[Congressional Record Volume 162, Number 104 (Tuesday, June 28, 2016)]
[Senate]
[Pages S4669-S4677]
From the Congressional Record Online through the Government Publishing Office [www.gpo.gov]

  SA 4916. Mr. SANDERS submitted an amendment intended to be proposed 
by him to the bill S. 2328, to reauthorize and amend the National Sea 
Grant College Program Act, and for other purposes; which was ordered to 
lie on the table; as follows:

       Strike all after the enacting clause and insert the 
     following:

     SECTION 1. SHORT TITLE; TABLE OF CONTENTS.

       (a) Short Title.--This Act may be cited as the ``Puerto 
     Rico Humanitarian Relief and Reconstruction Act''.
       (b) Table of Contents.--The table of contents of this Act 
     is as follows:

Sec. 1. Short title; table of contents.
Sec. 2. Definition of Commonwealth.

      TITLE I--SENSE OF CONGRESS ON DEBT HELD BY THE COMMONWEALTH

Sec. 101. Findings.
Sec. 102. Purposes.
Sec. 103. Sense of Congress.

        TITLE II--PUERTO RICO RECONSTRUCTION FINANCE CORPORATION

Sec. 201. Definitions.
Sec. 202. Establishment and funding.
Sec. 203. Board of the Corporation.
Sec. 204. Duties.
Sec. 205. Default by the Commonwealth or a municipality of the 
              Commonwealth.
Sec. 206. Rule of construction.

              TITLE III--PUERTO RICO CHAPTER 9 UNIFORMITY

Sec. 301. Amendment.
Sec. 302. Effective date; application of amendment.
Sec. 303. Severability.

    TITLE IV--ADDRESSING HEALTH CARE DISPARITIES IN THE COMMONWEALTH

                          Subtitle A--Medicaid

Sec. 411. Elimination of general Medicaid funding limitations (``cap'') 
              for Puerto Rico.
Sec. 412. Elimination of specific Federal medical assistance percentage 
              (FMAP) limitation for Puerto Rico.
Sec. 413. Application of 100 percent Federal poverty line (FPL) 
              limitation to Puerto Rico.
Sec. 414. Extension of application of Medicare payment floor to primary 
              care services furnished in Puerto Rico under Medicaid and 
              application to additional providers.

                    Subtitle B--Medicare Provisions

Sec. 421. Application of part B deemed enrollment process to residents 
              of Puerto Rico; special enrollment period and limit on 
              late enrollment penalties.
Sec. 422. Puerto Rico practice expense GPCI improvement.

[[Page S4670]]

Sec. 423. Permanent extension of incentive payments for primary care 
              services furnished in Puerto Rico.

 Subtitle C--National Environmental Public Health Tracking and Studies

Sec. 431. National Environmental Public Health Tracking.
Sec. 432. Study on environmental, biological, and health data from the 
              island of Vieques, Puerto Rico.

                  TITLE V--INFRASTRUCTURE INVESTMENTS

              Subtitle A--Energy Infrastructure Incentives

Sec. 511. Grant program to promote of access to renewable energy and 
              energy efficiency for Puerto Rico.
Sec. 512. Incentives for energy efficient commercial buildings.
Sec. 513. Incentives for new energy efficient homes.

  Subtitle B--Transportation, Housing, and Agriculture Infrastructure 
                               Incentives

Sec. 521. General provisions.
Sec. 522. Highway program.
Sec. 523. TIGER discretionary grants.
Sec. 524. Passenger and freight rail improvements.
Sec. 525. Airport Improvement Program.
Sec. 526. Clean and safe water revolving funds.
Sec. 527. Rural Utilities Service programs.
Sec. 528. Rural Energy for America Program.
Sec. 529. Construction of ferry boats and ferry terminal facilities.
Sec. 530. Corps of Engineers funds.
Sec. 531. Predisaster hazard mitigation and resiliency.
Sec. 532. Broadband programs.
Sec. 533. Housing and community development.

    TITLE VI--EARNED INCOME TAX CREDIT AND TAX EQUALIZATION MEASURES

Sec. 611. Puerto Rico residents eligible for earned income tax credit.
Sec. 612. Equitable treatment for residents of Puerto Rico with respect 
              to the refundable portion of the child tax credit.

             TITLE VII--PUERTO RICO DETERMINATION ON STATUS

Sec. 701. Vote regarding status.
Sec. 702. Certification and transmittal of results.
Sec. 703. Transition process.
Sec. 704. Rules for elections for Federal offices.
Sec. 705. Issuance of Presidential proclamation.
Sec. 706. State of Puerto Rico.
Sec. 707. Effect on membership of House of Representatives.

     SEC. 2. DEFINITION OF COMMONWEALTH.

       In this Act, the term ``Commonwealth'' means the 
     Commonwealth of Puerto Rico.

      TITLE I--SENSE OF CONGRESS ON DEBT HELD BY THE COMMONWEALTH

     SEC. 101. FINDINGS.

       Congress finds that--
       (1) in 2015, a Commission for the Comprehensive Audit of 
     Puerto Rico's Public Debt was established in Puerto Rico 
     under Act 97; and
       (2) the Commission for the Comprehensive Audit of Puerto 
     Rico's Public Debt is currently conducting an audit of the 
     debt held by Puerto Rico.

     SEC. 102. PURPOSES.

       The purposes of this Act are--
       (1) to ensure that pensions of ordinary investors are 
     protected; and
       (2) to ensure that Wall Street speculators are not able to 
     profit from the misfortune of United States citizens, 
     including the 3,500,000 people in Puerto Rico.

     SEC. 103. SENSE OF CONGRESS.

       It is the sense of Congress that--
       (1) if the Commission for the Comprehensive Audit of Puerto 
     Rico's Public Debt finds that any of the debt held by Puerto 
     Rico was acquired in violation of the Constitution of Puerto 
     Rico, the Puerto Rican government should immediately set 
     aside this debt and suggest to holders of this debt that they 
     seek redress from the investment banks that helped market and 
     sell these unconstitutional instruments;
       (2) the Board of Governors of the Federal Reserve System 
     has the authority to provide emergency financing to Puerto 
     Rico to facilitate an orderly restructuring of the debt held 
     by Puerto Rico under sections 13(3) and 14(2)(b) of the 
     Federal Reserve Act (12 U.S.C. 343 and 355); and
       (3) Puerto Rico is experiencing a humanitarian crisis, and 
     that the American government must meet the basic human needs 
     of its citizens ahead of the profits of Wall Street.

        TITLE II--PUERTO RICO RECONSTRUCTION FINANCE CORPORATION

     SEC. 201. DEFINITIONS.

       In this title:
       (1) Board.--The term ``Board'' means the Board of the 
     Corporation.
       (2) Bond.--The term ``Bond'' means a bond, loan, line of 
     credit, note, or other borrowing title, in physical or 
     dematerialized form, of which--
       (A) the issuer, borrower, or guarantor is a municipality or 
     the Commonwealth; and
       (B) the date of issuance or incurrence of debt precedes the 
     date of enactment of this Act.
       (3) Corporation.--The term ``Corporation'' means the Puerto 
     Rico Reconstruction Finance Corporation established under 
     section 202.
       (4) Municipality.--The term ``municipality''--
       (A) includes any political subdivision, public agency, 
     instrumentality or instrumentality of the Commonwealth; and
       (B) should be broadly construed to effectuate the purposes 
     of this title.

     SEC. 202. ESTABLISHMENT AND FUNDING.

       There is established a public bank with the authority to 
     draw upon the Exchange Stabilization Fund, to be known as the 
     ``Reconstruction Finance Corporation of Puerto Rico''.

     SEC. 203. BOARD OF THE CORPORATION.

       (a) In General.--The Corporation shall have a board 
     consisting of 7 members, including a chairman, of whom all 
     shall--
       (1) reside in Puerto Rico;
       (2) have expertise in the economy, culture, history, and 
     government of Puerto Rico; and
       (3) represent the interests of labor, agriculture, small 
     business, and the environment.
       (b) Appointment.--
       (1) In general.--The President shall appoint the individual 
     members of the Board, of whom--
       (A) 4 members should be selected from a list submitted by 
     the legislative branch of the Puerto Rican government;
       (B) 2 members should be selected from a list submitted by 
     the Governor of Puerto Rico; and
       (C) 1 member may be selected in the sole discretion of the 
     President.
       (2) Advice and consent.--With respect to the appointment of 
     a Board member described in subparagraph (A) or (B) of 
     paragraph (1), such an appointment shall be by and with the 
     advice and consent of the Senate, unless the President 
     appoints an individual from a list, as provided in this 
     subsection, in which case no Senate confirmation is required.
       (c) Term.--Each member of the Board shall serve a term of 4 
     years and may be reappointed after the expiration of a term.
       (d) Ethics.--
       (1) Conflict of interest.--Notwithstanding any ethics 
     provision governing employees of the Commonwealth, all 
     members and staff of the Board shall be subject to the 
     Federal conflict of interest requirements described in 
     section 208 of title 18, United States Code.
       (2) Financial disclosure.--Notwithstanding any ethics 
     provision governing employees of the Commonwealth, all 
     members of the Board and staff designated by the Board shall 
     be subject to disclosure of their financial interests, the 
     contents of which shall conform to the same requirements set 
     forth in section 102 of the Ethics in Government Act of 1978 
     (5 U.S.C. App.).

     SEC. 204. DUTIES.

       The Board may--
       (1) hire and pay members of the Board and staff;
       (2) organize the affairs in accordance with bylaws approved 
     by the Board;
       (3) discount any note or Bond from any public entity in the 
     Commonwealth upon approval of a majority of the Board;
       (4) make any expenditure the Board determines is necessary 
     to address the humanitarian crisis in the Commonwealth and 
     restore economic growth;
       (5) authorize expenditures and lending activities, 
     including discounting any note or offering a financial 
     guarantee, by an affirmative vote of a majority of the 
     members of the Board;
       (6) negotiate with the Commonwealth or a municipality that 
     has defaulted on a Bond over budgets, revenues, and 
     appropriations;
       (7) remove a stay under section 205(d);
       (8) discount Bonds and notes from the Commonwealth or a 
     municipality;
       (9) may reduce the par value of any such Bond; and
       (10) protect the public pensions in the Commonwealth as 
     well as ordinary investors and pension funds in the United 
     States.

     SEC. 205. DEFAULT BY THE COMMONWEALTH OR A MUNICIPALITY OF 
                   THE COMMONWEALTH.

       (a) Who May File an Application With the Corporation.--An 
     entity may file an application with the Corporation under 
     this title if and only if such entity--
       (1) is a municipality or the Commonwealth;
       (2) is specifically authorized, in its capacity as a 
     municipality or the Commonwealth or by name, to file an 
     application with the Corporation under this title by 
     Commonwealth law, by the Corporation itself, or by a 
     governmental officer or organization empowered by 
     Commonwealth law to authorize such entity to file an 
     application with the Corporation under this title;
       (3) desires to and is authorized by Commonwealth law, by 
     the Corporation itself, or by a governmental officer or 
     organization empowered by Commonwealth law to make such 
     authorization to restructure its Bond debts; and
       (4)(A) has obtained the agreement of creditors holding at 
     least a majority in amount of the claims that such entity 
     intends to impair under a plan in a case under this title;
       (B) has negotiated in good faith with creditors and has 
     failed to obtain the agreement of creditors holding at least 
     a majority in amount of the claims of each class that such 
     entity intends to impair under a plan in a case under this 
     title; or

[[Page S4671]]

       (C) is unable to negotiate with creditors because such 
     negotiation is impracticable, as determined by the entity.
       (b) Application.--The Commonwealth or a municipality may 
     file with the Corporation an application that the 
     Commonwealth or municipality that the Commonwealth or 
     municipality--
       (1) meets the requirements described in subsection (a); and
       (2) desires to restructure its debt.
       (c) Purchase of Bonds.--
       (1) In general.--If the Commonwealth or a municipality 
     files an application under subsection (b) and the Board, by 
     an affirmative vote of a majority of the members of the 
     Board, accepts the application--
       (A) the Corporation shall purchase each Bond from the 
     holder of the Bond issued by the Commonwealth or municipality 
     at the price paid for the Bond by the holder of the Bond; and
       (B) the par value of each Bond issued by the Commonwealth 
     or municipality shall be reduced to the last price paid for 
     that Bond.
       (2) Authority of corporation.--The Corporation may examine 
     records of sales of Bonds to determine whether the price paid 
     by the holder of a Bond is not fraudulent.
       (3) Misrepresentation of bond purchase price.--Any person 
     that violates paragraph (1) shall be subject to the penalties 
     under section 10 of the Securities Exchange Act of 1934 (15 
     U.S.C. 78j) in the same manner and to the same extent as if 
     the person had violated that section.
       (4) Bond insurers.--Any insurer of a Bond issued by the 
     Commonwealth or a municipality on which the Commonwealth or 
     municipality has defaulted shall not be liable to the holder 
     of a Bond for any amount that is greater than the purchase 
     price of the Bond if the insurer demonstrates to the 
     satisfaction of the Corporation that the solvency of the 
     issuer would be affected by the restructuring of the Bond.
       (5) Payments as final settlement.--Amounts paid by the 
     Corporation for bonds under this subsection shall be in full 
     and final settlement of any and all debts, claims, and liens 
     with respect to such bonds.
       (d) Automatic Stay.--
       (1) Except as otherwise provided in this section, the 
     filing and acceptance of an application under subsection (b) 
     operates with respect to any claim, debt, or cause of action 
     related to a Bond as a stay, applicable to all entities (as 
     such term is defined in section 101 of title 11, United 
     States Code), of--
       (A) the commencement or continuation, including the 
     issuance or employment of process, of a judicial, 
     administrative, or other action or proceeding against the 
     Commonwealth or a municipality, or to recover a claim against 
     the Commonwealth or a municipality;
       (B) the enforcement, against the Commonwealth or a 
     municipality or against property of the Commonwealth or a 
     municipality, of a judgment;
       (C) any act to obtain possession of property of the 
     Commonwealth or a municipality, or of property from the 
     Commonwealth or a municipality, or to exercise control over 
     property of the Commonwealth or a municipality;
       (D) any act to create, perfect, or enforce any lien against 
     property of the Commonwealth or a municipality;
       (E) any act to create, perfect, or enforce against property 
     of the Commonwealth or a municipality any lien to the extent 
     that such lien secures a claim;
       (F) any act to collect, assess, or recover a claim against 
     the Commonwealth or a municipality; and
       (G) the setoff of any debt owing to the Commonwealth or a 
     municipality against any claim against the Commonwealth or a 
     municipality.
       (2) On motion of a party in interest and after notice and a 
     hearing, the Board may grant relief from a stay under 
     paragraph (1)--
       (A) for cause, including the lack of adequate protection of 
     a security interest in property of such party in interest; or
       (B) with respect to a stay of an act against property under 
     paragraph (1), if--
       (i) the applying entity does not have an equity in such 
     property; and
       (ii) such property is not necessary for the Commonwealth or 
     municipality to provide essential services.
       (3) Thirty days after a request under paragraph (4) for 
     relief from the stay of any act against property of the 
     Commonwealth or a municipality under paragraph (1), such stay 
     is terminated with respect to the party in interest making 
     such request, unless the Board, after notice and a hearing, 
     orders such stay continued in effect pending the conclusion 
     of, or as a result of, a final hearing and determination 
     under paragraph (4). A hearing under this subsection may be a 
     preliminary hearing, or may be consolidated with the final 
     hearing under paragraph (4). The Corporation shall order such 
     stay continued in effect pending the conclusion of the final 
     hearing under paragraph (4) if there is a reasonable 
     likelihood that the party opposing relief from such stay will 
     prevail at the conclusion of such final hearing. If the 
     hearing under this subsection is a preliminary hearing, then 
     such final hearing shall be concluded not later than 30 days 
     after the conclusion of such preliminary hearing, unless the 
     30-day period is extended with the consent of the parties in 
     interest or for a specific time which the Corporation finds 
     is required by compelling circumstances.
       (4) Upon request of a party in interest, the Corporation, 
     with or without a hearing, shall grant such relief from the 
     stay provided under paragraph (1) as is necessary to prevent 
     irreparable damage to the secured interest of an entity in 
     property, if such interest will suffer such damage before 
     there is an opportunity for notice and a hearing under 
     paragraph (2) or (3).
       (5) No order, judgment, or decree entered in violation of 
     this section shall have any force or effect.
       (6) In any hearing under paragraph (2) or (3) concerning 
     relief from a stay--
       (A) the party requesting such relief has the burden of 
     proof on the issue of the applying entity's equity in 
     property; and
       (B) the party opposing such relief has the burden of proof 
     on all other issues.

     SEC. 206. RULE OF CONSTRUCTION.

       No application submitted or accepted under this title shall 
     be permitted to diminish or impair any pension benefit, or 
     the funding obligations for such a benefit, nor shall it 
     permit the impairment or rejection of any agreement between a 
     debtor and any labor organization.

              TITLE III--PUERTO RICO CHAPTER 9 UNIFORMITY

     SEC. 301. AMENDMENT.

       Section 101(52) of title 11, United States Code, is amended 
     to read as follows:
       ``(52) The term `State' includes Puerto Rico and, except 
     for the purpose of defining who may be a debtor under chapter 
     9 of this title, includes the District of Columbia.''.

     SEC. 302. EFFECTIVE DATE; APPLICATION OF AMENDMENT.

       (a) Effective Date.--Except as provided in subsection (b), 
     this title and the amendment made by this title shall take 
     effect on the date of the enactment of this Act.
       (b) Application of Amendment.--
       (1) In general.--Except as provided in paragraph (2), the 
     amendment made by this title shall apply with respect to--
       (A) cases commenced under title 11 of the United States 
     Code on or after the date of the enactment of this Act; and
       (B) debts, claims, and liens created before, on, or after 
     such date.
       (2) Exception.--No case commenced by a municipality of 
     Puerto Rico under chapter 9 of title 11, United States Code, 
     shall permit--
       (A) the diminishment or impairment of any pension benefit, 
     or the funding obligations for such a benefit; or
       (B) the impairment or rejection of any agreement between a 
     debtor and any labor organization.

     SEC. 303. SEVERABILITY.

       If any provision of this title or any amendment made by 
     this title, or the application of such provision or amendment 
     to any person or circumstance, is held to be 
     unconstitutional, the remainder of this title and the 
     amendments made by this title, or the application of that 
     provision or amendment to other persons or circumstances, 
     shall not be affected.

    TITLE IV--ADDRESSING HEALTH CARE DISPARITIES IN THE COMMONWEALTH

                          Subtitle A--Medicaid

     SEC. 411. ELIMINATION OF GENERAL MEDICAID FUNDING LIMITATIONS 
                   (``CAP'') FOR PUERTO RICO.

       (a) In General.--Section 1108 of the Social Security Act 
     (42 U.S.C. 1308) is amended--
       (1) in subsection (f), in the matter before paragraph (1), 
     by striking ``subsection (g)'' and inserting ``subsections 
     (g) and (h)'';
       (2) in subsection (g)(2), in the matter before subparagraph 
     (A), by inserting ``and subsection (h)'' after ``paragraphs 
     (3) and (5)''; and
       (3) by adding at the end the following new subsection:
       ``(h) Sunset of Medicaid Funding Limitations for Puerto 
     Rico.--Subsections (f) and (g) shall not apply to Puerto Rico 
     beginning with fiscal year 2017.''.
       (b) Conforming Amendments.--
       (1) Section 1903(u) of the Social Security Act (42 U.S.C. 
     1396b(u)) is amended by striking ``Puerto Rico,''.
       (2) Section 1323(c)(1) of the Patient Protection and 
     Affordable Care Act (42 U.S.C. 18043(c)(1)) is amended by 
     striking ``ending with 2019'' and inserting the following: 
     ``ending with--
       ``(A) for purposes of payment pursuant to subsection (a) to 
     Puerto Rico, 2016; and
       ``(B) for purposes of payment pursuant to subsection (a) to 
     another territory, 2019.''.
       (c) Effective Date.--The amendments made by this section 
     shall apply beginning with fiscal year 2017.

     SEC. 412. ELIMINATION OF SPECIFIC FEDERAL MEDICAL ASSISTANCE 
                   PERCENTAGE (FMAP) LIMITATION FOR PUERTO RICO.

       (a) In General.--Section 1905 of the Social Security Act 
     (42 U.S.C. 1396d) is amended--
       (1) in clause (2) of subsection (b), by striking ``Puerto 
     Rico,''; and
       (2) in subsection (y)(1), in the matter preceding 
     subparagraph (A)--
       (A) by inserting ``, for fiscal years before fiscal year 
     2017,'' before ``is one of the''; and
       (B) by inserting ``and, for fiscal year 2017 and subsequent 
     fiscal years, is one of the 50 States, the District of 
     Columbia, or Puerto Rico,'' after ``the District of 
     Columbia''.
       (b) Effective Date.--The amendments made by this section 
     shall apply beginning with fiscal year 2017.

     SEC. 413. APPLICATION OF 100 PERCENT FEDERAL POVERTY LINE 
                   (FPL) LIMITATION TO PUERTO RICO.

       (a) In General.--Section 1902 of the Social Security Act 
     (42 U.S.C. 1396a) is amended--

[[Page S4672]]

       (1) in subsection (a)(10)(A)(i)(VIII), by inserting ``(or, 
     subject to subsection (j), 100 percent in the case of Puerto 
     Rico)'' after ``133 percent''; and
       (2) in subsection (j)--
       (A) by inserting ``(1)'' after ``(j)''; and
       (B) by adding at the end the following new paragraph:
       ``(2)(A) Subject to subparagraph (B), Federal financial 
     participation shall not be available to Puerto Rico for 
     medical assistance for an individual whose family income 
     exceeds 100 percent of the poverty line (as defined in 
     section 2110(c)(5)) for a family of the size involved, except 
     in the case of individuals qualifying for medical assistance 
     under subsection (a)(10)(A)(i)(IX).
       ``(B) The Secretary may, under section 1115, waive the 
     limitation under subparagraph (A). In carrying out this 
     subparagraph, the Secretary shall take into account the 
     eligibility levels established under the State plan of Puerto 
     Rico before the date of the enactment of this paragraph.''.
       (b) Not Applying 5 Percent Disregard.--Section 
     1902(e)(14)(I) of the Social Security Act (42 U.S.C. 
     1396b(e)(14)(I)) is amended by adding at the end the 
     following:

     ``The previous sentence shall not apply to Puerto Rico.''.
       (c) Effective Date.--The amendments made by this section 
     shall apply with respect to eligibility determinations made 
     with respect to items and services furnished on or after 
     October 1, 2016.

     SEC. 414. EXTENSION OF APPLICATION OF MEDICARE PAYMENT FLOOR 
                   TO PRIMARY CARE SERVICES FURNISHED IN PUERTO 
                   RICO UNDER MEDICAID AND APPLICATION TO 
                   ADDITIONAL PROVIDERS.

       (a) In General.--Section 1902(a)(13) of the Social Security 
     Act (42 U.S.C. 1396a(a)(13)) is amended--
       (1) in subparagraph (B), by striking ``; and'' and 
     inserting a semicolon;
       (2) in subparagraph (C), by striking the semicolon at the 
     end and inserting ``; and''; and
       (3) by adding at the end the following new subparagraph:
       ``(D) payment for primary care services (as defined in 
     subsection (jj)) at a rate that is not less than 100 percent 
     of the payment rate that applies to such services and 
     physician under part B of title XVIII (or, if greater, the 
     payment rate that would be applicable under such part if the 
     conversion factor under section 1848(d) for the year involved 
     were the conversion factor under such section for 2009), and 
     that is not less than the rate that would otherwise apply to 
     such services under this title if the rate were determined 
     without regard to this subparagraph, and that are furnished 
     in Puerto Rico on or after January 1, 2017--
       ``(i) by a physician with a primary specialty designation 
     of family medicine, general internal medicine, or pediatric 
     medicine, but only if the physician self-attests that--

       ``(I) the physician is Board certified in family medicine, 
     general internal medicine, or pediatric medicine; or
       ``(II) with respect to the most recently completed calendar 
     year (or in the case of a newly eligible physician, the 
     preceding month), 60 percent of all services the physician 
     billed for under the State plan or a waiver under this title, 
     or provided through a medicaid managed care organization (as 
     defined in section 1903(m)(1)(A)), were for services 
     described in subparagraph (A) or (B) of subsection (jj)(1);

       ``(ii) by a physician with a primary specialty designation 
     of obstetrics and gynecology, but only if the physician self-
     attests that--

       ``(I) the physician is Board certified in obstetrics and 
     gynecology; and
       ``(II) with respect to the most recently completed calendar 
     year (or in the case of a newly eligible physician, the 
     preceding month), 60 percent of all services the physician 
     billed for under the State plan or a waiver under this title, 
     or provided through a medicaid managed care organization (as 
     defined in section 1903(m)(1)(A)), were for services 
     described in subparagraph (A) or (B) of subsection (jj)(1);

       ``(iii) by an advanced practice clinician, as defined by 
     the Secretary, that works under the supervision of--

       ``(I) a physician that satisfies the criteria specified in 
     clause (i) or (ii); or
       ``(II) a nurse practitioner or a physician assistant (as 
     such terms are defined in section 1861(aa)(5)(A)) who is 
     working in accordance with State law, or a certified nurse-
     midwife (as defined in section 1861(gg)) who is working in 
     accordance with State law, but only if the nurse 
     practitioner, physician assistant, or certified nurse-midwife 
     self-attests that, with respect to the most recently 
     completed calendar year (or in the case of a newly eligible 
     nurse practitioner, physician assistant, or certified nurse-
     midwife, the preceding month), 60 percent of all services the 
     nurse practitioner, physician assistant, or certified nurse-
     midwife billed for under the State plan or a waiver under 
     this title, or provided through a medicaid managed care 
     organization (as defined in section 1903(m)(1)(A)), were for 
     services described in subparagraph (A) or (B) of subsection 
     (jj)(1);

       ``(iv) by a rural health clinic, Federally-qualified health 
     center, or other health clinic that receives reimbursement on 
     a fee schedule applicable to a physician, a nurse 
     practitioner or a physician assistant (as such terms are 
     defined in section 1861(aa)(5)(A)) who is working in 
     accordance with State law, or a certified nurse-midwife (as 
     defined in section 1861(gg)) who is working in accordance 
     with State law, for services furnished by a physician, nurse 
     practitioner, physician assistant, or certified nurse-
     midwife, or services furnished by an advanced practice 
     clinician supervised by a physician described in clause 
     (i)(I) or (ii)(I), another advanced practice clinician, or a 
     certified nurse-midwife, but only if the rural health clinic 
     or Federally-qualified health center self-attests that 60 
     percent of all services billed for under the State plan or a 
     waiver under this title, or provided through a medicaid 
     managed care organization (as defined in section 
     1903(m)(1)(A)), were for services described in subparagraph 
     (A) or (B) of subsection (jj)(1); or
       ``(v) by a nurse practitioner or a physician assistant (as 
     such terms are defined in section 1861(aa)(5)(A)) who is 
     working in accordance with State law, or a certified nurse-
     midwife (as defined in section 1861(gg)) who is working in 
     accordance with State law, in accordance with procedures that 
     ensure that the portion of the payment for such services that 
     the nurse practitioner, physician assistant, or certified 
     nurse-midwife is paid is not less than the amount that the 
     nurse practitioner, physician assistant, or certified nurse-
     midwife would be paid if the services were provided under 
     part B of title XVIII, but only if the nurse practitioner, 
     physician assistant, or certified nurse-midwife self-attests 
     that, with respect to the most recently completed calendar 
     year (or in the case of a newly eligible nurse practitioner, 
     physician assistant, or certified nurse-midwife, the 
     preceding month), 60 percent of all services the nurse 
     practitioner, physician assistant, or certified nurse-midwife 
     billed for under the State plan or a waiver under this title, 
     or provided through a medicaid managed care organization (as 
     defined in section 1903(m)(1)(A)), were for services 
     described in subparagraph (A) or (B) of subsection 
     (jj)(1);''.
       (b) Conforming Amendments.--
       (1) Section 1905(dd) of the Social Security Act (42 U.S.C. 
     1396(dd)) is amended--
       (A) by inserting the following sentence after the first 
     sentence: ``Notwithstanding subsection (b), with respect to 
     the portion of the amounts expended for medical assistance 
     for services described in section 1902(a)(13)(D) furnished in 
     Puerto Rico on or after January 1, 2017, that is attributable 
     to the amount by which the minimum payment rate required 
     under such section (or, by application, section 1932(f)) 
     exceeds the payment rate applicable to such services under 
     the State plan as of July 1, 2009, the Federal medical 
     assistance percentage shall be equal to 100 percent.''; and
       (B) in the last sentence, by striking ``preceding sentence 
     does not'' and inserting ``preceding sentences do not''.
       (2) Section 1932(f) of the Social Security Act (42 U.S.C. 
     1396u-2(f)) is amended--
       (A) by striking ``section 1902(a)(13)(C)'' and inserting 
     ``subparagraph (C) or (D) of section 1902(a)(13)''; and
       (B) by striking ``specified in such section'' and inserting 
     ``specified in such subparagraphs''.

                    Subtitle B--Medicare Provisions

     SEC. 421. APPLICATION OF PART B DEEMED ENROLLMENT PROCESS TO 
                   RESIDENTS OF PUERTO RICO; SPECIAL ENROLLMENT 
                   PERIOD AND LIMIT ON LATE ENROLLMENT PENALTIES.

       (a) Application of Part B Deemed Enrollment Process to 
     Residents of Puerto Rico.--Section 1837(f)(3) of the Social 
     Security Act (42 U.S.C. 1395p(f)(3)) is amended by striking 
     ``, exclusive of Puerto Rico''.
       (b) Effective Date.--The amendment made by subsection (a) 
     shall apply to individuals whose initial enrollment period 
     under section 1837(d) of the Social Security Act begins on or 
     after the first day of the effective month, specified by the 
     Secretary of Health and Human Services under section 
     1839(j)(1)(C) of such Act, as added by subsection (c)(2).
       (c) Transition Providing Special Enrollment Period and 
     Limit on Late Enrollment Penalties for Certain Medicare 
     Beneficiaries.--Section 1839 of the Social Security Act (42 
     U.S.C. 1395r) is amended--
       (1) in the first sentence of subsection (b), by inserting 
     ``subject to section 1839(j)(2),'' after ``subsection (i)(4) 
     or (l) of section 1837,''; and
       (2) by adding at the end the following new subsection:
       ``(j) Special Rules for Certain Residents of Puerto Rico.--
       ``(1) Special enrollment period, coverage period for 
     residents who are eligible but not enrolled.--
       ``(A) In general.--In the case of a transition individual 
     (as defined in paragraph (3)) who is not enrolled under this 
     part as of the day before the first day of the effective 
     month (as defined in subparagraph (C)), the Secretary shall 
     provide for a special enrollment period under section 1837 of 
     7 months beginning with such effective month during which the 
     individual may be enrolled under this part.
       ``(B) Coverage period.--In the case of such an individual 
     who enrolls during such special enrollment period, the 
     coverage period under section 1838 shall begin on the first 
     day of the second month after the month in which the 
     individual enrolls.
       ``(C) Effective month defined.--In this section, the term 
     `effective month' means a month, not earlier than October 
     2017 and not later than January 2018, specified by the 
     Secretary.

[[Page S4673]]

       ``(2) Reduction in late enrollment penalties for current 
     enrollees and individuals enrolling during transition.--
       ``(A) In general.--In the case of a transition individual 
     who is enrolled under this part as of the day before the 
     first day of the effective month or who enrolls under this 
     part on or after the date of the enactment of this subsection 
     but before the end of the special enrollment period under 
     paragraph (1)(A), the amount of the late enrollment penalty 
     imposed under section 1839(b) shall be recalculated by 
     reducing the penalty to 15 percent of the penalty otherwise 
     established.
       ``(B) Application.--Subparagraph (A) shall be applied in 
     the case of a transition individual who--
       ``(i) is enrolled under this part as of the month before 
     the effective month, for premiums for months beginning with 
     such effective month; or
       ``(ii) enrolls under this part on or after the date of the 
     enactment of this Act and before the end of the special 
     enrollment period under paragraph (1)(A), for premiums for 
     months during the coverage period under this part which occur 
     during or after the effective month.
       ``(C) Loss of reduction if individual terminates 
     enrollment.--Subparagraph (A) shall not apply to a transition 
     individual if the individual terminates enrollment under this 
     part after the end of the special enrollment period under 
     paragraph (1).
       ``(3) Transition individual defined.--In this section, the 
     term `transition individual' means an individual who resides 
     in Puerto Rico and who would have been deemed enrolled under 
     this part pursuant to section 1837(f) before the first day of 
     the effective month but for the fact that the individual was 
     a resident of Puerto Rico, regardless of whether the 
     individual is enrolled under this part as of such first 
     day.''.

     SEC. 422. PUERTO RICO PRACTICE EXPENSE GPCI IMPROVEMENT.

       Section 1848(e)(1) of the Social Security Act (42 U.S.C. 
     1395w-4(e)(1)) is amended--
       (1) in subparagraph (A), by striking ``and (I)'' and 
     inserting ``(I), and (J)''; and
       (2) by adding at the end the following new subparagraph:
       ``(J) Floor for practice expense index for services 
     furnished in puerto rico.--
       ``(i) In general.--For purposes of payment for services 
     furnished in Puerto Rico in a year (beginning with 2017), 
     after calculating the practice expense index in subparagraph 
     (A)(i) for Puerto Rico, if such index is below the reference 
     index (as defined in clause (ii)) for the year, the Secretary 
     shall increase such index for Puerto Rico to equal the value 
     of the reference index for the year. The preceding sentence 
     shall not be applied in a budget neutral manner.
       ``(ii) Reference index defined.--In this subparagraph, the 
     term `reference index' means, with respect to a year, 0.800 
     or, if less, the lowest practice expense index value for the 
     year for any area in the 50 States or the District of 
     Columbia.''.

     SEC. 423. PERMANENT EXTENSION OF INCENTIVE PAYMENTS FOR 
                   PRIMARY CARE SERVICES FURNISHED IN PUERTO RICO.

       Section 1833(x)(1) of the Social Security Act (42 U.S.C. 
     1395l(x)(1)) is amended by inserting ``(and in the case of 
     primary care services furnished on or after January 1, 2017, 
     in Puerto Rico)'' after ``2016''.

 Subtitle C--National Environmental Public Health Tracking and Studies

     SEC. 431. NATIONAL ENVIRONMENTAL PUBLIC HEALTH TRACKING.

       (a) In General.--Not later than 60 days after the date of 
     enactment of this Act, the Secretary of Health and Human 
     Services, acting through the Director of the Centers for 
     Disease Prevention and Control, shall update the National 
     Environmental Public Health Tracking Network of the Centers 
     for Disease Control and Prevention to include Puerto Rico 
     (including Vieques).
       (b) Authorization of Appropriations.--There is authorized 
     to be appropriated such sums as may be necessary to carry out 
     this section.

     SEC. 432. STUDY ON ENVIRONMENTAL, BIOLOGICAL, AND HEALTH DATA 
                   FROM THE ISLAND OF VIEQUES, PUERTO RICO.

       (a) In General.--Not later than 60 days after the date of 
     enactment of this Act, the Secretary of Health and Human 
     Services shall award a grant to an institution of higher 
     education in Puerto Rico for the conduct of a 3-year study, 
     in collaboration with the Puerto Rico Department of Health, 
     on the environmental, biological, and health of residents of 
     Vieques, Puerto Rico and specifically whether and to what 
     extent past military exercises on Vieques have contributed to 
     health conditions experienced by some residents of Vieques.
       (b) Elements.--The study conducted under subsection (a) 
     shall include--
       (1) a review of the existing literature and previous public 
     health assessments;
       (2) testing of drinking water, air, seafood, locally grown 
     produce, and soil samples;
       (3) an analysis of previous biomonitoring studies in 
     Vieques;
       (4) new biomonitoring testing to determine the source of 
     previously unexplained findings of metals in residents' 
     blood, urine, hair, or feces;
       (5) biomonitoring control group testing from mainland 
     Puerto Rico; and
       (6) an analysis of the impact of the cumulative effects of 
     exposure to multiple contaminants.
       (c) Use of Funds.--All costs related to biomonitoring and 
     environmental testing under the study under subsection (a) 
     shall be paid for directly with funds awarded under the grant 
     under such subsection. Grant funds may be used to purchase 
     testing equipment, as needed.
       (d) Final Report.--The recipient of the grant under 
     subsection (a) shall submit to the Secretary of Health and 
     Human Services, a final report under such grant. Not later 
     than 30 days after the submission of such report, the 
     Secretary shall make such report public.
       (e) Authorization of Appropriations.--There is authorized 
     to be appropriated $10,000,000 to carry out this section.

                  TITLE V--INFRASTRUCTURE INVESTMENTS

              Subtitle A--Energy Infrastructure Incentives

     SEC. 511. GRANT PROGRAM TO PROMOTE OF ACCESS TO RENEWABLE 
                   ENERGY AND ENERGY EFFICIENCY FOR PUERTO RICO.

       (a) In General.--Upon application, the Secretary of the 
     Treasury shall, subject to the requirements of this section, 
     provide a grant to each eligible person who places in service 
     specified energy property in the Commonwealth to reimburse 
     such person for a portion of the expense of such property as 
     provided in subsection (b). No grant shall be made under this 
     section with respect to any property unless--
       (1) in the case of specified energy property which is 
     described in paragraph (1) of section 45(d) or clause (i) of 
     section 48(a)(3)(A) of the Internal Revenue Code of 1986 
     (determined without regard to any date by which construction 
     must begin), the construction of such property begins after 
     the date of the enactment of this Act and before January 1 of 
     the applicable calendar year, and
       (2) in the case of any other specified energy property, 
     such property is placed in service after the date of the 
     enactment of this Act and before January 1 of the applicable 
     calendar year.
       (b) Grant Amount.--
       (1) In general.--The amount of the grant under subsection 
     (a) with respect to any specified energy property shall be 
     the applicable percentage of the basis of such property.
       (2) Applicable percentage.--For purposes of paragraph (1), 
     the term ``applicable percentage'' means--
       (A) 30 percent in the case of any property described in 
     paragraphs (1) through (4) of subsection (d), and
       (B) 10 percent in the case of any other property.
       (3) Dollar limitations.--In the case of property described 
     in paragraph (1), (2), (6), or (7) of subsection (d), the 
     amount of any grant under this section with respect to such 
     property shall not exceed the limitation described in section 
     48(a)(5)(E), 48(c)(1)(B), 48(c)(2)(B), or 48(c)(3)(B) of the 
     Internal Revenue Code of 1986, respectively, with respect to 
     such property.
       (c) Time for Payment of Grant.--The Secretary of the 
     Treasury shall make payment of any grant under subsection (a) 
     during the 60-day period beginning on the later of--
       (1) the date of the application for such grant, or
       (2) the date the specified energy property for which the 
     grant is being made is placed in service.
       (d) Specified Energy Property.--For purposes of this 
     section, the term ``specified energy property'' means any of 
     the following:
       (1) Qualified facilities.--Any qualified property (as 
     defined in section 48(a)(5)(D) of the Internal Revenue Code 
     of 1986) which is part of a qualified facility (within the 
     meaning of section 45 of such Code) described in paragraph 
     (1), (2), (3), (4), (6), (7), (9), or (11) of section 45(d) 
     of such Code (determined without regard to any date by which 
     construction must begin).
       (2) Qualified fuel cell property.--Any qualified fuel cell 
     property (as defined in section 48(c)(1) of such Code, 
     determined without regard to any termination date).
       (3) Solar property.--Any property described in clause (i) 
     or (ii) of section 48(a)(3)(A) of such Code (determined 
     without regard to any termination date).
       (4) Qualified small wind energy property.--Any qualified 
     small wind energy property (as defined in section 48(c)(4) of 
     such Code, determined without regard to any termination 
     date).
       (5) Geothermal property.--Any property described in clause 
     (iii) of section 48(a)(3)(A) of such Code.
       (6) Qualified microturbine property.--Any qualified 
     microturbine property (as defined in section 48(c)(2) of such 
     Code, determined without regard to any termination date).
       (7) Combined heat and power system property.--Any combined 
     heat and power system property (as defined in section 
     48(c)(3) of such Code, determined without regard to 
     subparagraph (A)(iv) thereof).
       (8) Geothermal heat pump property.--Any property described 
     in clause (vii) of section 48(a)(3)(A) of such Code 
     (determined without regard to any termination date).

     Such term shall not include any property unless depreciation 
     (or amortization in lieu of depreciation) is allowable (or 
     would be allowable if section 933 of the Internal Revenue 
     Code of 1986 were not taken into account) with respect to 
     such property.
       (e) Eligible Person.--For purposes of this section, the 
     term ``eligible person'' means--

[[Page S4674]]

       (1) any individual that is a bona fide resident (as defined 
     under section 937 of the Internal Revenue Code of 1986) of 
     the Commonwealth, and
       (2) any corporation which is organized under the laws of 
     the Commonwealth.
       (f) Applicable Calendar Year.--For purposes of this 
     section, the term ``applicable calendar year'' means the 
     calendar year following the first calendar year in which the 
     aggregate amount of grants paid under subsection (a) exceeds 
     $1,200,000,000.
       (g) Other Definitions.--Terms used in this section which 
     are also used in section 45 or 48 of the Internal Revenue 
     Code of 1986 shall have the same meaning for purposes of this 
     section as when used in such section 45 or 48. Any reference 
     in this section to the Secretary of the Treasury shall be 
     treated as including the Secretary's delegate.
       (h) Application of Certain Rules.--In making grants under 
     this section, the Secretary of the Treasury shall apply rules 
     similar to the rules of section 50 of the Internal Revenue 
     Code of 1986, except that in applying subsection (b)(1) 
     thereof ``Puerto Rico'' shall be substituted for ``United 
     States''. In applying such rules, if the property is disposed 
     of, or otherwise ceases to be specified energy property, the 
     Secretary of the Treasury shall provide for the recapture of 
     the appropriate percentage of the grant amount in such manner 
     as the Secretary of the Treasury determines appropriate.
       (i) Appropriations.--There is hereby appropriated to the 
     Secretary of the Treasury such sums as may be necessary to 
     carry out this section.

     SEC. 512. INCENTIVES FOR ENERGY EFFICIENT COMMERCIAL 
                   BUILDINGS.

       (a) Permanent Extension of Energy Efficient Commercial 
     Buildings Deduction.--Section 179D of the Internal Revenue 
     Code of 1986 is amended by striking subsection (h).
       (b) Update of Standard.--
       (1) In general.--Section 179D of the Internal Revenue Code 
     of 1986 is amended by striking ``Standard 90.1-2001'' each 
     place it appears and inserting ``the applicable ASHRAE 
     standard''.
       (2) Applicable ashrae standard.--Section 179D(c)(2) of such 
     Code is amended to read as follows:
       ``(2) Applicable ashrae standard.--The term `applicable 
     ASHRAE standard' means--
       ``(A) Standard 90.1-2013 of the American Society of 
     Heating, Refrigerating, and Air Conditioning Engineers and 
     the Illuminating Engineering Society of North America, or
       ``(B) in the case of any subsequent standard adopted by the 
     American Society of Heating, Refrigerating, and Air 
     Conditioning Engineers which supersedes the standard 
     described in subparagraph (A), such subsequent standard.''.
       (3) Effective date.--The amendments made by this subsection 
     shall apply to property placed in service after December 31, 
     2015.
       (c) Grant Program for Puerto Rico.--
       (1) In general.--Upon application, the Secretary of the 
     Treasury shall, subject to the requirements of this 
     subsection, provide a grant to each eligible person who 
     places in service energy efficient building property to 
     reimburse such person for a portion of the expense of such 
     property as provided in paragraph (2). No grant shall be made 
     under this subsection with respect to any property unless 
     such property is placed in service on or before the last day 
     of the applicable calendar year.
       (2) Grant amount.--The amount of the grant under paragraph 
     (1) with respect to any energy efficient building property 
     shall be equal to the product of--
       (A) 35 percent, and
       (B) the excess of--
       (i) the product of--

       (I) $1.80, and
       (II) the square footage of the building, over

       (ii) the aggregate amount of all prior grants under 
     paragraph (1) with respect to the building.
       (3) Time for payment of grant.--The Secretary of the 
     Treasury shall make payment of any grant under paragraph (1) 
     during the 60-day period beginning on the later of--
       (A) the date of the application for such grant, or
       (B) the date the energy efficient commercial building 
     property for which the grant is being made is placed in 
     service.
       (4) Energy efficient commercial building property.--For 
     purposes of this subsection, the term ``energy efficient 
     commercial building property'' has the meaning given such 
     term under section 179D(c) of the Internal Revenue Code of 
     1986, except that--
       (A) the determination of whether depreciation (or 
     amortization in lieu of depreciation) is allowable under such 
     section 179D(c)(1)(A) shall be made without regard to section 
     933 of such Code, and
       (B) such section 179D(c)(1)(B)(i) shall be applied by 
     substituting ``Puerto Rico'' for ``United States''.
       (5) Eligible person.--For purposes of this subsection, the 
     term ``eligible person'' means--
       (A) any individual that is a bona fide resident (as defined 
     under section 937 of the Internal Revenue Code of 1986) of 
     Puerto Rico, and
       (B) any corporation which is organized under the laws of 
     the Commonwealth.
       (6) Applicable calendar year.--For purposes of this 
     subsection, the term ``applicable calendar year'' means the 
     calendar year following the first calendar year in which the 
     aggregate amount of grants paid under subsection (a) exceeds 
     $400,000,000.
       (7) Secretary of the treasury.--Any reference in this 
     subsection to the Secretary of the Treasury shall be treated 
     as including the Secretary's delegate.
       (8) Application of special rules.--Rules similar to the 
     rules of subsections (d), (f), and (g) of section 179D of the 
     Internal Revenue Code of 1986 shall apply with respect to 
     grants under this subsection.
       (9) Appropriations.--There is hereby appropriated to the 
     Secretary of the Treasury such sums as may be necessary to 
     carry out this subsection.

     SEC. 513. INCENTIVES FOR NEW ENERGY EFFICIENT HOMES.

       (a) Permanent Extension of New Energy Efficient Home 
     Credit.--Section 45L of the Internal Revenue Code of 1986 is 
     amended by striking subsection (g).
       (b) Update of Standard.--
       (1) In general.--Section 45L of the Internal Revenue Code 
     of 1986 is amended by striking ``the standards of chapter 4 
     of the 2006 International Energy Conservation Code, as such 
     Code (including supplements) is in effect on January 1, 
     2006'' each place it appears and inserting ``the applicable 
     standards''.
       (2) Applicable standards.--Section 45L of such Code, as 
     amended by subsection (a), is amended by adding at the end 
     the following new subsection:
       ``(h) Applicable Standards.--For purposes of this section, 
     the term `applicable standards' means, with respect to any 
     dwelling unit, the standards in effect for residential 
     building energy efficiency under the International Energy 
     Conservation Code on the first day of the taxable year in 
     which construction for the dwelling unit commenced.''.
       (3) Effective date.--The amendments made by this subsection 
     shall apply to homes acquired after December 31, 2015.
       (c) Grant Program for Puerto Rico.--
       (1) In general.--Upon application, the Secretary of the 
     Treasury shall, subject to the requirements of this 
     subsection, provide a grant to each eligible contractor with 
     respect to each qualified new energy efficient home which 
     is--
       (A) constructed by an eligible contractor, and
       (B) acquired by a person from such eligible contractor for 
     use as a residence.

     No grant shall be made under this subsection with respect to 
     any qualified new energy efficient home unless such home is 
     acquired by another person for use as a residence on or 
     before the last day of the applicable calendar year.
       (2) Amount of grant.--The amount of the grant under 
     paragraph (1) with respect to any qualified new energy 
     efficient home is an amount equal to--
       (A) in the case of a dwelling unit described in paragraph 
     (1) or (2) of section 45L(c) of the Internal Revenue Code of 
     1986, $2,000, and
       (B) in the case of a dwelling unit described in paragraph 
     (3) of section 45L(c) of the Internal Revenue Code of 1986, 
     $1,000.
       (3) Time for payment of grant.--The Secretary of the 
     Treasury shall make payment of any grant under paragraph (1) 
     during the 60-day period beginning on the later of--
       (A) the date of the application for such grant, or
       (B) the date the qualified new energy efficient home for 
     which the grant is acquired by another person for use as a 
     residence.
       (4) Qualified new energy efficient home.--For purposes of 
     this subsection, the term ``qualified new energy efficient 
     home'' has the meaning given such term under section 
     45L(b)(2) of the Internal Revenue Code of 1986, except that--
       (A) subparagraph (A) thereof shall be applied by 
     substituting ``Puerto Rico'' for ``the United States'', and
       (B) subparagraph (B) thereof shall be applied by 
     substituting ``the date of the enactment of section 513 of 
     the Puerto Rico Humanitarian Relief and Reconstruction Act'' 
     for ``the date of the enactment of this section''.
       (5) Applicable calendar year.--For purposes of this 
     subsection, the term ``applicable calendar year'' means the 
     calendar year following the first calendar year in which the 
     aggregate amount of grants paid under subsection (a) exceeds 
     $400,000,000.
       (6) Other terms.--Terms used in this subsection which are 
     also used in section 45L of the Internal Revenue Code of 1986 
     shall have the same meaning for purposes of this subsection 
     as when used in section 45L. Any reference in this subsection 
     to the Secretary of the Treasury shall be treated as 
     including the Secretary's delegate.
       (7) Appropriations.--There is hereby appropriated to the 
     Secretary of the Treasury such sums as may be necessary to 
     carry out this subsection.

  Subtitle B--Transportation, Housing, and Agriculture Infrastructure 
                               Incentives

     SEC. 521. GENERAL PROVISIONS.

       (a) Waiver of Non-Federal Share.--Notwithstanding any other 
     provision of law, the non-Federal share of the cost of any 
     program or activity carried out using funds provided under 
     this subtitle shall be zero.
       (b) Maintenance of Funding; Administrative Expenses.--
       (1) Maintenance of funding.--The funding provided to any 
     program or account under this subtitle shall supplement (and 
     not supplant) any funding provided for that program or 
     account under any other provision of law.
       (2) Administrative expenses.--Notwithstanding any other 
     provision of law (including regulations), of any funds 
     provided for a

[[Page S4675]]

     program or account under this subtitle, the applicable 
     Federal department or agency head may use such percentage for 
     administrative expenses as is established by the limitation 
     for administrative expenses in applicable laws (including 
     regulations) relating to the program or activity.

     SEC. 522. HIGHWAY PROGRAM.

       (a) Funding.--Out of funds of the Treasury not otherwise 
     appropriated, there is appropriated to the Secretary of 
     Transportation $450,000,000 for each of fiscal years 2017 
     through 2026 to carry out the Puerto Rico Highway Program 
     under section 165(b) of title 23, United States Code.
       (b) Conforming Amendment.--Section 165(a)(1) of title 23, 
     United States Code, is amended by striking ``$158,000,000'' 
     and inserting ``$608,000,000''.

     SEC. 523. TIGER DISCRETIONARY GRANTS.

       (a) Definition of TIGER Discretionary Grant.--In this 
     section, the term ``TIGER discretionary grant'' means a grant 
     awarded and administered by the Secretary of Transportation 
     using funds made available for national infrastructure 
     investments under title I of division L of the Consolidated 
     Appropriations Act, 2016 (Public Law 114-113; 129 Stat. 
     2835).
       (b) Requirement.--Out of funds of the Treasury not 
     otherwise appropriated, there is appropriated to the 
     Secretary of Transportation $50,000,000 for each of fiscal 
     years 2017 through 2021 to award TIGER discretionary grants 
     for eligible programs and activities in the Commonwealth of 
     Puerto Rico.

     SEC. 524. PASSENGER AND FREIGHT RAIL IMPROVEMENTS.

       (a) Funding.--Out of funds of the Treasury not otherwise 
     appropriated, there is appropriated to the Secretary of 
     Transportation $120,000,000 for each of fiscal years 2017 
     through 2021 for planning and capital costs to build, 
     improve, or expand passenger and freight rail projects in the 
     Commonwealth under titles 23 and 49, United States Code.
       (b) Eligible Uses.--Of the amounts made available for each 
     fiscal year under subsection (a)--
       (1) not more than 15 percent may be used for temporary 
     operating assistance for such rail and transit projects as 
     the Secretary of Transportation determines to be eligible; 
     and
       (2) not more than 50 percent may be allocated to another 
     transportation capital investment account funded under this 
     Act, on approval of the Secretary of Transportation.

     SEC. 525. AIRPORT IMPROVEMENT PROGRAM.

       Out of funds of the Treasury not otherwise appropriated, 
     there is appropriated to the Secretary of Transportation 
     $40,000,000 for each of fiscal years 2017 through 2021 to 
     make grants under the Airport Improvement Program under 
     subchapter I of chapter 471 of title 49, United States Code, 
     for eligible programs and activities in the Commonwealth.

     SEC. 526. CLEAN AND SAFE WATER REVOLVING FUNDS.

       Out of funds of the Treasury not otherwise appropriated, 
     there is appropriated to the Administrator of the 
     Environmental Protection Agency for each of fiscal years 2017 
     through 2021--
       (1) $25,000,000 to make a capitalization grant to the 
     Commonwealth for the purpose of establishing and maintaining 
     a water pollution control revolving fund under title VI of 
     the Federal Water Pollution Control Act (33 U.S.C. 1381 et 
     seq.); and
       (2) $25,000,000 to make a capitalization grant to the 
     Commonwealth for the purpose of establishing and maintaining 
     a drinking water treatment revolving loan fund under section 
     1452(a) of the Safe Drinking Water Act (42 U.S.C. 300j-
     12(a)).

     SEC. 527. RURAL UTILITIES SERVICE PROGRAMS.

       (a) Water and Environmental Programs.--Out of funds of the 
     Treasury not otherwise appropriated, there is appropriated to 
     the Administrator of the Rural Utilities Service $50,000,000 
     for each of fiscal years 2017 through 2021 to provide, for 
     eligible programs and activities in the Commonwealth--
       (1) water or waste disposal grants or direct or guaranteed 
     loans under paragraph (1) or (2) of section 306(a) of the 
     Consolidated Farm and Rural Development Act (7 U.S.C. 
     1926(a));
       (2) rural water or wastewater technical assistance and 
     training grants under section 306(a)(14) of the Consolidated 
     Farm and Rural Development Act (7 U.S.C. 1926(a)(14));
       (3) emergency community water assistance grants under 
     section 306A of the Consolidated Farm and Rural Development 
     Act (7 U.S.C. 1926a); and
       (4) solid waste management grants under section 310B(b) of 
     the Consolidated Farm and Rural Development Act (7 U.S.C. 
     1932(b)).
       (b) Electric Program.--Out of funds of the Treasury not 
     otherwise appropriated, there is appropriated to the 
     Administrator of the Rural Utilities Service $50,000,000 for 
     each of fiscal years 2017 through 2021 to provide electric 
     infrastructure grants for eligible programs and activities in 
     the Commonwealth under the Rural Electrification Act of 1936 
     (7 U.S.C. 901 et seq.).

     SEC. 528. RURAL ENERGY FOR AMERICA PROGRAM.

       Out of funds of the Treasury not otherwise appropriated, 
     there is appropriated to the Secretary of Agriculture 
     $25,000,000 for each of fiscal years 2017 through 2021 to 
     provide financial assistance and grants for eligible programs 
     and activities in the Commonwealth under section 9007 of the 
     Farm Security and Rural Investment Act of 2002 (7 U.S.C. 
     8107).

     SEC. 529. CONSTRUCTION OF FERRY BOATS AND FERRY TERMINAL 
                   FACILITIES.

       Out of funds of the Treasury not otherwise appropriated, 
     there is appropriated to the Secretary of Transportation 
     $5,000,000 for each of fiscal years 2017 through 2021 for the 
     construction of ferry boats and ferry terminal facilities in 
     the Commonwealth under section 147 of title 23, United States 
     Code.

     SEC. 530. CORPS OF ENGINEERS FUNDS.

       (a) Construction Account.--Out of funds of the Treasury not 
     otherwise appropriated, there is appropriated to the 
     Construction Account of the Corps of Engineers $150,000,000 
     for each of fiscal years 2017 through 2021 for authorized 
     navigation, coastal storm and riverine flood damage 
     reduction, ecosystem restoration, and environmental 
     infrastructure assistance activities in the Commonwealth, 
     with priority given to dredging the Cano Martin Pena.
       (b) Operations and Maintenance Account.--Out of funds of 
     the Treasury not otherwise appropriated, there is 
     appropriated to the Operations and Maintenance Account of the 
     Corps of Engineers $75,000,000 for each of fiscal years 2017 
     through 2021 for eligible operations and maintenance costs of 
     coastal harbors and channels, and for inland harbors, to 
     improve the movement of goods through marine ports in the 
     Commonwealth.

     SEC. 531. PREDISASTER HAZARD MITIGATION AND RESILIENCY.

       Out of funds of the Treasury not otherwise appropriated, 
     there is appropriated to the Director of the Federal 
     Emergency Management Agency $50,000,000 for each of fiscal 
     years 2017 through 2021 to carry out in the Commonwealth 
     minor localized flood reduction projects and major flood risk 
     reduction projects under the predisaster hazard mitigation 
     program under section 203 of the Robert T. Stafford Disaster 
     Relief and Emergency Assistance Act (42 U.S.C. 5133).

     SEC. 532. BROADBAND PROGRAMS.

       (a) Broadband Initiatives Program.--Out of funds of the 
     Treasury not otherwise appropriated, there is appropriated 
     $30,000,000 for each of fiscal years 2017 through 2021 for 
     the broadband initiatives program established under title VI 
     of the Rural Electrification Act of 1936 (7 U.S.C. 950bb et 
     seq.) to expand access to, and the quality of, broadband 
     service across the Commonwealth, with preference given to--
       (1) public or cooperatively owned telecommunications 
     systems; or
       (2) telecommunications systems that provide telehealth, 
     distance learning, and public safety benefits.
       (b) BroadbandUSA Program.--Out of funds of the Treasury not 
     otherwise appropriated, there is appropriated $30,000,000 for 
     each of fiscal years 2017 through 2021 to the National 
     Telecommunications and Information Administration to carry 
     out the BroadbandUSA program in the Commonwealth, with 
     preference given to--
       (1) public or cooperatively owned telecommunications 
     systems; or
       (2) telecommunications systems that provide telehealth, 
     distance learning, and public safety benefits.

     SEC. 533. HOUSING AND COMMUNITY DEVELOPMENT.

       (a) HOME Investment Partnerships Program.--
       (1) All participating jurisdictions.--Out of funds of the 
     Treasury not otherwise appropriated, there is appropriated 
     $17,000,000 for each of fiscal years 2017 through 2021 for 
     the HOME Investment Partnerships program authorized under 
     title II of the Cranston-Gonzalez National Affordable Housing 
     Act (42 U.S.C. 12721 et seq.) to be allocated proportionately 
     among participating jurisdictions in the Commonwealth in 
     accordance with the allocation among such jurisdictions for 
     the most recent fiscal year.
       (2) Cano martin pena communities.--Out of funds of the 
     Treasury not otherwise appropriated, in addition to the 
     amount appropriated under paragraph (1), there is 
     appropriated $3,000,000 for each of fiscal years 2017 through 
     2021 for the HOME Investment Partnerships program authorized 
     under title II of the Cranston-Gonzalez National Affordable 
     Housing Act (42 U.S.C. 12721 et seq.) to be allocated to the 
     HOME Investment Partnership Program of the Municipality of 
     San Juan for use by the Cano Martin Pena Community Land Trust 
     (also known as ``El Fedeicomiso de la Tierra del Cano Martin 
     Pena'') to create, improve, and rehabilitate affordable 
     housing in the 8 Cano Martin Pena communities, including for 
     the costs of relocating homes from the banks of the channel 
     to other locations in the community.
       (b) Community Development Block Grant Program.--
       (1) All jurisdictions.--Out of funds of the Treasury not 
     otherwise appropriated, there is appropriated $60,000,000 for 
     each of fiscal years 2017 through 2021 for the community 
     development block grant program under title I of the Housing 
     and Community Development Act of 1974 (42 U.S.C. 5301 et 
     seq.) to be allocated proportionately among entitlement 
     communities and nonentitlement communities in the 
     Commonwealth in accordance with the allocation among such 
     communities for the most recent fiscal year.
       (2) Cano martin pena communities.--Out of funds of the 
     Treasury not otherwise appropriated, in addition to the 
     amount appropriated under paragraph (1), there is 
     appropriated $5,000,000 for each of fiscal years 2017 through 
     2021 for the community development block grant program under 
     title I of the Housing and Community Development Act of 1974 
     (42 U.S.C. 5301 et seq.) to be allocated to the Municipality 
     of San Juan for use by the

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     Martin Pena Canal ENLACE Project Corporation (also known as 
     ``La Corporacion del Proyecto ENLACE del Cano Martin Pena'') 
     for housing, community, and economic development in the 8 
     Cano Martin Pena communities.

    TITLE VI--EARNED INCOME TAX CREDIT AND TAX EQUALIZATION MEASURES

     SEC. 611. PUERTO RICO RESIDENTS ELIGIBLE FOR EARNED INCOME 
                   TAX CREDIT.

       (a) In General.--Section 32 of the Internal Revenue Code of 
     1986 is amended by adding at the end the following new 
     subsection:
       ``(n) Residents of Puerto Rico.--
       ``(1) In general.--In the case of residents of Puerto 
     Rico--
       ``(A) the United States shall be treated as including 
     Puerto Rico for purposes of subsections (c)(1)(A)(ii)(I) and 
     (c)(3)(C),
       ``(B) subsection (c)(1)(D) shall not apply to nonresident 
     alien individuals who are residents of Puerto Rico, and
       ``(C) adjusted gross income and gross income shall be 
     computed without regard to section 933 for purposes of 
     subsections (a)(2)(B) and (c)(2)(A)(i).
       ``(2) Limitation.--The credit allowed under this section by 
     reason of this subsection for any taxable year shall not 
     exceed the amount, determined under regulations or other 
     guidance promulgated by the Secretary, that a similarly 
     situated taxpayer would receive if residing in a State.''.
       (b) Child Tax Credit Not Reduced.--Subclause (II) of 
     section 24(d)(1)(B)(ii) of such Code is amended by inserting 
     before the period ``(determined without regard to section 
     32(n) in the case of residents of Puerto Rico)''.
       (c) Effective Date.--The amendments made by this section 
     shall apply to taxable years beginning after December 31, 
     2015.

     SEC. 612. EQUITABLE TREATMENT FOR RESIDENTS OF PUERTO RICO 
                   WITH RESPECT TO THE REFUNDABLE PORTION OF THE 
                   CHILD TAX CREDIT.

       (a) In General.--Section 24(d)(1) of the Internal Revenue 
     Code of 1986 is amended by inserting ``or section 933'' after 
     ``section 112''.
       (b) Effective Date.--The amendment made by subsection (a) 
     shall apply to taxable years beginning after December 31, 
     2015.

             TITLE VII--PUERTO RICO DETERMINATION ON STATUS

     SEC. 701. VOTE REGARDING STATUS.

       (a) Vote.--
       (1) In general.--Not later than January 31, 2018, the State 
     Elections Commission of Puerto Rico shall provide for a 
     binding vote or series of votes as described in paragraph 
     (2), in accordance with rules and regulations determined by 
     the Commission, including qualifications for voter 
     eligibility.
       (2) Regulations.--Not later than 90 days after the date of 
     enactment of this Act, the State Elections Commission of 
     Puerto Rico shall promulgate regulations governing the 
     provision by the State Elections Commission of a binding 
     vote, or series of binding votes, regarding whether Puerto 
     Rico should--
       (A) be admitted as a State of the United States;
       (B) become a sovereign nation; or
       (C) continue the status quo as a commonwealth territory of 
     the United States and simply reform the government of the 
     Commonwealth.
       (b) Funds for Vote.--The funds made available pursuant to 
     Public Law 113-76 (128 Stat. 5) may be used to conduct the 
     vote under this section.

     SEC. 702. CERTIFICATION AND TRANSMITTAL OF RESULTS.

       Not later than 10 days after the certification of the vote 
     by the State Elections Commission of Puerto Rico, the 
     Governor of Puerto Rico shall transmit the certified results 
     to the President of the United States, the Speaker of the 
     House of Representatives, and the President pro tempore of 
     the Senate.

     SEC. 703. TRANSITION PROCESS.

       If a majority of the votes cast in the vote conducted 
     pursuant to section 701 are for the admission of Puerto Rico 
     into the United States as a State, the following shall apply:
       (1) Proclamation.--Within 30 calendar days of receipt of 
     the certified results transmitted pursuant to section 702, 
     the President shall issue a proclamation to begin the 
     transition process that will culminate in Puerto Rico's 
     admission into the United States as a State effective by not 
     later than the date that is 4 years after the date on which 
     the vote under section 701 is certified by the State 
     Elections Commission of Puerto Rico.
       (2) Commission.--
       (A) Establishment.--Within 90 calendar days of receipt of 
     the certified results transmitted pursuant to section 702, 
     the President shall appoint a commission, to be known as the 
     ``Commission on the Equal Application of Federal Law to 
     Puerto Rico'' (referred to in this paragraph as the 
     ``Commission'').
       (B) Purpose.--The Commission shall survey the laws of the 
     United States and make recommendations to Congress as to how 
     laws that do not apply to the territory or apply differently 
     to the territory than to the several States should be amended 
     or repealed to treat Puerto Rico equally with the several 
     States as of the date of the admission of Puerto Rico into 
     the United States as a State.
       (C) Membership.--The Commission shall consist of 5 persons, 
     at least 2 of whom shall be residents of Puerto Rico.
       (D) Report.--The Commission shall issue a final report to 
     the President of the United States, the Speaker of the House 
     of Representatives, and the President pro tempore of the 
     Senate by July 1, 2018.
       (E) Termination.--Upon issuing the final report under 
     subparagraph (D), the Commission shall terminate.
       (F) Federal advisory committee act.--The Federal Advisory 
     Committee Act (5 U.S.C. App.), other than section 14, shall 
     apply to the Commission.

     SEC. 704. RULES FOR ELECTIONS FOR FEDERAL OFFICES.

       (a) Preparation for Elections.--If a majority of the votes 
     cast in the vote conducted pursuant to section 701 are for 
     the admission of Puerto Rico into the United States as a 
     State, not later than January 1, 2020, Puerto Rico shall 
     carry out such actions as may be necessary to enable Puerto 
     Rico to hold elections for Federal office in November 2020 in 
     accordance with this section.
       (b) Presidential Election.--With respect to the election 
     for the office of President and Vice President held in 
     November 2020--
       (1) Puerto Rico shall be considered a State for purposes of 
     chapter 21 of title 3, United States Code;
       (2) the electors of Puerto Rico shall be considered 
     electors of a State for purposes of such chapter; and
       (3) for purposes of section 3 of such title, the number of 
     electors from Puerto Rico shall be equal to the number of 
     Senators and Representatives to which Puerto Rico is entitled 
     during the 117th Congress, as determined in accordance with 
     subsections (c) and (d).
       (c) Election of Senators.--
       (1) Election of 2 senators.--The regularly scheduled 
     general elections for Federal office held in Puerto Rico 
     during November 2020 shall include the election of 2 
     Senators, each of whom shall first take office on the first 
     day of the 117th Congress.
       (2) Special rule.--In the election of Senators from Puerto 
     Rico pursuant to paragraph (1), the 2 Senate offices shall be 
     separately identified and designated, and no person may be a 
     candidate for both offices. No such identification or 
     designation of either of the offices shall refer to, or be 
     taken to refer to, the terms of such offices, or in any way 
     impair the privilege of the Senate to determine the class to 
     which each of the Senators elected shall be assigned.
       (d) Election of Representatives.--
       (1) In general.--Effective on the first day of the 117th 
     Congress, and until the taking effect of the first 
     reapportionment occurring after the regular decennial census 
     conducted for 2020, Puerto Rico shall be entitled to the 
     number of Representatives to which Puerto Rico would have 
     been entitled for the 116th Congress if Puerto Rico had been 
     a State during such Congress, as shown in the statement 
     transmitted by the President to Congress under paragraph (2).
       (2) Determination of initial number.--
       (A) Determination.--Not later than July 1, 2019, the 
     President shall submit to Congress a statement of the number 
     of Representatives to which Puerto Rico would have been 
     entitled for the 116th Congress if Puerto Rico had been a 
     State during such Congress, in the same manner as provided 
     under section 22(a) of the Act of June 28, 1929 (2 U.S.C. 
     2a(a)).
       (B) Submission of number by clerk.--Not later than 15 
     calendar days after receiving the statement of the President 
     under subparagraph (A), the Clerk of the House of 
     Representatives, in accordance with section 22(b) of such Act 
     (2 U.S.C. 2a(b)), shall transmit to the Governor of Puerto 
     Rico and the Speaker of the House of Representatives a 
     certificate of the number of Representatives to which Puerto 
     Rico is entitled during the period described in paragraph 
     (1).
       (3) Termination of office of resident commissioner.--
     Effective on the date on which a Representative from Puerto 
     Rico first takes office in accordance with this subsection, 
     the Office of the Resident Commissioner to the United States, 
     as described in section 36 of the Act of March 2, 1917 (48 
     U.S.C. 891 et seq.), is terminated.
       (e) Administration of Primary Elections.--Puerto Rico may 
     hold primary elections for the offices described in this 
     section at such time and in such manner as Puerto Rico may 
     provide, so long as such elections are held in the manner 
     required by the laws applicable to elections for Federal 
     office.

     SEC. 705. ISSUANCE OF PRESIDENTIAL PROCLAMATION.

       Following the transition process set forth in section 703, 
     if applicable, the President shall issue a proclamation 
     declaring that Puerto Rico is admitted into the United States 
     on an equal footing with the other States, effective on the 
     date that is 4 years after the date on which the vote under 
     section 701 is certified by the State Elections Commission of 
     Puerto Rico. Upon issuance of the proclamation by the 
     President, Puerto Rico shall be deemed admitted into the 
     United States as a State.

     SEC. 706. STATE OF PUERTO RICO.

       Upon the admission of Puerto Rico into the United States as 
     a State, the following shall apply:
       (1) State constitution.--The Constitution of the 
     Commonwealth of Puerto Rico shall be accepted as the 
     Constitution of the State.
       (2) Territory.--The State shall consist of all of the 
     territory, together with the waters included in the seaward 
     boundary, of the Commonwealth of Puerto Rico.
       (3) Continuity of government.--The persons holding 
     legislative, executive, and judicial offices of the 
     Commonwealth of Puerto Rico shall continue to discharge the 
     duties of their respective offices.

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       (4) Continuity of laws.--
       (A) Territory law.--All of the territory laws in force in 
     Puerto Rico shall continue in force and effect in the State, 
     except as modified by this Act, and shall be subject to 
     repeal or amendment by the Legislature and the Governor of 
     Puerto Rico.
       (B) Federal law.--All of the laws of the United States 
     shall have the same force and effect as on the date 
     immediately prior to the date of admission of Puerto Rico 
     into the United States as a State, except for any provision 
     of law that treats Puerto Rico and its residents differently 
     than the States of the United States and their residents, 
     which shall be amended as of the date of admission to treat 
     the State of Puerto Rico and its residents equally with the 
     other States of the United States and their residents.

     SEC. 707. EFFECT ON MEMBERSHIP OF HOUSE OF REPRESENTATIVES.

       (a) Temporary Increase During Initial Period.--
       (1) Temporary increase.--Upon the admission of Puerto Rico 
     into the United States as a State, during the period 
     described in paragraph (1) of section 704(d)--
       (A) the membership of the House of Representatives shall be 
     increased by the number of Members to which Puerto Rico is 
     entitled during such period; and
       (B) each such Representative shall be in addition to the 
     membership of the House of Representatives as prescribed by 
     law on the date of enactment of this Act.
       (2) No effect on existing apportionment.--The temporary 
     increase in the membership of the House of Representatives 
     provided under paragraph (1) shall not, during the period 
     described in paragraph (1) of section 704(d)--
       (A) operate to either increase or decrease the permanent 
     membership of the House of Representatives as prescribed in 
     the Act of August 8, 1911 (2 U.S.C. 2); or
       (B) affect the basis of reapportionment established by 
     section 22 of the Act of June 28, 1929 (2 U.S.C. 2a), for the 
     82nd Congress and each Congress thereafter.
       (b) Permanent Increase Effective With Next 
     Reapportionment.--
       (1) In general.--Upon the admission of Puerto Rico into the 
     United States as a State, effective with respect to the 118th 
     Congress and each succeeding Congress, the House of 
     Representatives shall be composed of a number of Members 
     equal to the sum of 435 plus the number by which the 
     membership of the House was increased under subsection (a).
       (2) Reapportionment of members resulting from increase.--
       (A) In general.--Section 22(a) of the Act of June 28, 1929 
     (2 U.S.C. 2a(a)), is amended by striking ``the then existing 
     number of Representatives'' and inserting ``the number of 
     Representatives established with respect to the 118th 
     Congress''.
       (B) Effective date.--The amendment made by subparagraph (A) 
     shall apply with respect to the regular decennial census 
     conducted for 2020 and each subsequent regular decennial 
     census.
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