[Congressional Record Volume 155, Number 180 (Saturday, December 5, 2009)]
[Senate]
[Pages S12517-S12521]
From the Congressional Record Online through the Government Publishing Office [www.gpo.gov]




                           TEXT OF AMENDMENTS

  SA 2924. Mr. CASEY (for himself and Mr. Specter) submitted an 
amendment intended to be proposed to amendment SA 2786 proposed by Mr. 
Reid (for himself, Mr. Baucus, Mr. Dodd, and Mr. Harkin) to the bill 
H.R. 3590, to amend the Internal Revenue Code of 1986 to modify the 
first-time homebuyers credit in the case of members of the Armed Forces 
and certain other Federal employees, and for other purposes; which was 
ordered to lie on the table; as follows:

       At the appropriate place, insert the following:

     SEC. ___. GRANTS FOR FUNDING OF NEWLY ACCREDITED MEDICAL 
                   SCHOOLS.

       (a) In General.--The Secretary of Health and Human Services 
     (in this section referred to as the ``Secretary'') shall 
     establish a program of grants to newly accredited allopathic 
     and osteopathic medical schools for the purpose of increasing 
     the supply of physicians.
       (b) Use of Grants.--Amounts provided under grants under 
     this section may be used to support scholarships, develop 
     residencies, build infrastructure, recruit and retain 
     faculty, and develop research programs for the purpose 
     described in subsection (a).
       (c) Allocation.--The Secretary shall allocate funds 
     appropriated under this section among newly accredited 
     medical schools based on the following criteria:
       (1) First priority shall be given to allopathic and 
     osteopathic medical schools accredited to admit students from 
     2009 through 2014.
       (2) Medical schools that enroll larger classes, while 
     maintaining competitive faculty to student ratios, shall 
     receive increased funding based on their size.
       (3) Funds shall only be allocated to medical schools that 
     provide accountability and transparency in expending such 
     funds.
       (d) Reports.--Each medical school receiving a grant under 
     this section shall submit to the Secretary such reports as 
     the Secretary may require on the specific uses of the funds 
     provided under the grant and on how the grant benefitted the 
     region and the Nation as a whole.
       (e) Authorization of Appropriations.--There is authorized 
     to be appropriated to carry out this section $500,000,000 for 
     the 5-fiscal-year period beginning with fiscal year 2010.
                                 ______
                                 
  SA 2925. Ms. STABENOW submitted an amendment intended to be proposed 
to amendment SA 2786 proposed by Mr. Reid (for himself, Mr. Baucus, Mr. 
Dodd, and Mr. Harkin) to the bill H.R. 3590, to amend the Internal 
Revenue Code of 1986 to modify the first-time homebuyers credit in the 
case of members of the Armed Forces and certain other Federal 
employees, and for other purposes; which was ordered to lie on the 
table; as follows:

       At the appropriate place in title I, insert the following:

     SEC. __. STATE HEALTH ACCESS PROGRAM GRANTS.

       (a) In General.--The Secretary of Health and Human Services 
     (in this section referred to as the ``Secretary'') shall 
     award grants to States (as defined for purposes of title XIX 
     of the Social Security Act) to establish programs to expand 
     access to affordable health care coverage for the uninsured 
     populations in that State in a manner consistent with reforms 
     to take effect under this title (and the amendments made by 
     this title) in 2014.
       (b) Types of Programs.--The types of programs for which 
     grants are available under subsection (a) include the 
     following:
       (1) State insurance exchanges.--State insurance Exchanges 
     that develop new, less expensive, portable benefit packages 
     for small employers and part-time and seasonal workers.
       (2) Community coverage program.--Community coverage with 
     shared responsibility between employers, governmental or 
     nonprofit entities, and the individual.

[[Page S12518]]

       (3) Reinsurance plan program.--Reinsurance plans that 
     subsidize a certain share of carrier losses within a certain 
     risk corridor health insurance premium assistance.
       (4) Transparent marketplace program.--Transparent 
     marketplace that provides an organized structure for the sale 
     of insurance products such as a web-based exchange or portal.
       (5) Automated enrollment program.--Statewide or automated 
     enrollment systems for public assistance programs.
       (6) Innovative strategies.--Innovative strategies to insure 
     low-income childless adults.
       (7) Purchasing collaboratives.--Business and consumer 
     collaboratives that provides direct contract health care 
     service purchasing options for group plan sponsors.
       (c) Eligibility and Administration.--
       (1) Implementation of key statutory or regulatory 
     changes.--To be eligible to receive a grant under this 
     section for a program, a State shall demonstrate that--
       (A) it has achieved the key State and local statutory or 
     regulatory changes required to begin implementing the new 
     program within 1 year after the initiation of funding under 
     the grant; and
       (B) it will be able to sustain the program without Federal 
     funding after the end of the period of the grant.
       (2) Ineligibility.--A State that has developed a 
     comprehensive health insurance access program prior to the 
     date of enactment of this Act shall not eligible for a grant 
     under this section.
       (3) Application required.--No State shall receive a grant 
     under this section unless the State has approved by the 
     Secretary such an application, in such form and manner as the 
     Secretary specifies.
       (4) Administration based on current program.--The program 
     under this section is intended to build on the State Health 
     Access Program funded under the Omnibus Appropriations Act, 
     2009 (Public Law 111-8).
       (d) Funding Limitations.--
       (1) In general.--A grant under this section shall--
       (A) only be available for expenditures before 2014; and
       (B) only be used to supplement, and not supplant, funds 
     otherwise provided.
       (2) Matching fund requirement.--
       (A) In general.--Subject to subparagraph (B), no grant may 
     be awarded to a State under this section unless the State 
     demonstrates the seriousness of its effort by matching at 
     least 20 percent of the grant amount through non-Federal 
     resources, which may be a combination of State, local, and 
     private dollars from insurers, providers, and other private 
     organizations.
       (B) Waiver.--The Secretary may waive the requirement of 
     subparagraph (A) if the State demonstrates to the Secretary 
     financial hardship in complying with such requirement.
       (e) Study.--The Secretary shall review, study, and 
     benchmark the progress and results of the programs funded 
     under this section.
       (f) Report.--Each State receiving a grant under this 
     section shall submit to the Secretary a report on best 
     practices and lessons learned through the grant to inform the 
     health reform coverage expansions under this title beginning 
     in 2014.
       (g) Funding.--There are authorized to be appropriated such 
     sums as may be necessary to carry out this section.
                                 ______
                                 
  SA 2926. Mr. BAUCUS (for Mr. Kerry) proposed an amendment to 
amendment SA 2786 proposed by Mr. Reid (for himself, Mr. Baucus, Mr. 
Dodd, and Mr. Harkin) to the bill H.R. 3590, to amend the Internal 
Revenue Code of 1986 to modify the first-time homebuyers credit in the 
case of members of the Armed Forces and certain other Federal 
employees, and for other purposes; as follows:

       On page 869, between lines 14 and 15, insert the following:

     SEC. 3143. PROTECTING HOME HEALTH BENEFITS.

       Nothing in the provisions of, or amendments made by, this 
     Act shall result in the reduction of guaranteed home health 
     benefits under title XVIII of the Social Security Act.
                                 ______
                                 
  SA 2927. Mr. ENSIGN (for himself and Mr. Inhofe) submitted an 
amendment to be proposed to amendment SA 2786 proposed by Mr. Reid (for 
himself, Mr. Baucus, Mr. Dodd, and Mr. Harkin) to the bill H.R. 3590, 
to amend the Internal Revenue Code of 1986 to modify the first-time 
homebuyers credit in the case of members of the Armed Forces and 
certain other Federal employees, and for other purposes; as follows:

       At the appropriate place, insert the following:

     SEC. _. LIMITATION ON AMOUNT OF ATTORNEY'S CONTINGENCY FEES.

       (a) In General.--An attorney who represents, on a 
     contingency fee basis, a plaintiff in a medical malpractice 
     liability action may not charge, demand, receive, or collect 
     for services rendered in connection with such action 
     (including the resolution of the claim that is the subject of 
     the action under any alternative dispute resolution system) 
     in excess of--
       (1) 33\1/3\ percent of the first $150,000 of the total 
     amount recovered by judgment or settlement in such action; 
     plus
       (2) 25 percent of any amount recovered in excess of the 
     first $150,000 recovered by such judgment or settlement,

     unless otherwise determined under State law. Such amount 
     shall be computed after deductions are made for all the 
     expenses associated with the claim other than those 
     attributable to the normal operating expenses of the 
     attorney.
       (b) Calculation of Periodic Payments.--In the event that a 
     judgment or settlement includes periodic or future payments 
     of damages, the amount recovered for purposes of calculating 
     the limitation on the contingency fee under subsection (a) 
     may, in the discretion of the court, be based on the cost of 
     the annuity or trust established to make the payments. In any 
     case in which an annuity or trust is not established to make 
     such payments, such amount shall be based on the present 
     value of the payments.
       (c) Definitions.--In this section:
       (1) Contingency fee.--The term ``contingency fee'' means 
     any fee for professional legal services which is, in whole or 
     in part, contingent upon the recovery of any amount of 
     damages, whether through judgment or settlement.
       (2) Health care professional.--The term ``health care 
     professional'' means any individual who provides health care 
     services in a State and who is required by the laws or 
     regulations of the State to be licensed or certified by the 
     State to provide such services in the State.
       (3) Health care provider.--The term ``health care 
     provider'' means any organization or institution that is 
     engaged in the delivery of health care services in a State 
     and that is required by the laws or regulations of the State 
     to be licensed or certified by the State to engage in the 
     delivery of such services in the State.
       (4) Medical malpractice liability action.--The term 
     ``medical malpractice liability action'' means a cause of 
     action brought in State or Federal court against a health 
     care provider or health care professional by which the 
     plaintiff alleges a medical malpractice claim.
                                 ______
                                 
  SA 2928. Mr. CASEY (for himself and Mr. Kohl) submitted an amendment 
intended to be proposed to amendment SA 2786 proposed by Mr. Reid (for 
himself, Mr. Baucus, Mr. Dodd, and Mr. Harkin) to the bill H.R. 3590, 
to amend the Internal Revenue Code of 1986 to modify the first-time 
homebuyers credit in the case of members of the Armed Forces and 
certain other Federal employees, and for other purposes; which was 
ordered to lie on the table; as follows:

       On page 1289, between lines 11 and 12, insert the 
     following:
       ``(VII) Direct care workforce capacity at all levels.''.
                                 ______
                                 
  SA 2929. Mr. CASEY (for himself, Mr. Durbin, and Mr. Menendez) 
submitted an amendment intended to be proposed to amendment SA 2786 
proposed by Mr. Reid (for himself, Mr. Baucus, Mr. Dodd, and Mr. 
Harkin) to the bill H.R. 3590, to amend the Internal Revenue Code of 
1986 to modify the first-time homebuyers credit in the case of members 
of the Armed Forces and certain other Federal employees, and for other 
purposes; as follows:

       At the appropriate place, insert the following:

     SEC. __. NATIONAL TRAINING INITIATIVES ON AUTISM SPECTRUM 
                   DISORDERS.

       Title I of the Developmental Disabilities Assistance and 
     Bill of Rights Act of 2000 (42 U.S.C. 15001 et seq.) is 
     amended by adding at the end the following:

``Subtitle F--National Training Initiative on Autism Spectrum Disorders

     ``SEC. 171. NATIONAL TRAINING INITIATIVE.

       ``(a) Grants and Technical Assistance.--
       ``(1) Grants.--
       ``(A) In general.--The Secretary, in consultation with the 
     Interagency Autism Coordinating Committee, shall award 
     multiyear grants to eligible entities to provide individuals 
     (including parents and health, allied health, vocational, and 
     educational professionals) with interdisciplinary training, 
     continuing education, technical assistance, and information 
     for the purpose of improving services rendered to children 
     and adults with autism, and their families, to address unmet 
     needs related to autism.
       ``(B) Eligible entity.--To be eligible to receive a grant 
     under this subsection, an entity shall be--
       ``(i) a University Center for Excellence in Developmental 
     Disabilities Education, Research, and Service; or
       ``(ii) a comparable interdisciplinary education, research, 
     and service entity.
       ``(C) Application requirements.--An entity that desires to 
     receive a grant for a program under this paragraph shall 
     submit to the Secretary an application--
       ``(i) demonstrating that the entity has capacity to--

       ``(I) provide training and technical assistance in 
     evidence-based practices to evaluate, and provide effective 
     interventions, services,

[[Page S12519]]

     treatments, and supports to, children and adults with autism 
     and their families;
       ``(II) include individuals with autism and their families 
     as part of the program to ensure that an individual- and 
     family-centered approach is used;
       ``(III) share and disseminate materials and practices that 
     are developed for, and evaluated to be effective in, the 
     provision of training and technical assistance; and
       ``(IV) provide training, technical assistance, 
     interventions, services, treatments, and supports under this 
     subsection statewide.

       ``(ii) providing assurances that the entity will--

       ``(I) provide trainees under this subsection with an 
     appropriate balance of interdisciplinary academic and 
     community-based experiences; and
       ``(II) provide to the Secretary, in the manner prescribed 
     by the Secretary, data regarding the number of individuals 
     who have benefitted from, and outcomes of, the provision of 
     training and technical assistance under this subsection;

       ``(iii) providing assurances that training, technical 
     assistance, dissemination of information, and services under 
     this subsection will be--

       ``(I) consistent with the goals of this Act, the Americans 
     with Disabilities Act of 1990, the Individuals with 
     Disabilities Education Act, and the Elementary and Secondary 
     Education Act of 1965; and
       ``(II) conducted in coordination with relevant State 
     agencies, institutions of higher education, and service 
     providers; and

       ``(iv) containing such other information and assurances as 
     the Secretary may require.
       ``(D) Use of funds.--A grant received under this subsection 
     shall be used to provide individuals (including parents and 
     health, allied health, vocational, and educational 
     professionals) with interdisciplinary training, continuing 
     education, technical assistance, and information for the 
     purpose of improving services rendered to children and adults 
     with autism, and their families, to address unmet needs 
     related to autism. Such training, education, assistance, and 
     information shall include each of the following:
       ``(i) Training health, allied health, vocational, and 
     educational professionals to identify, evaluate the needs of, 
     and develop interventions, services, treatments, and supports 
     for, children and adults with autism.
       ``(ii) Developing model services and supports that 
     demonstrate evidence-based practices.
       ``(iii) Developing systems and products that allow for the 
     interventions, services, treatments, and supports to be 
     evaluated for fidelity of implementation.
       ``(iv) Working to expand the availability of evidence-
     based, lifelong interventions; educational, employment, and 
     transition services; and community supports.
       ``(v) Providing statewide technical assistance in 
     collaboration with relevant State agencies, institutions of 
     higher education, autism advocacy groups, and community-based 
     service providers.
       ``(vi) Working to develop comprehensive systems of supports 
     and services for individuals with autism and their families, 
     including seamless transitions between education and health 
     systems across the lifespan.
       ``(vii) Promoting training, technical assistance, 
     dissemination of information, supports, and services.
       ``(viii) Developing mechanisms to provide training and 
     technical assistance, including for-credit courses, intensive 
     summer institutes, continuing education programs, distance 
     based programs, and Web-based information dissemination 
     strategies.
       ``(ix) Promoting activities that support community-based 
     family and individual services and enable individuals with 
     autism and related developmental disabilities to fully 
     participate in society and achieve good quality-of-life 
     outcomes.
       ``(x) Collecting data on the outcomes of training and 
     technical assistance programs to meet statewide needs for the 
     expansion of services to children and adults with autism.
       ``(E) Amount of grants.--The amount of a grant to any 
     entity for a fiscal year under this section shall be not less 
     than $250,000.
       ``(2) Technical assistance.--The Secretary shall reserve 2 
     percent of the amount appropriated to carry out this 
     subsection for a fiscal year to make a grant to a national 
     organization with demonstrated capacity for providing 
     training and technical assistance to--
       ``(A) assist in national dissemination of specific 
     information, including evidence-based best practices, from 
     interdisciplinary training programs, and when appropriate, 
     other entities whose findings would inform the work performed 
     by entities awarded grants;
       ``(B) compile and disseminate strategies and materials that 
     prove to be effective in the provision of training and 
     technical assistance so that the entire network can benefit 
     from the models, materials, and practices developed in 
     individual centers;
       ``(C) assist in the coordination of activities of grantees 
     under this subsection;
       ``(D) develop a Web portal that will provide linkages to 
     each of the individual training initiatives and provide 
     access to training modules, promising training, and technical 
     assistance practices and other materials developed by 
     grantees;
       ``(E) serve as a research-based resource for Federal and 
     State policymakers on information concerning the provision of 
     training and technical assistance for the assessment, and 
     provision of supports and services for, children and adults 
     with autism;
       ``(F) convene experts from multiple interdisciplinary 
     training programs, individuals with autism, and the families 
     of such individuals to discuss and make recommendations with 
     regard to training issues related to assessment, 
     interventions, services, treatment, and supports for children 
     and adults with autism; and
       ``(G) undertake any other functions that the Secretary 
     determines to be appropriate.
       ``(3) Authorization of appropriations.--To carry out this 
     subsection, there are authorized to be appropriated 
     $17,000,000 for fiscal year 2011 and such sums as may be 
     necessary for fiscal years 2012 through 2015.
       ``(b) Expansion of the Number of University Centers for 
     Excellence in Developmental Disabilities Education, Research, 
     and Service.--
       ``(1) Grants.--To provide for the establishment of up to 4 
     new University Centers for Excellence in Developmental 
     Disabilities Education, Research, and Service, the Secretary 
     shall award up to 4 grants to institutions of higher 
     education.
       ``(2) Applicable provisions.--Except for subsection (a)(3), 
     the provisions of subsection (a) shall apply with respect to 
     grants under this subsection to the same extent and in the 
     same manner as such provisions apply with respect to grants 
     under subsection (a).
       ``(3) Priority.--In awarding grants under this subsection, 
     the Secretary shall give priority to applicants that--
       ``(A) are minority institutions that have demonstrated 
     capacity to meet the requirements of this section and provide 
     services to individuals with autism and their families; or
       ``(B) are located in a State with one or more underserved 
     populations.
       ``(4) Authorization of appropriations.--To carry out this 
     subsection, there is authorized to be appropriated $2,000,000 
     for each of fiscal years 2011 through 2015.
       ``(c) Definitions.--In this section:
       ``(1) The term `autism' means an autism spectrum disorder 
     or a related developmental disability.
       ``(2) The term `interventions' means educational methods 
     and positive behavioral support strategies designed to 
     improve or ameliorate symptoms associated with autism.
       ``(3) The term `minority institution' has the meaning given 
     to such term in section 365 of the Higher Education Act of 
     1965.
       ``(4) The term `services' means services to assist 
     individuals with autism to live more independently in their 
     communities.
       ``(5) The term `treatments' means health services, 
     including mental health services, designed to improve or 
     ameliorate symptoms associated with autism.
       ``(6) The term `University Center for Excellence in 
     Developmental Disabilities Education, Research, and Service' 
     means a University Center for Excellence in Development 
     Disabilities Education, Research, and Service that has been 
     or is funded through subtitle D or subsection (b).''.
                                 ______
                                 
  SA 2930. Ms. STABENOW submitted an amendment intended to be proposed 
to amendment SA 2786 proposed by Mr. Reid (for himself, Mr. Baucus, Mr. 
Dodd, and Mr. Harkin) to the bill H.R. 3590, to amend the Internal 
Revenue Code of 1986 to modify the first-time homebuyers credit in the 
case of members of the Armed Forces and certain other Federal 
employees, and for other purposes; which was ordered to lie on the 
table; as follows:

       On page 466, between lines 5 and 6, insert the following:

     SEC. 2305. THERAPEUTIC FOSTER CARE.

       (a) Rule of Construction.--Nothing in this title or an 
     amendment made by this title shall prevent or limit a State 
     from covering therapeutic foster care for eligible children 
     in out-of-home placements under section 1905(a) of the Social 
     Security Act (42 U.S.C. 1396d(a)).
       (b) Therapeutic Foster Care Defined.--For purposes of this 
     section, the term ``therapeutic foster care'' means a foster 
     care program that provides--
       (1) to the child--
       (A) structured daily activities that develop, improve, 
     monitor, and reinforce age-appropriate social, 
     communications, and behavioral skills;
       (B) crisis intervention and crisis support services;
       (C) medication monitoring;
       (D) counseling; and
       (E) case management services; and
       (2) specialized training for the foster parent and 
     consultation with the foster parent on the management of 
     children with mental illnesses and related health and 
     developmental conditions.
                                 ______
                                 
  SA 2931. Mr. LAUTENBERG (for himself and Mr. Whitehouse) submitted an 
amendment intended to be proposed to amendment SA 2786 proposed by Mr. 
Reid (for himself, Mr. Baucus, Mr. Dodd, and Mr. Harkin) to the bill 
H.R. 3590, to amend the Internal Revenue Code of 1986 to modify the 
first-time homebuyers credit in the case of members of the Armed Forces 
and certain other Federal employees, and for other purposes; which was 
ordered to lie on the table; as follows:


[[Page S12520]]


       At the end of subtitle G of title I, insert the following:

     SEC. 1563. DISCLOSURE OF INSURANCE COMPANY EXECUTIVE 
                   COMPENSATION.

       (a) Mandatory Disclosure of Executive Compensation 
     Information.--Each health care insurance company, including 
     qualified health plans participating in an Exchange 
     established under section 1311 and applicable plans or 
     entities (as defined in section 1128J(f)(2) of the Social 
     Security Act, as added by subsection (g)), shall annually 
     disclose the compensation of the Chief Executive Officer of 
     such health care insurance company for the previous year.
       (b) Standards.--The Secretary of the Treasury, in 
     consultation with the Secretary of Health and Human Services 
     and the Chairman of the Securities and Exchange Commission, 
     shall develop standards for disclosing the information 
     described in subsection (a) in a manner determined to be 
     understandable by the average health plan enrollee.
       (c) Compensation Defined.--In this section, the term 
     ``compensation'' means wages, salary, fees, commissions, 
     fringe benefits, deferred compensation, retirement 
     contributions, options, bonuses, property, and any other form 
     of remuneration, as the Secretary of the Treasury determines 
     appropriate.
       (d) Effective Date.--Beginning on April 1, 2010, each 
     health care insurance company shall annually disclose the 
     information as described in subsection (a) to--
       (1) the Secretary of Health and Human Services, for 
     inclusion of data in the internet portal to affordable 
     coverage options established and operated under sections 1103 
     and 1311(c)(4);
       (2) an applicant at the time of application;
       (3) an enrollee at the time of enrollment;
       (4) a policyholder or certificate holder at the time of 
     issuance of the policy or delivery of the certificate.
       (e) Enforcement.--A person that willfully fails to provide 
     the information required under this section shall be subject 
     to a fine of not more than $1,000 for each such failure. Such 
     failure with respect to each enrollee, applicant, 
     policyholder, or certificate holder shall constitute a 
     separate offense for purposes of this subsection.
       (f) Amendment to Section 1311.--Section 1311(c)(1) is 
     amended--
       (1) in subparagraph (G), by striking ``and'' at the end; 
     and
       (2) by inserting after subparagraph (G) the following:
       ``(H) annually disclose the compensation of the Chief 
     Executive Officer of the health care insurance company for 
     the previous year, in accordance with the standards developed 
     under section 1563(b); and''.
       (g) Application to Medicare and Medicaid.--Section 1128J of 
     the Social Security Act, as added by section 6402, is amended 
     by adding at the end the following new subsection:
       ``(f) Disclosure of Executive Compensation by Certain Plans 
     and Other Entities.--
       ``(1) In general.--An applicable plan or entity shall 
     annually disclose the compensation of the Chief Executive 
     Officer of the applicable plan or entity for the previous 
     year, in accordance with the standards developed under 
     section 1563(b) of the Patient Protection and Affordable Care 
     Act.
       ``(2) Applicable plan or entity.--In this subsection, the 
     term `applicable plan or entity' means the following:
       ``(A) A Medicare Advantage plan under part C of title 
     XVIII.
       ``(B) A prescription drug plan under part D of such title.
       ``(C) A Medicaid managed care organization (as defined in 
     section 1903(m)(1)(A)).
       ``(D) Any health insurance issuer that contracts with a 
     State to provide medical assistance under a State Medicaid 
     program under title XIX or child health assistance under the 
     State Children's health insurance program under title XXI.
       ``(E) Any other plan or entity the Secretary determines 
     appropriate.''.
                                 ______
                                 
  SA 2932. Mr. LAUTENBERG submitted an amendment intended to be 
proposed to amendment SA 2786 proposed by Mr. Reid (for himself, Mr. 
Baucus, Mr. Dodd, and Mr. Harkin) to the bill H.R. 3590, to amend the 
Internal Revenue Code of 1986 to modify the first-time homebuyers 
credit in the case of members of the Armed Forces and certain other 
Federal employees, and for other purposes; which was ordered to lie on 
the table; as follows:

       At the appropriate place, insert the following:

     SEC. __. DIABETES RESEARCH, EDUCATION, AND OTHER ACTIVITIES.

       (a) Centers for Disease Control and Prevention.--Part B of 
     title III of the Public Health Service Act (42 U.S.C. 243 et 
     seq.) is amended by inserting after section 317T the 
     following section:

     ``SEC. 317U. DIABETES IN MINORITY POPULATIONS.

       ``(a) Diabetes; Health Promotion, Prevention Activities, 
     and Access.--
       ``(1) In general.--The Secretary, acting through the 
     Director of the Centers for Disease Control and Prevention, 
     shall carry out culturally appropriate diabetes health 
     promotion and prevention programs for minority populations.
       ``(2) Certain activities.--Activities regarding culturally 
     appropriate diabetes health promotion and prevention programs 
     for minority populations shall include the following:
       ``(A) Expanding the Diabetes Prevention and Control Program 
     (currently existing in all the States and territories) and 
     providing funds for education and community outreach on 
     diabetes.
       ``(B) Providing funds to strengthen existing surveillance 
     systems to improve the quality, accuracy, and timeliness of 
     morbidity and mortality diabetes data for such populations.
       ``(b) Definition.--For purposes of this section, the term 
     `minority population' means a racial and ethnic minority 
     group, as defined in section 1707(g).
       ``(c) Authorization of Appropriations.--For the purpose of 
     carrying out this section, there are authorized to be 
     appropriated such sums as are necessary for fiscal year 2010 
     and each subsequent fiscal year.''.
       (b) Health Resources and Services Administration.--Part P 
     of title III of the Public Health Service Act is amended--
       (1) by redesignating the section 399R inserted by section 2 
     of Public Law 110-373 as section 399S;
       (2) by redesignating the section 399R inserted by section 3 
     of Public Law 110-374 as section 399T; and
       (3) by adding at the end the following new section:

     ``SEC. 399U. PROGRAMS TO EDUCATE HEALTH PROVIDERS ON THE 
                   CAUSES AND EFFECTS OF DIABETES IN MINORITY 
                   POPULATIONS.

       ``(a) In General.--The Secretary, acting through the 
     Director of the Health Resources and Services Administration, 
     shall conduct and support programs described in subsection 
     (b) to educate health professionals on the causes and effects 
     of diabetes in minority populations.
       ``(b) Programs.--Programs described in this subsection, 
     with respect to education on diabetes in minority 
     populations, shall include the following:
       ``(1) Making grants for diabetes-focused education classes 
     or training programs on cultural sensitivity and patient care 
     within such populations for health care providers.
       ``(2) Providing funds to community health centers for 
     programs that provide diabetes services and screenings.
       ``(3) Developing a diabetes focus within, and providing 
     additional funds for, the National Health Service Corps 
     Scholarship program to place individuals in areas that are 
     disproportionately affected by diabetes and to provide health 
     care services to such areas.''.
                                 ______
                                 
  SA 2933. Mr. LAUTENBERG submitted an amendment intended to be 
proposed to amendment SA 2786 proposed by Mr. Reid (for himself, Mr. 
Baucus, Mr. Dodd, and Mr. Harkin) to the bill H.R. 3590, to amend the 
Internal Revenue Code of 1986 to modify the first-time homebuyers 
credit in the case of members of the Armed Forces and certain other 
Federal employees, and for other purposes; which was ordered to lie on 
the table; as follows:

       At the appropriate place in subtitle E of title I, insert 
     the following:

     SEC. __. STUDY OF GEOGRAPHIC VARIATION IN APPLICATION OF FPL.

       (a) In General.--The Secretary shall conduct a study to 
     examine the feasibility and implication of adjusting the 
     application of the Federal poverty level under this subtitle 
     (and the amendments made by this subtitle) for different 
     geographic areas so as to reflect the variations in cost-of-
     living among different areas within the United States. If the 
     Secretary determines that an adjustment is feasible, the 
     study should include a methodology to make such an 
     adjustment. Not later than January 1, 2013, the Secretary 
     shall submit to Congress a report on such study and shall 
     include such recommendations as the Secretary determines 
     appropriate.
       (b) Inclusion of Territories.--
       (1) In general.--The Secretary shall ensure that the study 
     under subsection (a) covers the territories of the United 
     States and that special attention is paid to the disparity 
     that exists among poverty levels and the cost of living in 
     such territories and to the impact of such disparity on 
     efforts to expand health coverage and ensure health care.
       (2) Territories defined.--In this subsection, the term 
     ``territories of the United States'' includes the 
     Commonwealth of Puerto Rico, the United States Virgin 
     Islands, Guam, the Northern Mariana Islands, and any other 
     territory or possession of the United States.
                                 ______
                                 
  SA 2934. Mr. INOUYE (for himself and Mr. Akaka) submitted an 
amendment intended to be proposed to amendment SA 2786 proposed by Mr. 
Reid (for himself, Mr. Baucus, Mr. Dodd, and Mr. Harkin) to the bill 
H.R. 3590, to amend the Internal Revenue Code of 1986 to modify the 
first-time homebuyers credit in the case of members of the Armed Forces 
and certain other Federal employees, and for other purposes; which was 
ordered to lie on the table; as follows:

       At the end of subtitle A of title II, insert the following:

[[Page S12521]]

     SEC. 2008. 100 PERCENT FMAP FOR MEDICAL ASSISTANCE PROVIDED 
                   TO A NATIVE HAWAIIAN THROUGH A FEDERALLY 
                   QUALIFIED HEALTH CENTER OR A NATIVE HAWAIIAN 
                   HEALTH CARE SYSTEM UNDER THE MEDICAID PROGRAM.

       (a) Medicaid.--The third sentence of section 1905(b) of the 
     Social Security Act (42 U.S.C. 1396d(b)) is amended by 
     inserting ``, and with respect to medical assistance provided 
     to a Native Hawaiian (as defined in section 12 of the Native 
     Hawaiian Health Care Improvement Act) through a Federally 
     qualified health center or a Native Hawaiian health care 
     system (as so defined) whether directly, by referral, or 
     under contract or other arrangement between a Federally-
     qualified health center or a Native Hawaiian health care 
     system and another health care provider'' before the period.
       (b) Effective Date.--The amendment made by this section 
     applies to medical assistance provided on or after the date 
     of enactment of this Act.
                                 ______
                                 
  SA 2935. Mr. VITTER submitted an amendment intended to be proposed to 
amendment SA 2923 submitted by Mr. Dorgan (for himself, Mr. Whitehouse, 
Mr. Udall of New Mexico, Mr. Begich, Mr. Johnson, Mr. Franken, Ms. 
Cantwell, Mr. Udall of Colorado, Mr. Tester, and Mr. Inouye) and 
intended to be proposed to the amendment SA 2786 proposed by Mr. Reid 
(for himself, Mr. Baucus, Mr. Dodd, and Mr. Harkin) to the bill H.R. 
3590, to amend the Internal Revenue Code of 1986 to modify the first-
time homebuyers credit in the case of members of the Armed Forces and 
certain other Federal employees, and for other purposes; which was 
ordered to lie on the table; as follows:

       On page 71 of the amendment, between lines 21 and 22, 
     insert the following:

     SEC. 138. LIMIT RELATING TO ABORTION.

       Title II of the Indian Health Care Improvement Act (25 
     U.S.C. 1621 et seq.) is amended by adding at the end the 
     following:

     ``SEC. 227. LIMIT RELATING TO ABORTION.

       ``(a) Definition of Heath Benefits Coverage.--In this 
     section, the term `health benefits coverage' means a health-
     related service or group of services provided pursuant to a 
     contract, compact, grant, or other agreement.
       ``(b) Limitation.--
       ``(1) In general.--Except as provided in paragraph (2), no 
     funds or facilities of the Service may be used--
       ``(A) to provide any abortion; or
       ``(B) to provide, or pay any administrative cost of, any 
     health benefits coverage that includes coverage of an 
     abortion.
       ``(2) Exceptions.--The limitation described in paragraph 
     (1) shall not apply in any case in which--
       ``(A) a pregnancy is the result of an act of rape, or an 
     act of incest against a minor; or
       ``(B) the woman suffers from a physical disorder, physical 
     injury, or physical illness that, as certified by a 
     physician, would place the woman in danger of death unless an 
     abortion is performed, including a life-endangering physical 
     condition caused by or arising from the pregnancy itself.''.
                                 ______
                                 
  SA 2936. Mr. VITTER submitted an amendment intended to be proposed to 
amendment SA 2922 submitted by Mr. Dorgan and intended to be proposed 
to the amendment SA 2786 proposed by Mr. Reid (for himself, Mr. Baucus, 
Mr. Dodd, and Mr. Harkin) to the bill H.R. 3590, to amend the Internal 
Revenue Code of 1986 to modify the first-time homebuyers credit in the 
case of members of the Armed Forces and certain other Federal 
employees, and for other purposes; which was ordered to lie on the 
table; as follows:

       On page 4 of the amendment, strike line 5 and insert the 
     following: ``as the `Buy Indian Act').

     ``SEC. 827. LIMIT RELATING TO ABORTION.

       ``(a) Definition of Heath Benefits Coverage.--In this 
     section, the term `health benefits coverage' means a health-
     related service or group of services provided pursuant to a 
     contract, compact, grant, or other agreement.
       ``(b) Limitation.--
       ``(1) In general.--Except as provided in paragraph (2), no 
     funds or facilities of the Service may be used--
       ``(A) to provide any abortion; or
       ``(B) to provide, or pay any administrative cost of, any 
     health benefits coverage that includes coverage of an 
     abortion.
       ``(2) Exceptions.--The limitation described in paragraph 
     (1) shall not apply in any case in which--
       ``(A) a pregnancy is the result of an act of rape, or an 
     act of incest against a minor; or
       ``(B) the woman suffers from a physical disorder, physical 
     injury, or physical illness that, as certified by a 
     physician, would place the woman in danger of death unless an 
     abortion is performed, including a life-endangering physical 
     condition caused by or arising from the pregnancy itself.''.
                                 ______
                                 
  SA 2937. Mr. VITTER submitted an amendment intended to be proposed to 
amendment SA 2786 proposed by Mr. Reid (for himself, Mr. Baucus, Mr. 
Dodd, and Mr. Harkin) to the bill H.R. 3590, to amend the Internal 
Revenue Code of 1986 to modify the first-time homebuyers credit in the 
case of members of the Armed Forces and certain other Federal 
employees, and for other purposes; which was ordered to lie on the 
table; as follows:

       On page 1703, between lines 4 and 5, insert the following:

     SEC. 6303. RULE OF CONSTRUCTION.

       Nothing in the provisions of or amendments made by this 
     subtitle shall be construed to allow any employee of the 
     Federal government or any political appointee to dictate the 
     manner in which a health care provider practices medicine.
                                 ______
                                 
  SA 2938. Mrs. GILLIBRAND (for herself, Ms. Stabenow, Mr. Brown, Mr. 
Kerry, Mr. Menendez, Mr. Schumer, and Mr. Levin) submitted an amendment 
intended to be proposed to amendment SA 2786 proposed by Mr. Reid (for 
himself, Mr. Baucus, Mr. Dodd, and Mr. Harkin) to the bill H.R. 3590, 
to amend the Internal Revenue Code of 1986 to modify the first-time 
homebuyers credit in the case of members of the Armed Forces and 
certain other Federal employees, and for other purposes; which was 
ordered to lie on the table; as follows:

       On page 1996, between lines 3 and 4, insert the following:

     SEC. 9001A. INCREASED THRESHOLDS ON HIGH COST EMPLOYER-
                   SPONSORED HEALTH COVERAGE SUBJECT TO EXCISE 
                   TAX.

       Section 4980I of the Internal Revenue Code of 1986, as 
     added by section 9001(b), is amended--
       (1) by striking ``$8,500'' in subsection (b)(3)(C)(i)(I) 
     and inserting ``$9,500'', and
       (2) by striking ``$23,000'' in subsection (b)(3)(C)(i)(II) 
     and inserting ``$25,000''.
                                 ______
                                 
  SA 2939. Mr. PRYOR submitted an amendment intended to be proposed to 
amendment SA 2786 proposed by Mr. Reid (for himself, Mr. Baucus, Mr. 
Dodd, and Mr. Harkin) to the bill H.R. 3590, to amend the Internal 
Revenue Code of 1986 to modify the first-time homebuyers credit in the 
case of members of the Armed Forces and certain other Federal 
employees, and for other purposes; which was ordered to lie on the 
table; as follows:

       On page 134, between lines 10 and 11, insert the following:
       (4) Enrollee satisfaction system.--The Secretary shall 
     develop an enrollee satisfaction survey system that would 
     evaluate the level of enrollee satisfaction with qualified 
     health plans offered through an Exchange, for each such 
     qualified health plan that had more than 500 enrollees in the 
     previous year. The Exchange shall include enrollee 
     satisfaction information in the information provided to 
     individuals and employers through the Internet portal 
     established under paragraph (5) in a manner that allows 
     individuals to easily compare enrollee satisfaction levels 
     between comparable plans.

                          ____________________