SECTION 1. SHORT TITLE.

    This Act may be cited as the ``NSA Internal Watchdog Act''.

SEC. 2. INSPECTOR GENERAL OF THE NATIONAL SECURITY AGENCY.

    (a) Elevation of Inspector General Status.--The Inspector General
Act of 1978 (5 U.S.C. App.) is amended--
            (1) in section 8G(a)(2), by striking ``the National
        Security Agency,''; and
            (2) in section 12--
                    (A) in paragraph (1), by inserting ``the Director
                of the National Security Agency;'' after ``Export-
                Import Bank;''; and
                    (B) in paragraph (2), by inserting ``the National
                Security Agency,'' after ``the National Aeronautics and
                Space Administration,''.
    (b) Date of Appointment.--Not later than 90 days after the date of
the enactment of this Act, the President shall nominate a person for
appointment, by and with the advice and consent of the Senate, as
Inspector General of the National Security Agency under section 3(a) of
the Inspector General Act of 1978 (5 U.S.C. App.) consistent with the
amendments made by subsection (a).
    (c) Transition Rule.--An individual serving as Inspector General of
the National Security Agency on the date of the enactment of this Act
pursuant to an appointment made under section 8G of the Inspector
General Act of 1978 (5 U.S.C. App.)--
            (1) may continue so serving until the President makes an
        appointment under section 3(a) of such Act with respect to the
        National Security Agency consistent with the amendments made by
        subsection (a); and
            (2) shall, while serving under paragraph (1), remain
        subject to the provisions of section 8G of such Act that,
        immediately before the date of the enactment of this Act,
        applied with respect to the Inspector General of the National
        Security Agency and suffer no reduction in pay.

SEC. 3. ANNUAL REVIEW OF MECHANISMS FOR REPORTING EMPLOYEE OR
              CONTRACTOR COMPLAINTS.

    Section 8H(g)(1) of the Inspector General Act of 1978 (5 U.S.C.
App.) is amended by adding at the end the following new subparagraph:
                    ``(E) In the case of the Inspector General of the
                National Security Agency, a review of the mechanisms
                for submitting complaints that are available to an
                employee of or contractor to the National Security
                Agency and any recommendations of the Inspector General
                for improving such mechanisms.''.

SEC. 4. SPECIAL PROVISIONS CONCERNING THE NATIONAL SECURITY AGENCY.

    The Inspector General Act of 1978 (5 U.S.C. App.) is amended by
inserting after section 8J the following new section:

``SEC. 8K. SPECIAL PROVISIONS CONCERNING THE NATIONAL SECURITY AGENCY.

    ``(a) General Counsel to the Inspector General.--
            ``(1) In general.--There is a General Counsel to the
        Inspector General of the National Security Agency, who shall be
        appointed by the Inspector General of the National Security
        Agency.
            ``(2) Duties.--The General Counsel to the Inspector General
        of the National Security Agency shall--
                    ``(A) serve as the chief legal officer of the
                Office of the Inspector General of the National
                Security Agency;
                    ``(B) provide legal services only to the Inspector
                General of the National Security Agency;
                    ``(C) perform such functions as the Inspector
                General may prescribe; and
                    ``(D) serve at the discretion of the Inspector
                General.
            ``(3) Office of the general counsel.--There is an Office of
        the General Counsel to the Inspector General of the National
        Security Agency. The Inspector General may appoint to the
        Office to serve as staff of the General Counsel such legal
        counsel as the Inspector General considers appropriate.
    ``(b) Testimony.--
            ``(1) Authority to compel.--The Inspector General of the
        National Security Agency is authorized to require by subpoena
        the attendance and testimony of former employees of the
        National Security Agency or contractors, former contractors, or
        former detailees to the National Security Agency as necessary
        in the performance of functions assigned to the Inspector
        General by this Act.
            ``(2) Refusal to obey.--A subpoena issued under this
        subsection, in the case of contumacy or refusal to obey, shall
        be enforceable by order of any appropriate United States
        district court.
            ``(3) Notification.--The Inspector General shall notify the
        Attorney General 7 days before issuing any subpoena under this
        section.
    ``(c) Prohibitions on Investigations for National Security
Reasons.--
            ``(1) Evaluations of prohibitions.--Not later than 7 days
        after the date on which the Inspector General of the National
        Security Agency receives notice or a statement under section
        8G(d)(2)(C) of the reasons the Secretary of Defense is
        prohibiting the Inspector General from initiating, carrying
        out, or completing any audit or investigation, the Inspector
        General shall submit to the Permanent Select Committee on
        Intelligence and the Committee on Armed Services of the House
        of Representatives and the Select Committee on Intelligence and
        the Committee on Armed Services of the Senate an evaluation of
        such notice or such statement.
            ``(2) Inclusion in semi-annual report.--The Inspector
        General shall include in the semiannual report prepared by the
        Inspector General in accordance with section 5(a) a description
        of the instances in which the Secretary of Defense prohibited
        the Inspector General from initiating, carrying out, or
        completing any audit or investigation during the period covered
        by such report.
    ``(d) Standard for Audits and Investigations.--In carrying out any
audit or investigation of a surveillance or data collection program,
the Inspector General shall--
            ``(1) assess the impact of such program on civil rights and
        civil liberties;
            ``(2) assess the effectiveness and use, including any
        improper or illegal use, of such program; and
            ``(3) make any recommendations the Inspector General
        considers appropriate to improve the protection of civil rights
        and civil liberties in the operation of such program.
    ``(e) Availability of Reports.--
            ``(1) Availability.--Each report to Congress or a committee
        of Congress by the Inspector General shall be made available to
        all Members of Congress.
            ``(2) Member of congress defined.--In this subsection, the
        term `Member of Congress' means a Senator, a Member of the
        House of Representatives, or a Delegate or Resident
        Commissioner to the Congress.''.

SEC. 5. AUDIT OF SURVEILLANCE PROGRAMS AND BACKGROUND INVESTIGATIONS.

    (a) Audit.--The Inspector General of the National Security Agency
appointed under section 3(a) of the Inspector General Act of 1978 (5
U.S.C. App.) consistent with the amendments made by section 2(a) of
this Act shall perform a comprehensive audit of--
            (1) the effectiveness and use, including improper or
        illegal use, of surveillance and data collection programs of
        the National Security Agency, including programs conducted
        pursuant to sections 501 and 702 of the Foreign Intelligence
        Surveillance Act of 1978 (50 U.S.C. 1861 and 1881a);
            (2) the interactions between the National Security Agency
        and the court established under section 103(a) of the Foreign
        Intelligence Surveillance Act of 1978 (50 U.S.C. 1803(a)),
        including the accuracy of the information provided to such
        court by the Agency and the compliance of the Agency with
        orders of such court; and
            (3) the process for conducting background investigations of
        persons for purposes of employment or potential employment by
        the National Security Agency or for receiving access to
        classified information.
    (b) Report.--Not later than 180 days after the date on which the
Inspector General of the National Security Agency is appointed under
section 3(a) of the Inspector General Act of 1978 (5 U.S.C. App.)
consistent with the amendments made by section 2(a) of this Act, the
Inspector General of the National Security Agency shall submit to the
Permanent Select Committee on Intelligence of the House of
Representatives and the Select Committee on Intelligence of the Senate
a report containing the results of the audit conducted under subsection
(a).
    (c) Rule of Construction.--Nothing in this section shall be
construed to alter the responsibility of the Inspector General of the
National Security Agency to conduct audits or investigations of the
surveillance programs of the National Security Agency and the
background investigation process for employment or access to classified
information on an ongoing basis in accordance with the Inspector
General Act of 1978 (5 U.S.C. App.).

Summary: NSA Internal Watchdog Act - Amends the Inspector General Act of 1978 to require the President to appoint, with advice and consent of the Senate, the Inspector General of the National Security Agency (NSA). Directs the Inspector General to include in an annual report to Congress a review of the mechanisms for NSA employees or contractors to submit complaints. Establishes a General Counsel to the NSA Inspector General, to be appointed by the Inspector General. Authorizes the Inspector General, after providing the Attorney General (DOJ) with seven days' advance notice, to subpoena the attendance and testimony of former NSA employees or NSA contractors, former contractors, or former detailees. Requires the Inspector General to provide Congress with an evaluation of any notice or statement of reasons the Inspector General receives from the Secretary of Defense (DOD) regarding the Secretary's exercise of authority in the interest of national security to prohibit the Inspector General from initiating, carrying out, or completing any audit or investigation. Directs the Inspector General, in carrying out any audit or investigation of a surveillance or data collection program, to assess the impact of such program on civil rights and liberties. Requires the Inspector General's reports to Congress to be made available to all Members of Congress. Directs the Inspector General to audit and report to Congress regarding the effectiveness and use of NSA surveillance and data collection programs, including programs under the Foreign Intelligence Surveillance Act of 1978 (FISA) that authorize: (1) the Federal Bureau of Investigation (FBI) to submit applications to the FISA court for an order requiring the production of tangible things. And (2) the Attorney General and the Director of National Intelligence (DNI), with the approval of the FISA court or under exigent circumstances, to authorize the targeting of persons located outside the United States. Requires such audit to address: (1) the interactions between the NSA and the FISA court, and (2) the process for conducting background investigations of persons for NSA employment or for receiving access to classified information.

NSA Internal Watchdog Act


SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Veterans' Health Care Eligibility
Reform Act of 1994''.

SEC. 2. VETERANS HEALTH CARE ELIGIBILITY REFORM.

    Chapter 17 of title 38, United States Code, is amended as follows:
            (1) Section 1701 is amended by adding at the end the
        following new paragraphs:
            ``(10) The term `continuum of health care' includes
        specialized treatment and rehabilitative services of the
        Department, including comprehensive prevention and health
        screening programs and services to treat needs of disabled
        veterans with spinal cord dysfunction, blindness, prosthetics,
        and mental illness.
            ``(11) The term `noninstitutional long-term care' includes
        the following services:
                    ``(A) Hospital-based home care.
                    ``(B) Adult day health care.
                    ``(C) Fee basis care.
                    ``(D) Hospice care.
                    ``(E) Homemaker services.
                    ``(F) Home health aid.
                    ``(G) Case management services.
                    ``(H) Congregate meals.
                    ``(I) Home delivered meals.
                    ``(J) Senior center services.
                    ``(K) Shopping and transportation services.
                    ``(L) Phone check services.''.
            (2) Section 1710(a)(1) is amended by striking out ``shall
        furnish'' and all that follows through ``which the'' and
        inserting in lieu thereof ``shall furnish a continuum of health
        care (including hospital care, outpatient medical services
        provided on an outpatient or ambulatory basis, and
        noninstitutional long-term care) which the''.
            (3) Subchapter II is amended by inserting after section
        1710 the following new section:
``Sec. 1710A. Institutional long-term care for certain veterans
    ``(a) The Secretary shall provide institutional nursing home care
to any veteran who is described in subparagraph (A) or (D) of section
1710(a)(1), or in subparagraph (C) of section 1712(a)(1), of this title
or who is in receipt of pension from the Secretary.
    ``(b) If a veteran who is provided nursing home care by reason of
subsection (a) is also eligible for payment for the costs of nursing
home care under a State plan title XIX of the Social Security Act, the
Secretary shall be entitled to recover from that State plan the amount
that the State plan would pay for that care if provided by an
authorized provider. For purposes of this subsection, the veteran shall
be deemed to have paid any deductible or copayment otherwise required
as a condition of payment by the State plan.''.
            (4) Section 1710(d) is amended by inserting ``1710A or''
        after ``section''.
            (5) Subchapter III is amended by inserting after section
        1729 the following new section:
``Sec. 1729A. Medicare coverage and reimbursement
    ``(a) For purposes of any program administered by the Secretary of
Health and Human Services under title XVIII of the Social Security Act,
a Department facility shall be deemed to be a Medicare provider.
    ``(b)(1) A VA medical center (or group of medical centers) shall be
considered to be a Medicare HMO.
    ``(2) For purposes of this section, the term `Medicare HMO' means
an eligible organization under section 1876 of the Social Security Act.
    ``(c) In the case of care for a non-service-connected disability
that is provided to a veteran who is eligible for benefits under the
Medicare program under title XVIII of the Social Security Act, the
Secretary of Health and Human Services shall reimburse a Department
health-care facility providing services as a Medicare provider or
Medicare HMO in the same amounts and under the same terms and
conditions as that Secretary reimburses other Medicare providers or
Medicare HMOs, respectively. The Secretary of Health and Human Services
shall include with each such reimbursement a Medicare explanation of
benefits.
    ``(d) In the case of a veteran whose eligibility for hospital care
from the Department is by reason of section 1710(a)(2) of this title,
the Secretary shall, when providing care to the veteran for which the
Secretary receives reimbursement under this section, require the
veteran to pay to the Department any applicable deductible or copayment
that is not covered by Medicare.''.

SEC. 3. PLAN FOR ENTITLEMENT TO INSTITUTIONAL NURSING HOME CARE FOR
              OTHER VETERANS.

    (a) Establishment of Plan.--The Secretary of Veterans Affairs shall
develop a plan to implement (over a specified period of years) the
provision of institutional long-term care for any veteran described in
subsection (b). The plan may provide for the provision of institutional
long-term care through facilities of the Department of Veterans Affairs
or through a long-term care insurance contract, or a combination
thereof. In specifying benefits, or a proposed range of benefits, under
the plan, the Secretary shall consider a representative range of the
different types of health benefits provisions (which include cost-
sharing) typically offered as long-term institutional care coverage in
the small employer health coverage market.
    (b) Covered Veterans.--The plan shall propose to cover any veteran
not covered by section 1710A of title 38, United States Code, as added
by section 2, who--
            (1) has a service-connected disability rated at less than
        50 percent;
            (2) has an annual income (as determined under section 1503
        of such title) that does not exceed three times the maximum
        annual rate of pension that would be applicable to the veteran
        if the veteran were eligible for pension under section 1521(d)
        of such title;
            (3) has a catastrophic nonservice-connected disability (as
        defined by the Secretary); or
            (4) requires institutional long-term care as a follow up to
        inpatient care, as authorized under section 1720 of this title.
    (c) Premiums and Copayments.--The plan shall include the
establishment of a schedule of premiums and copayments for care
provided through Department of Veterans Affairs institutional care
programs in effect on the day before the date of the enactment of this
Act. The plan shall specify a range of premiums and copayments that
would apply based upon different combinations of levels of payments by
the Government, copayments, and premiums, as specified in the plan.
    (d) Long-Term Care Insurance Contract.--For purposes of this
section, the term `long-term care insurance contract' means any
insurance contract issued if--
            (1) the only insurance protection provided under the
        contract is coverage of institutional long-term care services
        (as specified in the contract) and benefits incidental to such
        coverage,
            (2) the maximum benefit under the policy for expenses
        incurred for any day does not exceed $200,
            (3) the contract does not cover expenses incurred for
        services or items to the extent that such expenses are
        reimbursable under title XVIII of the Social Security Act or
        would be so reimbursable but for the application of a
        deductible or coinsurance amount,
            (4) the contract is guaranteed renewable,
            (5) the contract does not have any cash surrender value,
        and
            (6) all refunds of premiums, and all policyholder dividends
        or similar amounts, under the contract are to be applied as a
        reduction in future premiums or to increase future benefits.
    (e) Report to Congress.--Not later than September 30, 1996, the
Secretary shall submit to Congress a report on the plan. The report
shall include--
            (1) a cost analysis, including a range of premiums and
        copayments and Government cost-sharing;
            (2) a discussion of the cost of establishing a long-term
        care insurance program for veterans described in subsection (b)
        using contract authority (if such contract authority is
        provided by law); and
            (3) a draft of legislation to make any necessary changes in
        law to enable the Department to implement the plan.

SEC. 4. ENROLLMENT SYSTEM FOR OTHER PERSONS.

    (a) In General.--(1) Title 38, United States Code, is amended by
inserting after chapter 17 the following new chapter:

                   ``CHAPTER 18--VA GROUP HEALTH PLAN

``Sec.
``1801. Definitions.
``1802. VA Group Health Plan.
``1803. Enrollment.
``1804. Limitation on preexisting conditions.
``1805. Plan to be self supporting.
``1806. Annual report.
``Sec. 1801. Definitions
    ``For purposes of this chapter:
            ``(1) The term `eligible veteran' means any veteran other
        than a veteran eligible for health care under section
        1710(a)(1) of this title.
            ``(2) The term `VA enrollee' means an individual enrolled
        in the VA Group Health Plan.
``Sec. 1802. VA Group Health Plan
    ``(a) The Secretary shall administer a program of health insurance
under this chapter to be known as the VA Group Health Plan. The
Secretary may provide such insurance directly or may contract with an
insurance provider in the private sector for the provision of such
insurance. The plan may be established as a single, nation-wide plan or
as a composite of regional health insurance plans.
    ``(b) The Secretary shall establish and carry out the VA Group
Health Plan as a managed-care plan and so that it meets the following
requirements:
            ``(1) The plan shall be designed to be self-sustaining
        through required premiums, copayments, deductibles, and other
        charges, and without appropriated funds.
            ``(2) The plan shall provide such benefits as the Secretary
        determines.
    ``(c) The Secretary may award contracts under this section for the
operation of the VA Group plan.
    ``(d) The Secretary may provide treatment in Department facilities
for any enrollee, if cost effective.
``Sec. 1803. Enrollment
    ``(a) The following individuals are eligible to enroll in the VA
Group Health Plan:
            ``(1) Any eligible veteran.
            ``(2) The spouse or child of any veteran.
    ``(b)(1) The Secretary of Veterans Affairs shall establish an
enrollment (and disenrollment) process for the VA Group Health Plan in
accordance with this subsection. Such process shall be established in
consultation with veterans and other individuals to be served by the
plan.
    ``(2) For each eligible veteran, when the veteran first becomes
eligible to enroll in the VA Group Health Plan, there shall be an
initial enrollment period (of not less than 30 days) during which the
veteran may enroll in the plan.
    ``(3) The Secretary shall establish an annual period, of not less
than 30 days, during which eligible veterans may enroll in the VA Group
Health Plan.
    ``(4) If a veteran enrolls in the VA Group Health Plan, the veteran
may at the same time enroll, as a family enrollment, the veteran's
spouse and children in the plan.
    ``(5) In the case of individuals who through marriage, divorce,
birth or adoption of a child, or similar circumstances, experience a
change in family composition, the Secretary shall provide for a special
enrollment period in which the individual is permitted to change the
individual or family basis of coverage. The circumstances under which
such special enrollment periods are required and the duration of such
periods shall be specified by the Secretary.
    ``(6) The Secretary shall provide for a special transitional
enrollment period during which eligible individuals may first enroll.
    ``(c) Enrollment of the spouse (including a child of the spouse)
and any dependent child of an eligible veteran shall be considered to
be timely if a request for enrollment is made either--
            ``(1) within 30 days of the date of the marriage or of the
        date of the birth or adoption of a child, if family coverage is
        available as of such date, or
            ``(2) within 30 days of the date family coverage is first
        made available.
    ``(d) Family coverage shall become effective not later than the
first day of the first month beginning after the date of the marriage
or the date of birth or adoption of the child (as the case may be).
    ``(e) The Secretary may terminate coverage for nonpayment of
premiums.
    ``(f) Coverage of a spouse under a policy under this chapter may
not be canceled by reason of the death of the veteran unless the
surviving spouse remarries.
``Sec. 1804. Limitation on preexisting conditions
    ``(a) The VA Group Health Plan may not impose (and an insurer under
that plan may not require the Secretary impose through a waiting period
for coverage under the plan or similar requirement) a limitation or
exclusion of benefits relating to treatment of a condition based on the
fact that the condition preexisted the effective date of the plan with
respect to an individual if--
            ``(1) the condition relates to a condition that was not
        diagnosed or treated within three months before the date of
        coverage under the plan;
            ``(2) the limitation or exclusion extends over more than
        six months after the date of coverage under the plan;
            ``(3) the limitation or exclusion applies to an individual
        who, as of the date of birth, was covered under the plan; or
            ``(4) the limitation or exclusion relates to pregnancy.
In the case of an individual who is eligible for coverage under a plan
but for a waiting period imposed by the employer, in applying
paragraphs (1) and (2), the individual shall be treated as having been
covered under the plan as of the earliest date of the beginning of the
waiting period.
    ``(b)(1) The Secretary, for purposes of the VA Group Health Plan,
shall waive any period applicable to a preexisting condition for
similar benefits with respect to an individual to the extent that the
individual, before the date of such individual's enrollment in such
plan, was covered for the condition under any other health plan that
was in effect before such date.
    ``(2) Paragraph (1) shall no longer apply if there is a continuous
period of more than 60 days (or, in the case of an individual who loses
coverage under a group health plan due to termination of employment,
six months) on which the individual was not covered under a group
health plan.
    ``(3) In applying paragraph (2), any waiting period imposed by an
employer before an employee is eligible to be covered under a plan
shall be treated as a period in which the employee was covered under a
group health plan.
``Sec. 1805. Plan to be self supporting
    ``The Secretary shall administer the VA Group Health Plan so as to
ensure that no appropriated funds are required for the operation of the
plan (other than as necessary for startup and transition costs). The
Secretary shall establish such premiums, copayments, and other charges
for the plan as necessary.
``Sec. 1806. Annual report
    ``(a) The Secretary shall submit to Congress an annual report on
the VA Group Health Plan. The report shall provide information on
prices, health outcomes, and enrollee satisfaction under the plan and
any other information the Secretary considers appropriate concerning
the quality of the plan, including a breakdown of the portion of
premiums under the plan that are attributable to the overhead
operations of the plan.
    ``(b) The report shall be submitted each year before the annual
general enrollment period. The Secretary shall make such report
available to other interested persons.''.
    (2) The table of chapters at the beginning of part II of title 38,
United States Code, is amended by inserting after the item relating to
chapter 17 the following new item:

``18. VA Group Health Plan..................................   1801.''.
    (b) Initial Report.--The initial report of the Secretary of
Veterans Affairs under section 1806 of title 38, United States Code, as
added by subsection (a), shall be submitted no later than September 30,
1995. The report shall include a cost analysis for the plan and a range
of premiums and copayments that may be implemented under the plan.

SEC. 5. MANAGED CARE SYSTEM OF HEALTH DELIVERY.

    (a) Chapter 73 of title 38, United States Code, is amended by
inserting after section 7306 the following new sections:
``Sec. 7307. Managed care
    ``(a) The Secretary shall administer the health programs of the
Veterans Health Administration through use of the model of medical
practice known as `managed care'.
    ``(b) In implementing a managed care system, the Under Secretary
shall, to the extent possible--
            ``(1) shift the focus of care provided by the Veterans
        Health Administration to primary care;
            ``(2) establish enhanced quality assurance mechanisms; and
            ``(3) establish utilization review procedures to prevent
        inefficient practices.
``Sec. 7308. Veterans Service Areas
    ``The Secretary shall organize the health care delivery services
and resources of the Veterans Health Administration into geographic
regions to be known as Veterans Service Areas.''.
    (b) The table of sections at the beginning of such chapter is
amended by inserting after the item relating to section 7306 the
following new items:

``7307. Managed care.
``7308. Veterans Service Areas.''.
    (c) If, as of the date of the enactment of this Act, the position
of Under Secretary for Health of the Department of Veterans Affairs is
vacant, the provisions of section 7308 of title 38, United States Code,
as added by subsection (a), shall not take effect until an individual
is appointed to that position.

SEC. 6. AUTHORIZATION OF APPROPRIATIONS.

    There are authorized to be appropriated to the Secretary of
Veterans Affairs for each of fiscal years 1995 through 1999 (in
constant fiscal year 1995 dollars)--
            (1) $200,000,000 to acquire medical equipment to relieve
        the existing medical equipment backlog in Department of
        Veterans Affairs medical facilities; and
            (2) $500,000,000 for improvements of infrastructure,
        patient care amenities, primary care services, and personnel
        and for medical facility construction projects (subject to
        section 8104 of title 38, United States Code).

Summary: Veterans' Health Care Eligibility Reform Act of 1994 - Defines continuum of health care and noninstitutional long-term care under veterans' health care provisions. Directs the Secretary of Veterans Affairs to provide a continuum of health care to veterans eligible for veterans' benefits. Directs the Secretary to provide institutional nursing home care to certain disabled veterans or those in receipt of a veterans' pension. Allows for recovery of nursing home care costs by the Secretary if the veteran is also eligible for such care through a State plan under title XIX (Medicaid) of the Social Security Act. Designates a Department of Veterans Affairs facility as a Medicare provider for purposes of any program administered by the Secretary of Health and Human Services (HHS) under title XVIII (Medicare) of the Social Security Act. Declares a Department medical center as a Medicare HMO. Directs the HHS Secretary to reimburse a Department facility or medical center for providing services as a Medicare provider in the case of care for a non-service-connected disability of a veteran eligible for Medicare benefits. Directs the Secretary to develop a plan to implement the provision of institutional long-term care for veterans who: (1) have a service-connected disability of less than 50 percent, (2) have an annual income below a formulated amount, (3) have a catastrophic nonservice-connected disability. Or (4) require such care as a follow-up to inpatient care. Outlines, with respect to such care, provisions concerning: (1) premiums and copayments for covered veterans, (2) the issuance of a long-term care insurance contract. And (3) a report from the Secretary to the Congress on the costs of the plan and the insurance contract and legislation required for plan implementation. Directs the Secretary to administer a program of health insurance known as the VA Group Health Plan as a managed-care plan meeting specified requirements. Allows any eligible veteran and his or her spouse or child to be enrolled in the Plan. Provides Plan enrollment requirements. Prohibits the Plan from imposing a limitation or exclusion of benefits relating to treatment for certain preexisting conditions. Directs the Secretary to administer the Plan so that no appropriated funds are required for Plan operation. Requires an annual report to the Congress by the Secretary on Plan operation, as well as an initial report. Directs the Secretary to administer the health programs of the Veterans Health Administration (VHA) through use of a managed care medical practice model, with limitations. Directs the Secretary to organize the VHA health care delivery and resources into geographic regions known as veterans service areas. Authorizes appropriations to the Secretary for FY 1995 through 1999 for: (1) acquiring medical equipment to relieve existing medical equipment backlogs in Department facilities. And (2) infrastructure improvement, patient care amenities, primary care services and personnel, and medical facility construction projects.


SECTION 1. TEACHER RECRUITMENT.

    (a) Future Math and Science Teacher Recruitment.--Title X of the
Elementary and Secondary Education Act of 1965 (20 U.S.C. 1102 et seq.)
is amended by adding at the end the following new part:

         ``PART L--FUTURE MATH AND SCIENCE TEACHER RECRUITMENT

``SEC. 10995A. SHORT TITLE; FINDINGS.

    ``(a) Short Title.--This part may be cited as the `Recruit and
Reward Future Math and Science Teachers of America Act of 2000'.
    ``(b) Findings.--Congress finds the following:
            ``(1) United States high school students rate 16th and
        19th, respectively, in science and math out of 21 countries.
            ``(2) Of United States high school students who take
        physical science and math courses, 56 percent and 27 percent,
        respectively, are taught by teachers who did not prepare in
        that field.
            ``(3) Teachers' knowledge and skills powerfully influence
        student learning.
            ``(4) More than 2,000,000 teachers will need to be hired
        over the next decade.
            ``(5) The ability of the United States to place highly
        qualified math and science teachers specializing in their field
        of instruction will depend on proactive policies that increase
        funding for teacher training, recruitment, and induction.

``SEC. 10995B. PURPOSE; APPROPRIATIONS AUTHORIZED.

    ``(a) Purpose.--It is the purpose of this part to make grants
available, through a pilot program, to eligible institutions described
in section 10995C, to enable such institutions to provide 500
scholarship awards to outstanding students enrolled in an accredited
teacher training graduate program who are committed to pursuing careers
teaching math and science at an urban or rural secondary level
classroom.
    ``(b) Authorization of Appropriations.--There are authorized to be
appropriated to carry out this part $5,000,000 in each of the fiscal
years 2001, 2002, and 2003.

``SEC. 10995C. SCHOLARSHIP DESIGNATION AND SELECTION CRITERIA.

    ``(a) Scholarship Designation.--Funds made available under this
part shall be designated as the `National Math and Science Teacher
Scholarships'.
    ``(b) Selection Criteria.--The Secretary of Education may award
funds for National Math and Science Teacher Scholarships on a
competitive basis to qualifying higher education institutions with
graduate programs in teacher training. The Secretary may not provide
any individual higher education institution more than $100,000 per
academic year for the purpose of the National Math and Science Teacher
Scholarships. An institution applying for such scholarships may only be
eligible to receive funds if such institution is ranked by the
Secretary in the top 25 percent of schools in the State in which the
institution is located with the highest percentage of graduates passing
the State teacher qualification assessment for new teachers.
Notwithstanding the preceding sentence, if there are fewer than 4 such
institutions in a State, only the institution with the highest
percentage of such graduates shall be eligible to receive funding.
    ``(c) Priorities.--The Secretary shall give priority to eligible
institutions that meet 1 or more of the following criteria:
            ``(1) Provide a year long internship program in a
        professional development school.
            ``(2) Provide mentoring programs for novice teachers in
        their first 3 years.
            ``(3) Demonstrate a history of placing graduates in rural
        and urban schools.
            ``(4) Demonstrate that there is a high retention rate of
        teachers that the institution places in teaching positions.

``SEC. 10995D. INDIVIDUAL SCHOLARSHIP ELIGIBILITY.

    ``An individual may be eligible for a National Math and Science
Teacher Scholarship only if such individual--
            ``(1) is a citizen or national of the United States or an
        alien lawfully admitted to the United States for permanent
        residence;
            ``(2) is majoring in a physical or life science or
        mathematics graduate teacher training program;
            ``(3) is enrolled in a higher education institution that--
                    ``(A) is ranked by the Secretary in the top 25
                percent of schools in the State in which the
                institution is located with the highest percentage of
                graduates passing the State teacher qualification
                assessment for new teachers; or
                    ``(B) if there are are fewer than 4 such
                institutions in a State, is the institution with the
                highest percentage of such graduates; and
            ``(4) is willing to teach math or science in a rural or
        urban public secondary school for no less than 3 full academic
        years.

``SEC. 10995E. SCHOLARSHIP AMOUNT.

    ``(a) Amount of Award.--
            ``(1) In general.--The amount of a scholarship awarded by
        participating teacher training graduate programs under this
        part for any academic year shall be $10,000 per student, except
        that in no case shall the total amount of the scholarship
        exceed the total cost of attendance.
            ``(2) Insufficient funds.--In any fiscal year in which the
        amount appropriated to carry out this part is insufficient to
        award 500 scholarships, the Secretary shall reduce the number
        of awards to eligible institutions.
    ``(b) Assistance Not To Exceed Cost of Attendance.--No individual
shall receive an award under this part in any academic year which
exceeds the cost of attendance. A scholarship awarded under this part
shall not be reduced on the basis of the student's receipt of other
forms of Federal student financial assistance.

``SEC. 10995F. AGREEMENT; SCHOLARSHIP REPAYMENT PROVISIONS.

    ``(a) Agreement.--Recipients of the National Math and Science
Teachers Scholarships shall agree to teach in an urban or rural public
secondary school for no less than 3 full academic years.
    ``(b) Repayment for Failure To Fulfill Agreement.--Any recipients
of a Scholarship found by the Secretary to be in noncompliance with the
agreement entered into under subsection (a) of this section shall be
required to repay a pro rata amount of the scholarship awards received,
plus interest and, where applicable, reasonable collection fees, on a
schedule and at a rate of interest prescribed by the Secretary by
regulations.

``SEC. 10995G. EXCEPTIONS TO REPAYMENT PROVISIONS.

    ``An individual recipient of a Scholarship under this part shall
not be considered in violation of the agreement entered into pursuant
to section 10995F during any period in which the recipient--
            ``(1) is pursuing a full-time course of study in math and
        science at an accredited institution;
            ``(2) is serving, not in excess of 3 years, as a member of
        the armed services of the United States;
            ``(3) is temporarily disabled for a period of time not to
        exceed 3 years as established by sworn affidavit of a qualified
        physician;
            ``(4) is seeking and unable to find full-time employment
        for a single period not to exceed 12 months;
            ``(5) is seeking and unable to find full-time employment as
        a math and science teacher in a public or private nonprofit
        elementary or secondary school or education program for a
        single period not to exceed 27 months;
            ``(6) satisfies the provision of additional repayment
        exceptions that may be prescribed by the Secretary in
        regulations issued pursuant to this section; or
            ``(7) is permanently totally disabled, as established by
        sworn affidavit of a qualified physician.

``SEC. 10995H. REPORT TO CONGRESS.

    ``Three years after the date on which funds are first made
available to carry out this part, the Secretary of Education shall
submit a report to Congress evaluating the success of the National Math
and Science Teacher Scholarships pilot program in recruiting math and
science teachers to teach in America's public secondary schools.''.

Summary: Makes available 500 scholarship grants and stipends to outstanding students enrolled in nationally accredited teacher training graduate programs who are committed to pursuing such careers in secondary school mathematics and science teaching. Authorizes appropriations. Designates funds under this Act as National Math and Science Teacher Scholarships. Authorizes the Secretary of Education to award funds for such scholarships on a competitive basis to qualifying higher education institutions with graduate programs in teacher training. Limits the amount of such funds in any academic year which may be awarded to any individual higher education institution. Makes an institution eligible for such funds only if it is ranked by the Secretary in the top 25 percent of schools in its State with the highest percentage of graduates passing the State teacher qualification assessment for new teachers. Directs the Secretary to give priority to eligible institutions that have one or more of these: (1) a year-long internship program in a professional development school. (2) mentoring programs for novice teachers in their first three years. (3) a history of placing graduates in rural and urban schools. And (4) a high retention rate of teachers that the institution places in teaching positions. Sets forth eligibility requirements for individual scholarships. Limits the scholarship amount per student to $10,000 per academic year. Requires scholarship recipients to agree to teach in an urban or rural public secondary school for at least three full academic years, or repay the pro rata amount of awards received, plus interest, for any failure to fulfill such obligation. Sets forth exceptions to such repayment requirements.


SECTION 1. TWO-YEAR ELIGIBILITY FOR DEPARTMENT OF VETERANS AFFAIRS
              HEALTH CARE FOR MEMBERS OF THE ARMED FORCES SERVING IN
              AREAS AFFECTED BY HURRICANES KATRINA AND RITA.

    Section 1710(e) of title 38, United States Code, is amended--
            (1) by adding at the end of paragraph (1) the following new
        subparagraph:
    ``(F) Subject to paragraphs (2) and (3), a member of the Armed
Forces (including a member ordered to duty under section 502(f) of
title 32) who is performing duty in response to a disaster or emergency
declaration under the Robert T. Stafford Disaster Relief and Emergency
Assistance Act (42 U.S.C. 5121 et seq.) after August 28, 2005, in an
area affected by Hurricane Katrina or Hurricane Rita is eligible for
hospital care, medical services, and nursing home care under subsection
(a)(2)(F) for any disability, notwithstanding that there is
insufficient medical evidence to conclude that such disability is
attributable to such duty.'';
            (2) by adding at the end of paragraph (2) the following new
        subparagraph:
    ``(C) In the case of a member of the Armed Forces described in
paragraph (1)(F), hospital care, medical services, and nursing home
care may not be provided under subsection (a)(2)(F) with respect to a
disability that is found, in accordance to guidelines issued by the
Under Secretary for Health, to have resulted from a cause other than
duty described in that paragraph.'';
            (3) in paragraph (3)--
                    (A) by striking ``and'' at the end of subparagraph
                (C);
                    (B) by striking the period at the end of
                subparagraph (D) and inserting ``; and''; and
                    (C) by adding at the end the following new
                subparagraph:
            ``(E) in the case of care for a veteran described in
        paragraph (1)(F), after a period of two years beginning on the
        date of the veteran's discharge or release from duty described
        in that paragraph.''; and
            (4) by adding at the end of paragraph (4) the following new
        subparagraph:
                    ``(C) The term `area affected by Hurricane Katrina
                or Hurricane Rita' means an area designated for
                individual assistance or public assistance by Federal
                Disaster Declaration notice 1602, 1603, 1604, 1605,
                1606, or 1607 issued by the Director of the Federal
                Emergency Management Agency in August and September
                2005.''.

SEC. 2. HEALTH ASSESSMENT OF SERVICEMEMBERS EXPOSED TO ENVIRONMENTAL
              HAZARDS ASSOCIATED WITH DUTY IN AREAS AFFECTED BY
              HURRICANES KATRINA AND RITA.

    (a) Purpose.--The purpose of this section is to provide for the
National Academy of Sciences, an independent nonprofit scientific
organization with appropriate expertise which is not part of the
Federal Government, to review and make recommendations for health
surveillance of members of the uniformed services who may be exposed to
environmental hazards as the result of duty in areas affected by
Hurricanes Katrina and Rita in 2005.
    (b) Assessment by National Academy of Sciences.--The Secretary of
Veterans Affairs and the Secretary of Defense shall seek to enter into
an agreement with the National Academy of Sciences for the Academy to
perform the activities specified in this section. The Secretaries shall
seek to enter into the agreement not later than 60 days after the date
of the enactment of this Act.
    (c) Duties Under Agreement.--Under the agreement under subsection
(b), the National Academy of Sciences shall do the following:
            (1) Review and assess available data on environmental
        exposures and adverse health effects that could reasonably be
        expected to be incurred by members of the uniformed services
        assigned to duty (including duty under section 502(f) of title
        32, United States Code) during the period beginning August 28,
        2005, and ending on December 31, 2005, in any county designated
        by the Director of the Federal Emergency Management Agency as a
        Federal disaster county for individual or public assistance as
        the result of Hurricane Katrina or Hurricane Rita.
            (2) Describe the appropriate criteria for identification of
        members of the uniformed services covered by paragraph (1) and
        appropriate data to be collected and maintained for such
        members and make recommendations for the development of a
        registry which could be used to monitor morbidity and mortality
        data for such members.
            (3) Make recommendations concerning the establishment,
        location, and content of a data registry and policies and
        procedures for the ongoing periodic health surveillance of
        members covered by paragraph (1).
    (d) Report.--Not later than 180 days after the date of the entry
into effect of the agreement referred to in subsection (a), the
National Academy of Sciences shall submit to the Secretaries a report
on the activities of the National Academy of Sciences under the
agreement, including the results of the activities specified in
subsection (c).
    (e) Recommendations for Additional Scientific Studies.--The Academy
shall make any recommendations it has for additional scientific studies
to resolve areas of continuing scientific uncertainty relating to
environmental toxic exposure in hurricane affected areas referred to in
subsection (c)(1). In making recommendations for further study, the
Academy shall consider the scientific information that is currently
available, the value and relevance of the information that could result
from additional studies, and the cost and feasibility of carrying out
such additional studies.
    (f) Alternative Contract Scientific Organization.--If the
Secretaries are unable within the time period prescribed in subsection
(b) to enter into an agreement with the National Academy of Sciences
for the purposes of this section on terms acceptable to the
Secretaries, the Secretaries shall seek to enter into an agreement for
the purposes of this section with another appropriate scientific
organization that is not part of the Government and operates as a not-
for-profit entity and that has expertise and objectivity comparable to
that of the National Academy of Sciences. If the Secretaries enter into
such an agreement with another organization, then any reference in this
section to the National Academy of Sciences shall be treated as a
reference to the other organization.

SEC. 3. ANNUAL REPORT ON HEALTH CARE FROM THE DEPARTMENT OF VETERANS
              AFFAIRS TO HURRICANE-AFFECTED MEMBERS OF THE NATIONAL
              GUARD.

    (a) Data Base.--The Secretary of Veterans Affairs shall develop and
maintain a data base of members of the Armed Forces who are provided
health care by the Department of Veterans Affairs pursuant to section
1710(e)(1)(F) of title 38, United States Code, as added by section 1.
    (b) Annual Report.--Not later than January 1 of each year from 2007
through 2009, the Secretary shall submit to the Committees on Veterans'
Affairs of the Senate and House of Representatives a report on members
of the Armed Forces who are provided health care by the Department of
Veterans Affairs pursuant to section 1710(e)(1)(F) of title 38, United
States Code, as added by section 1. Each such report shall include the
following:
            (1) The total number of veterans who sought treatment in
        Department of Veterans Affairs health care facilities pursuant
        to section 1710(e)(1)(F) of title 38, United States Code, as
        added by section 1, during the preceding fiscal year and
        cumulatively, set forth by the number of veterans per fiscal
        year and the health-care eligibility category under which such
        care was provided.
            (2) The cost of health care furnished to veterans pursuant
        to such section during the preceding fiscal year and
        cumulatively, including the costs for veterans who would not
        have been eligible for enrollment for such care under
        limitations imposed by the Secretary of Veterans Affairs for
        veterans eligible for health care from the Department only
        under section 1710(a)(3) of title 38, United States Code.

Summary: Makes a member of the Armed Forces who is performing duty in response to a disaster or emergency declaration after August 28, 2005, in an area affected by Hurricane Katrina or Rita eligible for hospital care, medical services, and nursing home care for any disability, notwithstanding insufficient medical evidence to conclude that the disability is attributable to such duty. Prohibits such care or services with respect to a disability found to have resulted from a cause other than such duty. Terminates eligibility two years after the member's discharge or release from such duty. Directs the Secretaries of Defense and Veterans Affairs to enter into an agreement with the National Academy of Sciences to review and make recommendations for the health surveillance of members who may be exposed to environmental hazards as the result of duty in areas affected by Hurricanes Katrina and Rita in 2005. Requires the Secretary of Veterans Affairs to maintain a database of members provided health care by the Department of Veterans Affairs pursuant to such duty.

To amend title 38, United States Code, to provide additional authority for the Secretary of Veterans Affairs to provide health care for a period of two years to members of the Armed Forces (including members of the National Guard serving under State authority) who serve in areas affected by Hurricane Katrina and Hurricane Rita, to provide for the Secretary of Veterans Affairs and the Secretary of Defense to enter into an agreement with the National Academy of Sciences to survey and assess the potential health consequences of service by members in those areas, and for other purposes.