SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Cuba Transition Act of 2003''.

SEC. 2. FINDINGS.

    Congress makes the following findings:
            (1) The Cuban people are seeking change in their country,
        including through the Varela Project, Concilio Cubano,
        independent journalist activity, and other civil society
        initiatives.
            (2) Civil society groups and independent, self-employed
        Cuban citizens will be essential to the consolidation of a
        genuine and effective transition to democracy from an
        authoritarian, communist government in Cuba, and therefore
        merit increased international assistance.
            (3) The people of the United States support a policy of
        proactively helping the Cuban people to establish a democratic
        system of government, including supporting Cuban citizen
        efforts to prepare for transition to a better and more
        prosperous future.
            (4) Without profound political and economic changes, Cuba
        will not meet the criteria for participation in the Summit of
        the Americas process.
            (5) The Inter-American Democratic Charter adopted by the
        General Assembly of the Organization of American States (OAS)
        provides both guidance and mechanisms for response by OAS
        members to the governmental transition in Cuba and that
        country's eventual reintegration into the inter-American
        system.
            (6) United States Government support of pro-democracy
        elements in Cuba and planning for the transition in Cuba is
        essential for the identification of resources and mechanisms
        that can be made available immediately in response to profound
        political and economic changes on the island.
            (7) Consultations with democratic development institutions
        and international development agencies regarding Cuba are a
        critical element in the preparation of an effective
        multilateral response to the transition in Cuba.

SEC. 3. PURPOSES.

    The purposes of this Act are as follows:
            (1) To support multilateral efforts by the countries of the
        Western Hemisphere in planning for a transition of the
        government in Cuba and the return of that country to the
        Western Hemisphere community of democracies.
            (2) To encourage the development of an international group
        to coordinate multilateral planning to a transition of the
        government in Cuba.
            (3) To authorize funding for programs to assist the Cuban
        people and independent nongovernmental organizations in Cuba in
        preparing the groundwork for a peaceful transition of
        government in Cuba.
            (4) To provide the President with funding to implement
        assistance programs essential to the development of a
        democratic government in Cuba.

SEC. 4. DEFINITIONS.

    In this Act:
            (1) Democratically elected government in cuba.--The term
        ``democratically elected government in Cuba'' has the meaning
        given the term in section 4 of the Cuban Liberty and Democratic
        Solidarity (LIBERTAD) Act of 1996 (22 U.S.C. 6023).
            (2) Transition government in cuba.--The term ``transition
        government in Cuba'' has the meaning given the term in section
        4 of the Cuban Liberty and Democratic Solidarity (LIBERTAD) Act
        of 1996 (22 U.S.C. 6023).

SEC. 5. DESIGNATION OF COORDINATOR FOR CUBA TRANSITION.

    (a) In General.--The Secretary of State shall designate, within the
Department of State, a coordinator who shall be responsible for--
            (1) designing an overall strategy to coordinate
        preparations for, and a response to, a transition in Cuba;
            (2) coordinating assistance provided to the Cuban people in
        preparation for a transition in Cuba;
            (3) coordinating strategic support for the consolidation of
        a political and economic transition in Cuba;
            (4) ensuring program and policy coordination among agencies
        of the United States Government in carrying out the policies
        set forth in this Act; and
            (5) pursuing coordination with other countries and
        international organizations, including international financial
        institutions, with respect to assisting a transition in Cuba.
    (b) Rank and Status of the Transition Coordinator.--The coordinator
designated in subsection (a) shall have the rank and status of
ambassador.

SEC. 6. MULTILATERAL INITIATIVES RELATED TO CUBA.

    The Secretary of State is authorized to designate up to $5,000,000
of total amounts made available for contributions to international
organizations to be provided to the Organization of American States
for--
            (1) Inter-American Commission on Human Rights activities
        relating to the situation of human rights in Cuba;
            (2) the funding of an OAS emergency fund for the deployment
        of human rights observers, election support, and election
        observation in Cuba as described in section 109(b) of the Cuban
        Liberty and Democratic Solidarity (LIBERTAD) Act of 1996 (22
        U.S.C. 6039(b)(1)); and
            (3) scholarships for Cuban students attending colleges,
        universities, or other educational programs in member states of
        the OAS.

SEC. 7. SENSE OF CONGRESS.

    (a) Sense of Congress Regarding Consultation With Western
Hemisphere.--It is the sense of Congress that the President should
begin consultation, as appropriate, with governments of other Western
Hemisphere countries regarding a transition in Cuba.
    (b) Sense of Congress Regarding Other Consultations.--It is the
sense of Congress that the President should begin consultations with
appropriate international partners and governments regarding a
multilateral diplomatic and financial support program for response to a
transition in Cuba.

SEC. 8. ASSISTANCE PROVIDED TO THE CUBAN PEOPLE IN PREPARATION FOR A
              TRANSITION IN CUBA.

    (a) Authorization.--Notwithstanding any other provision of law
other than section 634A of the Foreign Assistance Act of 1961 (22
U.S.C. 2394-1) and comparable notification requirements contained in
any Act making appropriations for foreign operations, export financing,
and related programs, the President is authorized to furnish an amount
not to exceed $15,000,000 in assistance and provide other support for
individuals and independent nongovernmental organizations to support
democracy-building efforts for Cuba, including--
            (1) political prisoners and members of their families;
            (2) persons persecuted or harassed for dissident
        activities;
            (3) independent libraries;
            (4) independent workers' rights activists;
            (5) independent agricultural cooperatives;
            (6) independent associations of self-employed Cubans;
            (7) independent journalists;
            (8) independent youth organizations;
            (9) independent environmental groups;
            (10) independent economists, medical doctors, and other
        professionals;
            (11) in establishing and maintaining an information and
        resources center to be in the United States interests section
        in Havana, Cuba;
            (12) prodemocracy programs of the National Endowment for
        Democracy that are related to Cuba;
            (13) nongovernmental programs to facilitate access to the
        Internet, subject to section 102(g) of the Cuban Liberty and
        Democratic Solidarity (LIBERTAD) Act of 1996 (22 U.S.C.
        6032(g));
            (14) nongovernmental charitable programs that provide
        nutrition and basic medical care to persons most at risk,
        including children and elderly persons; and
            (15) nongovernmental charitable programs to reintegrate
        into civilian life persons who have abandoned, resigned, or
        been expelled from the Cuban armed forces for ideological
        reasons.
    (b) Definitions.--In this section:
            (1) Independent nongovernmental organization.--The term
        ``independent nongovernmental organization'' means an
        organization that the Secretary of State determines, not less
        than 15 days before any obligation of funds to the
        organization, is a charitable or nonprofit nongovernmental
        organization that is not an agency or instrumentality of the
        Cuban Government.
            (2) Eligible cuban recipients.--The term ``eligible Cuban
        recipients'' is limited to any Cuban national in Cuba,
        including political prisoners and their families, who are not
        officials of the Cuban Government or of the ruling political
        party in Cuba, as defined in section 4(10) of the Cuban Liberty
        and Democratic Solidarity (LIBERTAD) Act of 1996 (22 U.S.C.
        6023(10)).

SEC. 9. SUPPORT FOR A TRANSITION GOVERNMENT IN CUBA.

    (a) Authorization of Appropriations.--In addition to funds
otherwise available for such purposes, there are authorized to be
appropriated $30,000,000 to the President to establish a fund to
provide assistance to a transition government in Cuba as defined in
section 205 of the Cuban Liberty and Democratic Solidarity (LIBERTAD)
Act of 1996 (22 U.S.C. 6023).
    (b) Designation of Fund.--The fund authorized in subsection (a)
shall be known as the ``Fund for a Free Cuba''.
    (c) Availability of Funds.--Amounts appropriated pursuant to
subsection (a) are authorized to remain available until expended.

Summary: Cuba Transition Act of 2003 - Directs the the Secretary of State to designate, within the Department of State, a coordinator responsible for designing an overall strategy to coordinate specified preparations for a transition in Cuba that targets economic, political and financial developments. Authorizes the Secretary to designate specified funds to be provided to the Organization of American States (OAS) for: (1) Inter-American Commission on Human Rights activities relating to the situation of human rights in Cuba. (2) the funding of an OAS emergency fund for the deployment of human rights observers, election support, and election observation in Cuba. And (3) scholarships for Cuban students attending colleges, universities, or other educational programs in member states of the OAS. Expresses the sense of Congress that the President should begin consultation with: (1) governments of other Western Hemisphere countries regarding a transition in Cuba. And (2) international partners and governments regarding a multilateral diplomatic and financial support program for response to a transition in Cuba. Authorizes the President to furnish assistance and provide other support for individuals and independent nongovernmental organizations to support specified democracy-building efforts for Cuba. Authorizes appropriations to the President to establish a fund to provide assistance to a transition government in Cuba.

A bill to encourage multilateral cooperation and authorize a program of assistance to facilitate a peaceful transition in Cuba, and for other purposes.


SECTION 1. SHORT TITLE; TABLE OF CONTENTS.

    (a) Short Title.--This Act may be cited as the ``Choice in Health
Options Insures Care for Everyone (CHOICE) 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 American Trust Health Plan; administrative
                            structure.
Sec. 3. Finances.
Sec. 4. Eligibility and enrollment.
Sec. 5. Providers.
Sec. 6. Benefits.
Sec. 7. Premiums.

SEC. 2. ESTABLISHMENT OF AMERICAN TRUST HEALTH PLAN; ADMINISTRATIVE
              STRUCTURE.

    (a) In General.--There is established an American Trust Health Plan
(in this Act referred to as the ``American Trust Health Plan'' or the
``Plan'') or to provide for the offering to eligible individuals of
health benefits coverage throughout the United States, including its
territories.
    (b) Compliance With Requirements.--
            (1) In general.--The American Trust Health Plan shall
        comply with all requirements that are applicable with respect
        to other health benefits plans to be offered through a National
        Health Insurance Exchange (as defined in subsection (e)),
        including (as specified in this Act) minimum benefit and cost-
        sharing requirements and premium rating requirements.
            (2) Exemption from state insurance regulations.--As a
        Federal health program, the American Trust Health Plan is not
        required to comply with the insurance regulations of the States
        to the extent health benefits plans offered through the
        National Health Insurance Exchange are exempt from such
        regulations.
            (3) Satisfaction of individual mandate requirement.--An
        individual's enrollment with the Plan shall be treated as
        satisfying any requirement under Federal law for the individual
        to demonstrate enrollment in health insurance or benefits
        coverage.
    (c) Plan Administration.--
            (1) Administrator.--The American Trust Health Plan shall be
        administered by an Office of American Trust Health
        Administration (in this Act referred to as the ``Office'')
        within the Department of Health and Human Services. The Office
        shall be headed by an Administrator (in this Act referred to as
        the ``Administrator'') who shall be appointed by the President,
        by and with the advice and consent of the Senate.
            (2) Compensation.--The Administrator shall be entitled to
        compensation at the level II of the Executive Schedule (under
        section 5313 of title 5, United States Code).
            (3) Limitation.--The Administrator and the Office shall not
        participate in the administration of any regulation regarding
        the health insurance market or in the administration of the
        National Health Insurance Exchange.
            (4) General authority.--The Administrator shall have the
        same general authorities with respect to personnel and
        operations of the Office as the heads of other agencies and
        departments of the Federal Government have with respect to such
        agencies and departments.
    (d) Advisory Board.--
            (1) In general.--The Administrator shall be advised by an
        Advisory Board (in this Act referred to as the ``Advisory
        Board'') composed of 7 individuals appointed by the President.
        The President shall nominate individuals to serve on the
        Advisory Board in a manner that provides for inclusion on the
        Board of individuals who--
                    (A) represent the interests of patients or
                consumers;
                    (B) represent the interests health care providers,
                at least one of whom is a physician; and
                    (C) are experts in health care quality measurements
                and reporting.
            (2) Duties.--The Advisory Board shall advise the
        Administrator regarding the operation of the American Trust
        Health Plan and the Administrator shall consult with the
        Advisory Board not less often than quarterly and before making
        any annual changes in benefits under Plan.
            (3) Terms, compensation, chair, meetings, etc.--The
        provisions of paragraphs (2)(D), (3), (4), (5), and (6) of
        section 1805(c) of the Social Security Act (42 U.S.C. 1395b-
        6(c)) shall apply with respect to the Advisory Board and the
        President under this section in the same manner as such
        provisions apply to the Medicare Payment Advisory Commission
        and the Comptroller General, respectively, under section 1805
        of such Act.
            (4) Financing.--Within the budget established for the
        operation of the Plan, the Administrator shall provide for
        payment for the costs of operation of the Advisory Board.
    (e) National Health Insurance Exchange Defined.--In this Act, the
term ``National Health Insurance Exchange'' means a mechanism
established or recognized under Federal law for coordinating the
offering of health benefits coverage to individuals in the United
States (and includes such a mechanism that may be operated at a State
or regional level) through the establishment of standards for benefits
and cost-sharing and for premiums for such health benefits coverage.

SEC. 3. FINANCES.

    (a) Self-Financing.--The American Trust Health Plan shall be
financially self-sustaining insofar as funds to operate the Plan,
including costs of benefits, administration, and marketing, shall be
derived from premiums for individuals enrolled under the Plan. The Plan
is eligible to accept subsidies, including subsidies for the enrollment
of such individuals, in the same manner and to the same extent as other
health benefits plans offered through a National Health Insurance
Exchange are eligible to accept subsidies.
    (b) Contingency Reserve.--The Administrator shall establish and
fund a contingency reserve for the Plan in a form similar to that of a
contingency reserve for health benefits plans under the Federal
Employees Health Benefits Program under chapter 89 of title 5, United
States Code.

SEC. 4. ELIGIBILITY AND ENROLLMENT.

    (a) Eligibility.--
            (1) In general.--Any individual who is made eligible to
        purchase coverage with a health benefits plan through the
        National Health Insurance Exchange is eligible to enroll with
        the American Health Trust Plan.
            (2) Employer enrollment.--To the extent provided by the
        National Health Insurance Exchange with respect to health
        benefits coverage offered through the Exchange, employers are
        eligible to purchase coverage for, and enroll their employees
        and dependents with, the Plan.
    (b) Annual Open Enrollment Period.--The Administrator shall
determine a yearly period of open enrollment for eligible individuals
of not less than four consecutive weeks. Such a period shall be
consistent with any similar annual open enrollment period established
by the National Health Insurance Exchange for health benefits plans
offered through the Exchange.
    (c) Notices of Significant Changes.--
            (1) In general.--No significant change shall be made under
        the Plan except with public notice and on an annual basis and
        consistent with rules established by the National Health
        Insurance Exchange for health benefits coverage offered through
        the Exchange.
            (2) Significant change defined.--In this subsection, the
        term ``significant change'' includes any change in benefits,
        copayments, deductibles, or premiums.

SEC. 5. PROVIDERS.

    (a) Access to Medicare Provider Network.--
            (1) In general.--Except as provided in paragraph (2), any
        health care provider that is eligible for and accepts
        reimbursement for services under the Medicare program under
        title XVIII of the Social Security Act (in this section
        referred to as the ``Medicare'') shall, as a condition of
        continuing to participate under such program, also participate
        under the American Health Trust Plan.
            (2) Exception.--Paragraph (1) shall not be construed as
        requiring a provider to accept new patients due to bona fide
        capacity limitations of the provider.
    (b) Reimbursement Levels.--
            (1) In general.--The Administrator shall provide for
        payment to health care providers for covered services at rates
        not less, on average and in the aggregate nationally, than 105
        percent of the payment rates recognized for such services (or
        substantially similar services) under Medicare. In the case of
        those services which are covered under the Plan but are not
        covered under Medicare, the Administrator shall seek to apply
        payment rates and methodologies similar to those described in
        the previous sentence.
            (2) Adjustment.--The Administrator, in determining the
        competitiveness of the Plan within different markets and
        compared to other health benefits plans offered through the
        National Health Insurance Exchange, may increase the payment
        rates for health care providers above the rate otherwise
        provided under paragraph (1).
            (3) GPCI floors.--In applying paragraph (1), the work and
        practice expense geographic indices applied under section
        1848(e)(1) of the Social Security Act for any locality shall
        not be less than 1.00.
    (c) Adoption of Medicare Reforms.--The Plan may adopt Medicare
system delivery reforms that provide patients with a coordinated system
of care and make changes to the provider payment structure.

SEC. 6. BENEFITS.

    (a) In General.--The Administrator shall specify the benefits to be
provided under the Plan consistent with this section and in
consultation with the Advisory Board.
    (b) Minimum Benefit Level.--The Plan may offer coverage with
differing benefit levels so long as such benefits and levels are
consistent with the benefits and levels of benefits required to be
offered by health benefits plans under the National Health Insurance
Exchange, and shall include the offering of at least one benefit level
which closely reflects the lowest benefit level that may be offered by
a health benefits plan through such Exchange.

SEC. 7. PREMIUMS.

    (a) In General.--The Administrator shall specify the levels of
premiums for coverage under the Plan so long as they--
            (1) are based upon a system of rating that is consistent
        with rating rules that is established for health benefits plans
        offered through the National Health Insurance Exchange;
            (2) do not take into account health status related factors
        for any individual enrollee; and
            (3) are designed to provide sufficient funds to meet the
        requirement of section 3(a).
    (b) Rating Rules.--To the extent permitted for health benefits
plans offered through the National Health Insurance Exchange, the
premiums for the Plan shall vary based on geographic area and family
size and may vary based on tobacco usage of an enrollee or other
factors permitted for health benefits plans offered through the
Exchange.

Summary: Choice in Health Options Insures Care for Everyone (CHOICE) Act of 2009 - Establishes the American Trust Health Plan to offer eligible individuals health benefits coverage. Requires the Plan to comply with all requirements that are applicable with respect to other health benefit plans to be offered through a National Health Insurance Exchange. Exempts the Plan from state insurance regulations. Treats enrollment with the Plan as satisfying any requirement under federal law for the individual to demonstrate enrollment in health insurance or benefits coverage. Sets forth provisions regarding administration of the Plan. Requires the Plan to be financially self-sustaining insofar as funds to operate the Plan shall be derived from premiums of individuals enrolled under the Plan. Makes the Plan eligible to accept subsides to the same extent as other health benefit plans offered through an Exchange. Prohibits significant changes to the Plan without public notice. Conditions a health care provider's continued participation in the Medicare program on participation in the American Trust Health Plan. Sets payment for health care providers under the Plan at 105 of the payment rates under Medicare. Requires the Administrator of the Plan to set the benefit level and the premiums.

To provide for the offering of an American Trust Health Plan to provide choice in health insurance options so as to ensure quality, affordable health coverage for all Americans.


SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Stand with the Iranian People Act''.

SEC. 2. FINDINGS; SENSE OF CONGRESS; STATEMENT OF POLICY.

    (a) Findings.--Congress finds the following:
            (1) The Government of Iran has engaged in a brutal
        crackdown on the Iranian people in the aftermath of the
        disputed presidential election of June 12, 2009, stifling
        freedom of speech, press, and assembly and violating
        fundamental human rights.
            (2) On June 23, 2009, President Obama denounced the
        crackdown on the Iranian people, saying ``The United States
        respects the sovereignty of the Islamic Republic of Iran, and
        is not at all interfering in Iran's affairs. But we must also
        bear witness to the courage and dignity of the Iranian people,
        and to a remarkable opening within Iranian society''.
            (3) On June 19, 2009, the House of Representatives adopted
        H. Res. 560 by a vote of 405-1, ``expressing support for all
        Iranian citizens who struggle for freedom, human rights, civil
        liberties, and the protection of the rule of law''.
            (4) Iran's security forces, particularly the Iranian
        Revolutionary Guard Corps (IRGC) and the Basij volunteer
        militia, have been largely responsible for the violence and
        brutality committed against the Iranian people in the recent
        unrest.
            (5) Thousands of Iranian protesters have been arrested and
        detained for taking part in public demonstrations, with many
        being raped and tortured to extract false confessions to be
        used against them and others as part of government-run ``show
        trials''.
            (6) On June 20, 2009, twenty-six year old Neda Agha Soltan
        was shot and killed by a member of the Basij militia,
        symbolizing for Iranians and people all over the world the
        government's brutal crackdown against peaceful demonstrators.
    (b) Sense of the Congress.--It is the sense of Congress that the
United States--
            (1) respects the sovereignty, proud history, and rich
        culture of the Iranian people;
            (2) respects the universal values of freedom of speech,
        freedom of the press, and the freedom to assemble;
            (3) respects and admires the Iranian people as they take
        steps to peacefully express their voices, opinions, and
        aspirations;
            (4) deplores and condemns the use of coerced confessions
        and ``show trials'' as tools of political repression in Iran;
            (5) urges the Government of Iran to intensify its
        cooperation on the case of Robert Levinson with the Embassy of
        Switzerland in Tehran and to share the results of its
        investigation into the disappearance of Robert Levinson with
        the Federal Bureau of Investigation; and
            (6) recognizes the importance of diplomacy with Iran in
        order to advance the national security interests of the United
        States, but such diplomacy should not be construed as official
        recognition of the declared results from the June 12, 2009,
        Iranian presidential election.
    (c) Statement of Policy.--It should be the policy of the United
States to--
            (1) work to ensure that sanctions are clearly targeted at
        the Government of Iran and individuals within the Government of
        Iran, rather than the Iranian society as a whole, in order to
        avoid creating hardship and inflicting harm on the Iranian
        people;
            (2) encourage United States allies to freeze bank accounts
        held or controlled by Iranian Government officials who have
        carried out human rights abuses against the people of Iran;
            (3) encourage United States allies to deny entrance visas
        for non-official business to Iranian Government officials who
        have carried out human rights abuses against the people of
        Iran;
            (4) work in the United Nations Security Council to impose
        multilateral political and financial sanctions against Iranian
        Governmental officials, including officials of the IRGC and
        Basij militia, who have carried out human rights abuses against
        the people of Iran;
            (5) work within the United Nations to focus international
        attention on and investigate human rights abuses in Iran, and
        to secure the release of prisoners of conscience;
            (6) apply targeted political and financial sanctions
        against a foreign person or foreign entity that provides
        illicit support to the IRGC and Basij militia;
            (7) encourage cooperation between United States and Iranian
        nongovernmental organizations, particularly with regard to
        facilitating people-to-people exchanges; and
            (8) expedite admission to the United States of any national
        of Iran who is under threat of severe penalty as a result of
        participating in or reporting on pro-democracy activities
        inside Iran, and should encourage other governments to accept
        such Iranian refugees for resettlement, provided applicants
        have not engaged in or provided support for acts of terrorism
        and satisfy all criteria for acquiring refugee status.

SEC. 3. IMPOSING TRAVEL RESTRICTIONS AGAINST IRAN'S HUMAN RIGHTS
              ABUSERS.

    (a) In General.--The Secretary of State shall deny the issuance of
a visa and the Secretary of Homeland Security shall deny admission to
the United States to any official of the Government of Iran who is
credibly alleged to have ordered, acquiesced to, or participated in
human rights abuses against the people of Iran
    (b) Waiver.--The ban described in subparagraph (a) may be waived if
the Secretary of State certifies to Congress that such a waiver is in
the national interests of the United States.

SEC. 4. PROHIBITION ON PROCUREMENT CONTRACTS WITH PERSONS OR ENTITIES
              THAT PROVIDE CENSORSHIP OR SURVEILLANCE TECHNOLOGY TO THE
              GOVERNMENT OF IRAN.

    (a) Prohibition.--Notwithstanding any other provision of law, the
head of an executive agency may not enter into or renew a contract for
the procurement of goods or services with a person or entity that
provides censorship or surveillance technology to the Government of
Iran.
    (b) Waiver Provision.--The Secretary concerned may waive the
application of the prohibition under subsection (a) with respect to a
person or entity if the Secretary certifies to Congress that such a
waiver is in the national interest of the United States.
    (c) Definitions.--In this section--
            (1) the term ``censorship or surveillance technology''
        means hardware, software, telecommunications equipment, or any
        other technology that the President determines is designed to
        provide a substantial capability--
                    (A) to restrict the free flow of information; or
                    (B) to disrupt, monitor, or otherwise restrict
                speech;
            (2) the term ``executive agency'' has the meaning given
        that term in section 4 of the Office of Federal Procurement
        Policy Act (41 U.S.C. 403); and
            (3) the term ``Government of Iran'' means any agency or
        instrumentality of the Government of Iran, including any entity
        that is controlled by the Government of Iran.
    (d) Effective Date.--
            (1) In general.--Except as provided in paragraph (2), this
        section shall apply to contracts entered into on or after the
        date that is 90 days after the date of the enactment of this
        Act.
            (2) Exception.--With respect to a renewal of a contract,
        this section shall apply to a contract renewed on or after the
        date of the enactment of this Act.

SEC. 5. AUTHORIZATION OF UNITED STATES NON-PROFIT ORGANIZATIONS'
              ACTIVITIES IN IRAN FOR THE PROVISION OF HUMANITARIAN AND
              PEOPLE-TO-PEOPLE ASSISTANCE.

    (a) Authorization.--Notwithstanding any other provision of law, the
establishment and carrying out of operations in Iran for the direct
provision of humanitarian and people-to-people assistance described in
subsection (b) by any organization described in section 501(c)(3) of
the Internal Revenue Code of 1986 may not be prohibited or otherwise
restricted.
    (b) Assistance Described.--The humanitarian and people-to-people
assistance referred to in subsection (a) is assistance to--
            (1) promote adequate and reliable nutrition;
            (2) advance child survival and maternal health;
            (3) improve access to safe water, sanitation, and shelter;
            (4) prepare for and respond to natural disasters;
            (5) improve access to basic health care;
            (6) prevent and treat drug addiction;
            (7) strengthen education and literacy;
            (8) promote equal rights for women and minorities;
            (9) support human rights and representative governance;
            (10) foster international and religious understanding and
        tolerance; and
            (11) facilitate international people-to-people exchanges.
    (c) Exception.--Subsection (a) shall not apply with respect to an
organization described in subsection (a) if such organization provides
services or conducts transactions with any organization or entity that
appears on the Department of the Treasury's Specially Designated
Nationals List.
    (d) Notification and Waiver.--The Secretary of the Treasury may
require organizations authorized under subsection (a) to notify the
Department of the Treasury up to 14 days in advance of commencing
operations in Iran. The Secretary of the Treasury may waive the
application of subsection (a) if the Secretary determines that it is in
the national security interests of the United States to do so.
    (e) Effective Date.--This section shall apply with respect to the
establishment and carrying out of operations described in subsection
(a) on or after the date of the enactment of this Act.

Summary: Stand with the Iranian People Act - Directs the Secretary of State to deny issuance of a visa and the Secretary of Homeland Security (DHS) to deny US admission to any government official of Iran who is credibly alleged to have ordered, acquiesced to, or participated in human rights abuses against the people of Iran. Authorizes the Secretary of State to waive such ban if in the US national interest. Prohibits the head of an executive agency from entering into or renewing a contract for the procurement of goods or services with a person or entity that provides censorship or surveillance technology to the government of Iran. Authorizes the Secretary concerned to waive such prohibition if in the US national interest. States that the establishment and carrying out of operations by US nonprofit organizations in Iran for the direct provision of specified humanitarian and people-to-people assistance may not be prohibited or restricted. Authorizes the Secretary of the Treasury to require such an organization to notify the Department of the Treasury up to 14 days in advance of commencing operations in Iran. Excludes from such provision an organization that provides services or conducts transactions with any organization or entity that appears on the Department of the Treasury's Specially Designated Nationals List .

To enhance United States sanctions against Iran by targeting Iranian governmental officials, prohibiting Federal procurement contracts with persons that provide censorship or surveillance technology to the Government of Iran, providing humanitarian and people-to-people assistance to the Iranian people, and for other purposes.


SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Asbestos Management Incentive Act''.

SEC. 2. FINDINGS.

    Congress finds the following:
            (1) Although asbestos is hazardous, the risk of asbestos-
        related disease depends upon exposure to airborne asbestos
        fibers.
            (2) Data available to the Environmental Protection Agency
        suggest that average airborne asbestos levels in buildings are
        very low. Accordingly, the health risk to most building
        occupants also appears to be very low.
            (3) The Environmental Protection Agency has estimated that
        only 20 percent of all buildings (including public and
        commercial buildings, residential apartment buildings of 10
        units or more, and Federal buildings) contain friable asbestos-
        containing material.
            (4) The Environmental Protection Agency has found that
        removal of asbestos is often not the best course of action to
        reduce asbestos exposure. In fact, by releasing asbestos-
        containing material fibers into the air, an improper or
        unnecessary removal can create a dangerous situation where none
        previously existed and could result in a net increase in human
        exposures and risks.
            (5) The Environmental Protection Agency requires asbestos
        removal only to prevent significant public exposure to airborne
        asbestos fibers during building demolition or renovation
        activities.
            (6) Many lending institutions require the removal of
        asbestos, regardless of its condition, from commercial
        buildings before approving loans secured by those buildings
        because of the potential liability for the health of the
        occupants or property damages for failure to remove the
        asbestos.
            (7) The Environmental Protection Agency recommends a pro-
        active, in-place management program whenever intact asbestos-
        containing material is discovered.
            (8) The American Medical Association's Council on
        Scientific Affairs has stated that ``it is better that society
        use its limited financial resources in learning how to live
        safely with [asbestos] than in attempting to remove it totally
        from the environment.''
            (9) The September 1991 report of the Health Effects
        Institute's Asbestos Literature Review Panel stated that
        ``there does not appear to be sufficient risk to the health of
        general occupants to justify arbitrarily removing intact
        asbestos-containing material from well-maintained buildings''.
        The report also acknowledged that ``because custodial and
        maintenance workers may be transiently exposed to higher levels
        of asbestos, their added life-time risk of cancer may be
        appreciably higher.''

SEC. 3. EFFECT OF ASBESTOS INSPECTION ON LENDING INSTITUTIONS.

    (a) Liability Immunity.--A lending institution that makes a loan or
other extension of credit secured by a mortgage or other lien on a
commercial building shall not be liable, from the time the loan or
other extension of credit is made until it is renegotiated or a
superseding loan or other extension of credit is made, under any
Federal, State, or local law to any person for injuries, costs,
damages, expenses, loss, or other obligation (including claims for
indemnification or contribution and claims by third parties for death,
personal injury, illness or loss of or damage to property or economic
loss) which results from the presence of asbestos-containing material
in the building in any case in which--
            (1) the building was constructed during the 5-year period
        ending on the date that the loan or other extension of credit
        is made, and the building's construction manager certifies that
        the building contains no asbestos-containing material; or
            (2) the building--
                    (A) is one for which an asbestos inspection was
                conducted in accordance with section 6 after January 1,
                1989, and during the 5-year period ending on the date
                that the loan or other extension of credit is made (as
                demonstrated by appropriate documentation);
                    (B) has not been significantly rebuilt or renovated
                in the area that contains asbestos-containing material
                since that inspection was completed;
                    (C) is one in which that portion of asbestos-
                containing material which the management planner
                recommended for removal has been removed in accordance
                with the Occupational Safety and Health Act and the
                regulations promulgated pursuant to section 7(a); and
                    (D) is one in which an operations and maintenance
                program is currently being conducted in accordance with
                section 8 and the regulations promulgated pursuant to
                section 7(a) for remaining asbestos-containing
                materials which the management planner recommended be
                handled in place.
    (b) Limitation.--The immunity from liability provided in subsection
(a) shall not apply if--
            (1) the lending institution requires removal of asbestos-
        containing material that the management planner has recommended
        be handled in place; or
            (2) the lending institution requires an asbestos inspection
        of the building despite the fact that--
                    (A) the loan applicant demonstrates, with
                appropriate documentation, that the conditions in
                subsection (a)(1) or (a)(2) have been satisfied; or
                    (B) the loan applicant demonstrates, with
                appropriate documentation, that all asbestos-containing
                material has been removed from the building.
    (c) Exclusion.--The immunity from liability provided in subsection
(a) shall not apply to a subsidiary of a lending institution in any
case in which the lending institution makes a loan or other extension
of credit secured by a mortgage or other lien on a commercial building,
and the subsidiary is the person to which the loan or other extension
of credit is made. For purposes of this subsection, the term
``subsidiary'' means any company that is owned or controlled, directly
or indirectly, by a lending institution.
    (d) Effective Date.--This section shall take effect upon the
promulgation of regulations by the Administrator of the Environmental
Protection Agency pursuant to section 7(a).

SEC. 4. LIABILITY IN THE EVENT OF FORECLOSURE.

    In the case of a lending institution that is immune from liability
with respect to a commercial building under section 3 and acquires
title to such building through foreclosure or other exercise of rights
under a security interest, the immunity from liability shall continue
in effect so long as the lending institution maintains the operations
and maintenance program for the building in accordance with the
regulations promulgated pursuant to section 7(a), the Environmental
Protection Agency asbestos guidance documents, and this Act.

SEC. 5. CONSTRUCTION OF ACT.

    The requirement by a lending institution that a loan applicant
conduct an asbestos inspection in accordance with this Act of a
building to be secured by a loan, and the conducting of an operations
and maintenance program in the building after foreclosure or other
exercise of rights under a security interest, shall not be construed as
participation in the management of the building by the lending
institution and shall be considered to be an activity carried out by
the lending institution solely to protect the institution's security
interest.

SEC. 6. ASBESTOS INSPECTION REQUIREMENTS.

    (a) In General.--For purposes of this Act, an asbestos inspection
of a commercial building, if the loan applicant chooses to obtain one,
shall be conducted by a qualified management planner for the purpose of
determining whether asbestos-containing material is present in the
building. If an inspection reveals the presence of asbestos-containing
material, the management planner shall recommend specific response
actions for each individual area of the building where such material is
found. The recommendations shall be made in accordance with the
regulations promulgated pursuant to section 7(a) and with the
Environmental Protection Agency asbestos guidance documents.
    (b) Management Planner Qualifications.--For purposes of this Act, a
qualified management planner is a person who meets all of the following
requirements:
            (1) The person must be accredited, pursuant to title II of
        the Toxic Substances Control Act, as an inspector and
        management planner for asbestos-containing material in a public
        or commercial building.
            (2) The person must not own or control or be under the
        control of (A) any entity which carries out response actions
        for asbestos-containing material from buildings, (B) any owner
        or manager of the building being inspected, or (C) any lending
        institution making a loan or other extension of credit secured
        by a mortgage or other lien on the building being inspected.
        For purposes of this paragraph, a person controls an entity if
        the person, directly or indirectly, owns any amount of the
        voting stock or other type of ownership interest in the entity.
    (c) Accreditation of Management Planners for Public and Commercial
Buildings.--Section 206 of the Toxic Substances Control Act (15 U.S.C.
2646) is amended as follows:
            (1) Paragraph (2) of subsection (a) is amended by inserting
        before the comma the following: ``or for a public or commercial
        building''.
            (2) Clause (ii) of subsection (a)(1)(A) is amended by
        inserting before the period the following: ``or for public or
        commercial buildings''.

SEC. 7. ENVIRONMENTAL PROTECTION AGENCY REQUIREMENTS.

    (a) Asbestos Inspection and Management Standards for Public and
Commercial Buildings.--Not later than 1 year after the date of the
enactment of this Act, the Administrator of the Environmental
Protection Agency shall promulgate regulations governing the inspection
and management of asbestos in public and commercial buildings for
purposes of this Act only. The regulations shall include--
            (1) detailed guidelines for management planners to
        determine whether asbestos-containing material should be
        removed or managed in place in a public or commercial building;
            (2) appropriate practices for conducting operations and
        maintenance programs in public or commercial buildings in which
        asbestos-containing material is managed in place; and
            (3) standards, applicable to persons complying with section
        8(1), for periodic surveillance of asbestos-containing material
        that is managed in place in commercial buildings, including
        standards for the training of maintenance and custodial staff
        working in such buildings that are equivalent to the standards
        for the training of maintenance and custodial staff of local
        educational agencies under title II of the Toxic Substances
        Control Act.
    (b) Revision of Environmental Protection Agency Asbestos Guidance
Documents.--The Administrator of the Environmental Protection Agency
shall periodically update, revise, and republish the Environmental
Protection Agency asbestos guidance documents.

SEC. 8. OPERATION AND MAINTENANCE REQUIREMENTS.

    For purposes of section 3(a)(2)(D), the following requirements must
be met after an asbestos inspection of the building concerned is
conducted:
            (1) The owner or operator shall ensure that the remaining
        asbestos-containing material is visually inspected, not less
        frequently than every 6 months, by a member of the maintenance
        or custodial staff, or another person, who has undergone
        training in accordance with the standards contained in the
        regulations promulgated pursuant to section 7(a)(4).
            (2) All remaining accessible asbestos-containing material
        in public and maintenance areas of the building, including
        asbestos in thermal system insulation and spray-on and
        trowelled-on asbestos-containing material but excluding intact
        vinyl floor tile and ceiling tile in public areas, shall be
        prominently labeled. The owner or operator shall ensure that
        access to any remaining asbestos-containing material located in
        inaccessible areas, such as in spaces between floors or walls
        of the building, is permitted only to persons who have been
        notified of the presence of the asbestos-containing material.
            (3) After the inspection referred to in section 3(a)(2)(A),
        a report on the inspection shall be kept on file in the
        building. Such report shall include an accounting of remaining
        asbestos-containing material, any such material recommended for
        removal, and any removal that has taken place since the
        previous inspection. Such report shall be available in the
        building, in the administrative offices or other appropriate
        place for inspection by tenants and employees in the building,
        maintenance workers of the building, and building contractors.
        The inspection report shall be updated after each subsequent
        inspection pursuant to paragraph (1) and after any change in
        condition of asbestos-containing material being managed in
        place.
            (4) After each inspection pursuant to paragraph (1), the
        owner of the building shall notify maintenance workers of the
        building, either in writing or by posting notice, that an
        inspection has occurred and that an inspection report is
        available for inspection.

SEC. 9. RELATIONSHIP TO OTHER LAW.

    (a) Clean Air Act.--Nothing in this Act shall be construed or
interpreted to preempt, supersede, or otherwise affect any requirement
to remove asbestos from a building pursuant to section 112 of the Clean
Air Act (42 U.S.C. 7412), as implemented through regulations known as
the national emission standards for hazardous air pollutants (40 C.F.R.
61).
    (b) Limited Requirements.--Nothing in this Act shall be construed
or interpreted as a general requirement for inspections or operations
and maintenance programs in public and commercial buildings. The
requirements of sections 6, 7, and 8 are established solely to enable
lending institutions to satisfy the conditions of this Act for purposes
of obtaining immunity from liability under section 3.

SEC. 10. DEFINITIONS.

    For purposes of this Act, the following definitions apply:
            (1) The term ``asbestos-containing material'' has the
        meaning given that term by section 202(4) of the Toxic
        Substances Control Act (15 U.S.C. 2642(4)).
            (2) The term ``commercial building'' means any building
        that is not a publicly owned building and that is not a school
        building as defined in section 202(13) of the Toxic Substances
        Control Act, except that such term does not include any
        residential building of fewer than 10 units that is not part of
        a complex of other residential buildings under common
        ownership.
            (3) The term ``EPA asbestos guidance documents'' means--
                    (A) the most current version of the publication of
                the Environmental Protection Agency titled ``Guidance
                for Controlling Asbestos-Containing Materials in
                Buildings'' (also known as the ``Purple Book'');
                    (B) the most current version of the publication of
                the Environmental Protection Agency titled ``Managing
                Asbestos in Place'' (also known as the ``Green Book'');
                and
                    (C) any other publication of the Environmental
                Protection Agency, including any guidance documents
                published pursuant to section 7(a), published for the
                purpose of enabling building owners to select and apply
                appropriate asbestos control and abatement actions in
                their buildings.
            (4) The term ``lending institution'' means (A) a bank,
        savings and loan association, credit union, or similar
        institution insured by, or subject to the supervision,
        approval, or regulation of, the Board of Governors of the
        Federal Reserve System, the Federal Deposit Insurance
        Corporation, the Comptroller of the Currency, the Office of
        Thrift Supervision, or the National Credit Union
        Administration; (B) any other person, including an insurance
        company, that makes direct loans or other extensions of credit
        secured by mortgages or other liens on commercial buildings;
        (C) any Federal agency to the extent the agency makes direct
        loans or other extensions of credit secured by mortgages or
        other liens on commercial buildings; and (D) the Federal
        Deposit Insurance Corporation, the National Credit Union
        Administrator Board, and the Resolution Trust Corporation, in
        such corporation's or Board's capability as conservator,
        receiver, or liquidating agency for any insured depository
        institution (as that term is defined in section 3 of the
        Federal Deposit Insurance Act). The term does not include any
        institution or Federal agency engaged primarily in the purchase
        of mortgage loans.
            (5) The term ``mortgage'' means a lien as is commonly given
        to secure advances on, or the unpaid purchase price of, a
        commercial building (and related real estate) under the laws of
        the State in which the building is located, together with the
        credit instrument, if any, secured thereby. The term includes
        second mortgages and other subsequent liens on a commercial
        building given to secure advances or loans.
            (6) The term ``response action'' has the meaning given that
        term by section 202(11) of the Toxic Substances Control Act (15
        U.S.C. 2642(11)).

HR 1000 IH----2

Summary: Asbestos Management Incentive Act - Absolves lending institutions that make loans or credit secured by liens on commercial buildings from liability resulting from asbestos material in any case in which the building was constructed during the five-year period ending on the date that the loan was made and the building's construction manager certifies that the building contains no asbestos-containing material, or in the case of any building: (1) for which an asbestos inspection was conducted after January 1, 1989, and during such five-year period. (2) that has not been significantly rebuilt in the area that contains such material since that inspection was completed. (3) for which that portion of material recommended for removal has been removed. And (4) for which an operations and maintenance program is currently being conducted. Bars immunity from liability if the lending institution requires: (1) removal of material that the management planner has recommended be handled in place. Or (2) an asbestos inspection of the building despite the fact that the loan applicant demonstrates that certain conditions have been satisfied or that all such material has been removed. Makes immunity inapplicable to a subsidiary of a lending institution if the subsidiary is the person to whom the loan is made. Continues liability for institutions that acquire title to a building through foreclosure as long as the institution maintains an operation and maintenance program. Sets forth requirements for asbestos inspections and management planner qualifications. Amends the Toxic Substances Control Act to prohibit persons from preparing asbestos management plans for public or commercial buildings unless they are accredited. Directs the Administrator of the Environmental Protection Agency to: (1) promulgate regulations governing the inspection and management of asbestos in public and commercial buildings. And (2) update and revise asbestos guidance documents periodically. Requires, after an asbestos inspection: (1) the remaining asbestos-containing material to be visually inspected every six months. (2) all remaining material in public and maintenance areas of the building to be prominently labeled. And (3) a report to be completed and made available to maintenance workers.

Asbestos Management Incentive Act


SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Tax Incentives for Fuel Efficient
Vehicles Act of 2003''.

SEC. 2. MODIFICATIONS TO GAS GUZZLERS TAX TO ENCOURAGE GREATER AUTO
              FUEL EFFICIENCY.

    (a) Increase in Tax Rate.--Subsection (a) of section 4064 of the
Internal Revenue Code of 1986 (relating to gas guzzlers tax) is amended
to read as follows:
    ``(a) Imposition of Tax.--
            ``(1) In general.--There is hereby imposed on the sale by
        the manufacturer of each automobile a tax determined in
        accordance with the following table:

If the fuel economy for the model year of the

  model type in which the automobile falls is:
                                                            The tax is:
        Less than 5 mpg below the applicable fuel economy           $0
            standard.
        At least 5 but less than 6 mpg below such standard.      1,000
        At least 6 but less than 7 mpg below such standard.      1,500
        At least 7 but less than 8 mpg below such standard.      2,000
        At least 8 but less than 9 mpg below such standard.      2,500
        At least 9 but less than 10 mpg below such standard      3,100
        At least 10 but less than 11 mpg below such              3,800
            standard.
        At least 11 but less than 12 mpg below such              4,600
            standard.
        At least 12 but less than 13 mpg below such              5,500
            standard.
        At least 13 but less than 14 mpg below such              6,500
            standard.
        At least 14 mpg below such standard................      7,700.
            ``(2) Inflation Adjustment.--
                    ``(A) In general.--In the case of any taxable year
                beginning after 2005, each dollar amount referred to in
                paragraph (1) shall be increased by an amount equal
                to--
                            ``(i) such dollar amount, multiplied by
                            ``(ii) the cost-of-living adjustment
                        determined under section (1)(f)(3) for the
                        calendar year in which the taxable year begins,
                        by substituting `2004' for `1992'.
                    ``(B) Rounding.--If any amount as adjusted under
                subparagraph (A) is not a multiple of $100, such amount
                shall be rounded to the next lowest multiple of $50.''.
    (b) Expansion of Definition of Automobile.--
            (1) Increase in weight.--Section 4064(b)(1)(A)(ii) of the
        Internal Revenue Code of 1986 (defining automobile) is amended
        by striking ``6,000 pounds'' and inserting ``12,000 pounds''.
            (2) Exception for certain vehicles.--Subparagraph (B) of
        section 4064(b)(1) of such Code is amended to read as follows:
                    ``(B) Exception for certain vehicles.--The term
                `automobile' does not include--
                            ``(i) a vehicle which has a primary load
                        carrying device or container attached,
                            ``(ii) a vehicle which has a seating
                        capacity of more than 12 persons,
                            ``(iii) a vehicle which has a seating
                        capacity of more than 9 persons behind the
                        driver's seat, or
                            ``(iv) a vehicle which is equipped with a
                        cargo area of at least 6 feet in interior
                        length which is an open area or is designed for
                        use as an open area but is enclosed by a cap
                        and is not readily accessible directly from the
                        passenger compartment.''.
    (c) Additional Definitions.--Section 4064(b) of the Internal
Revenue Code of 1986 (relating to definitions) is amended by adding at
the end the following new paragraphs:
            ``(8) Applicable fuel economy standard.--The term
        `applicable fuel economy standard' means, with respect to any
        model year, the average fuel economy standard as defined in
        section 32902 of title 49, United States Code, for passenger
        automobiles for such model year.
            ``(9) MPG.--The term `mpg' means miles per gallon.''.
  (d) Effective Date.--The amendments made by this section shall apply
to sales after October 31, 2005.

SEC. 3. HIGHLY FUEL-EFFICIENT AUTOMOBILE CREDIT.

    (a) In General.--Subpart C of part IV of subchapter A of chapter 1
of the Internal Revenue Code of 1986 (relating to refundable credits)
is amended by redesignating section 36 as section 37 and by inserting
after section 35 the following new section:

``SEC. 36. HIGHLY FUEL-EFFICIENT AUTOMOBILE CREDIT.

    ``(a) Allowance of Credit.--There shall be allowed as a credit
against the tax imposed by this subtitle for the taxable year an amount
equal to the new highly fuel-efficient automobile credit determined
under subsection (b).
    ``(b) New Highly Fuel-Efficient Automobile Credit.--For purposes of
subsection (a), the new highly fuel-efficient automobile credit with
respect to any new automobile placed in service by the taxpayer during
the taxable year is determined in accordance with the following tables:

If the fuel economy for the model year

  of the model type in which the

  passenger automobile falls is:
                                                         The credit is:
        Less than 5 mpg above the applicable fuel economy           $0
            standard.
        At least 5 but less than 6 mpg above such standard.        770
        At least 6 but less than 7 mpg above such standard.      1,540
        At least 7 but less than 8 mpg above such standard.      2,310
        At least 8 but less than 9 mpg above such standard.      3,080
        At least 9 but less than 10 mpg above such standard      3,850
        At least 10 but less than 11 mpg above such              4,620
            standard.
        At least 11 but less than 12 mpg above such              5,390
            standard.
        At least 12 but less than 13 mpg above such              6,160
            standard.
        At least 13 but less than 14 mpg above such              6,930
            standard.
        At least 14 mpg above such standard................      7,700.

If the fuel economy for the model year

  of the model type in which the

  non-passenger automobile falls is:
                                                         The credit is:
        Less than 5 mpg above the applicable fuel economy           $0
            standard.
        At least 5 but less than 6 mpg above such standard.        770
        At least 6 but less than 7 mpg above such standard.      1,540
        At least 7 but less than 8 mpg above such standard.      2,310
        At least 8 but less than 9 mpg above such standard.      3,080
        At least 9 but less than 10 mpg above such standard      3,850
        At least 10 but less than 11 mpg above such              4,620
            standard.
        At least 11 but less than 12 mpg above such              5,390
            standard.
        At least 12 but less than 13 mpg above such              6,160
            standard.
        At least 13 but less than 14 mpg above such              6,930
            standard.
        At least 14 mpg above such standard................      7,700.
    ``(c) New Automobile.--For purposes of this section, the term `new
automobile' means a passenger automobile or non-passenger automobile--
            ``(1) the original use of which commences with the
        taxpayer,
            ``(2) which is acquired for use or lease by the taxpayer
        and not for resale, and
            ``(3) which is made by a manufacturer.
    ``(d) Passenger Automobile; Non-Passenger Automobile.--For purposes
of this section--
            ``(1) Passenger automobile.--The term `passenger
        automobile' has the meaning given the term `automobile' by
        section 4064(b)(1).
            ``(2) Non-passenger automobile.--
                    ``(A) In general.--The term `non-passenger
                automobile' means any automobile (as defined in section
                4064(b)(1)(A)), but only if such automobile is
                described in subparagraph (B).
                    ``(B) Non-passenger automobiles described.--An
                automobile is described in this subparagraph if such
                automobile is--
                            ``(i) a vehicle which has a primary load
                        carrying device or container attached,
                            ``(ii) a vehicle which has a seating
                        capacity of more than 12 persons,
                            ``(iii) a vehicle which has a seating
                        capacity of more than 9 persons behind the
                        driver's seat, or
                            ``(iv) a vehicle which is equipped with a
                        cargo area of at least 6 feet in interior
                        length which does not extend beyond the frame
                        of the vehicle and which is an open area or is
                        designed for use as an open area but is
                        enclosed by a cap and is not readily accessible
                        directly from the passenger compartment.
    ``(e) Other Definitions.--Except as provided in subsection (d), for
purposes of this section, any term used in this section and also in
section 4064 shall have the meaning given such term by section 4064.
    ``(f) Special Rules.--For purposes of this section--
            ``(1)  Reduction in basis.--For purposes of this subtitle,
        the basis of any property for which a credit is allowable under
        subsection (a) shall be reduced by the amount of such credit so
        allowed.
            ``(2) No double benefit.--The amount of any deduction or
        other credit allowable under this chapter with respect to an
        automobile described under subsection (b), shall be reduced by
        the amount of credit allowed under subsection (a) for such
        automobile for the taxable year.
            ``(3) Property used by tax-exempt entities.--In the case of
        a credit amount which is allowable with respect to an
        automobile which is acquired by an entity exempt from tax under
        this chapter, the person which sells or leases such automobile
        to the entity shall be treated as the taxpayer with respect to
        the automobile for purposes of this section and the credit
        shall be allowed to such person, but only if the person clearly
        discloses to the entity at the time of any sale or lease the
        specific amount of any credit otherwise allowable to the entity
        under this section.
            ``(4) Recapture.--The Secretary shall, by regulations,
        provide for recapturing the benefit of any credit allowable
        under subsection (a) with respect to any property which ceases
        to be property eligible for such credit (including recapture in
        the case of a lease period of less than the economic life of an
        automobile).
            ``(5) Property used outside united states, etc., not
        qualified.--No credit shall be allowed under subsection (a)
        with respect to any property referred to in section 50(b) or
        with respect to the portion of the cost of any property taken
        into account under section 179.
            ``(6) Election to not take credit.--No credit shall be
        allowed under subsection (a) for any automobile if the taxpayer
        elects to not have this section apply to such automobile.
            ``(7) Interaction with air quality and motor vehicle safety
        standards.--Unless otherwise provided in this section, an
        automobile shall not be considered eligible for a credit under
        this section unless such automobile is in compliance with--
                    ``(A) the applicable provisions of the Clean Air
                Act for the applicable make and model year of the
                automobile (or applicable air quality provisions of
                State law in the case of a State which has adopted such
                provision under a waiver under section 209(b) of the
                Clean Air Act), and
                    ``(B) the motor vehicle safety provisions of
                sections 30101 through 30169 of title 49, United States
                Code.
    ``(g) Regulations.--
            ``(1) In general.--Except as provided in paragraph (2), the
        Secretary shall promulgate such regulations as necessary to
        carry out the provisions of this section.
            ``(2) Coordination in prescription of certain
        regulations.--The Secretary of the Treasury, in coordination
        with the Secretary of Transportation and the Administrator of
        the Environmental Protection Agency, shall prescribe such
        regulations as necessary to determine whether an automobile
        meets the requirements to be eligible for a credit under this
        section.''.
    (b) Conforming Amendments.--
            (1) Section 1016(a) of the Internal Revenue Code of 1986 is
        amended by striking ``and'' at the end of paragraph (27), by
        striking the period at the end of paragraph (28) and inserting
        ``, and'', and by adding at the end the following new
        paragraph:
            ``(29) to the extent provided in section 36(f)(1).''.
            (2) Section 6501(m) of such Code is amended by inserting
        ``36(f)(6),'' after ``30(d)(4),''.
            (3) Paragraph (2) of section 1324(b) of title 31, United
        States Code, is amended by inserting before the period ``, or
        from section 36 of such Code''.
            (4) The table of sections for subpart C of part IV of
        chapter 1 of the Internal Revenue Code of 1986 is amended by
        striking the last item and inserting the following new items:

                              ``Sec. 36. Highly fuel-efficient
                                        automobile credit.
                              ``Sec. 37. Overpayments of tax.''.
    (c) Effective Date.--The amendments made by this section shall
apply to property placed in service after October 31, 2005, in taxable
years ending after such date.

Summary: Tax Incentives for Fuel Efficient Vehicles Act of 2003 - Amends the Internal Revenue Code with respect to the (automotive) gas guzzler manufacturer excise tax to: (1) increase the weight of a covered automobile to12,000 pounds. (2) revise the excise tax table, including the addition of a model-year calculation criteria. (3) revise the exception to such coverage, including elimination of the exception based upon nonpassenger treatment under specified Department of Transportation rules. And (4) apply such provisions to sales after October 31, 2005. Establishes a highly fuel-efficient automobile credit for taxpayer purchases of a new passenger or nonpassenger automobile that exceeds specified fuel economy ratings. Applies such credit to vehicles placed in service after October 31, 2005.

A bill to amend the Internal Revenue Code of 1986 to provide additional tax incentives for enhancing motor vehicle fuel efficiency, and for other purposes.


SECTION 1. SHORT TITLE; TABLE OF CONTENTS.

    (a) Short Title.--This Act may be cited as the ``Medicare+Choice
Improvement and Stabilization Act of 2001''.
    (b) Table of Contents.--The table of contents of this Act is as
follows:

Sec. 1. Short title; table of contents.
Sec. 2. Payment reforms for 2003.
Sec. 3. Change in Medicare+Choice reporting deadlines and annual,
                            coordinated election period and delay in
                            lock-in provisions.
Sec. 4. Avoiding duplicative State regulation.
Sec. 5. Demonstration projects for preferred provider organizations,
                            point-of-service plans, MSA plans, and
                            disease management programs.
Sec. 6. Suspension of limitation for program reentry for 2003 and 2004.
Sec. 7. Specialized Medicare+Choice plans for special needs
                            beneficiaries.

SEC. 2. PAYMENT REFORMS FOR 2003.

    (a) Payment Based on 100 Percent of Fee-for-Service Costs.--
            (1) In general.--Section 1853(c)(1) of the Social Security
        Act (42 U.S.C. 1395w-23(c)(1)) is amended by adding at the end
        the following:
                    ``(D) Based on 100 percent of fee-for-service costs
                for 2003.--For 2003 only, the adjusted average per
                capita cost for that year, determined under section
                1876(a)(4) for the Medicare+Choice payment area for
                services covered under parts A and B for individuals
                entitled to benefits under part A and enrolled under
                part B who are not enrolled in a Medicare+Choice plan
                under this part for the year, subject to the same
                adjustment as is provided to the annual per capita rate
                payment under paragraph (3)(B).''.
            (2) Conforming amendment.--Such section is further amended
        in the matter before subparagraph (A), by striking ``or (C)''
        and inserting ``(C), or (D)''.
    (b) Revision of National Average Used in Calculation of Blend.--
Section 1853(c)(4)(B)(i)(II) of such Act (42 U.S.C. 1395w-
23(c)(4)(B)(i)(II)) is amended by inserting ``who (with respect to
determinations for 2003) are enrolled in a Medicare+Choice plan'' after
``the average number of medicare beneficiaries''.
    (c) Elimination of Budget Neutrality.--Section 1853(c) of such Act
(42 U.S.C. 1395w-23(c)) is amended--
            (1) in paragraph (1)(A), by inserting ``(for a year other
        than 2003)'' after ``multiplied''; and
            (2) in paragraph (5), by inserting ``(other than 2003)''
        after ``for each year''.

SEC. 3. CHANGE IN MEDICARE+CHOICE REPORTING DEADLINES AND ANNUAL,
              COORDINATED ELECTION PERIOD AND DELAY IN LOCK-IN
              PROVISIONS.

    (a) Change in Reporting Deadline.--Section 1854(a)(1) of the Social
Security Act (42 U.S.C. 1395w-24(a)(1)) is amended by striking ``July
1'' and inserting ``the third Monday in September''.
    (b) Delay in Annual, Coordinated Election Period.--Section
1851(e)(3)(B) of such Act (42 U.S.C. 1395w-21(e)(3)(B)) is amended by
striking ``(beginning with 2000), the month of November before such
year'' and inserting ``, the period beginning on November 15 and ending
on December 31 of the year before such year''.
    (c) 1-Year Delay in Lock-In.--Section 1851(e) of such Act (42
U.S.C. 1395w-21(e)) is amended--
            (1) in paragraph (2)(A)--
                    (A) by striking ``and 2001,'' and inserting ``,
                2001, and 2002''; and
                    (B) in the heading, by striking ``2001'' and
                inserting ``2002'';
            (2) in paragraph (2)(B)--
                    (A) in clause (i), by striking ``2002'' each place
                it appears and inserting ``2003''; and
                    (B) in the heading that precedes clause (i), by
                striking ``2002'' and inserting ``2003'';
            (3) in paragraph (2)(C)(i), by striking ``2002'' each place
        it appears and inserting ``2003''; and
            (4) in paragraph (4)--
                    (A) in the matter preceding subparagraph (A), by
                striking ``2002'' and inserting ``2003''; and
                    (B) in the second sentence, by striking ``2002''
                and inserting ``2003''.
    (d) Effective Date.--The amendments made by this section shall take
effect on January 1, 2002.

SEC. 4. AVOIDING DUPLICATIVE STATE REGULATION.

    (a) In General.--Section 1856(b)(3) of the Social Security Act (42
U.S.C. 1395w-26(b)(3)) is amended to read as follows:
            ``(3) Relation to state laws.--The standards established
        under this subsection shall supersede any State law or
        regulation (other than State licensing laws or State laws
        relating to plan solvency) with respect to Medicare+Choice
        plans which are offered by Medicare+Choice organizations under
        this part.''.
    (b) Effective Date.--The amendment made by subsection (a) shall
take effect on the date of the enactment of this Act.

SEC. 5. DEMONSTRATION PROJECTS FOR PREFERRED PROVIDER ORGANIZATIONS,
              POINT-OF-SERVICE PLANS, MSA PLANS, AND DISEASE MANAGEMENT
              PROGRAMS.

    (a) In General.--The Secretary of Health and Human Services shall
conduct a demonstration program (in this section referred to as the
``demonstration program'') under which payment rules to Medicare+Choice
organizations under section 1853 of the Social Security Act are
modified in order to promote the offering of Medicare+Choice plans by
preferred provider organizations under the Medicare+Choice program, the
offering of Medicare+Choice plans that provide point-of-service
coverage for other than participating providers, and the offering of
MSA plans and to promote the use of disease management programs by
Medicare+Choice plans.
    (b) Projects.--Under the demonstration program, the Secretary shall
provide for 10 demonstration projects. Each project shall extend over a
period of not to exceed 3 years. Of the demonstration projects
conducted under the demonstration, to the extent feasible, at least one
such project shall promote the offering of a Medicare+Choice plan by a
preferred provider organization, at least one project shall promote the
offering of a Medicare+Choice plan that provides point-of-service
coverage for other than participating providers, and at least two
projects shall promote the offering of a MSA plan.
    (c) Risk-Sharing Arrangements.--Under the demonstration program,
the Secretary may provide for the assumption of portions of the
financial risk under a split or partial risk-sharing arrangement.
    (d) Waiver Authority.--The Secretary is authorized to waive such
provisions of section 1853 of the Social Security Act (and related
provisions of part C of title XVIII of such Act) as the Secretary
determines to be necessary to conduct the demonstration program under
this section.
    (e) Evaluation and Report.--
            (1) Evaluation.--The Secretary shall provide for an
        evaluation of the demonstration program conducted under this
        section and its impact on enrollment, particularly in areas not
        previously served by Medicare+Choice plans.
            (2) Report.--The Secretary shall submit to Congress a
        report on the demonstration program and its evaluation. Such
        report shall include an assessment of the costs and savings to
        the medicare program as a result of the demonstration program
        and may include such recommendations for changes in the
        Medicare+Choice program as the Secretary deems appropriate.

SEC. 6. SUSPENSION OF LIMITATION FOR PROGRAM REENTRY FOR 2003 AND 2004.

    Section 1857(c)(4) of the Social Security Act (42 U.S.C. 1395w-
27(c)(4)) is amended--
            (1) in subparagraph (A), by striking ``subparagraph (B)''
        and inserting ``subparagraphs (B) and (C)''; and
            (2) by adding at the end the following new subparagraph:
                    ``(C) Applicability in certain years.--Subparagraph
                (A) shall not apply for contracts entered into for
                contract year 2003 or 2004.''.

SEC. 7. SPECIALIZED MEDICARE+CHOICE PLANS FOR SPECIAL NEEDS
              BENEFICIARIES.

    (a) Treatment as Coordinated Care Plan.--Section 1851(a)(2)(A) of
the Social Security Act (42 U.S.C. 1395w-21(a)(2)(A)) is amended by
adding at the end the following new sentence: ``Specialized
Medicare+Choice plans for special needs beneficiaries (as defined in
section 1859(b)(4)) may be any type of coordinated care plan.''.
    (b) Specialized Medicare+Choice Plan for Special Needs
Beneficiaries Defined.--Section 1859(b) of such Act (42 U.S.C. 1395w-
29(b)) is amended by adding at the end the following new paragraph:
            ``(4) Specialized medicare+choice plans for special needs
        beneficiaries.--
                    ``(A) In general.--The term `specialized
                Medicare+Choice plan for special needs beneficiaries'
                means a Medicare+Choice plan that exclusively serves
                special needs beneficiaries (as defined in subparagraph
                (B)).
                    ``(B) Special needs beneficiary.--The term `special
                needs beneficiary' means a Medicare+Choice eligible
                individual who--
                            ``(i) is institutionalized (as defined by
                        the Secretary);
                            ``(ii) is entitled to medical assistance
                        under a State plan under title XIX; or
                            ``(iii) meets such requirements as the
                        Secretary may determine would benefit from
                        enrollment in such a specialized
                        Medicare+Choice plan described in subparagraph
                        (A) for individuals with severe or disabling
                        chronic conditions.''.
    (c) Restriction on Enrollment Permitted.--Section 1859 of such Act
(42 U.S.C. 1395w-29) is amended by adding at the end the following new
subsection:
    ``(f) Restriction on Enrollment for Specialized Medicare+Choice
Plans for Special Needs Beneficiaries.--In the case of a specialized
Medicare+Choice plan (as defined in subsection (b)(4)), notwithstanding
any other provision of this part and in accordance with regulations of
the Secretary and for periods before January 1, 2007, the plan may
restrict the enrollment of individuals under the plan to individuals
who are within one or more classes of special needs beneficiaries.''.
    (d) Report to Congress.--Not later than December 31, 2005, the
Secretary of Health and Human Services shall submit to Congress a
report that assesses the impact of specialized Medicare+Choice plans
for special needs beneficiaries on the cost and quality of services
provided to enrollees. Such report shall include an assessment of the
costs and savings to the medicare program as a result of amendments
made by subsections (a), (b), and (c).
    (e) Effective Dates.--
            (1) In general.--The amendments made by subsections (a),
        (b), and (c) shall take effect upon the date of the enactment
        of this Act.
            (2) Deadline for issuance of requirements for special needs
        beneficiaries; transition.--No later than September 1, 2002,
        the Secretary of Health and Human Services shall issue final
        regulations to establish requirements for special needs
        beneficiaries under section 1859(b)(4)(B)(iii) of the Social
        Security Act, as added by subsection (b).
    (f) Extension of Municipal Health Service Demonstration Projects.--
The last sentence of section 9215(a) of the Consolidated Omnibus Budget
Reconciliation Act of 1985 (42 U.S.C. 1395b-1 note), as previously
amended, is amended by striking ``December 31, 2004, but only with
respect to'' and all that follows and inserting ``December 31, 2009,
but only with respect to individuals who reside in the city in which
the project is operated and so long as the total number of individuals
participating in the project does not exceed the number of such
individuals participating as of January 1, 1996.''.

Summary: MedicareChoice Improvement and Stabilization Act of 2001 - Amends part C (MedicareChoice) of title XVIII (Medicare) of the Social Security Act (SSA) to make each annual MedicareChoice capitation rate for a MedicareChoice payment area for a contract year equal to the largest of the amounts specified under current law or, for 2003, 100 percent of the fee-for-service costs for the MedicareChoice payment area for services covered under Medicare parts A or B for individuals entitled to benefits under part A and enrolled under part B who are not enrolled in a MedicareChoice plan under this part for the year. Revises the calculation of the national standardized annual MedicareChoice capitation rate used in determining the input-price-adjusted annual national MedicareChoice capitation rate for a MedicareChoice payment area for calculation of annual MedicareChoice capitation rates for 2003. Eliminates budget neutrality in such calculation for a year other than 2003. Modifies requirements for establishment of standards for provider-sponsored organizations for MedicareChoice organizations and plans in relation to State laws to avoid duplicative State regulation. Directs the Secretary of Health and Human Services to conduct a demonstration program under which payment rules for MedicareChoice organizations are modified in order to promote: (1) the offering of MedicareChoice plans by preferred provider organizations, of MedicareChoice plans that provide point-of-sale coverage for other than participating providers, and of MSA plans: and (2) the use of disease management programs by MedicareChoice plans. Amends SSA title XVII part C to: (1) suspend the limitation for program reentry for MedicareChoice organizations for 2003 and 2004. And (2) set forth rules governing specialized MedicareChoice plans for special needs beneficiaries. Amends the Consolidated Omnibus Budget Reconciliation Act of 1985 to provide for extension of municipal health service demonstration projects.

To amend title XVIII of the Social Security Act to improve payments and regulation under the Medicare+Choice Program.


SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Congressional Accountability and
Oversight in Syria Act''.

SEC. 2. FINDINGS.

    Congress finds the following:
            (1) Section 502B of the Foreign Assistance Act of 1961
        mandates that no security assistance may be provided to any
        country the government of which engages in a consistent pattern
        of gross violations of internationally recognized human rights.
            (2) Section 523 of the Foreign Assistance Act of 1961
        states that none of the funds appropriated or otherwise made
        available pursuant to this Act shall be obligated to finance
        indirectly any assistance or reparations to Cuba, Iraq, Libya,
        Iran, Syria, North Korea, or Sudan, unless the President of the
        United States certifies that the withholding of these funds is
        contrary to the national interest of the United States.
            (3) Under the terms of Resolution 2043 of April 21, 2012,
        the United Nations Security Council established a United
        Nations Supervision Mission in Syria (UNSMIS), for an initial
        period of 90 days, under the command of a Chief Military
        Observer, comprising an initial deployment of up to 300 unarmed
        military observers as well as an appropriate civilian component
        to fulfill the following mandate: To monitor a cessation of
        armed violence in all its forms by all parties and to monitor
        and support the full implementation of the UNSMIS' six-point
        plan.
            (4) On June 15, 2012, UNSMIS suspended its activities owing
        to an intensification of armed violence across the country.
            (5) On July 20, 2012, the Security Council extended UNSMIS
        for a final period of 30 days. According to Resolution 2059,
        the Council would only consider further extensions to the
        mission ``in the event that the Secretary-General reports and
        the Security Council confirms the cessation of the use of heavy
        weapons and a reduction in the level of violence sufficient by
        all sides'' to allow UNSMIS to implement its mandate.
            (6) As the conditions set by the Security Council had not
        been met, UNSMIS mandate ended at midnight on August 19, 2012.
            (7) The al-Nusrah Front is designated by the Department of
        State as a Foreign Terrorist Organization.

SEC. 3. SENSE OF CONGRESS.

    It is the sense of Congress that--
            (1) the Government of Syria should immediately cease the
        use of heavy weapons in population centers;
            (2) all parties within Syria should bring about a cessation
        of armed violence in all its forms;
            (3) the Secretary of State should continue to list Syria as
        a state sponsor of terrorism;
            (4) in accordance with international law, the Government of
        Syria should immediately cease the use of chemical weapons; and
            (5) if the President considers initiating military action,
        including imposition of a ``no fly'' zone or other military
        operations on Syrian territory, airspace, or waters--
                    (A) according to article I, section 8, of the
                United States Constitution, ``The Congress shall have
                Power To declare War, grant Letters of Marque and
                Reprisal, and make Rules concerning Captures on Land
                and Water.'';
                    (B) according to the War Powers Resolution, ``The
                constitutional powers of the President as Commander-in-
                Chief to introduce United States Armed Forces into
                hostilities, or into situations where imminent
                involvement in hostilities is clearly indicated by the
                circumstances, are exercised only pursuant to (1) a
                declaration of war, (2) specific statutory
                authorization, or (3) a national emergency created by
                attack upon the United States, its territories or
                possessions, or its armed forces.''; and
                    (C) the President should adhere to the War Powers
                Resolution and obtain specific statutory authorization
                for the use of the United States Armed Forces in
                response to the war in Syria.

SEC. 4. AUTHORIZATION OF ASSISTANCE TO CONDUCT MILITARY OR PARAMILITARY
              OPERATIONS IN SYRIA.

    (a) Authorization.--Notwithstanding any other provision of law, no
assistance of any kind may be provided by any United States Government
agency for the purpose, or which would have the effect, of promoting,
augmenting, directly or indirectly, the capacity of any nation, group,
organization, movement, or individual to conduct military or
paramilitary operations in Syria, unless and until Congress expressly
authorizes such assistance by law enacted after the date of enactment
of this section.
    (b) Exception.--Subsection (a) does not apply to assistance that is
solely provided for humanitarian purposes.

Summary: Congressional Accountability and Oversight in Syria Act - Prohibits assistance for the purpose, or which would have the effect, of promoting the capacity of any nation, group, organization, movement, or individual to conduct military or paramilitary operations in Syria, unless and until Congress expressly authorizes such assistance by law.


SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Peer Support Communities of Recovery
Act''.

SEC. 2. BUILDING COMMUNITIES OF RECOVERY.

    Section 547 of the Public Health Service Act (42 U.S.C. 290ee-2) is
amended--
            (1) in subsection (a)--
                    (A) in the heading, by striking ``Definition'' and
                inserting ``Definitions'';
                    (B) in the matter preceding paragraph (1), by
                striking ``In this section, the term `recovery
                community organization' means an independent nonprofit
                organization that--'' and inserting ``In this
                section:'';
                    (C) by redesignating paragraphs (1) and (2) as
                subparagraphs (A) and (B), respectively, and moving
                such subparagraphs (as so redesignated) 2 ems to the
                right;
                    (D) by inserting before subparagraph (A) (as so
                redesignated) the following:
            ``(1) Recovery community organization.--The term `recovery
        community organization' means an independent nonprofit
        organization that--''; and
                    (E) by adding at the end the following:
            ``(2) Eligible entity.--The term `eligible entity' means--
                    ``(A) a national nonprofit entity focused on
                substance use disorder with a network of local
                affiliates and partners that are geographically and
                organizationally diverse; or
                    ``(B) a nonprofit organization--
                            ``(i) focused on substance use disorder;
                            ``(ii) established by individuals in
                        personal or family recovery; and
                            ``(iii) serving prevention, treatment,
                        recovery, payor, faith-based, and criminal
                        justice stakeholders in the implementation of
                        local addiction and recovery initiatives.'';
            (2) in subsection (b)--
                    (A) by striking ``The Secretary shall award grants
                to recovery community organizations'' and inserting
                ``The Secretary--
            ``(1) shall award grants to recovery community
        organizations'';
                    (B) by striking ``services.'' and inserting
                ``services and allow such organizations to use such
                grant funds to carry out the activities described in
                subparagraphs (A) through (C) of subsection (c)(2);
                and''; and
                    (C) by adding at the end the following:
            ``(2) may award grants to eligible entities for purposes of
        establishing regional technical assistance centers, in
        accordance with subsection (c)(2)(D).'';
            (3) by striking subsection (c);
            (4) by redesignating subsections (d) and (e) as subsections
        (c) and (d), respectively;
            (5) in subsection (c) (as so redesignated)--
                    (A) in paragraph (1), by striking ``shall be used''
                and inserting ``to a recovery community organization
                shall be used'';
                    (B) in paragraph (2)--
                            (i) in subparagraph (A), in the matter
                        preceding clause (i), by inserting before
                        ``build'' the following: ``in the case of a
                        grant awarded to a recovery community
                        organization,'';
                            (ii) in subparagraph (B)--
                                    (I) by inserting before ``reduce''
                                the following: ``in the case of a grant
                                awarded to a recovery community
                                organization,''; and
                                    (II) by striking ``and'' at the
                                end;
                            (iii) in subparagraph (C)--
                                    (I) by inserting before ``conduct''
                                the following: ``in the case of a grant
                                awarded to a recovery community
                                organization,''; and
                                    (II) by striking the period at the
                                end and inserting ``; and''; and
                            (iv) by adding at the end the following:
                    ``(D) in the case of a grant awarded to an eligible
                entity, provide for the establishment of regional
                technical assistance centers to provide regional
                technical assistance for the following:
                            ``(i) Implementation of regionally driven,
                        peer-delivered addiction recovery support
                        services before, during, after, or in
                        conjunction with addiction treatment.
                            ``(ii) Establishment of recovery community
                        organizations.
                            ``(iii) Establishment of recovery community
                        centers.''; and
            (6) in subsection (d) (as so redesignated), by inserting
        before the period the following: ``, and

         $15,000,000 for each of fiscal years 2019 through 2023''.

            Passed the House of Representatives June 12, 2018.

            Attest:

                                                 KAREN L. HAAS,

                                                                 Clerk.

Summary: Peer Support Communities of Recovery Act This bill amends the Public Health Service Act to allow the Substance Abuse and Mental Health Services Administration to award grants to nonprofits that focus on substance use disorder to establish regional technical assistance centers to provide assistance regarding implementation of peer-delivered addiction recovery support services, establishment of recovery community organizations and centers, and overdose reversal medication.