[Congressional Record (Bound Edition), Volume 157 (2011), Part 6]
[House]
[Pages 7635-7636]
[From the U.S. Government Publishing Office, www.gpo.gov]




                               AMENDMENTS

  Under clause 8 of rule XVIII, proposed amendments were submitted as 
follows:

                               H.R. 1216

                   Offered By: Ms. Castor of Florida

       Amendment No. 1: Page 4, after line 12, add the following:
       (d) Effective Date.--Subsections (a), (b), and (c) shall 
     not take effect until the date that the Comptroller General 
     of the United States determines there is no primary care 
     physician shortage in the United States.

                               H.R. 1216

                         Offered By: Mr. Tonko

       Amendment No. 2: Page 4, after line 12, add the following:
       (d) GAO Study on Impact on Number of Primary Care 
     Physicians to Be Trained.--The Comptroller General of the 
     United States shall conduct a study to determine--
       (1) the impacts that expanding existing and establishing 
     new approved graduate medical residency training programs 
     under section 340H of the Public Health Service Act (42 
     U.S.C. 256h), using the funding appropriated by subsection 
     (g) of such section, as in effect on the day before the date 
     of the enactment of this Act, would have on the number of 
     primary care physicians that would be trained if such funding 
     were not repealed, rescinded, and made subject to the 
     availability of subsequent appropriations by subsections (a) 
     and (b) of this section; and
       (2) the amount by which such number of primary care 
     physicians that would be trained will decrease as a result of 
     the enactment of subsections (a) and (b).

                               H.R. 1216

                   Offered By: Ms. Castor of Florida

       Amendment No. 3: Page 4, after line 12, add the following:
       (d) GAO Study on Impact on Health Care Costs of Families 
     and Small Businesses.--The Comptroller General of the United 
     States shall conduct a study to determine the impact that the 
     previous provisions of this Act would have on the health care 
     costs of families and small businesses in the United States.

                               H.R. 1216

                         Offered By: Mr. Towns

       Amendment No. 4: Page 3, after line 14, insert the 
     following new paragraph (and redesignate subsequent 
     paragraphs accordingly):
       (2) in subsection (b), by adding at the end the following 
     new paragraph:
       ``(3) Priority for school-based health centers.--If the 
     amounts appropriated pursuant to subsection (g) for a fiscal 
     year are less than the total amounts that would be payable 
     under this section for qualified teaching health centers for 
     the fiscal year if paragraph (2) did not apply and if no 
     funds are made available for such fiscal year to carry out 
     section 399Z-1, subject to such paragraph (2), payments under 
     this section shall first be made to qualified teaching health 
     centers that have submitted an application to receive funds 
     under section 399Z-1 for such fiscal year to the extent 
     payable under this section if paragraph (2) did not apply.'';

                               H.R. 1216

                        Offered By: Mr. Cardoza

       Amendment No. 5: In section 1, add at the end the 
     following:
       (d) Effective Date.--Subsections (a) and (b) shall not take 
     effect until the date there no longer are any areas 
     designated as health professional shortage areas under 
     section 332 of the Public Health Service Act (42 U.S.C. 
     254e).

                               H.R. 1216

                        Offered By: Mr. Cardoza

       Amendment No. 6: Page 4, after line 12, add the following:
       (d) GAO Study and Report on Physician Shortage.--The 
     Comptroller General of the United States shall conduct a 
     study to determine--
       (1) the extent to which there is a shortage of physicians 
     in the United States, including case studies of areas with 
     significant shortages of physicians, such as the Central 
     Valley of California;
       (2) the impact that expanding existing and establishing new 
     approved graduate medical residency training programs under 
     section 340H of the Public Health Service Act (42 U.S.C. 
     256h), using the funding appropriated by subsection (g) of 
     such section, as in effect on the day before the date of the 
     enactment of this Act, would have on the number of physicians 
     that would be trained if such funding were not rescinded and 
     made subject to the availability of subsequent appropriations 
     by subsections (a) and (b) of this section; and
       (3) the impact that the enactment of subsections (a) and 
     (b) will have on the number of physicians who will be trained 
     under approved graduate medical residency training programs 
     pursuant to such section 340H.

                               H.R. 1216

                          Offered By: Ms. Foxx

       Amendment No. 7: Page 4, after line 12, add the following:
       (d) Prohibition Against Abortion.--Section 340H of the 
     Public Health Service Act (42 U.S.C. 256h) is amended by 
     adding at the end the following new subsection:
       ``(k) Prohibition Against Abortion.--
       ``(1) None of the funds made available pursuant to 
     subsection (g) shall be used to provide any abortion or 
     training in the provision of abortions.
       ``(2) Paragraph (1) shall not apply to an abortion--
       ``(A) if the pregnancy is the result of an act of rape or 
     incest; or
       ``(B) in the case where a woman suffers from a physical 
     disorder, physical injury, or physical illness, that would, 
     as certified by a physician, place the woman in danger of 
     death unless an abortion is performed including a life 
     endangering physical condition caused by or arising from the 
     pregnancy itself.
       ``(3) None of the funds made available pursuant to 
     subsection (g) may be provided to a qualified teaching health 
     center if such center subjects any institutional or 
     individual health care entity to discrimination on the basis 
     that the health care entity does not provide, pay for, 
     provide coverage of, or refer for abortions.
       ``(4) In this subsection, the term `health care entity' 
     includes an individual physician or other health care 
     professional, a hospital, a provider-sponsored organization, 
     a health maintenance organization, a health insurance plan, 
     or any other kind of health care facility, organization, or 
     plan.''.

                               H.R. 1216

                          Offered By: Ms. Foxx

       Amendment No. 8: Page 4, after line 12, add the following:
       (d) Prohibition Against Abortion.--Section 340H of the 
     Public Health Service Act (42 U.S.C. 256h) is amended by 
     adding at the end the following new subsection:
       ``(k) Prohibition Against Abortion.--
       ``(1) None of the funds made available pursuant to 
     subsection (g) shall be used to provide any abortion or 
     training in the provision of abortions.
       ``(2) Paragraph (1) shall not apply to an abortion--
       ``(A) if the pregnancy is the result of an act of rape or 
     incest; or
       ``(B) in the case where a woman suffers from a physical 
     disorder, physical injury, or physical illness, that would, 
     as certified by a physician, place the woman in danger of 
     death unless an abortion is performed including a life 
     endangering physical condition caused by or arising from the 
     pregnancy itself.
       ``(3) None of the funds made available pursuant to 
     subsection (g) may be provided to a qualified teaching health 
     center if such center subjects any institutional or 
     individual health care entity to discrimination on the basis 
     that the health care entity does not provide, pay for, 
     provide coverage of, or refer for abortions.
       ``(4) In this subsection, the term `health care entity' 
     includes an individual physician or other health care 
     professional, a hospital, a provider-sponsored organization, 
     a health maintenance organization, a health insurance plan, 
     or any other kind of health care facility, organization, or 
     plan.''.

                               H.R. 1216

                        Offered By: Mr. Cardoza

       Amendment No. 9: Page 4, after line 12, add the following:
       (d) GAO Study and Report on Physician Shortage.--The 
     Comptroller General of the United States shall conduct a 
     study to determine--
       (1) the impact that expanding existing and establishing new 
     approved graduate medical residency training programs under 
     section 340H of the Public Health Service Act (42 U.S.C. 
     256h), using the funding appropriated by subsection (g) of 
     such section, as in effect on the day before the date of the 
     enactment of this Act, would have on the number of

[[Page 7636]]

     physicians that would be trained if such funding were not 
     rescinded and made subject to the availability of subsequent 
     appropriations by subsections (a) and (b) of this section; 
     and
       (2) the impact that the enactment of subsections (a) and 
     (b) will have on the number of physicians who will be trained 
     under approved graduate medical residency training programs 
     pursuant to such section 340H.

                               H.R. 1540

                Offered By: Mr. Thompson of Pennsylvania

       Amendment No. 1: Page 332, after line 24, insert the 
     following:

     SEC. 713. EXPANSION OF STATE LICENSURE EXCEPTION FOR CERTAIN 
                   HEALTH CARE PROFESSIONALS.

       (a) Sense of Congress.--It is the sense of Congress that--
       (1) the Secretary of Defense and the Secretary of Veterans 
     Affairs need to renew and improve efforts to reach out to 
     rural America, which has less access to care;
       (2) behavioral health services for active duty members of 
     the Armed Forces, members of the reserve components, members 
     of the National Guard, and veterans need to be more easily 
     and readily accessible; and
       (3) medical records and records of deployment need a ``warm 
     transition'' and better collaboration between the Department 
     of Defense and the Department of Veterans Affairs.
       (b) Expansion.--Section 1094(d) of title 10, United States 
     Code, is amended--
       (1) in paragraph (1)--
       (A) by inserting ``at any location'' before ``in any 
     State''; and
       (B) by striking ``regardless'' and all that follows through 
     the end and inserting ``regardless of where such health-care 
     professional or the patient are located, so long as the 
     practice is within the scope of the authorized Federal 
     duties.''; and
       (2) in paragraph (2), by striking ``member of the armed 
     forces'' and inserting ``member of the armed forces, civilian 
     employee of the Department of Defense, personal services 
     contractor under section 1091 of this title, or other health-
     care professional credentialed and privileged at a Federal 
     health care institution or location specially designated by 
     the Secretary for this purpose''.
       (c) Reports.--Not later than 90 days after the date of the 
     enactment of this Act, the Secretary of Defense, in 
     coordination with the Secretary of Veterans Affairs, shall 
     submit to Congress separate reports on each of the following:
       (1) The plans to develop and expand programs to use new 
     Internet and communication technologies for improved access 
     to care and resources, including telemedicine, telehealth 
     care services, and telebehavioral health programs that ensure 
     patient privacy.
       (2) Any plans to improve the transition of health and 
     battlefield deployment records to better assist and care for 
     veterans.
       (d) Regulations.--The Secretary of Defense shall prescribe 
     regulations to carry out the amendments made by this section.