SECTION 1. PROVISIONS RELATING TO CERTAIN OFFICES AND POSITIONS WITHIN
              THE EXECUTIVE BRANCH.

    (a) Executive Schedule Pay Rates.--
            (1) In general.--Section 5318 of title 5, United States
        Code, is amended--
                    (A) by redesignating subsection (a) as subsection
                (a)(1) and subsection (b) as paragraph (2); and
                    (B) by adding at the end the following:
    ``(b)(1)(A) Effective at the beginning of the first applicable pay
period commencing on or after the first day of the month in which any
comparability payment becomes payable under section 5304 or 5304a with
respect to General Schedule employees within the District of Columbia
during any year, the annual rate of pay for positions at each level of
the Executive Schedule (exclusive of any previous adjustment under this
subsection) shall be adjusted by an amount, rounded to the nearest
multiple of $100 (or if midway between multiples of $100, to the next
highest multiple of $100) equal to the percentage of such annual rate
of pay which corresponds to the percentage adjustment becoming so
payable with respect to General Schedule employees within the District
of Columbia under such section 5304 or 5304a (as applicable).
    ``(B) If an adjustment under this subsection is scheduled to take
effect on the same date as an adjustment under subsection (a), the
adjustment under subsection (a) shall be made first.
    ``(2) An annual rate of pay, as adjusted under paragraph (1), shall
for all purposes be treated as the annual rate of pay for the positions
involved, except as otherwise provided in subsection (a), paragraph
(1), or any other provision of law.
    ``(3) Nothing in this subsection shall be considered to permit or
require the continuation of an adjustment under paragraph (1) after the
comparability payment (for General Schedule employees within the
District of Columbia) on which it was based has been terminated or
superseded.''.
            (2) Contract appeals board members.--Section 5372a of title
        5, United States Code, is amended--
                    (A) in subsection (b)(2) by striking ``97 percent
                of the rate under paragraph (1)'' and inserting ``no
                less than 97 percent of the rate under paragraph (1)'';
                    (B) in subsection (b)(3) by striking ``94 percent
                of the rate under paragraph (1)'' and inserting ``no
                less than 94 percent of the rate under paragraph (1)'';
                and
                    (C) by adding at the end the following:
    ``(d) Subject to subsection (b), effective at the beginning of the
first applicable pay period commencing on or after the first day of the
month in which an adjustment takes effect under section 5303 in the
rates of basic pay under the General Schedule, each rate of basic pay
for contract appeals board members shall be adjusted by an amount
determined by the President to be appropriate.''.
            (3) Conforming amendments.--Section 5318 of title 5, United
        States Code, is amended--
                    (A) in the first sentence of subsection (a)(1) (as
                redesignated)--
                            (i) by striking ``Subject to subsection
                        (b),'' and inserting ``Subject to paragraph
                        (2),''; and
                            (ii) by inserting ``(exclusive of any
                        previous adjustment under subsection (b))''
                        after ``Executive Schedule''; and
                    (B) in subsection (a)(2) (as redesignated), by
                striking ``subsection (a)'' and inserting ``paragraph
                (1)''.
    (b) Amendments Relating to Certain Limitation and Other
Provisions.--
            (1) Provisions to be applied by excluding executive
        schedule comparability adjustment.--Sections 5303(f),
        5304(h)(1)(F), 5306(e), and 5373(a) of title 5, United States
        Code, are each amended by inserting ``, exclusive of any
        adjustment under section 5318(b)'' after ``Executive
        Schedule''.
            (2) Limitation on certain payments.--Section 5307(a) of
        title 5, United States Code, is amended by adding at the end
        the following:
    ``(3) In the case of an employee who is receiving basic pay under
section 5372a, 5376, or 5383, paragraph (1) shall be applied by
substituting `the annual rate of salary of the Vice President of the
United States' for `the annual rate of basic pay payable for level I of
the Executive Schedule'. Regulations under subsection (c) may extend
the application of the preceding sentence to other equivalent
categories of employees.''.
            (3) References to level iv of the executive schedule.--
        Sections 5372(b)(1)(C), 5372a(b)(1), 5376(b)(1)(B), and 5382(b)
        of title 5, United States Code, are each amended by striking
        ``level IV'' each place it appears and inserting ``level III''.

SEC. 2. PROVISIONS RELATING TO CERTAIN OFFICES AND POSITIONS WITHIN THE
              JUDICIAL BRANCH.

    (a) Increase in Maximum Rates of Basic Pay Allowable.--
            (1) For positions covered by section 604(a)(5) of title 28,
        united states code.--Section 604(a)(5) of title 28, United
        States Code, is amended by striking ``by law'' and inserting
        ``by law (except that the rate of basic pay fixed under this
        paragraph for any such employee may not exceed the rate for
        level IV of the Executive Schedule)''.
            (2) For circuit executives.--Section 332(f)(1) of title 28,
        United States Code, is amended by striking ``level IV of the
        Executive Schedule pay rates under section 5315'' and inserting
        ``level III of the Executive Schedule pay rates under section
        5314''.
            (3) For personnel of the administrative office of the
        united states courts.--
                    (A) In general.--Section 3(a) of the Administrative
                Office of the United States Courts Personnel Act of
                1990 (28 U.S.C. 602 note) is amended--
                            (i) in paragraph (1), by striking ``level
                        V'' and inserting ``level IV''; and
                            (ii) in paragraph (10), by striking ``level
                        IV'' and inserting ``level III''.
                    (B) Provisions relating to certain additional
                positions.--Section 603 of title 28, United States
                Code, is amended by striking ``level IV of the
                Executive Schedule under section 5315'' and inserting
                ``level III of the Executive Schedule under section
                5314''.
    (b) Salary of the Director of the Administrative Office of the
United States Courts.--Section 603 of title 28, United States Code, is
amended by striking ``district'' and inserting ``circuit''.

SEC. 3. EFFECTIVE DATE.

    The amendments made by this Act shall be effective with respect to
pay periods beginning on or after the date of enactment of this Act.

Summary: Provides that, when any comparability payment becomes payable with respect to General Schedule employees within the District of Columbia, the annual rate of pay for positions at each level of the Executive Schedule shall be adjusted by an amount equal to the percentage adjustment payable to such General Schedule employees. Revises the rate of basic pay for the Vice Chairman and other members of the Contract Appeals Board. Adjusts such pay rate after each adjustment under the General Schedule. Increases the maximum limit on bonuses, awards, or other similar cash payments that may be paid in a calendar year to contract appeals board members, certain senior-level employees, and individual senior executives. Increases: (1) the rate of basic pay payable for certain executive schedule positions. And (2) the highest rate of basic pay payable for the Senior Executive Service. Increases the maximum rates of basic pay allowable for circuit executives and certain personnel of the Administrative Office of the US Courts. Provides for the salary of the Director of such Office to be the same as the salary of a circuit judge.

A bill to increase the rate of pay for certain offices and positions within the executive and judicial branches of the Government, respectively, and for other purposes.


SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Phone Bill Fairness Act''.

SEC. 2. FINDINGS; PURPOSE.

    (a) Findings.--Congress makes the following findings:
            (1) Customer bills for telecommunications services are
        unreasonably complicated, and many Americans are unable to
        understand the nature of services provided to them and the
        charges for which they are responsible.
            (2) One of the purposes of the Telecommunications Act of
        1996 (Public Law 104-104) was to unleash competitive and market
        forces for telecommunications services.
            (3) Unless customers can understand their
        telecommunications bills they cannot take advantage of the
        newly competitive market for telecommunications services.
            (4) Confusing telecommunications bills allow a small
        minority of providers of telecommunications services to commit
        fraud more easily. The best defense against telecommunications
        fraud is a well informed consumer. Consumers cannot be well
        informed when their telecommunications bills are
        incomprehensible.
            (5) Certain providers of telecommunications services have
        established new, specific charges on customer bills commonly
        known as ``line-item charges''.
            (6) These line-item charges have proliferated and are often
        described with inaccurate and confusing names.
            (7) These line-item charges have generated significant
        confusion among customers regarding the nature and scope of
        universal service and of the fees associated with universal
        service.
            (8) The National Association of Regulatory Utility
        Commissioners adopted a resolution in February 1998 supporting
        action by the Federal Communications Commission to require
        interstate telecommunications carriers to provide accurate
        customer notice regarding the implementation and purpose of
        end-user charges for telecommunications services.
    (b) Purpose.--It is the purpose of this Act to require the Federal
Communications Commission and the Federal Trade Commission to protect
and empower consumers of telecommunications services by assuring that
telecommunications bills, including line-item charges, issued by
telecommunications carriers nationwide are both accurate and
comprehensible.

SEC. 3. INVESTIGATION OF TELECOMMUNICATIONS CARRIER BILLING PRACTICES.

    (a) Investigation.--
            (1) Requirement.--The Federal Communications Commission and
        the Federal Trade Commission shall jointly conduct an
        investigation of the billing practices of telecommunications
        carriers.
            (2) Purpose.--The purpose of the investigation is to
        determine whether the bills sent by telecommunications carriers
        to their customers accurately assess and correctly characterize
        the services received and fees charged for such services,
        including any fees imposed as line-item charges.
    (b) Determinations.--In carrying out the investigation under
subsection (a), the Federal Communications Commission and the Federal
Trade Commission shall determine the following:
            (1) The prevalence of incomprehensible or confusing
        telecommunications bills.
            (2) The most frequent causes for confusion on
        telecommunications bills.
            (3) Whether or not any best practices exist, which, if
        utilized as an industry standard, would reduce confusion and
        improve comprehension of telecommunications bills.
            (4) Whether or not telecommunications bills that impose
        fees through line-item charges characterize correctly the
        nature and basis of such fees, including, in particular,
        whether or not such fees are required by the Federal Government
        or State governments.
    (c) Review of Records.--
            (1) Authority.--For purposes of the investigation under
        subsection (a), the Federal Communications Commission and the
        Federal Trade Commission may obtain from any telecommunications
        carrier any record of such carrier that is relevant to the
        investigation, including any record supporting such carrier's
        basis for setting fee levels or percentages.
            (2) Use.--The Federal Communications Commission and the
        Federal Trade Commission may use records obtained under this
        subsection only for purposes of the investigation.
    (d) Disciplinary Actions.--
            (1) In general.--If the Federal Communications Commission
        or the Federal Trade Commission determines as a result of the
        investigation under subsection (a) that the bills sent by a
        telecommunications carrier to its customers do not accurately
        assess or correctly characterize any service or fee contained
        in such bills, the Federal Communications Commission or the
        Federal Trade Commission, as the case may be, may take such
        action against such carrier as such Commission is authorized to
take under law.
            (2) Characterization of fees.--If the Federal
        Communications Commission or the Federal Trade Commission
        determines as a result of the investigation under subsection
        (a) that a telecommunications carrier has characterized a fee
        on bills sent to its customers as mandated or otherwise
        required by the Federal Government or a State and that such
        characterization is incorrect, the Federal Communications
        Commission or the Federal Trade Commission, as the case may be,
        may require the carrier to discontinue such characterization.
            (3) Additional actions.--If the Federal Communications
        Commission or the Federal Trade Commission determines that such
        Commission does not have authority under law to take actions
        under paragraph (1) that would be appropriate in light of a
        determination described in paragraph (1), the Federal
        Communications Commission or the Federal Trade Commission, as
        the case may be, shall notify Congress of the determination
        under this paragraph in the report under subsection (e).
    (e) Report.--Not later than one year after the date of the
enactment of this Act, the Federal Communications Commission and the
Federal Trade Commissions shall jointly submit to Congress a report on
the results of the investigation under subsection (a). The report shall
include the determination, if any, of either Commission under
subsection (d)(3) and any recommendations for further legislative
action that such Commissions consider appropriate.

SEC. 4. TREATMENT OF MISLEADING TELECOMMUNICATIONS BILLS AND
              TELECOMMUNICATIONS RATE PLANS.

    (a) Federal Trade Commission.--The Federal Trade Commission shall
treat any telecommunications billing practice or telecommunications
rate plan that the Commission determines to be intentionally misleading
as an unfair business practice under the Federal Trade Commission Act
(15 U.S.C. 41 et seq.).
    (b) Federal Communications Commission.--The Federal Communications
Commission shall, upon finding that any holder of a license under the
Commission has repeatedly and intentionally engaged in a telephone
billing practice, or has repeatedly and intentionally utilized a
telephone rate plan, that is misleading, treat such holder as acting
against the public interest for purposes of the Communications Act of
1934 (47 U.S.C. 151 et seq.).

SEC. 5. REQUIREMENTS FOR ALL BILLS FOR TELECOMMUNICATIONS SERVICES.

    (a) Average Per Minute Rate Calculation.--Each telecommunications
carrier shall display on the first page of each customer bill for
telecommunications services the average per-minute charge of
telecommunications services of such customer for the billing period
covered by such bill.
    (b) Calling Patterns.--Each telecommunications carrier shall
display on the first page of each customer bill for telecommunications
services the percentage of the total number of telephone calls of such
customer for the billing period covered by such bill as follows:
            (1) That began on a weekday.
            (2) That began on a weekend.
            (3) That began from 8 a.m. to 8 p.m.
            (4) That began from 8:01 p.m. to 7:59 a.m.
            (5) That were billed to a calling card.
    (c) Average Per-Minute Charge Defined.--In this section, the term
``average per-minute charge'', in the case of a bill of a customer for
a billing period, means--
            (1) the sum of--
                    (A) the aggregate amount of monthly or other
                recurring charges, if any, for telecommunications
                services imposed on the customer by the bill for the
                billing period; and
                    (B) the total amount of all per-minute charges for
                telecommunications services imposed on the customer by
                the bill for the billing period; divided by
            (2) the total number of minutes of telecommunications
        services provided to the customer during the billing period and
        covered by the bill.

SEC. 6. REQUIREMENTS FOR TELECOMMUNICATIONS CARRIERS IMPOSING CERTAIN
              CHARGES FOR SERVICES.

    (a) Billing Requirements.--Any telecommunications carrier shall
include on the bills for telecommunications services sent to its
customers the following:
            (1) An accurate name and description of any covered charge.
            (2) The recipient or class of recipients of the monies
        collected through each such charge.
            (3) A statement whether each such charge is required by law
        or collected pursuant to a requirement imposed by a
        governmental entity under its discretionary authority.
            (4) A specific explanation of any reduction in charges or
        fees to customers, and the class of telephone customer that
        such reduction, that are related to each such charge.
    (b) Universal Service Contributions and Receipts.--Not later than
January 31 each year, each telecommunications carrier required to
contribute to universal service during the previous year under section
254(d) of the Communications Act of 1934 (47 U.S.C. 254(d)) shall
submit to the Federal Communications Commission a report on following:
            (1) The total contributions of the carrier to the universal
        service fund during the previous year.
            (2) The total receipts from customers during such year
        designed to recover contributions to the fund.
    (c) Action on Universal Service Contributions and Receipts Data.--
            (1) Review.--The Federal Communications Commission shall
        review the reports submitted to the Commission under subsection
        (b) in order to determine whether or not the amount of the
        contributions of a telecommunications carrier to the universal
        service fund in any year is equal to the amount of the receipts
        of the telecommunications carrier from its customers in such
        year for purposes of contributions to the fund.
            (2) Additional contributions.--If the Commission determines
        as a result of a review under paragraph (1) that the amount of
        the receipts of a telecommunications carrier from its customers
        in a year for purposes of contributions to the universal
        service fund exceeded the amount contributed by the carrier in
        such year to the fund, the Commission shall have the authority
        to require the carrier to deposit in the fund an amount equal
        to the amount of such excess.
    (d) Covered Charges.--For purposes of subsection (a), a covered
charge shall include any charge on a bill for telecommunications
services that is separate from a per-minute rate charge, including a
universal service charge, a subscriber line charge, and a presubscribed
interexchange carrier charge.

SEC. 7. TELECOMMUNICATIONS CARRIER DEFINED.

    In this Act, the term ``telecommunications carrier'' has the
meaning given that term in section 3(44) of the Communications Act of
1934 (47 U.S.C. 153(44)).

Summary: Requires the FTC to treat any telecommunications billing practice or rate plan determined to be intentionally misleading as an unfair business practice for purposes of the Federal Trade Commission Act. Requires the FCC, upon a finding that any holder of an FCC license has repeatedly and intentionally engaged in a telephone billing practice or utilized a rate plan that is misleading, to treat such holder as acting against public interest for purposes of the Communications Act of 1934. Requires each carrier to display on the first page of each customer bill: (1) the average per-minute charge of telecommunications services for the billing period. And (2) the percentage of the total number of telephone calls of such customer that took place on a weekday, weekend, daytime, or nighttime, and the percentage that were billed to a calling card. Requires customer bills to include: (1) an accurate name and description of any covered charge and the recipient of monies collected through such charge. (2) a statement of whether each such charge is required by law or by a governmental entity under its discretionary authority. And (3) an explanation of any reduction in charges or fees. Directs each carrier required to contribute to universal services during the previous year to report to the FCC on their total contributions during the previous year and the total receipts from customers to recover such contributions. Directs the FCC to review such reports to determine whether such amounts are equal and, if not, to require such carrier to deposit an equal amount.

Phone Bill Fairness Act


SECTION 1. SHORT TITLE.

    This Act may be cited as the ``United States Cruise Vessel
Development Act of 1994''.

SEC. 2. PURPOSE.

    The purpose of this Act is to promote construction and operation of
United States flag cruise vessels in the United States.

SEC. 3. COASTWISE TRANSPORTATION OF PASSENGERS.

    Section 8 of the Act entitled ``An Act to abolish certain fees for
official services to American vessels, and to amend the laws relating
to shipping commissioners, seamen, and owners of vessels, and for other
purposes'', approved June 19, 1886 (24 Stat. 81, chapter 421; 46 App.
U.S.C. 289), is amended to read as follows:

``SEC. 8. COASTWISE TRANSPORTATION OF PASSENGERS.

    ``(a) In General.--Except as otherwise provided by law, a vessel
may transport passengers in coastwise trade only if--
            ``(1) the vessel is owned by a person that is--
                    ``(A) an individual who is a citizen of the United
                States; or
                    ``(B) a corporation, partnership, or association
                that is a citizen of the United States under section
                2(a) of the Shipping Act, 1916 (46 App. U.S.C. 802(a));
            ``(2) the vessel meets the requirements of section 27 of
        the Merchant Marine Act, 1920 (46 App. U.S.C. 883); and
            ``(3) for a vessel that is at least 5 net tons, the vessel
        is issued a certificate of documentation under chapter 121 of
        title 46, United States Code, with a coastwise endorsement.
    ``(b) Exception for Vessel Under Demise Charter.--
            ``(1) In general.--Subsection (a)(1) does not apply to a
        cruise vessel operating under a demise charter that--
                    ``(A) has a term of at least 18 months; and
                    ``(B) is to a person described in subsection
                (a)(1).
            ``(2) Extension of period for operation.--A cruise vessel
        authorized to operate in coastwise trade under paragraph (1)
        based on a demise charter described in paragraph (1) may
        operate in that coastwise trade during a period following the
        termination of the charter of not more than 6 months, if the
        operation--
                    ``(A) is approved by the Secretary; and
                    ``(B) is in accordance with such terms as may be
                prescribed by the Secretary for that approval.
    ``(c) Exception for Vessel To Be Reflagged.--
            ``(1) Exception.--Subsection (a)(2) and section
        12106(a)(2)(A) of title 46, United States Code, do not apply to
        a cruise vessel if--
                    ``(A) the vessel--
                            ``(i) is not documented under chapter 121
                        of title 46, United States Code, on the date of
                        enactment of the United States Cruise Vessel
                        Development Act of 1994; and
                            ``(ii) is not less than 5 years old and not
                        more than 15 years old on the first date that
                        the vessel is documented under that chapter
                        after that date of enactment; and
                    ``(B) the owner or charterer of the vessel has
                entered into a contract for the construction in the
                United States of another cruise vessel that has a total
                berth or stateroom capacity that is at least 80 percent
                of the capacity of the cruise vessel.
            ``(2) Termination of authority to operate.--Paragraph (1)
        does not apply to a vessel after the date that is 18 months
        after the date on which a certificate of documentation with a
        coastwise endorsement is first issued for the vessel after the
        date of enactment of the United States Cruise Vessel
        Development Act of 1994 if, before the end of that 18-month
        period, the keel of another vessel has not been laid, or
        another vessel is not at a similar stage of construction, under
        a contract required for the vessel under paragraph (1)(B).
            ``(3) Extension of period before termination.--The
        Secretary of Transportation may extend the 18-month period
        under paragraph (2) for an additional period of not to exceed 6
        months for good cause shown.
    ``(d) Limitation on Operations.--A person (including a related
person with respect to that person) who owns or charters a cruise
vessel operating in coastwise trade under subsection (b) or (c) under a
coastwise endorsement may not operate any vessel between--
            ``(1) any 2 ports served by another cruise vessel that
        transports passengers in coastwise trade under subsection (a)
        on the date the Secretary issues the coastwise endorsement; or
            ``(2) any of the islands of Hawaii.
    ``(e) Penalties.--
            ``(1) Civil penalty.--A person operating a vessel in
        violation of this section is liable to the United States
        Government for a civil penalty of $1,000 for each passenger
        transported in violation of this section.
            ``(2) Forfeiture.--A vessel operated in knowing violation
        of this section, and its equipment, are liable to seizure by
        and forfeiture to the United States Government.
            ``(3) Disqualification from coastwise trade.--A person that
        is required to enter into a construction contract under
        subsection (c)(1)(B) with respect to a cruise vessel (including
        any related person with respect to that person) may not own or
        operate any vessel in coastwise trade after the period
        applicable under subsection (c)(2) with respect to the cruise
        vessel, if before the end of that period a keel is not laid and
        a similar stage of construction is not reached under such a
        contract.
    ``(f) Definitions.--In this section--
            ``(1) the term `coastwise trade' includes transportation of
        a passenger between points in the United States, either
        directly or by way of a foreign port;
            ``(2) the term `cruise vessel' means a vessel that--
                    ``(A) is at least 10,000 gross tons (as measured
                under chapter 143 of title 46, United States Code);
                    ``(B) has berth or stateroom accommodations for at
                least 200 passengers; and
                    ``(C) is not a ferry; and
            ``(3) the term `related person' means, with respect to a
        person--
                    ``(A) a holding company, subsidiary, affiliate, or
                association of the person; and
                    ``(B) an officer, director, or agent of the person
                or of an entity referred to in subparagraph (A).''.

SEC. 4. CONSTRUCTION STANDARDS.

    Section 3309 of title 46, United States Code, is amended by adding
at the end the following new subsection:
    ``(d)(1) A vessel described in paragraph (3) is deemed to comply
with parts B and C of this subtitle.
    ``(2) The Secretary shall issue a certificate of inspection under
subsection (a) to a vessel described in paragraph (3).
    ``(3) A vessel is described in this paragraph if--
            ``(A) the vessel meets the standards and conditions for the
        issuance of a control verification certificate to a foreign
        vessel embarking passengers in the United States;
            ``(B) a coastwise endorsement is issued for the vessel
        under section 12106 of this title after the date of enactment
        of the United States Cruise Vessel Development Act of 1994; and
            ``(C) the vessel is authorized to engage in coastwise trade
        by reason of subsection (c) of section 8 of the Act entitled
        `An Act to abolish certain fees for official services to
        American vessels, and to amend the laws relating to shipping
        commissioners, seamen, and owners of vessels, and for other
        purposes', approved June 19, 1886 (24 Stat. 81, chapter 421; 46
        App. U.S.C. 289).''.

SEC. 5. CITIZENSHIP FOR PURPOSES OF DOCUMENTATION.

    Section 2 of the Shipping Act, 1916 (46 App. U.S.C. 802), is
amended--
            (1) in subsection (a) by inserting ``other than primarily
        in the transport of passengers,'' after ``the coastwise
        trade''; and
            (2) by adding at the end the following new subsection:
    ``(e) For purposes of determining citizenship under subsection (a)
with respect to operation of a vessel primarily in the transport of
passengers in coastwise trade, the controlling interest in a
partnership or association that owns the vessel shall not be deemed to
be owned by citizens of the United States unless a majority interest in
the partnership or association is owned by citizens of the United
States free from any trust or fiduciary obligation in favor of any
person that is not a citizen of the United States.''.

SEC. 6. AMENDMENT TO TITLE XI OF THE MERCHANT MARINE ACT, 1936.

    Section 1101(b) of the Merchant Marine Act, 1936 (46 App. U.S.C.
1271(b)) is amended by striking ``passenger cargo'' and inserting
``passenger, cargo,''.

SEC. 7. PERMITS FOR VESSELS ENTERING UNITS OF NATIONAL PARK SYSTEM.

    (a) Priority.--Notwithstanding any other provision of law, the
Secretary of the Interior may not permit a person to operate a vessel
in any unit of the National Park System except in accordance with the
following priority:
            (1) First, any person that--
                    (A) will operate a vessel that is documented under
                the laws of, and the home port of which is located in,
                the United States; or
                    (B) holds rights to provide visitor services under
                section 1307(a) of the Alaska National Interest Lands
                Conservation Act (16 U.S.C. 3197(a)).
            (2) Second, any person that will operate a vessel that--
                    (A) is documented under the laws of a foreign
                country, and
                    (B) on the date of the enactment of this Act is
                permitted to be operated by the person in the unit.
            (3) Third, any person that will operate a vessel other than
        a vessel described in paragraph (1) or (2).
    (b) Revocation of Permits for Foreign-Documented Vessels.--The
Secretary of the Interior shall revoke or refuse to renew permission
granted by the Secretary for the operation of a vessel documented under
the laws of a foreign country in a unit of the National Park System,
if--
            (1) a person requests permission to operate a vessel
        documented under the laws of the United States in that unit;
        and
            (2) the permission may not be granted because of a limit on
        the number of permits that may be issued for that operation.
    (c) Restrictions on Revocation of Permits.--The Secretary of the
Interior may not revoke or refuse to renew permission under subsection
(b) for any person holding rights to provide visitor services under
section 1307(a) of the Alaska National Interest Lands Conservation Act
(16 U.S.C. 3197(a)).
    (d) Return of Permits.--Any person whose permission to provide
visitors services in a unit of the National Park System has been
revoked or not renewed under subsection (b) shall have the right of
first refusal to a permit to provide visitors services in that unit of
the National Park System that becomes available when the conditions
described in subsection (b) no longer apply. Such right shall be
limited to the number of permits which are revoked or not renewed.

Summary: United States Cruise Vessel Development Act of 1994 - Amends Federal shipping law to revise provisions prohibiting the use of foreign vessels to transport passengers between places in the United States to authorize the transport of passengers in coastwise trade only if the vessel: (1) is owned by a US citizen, or a US corporation, partnership, or association, (2) meets certain requirements under the Merchant Marine Act. And (3) is at least five net tons and is issued a certificate of documentation with a coastwise endorsement. Exempts from this prohibition any cruise vessel: (1) demised to a US person for a term of at least 18 months. Or (2) reflagged as a US vessel after enactment of this Act, if the owner or charterer contracts for US construction of another cruise vessel with at least 80 percent of the existing vessel's total berth or stateroom capacity. Prohibits any person owning or chartering a cruise vessel thus exempted from operating any vessel between: (1) any two ports served by another cruise vessel transporting passengers in the coastwise trade on the date the Secretary of Transportation issues the coastwise endorsement. Or (2) any of the Hawaiian islands. Sets forth civil and forfeiture penalties for violations of this Act. Requires the Secretary of Transportation (Secretary) to issue a certificate of inspection to vessels that: (1) meet the standards and conditions for the issuance of a control verification certificate to a foreign vessel embarking passengers in the United States, (2) a coastwise endorsement is issued. And (3) are authorized to engage in coastwise trade as vessels reflagged under the requirements of this Act. Amends the Shipping Act, 1916 to declare that, for purposes of vessel documentation in the coastwise trade, the controlling interest in a partnership or association that owns such a vessel shall not be deemed to be a US citizen unless a majority interest in the partnership or association is owned by US citizens free from any trust or fiduciary obligation in favor of a non-US citizen. Prohibits the Secretary of the Interior from permitting a person to operate a vessel in any unit of the National Park System except in accordance with specified priorities, the first of which goes to any person: (1) operating a US-flag vessel whose home port is in the United States. Or (2) holding rights to provide visitor services under the Alaska National Interest Lands Conservation Act. Requires the Secretary to revoke or renew permission for the operation of any foreign-documented vessel that does not hold such Alaskan visitor rights if: (1) a person requests permission to operate a US-flag vessel in the same unit. And (2) permission may not be granted because of a limit on the number of such permits.


SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Women and Alcohol Research Equity
Act of 1996''.

SEC. 2. FINDINGS.

    The Congress finds as follows with respect to the United States:
            (1) One of every 4 alcoholics receiving treatment is a
        woman.
            (2) In fiscal year 1995, the National Institute on Alcohol
        Abuse and Alcoholism had a total research budget of
        $191,186,000, and $43,997,080 of the budget (approximately 23
        percent) was available for research on alcohol abuse and
        alcoholism among women. There are selected areas where alcohol
        contributes to a more rapid and severe development of disease
        in women than in men, and research on women exclusively in
        these areas is important.
            (3) According to data collected during the years 1980
        through 1993 (in the survey known as the National Drug and
        Alcoholism Treatment Unit Survey), women represent
        approximately 30 percent of the clients presenting for alcohol
        problems in traditional public treatment facilities. A recent
        study has shown that women are more likely than men to use
        nontraditional health care systems for alcohol-related
        problems. No data exists to count women in nontraditional
        treatment settings; therefore, it is not possible to know
        whether women are overrepresented or underrepresented in all
        treatment settings in proportion to their numbers (30 percent).
            (4) Alcohol use by pregnant women is the leading known
        cause of mental retardation in newborns. Fetal alcohol syndrome
        (FAS), which is marked by dysfunction of the central nervous
        system and by prenatal and postnatal growth deficiency and
        facial malformations, strikes 1 to 3 out of every 1,000
        newborns, or 3,600 to 10,000 babies a year, depending upon the
        national birth-rate. The incidence of less severe fetal alcohol
        effects (FAE) is at least 3 times that of fetal alcohol
        syndrome. For Black Americans, the risk of FAS remains about
        sevenfold higher than for whites, even after adjustment for the
        frequency of maternal alcohol intake, occurrence of chronic
        alcohol problems, and parity. Among Native Americans, the
        incidence of FAS varies among different cultures; some are
        similar to the overall U.S. population, while a much higher
        prevalence is reported for others. Research is also needed on
        the male contribution to birth abnormalities related to
        alcohol.
            (5) Most treatment programs do not provide child care or
        adequate alternatives for women entering treatment.
            (6) The death rate of female alcoholics is 50 to 100
        percent higher than for male alcoholics. Proportionately more
        alcoholic women die of cirrhosis of the liver than do alcoholic
        men. Additionally, the combined effects of estrogen and alcohol
        may impact not only liver damage but osteoporosis as well.
            (7) The interval between onset of drinking-related problems
        and entry into treatment appears to be shorter for women than
        for men. Further, studies of women alcoholics in treatment
        suggest that they often experience greater physiological
        impairment earlier in their drinking careers, despite having
        consumed less alcohol than men. These findings suggest that the
        development of consequences associated with heavy drinking may
        be accelerated or ``telescoped'' in women.
            (8) Women become intoxicated faster than men. This may be
        due to a different enzyme and hormonal activity in women than
        in women.
            (9) Chronic, heavy drinking contributes to menstrual
        disorders, fertility problems, and premature menopause.
            (10) Alcohol use may be associated with an increased risk
        of breast cancer. Research indicates that the incidence of
        breast cancer increases when a woman consumes 1 ounce or more
        of absolute alcohol daily.
            (11) The National Institute on Alcohol Abuse and Alcoholism
        has identified areas for future research on alcohol abuse and
        alcoholism among women. As a result of stimulating research
        applications during the years 1993 through 1995, such
        Institute's portfolio on women and children has increased by
        $17,997,000, or more than 69 percent, over the fiscal year 1992
        base of $26,000,000.

SEC. 3. PROVISIONS REGARDING INCREASE IN AMOUNT OF FUNDS EXPENDED FOR
              RESEARCH ON ALCOHOL ABUSE AND ALCOHOLISM AMONG WOMEN.

    Section 464H(d) of the Public Health Service Act (42 U.S.C.
285n(d)) is amended by adding at the end the following paragraph:
            ``(3) Women's health.--
                    ``(A) For fiscal year 1997, of the first
                $191,186,000 appropriated under paragraph (1), the
                Director of the Institute shall obligate not less than
                $43,997,080 for the purpose of carrying out under this
                subpart projects of research on alcohol abuse and
                alcoholism among women.
                    ``(B) In addition to the authorization of
                appropriations established in paragraph (1), there are
                authorized to be appropriated for carrying out the
                purpose specified in subparagraph (A) $25,000,000 for
                fiscal year 1997, and such sums as may be necessary for
                each of the fiscal years 1998 and 1999.''.

Summary: Women and Alcohol Research Equity Act of 1996 - Amends the Public Health Service Act to require that $44 million of the first $191 million appropriated to the National Institute on Alcohol Abuse and Alcoholism be obligated for research on alcohol abuse and alcoholism among women. Authorizes appropriations for such research regarding women.


SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Guaranteed Health Coverage for Pre-
Existing Conditions Act of 2014''.

SEC. 2. PROHIBITION OF PREEXISTING CONDITION EXCLUSIONS.

    (a) Group Market.--Subpart 1 of part A of title XXVII of the Public
Health Service Act (42 U.S.C. 300gg et seq.) is amended by striking
section 2701 and inserting the following:

``SEC. 2701. PROHIBITION OF PREEXISTING CONDITION EXCLUSIONS.

    ``(a) In General.--A group health plan or a health insurance issuer
offering group health insurance coverage may not impose any preexisting
condition exclusion with respect to such plan or coverage.
    ``(b) Definitions.--For purposes of this section:
            ``(1) Preexisting condition exclusion.--
                    ``(A) In general.--The term `preexisting condition
                exclusion' means, with respect to a group health plan
                or health insurance coverage, a limitation or exclusion
                of benefits relating to a condition based on the fact
                that the condition was present before the date of
                enrollment in such plan or for such coverage, whether
                or not any medical advice, diagnosis, care, or
                treatment was recommended or received before such date.
                    ``(B) Treatment of genetic information.--Genetic
                information shall not be treated as a preexisting
                condition in the absence of a diagnosis of the
                condition related to such information.
            ``(2) Date of enrollment.--The term `date of enrollment'
        means, with respect to an individual covered under a group
        health plan or health insurance coverage, the date of
        enrollment of the individual in the plan or coverage or, if
        earlier, the first day of the waiting period for such
        enrollment.
            ``(3) Waiting period.--The term `waiting period' means,
        with respect to a group health plan and an individual who is a
        potential participant or beneficiary in the plan, the period
        that must pass with respect to the individual before the
        individual is eligible to be covered for benefits under the
        terms of the plan.''.
    (b) Individual Market.--Subpart 1 of part B of title XXVII of the
Public Health Service Act (42 U.S.C. 300gg-41 et seq.) is amended by
adding at the end the following:

``SEC. 2746. PROHIBITION OF PREEXISTING CONDITION EXCLUSIONS OR OTHER
              DISCRIMINATION BASED ON HEALTH STATUS.

    ``The provisions of section 2701 shall apply to health insurance
coverage offered to individuals by a health insurance issuer in the
individual market in the same manner as it applies to health insurance
coverage offered by a health insurance issuer in the group market.''.

SEC. 3. GUARANTEED AVAILABILITY OF COVERAGE.

    (a) Group Market.--Subpart 3 of part A of title XXVII of the Public
Health Service Act is amended by striking section 2711 (42 U.S.C.
300gg-11) and inserting the following:

``SEC. 2711. GUARANTEED AVAILABILITY OF COVERAGE.

    ``(a) Guaranteed Issuance of Coverage in the Group Market.--Subject
to subsection (b), each health insurance issuer that offers health
insurance coverage in the group market in a State shall accept every
employer and every individual in a group in the State that applies for
such coverage.
    ``(b) Enrollment.--
            ``(1) Restriction.--A health insurance issuer described in
        subsection (a) may restrict enrollment in coverage described in
        such subsection to open or special enrollment periods.
            ``(2) Establishment.--A health insurance issuer described
        in subsection (a) shall establish special enrollment periods
        for qualifying events (as such term is defined in section 603
        of the Employee Retirement Income Security Act of 1974).''.
    (b) Individual Market.--Subpart 1 of part B of title XXVII of the
Public Health Service Act is amended by striking section 2741 of such
Act (42 U.S.C. 300gg-41) and inserting the following:

``SEC. 2741. GUARANTEED AVAILABILITY OF COVERAGE.

    ``The provisions of section 2711 shall apply to health insurance
coverage offered to individuals by a health insurance issuer in the
individual market in the same manner as such provisions apply to health
insurance coverage offered to employers by a health insurance issuer in
connection with health insurance coverage in the group market. For
purposes of this section, the Secretary shall treat any reference of
the word `employer' in such section as a reference to the term
`individual'.''.

SEC. 4. EFFECTIVE DATE CONTINGENT ON REPEAL OF PPACA.

    (a) In General.--Sections 2 and 3 and the amendments made by such
section shall take effect upon the enactment of PPACA repeal
legislation described in subsection (b) and such sections and
amendments shall have no force or effect if such PPACA repeal
legislation is not enacted.
    (b) PPACA Repeal Legislation Described.--For purposes of subsection
(a), PPACA repeal legislation described in this subsection is
legislation that--
            (1) repeals Public Law 111-148, and restores or revives the
        provisions of law amended or repealed, respectively, by such
        Act as if such Act had not been enacted and without further
        amendment to such provisions of law; and
            (2) repeals title I and subtitle B of title II of the
        Health Care and Education Reconciliation Act of 2010 (Public
        Law 111-152), and restores or revives the provisions of law
        amended or repealed, respectively, by such title or subtitle,
        respectively, as if such title and subtitle had not been
        enacted and without further amendment to such provisions of
        law.

Summary: Guaranteed Health Coverage for Pre-Existing Conditions Act of 2014 - Amends the Public Health Service Act to maintain, upon repeal of the Patient Protection and Affordable Care Act and the health care provisions of the Health Care and Education Reconciliation Act of 2010, the requirements that: (1) health insurance includes coverage for preexisting conditions. And (2) health insurers accept every employer and every individual in a group that applies for coverage in the group market and every individual that applies for coverage in the individual market.


SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Hospital Readmissions Program
Accuracy and Accountability Act of 2014''.

SEC. 2. FINDINGS.

    Congress makes the following findings:
            (1) Eliminating avoidable hospital readmissions should be a
        core tenet of public and private efforts to improve quality of
        care and reduce health care expenditures.
            (2) Measures adopted by the Centers for Medicare & Medicaid
        Services should accurately reflect the quality of care provided
        by specific hospitals and providers, and such measures should
        never lower outcome or quality expectations for certain cohorts
        of hospitals and providers.
            (3) There are numerous socioeconomic conditions that impact
        health outcomes and the Medicare hospital readmission reduction
        program is one of many Federal outcome performance programs
        that fails to accurately adjust for these influences.
            (4) Holding all other factors constant, socioeconomic
        conditions, such as poverty, low levels of literacy, limited
        English proficiency, minimal social support, poor living
        conditions, and limited community resources, likely have direct
        and significant impacts on avoidable hospital readmissions.
            (5) The Medicare hospital readmission reduction program
        includes risk adjustment for clinical variables, such as
        comorbidity and severity of illness, because hospitals should
        not be penalized for the effects of these uncontrollable
        factors. Socioeconomic factors can influence readmissions to an
        equal or greater degree than these clinical factors and the
        Medicare hospital readmissions reduction program will more
        accurately measure quality of care once risk adjustment for
        socioeconomic status is implemented.
            (6) Research by the Medicare Payment Advisory Commission,
        the National Quality Forum, and other independent experts has
        provided compelling evidence that failing to adjust for
        socioeconomic status in the Medicare hospital readmission
        reduction program may provide an inaccurate picture of the
        quality of care provided by hospitals, and has led to the
        unfair penalization and stigmatization of hospitals serving
        low-income populations that are, in fact, delivering high-
        quality health care.
            (7) Risk adjustment for socioeconomic status in the
        Medicare hospital readmission reduction program will improve
        quality of care, increase accountability for all inpatient
        hospitals serving Medicare beneficiaries, and further reduce
        preventable readmissions nationwide.
            (8) The Secretary of Health and Human Services should
        consider the adoption of socioeconomic adjustment methodologies
        in other quality reporting and pay-for-performance programs
        under the Medicare program.

SEC. 3. IMPROVEMENTS TO THE MEDICARE HOSPITAL READMISSIONS REDUCTION
              PROGRAM.

    Section 1886(q) of the Social Security Act (42 U.S.C. 1395ww(q)) is
amended--
            (1) in paragraph (4)(C)--
                    (A) in clause (i), in the matter preceding
                subclause (I), by striking ``clause (ii)'' and
                inserting ``clauses (ii) and (iii)''; and
                    (B) by adding at the end the following new clause:
                            ``(iii) Adjustment for socioeconomic
                        status.--
                                    ``(I) In general.--In determining a
                                hospital's excess readmission ratio
                                under clause (i) for purposes of making
                                payments for discharges occurring on or
                                after October 1, 2016, the Secretary
                                shall risk adjust readmissions to
                                account for the socioeconomic status of
                                the patients served by the hospital.
                                    ``(II) Socioeconomic status.--For
                                purposes of subclause (I), subject to
                                subclauses (III) and (V), the Secretary
                                shall, to the maximum extent
                                practicable, utilize the most recent
                                data available from the Bureau of the
                                Census in order to develop a
                                quantitative method to adjust for
                                socioeconomic status. In developing
                                such quantitative method, the
                                Secretary--
                                            ``(aa) shall, to the
                                        maximum extent practicable, use
                                        inputs that address at least
                                        one of the following factors--

                                                    ``(AA) income;

                                                    ``(BB) education
                                                level; and

                                                    ``(CC) poverty
                                                rate; and

                                            ``(bb) may include inputs
                                        that address other
                                        socioeconomic and
                                        sociodemographic factors
                                        determined appropriate by the
                                        Secretary.
                                    ``(III) Revision of inputs.--The
                                Secretary may revise the inputs for
                                such quantitative method under
                                subclause (II) on an annual basis to
                                improve the accuracy and validity of
                                the adjustment under subclause (I).
                                    ``(IV) Patients served by the
                                hospital.--For purposes of subclause
                                (I), the Secretary shall, to the
                                maximum extent practicable, measure the
                                socioeconomic status for all patients
                                served by each hospital. The Secretary
                                may supplement incomplete or
                                inaccessible patient-level data with
                                data related to the geographic region
                                of the patients served by the hospital.
                                    ``(V) Use of alternative adjustment
                                method.--
                                            ``(aa) In general.--For
                                        purposes of subclause (I), in
                                        the case of payments for
                                        discharges occurring on or
                                        after October 1, 2017, the
                                        Secretary may apply a
                                        socioeconomic status adjustment
                                        using a method other than the
                                        method described in subclause
                                        (II), such as peer groupings
                                        and stratification.
                                            ``(bb) Comparative
                                        analysis.--Prior to the
                                        application of the alternative
                                        adjustment method under item
                                        (aa), the Secretary shall
                                        conduct a comparative analysis
                                        of such alternative adjustment
                                        method and the method described
                                        in subclause (II). The
                                        Secretary shall publish the
                                        results of such comparative
                                        analysis and the proposed
                                        alternative adjustment method
                                        in the Federal Register and
                                        seek public comment on such
                                        method.
                                            ``(cc) Requirement.--The
                                        Secretary may not apply any
                                        alternative adjustment method
                                        under item (aa) unless the
                                        Secretary determines that such
                                        alternative method will
                                        demonstrate an aggregate
                                        improvement in the accuracy and
                                        effectiveness of hospital
                                        readmissions reduction program
                                        incentives and measurements
                                        compared to the adjustment
                                        required under subclause
                                        (I).'';
            (2) in paragraph (6)(A), by adding the following before the
        period at the end: ``, including information on the results of
        the readmission measures under this subsection (both before and
        after the adjustment under paragraph (4)(C)(iii)) and the
        penalties under this subsection (both before and after such
        adjustment)''; and
            (3) by adding at the end the following new paragraph:
            ``(9) Adjustment.--The Secretary shall make proportional
        adjustments to base operating DRG payment amounts (as defined
        in paragraph (2)) of applicable hospitals to assure that the
        application of paragraph (4)(C)(iii) does not result in
        aggregate payments under this section in a fiscal year that are
        greater or less than those that would otherwise be made under
        this section in such fiscal year, as estimated by the
        Secretary.''.

Summary: Hospital Readmissions Program Accuracy and Accountability Act of 2014 - Amends title XVIII (Medicare) of the Social Security Act, with respect to the Hospital Readmissions Reduction Program, to direct the Secretary of Health and Human Services (HHS), in determining a hospital's excess readmission ratio for purposes of making payments for discharges starting in FY2016, to risk adjust readmissions to account for patient socioeconomic status.


SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Great Lakes Pipeline Safety Act of
2016''.

SEC. 2. FINDINGS.

    Congress finds that--
            (1) the Great Lakes are an invaluable national resource,
        containing one-fifth of the world's fresh surface water and 95
        percent of the United States freshwater supply;
            (2) over 40,000,000 people depend on the Great Lakes for
        fresh drinking water;
            (3) the Great Lakes provide 56,000,000,000 gallons of water
        per day for municipal, agricultural and industrial use;
            (4) there are more than 3,500 species of plants and animals
        within the Great Lakes ecosystem;
            (5) hundreds of thousands of jobs, tied to the
        $7,000,000,000 recreational fishing and $16,000,000,000
        recreational boating industries, directly depend on the Great
        Lakes;
            (6) currently, several million gallons per day of hazardous
        liquids are transported by pipeline across various points along
        the Great Lakes;
            (7) modeling studies by the University of Michigan in 2014
        and 2016 have concluded that an oil spill originating from a
        pipeline under the Straits of Mackinac would present
        particularly severe consequences, potentially impacting over
        700 miles of Great Lakes shoreline;
            (8) a joint NOAA-U.S. Coast Guard guidebook on oil spill
        response planning in marine environments states that, during
        the first 24 to 48 hours of open water exposure, most oil
        spills become difficult to recover, burn, or chemically
        disperse;
            (9) swift currents beneath the straits and waterways which
        connect the Great Lakes could rapidly disperse oil spill
        contaminants following a pipeline breach;
            (10) certain pipelines on the Great Lakes are located in
        close proximity to municipal drinking water collection intakes
        for millions of people; and
            (11) the United States should seek to protect the Great
        Lakes, as a unique national asset, from unreasonable risk of
        environmental and economic harm.

SEC. 3. STUDY ON ECONOMIC AND ENVIRONMENTAL RISKS TO THE GREAT LAKES.

    (a) Study.--Notwithstanding a pipeline integrity management
program, integrity management assessment schedule, or considerations by
the Secretary of Transportation resulting in a corrective action order
pursuant to section 60112 of title 49, United States Code, not later
than 18 months after the date of enactment of this Act, the Secretary
shall, in consultation with the United States Coast Guard, the
Environmental Protection Agency, the Federal Energy Regulatory
Commission, and other agencies as appropriate, conduct a study to
determine the economic and environmental risks to the Great Lakes of
spills or leaks of oil or other hazardous liquids in the Straits of
Mackinac from a rupture, breakage, or other failure of onshore,
underwater pipeline facilities within the Straits.
    (b) Contents.--The study required under subsection (a) shall--
            (1) meet the content requirements of an environmental
        impact statement as described in part 1502 of title 40, Code of
        Federal Regulations;
            (2) describe the potential impacts of such spills or leaks
        to the public health or welfare, wildlife populations,
        ecosystems, shorelines, public and private property, economic
        activity, and water quality in the Great Lakes and connecting
        waterways;
            (3) include an assessment of spill responses in a variety
        of likely and worst-case spill scenarios in those waters; and
            (4) include the supplemental study conducted under
        subsection (c).
    (c) Supplemental Study.--The Secretary of Transportation shall
conduct, in collaboration with pipeline facility operators and any
necessary agencies, a supplemental study to evaluate the condition and
structural integrity of onshore, underwater pipeline facilities in the
Straits of Mackinac, taking into consideration the age, construction
materials, external and internal corrosion, weld integrity, pressure,
underwater currents, possible external damage caused by anchor strikes
or dragging by recreational or cargo vessels, and the presence of in-
line shutoff valves. Such supplemental study shall utilize both
internal inspection technology and pipeline route surveys, depth of
cover surveys, pressure tests, external corrosion direct assessment, or
other technology that the operator demonstrates can further the
understanding of the condition of the pipeline facility.
    (d) Termination of Operation.--Not later than 18 months after the
date of enactment of this Act, the Administrator of the Pipeline and
Hazardous Materials Safety Administration shall terminate the
operations of an onshore, underwater pipeline facility located in the
Straits of Mackinac if the Administrator determines that, based on the
studies conducted under subsections (a) and (c), such facility poses a
sufficient risk of hazard to life, property, or the environment to
necessitate the termination.

Summary: Great Lakes Pipeline Safety Act of 2016 This bill directs the Department of Transportation (DOT) to conduct a study to determine the economic and environmental risks of oil or hazardous liquids spills or leaks in the Straits of Mackinac that a failure of onshore, underwater pipeline facilities within the straits would pose to the Great Lakes. In addition, DOT must evaluate the condition and structural integrity of the facilities. DOT shall terminate operations of a facility upon a determination, based on such studies, that risk of hazard to life, property, or the environment warrants termination.

Great Lakes Pipeline Safety Act of 2016


SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Federal Railroad Safety
Authorization Act of 1994''.

SEC. 2. AUTHORIZATION OF APPROPRIATIONS.

    Section 20117(a)(1) of title 49, United States Code, is amended by
adding after subparagraph (B) the following new subparagraphs:
            ``(C) $68,289,000 for fiscal year 1995.
            ``(D) $75,112,000 for fiscal year 1996.
            ``(E) $82,563,000 for fiscal year 1997.
            ``(F) $90,739,000 for fiscal year 1998.''.

SEC. 3. HOURS OF SERVICE PILOT PROJECTS.

    (a) Amendment.--Chapter 211 of title 49, United States Code, is
amended by adding at the end the following new section:

``SEC. 21108. PILOT PROJECTS.

    ``(a) Waiver.--A railroad or railroads and all labor organizations
representing any class or craft of directly affected covered service
employees of the railroad or railroads, may jointly petition the
Secretary of Transportation for approval of a waiver, in whole or in
part, of compliance with this chapter, to enable the establishment of
one or more pilot projects to demonstrate the possible benefits of
implementing alternatives to the strict application of the requirements
of this chapter to such class or craft of employees, including
requirements concerning maximum on-duty and minimum off-duty periods.
Based on such a joint petition, the Secretary may, after notice and
opportunity for comment, waive in whole or in part compliance with this
chapter for a period of no more than two years, if the Secretary
determines that such waiver of compliance is in the public interest and
is consistent with railroad safety. Any such waiver may, based on a new
petition, be extended for additional periods of up to two years, after
notice and opportunity for comment. An explanation of any waiver
granted under this section shall be published in the Federal Register.
    ``(b) Report.--The Secretary of Transportation shall submit to
Congress, no later than January 1, 1997, a report that--
            ``(1) explains and analyzes the effectiveness of all pilot
        projects established pursuant to a waiver granted under
        subsection (a);
            ``(2) describes the status of all other waivers granted
        under subsection (a) and their related pilot projects, if any;
        and
            ``(3) recommends appropriate legislative changes to this
        chapter.
    ``(c) Definition.--For purposes of this section, the term `directly
affected covered service employees' means covered service employees to
whose hours of service the terms of the waiver petitioned for
specifically apply.''.
    (b) Table of Sections Amendment.--The table of sections for chapter
211 of title 49, United States Code, is amended by adding at the end
the following new item:

``21108. Pilot projects.''.

SEC. 4. CONFORMING AMENDMENT REGARDING HOURS OF SERVICE VIOLATIONS.

    Section 21303(a)(1) of title 49, United States Code, is amended by
inserting ``or violating any provision of a waiver applicable to that
person that has been granted under section 21108 of this title,'' after
``chapter 211 of this title''.

SEC. 5. TECHNICAL AMENDMENT REGARDING FEDERAL RAILROAD SAFETY.

    Section 20111(c) of title 49, United States Code, is amended by
inserting ``this chapter or any of the laws transferred to the
jurisdiction of the Secretary of Transportation by subsection (e) (1),
(2), and (6)(A) of section 6 of the Department of Transportation Act,
as in effect on June 1, 1994, or'' after ``individual's violation of''.

SEC. 6. BIENNIAL FEDERAL RAILROAD SAFETY REPORTING.

    (a) Section 20116 of title 49, United States Code, is amended--
            (1) by striking in its heading ``Annual'' and inserting in
        lieu thereof ``Biennial'';
            (2) by striking ``not later than July 1 of each year a
        report on carrying out this chapter for the prior calendar
        year. The report shall include the following information about
        the prior year'' and inserting in lieu thereof ``every two
        years, on or before July 1 of the year due, a comprehensive
        report on the administration of this chapter for the preceding
        two calendar years. The report shall include the following
        information about such calendar years''; and
            (3) in paragraph (1), by inserting ``, by calendar year''
        after ``casualties by cause''.
    (b) The item relating to section 20116 in the table of sections for
chapter 201 of title 49, United States Code, is amended to read as
follows:

``20116. Biennial report.''.

SEC. 7. REPORT ON BRIDGE DISPLACEMENT DETECTION SYSTEMS.

    Not later than 18 months after the date of enactment of this Act,
the Secretary shall transmit to the Committee on Commerce, Science, and
Transportation of the Senate and the Committee on Energy and Commerce
of the House of Representatives a report concerning any action that has
been taken by the Secretary on railroad bridge displacement detection
systems.

SEC. 8. TRACK SAFETY.

    Section 20142 of title 49, United States Code, is amended--
            (1) in subsection (b), by striking ``September 3, 1994''
        and inserting in lieu thereof ``September 1, 1995'';
            (2) in subsection (a)(1), by inserting ``, including cold
        weather installation procedures'' after ``attendant
        structure''; and
            (3) by adding at the end the following new subsection:
    ``(d) Identification of Internal Rail Defects.--In carrying out
subsections (a) and (b), the Secretary shall consider whether or not to
prescribe regulations and issue orders concerning--
            ``(1) inspection procedures to identify internal rail
        defects, before they reach imminent failure size, in rail that
        has significant shelling; and
            ``(2) any specific actions that should be taken when a rail
        surface condition, such as shelling, prevents the
        identification of internal defects.''.

SEC. 9. RESIDENCE OF EMPLOYEES.

    The amendments made by section 7 of the Amtrak Reauthorization and
Improvement Act of 1990 shall apply to all periods before and after the
date of their enactment.

            Passed the House of Representatives August 8, 1994.

            Attest:

                                           DONNALD K. ANDERSON,

                                                                 Clerk.

Summary: Federal Railroad Safety Authorization Act of 1994 - Amends the Federal Railroad Safety Act of 1970 to authorize appropriations for FY 1995 through 1998 for railroad research and development and general safety operations. Amends the Hours of Service Act to authorize railroads, and labor organizations representing railroad employees, to jointly petition the Secretary of Transportation (Secretary) for approval of a waiver of limitations on hours of service with respect to such employees in order to establish one or more pilot projects to demonstrate the possible benefits of implementing alternatives to such limitations, including those concerning maximum on-duty and minimum off-duty periods. Authorizes the Secretary to waive compliance with such limitations for up to two years if it is in the public interest and is consistent with railroad safety. Requires the Secretary to report biennially to the President and the Congress on the administration of Federal railroad safety rules and standards.

An Act to authorize appropriations to carry out certain Federal railroad safety laws, and for other purposes.


SECTION 1. SHORT TITLE.

    (a) Short Title.--This Act may be cited as the ``Planning Actively
for Cancer Treatment (PACT) Act of 2013''.
    (b) Findings.--Congress makes the following findings:
            (1) Individuals with cancer often do not have access to a
        cancer care system that incorporates shared decision-making and
        the coordination of all elements of care.
            (2) The cancer care system has not traditionally offered
        individuals with cancer a shared decision-making process, a
        prospective and comprehensive plan for treatment, symptom
        management and supportive care, strategies for updating and
        evaluating such plan with the assistance of a health care
        professional, and a follow-up plan for monitoring and treating
        possible late effects of cancer and its treatment.
            (3) Cancer survivors often experience the under-diagnosis
        and under-treatment of the symptoms of cancer, a problem that
        begins at the time of diagnosis and may become more severe with
        disease progression and at the end of life. The failure to
        treat the symptoms, side effects, and late effects of cancer
        and cancer treatment may have a serious adverse impact on the
        health, survival, well-being, and quality of life of cancer
        survivors.
            (4) The 1999 Institute of Medicine report entitled ``The
        Unequal Burden of Cancer'' found that low-income people often
        lack access to adequate cancer care and that ethnic minorities
        have not benefitted fully from cancer treatment advances.
            (5) Individuals with cancer often do not participate in a
        shared decision-making process that considers all treatment
        options and do not benefit from coordination of all elements of
        active treatment and palliative care.
            (6) Quality cancer care should incorporate access to
        psychosocial services and management of the symptoms of cancer
        and the symptoms of cancer treatment, including pain, nausea,
        vomiting, fatigue, and depression.
            (7) Quality cancer care should include a means for engaging
        cancer survivors in a shared decision-making process that
        produces a comprehensive care summary and a plan for follow-up
        care after primary treatment to ensure that cancer survivors
        have access to follow-up monitoring and treatment of possible
        late effects of cancer and cancer treatment, including
        appropriate psychosocial services.
            (8) The Institute of Medicine report entitled ``Ensuring
        Quality Cancer Care'' described the elements of quality care
        for an individual with cancer to include--
                    (A) the development of initial treatment
                recommendations by an experienced health care provider;
                    (B) the development of a plan for the course of
                treatment of the individual and communication of the
                plan to the individual;
                    (C) access to the resources necessary to implement
                the course of treatment;
                    (D) access to high-quality clinical trials;
                    (E) a mechanism to coordinate services for the
                treatment of the individual; and
                    (F) psychosocial support services and compassionate
                care for the individual.
            (9) In its report ``From Cancer Patient to Cancer Survivor:
        Lost in Transition'', the Institute of Medicine recommended
        that individuals with cancer completing primary treatment be
        provided a comprehensive summary of their care along with a
        follow-up survivorship plan of treatment.
            (10) In ``Cancer Care for the Whole Patient'', the
        Institute of Medicine stated that the development of a plan
        that includes biomedical and psychosocial care should be a
        standard for quality cancer care in any quality measurement
        system.
            (11) Because more than half of all cancer diagnoses occur
        among elderly Medicare beneficiaries, cancer care inadequacies
        should be addressed through the Medicare program.
            (12) Shortcomings in providing cancer care, resulting in a
        lack of shared decision-making, inadequate management of cancer
        symptoms, and insufficient monitoring and treatment of late
        effects of cancer and its treatment, relate in part to the
        inadequacy of Medicare payments for such planning and
        coordination services.
            (13) Changes in Medicare payment for cancer care planning
        and coordination will support shared decision-making that
        reviews all treatment options and will contribute to improved
        care for individuals with cancer from the time of diagnosis
        through the end of the life.

SEC. 2. COVERAGE OF CANCER CARE PLANNING AND COORDINATION SERVICES.

    (a) In General.--Section 1861 of the Social Security Act (42 U.S.C.
1395x) is amended--
            (1) in subsection (s)(2)--
                    (A) by striking ``and'' at the end of subparagraph
                (EE);
                    (B) by adding ``and'' at the end of subparagraph
                (FF); and
                    (C) by adding at the end the following new
                subparagraph:
            ``(GG) cancer care planning and coordination services (as
        defined in subsection (iii))''; and
            (2) by adding at the end the following new subsection:

            ``Cancer Care Planning and Coordination Services

    ``(iii)(1) The term `cancer care planning and coordination
services' means--
            ``(A) with respect to an individual who is diagnosed with
        cancer, the development of a treatment plan by a physician,
        nurse practitioner, or physician assistant that--
                    ``(i) includes an assessment of the individual's
                diagnosis, health status, treatment needs, functional
                status, pain control, and psychosocial needs;
                    ``(ii) engages the individual in a shared decision-
                making process that reviews all treatment options;
                    ``(iii) details, to the greatest extent practicable
                all aspects of the care to be provided to the
                individual with respect to the treatment of such
                cancer, including any curative treatment, comprehensive
                symptom management, and palliative care;
                    ``(iv) is furnished in person, in written form, to
                the individual within a period specified by the
                Secretary that is as soon as practicable after the date
                on which the individual is so diagnosed;
                    ``(v) is furnished, to the greatest extent
                practicable, in a form that appropriately takes into
                account cultural and linguistic needs of the individual
                in order to make the plan accessible to the individual;
                and
                    ``(vi) is in accordance with standards determined
                by the Secretary to be appropriate;
            ``(B) with respect to an individual for whom a treatment
        plan has been developed under subparagraph (A), the revision of
        such treatment plan as necessary to account for any substantial
        change in the condition of the individual, recurrence of
        disease, changes in the individual's treatment preferences, or
        significant revision of the elements of curative care or
        symptom management for the individual, if such revision--
                    ``(i) is in accordance with clauses (i), (ii), (iv)
                and (v) of such subparagraph; and
                    ``(ii) is furnished in written form to the
                individual within a period specified by the Secretary
                that is as soon as practicable after the date of such
                revision;
            ``(C) with respect to an individual who has completed the
        primary treatment for cancer, as defined by the Secretary, the
        development of a follow-up survivorship care plan that--
                    ``(i) includes an assessment of the individual's
                diagnosis, health status, treatment needs, functional
                status, pain control, and psychosocial needs;
                    ``(ii) engages the individual in a shared decision-
                making process that reviews all survivorship care
                options;
                    ``(iii) describes the elements of the primary
                treatment, including symptom management and palliative
                care, furnished to such individual;
                    ``(iv) provides recommendations for the subsequent
                care of the individual with respect to the cancer
                involved;
                    ``(v) is furnished, in person, in written form, to
                the individual within a period specified by the
                Secretary that is as soon as practicable after the
                completion of such primary treatment;
                    ``(vi) is furnished, to the greatest extent
                practicable, in a form that appropriately takes into
                account cultural and linguistic needs of the individual
                in order to make the plan accessible to the individual;
                and
                    ``(vii) is in accordance with standards determined
                by the Secretary to be appropriate; and
            ``(D) with respect to an individual for whom a follow-up
        cancer care plan has been developed under subparagraph (C), the
        revision of such plan as necessary to account for any
        substantial change in the condition of the individual,
        diagnosis of a second cancer, change in the individual's
        preference for survivorship care, or significant revision of
        the plan for follow-up care, if such revision--
                    ``(i) is in accordance with clauses (i), (ii),
                (iii), (v), and (vi) of such subparagraph; and
                    ``(ii) is furnished in written form to the
                individual within a period specified by the Secretary
                that is as soon as practicable after the date of such
                revision.
    ``(2) The Secretary shall establish standards to carry out
paragraph (1) in consultation with appropriate organizations
representing suppliers and providers of services related to cancer
treatment and organizations representing survivors of cancer. Such
standards shall include standards for determining the need and
frequency for revisions of the treatment plans and follow-up
survivorship care plans based on changes in the condition of the
individual or elements and intent of treatment and standards for the
communication of the plan to the individual.
    ``(3) In this subsection, the term `shared decision-making process'
means, with respect to an individual, a process in which the individual
and the individual's health care providers consider the individual's
diagnosis, treatment options, the medical evidence related to treatment
options, the risks and benefits of all treatment options, and the
individual's preferences regarding treatment, and then jointly develop
and implement a treatment plan.''.
    (b) Payment Under Physician Fee Schedule.--
            (1) In general.--Section 1848(j)(3) of the Social Security
        Act (42 U.S.C. 1395w-4(j)(3)) is amended by inserting ``(GG),''
        after ``health risk assessment),''.
            (2) Initial rates.--Unless the Secretary of Health and
        Human Services otherwise provides, the payment rate specified
        under the physician fee schedule under the amendment made by
        paragraph (1) for cancer care planning and coordination
        services shall be the same payment rate as provided for
        transitional care management services (as defined in CPT code
        99496).
    (c) Effective Date.--The amendments made by this section shall
apply to services furnished on or after the first day of the first
calendar year that begins after the date of the enactment of this Act.

Summary: Planning Actively for Cancer Treatment (PACT) Act of 2013 - Amends title XVIII (Medicare) of the Social Security Act to provide for coverage of cancer care planning and coordination services.


SECTION 1. SHORT TITLE.

    This Act may be cited as the ``FHA Multifamily Housing Loan Limit
Improvement Act''.

SEC. 2. INDEXING OF MULTIFAMILY MORTGAGE LIMITS.

    (a) Section 207 Limits.--Section 207(c)(3) of the National Housing
Act (12 U.S.C. 1713(c)(3)) is amended--
            (1) by striking ``11,250'' and inserting ``$17,460'';
            (2) by inserting before ``; and except that'' the
        following: ``; except that the Secretary shall adjust each such
        dollar amount limitation set forth in this paragraph (as such
        limitation may have been previously adjusted pursuant to this
        paragraph) effective January 1 of each year, beginning in 2003,
        in accordance with the percentage increase, if any, during the
        12-month period ending with the preceding October, in the
        Annual Construction Cost Index of the Bureau of the Census of
        the Department of Commerce''; and
            (3) by inserting after ``foregoing dollar amount
        limitations contained in this paragraph'' the following: ``(as
        such limitations may have been previously adjusted pursuant to
        this paragraph)''.
    (b) Section 213 Limits.--Section 213(b)(2) of the National Housing
Act (12 U.S.C. 1715e(b)(2)) is amended--
            (1) by striking ``$38,025'', ``$42,120'', ``$50,310'',
        ``$62,010'', and ``$70,200'', and inserting ``$41,207'',
        ``$47,511'', ``$57,300'', ``$73,343'', and ``$81,708'',
        respectively;
            (2) by striking ``$49,140'', ``$60,255'', ``$75,465'', and
        ``$85,328'', and inserting ``$49,710'', ``$60,446'',
        ``$78,197'', and ``$85,836'', respectively;
            (3) by inserting after the colon at the end of the first
        proviso the following: ``Provided further, That the Secretary
        shall adjust each such dollar amount limitation set forth in
        this paragraph (as such limitation may have been previously
        adjusted pursuant to this paragraph) effective January 1 of
        each year, beginning in 2003, in accordance with the percentage
        increase, if any, during the 12-month period ending with the
        preceding October, in the Annual Construction Cost Index of the
        Bureau of the Census of the Department of Commerce:''; and
            (4) by inserting after ``foregoing dollar amount
        limitations contained in this paragraph'' the following: ``(as
        such limitations may have been previously adjusted pursuant to
        this paragraph)''.
    (c) Section 220 Limits.--Section 220(d)(3)(B)(iii) of the National
Housing Act (12 U.S.C. 1715k(d)(3)(B)(iii)) is amended--
            (1) by inserting after ``foregoing dollar amount
        limitations contained in this clause'', the first place such
        phrase appears, the following: ``(as such limitations may have
        been previously adjusted pursuant to this clause)''.
            (2) by inserting after ``Provided,'' the following: ``That
        the Secretary shall adjust each such dollar amount limitation
        set forth in this clause (as such limitation may have been
        previously adjusted pursuant to this clause) effective January
        1 of each year, beginning in 2003, in accordance with the
        percentage increase, if any, during the 12-month period ending
        with the preceding October, in the Annual Construction Cost
        Index of the Bureau of the Census of the Department of
        Commerce: Provided further,''; and
            (3) by striking ``(as determined after the application of
        the preceding proviso)'' and inserting ``(as such limitations
        may have been previously adjusted pursuant to the preceding
        proviso and as determined after application of any percentage
        increase authorized in this clause relating to units with 2, 3,
        4, or more bedrooms)''.
    (d) Section 221(d)(3) Limits.--Section 221(d)(3)(ii) of the
National Housing Act (12 U.S.C. 1715l(d)(3)(ii)) is amended--
            (1) by inserting before ``; and except that'' the
        following: ``; except that the Secretary shall adjust each such
        dollar amount limitation set forth in this clause (as such
        limitation may have been previously adjusted pursuant to this
        clause) effective January 1 of each year, beginning in 2003, in
        accordance with the percentage increase, if any, during the 12-
        month period ending with the preceding October, in the Annual
        Construction Cost Index of the Bureau of the Census of the
        Department of Commerce''; and
            (2) by inserting after ``foregoing dollar amount
        limitations contained in this clause'' the following: ``(as
        such limitations may have been previously adjusted pursuant to
        this clause)''.
    (e) Section 221(d)(4) Limits.--Section 221(d)(4)(ii) of the
National Housing Act (12 U.S.C. 1715l(d)(4)(ii)) is amended--
            (1) by inserting before ``; and except that'' the
        following: ``; except that the Secretary shall adjust each such
        dollar amount limitation set forth in this clause (as such
        limitation may have been previously adjusted pursuant to this
        clause) effective January 1 of each year, beginning in 2003, in
        accordance with the percentage increase, if any, during the 12-
        month period ending with the preceding October, in the Annual
        Construction Cost Index of the Bureau of the Census of the
        Department of Commerce''; and
            (2) by inserting after ``foregoing dollar amount
        limitations contained in this clause'' the following: ``(as
        such limitations may have been previously adjusted pursuant to
        this clause)''.
    (f) Section 231 Limits.--Section 231(c)(2) of the National Housing
Act (12 U.S.C. 1715v(c)(2)) is amended--
            (1) by inserting before ``; and except that'' the
        following: ``; except that the Secretary shall adjust each such
        dollar amount limitation set forth in this paragraph (as such
        limitation may have been previously adjusted pursuant to this
        paragraph) effective January 1 of each year, beginning in 2003,
        in accordance with the percentage increase, if any, during the
        12-month period ending with the preceding October, in the
        Annual Construction Cost Index of the Bureau of the Census of
        the Department of Commerce''; and
            (2) by inserting after ``foregoing dollar amount
        limitations contained in this paragraph'' the following: ``(as
        such limitations may have been previously adjusted pursuant to
        this paragraph)''.
    (g) Section 234 Limits.--Section 234(e)(3) of the National Housing
Act (12 U.S.C. 1715y(e)(3)) is amended--
            (1) by inserting before ``; except that'' the second place
        such phrase appears the following: ``; except that the
        Secretary shall adjust each such dollar amount limitation set
        forth in this paragraph (as such limitation may have been
        previously adjusted pursuant to this paragraph) effective
        January 1 of each year, beginning in 2003, in accordance with
        the percentage increase, if any, during the 12-month period
        ending with the preceding October, in the Annual Construction
        Cost Index of the Bureau of the Census of the Department of
        Commerce'';
            (2) by inserting after ``each of the foregoing dollar
        amounts'' the following: ``(as such amounts may have been
        previously adjusted pursuant to this paragraph)''; and
            (3) by inserting after ``foregoing dollar amount
        limitations contained in this paragraph'' the following: ``(as
        such limitations may have been previously adjusted pursuant to
        this paragraph and increased pursuant to the preceding
        clause)''.

SEC. 2. HIGH-COST AREAS.

    (a) Section 207 Limits.--Section 207(c)(3) of the National Housing
Act (12 U.S.C. 1713(c)(3)) is amended--
            (1) by striking ``140 percent'' and inserting ``170
        percent''; and
            (2) by striking ``110 percent'' and inserting ``140
        percent''.
    (b) Section 213 Limits.--Section 213(b)(2) of the National Housing
Act (12 U.S.C. 1715e(b)(2)) is amended--
            (1) by striking ``140 percent'' and inserting ``170
        percent''; and
            (2) by striking ``110 percent'' and inserting ``140
        percent''.
    (c) Section 220 Limits.--Section 220(d)(3)(B)(iii) of the National
Housing Act (12 U.S.C. 1715k(d)(3)(B)(iii)) is amended--
            (1) by striking ``140 percent'' and inserting ``170
        percent''; and
            (2) by striking ``110 percent'' and inserting ``140
        percent''.
    (d) Section 221(d)(3) Limits.--Section 221(d)(3)(ii) of the
National Housing Act (12 U.S.C. 1715l(d)(3)(ii)) is amended--
            (1) by striking ``140 percent'' and inserting ``170
        percent''; and
            (2) by striking ``110 percent'' and inserting ``140
        percent''.
    (e) Section 221(d)(4) Limits.--Section 221(d)(4)(ii) of the
National Housing Act (12 U.S.C. 1715l(d)(4)(ii)) is amended--
            (1) by striking ``140 percent'' and inserting ``170
        percent''; and
            (2) by striking ``110 percent'' and inserting ``140
        percent''.
    (f) Section 231 Limits.--Section 231(c)(2) of the National Housing
Act (12 U.S.C. 1715v(c)(2)) is amended--
            (1) by striking ``140 percent'' and inserting ``170
        percent''; and
            (2) by striking ``110 percent'' and inserting ``140
        percent''.
    (g) Section 234 Limits.--Section 234(e)(3) of the National Housing
Act (12 U.S.C. 1715y(e)(3)) is amended--
            (1) by striking ``140 percent'' and inserting ``170
        percent''; and
            (2) by striking ``110 percent'' and inserting ``140
        percent''.

Summary: FHA Multifamily Housing Loan Limit Improvement Act - Amends the National Housing Act to increase and index to the Bureau of the Census' annual construction cost index multifamily project mortgage loan limits for: (1) rental housing, (2) cooperative housing, (3) rehabilitation and neighborhood conservation housing, (4) housing for moderate income and displaced families, (5) housing for the elderly, and (6) condominiums. Increases loan limits in high-cost areas.

A bill to adjust the indexing of multifamily mortgage limits, and for other purposes.