[Congressional Record (Bound Edition), Volume 160 (2014), Part 3]
[Senate]
[Pages 4263-4270]
[From the U.S. Government Publishing Office, www.gpo.gov]




                           TEXT OF AMENDMENTS

  SA 2820. Mr. LEE submitted an amendment intended to be proposed by 
him to the bill S. 1086, to reauthorize and improve the Child Care and 
Development Block Grant Act of 1990, and for other purposes; which was 
ordered to lie on the table; as follows:

       On page 98, strike line 15 and insert the following:

     view.

       ``(U) Identification.--
       ``(i) In general.--The plan shall contain an assurance that 
     the State will--

       ``(I) require each parent, who applies for assistance for 
     child care services for a child under this subchapter, to 
     include the name and valid identification number of the child 
     on the application; and
       ``(II) check the number before providing the assistance.

       ``(ii) Definition.--In this subparagraph, the term `valid 
     identification number' means a social security number issued 
     to an individual by the Social Security Administration. Such 
     term shall not include a taxpayer identification number 
     issued by the Internal Revenue Service.'';
                                 ______
                                 
  SA 2821. Mr. LEE submitted an amendment intended to be proposed by 
him to the bill S. 1086, to reauthorize and improve the Child Care and 
Development Block Grant Act of 1990, and for other purposes; as 
follows:

       On page 136, between lines 2 and 3, insert the following:
       (e) Protection of Information.--Section 658K(a)(1) of the 
     Child Care and Development Block Grant Act of 1990 (42 U.S.C. 
     9858i(a)(1))

[[Page 4264]]

     is amended by adding at the end the following:
       ``(D) Prohibition.--Reports submitted to the Secretary 
     under subparagraph (C) shall not contain individually 
     identifiable information.''.
                                 ______
                                 
  SA 2822. Mr. FRANKEN (for himself, Ms. Murkowski, Ms. Hirono, Ms. 
Baldwin, Mrs. Murray, Mr. Thune, Ms. Heitkamp, Mr. Tester, Mr. Udall of 
New Mexico, and Mr. Heinrich) submitted an amendment intended to be 
proposed by him to the bill S. 1086, to reauthorize and improve the 
Child Care and Development Block Grant Act of 1990, and for other 
purposes; as follows:

       On page 136, strike lines 8 and 9 and insert the following:
       (1) in subsection (a)--
       (A) in paragraph (2)--
       (i) by striking ``The Secretary'' and inserting the 
     following:
       ``(A) In general.--The Secretary'';
       (ii) by striking ``1 percent, and not more than 2 
     percent,'' and inserting ``2 percent''; and
       (iii) by adding at the end the following:
       ``(B) Limitations.--Notwithstanding subparagraph (A), the 
     Secretary shall only reserve an amount that is greater than 2 
     percent of the amount appropriated under section 658B, for 
     payments described in subparagraph (A), for a fiscal year 
     (referred to in this subparagraph as the `reservation year') 
     if--
       ``(i) the amount appropriated under section 658B for the 
     reservation year is greater than the amount appropriated 
     under section 658B for fiscal year 2014; and
       ``(ii) the Secretary ensures that the amount allotted to 
     States under subsection (b) for the reservation year is not 
     less than the amount allotted to States under subsection (b) 
     for fiscal year 2014.''; and
       (B) by adding at the end the following:
                                 ______
                                 
  SA 2823. Mr. BENNET submitted an amendment intended to be proposed by 
him to the bill S. 1086, to reauthorize and improve the Child Care and 
Development Block Grant Act of 1990, and for other purposes; which was 
ordered to lie on the table; as follows:

       At the end of the bill, add the following:

     SEC. __. ALLOTMENT OF SPACE IN FEDERAL BUILDINGS FOR CHILD 
                   CARE.

       Section 590(b)(2) of title 40, United States Code, is 
     amended by striking subparagraph (C) and inserting the 
     following:
       ``(C) the allotment officer determines that--
       ``(i) the space will be used to provide child care services 
     to children of whom at least 50 percent have 1 parent or 
     guardian who--

       ``(I) is employed by the Federal Government; or
       ``(II)(aa) has met the requirements for a master's degree 
     or a doctorate degree from an institution of higher education 
     (as defined in section 102 of the Higher Education Act of 
     1965 (20 U.S.C. 1002)); and
       ``(bb) is conducting research under an arrangement between 
     the parent or guardian and a Federal agency; and

       ``(ii) for available child care services in the space, the 
     child care provider will give--

       ``(I) first priority to Federal employees; and
       ``(II) second priority to persons that meet the 
     requirements described in items (aa) and (bb) of clause 
     (i)(II).''.

                                 ______
                                 
  SA 2824. Mr. BENNET (for himself, Mr. Isakson, Ms. Landrieu, and Mr. 
Kirk) submitted an amendment intended to be proposed by him to the bill 
S. 1086, to reauthorize and improve the Child Care and Development 
Block Grant Act of 1990, and for other purposes; as follows:

       On page 91, line 17, insert ``efficiently'' before 
     ``coordinate''.
       On page 93, strike line 9 and insert the following:
       ``(ii) Optional use of combined funds.--If the State elects 
     to combine funding for the services supported to carry out 
     this subchapter with funding for any program described in 
     subclauses (I) through (VII) of clause (i), the plan shall 
     describe how the State will combine the multiple sets of 
     funding and use the combined funding.
       ``(iii) Rule of construction.--Noth-
       On page 128, line 16, strike ``chapter; and'' and insert 
     ``chapter;''.
       On page 128, strike line 22 and insert the following:

     ance with this subchapter.
       ``(5) after consultation with the Secretary of Education 
     and the heads of any other Federal agencies involved, issue 
     guidance, and disseminate information on best practices, 
     regarding use of funding combined by States as described in 
     section 658E(c)(2)(O)(ii), consistent with law other than 
     this subchapter.''; and
                                 ______
                                 
  SA 2825. Mr. VITTER submitted an amendment intended to be proposed by 
him to the bill S. 1086, to reauthorize and improve the Child Care and 
Development Block Grant Act of 1990, and for other purposes; which was 
ordered to lie on the table; as follows:

       On page 99, strike lines 16 through 20 and insert the 
     following:

     tivity described in clause (iii)).'';
       (iii) by striking ``, with priority'' and all that follows 
     through the period and inserting the following: ``. In using 
     those amounts for child care services, the State shall give 
     priority for services first to children with disabilities 
     from low-income families (whose family income does not exceed 
     85 percent of the State median income for a family of the 
     same size), then to children of families with very low family 
     incomes (taking into consideration family size), and then to 
     children with disabilities.''; and
       (iv) by adding at the end the following:
       ``(ii) Report by inspector general.--

       ``(I) In general.--Not later than September 30 of the first 
     full fiscal year after the date of enactment of the Child 
     Care and Development Block Grant Act of 2014, and September 
     30 of each fiscal year thereafter, the Inspector General of 
     the Department of Health and Human Services shall prepare and 
     submit to the Secretary a report that contains a 
     determination about whether each State uses amounts provided 
     to such State for the fiscal year involved under this 
     subchapter in accordance with the priority for services 
     described in clause (i).
       ``(II) Penalty for noncompliance.--For any fiscal year that 
     the report of such Inspector General described in subclause 
     (I) indicates that such a State has failed to give priority 
     for services in accordance with such clause, the Secretary 
     shall withhold 5 percent of the funds that would otherwise be 
     allocated to that State in accordance with this subchapter 
     for the following fiscal year.

       ``(iii) Child care resource and referral system.--''
                                 ______
                                 
  SA 2826. Mr. PORTMAN submitted an amendment intended to be proposed 
by him to the bill S. 1086, to reauthorize and improve the Child Care 
and Development Block Grant Act of 1990, and for other purposes; which 
was ordered to lie on the table; as follows:

       On page 120, strike line 12 and insert the following:
     preceding 5 years; or
       ``(E) has been convicted of a violent misdemeanor, such as 
     assault or domestic violence, against a child.
                                 ______
                                 
  SA 2827. Mr. PORTMAN submitted an amendment intended to be proposed 
by him to the bill S. 1086, to reauthorize and improve the Child Care 
and Development Block Grant Act of 1990, and for other purposes; which 
was ordered to lie on the table; as follows:

       On page 78, line 9, insert ``and early language and 
     literacy development'' after ``readiness''.
                                 ______
                                 
  SA 2828. Mr. COBURN submitted an amendment intended to be proposed by 
him to the bill S. 1086, to reauthorize and improve the Child Care and 
Development Block Grant Act of 1990, and for other purposes; which was 
ordered to lie on the table; as follows:

       On page 68, line 22, strike ``such sums as may be necessary 
     for each'' and insert ``$14,400,000,000 for the period 
     consisting''.
                                 ______
                                 
  SA 2829. Mr. COBURN submitted an amendment intended to be proposed by 
him to the bill S. 1086, to reauthorize and improve the Child Care and 
Development Block Grant Act of 1990, and for other purposes; which was 
ordered to lie on the table; as follows:

       At the end, add the following:

     SEC. __. EVALUATION AND CONSOLIDATION OF DUPLICATIVE EARLY 
                   LEARNING AND CHILD CARE PROGRAMS.

       (a) Elimination of Duplicative Programs.--
       (1) Child care access means parents in school program.--
     Subpart 7 of part A of title IV of the Higher Education Act 
     of 1965 (20 U.S.C. 1070e et seq.) is repealed.
       (2) Even start.--Subpart 2 of part B of title I of the 
     Elementary and Secondary Education Act of 1965 (20 U.S.C. 
     6371 et seq.) is repealed.
       (3) Early reading first.--Subpart 3 of part B of title I of 
     the Elementary and Secondary Education Act of 1965 (20 U.S.C. 
     6381 et seq.) is repealed.
       (4) Early learning opportunities act.--The Early Learning 
     Opportunities Act (20 U.S.C. 9401 et seq.) is repealed.
       (5) Early childhood educator professional development grant 
     program.--Subsection (e) of section 2151 of the Elementary 
     and Secondary Education Act of 1965 (20 U.S.C. 6651(e)) is 
     repealed.
       (b) Restricted Use of Funds.--Notwithstanding any other 
     provision of law, no funds appropriated for any of the 
     following programs or activities shall be used for child care 
     or early education:
       (1) Any assistance provided by the Appalachian Regional 
     Commission under chapters 143 or 145 of title 40, United 
     States Code.
       (2) The Safe Start Program administered under part C of the 
     Juvenile Justice and Delinquency Prevention Act of 1974 (42 
     U.S.C. 5651 et seq.).

[[Page 4265]]

       (3) The SMART Prevention grant program under section 41303 
     of the Violence Against Women Act of 1994 (42 U.S.C. 14043d-
     2).
       (4) The transitional housing assistance for victims of 
     domestic violence, dating violence, stalking, or sexual 
     assault grant program under section 40299 of the Violence 
     Against Women Act of 1994 (42 U.S.C. 13975).
       (5) The migrant and seasonal farmworker programs under 
     section 167 of the Workforce Investment Act of 1998 (29 
     U.S.C. 2912).
       (6) The Native American programs under section 166 of the 
     Workforce Investment Act of 1998 (29 U.S.C. 2911).
       (7) Adult and dislocated worker employment and training 
     activities under chapter 5 of subtitle B of title I of the 
     Workforce Investment Act of 1998 (29 U.S.C. 2861 et seq.).
       (c) Report.--
       (1) Definition of applicable secretary.--In this 
     subsection, the term ``applicable Secretary'' means a 
     Secretary with authority over a program, activity, service, 
     or provision of law described in paragraph (3).
       (2) In general.--Not later than March 1, 2015, each 
     applicable Secretary shall submit to Congress, and make 
     available through the Internet on the public website of the 
     agency of the applicable Secretary, a report on the outcomes 
     of each program, activity, and service described in paragraph 
     (3) under the authority of the Secretary. Each such report 
     shall include--
       (A) a determination of the total administrative expenses of 
     the applicable program, activity, or service;
       (B) a determination of the expenditures for services for 
     the applicable program, activity, or service; and
       (C) an estimate of the number of clients served by the 
     applicable program, activity, or service and beneficiaries 
     who received assistance under the applicable program, 
     activity, or service (if applicable).
       (3) Covered programs.--The programs, activities, and 
     services described in this paragraph are the following:
       (A) The local educational agency grant program for Indian 
     education under subpart 1 of part A of title VII of the 
     Elementary and Secondary Education Act of 1965 (20 U.S.C. 
     7421 et seq.).
       (B) The Native Hawaiian education program under part B of 
     title VII of the Elementary and Secondary Education Act of 
     1965 (20 U.S.C. 7511 et seq.).
       (C) Any Indian child and family service program funded by a 
     grant awarded under title II of the Indian Child Welfare Act 
     of 1978 (25 U.S.C. 1931 et seq.).
       (D) Assistance provided to schools under section 1121(b)(3) 
     of the Education Amendments of 1978 (25 U.S.C. 2001).
       (E) The Indian child and family education program 
     authorized under part B of title XI of the Education 
     Amendments of 1978 (25 U.S.C. 2000 et seq.)
       (F) The Alaska native educational program under part C of 
     title VII of the Elementary and Secondary Education Act of 
     1965 (20 U.S.C. 7541 et seq.).
       (G) The grant program for the improvement of educational 
     opportunities for Indian children authorized under section 
     7121(c) of the Elementary and Secondary Education Act of 1965 
     (20 U.S.C. 7441(c)).
       (H) The Race to the Top State incentive grant program under 
     section 14006 of the American Recovery and Reinvestment Act 
     of 2009 (Public Law 112-10).
       (I) The grant program for special education for infants, 
     toddlers, and families authorized under part C of the 
     Individuals with Disabilities Education Act (20 U.S.C. 1431 
     et seq.).
       (J) The special education grant program for preschool-aged 
     children authorized under section 619 of the Individuals with 
     Disabilities Education Act (20 U.S.C. 1419).
       (K) The child care development block grant program under 
     the Child Care and Development Block Grant Act of 1990 (42 
     U.S.C. 9858 et seq.), including funds provided under section 
     418 of the Social Security Act (42 U.S.C. 618).
       (L) Programs provided under the Head Start Act (42 U.S.C. 
     9831 et seq.).
       (M) Space allotted in a Federal building for child care 
     services under section 590 of title 40, United States Code.
       (N) Any assistance provided by the Appalachian Regional 
     Commission under chapters 143 or 145 of title 40, United 
     States Code.
       (O) The child and adult care food program established under 
     section 17 of the Richard B. Russell National School Lunch 
     Act (42 U.S.C. 1766).
       (P) The school lunch program established under the Richard 
     B. Russell National School Lunch Act (42 U.S.C. 1751 et 
     seq.).
       (Q) The school breakfast program established by section 4 
     of the Child Nutrition Act of 1966 (42 U.S.C. 1773).
       (R) The special milk program authorized under section 3 of 
     the Child Nutrition Act of 1966 (42 U.S.C. 1772).
       (S) The full-service community school grant program carried 
     out under subpart 1 of part D of title V of the Elementary 
     and Secondary Education Act of 1965 (20 U.S.C. 7243 et seq.).
       (T) The promise neighborhood grant program carried out 
     under subpart 1 of part D of title V of the Elementary and 
     Secondary Education Act of 1965 (20 U.S.C. 7243 et seq.).
       (U) The education for homeless children and youth program 
     under subtitle B of title VII of the McKinney-Vento Homeless 
     Assistance Act (42 U.S.C. 11431 et seq.).
       (V) The English language acquisition and language 
     enhancement program under subpart 1 of part A of title III of 
     the Elementary and Secondary Education Act of 1965 (20 U.S.C. 
     6821).
       (W) The education of migratory children program under part 
     C of title I of the Elementary and Secondary Education Act of 
     1965 (20 U.S.C. 6391 et seq.).
       (X) The local educational agency grant program authorized 
     under part A of title I of the Elementary and Secondary 
     Education Act of 1965 (20 U.S.C. 6311 et seq.).
       (Y) The special education State personnel development grant 
     program under subpart 1 of part D of the Individuals with 
     Disabilities Education Act (20 U.S.C. 1451 et seq.).
       (Z) The State grant program for children with disabilities 
     under part B of the Individuals with Disabilities Education 
     Act (20 U.S.C. 1411 et seq.).
       (AA) The technology and media services for individuals with 
     disabilities program under section 674 of the Individuals 
     with Disabilities Education Act (20 U.S.C. 1474).
       (BB) The community services block grant program under the 
     Community Services Block Grant Act (42 U.S.C. 9901 et seq.).
       (CC) The program of block grants to States for social 
     services under subtitle A of title XX of the Social Security 
     Act (42 U.S.C. 1397 et seq.).
       (DD) The program of block grants to States for temporary 
     assistance for needy families under part A of title IV of the 
     Social Security Act (42 U.S.C. 601 et seq.).
       (EE) Grants provided under the Community Development Block 
     Grant program established under title I of the Housing and 
     Community Development Act of 1974 (42 U.S.C. 5301 et seq.) 
     for areas that are not nonentitlement areas.
       (FF) Grants provided under the Community Development Block 
     Grant program established under title I of the Housing and 
     Community Development Act of 1974 (42 U.S.C. 5301 et seq.) 
     for insular areas, as defined in section 102 of such Act (42 
     U.S.C. 5302).
       (GG) Grants provided under the Community Development Block 
     Grant program established under title I of the Housing and 
     Community Development Act of 1974 (42 U.S.C. 5301 et seq.) 
     for nonentitlement areas in Hawaii.
       (HH) The Safe Start Program administered under part C of 
     the Juvenile Justice and Delinquency Prevention Act of 1974 
     (42 U.S.C. 5651 et seq.).
       (II) The SMART Prevention grant program under section 41303 
     of the Violence Against Women Act of 1994 (42 U.S.C. 14043d-
     2).
       (JJ) The transitional housing assistance for victims of 
     domestic violence, dating violence, stalking, or sexual 
     assault grant program under section 40299 of the Violence 
     Against Women Act of 1994 (42 U.S.C. 13975).
       (KK) Migrant and seasonal farmworker programs under section 
     167 of the Workforce Investment Act of 1998 (29 U.S.C. 2912).
       (LL) Native American programs under section 166 of the 
     Workforce Investment Act of 1998 (29 U.S.C. 2911).
       (MM) Adult and dislocated worker employment and training 
     activities under chapter 5 of subtitle B of title I of the 
     Workforce Investment Act of 1998 (29 U.S.C. 2861 et seq.).
       (NN) The donation of surplus Federal personal property 
     through State agencies under section 549 of title 40, United 
     States Code.
       (d) Combination of Indian, Native Hawaiian, and Alaska 
     Native Education Programs.--By not later than September 15, 
     2015, the Secretary of Education and the Secretary of 
     Interior jointly shall--
       (1) review the program outcomes reports required under this 
     section for the programs, activities, and services described 
     in subparagraphs (A) though (F) of subsection (c)(3); and
       (2) prepare and submit to Congress a plan, including 
     legislative and administrative recommendations, regarding how 
     to combine such programs, activities, and services into a 
     single program serving the same populations.
                                 ______
                                 
  SA 2830. Mr. COBURN submitted an amendment intended to be proposed by 
him to the bill S. 1086, to reauthorize and improve the Child Care and 
Development Block Grant Act of 1990, and for other purposes; which was 
ordered to lie on the table; as follows:

       At the appropriate place, insert the following:

     SEC. ___. ELIMINATION OF CHILD CARE SUBSIDIES FOR 
                   MILLIONAIRES.

       (a) Internal Revenue Code.--
       (1) No household and dependent care credit for 
     millionaires.--Section 21 of the Internal Revenue Code of 
     1986 is amended by redesignating subsection (f) as subsection 
     (g) and by inserting after subsection (e) the following new 
     subsection:
       ``(f) No Credit for Millionaires.--No credit shall be 
     allowed under this section for any taxable year with respect 
     to any taxpayer with an adjusted gross income equal to or 
     greater than $1,000,000 for such taxable year.''.
       (2) No dependent care assistance programs for 
     millionaires.--Section 129(a) of

[[Page 4266]]

     the Internal Revenue Code of 1986 is amended by adding at the 
     end the following new paragraph:
       ``(3) No exclusion for millionaires.--No exclusion shall be 
     allowed by reason of this section for any taxable year with 
     respect to any taxpayer with an adjusted gross income equal 
     to or greater than $1,000,000 for such taxable year.''.
       (3) Effective date.--The amendments made by this subsection 
     shall apply to taxable years beginning after the date of the 
     enactment of this Act.
       (b) Federal Payments.--
       (1) No child care subsidies for millionaires.--
     Notwithstanding any other provision of law, no Federal funds 
     may be used to make payments relating to child care or child 
     care services for any individual whose adjusted gross income 
     in the preceding year was equal to or greater than 
     $1,000,000.
       (2) Effective date.--The prohibition under this subsection 
     shall apply to any payments made on or after the date of the 
     enactment of this Act.
                                 ______
                                 
  SA 2831. Mr. COBURN submitted an amendment intended to be proposed by 
him to the bill S. 1086, to reauthorize and improve the Child Care and 
Development Block Grant Act of 1990, and for other purposes; which was 
ordered to lie on the table; as follows:

       Beginning on page 132, strike line 10 and all that follows 
     through page 136, line 17, and insert the following:
       (d) Report by Secretary.--Section 658L of the Child Care 
     and Development Block Grant Act of 1990 (42 U.S.C. 9858j) is 
     amended--
       (1) by striking ``1998'' and inserting ``2016''; and
       (2) by striking ``to the Committee'' and all that follows 
     through ``of the Senate'' and inserting ``to the Committee on 
     Education and the Workforce of the House of Representatives 
     and the Committee on Health, Education, Labor, and Pensions 
     of the Senate''.

     SEC. 9. PAYMENTS TO BENEFIT INDIAN CHILDREN.

       Section 658O(c)(2) of the Child Care and Development Block 
     Grant Act of 1990 (42 U.S.C. 9858m(c)(2)) is amended by 
     adding at the end the following:
                                 ______
                                 
  SA 2832. Mr. COBURN submitted an amendment intended to be proposed by 
him to the bill S. 1086, to reauthorize and improve the Child Care and 
Development Block Grant Act of 1990, and for other purposes; which was 
ordered to lie on the table; as follows:

       At the appropriate place, insert the following:

     SEC. ___. ELIMINATION OF CHILD CARE SUBSIDIES FOR HIGH-INCOME 
                   INDIVIDUALS.

       (a) Internal Revenue Code.--
       (1) No household and dependent care credit for high-income 
     individuals.--Section 21 of the Internal Revenue Code of 1986 
     is amended by redesignating subsection (f) as subsection (g) 
     and by inserting after subsection (e) the following new 
     subsection:
       ``(f) No Credit for High-income Individuals.--No credit 
     shall be allowed under this section for any taxable year with 
     respect to any taxpayer with an adjusted gross income equal 
     to or greater than $250,000 for such taxable year.''.
       (2) No dependent care assistance programs for high-income 
     individuals.--Section 129(a) of the Internal Revenue Code of 
     1986 is amended by adding at the end the following new 
     paragraph:
       ``(3) No exclusion for high-income individuals.--No 
     exclusion shall be allowed by reason of this section for any 
     taxable year with respect to any taxpayer with an adjusted 
     gross income equal to or greater than $250,000 for such 
     taxable year.''.
       (3) Effective date.--The amendments made by this subsection 
     shall apply to taxable years beginning after the date of the 
     enactment of this Act.
       (b) Federal Payments.--
       (1) No child care subsidies for high-income individuals.--
     Notwithstanding any other provision of law, no Federal funds 
     may be used to make payments relating to child care or child 
     care services for any individual whose adjusted gross income 
     in the preceding year was equal to or greater than $250,000.
       (2) Effective date.--The prohibition under this subsection 
     shall apply to any payments made on or after the date of the 
     enactment of this Act.
                                 ______
                                 
  SA 2833. Mr. RISCH (for himself and Mr. Alexander) submitted an 
amendment intended to be proposed by him to the bill S. 1086, to 
reauthorize and improve the Child Care and Development Block Grant Act 
of 1990, and for other purposes; which was ordered to lie on the table; 
as follows:

       On page 80, line 15, insert after ``services.'' the 
     following: ``The Secretary shall not promulgate any rule 
     (including any regulation), issue any guidance, or take any 
     other action, that incentivizes, encourages, or mandates any 
     such individual or entity to acquire such a credential.''.
                                 ______
                                 
  SA 2834. Mr. TESTER (for himself and Ms. Murkowski) submitted an 
amendment intended to be proposed by him to the bill S. 1086, to 
reauthorize and improve the Child Care and Development Block Grant Act 
of 1990, and for other purposes; which was ordered to lie on the table; 
as follows:

       On page 136, strike line 16 and all that follows through 
     page 137, line 7, and insert the following:
       (2) in subsection (c)--
       (A) in paragraph (2), by adding at the end the following:
       ``(D) Licensing and standards.--In lieu of any licensing 
     and regulatory requirements applicable under State or local 
     law, the Secretary, in consultation with Indian tribes and 
     tribal organizations, shall develop minimum child care 
     standards that shall be applicable to Indian tribes and 
     tribal organizations receiving assistance under this 
     subchapter. Such standards shall appropriately reflect Indian 
     tribe and tribal organization needs and available resources, 
     and shall include standards requiring a publicly available 
     application, health and safety standards, and standards 
     requiring a reservation of funds for activities to improve 
     the quality of child care provided to Indian children.''; and
       (B) in paragraph (6), by striking subparagraph (C) and 
     inserting the following:
       ``(C) Limitation.--
       ``(i) In general.--Except as provided in clause (ii), the 
     Secretary may not permit an Indian tribe or tribal 
     organization to use amounts provided under this subsection 
     for construction or renovation if the use will result in a 
     decrease in the level of child care services provided by the 
     Indian tribe or tribal organization as compared to the level 
     of child care services provided by the Indian tribe or tribal 
     organization in the fiscal year preceding the year for which 
     the determination under subparagraph (B) is being made.
       ``(ii) Waiver.--The Secretary shall waive the limitation 
     described in clause (i) if--

       ``(I) the Secretary determines that the decrease in the 
     level of child care services provided by the Indian tribe or 
     tribal organization is temporary; and
       ``(II) the Indian tribe or tribal organization submits to 
     the Secretary a plan that demonstrates that after the date on 
     which the construction or renovation is completed--

       ``(aa) the level of child care services will increase; or
       ``(bb) the quality of child care services will improve.''.
                                 ______
                                 
  SA 2835. Mr. TESTER (for himself, Mr. Begich, and Mr. Blumenthal) 
submitted an amendment intended to be proposed by him to the bill S. 
1086, to reauthorize and improve the Child Care and Development Block 
Grant Act of 1990, and for other purposes; which was ordered to lie on 
the table; as follows:

       At the end, add the following:

     SEC. __. FAMILY LEAVE BECAUSE OF THE DEATH OF A SON OR 
                   DAUGHTER.

       (a) Short Title.--This section may be cited as the 
     ``Parental Bereavement Act of 2014''.
       (b) Family Leave.--
       (1) Entitlement to leave.--Section 102(a)(1) of the Family 
     and Medical Leave Act of 1993 (29 U.S.C. 2612(a)(1)) is 
     amended by adding at the end the following new subparagraph:
       ``(F) Because of the death of a son or daughter.''.
       (2) Requirements relating to leave.--
       (A) Schedule.--Section 102(b)(1) of such Act (29 U.S.C. 
     2612(b)(1)) is amended by inserting after the third sentence 
     the following new sentence: ``Leave under subsection 
     (a)(1)(F) shall not be taken by an employee intermittently or 
     on a reduced leave schedule unless the employee and the 
     employer of the employee agree otherwise.''.
       (B) Substitution of paid leave.--Section 102(d)(2)(B) of 
     such Act (29 U.S.C. 2612(d)(2)(B)) is amended, in the first 
     sentence, by striking ``(C) or (D)'' and inserting ``(C), 
     (D), or (F)''.
       (C) Notice.--Section 102(e) of such Act (29 U.S.C. 2612(e)) 
     is amended by adding at the end the following new paragraph:
       ``(4) Notice for leave due to death of a son or daughter.--
     In any case in which the necessity for leave under subsection 
     (a)(1)(F) is foreseeable, the employee shall provide such 
     notice to the employer as is reasonable and practicable.''.
       (D) Spouses employed by same employer.--Section 
     102(f)(1)(A) of such Act (29 U.S.C. 2612(f)(1)(A)) is amended 
     by striking ``subparagraph (A) or (B)'' and inserting 
     ``subparagraph (A), (B), or (F)''.
       (E) Certification requirements.--Section 103 of such Act 
     (29 U.S.C. 2613) is amended by adding at the end the 
     following:
       ``(g) Certification Related to the Death of a Son or 
     Daughter.--An employer may require that a request for leave 
     under section 102(a)(1)(F) be supported by a certification 
     issued at such time and in such manner as the Secretary may 
     by regulation prescribe. If the Secretary issues a regulation 
     requiring such certification, the employee shall provide, in 
     a timely manner, a copy of such certification to the 
     employer.''.

[[Page 4267]]

       (F) Failure to return from leave.--Section 104(c) of such 
     Act (29 U.S.C. 2614(c)) is amended--
       (i) in paragraph (2)(B)(i), by inserting before the 
     semicolon the following: ``, or a death that entitles the 
     employee to leave under section 102(a)(1)(F)''; and
       (ii) in paragraph (3)(A)--

       (I) in the matter preceding clause (i), by inserting ``, or 
     the death,'' before ``described'';
       (II) in clause (ii), by striking ``or'' at the end;
       (III) by redesignating clause (iii) as clause (iv); and
       (IV) by inserting after clause (ii) the following:

       ``(iii) a certification that meets such requirements as the 
     Secretary may by regulation prescribe, in the case of an 
     employee unable to return to work because of a death 
     specified in section 102(a)(1)(F); or''.
       (G) Employees of local educational agencies.--Section 108 
     of such Act (29 U.S.C. 2618) is amended--
       (i) in subsection (c)--

       (I) in paragraph (1)--

       (aa) in the matter preceding subparagraph (A), by inserting 
     after ``medical treatment'' the following: ``, or under 
     section 102(a)(1)(F) that is foreseeable,''; and
       (bb) in subparagraph (A), by inserting after ``to exceed'' 
     the following: ``(except in the case of leave under section 
     102(a)(1)(F))''; and

       (II) in paragraph (2), by striking ``section 102(e)(2)'' 
     and inserting ``paragraphs (2) and (4) of section 102(e), as 
     applicable''; and

       (ii) in subsection (d), in paragraph (2) and (3), by 
     striking ``or (C)'' each place it appears and inserting 
     ``(C), or (F)''.
       (c) Family Leave for Civil Service Employees.--
       (1) Entitlement to leave.--Section 6382(a)(1) of title 5, 
     United States Code, is amended by adding at the end the 
     following:
       ``(F) Because of the death of a son or daughter.''.
       (2) Requirements relating to leave.--
       (A) Schedule.--Section 6382(b)(1) of such title is amended 
     by inserting after the third sentence the following new 
     sentence: ``Leave under subsection (a)(1)(F) shall not be 
     taken by an employee intermittently or on a reduced leave 
     schedule unless the employee and the employing agency of the 
     employee agree otherwise.''.
       (B) Substitution of paid leave.--Section 6382(d) of such 
     title is amended, in the first sentence, by striking ``or 
     (E)'' and inserting ``(E), or (F)''.
       (C) Notice.--Section 6382(e) of such title is amended by 
     adding at the end the following new paragraph:
       ``(4) In any case in which the necessity for leave under 
     subsection (a)(1)(F) is foreseeable, the employee shall 
     provide such notice to the employing agency as is reasonable 
     and practicable.''.
       (D) Certification requirements.--Section 6383 of such title 
     is amended by adding at the end the following:
       ``(g) An employing agency may require that a request for 
     leave under section 6382(a)(1)(F) be supported by a 
     certification issued at such time and in such manner as the 
     Office of Personnel Management may by regulation prescribe. 
     If the Office issues a regulation requiring such 
     certification, the employee shall provide, in a timely 
     manner, a copy of such certification to the employer.''.
                                 ______
                                 
  SA 2836. Ms. BALDWIN (for herself and Mr. Portman) submitted an 
amendment intended to be proposed by her to the bill S. 1086, to 
reauthorize and improve the Child Care and Development Block Grant Act 
of 1990, and for other purposes; which was ordered to lie on the table; 
as follows:

       At the end, add the following:

     SEC. _. QUALITY FOSTER CARE SERVICES.

       (a) Inclusion of Therapeutic Foster Care as Medical 
     Assistance.--Section 1905 of the Social Security Act (42 
     U.S.C. 1396d) is amended--
       (1) in subsection (a)--
       (A) in paragraph (28), by striking ``and'' at the end;
       (B) by redesignating paragraph (29) as paragraph (30); and
       (C) by inserting after paragraph (28) the following new 
     paragraph:
       ``(29) therapeutic foster care services described in 
     subsection (ee); and''; and
       (2) by adding at the end the following new subsection:
       ``(ee)(1) For purposes of subsection (a)(29), subject to 
     subparagraph (C), therapeutic foster care services described 
     in this subsection are services provided for children who 
     have not attained age 21, and who, as a result of mental 
     illness, other emotional or behavioral disorders, medically 
     fragile conditions, or developmental disabilities, need the 
     level of care provided in an institution (including a 
     psychiatric residential treatment facility) or nursing 
     facility the cost of which could be reimbursed under the 
     State plan but who can be cared for or maintained in a 
     community placement, through therapeutic foster care programs 
     that--
       ``(A) are licensed by the State and accredited by the Joint 
     Commission, the Commission on Accreditation of Rehabilitation 
     Facilities, the Council on Accreditation, or by another 
     equivalent accreditation agency (or agencies) as the 
     Secretary may recognize;
       ``(B) provide structured daily activities, including the 
     development, improvement, monitoring, and reinforcing of age-
     appropriate social, communication and behavioral skills, 
     trauma-informed and gender-responsive services, crisis 
     intervention and crisis support services, medication 
     monitoring, counseling, and case management, and may furnish 
     other intensive community services; and
       ``(C) provide foster care parents with specialized training 
     and consultation in the management of children with mental 
     illness, trauma, other emotional or behavioral disorders, 
     medically fragile conditions, or developmental disabilities, 
     and specific additional training on the needs of each child 
     provided such services.
       ``(2) In making coverage determinations under paragraph 
     (1), a State may employ medical necessity criteria that are 
     similar to the medical necessity criteria applied to coverage 
     determinations for other services and supports under this 
     title.
       ``(3) The services described in this subsection do not 
     include the training referred to in paragraph (1)(C).''.
       (b) Effective Date.--The amendments made by subsection (a) 
     shall apply to calendar quarters beginning on or after the 
     date of enactment of this Act.
                                 ______
                                 
  SA 2837. Mr. SCOTT (for himself and Ms. Landrieu) submitted an 
amendment intended to be proposed by him to the bill S. 1086, to 
reauthorize and improve the Child Care and Development Block Grant Act 
of 1990, and for other purposes; as follows:

       On page 140, between lines 2 and 3, insert the following:

     SEC. 10A. PARENTAL RIGHTS AND RESPONSIBILITIES.

       Section 658Q of the Child Care and Development Block Grant 
     Act of 1990 (42 U.S.C. 9858o) is amended--
       (1) by inserting before ``Nothing'' the following:
       ``(a) In General.--''; and
       (2) by adding at the end the following:
       ``(b) Parental Rights to Use Child Care Certificates.--
     Nothing in this subchapter shall be construed in a manner--
       ``(1) to favor or promote the use of grants and contracts 
     for the receipt of child care services under this subchapter 
     over the use of child care certificates; or
       ``(2) to disfavor or discourage the use of such 
     certificates for the purchase of child care services, 
     including those services provided by private or nonprofit 
     entities, such as faith-based providers.''.
                                 ______
                                 
  SA 2838. Mr. THUNE submitted an amendment intended to be proposed by 
him to the bill S. 1086, to reauthorize and improve the Child Care and 
Development Block Grant Act of 1990, and for other purposes; which was 
ordered to lie on the table; as follows:

       On page 88, line 5, insert ``offering child care 
     certificates to parents,'' after ``tions,''.
                                 ______
                                 
  SA 2839. Mr. BENNET submitted an amendment intended to be proposed by 
him to the bill S. 1086, to reauthorize and improve the Child Care and 
Development Block Grant Act of 1990, and for other purposes; which was 
ordered to lie on the table; as follows:

       At the end of the bill, add the following:

     SEC. __. ALLOTMENT OF SPACE IN FEDERAL BUILDINGS FOR CHILD 
                   CARE.

       Section 590(b)(2)(C) of title 40, United States Code, is 
     amended by striking clause (i) and inserting the following:
       ``(i) the space will be used to provide child care services 
     to children of whom at least 50 percent have 1 parent or 
     guardian who--

       ``(I) is employed by the Federal Government; or
       ``(II)(aa) has met the requirements for a master's degree 
     or a doctorate degree from an institution of higher education 
     (as defined in section 102 of the Higher Education Act of 
     1965 (20 U.S.C. 1002)); and
       ``(bb) is conducting research under an arrangement between 
     the parent or guardian and a Federal agency.''.

                                 ______
                                 
  SA 2840. Mr. MANCHIN (for himself and Mr. Toomey) submitted an 
amendment intended to be proposed by him to the bill S. 1086, to 
reauthorize and improve the Child Care and Development Block Grant Act 
of 1990, and for other purposes; which was ordered to lie on the table; 
as follows:

       On page 122, between lines 16 and 17, insert the following:
       (5) Impact on employment offer.--Except as provided in 
     paragraph (2), a child care provider covered by subsection 
     (c) may not make an offer of employment as a child care staff 
     member to an individual, even for employment on a conditional 
     or temporary basis, until the individual--
       (A) obtains a qualifying background check result for a 
     criminal background check described in subsection (b); or
       (B) qualifies under paragraph (4).
                                 ______
                                 
  SA 2841. Ms. STABENOW (for herself and Mr. Grassley) submitted an

[[Page 4268]]

amendment intended to be proposed by her to the bill S. 1086, to 
reauthorize and improve the Child Care and Development Block Grant Act 
of 1990, and for other purposes; which was ordered to lie on the table; 
as follows:

       On page 141, after line 4, add the following:

     SEC. 13. QUALITY MEASURES FOR MATERNITY CARE UNDER MEDICAID 
                   AND CHIP; QUALITY COLLABORATIVE GRANTS.

       (a) Quality Measures for Maternity Care Under Medicaid and 
     CHIP.--
       (1) In general.--Section 1139A of the Social Security Act 
     (42 U.S.C. 1320b-9a) is amended by adding at the end the 
     following new subsection:
       ``(j) Mother and Infant Care (MIC) Quality Measures.--
       ``(1) In general.--As part of the pediatric quality 
     measures program established under subsection (b) and the 
     Medicaid Quality Measurement Program established under 
     section 1139B(b)(5)(A), the Secretary shall--
       ``(A) review quality measures endorsed under section 
     1890(b)(2) that relate to the care of childbearing women and 
     newborns, particularly with respect to the application of 
     such measures to the Medicaid and CHIP programs under titles 
     XIX and XXI, and identify omissions and deficiencies in the 
     application of those measures to such programs;
       ``(B) develop and publish a set of maternity care quality 
     measures for the Medicaid and CHIP programs under titles XIX 
     and XXI (in this subsection referred to as the `Mother and 
     Infant Care (MIC) quality measures') in accordance with the 
     requirements of paragraphs (2) and (3); and
       ``(C) on an ongoing basis, review the MIC quality measures 
     and develop and publish any modifications of, or additions or 
     deletions to, such measures that reflect the development, 
     testing, validation, and consensus process described in 
     paragraph (4).
       ``(2) Process for initial review and publication.--
       ``(A) Consultation and public comment.--Not later than 
     January 1, 2016, the Secretary shall--
       ``(i) solicit public comment on the proposed MIC quality 
     measures; and
       ``(ii) consult with the stakeholders identified in 
     paragraph (6)(A) regarding such measures.
       ``(B) Publication of initial set of measures.--Not later 
     than January 1, 2017, the Secretary shall identify and 
     publish the initial MIC quality measures.
       ``(3) Requirements.--
       ``(A) In general.--The MIC quality measures shall--
       ``(i) be evidence-based;
       ``(ii) utilize risk adjustment or risk stratification 
     methodologies, if appropriate;
       ``(iii) utilize attribution methods to specify the 
     clinicians, facilities, and other entities that the measures 
     are applicable to;
       ``(iv) be pilot-tested with regards to scientific validity, 
     feasibility, and attribution method; and
       ``(v) include a balance of each of the types of measures 
     listed in subparagraph (B).
       ``(B) List of types of measures.--The measures listed in 
     this subparagraph are the following:
       ``(i) Measures of the process, experience, efficiency, and 
     outcomes of maternity care, including postpartum outcomes.
       ``(ii) Measures that apply to--

       ``(I) women and newborns who are healthy and at low risk, 
     including measures of appropriately low-intervention, 
     physiologic birth in low-risk women; and
       ``(II) women and newborns at higher risk.

       ``(iii) Measures that apply to--

       ``(I) childbearing women; and
       ``(II) newborns.

       ``(iv) Measures that apply to care during--

       ``(I) pregnancy;
       ``(II) the intrapartum period; and
       ``(III) the postpartum period.

       ``(v) Measures that apply to--

       ``(I) clinicians and clinician groups;
       ``(II) facilities;
       ``(III) health plans; and
       ``(IV) accountable care organizations.

       ``(vi) Measurement of--

       ``(I) disparities;
       ``(II) care coordination; and
       ``(III) shared decisionmaking.

       ``(C) Physiologic defined.--For purposes of this paragraph, 
     the term `physiologic' means characteristic of or conforming 
     to the normal functioning or state of the body or a tissue or 
     organ, normal, and not pathologic.
       ``(D) Construction.--Nothing in this paragraph shall be 
     construed as supporting the restriction of coverage, under 
     title XIX or XXI or otherwise, to only those services that 
     are evidence-based, or in any way limiting available 
     services.
       ``(4) Ongoing review of the mic measures; eMeasures.--
       ``(A) Contracts with qualified entities.--Not later than 
     June 30, 2017, the Secretary, acting through the Agency for 
     Healthcare Research and Quality, in consultation with the 
     Centers for Medicare & Medicaid Services, shall enter into 
     grants, contracts, or intergovernmental agreements with 
     qualified measure development entities for the purpose of 
     identifying quality of care issues that are not adequately 
     addressed by the MIC quality measures and developing, 
     testing, and validating modifications of, or additions or 
     deletions to, the MIC quality measures, and creating 
     eMeasures for data collection related to the MIC quality 
     measures.
       ``(B) Qualified measure development entity defined.--For 
     purposes of this paragraph, the term `qualified measure 
     development entity' means an entity that--
       ``(i) has demonstrated expertise and capacity in the 
     development and testing of quality measures;
       ``(ii) has adopted procedures for quality measure 
     development that ensure the inclusion of--

       ``(I) the views of the individuals and entities referred to 
     in paragraph (3)(B)(v) and whose performance will be assessed 
     by the measures; and
       ``(II) the views of other individuals and entities 
     (including patients, consumers, and health care purchasers) 
     who will use the data generated as a result of the use of the 
     quality measures;

       ``(iii) for the purpose of ensuring that the MIC quality 
     measures meet the requirements to be considered for 
     endorsement under section 1890(b)(2), has provided assurances 
     to the Secretary that the measure development entity will 
     collaborate with--

       ``(I) the Secretary;
       ``(II) the consensus-based entity with a contract under 
     section 1890(a)(1); and
       ``(III) stakeholders (including those stakeholders 
     identified in paragraph (6)(A)), as practicable;

       ``(iv) has transparent policies regarding governance and 
     conflicts of interest; and
       ``(v) submits an application to the Secretary at such time, 
     and in such form and manner, as the Secretary may require.
       ``(C) eMeasures.--
       ``(i) In general.--A qualified measure development entity 
     with a grant, contract, or intergovernmental agreement under 
     subparagraph (A) shall consult with the voluntary consensus 
     standards setting organizations and other organizations 
     involved in the advancement of evidence-based measures of 
     health care that the Secretary consults with under subsection 
     (b)(3)(H) and section 1139B(b)(5)(A) to create, as part of 
     the MIC quality measures, eMeasures that are aligned with the 
     measures developed under the pediatric quality measures 
     program established under subsection (b) and the Medicaid 
     Quality Measurement Program established under section 
     1139B(b)(5)(A).
       ``(ii) eMeasure defined.--For purposes of this 
     subparagraph, the term `eMeasure' means a measure for which 
     measurement data (including clinical data) will be collected 
     electronically, including through the use of electronic 
     health records and other electronic data sources.
       ``(D) Endorsement.--Any modifications of, or additions or 
     deletions to, the MIC quality measures shall be submitted by 
     the qualified measure development entity to the consensus-
     based entity with a contract under section 1890(a)(1) to be 
     considered for endorsement under section 1890(b)(2).
       ``(5) Maternity consumer assessment of health care 
     providers and systems surveys.--
       ``(A) Adaption of surveys.--Not later than January 1, 2018, 
     for the purpose of measuring the care experiences of 
     childbearing women and newborns, the Agency for Healthcare 
     Research and Quality shall adapt the Consumer Assessment of 
     Healthcare Providers and Systems program surveys of--
       ``(i) providers;
       ``(ii) facilities; and
       ``(iii) health plans.
       ``(B) Surveys must be effective.--The Agency for Healthcare 
     Research and Quality shall ensure that the surveys adapted 
     under subparagraph (A) are effective in measuring aspects of 
     care that childbearing women and newborns experience, which 
     may include--
       ``(i) various types of care settings;
       ``(ii) various types of caregivers;
       ``(iii) considerations relating to pain;
       ``(iv) shared decisionmaking;
       ``(v) supportive care around the time of birth; and
       ``(vi) other topics relevant to the quality of the 
     experience of childbearing women and newborns.
       ``(C) Languages.--The surveys adapted under subparagraph 
     (A) shall be available in English and Spanish.
       ``(D) Endorsement.--The Agency for Healthcare Research and 
     Quality shall submit any Consumer Assessment of Healthcare 
     Providers and Systems surveys adapted under this paragraph to 
     the consensus-based entity with a contract under section 
     1890(a)(1) to be considered for endorsement under section 
     1890(b)(2).
       ``(E) Consultation.--The adaption of (and process for 
     applying) the surveys under subparagraph (A) shall be 
     conducted in consultation with the stakeholders identified in 
     paragraph (6)(A).
       ``(6) Stakeholders.--
       ``(A) In general.--The stakeholders identified in this 
     subparagraph are--
       ``(i) the various clinical disciplines and specialties 
     involved in providing maternity care;
       ``(ii) State Medicaid administrators;
       ``(iii) maternity care consumers and their advocates;
       ``(iv) technical experts in quality measurement;
       ``(v) hospital, facility and health system leaders;

[[Page 4269]]

       ``(vi) employers and purchasers; and
       ``(vii) other individuals who are involved in the 
     advancement of evidence-based maternity care quality 
     measures.
       ``(B) Professional organizations.--The stakeholders 
     identified under subparagraph (A) may include representatives 
     from relevant national medical specialty and professional 
     organizations and specialty societies.
       ``(7) Authorization of appropriations.--There are 
     authorized to be appropriated $16,000,000 to carry out this 
     subsection. Funds appropriated under this paragraph shall 
     remain available until expended.''.
       (2) Conforming amendments.--
       (A) Section 1139A of the Social Security Act (42 U.S.C. 
     1320b-9a) is amended--
       (i) in subsection (a)(6), in the matter preceding 
     subparagraph (A), by inserting ``and the Medicaid and CHIP 
     Payment and Access Commission'' after ``Congress''; and
       (ii) in subsection (i), by striking ``subsection (e)'' and 
     inserting ``subsections (e) and (j)''.
       (B) Section 1139B(b)(4) of such Act (42 U.S.C. 1320b-
     9b(b)(4)) is amended by inserting ``and the Medicaid and CHIP 
     Payment and Access Commission'' after ``Congress''.
       (b) Quality Collaboratives.--
       (1) Grants.--The Secretary of Health and Human Services (in 
     this subsection referred to as the ``Secretary'') may make 
     grants to eligible entities to support--
       (A) the development of new State and regional maternity 
     care quality collaboratives;
       (B) expanded activities of existing maternity care quality 
     collaboratives; and
       (C) maternity care initiatives within established State and 
     regional quality collaboratives that are not focused 
     exclusively on maternity care.
       (2) Eligible entity.--The following entities shall be 
     eligible for a grant under paragraph (1):
       (A) Quality collaboratives that focus entirely, or in part, 
     on maternity care initiatives, to the extent that such 
     collaboratives use such grant only for such initiatives.
       (B) Entities seeking to establish a maternity care quality 
     collaborative.
       (C) State Medicaid agencies.
       (D) State departments of health.
       (E) Health insurance issuers (as such term is defined in 
     section 2791 of the Public Health Service Act (42 U.S.C. 
     300gg-91)).
       (F) Provider organizations, including associations 
     representing--
       (i) health professionals; and
       (ii) hospitals.
       (3) Eligible projects and programs.--In order for a project 
     or program of an eligible entity to be eligible for funding 
     under paragraph (1), the project or program must have goals 
     that are designed to improve the quality of maternity care 
     delivered, such as--
       (A) improving the appropriate use of cesarean section;
       (B) reducing maternal and newborn morbidity rates;
       (C) improving breast-feeding rates;
       (D) reducing hospital readmission rates;
       (E) identifying improvement priorities through shared peer 
     review and third-party reviews of qualitative and 
     quantitative data, and developing and carrying out projects 
     or programs to address such priorities; or
       (F) delivering risk-appropriate levels of care.
       (4) Activities.--Activities that may be supported by the 
     funding under paragraph (1) include the following:
       (A) Facilitating performance data collection and feedback 
     reports to providers with respect to their performance, 
     relative to peers and benchmarks, if any.
       (B) Developing, implementing, and evaluating protocols and 
     checklists to foster safe, evidence-based practice.
       (C) Developing, implementing, and evaluating programs that 
     translate into practice clinical recommendations supported by 
     high-quality evidence in national guidelines, systematic 
     reviews, or other well-conducted clinical studies.
       (D) Developing underlying infrastructure needed to support 
     quality collaborative activities under this paragraph.
       (E) Providing technical assistance to providers and 
     institutions to build quality improvement capacity and 
     facilitate participation in collaborative activities.
       (F) Developing the capability to access the following data 
     sources:
       (i) A mother's prenatal, intrapartum, and postpartum 
     records.
       (ii) A mother's medical records.
       (iii) An infant's medical records since birth.
       (iv) Birth and death certificates.
       (v) Any other relevant State-level generated data (such as 
     data from the pregnancy risk assessment management system 
     (PRAMS)).
       (G) Developing access to blinded liability claims data, 
     analyzing the data, and using the results of such analysis to 
     improve practice.
       (5) Special rule for births.--
       (A) In general.--Subject to subparagraph (B), if a grant 
     under paragraph (1) is for a project or program that focuses 
     on births, at least 25 percent of the births addressed by 
     such project or program must occur in health facilities that 
     perform fewer than 1,000 births per year.
       (B) Exception.--In the case of a grant under paragraph (1) 
     for a project or program located in a State in which less 
     than 25 percent of the health facilities in the State perform 
     less than 1,000 births per year, the percentage of births in 
     such facilities addressed by such project or program shall be 
     commensurate with the Statewide percentage of births 
     performed at such facilities.
       (6) Use of quality measures.--Projects and programs for 
     which such a grant is made shall--
       (A) include data collection with rapid analysis and 
     feedback to participants with a focus on improving practice 
     and health outcomes;
       (B) develop a plan to identify and resolve data collection 
     problems;
       (C) identify and document evidence-based strategies that 
     will be used to improve performance on quality measures and 
     other metrics; and
       (D) exclude from quality measure collection and reporting 
     physicians and midwives who attend fewer than 30 births per 
     year.
       (7) Reporting on quality measures.--Any reporting 
     requirements established by a project or program funded under 
     paragraph (1) shall be designed to--
       (A) minimize costs and administrative effort; and
       (B) use existing data resources when feasible.
       (8) Clearinghouse.--The Secretary shall establish an 
     online, open-access clearinghouse to make protocols, 
     procedures, reports, tools, and other resources of individual 
     collaboratives available to collaboratives and other entities 
     that are working to improve maternity care quality.
       (9) Evaluation.--A quality collaborative (or other entity 
     receiving a grant under paragraph (1)) shall--
       (A) develop and carry out plans for evaluating its 
     maternity care quality improvement programs and projects; and
       (B) publish its experiences and results in articles, 
     technical reports, or other formats for the benefit of others 
     working on maternity care quality improvement activities.
       (10) Annual reports to secretary.--A quality collaborative 
     or other eligible entity that receives a grant under 
     paragraph (1) shall submit an annual report to the Secretary 
     containing the following:
       (A) A description of the activities carried out using the 
     funding from such grant.
       (B) A description of any barriers that limited the ability 
     of the collaborative or entity to achieve its goals.
       (C) The achievements of the collaborative or entity under 
     the grant with respect to the quality, health outcomes, and 
     value of maternity care.
       (D) A list of lessons learned from the grant.
     Such reports shall be made available to the public.
       (11) Governance.--
       (A) In general.--A maternity care quality collaborative or 
     a maternity care program within a broader quality 
     collaborative that is supported under paragraph (1) shall be 
     governed by a multi-stakeholder executive committee.
       (B) Composition.--Such executive committee shall include 
     individuals who represent--
       (i) physicians, including physicians in the fields of 
     general obstetrics, maternal-fetal medicine, family medicine, 
     neonatology, and pediatrics;
       (ii) nurse-practitioners and nurses;
       (iii) certified nurse-midwives and certified midwives;
       (iv) health facilities and health systems;
       (v) consumers;
       (vi) employers and other private purchasers;
       (vii) Medicaid programs; and
       (viii) other public health agencies and organizations, as 
     appropriate.

     Such committee also may include other individuals, such as 
     individuals with expertise in health quality measurement and 
     other types of expertise as recommended by the Secretary. 
     Such committee also may be composed of a combination of 
     general collaborative executive committee members and 
     maternity specific project executive committee members.
       (12) Consultation.--A quality collaborative or other 
     eligible entity that receives a grant under paragraph (1) 
     shall engage in regular ongoing consultation with--
       (A) regional and State public health agencies and 
     organizations;
       (B) public and private health insurers; and
       (C) regional and State organizations representing 
     physicians, midwives, and nurses who provide maternity 
     services.
       (13) Authorization of appropriations.--There are authorized 
     to be appropriated $15,000,000 to carry out this subsection. 
     Funds appropriated under this paragraph shall remain 
     available until expended.
                                 ______
                                 
  SA 2842. Ms. WARREN submitted an amendment intended to be proposed by 
her to the bill S. 1086, to reauthorize and improve the Child Care and 
Development Block Grant Act of 1990, and for other purposes; which was 
ordered to lie on the table; as follows:

       On page 111, strike line 17 and insert the following:

[[Page 4270]]

     early neurological development of children; and
       ``(L) connecting child care staff members of child care 
     providers with available Federal and State financial aid, or 
     other resources, that would assist child care staff members 
     in pursuing relevant postsecondary training.
                                 ______
                                 
  SA 2843. Mr. BENNET (for himself, Mr. Begich, Mr. Schatz, and Mr. 
Udall of Colorado) submitted an amendment intended to be proposed by 
him to the bill S. 1086, to reauthorize and improve the Child Care and 
Development Block Grant Act of 1990, and for other purposes; which was 
ordered to lie on the table; as follows:

       At the end of the bill, add the following:

     SEC. 13. NATIVE AMERICAN INDIAN EDUCATION ACT.

       (a) Short Title.--This section may be cited as the ``Native 
     American Indian Education Act''.
       (b) Findings and Purpose.--
       (1) Findings.--Congress finds the following:
       (A) Nontribal colleges that serve Native American Indian 
     students have a valuable supplemental role to that provided 
     by tribally controlled community colleges in making available 
     educational opportunities to Native American Indian students.
       (B) Some 4-year colleges serve Native American Indian 
     students by providing tuition-free education, with the 
     support of the State in which the institutions are located, 
     as mandated by Federal statute, to hundreds of Native 
     American Indian students in fulfillment of a condition under 
     which the United States provided land and facilities for 
     colleges to a State or college.
       (C) The value of the Native American Indian student tuition 
     waiver benefits contributed by these colleges and the States 
     that support them today far exceeds the value of the original 
     grant of land and facilities.
       (D) The ongoing financial burden of meeting this Federal 
     mandate to provide tuition-free education to Native American 
     Indian students is no longer equitably shared among the 
     States and colleges because it does not distinguish between 
     Native American Indian students who are residents of the 
     State or of another State.
       (E) In fiscal year 2012, the State of Colorado paid 
     approximately $13,000,000 in tuition fees to support the 
     education of Native American Indian students at Fort Lewis 
     College in Colorado. In the State of Minnesota, the 
     University of Minnesota waived $2,600,000 in tuition for 
     Native American Indian students in fiscal year 2012.
       (F) Native American Indian student tuition waiver benefits 
     are now at risk of being terminated by severe budget 
     constraints being experienced by these colleges and the 
     States which support them.
       (2) Purpose.--It is the purpose of this section to ensure 
     that Federal funding is provided in order to relieve 
     constrained State education budgets and to support and 
     sustain the longstanding Federal mandate requiring colleges 
     and States to waive, in certain circumstances, tuition 
     charges for Native American Indian students admitted to an 
     undergraduate college program, including the waiver of 
     tuition charges for Native American Indian students who are 
     not residents of the State in which the college is located.
       (c) State Relief From Federal Mandate.--Part A of title III 
     of the Higher Education Act of 1965 (20 U.S.C. 1057 et seq.) 
     is amended by inserting after section 319 the following:

     ``SEC. 319A. STATE RELIEF FROM FEDERAL HIGHER EDUCATION 
                   MANDATE.

       ``(a) Amount of Payment.--
       ``(1) In general.--Subject to paragraphs (2) and (3), for 
     fiscal year 2014 and each succeeding fiscal year, the 
     Secretary shall pay to any eligible college an amount equal 
     to the charges for tuition for such year for all Native 
     American Indian students who--
       ``(A) are not residents of the State in which the college 
     is located; and
       ``(B) are enrolled in the college for the academic year 
     ending before the beginning of such fiscal year.
       ``(2) Eligible colleges.--For purposes of this section, an 
     eligible college is any institution of higher education 
     serving Native American Indian students that provides 
     tuition-free education as mandated by Federal statute, with 
     the support of the State in which it is located, to Native 
     American Indian students in fulfillment of a condition under 
     which the college or State received its original grant of 
     land and facilities from the United States.
       ``(3) Limitation.--The amount paid to any eligible college 
     for each fiscal year under paragraph (1) may not exceed the 
     amount equal to the charges for tuition for all Native 
     American Indian students of that college who were not 
     residents of the State in which the college is located and 
     who were enrolled in the college for academic year 2012-2013.
       ``(b) Treatment of Payment.--Any amounts received by an 
     eligible college under this section shall be treated as a 
     reimbursement from the State in which the college is located, 
     and shall be considered as provided in fulfillment of any 
     Federal mandate upon the State to admit Native American 
     Indian students free of charge of tuition.
       ``(c) Rule of Construction.--Nothing in this section shall 
     be construed to relieve any State from any mandate the State 
     may have under Federal law to reimburse a college for each 
     academic year--
       ``(1) with respect to Native American Indian students 
     enrolled in the college who are not residents of the State in 
     which the college is located, any amount of charges for 
     tuition for such students for such academic year that exceeds 
     the amount received under this section for such academic 
     year; and
       ``(2) with respect to Native American Indian students 
     enrolled in the college who are residents of the State in 
     which the college is located, an amount equal to the charges 
     for tuition for such students for such academic year.
       ``(d) Definition of Native American Indian Students.--In 
     this section, the term `Native American Indian students' 
     includes reference to the term `Indian pupils' as that term 
     has been utilized in Federal statutes imposing a mandate upon 
     any college or State to provide tuition-free education to 
     Native American Indian students in fulfillment of a condition 
     under which the college or State received its original grant 
     of land and facilities from the United States.''.
       (d) Offset.--
       (1) In general.--Notwithstanding any other provision of 
     law, $15,000,000 in appropriated discretionary funds are 
     hereby rescinded, on a pro rata basis, by account, from all 
     available unobligated funds.
       (2) Implementation.--The Director of the Office of 
     Management and Budget shall determine and identify from which 
     appropriation accounts the rescission under paragraph (1) 
     shall apply and the amount of such rescission that shall 
     apply to each such account. Not later than 60 days after the 
     date of enactment of this Act, the Director of the Office of 
     Management and Budget shall submit a report to the Secretary 
     of the Treasury and Congress of the accounts and amounts 
     determined and identified for rescission under the preceding 
     sentence.
       (3) Exception.--This subsection shall not apply to the 
     unobligated funds of the Department of Defense, the 
     Department of Veterans Affairs, or the Department of 
     Education, or any unobligated funds available to the 
     Department of the Interior for the postsecondary education of 
     Native American Indian students.

                          ____________________