SECTION 1. SHORT TITLE; TABLE OF CONTENTS.

    (a) Short Title.--This Act may be cited as the ``Simple Universal
Healthcare Act of 2009''.
    (b) Table of Contents.--The table of contents of this Act is as
follows:

Sec. 1. Short title; table of contents.
Sec. 2. Establishment of Citizens Congressional Health Benefits Program
                            (CCHBP).
Sec. 3. Contracts with entities to offer qualified CCHBP health plans.
Sec. 4. Scope of benefits and coverage.
Sec. 5. Eligibility.
Sec. 6. Enrollment.
Sec. 7. Premiums.
Sec. 8. High-risk reinsurance fund.
Sec. 9. Definitions.
Sec. 10. Effective date and treatment of collective bargaining
                            agreements.

SEC. 2. ESTABLISHMENT OF CITIZENS CONGRESSIONAL HEALTH BENEFITS PROGRAM
              (CCHBP).

    (a) In General.--The Director of the Office of Personnel Management
shall establish a program (to be known as the ``Citizen's Congressional
Health Benefits Program'') to provide comprehensive health insurance
coverage to--
            (1) Federal elected officials (including the President,
        Vice President, and Members of Congress); and
            (2) residents of the United States who are not covered
        under the Federal Employees Health Benefits Program (FEHBP).
    (b) Similar to FEHBP.--The coverage shall be provided in a manner
similar to the manner in which coverage has been provided to Members of
Congress and Federal Government employees and retirees and their
dependents under the Federal Employees Health Benefits Program (FEHBP).

SEC. 3. CONTRACTS WITH ENTITIES TO OFFER QUALIFIED CCHBP HEALTH PLANS.

    (a) In General.--The Director shall enter into contracts with
entities for the offering of qualified CCHBP health plans in accordance
with this Act. Such contracts shall be entered into in a manner similar
to the process by which the Director is authorized to enter into
contracts with entities offering health benefits plans under FEHBP.
    (b) Requirements for Entities Offering Plans.--The Director may
only enter into a contract under subsection (a) with an entity that
is--
            (1) licensed--
                    (A) as a health maintenance organization in the
                State in which the entity will offer the qualified
                CCHBP health plan; or
                    (B) to sell group health insurance coverage in such
                State;
            (2) meets such requirements, similar to requirements under
        FEHBP, as the Director may establish, relating to solvency,
        adequacy of plan benefits (subject to section 4), organization,
        structure, governance, access, and quality; and
            (3) agrees to participate in the high-risk reinsurance fund
        described in section 8.
    (c) FEHBP Plans.--Any health plan offered under FEHBP shall be
treated as a qualified CCHBP health plan for purposes of this Act.
    (d) Preemption of State Law.--The requirements of section 4, with
respect to the scope and type of benefits required to be provided by a
CCHBP health plan, shall supersede any and all State laws.

SEC. 4. SCOPE OF BENEFITS AND COVERAGE.

    (a) Comprehensive Benefits.--
            (1) In general.--Subject to paragraph (2), qualified CCHBP
        health plans shall provide for the same scope and type of
        benefits that are provided under FEHBP, including--
                    (A) the types of benefits described in section 8904
                of title 5, United States Code; and
                    (B) benefits required by regulation or guidance
                under FEHBP.
            (2) Preventive benefits and mental health parity.--
        Qualified CCHBP health plans shall provide a minimum level of
        preventive benefits determined by the Director, in consultation
        with the U.S. Preventive Service Task Force, which shall
        include vaccines for both children and adults, an annual
        physical, cancer screening (including mammographies for women
        of an appropriate age), and mental health parity.
    (b) No Exclusion for Pre-Existing Conditions.--Subject to section
6(b)(2), qualified CCHBP health plans shall not impose pre-existing
condition exclusions or otherwise discriminate against any individual
based on the health status of such individual (including genetic
information relating to such enrollee, or any disease or condition).
    (c) Annual and Lifetime Out-Of-Pocket Limit Information.--An entity
offering a qualified CCHBP health plan must provide notice to any
individual covered by such plan of any benefit or service that is not
included in the calculation of the annual or lifetime out-of-pocket
limit under such plan.

SEC. 5. ELIGIBILITY.

    (a) In General.--An individual is eligible to enroll in a qualified
CCHBP health plan if--
            (1) the individual resides in the United States; and
            (2) the individual is--
                    (A) a citizen or national of the United States;
                    (B) an alien lawfully admitted to the United States
                for permanent residence;
                    (C) an alien admitted into the United States under
                section 207 of the Immigration and Nationality Act
                (relating to refugees);
                    (D) an alien otherwise permanently residing in the
                United States under color of law (as specified by the
                Director); or
                    (E) an alien with the status of a nonimmigrant who
                is within a class of long-term nonimmigrants under
                section 101(a)(15) of the Immigration and Nationality
                Act that the Director determines, in consultation with
                the Secretary of Homeland Security, to be appropriate.
    (b) Exceptions.--The following individuals are not eligible to
enroll in a qualified CCHBP health plan:
            (1) Individuals enrolled under public health insurance
        programs.--An individual who is enrolled under the Federal
        employees health benefits program under chapter 89 of title 5,
        United States Code (except for a member of Congress, as defined
        by section 2106 of title 5, United States Code; or the
        President); the Medicare program under title XVIII of the
        Social Security Act; the Medicaid program under title XIX of
        such Act; the Children's Health Insurance Program under title
        XXI of such Act; or Tricare under chapter 55 of title 10,
        United States Code.
            (2) Incarcerated individuals.--An individual who is
        incarcerated (as specified by the Director).
    (c) Treatment of Elected Officials.--A member of Congress (as
defined under section 2106 of title 5, United States Code) or the
President may enroll in either a qualified CCHBP health plan under this
Act or an FEHBP plan under title 5, United States Code, but may not be
enrolled in both types of plans at the same time.
    (d) Confirmation of Immigration Status.--The Director, in
consultation with each entity offering a qualified CCHBP plan, shall
promulgate regulations for the use of the automated system known as the
Systematic Alien Verification for Entitlements, as provided for by
section 404 of the Illegal Immigrations Reform and Immigrant
Responsibility Act of 1996 (110 Stat. 3009-664) to verify the legal
presence of the status of an individual, other than a United States
citizen, who seeks to enroll in a qualified CCHBP plan.
    (e) Employer Option.--
            (1) In general.--An employer may choose to participate in
        CCHBP and offer qualified CCHBP health plans to employees of
        such employer as employer-sponsored health insurance.
            (2) Notice.--The employer shall inform the Director that
        the employer is taking such option in a form and manner
        determined by the Director.
            (3) Maintenance of effort required.--An employer who
        provides notice under paragraph (2) must pay the percentage of
        the cost of the premium, as determined under section 7, for
        each employee that enrolls in a qualified CCHBP health plan,
        that is the same as the percentage of the cost of the premium
        of the health insurance plan that such employer offered to its
        employees before the employer provided notice under paragraph
        (2).
            (4) Tax treatment.--For purposes of the Internal Revenue
        Code of 1986, a qualified CCHBP health plan offered by an
        employer under this subsection shall not fail to be treated as
        employer-provided coverage solely because such employer
        provides such plan through the CCHBP.

SEC. 6. ENROLLMENT.

    (a) Enrollment Process.--The Director shall establish a process to
enroll eligible individuals and their families in qualified CCHBP
health plans. Such process shall be conducted in a manner that is
similar to the manner enrollment is conducted under FEHBP. To the
extent consistent with eligibility under section 3, the Director shall
provide rules similar to the rules under FEHBP for the enrollment of
family members who are CCHBP-eligible individuals in the same plan.
    (b) Enrollment Period.--
            (1) Enrollment upon initial eligibility.--
                    (A) In general.--An eligible individual may enroll
                in a qualified CCHBP health plan--
                            (i) at any time during the 1-year period
                        beginning on the date that the Citizen's
                        Congressional Health Benefits Program begins to
                        operate; or, if later,
                            (ii) at any time during the 3-month period
                        beginning on the date that such individual
                        becomes eligible to enroll in any qualified
                        CCHBP health plan.
                    (B) Treatment of preexisting conditions.--An
                individual who enrolls during the periods under
                paragraph (1) shall not be subject to exclusions or
                additional costs due to any preexisting conditions that
                such individual developed before the date such
                individual enrolled in a qualified CCHBP plan.
            (2) Annual enrollment.--
                    (A) In general.--An eligible individual who does
                not enroll in a qualified CCHBP health plan under
                paragraph (1) may enroll in such a plan during an
                annual enrollment period of not more than 1 month, as
                determined by the Director.
                    (B) Treatment of preexisting conditions.--Subject
                to rules developed by the Director, the entity offering
                the qualified CCHBP health plan may exclude such
                individual from enrolling in such a plan under this
                paragraph due to any preexisting condition which such
                individual develops before the date of such annual
                enrollment period. Upon excluding such individual, the
                entity offering the qualified CCHBP health plan shall
                provide such individual with notice of such exclusion
                and information about enrolling in a high risk pool.
    (c) Changes in Enrollment.--The Director shall establish enrollment
procedures that include an annual open season of at least 1 month and
permit changes in enrollment with qualified health plans at other times
(such as by reason of changes in marital or dependent status or
eligibility). Such procedures shall be based on the enrollment
procedures established under FEHBP. The Director shall provide for
termination of such enrollment for an individual at the time the
individual is no longer an eligible individual.
    (d) Enrollment of Employees.--Notwithstanding subsection (b)(2),
the employees of an employer that provides notice to the Director under
section 5(e)(2) may enroll in a qualified CCHBP health plan during
either the 3-month period beginning on the date that such employer
provides such notice or the 3-month period beginning on the date that
such employee begins working for such employer, whichever is later.
Such employee shall not be subject to any costs related to such
employee's pre-existing conditions if so enrolled during such period.
    (e) Enrollment Guides.--The Director shall provide for the broad
dissemination of information on qualified CCHBP health plans offered
under this title. Such information shall be provided in a comparative
manner, similar to that used under FEHBP, and shall include
information, collected through surveys of enrollees, on measures of
enrollee satisfaction with the different plans.

SEC. 7. PREMIUMS.

    The premiums established for a qualified CCHBP health plan under
this Act for individual or family coverage--
            (1) based on the rating system used under FEHBP; and
            (2) shall not vary based on age, gender, health status
        (including genetic information), or other factors.

SEC. 8. HIGH-RISK REINSURANCE FUND.

    The Director shall establish an arrangement among the entities
offering qualified health plans under which such entities contribute in
an equitable manner (as determined by the Director) into a fund that
provides payment to plans for a percentage (specified by the Director
and not to exceed 90 percent) of the costs that they incur for
enrollees beyond a predetermined threshold specified by the Director.
Such fund shall be funded exclusively by such entities.

SEC. 9. DEFINITIONS.

    For purposes of this Act:
            (1) The term ``CCHBP-eligible individual'' means an
        individual described in section 5.
            (2) The term ``Director'' means the Director of the Office
        of Personnel Management.
            (3) The term ``FEHBP'' means the program under chapter 89
        of title 5, United States Code.
            (4) The term ``qualified CCHBP health plan'' means a fee-
        for-service plan, health maintenance organization plan, high
        deductible health insurance plan, or other health insurance
        plan that meets the requirements for a health insurance plan
        under FEHBP and is offered through the CCHBP under this Act by
        an entity that is qualified to offer such plans.

SEC. 10. EFFECTIVE DATE AND TREATMENT OF COLLECTIVE BARGAINING
              AGREEMENTS.

    (a) Effective Date.--Benefits shall first be made available under
this title for items and services furnished on or after the last day of
the 9-month period beginning on the date of the enactment of this Act.
    (b) Non-Preemption of Existing Collective Bargaining Agreements.--
Nothing in this Act shall be construed as preempting any collective
bargaining agreement that is in effect as of the date of the enactment
of this Act, during the period in which such agreement is in effect
(without regard to any extension of such agreement effected as of such
date of enactment).

Summary: Simple Universal Healthcare Act of 2009 - Requires the Director of the Office of Personnel Management (OPM) to establish a Citizen's Congressional Health Benefits Program (CCHBP) to provide comprehensive health insurance coverage similar to coverage that has been provided to Members of Congress and federal employees, retirees, and their dependents under the Federal Employees Health Benefits Program (FEHBP) to: (1) federal elected officials. And (2) US residents who are not covered under FEHBP. Authorizes the Director to enter into contracts with entities for the offering of qualified CCHBP health plans in a manner similar to the process by which the Director is authorized to enter into contracts with entities under FEHBP. Requires any FEHBP health plan to be treated as a qualified CCHBP health plan. Requires CCHBP health plans to: (1) provide for the same scope and type of benefits that are provided under FEHBP. (2) provide a minimum level of preventive benefits determined by the Director, including vaccines for children and adults, an annual physical, cancer screening, and mental health parity. And (3) provide notice to any covered individual of any benefit or service that is not included in the calculation of the annual or lifetime out-of-pocket limit. Prohibits CCHBP health plans from imposing preexisting condition exclusions or otherwise discriminating based on health status with respect to individuals who enroll upon initial eligibility. Allows a plan to exclude an individual from enrolling based on a preexisting condition during an annual enrollment period after such individual's initial eligibility period. Lists eligibility requirements. Excludes individuals enrolled under FEHBP or other specified public health insurance programs and incarcerated individuals. Requires the Director to promulgate regulations for the use of the Systematic Alien Verification for Entitlements system to verify the legal presence and status of an individual, other than a US citizen, who seeks to enroll in a qualified CCHBP plan. Permits an employer to choose to participate in CCHBP and offer employees qualified CCHBP health plans as employer-sponsored health insurance.

To establish a health benefits program, based on the Federal employees health benefits program, to provide health insurance coverage for the President, Vice President, and Members of Congress, and citizens not eligible for coverage under the Federal employees health benefits program.


SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Special Olympics Sport and
Empowerment Act of 2004''.

SEC. 2. FINDINGS AND PURPOSE.

    (a) Findings.--Congress finds the following:
        (1) Special Olympics celebrates the possibilities of a world
    where everybody matters, everybody counts, every person has value,
    and every person has worth.
        (2) The Government and the people of the United States
    recognize the dignity and value the giftedness of children and
    adults with an intellectual disability.
        (3) The Government and the people of the United States are
    determined to end the isolation and stigmatization of people with
    an intellectual disability.
        (4) For more than 36 years, Special Olympics has encouraged
    skill, sharing, courage, and joy through year-round sports training
    and athletic competition for children and adults with intellectual
    disabilities.
        (5) Special Olympics provides year-round sports training and
    competitive opportunities to 1,500,000 athletes with intellectual
    disabilities in 26 sports and plans to expand the joy of
    participation through sport to hundreds of thousands of people with
    intellectual disabilities within the United States and worldwide
    over the next 5 years.
        (6) Special Olympics has demonstrated its ability to provide a
    major positive effect on the quality of life of people with
    intellectual disabilities, improving their health and physical
    well-being, building their confidence and self-esteem, and giving
    them a voice to become active and productive members of their
    communities.
        (7) In society as a whole, Special Olympics has become a
    vehicle and platform for breaking down artificial barriers,
    improving public health, changing negative attitudes in education,
    and helping athletes overcome the prejudice that people with
    intellectual disabilities face in too many places.
        (8) The Government of the United States enthusiastically
    supports Special Olympics, recognizes its importance in improving
    the lives of people with intellectual disabilities, and recognizes
    Special Olympics as a valued and important component of the global
    community.
    (b) Purpose.--The purposes of this Act are to--
        (1) provide support to Special Olympics to increase athlete
    participation in and public awareness about the Special Olympics
    movement;
        (2) dispel negative stereotypes about people with intellectual
    disabilities;
        (3) build athletic and family involvement through sport; and
        (4) promote the extraordinary gifts of people with intellectual
    disabilities.

SEC. 3. ASSISTANCE FOR SPECIAL OLYMPICS.

    (a) Education Activities.--The Secretary of Education may award
grants to, or enter into contracts or cooperative agreements with,
Special Olympics to carry out the following:
        (1) Activities to promote the expansion of Special Olympics,
    including activities to increase the participation of individuals
    with intellectual disabilities within the United States.
        (2) The design and implementation of Special Olympics education
    programs, including character education and volunteer programs that
    support the purposes of this Act, that can be integrated into
    classroom instruction and are consistent with academic content
    standards.
    (b) International Activities.--The Secretary of State may award
grants to, or enter into contracts or cooperative agreements with,
Special Olympics to carry out the following:
        (1) Activities to increase the participation of individuals
    with intellectual disabilities in Special Olympics outside of the
    United States.
        (2) Activities to improve the awareness outside of the United
    States of the abilities and unique contributions that individuals
    with intellectual disabilities can make to society.
    (c) Healthy Athletes.--
        (1) In general.--The Secretary of Health and Human Services may
    award grants to, or enter into contracts or cooperative agreements
    with, Special Olympics for the implementation of on-site health
    assessments, screening for health problems, health education, data
    collection, and referrals to direct health care services.
        (2) Coordination.--Activities under paragraph (1) shall be
    coordinated with private health providers, existing authorized
    programs of State and local jurisdictions, or the Department of
    Health and Human Services, as applicable.
    (d) Limitation.--Amounts appropriated to carry out this section
shall not be used for direct treatment of diseases, medical conditions,
or mental health conditions. Nothing in the preceding sentence shall be
construed to limit the use of non-Federal funds by Special Olympics.

SEC. 4. APPLICATION AND ANNUAL REPORT.

    (a) Application.--
        (1) In general.--To be eligible for a grant, contract, or
    cooperative agreement under subsection (a), (b), or (c) of section
    3, Special Olympics shall submit an application at such time, in
    such manner, and containing such information as the Secretary of
    Education, Secretary of State, or Secretary of Health and Human
    Services, as applicable, may require.
        (2) Content.--At a minimum, an application under this
    subsection shall contain the following:
            (A) Activities.--A description of activities to be carried
        out with the grant, contract, or cooperative agreement.
            (B) Measurable goals.--Information on specific measurable
        goals and objectives to be achieved through activities carried
        out with the grant, contract, or cooperative agreement.
    (b) Annual Report.--
        (1) In general.--As a condition on receipt of any funds under
    subsection (a), (b), or (c) of section 3, Special Olympics shall
    agree to submit an annual report at such time, in such manner, and
    containing such information as the Secretary of Education,
    Secretary of State, or Secretary of Health and Human Services, as
    applicable, may require.
        (2) Content.--At a minimum, each annual report under this
    subsection shall describe the degree to which progress has been
    made toward meeting the goals and objectives described in the
    applications submitted under subsection (a).

SEC. 5. AUTHORIZATION OF APPROPRIATIONS.

    There are authorized to be appropriated--
        (1) for grants, contracts, or cooperative agreements under
    section 3(a), $5,500,000 for fiscal year 2005, and such sums as may
    be necessary for each of the 4 succeeding fiscal years;
        (2) for grants, contracts, or cooperative agreements under
    section 3(b), $3,500,000 for fiscal year 2005, and such sums as may
    be necessary for each of the 4 succeeding fiscal years; and
        (3) for grants, contracts, or cooperative agreements under
    section 3(c), $6,000,000 for each of fiscal years 2005 through
    2009.

                               Speaker of the House of Representatives.

                            Vice President of the United States and
                                               President of the Senate.

Summary: Special Olympics Sport and Empowerment Act of 2004 - Authorizes the Secretaries of Education, of State, and of Health and Human Services to award grants to, or enter into contracts or cooperative agreements with, Special Olympics for specified education, international, and health activities, including ones promoting Special Olympics and a greater understanding of contributions to society by individuals with intellectual disabilities both within and outside of the United States. Prohibits use of funds under this Act for direct treatment of diseases, medical conditions, or mental health conditions. Sets forth application and annual report requirements. Authorizes appropriations for FY 2005 through 2009.

To provide assistance to Special Olympics to support expansion of Special Olympics and development of education programs and a Healthy Athletes Program, and for other purposes.


SECTION 1. SHORT TITLE.

    This Act may be cited as the ``CTR Modernization Act''.

SEC. 2. PURPOSES.

    The purposes of this Act are as follows:
            (1) To improve the quality and usefulness of currency
        transaction reports in criminal, tax, and regulatory
        investigations or proceedings.
            (2) To eliminate filing currency transaction reports
        related to many innocent, infrequent, or idiosyncratic deposit
        activities.
            (3) To further focus anti-money laundering investigations
        and prosecutions by reducing the number of spurious,
        duplicative, and innocent currency transaction reports and
        increasing the usefulness of suspicious activity reports.
            (4) To maintain the high degree of usefulness of currency
        transaction reports and adjust for inflation and current
        financial practices the threshold for currency transaction
        reports to a level consistent with the amount established
        pursuant to Public Law 91-508 upon the enactment of such Public
        Law in 1970.
            (5) To increase the usefulness of data collected through
        currency transaction reports and suspicious activity reports
        and for other purposes.

SEC. 3. MODIFICATION OF CURRENCY TRANSACTION REPORTING THRESHOLD.

    (a) Threshold.--
            (1) Nondepository institutions.--The 1st sentence of
        section 5313(a) of title 31, United States Code, is amended by
        inserting ``, other than a depository institution,'' after
        ``domestic financial institution''.
            (2) Depository institutions.--Subsection (a) of section
        5313 of title 31, United States Code, is amended by inserting
        after the 1st sentence (as amended by paragraph (1) of this
        subsection) the following new sentence: ``When a depository
        institution is involved in a transaction for the payment,
        receipt, or transfer of United States coins or currency (or
        other monetary instruments the Secretary of the Treasury
        prescribes), in an amount, denomination, or amount and
        denomination of not less than $30,000 and under circumstances
        the Secretary prescribes by regulation, the depository
        institution and any other participant in the transaction the
        Secretary may prescribe shall file a report on the transaction
        at the time and in the way the Secretary prescribes.''.
    (b) Regulation.--After the end of the 270-day period beginning on
the date of the enactment of the CTR Modernization Act, the Secretary
of the Treasury shall not require a depository institution to file a
currency transaction report when the transaction involves the transfer
of currency of an amount and denomination of less than $30,000.
    (c) Technical and Conforming Amendment.--Subsection (c) of section
5312 of title 31, United States Code, is amended by adding at the end
the following new paragraph:
            ``(2) Depository institution.--The term `depository
        institution' means any insured depository institution (as
        defined in section 3 of the Federal Deposit Insurance Act) and
        any insured credit union (as defined in section 101(7) of the
        Federal Credit Union Act).''.

SEC. 4. PERIODIC REVIEW OF REPORTING THRESHOLD AND ADJUSTMENT FOR
              INFLATION.

    Section 5318 of title 31, United States Code, is amended by adding
at the end the following new subsection:
    ``(o) Periodic Review of Reporting Threshold and Adjustment for
Inflation.--
            ``(1) In general.--Before the end of the 5-year period
        beginning on the date of the enactment of the CTR Modernization
        Act and at least every 5 years after the expiration of such
        period, the secretary of the treasury shall--
                    ``(A) solicit and review public comments about the
                appropriateness, relevance, and utility of the then-
                current threshold amount or denomination established by
                the Secretary;
                    ``(B) review the continuing appropriateness,
                relevance, and utility of each threshold amount or
                denomination established by the Secretary, in the
                Secretary's discretion, for any report required by the
                Secretary under this subchapter; and
                    ``(C) adjust such amount, at such time and in such
                manner as the Secretary considers appropriate but in no
                case later than 365 days following the expiration of
                the public comment period, for any inflation that the
                Secretary of the Treasury determines has occurred since
                the date any such amount was established or last
                adjusted, except that the Secretary of the Treasury
                shall not reduce such amount to an amount and
                denomination of less than $30,000.
            ``(2) Report.--Before the end of the 365-day period
        beginning upon the completion of any review by the Secretary of
        the Treasury under paragraph (1), the Secretary shall submit a
        report to the Congress containing the findings and conclusions
        of the Secretary in connection with such review, together with
        an explanation for any adjustment, or lack of adjustment, of
        any threshold amount or denomination by the Secretary as a
        result of such review, including the adjustment for
        inflation.''.

SEC. 5. MODIFICATION OF EXEMPTION PROCESS.

    (a) Seasoned Customer Exemption.--Subsection (e) of section 5313 of
title 31, United States Code, is amended to read as follows:
    ``(e) Qualified Customer Exemption.--
            ``(1) In general.--Before the end of the 270-day period
        beginning on the date of the enactment of the CTR Modernization
        Act, the Secretary of the Treasury shall prescribe regulations
        that exempt any depository institution from filing a report
        pursuant to this section in a transaction for the payment,
        receipt, or transfer of United States coins or currency (or
        other monetary instruments the Secretary of the Treasury
        prescribes) with a qualified customer of the depository
        institution.
            ``(2) Qualified customer defined.--For purposes of this
        section, the term `qualified customer', with respect to a
        depository institution, has such meaning as the Secretary of
        the Treasury shall prescribe, which shall include any person
        that--
                    ``(A) is incorporated or organized under the laws
                of the United States or any State, including a sole
                proprietorship (as defined in 31 C.F.R.
                103.22(d)(6)(vii), as in effect on May 10, 2006), or is
                registered as and eligible to do business within the
                United States or a State;
                    ``(B) has maintained a deposit account with the
                depository institution for at least 12 months; and
                    ``(C) has engaged, using such account, in multiple
                currency transactions that are subject to the reporting
                requirements of subsection (a).
            ``(3) Regulations.--
                    ``(A) In general.--The Secretary of the Treasury
                shall prescribe regulations requiring a depository
                institution to file a 1-time notice of designation of
                exemption for each qualified customer of the depository
                institution.
                    ``(B) Form and content of exemption notice.--The
                Secretary shall by regulation prescribe the form,
                manner, content, and timing of the qualified customer
                exemption notice and such notice shall include
                information sufficient to identify the qualified
                customer and the accounts of the customer.
                    ``(C) Authority of secretary.--
                            ``(i) In general.--The Secretary may
                        suspend, reject, or revoke any qualified
                        customer exemption notice, in accordance with
                        criteria prescribed by the Secretary by
                        regulation.
                            ``(ii) Conditions.--The Secretary may
                        establish conditions, in accordance with
                        criteria prescribed by regulation, under which
                        exempt qualified customers of an insured
                        depository institution that is merged with or
                        acquired by another insured depository
                        institution will continue to be treated as
                        designated exempt qualified customers of the
                        surviving or acquiring institution.''.
    (b) 3-Year Review and Report.--Before the end of the 3-year period
beginning on the date of the enactment of this Act, the Secretary of
the Treasury, in consultation with the Attorney General, the Secretary
of Homeland Security, the Federal banking agencies, the banking
industry, and such other persons as the Secretary deems appropriate,
shall evaluate the operations and effect of the provisions of the
amendment made by subsection (a) and make recommendations to the
Congress as to any legislative action with respect to such provision as
the Secretary may determine to be appropriate.

SEC. 6. IDENTIFYING SUSPICIOUS ACTIVITY.

    Subsection 5318(g) of title 31, United States Code, is amended by
adding at the end the following new paragraph:
            ``(5) Guidance on when to file a report.--Before the end of
        the 270-day period beginning on the date of the enactment of
        the CTR Modernization Act, the Secretary of the Treasury shall
        prescribe regulations that provide guidance on examples of
        transactions that--
                    ``(A) involved funds derived from illegal
                activities;
                    ``(B) were designed to evade any requirements under
                this subchapter, chapter 2 of title I of Public Law 91-
                508, or the Internal Revenue Code of 1986; and
                    ``(C) have no business or apparent lawful
                purpose.''.

SEC. 7. PROVIDING GENERAL INFORMATION REGARDING SUSPICIOUS ACTIVITY
              REPORT REQUIREMENTS.

    Subsection 5318(g) of title 31, United States Code, is amended by
inserting after paragraph (5) (as added by section 6 of this Act) the
following new paragraph:
            ``(6) General notification to customers.--
                    ``(A) In general.--Before the end of the 270-day
                period beginning on the date of the enactment of the
                CTR Modernization Act, the Secretary of the Treasury
                shall prescribe regulations that create a list of
                information that may be disclosed to customers prior to
                the reporting of suspicious activity.
                    ``(B) Rule of construction.--Subparagraph (A) of
                this paragraph shall not be construed as creating any
                immunity from the notification prohibition under
                paragraph (2).''.

Summary: CTR Modernization Act - Amends federal law governing mandatory reports on currency transactions to exempt depository institutions from the requirement that all domestic financial institutions file a report on every domestic coin and currency transaction. Requires such a depository institution to file a currency transaction report, however, if the transaction involves at least $30,000. Prohibits the Secretary of the Treasury after a certain date from requiring a depository institution to file a currency transaction report regarding a transaction of less than $30,000. Directs the Secretary to: (1) review at least every five years the threshold for reporting currency transactions. And (2) adjust the threshold amount for inflation. Directs the Secretary to prescribe regulations that exempt any depository institution from reporting a currency transaction with a qualified customer. Defines qualified customer as any person that: (1) is incorporated or organized under federal or state law, or registered and eligible to do business within the United States or a state. (2) has maintained a deposit account with the depository institution for at least 12 months. And (3) has engaged, using such account, in multiple currency transactions subject to reporting requirements. Requires the Secretary to prescribe regulations that: (1) provide guidance on identifying currency transactions involving illegal or suspicious activities. And (2) create a list of information that may be disclosed to customers before the reporting of suspicious activity.

To amend sections 5313 and 5318 of title 31, United States Code, to reform certain requirements for reporting cash transactions, and for other purposes.


SECTION 1. PURPOSES.

    The purposes of this Act are as follows:
            (1) To grow the number of highly accomplished recent
        college graduates teaching in underserved urban and rural
        communities in the United States.
            (2) To increase the number of school districts and
        communities served by a nationally recruited corps of
        outstanding new teachers.
            (3) To build a broader pipeline of talented and experienced
        future leaders in public education and education reform.

SEC. 2. DEFINITIONS.

    In this Act:
            (1) In general.--The terms ``highly qualified'', ``local
        educational agency'', and ``Secretary'' have the meanings given
        the terms in section 9101 of the Elementary and Secondary
        Education Act of 1965 (20 U.S.C. 7801).
            (2) Grantee.--The term ``grantee'' means Teach For America,
        Inc.
            (3) High need.--The term ``high need'', when used with
        respect to a local educational agency, means a local
        educational agency experiencing a shortage of highly qualified
        teachers.

SEC. 3. GRANT PROGRAM AUTHORIZED.

    The Secretary is authorized to award a grant to Teach For America,
Inc., the national teacher corps of outstanding recent college
graduates who commit to teach for 2 years in underserved communities in
the United States, to implement and expand its program of recruiting,
selecting, training, and supporting new teachers.

SEC. 4. GRANT REQUIREMENTS.

    In carrying out the grant program under section 3, the Secretary
shall enter into an agreement with the grantee under which the grantee
agrees to use the grant funds provided under this Act--
            (1) to provide highly qualified teachers to high need local
        educational agencies in urban and rural communities;
            (2) to pay the cost of recruiting, selecting, training, and
        supporting new teachers; and
            (3) to serve a substantial number and percentage of
        underserved students.

SEC. 5. AUTHORIZED ACTIVITIES.

    (a) In General.--Grant funds provided under this Act shall be used
by the grantee to carry out each of the following activities:
            (1) Recruiting and selecting teachers through a highly
        selective national process.
            (2) Providing preservice training to the teachers through a
        rigorous summer institute that includes hands-on teaching
        experience and significant exposure to education coursework and
        theory.
            (3) Placing the teachers in schools and positions
        designated by partner local educational agencies as high need
        placements serving underserved students.
            (4) Providing ongoing professional development activities
        for the teachers' first 2 years in the classroom, including
        regular classroom observations and feedback, and ongoing
        training and support.
    (b) Limitation.--The grantee shall use all grant funds received
under this Act to support activities related directly to the
recruitment, selection, training, and support of teachers as described
in subsection (a).

SEC. 6. EVALUATION.

    (a) Annual Report.--The grantee shall provide to the Secretary an
annual report that includes--
            (1) data on the number and quality of the teachers provided
        to local educational agencies through a grant under this Act;
            (2) an externally conducted analysis of the satisfaction of
        local educational agencies and principals with the teachers so
        provided; and
            (3) comprehensive data on the background of the teachers
        chosen, the training the teachers received, the placement sites
        of the teachers, the professional development of the teachers,
        and the retention of the teachers.
    (b) Study.--
            (1) In general.--The Secretary shall provide for a study
        that examines the achievement levels of the students taught by
        the teachers assisted under this Act.
            (2) Achievement gains compared.--The study shall compare,
        within the same schools, the achievement gains made by students
        taught by teachers who are assisted under this Act with the
        achievement gains made by students taught by teachers who are
        not assisted under this Act.
            (3) Requirements.--The Secretary shall provide for such a
        study not less than once every 3 years, and each such study
        shall include multiple placement sites and multiple schools
        within placement sites.
            (4) Peer review standards.--Each such study shall meet the
        peer review standards of the education research community.

SEC. 7. AUTHORIZATION OF APPROPRIATIONS.

    There are authorized to be appropriated to carry out this Act such
sums as may be necessary for fiscal year 2006 and an amount not to
exceed $25,000,000 for each succeeding fiscal year.

Summary: Authorizes the Secretary of Education to award a grant to Teach For America, Inc. to implement and expand its program of recruiting, selecting, training, and supporting new teachers.

A bill to provide for recruiting, selecting, training, and supporting a national teacher corps in underserved communities.


SECTION 1. VOLUNTEER MENTORING PROGRAMS.

    (a) In General.--Section 9 of the Small Business Administration Act
(15 U.S.C. 638) is amended by adding at the end the following:
    ``(u) Volunteer Mentoring Programs.--
            ``(1) Definitions.--In this subsection--
                    ``(A) the term `eligible association' means a
                national or regional association, organization,
                coalition, or other entity (including an individual)
                that represents small business concerns participating
                in SBIR or STTR programs under this section;
                    ``(B) the term `qualified mentoring organization'
                means a small business concern that has successfully
                completed 1 or more SBIR or STTR funding agreements
                under this section; and
                    ``(C) the term `low participation area' means an
                area within a State that, in the determination of the
                Administrator, receives a disproportionately low number
                of SBIR awards, as compared with other areas in the
                State or in the United States.
            ``(2) Grant authority.--In order to assist small business
        concerns in successfully completing the SBIR and STTR programs
        under this section, the Administration may award, on
        competitive basis, a grant to 1 or more eligible associations
        for use in accordance with paragraph (5).
            ``(3) Applications.--In order to be eligible to receive a
        grant under this subsection, an eligible association shall
        submit to the Administration an application in such form and
        containing such information as the Administration may require.
            ``(4) Amount of assistance.--The amount of a grant to an
        eligible association under this subsection shall be equal to
        not less than $50,000 and not more than $200,000. An eligible
        association that has received a grant under this subsection may
        reapply for 1 or more additional grants under this subsection,
        as may be necessary to carry out the program established and
        implemented with the initial grant in accordance with paragraph
        (5).
            ``(5) Use of assistance.--Amounts made available under a
        grant awarded under this subsection--
                    ``(A) shall be used by the eligible association to
                establish and carry out a program under which 1 or more
                qualified mentoring organizations provide technical
                assistance (which may include marketing, proposal
                writing, government accounting, government audits,
                facilities and equipment, project management, human
                resources, phase III partners, commercialization, and
                venture capital networking) to small business concerns
                located in low participation areas in order to advise
                and guide them through the SBIR and STTR program
                processes from application to award and successful
                completion of each phase of the program; and
                    ``(B) may be used to reimburse qualified mentoring
                organizations participating in the program--
                            ``(i) for necessary out-of-pocket expenses
                        incident to the provision of services by
                        employees of such organizations under the
                        program; and
                            ``(ii) while employees of such
                        organizations are providing such services away
                        from their homes or regular places of business,
                        for travel expenses (including per diem in lieu
                        of subsistence) as authorized by section 5703
                        of title 5, United States Code, for individuals
                        serving without pay, and for reasonable
                        communications expenses (including telephone
                        calls and facsimiles).
            ``(6) Status of employees of qualified mentoring
        organizations.--An employee of a qualified mentoring
        organization, while carrying out activities under a program
        carried out with grant awarded under this subsection--
                    ``(A) shall be deemed to be a Federal employee for
                purposes of the Federal tort claims provisions in title
                28, United States Code; and
                    ``(B) for purposes of subchapter I of chapter 81 of
                title 5, United States Code (relative to compensation
                to Federal employees for work injuries) shall be deemed
                to be a civil employee of the United States within the
                meaning of the term ``employee'' as defined in section
                8101 of title 5, United States Code, and the provisions
                of that subchapter shall apply to such employee, except
                that in computing compensation benefits for disability
                or death, the monthly pay of such employee shall be
                deemed to be that received under the entrance salary
                for a grade GS-11 employee.
            ``(7) Authorization of appropriations.--There is authorized
        to be appropriated to carry out this subsection $1,000,000 for
        each fiscal year.''.
    (b) Regulations.--
            (1) In general.--Not later than 180 days after the date of
        enactment of this Act, the Administrator of the Small Business
        Administration shall issue final regulations to implement
        section 9(u) of the Small Business Act, as added by this
        section.
            (2) Maximum amount.--Not later than 18 months after the
        date on which regulations are issued under paragraph (1), the
        Administrator of the Small Business Administration shall submit
        to the Committees on Small Business of the House of
        Representatives and the Senate a report, which shall include
        recommendations regarding any change in the maximum grant
        amount under section 9(u)(4) of the Small Business Act, as
        added by this section.

Summary: Amends the Small Business Act to authorize the Small Business Administration (SBA), in order to assist small businesses in successfully completing the Small Business Innovation Research (SBIR) and Small Business Technology Transfer (STTR) programs, to award, on a competitive basis, a grant to one or more eligible associations to establish and carry out a program under which one or more qualified mentoring organizations provide technical assistance to small businesses located in low participation areas in order to advise and guide them through the SBIR and STTR processes from application and award through successful program completion. Authorizes appropriations for such grants. Requires a report from the SBA Administrator to the small business committees regarding recommended changes in maximum grant amounts .

A bill to amend section 9 of the Small Business Act to provide for the establishment of volunteer mentoring programs.


SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Contact Lens Consumer Health
Protection Act of 2016''.

SEC. 2. IMPROVEMENT OF CONTACT LENS PRESCRIBER VERIFICATION PROCESS.

    (a) In General.--Section 4 of the Fairness to Contact Lens
Consumers Act (15 U.S.C. 7603) is amended--
            (1) in subsection (c), by adding at the end the following:
            ``(7) A toll-free telephone number and email address for
        prescribers to call or email with questions relating to a
        verification request, as required under subsection (i).'';
            (2) in subsection (d)(3)--
                    (A) by striking ``, or a similar time as defined by
                the Federal Trade Commission,'';
                    (B) by inserting ``(A)'' before ``The prescriber'';
                and
                    (C) by adding at the end the following:
            ``(B) If a prescriber communicates a question or concern
        about the accuracy of the prescription, or any other matter
        relating to the verification of the prescription, to a seller
        through the toll-free telephone service or dedicated email
        address required under subsection (i) before such 8-business-
        hour period has ended, the prescription shall be considered
        unverified until the seller obtains affirmative confirmation of
        the accuracy of the prescription from the prescriber.'';
            (3) by redesignating subsections (e) through (g) as
        subsections (f) through (h), respectively;
            (4) by amending subsection (f), as redesignated by
        paragraph (3), to read as follows:
    ``(f) Invalid Prescriptions and Questions Concerning Accuracy.--
            ``(1) Invalid prescriptions.--If a prescriber informs a
        seller before the deadline set forth in subparagraph (A) of
        subsection (d)(3) that the contact lens prescription is
        inaccurate, expired, or otherwise invalid--
                    ``(A) the seller shall not fill the prescription;
                and
                    ``(B) the prescriber shall specify the basis for
                the inaccuracy or invalidity of the prescription.
            ``(2) Questions concerning accuracy.--If a prescriber
        communicates a question or concern about the accuracy of a
        prescription as described in subsection (d)(3)(B) before the
        deadline set forth in such subsection--
                    ``(A) the seller shall not fill the prescription;
                and
                    ``(B) the prescriber shall provide the seller with
                an accurate prescription.
            ``(3) Correction.--In any case, if the prescription
        communicated by the seller to the prescriber is inaccurate, the
        prescriber shall correct it.'';
            (5) by adding after subsection (d) the following:
    ``(e) Prescriber Preferred Method of Communication.--
            ``(1) In general.--A prescriber may provide written
        notification to a seller requesting that all requests for
        verification from that seller be communicated to that
        prescriber by that prescriber's preferred method or methods of
        communication, selected from among the methods of communication
        offered by the seller pursuant to paragraph (2).
            ``(2) Methods offered.--Each seller shall offer a
        prescriber methods for communication for selection as the
        prescriber's preferred method or methods of communication under
        paragraph (1). Such offer--
                    ``(A) shall include--
                            ``(i) live telephone;
                            ``(ii) facsimile; and
                            ``(iii) email; and
                    ``(B) may include such additional methods of
                communication as the seller considers appropriate.
            ``(3) Requirement.--In a case in which a prescriber,
        pursuant to paragraph (1), provides written notification to a
        seller indicating a preferred method or methods of
        communication as described in such paragraph, the seller may
        only request verification from the prescriber through the
        method or methods indicated.''; and
            (6) by inserting after subsection (h), as redesignated by
        paragraph (3), the following:
    ``(i) Telephone Service and Dedicated Email Address.--
            ``(1) In general.--A seller of contact lenses who requests
        verification of any contact lens prescription shall provide--
                    ``(A) a toll-free telephone service that is
                operable during regular business hours and operated by
                live persons; and
                    ``(B) a dedicated email address for the sole
                purpose of responding to prescribers' questions and
                concerns regarding verification requests.
            ``(2) Capacity.--Such toll-free telephone service shall
        maintain a sufficient number of working telephone lines
        operated by live persons to enable ready access by prescribers
        to the service.''.
    (b) Effective Date.--The amendments made by subsection (a) shall
take effect on the date that is 180 days after the date of the
enactment of this Act.

SEC. 3. MODIFICATION OF PROHIBITION ON ALTERATION OF CONTACT LENS
              PRESCRIPTIONS.

    (a) In General.--Subsection (f) of section 4 of the Fairness to
Contact Lens Consumers Act (15 U.S.C. 7603) is amended to read as
follows:
    ``(f) No Alteration.--
            ``(1) In general.--A seller may not alter a contact lens
        prescription and when dispensing a contact lens prescription,
        may only dispense such prescription exactly as written by the
        prescriber.
            ``(2) Private labels.--In a case in which a private label
        contact lens is included on the contact lens prescription and
        the same contact lens is manufactured by the same company and
        sold under multiple labels to individual providers, the seller
        may fill the prescription with a contact lens of exactly the
        same material, design, and power as manufactured by that
        company under another label.''.
    (b) Effective Date.--The amendment made by subsection (a) shall
take effect on the date that is 180 days after the date of the
enactment of this Act.

SEC. 4. REQUIREMENTS FOR IMPROVED RECORDKEEPING BY SELLERS OF CONTACT
              LENSES.

    Section 4(b) of the Fairness to Contact Lens Consumers Act (15
U.S.C. 7603(b)) is amended--
            (1) by striking ``A seller'' and inserting the following:
            ``(1) Communications generally.--A seller''; and
            (2) by adding at the end the following:
            ``(2) Prescriptions.--Each seller shall maintain a database
        that includes, for each prescription received by a seller, the
        following:
                    ``(A) The date on which the prescription was
                issued.
                    ``(B) The specified expiration date of the
                prescription.
            ``(3) Preferred methods of communication.--For each written
        notification that a seller receives under subsection (e)(1),
        the seller shall keep a copy of such notification for a period
        of not less than 3 years.''.

SEC. 5. PROHIBITION ON REPRESENTATION IN ADVERTISING THAT PRESCRIPTIONS
              FOR CONTACT LENSES MAY BE FILLED AFTER EXPIRATION DATE.

    Section 6 of the Fairness to Contact Lens Consumers Act (15 U.S.C.
7605) is amended--
            (1) by striking ``that contact'' and inserting the
        following: ``that--
            ``(1) contact'';
            (2) in paragraph (1), as designated by paragraph (1) of
        this section, by striking the period at the end and inserting
        ``; or''; and
            (3) by adding at the end the following:
            ``(2) a prescription for a contact lens may be filled after
        the expiration date of the prescription.''.

SEC. 6. INCREASED PENALTIES FOR SELLERS OF CONTACT LENSES WHO VIOLATE
              REQUIREMENTS RELATING TO PRESCRIBER VERIFICATION.

    (a) In General.--Subsection (b) of section 9 of the Fairness to
Contact Lens Consumers Act (15 U.S.C. 7608) is amended by striking the
period at the end and inserting ``, except that fines imposed for a
violation of section 4 of this Act may be in an amount up to $40,000
per violation.''.
    (b) Clarification of Applicability.--Such section is further
amended by adding at the end the following new subsection:
    ``(c) Applicability.--This chapter shall apply to all sales of
contact lenses in the United States and the sellers involved in such
sales, notwithstanding where the seller is located.''.

SEC. 7. CONTACT LENS CONSUMER COMPLIANCE AND SAFETY STUDY.

    (a) Study Required.--The Secretary of Health and Human Services,
acting through the Director of the Centers for Disease Control and
Prevention, shall conduct a study to examine the adverse and
potentially adverse effects on consumers of violations by sellers of
the Fairness to Contact Lens Consumers Act (15 U.S.C. 7601 et seq.), as
amended by section 2, particularly with respect to matters regarding
prescription verification, business practices, and enforcement by the
Federal Trade Commission of such Act.
    (b) Elements.--The study required by subsection (a) shall
specifically address the following:
            (1) The overfilling of prescriptions with quantities of
        lenses such that the normal expiration dates of the
        prescriptions will be exceeded.
            (2) The dispensing of prescriptions that have expired or
        are inaccurate.
            (3) The failure by a seller to allow prescribers to contact
        the seller within 8 business hours to advise that a
        prescription is inaccurate or expired.
            (4) The health risks to the consumer of receiving an
        incorrect prescription from a seller, or issues with patient
        access to the medically prescribed contact lenses.
            (5) The economic risks to the consumer of receiving an
        incorrect prescription from a seller.
            (6) The improper advertising to consumers about what
        constitutes a valid prescription or valid prescription
        information, or advertising that no prescription is needed.
            (7) Such other matters regarding the effects on the health
        of the consumers from violations of the verification or sales
        requirements of the Fairness to Contact Lens Consumers Act (15
        U.S.C. 7601 et seq.) as the Secretary considers appropriate.
    (c) Report.--Not later than 1 year after the date of the enactment
of this Act, the Secretary shall submit to Congress and the Federal
Trade Commission a report on the study required by subsection (a).

SEC. 8. MODIFICATION OF DEFINITIONS.

    (a) In General.--Section 11 of the Fairness to Contact Lens
Consumers Act (15 U.S.C. 7610) is amended--
            (1) in paragraph (3), by amending subparagraph (E) to read
        as follows:
                    ``(E) Power, material, manufacturer, or device
                name.''; and
            (2) by adding at the end the following:
            ``(4) Business hour.--The term `business hour' means, with
        respect to a prescriber, any hour during a business day within
        the period beginning at 9:00 in the morning and ending at 5:00
        in the evening in the time zone of the prescriber.
            ``(5) Business day.--The term `business day' means any day
        other than Saturday and Sunday and other than a legal holiday
        (within the meaning of section 7503 of the Internal Revenue
        Code of 1986).''.
    (b) Effective Date.--The amendments made by subsection (a) shall
take effect on the date that is 180 days after the date of the
enactment of this Act.

Summary: Contact Lens Consumer Health Protection Act of 2016 This bill amends the Fairness to Contact Lens Consumers Act to require contact lens sellers to provide a toll-free telephone number and email address that prescribers can use to ask questions about a seller's prescription verification request. Under current law, a prescription is considered verified if the prescriber fails to communicate with the seller within eight business hours after receiving the seller-provided verification information. The bill requires the prescription to be considered unverified until the seller obtains affirmative confirmation of the accuracy of the prescription from the prescriber in cases where a prescriber communicates a question or concern about the accuracy or verification of the prescription to a seller through the toll-free telephone service or email address before the end of that eight-hour period. The bill removes the Federal Trade Commission's authority to adjust the eight-hour period. If a prescriber communicates a question or concern about the accuracy of a prescription before the deadline: (1) the seller shall not fill the prescription, and (2) the prescriber shall provide the seller with an accurate prescription. Sellers must offer prescribers different communication methods that the prescribers may select as their preferred method for verification requests. The bill allows a seller to alter a prescription only if: (1) a private label contact lens is included on the prescription and the same contact lens is manufactured by the same company and sold under multiple labels to individual providers. And (2) the seller fills the prescription with a contact lens of exactly the same material, design, and power as manufactured by that company under another label. Sellers must maintain a database of the issuance and expiration dates of each prescription they receive. The bill prohibits advertisements representing that a contact lens prescription may be filled after the prescription expires. Sellers violating certain prescriber verification requirements are subject to increased penalties of up to $40,000 per violation. Such requirements apply to all contact lens sales in the United States, notwithstanding where the seller is located. The Centers for Disease Control and Prevention must examine the potentially adverse effects of seller violations on consumers.


SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Debbie Blanchard Access to Health
Care for Individuals With Disabilities Act of 2010''.

SEC. 2. FINDINGS.

            (1) According to the Bureau of the Census, approximately 1
        in 5 people in the United States lives with some sort of
        physical disability.
            (2) More than 54,000,000 individuals in the United States
        report some level of disability and approximately 34,000,000 of
        such individuals are classified as having a severe disability.
            (3) An estimated 11,000,000 individuals aged 6 and older
        need personal assistance with everyday activities, including
        taking a bath or shower, preparing meals, and getting around
        the home.
            (4) Five percent of the United States population over age
        15 uses a wheelchair or similar device, cane, crutches, or
        walker.
            (5) The number of individuals with physical disabilities
        continues to increase, and the Centers for Disease Control and
        Prevention recently announced that the agency was revising its
        estimate of the number of individuals with spina bifida, the
        most common permanently disabling birth defect in the United
        States, from an estimated 70,000 to an estimated 166,000.
            (6) Studies have found that individuals with disabilities
        have significant difficulty in accessing routine and
        specialized health care and that numerous barriers to acquiring
        health care exist for such individuals.
            (7) Approximately 1 in 3 women with a disability reports
        being denied services at a physician's office solely because of
        her disability.
            (8) Research shows that women with disabilities are less
        likely to have pap smears and mammograms, are more likely to be
        diagnosed with breast cancer at later stages of the disease,
        are less likely to receive standard treatments, and are more
        likely to have worse outcomes.
            (9) Individuals with disabilities report that one of the
        top barriers to accessing necessary health care is the
        inability to find an accessible health care provider or
        identify providers who understand how to treat individuals with
        disabilities and who are willing to have such individuals as
        patients.
            (10) The Spina Bifida Association recently announced that
        one of its volunteers, Debbie Blanchard, a woman who lived with
        spina bifida for 55 years, died from a late stage diagnosis of
        cervical cancer stemming from her inability to find a health
        care provider in her community who had an examination table
        that would lower to the level necessary for her to comfortably
        and safely transfer from her wheelchair to the examination
        table so she could be screened for cervical cancer.
            (11) Organizations representing individuals with
        disabilities report that such individuals need more and better
        information regarding accessible health care providers in their
        communities and additional support and resources to help ensure
        that such individuals receive the care they need and deserve.

SEC. 3. PROGRAMS TO PROMOTE ACCESSIBLE HEALTH CARE FOR INDIVIDUALS WITH
              DISABILITIES.

    Title III of the Public Health Service Act (42 U.S.C. 341 et seq.)
is amended by adding after part V the following:

 ``PART W--PROGRAMS TO PROMOTE ACCESSIBLE HEALTH CARE FOR INDIVIDUALS
                           WITH DISABILITIES

``SEC. 399OO. STATE GRANTS FOR THE CREATION OF DISABILITY ACCESSIBLE
              PROVIDER DIRECTORIES.

    ``(a) In General.--The Secretary shall award grants to States for
the purpose of developing and maintaining or updating and improving
State-based, Internet directories of health care providers that are
known to have entrances, examination rooms, and examination tables
accessible to individuals with disabilities. Such grants shall be
formula-based, factoring in each State's population of individuals with
disabilities.
    ``(b) Definition.--In this part, the term `individual with a
disability' has the meaning given such term in section 7(20) of the
Rehabilitation Act of 1973.
    ``(c) Requirement of Application.--To be eligible to receive a
grant under this section, a State shall submit to the Secretary an
application at such time, in such manner, and containing such
agreements, assurances, and information as the Secretary may require.
Applications shall explain how individuals with disabilities and health
care providers may submit information for inclusion in the Internet
directory of the State.
    ``(d) Authorized Activities.--
            ``(1) In general.--Recipients of a grant under this section
        shall use grant funds to--
                    ``(A) develop and maintain an Internet directory or
                other such publicly available directory of information
                regarding individual providers, clinics, hospitals, and
                other health care facilities and providers in the State
                that are known to have entrances, examination rooms,
                and examination tables accessible to individuals with
                disabilities; or
                    ``(B) update or improve an existing, publicly
                available directory of information regarding individual
                providers, clinics, hospitals, and other health care
                facilities and providers in the State that are known to
                have entrances, examination rooms, and examination
                tables accessible to individuals with disabilities.
            ``(2) Directory contents.--Each directory developed and
        maintained by a grant recipient, as described in paragraph
        (1)(A) or updated and improved by a grant recipient, as
        described in paragraph (1)(B), shall include--
                    ``(A) the full name, address, and telephone number
                of each provider, clinic, hospital, and health care
                facility included in the directory; and
                    ``(B) specific information about the accommodations
                provided by each such provider, clinic, hospital, and
                health care facility to individuals with disabilities.

``SEC. 399OO-1. IMPROVING PROVIDER AND PATIENT AWARENESS OF THE NEED
              FOR ACCESSIBLE HEALTH CARE FACILITIES FOR PEOPLE WITH
              DISABILITIES.

    ``(a) Pilot Program.--
            ``(1) In general.--The Secretary, acting through the Office
        on Disability of the Department of Health and Human Services
        and in collaboration with national organizations representing
        individuals with disabilities and health professional
        societies, shall establish a pilot program to increase the
        awareness of health care providers of the need to offer
        accessible environments and examination rooms and examination
        tables for individuals with disabilities and to increase
        voluntary compliance with Federal accessibility requirements.
            ``(2) Development and dissemination of resources.--The
        Secretary shall ensure that, under the pilot program
        established under paragraph (1), resources are developed for,
        and distributed to, health care providers to increase awareness
        of the need to offer accessible environments and examination
        rooms and examination tables for individuals with disabilities.
        Such resources shall include supportive information with
        respect to--
                    ``(A) accommodating individuals with disabilities;
                    ``(B) modifications that can be made to physical
                environments to ensure accessibility; and
                    ``(C) training regarding how to safely accommodate
                an individual in a wheelchair.
            ``(3) Targeted providers.--The pilot program shall be
        designed to target health care professionals and health care
        providers, including--
                    ``(A) primary care providers, such as physicians,
                nurse practitioners, and physician assistants, and the
                individuals who answer the telephones in the offices of
                such providers;
                    ``(B) dentists and the individuals who answer the
                telephones in the offices of dentists;
                    ``(C) health care clinics, including community
                health centers and radiology and imaging centers;
                    ``(D) inpatient and outpatient hospitals,
                ambulatory surgery centers, urgent care centers, and
                rehabilitation facilities; and
                    ``(E) specialists, such as obstetricians and
                gynecologists.
            ``(4) Program materials and messages.--Any materials and
        messages of the pilot program, including the resources designed
        and distributed as described in paragraph (2), shall reflect
        and incorporate information, findings, and materials otherwise
        developed by the Federal Government, such as information
        available through the `Right to Know Health Promotion Campaign'
        of the Centers for Disease Control and Prevention, and shall be
        field-tested and presented to focus groups to ensure
        effectiveness.
            ``(5) Program evaluation.--The Secretary shall conduct an
        evaluation of the effectiveness of the pilot program and make
        any necessary revisions to the program to ensure effectiveness
        and support in nationwide implementation of the program.
    ``(b) Information for Individuals With Disabilities.--
            ``(1) In general.--The Secretary, acting through the Office
        on Disability of the Department of Health and Human Services,
        in collaboration with national organizations representing
        individuals with disabilities, shall develop and disseminate
        resources to support individuals with disabilities in finding
        providers that are accessible to such individuals.
            ``(2) Contents.--The resources described in paragraph (1)
        shall--
                    ``(A) include a concise list of questions for
                individuals with disabilities to ask when calling a
                health care provider for the first time to schedule an
                appointment, and suggestions for explaining the special
                needs of such individual to the provider and for
                seeking accommodation from the provider;
                    ``(B) be culturally appropriate and at appropriate
                literacy levels for the target audience;
                    ``(C) reflect and incorporate information,
                findings, and materials otherwise developed by the
                Federal Government, such as information available
                through the `Right to Know Health Promotion Campaign'
                of the Centers for Disease Control and Prevention;
                    ``(D) be field-tested and presented to focus groups
                to ensure effectiveness; and
                    ``(E) be disseminated on the Internet and through
                other means to ensure that individuals with
                disabilities receive support and assistance in their
                efforts to identify accessible health care providers in
                their communities.

``SEC. 399OO-2. ADVISORY COMMITTEE AND REPORT TO CONGRESS.

    ``(a) Establishment of the Advisory Committee.--The Secretary shall
establish a National Advisory Committee on Access to Health Care for
Individuals With Disabilities (referred to in this section as the
`Advisory Committee') to support implementation of this part and to
ensure interagency coordination of efforts to improve access to care
for individuals with disabilities.
    ``(b) Responsibilities.--The responsibilities of the Advisory
Committee shall include--
            ``(1) reviewing applications for grants under section
        399OO;
            ``(2) evaluating the grant program under section 399OO;
            ``(3) reviewing and providing feedback on the resources and
        other materials developed under section 399OO-1;
            ``(4) assisting with the dissemination of the information
        and resources developed under sections 399OO and 399OO-1; and
            ``(5) ensuring coordination of efforts within the
        Department of Health and Human Services to increase access to
        care for individuals with disabilities and to disseminate
        information regarding accessible entrances, examination rooms,
        and tables of health care providers.
    ``(c) Membership.--
            ``(1) In general.--The members of the Advisory Committee
        shall include representatives of--
                    ``(A) the Office on Disability of the Department of
                Health and Human Services;
                    ``(B) the Office of Minority Health of the
                Department of Health and Human Services;
                    ``(C) the Office for Civil Rights of the Department
                of Health and Human Services;
                    ``(D) the Health Resources and Services
                Administration, including the Bureau of Primary Health
                Care, the Office of Minority Health and Health
                Disparities, and the Office of Equal Opportunity and
                Civil Rights of such administration;
                    ``(E) the Centers for Disease Control and
                Prevention;
                    ``(F) the Agency for Healthcare Research and
                Quality;
                    ``(G) the Centers for Medicare & Medicaid Services;
                    ``(H) other Federal agencies, such as the
                Department of Veterans Affairs, as appropriate;
                    ``(I) at least 5 private nonprofit organizations
                that are dedicated to improving the quality of life of,
                and facilitating access to health care for, individuals
                with disabilities; and
                    ``(J) at least 3 health professional societies.
            ``(2) Voluntary service.--Members of the Advisory Committee
        shall serve without compensation.

``SEC. 399OO-3. REPORT TO CONGRESS.

    ``The Secretary shall, not later than 1 year after the date of
enactment of this part and annually thereafter, submit to Congress a
report summarizing the activities, findings, outcomes, and
recommendations resulting from the grant and pilot programs and other
activities under this part.

``SEC. 399OO-4. AUTHORIZATION OF APPROPRIATIONS.

    ``There is authorized to be appropriated to carry out this part,
such sums as may be necessary for fiscal years 2011 through 2015.''.

Summary: Debbie Blanchard Access to Health Care for Individuals With Disabilities Act of 2010 - Amends the Public Health Service Act to require the Secretary of Health and Human Services (HHS) to award grants to states to develop, maintain, and improve Internet directories of health care providers that are known to have entrances, examination rooms, and examination tables that are accessible to individuals with disabilities. Requires the Secretary, acting through the Office on Disability of HHS, to: (1) establish a pilot program to increase the awareness of health care providers of the need to offer accessible environments, examination rooms, and examination tables for individuals with disabilities and to increase voluntary compliance with federal accessibility requirements. And (2) develop and disseminate resources to support individuals with disabilities in finding providers that are accessible to such individuals, which shall include a concise list of questions for individuals with disabilities to ask when calling a health care provider for the first time to schedule an appointment and suggestions for explaining the special needs of such individuals to the provider and for seeking accommodation from the provider. Requires the Secretary to establish a National Advisory Committee on Access to Health Care for Individuals With Disabilities to support implementation of this Act and to ensure interagency coordination of efforts to improve access to care for individuals with disabilities.

A bill to amend the Public Health Service Act to increase access to health care for individuals with disabilities and increase awareness of the need for health care facilities and examination rooms to be accessible for individuals with disabilities, and for other purposes.