case-mix models to the Home Health
            Groupings Model that were submitted during 2017 as comments in
            response to proposed rule making, including patient-focused
            factors that consider the risks of hospitalization and
            readmission to a hospital, improvement or maintenance of
            functionality of individuals to increase the capacity for self-
            care, quality of care, and resource utilization.
            (2) Inapplicability of faca.--The provisions of the Federal
        Advisory Committee Act (5 U.S.C. App.) shall not apply to the
        technical expert panel under paragraph (1).
            (3) Report.--Not later than April 1, 2019, the Secretary of
        Health and Human Services shall submit to the Committee on Ways and
        Means and the Committee on Energy and Commerce of the House of
        Representatives and the Committee on Finance of the Senate a report
        on the recommendations of such panel described in such paragraph.
            (4) Notice and comment rulemaking.--Not later than December 31,
        2019, the Secretary of Health and Human Services shall pursue
        notice and comment rulemaking on a case-mix system with respect to
        the prospective payment system for home health services under
        section 1895(b) of the Social Security Act (42 U.S.C. 1395fff(b)).
        (c) Reports.--
            (1) Interim report.--Not later than March 15, 2022, the
        Medicare Payment Advisory Commission shall submit to Congress an
        interim report on the application of a 30-day unit of service as
        the unit of service applied under section 1895(b)(2) of the Social
        Security Act (42 U.S.C. 1395fff(b)(2)), as amended by subsection
        (a), including an analysis of the level of payments provided to
        home health agencies as compared to the cost of delivering home
        health services, and any unintended consequences, including with
        respect to behavioral changes and quality.
            (2) Final report.--Not later than March 15, 2026, such
        Commission shall submit to Congress a final report on such
        application and any such consequences.
    SEC. 51002. INFORMATION TO SATISFY DOCUMENTATION OF MEDICARE
    ELIGIBILITY FOR HOME HEALTH SERVICES.
        (a) Part A.--Section 1814(a) of the Social Security Act (42 U.S.C.
    1395f(a)) is amended by inserting before ``For purposes of paragraph
    (2)(C),'' the following new sentence: ``For purposes of documentation
    for physician certification and recertification made under paragraph
    (2) on or after January 1, 2019, and made with respect to home health
    services furnished by a home health agency, in addition to using
    documentation in the medical record of the physician who so certifies
    or the medical record of the acute or post-acute care facility (in the
    case that home health services were furnished to an individual who was
    directly admitted to the home health agency from such a facility), the
    Secretary may use documentation in the medical record of the home
    health agency as supporting material, as appropriate to the case
    involved.''.
        (b) Part B.--Section 1835(a) of the Social Security Act (42 U.S.C.
    1395n(a)) is amended by inserting before ``For purposes of paragraph
    (2)(A),'' the following new sentence: ``For purposes of documentation
    for physician certification and recertification made under paragraph
    (2) on or after January 1, 2019, and made with respect to home health
    services furnished by a home health agency, in addition to using
    documentation in the medical record of the physician who so certifies
    or the medical record of the acute or post-acute care facility (in the
    case that home health services were furnished to an individual who was
    directly admitted to the home health agency from such a facility), the
    Secretary may use documentation in the medical record of the home
    health agency as supporting material, as appropriate to the case
    involved.''.
    SEC. 51003. TECHNICAL AMENDMENTS TO PUBLIC LAW 114-10.
        (a) MIPS Transition.--Section 1848 of the Social Security Act (42
    U.S.C. 1395w-4) is amended--
            (1) in subsection (q)--
                (A) in paragraph (1)--
                    (i) in subparagraph (B), by striking ``items and
                services'' and inserting ``covered professional services
                (as defined in subsection (k)(3)(A))''; and
                    (ii) in subparagraph (C)(iv)--

                        (I) by amending subclause (I) to read as follows:
                        ``(I) The minimum number (as determined by the
                    Secretary) of--

                            ``(aa) for performance periods beginning before
                        January 1, 2018, individuals enrolled under this
                        part who are treated by the eligible professional
                        for the performance period involved; and
                            ``(bb) for performance periods beginning on or
                        after January 1, 2018, individuals enrolled under
                        this part who are furnished covered professional
                        services (as defined in subsection (k)(3)(A)) by
                        the eligible professional for the performance
                        period involved.'';

                        (II) in subclause (II), by striking ``items and
                    services'' and inserting ``covered professional
                    services (as defined in subsection (k)(3)(A))''; and
                        (III) by amending subclause (III) to read as
                    follows:
                        ``(III) The minimum amount (as determined by the
                    Secretary) of--

                            ``(aa) for performance periods beginning before
                        January 1, 2018, allowed charges billed by such
                        professional under this part for such performance
                        period; and
                            ``(bb) for performance periods beginning on or
                        after January 1, 2018, allowed charges for covered
                        professional services (as defined in subsection
                        (k)(3)(A)) billed by such professional for such
                        performance period.'';
                (B) in paragraph (5)(D)--
                    (i) in clause (i)(I), by inserting ``subject to clause
                (iii),'' after ``clauses (i) and (ii) of paragraph
                (2)(A),''; and
                    (ii) by adding at the end the following new clause:
                    ``(iii) Transition years.--For each of the second,
                third, fourth, and fifth years for which the MIPS applies
                to payments, the performance score for the performance
                category described in paragraph (2)(A)(ii) shall not take
                into account the improvement of the professional
                involved.'';
                (C) in paragraph (5)(E)--
                    (i) in clause (i)(I)(bb)--

                        (I) in the heading by striking ``First 2 years''
                    and inserting ``First 5 years''; and
                        (II) by striking ``the first and second years'' and
                    inserting ``each of the first through fifth years'';

                    (ii) in clause (i)(II)(bb)--

                        (I) in the heading, by striking ``2 years'' and
                    inserting ``5 years''; and
                        (II) by striking the second sentence and inserting
                    the following new sentences: ``For each of the second,
                    third, fourth, and fifth years for which the MIPS
                    applies to payments, not less than 10 percent and not
                    more than 30 percent of such score shall be based on
                    performance with respect to the category described in
                    clause (ii) of paragraph (2)(A). Nothing in the
                    previous sentence shall be construed, with respect to a
                    performance period for a year described in the previous
                    sentence, as preventing the Secretary from basing 30
                    percent of such score for such year with respect to the
                    category described in such clause (ii), if the
                    Secretary determines, based on information posted under
                    subsection (r)(2)(I) that sufficient resource use
                    measures are ready for adoption for use under the
                    performance category under paragraph (2)(A)(ii) for
                    such performance period.'';

                (D) in paragraph (6)(D)--
                    (i) in clause (i), in the second sentence, by striking
                ``Such performance threshold'' and inserting ``Subject to
                clauses (iii) and (iv), such performance threshold'';
                    (ii) in clause (ii)--

                        (I) in the first sentence, by inserting
                    ``(beginning with 2019 and ending with 2024)'' after
                    ``for each year of the MIPS''; and
                        (II) in the second sentence, by inserting ``subject
                    to clause (iii),'' after ``For each such year,'';

                    (iii) in clause (iii)--

                        (I) in the heading, by striking ``2'' and inserting
                    ``5''; and
                        (II) in the first sentence, by striking ``two
                    years'' and inserting ``five years''; and

                    (iv) by adding at the end the following new clause:
                    ``(iv) Additional special rule for third, fourth and
                fifth years of mips.--For purposes of determining MIPS
                adjustment factors under subparagraph (A), in addition to
                the requirements specified in clause (iii), the Secretary
                shall increase the performance threshold with respect to
                each of the third, fourth, and fifth years to which the
                MIPS applies to ensure a gradual and incremental transition
                to the performance threshold described in clause (i) (as
                estimated by the Secretary) with respect to the sixth year
                to which the MIPS applies.'';
                (E) in paragraph (6)(E)--
                    (i) by striking ``In the case of items and services''
                and inserting ``In the case of covered professional
                services (as defined in subsection (k)(3)(A))''; and
                    (ii) by striking ``under this part with respect to such
                items and services'' and inserting ``under this part with
                respect to such covered professional services''; and
                (F) in paragraph (7), in the first sentence, by striking
            ``items and services'' and inserting ``covered professional
            services (as defined in subsection (k)(3)(A))'';
            (2) in subsection (r)(2), by adding at the end the following
        new subparagraph:
                ``(I) Information.--The Secretary shall, not later than
            December 31st of each year (beginning with 2018), post on the
            Internet website of the Centers for Medicare & Medicaid
            Services information on resource use measures in use under
            subsection (q), resource use measures under development and the
            time-frame for such development, potential future resource use
            measure topics, a description of stakeholder engagement, and
            the percent of expenditures under part A and this part that are
            covered by resource use measures.''; and
            (3) in subsection (s)(5)(B), by striking ``section
        1833(z)(2)(C)'' and inserting ``section 1833(z)(3)(D)''.
        (b) Physician-focused Payment Model Technical Advisory Committee
    Provision of Initial Proposal Feedback.--Section 1868(c)(2)(C) of the
    Social Security Act (42 U.S.C. 1395ee(c)(2)(C)) is amended to read as
    follows:
                ``(C) Committee review of models submitted.--The Committee,
            on a periodic basis--
                    ``(i) shall review models submitted under subparagraph
                (B);
                    ``(ii) may provide individuals and stakeholder entities
                who submitted such models with--

                        ``(I) initial feedback on such models regarding the
                    extent to which such models meet the criteria described
                    in subparagraph (A); and
                        ``(II) an explanation of the basis for the feedback
                    provided under subclause (I); and

                    ``(iii) shall prepare comments and recommendations
                regarding whether such models meet the criteria described
                in subparagraph (A) and submit such comments and
                recommendations to the Secretary.''.
    SEC. 51004. EXPANDED ACCESS TO MEDICARE INTENSIVE CARDIAC
    REHABILITATION PROGRAMS.
        Section 1861(eee)(4)(B) of the Social Security Act (42 U.S.C.
    1395x(eee)(4)(B)) is amended--
            (1) in clause (v), by striking ``or'' at the end;
            (2) in clause (vi), by striking the period at the end and
        inserting a semicolon; and
            (3) by adding at the end the following new clauses:
                ``(vii) stable, chronic heart failure (defined as patients
            with left ventricular ejection fraction of 35 percent or less
            and New York Heart Association (NYHA) class II to IV symptoms
            despite being on optimal heart failure therapy for at least 6
            weeks); or
                ``(viii) any additional condition for which the Secretary
            has determined that a cardiac rehabilitation program shall be
            covered, unless the Secretary determines, using the same
            process used to determine that the condition is covered for a
            cardiac rehabilitation program, that such coverage is not
            supported by the clinical evidence.''.
    SEC. 51005. EXTENSION OF BLENDED SITE NEUTRAL PAYMENT RATE FOR CERTAIN
    LONG-TERM CARE HOSPITAL DISCHARGES; TEMPORARY ADJUSTMENT TO SITE
    NEUTRAL PAYMENT RATES.
        (a) Extension.--Section 1886(m)(6)(B)(i) of the Social Security Act
    (42 U.S.C. 1395ww(m)(6)(B)(i)) is amended--
            (1) in subclause (I), by striking ``fiscal year 2016 or fiscal
        year 2017'' and inserting ``fiscal years 2016 through 2019''; and
            (2) in subclause (II), by striking ``2018'' and inserting
        ``2020''.
        (b) Temporary Adjustment to Site Neutral Payment Rates.--Section
    1886(m)(6)(B) of the Social Security Act (42 U.S.C. 1395ww(m)(6)(B)) is
    amended--
            (1) in clause (ii), in the matter preceding subclause (I), by
        striking ``In this paragraph'' and inserting ``Subject to clause
        (iv), in this paragraph''; and
            (2) by adding at the end the following new clause:
                    ``(iv) Adjustment.--For each of fiscal years 2018
                through 2026, the amount that would otherwise apply under
                clause (ii)(I) for the year (determined without regard to
                this clause) shall be reduced by 4.6 percent.''.
    SEC. 51006. RECOGNITION OF ATTENDING PHYSICIAN ASSISTANTS AS ATTENDING
    PHYSICIANS TO SERVE HOSPICE PATIENTS.
        (a) Recognition of Attending Physician Assistants as Attending
    Physicians To Serve Hospice Patients.--
            (1) In general.--Section 1861(dd)(3)(B) of the Social Security
        Act (42 U.S.C. 1395x(dd)(3)(B)) is amended--
                (A) by striking ``or nurse'' and inserting ``, the nurse'';
            and
                (B) by inserting ``, or the physician assistant (as defined
            in such subsection)'' after ``subsection (aa)(5))''.
            (2) Clarification of hospice role of physician assistants.--
        Section 1814(a)(7)(A)(i)(I) of the Social Security Act (42 U.S.C.
        1395f(a)(7)(A)(i)(I)) is amended by inserting ``or a physician
        assistant'' after ``a nurse practitioner''.
        (b) Effective Date.--The amendments made by this section shall
    apply to items and services furnished on or after January 1, 2019.
    SEC. 51007. EXTENSION OF ENFORCEMENT INSTRUCTION ON SUPERVISION
    REQUIREMENTS FOR OUTPATIENT THERAPEUTIC SERVICES IN CRITICAL ACCESS AND
    SMALL RURAL HOSPITALS THROUGH 2017.
        Section 1 of Public Law 113-198, as amended by section 1 of Public
    Law 114-112 and section 16004(a) of the 21st Century Cures Act (Public
    Law 114-255), is amended--
            (1) in the section heading, by striking ``2016'' and inserting
        ``2017''; and
            (2) by striking ``and 2016'' and inserting ``2016, and 2017''.
    SEC. 51008. ALLOWING PHYSICIAN ASSISTANTS, NURSE PRACTITIONERS, AND
    CLINICAL NURSE SPECIALISTS TO SUPERVISE CARDIAC, INTENSIVE CARDIAC, AND
    PULMONARY REHABILITATION PROGRAMS.
        (a) Cardiac and Intensive Cardiac Rehabilitation Programs.--Section
    1861(eee) of the Social Security Act (42 U.S.C. 1395x(eee)) is
    amended--
            (1) in paragraph (1)--
                (A) by striking ``physician-supervised''; and
                (B) by inserting ``under the supervision of a physician (as
            defined in subsection (r)(1)) or a physician assistant, nurse
            practitioner, or clinical nurse specialist (as those terms are
            defined in subsection (aa)(5))'' before the period at the end;
            (2) in paragraph (2)--
                (A) in subparagraph (A)(iii), by striking the period at the
            end and inserting a semicolon; and
                (B) in subparagraph (B), by striking ``a physician'' and
            inserting ``a physician (as defined in subsection (r)(1)) or a
            physician assistant, nurse practitioner, or clinical nurse
            specialist (as those terms are defined in subsection
            (aa)(5))''; and
            (3) in paragraph (4)(A), in the matter preceding clause (i)--
                (A) by striking ``physician-supervised''; and
                (B) by inserting ``under the supervision of a physician (as
            defined in subsection (r)(1)) or a physician assistant, nurse
            practitioner, or clinical nurse specialist (as those terms are
            defined in subsection (aa)(5))'' after ``paragraph (3)''.
        (b) Pulmonary Rehabilitation Programs.--Section 1861(fff)(1) of the
    Social Security Act (42 U.S.C. 1395x(fff)(1)) is amended--
            (1) by striking ``physician-supervised''; and
            (2) by inserting ``under the supervision of a physician (as
        defined in subsection (r)(1)) or a physician assistant, nurse
        practitioner, or clinical nurse specialist (as those terms are
        defined in subsection (aa)(5))'' before the period at the end.
        (c) Effective Date.--The amendments made by this section shall
    apply to items and services furnished on or after January 1, 2024.
    SEC. 51009. TRANSITIONAL PAYMENT RULES FOR CERTAIN RADIATION THERAPY
    SERVICES UNDER THE PHYSICIAN FEE SCHEDULE.
        Section 1848 of the Social Security Act (42 U.S.C. 1395w-4) is
    amended--
            (1) in subsection (b)(11), by striking ``2017 and 2018'' and
        inserting ``2017, 2018, and 2019''; and
            (2) in subsection (c)(2)(K)(iv), by striking ``2017 and 2018''
        and inserting ``2017, 2018, and 2019''.

              TITLE XI--PROTECTING SENIORS' ACCESS TO MEDICARE ACT

    SEC. 52001. REPEAL OF THE INDEPENDENT PAYMENT ADVISORY BOARD.
        (a) Repeal.--Section 1899A of the Social Security Act (42 U.S.C.
    1395kkk) is repealed.
        (b) Conforming Amendments.--
            (1) Lobbying cooling-off period.--Paragraph (3) of section
        207(c) of title 18, United States Code, is repealed.
            (2) GAO study and report.--Section 3403(b) of the Patient
        Protection and Affordable Care Act (42 U.S.C. 1395kkk-1) is
        repealed.
            (3) MedPAC review and comment.--Section 1805(b) of the Social
        Security Act (42 U.S.C. 1395b-6(b)) is amended--
                (A) by striking paragraph (4);
                (B) by redesignating paragraphs (5) through (8) as
            paragraphs (4) through (7), respectively; and
                (C) by redesignating the paragraph (9) that was
            redesignated by section 3403(c)(1) of the Patient Protection
            and Affordable Care Act (Public Law 111-148) as paragraph (8).
            (4) Name change.--Section 10320(b) of the Patient Protection
        and Affordable Care Act (Public Law 111-148) is repealed.
            (5) Rule of construction.--Section 10320(c) of the Patient
        Protection and Affordable Care Act (Public Law 111-148) is
        repealed.

                               TITLE XII--OFFSETS

    SEC. 53101. MODIFYING REDUCTIONS IN MEDICAID DSH ALLOTMENTS.
        Section 1923(f)(7)(A) of the Social Security Act (42 U.S.C. 1396r-
    4(f)(7)(A)) is amended--
            (1) in clause (i), in the matter preceding subclause (I), by
        striking ``2018'' and inserting ``2020''; and
            (2) in clause (ii), by striking subclauses (I) through (VIII)
        and inserting the following:

                        ``(I) $4,000,000,000 for fiscal year 2020; and
                        ``(II) $8,000,000,000 for each of fiscal years 2021
                    through 2025.''.

    SEC. 53102. THIRD PARTY LIABILITY IN MEDICAID AND CHIP.
        (a) Modification of Third Party Liability Rules Related to Special
    Treatment of Certain Types of Care and Payments.--
            (1) In general.--Section 1902(a)(25)(E) of the Social Security
        Act (42 U.S.C. 1396a(a)(25)(E)) is amended, in the matter preceding
        clause (i), by striking ``prenatal or''.
            (2) Effective date.--The amendment made by paragraph (1) shall
        take effect on the date of enactment of this Act.
        (b) Delay in Effective Date and Repeal of Certain Bipartisan Budget
    Act of 2013 Amendments.--
            (1) Repeal.--Effective as of September 30, 2017, subsection (b)
        of section 202 of the Bipartisan Budget Act of 2013 (Public Law
        113-67; 127 Stat. 1177; 42 U.S.C. 1396a note) (including any
        amendments made by such subsection) is repealed and the provisions
        amended by such subsection shall be applied and administered as if
        such amendments had never been enacted.
            (2) Delay in effective date.--Subsection (c) of section 202 of
        the Bipartisan Budget Act of 2013 (Public Law 113-67; 127 Stat.
        1177; 42 U.S.C. 1396a note) is amended to read as follows:
        ``(c) Effective Date.--The amendments made by subsection (a) shall
    take effect on October 1, 2019.''.
            (3) Effective date; treatment.--The repeal and amendment made
        by this subsection shall take effect as if enacted on September 30,
        2017, and shall apply with respect to any open claims, including
        claims pending, generated, or filed, after such date. The
        amendments made by subsections (a) and (b) of section 202 of the
        Bipartisan Budget Act of 2013 (Public Law 113-67; 127 Stat. 1177;
        42 U.S.C. 1396a note) that took effect on October 1, 2017, are null
        and void and section 1902(a)(25) of the Social Security Act (42
        U.S.C. 1396a(a)(25)) shall be applied and administered as if such
        amendments had not taken effect on such date.
        (c) GAO Study and Report.--Not later than 18 months after the date
    of enactment of this Act, the Comptroller General of the United States
    shall submit a report to the Committee on Energy and Commerce of the
    House of Representatives and the Committee on Finance of the Senate on
    the impacts of the amendments made by subsections (a)(1) and (b)(2),
    including--
            (1) the impact, or potential effect, of such amendments on
        access to prenatal and preventive pediatric care (including early
        and periodic screening, diagnostic, and treatment services) covered
        under State plans under such title (or waivers of such plans);
            (2) the impact, or potential effect, of such amendments on
        access to services covered under such plans or waivers for
        individuals on whose behalf child support enforcement is being
        carried out by a State agency under part D of title IV of such Act;
        and
            (3) the impact, or potential effect, on providers of services
        under such plans or waivers of delays in payment or related issues
        that result from such amendments.
        (d) Application to CHIP.--
            (1) In general.--Section 2107(e)(1) of the Social Security Act
        (42 U.S.C. 1397gg(e)(1)) is amended--
                (A) by redesignating subparagraphs (B) through (R) as
            subparagraphs (C) through (S), respectively; and
                (B) by inserting after subparagraph (A) the following new
            subparagraph:
                ``(B) Section 1902(a)(25) (relating to third party
            liability).''.
            (2) Mandatory reporting.--Section 1902(a)(25)(I)(i) of the
        Social Security Act (42 U.S.C. 1396a(a)(25)(I)(i)) is amended--
                (A) by striking ``medical assistance under the State plan''
            and inserting ``medical assistance under a State plan (or under
            a waiver of the plan)'';
                (B) by striking ``(and, at State option, child'' and
            inserting ``and child''; and
                (C) by striking ``title XXI)'' and inserting ``title XXI''.
    SEC. 53103. TREATMENT OF LOTTERY WINNINGS AND OTHER LUMP-SUM INCOME FOR
    PURPOSES OF INCOME ELIGIBILITY UNDER MEDICAID.
        (a) In General.--Section 1902 of the Social Security Act (42 U.S.C.
    1396a) is amended--
            (1) in subsection (a)(17), by striking ``(e)(14), (e)(14)'' and
        inserting ``(e)(14), (e)(15)''; and
            (2) in subsection (e)(14), by adding at the end the following
        new subparagraph:
                ``(K) Treatment of certain lottery winnings and income
            received as a lump sum.--
                    ``(i) In general.--In the case of an individual who is
                the recipient of qualified lottery winnings (pursuant to
                lotteries occurring on or after January 1, 2018) or
                qualified lump sum income (received on or after such date)
                and whose eligibility for medical assistance is determined
                based on the application of modified adjusted gross income
                under subparagraph (A), a State shall, in determining such
                eligibility, include such winnings or income (as
                applicable) as income received--

                        ``(I) in the month in which such winnings or income
                    (as applicable) is received if the amount of such
                    winnings or income is less than $80,000;
                        ``(II) over a period of 2 months if the amount of
                    such winnings or income (as applicable) is greater than
                    or equal to $80,000 but less than $90,000;
                        ``(III) over a period of 3 months if the amount of
                    such winnings or income (as applicable) is greater than
                    or equal to $90,000 but less than $100,000; and
                        ``(IV) over a period of 3 months plus 1 additional
                    month for each increment of $10,000 of such winnings or
                    income (as applicable) received, not to exceed a period
                    of 120 months (for winnings or income of $1,260,000 or
                    more), if the amount of such winnings or income is
                    greater than or equal to $100,000.

                    ``(ii) Counting in equal installments.--For purposes of
                subclauses (II), (III), and (IV) of clause (i), winnings or
                income to which such subclause applies shall be counted in
                equal monthly installments over the period of months
                specified under such subclause.
                    ``(iii) Hardship exemption.--An individual whose
                income, by application of clause (i), exceeds the
                applicable eligibility threshold established by the State,
                shall continue to be eligible for medical assistance to the
                extent that the State determines, under procedures
                established by the State (in accordance with standards
                specified by the Secretary), that the denial of eligibility
                of the individual would cause an undue medical or financial
                hardship as determined on the basis of criteria established
                by the Secretary.
                    ``(iv) Notifications and assistance required in case of
                loss of eligibility.--A State shall, with respect to an
                individual who loses eligibility for medical assistance
                under the State plan (or a waiver of such plan) by reason
                of clause (i)--

                        ``(I) before the date on which the individual loses
                    such eligibility, inform the individual--

                            ``(aa) of the individual's opportunity to
                        enroll in a qualified health plan offered through
                        an Exchange established under title I of the
                        Patient Protection and Affordable Care Act during
                        the special enrollment period specified in section
                        9801(f)(3) of the Internal Revenue Code of 1986
                        (relating to loss of Medicaid or CHIP coverage);
                        and
                            ``(bb) of the date on which the individual
                        would no longer be considered ineligible by reason
                        of clause (i) to receive medical assistance under
                        the State plan or under any waiver of such plan and
                        be eligible to reapply to receive such medical
                        assistance; and

                        ``(II) provide technical assistance to the
                    individual seeking to enroll in such a qualified health
                    plan.

                    ``(v) Qualified lottery winnings defined.--In this
                subparagraph, the term `qualified lottery winnings' means
                winnings from a sweepstakes, lottery, or pool described in
                paragraph (3) of section 4402 of the Internal Revenue Code
                of 1986 or a lottery operated by a multistate or
                multijurisdictional lottery association, including amounts
                awarded as a lump sum payment.
                    ``(vi) Qualified lump sum income defined.--In this
                subparagraph, the term `qualified lump sum income' means
                income that is received as a lump sum from monetary
                winnings from gambling (as defined by the Secretary and
                including gambling activities described in section
                1955(b)(4) of title 18, United States Code).''.
        (b) Rules of Construction.--
            (1) Interception of lottery winnings allowed.--Nothing in the
        amendment made by subsection (a)(2) shall be construed as
        preventing a State from intercepting the State lottery winnings
        awarded to an individual in the State to recover amounts paid by
        the State under the State Medicaid plan under title XIX of the
        Social Security Act (42 U.S.C. 1396 et seq.) for medical assistance
        furnished to the individual.
            (2) Applicability limited to eligibility of recipient of
        lottery winnings or lump sum income.--Nothing in the amendment made
        by subsection (a)(2) shall be construed, with respect to a
        determination of household income for purposes of a determination
        of eligibility for medical assistance under the State plan under
        title XIX of the Social Security Act (42 U.S.C. 1396 et seq.) (or a
        waiver of such plan) made by applying modified adjusted gross
        income under subparagraph (A) of section 1902(e)(14) of such Act
        (42 U.S.C. 1396a(e)(14)), as limiting the eligibility for such
        medical assistance of any individual that is a member of the
        household other than the individual who received qualified lottery
        winnings or qualified lump-sum income (as defined in subparagraph
        (K) of such section 1902(e)(14), as added by subsection (a)(2) of
        this section).
    SEC. 53104. REBATE OBLIGATION WITH RESPECT TO LINE EXTENSION DRUGS.
        (a) In General.--Section 1927(c)(2)(C) of the Social Security Act
    (42 U.S.C. 1396r-8(c)(2)(C)) is amended by striking ``(C) treatment of
    new formulations.--In the case'' and all that follows through the
    period at the end of the first sentence and inserting the following:
                ``(C) Treatment of new formulations.--
                    ``(i) In general.--In the case of a drug that is a line
                extension of a single source drug or an innovator multiple
                source drug that is an oral solid dosage form, the rebate
                obligation for a rebate period with respect to such drug
                under this subsection shall be the greater of the amount
                described in clause (ii) for such drug or the amount
                described in clause (iii) for such drug.
                    ``(ii) Amount 1.--For purposes of clause (i), the
                amount described in this clause with respect to a drug
                described in clause (i) and rebate period is the amount
                computed under paragraph (1) for such drug, increased by
                the amount computed under subparagraph (A) and, as
                applicable, subparagraph (B) for such drug and rebate
                period.
                    ``(iii) Amount 2.--For purposes of clause (i), the
                amount described in this clause with respect to a drug
                described in clause (i) and rebate period is the amount
                computed under paragraph (1) for such drug, increased by
                the product of--

                        ``(I) the average manufacturer price for the rebate
                    period of the line extension of a single source drug or
                    an innovator multiple source drug that is an oral solid
                    dosage form;
                        ``(II) the highest additional rebate (calculated as
                    a percentage of average manufacturer price) under this
                    paragraph for the rebate period for any strength of the
                    original single source drug or innovator multiple
                    source drug; and
                        ``(III) the total number of units of each dosage
                    form and strength of the line extension product paid
                    for under the State plan in the rebate period (as
                    reported by the State).''.

        (b) Effective Date.--The amendments made subsection (a) shall apply
    with respect to rebate periods beginning on or after October 1, 2018.
    SEC. 53105. MEDICAID IMPROVEMENT FUND.
        Section 1941(b) of the Social Security Act (42 U.S.C. 1396w-1(b))
    is amended--
            (1) in paragraph (1), by striking ``$5,000,000'' and inserting
        ``$0''; and
            (2) in paragraph (3)(A), by striking ``$980,000,000'' and
        inserting ``$0''.
    SEC. 53106. PHYSICIAN FEE SCHEDULE UPDATE.
        Section 1848(d)(18) of the Social Security Act (42 U.S.C. 1395w-
    4(d)(18)) is amended by striking ``paragraph (1)(C)'' and all that
    follows and inserting the following: ``paragraph (1)(C)--
                ``(A) for 2016 and each subsequent year through 2018 shall
            be 0.5 percent; and
                ``(B) for 2019 shall be 0.25 percent.''.
    SEC. 53107. PAYMENT FOR OUTPATIENT PHYSICAL THERAPY SERVICES AND
    OUTPATIENT OCCUPATIONAL THERAPY SERVICES FURNISHED BY A THERAPY
    ASSISTANT.
        Section 1834 of the Social Security Act (42 U.S.C. 1395m) is
    amended by adding at the end the following new subsection:
        ``(v) Payment for Outpatient Physical Therapy Services and
    Outpatient Occupational Therapy Services Furnished by a Therapy
    Assistant.--
            ``(1) In general.--In the case of an outpatient physical
        therapy service or outpatient occupational therapy service
        furnished on or after January 1, 2022, for which payment is made
        under section 1848 or subsection (k), that is furnished in whole or
        in part by a therapy assistant (as defined by the Secretary), the
        amount of payment for such service shall be an amount equal to 85
        percent of the amount of payment otherwise applicable for the
        service under this part. Nothing in the preceding sentence shall be
        construed to change applicable requirements with respect to such
        services.
            ``(2) Use of modifier.--
                ``(A) Establishment.--Not later than January 1, 2019, the
            Secretary shall establish a modifier to indicate (in a form and
            manner specified by the Secretary), in the case of an
            outpatient physical therapy service or outpatient occupational
            therapy service furnished in whole or in part by a therapy
            assistant (as so defined), that the service was furnished by a
            therapy assistant.
                ``(B) Required use.--Each request for payment, or bill
            submitted, for an outpatient physical therapy service or
            outpatient occupational therapy service furnished in whole or
            in part by a therapy assistant (as so defined) on or after
            January 1, 2020, shall include the modifier established under
            subparagraph (A) for each such service.
            ``(3) Implementation.--The Secretary shall implement this
        subsection through notice and comment rulemaking.''.
    SEC. 53108. REDUCTION FOR NON-EMERGENCY ESRD AMBULANCE TRANSPORTS.
        Section 1834(l)(15) of the Social Security Act (42. U.S.C.
    1395m(l)(15)) is amended by striking ``on or after October 1, 2013''
    and inserting ``during the period beginning on October 1, 2013, and
    ending on September 30, 2018, and by 23 percent for such services
    furnished on or after October 1, 2018''.
    SEC. 53109. HOSPITAL TRANSFER POLICY FOR EARLY DISCHARGES TO HOSPICE
    CARE.
        (a) In General.--Section 1886(d)(5)(J) of the Social Security Act
    (42 U.S.C. 1395ww(d)(5)(J)) is amended--
            (1) in clause (ii)--
                (A) in subclause (III), by striking ``or'' at the end;
                (B) by redesignating subclause (IV) as subclause (V); and
                (C) by inserting after subclause (III) the following new
            subclause:
            ``(IV) for discharges occurring on or after October 1, 2018, is
        provided hospice care by a hospice program; or''; and
            (2) in clause (iv)--
                (A) by inserting after the first sentence the following new
            sentence: ``The Secretary shall include in the proposed rule
            published for fiscal year 2019, a description of the effect of
            clause (ii)(IV).''; and
                (B) in subclause (I), by striking ``and (III)'' and
            inserting ``(III), and, in the case of proposed and final rules
            for fiscal year 2019 and subsequent fiscal years, (IV)''.
        (b) MedPAC Evaluation and Report.--
            (1) Evaluation.--The Medicare Payment Advisory Commission (in
        this subsection referred to as the ``Commission'') shall conduct an
        evaluation of the effects of the amendments made by subsection (a),
        including the effects on--
                (A) the numbers of discharges of patients from an inpatient
            hospital setting to a hospice program;
                (B) the lengths of stays of patients in an inpatient
            hospital setting who are discharged to a hospice program;
                (C) spending under the Medicare program under title XVIII
            of the Social Security Act; and
                (D) other areas determined appropriate by the Commission.
            (2) Consideration.--In conducting the evaluation under
        paragraph (1), the Commission shall consider factors such as
        whether the timely access to hospice care by patients admitted to a
        hospital has been affected through changes to hospital policies or
        behaviors made as a result of such amendments.
            (3) Preliminary results.--Not later than March 15, 2020, the
        Commission shall provide Congress with preliminary results on the
        evaluation being conducted under paragraph (1).
            (4) Report.--Not later than March 15, 2021, the Commission
        shall submit to Congress a report on the evaluation conducted under
        paragraph (1).
    SEC. 53110. MEDICARE PAYMENT UPDATE FOR HOME HEALTH SERVICES.
        Section 1895(b)(3)(B) of the Social Security Act (42 U.S.C.
    1395fff(b)(3)(B)) is amended--
            (1) in clause (iii), in the last sentence, by inserting before
        the period at the end the following: ``and for 2020 shall be 1.5
        percent''; and
            (2) in clause (vi), by inserting ``and 2020'' after ``except
        2018''.
    SEC. 53111. MEDICARE PAYMENT UPDATE FOR SKILLED NURSING FACILITIES.
        Section 1888(e)(5)(B) of the Social Security Act (42 U.S.C.
    1395yy(e)(5)(B)) is amended--
            (1) in clause (i), by striking ``and (iii)'' and inserting ``,
        (iii), and (iv)'';
            (2) in clause (ii), by striking ``clause (iii)'' and inserting
        ``clauses (iii) and (iv)''; and
            (3) by adding at the end the following new clause:
                    ``(iv) Special rule for fiscal year 2019.--For fiscal
                year 2019 (or other similar annual period specified in
                clause (i)), the skilled nursing facility market basket
                percentage, after application of clause (ii), is equal to
                2.4 percent.''.
    SEC. 53112. PREVENTING THE ARTIFICIAL INFLATION OF STAR RATINGS AFTER
    THE CONSOLIDATION OF MEDICARE ADVANTAGE PLANS OFFERED BY THE SAME
    ORGANIZATION.
        Section 1853(o)(4) of the Social Security Act (42 U.S.C. 1395w-
    23(o)(4)) is amended by adding at the end the following new
    subparagraph:
                ``(D) Special rule to prevent the artificial inflation of
            star ratings after the consolidation of medicare advantage
            plans offered by a single organization.--
                    ``(i) In general.--If--

                        ``(I) a Medicare Advantage organization has entered
                    into more than one contract with the Secretary with
                    respect to the offering of Medicare Advantage plans;
                    and
                        ``(II) on or after January 1, 2019, the Secretary
                    approves a request from the organization to consolidate
                    the plans under one or more contract (in this
                    subparagraph referred to as a `closed contract') with
                    the plans offered under a separate contract (in this
                    subparagraph referred to as the `continuing contract');

                with respect to the continuing contract, the Secretary
                shall adjust the quality rating under the 5-star rating
                system and any quality increase under this subsection and
                rebate amounts under section 1854 to reflect an enrollment-
                weighted average of scores or ratings for the continuing
                and closed contracts, as determined appropriate by the
                Secretary.
                    ``(ii) Application.--An adjustment under clause (i)
                shall apply for any year for which the quality rating of
                the continuing contract is based primarily on a measurement
                period that is prior to the first year in which a closed
                contract is no longer offered.''.
    SEC. 53113. SUNSETTING EXCLUSION OF BIOSIMILARS FROM MEDICARE PART D
    COVERAGE GAP DISCOUNT PROGRAM.
        Section 1860D-14A(g)(2)(A) of the Social Security Act (42 U.S.C.
    1395w-114a(g)(2)(A)) is amended by inserting ``, with respect to a plan
    year before 2019,'' after ``other than''.
    SEC. 53114. ADJUSTMENTS TO MEDICARE PART B AND PART D PREMIUM SUBSIDIES
    FOR HIGHER INCOME INDIVIDUALS.
        (a) In General.--Section 1839(i)(3)(C)(i) of the Social Security
    Act (42 U.S.C. 1395r(i)(3)(C)(i)) is amended--
            (1) in subclause (II), in the matter preceding the table, by
        striking ``years beginning with''; and
            (2) by adding at the end the following new subclause:

                        ``(III) Subject to paragraph (5), for years
                    beginning with 2019:

    ``If the modified adjusted gross income is:.......        The applicable
                                                              percentage is:
    More than $85,000 but not more than $107,000......            35 percent
    More than $107,000 but not more than $133,500.....            50 percent
    More than $133,500 but not more than $160,000.....            65 percent
    More than $160,000 but less than $500,000.........            80 percent
    At least $500,000.................................        85 percent.''.

    ''.    (b) Joint Returns.--Section 1839(i)(3)(C)(ii) of the Social
    Security Act (42 U.S.C. 1395r(i)(3)(C)(ii)) is amended by inserting
    before the period the following: ``except, with respect to the dollar
    amounts applied in the last row of the table under subclause (III) of
    such clause (and the second dollar amount specified in the second to
    last row of such table), clause (i) shall be applied by substituting
    dollar amounts which are 150 percent of such dollar amounts for the
    calendar year''.
        (c) Inflation Adjustment.--Section 1839(i)(5) of the Social
    Security Act (42 U.S.C. 1395r(i)(5)) is amended--
            (1) in subparagraph (A), by striking ``In the case'' and
        inserting ``Subject to subparagraph (C), in the case'';
            (2) in subparagraph (B), by striking ``subparagraph (A)'' and
        inserting ``subparagraph (A) or (C)''; and
            (3) by adding at the end the following new subparagraph:
                ``(C) Treatment of adjustments for certain higher income
            individuals.--
                    ``(i) In general.--Subparagraph (A) shall not apply
                with respect to each dollar amount in paragraph (3) of
                $500,000.
                    ``(ii) Adjustment beginning 2028.--In the case of any
                calendar year beginning after 2027, each dollar amount in
                paragraph (3) of $500,000 shall be increased by an amount
                equal to--

                        ``(I) such dollar amount, multiplied by
                        ``(II) the percentage (if any) by which the average
                    of the Consumer Price Index for all urban consumers
                    (United States city average) for the 12-month period
                    ending with August of the preceding calendar year
                    exceeds such average for the 12-month period ending
                    with August 2026.''.

    SEC. 53115. MEDICARE IMPROVEMENT FUND.
        Section 1898(b)(1) of the Social Security Act (42 U.S.C.
    1395iii(b)(1)) is amended by striking ``$220,000,000'' and inserting
    ``$0''.
    SEC. 53116. CLOSING THE DONUT HOLE FOR SENIORS.
        (a) Closing Donut Hole Sooner.--Section 1860D-2(b)(2)(D) of the
    Social Security Act (42 U.S.C. 1395w-102(b)(2)(D))--
            (1) in clause (i), by amending subclause (I) to read as
        follows:

                        ``(I) equal to the difference between--

                            ``(aa) the applicable gap percentage (specified
                        in clause (ii) for the year); and
                            ``(bb) the discount percentage specified in
                        section 1860D-14A(g)(4)(A) for such applicable
                        drugs (or, in the case of a year after 2018, 50
                        percent); or''; and
            (2) in clause (ii)--
                (A) in subclause (IV), by adding ``and'' at the end;
                (B) by striking subclause (V); and
                (C) in subclause (VI)--
                    (i) by striking ``2020'' and inserting ``2019''; and
                    (ii) by redesignating such subclause as subclause (V).
        (b) Lowering Discounted Price.--Section 1860D-14A(g)(4)(A) of the
    Social Security Act (42 U.S.C. 1395w-114a(g)(4)(A)) is amended by
    inserting ``(or, with respect to a plan year after plan year 2018, 30
    percent)'' after ``50 percent''.
    SEC. 53117. MODERNIZING CHILD SUPPORT ENFORCEMENT FEES.
        (a) In General.--Section 454(6)(B)(ii) of the Social Security Act
    (42 U.S.C. 654(6)(B)(ii)) is amended--
            (1) by striking ``$25'' and inserting ``$35''; and
            (2) by striking ``$500'' each place it appears and inserting
        ``$550''.
        (b) Effective Date.--
            (1) In general.--The amendments made by subsection (a) shall
        take effect on the 1st day of the 1st fiscal year that begins on or
        after the date of the enactment of this Act, and shall apply to
        payments under part D of title IV of the Social Security Act (42
        U.S.C. 651 et seq.) for calendar quarters beginning on or after
        such 1st day.
            (2) Delay permitted if state legislation required.--If the
        Secretary of Health and Human Services determines that State
        legislation (other than legislation appropriating funds) is
        required in order for a State plan developed pursuant to part D of
        title IV of the Social Security Act (42 U.S.C. 651 et seq.) to meet
        the requirements imposed by the amendment made by subsection (a),
        the plan shall not be regarded as failing to meet such requirements
        before the 1st day of the 1st calendar quarter beginning after the
        first regular session of the State legislature that begins after
        the date of the enactment of this Act. For purposes of the
        preceding sentence, if the State has a 2-year legislative session,
        each year of the session is deemed to be a separate regular session
        of the State legislature.
    SEC. 53118. INCREASING EFFICIENCY OF PRISON DATA REPORTING.
        (a) In General.--Section 1611(e)(1)(I)(i)(II) of the Social
    Security Act (42 U.S.C. 1382(e)(1)(I)(i)(II)) is amended by striking
    ``30 days'' each place it appears and inserting ``15 days''.
        (b) Effective Date.--The amendments made by subsection (a) shall
    apply with respect to any payment made by the Commissioner of Social
    Security pursuant to section 1611(e)(1)(I)(i)(II) of the Social
    Security Act (42 U.S.C. 1382(e)(1)(I)(i)(II)) (as amended by such
    subsection) on or after the date that is 6 months after the date of
    enactment of this Act.
    SEC. 53119. PREVENTION AND PUBLIC HEALTH FUND.
        Section 4002(b) of the Patient Protection and Affordable Care Act
    (42 U.S.C. 300u-11(b)), as amended by section 3103 of Public Law 115-
    96, is amended by striking paragraphs (4) through (9) and inserting the
    following:
            ``(4) for fiscal year 2019, $900,000,000;
            ``(5) for each of fiscal years 2020 and 2021, $950,000,000;
            ``(6) for each of fiscal years 2022 and 2023, $1,000,000,000;
            ``(7) for each of fiscal years 2024 and 2025, $1,300,000,000;
            ``(8) for each of fiscal years 2026 and 2027, $1,800,000,000;
        and
            ``(9) for fiscal year 2028 and each fiscal year thereafter,
        $2,000,000,000.''.

                DIVISION F--IMPROVEMENTS TO AGRICULTURE PROGRAMS

        Sec. 60101. (a) Treatment of Seed Cotton.--
            (1) Designation of seed cotton as a covered commodity.--Section
        1111(6) of the Agricultural Act of 2014 (7 U.S.C. 9011(6)) is
        amended--
                (A) by striking ``The term'' and inserting the following:
                ``(A) In general.--The term''; and
                (B) by adding at the end the following:
                ``(B) Inclusion.--Effective beginning with the 2018 crop
            year, the term `covered commodity' includes seed cotton.''.
            (2) Reference price for seed cotton.--Section 1111(18) of the
        Agricultural Act of 2014 (7 U.S.C. 9011(18)) is amended by adding
        at the end the following:
                ``(O) For seed cotton, $0.367 per pound.''.
            (3) Definition of seed cotton.--Section 1111 of the
        Agricultural Act of 2014 (7 U.S.C. 9011) is amended--
                (A) by redesignating paragraphs (20) through (24) as
            paragraphs (21) through (25), respectively; and
                (B) by inserting after paragraph (19) the following:
            ``(20) Seed cotton.--The term `seed cotton' means unginned
        upland cotton that includes both lint and seed.''.
            (4) Payment yield.--Section 1113 of the Agricultural Act of
        2014 (7 U.S.C. 9013) is amended by adding at the end the following:
        ``(e) Payment Yield for Seed Cotton.--
            ``(1) Payment yield.--Subject to paragraph (2), the payment
        yield for seed cotton for a farm shall be equal to 2.4 times the
        payment yield for upland cotton for the farm established under
        section 1104(e)(3) of the Food, Conservation, and Energy Act of
        2008 (7 U.S.C. 8714(e)(3)) (as in effect on September 30, 2013).
            ``(2) Update.--At the sole discretion of the owner of a farm
        with a yield for upland cotton described in paragraph (1), the
        owner of the farm shall have a 1-time opportunity to update the
        payment yield for upland cotton for the farm, as provided in
        subsection (d), for the purpose of calculating the payment yield
        for seed cotton under paragraph (1).''.
            (5) Payment acres.--Section 1114(b) of the Agricultural Act of
        2014 (7 U.S.C. 9014(b)) is amended by adding at the end the
        following:
            ``(4) Seed cotton.--
                ``(A) In general.--Not later than 90 days after the date of
            enactment of this paragraph, the Secretary shall require the
            owner of a farm to allocate all generic base acres on the farm
            under subparagraph (B) or (C), or both.
                ``(B) No recent history of covered commodities.--In the
            case of a farm on which no covered commodities (including seed
            cotton) were planted or were prevented from being planted at
            any time during the 2009 through 2016 crop years, the owner of
            such farm shall allocate generic base acres on the farm to
            unassigned crop base for which no payments may be made under
            section 1116 or 1117.
                ``(C) Recent history of covered commodities.--In the case
            of a farm not described in subparagraph (B), the owner of such
            farm shall allocate generic base acres on the farm--
                    ``(i) subject to subparagraph (D), to seed cotton base
                acres in a quantity equal to the greater of--

                        ``(I) 80 percent of the generic base acres on the
                    farm; or
                        ``(II) the average number of seed cotton acres
                    planted or prevented from being planted on the farm
                    during the 2009 through 2012 crop years (not to exceed
                    the total generic base acres on the farm); or

                    ``(ii) to base acres for covered commodities (including
                seed cotton), by applying subparagraphs (B), (D), (E), and
                (F) of section 1112(a)(3).
                ``(D) Treatment of residual generic base acres.--In the
            case of a farm on which generic base acres are allocated under
            subparagraph (C)(i), the residual generic base acres shall be
            allocated to unassigned crop base for which no payments may be
            made under section 1116 or 1117.
                ``(E) Effect of failure to allocate.--In the case of a farm
            not described in subparagraph (B) for which the owner of the
            farm fails to make an election under subparagraph (C), the
            owner of the farm shall be deemed to have elected to allocate
            all generic base acres in accordance with subparagraph
            (C)(i).''.
            (6) Recordkeeping regarding unassigned crop base.--Section 1114
        of the Agricultural Act of 2014 (7 U.S.C. 9014) is amended by
        adding at the end the following:
        ``(f) Unassigned Crop Base.--The Secretary shall maintain
    information on generic base acres on a farm allocated as unassigned
    crop base under subsection (b)(4).''.
            (7) Special election period for price loss coverage or
        agriculture risk coverage.--Section 1115 of the Agricultural Act of
        2014 (7 U.S.C. 9015) is amended--
                (A) in subsection (a), by striking ``For'' and inserting
            ``Except as provided in subsection (g), for''; and
                (B) by adding at the end the following:
        ``(g) Special Election.--
            ``(1) In general.--In the case of acres allocated to seed
        cotton on a farm, all of the producers on the farm shall be given
        the opportunity to make a new 1-time election under subsection (a)
        to reflect the designation of seed cotton as a covered commodity
        for that crop year under section 1111(6)(B).
            ``(2) Effect of failure to make unanimous election.--If all the
        producers on a farm fail to make a unanimous election under
        paragraph (1), the producers on the farm shall be deemed to have
        elected price loss coverage under section 1116 for acres allocated
        on the farm to seed cotton.''.
            (8) Effective price.--Section 1116 of the Agricultural Act of
        2014 (7 U.S.C. 9016) is amended by adding at the end the following:
        ``(h) Effective Price for Seed Cotton.--
            ``(1) In general.--The effective price for seed cotton under
        subsection (b) shall be equal to the marketing year average price
        for seed cotton, as calculated under paragraph (2).
            ``(2) Calculation.--The marketing year average price for seed
        cotton for a crop year shall be equal to the quotient obtained by
        dividing--
                ``(A) the sum obtained by adding--
                    ``(i) the product obtained by multiplying--

                        ``(I) the upland cotton lint marketing year average
                    price; and
                        ``(II) the total United States upland cotton lint
                    production, measured in pounds; and

                    ``(ii) the product obtained by multiplying--

                        ``(I) the cottonseed marketing year average price;
                    and
                        ``(II) the total United States cottonseed
                    production, measured in pounds; by

                ``(B) the sum obtained by adding--
                    ``(i) the total United States upland cotton lint
                production, measured in pounds; and
                    ``(ii) the total United States cottonseed production,
                measured in pounds.''.
            (9) Deemed loan rate for seed cotton.--Section 1202 of the
        Agricultural Act of 2014 (7 U.S.C. 9032) is amended by adding at
        the end the following:
        ``(c) Seed Cotton.--
            ``(1) In general.--For purposes of section 1116(b)(2) and
        paragraphs (1)(B)(ii) and (2)(A)(ii)(II) of section 1117(b), the
        loan rate for seed cotton shall be deemed to be equal to $0.25 per
        pound.
            ``(2) Effect.--Nothing in this subsection authorizes any
        nonrecourse marketing assistance loan under this subtitle for seed
        cotton.''.
            (10) Limitation on stacked income protection plan for producers
        of upland cotton.--Section 508B of the Federal Crop Insurance Act
        (7 U.S.C. 1508b) is amended by adding at the end the following:
        ``(f) Limitation.--Effective beginning with the 2019 crop year, a
    farm shall not be eligible for the Stacked Income Protection Plan for
    upland cotton for a crop year for which the farm is enrolled in
    coverage for seed cotton under--
            ``(1) price loss coverage under section 1116 of the
        Agricultural Act of 2014 (7 U.S.C. 9016); or
            ``(2) agriculture risk coverage under section 1117 of that Act
        (7 U.S.C. 9017).''.
            (11) Technical correction.--Section 1114(b)(2) of the
        Agricultural Act of 2014 (7 U.S.C. 9014(b)(2)) is amended by
        striking ``paragraphs (1)(B) and (2)(B)'' and inserting
        ``paragraphs (1) and (2)''.
            (12) Administration.--The Secretary of Agriculture shall carry
        out the amendments made by this subsection in accordance with
        section 1601 of the Agricultural Act of 2014 (7 U.S.C. 9091).
            (13) Application.--Except as provided in paragraph (10), the
        amendments made by this subsection shall apply beginning with the
        2018 crop year.
        (b) Margin Protection Program for Dairy Producers.--
            (1) Monthly calculation of actual dairy production margin.--
                (A) Definitions.--Section 1401 of the Agricultural Act of
            2014 (7 U.S.C. 9051) is amended--
                    (i) by striking paragraph (4); and
                    (ii) by redesignating paragraphs (5) through (11) as
                paragraphs (4) through (10), respectively.
                (B) Calculation of actual dairy production margin.--Section
            1402(b)(1) of the Agricultural Act of 2014 (7 U.S.C.
            9052(b)(1)) is amended by striking ``consecutive 2-month
            period'' each place it appears and inserting ``month''.
                (C) Margin protection payments.--Section 1406 of the
            Agricultural Act of 2014 (7 U.S.C. 9056) is amended--
                    (i) by striking ``consecutive 2-month period'' each
                place it appears and inserting ``month''; and
                    (ii) in subsection (c)(2)(B), by striking ``6'' and
                inserting ``12''.
            (2) Participation of dairy operations in margin protection
        program.--Section 1404 of the Agricultural Act of 2014 (7 U.S.C.
        9054) is amended--
                (A) in subsection (b)--
                    (i) in paragraph (1), by inserting ``, including the
                establishment of a date each calendar year by which a dairy
                operation shall register for the calendar year'' before the
                period at the end;
                    (ii) by redesignating paragraphs (2) and (3) as
                paragraphs (3) and (4), respectively; and
                    (iii) by inserting after paragraph (1) the following:
            ``(2) Extension of election period for 2018 calendar year.--The
        Secretary shall extend the election period for the 2018 calendar
        year by not less than 90 days after the date of enactment of the
        Bipartisan Budget Act of 2018 or such additional period as the
        Secretary determines is necessary for dairy operations to make new
        elections to participate for that calendar year, including dairy
        operations that elected to so participate before that date of
        enactment.''; and
                (B) in subsection (c), by adding at the end the following:
            ``(4) Exemption.--A limited resource, beginning, veteran, or
        socially disadvantaged farmer, as defined by the Secretary, shall
        be exempt from the administrative fee under this subsection.''.
            (3) Production history of participating dairy operations.--
        Section 1405(a) of the Agricultural Act of 2014 (7 U.S.C. 9055(a))
        is amended by adding at the end the following:
            ``(3) Continued applicability of base production history.--A
        production history established for a dairy operation under
        paragraph (1) shall be the base production history for the dairy
        operation in subsequent years (as adjusted under paragraph (2)).''.
            (4) Premiums for margin protection program.--Section 1407 of
        the Agricultural Act of 2014 (7 U.S.C. 9057) is amended--
                (A) in subsection (b)--
                    (i) by striking the subsection heading and inserting
                the following: ``Tier I: Premium Per Hundredweight for
                First 5,000,000 Pounds of Production.--'';
                    (ii) in paragraph (1), by striking ``4,000,000'' and
                inserting ``5,000,000''; and
                    (iii) in paragraph (2)--

                        (I) by striking ``$0.010'' and inserting ``None'';
                        (II) by striking ``$0.025'' and inserting ``None'';
                        (III) by striking ``$0.040'' and inserting
                    ``$0.009'';
                        (IV) by striking ``$0.055'' and inserting
                    ``$0.016'';
                        (V) by striking ``$0.090'' and inserting
                    ``$0.040'';
                        (VI) by striking ``$0.217'' and inserting
                    ``$0.063'';
                        (VII) by striking ``$0.300'' and inserting
                    ``$0.087''; and
                        (VIII) by striking ``$0.475'' and inserting
                    ``$0.142''; and

                (B) in subsection (c)--
                    (i) by striking the subsection heading and inserting
                the following: ``Tier II: Premium Per Hundredweight for
                Production in Excess of 5,000,000 Pounds.--''; and
                    (ii) in paragraph (1), by striking ``4,000,000'' and
                inserting ``5,000,000''.
            (5) Application.--The amendments made by this subsection shall
        apply beginning with the 2018 calendar year.
        (c) Limitation on Crop Insurance Livestock-Related Expenditures.--
            (1) In general.--Section 523(b) of the Federal Crop Insurance
        Act (7 U.S.C. 1523(b)) is amended by striking paragraph (10).
            (2) Conforming amendments.--Section 516 of the Federal Crop
        Insurance Act (7 U.S.C. 1516) is amended in subsections (a)(2)(C)
        and (b)(1)(D) by striking ``subsections (a)(3)(E)(ii) and (b)(10)
        of section 523'' each place it appears and inserting ``subsection
        (a)(3)(E)(ii) of that section''.
        Sec. 60102. (a) Section 1240B of the Food Security Act of 1985 (16
    U.S.C. 3839aa-2) is amended by striking subsection (a) and inserting
    the following:
        ``(a) Establishment.--During each of the 2002 through 2019 fiscal
    years, the Secretary shall provide payments to producers that enter
    into contracts with the Secretary under the program.''.
        (b) Section 1241 of the Food Security Act of 1985 (16 U.S.C. 3841)
    is amended--
            (1) in subsection (a)--
                (A) in the matter preceding paragraph (1), by striking
            ``2018'' and inserting ``2018 (and fiscal year 2019 in the case
            of the program specified in paragraph (5))''; and
                (B) in paragraph (5)(E), by striking ``fiscal year 2018''
            and inserting ``each of fiscal years 2018 through 2019''; and
            (2) in subsection (b), by striking ``2018'' and inserting
        ``2018 (and fiscal year 2019 in the case of the program specified
        in subsection (a)(5))''.
        This division may be cited as the ``Improvements to Agriculture
    Programs Act of 2018''.

                         DIVISION G--BUDGETARY EFFECTS

    SEC. 70101. BUDGETARY EFFECTS.
        (a) In General.--The budgetary effects of division A, subdivision 2
    of division B, and division C and each succeeding division shall not be
    entered on either PAYGO scorecard maintained pursuant to section 4(d)
    of the Statutory Pay-As-You-Go Act of 2010.
        (b) Senate Paygo Scorecards.--The budgetary effects of division A,
    subdivision 2 of division B, and division C and each succeeding
    division shall not be entered on any PAYGO scorecard maintained for
    purposes of section 4106 of H. Con. Res. 71 (115th Congress).
        (c) Classification of Budgetary Effects.--Notwithstanding Rule 3 of
    the Budget Scorekeeping Guidelines set forth in the joint explanatory
    statement of the committee of conference accompanying Conference Report
    105-217 and section 250(c)(8) of the Balanced Budget and Emergency
    Deficit Control Act of 1985, the budgetary effects of division A,
    subdivision 2 of division B, and division C and each succeeding
    division shall not be estimated--
            (1) for purposes of section 251 of such Act; and
            (2) for purposes of paragraph (4)(C) of section 3 of the
        Statutory Pay-As-You-Go Act of 2010 as being included in an
        appropriation Act.

                                   Speaker of the House of Representatives.

                                Vice President of the United States and
                                                   President of the Senate.