[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.