[Congressional Record Volume 164, Number 138 (Monday, August 20, 2018)]
[Senate]
[Pages S5721-S5731]
From the Congressional Record Online through the Government Publishing Office [www.gpo.gov]




                           TEXT OF AMENDMENTS

  SA 3733. Ms. HIRONO (for herself, Mr. Cotton, and Ms. Murkowski) 
submitted an amendment intended to be proposed to amendment SA 3695 
proposed by Mr. Shelby to the bill H.R. 6157, making appropriations for 
the Department of Defense for the fiscal year ending September 30, 
2019, and for other purposes; which was ordered to lie on the table; as 
follows:

       At the appropriate place in title VIII of division A, 
     insert the following:
       Sec. __.  From amounts appropriated or otherwise made 
     available by title II of this division under the heading 
     ``Operation and Maintenance, Air Force'', the Secretary of 
     Defense may reimburse the Government of the Republic of Palau 
     in an amount not to exceed $9,700,000 for land acquisition 
     costs for defense sites.
                                 ______
                                 
  SA 3734. Mr. MENENDEZ (for himself, Mr. Carper, Mr. Booker, Mr. 
Coons, Mr. Whitehouse, and Mr. Reed) submitted an amendment intended to 
be proposed by him to the bill H.R. 6157, making appropriations for the 
Department of Defense for the fiscal year ending September 30, 2019, 
and for other purposes; which was ordered to lie on the table; as 
follows:

       At the appropriate place in title II of division B, insert 
     the following:

     SEC. __. PERMANENT EXTENSION OF MEDICARE WAGE IMPUTED FLOOR 
                   POLICY.

       Notwithstanding the final rule of the Centers for Medicare 
     and Medicaid Services entitled ``Medicare Program: Hospital 
     Inpatient Prospective Payment Systems for Acute Care 
     Hospitals and the Long Term Care Hospital Prospective Payment 
     System and Policy Changes and Fiscal Year 2019 Rates; Quality 
     Reporting Requirements for Specific Providers; Medicare and 
     Medicaid Electronic Health Record (EHR) Incentive Programs 
     (Promoting Interoperability Programs) Requirements for 
     Eligible Hospitals, Critical Access Hospitals, and Eligible 
     Professionals; Medicare Cost Reporting Requirements; and 
     Physician Certification and Recertification of Claims'' or 
     any other provision of law, the Secretary of Health and Human 
     Services shall extend the imputed floor policy under section 
     412.64(h) (including the policy under clause (vi) of such 
     section), as in effect with respect to discharges during 
     fiscal year 2018, to discharges occurring on or after October 
     1, 2018. The Secretary of Health and Human Services shall 
     implement the preceding sentence in a budget-neutral manner 
     under section 1886(d) of the Social Security Act (42 U.S.C. 
     1395ww(d)).
                                 ______
                                 
  SA 3735. Mr. MENENDEZ (for himself and Mr. Merkley) submitted an 
amendment intended to be proposed by him to the bill H.R. 6157, making 
appropriations for the Department of Defense for the fiscal year ending 
September 30, 2019, and for other purposes; which was ordered to lie on 
the table; as follows:

       At the appropriate place in title II of division B insert 
     the following:
       Sec. __.  Notwithstanding any other provision of this Act, 
     of the amounts made available under this title, $30,000,000 
     shall be available for the peer-reviewed ovarian cancer 
     research program.
                                 ______
                                 
  SA 3736. Mr. MENENDEZ submitted an amendment intended to be proposed 
by him to the bill H.R. 6157, making appropriations for the Department 
of Defense for the fiscal year ending September 30, 2019, and for other 
purposes; which was ordered to lie on the table; as follows:

       At the appropriate place in title II of division B insert 
     the following:
       Sec. __.  There are appropriated, in addition to any other 
     amounts made available under this title, $2,000,000 for the 
     Leadership Education in Neurodevelopmental and Related 
     Disabilities (LEND) programs.
                                 ______
                                 
  SA 3737. Mr. MENENDEZ submitted an amendment intended to be proposed 
by him to the bill H.R. 6157, making appropriations for the Department 
of Defense for the fiscal year ending September 30, 2019, and for other 
purposes; which was ordered to lie on the table; as follows:

       At the appropriate place in title II of division B insert 
     the following:
       Sec. __.  The Secretary shall publish a report on the 
     impact of any policy change made by the Secretary related to 
     prescription drug pricing to ensure savings go to patients 
     and not to special interest groups. Such report shall include 
     an assessment of the direct monetary impact of such policy 
     change on health insurance issuers, prescription drug 
     manufacturers, pharmacy benefit managers, and consumers 
     (including seniors).
                                 ______
                                 
  SA 3738. Mr. MENENDEZ submitted an amendment intended to be proposed 
by him to the bill H.R. 6157, making appropriations for the Department 
of Defense for the fiscal year ending September 30, 2019, and for other 
purposes; which was ordered to lie on the table; as follows:

       At the appropriate place in title II of division B, insert 
     the following:

     SEC. __. HHS REVIEW OF THE EXTRAORDINARY CIRCUMSTANCE 
                   RELOCATION EXEMPTION FOR OFF-CAMPUS PROVIDER-
                   BASED DEPARTMENTS.

       (a) Review.--The Secretary of Health and Human Services (in 
     this section referred to as the ``Secretary'') shall conduct 
     a review of the extraordinary circumstance relocation 
     exemption for off-campus provider-based departments under 
     section 1833(t)(21) of the Social Security Act (42 U.S.C. 
     1395l(t)(21)), including whether such exemption should be 
     expanded to include additional extraordinary circumstances.
       (b) Report.--Not later than 6 months after the date of 
     enactment of this Act, the Secretary shall submit to Congress 
     a report on the review conducted under subsection (a), 
     together with recommendations for such legislation and 
     administrative action as the Secretary determines 
     appropriate.
                                 ______
                                 
  SA 3739. Mr. MENENDEZ submitted an amendment intended to be proposed 
by him to the bill H.R. 6157, making appropriations for the Department 
of Defense for the fiscal year ending September 30, 2019, and for other 
purposes;

[[Page S5722]]

which was ordered to lie on the table; as follows:

       At the appropriate place in title II of division B insert 
     the following:
       Sec. __.  The Secretary shall provide a full accounting of 
     the funds diverted in 2018 to the Office of Refugee 
     Resettlement of the Administration for Children and Families, 
     including an accounting of--
       (1) the programs and accounts from which such funds were 
     diverted; and
       (2) if any such programs were negatively impacted by the 
     diversion of such funds.
                                 ______
                                 
  SA 3740. Mr. MENENDEZ submitted an amendment intended to be proposed 
by him to the bill H.R. 6157, making appropriations for the Department 
of Defense for the fiscal year ending September 30, 2019, and for other 
purposes; which was ordered to lie on the table; as follows:

       At the appropriate place in title II of division B, insert 
     the following:

     SEC. __. FAIRNESS IN MEDICARE HOSPITAL PAYMENTS.

       (a) In General.--For discharges occurring on or after 
     October 1, 2018, the Secretary of Health and Human Services 
     shall (for purposes of determining the area wage index under 
     section 1886(d) of the Social Security Act (42 U.S.C. 
     1395ww(d)) reclassify any hospital located in New Jersey 
     whose area wage index increased for discharges in fiscal year 
     2018 by reason of the imputed floor policy under section 
     412.64(h) of title 42, Code of Federal Regulations (including 
     the policy under clause (vi) of such section) to a core-based 
     statistical area (CBSA) that has the same area wage index 
     that would have applied to the hospital if such imputed floor 
     policy had been permanently extended.
       (b) Budget-neutral.--The Secretary of Health and Human 
     Services shall implement subsection (a) in a budget-neutral 
     manner under section 1886(d) of the Social Security Act (42 
     U.S.C. 1395ww(d)).
                                 ______
                                 
  SA 3741. Mr. MENENDEZ submitted an amendment intended to be proposed 
to amendment SA 3695 proposed by Mr. Shelby to the bill H.R. 6157, 
making appropriations for the Department of Defense for the fiscal year 
ending September 30, 2019, and for other purposes; which was ordered to 
lie on the table; as follows:

       At the appropriate place in title VIII of division A, 
     insert the following:
       Sec. ___.  Not later than 90 days after the date of the 
     enactment of this Act, the Secretary of Defense shall submit 
     to the congressional defense committees a report estimating 
     the portion of the of the Department of Defense's advertising 
     budget that is spent on advertising and public relations 
     contracts with socially and economically disadvantaged small 
     businesses and women, low-income, veteran (as that term is 
     defined in section 3(q) of the Small Business Act (15 U.S.C. 
     632(q)), and minority entrepreneurs and business owners at 
     the prime and subcontracting levels.
                                 ______
                                 
  SA 3742. Mr. MENENDEZ submitted an amendment intended to be proposed 
to amendment SA 3695 proposed by Mr. Shelby to the bill H.R. 6157, 
making appropriations for the Department of Defense for the fiscal year 
ending September 30, 2019, and for other purposes; which was ordered to 
lie on the table; as follows:

       At the appropriate place in title II of division B, insert 
     the following:
       Sec. __.  There are appropriated, in addition to any other 
     amounts made available under the heading ``Substance Abuse 
     and Mental Health Services Administration'' $2,000,000 for 
     purposes of targeted mental health services for the 
     Commonwealth of Puerto Rico and the United States Virgin 
     Islands post-hurricane Maria.
                                 ______
                                 
  SA 3743. Mr. MENENDEZ submitted an amendment intended to be proposed 
by him to the bill H.R. 6157, making appropriations for the Department 
of Defense for the fiscal year ending September 30, 2019, and for other 
purposes; which was ordered to lie on the table; as follows:

       At the appropriate place in title VIII of division A, 
     insert the following:
       Sec. ___. (a) Pilot Program Required.--The Secretary of 
     Defense, the Secretary of Veterans Affairs, and the Secretary 
     of Labor shall jointly carry out a pilot program to assess 
     the feasibility and advisability of an online portal for the 
     Transition Assistance Program (TAP) under section 1144 of 
     title 10, United States Code, to assist members of the Armed 
     Forces participating in the Program in the transition from 
     military life to civilian life.
       (b) Locations.--The Secretaries shall carry out the pilot 
     program for members of the Armed Forces stationed at the 
     military installations as follows:
       (1) Camp Pendleton, California.
       (2) MacDill Air Force Base, Florida.
       (3) Fort Benning, Georgia.
       (4) Scott Air Force Base, Illinois.
       (5) Fort Campbell, Kentucky.
       (6) Joint Base McGurie-Dix-Lakehurst, New Jersey.
       (7) Camp Lejeune, North Carolina.
       (8) Fort Bragg, North Carolina.
       (9) Fort Hood, Texas.
       (10) Naval Station Norfolk, Virginia.
       (11) Joint Base Lewis-McChord, Washington.
       (c) Elements for Members.--The online portal under the 
     pilot program shall meet the following requirements:
       (1) The online portal shall be accessible through mobile 
     app technology, and shall be mobile-ready with responsive 
     design and available through so-called ``app stores''.
       (2) The version of the online portal accessible through a 
     desktop computer shall be compatible with various Internet 
     browsers, including Google Chrome, Mozilla Firefox, and 
     Internet Explorer version 9.0 or later.
       (3) The online portal shall include a map of all current 
     Military Occupation Specialties (MOS), and their codes, that 
     are, to the extent practicable, aligned with current 
     industries and jobs.
       (4) The online portal shall permit the generation, for each 
     member of the Armed Forces who uses the portal, of a 
     personalized transition data dashboard that includes the 
     information as follows:
       (A) A current list of employment opportunities in the 
     geographic area in which such member intends to reside after 
     military service that are available from employers that 
     employ not fewer than 1,000 employers nationwide.
       (B) A current list of educational opportunities in such 
     geographic area.
       (C) A list of the benefits available to such member under 
     the laws administered by the Secretary of Veterans Affairs, 
     including educational assistance benefits, and of the 
     Department of Veterans Affairs facilities in such geographic 
     area.
       (5) The personalized transition data dashboard for a member 
     under paragraph (4) shall continuously notify the member of 
     any time remaining before the expiration of the following:
       (A) Any career certification waiver based on the member's 
     Military Occupational Specialty.
       (B) Any active security clearance.
       (C) Any other benefits to which the member is entitled.
       (6) The online portal shall permit job searches based on 
     Military Occupational Specialty and career interest, and 
     shall have the capability to maintain a history of job 
     searches and submitted job applications and provide 
     electronic mail alerts about job opportunities based on 
     particularized military backgrounds, job interests, and 
     search criteria.
       (7) The online portal shall include a resume generator that 
     is compliant with industry-standard Applicant Tracking 
     Systems (ATS).
       (8) The online portal shall provide for career training 
     through the use of Learning Management Software, including 
     training courses with a minimum of 100 soft skills and 
     business courses.
       (9) The online portal shall include a career mentorship 
     system, using the ability to communicate online through text 
     chat, video calling, and electronic mail, which system shall 
     permit mentors to store information on the jobs mentees have 
     applied for, the training mentees have undertaken, and any 
     other appropriate mentorship matters.
       (d) Elements for Employers.--The online portal under the 
     pilot program shall meet the following requirements:
       (1) The online portal shall include a mechanism (to be 
     known as a ``military skills translator'') for use by 
     employers that connects Military Occupational Specialty codes 
     to job titles.
       (2) The online portal shall include a mechanism for use by 
     employers to search for members seeking employment by 
     Military Occupational Specialty code, other keyword, civilian 
     career category, and location.
       (3) The online portal shall provide online training for 
     employers on military life and on specific military job 
     descriptions related to particular industries.
       (e) Assessments.--
       (1) Interim assessments.--Not later than each of one year 
     and two years after the date of the commencement of the pilot 
     program, the Secretary of Defense, the Secretary of Veterans 
     Affairs, and the Secretary of Labor shall jointly carry out 
     an interim assessment of the pilot program.
       (2) Final assessment.--Not later than three years after the 
     date of the enactment of the pilot program, the Secretaries 
     shall jointly carry out a final assessment of the pilot 
     program.
       (3) Elements.--
       (A) In general.--The general objective of each assessment 
     under this subsection shall be to determine if the online 
     portal under the pilot program assists participants in the 
     Transition Program in the accomplishing the goals of the 
     Program in a manner that takes into account the individual 
     profiles of participants, including military experience and 
     geographic location.
       (B) Particular matters.--In meeting the general objective 
     under this paragraph, each assessment shall include a 
     determination of the following:
       (i) The aggregate number of profiles created on the online 
     portal by members of the Armed Forces and veterans since the 
     commencement of the pilot program.
       (ii) Demographic information on such members and veterans.
       (iii) The average amount time logged into the online portal 
     of members, veterans, employers, and community-based services 
     providers, by month, since the commencement of the pilot 
     program.
       (iv) A current ranking of most frequently-used features of 
     the online portal.

[[Page S5723]]

       (v) The current satisfaction of members and veterans with 
     the online portal as of each of 30 days and 180 days after 
     separation from military service.
       (vi) The number of connections made through the online 
     portal between employers and applicants for employment.
       (vii) The number of individuals hired as a result of 
     applications or identifications through the online portal.
                                 ______
                                 
  SA 3744. Mr. COTTON submitted an amendment intended to be proposed to 
amendment SA 3695 proposed by Mr. Shelby to the bill H.R. 6157, making 
appropriations for the Department of Defense for the fiscal year ending 
September 30, 2019, and for other purposes; which was ordered to lie on 
the table; as follows:

       At the appropriate place in title VIII of division A, 
     insert the following:
       Sec. ___. (a) The amount appropriated by title III of this 
     division under the heading ``Aircraft Procurement, Air 
     Force'' is hereby increased by $12,675,000, with the amount 
     of the increase to be available for F-35A aircraft for DCA 
     excess growth.
       (b) The amount appropriated by title III of this division 
     under the heading ``Aircraft Procurement, Air Force'' is 
     hereby decreased by $12,675,000, with the amount of the 
     decrease to be applied against amounts available under that 
     heading for Combat Aircraft for C-135B aircraft.
                                 ______
                                 
  SA 3745. Mr. PORTMAN (for himself and Mr. Brown) submitted an 
amendment intended to be proposed to amendment SA 3695 proposed by Mr. 
Shelby to the bill H.R. 6157, making appropriations for the Department 
of Defense for the fiscal year ending September 30, 2019, and for other 
purposes; which was ordered to lie on the table; as follows:

       At the appropriate place in title VIII of division A, 
     insert the following:

     SEC. ___. SENSE OF THE SENATE ON RESEARCH REGARDING BLAST 
                   EXPOSURE ON THE CELLULAR LEVEL OF THE BRAIN.

       It is the sense of the Senate that--
       (1) further research is necessary regarding blast exposure 
     on the cellular level of the brain;
       (2) such research is needed to develop blast protection 
     requirements for helmets and other personal protective 
     equipment; and
       (3) the Office of Naval Research should increase ongoing 
     efforts, to the maximum extent possible, to develop a 
     predictive traumatic brain injury model for blast, in order 
     to better understand the cellular response to blast impulses 
     and the interaction of the human brain and protective 
     equipment related to blast exposure.
                                 ______
                                 
  SA 3746. Mr. JOHNSON submitted an amendment intended to be proposed 
to amendment SA 3695 proposed by Mr. Shelby to the bill H.R. 6157, 
making appropriations for the Department of Defense for the fiscal year 
ending September 30, 2019, and for other purposes; which was ordered to 
lie on the table; as follows:

       At the appropriate place in title III of division A under 
     the heading ``Shipbuilding and Conversion, Navy'' strike the 
     matter relating to the Littoral Combat Ship and insert the 
     following:
       Littoral Combat Ship, $1,558,505,000.
                                 ______
                                 
  SA 3747. Mr. JOHNSON submitted an amendment intended to be proposed 
to amendment SA 3695 proposed by Mr. Shelby to the bill H.R. 6157, 
making appropriations for the Department of Defense for the fiscal year 
ending September 30, 2019, and for other purposes; which was ordered to 
lie on the table; as follows:

       At the appropriate place in title VIII of division A, 
     insert the following:
       Sec. ___.  The amount appropriated by title III of this 
     division under the heading ``Other Procurement, Army'' is 
     hereby increased by $16,963,000, with the amount of the 
     increase to be available for the Joint Light Tactical 
     Vehicle.
                                 ______
                                 
  SA 3748. Mr. JOHNSON submitted an amendment intended to be proposed 
to amendment SA 3695 proposed by Mr. Shelby to the bill H.R. 6157, 
making appropriations for the Department of Defense for the fiscal year 
ending September 30, 2019, and for other purposes; which was ordered to 
lie on the table; as follows:

       At the appropriate place in title VIII of division A, 
     insert the following:
       Sec. ___.  Using amounts appropriated or otherwise made 
     available by title III of this division under the heading 
     ``Aircraft Procurement, Air Force'' and available for the KC-
     46 aircraft, the Secretary of the Air Force shall submit to 
     the Committees on Appropriations of the Senate and the House 
     of Representatives a report setting forth such modifications 
     to the analytical model for basing of KC-46 aircraft as the 
     Secretary considers appropriate in order to ensure that the 
     model addresses changes in refueling requirements associated 
     with the conventional and nuclear missions of the Global 
     Strike Command, including other current or emerging missions 
     of the Global Strike Command (including missions in support 
     of counterterrorism activities as a result of the 2018 
     National Defense Strategy and associated mobility capability 
     requirements).
                                 ______
                                 
  SA 3749. Mr. GARDNER submitted an amendment intended to be proposed 
to amendment SA 3695 proposed by Mr. Shelby to the bill H.R. 6157, 
making appropriations for the Department of Defense for the fiscal year 
ending September 30, 2019, and for other purposes; which was ordered to 
lie on the table; as follows:

       At the appropriate place in title V of division B, insert 
     the following:
       Sec. _. (a) Section 1886 of the Social Security Act (42 
     U.S.C. 1395ww) is amended by adding at the end the following 
     new subsection:
       ``(u) Alternative National Per Resident Payment Amount for 
     Residents Training in Rural Training Locations.--
       ``(1) In general.--
       ``(A) Establishment.--The Secretary shall establish a 
     national per resident payment (NPRP) amount for time spent by 
     residents training in rural training locations in accordance 
     with paragraph (2).
       ``(B) Election.--For cost reporting periods beginning on or 
     after the date that is 1 year after the date of enactment of 
     this subsection, an applicable hospital (as defined in 
     paragraph (6)(A)), may elect to receive the payment amount 
     under this subsection for each full-time-equivalent resident 
     in an approved medical residency training program that 
     receives training in a rural training location in accordance 
     with paragraph (2). An applicable hospital may make an 
     election under the preceding sentence regardless of whether 
     the applicable hospital is otherwise eligible for a payment 
     or adjustment for indirect and direct graduate medical 
     education costs under subsections (d)(5)(B) and (h) or 
     section 1814(l), as applicable, with respect to such 
     residents. If the applicable hospital is otherwise eligible 
     for such a payment or adjustment, the national per resident 
     payment amount under this subsection shall be in lieu of such 
     payment or adjustment.
       ``(C) Application.--The provisions of this subsection, or 
     the application of such provisions to an applicable hospital, 
     shall not result in or otherwise effect the following:
       ``(i) The establishment of a limitation on the number of 
     residents in allopathic or osteopathic medicine for purposes 
     of subsections (d)(5)(B) and (h) with respect to an approved 
     medical residency training program of an applicable hospital 
     (or be taken into account in determining such a limitation 
     during the cap building period of an applicable hospital).
       ``(ii) The determination of--

       ``(I) the additional payment amount under subsection 
     (d)(5)(B); or
       ``(II) hospital-specific approved FTE resident amounts 
     under subsection (h).

       ``(iii) The counting of any resident with respect to which 
     the applicable hospital receives a national per resident 
     payment under this subsection towards the application of the 
     limitation described in clause (i) for purposes of 
     subsections (d)(5)(B) and (h).
       ``(2) Payment amount.--
       ``(A) Base amount.--The national per resident payment 
     amount, with respect to full-time equivalent residents 
     training in rural training locations, for cost reporting 
     periods beginning during the first year beginning on or after 
     the date of enactment of this subsection shall be, based on 
     the most recently available data with respect to cost 
     reporting periods beginning during a preceding year (referred 
     to in this subparagraph as the `base cost reporting period'), 
     equal to the sum of the following:
       ``(i) Direct gme.--The amount that, out of all of the 
     payment amounts (determined on a per resident basis) received 
     by hospitals under subsection (h) for such base cost 
     reporting period, is equal to the national 85th percentile of 
     such payment amounts.
       ``(ii) Indirect gme.--The amount that, out of all of the 
     additional payment amounts (determined on a per resident 
     basis) received by hospitals under subsection (d)(5)(B) for 
     such base cost reporting period, is equal to the national 
     85th percentile of such payment amounts.
       ``(B) Updating for subsequent cost reporting periods.--For 
     each subsequent cost reporting period, the national per 
     resident payment amount is equal to such amount determined 
     under this paragraph for the previous cost reporting period 
     updated, through the midpoint of the period, by projecting 
     the estimated percentage change in the consumer price index 
     during the 12-month period ending at that midpoint, with 
     appropriate adjustments to reflect previous under- or over-
     estimations under this subparagraph in the projected 
     percentage change in the consumer price index.
       ``(C) Clarification.--The national per resident payment 
     amount shall not be discounted or otherwise adjusted based on 
     the Medicare patient load (as defined in subsection 
     (h)(3)(C)) of an applicable hospital or discharges in a 
     diagnosis-related group.
       ``(3) Allocation of payments.--In providing for payments 
     under this subsection, the Secretary shall provide for an 
     allocation of such payments between parts A and part B (and 
     the trust funds established under the respective parts) as 
     reasonably reflects the proportion of such costs associated 
     with the

[[Page S5724]]

     provision of services under each respective part.
       ``(4) Eligibility for payment.--
       ``(A) In general.--An applicable hospital shall be eligible 
     for payment of the national per resident payment amount under 
     this subsection for time spent by a resident training in a 
     rural training location if the following requirements are 
     met:
       ``(i) The resident spends the equivalent of at least 8 
     weeks over the course of their training in a rural training 
     location.
       ``(ii) The hospital pays the salary and benefits of the 
     resident for the time spent training in a rural training 
     location.
       ``(B) Treatment of time spent in rural tracks.--An 
     applicable hospital shall be eligible for payment of the 
     national per resident payment amount under this subsection 
     for all time spent by residents in an approved medical 
     residency program (or separately defined track within a 
     program) that provides 50 percent or more of the total 
     residency training time in rural training locations (as 
     defined in paragraph (6)(C)), regardless of where the 
     training occurs and regardless of specialty.
       ``(5) Determination of full-time-equivalent residents.--The 
     determination of full-time-equivalent residents for purposes 
     of this subsection shall be made in the same manner as the 
     determination of full-time-equivalent residents under 
     subsection (h)(4).
       ``(6) Definitions.--In this subsection:
       ``(A) Applicable hospital.--The term `applicable hospital' 
     means a hospital or critical access hospital.
       ``(B) Approved medical residency training program; direct 
     graduate medical education costs; resident.--The terms 
     `approved medical residency training program', `direct 
     graduate medical education costs', and `resident' have the 
     meanings given those terms in subsection (h)(5).
       ``(C) Rural training location.--The term `rural training 
     location' means a location in which training occurs that, 
     based on the 2010 census or any subsequent census adjustment, 
     meets one or more of the following criteria:
       ``(i) The training occurs in a location that is a rural 
     area (as defined in section 1886(d)(2)(D)).
       ``(ii) The training occurs in a location that has a rural-
     urban commuting area code equal to or greater than 4.0.
       ``(iii) The training occurs in a location that is within 10 
     miles of a sole community hospital (as defined in subsection 
     (d)(5)(D)(iii))).
       ``(7) Budget neutrality requirement.--The Secretary shall 
     ensure that aggregate payments for direct medical education 
     costs and indirect medical education costs under this title, 
     including any payments under this subsection, for each year 
     (effective beginning on or after the date that is 1 year 
     after the date of enactment of this subsection) are not 
     greater than the aggregate payments for such costs that would 
     have been made under this title for the year without the 
     application of this subsection. For purposes of carrying out 
     the budget neutrality requirement under the preceding 
     sentence, the Secretary may make appropriate adjustments to 
     the amount of such payments for direct graduate medical 
     education costs and indirect medical education costs under 
     subsections (h) and (d)(5)(B), respectively.''.
       (b)(1) Section 1814(l) of the Social Security Act (42 
     U.S.C. 1395f(l)) is amended by adding at the end the 
     following new paragraph:
       ``(6) For cost reporting periods beginning on or after the 
     date that is 1 year after the date of enactment of this 
     paragraph, the following shall apply:
       ``(A) A critical access hospital may elect to be treated as 
     a hospital or as a non-provider setting for purposes of 
     counting resident time for indirect medical education costs 
     and direct graduate medical education costs for the time 
     spent by the resident in that setting under subsections 
     (d)(5)(B) and (h), respectively, of section 1886.
       ``(B) Medical education costs shall not be considered 
     reasonable costs of a critical access hospital for purposes 
     of payment under paragraph (1), to the extent that the 
     critical access hospital or another hospital receives payment 
     for such costs for the time spent by the resident in that 
     setting pursuant to subsection (d)(5)(B), subsection (h), or 
     subsection (u) of section 1886.''.
       (2) Section 1886(d)(5)(D) of the Social Security Act (42 
     U.S.C. 1395ww(d)(5)(D)) is amended by adding at the end the 
     following new clause:
       ``(vi) For cost reporting periods beginning on or after the 
     date that is 1 year after the date of enactment of this 
     paragraph, the hospital-specific payment amount determined 
     under clause (i)(I) with respect to a sole community hospital 
     shall not include medical education costs, to the extent that 
     the sole community hospital receives payment for such costs 
     for the time spent by the resident in that setting pursuant 
     to subsection (u).''.
       (c) Section 1886 of the Social Security Act (42 U.S.C. 
     1395ww) is amended--
       (1) in subsection (d)(5)(B), in the matter preceding clause 
     (i), by striking ``The Secretary'' and inserting ``Subject to 
     subsection (u), the Secretary''; and
       (2) in subsection (h)--
       (A) in paragraph (1), by inserting ``subject to subsection 
     (u)'' after ``1861(v),''; and
       (B) in paragraph (3), in the flush matter at the end, by 
     striking ``subsection (k)'' and inserting ``subsection (k) or 
     subsection (u)''.
       Sec. _. (a) Section 1886(h) of the Social Security Act (42 
     U.S.C. 1395ww(h)) is amended--
       (1) in paragraph (4)--
       (A) in subparagraph (F)(i)--
       (i) by striking ``130 percent'' and inserting ``for cost 
     reporting periods beginning on or after October 1, 1997, and 
     before the date that is 1 year after the date of enactment of 
     the Department of Defense and Labor, Health and Human 
     Services, and Education Appropriations Act, 2019, 130 
     percent''; and
       (ii) by adding at the end the following: ``For cost 
     reporting periods beginning on or after the date that is 1 
     year after the date of enactment of the Department of Defense 
     and Labor, Health and Human Services, and Education 
     Appropriations Act, 2019, such rules shall provide that any 
     full-time-equivalent resident in an approved medical 
     residency program (or separately defined track within a 
     program) that provides 50 percent or more of the total 
     residency training time in rural training locations (as 
     defined in subsection (u)(6)(C)), regardless of where the 
     training occurs and regardless of specialty, shall not be 
     taken into account for purposes of applying the limitation 
     under this subparagraph.''; and
       (iii) in subparagraph (H)--

       (I) in clause (i), in the second sentence, by inserting the 
     following before the period: ``, in accordance with the 
     second sentence of clause (i) of such subparagraph''; and
       (II) in clause (iv), by inserting the following before the 
     period: ``, in accordance with the second sentence of clause 
     (i) of such subparagraph''; and

       (iv) in paragraph (5), by adding at the end the following 
     new subparagraph:
       ``(L) Special rules regarding application of national per 
     resident payment amount.--For special rules regarding 
     application of the national per resident payment amount under 
     subsection (u), see paragraph (1)(C) of such subsection.''.
       (b) Section 1886(d)(5)(B)(v) is amended--
       (1) by striking ``130 percent'' and inserting ``for cost 
     reporting periods beginning on or after October 1, 1997, and 
     before the date that is 1 year after the date of enactment of 
     the Department of Defense and Labor, Health and Human 
     Services, and Education Appropriations Act, 2019, 130 
     percent''; and
       (2) by adding at the end the following: ``For cost 
     reporting periods beginning on or after the date that is 1 
     year after the date of enactment of the Department of Defense 
     and Labor, Health and Human Services, and Education 
     Appropriations Act, 2019, such rules shall provide that any 
     full-time-equivalent resident in an approved medical 
     residency program (or separately defined track within a 
     program) that provides 50 percent or more of the total 
     residency training time in rural training locations (as 
     defined in subsection (u)(6)(C)), regardless of where the 
     training occurs and regardless of specialty, shall not be 
     taken into account for purposes of applying the limitation 
     under this subparagraph. For special rules regarding 
     application of the national per resident payment amount under 
     subsection (u), see paragraph (1)(C) of such subsection.''.
                                 ______
                                 
  SA 3750. Mr. CARDIN submitted an amendment intended to be proposed to 
amendment SA 3695 proposed by Mr. Shelby to the bill H.R. 6157, making 
appropriations for the Department of Defense for the fiscal year ending 
September 30, 2019, and for other purposes; which was ordered to lie on 
the table; as follows:

       At the appropriate place in title VIII of division A, 
     insert the following:
       Sec. ___.  Not later than 120 days after the date of the 
     enactment of this Act, the Secretary of Defense shall, acting 
     through the Under Secretary of Defense for Research and 
     Engineering, submit to the congressional defense committees a 
     report on current investments of the Armed Forces in research 
     on energetics. The report shall include the following:
       (1) A comparison between current investments of the Navy in 
     research on energetics and current investments of the other 
     military departments in such research.
       (2) Recommendations for the most appropriate investments by 
     the Armed Forces in research on energetics in the future, and 
     a strategic roadmap for such investments.
                                 ______
                                 
  SA 3751. Mr. REED (for himself and Mrs. Capito) submitted an 
amendment intended to be proposed by him to the bill H.R. 6157, making 
appropriations for the Department of Defense for the fiscal year ending 
September 30, 2019, and for other purposes; which was ordered to lie on 
the table; as follows:

       At the appropriate place in division B, insert the 
     following:
       Sec. __.  Using amounts appropriated under this division, 
     the Comptroller General of the United States shall, not later 
     than 18 months after the date of enactment of this Act, 
     conduct a review and submit a report to Congress on barriers 
     to obtaining and paying for adequate medical care for 
     survivors of childhood cancer. Such report shall identify 
     existing barriers to the availability of complete and 
     coordinated survivorship care for survivors of childhood 
     cancer and of expert pediatric palliative care, and 
     recommendations to provide improved access and payment plans 
     for childhood cancer survivorship programs and palliative 
     care, including psychosocial services and coverage of such 
     services.
                                 ______
                                 
  SA 3752. Mr. CASSIDY submitted an amendment intended to be proposed 
to

[[Page S5725]]

amendment SA 3695 proposed by Mr. Shelby to the bill H.R. 6157, making 
appropriations for the Department of Defense for the fiscal year ending 
September 30, 2019, and for other purposes; which was ordered to lie on 
the table; as follows:

       At the appropriate place in division B, insert the 
     following:
       Sec. ___.  Whenever the Commissioner of the Bureau of Labor 
     Statistics periodically publishes data about the employment 
     of veterans, the Commissioner shall disaggregate such data by 
     officer or enlisted status and by whether a veteran served as 
     a member of the Armed Forces in an overseas contingency 
     operation.
                                 ______
                                 
  SA 3753. Mr. CASSIDY submitted an amendment intended to be proposed 
to amendment SA 3695 proposed by Mr. Shelby to the bill H.R. 6157, 
making appropriations for the Department of Defense for the fiscal year 
ending September 30, 2019, and for other purposes; which was ordered to 
lie on the table; as follows:

       At the appropriate place in title VIII of division A, 
     insert the following:

     SEC. ___. QUARTERLY REPORTS ON RESPONSIVENESS OF DEPARTMENT 
                   OF VETERANS AFFAIRS TO CONGRESSIONAL INQUIRIES 
                   REGARDING PROCESSING AND DELIVERY OF BENEFITS.

       (a) Reports Required.--Not later than 60 days after the 
     date of the enactment of this Act and not less frequently 
     than once every three months thereafter until the date that 
     is two years after the date of the enactment of this Act, the 
     Secretary of Veterans Affairs shall submit to Congress a 
     report on the timeliness of responses by the Department of 
     Veterans Affairs to inquiries by members of Congress 
     regarding the processing and delivery of benefits by the 
     Veterans Benefits Administration to members of the Armed 
     Forces and veterans.
       (b) Disaggregation.--Each report submitted under subsection 
     (a) shall disaggregate information, when appropriate, by 
     benefit and regional office.
                                 ______
                                 
  SA 3754. Mr. CASSIDY submitted an amendment intended to be proposed 
to amendment SA 3695 proposed by Mr. Shelby to the bill H.R. 6157, 
making appropriations for the Department of Defense for the fiscal year 
ending September 30, 2019, and for other purposes; which was ordered to 
lie on the table; as follows:

       At the appropriate place in title VIII of division A, 
     insert the following:
       Sec. ___.  Not later than 180 days after the date of the 
     enactment of this Act, the Secretary of the Navy shall submit 
     to the congressional defense committees an addendum to the 
     30-year shipbuilding plan of the Navy that sets forth in 
     detail the manner in which the Department of the Navy will 
     take into account in such plan each of the following:
       (1) Appropriate diversification among small-sized and 
     medium-sized surface ships.
       (2) Capacity in the shipbuilding industry as of the date of 
     the report.
                                 ______
                                 
  SA 3755. Mr. CASSIDY submitted an amendment intended to be proposed 
to amendment SA 3695 proposed by Mr. Shelby to the bill H.R. 6157, 
making appropriations for the Department of Defense for the fiscal year 
ending September 30, 2019, and for other purposes; which was ordered to 
lie on the table; as follows:

       At the appropriate place in division A, insert the 
     following:
       Sec. ___. (a) The Secretary of Defense shall, through the 
     Joint Trauma Education and Training Directorate established 
     under section 708 of the National Defense Authorization Act 
     for Fiscal Year 2017 (Public Law 114-328; 10 U.S.C. 1071 
     note), develop partnerships with civilian academic medical 
     centers and large metropolitan teaching hospitals to improve 
     combat casualty care for personnel of the Armed Forces.
       (b) In carrying out partnerships under subsection (a), 
     trauma surgeons and physicians of the Department of Defense 
     shall partner with level I civilian trauma centers to provide 
     adequate training and readiness for the next generation of 
     medical providers to treat critically injured burn patients.
       (c) The Secretary of Defense shall make every effort to 
     support partnerships under the Joint Trauma Education and 
     Training Directorate with academic institutions that have 
     level I civilian trauma centers, specifically those centers 
     with a burn center, that offer burn rotations and clinical 
     experience to provide adequate training and readiness for the 
     next generation of medical providers to treat critically 
     injured burn patients.
       (d) In this section, the term ``level I civilian trauma 
     center'' has the meaning given that term in section 708 of 
     the National Defense Authorization Act for Fiscal Year 2017 
     (Public Law 114-328; 10 U.S.C. 1071 note).
                                 ______
                                 
  SA 3756. Mr. CASSIDY submitted an amendment intended to be proposed 
to amendment SA 3695 proposed by Mr. Shelby to the bill H.R. 6157, 
making appropriations for the Department of Defense for the fiscal year 
ending September 30, 2019, and for other purposes; which was ordered to 
lie on the table; as follows:

       At the end of title V of division B, insert the following:
       Sec. __.  None of the funds appropriated or made available 
     by this Act or by previous appropriations Acts may be used to 
     process a claim for payment under title XIX of the Social 
     Security Act to a State that imposes a health care-related 
     tax on a provider of items or services under the State 
     Medicaid program that exceeds 4 percent of net patient 
     revenue. In this section, the terms ``health care-related 
     tax'' and ``net patient revenue'' have the meaning given 
     those terms for purposes of section 433.68 of title 14, Code 
     of Federal Regulations.
                                 ______
                                 
  SA 3757. Mr. CASSIDY (for himself and Mr. Udall) submitted an 
amendment intended to be proposed to amendment SA 3695 proposed by Mr. 
Shelby to the bill H.R. 6157, making appropriations for the Department 
of Defense for the fiscal year ending September 30, 2019, and for other 
purposes; which was ordered to lie on the table; as follows:

       At the appropriate place in title II of division B, insert 
     the following:
       Sec. ___.  None of the funds made available by this Act may 
     be used to support the maintenance of chimpanzees at any 
     Federal or non-Federal research facility registered pursuant 
     to section 6 of the Animal Welfare Act (7 U.S.C. 2136) 
     unless, not later than November 1, 2018, the Director of the 
     National Institutes of Health establishes, in accordance with 
     the purposes of section 404K of the Public Health Service Act 
     (42 U.S.C. 283m), a plan to retire to the sanctuary system 
     established under section 404K of the Public Health Service 
     Act (42 U.S.C. 283m) by December 31, 2021--
       (1) all chimpanzees categorized as Class I, II, or III on 
     the American Society of Anesthesiologists physical status 
     classification system, as adapted by the Academy of 
     Veterinary Technicians in Anesthesia and Analgesia; and
       (2) all chimpanzees--
       (A) categorized as Class IV or V on the classification 
     system described in paragraph (1); and
       (B) determined to be eligible for transfer to that 
     sanctuary system by an independent team--
       (i) consisting of--

       (I) 2 veterinarians with experience in treating apes in a 
     sanctuary, a zoo, or the wild;
       (II) a behaviorist with experience working with apes in a 
     sanctuary, a zoo, or the wild;
       (III) an anesthesiologist; and
       (IV) a bioethicist; and

       (ii) none of whom is currently, or has recently been, 
     employed by a laboratory.
                                 ______
                                 
  SA 3758. Ms. KLOBUCHAR submitted an amendment intended to be proposed 
to amendment SA 3695 proposed by Mr. Shelby to the bill H.R. 6157, 
making appropriations for the Department of Defense for the fiscal year 
ending September 30, 2019, and for other purposes; which was ordered to 
lie on the table; as follows:

       At the appropriate place in division A, insert the 
     following:

     SEC. ____. EXPOSURE TO OPEN BURN PITS AND TOXIC AIRBORNE 
                   CHEMICALS AS PART OF PERIODIC HEALTH 
                   ASSESSMENTS AND OTHER PHYSICAL EXAMINATIONS.

       (a) Periodic Health Assessment.--The Secretary of Defense 
     shall ensure that any periodic health assessment provided to 
     members of the Armed Forces includes an evaluation of whether 
     the member has been--
       (1) based or stationed at a location where an open burn pit 
     was used; or
       (2) exposed to toxic airborne chemicals, including any 
     information recorded as part of the Airborne Hazards and Open 
     Burn Pit Registry.
       (b) Separation History and Physical Examinations.--Section 
     1145(a)(5) of title 10, United States Code, is amended by 
     adding at the end the following new subparagraph:
       ``(C) The Secretary concerned shall ensure that each 
     physical examination of a member under subparagraph (A) 
     includes an assessment of whether the member was--
       ``(i) based or stationed at a location where an open burn 
     pit, as defined in subsection (c) of section 201 of the 
     Dignified Burial and Other Veterans' Benefits Improvement Act 
     of 2012 (Public Law 112-260; 38 U.S.C. 527 note), was used; 
     or
       ``(ii) exposed to toxic airborne chemicals, including any 
     information recorded as part of the registry established by 
     the Secretary of Veterans Affairs under such section 201.''.
       (c) Deployment Assessments.--Section 1074f(b)(2) of title 
     10, United States Code, is amended by adding at the end the 
     following new subparagraph:
       ``(D) An assessment of whether the member was--
       ``(i) based or stationed at a location where an open burn 
     pit, as defined in subsection (c) of section 201 of the 
     Dignified Burial and Other Veterans' Benefits Improvement Act 
     of 2012 (Public Law 112-260; 38 U.S.C. 527 note), was used; 
     or
       ``(ii) exposed to toxic airborne chemicals, including any 
     information recorded as part

[[Page S5726]]

     of the registry established by the Secretary of Veterans 
     Affairs under such section 201.''.
       (d) Sharing of Information.--
       (1) DOD-VA.--The Secretary of Defense and the Secretary of 
     Veterans Affairs shall jointly enter into a memorandum of 
     understanding providing for the sharing by the Department of 
     Defense with the Department of Veterans Affairs of the 
     results of covered evaluations regarding the exposure by a 
     member of the Armed Forces to toxic airborne chemicals.
       (2) Registry.--If a covered evaluation of a member of the 
     Armed Forces establishes that the member was based or 
     stationed at a location where an open burn pit was used, or 
     the member was exposed to toxic airborne chemicals, the 
     member shall be enrolled in the Airborne Hazards and Open 
     Burn Pit Registry, unless the member elects to not so enroll.
       (e) Rule of Construction.--Nothing in this section may be 
     construed to preclude eligibility for benefits under the laws 
     administered by the Secretary of Veterans Affairs by reason 
     of the open burn pit exposure history of a veteran not being 
     recorded in a covered evaluation.
       (f) Definitions.--In this section:
       (1) The term ``Airborne Hazards and Open Burn Pit 
     Registry'' means the registry established by the Secretary of 
     Veterans Affairs under section 201 of the Dignified Burial 
     and Other Veterans' Benefits Improvement Act of 2012 (Public 
     Law 112-260; 38 U.S.C. 527 note).
       (2) The term ``covered evaluation'' means--
       (A) a periodic health assessment conducted in accordance 
     with subsection (a);
       (B) a separation history and physical examination conducted 
     under section 1145(a)(5) of title 10, United States Code, as 
     amended by this section; and
       (C) a deployment assessment conducted under section 
     1074f(b)(2) of such title, as amended by this section.
       (3) The term ``open burn pit'' has the meaning given that 
     term in section 201(c) of the Dignified Burial and Other 
     Veterans' Benefits Improvement Act of 2012 (Public Law 112-
     260; 38 U.S.C. 527 note).
                                 ______
                                 
  SA 3759. Mr. SCHUMER (for himself and Ms. Collins) submitted an 
amendment intended to be proposed to amendment SA 3695 proposed by Mr. 
Shelby to the bill H.R. 6157, making appropriations for the Department 
of Defense for the fiscal year ending September 30, 2019, and for other 
purposes; which was ordered to lie on the table; as follows:

       At the appropriate place in title II of division B, insert 
     the following:
       Sec. __. (a) There are appropriated under the heading 
     ``Emerging and Zoonotic Infectious Diseases'' under the 
     heading ``Centers for Disease Control and Prevention'', in 
     addition to any other amounts made available under such 
     heading and in order to provide additional funding for Lyme 
     disease activities, $1,300,000.
       (b) Notwithstanding any other provision of this Act, the 
     total amount appropriated under the heading ``Chronic Disease 
     Prevention and Health Promotion'' under the heading ``Centers 
     for Disease Control and Prevention'' is hereby reduced by 
     $1,300,000.
                                 ______
                                 
  SA 3760. Mr. WARNER submitted an amendment intended to be proposed to 
amendment SA 3695 proposed by Mr. Shelby to the bill H.R. 6157, making 
appropriations for the Department of Defense for the fiscal year ending 
September 30, 2019, and for other purposes; which was ordered to lie on 
the table; as follows:

       At the appropriate place in title VIII of division A, 
     insert the following:
       Sec. ___.  Amounts appropriated or otherwise made available 
     by this Act for obligation and expenditure for the processing 
     of security clearances shall be treated as a congressional 
     special interest item.
                                 ______
                                 
  SA 3761. Mr. WARNER submitted an amendment intended to be proposed to 
amendment SA 3695 proposed by Mr. Shelby to the bill H.R. 6157, making 
appropriations for the Department of Defense for the fiscal year ending 
September 30, 2019, and for other purposes; which was ordered to lie on 
the table; as follows:

       At the appropriate place in title VIII of division A, 
     insert the following:
       Sec. ___.  None of the amounts appropriated or otherwise 
     made available by this division may be used to grant, deny, 
     or revoke access, or eligibility for access, to classified 
     information except in accordance with the processes and 
     procedures under the following:
       (1) Executive Orders 12968 and 13467, as such Executive 
     Orders were in effect on August 15, 2018.
       (2) Part 147 of title 32, Code of Federal Regulations, as 
     such part was in effect on August 15, 2018.
       (3) Applicable department and agency regulations that 
     govern access to classified information and due process 
     requirements.
                                 ______
                                 
  SA 3762. Mr. WHITEHOUSE (for himself and Mr. Portman) submitted an 
amendment intended to be proposed to amendment SA 3695 proposed by Mr. 
Shelby to the bill H.R. 6157, making appropriations for the Department 
of Defense for the fiscal year ending September 30, 2019, and for other 
purposes; which was ordered to lie on the table; as follows:

       At the appropriate place in title II of division B insert 
     the following:
       Sec. __.  Not less than 10 percent of the amount 
     appropriated to State Opioid Response Grants under the 
     heading ``Substance Abuse Treatment'' under the heading 
     ``Substance Abuse and Mental Health Services Administration'' 
     shall be used by the States receiving such grants to carry 
     out the activities described in section 547(d) of the PHS 
     Act.
                                 ______
                                 
  SA 3763. Mr. WARNER (for himself, Mrs. Capito, Mr. Manchin, Mr. 
Brown, and Mr. Casey) submitted an amendment intended to be proposed to 
amendment SA 3695 proposed by Mr. Shelby to the bill H.R. 6157, making 
appropriations for the Department of Defense for the fiscal year ending 
September 30, 2019, and for other purposes; which was ordered to lie on 
the table; as follows:

       At the appropriate place in title II of division B, insert 
     the following:
       Sec. __.  Not later than 180 days after the enactment of 
     this Act, and using funds appropriated under this title, the 
     Director of the National Institute for Occupational Safety 
     and Health shall submit to Congress a report that--
       (1) includes a description of those active and non-active 
     coal miner populations that are currently covered by the Coal 
     Workers' Health Surveillance program;
       (2) identifies and describes potential barriers that limit 
     active and non-active coal miner participation in such 
     program; and
       (3) describes existing or planned outreach efforts to 
     improve the participation of active and non-active coal 
     miners in periodic health surveillance.
                                 ______
                                 
  SA 3764. Mr. WARNER (for himself, Mr. Jones, and Ms. Cortez Masto) 
submitted an amendment intended to be proposed to amendment SA 3695 
proposed by Mr. Shelby to the bill H.R. 6157, making appropriations for 
the Department of Defense for the fiscal year ending September 30, 
2019, and for other purposes; which was ordered to lie on the table; as 
follows:

       At the appropriate place in title VIII of division A, 
     insert the following:
       Sec. ___.  Of the amount appropriated by title II of this 
     Act under the heading ``Operation and Maintenance, Defense-
     Wide'', up to $7,000,000 may be available for the Office of 
     the Secretary of Defense for the Information Assurance 
     Scholarship Program.
                                 ______
                                 
  SA 3765. Mr. WHITEHOUSE (for himself and Mr. Cassidy) submitted an 
amendment intended to be proposed by him to the bill H.R. 6157, making 
appropriations for the Department of Defense for the fiscal year ending 
September 30, 2019, and for other purposes; which was ordered to lie on 
the table; as follows:

       At the appropriate place in title II of division B insert 
     the following:
       Sec. __.  Not later than November 1, 2018, the Secretary 
     shall provide, to the Committees on Appropriations of the 
     Senate and the House of Representatives, the Committee on 
     Health, Education, Labor, and Pensions of the Senate, and the 
     Committee on Energy and Commerce of the House of 
     Representatives, a status update on the rulemaking required 
     under sections 3001(c)(5)(D), and 3022(a)(3), of the PHS Act.
                                 ______
                                 
  SA 3766. Mr. MANCHIN submitted an amendment intended to be proposed 
by him to the bill H.R. 6157, making appropriations for the Department 
of Defense for the fiscal year ending September 30, 2019, and for other 
purposes; which was ordered to lie on the table; as follows:

       At the appropriate place in title I of division B insert 
     the following:
       Sec. __.  None of the funds made available under this Act 
     shall be used to repeal or alter the effectiveness of the 
     rule submitted by the Department of Labor relating to 
     ``Lowering Miners' Exposure to Respirable Coal Mine Dust, 
     Including Continuous Personal Dust Monitors'' (79 Fed. Reg. 
     24814 (May 1, 2014)).
                                 ______
                                 
  SA 3767. Mr. MANCHIN submitted an amendment intended to be proposed 
to amendment SA 3695 proposed by Mr. Shelby to the bill H.R. 6157, 
making appropriations for the Department of Defense for the fiscal year 
ending September 30, 2019, and for other purposes; which was ordered to 
lie on the table; as follows:

       At the appropriate place in title II of division B, insert 
     the following:
       Sec. __.  The Secretary of Health and Human Services shall 
     conduct a study of the potential benefits of providing opioid 
     prescribers information about the opioid overdose deaths of 
     their patients to whom they prescribed an opioid medication.

[[Page S5727]]

  

                                 ______
                                 
  SA 3768. Mr. MANCHIN submitted an amendment intended to be proposed 
by him to the bill H.R. 6157, making appropriations for the Department 
of Defense for the fiscal year ending September 30, 2019, and for other 
purposes; which was ordered to lie on the table; as follows:

       At the appropriate place in title II of division B insert 
     the following:

     SEC. __. BUDGETING FOR OPIOID ADDICTION TREATMENT.

       (a) Short Title.--This section may be cited as the 
     ``Budgeting for Opioid Addiction Treatment Act''.
       (b) Stewardship Fee on Opioid Pain Relievers.--
       (1) In general.--Subchapter E of chapter 32 of the Internal 
     Revenue Code of 1986 is amended by adding at the end the 
     following new section:

     ``SEC. 4192. OPIOID PAIN RELIEVERS.

       ``(a) In General.--There is hereby imposed on the sale of 
     any active opioid by the manufacturer, producer, or importer 
     a fee equal to 1 cent per milligram so sold.
       ``(b) Active Opioid.--For purposes of this section--
       ``(1) In general.--The term `active opioid' means any 
     controlled substance (as defined in section 102 of the 
     Controlled Substances Act, as in effect on the date of the 
     enactment of this section) which is opium, an opiate, or any 
     derivative thereof.
       ``(2) Exclusion for certain prescription medications.--Such 
     term shall not include any prescribed drug which is used 
     exclusively for the treatment of opioid addiction as part of 
     a medically assisted treatment effort.
       ``(3) Exclusion of other ingredients.--In the case of a 
     product that includes an active opioid and another 
     ingredient, subsection (a) shall apply only to the portion of 
     such product that is an active opioid.''.
       (2) Clerical amendments.--
       (A) The heading of subchapter E of chapter 32 of the 
     Internal Revenue Code of 1986 is amended by striking 
     ``Medical Devices'' and inserting ``Other Medical Products''.
       (B) The table of subchapters for chapter 32 of such Code is 
     amended by striking the item relating to subchapter E and 
     inserting the following new item:

               ``subchapter e. other medical products''.

       (C) The table of sections for subchapter E of chapter 32 of 
     such Code is amended by adding at the end the following new 
     item:
``Sec. 4192. Opioid pain relievers.''.

       (3) Effective date.--The amendments made by this subsection 
     shall apply to sales on or after the date that is 1 year 
     after the date of the enactment of this Act.
       (4) Rebate or discount program for certain cancer and 
     hospice patients.--
       (A) In general.--The Secretary of Health and Human 
     Services, in consultation with patient advocacy groups and 
     other relevant stakeholders as determined by such Secretary, 
     shall establish a mechanism by which--
       (i) any amount paid by an eligible patient in connection 
     with the stewardship fee under section 4192 of the Internal 
     Revenue Code of 1986 (as added by this subsection) shall be 
     rebated to such patient in as timely a manner as possible, or
       (ii) amounts paid by an eligible patient for active opioids 
     (as defined in section 4192(b) of such Code) are discounted 
     at time of payment or purchase to ensure that such patient 
     does not pay any amount attributable to such fee, with as 
     little burden on the patient as possible. The Secretary shall 
     choose whichever of the options described in clause (i) or 
     (ii) is, in the Secretary's determination, most effective and 
     efficient in ensuring eligible patients face no economic 
     burden from such fee.
       (B) Eligible patient.--For purposes of this subsection, the 
     term ``eligible patient'' means--
       (i) a patient for whom any active opioid (as so defined) is 
     prescribed to treat pain relating to cancer or cancer 
     treatment;
       (ii) a patient participating in hospice care; and
       (iii) in the case of the death or incapacity of a patient 
     described in clause (i) or (ii) or any similar situation as 
     determined by the Secretary of Health and Human Services, the 
     appropriate family member, medical proxy, or similar 
     representative or the estate of such patient.
       (c) Block Grants for Prevention and Treatment of Substance 
     Abuse.--
       (1) Grants to states.--Section 1921(b) of the Public Health 
     Service Act (42 U.S.C. 300x-21(b)) is amended by inserting 
     ``, and, as applicable, for carrying out section 1923A'' 
     before the period.
       (2) Nonapplicability of prevention program provision.--
     Section 1922(a)(1) of the Public Health Service Act (42 
     U.S.C. 300x-22(a)(1)) is amended by inserting ``except with 
     respect to amounts made available as described in section 
     1923A,'' before ``will expend''.
       (3) Opioid treatment programs.--Subpart II of part B of 
     title XIX of the Public Health Service Act (42 U.S.C. 300x-21 
     et seq.) is amended by inserting after section 1923 the 
     following:

     ``SEC. 1923A. ADDITIONAL SUBSTANCE ABUSE TREATMENT PROGRAMS.

       ``A funding agreement for a grant under section 1921 is 
     that the State involved shall provide that any amounts made 
     available by any increase in revenues to the Treasury in the 
     previous fiscal year resulting from the enactment of section 
     4192 of the Internal Revenue Code of 1986, reduced by any 
     amounts rebated or discounted under subsection (b)(4) of the 
     Budgeting for Opioid Addiction Treatment Act (as described in 
     section 1933(a)(1)(B)(i)) be used exclusively for substance 
     abuse (including opioid abuse) treatment efforts in the 
     State, including--
       ``(1) treatment programs--
       ``(A) establishing new addiction treatment facilities, 
     residential and outpatient, including covering capital costs;
       ``(B) establishing sober living facilities;
       ``(C) recruiting and increasing reimbursement for certified 
     mental health providers providing substance abuse treatment 
     in medically underserved communities or communities with high 
     rates of prescription drug abuse;
       ``(D) expanding access to long-term, residential treatment 
     programs for opioid addicts (including  30-, 60-, and 90-day 
     programs);
       ``(E) establishing or operating support programs that offer 
     employment services, housing, and other support services to 
     help recovering addicts transition back into society;
       ``(F) establishing or operating housing for children whose 
     parents are participating in substance abuse treatment 
     programs, including capital costs;
       ``(G) establishing or operating facilities to provide care 
     for babies born with neonatal abstinence syndrome, including 
     capital costs; and
       ``(H) other treatment programs, as the Secretary determines 
     appropriate; and
       ``(2) recruitment and training of substance use disorder 
     professionals to work in rural and medically underserved 
     communities.''.
       (4) Additional funding.--Section 1933(a)(1)(B)(i) of the 
     Public Health Service Act (42 U.S.C. 300x-33(a)(1)(B)(i)) is 
     amended by inserting ``, plus any increase in revenues to the 
     Treasury in the previous fiscal year resulting from the 
     enactment of section 4192 of the Internal Revenue Code of 
     1986, reduced by any amounts rebated or discounted under 
     subsection (b)(4) of the Budgeting for Opioid Addiction 
     Treatment Act'' before the period.
       (d) Report.--Not later than 2 years after the date 
     described in subsection (b)(3), the Secretary of Health and 
     Human Services shall submit to Congress a report on the 
     impact of the amendments made by subsections (b) and (c) on--
       (1) the retail cost of active opioids (as defined in 
     section 4192 of the Internal Revenue Code of 1986, as added 
     by subsection (b));
       (2) patient access to such opioids, particularly cancer and 
     hospice patients, including the effect of the discount or 
     rebate on such opioids for cancer and hospice patients under 
     section (b)(4);
       (3) how the increase in revenue to the Treasury resulting 
     from the enactment of section 4192 of the Internal Revenue 
     Code of 1986 is used to improve substance abuse treatment 
     efforts in accordance with section 1923A of the Public Health 
     Service Act (as added by subsection (c)); and
       (4) suggestions for improving--
       (A) access to opioids for cancer and hospice patients; and
       (B) substance abuse treatment efforts under such section 
     1923A.
                                 ______
                                 
  SA 3769. Mr. HEINRICH submitted an amendment intended to be proposed 
by him to the bill H.R. 6157, making appropriations for the Department 
of Defense for the fiscal year ending September 30, 2019, and for other 
purposes; which was ordered to lie on the table; as follows:

       At the appropriate place in title VIII of division A, 
     insert the following:
       Sec. ___. (a) Using amounts appropriated under title IV, 
     the Secretary of Defense shall use commercial space launch 
     providers and spaceports licensed by the Federal Aviation 
     Administration, when appropriate, for launches into mid-to-
     low inclination orbits in support of national security space 
     priorities.
       (b) It is the sense of Congress that--
       (1) there are a number of spaceports that, as of the date 
     of the enactment of this Act, are already developed or under 
     development, including in New Mexico, Alaska, Oklahoma, 
     Virginia, Texas, Georgia, and Arizona; and
       (2) the Secretary should use those spaceports to the extent 
     practicable.
                                 ______
                                 
  SA 3770. Mr. HEINRICH submitted an amendment intended to be proposed 
by him to the bill H.R. 6157, making appropriations for the Department 
of Defense for the fiscal year ending September 30, 2019, and for other 
purposes; which was ordered to lie on the table; as follows:

       At the appropriate place in title VIII of division A, 
     insert the following:
       Sec. ___.  It is the sense of Congress that the Secretary 
     of Defense should ensure that the budget request for fiscal 
     year 2020 submitted to Congress pursuant to section 1105(a) 
     of title 31, United States Code, reflects the need for 
     modernization of testing and evaluation instrumentation as 
     identified in appendix C of the report submitted to Congress 
     by the Department of Defense that was dated June, 2018, on 
     the proposed Joint Directed Energy Test Center and an update 
     on the High Energy Laser Systems Test Facility (HELSTF).

[[Page S5728]]

  

                                 ______
                                 
  SA 3771. Mr. HEINRICH submitted an amendment intended to be proposed 
by him to the bill H.R. 6157, making appropriations for the Department 
of Defense for the fiscal year ending September 30, 2019, and for other 
purposes; which was ordered to lie on the table; as follows:

       At the appropriate place in title VIII of division A, 
     insert the following:
       Sec. ___.  Of the funds appropriated or otherwise made 
     available by title IV under the heading ``Research, 
     Development, Test and Evaluation, Air Force'', $10,000,000 
     shall be available for research on high-powered microwaves at 
     the Joint Directed Energy Transition Office.
                                 ______
                                 
  SA 3772. Mr. HEINRICH submitted an amendment intended to be proposed 
to amendment SA 3695 proposed by Mr. Shelby to the bill H.R. 6157, 
making appropriations for the Department of Defense for the fiscal year 
ending September 30, 2019, and for other purposes; which was ordered to 
lie on the table; as follows:

       At the appropriate place in title VIII of division A, 
     insert the following:
       Sec. ___.  It is the sense of Congress that--
       (1) the Secretary of Defense should use funds appropriated 
     or otherwise made available by this division to make grants, 
     conclude cooperative agreements, or supplement other Federal 
     funds in order to construct, renovate, repair, or expand 
     elementary and secondary public schools on military 
     installations in order to address capacity or facility 
     condition deficiencies at such schools;
       (2) in awarding such funds, priority consideration should 
     be given to military installations with schools having the 
     most serious capacity or facility condition deficiencies as 
     determined by the Secretary; and
       (3) as a condition of receiving such funds, the local 
     educational agency or State concerned should continue to 
     provide a matching share as described in the notice titled 
     ``Department of Defense Program for Construction, Renovation, 
     Repair or Expansion of Public Schools Located on Military 
     Installations'' published by the Department of Defense in the 
     Federal Register on September 9, 2011 (76 Fed. Reg. 55883 et 
     seq.).
                                 ______
                                 
  SA 3773. Mr. McCONNELL (for Mr. Nelson (for himself and Mrs. Capito)) 
proposed an amendment to amendment SA 3695 proposed by Mr. Shelby to 
the bill H.R. 6157, making appropriations for the Department of Defense 
for the fiscal year ending September 30, 2019, and for other purposes; 
as follows:

       At the appropriate place in title VIII of division A, 
     insert the following:
       Sec. ___. (a) Not later than 180 days after the date of the 
     enactment of this Act, the Comptroller General of the United 
     States shall submit to the Committees on Appropriations of 
     the Senate and the House of Representatives a report on a 
     study, conducted by the Comptroller General for purposes of 
     the report, on the implementation of the Military Health 
     System (MHS) Genesis electronic health record at the four 
     currently active sites.
       (b) The report shall include the following:
       (1) A description and assessment of the manner in which the 
     Military Health System Genesis electronic health record is 
     addressing the concerns raised by the partial Initial 
     Operational Test and Evaluation (IOT&E) report on the 
     implementation of the record.
       (2) A description and assessment of the performance of 
     Military Health System Genesis in meeting the demands of the 
     four currently active sites.
       (3) A description and assessment of underlying issues in 
     connection with the implementation of Military Health System 
     Genesis.
       (4) A description and assessment of any anticipated delays 
     in the implementation of Military Health System Genesis, 
     including the effect of such delays on the execution of 
     funds.
       (5) Any other matters in connection with the implementation 
     of Military Health System Genesis that the Comptroller 
     General considers appropriate.
                                 ______
                                 
  SA 3774. Mr. ISAKSON (for himself and Mr. Murphy) submitted an 
amendment intended to be proposed to amendment SA 3695 proposed by Mr. 
Shelby to the bill H.R. 6157, making appropriations for the Department 
of Defense for the fiscal year ending September 30, 2019, and for other 
purposes; which was ordered to lie on the table; as follows:

       On page 202, line 4, insert before the period the following 
     ``of which $5,000,000 shall remain available until expended 
     to be used for the establishment of the National Neurological 
     Conditions Surveillance System as authorized in the 21st 
     Century Cures Act (Public Law 114-255)''.

                                 ______
                                 
  SA 3775. Mr. ISAKSON (for himself and Mr. Murphy) submitted an 
amendment intended to be proposed to amendment SA 3695 proposed by Mr. 
Shelby to the bill H.R. 6157, making appropriations for the Department 
of Defense for the fiscal year ending September 30, 2019, and for other 
purposes; which was ordered to lie on the table; as follows:

       On page 202, line 4, insert before the period the following 
     ``of which $5,000,000 shall remain available until expended 
     to be used for the establishment of the National Neurological 
     Conditions Surveillance System as authorized in the 21st 
     Century Cures Act (Public Law 114-255)''.

                                 ______
                                 
  SA 3776. Mr. BLUMENTHAL submitted an amendment intended to be 
proposed to amendment SA 3695 proposed by Mr. Shelby to the bill H.R. 
6157, making appropriations for the Department of Defense for the 
fiscal year ending September 30, 2019, and for other purposes; which 
was ordered to lie on the table; as follows:

       At the appropriate place in division B, insert the 
     following:
       Sec. ___. (a) None of the funds appropriated or otherwise 
     made available by this Act, whether by division A or division 
     B, may be obligated or expended to house 1 or more alien 
     subject to removal under section 212 or 237 of the 
     Immigration and Nationality Act (8 U.S.C. 1182, 1227), for 
     purposes of detention or imprisonment within the custody or 
     control of the Department of Defense, unless specifically 
     authorized by an Act of Congress enacted after the date of 
     the enactment of this Act
       (b) In this section, the term ``alien'' has the meaning 
     given that term in section 101(3) of the Immigration and 
     Nationality Act (8 U.S.C. 1101(3)).
                                 ______
                                 
  SA 3777. Mr. BLUMENTHAL submitted an amendment intended to be 
proposed by him to the bill H.R. 6157, making appropriations for the 
Department of Defense for the fiscal year ending September 30, 2019, 
and for other purposes; which was ordered to lie on the table; as 
follows:

       At the appropriate place in title VIII of division A, 
     insert the following:
       Sec. ___. (a) Findings.--Congress finds that--
       (1) Gold Star mothers and fathers and families are true 
     national heroes, who deserve our deepest gratitude and 
     respect; and
       (2) the extraordinary contribution of Gold Star mothers and 
     fathers and families is beyond measure, not merely for their 
     loss, but the comfort they selflessly provide others and 
     their model of service and sacrifice.
       (b) In General.--In order to continue to honor the 
     sacrifices of families who have lost a loved one who was a 
     member of the Armed Forces in combat, the Postmaster General 
     shall provide for the issuance of a forever stamp suitable 
     for that purpose.
       (c) Definition.--In this section, the term ``forever 
     stamp'' means a definitive stamp that--
       (1) meets the postage required for first-class mail up to 1 
     ounce in weight; and
       (2) retains full validity for the purpose described in 
     paragraph (1) even if the rate of that postage is later 
     increased.
       (d) Effective Date.--The stamp described in subsection (b) 
     shall be issued beginning as soon as practicable after the 
     date of enactment of this Act and shall not thereafter be 
     discontinued.
                                 ______
                                 
  SA 3778. Mr. BLUMENTHAL submitted an amendment intended to be 
proposed by him to the bill H.R. 6157, making appropriations for the 
Department of Defense for the fiscal year ending September 30, 2019, 
and for other purposes; which was ordered to lie on the table; as 
follows:

       At the appropriate place, insert the following:

     SEC. __. ENHANCEMENT OF MONITORING AND INVESTIGATION OF 
                   TRAFFICKING IN PERSONS.

       Section 1704 of the National Defense Authorization Act for 
     Fiscal Year 2013 (22 U.S.C. 7104b) is amended by adding at 
     the end the following new subsection:
       ``(e) Supply Chain Transparency.--
       ``(1) In general.--To facilitate monitoring and 
     investigation of human trafficking, the Office of Management 
     and Budget shall ensure that the searchable public website 
     established pursuant to the Federal Funding Accountability 
     and Transparency Act of 2006 (Public Law 109-282) includes 
     the following information on Federal awards at each tier to 
     both domestic and foreign awardees:
       ``(A) The location of the entity receiving the award and 
     the location of performance and production facilities under 
     the award, including the name of a facility, street address, 
     city, State if applicable, congressional district if 
     applicable, and country.
       ``(B) Notice of whether a contractor must provide a 
     compliance plan to prevent human trafficking under section 
     1703 of the National Defense Authorization Act for Fiscal 
     Year 2013 (22 U.S.C. 1704a).
       ``(C) Notice of whether the location of performance or 
     production facilities is within a country ranked at tier 2 or 
     tier 3 in the most recent Human Trafficking Report of the 
     Department of State.
       ``(D) Additional information that facilitates monitoring 
     and investigation of human trafficking.
       ``(2) Phase-in period for reporting subcontracts and 
     subgrants.--Pursuant to

[[Page S5729]]

     paragraph (1), the Director of the Office of Management and 
     Budget shall--
       ``(A) issue a time-bound plan to phase in the new reporting 
     not later than January 1, 2020;
       ``(B) require reporting of subcontract and subgrant data at 
     tier one not later than January 1, 2020;
       ``(C) require reporting of subcontract and subgrant data at 
     tier two not later than January 1, 2022; and
       ``(D) include in the annual report required by section 2(g) 
     of the Federal Funding Accountability and Transparency Act 
     (Public Law 109-282; 31 U.S.C. 6101 note), progress on these 
     stages and options for transparency at lower stages starting 
     in fiscal year 2023.
       ``(3) Exceptions.--
       ``(A) Minimum threshold.--Consistent with the Federal 
     Funding Accountability and Transparency Act of 2006 (Public 
     Law 109-282; 31 U.S.C. 6101 note), executive agencies need 
     not disclose contracts, subcontracts, grants, subgrants, or 
     cooperative agreements less than $25,000 or contractors with 
     gross income less than $300,000 in the previous tax year.
       ``(B) Security risks.--An awarding agency need not disclose 
     the identity of a foreign awardee if the awarding agency 
     certifies that disclosure of the contractor's identity would 
     pose a security risk to the contractor or its contractual 
     mission.
       ``(C) Waivers.--
       ``(i) Guidance.--Not later than one year after the date of 
     enactment of this subsection, the Office of Management and 
     Budget shall issue guidance to establish a process by which a 
     contractor, subcontractor, grantee, subgrantee, or parties to 
     cooperative agreements may request a waiver from any of the 
     requirements set forth in the section.
       ``(ii) Criteria.--To receive a waiver, the contractor, 
     subcontractor, grantee, subgrantee, or party to a cooperative 
     agreement must demonstrate why it cannot currently meet the 
     requirements and must explain the steps it will take to meet 
     the requirements once the waiver expires.
       ``(iii) Expiration.--This waiver option will expire on 
     January 1, 2021.
       ``(iv) Waiver list.--The Office of Management and Budget 
     shall maintain a public list of all contractors, 
     subcontractors, grantees, subgrantees, or parties to 
     cooperative agreements that have received a waiver.
       ``(4) Scope.--For purposes of this section--
       ``(A) awards include contracts and subcontracts, grants and 
     subgrants, and cooperative agreements; and
       ``(B) subcontracts include--
       ``(i) all tiers of the supply chain, not just those to 
     which the prime contractor is a party; and
       ``(ii) supplier agreements with vendors, such as long-term 
     arrangements for materials or supplies that benefit multiple 
     contracts or with respect to which costs are normally applied 
     to a contractor's general and administrative expenses or 
     indirect costs.''.
                                 ______
                                 
  SA 3779. Ms. KLOBUCHAR submitted an amendment intended to be proposed 
by her to the bill H.R. 6157, making appropriations for the Department 
of Defense for the fiscal year ending September 30, 2019, and for other 
purposes; which was ordered to lie on the table; as follows:

       At the appropriate place in division A, insert the 
     following:

     SEC. __. REQUIRING DISCLOSURE OF CREDIT VERIFICATION VALUE AS 
                   CONDITION OF ACCEPTANCE OF ONLINE CONTRIBUTIONS 
                   TO FEDERAL ELECTION.

       (a) In General.--Section 302 of the Federal Election 
     Campaign Act of 1971 (52 U.S.C. 30102) is amended by adding 
     at the end the following:
       ``(j)(1) No political committee shall accept any Internet 
     credit card contribution unless--
       ``(A) the individual or entity making such contribution is 
     required, at the time such individual makes such 
     contribution, to disclose the credit verification value of 
     such credit card; and
       ``(B)(i) the billing address associated with such credit 
     card is located in the United States; or
       ``(ii) in the case of a contribution made by an individual 
     who is a United States citizen living outside of the United 
     States, the individual provides the committee with the United 
     States mailing address the individual uses for voter 
     registration purposes.
       ``(2) Notwithstanding subsection (b) or (c), in the case of 
     an Internet credit card contribution--
       ``(A) no later than 10 days after receiving the 
     contribution, the person who receives the contribution shall 
     forward to the treasurer such contribution, the name and 
     address of the person making the contribution, and the date 
     of receipt; and
       ``(B) the treasurer of a political committee shall keep an 
     account of the name and address of any person making any such 
     contribution, together with the date and amount of such 
     contribution by any person.
       ``(3) In this subsection, the term `Internet credit card 
     contribution' means a contribution that--
       ``(A) is made using a credit card; and
       ``(B) is received through an Internet website.''.
       (b) Effective Date.--The amendment made by subsection (a) 
     shall apply with respect to contributions made after the 
     expiration of the 180-day period which begins on the date of 
     the enactment of this Act.
                                 ______
                                 
  SA 3780. Ms. KLOBUCHAR submitted an amendment intended to be proposed 
by her to the bill H.R. 6157, making appropriations for the Department 
of Defense for the fiscal year ending September 30, 2019, and for other 
purposes; which was ordered to lie on the table; as follows:

       At the appropriate place in division A, insert the 
     following:

     SEC. ___. RESIDENCE OF SPOUSES OF SERVICEMEMBERS FOR TAX 
                   PURPOSES.

       (a) Residence for Tax Purposes.--Section 511(a)(2) of the 
     Servicemembers Civil Relief Act (50 U.S.C. 4001(a)(2)) is 
     amended by adding at the end the following new sentence: 
     ``The spouse of a servicemember may elect to use the same 
     residence for purposes of taxation as the servicemember 
     regardless of the date on which the marriage of the spouse 
     and the servicemember occurred.''.
       (b) Applicability.--The amendment made by subsection (a) 
     shall apply with respect to any return of State or local 
     income tax filed for any taxable year beginning with the 
     taxable year that includes the date of the enactment of this 
     Act.

     SEC. ___. RESIDENCE OF SPOUSES OF SERVICEMEMBERS FOR VOTING.

       (a) In General.--Section 705(b) of the Servicemembers Civil 
     Relief Act (50 U.S.C. 4025(b)) is amended--
       (1) by striking ``State or local office'' and all that 
     follows through the period at the end of paragraph (3) and 
     inserting ``State or local office--''; and
       (2) by adding at the end the following new paragraphs:
       ``(1) a person who is absent from a State because the 
     person is accompanying the person's spouse who is absent from 
     that same State in compliance with military or naval orders 
     shall not, solely by reason of that absence--
       ``(A) be deemed to have lost a residence or domicile in 
     that State, without regard to whether or not the person 
     intends to return to that State;
       ``(B) be deemed to have acquired a residence or domicile in 
     any other State; or
       ``(C) be deemed to have become a resident in or a resident 
     of any other State; and
       ``(2) the spouse of a servicemember may elect to use the 
     same residence as the servicemember regardless of the date on 
     which the marriage of the spouse and the servicemember 
     occurred.''.
       (b) Effective Date.--The amendments made by subsection (a) 
     shall take effect on the date that is 90 days after the date 
     of the enactment of this Act.
                                 ______
                                 
  SA 3781. Mr. CARDIN submitted an amendment intended to be proposed by 
him to the bill H.R. 6157, making appropriations for the Department of 
Defense for the fiscal year ending September 30, 2019, and for other 
purposes; which was ordered to lie on the table; as follows:

       At the appropriate place in title II of division B, insert 
     the following:

     SEC. __. HHS STUDY ON DRUG PRICING.

       (a) Study.--The Secretary of Health and Human Services (in 
     this section referred to as the ``Secretary'') shall conduct 
     a study on the changes in prices of prescription drugs since 
     2008. Such study shall include the following:
       (1) A comparison of prescription drug prices (net of 
     rebates) paid by the following programs for the 10 most 
     frequently prescribed drugs and the 10 highest-cost drugs for 
     each of the following:
       (A) The Medicare program under part B of title XVIII of the 
     Social Security Act.
       (B) The Medicare prescription drug program under part D of 
     title XVIII of such Act.
       (C) The Medicaid program under title XIX of such Act.
       (D) The Department of Veterans Affairs.
       (2) A breakdown of the comparative prices (net of rebates) 
     for each of the 10 most frequently prescribed drugs and the 
     10 highest-cost drugs between ambulatory settings and retail 
     settings.
       (3) Under the Medicare prescription drug program under such 
     part D, a description of the gross drug costs and net drug 
     costs and the direct and indirect remuneration for the 10 
     most frequently prescribed drugs and the 10 highest-cost 
     drugs.
       (4) A description of the total annual costs due to 
     prescription drugs under the Medicare program under such part 
     B, such part D, and the Medicaid program.
       (5) A list the drugs that have been registered for sale by 
     the Food and Drug Administration in the past 5 years that 
     have benefited significantly from government grants or 
     research subsidies in either the pre-clinical or clinical 
     stages of development, as well as the price (net of rebates) 
     and total spending under the Medicare and Medicaid programs 
     for each of those drugs.
       (6) Other items determined appropriate by the Secretary.
       (b) Report.--Not later than 120 days after the date of 
     enactment of this Act, the Secretary shall submit to Congress 
     a report on

[[Page S5730]]

     the study conducted under subsection (a), together with 
     recommendations for such legislation and administrative 
     action as the Secretary determines appropriate.
                                 ______
                                 
  SA 3782. Mr. CARDIN (for himself and Mr. Van Hollen) submitted an 
amendment intended to be proposed to amendment SA 3695 proposed by Mr. 
Shelby to the bill H.R. 6157, making appropriations for the Department 
of Defense for the fiscal year ending September 30, 2019, and for other 
purposes; which was ordered to lie on the table; as follows:

       At the appropriate place in title III of division B, insert 
     the following:
       Sec. ___. (a) In addition to amounts otherwise made 
     available under this Act, there are appropriated--
       (1) $1,000,000 for the American History and Civics 
     Academies established under section 2232 of the Elementary 
     and Secondary Education Act of 1965; and
       (2) $1,000,000 for the American History and Civics National 
     Activities under section 2233 of the Elementary and Secondary 
     Education Act of 1965.
       (b) Notwithstanding any other provision of this Act, the 
     total amount appropriated under the heading ``program 
     administration'' under the heading ``Departmental 
     Management'' for the Department of Education is hereby 
     reduced by $2,000,000.
                                 ______
                                 
  SA 3783. Mr. CARDIN (for himself, Mr. Van Hollen, and Mr. Jones) 
submitted an amendment intended to be proposed to amendment SA 3695 
proposed by Mr. Shelby to the bill H.R. 6157, making appropriations for 
the Department of Defense for the fiscal year ending September 30, 
2019, and for other purposes; which was ordered to lie on the table; as 
follows:

       At the appropriate place in title III of division B, insert 
     the following:
       Sec. ___. (a) In addition to amounts otherwise made 
     available under this Act, there are appropriated $1,300,000 
     for the Minority Science and Engineering Improvement Program 
     under part E of title III of the Higher Education Act of 
     1965.
       (b) Notwithstanding any other provision of this Act, the 
     total amount appropriated under the heading ``program 
     administration'' under the heading ``Departmental 
     Management'' for the Department of Education is hereby 
     reduced by $1,300,000.
                                 ______
                                 
  SA 3784. Mr. JONES (for himself, Mr. Scott, Mr. Kaine, Mr. Warner, 
Mr. Boozman, and Mr. Tillis) submitted an amendment intended to be 
proposed by him to the bill H.R. 6157, making appropriations for the 
Department of Defense for the fiscal year ending September 30, 2019, 
and for other purposes; which was ordered to lie on the table; as 
follows:

       At the appropriate place in title III of division B, insert 
     the following:
       Sec. ____. (a) In addition, $10,000,000 shall be made 
     available to provide for the deferment of loans made under 
     part D of title III of the Higher Education Act of 1965 to 
     eligible institutions that are private Historically Black 
     Colleges and Universities that applied for, were denied, and 
     were eligible for a deferment in fiscal year 2018 of such a 
     loan under the terms and conditions of the second paragraph 
     under the heading ``Historically Black College and University 
     Capital Financing Program Account'' under the Department of 
     Education Appropriations Act, 2018.
       (b) Notwithstanding any other provision of this Act, the 
     total amount appropriated under the heading ``program 
     administration'' under the heading ``Departmental 
     Management'' for the Department of Education is hereby 
     reduced by $10,000,000.
                                 ______
                                 
  SA 3785. Mr. JONES (for himself and Mr. Coons) submitted an amendment 
intended to be proposed to amendment SA 3695 proposed by Mr. Shelby to 
the bill H.R. 6157, making appropriations for the Department of Defense 
for the fiscal year ending September 30, 2019, and for other purposes; 
which was ordered to lie on the table; as follows:

       At the appropriate place, insert the following:
       Sec. ___. (a) There are appropriated, in addition to 
     amounts otherwise made available under this Act for such 
     purpose, $15,000,000 to provide for the deferment of loans 
     made under part D of title III of the Higher Education Act of 
     1965 to eligible Historically Black Colleges and 
     Universities, which apply for the deferment of such a loan. 
     The Secretary of Education shall establish the criteria to 
     determine an eligible applicant's need based on such factors 
     as , including but not limited to, a score of 2.6 or less on 
     the Department of Education's financial responsibility test 
     for private HBCUs or the ratio of an institution's debt 
     service relative to their revenue for public HBCUs. Provided, 
     however, that during the period of deferment of such a loan, 
     interest on the loan will not accrue or be capitalized, and 
     the period of deferment shall be for at least a period of 3 
     fiscal years and not more than 6 fiscal years.
       (b) Notwithstanding any other provision of this Act, the 
     total amount appropriated under the heading ``program 
     administration'' under the heading ``Departmental 
     Management'' for the Department of Education is hereby 
     reduced by $15,000,000.
                                 ______
                                 
  SA 3786. Mr. JONES submitted an amendment intended to be proposed to 
amendment SA 3695 proposed by Mr. Shelby to the bill H.R. 6157, making 
appropriations for the Department of Defense for the fiscal year ending 
September 30, 2019, and for other purposes; which was ordered to lie on 
the table; as follows:

       At the appropriate place in title VIII of division A, 
     insert the following:
       Sec. ___.  Not later than 90 days after the date of the 
     enactment of this Act, the Secretary of the Air Force shall 
     submit to the Committees on Armed Services of the Senate and 
     the House of Representatives, and make available to other 
     members of Congress, a report on the following:
       (1) Anticipated decisions during fiscal year 2019 relating 
     to the relocation of simulators for KC-135 aircraft and KC-46 
     aircraft.
       (2) Decisions during the five fiscal years ending with 
     fiscal year 2018 relating to the relocation of simulators for 
     KC-135 aircraft and KC-46 aircraft.
       (3) The costs incurred by the Department of Defense in 
     transfers of simulators for KC-135 aircraft and KC-46 
     aircraft pursuant to decisions of relocation described in 
     paragraph (2).
                                 ______
                                 
  SA 3787. Mr. DURBIN (for himself and Mr. Grassley) submitted an 
amendment intended to be proposed to amendment SA 3695 proposed by Mr. 
Shelby to the bill H.R. 6157, making appropriations for the Department 
of Defense for the fiscal year ending September 30, 2019, and for other 
purposes; which was ordered to lie on the table; as follows:

       At the appropriate place in title II of division B, insert 
     the following:
       Sec. __.  Of the funds made available under this Act, not 
     more than $1,000,000 shall be used by the Secretary of Health 
     and Human Services in furtherance of the existing statutory 
     authority of the Secretary to issue a regulation requiring 
     that direct-to-consumer prescription drug and biological 
     product advertisements include an appropriate disclosure of 
     pricing information with respect to such products.
                                 ______
                                 
  SA 3788. Ms. KLOBUCHAR submitted an amendment intended to be proposed 
by her to the bill H.R. 6157, making appropriations for the Department 
of Defense for the fiscal year ending September 30, 2019, and for other 
purposes; which was ordered to lie on the table; as follows:

       At the appropriate place in title VIII of division A, 
     insert the following:
       Sec. __. (a) Section 62(a)(2)(E) of the Internal Revenue 
     Code of 1986 is amended by striking ``100 miles'' and 
     inserting ``50 miles''.
       (b) The amendment made by this section shall apply to 
     taxable years beginning after December 31, 2017.
                                 ______
                                 
  SA 3789. Mr. JONES submitted an amendment intended to be proposed by 
him to the bill H.R. 6157, making appropriations for the Department of 
Defense for the fiscal year ending September 30, 2019, and for other 
purposes; which was ordered to lie on the table; as follows:

       At the appropriate place in title II of division B, insert 
     the following:
       Sec. __.  Section 330A(d)(2)(B) of the Public Health 
     Service Act (42 U.S.C. 254c(d)(2)(B)) is amended--
       (1) in clause (ii), by striking ``and'' at the end;
       (2) in clause (iii), by striking the period and inserting 
     ``; and''; and
       (3) by adding at the end the following:
       ``(iv) to allow for the development of infrastructure to 
     advance the integration of oral health into primary care.''.
                                 ______
                                 
  SA 3790. Mr. MURPHY (for himself and Mr. Blumenthal) submitted an 
amendment intended to be proposed to amendment SA 3695 proposed by Mr. 
Shelby to the bill H.R. 6157, making appropriations for the Department 
of Defense for the fiscal year ending September 30, 2019, and for other 
purposes; which was ordered to lie on the table; as follows:

       At the appropriate place in title IV of division A, insert 
     the following:
       Sec. __. (a) The amount appropriated or otherwise made by 
     this title under the heading ``Research, Development, Test 
     and Evaluation, Air Force'' and available for Advanced Engine 
     Development is hereby increased by $139,000,000.
       (b) The amount appropriated by title III of this division 
     under the ``Aircraft Procurement, Air Force'' is hereby 
     decreased by $139,000,000, with the amount of the decrease to 
     be applied against amounts appropriated by that heading and 
     available for procurement of O/A-X Light Attack Aircraft.

[[Page S5731]]

  

                                 ______
                                 
  SA 3791. Mr. MURPHY (for himself and Mr. Blumenthal) submitted an 
amendment intended to be proposed to amendment SA 3695 proposed by Mr. 
Shelby to the bill H.R. 6157, making appropriations for the Department 
of Defense for the fiscal year ending September 30, 2019, and for other 
purposes; which was ordered to lie on the table; as follows:

       At the appropriate place in title VIII of division A, 
     insert the following:
       Sec. ___. (a) The amount appropriated by title IV of this 
     division under the heading ``Research, Development, Test and 
     Evaluation, Navy'' is hereby increased by $161,000,000, with 
     the amount of the increase to be available for research, 
     development, test and evaluation on CH-53K (Heavy Lift) 
     rotary aircraft.
       (b) The amount appropriated by title III of this division 
     under the ``Aircraft Procurement, Air Force'' is hereby 
     decreased by $161,000,000, with the amount of the decrease to 
     be applied against amounts appropriated by that heading and 
     available for procurement of O/A-X Light Attack Aircraft.
                                 ______
                                 
  SA 3792. Mr. MURPHY submitted an amendment intended to be proposed by 
him to the bill H.R. 6157, making appropriations for the Department of 
Defense for the fiscal year ending September 30, 2019, and for other 
purposes; which was ordered to lie on the table; as follows:

       At the appropriate place in title IX of division A under 
     the heading ``Operation and Maintenance, Army'' strike the 
     end period and insert the following: ``: Provided further, 
     That of the amount appropriated under this heading and 
     available for the European Deterrence Initiative, $25,000,000 
     shall, pursuant to section 385 of title 10, United States 
     Code, be transferred to and distributed between the 
     Administrator of the United States Agency for International 
     Development and the President of the National Endowment for 
     Democracy for the purpose of supporting fair and transparent 
     elections in Southeastern and Eastern Europe.''.
                                 ______
                                 
  SA 3793. Mr. MURPHY (for himself, Mr. Schatz, Ms. Warren, Mrs. 
Feinstein, Mr. Carper, Mr. Blumenthal, and Mr. Kaine) submitted an 
amendment intended to be proposed to amendment SA 3695 proposed by Mr. 
Shelby to the bill H.R. 6157, making appropriations for the Department 
of Defense for the fiscal year ending September 30, 2019, and for other 
purposes; which was ordered to lie on the table; as follows:

       At the appropriate place in title VIII of division A, 
     insert the following:
       Sec. ___.  None of the funds appropriated or otherwise made 
     available by this division may be used for United States 
     support of the Saudi Arabia-led intervention in Yemen until 
     the Secretary of Defense certifies, in writing, to Congress 
     that the Saudi Arabia-led coalition air campaign does not 
     violate the principles of distinction and proportionality 
     within the rules for the protection of civilians: Provided, 
     That nothing in this section shall apply to ongoing support 
     for counterterrorism operations against al Qaeda or the 
     Islamic State of Iraq and Syria (ISIS).
                                 ______
                                 
  SA 3794. Mr. MURPHY (for himself and Mr. Portman) submitted an 
amendment intended to be proposed to amendment SA 3695 proposed by Mr. 
Shelby to the bill H.R. 6157, making appropriations for the Department 
of Defense for the fiscal year ending September 30, 2019, and for other 
purposes; which was ordered to lie on the table; as follows:

       At the appropriate place in title VIII of division A, 
     insert the following:
       Sec. ___. (a) From amounts appropriated or otherwise made 
     available by this division, the Secretary of Defense shall 
     transfer to the Secretary of State under section 385 of title 
     10, United States Code, $40,000,000 for support by the 
     Department of State of security cooperation objectives of the 
     Department of Defense as authorized by that section: 
     Provided, That amounts transferred pursuant to this section 
     shall remain available for obligation and expenditure until 
     September 30, 2020.
       (b) Section 8125 shall have no force or effect.
                                 ______
                                 
  SA 3795. Mr. MURPHY (for himself and Mr. Blumenthal) submitted an 
amendment intended to be proposed to amendment SA 3695 proposed by Mr. 
Shelby to the bill H.R. 6157, making appropriations for the Department 
of Defense for the fiscal year ending September 30, 2019, and for other 
purposes; which was ordered to lie on the table; as follows:

       At the appropriate place in title VIII of division A, 
     insert the following:
       Sec. ___. (a) The amount appropriated by title IV of this 
     division under the heading ``Research, Development, Test and 
     Evaluation, Air Force'' is hereby increased by $73,000,000, 
     with the amount of the increase to be available for the 
     Combat Rescue Helicopter.
       (b) The amount appropriated by title III of this division 
     under the ``Aircraft Procurement, Air Force'' is hereby 
     decreased by $73,000,000, with the amount of the decrease to 
     be applied against amounts appropriated by that heading and 
     available for procurement of O/A-X Light Attack Aircraft.

                          ____________________