SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Retirement Account Distribution
Improvement Act of 2008''.

SEC. 2. TEMPORARY WAIVER OF REQUIRED MINIMUM DISTRIBUTION RULES FOR
              CERTAIN RETIREMENT PLANS AND ACCOUNTS.

    (a) In General.--Section 401(a)(9) of the Internal Revenue Code of
1986 (relating to required distributions) is amended by adding at the
end the following new subparagraph:
                    ``(H) Temporary waiver of minimum required
                distribution.--
                            ``(i) In general.--The requirements of this
                        paragraph shall not apply in calendar year
                        2008, 2009, or 2010 to--
                                    ``(I) a defined contribution plan
                                which is described in this subsection
                                or in section 403(a) or 403(b),
                                    ``(II) a defined contribution plan
                                which is an eligible deferred
                                compensation plan described in section
                                457(b) but only if such plan is
                                maintained by an employer described in
                                section 457(e)(1)(A), or
                                    ``(III) an individual retirement
                                plan.
                            ``(ii) Plans only to make elective
                        distributions.--A trust forming part of a plan
                        shall not constitute a qualified trust under
                        this subsection unless the plan provides that
                        it will not make a payment or distribution
                        during calendar year 2009 or 2010 which would
                        otherwise be made to meet the requirements of
                        this paragraph unless the employee or
                        beneficiary elects to have such payment or
                        distribution made. This clause shall not apply
                        to an employee or beneficiary who is receiving,
                        after the annuity starting date, distributions
                        under the plan through an annuity contract
                        issued by a company licensed to do business as
                        an insurance company under the laws of any
                        State.
                            ``(iii) Election.--An election under clause
                        (ii) shall be made at such time and in such
                        manner as the Secretary may prescribe. The
                        Secretary may permit an employer to offer only
                        1 election that applies to 2009 and 2010 or may
                        require employers to offer separate elections
                        for each calendar year.
                            ``(iv) Individual retirement plans exempt
                        from elective distribution requirement.--In the
                        case of an individual retirement account or
                        annuity described in section 408, this
                        subparagraph shall be applied without regard to
                        clauses (ii) and (iii).
                            ``(v) Special rules regarding waiver
                        period.--For purposes of this paragraph--
                                    ``(I) the required beginning date
                                with respect to any individual shall be
                                determined without regard to this
                                subparagraph for purposes of applying
                                this paragraph to calendar years after
                                2010, and
                                    ``(II) if clause (ii) of
                                subparagraph (B) applies to such
                                individual, the 5-year period described
                                in such clause shall be determined
                                without regard to calendar years 2008,
                                2009, or 2010.''.
    (b) Eligible Rollover Distributions.--Section 402(c)(4) of the
Internal Revenue Code of 1986 (defining eligible rollover distribution)
is amended by adding at the end the following new flush sentence:
        ``If all or any portion of a distribution during 2008, 2009, or
        2010 is treated as an eligible rollover distribution but would
        not be so treated if the minimum distribution requirements
        under section 401(a)(9) had applied during such calendar year,
        such distribution shall not be treated as an eligible rollover
        distribution for purposes of section 401(a)(31) or 3405(c) or
        subsection (f) of this section''.
    (c) Effective Dates.--
            (1) In general.--The amendments made by this section shall
        apply to taxable years beginning after December 31, 2007.
            (2) Recontributions of distributions in 2008 or early
        2009.--
                    (A) In general.--If a person receives 1 or more
                eligible distributions, the person may, on or before
                July 1, 2009, make one or more contributions (in an
                aggregate amount not exceeding all eligible
                distributions) to an eligible retirement plan and to
                which a rollover contribution of such distribution
                could be made under section 402(c), 403(a)(4),
                403(b)(8), 408(d)(3), or 457(e)(16) of the Internal
                Revenue Code of 1986, as the case may be. For purposes
                of the preceding sentence, rules similar to the rules
                of clauses (ii) and (iii) of section 402(c)(11)(A) of
                such Code shall apply in the case of a beneficiary who
                is not the surviving spouse of the employee or of the
                owner of the individual retirement plan.
                    (B) Eligible distribution.--For purposes of this
                paragraph--
                            (i) In general.--Except as provided in
                        clause (ii), the term ``eligible distribution''
                        means an applicable distribution to a person
                        from an individual account or annuity--
                                    (I) under a plan which is described
                                in clause (iv), and
                                    (II) from which a distribution
                                would, but for the application of
                                section 401(a)(9)(H) of such Code, have
                                been required to have been made to the
                                individual for 2008 or 2009, whichever
                                is applicable, in order to satisfy the
                                requirements of sections 401(a)(9),
                                404(a)(2), 403(b)(10), 408(a)(6),
                                408(b)(3), and 457(d)(2) of such Code.
                            (ii) Eligible distributions limited to
                        required distributions.--The aggregate amount
                        of applicable distributions which may be
                        treated as eligible distributions for purposes
                        of this paragraph shall not exceed--
                                    (I) for purposes of applying
                                subparagraph (A) to distributions made
                                in 2008, the amount which would, but
                                for the application of section
                                401(a)(9)(H) of such Code, have been
                                required to have been made to the
                                individual in order to satisfy the
                                requirements of sections 401(a)(9),
                                404(a)(2), 403(b)(10), 408(a)(6),
                                408(b)(3), and 457(d)(2) of such Code
                                for 2008, and
                                    (II) for purposes of applying
                                subparagraph (A) to distributions made
                                in 2009, the sum of the amount which
                                would, but for the application of such
                                section 401(a)(9)(H), have been
                                required to have been made to the
                                individual in order to satisfy such
                                requirements for 2009, plus the excess
                                (if any) of the amount described in
                                subclause (I) which may be distributed
                                in 2009 to meet such requirements for
                                2008 over the portion of such amount
                                taken into account under subclause (I)
                                for distributions made in 2008.
                            (iii) Applicable distribution.--
                                    (I) In general.--The term
                                ``applicable distribution'' means a
                                payment or distribution which is made
                                during the period beginning on January
                                1, 2008, and ending on June 30, 2009.
                                    (II) Exception for minimum required
                                distributions for other years.--Such
                                term shall not include a payment or
                                distribution which is required to be
                                made in order to satisfy the
                                requirements of section 401(a)(9),
                                404(a)(2), 403(b)(10), 408(a)(6),
                                408(b)(3), or 457(d)(2) of such Code
                                for a calendar year other than 2008 or
                                2009.
                                    (III) Exception for payments in a
                                series.--In the case of any plan
                                described in clause (iv)(I), such term
                                shall not include any payment or
                                distribution made in 2009 which is a
                                payment or distribution described in
                                section 402(c)(4)(A).
                            (iv) Plans described.--A plan is described
                        in this clause if the plan is--
                                    (I) a defined contribution plan
                                (within the meaning of section 414(i)
                                of such Code) which is described in
                                section 401, 403(a), or 403(b) of such
                                Code or which is an eligible deferred
                                compensation plan described in section
                                457(b) of such Code maintained by an
                                eligible employer described in section
                                457(e)(1)(A) of such Code, or
                                    (II) an individual retirement plan
                                (as defined in section 7701(a)(37) of
                                such Code).
                    (C) Treatment of repayments of distributions from
                eligible retirement plans other than iras.--For
                purposes of the Internal Revenue Code of 1986, if a
                contribution is made pursuant to subparagraph (A) with
                respect to a payment or distribution from a plan other
                than an individual retirement plan, then the taxpayer
                shall, to the extent of the amount of the contribution,
                be treated as having received the payment or
                distribution in an eligible rollover distribution (as
                defined in section 402(c)(4) of such Code) and as
                having transferred the amount to the plan in a direct
                trustee to trustee transfer.
                    (D) Treatment of repayments for distributions from
                iras.--For purposes of the Internal Revenue Code of
                1986, if a contribution is made pursuant to
                subparagraph (A) with respect to a payment or
                distribution from an individual retirement plan (as
                defined by section 7701(a)(37) of such Code), then, to
                the extent of the amount of the contribution, such
                payments or distributions shall be treated as a
                distribution that satisfies subparagraphs (A) and (B)
                of section 408(d)(3) of such Code and as having been
                transferred to the individual retirement plan in a
                direct trustee to trustee transfer.
            (3) Provisions relating to plan or contract amendments.--
                    (A) In general.--If this paragraph applies to any
                pension plan or contract amendment, such pension plan
                or contract shall be treated as being operated in
                accordance with the terms of the plan during the period
                described in subparagraph (B)(ii)(I).
                    (B) Amendments to which paragraph applies.--
                            (i) In general.--This paragraph shall apply
                        to any amendment to any pension plan or annuity
                        contract which--
                                    (I) is made by pursuant to the
                                amendments made by this section, and
                                    (II) is made on or before the last
                                day of the first plan year beginning on
                                or after January 1, 2011.
                        In the case of a governmental plan, subclause
                        (II) shall be applied by substituting ``2012''
                        for ``2011''.
                            (ii) Conditions.--This paragraph shall not
                        apply to any amendment unless--
                                    (I) during the period beginning on
                                January 1, 2009, and ending on December
                                31, 2010 (or, if earlier, the date the
                                plan or contract amendment is adopted),
                                the plan or contract is operated as if
                                such plan or contract amendment were in
                                effect; and
                                    (II) such plan or contract
                                amendment applies retroactively for
                                such period.

Summary: Retirement Account Distribution Improvement Act of 2008 - Amends the Internal Revenue Code to suspend in 2008, 2009, and 2010 requirements for minimum distributions from tax-deferred retirement plans. Permits taxpayers who have already received a minimum distribution in 2008 to recontribute such distribution to their retirement plans by July 1, 2009.

A bill to amend the Internal Revenue Code of 1986 to suspend the minimum required pension distribution rules for 2008, 2009, and 2010.


SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Small Business Health Plans Act of
2006''.

SEC. 2. SMALL BUSINESS HEALTH BENEFITS PROGRAM (SBHBP).

    (a) Establishment.--The Secretary of Health and Human Services
shall establish a small business health benefits program under which
small employers may offer health insurance coverage to employees and
their dependents.
    (b) Program Elements.--Under the SBHBP:
            (1) Access to insurance.--Small employers are provided
        access, for years beginning on or after January 1, 2007, to
        qualified health pooling arrangements under which their
        employees may elect self-only or family health insurance
        coverage under at least 2 health insurance coverage policies,
        regardless of whether premium assistance referred to in
        paragraph (2) is available with respect to such employer.
            (2) Premium assistance for small employers.--Premium
        assistance is available under subsection (c) to assist small
        employers in the payment of premiums for the health insurance
        coverage provided.
            (3) Employer share of premiums.--
                    (A) In general.--Small employers are provided
                access to health insurance coverage, and may be
                eligible for premium assistance under subsection (c),
                only if they pay (before the application of any premium
                assistance under subsection (c)) at least 50 percent of
                the premiums for coverage of their employees, but such
                employers are not required to pay for the portion of
                the premiums for dependents of employees.
                    (B) Construction.--Nothing in this section shall be
                construed as preventing an employee from applying the
                payment described in subparagraph (A) towards the
                payment of premiums for family health insurance
                coverage.
            (4) Health insurance coverage.--
                    (A) In general.--Health insurance coverage offered
                thereunder shall meet the following requirements:
                            (i) The Secretary determines that the
                        coverage is substantially similar to health
                        benefits coverage in any of the four largest
                        health benefit plans (determined by enrollment)
                        offered under chapter 89 of title 5, United
                        States Code.
                            (ii) The coverage complies with State laws
                        and regulations (including applicable benefit
                        mandates and other consumer protections) for
                        group health insurance coverage for the State
                        in which the coverage is offered.
                            (iii) The coverage does not discriminate,
                        through underwriting, the imposition of a pre-
                        existing condition exclusion (as defined in
                        section 701(b)(1)(A) of the Employee Retirement
                        Income Security Act of 1974 or section
                        9801(b)(1)(A) of the Internal Revenue Code of
                        1986), differential benefits, differential
                        premiums, or otherwise, against an employee or
                        dependent on the basis of health status.
                            (iv) The Secretary determines that the
                        coverage provided to employees is coordinated,
                        in accordance with regulations prescribed by
                        the Secretary, with other coverage provided
                        under governmental health benefits programs
                        under which health benefits coverage is
                        available to such employees.
                    (B) Standards for participating health insurers.--
                In administering the program, the Secretary shall
                promote participation by health insurers that
                establish--
                            (i) integration of health information
                        technology tools to promote quality;
                            (ii) chronic disease management;
                            (iii) preventive health care services; and
                            (iv) evidence-based medicine considerations
                        of prescription drugs and other treatment that
                        take into account the individual medical
                        circumstances of individuals enrolled in the
                        program.
            (5) Enrollment.--In administering the program, the
        Secretary shall provide that employee enrollment (and changes
        in enrollment) are limited to an annual open enrollment period,
        except in the case of qualifying events (such as change in
        family status) specified by the Secretary and consistent with
        section 701(f) of the Employee Retirement Income Security Act
        of 1974 (29 U.S.C. 1181(f)).
    (c) Premium Assistance.--Under the SBHBP, the Secretary shall
establish a program of premium assistance for small employers. Such
program shall provide for a sliding scale of assistance to such
employers taking into account the following:
            (1) The number of employees of the employer.
            (2) The average wage level of such employees relative to
        the average wage level for employees in the same geographic
        area.
            (3) The profit margin of the employer.
    (d) Reinsurance for Catastrophic Costs for Certain Health Insurance
Issuers.--
            (1) In general.--In the case of health insurance coverage
        offered under the SBHBP by a health insurance issuer that
        participates in a qualified health pooling arrangement, the
        Secretary shall provide for reinsurance coverage for 75 percent
        of covered claims that exceed, for an individual for a year, an
        amount determined by the Secretary for such year which is not
        less than the minimum amount specified in paragraph (2).
            (2) Minimum amount.--The minimum amount specified in this
        paragraph is--
                    (A) for the first year in which this section is in
                effect, $100,000; or
                    (B) for a subsequent year is the minimum amount
                specified in this paragraph for a previous year,
                increased by the Secretary's estimate of the average
                annual percentage increase in health insurance coverage
                with a median level of premiums for the previous year.
        Any amount determined under subparagraph (B) which is not a
        multiple of $1,000 shall be rounded to the nearest multiple of
        $1,000.
    (e) Qualified Health Pooling Arrangement.--For purposes of this
section, the term ``qualified health pooling arrangement'' means, with
respect to employees employed in any State for any year--
            (1) except as provided in subparagraph (B), an arrangement
        established by (and operating under the oversight of) such
        State for purposes of this section, in accordance with
        regulations of the Secretary, which provides for pooling of
        health insurance coverage offered for such year in such State,
        and
            (2) in any case in which there is not in effect for any
        year an arrangement described in subparagraph (A) established
        by such State, the national health pooling arrangement
        established under section 3.
The Secretary shall determine, within a reasonable time prior to each
year, whether there is a qualified health pooling arrangement described
in paragraph (1) with respect to employees employed in any State.
    (f) Small Employer Defined.--
            (1) In general.--For purposes of this Act, except as
        otherwise provided in this subsection, the term ``small
        employer'' means an employer with 50 or fewer employees, as
        determined under regulations promulgated by the Secretary.
            (2) Continuation of participation.--An employer whose
        employees are provided health insurance coverage under the
        SBHBP while the employer is a small employer as defined in
        paragraph (1) and who thereafter has more than 50 employees
        shall continue to be treated as a small employer.
            (3) Employers not in existence in preceding year.--In the
        case of an employer which was not in existence for the full
        year prior to the date on which the employer applies to
        participate in SBHBP, the determination of whether such
        employer meets the requirements of paragraph (1) shall be based
        on the average number of employees that it is reasonably
        expected such employer will employ on business days in the
        employer's first full year.
            (4) Waiver.--The Secretary may waive the limitations
        relating to the size of an employer which may participate under
        SBHBP on a case by case basis if the Secretary determines that
        such employer makes a compelling case for such a waiver. In
        making determinations under this paragraph, the Secretary shall
        consider the effects of the employment of temporary and
        seasonal workers and other related factors.
    (g) Other Definitions.--For purposes of this Act:
            (1) The terms ``employee'' and ``dependent'' have the
        meanings given such terms by the Secretary in regulations and
        shall be based upon the definitions of such terms used for
        purposes of the Federal employee health benefits program
        established under chapter 89 of title 5, United States Code.
            (2) The terms ``health insurance coverage'' and ``health
        insurance issuer'' have the meanings given such terms in
        section 2791(b) of the Public Health Service Act (42 U.S.C.
        300gg-91(b)).
            (3) The term ``Secretary'' means the Secretary of Health
        and Human Services.
            (4) The term ``SBHBP'' means the small business health
        benefits program established under this section.
            (5) The term ``State'' has the meaning given such term in
        section 2791(d)(14) of the Public Health Service Act (42 U.S.C.
        300gg-91(d)(14)).
    (h) Grants for Establishment of State Qualified Health Pooling
Arrangements.--
            (1) In general.--The Secretary shall provide grants to
        States for the establishment and initial administration of
        qualified health pooling arrangements described in subsection
        (e)(1).
            (2) Authorization of appropriations.--There are authorized
        to be appropriated such sums as may be necessary to carry out
        this subsection.

SEC. 3. ESTABLISHMENT OF NATIONAL HEALTH POOLING ARRANGEMENT.

    (a) In General.--The Secretary of Health and Human Services and the
Secretary of Labor, acting jointly and in consultation with the
Director of the Office of Personnel Management, shall provide for--
            (1) the offering on a timely basis consistent with section
        2 of a national health pooling arrangement to eligible small
        employers; and
            (2) appropriate oversight over any such arrangement.
    (b) Specific Requirements.--In carrying out subsection (a), the
Secretaries shall--
            (1) model the national health pooling arrangement on the
        Federal employees health benefits program under chapter 89 of
        title 5, United States Code, to the extent practicable and
        consistent with the other requirements of this Act; and
            (2) consistent with paragraph (1), negotiate the most
        affordable and substantial coverage possible for small
        employers.
    (c) Definitions.--For purposes of this section--
            (1) the term ``Secretaries'' means the Secretary of Health
        and Human Services and the Secretary of Labor; and
            (2) the term ``national health pooling arrangement'' means
        an arrangement which provides for pooling of health insurance
        coverage offered for any year in all States which do not have
        in effect for such year an arrangement for pooling of health
        insurance coverage offered in such States.

Summary: Small Business Health Plans Act of 2006 - Directs the Secretary of Health and Human Services (HHS) to establish a small business health benefits program (SBHBP) under which small businesses may offer health insurance coverage to employees and their dependents. Outlines program elements and coverage requirements. Requires the Secretary to establish a program of premium assistance for small employers under the SBHBP. Allows for reinsurance for catastrophic costs for certain health insurance issuers. Defines a small employer for SBHBP purposes as an employer with 50 or fewer employees. Directs the Secretary and the Secretary of Labor to provide for the establishment of a national health pooling arrangement for eligible small employers under the SBHBP.

To establish a small business health benefits program.


SECTION 1. SHORT TITLE.

    This Act may be cited as the ``ESA Improvement Act of 2014''.

SEC. 2. ENDANGERED AND THREATENED SPECIES STATE PROTECTIVE ACTIONS.

    Section 4(c) of the Endangered Species Act of 1973 (16 U.S.C.
1533(c)) is amended--
            (1) in paragraph (1), in the first sentence, by striking
        ``The Secretary shall'' and inserting ``Except as provided in
        paragraph (3), the Secretary shall''; and
            (2) by adding at the end the following:
            ``(3) State protective action.--
                    ``(A) Exclusion from lists.--The Secretary shall
                not include in a list under this subsection any
                population of a species in a State if the Secretary has
                approved a State Protective Action for such population
                in accordance with this paragraph.
                    ``(B) Publication of notice.--Not later than 90
                days before proposing to add a species to a list under
                this subsection, the Secretary shall notify each State
                in which a population of the species occurs of the
                opportunity to submit to the Secretary a proposed State
                Protective Action for the species in that State,
                including specification of the criteria for approval of
                such an action under this paragraph.
                    ``(C) Submission by state.--Each State notified
                under subparagraph (B), or group of such States, may
                submit to the Secretary a proposed State Protective
                Action for the species in such State or States within
                the period specified by the Secretary for the
                submission of public comment regarding the inclusion of
                the species in the list.
                    ``(D) Guidance to states.--During preparation of a
                proposed State Protective Action under subparagraph
                (A), the Secretary shall provide guidance to the State
                regarding such preparation.
                    ``(E) Approval or disapproval; resubmission.--The
                Secretary shall--
                            ``(i) approve or disapprove a proposed
                        State Protective Action by not later than 45
                        days after the date it is submitted;
                            ``(ii) approve such an action if the
                        Secretary determines that it meets the criteria
                        specified for approval in the notification
                        under subparagraph (B);
                            ``(iii) upon disapproving such an action--
                                    ``(I) provide the written comments
                                explaining specifically why the action
                                was not approved;
                                    ``(II) allow the proposed action to
                                be resubmitted at any time before the
                                end of the 45-day period beginning on
                                the date the Secretary provides such
                                comments; and
                                    ``(III) by not later than 30 days
                                after the end of such period, issue a
                                final decision regarding the proposed
                                action.
                    ``(F) Limitation on final listing.--The Secretary
                may not add a population of a species to a list before
                the date the Secretary has made a final determination
                regarding approval of each State Protective Action for
                such population that has been submitted in accordance
                with this paragraph.
                    ``(G) Qualification for grants.--For purposes of
                subsection (d), a State Protective Action approved by
                the Secretary under this paragraph shall be treated as
                a cooperative agreement entered into pursuant to this
                subsection.
                    ``(H) Review of plans.--Every 5 years after
                approving a State Protective Action, the Secretary
                shall review the implementation and effectiveness of
                the action, and if necessary provide guidance on
                improvements or revisions that are required to maintain
                the Secretary's approval of the action.
                    ``(I) Revocation of approval.--The Secretary may
                revoke approval of a State Protective Action for a
                population and propose adding such species to a list
                under this subsection if at any time after completion
                of the first review under subparagraph (H) the
                Secretary determines that--
                            ``(i) the State has failed to implement the
                        action; or
                            ``(ii) the action has failed to make
                        measurable progress toward achieving the
                        recovery criteria for the population.
                    ``(J) Termination.--The Secretary may terminate the
                effectiveness of a State Protective Action approved
                under this paragraph, including review regarding the
                action under subparagraph (H), if the Secretary
                determines that recovery criteria for the population
                have been achieved.''.

Summary: ESA Improvement Act of 2014 - Amends the Endangered Species Act of 1973 to prohibit the Secretary of the Interior from adding a species to the list of endangered and threatened species: (1) if the Secretary has approved a State Protective Action (SPA) for such species, and (2) before the Secretary has made a final determination regarding approval of an SPA. Directs the Secretary to: (1) notify each state of the opportunity to submit an SPA prior to proposing to add a species to the federal list of endangered and threatened species, and (2) provide guidance to states regarding the preparation of an SPA. Establishes a process for approving or disapproving a proposed SPA. Requires the Secretary to review the implementation and effectiveness of an SPA every five years and, if necessary, provide guidance on improvements or revisions that are required to maintain the Secretary's approval of the SPA. Authorizes the Secretary to: (1) revoke approval of an SPA and propose adding a species to the federal list if the state has failed to implement the SPA or the SPA failed to make measurable progress toward meeting the recovery criteria for the species, and (2) terminate the effectiveness of an approved SPA if the recovery criteria for the species have been met.

ESA Improvement Act of 2014


SECTION 1. SHORT TITLE.

    This Act may be cited as ``Health Care for Young Adults Act of
2005''.

SEC. 2. PROVIDING STATE OPTION FOR SCHIP AND MEDICAID COVERAGE OF YOUNG
              ADULTS UP TO AGE 23.

    (a) In General.--
            (1) Medicaid.--(A) Section 1902(l)(1)(D) of the Social
        Security Act (42 U.S.C. 1396a(l)(1)(D)) is amended by inserting
        ``(or, at the option of the State, who have not attained 20,
        21, or 22 years of age, as the State may elect)'' after ``have
        not attained 19 years of age''.
            (B) Clause (i) of section 1905(a) of the Social Security
        Act (42 U.S.C. 1396d(a)) is amended by striking ``under the age
        of 21, or, at the option of the State, under the age of 20, 19,
        or 18 as the State may choose'' and inserting ``under the age
        of 23, or, at the option of the State, under the age of 22, 21,
        20, 19, or 18 as the State may elect''.
            (2) SCHIP.--Section 2110(c)(1) of such Act (42 U.S.C.
        1397jj(c)(1)) is amended by inserting after ``19 years of age''
        the following: ``(or, at the option of the State and subject to
        the availability of additional allotments under section
        2104(d), 20, 21, 22, or 23 years of age)''.
    (b) Additional SCHIP Allotments for Providing Coverage of Optional
Young Adults.--
            (1) In general.--Section 2104 of such Act (42 U.S.C.
        1397dd) is amended by inserting after subsection (c) the
        following:
    ``(d) Additional Allotments for the Provision of Coverage to
Optional Young Adults.--
            ``(1) Appropriation; total allotment.--For the purpose of
        providing additional allotments to States under this title,
        there is appropriated, out of any money in the Treasury not
        otherwise appropriated, for each of fiscal years 2006 through
        2009, $500,000,000.
            ``(2) State and territorial allotments.--In addition to the
        allotments provided under subsections (b) and (c), subject to
        paragraph (3), of the amount available for the additional
        allotments under paragraph (1) for a fiscal year, the Secretary
        shall allot to each State with a State child health plan
        approved under this title--
                    ``(A) in the case of such a State other than a
                commonwealth or territory described in subparagraph
                (B), the same proportion as the proportion of the
                State's allotment under subsection (b) (determined
                without regard to subsection (f)) to the total amount
                of the allotments under subsection (b) for such States
                eligible for an allotment under this paragraph for such
                fiscal year; and
                    ``(B) in the case of a commonwealth or territory
                described in subsection (c)(3), the same proportion as
                the proportion of the commonwealth's or territory's
                allotment under subsection (c) (determined without
                regard to subsection (f)) to the total amount of the
                allotments under subsection (c) for commonwealths and
                territories eligible for an allotment under this
                paragraph for such fiscal year.
            ``(3) Use of additional allotment.--Additional allotments
        provided under this subsection are not available for amounts
        expended before October 1, 2005. Such amounts are available for
        amounts expended on or after such date only for--
                    ``(A) expenditures described in section
                1905(u)(4)(A); and
                    ``(B) child health assistance for individuals who
                are targeted low-income children and over 18 years of
                age and who are low-income children only because of an
                election by the State under section 2110(c)(1).''.
            (2) Conforming amendments.--Section 2104 of such Act (42
        U.S.C. 1397dd) is amended--
                    (A) in subsection (a), in the matter preceding
                paragraph (1), by inserting ``subject to subsection
                (d),'' after ``under this section,'';
                    (B) in subsection (b)(1), by inserting ``and
                subsection (d)'' after ``Subject to paragraph (4)'';
                and
                    (C) in subsection (c)(1), by inserting ``subject to
                subsection (d),'' after ``for a fiscal year,''.
    (c) Modification of Medicaid Caps for Territories.--Section 1108 of
such Act (42 U.S.C. 1308) is amended--
            (1) in subsection (f), by striking ``subsection (g)'' and
        inserting ``subsections (g) and (h)''; and
            (2) by adding at the end the following new subsection:
    ``(h) The Secretary shall provide for such increase in the
limitations under subsections (f) and (g) with respect to each of the
territories as may be necessary for each such territory to provide for
an expansion of medicaid coverage to young adults described in section
1902(l)(1)(D).''.
    (d) Effective Date.--The amendments made by this section apply to
items and services furnished on or after October 1, 2005, without
regard to whether regulations implementing such amendments have been
promulgated.

SEC. 3. GRANTS TO IMPLEMENT MEDICAID AND SCHIP EXPANSIONS.

    (a) In General.--The Secretary of Health and Human Services shall
provide for grants to States (as defined for purposes of titles XIX and
XXI of the Social Security Act) in order to enable such States to
implement expansions of eligibility for children and young adults their
State medicaid plans under title XIX of the Social Security Act and
State child health plans under title XXI of such Act. Such grants shall
be available for planning, implementation, and outreach with respect to
such expanded eligibility populations.
    (b) Terms and Conditions.--Grants under this section shall be made
available under such terms and conditions, including the approval of a
grant application, as the Secretary shall specify.
    (c) Authorization of Appropriations.--There are authorized to be
appropriated such sums as may be necessary to provide for grants under
this section.

Summary: Health Care for Young Adults Act of 2005 - Amends titles XIX (Medicaid) and XXI to permit states to provide Medicaid and SCHIP coverage of low-income youth up to age 23. Provides for additional SCHIP allotments for the provision of coverage to optional young adults. Amends SSA title XI to modify Medicaid caps for territories. Directs the Secretary of Health and Human Services to provide for grants to states in order to enable them to implement expansions of eligibility for children and young adults in their state Medicaid and state SCHIP plans.

To amend titles XIX and XXI of the Social Security Act to permit States to cover low-income youth up to age 23.


SECTION 1. SHORT TITLE.
    This Act may be cited as the ``Department of Veterans Affairs
Expiring Authorities Act of 2013''.
SEC. 2. EXTENSIONS OF EXPIRING AUTHORITIES AFFECTING VETERANS AND THEIR
FAMILIES.
    (a) Extension of Authority To Provide Monthly Assistance Allowance
to Veterans With Disability Invited by United States Olympic
Committee.--
        (1) In general.--Section 322(d)(4) of title 38, United States
    Code, is amended by inserting ``and $500,000 for the period
    beginning October 1, 2013, and ending December 31, 2013'' after
    ``2013''.
        (2) Technical correction.--Section 322 of such title is amended
    by striking ``United States Paralympics, Inc.,'' each place it
    appears and inserting ``United States Olympic Committee''.
    (b) Extension of Authority To Provide Assistance for United States
Olympic Committee.--
        (1) In general.--Section 521A of such title is amended--
            (A) in subsection (g), by inserting ``and $2,000,000 for
        the period beginning October 1, 2013, and ending December 31,
        2013'' after ``2013''; and
            (B) in subsection (l), by striking ``The Secretary may only
        provide assistance under this section during fiscal years 2010
        through 2013.'' and inserting ``The Secretary may not provide
        assistance under this section after December 31, 2013.''.
        (2) Technical correction.--Such section is further amended--
            (A) except in subsection (d)(4), by striking ``United
        States Paralympics, Inc.,'' each place it appears and inserting
        ``United States Olympic Committee'';
            (B) in subsection (d)(4), by striking ``United States
        Paralympics, Inc.'' and inserting ``United States Olympic
        Committee''; and
            (C) by adding at the end the following new subsection:
    ``(m) Applicability to Commonwealths and Territories of United
States.--The provisions of this section and section 322 of this title
shall apply with respect to the following in the same manner and to the
same degree as the United States Olympic Committee:
        ``(1) The American Samoa National Olympic Committee.
        ``(2) Guam National Olympic Committee.
        ``(3) Comite Olimpico de Puerto Rico.
        ``(4) Such entities as the Secretary considers appropriate to
    represent the interests of the Northern Mariana Islands and the
    United States Virgin Islands under this section and section 322 of
    this title.''.
        (3) Clerical amendment.--The table of sections at the beginning
    of chapter 5 of such title is amended by striking the item relating
    to section 521A and inserting the following new item:

``521A. Assistance for United States Olympic Committee.''.

    (c) Extension of Authority for Collection of Copayments for
Hospital Care and Nursing Home Care.--Section 1710(f)(2)(B) of such
title is amended by striking ``September 30, 2013'' and inserting
``September 30, 2014''.
    (d) Extension of Authority for Recovery From Third Parties of Cost
of Care and Services Furnished to Veterans With Health-plan Contracts
for Non-service-connected Disability.--Section 1729(a)(2)(E) of such
title is amended by striking ``October 1, 2013'' and inserting
``October 1, 2014''.
    (e) Extensions of Authorities Affecting Homeless Veterans.--
        (1) Homeless veterans reintegration programs.--Section
    2021(e)(1)(F) of such title is amended by striking ``2013'' and
    inserting ``2014''.
        (2) Referral and counseling services: veterans at risk of
    homelessness who are transitioning from certain institutions.--
    Section 2023(d) of such title is amended--
            (A) by inserting ``to enter into a contract'' before ``to
        provide''; and
            (B) by striking ``September 30, 2013'' and inserting
        ``September 30, 2014''.
    (f) Extension of Previously Fully-funded Authorities Affecting
Homeless Veterans.--
        (1) Comprehensive service programs.--Section 2013 of such title
    is amended by striking paragraph (6) and inserting the following
    new paragraphs:
        ``(6) $250,000,000 for fiscal year 2014.
        ``(7) $150,000,000 for fiscal year 2015 and each subsequent
    fiscal year.''.
        (2) Financial assistance for supportive services for very low-
    income veteran families in permanent housing.--Section
    2044(e)(1)(E) of such title is amended by striking ``for fiscal
    year 2013'' and inserting ``for each of fiscal years 2013 and
    2014''.
        (3) Grant program for homeless veterans with special needs.--
    Section 2061(d)(1) of such title is amended by striking ``through
    2013'' and inserting ``through 2014''.
    (g) Extension of Temporary Expansion of Eligibility for Specially
Adapted Housing Assistance for Certain Veterans With Disabilities
Causing Difficulty With Ambulating.--Section 2101(a)(4) of such title
is amended--
        (1) by striking ``The Secretary's'' and inserting ``(A) Except
    as provided in subparagraph (B), the Secretary's'';
        (2) in subparagraph (A), as designated by paragraph (1), by
    striking ``September 30, 2013'' and inserting ``September 30,
    2014''; and
        (3) by adding at the end the following new subparagraph:
    ``(B) In fiscal year 2014, the Secretary may not approve more than
30 applications for assistance under paragraph (1) for disabled
veterans described in paragraph (2)(A)(ii).''.
    (h) Extension of Authority To Calculate Net Value of Real Property
Securing Defaulted Loan for Purposes of Liquidation.--Section
3732(c)(11) of such title is amended by striking ``October 1, 2013''
and inserting ``October 1, 2014''.
    (i) Extension of Pilot Program on Assistance for Child Care for
Certain Veterans Receiving Health Care.--Section 205 of the Caregivers
and Veterans Omnibus Health Services Act of 2010 (Public Law 111-163;
38 U.S.C. 1710 note) is amended--
        (1) in subsection (e), by striking ``2-year'' and inserting
    ``3-year''; and
        (2) in subsection (h), by striking ``and 2011'' and inserting
    ``and 2014''.
SEC. 3. REAUTHORIZATION OF USE OF NATIONAL DIRECTORY OF NEW HIRES FOR
INCOME VERIFICATION PURPOSES FOR CERTAIN VETERANS BENEFITS.
    (a) Secretary of Health and Human Services.--Section 453(j)(11) of
the Social Security Act (42 U.S.C. 653(j)(11)) is amended by striking
subparagraph (G) and inserting the following new subparagraph (G):
            ``(G) Expiration of authority.--The authority under this
        paragraph shall be in effect as follows:
                ``(i) During the period beginning on December 26, 2007,
            and ending on November 18, 2011.
                ``(ii) During the period beginning on the date of the
            enactment of the Department of Veterans Affairs Expiring
            Authorities Act of 2013 and ending 180 days after that
            date.''.
    (b) Secretary of Veterans Affairs.--Section 5317A of title 38,
United States Code, is amended by striking subsection (d) and inserting
the following new subsection (d):
    ``(d) Expiration of Authority.--The authority under this section
shall be in effect as follows:
        ``(1) During the period beginning on December 26, 2007, and
    ending on November 18, 2011.
        ``(2) During the period beginning on the date of the enactment
    of the Department of Veterans Affairs Expiring Authorities Act of
    2013 and ending 180 days after that date.''.
SEC. 4. EFFECTIVE DATE AND RATIFICATION.
    (a) Effective Date.--This Act shall take effect on October 1, 2013,
except that Section 2 (a) shall take effect on September 30, 2013.
    (b) Ratification.--If this Act is not enacted on or before
September 30, 2013, any actions undertaken by the Department of
Veterans Affairs under the authorities extended by this Act during the
period beginning on such date and ending on the date of the enactment
of this Act shall be deemed ratified.
SEC. 5. SCORING OF BUDGETARY EFFECTS.
    The budgetary effects of this Act, for the purpose of complying
with the Statutory Pay-As-You-Go-Act of 2010 shall be determined by
reference to the latest statement titled ``Budgetary Effects of PAYGO
Legislation'' for this Act, submitted for printing in the Congressional
Record by the Chairman of the Senate Budget Committee, provided that
such statement has been submitted prior to the vote on passage.

                               Speaker of the House of Representatives.

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

Summary: This measure has not been amended since it was passed by the Senate on September 23, 2013. Department of Veterans Affairs Expiring Authorities Act of 2013 - Authorizes specified appropriations for the period October 1-December 31, 2013, to pay a monthly assistance allowance to a veteran with a disability invited by the United States Olympic Committee (USOC) to compete for a slot on, or selected for, the Paralympic Team for any month in which the veteran is training or competing in any event sanctioned by the USOC, or who is residing at a USOC, training center. Extends for the same period the authorization for grants to USOC for an integrated adaptive sports program for disabled veterans and disabled members of the Armed Forces. Applies the same grant authorization, in the same manner and to the same degree as to the USOC, to: (1) the American Samoa National Olympic Committee, (2) the Guam National Olympic Committee, (3) the Comite Olimpico de Puerto Rico, and (4) appropriate entities representing the interests of the Northern Mariana Islands and the United States Virgin Islands. Extends through FY2014 a veteran's liability for copayments of $10 for every day the veteran receives hospital care and of $5 for every day he or she receives nursing home care. Extends through FY2014 the right of the United States to recover or collect from a third party reasonable charges for care or services for a non-service-connected disability of a veteran with a service-connected disability who is entitled to care under a health-plan contract. Extends through FY2014 the authority of the Secretary of Labor for homeless veterans reintegration programs, and of the same Secretary and the Secretary of Veterans Affairs (VA) to contract for referral and counseling services for veterans at risk of homelessness who are transitioning from certain institutions. Extends through FY2015 the authorization of appropriations for comprehensive service programs for homeless veterans. Extends through FY2014 the availability of funds for: (1) financial assistance for supportive services for very low-income veteran families in permanent housing, and (2) the grant program for homeless veterans with special needs. Extends through FY2014 specially adapted housing assistance for a disabled veteran whose permanent and total service-connected disability causes difficulty with ambulating. Limits to 30 applications during FY2014 approval of such assistance for any such disabled veterans who served in the Armed Forces on or after September 11, 2001. Extends through FY2014 the authority to calculate, for liquidation purposes, the net value of real property securing a defaulted guaranteed housing or small business loan to a veteran. Amends the Caregivers and Veterans Omnibus Health Services Act of 2010 to extend through FY2014 the pilot program to assess the feasibility and advisability of providing assistance to veterans receiving regular or intensive mental health services and other intensive health care services in order to obtain child care while receiving such services. Amends part D of title IV (TANF) of the Social Security Act to revive for a specified 180-day period the authority of the Secretary of Veterans Affairs to furnish the Secretary of Health and Human Services (HHS) with VA information for comparison with information in the National Directory of New Hires about individuals applying for or receiving needs-based veterans pension benefits, parents' dependency and indemnity compensation, veterans health care services, or compensation based on 100 unemployability. Authorizes for the same 180-day period the authority of the VA Secretary to terminate, deny, suspend, or reduce any of such veterans benefits or services, with respect to an applicant or recipient under age 65, by reason of information obtained from the HHS Secretary, but only if the VA Secretary takes appropriate steps to verify independently information relating to the individual's employment and employment income. Makes this Act effective on October 1, 2013, except for the authorization of appropriations for monthly assistance for disabled veterans invited to compete for a slot on, or selected for, the Paralympic Team, which shall be effective September 30, 2013. Deems ratified any VA actions undertaken before enactment of this Act under the authorities extended by this Act, if this Act is not enacted on or before September 30, 2013.


SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Strategic Withdrawal of Agencies for
Meaningful Placement Act of 2018'' or ``SWAMP Act''.

SEC. 2. RELOCATION OF HEADQUARTERS OF EXECUTIVE AGENCIES.

    (a) Repeal of Headquarters Location Requirement.--Section 72 of
title 4, United States Code, is repealed.
    (b) Prohibition on Location of Headquarters in Washington
Metropolitan Area.--With respect to an Executive agency whose
headquarters is located in the Washington metropolitan area as of the
date of the enactment of this Act, no new construction or major
renovations may be undertaken, or lease agreements entered into or
renewed, for such headquarters after such date of enactment, except as
otherwise expressly provided by law.
    (c) Competitive Bidding Process for Relocation of Headquarters.--
            (1) In general.--Not later than one year after the date of
        the enactment of this Act, the Administrator of General
        Services shall establish a process, in accordance with the
        requirements described in paragraph (2), through which--
                    (A) the head of an Executive agency may submit a
                request for the Administrator to issue a solicitation
                for the relocation of the headquarters of such agency;
                or
                    (B) if determined necessary, the Administrator may
                issue a solicitation for the relocation of the
                headquarters of an Executive agency.
            (2) Requirements.--With respect to any solicitation issued
        for the relocation of the headquarters of an Executive agency
        pursuant to paragraph (1), the Administrator of General
        Services shall--
                    (A) allow any State and any political subdivision
                of a State to submit a bid for the relocation of such
                headquarters;
                    (B) provide the public with notice and an
                opportunity to comment on such solicitation; and
                    (C) in consultation with the head of such agency,
                select a State, or a political subdivision of a State,
                for the relocation of such headquarters using
                competitive bidding procedures that consider the
                following:
                            (i) The extent to which the relocation of
                        such headquarters would impact the economy and
                        workforce development of a State or political
                        subdivision of a State.
                            (ii) Whether a State, or a political
                        subdivision of a State, has expertise in
                        carrying out activities substantially similar
                        to the mission and goals of such agency.
                            (iii) The extent to which the relocation of
                        such headquarters to a State, or a political
                        subdivision of a State, would implicate
                        national security interests.
    (d) Rule of Construction.--Nothing in this Act may be construed to
prohibit a political subdivision of the State of Maryland or the
Commonwealth of Virginia that is located outside the Washington
metropolitan area from submitting a bid under subsection (c)(2)(A).
    (e) Offset allowed.--The Administrator of General Services may use
the proceeds from the sale of any Federal building or land to offset
the cost of relocating the headquarters of an Executive agency.
    (f) No Additional Funds Authorized.--No additional funds are
authorized to carry out the requirements of this Act. Such requirements
shall be carried out using amounts otherwise authorized.
    (g) Definitions.--In this section:
            (1) Executive agency.--The term ``Executive agency'' has
        the meaning given that term in section 105 of title 5, United
        States Code, except that the term does not include the
        Executive Office of the President.
            (2) Headquarters.--The term ``headquarters'' means the
        place or building serving as the managerial and administrative
        center of an Executive agency, except that the term does not
        include an office that the head of any such agency may maintain
        separately from such place or building in the Washington
        metropolitan area.
            (3) State.--The term ``State'' means each of the 50 States.
            (4) Washington metropolitan area.--The term ``Washington
        metropolitan area'' means the geographic area located within
        the boundaries of the following:
                    (A) The District of Columbia.
                    (B) Montgomery and Prince George's Counties in the
                State of Maryland.
                    (C) Arlington, Fairfax, Loudoun, and Prince William
                Counties and the City of Alexandria in the Commonwealth
                of Virginia.

Summary: Strategic Withdrawal of Agencies for Meaningful Placement Act of 2018 or the SWAMP Act This bill: (1) repeals the requirement that all offices attached to the seat of government be exercised in the District of Columbia, and not elsewhere. And (2) prohibits new construction or major renovation of certain executive agency headquarters in the Washington Metropolitan area. The General Services Administration (GSA) must: (1) establish a process to allow an executive agency to request GSA to issue a solicitation for the relocation of its headquarters. (2) allow any state to bid for the relocation of the agency's headquarters. And (3) in consultation with the executive agency, select a state for the relocation of the agency's headquarters using a competitive bidding procedure based on certain considerations.


SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Reducing Barriers to Veterans'
Benefits Act''.

SEC. 2. FINDINGS.

    Congress finds the following:
            (1) Tinnitus is the most common service-connected
        disability for veterans from all periods of service, accounting
        for almost 841,000 individuals.
            (2) Hearing loss is the second leading service-connected
        disability for veterans from all periods of service, accounting
        for almost 702,000 individuals.
            (3) Since fiscal year 1999, the number of veterans with
        service-connected disability for tinnitus has increased by an
        average rate of 17 percent each year.
            (4) The number of tinnitus disabilities has grown from
        128,600 in fiscal year 1999 to 840,900 in fiscal year 2011, an
        increase of more than 500 percent.

SEC. 3. PRESUMPTION OF SERVICE-CONNECTION FOR HEARING LOSS AND
              TINNITUS.

    (a) Presumption.--
            (1) In general.--Subchapter II of chapter 11 of title 38,
        United States Code, is amended by adding at the end the
        following new section:
``Sec. 1119. Presumption of service connection for hearing loss
              associated with particular military occupational
              specialties or combat service
    ``(a) In General.--(1) For purposes of section 1110 of this title,
and subject to section 1113 of this title, diagnosed hearing loss,
tinnitus, or both of a veteran described in paragraph (2) shall be
considered to have been incurred in or aggravated by the service of the
veteran, notwithstanding that there is no record of evidence of such
hearing loss or tinnitus, as the case may be, during the period of such
service.
    ``(2) A veteran described in this paragraph is a veteran who while
on active military, naval, or air service--
            ``(A) was assigned to a military occupational specialty or
        equivalent described in subsection (b); or
            ``(B) served in combat against a hostile force during a
        period of hostilities (as defined in section 1712A(a)(2)(B) of
        this title).
    ``(b) Military Occupational Specialty.--A military occupational
specialty or equivalent referred to in subsection (a)(2)(A) is a
military occupational specialty or equivalent, if any, that the
Secretary determines in regulations prescribed under this section in
which individuals assigned to such military occupational specialty or
equivalent in the active military, naval, or air service are or were
likely to be exposed to a sufficiently high level of acoustic trauma as
to result in permanent hearing loss, tinnitus, or both.
    ``(c) Determination.--(1) If the Secretary determines under
subsection (b) that a presumption of service connection is warranted
for a military occupational specialty or equivalent, the Secretary
shall, not later than 60 days after the date of the determination,
issue proposed regulations setting forth the Secretary's determination.
    ``(2) If the Secretary determines under subsection (b) that a
presumption of service connection is not warranted for a military
occupational specialty or equivalent, the Secretary shall, not later
than 60 days after the date of the determination--
            ``(A) publish the determination in the Federal Register;
        and
            ``(B) submit to the Committees on Veterans' Affairs of the
        Senate and the House of Representatives a report on the
        determination, including a justification for the
        determination.''.
            (2) Clerical amendment.--The table of sections at the
        beginning of chapter 11 of such title is amended by inserting
        after the item relating to section 1118 the following new item:

``1119. Presumption of service connection for hearing loss associated
                            with particular military occupational
                            specialties or combat service.''.
    (b) Presumption Rebuttable.--Section 1113 of title 38, United
States Code, is amended by striking ``or 1118'' each place it appears
and inserting ``1118, or 1119''.
    (c) Presumption During Peacetime Service.--Section 1137 of title
38, United States Code, is amended by striking ``and 1113'' and
inserting ``1113, and 1119''.
    (d) Effective Date.--Section 1119 of title 38, United States Code,
as added by subsection (a)(1), shall apply with respect to a claim for
compensation made on or after the date that is 60 days after the date
on which the Secretary prescribes regulations pursuant to subsection
(c)(1) of such section.

SEC. 4. AUDIOMETRIC TEST REQUIRED BEFORE SEPARATION OF MEMBERS OF THE
              ARMED FORCES.

    (a) In General.--Chapter 59 of title 10, United States Code, is
amended by adding at the end the following new section:
``Sec. 1179. Audiometric test required
    ``Under regulations prescribed by the Secretary of Defense, the
Secretary of a military department shall ensure that a member of the
armed forces under the jurisdiction of the Secretary receives an
audiometric test at the 8000 Hz frequency (or other test that the
Secretary of Defense determines has the ability to discover potential
future hearing loss) to evaluate the hearing of the member during the
90-day period before the date on which the member is discharged,
separated, or retired.''.
    (b) Clerical Amendment.--The table of sections at the beginning of
such chapter is amended by adding after the item relating to section
1178 the following new item:

``1179. Audiometric test required.''.
    (c) Effective Date.--Section 1179 of title 10, United States Code,
as added by subsection (a), shall apply with respect to a member being
discharged, separated, or retired from the Armed Forces on or after the
date that is 60 days after the date of the enactment of this Act.

Summary: Reducing Barriers to Veterans' Benefits Act - Presumes a service connection, for veterans' benefits purposes, for diagnosed hearing loss, tinnitus, or both, for veterans who, during active military service: (1) were assigned to a military occupational specialty in which the veterans were likely to be exposed to a level of acoustic trauma sufficient to result in permanent hearing loss, tinnitus, or both. Or (2) served in combat against a hostile force during a period of hostilities. Directs the Secretary of each military department to ensure that each member of the Armed Forces under their jurisdiction receives an audiometric test at the 8000 Hz frequency to evaluate the hearing of such member during the 90-day period before the member is discharged, separated, or retired.

To amend title 38, United States Code, to establish a presumption of service connection for certain veterans with tinnitus or hearing loss, and for other purposes.


SECTION 1. ADJUSTED DIFFERENTIALS.

    (a) In General.--Paragraph (1) of section 404(b) of the Federal Law
Enforcement Pay Reform Act of 1990 (5 U.S.C. 5305 note) is amended by
striking the matter after ``follows:'' and inserting the following:

          ``Area                                           Differential
        Atlanta Consolidated Metropolitan Statistical Area.     16.82%
        Boston-Worcester-Lawrence, MA-NH-ME-CT-RI               24.42%
            Consolidated Metropolitan Statistical Area.
        Chicago-Gary-Kenosha, IL-IN-WI Consolidated             25.68%
            Metropolitan Statistical Area.
        Cincinnati-Hamilton, OH-KY-IN Consolidated              21.47%
            Metropolitan Statistical Area.
        Cleveland Consolidated Metropolitan Statistical         17.83%
            Area.
        Columbus Consolidated Metropolitan Statistical Area     16.90%
        Dallas Consolidated Metropolitan Statistical Area..     18.51%
        Dayton Consolidated Metropolitan Statistical Area..     15.97%
        Denver-Boulder-Greeley, CO Consolidated                 22.78%
            Metropolitan Statistical Area.
        Detroit-Ann Arbor-Flint, MI Consolidated                25.61%
            Metropolitan Statistical Area.
        Hartford, CT Consolidated Metropolitan Statistical      24.47%
            Area.
        Houston-Galveston-Brazoria, TX Consolidated             30.39%
            Metropolitan Statistical Area.
        Huntsville Consolidated Metropolitan Statistical        13.29%
            Area.
        Indianapolis Consolidated Metropolitan Statistical      13.38%
            Area.
        Kansas City Consolidated Metropolitan Statistical       14.11%
            Area.
        Los Angeles-Riverside-Orange County, CA                 27.25%
            Consolidated Metropolitan Statistical Area.
        Miami-Fort Lauderdale, FL Consolidated Metropolitan     21.75%
            Statistical Area.
        Milwaukee Consolidated Metropolitan Statistical         17.45%
            Area.
        Minneapolis-St. Paul, MN-WI Consolidated                20.27%
            Metropolitan Statistical Area.
        New York-Northern New Jersey-Long Island, NY-NJ-CT-     27.11%
            PA Consolidated Metropolitan Statistical Area.
        Orlando, FL Consolidated Metropolitan Statistical       14.22%
            Area.
        Philadelphia-Wilmington-Atlantic City, PA-NJ-DE-MD      21.03%
            Consolidated Metropolitan Statistical Area.
        Pittsburgh Consolidated Metropolitan Statistical        14.89%
            Area.
        Portland-Salem, OR-WA Consolidated Metropolitan         20.96%
            Statistical Area.
        Richmond Consolidated Metropolitan Statistical Area     16.46%
        Sacramento-Yolo, CA Consolidated Metropolitan           20.77%
            Statistical Area.
        San Diego, CA Consolidated Metropolitan Statistical     22.13%
            Area.
        San Francisco-Oakland-San Jose, CA Consolidated         32.98%
            Metropolitan Statistical Area.
        Seattle-Tacoma-Bremerton, WA Consolidated               21.18%
            Metropolitan Statistical Area.
        St. Louis Consolidated Metropolitan Statistical         14.69%
            Area.
        Washington-Baltimore, DC-MD-VA-WV Consolidated          19.48%
            Metropolitan Statistical Area.
        Rest of United States Consolidated Metropolitan       14.19%''.
            Statistical Area.
    (b) Special Rules.--For purposes of the provision of law amended by
subsection (a)--
            (1) the counties of Providence, Kent, Washington, Bristol,
        and Newport, RI, the counties of York and Cumberland, ME, and
        the city of Concord, NH, shall be treated as if located in the
        Boston-Worcester-Lawrence, MA-NH-ME-CT-RI Consolidated
        Metropolitan Statistical Area; and
            (2) members of the Capitol Police shall be considered to be
        law enforcement officers within the meaning of section 402 of
        the Federal Law Enforcement Pay Reform Act of 1990.
    (c) Effective Date.--The amendment made by subsection (a)--
            (1) shall take effect as if included in the Federal Law
        Enforcement Pay Reform Act of 1990 on the date of the enactment
        of such Act; and
            (2) shall be effective only with respect to pay for service
        performed in pay periods beginning on or after the date of the
        enactment of this Act.
Subsection (b) shall be applied in a manner consistent with the
preceding sentence.

SEC. 2. SEPARATE PAY, EVALUATION, AND PROMOTION SYSTEM FOR FEDERAL LAW
              ENFORCEMENT OFFICERS.

    (a) Study.--Not later than 6 months after the date of the enactment
of this Act, the Office of Personnel Management shall study and submit
to Congress a report which shall contain its findings and
recommendations regarding the need for, and the potential benefits to
be derived from, the establishment of a separate pay, evaluation, and
promotion system for Federal law enforcement officers. In carrying out
this subsection, the Office of Personnel Management shall take into
account the findings and recommendations contained in the September
1993 report of the Office entitled ``A Plan to Establish a New Pay and
Job Evaluation System for Federal Law Enforcement Officers''.
    (b) Demonstration Project.--
            (1) In general.--If, after completing its report under
        subsection (a), the Office of Personnel Management considers it
        to be appropriate, the Office shall implement, within 12 months
        after the date of the enactment of this Act, a demonstration
        project to determine whether a separate system for Federal law
        enforcement officers (as described in subsection (a)) would
        result in improved Federal personnel management.
            (2) Applicable provisions.--Any demonstration project under
        this subsection shall be conducted in accordance with the
        provisions of chapter 47 of title 5, United States Code, except
        that a project under this subsection shall not be taken into
        account for purposes of the numerical limitation under section
        4703(d)(2) of such title.
            (3) Permanent changes.--Not later than 6 months before the
        demonstration project's scheduled termination date, the Office
        of Personnel Management shall submit to Congress--
                    (A) its evaluation of the system tested under the
                demonstration project; and
                    (B) recommendations as to whether or not that
                system (or any aspects of that system) should be
                continued or extended to other Federal law enforcement
                officers.
    (c) Federal Law Enforcement Officer Defined.--In this section, the
term ``Federal law enforcement officer'' means a law enforcement
officer as defined under section 8331(20) or 8401(17) of title 5,
United States Code.

SEC. 3. LIMITATION ON PREMIUM PAY.

    (a) In General.--Section 5547 of title 5, United States Code, is
amended--
            (1) in subsection (a), by striking ``5545a,'';
            (2) in subsection (c), by striking ``or 5545a''; and
            (3) in subsection (d), by striking the period and inserting
        ``or a criminal investigator who is paid availability pay under
        section 5545a.''.
    (b) Effective Date.--The amendments made by this section shall take
effect as if included in the enactment of section 1114 of the National
Defense Authorization Act for Fiscal Year 2002 (Public Law 107-107; 115
Stat. 1239).

Summary: Amends the Federal Law Enforcement Pay Reform Act of 1990 to revise the special pay adjustments for Federal law enforcement officers in specified consolidated metropolitan statistical areas. Includes Capitol Police as law enforcement officers under such Act. Directs the Office of Personnel Management: (1) to study and report to Congress on the need for, and the potential benefits to be derived from, the establishment of a separate pay, evaluation, and promotion system for Federal law enforcement officers. (2) if it considers it to be appropriate, to implement a demonstration project to determine whether a separate system for such officers would result in improved Federal personnel management. And (3) to submit to Congress its evaluation of the system tested under the demonstration project and recommendations as to whether that system should be continued or extended to other Federal law enforcement officers. Eliminates the limitation on the aggregate of basic pay and premium pay with respect to availability pay for Federal criminal investigators.

A bill to amend the Federal Law Enforcement Pay Reform Act of 1990 to adjust the percentage differentials payable to Federal law enforcement officers in certain high-cost areas, and for other purposes.


SECTION 1. SHORT TITLE; FINDINGS.

    (a) Short Title.--This Act may be cited as the ``Domestic Violence
Screening and Treatment Act of 2002''.
    (b) Findings.--Congress finds the following:
            (1) Nearly one-third of American women (31 percent) report
        being physically or sexually abused by a husband or boyfriend
        at some point in their lives, and about 1200 women are murdered
        every year by their intimate partner, nearly 3 each day.
            (2) 85 percent of violent victimizations are experienced by
        women.
            (3) 37 percent of all women who sought care in hospital
        emergency rooms for violence-related injuries were injured by a
        current or former spouse, boyfriend, or girlfriend.
            (4) In addition to injuries sustained during violent
        episodes, physical and psychological abuse are linked to a
        number of adverse physical health effects including arthritis,
        chronic neck or back pain, migraine and other frequent
        headaches, stammering, problems with vision, and sexually
        transmitted infections, including HIV/AIDS.
            (5) Medical services for abused women cost an estimated
        $857.3 million every year.
            (6) Each year, at least six percent of all pregnant women,
        about 240,000 pregnant women, in this country are battered by
        the men in their lives. This battering leads to complications
        of pregnancy, including low weight gain, anemia, infections,
        and first and second trimester bleeding.
            (7) Pregnant and recently pregnant women are more likely to
        be victims of homicide than to die of any other cause, and
        evidence exists that a significant proportion of all female
        homicide victims are killed by their intimate partners.
            (8) Children who witness domestic violence are more likely
        to exhibit behavioral and physical health problems including
        depression, anxiety, and violence towards peers. They are also
        more likely to attempt suicide, abuse drugs and alcohol, run
        away from home, engage in teenage prostitution, and commit
        sexual assault crimes.
            (9) Fifty percent of men who frequently assault their wives
        frequently assault their children. The U.S. Advisory Board on
        Child Abuse and Neglect suggests that domestic violence may be
        the single major precursor to child abuse and neglect
        fatalities in this country.
            (10) Currently, about 10 percent of primary care physicians
        routinely screen for intimate partner abuse during new patient
        visits and nine percent routinely screen during periodic
        checkups.
            (11) Recent clinical studies have proven the effectiveness
        of a 2-minute screening for early detection of abuse of
        pregnant women. Additional longitudinal studies have tested a
        10-minute intervention that was proven highly effective in
        increasing the safety of pregnant abused women. Comparable
        research does not yet exist to support the effectiveness of
        screening men.
            (12) 70 to 81 percent of the patients studied reported that
        they would like their healthcare providers to ask them
        privately about intimate partner violence.

SEC. 2. COVERAGE OF DOMESTIC VIOLENCE SCREENING AND TREATMENT UNDER THE
              MEDICAID PROGRAM.

    (a) In General.--Section 1905 of the Social Security Act (42 U.S.C.
1396d) is amended--
            (1) in subsection (a)(26), by striking ``and'' at the end;
            (2) by redesignating paragraph (27) of subsection (a) as
        paragraph (28); and
            (3) by inserting after paragraph (26) of subsection (a) the
        following new paragraph:
            ``(27) domestic violence screening and treatment services
        (as defined in subsection (x));''; and
            (4) by adding at the end the following new subsection:
    ``(x) The term `domestic violence screening and treatment services'
means the following services (as specified under the State plan)
furnished by an attending health care provider (or, in the case of
services described in paragraph (3), under arrangements between the
provider and domestic violence experts) to women 18 years of age or
older:
            ``(1) Routine verbal screening for domestic violence by a
        provider if the provider has not previously screened the
        patient or if the patient has been screened but the patient
        indicates that she is in a new relationship regardless of
        whether there are any clinical indicators or suspicion of
        abuse.
            ``(2) Danger assessment for women who positively identify
        for domestic violence, including an immediate safety
        assessment, an initial risk assessment, and follow-up risk
        assessments during subsequent visits.
            ``(3) Treatment relating to domestic violence, including
        the following:
                    ``(A) Safety education to assist the patient in
                developing a plan to promote her safety and well-being,
                such as keeping an emergency kit, talking to someone,
                and arranging for a place to stay, and appropriate
                follow up.
                    ``(B) Health education which provides written and
                verbal information about domestic violence, its impact
                on health, options for services, and any necessary
                follow up.
                    ``(C) Psycho-social and counseling services that
                include an initial assessment, development of a plan of
                care, individual or group counseling (as needed), and
                follow-up assessment, treatment, or intervention.
                    ``(D) Documentation of screening, assessment,
                treatment, referrals, injuries, and illnesses related
                to domestic violence and who inflicted them, using
                appropriate diagnostic codes and absolute
                confidentiality (except as required by applicable State
                law).
            ``(4) Referral and case coordination for additional
        services, including services from domestic violence programs,
        community agencies, and judicial and other systems.''.
    (b) Effective Date.--The amendments made by this section shall take
effect on the date of the enactment of this Act and shall apply to
services furnished on or after such date.

SEC. 3. FEDERAL EMPLOYEES HEALTH BENEFITS PROGRAM.

    (a) In General.--Section 8902 of title 5, United States Code, is
amended by adding at the end the following:
    ``(p)(1) A contract may not be made or a plan approved which does
not include coverage for domestic violence screening and treatment
services.
    ``(2) For purposes of this subsection, the term `domestic violence
screening and treatment services' has the meaning given such term in
section 1905(x) of the Social Security Act.''.
    (b) Effective Date.--The amendment made by subsection (a) shall
apply to contracts made, and plans approved, after the end of the 6-
month period beginning on the date of the enactment of this Act.

SEC. 4. MATERNAL AND CHILD HEALTH SERVICES BLOCK GRANT.

    (a) Requirement for Portion of Expenditures on Domestic Violence
Screening and Treatment.--Section 505(a)(5) of the Social Security Act
(42 U.S.C. 705(a)(5)) is amended--
            (1) by striking ``and'' at the end of subparagraph (E);
            (2) by striking the period at the end of subparagraph (F)
        and inserting ``; and''; and
            (3) by inserting after subparagraph (F) the following new
        subparagraph:
                    ``(G) the State will set aside a reasonable portion
                (based upon the State's previous use of funds under
                this title) of the funds provided for domestic violence
                screening and treatment services (as defined in section
                1902(x)).''.
    (b) Preference in Certain Funding.--Section 502(b)(2) of such Act
(42 U.S.C. 702(b)(2)) is amended by adding at the end the following new
subparagraph:
    ``(C) Of the amounts retained for projects described in
subparagraphs (A) through (F) of section 501(a)(3), the Secretary shall
provide preference to qualified applicants which demonstrate that the
activities to be carried out with such amounts includes training of
providers in how to screen for, and treat, domestic violence and
training that includes--
            ``(i) identifying victims of domestic violence and
        maintaining complete medical records that include documentation
        of the examination, treatment given, and referrals made, and
        recording the location and nature of the victim's injuries;
            ``(ii) examining and treating such victims, within the
        scope of the health professional's discipline, training, and
        practice (including medical advice regarding the dynamics and
        nature of domestic violence);
            ``(iii) assessing the immediate and short-term safety of
        the victim and assisting the victim in developing a plan to
        promote his or her safety; and
            ``(iv) referring the victim to public and private nonprofit
        private entities that provide services for such victims.''.
    (c) Reporting Data.--Section 506(a)(2) of such Act (42 U.S.C.
706(a)(2)) is amended by adding at the end the following new
subparagraph:
            ``(F) Information on how funds provided under this title
        are used to screen for and treat domestic violence.''.
    (d) Separate Program for Domestic Violence Screening and
Treatment.--Title V of such Act is amended by adding at the end the
following new section:

    ``separate program for domestic violence screening and treatment

    ``Sec. 511. (a) For the purpose described in subsection (b), the
Secretary shall, for fiscal year 2003 and each subsequent fiscal year,
allot to each State which has transmitted an application for the fiscal
year under section 505(a) an amount equal to the product of
            ``(1) the amount appropriated in subsection (d) for the
        fiscal year; and
            ``(2) the percentage determined for the State under section
        502(c)(1)(B)(ii).
    ``(b) The purpose of an allotment under subsection (a) to a State
is to enable the State to provide for domestic violence screening and
treatment, including the provision of domestic violence screening and
treatment services (as defined in section 1905(x)), increasing the
number of women screened, assessed, treated, and referred and including
training of health care providers on how to identify and respond to
victims of domestic violence.
    ``(c)(1) Sections 503, 507, and 508 apply to allotments under
subsection (a) to the same extent and in the same manner as such
sections apply to allotments under section 502(c).
    ``(2) Sections 505 and 506 apply to allotments under subsection (a)
to the extent determined by the Secretary to be appropriate.
    ``(d) For the purpose of allotments under subsection (a), there is
authorized to be appropriated for each fiscal year, beginning with
fiscal year 2003, such sums as may be necessary.''.
    (e) Effective Date.--The amendments made by subsections (a) and (b)
shall apply to fiscal years beginning after the date of the enactment
of this Act and the amendment made by subsection (c) shall apply to
annual reports submitted for such fiscal years.

Summary: Domestic Violence Screening and Treatment Act of 2002 - Amends title XIX (Medicaid) of the Social Security Act (SSA) to require that health benefits provided include coverage of domestic violence screening and treatment. Amends Federal civil service law to require the Office of Personal Management to require all contracted carriers of health coverage for Federal employees to include coverage for domestic violence screening and treatment services. Amends SSA title V to require States to set aside a reasonable portion of maternal and child health services block grant funds to provide for domestic violence screening and treatment services. Authorizes the Secretary of Health and Human Services, with respect to such funds retained for certain projects, to provide preference to State applicants who include training of providers in how to screen for, and treat, domestic violence. Requires the Secretary to allot funds to States to provide for a separate program for domestic violence screening and treatment.

To amend titles V and XIX of the Social Security Act and chapter 89 of title 5, United States Code, to provide coverage for domestic violence screening and treatment under the maternal and child health block grant program, the Medicaid Program, and the Federal employees health benefits program.