SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Essential Access Community Hospital
(EACH) Amendments of 1993''.

SEC. 2. ESSENTIAL ACCESS COMMUNITY HOSPITAL (EACH) AMENDMENTS.

    (a) Increasing Number of Participating States.--Section 1820(a)(1)
(42 U.S.C. 1395i-4(a)(1)) is amended by striking ``7'' and inserting
``9''.
    (b) Treatment of Inpatient Hospital Services Provided in Rural
Primary Care Hospitals.--
            (1) In general.--Section 1820(f)(1)(F) (42 U.S.C. 1395i-
        4(f)(1)(F)) is amended to read as follows:
                    ``(F) subject to paragraph (4), provides not more
                than 6 inpatient beds (meeting such conditions as the
                Secretary may establish) for providing inpatient care
                to patients requiring stabilization before discharge or
                transfer to a hospital, except that the facility may
                not provide any inpatient hospital services--
                            ``(i) to any patient whose attending
                        physician does not certify that the patient may
                        reasonably be expected to be discharged or
                        transferred to a hospital within 72 hours of
                        admission to the facility; or
                            ``(ii) consisting of surgery or any other
                        service requiring the use of general anesthesia
                        (other than surgical procedures specified by
                        the Secretary under section 1833(i)(1)(A)),
                        unless the attending physician certifies that
                        the risk associated with transferring the
                        patient to a hospital for such services
                        outweighs the benefits of transferring the
                        patient to a hospital for such services.''.
            (2) Limitation on average length of stay.--Section 1820(f)
        (42 U.S.C. 1395i-4(f)) is amended by adding at the end the
        following new paragraph:
            ``(4) Limitation on average length of inpatient stays.--The
        Secretary may terminate a designation of a rural primary care
        hospital under paragraph (1) if the Secretary finds that the
        average length of stay for inpatients at the facility during
        the previous year in which the designation was in effect
        exceeded 72 hours. In determining the compliance of a facility
        with the requirement of the previous sentence, there shall not
        be taken into account periods of duty of inpatients in excess
        of 72 hours to the extent such periods exceed 72 hours because
        transfer to a hospital is precluded because of inclement
        weather or other emergency conditions.''.
            (3) Conforming amendment.--Section 1814(a)(8) (42 U.S.C.
        1395f(a)(8)) is amended by striking ``such services'' and all
        that follows and inserting ``the individual may reasonably be
        expected to be discharged or transferred to a hospital within
        72 hours after admission to the rural primary care hospital.''.
            (4) GAO reports.--Not later than 2 years after the date of
        the enactment of this Act, the Comptroller General shall submit
        reports to Congress on--
                    (A) the application of the requirements under
                section 1820(f) of the Social Security Act (as amended
                by this subsection) that rural primary care hospitals
                provide inpatient care only to those individuals whose
                attending physicians certify may reasonably be expected
                to be discharged within 72 hours after admission and
                maintain an average length of inpatient stay during a
                year that does not exceed 72 hours; and
                    (B) the extent to which such requirements have
                resulted in such hospitals providing inpatient care
                beyond their capabilities or have limited the ability
                of such hospitals to provide needed services.
    (c) Designation of Hospitals.--
            (1) Permitting designation of hospitals located in urban
        areas.--
                    (A) In general.--Section 1820 (42 U.S.C. 1395i-4)
                is amended--
                            (i) by striking paragraph (1) of subsection
                        (e) and redesignating paragraphs (2) through
                        (6) as paragraphs (1) through (5); and
                            (ii) in subsection (e)(1)(A) (as
                        redesignated by subparagraph (A))--
                                    (I) by striking ``is located'' and
                                inserting ``except in the case of a
                                hospital located in an urban area, is
                                located'',
                                    (II) by striking ``, (ii)'' and
                                inserting ``or (ii)'',
                                    (III) by striking ``or (iii)'' and
                                all that follows through ``section,'',
                                and
                                    (IV) in subsection (i)(1)(B), by
                                striking ``paragraph (3)'' and
                                inserting ``paragraph (2)''.
                    (B) No change in medicare prospective payment.--
                Section 1886(d)(5)(D) (42 U.S.C. 1395ww(d)(5)(D)) is
                amended--
                            (i) in clause (iii)(III), by inserting
                        ``located in a rural area and'' after ``that
                        is'', and
                            (ii) in clause (v), by inserting ``located
                        in a rural area and'' after ``in the case of a
                        hospital''.
            (2) Permitting hospitals located in adjoining states to
        participate in state program.--
                    (A) In general.--Section 1820 (42 U.S.C. 1395i-4)
                is amended--
                            (i) by redesignating subsection (k) as
                        subsection (l); and
                            (ii) by inserting after subsection (j) the
                        following new subsection:
    ``(k) Eligibility of Hospitals Not Located in Participating
States.--Notwithstanding any other provision of this section--
            ``(1) for purposes of including a hospital or facility as a
        member institution of a rural health network, a State may
        designate a hospital or facility that is not located in the
        State as an essential access community hospital or a rural
        primary care hospital if the hospital or facility is located in
        an adjoining State and is otherwise eligible for designation as
        such a hospital;
            ``(2) the Secretary may designate a hospital or facility
        that is not located in a State receiving a grant under
        subsection (a)(1) as an essential access community hospital or
        a rural primary care hospital if the hospital or facility is a
        member institution of a rural health network of a State
        receiving a grant under such subsection; and
            ``(3) a hospital or facility designated pursuant to this
        subsection shall be eligible to receive a grant under
        subsection (a)(2).''.
                    (B) Conforming amendments.--(i) Section 1820(c)(1)
                (42 U.S.C. 1395i-4(c)(1)) is amended by striking
                ``paragraph (3)'' and inserting ``paragraph (3) or
                subsection (k)''.
                    (ii) Paragraphs (1)(A) and (2)(A) of section
                1820(i) (42 U.S.C. 1395i-4(i)) are each amended--
                            (I) in clause (i), by striking ``(a)(1)''
                        and inserting ``(a)(1) (except as provided in
                        subsection (k))'', and
                            (II) in clause (ii), by striking
                        ``subparagraph (B)'' and inserting
                        ``subparagraph (B) or subsection (k)''.
    (d) Skilled Nursing Services in Rural Primary Care Hospitals.--
Section 1820(f)(3) (42 U.S.C. 1395i-4(f)(3)) is amended by striking
``because the facility'' and all that follows and inserting the
following: ``because, at the time the facility applies to the State for
designation as a rural primary care hospital, there is in effect an
agreement between the facility and the Secretary under section 1883
under which the facility's inpatient hospital facilities are used for
the furnishing of extended care services, except that the number of
beds used for the furnishing of such services may not exceed the total
number of licensed inpatient beds at the time the facility applies to
the State for such designation (minus the number of inpatient beds used
for providing inpatient care pursuant to paragraph (1)(F)). For
purposes of the previous sentence, the number of beds of the facility
used for the furnishing of extended care services shall not include any
beds of a unit of the facility that is licensed as a distinct-part
skilled nursing facility at the time the facility applies to the State
for designation as a rural primary care hospital.''.
    (e) Payment for Outpatient Rural Primary Care Hospital Services.--
Section 1834(g)(1) (42 U.S.C. 1395m(g)(1)) is amended by adding at the
end the following: ``The amount of payment shall be determined under
either method without regard to the amount of the customary or other
charge.''.
    (f) Clarification of Physician Staffing Requirement for Rural
Primary Care Hospitals.--Section 1820(f)(1)(H) (42 U.S.C. 1395i-
4(f)(1)(H)) is amended by striking the period and inserting the
following: ``, except that in determining whether a facility meets the
requirements of this subparagraph, subparagraphs (E) and (F) of that
paragraph shall be applied as if any reference to a `physician' is a
reference to a physician as defined in section 1861(r)(1).''.
    (g) Technical Amendments Relating to Part A Deductible,
Coinsurance, and Spell of Illness.--(1) Section 1812(a)(1) (42 U.S.C.
1395d(a)(1)) is amended--
            (A) by striking ``inpatient hospital services'' the first
        place it appears and inserting ``inpatient hospital services or
        inpatient rural primary care hospital services'';
            (B) by striking ``inpatient hospital services'' the second
        place it appears and inserting ``such services''; and
            (C) by striking ``and inpatient rural primary care hospital
        services''.
    (2) Sections 1813(a) and 1813(b)(3)(A) (42 U.S.C. 1395e(a),
1395e(b)(3)(A)) are each amended by striking ``inpatient hospital
services'' each place it appears and inserting ``inpatient hospital
services or inpatient rural primary care hospital services''.
    (3) Section 1813(b)(3)(B) (42 U.S.C. 1395e(b)(3)(B)) is amended by
striking ``inpatient hospital services'' and inserting ``inpatient
hospital services, inpatient rural primary care hospital services''.
    (4) Section 1861(a) (42 U.S.C. 1395x(a)) is amended--
            (A) in paragraph (1), by striking ``inpatient hospital
        services'' and inserting ``inpatient hospital services,
        inpatient rural primary care hospital services''; and
            (B) in paragraph (2), by striking ``hospital'' and
        inserting ``hospital or rural primary care hospital''.
    (h) Authorization of Appropriations.--Section 1820(k) (42 U.S.C.
1395i-4(k)) is amended by striking ``1990, 1991, and 1992'' and
inserting ``1990 through 1995''.
    (i) Effective Date.--The amendments made by this section shall take
effect on the date of the enactment of this Act.

Summary: Essential Access Community Hospital (EACH) Amendments of 1993 - Amends title XVIII (Medicare) of the Social Security Act to make miscellaneous and technical changes with respect to Medicare's Essential Access Community Hospital Program and other Medicare provisions, including those relating to Medicare part A deductibles and co-payments. Authorizes appropriations.


SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Opioids and STOP Pain Initiative
Act''.

SEC. 2. ESTABLISHMENT.

    There is established an Opioids and STOP Pain Initiative, to be
administered by the Director of the National Institutes of Health, in
coordination with other agencies, as appropriate, which shall include
efforts to support research on the following:
            (1) Section 108 of the Comprehensive Addiction and Recovery
        Act of 2016 (42 U.S.C. 284q-1), known as the STOP Pain Act,
        which directs the National Institutes of Health to intensify
        and coordinate fundamental, translational, and clinical
        research with respect to--
                    (A) the understanding of pain;
                    (B) the discovery and development of therapies for
                chronic pain; and
                    (C) the development of alternatives to opioids for
                effective pain treatments.
            (2) Developing improved options and evidence for
        medication-assisted treatment.
            (3) Developing improved options and evidence for opioid
        overdose reversal treatments.
            (4) The Federal Pain Research Strategy, including research
        that focuses on--
                    (A) novel drugs, non-addictive, and non-
                pharmacological treatments for pain;
                    (B) screening tools and outcome measures for
                assessments across the continuum of pain;
                    (C) national registries, datasets, and research
                networks;
                    (D) effective models of care delivery for pain
                management; and
                    (E) precision medicine methodology to prevent and
                treat pain.
            (5) The components of the Department of Health and Human
        Services five-point strategy to address the opioid crisis that
        states: ``Providing support for cutting edge research on pain
        and addiction''.
            (6) The pain therapy screening program established under
        section 4.
            (7) Other elements that the Secretary of Health and Human
        Services may designate, in consultation with the Director of
        the National Institutes of Health.

SEC. 3. FUNDING FOR THE OPIOIDS AND STOP PAIN INITIATIVE.

    (a) In General.--There is authorized to be appropriated, and there
is appropriated, $5,000,000,000, to be used during the 5-fiscal year
period beginning in the fiscal year in which such funds are
appropriated, to the National Institutes of Health Innovation Account
to be used to administer the Opioids and STOP Pain Initiative
established under section 2.
    (b) Emergency Spending.--
            (1) In general.--Amounts appropriated under subsection (a)
        are designated as an emergency requirement pursuant to section
        4(g) of the Statutory Pay-As-You-Go Act of 2010 (2 U.S.C.
        933(g)).
            (2) Designation in the senate.--In the Senate, amounts
        appropriated under subsection (a) are designated as an
        emergency requirement pursuant to section 403(a) of S. Con.
        Res. 13 (111th Congress), the concurrent resolution on the
        budget for fiscal year 2010.

SEC. 4. PAIN THERAPY SCREENING PROGRAM.

    (a) In General.--The Secretary of Health and Human Services
(referred to in this section as the ``Secretary'') shall carry out
through the National Institutes of Health a program to be known as the
``Pain Therapy Screening Program'' that focuses on the development of
pain therapeutics.
    (b) Grants.--The Secretary shall award grants under the program
under subsection (a) to eligible public and private nonprofit entities
to support the development of new pre-clinical models for pain
disorders, and the application of these models in drug, device, or
other therapy screening.
    (c) Model.--The program under this section shall be modeled after
the Epilepsy Therapy Screening Program carried out by the National
Institute of Neurological Disorders and Stroke.
    (d) Fees.--The Secretary of Health and Human Services may assess
reasonable fees on private pharmaceutical or medical device industry
entities that utilize the program under this section to screen
proprietary molecular compounds and devices. Such fees shall be paid to
the Foundation for the National Institutes of Health and transferred to
the NIH Innovation Account to be used for the Opioids and STOP Pain
Initiative established under section 2.
    (e) Funding.--The Director of the National Institutes of Health
shall determine the amount, and allocate, funds from the amount
appropriated under section 3, to carry out this section.

SEC. 5. FUNDING PROVISIONS.

    (a) Supplement Not Supplant.--Amounts appropriated in this Act
(including the amendments made by this Act) shall be used to
supplement, not supplant, current funding for pain and opioid research
at the National Institutes of Health.
    (b) Acceptance of Donations.--Notwithstanding section 1342 of title
31, United States Code, the Secretary of Health and Human Services may
accept donations (including from the pharmaceutical and medical device
industries) to be used to assist in carrying out programs and
activities under this Act (and the amendments made by this Act). Such
donations shall be paid to the Foundation for the National Institutes
of Health and transferred to the NIH Innovation Account to be used for
the Opioids and STOP Pain Initiative established under section 2.
    (c) Inclusion of Contribution Amounts in Basic Research for
Purposes of Research Credit.--
            (1) In general.--Paragraph (6) of section 41(e) of the
        Internal Revenue Code of 1986 is amended by adding at the end
        the following new subparagraph:
                    ``(E) Opioids and stop pain initiative.--The
                National Institutes of Health, if the payment is made
                in support of the Opioids and STOP Pain Initiative, as
                established by the Opioids and STOP Pain Initiative
                Act.''.
            (2) Effective date.--The amendments made by this subsection
        shall apply to taxable years beginning after the date of the
        enactment of this Act.

SEC. 6. AUTHORITY.

    Notwithstanding any other provision of the law, the Director of the
National Institutes of Health may use funds available under section 3
to enter into transactions (other than contracts, cooperative
agreements, or grants) to carry out research identified pursuant to the
Opioids and STOP Pain Initiative established under section 2.

SEC. 7. REPORTS.

    (a) Annual Reports.--Not later than October 1 of each of fiscal
years 2019 through 2026, the Director of the National Institutes of
Health shall submit to the Committee on Health, Education, Labor, and
Pensions and the Committee on Appropriations of the Senate and the
Committee on Energy and Commerce and the Committee on Appropriations of
the House of Representatives, a report that includes--
            (1) the amount obligated or expended in the fiscal year
        prior to the fiscal year in which the report is being submitted
        for each program or activity described in this Act (or an
        amendment made by this Act);
            (2) a description of all such programs or activities
        carried out using funds provided under this Act (or
        amendments); and
            (3) a description of how such programs or activities are
        advancing public health, including the impact on treating pain
        and addressing opioid misuse in the United States.
    (b) Additional Reports.--At the request of the Committee on Health,
Education, Labor, and Pensions or the Committee on Appropriations of
the Senate, or the Committee on Energy and Commerce or the Committee on
Appropriations of the House of Representatives, the Director of the
National Institutes of Health shall provide to the relevant Committee
an update in the form of testimony and additional reports concerning
the allocation of funding under this Act (or the amendments made by
this Act) or the description of the programs and activities carried out
with such funding.

Summary: Opioids and STOP Pain Initiative Act This bill establishes and provides funds for the Opioids and STOP Pain Initiative at the National Institutes of Health (NIH) to support pain-related research, including: understanding pain, therapies for chronic pain, and alternatives to opioids for pain treatment as directed in the Comprehensive Addiction and Recovery Act of 2016. Improving options and evidence for medication-assisted treatment and opioid overdose reversal treatments. And supporting the Federal Pain Research Strategy. NIH must establish the Pain Therapy Screening Program to award grants to support the development of new pre-clinical models for pain disorders, and the application of these models in drug, device, or other therapy screening.

Opioids and STOP Pain Initiative Act


SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Autofill Act of 2015''.

SEC. 2. AUTOMATED PARTIALLY PRE-POPULATED TAX RETURNS.

    (a) In General.--Chapter 77 of the Internal Revenue Code of 1986 is
amended by adding at the end the following new section:

``SEC. 7529. AUTOMATED PARTIALLY PRE-POPULATED TAX RETURNS.

    ``(a) Establishment of Program.--The Secretary shall establish a
program under which taxpayers may download forms relating to the
individual income tax returns that are populated with return
information reported to the Secretary under chapter 61 and reported to
the Secretary pursuant to section 232 of the Social Security Act.
    ``(b) Requirements Relating to Information.--
            ``(1) Deadline for making information available.--The
        Secretary shall make such return information available under
        the program established under subsection (a) not later than 15
        days after the Secretary receives such information.
            ``(2) Format of information made available.--Return
        information shall be made available under the program
        established under subsection (a) in both a printable document
        file suitable for manual completion and filing and in a
        computer-readable form suitable for use by automated tax
        preparation software.
    ``(c) Autofill Service Deadlines.--
            ``(1) Standards.--Not later than October 31, 2015, the
        Secretary shall--
                    ``(A) establish standards for data download to tax
                preparation software, and
                    ``(B) provide a demonstration server for
                downloading the partially populated printable document
                file.
            ``(2) Tax forms.--Not later than February 15, 2016, and
        annually thereafter, the Secretary shall provide on the
        Secretary's Web site a secure function that allows a taxpayer
        to download, as both a printable document file and in a form
        suitable for input to automatic tax preparation software, the
        1040, 1040A, and 1040EZ forms that are populated with
        information with respect to the taxpayer that is reported under
        chapter 61 or any other provision of this title under which
        reporting of information is required.
    ``(d) Taxpayer Responsibility.--Nothing in this section shall be
construed to absolve the taxpayer from full responsibility for the
accuracy or completeness of his return of tax.
    ``(e) Disclaimer.--Before any form can be downloaded under the
program established under subsection (a), taxpayer must acknowledge
that--
            ``(1) the taxpayer is responsible for the accuracy of his
        return, and
            ``(2) all information provided in the downloadable form
        under such program needs to be verified.
    ``(f) Information Provided for Wage and Self-Employment Income.--
For purposes of subsection (a)--
            ``(1) Information related to calendar year 2015.--In the
        case of information relating to wages paid, and amounts of
        self-employment income, for calendar year 2015 required to be
        provided to the Commissioner of Social Security under section
        205(c)(2)(A) of the Social Security Act (42 U.S.C.
        405(c)(2)(A)), the Commissioner shall, using best efforts, make
        such information available to the Secretary not later than
        January 31, 2016.
            ``(2) Information related to calendar year 2016 and
        thereafter.--In the case of information relating to wages paid,
        and amounts of self-employment income, for any calendar year
        after 2015 required to be provided to the Commissioner of
        Social Security under section 205(c)(2)(A) of the Social
        Security Act (42 U.S.C. 405(c)(2)(A)), the Commissioner shall
        make such information available to the Secretary not later than
        the January 31 of the calendar year following the calendar year
        to which such wages and self-employment income relate.''.
    (b) Filing Deadline for Information Returns.--Section 6071(b) of
such Code is amended to read as follows:
    ``(b) Information Returns.--Returns made under part III of this
subchapter shall be filed on or before January 31 of the year following
the calendar year to which such returns relate. Section 6081 shall not
apply to returns under such part III.''.
    (c) Conforming Amendment to Social Security Act.--Section
205(c)(2)(A) of the Social Security Act (42 U.S.C. 405(c)(2)(A)) is
amended by adding at the end the following new sentence: ``For purposes
of the preceding sentence, the Commissioner shall require that
information relating to wages paid, and amounts of self-employment
income, be provided to the Commissioner not later than January 31 of
the year following the calendar year to which such wages and self-
employment income relate.''.
    (d) Clerical Amendment.--The table of sections for chapter 77 of
such Code is amended by adding at the end the following new item:

``Sec. 7529. Automated partially pre-populated tax returns.''.
    (e) Effective Date.--The amendments made by this section shall
apply to returns for taxable years beginning after December 31, 2014.

Summary: Autofill Act of 2015 Amends the Internal Revenue Code to require the Department of the Treasury to: (1) establish a program to allow taxpayers to download income tax forms that are populated with tax return information previously reported to Treasury for the taxable year, (2) establish standards by October 31, 2015,nbsp, for data download to tax preparation software. And (3) provide, not later than February 15, 2016, and annually thereafter,nbsp. On the website of Treasury a secure function that allows a taxpayer to download, as both a printable document file and in a form suitable for input to automatic tax preparation software, the 1040, 1040A, and 1040EZ forms that are populated with tax return information previously reported to Treasury. Establishes deadlines for reporting tax return information to Treasury and for making such information available for populating tax returns.

Autofill Act of 2015


SECTION 1. AGREEMENT TO ESTABLISH BINATIONAL COMMISSION.

    The President is authorized and encouraged to conclude an agreement
with Mexico to establish a binational commission to be known as the
United States-Mexico Border Health Commission.

SEC. 2. DUTIES.

    It should be the duty of the Commission--
            (1) to conduct a comprehensive needs assessment in the
        United States-Mexico border area for the purposes of
        identifying, evaluating, preventing, and resolving health
        problems that affect the general population of the area;
            (2) to implement the actions recommended by the needs
        assessment by--
                    (A) assisting in the coordination of the efforts of
                public and private persons to prevent and resolve such
                health problems,
                    (B) assisting in the coordination of the efforts of
                public and private persons to educate such population
                concerning such health problems, and
                    (C) developing and implementing programs to prevent
                and resolve such health problems and to educate such
                population concerning such health problems where a
                program is necessary to meet a need that is not being
                met by the efforts of other public or private persons;
                and
            (3) to formulate recommendations to the Governments of the
        United States and Mexico concerning a fair and reasonable
        method by which the government of one country would reimburse a
        public or private person in the other country for the cost of a
        health care service that the person furnishes to a citizen or
        resident alien of the first country who is unable, through
        insurance or otherwise, to pay for the service.

SEC. 3. OTHER AUTHORIZED FUNCTIONS.

    In addition to the duties described in section 2, the Commission
should be authorized to perform the following additional functions as
the Commission determines to be appropriate:
            (1) To conduct or sponsor investigations, research, or
        studies designed to identify, study, and monitor health
        problems that affect the general population in the United
        States-Mexico border area.
            (2) To provide financial, technical, or administrative
        assistance to public or private persons who act to prevent,
        resolve, or educate such population concerning such health
        problems.

SEC. 4. MEMBERSHIP.

    (a) Number and Appointment of United States Section.--The United
States section of the Commission should be composed of 13 members. The
section should consist of the following members:
            (1) The Secretary of Health and Human Services or such
        individual's delegate.
            (2) The commissioners of health from the States of Texas,
        New Mexico, California, and Arizona or such individuals'
        delegates.
            (3) 2 individuals from each of the States of Texas, New
        Mexico, California, and Arizona who are nominated by the chief
        executive officer of one of such States and are appointed by
        the President from among individuals--
                    (A) who have a demonstrated interest in health
                issues of the United States-Mexico border area; and
                    (B) whose name appears on a list of 6 nominees
                submitted to the President by the chief executive
                officer of the State where the nominees resides.
    (b) Commissioner.--The Commissioner of the United States section of
the Commission should be the Secretary of Health and Human Services or
such individual's delegate to the Commission. The Commissioner should
be the leader of the section.

SEC. 5. REGIONAL OFFICES.

    The Commission should establish no fewer than 2 regional border
offices in locations selected by the Commission.

SEC. 6. REPORTS.

    Not later than February 1 of each year that occurs more than 1 year
after the date of the establishment of the Commission, the Commission
should submit an annual report to both the United States Government and
the Government of Mexico regarding all activities of the Commission
during the preceding calendar year.

SEC. 7. DEFINITIONS.

    For purposes of this Act:
            (1) Commission.--The term ``Commission'' means the United
        States-Mexico Border Health Commission authorized in section 1.
            (2) Health problem.--The term ``health problem'' means a
        disease or medical ailment or an environmental condition that
        poses the risk of disease or medical ailment. The term includes
        diseases, ailments, or risks of disease or ailment caused by or
        related to environmental factors, control of animals and
        rabies, control of insect and rodent vectors, disposal of solid
        and hazardous waste, and control and monitoring of air and
        water quality.
            (3) Resident alien.--The term ``resident alien'', when used
        in reference to a country, means an alien lawfully admitted for
        permanent residence to the country or otherwise permanently
        residing in the country under color of law (including residence
        as an asylee, refugee, or parolee).
            (4) United states-mexico border area.--The term ``United
        States-Mexico border area'' means the area located in the
        United States and Mexico within 100 kilometers of the border
        between the United States and Mexico.

Summary: Authorizes the President to conclude an agreement with Mexico to establish a binational commission to be known as the United States-Mexico Border Health Commission. Declares that it should be the duty of the Commission to: (1) conduct a needs assessment in the US-Mexican border area to identify and resolve health problems that affect the general population of the area. (2) coordinate public and private entities to educate the population about, and resolve, such health problems and develop programs to meet needs that are not being met by such persons. And (3) formulate recommendations for a fair method by which the government of one country would reimburse a public or private entity in the other country for the cost of a health care service furnished to a citizen of the first country who is unable to pay for the service.

To authorize and encourage the President to conclude an agreement with Mexico to establish a United States-Mexico Border Health Commission.


SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Employers Financial Literacy Act''.

SEC. 2. CREDIT AGAINST INCOME TAX FOR SMALL BUSINESSES WHICH PROVIDE
              CONTINUING FINANCIAL EDUCATION TO EMPLOYEES.

    (a) In General.--Subpart D of part IV of subchapter A of chapter 1
of the Internal Revenue Code of 1986 (relating to business-related
credits) is amended by adding at the end the following new section:

``SEC. 45O. SMALL BUSINESSES PROVIDING CONTINUING FINANCIAL EDUCATION
              TO EMPLOYEES.

    ``(a) In General.--In the case of an eligible small business, the
continuing financial education credit determined under this section is
an amount equal to 35 percent of the continuing financial education
expenses paid or incurred by the taxpayer during the taxable year.
    ``(b) Eligible Small Business.--For purposes of this section, the
term `eligible small business' means any small business which provides
without charge a qualified continuing financial education program to
its employees throughout the taxable year.
    ``(c) Qualified Continuing Financial Education Program.--For
purposes of this section--
            ``(1) In general.--The term `qualified continuing financial
        education program' means any educational program or services--
                    ``(A) which is provided by a community-based budget
                and counseling agency which is described in section
                501(c)(3) and exempt from tax under section 501(a),
                    ``(B) which promotes consumer understanding of
                consumer, economic, and personal finance issues and
                concepts, including saving for retirement, managing
                credit, long-term care, estate planning and education
                on predatory lending, identity theft, and financial
                abuse schemes,
                    ``(C) which is offered to all employees of the
                taxpayer who have at least 2 weeks of service with the
                employer, and
                    ``(D) which is offered during--
                            ``(i) at least 24 hours of each month if
                        the taxpayer is a corporation, or
                            ``(ii) at least 16 hours of each month in
                        any other case.
    ``(d) Small Business.--For purposes of this section--
            ``(1) In general.--The term `small business' means, with
        respect to any taxable year, any employer if--
                    ``(A) such employer employed an average of at least
                2 but not more than 50 employees on business days
                during the most recent calendar year ending before such
                taxable year, and
                    ``(B) such employer employed at least 2 employees
                on the first day of the taxable year.
            ``(2) Employers not in existence in preceding year.--In the
        case of an employer which was not in existence throughout the
        calendar year referred to in paragraph (1), the determination
        under 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 taxable year.
            ``(3) Special rules.--
                    ``(A) Controlled groups.--For purposes of this
                subsection, all persons treated as a single employer
                under subsection (b), (c), (m), or (o) of section 414
                shall be treated as 1 employer.
                    ``(B) Predecessors.--Any reference in this
                subsection to an employer shall include a reference to
                any predecessor of such employer.''.
    (b) Denial of Double Benefit.--Section 280C of such Code (relating
to certain expenses for which credits are allowable) is amended by
adding at the end the following new subsection:
    ``(f) Credit for Small Businesses Providing Continuing Financial
Education to Employees.--No deduction shall be allowed for that portion
of the expenses paid or incurred during the taxable year which is equal
to the credit determined for the taxable year under sections 45O(a). In
the case of persons treated as a single employer under section
45O(d)(3)(A), this subsection shall be applied under rules prescribed
by the Secretary similar to the rules applicable under subsections (a)
and (b) of section 52.''.
    (c) Credit To Be Part of General Business Credit.--Section 38(b) of
such Code is amended by striking ``plus'' at the end of paragraph (30),
by striking the period at the end of paragraph (31) and inserting ``,
plus'', and by adding at the end the following new paragraph:
            ``(32) in the case of an eligible small business (as
        defined in section 45O(d)), the continuing financial education
        credit under section 40O(a).''.
    (d) Clerical Amendment.--The table of sections for subpart D of
part IV of subchapter A of chapter 1 of such Code is amended by adding
at the end the following new item:

``Sec. 40O. Small businesses providing continuing financial education
                            to employees.''.
    (e) Effective Date.--The amendments made by this section shall
apply to taxable years beginning after December 31, 2008.

SEC. 3. PREFERENCE IN FEDERAL CONTRACTS, LOANS, AND OTHER ASSISTANCE
              FOR SMALL BUSINESSES AND CORPORATIONS PROVIDING
              CONTINUING FINANCIAL EDUCATION TO EMPLOYEES.

    (a) Preference.--In the case of any Federal contract or any Federal
financial or nonfinancial assistance, an eligible small business or an
eligible corporation shall be given a preference when submitting a bid
or proposal for the contract or applying for such assistance.
    (b) Definitions.--In this section:
            (1) Eligible small business.--The term ``eligible small
        business'' has the meaning provided in section 45O(b) of the
        Internal Revenue Code of 1986.
            (2) Eligible corporation.--The term ``eligible
        corporation'' means any corporation--
                    (A) that employs 50 or more employees; and
                    (B) that provides without charge a qualified
                continuing financial education program to its employees
                throughout the taxable year.
            (3) Qualified continuing financial education program.--The
        term ``qualified continuing financial education program'' has
        the meaning provided in section 45O(c) of the Internal Revenue
        Code of 1986.
            (4) Federal financial or nonfinancial assistance.--The term
        ``Federal financial or nonfinancial assistance'' means--
                    (A) all programs and activities involving Federal
                financial and nonfinancial assistance and benefits, as
                covered by Executive Order No. 12549 and guidelines
                implementing that order; and
                    (B) procurement programs and activities, including
                Federal contracts for the procurement of goods or
                services.
    (c) Effective Date.--The preference required under subsection (a)
shall be applied beginning on January 1, 2010.

Summary: Employers Financial Literacy Act - Amends the Internal Revenue Code to allow small business taxpayers a tax credit for up to 35 of the costs of providing continuing financial education to their employees. Grants a preference to such small businesses in the awarding of federal contracts or assistance.

To encourage small businesses to provide continuing financial education to their employees by providing a credit against income tax to cover a portion of the costs of providing that education and by giving such businesses and corporations providing such financial education preferential status when applying for Federal contracts, loans, and other assistance.


SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Biometric Enhancement for Airport-
Risk Reduction Act of 2008''.

SEC. 2. DEFINITIONS.

    In this Act, the following definitions apply:
            (1) Biometric identifier system.--The term ``biometric
        identifier system'' means a system that uses biometric
        identifier information to match individuals and confirm
        identity for transportation security and other purposes.
            (2) Secretary.--The term ``Secretary'' means the Secretary
        of Homeland Security acting through the Assistant Secretary of
        Homeland Security (Transportation Security Administration).

SEC. 3. BIOMETRIC IDENTIFIER SYSTEMS.

    (a) Study.--
            (1) In general.--The Secretary, in consultation with the
        working group of industry stakeholders to be established under
        subsection (c), shall conduct a study on how airports can
        transition to uniform, standards-based, and interoperable
        biometric identifier systems for airport workers with
        unescorted access to secure or sterile areas of an airport.
            (2) Purpose.--The purpose of the study shall be to enhance
        transportation security against a potential act of terrorism by
        an airport worker who is allowed unescorted access to secure or
        sterile areas of an airport.
            (3) Risk-based analysis.--In conducting the study, the
        Secretary shall conduct a risk-based analysis of selected
        Category X and I airports and other airports, as the Secretary
        determines appropriate, to identify where the implementation of
        biometric identifier systems could benefit airports.
            (4) Considerations.--In conducting the study, the Secretary
        shall consider the following:
                    (A) Parallel systems.--Existing parallel biometric
                security systems applicable to workers with unescorted
                access to critical infrastructure, including--
                            (i) transportation security cards issued
                        under section 70105 of title 46, United States
                        Code;
                            (ii) armed law enforcement travel
                        credentials issued under section 44903(h)(6) of
                        title 49, United States Code; and
                            (iii) other credential programs used by the
                        Federal Government, as the Secretary considers
                        appropriate.
                    (B) Efforts by transportation security
                administration.--Any biometric programs or proposals
                developed by the Assistant Secretary of Homeland
                Security (Transportation Security Administration).
                    (C) Infrastructure and technical requirements.--The
                architecture, modules, interfaces, and transmission of
                data needed to address risks associated with securing
                airports by providing interoperable biometric security
                measures and credentials for airport workers with
                unescorted access to secure and sterile areas of an
                airport.
                    (D) Existing airport systems.--Biometric
                infrastructure and systems in use in secure and sterile
                areas of airports.
                    (E) Incentives.--Possible incentives for airports
                that voluntarily seek to implement uniform, standards-
                based, and interoperable biometric identifier systems.
                    (F) Associated costs.--The costs of implementing
                uniform, standards-based, and interoperable biometric
                identifier systems at airports, including--
                            (i) the costs to airport operators, airport
                        workers, air carriers, and other aviation
                        industry stakeholders; and
                            (ii) the costs associated with ongoing
                        operations and maintenance and modifications
                        and enhancements needed to support changes in
                        physical and electronic infrastructure.
                    (G) GAO recommendations.--Any recommendations or
                findings developed by the Government Accountability
                Office relating to implementing biometric security for
                airport workers with unescorted access to secure and
                sterile areas of airports.
                    (H) Information from other sources.--
                Recommendations, guidance, and information from other
                sources, including government entities, organizations
                representing airport workers, and private individuals
                and organizations.
            (5) Report.--Not later than 270 days after the date of
        enactment of this Act, the Secretary shall submit to the
        Committee on Homeland Security of the House of Representatives
        and the Committee on Commerce, Science, and Transportation of
        the Senate a report on the results of the study conducted under
        this subsection.
    (b) Best Practices.--
            (1) Identification of best practices.--The Secretary, in
        consultation with the working group of aviation industry
        stakeholders to be established under subsection (c), shall
        identify best practices for the administration of biometric
        credentials at airports, including best practices for each of
        the following processes:
                    (A) Registration and enrollment.
                    (B) Eligibility vetting and risk assessment.
                    (C) Issuance.
                    (D) Verification and use.
                    (E) Expiration and revocation.
                    (F) Development of a cost structure for acquisition
                of biometric credentials.
                    (G) Development of redress processes for workers.
            (2) Report.--Not later than one year after the date of
        enactment of this Act, the Secretary shall--
                    (A) submit to the Committee on Homeland Security of
                the House of Representatives and the Committee on
                Commerce, Science, and Transportation of the Senate a
                report that outlines the best practices identified
                under paragraph (1); and
                    (B) make the report available to airport operators.
    (c) Aviation and Airport Security Working Group.--
            (1) In general.--The Secretary shall convene a working
        group to assist the Secretary with issues pertaining to
        implementing and carrying out this section.
            (2) Membership.--The Secretary shall ensure that the
        membership of the working group includes aviation industry
        stakeholders and specifically includes individuals selected
        from among--
                    (A) the membership of the Transportation Security
                Administration's Aviation Security Advisory Committee;
                    (B) individuals and organizations representing
                airports;
                    (C) individuals and organizations representing
                airport workers, including those airport workers with
                unescorted access to secure and sterile areas of
                airports;
                    (D) individuals and organizations representing the
                biometric technology sector; and
                    (E) any other individuals and organizations that
                the Secretary considers appropriate.
            (3) Nonapplicability of faca.--The Federal Advisory
        Committee Act (5 U.S.C. App.) shall not apply to working group
        established under this subsection.
            (4) Sunset.--The working group established under this
        subsection shall cease operations 30 days after the date of
        submission of the report under subsection (a)(5) or 30 days
        after the date of submission of the report under subsection
        (b)(2), whichever is later.

            Passed the House of Representatives June 18, 2008.

            Attest:

                                            LORRAINE C. MILLER,

                                                                 Clerk.

Summary: Biometric Enhancement for Airport-Risk Reduction Act of 2008 - Directs the Secretary of Homeland Security, acting through the Assistant Secretary of Homeland Security (Transportation Security Administration (TSA)), to: (1) study and report to Congress on how airports can transition to uniform, standards-based, and interoperable biometric identifier systems for airport workers with unescorted access to secure or sterile areas of an airport. And (2) conduct a risk-based analysis of selected Category X and I airports and other airports to identify where implementation of such systems could benefit them. Defines biometric identifier system as a system that uses biometric identifier information to match and confirm identity of individuals for purposes of transportation security. Requires the Secretary to convene a working group to assist with issues pertaining to implementing this Act.

To direct the Secretary of Homeland Security, for purposes of transportation security, to conduct a study on how airports can transition to uniform, standards-based, and interoperable biometric identifier systems for airport workers with unescorted access to secure or sterile areas of an airport, and for other purposes.


SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Opioid Addiction Treatment
Modernization Act''.

SEC. 2. FINDINGS.

    The Congress finds that opioid addiction has become a public health
epidemic that must be addressed by increasing awareness and access to
all treatment options for opioid addiction, overdose reversal, and
relapse prevention.

SEC. 3. OPIOID ADDICTION TREATMENT MODERNIZATION.

    (a) In General.--Section 303(g) of the Controlled Substances Act
(21 U.S.C. 823(g)) is amended--
            (1) by adding at the end the following:
    ``(3) The standards under paragraph (1)(A) (for determining whether
a practitioner is qualified to engage in the treatment with respect to
which registration is sought) shall include a requirement for
completion, every 2 years, of training--
            ``(A) provided (through classroom situations, seminars at
        professional society meetings, electronic communications, or
        otherwise) by an organization such as the American Society of
        Addiction Medicine, the American Academy of Addiction
        Psychiatry, the American Medical Association, the American
        Osteopathic Association, the American Psychiatric Association,
        the American Association for the Treatment of Opioid
        Dependence, the National Council for Behavioral Health, or any
        other organization that the Secretary determines is
        appropriate; and
            ``(B) addressing--
                    ``(i) opioid detoxification;
                    ``(ii) appropriate clinical use of all drugs
                approved by the Food and Drug Administration for the
                treatment of opioid addiction;
                    ``(iii) the need for initial and periodic
                assessments of each patient;
                    ``(iv) the development of an individualized
                treatment plan for each patient; and
                    ``(v) the importance of providing overdose reversal
                and relapse prevention, and appropriate counseling and
                other services.'';
            (2) in paragraph (2)(B), by inserting ``and annually
        thereafter,'' after ``before the initial dispensing of narcotic
        drugs in schedule III, IV, or V or combinations of such drugs
        to patients for maintenance or detoxification treatment,'';
            (3) by amending paragraph (2)(B)(ii) to read as follows:
            ``(ii) With respect to patients to whom the practitioner
        will provide such drugs or combinations of drugs, the
        practitioner has the capacity to provide directly or by
        referral--
                    ``(I) all drugs approved by the Food and Drug
                Administration for the treatment of opioid addiction,
                including, as available, opioid maintenance,
                detoxification, and overdose reversal and relapse
                prevention; and
                    ``(II) appropriate counseling and ancillary
                services.'';
            (4) by redesignating clause (iii) of paragraph (2)(B) as
        clause (iv);
            (5) after paragraph (2)(B)(ii), by inserting the following:
            ``(iii) The practitioner maintains a diversion control plan
        that contains specific measures to reduce the likelihood of the
        diversion of controlled substances prescribed by the
        practitioner for the treatment of opioid addiction.'';
            (6) by amending paragraph (2)(G)(ii) to read as follows:
                    ``(ii) The term `qualifying physician' means a
                physician who meets the following:
                            ``(I) The physician is licensed under State
                        law.
                            ``(II) The physician meets one or more of
                        the following conditions:
                                    ``(aa) The physician holds a
                                subspecialty board certification in
                                addiction psychiatry from the American
                                Board of Medical Specialties.
                                    ``(bb) The physician holds an
                                addiction certification from the
                                American Society of Addiction Medicine.
                                    ``(cc) The physician holds a
                                subspecialty board certification in
                                addiction medicine from the American
                                Osteopathic Association.
                                    ``(dd) The physician has
                                participated as an investigator in one
                                or more clinical trials leading to the
                                approval of a narcotic drug in schedule
                                III, IV, or V for maintenance or
                                detoxification treatment or the
                                approval of a drug for the treatment of
                                opioid addiction, as demonstrated by a
                                statement submitted to the Secretary by
                                the sponsor of such approved drug.
                                    ``(ee) The physician has such other
                                training or experience as the State
                                medical licensing board (of the State
                                in which the physician will provide
                                maintenance or detoxification
                                treatment) considers to demonstrate the
                                ability of the physician to treat and
                                manage opiate-dependent patients.
                                    ``(ff) The physician has such other
                                training or experience as the Secretary
                                considers to demonstrate the ability of
                                the physician to treat and manage
                                opiate-dependent patients. Any criteria
                                of the Secretary under this item shall
                                be established by regulation. Any such
                                criteria are effective only for 3 years
                                after the date on which the criteria
                                are promulgated, but may be extended
                                for such additional discrete 3-year
                                periods as the Secretary considers
                                appropriate for purposes of this item.
                                Such an extension of criteria may only
                                be effectuated through a statement
                                published in the Federal Register by
                                the Secretary during the 30-day period
                                preceding the end of the 3-year period
                                involved.
                    ``(iii) The physician completes, with respect to
                the treatment and management of opiate-dependent
                patients, not less than 8 hours of training described
                in paragraph (3) not less frequently than every 2
                years.
                    ``(iv) The physician obtains in writing from each
                patient a signed acknowledgment that the patient--
                            ``(I) will be subject to medication
                        adherence and substance use monitoring;
                            ``(II) understands available treatment
                        options, including drugs approved by the Food
                        and Drug Administration for the treatment of
                        opioid addiction and their potential risks and
                        benefits; and
                            ``(III) has an individualized treatment
                        plan.''; and
            (7) by amending paragraph (2)(H)(ii) to read as follows:
            ``(ii) Not later than one year after the date of enactment
        of the Opioid Addiction Treatment Modernization Act, the
        Secretary shall update the treatment improvement protocol
        containing best practice guidelines for the treatment of
        opiate-dependent patients. The Secretary shall update such
        protocol in consultation with the Director of the National
        Institute on Drug Abuse, the Administrator of the Drug
        Enforcement Administration, the Commissioner of Food and Drugs,
        the Administrator of the Substance Abuse and Mental Health
        Services Administration, and other substance abuse disorder
        professionals. Updates to the protocol shall be guided by
        science.''.
    (b) Inspection Authority.--The Secretary of Health and Human
Services or the Attorney General of the United States may inspect
persons that are registered under section 303(g) of the Controlled
Substances Act (21 U.S.C. 823(g)) to ensure compliance with the
requirements in this Act (and the amendments made by this Act) with
respect to which noncompliance may result in a revocation or suspension
of the practitioner's registration.
    (c) Certification of Compliance.--Not later than 1 year after the
date of enactment of this Act, all practitioners who, as of such date
of enactment, are permitted to dispense narcotic drugs to individuals
(for maintenance treatment or detoxification treatment) pursuant to
paragraph (1) or (2) of section 303(g) of the Controlled Substances Act
(21 U.S.C. 823(g)) shall submit a certification to the Secretary of
Health and Human Services of compliance with the provisions of such
section 303(g), as amended by this Act.
    (d) Reports to Congress.--
            (1) In general.--Not later than 1 year after the date of
        enactment of this Act, and every 5 years thereafter, the
        Comptroller General of the United States shall--
                    (A) perform a thorough review of the provision of
                opioid addiction treatment services in the United
                States; and
                    (B) submit a report to the Congress on the findings
                and conclusions of such review.
            (2) Contents.--Each report under paragraph (1) shall
        include--
                    (A) an assessment of compliance with the
                requirements of section 303(g) of the Controlled
                Substances Act, as amended by this Act;
                    (B) a description of the measures taken by the
                Secretary of Health and Human Services to ensure such
                compliance; and
                    (C) an assessment of--
                            (i) whether the full range of science- and
                        evidence-based treatment options for opioid
                        addiction are fully integrated into treatment;
                        and
                            (ii) the circumstances surrounding
                        medication diversion and misuse.

Summary: Opioid Addiction Treatment Modernization Act This bill amends the Controlled Substances Act to require a practitioner who administers or dispenses narcotic drugs for maintenance or detoxification treatment in an opioid treatment program to complete training every two years. The legislation revises the waiver requirements for a physician who wants to administer, dispense, or prescribe narcotic drugs for maintenance or detoxification treatment in an office-based opioid treatment program. Currently, such physician must notify the Department of Health and Human Services (HHS) and certify that he or she is a qualifying physician, has the capacity to refer patients for appropriate counseling and ancillary services, and will comply with a patient limit. This bill requires a physician to also certify that he or she maintains a diversion control plan and has the capacity to provide directly or by referral all drugs approved by the Food and Drug Administration for the treatment of opioid addiction. The bill modifies the definition of a qualifying physician. Currently, a qualifying physician must be licensed in a state and have expertise . This legislation requires a qualifying physician to also complete training every two years and obtain written consent from each patient regarding available treatment options. nbsp. It permits HHS or the Department of Justice to inspect registered practitioners who dispense narcotics to ensure compliance with the requirements of this Act. All practitioners who are permitted to dispense narcotic drugs to individuals for maintenance treatment or detoxification treatment must submit to HHS a certification of compliance with the requirements of this Act. The Government Accountability Office must review opioid addition treatment services in the United States and report findings to Congress every five years.


SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Volunteer Firefighter and EMS
Support Act of 2008''.

SEC. 2. FINDINGS.

    Congress makes the following findings:
            (1) Volunteer firefighters and emergency medical services
        personnel are a vital component of the first responders across
        the United States.
            (2) The 800,000 volunteer firefighters and emergency
        medical service personnel in the United States save lives and
        property everyday.
            (3) The national financial savings resulting from volunteer
        firefighting and emergency medical services has been calculated
        at more than $37,000,000,000 each year.
            (4) Many volunteer fire stations and emergency medical
        services organizations in the United States face growing
        challenges as volunteers contend with increased competition for
        their time from their jobs, families, and other
        responsibilities.
            (5) Some State and local governments provide financial
        incentives to volunteer firefighters and emergency medical
        services personnel, such as retirement benefits and tuition
        assistance. Unfortunately, many communities that rely on
        volunteer firefighters and emergency medical services
        personnel, especially rural and low-income communities, do not
        have the resources to provide such incentives.
            (6) There is an important role for the Federal Government
        and the Administrator of the United States Fire Administration
        in supporting volunteer firefighters and emergency medical
        services personnel, including providing funds to contribute to
        incentives for the recruitment and retention of volunteers.

SEC. 3. ASSISTANCE FOR VOLUNTEER FIREFIGHTERS AND EMERGENCY MEDICAL
              SERVICES PERSONNEL.

    The Federal Fire Prevention and Control Act of 1974 (15 U.S.C. 2201
et seq.) is amended by inserting after section 33 the following new
section:

``SEC. 33A. ASSISTANCE FOR VOLUNTEER FIREFIGHTERS AND EMERGENCY MEDICAL
              SERVICES PERSONNEL.

    ``(a) Establishment.--The Secretary shall establish a program to
provide funds to a State or local government, non-profit firefighter
association, or governmental or nongovernmental emergency medical
services organization, that carries out a volunteer firefighter
incentive program in accordance with the provisions of this section.
    ``(b) Definitions.--In this section:
            ``(1) Approved benefit or incentive.--The term `approved
        benefit or incentive' means a benefit or incentive that has
        been approved by the Administrator and is provided to a
        volunteer firefighter, including--
                    ``(A) a retirement benefit;
                    ``(B) reimbursement for travel and training;
                    ``(C) health insurance or other health benefits;
                    ``(D) life insurance;
                    ``(E) tuition or school loan forgiveness;
                    ``(F) a tax reduction; and
                    ``(G) any other benefit or incentive approved by
                the Administrator.
            ``(2) Secretary.--The term `Secretary' means the Secretary
        of Homeland Security.
            ``(3) Volunteer firefighter.--The term `volunteer
        firefighter' means an individual who provides firefighting
        service or emergency medical service to a State or local
        government or a governmental or nongovernmental organization
        without pay. A volunteer firefighter may receive benefits or
        incentives for firefighting service or emergency medical
        service, including benefits and incentives described in
        subparagraphs (A) through (G) of paragraph (1).
            ``(4) Volunteer firefighter incentive program.--The term
        `volunteer firefighter incentive program' means a program
        carried out by a State or local government, a non-profit
        firefighter association, or a governmental or nongovernmental
        emergency medical services organization to provide approved
        benefits or incentives.
    ``(c) Matching Payments to States.--
            ``(1) Requirement.--For each fiscal year in which a State
        or local government, non-profit firefighter association, or
        governmental or nongovernmental emergency medical services
        organization carries out a volunteer firefighter incentive
        program, the Secretary shall pay such government, association,
        or organization, out of any money in the Treasury not otherwise
        appropriated for such fiscal year, an amount equal to the total
        amount of expenditures of funds not received from the Federal
        Government made by such government, association, or
        organization for such fiscal year to carry out the volunteer
        firefighter incentive program.
            ``(2) Entitlement.--Paragraph (1) constitutes budget
        authority in advance of appropriations Acts and represents the
        obligation of the Federal Government to provide payment to a
        State or local government, non-profit firefighter association,
        or governmental or nongovernmental emergency medical services
        organization of any amount provided for under such paragraph.
    ``(d) Regulations.--The Secretary shall prescribe regulations to
carry out this section.
    ``(e) Reports.--
            ``(1) Reports from recipients.--A State or local
        government, non-profit firefighter association, or governmental
        or nongovernmental emergency medical service organization that
        receives funds under this section to carry out a volunteer
        firefighter incentive program for a fiscal year shall submit to
        the Secretary a report on--
                    ``(A) the use of such funds; and
                    ``(B) the programs to recruit or retain volunteer
                firefighters carried out by the government,
                association, or organization during that fiscal year.
            ``(2) Reports from the secretary.--Not later than 1 year
        after the date of the enactment of the Volunteer Firefighter
        and EMS Support Act of 2008, and annually thereafter, the
        Secretary shall submit to Congress a report on--
                    ``(A) the activities carried out under this section
                during the previous year; and
                    ``(B) the status of programs to recruit and retain
                volunteer firefighters in the United States.''.

Summary: Volunteer Firefighter and EMS Support Act of 2008 - Amends the Federal Fire Prevention and Control Act of 1974 to direct the Secretary of Homeland Security to establish a program to provide funds to a state or local government, nonprofit firefighter association, or governmental or nongovernmental emergency medical services (EMS) organization, that carries out a volunteer firefighter incentive program in accordance with this Act. Directs the Secretary, for each fiscal year in which a state or local government, nonprofit firefighter association, or governmental or nongovernmental EMS organization carries out a volunteer firefighter incentive program, to pay such government, association, or organization (organization), out of any money in the Treasury not otherwise appropriated for such fiscal year, a sum equal to the total expenditures of funds not received from the federal government made by such organization for that fiscal year to carry out the program. Declares that this constitutes budget authority in advance of appropriations Acts and represents the obligation of the federal government to provide payment to a state or local government, nonprofit firefighter association, or governmental or nongovernmental EMS organization any amount so provided. Requires reports from recipients, and from the Secretary annually, to Congress.

A bill to support the recruitment and retention of volunteer firefighters and emergency medical services personnel, and for other purposes.


SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Political Broadcasting Access Act of
1993''.

SEC. 2. ALLOCATION TO POLITICAL PARTIES OF FREE BROADCAST TIME FOR
              POLITICAL ADVERTISING.

    (a) Condition of License Renewal.--Section 309(h) of the
Communications Act of 1934 (47 U.S.C. 309(h)) is amended by inserting
before the period at the end thereof the following: ``; and (4) every
broadcast station license issued under this Act shall be subject to the
free broadcast time obligations imposed by section 315(c)''.
    (b) Free-Time Obligations.--Section 315 of the Communications Act
of 1934 (47 U.S.C. 315) is amended--
            (1) by redesignating subsections (c) and (d) as subsections
        (d) and (e), respectively; and
            (2) by inserting after subsection (b) the following new
        subsection:
    ``(c)(1) Each license for a broadcasting station shall annually
make available free broadcast time for political advertising in
accordance with the requirements of this subsection. The Commission
shall not renew the license of any licensee who substantially fails or
refuses to comply with the requirements of this subsection, but such
licensee shall not be subject to any other sanction or remedy for such
failure or refusal.
    ``(2) A licensee subject to this subsection shall allot free
broadcast time to each qualified political party in accordance with the
following standards:
            ``(A) Such licensee shall allot an equal amount, but not
        less than 2 hours, of free broadcast time annually to--
                    ``(i) the national organization of each qualified
                political party; and
                    ``(ii) the State organization of each qualified
                political party of the State within which the
                preponderance of the station's audience resides.
            ``(B) The 2 or more hours of free broadcast time allotted
        to any organization under subparagraph (A) shall be composed of
        units of varying lengths of not more than 5 minutes nor less
        than 10 seconds, as determined by negotiation between such
        organization and the licensee.
            ``(C) The broadcast time allotted by any licensee shall be
        allotted so that--
                    ``(i) at least one-half is broadcast during the
                hours of 7 to 10 p.m. on weekdays;
                    ``(ii) during any even numbered year, at least two-
                thirds is broadcast during the two months immediately
                preceding election day and at least one-half is
                broadcast during the three weeks immediately preceding
                election day;
                    ``(iii) each national organization of a qualified
                political party is allotted free broadcast time that is
                comparable, by time of day and day of week, to the time
                allotted to other such national organizations, and each
                State organization of a qualified political party is
                allotted free broadcast time that is comparable, by
                time of day and day of week, to the time allotted to
                other such State organizations.
    ``(3) A political party shall be treated as a qualified political
party for purposes of paragraph (2)(A) if the candidate for President
of such party in the most recent presidential election received more
than 5 percent of the total number of votes cast by individuals for
that office, except that, in the case of any political party whose
candidate (as described in subparagraph (A) or (B)) received less than
33\1/3\ percent of such total votes, the amount of free broadcast time
required to be allotted under clause (i) or (ii) of paragraph (2)(A)
shall be reduced by 0.4 hours for each percent of such vote received
that is less than 33\1/3\ percent.
    ``(4) A licensee allots free broadcast time as required by this
subsection by broadcasting the statements, presentations,
announcements, or other sounds or visual images requested to be
broadcast by a political organization without remuneration or
compensation in any form, whether by public or private funds, tax
deduction or credit, or otherwise.
    ``(5) Nothing in this subsection, and no use of free broadcast time
allotted under this subsection, shall be construed to restrict or
otherwise affect the purchase of advertising time under subsection (b)
of this section.''.

SEC. 3. FREE CABLE TIME.

    Section 611 of the Communications Act of 1934 (47 U.S.C. 531) is
amended--
            (1) by redesignating subsection (f) as subsection (g); and
            (2) by inserting after subsection (e) the following new
        subsection:
    ``(f) A cable operator shall annually make available free cable
time for political advertising in accordance with the requirements of
regulations prescribed by the Commission. Such regulations shall, to
the extent practicable, require each such cable operator to provide
such free cable time in the same amounts and manner, to the same
eligible political organizations, and subject to the same conditions as
free broadcast time is required to be provided by broadcast station
licensees under section 315(c) of this Act. No franchise authority
shall renew the franchise of any cable operator that fails  to comply
with such regulations, but such operator shall not be subject to any
other sanction or remedy for such failure or refusal.''.

Summary: Political Broadcasting Access Act of 1993 - Amends the Communications Act of 1934 to require each licensee for a broadcasting station to make available annually free broadcast time for political advertising. Provides standards for time allotment, including total time to be allotted, the length of each unit of such free time, and the hours of the day and the time of the year in which such free time must be allowed. Requires national political parties meeting certain minimum qualifying standards to be treated equally for purposes of such allotment. Provides that nothing in this Act shall restrict a candidate's or party's right to purchase other broadcast time on such station. Requires a cable operator to make available annually free cable time for political advertising under similar requirements. Prohibits the renewal of a franchise of any cable operator that fails to comply with such requirements.


SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Secure Miles with All Resources and
Technology Act''.

SEC. 2. DEFINITIONS.

    In this Act:
            (1) Commissioner.--The term ``Commissioner'' means the
        Commissioner of U.S. Customs and Border Protection.
            (2) High traffic areas.--The term ``high traffic areas''
        has the meaning given the term in section 102(e)(1) of the
        Illegal Immigration Reform and Immigrant Responsibility Act of
        1996, as amended by section 102 of this Act.
            (3) Secretary.--The term ``Secretary'' means the Secretary
        of Homeland Security.
            (4) Situational awareness.--The term ``situational
        awareness'' has the meaning given the term in section
        1092(a)(7) of the National Defense Authorization Act for Fiscal
        Year 2017 (Public Law 114-328).

                 TITLE I--INFRASTRUCTURE AND EQUIPMENT

SEC. 101. STRENGTHENING THE REQUIREMENTS FOR BORDER SECURITY TECHNOLOGY
              ALONG THE SOUTHERN BORDER.

    Section 102 of the Illegal Immigration Reform and Immigrant
Responsibility Act of 1996 (Division C of Public Law 104-208; 8 U.S.C.
1103 note) is amended--
            (1) in subsection (a)--
                    (A) by inserting ``and border technology'' before
                ``in the vicinity of''; and
                    (B) by striking ``illegal crossings in areas of
                high illegal entry into the United Sates'' and
                inserting ``, impede, and detect illegal activity in
                high traffic areas'';
            (2) in subsection (c)(1), by inserting ``and, pursuant to
        subsection (d), the installation, operation, and maintenance of
        technology'' after ``barriers and roads''; and
            (3) by adding at the end the following new subsections:
    ``(d) Installation, Operation, and Maintenance of Technology.--
            ``(1) In general.--Not later than January 20, 2021, the
        Secretary of Homeland Security, in carrying out subsection (a),
        shall deploy the most practical and effective technology
        available along the United States border for achieving
        situational awareness and operational control of the border.
            ``(2) Technology defined.--In this subparagraph, the term
        `technology' includes border surveillance and detection
        technology, including--
                    ``(A) radar surveillance systems;
                    ``(B) Vehicle and Dismount Exploitation Radars
                (VADER);
                    ``(C) 3-dimensional, seismic acoustic detection and
                ranging border tunneling detection technology;
                    ``(D) sensors;
                    ``(E) unmanned cameras;
                    ``(F) man-portable and mobile vehicle-mounted
                unmanned aerial vehicles; and
                    ``(G) any other devices, tools, or systems found to
                be more effective or advanced than those specified in
                subparagraphs (A) through (F).
    ``(e) Definitions.--In this section:
            ``(1) High traffic areas.--The term `high traffic areas'
        means sectors along the northern, southern, or coastal border
        that--
                    ``(A) are within the responsibility of U.S. Customs
                and Border Protection; and
                    ``(B) have significant unlawful cross-border
                activity.
            ``(2) Situational awareness defined.--The term `situational
        awareness' has the meaning given the term in section 1092(a)(7)
        of the National Defense Authorization Act for Fiscal Year 2017
        (Public Law 114-328).''.

SEC. 102. COMPREHENSIVE SOUTHERN BORDER STRATEGY.

    (a) Comprehensive Strategy.--
            (1) Requirement.--Not later than 12 months after the date
        of the enactment of this Act, the Secretary shall submit to the
        Committee on Homeland Security of the House of Representatives
        and the Committee on Homeland Security and Governmental Affairs
        of the Senate a comprehensive Southern border strategy.
            (2) Contents.--The strategy submitted under paragraph (1)
        shall include--
                    (A) a list of known physical barriers,
                technologies, tools, and other devices that can be used
                to achieve and maintain situational awareness and
                operational control (as such term is defined in section
                2(b) of the Secure Fence Act of 2006 (8 U.S.C. 1701
                note; Public Law 109-367)) along the southern border;
                    (B) a projected per mile cost estimate for each
                physical barrier, technology, tool, and other device
                included on the list required under paragraph (1);
                    (C) a detailed account of which type of physical
                barrier, technology, tool, or other device the
                Department believes is necessary to achieve and
                maintain situational awareness and operational control
                for each liner mile of the southern border;
                    (D) an explanation for why such physical barrier,
                technology, tool, or other device was chosen to achieve
                and maintain situational awareness and operational
                control for each linear mile of the southern border,
                including--
                            (i) the methodology used to determine which
                        type of physical barrier, technology, tool, or
                        other device was chosen for such linear mile;
                            (ii) an examination of existing manmade and
                        natural barriers for each linear mile of the
                        southern border; and
                            (iii) the information collected and
                        evaluated from--
                                    (I) the appropriate U.S. Customs
                                and Border Protection Sector Chief;
                                    (II) the Joint Task Force
                                Commander;
                                    (III) the appropriate State
                                Governor;
                                    (IV) local law enforcement
                                officials;
                                    (V) private property owners; and
                                    (VI) other affected stakeholders;
                    (E) a per mile cost calculation for each linear
                mile of the southern border given the type of physical
                barrier, technology, tool, or other device chosen to
                achieve and maintain operational control for each
                linear mile; and
                    (F) a cost justification for each time a more
                expensive physical barrier, technology, tool, or other
                device is chosen over a less expensive option, as
                established by the per mile cost estimates required in
                subparagraph (B).

SEC. 103. ERADICATION OF CARRIZO CANE AND SALT CEDAR.

    Not later than January 20, 2019, the Secretary, after coordinating
with the heads of relevant Federal, State, and local agencies, shall
begin eradicating the carrizo cane plant and any salt cedar along the
Rio Grande River.

                            TITLE II--GRANTS

SEC. 201. OPERATION STONEGARDEN.

    (a) In General.--Subtitle A of title XX of the Homeland Security
Act of 2002 (6 U.S.C. 601 et seq.) is amended by adding at the end the
following new section:

``SEC. 2009. OPERATION STONEGARDEN.

    ``(a) Establishment.--There is established in the Department a
program, which shall be known as `Operation Stonegarden', under which
the Secretary, acting through the Administrator, shall make grants to
eligible law enforcement agencies, through the State administrative
agency, to enhance border security in accordance with this section.
    ``(b) Eligible Recipients.--To be eligible to receive a grant under
this section, a law enforcement agency--
            ``(1) shall be located in--
                    ``(A) a State bordering Canada or Mexico; or
                    ``(B) a State or territory with a maritime border;
                and
            ``(2) shall be involved in an active, ongoing, U.S. Customs
        and Border Protection operation coordinated through a sector
        office.
    ``(c) Permitted Uses.--The recipient of a grant under this section
may use such grant for--
            ``(1) equipment, including maintenance and sustainment
        costs;
            ``(2) personnel, including overtime and backfill, in
        support of enhanced border law enforcement activities;
            ``(3) any activity permitted for Operation Stonegarden
        under the Department of Homeland Security's Fiscal Year 2017
        Homeland Security Grant Program Notice of Funding Opportunity;
        and
            ``(4) any other appropriate activity, as determined by the
        Administrator, in consultation with the Commissioner of U.S.
        Customs and Border Protection.
    ``(d) Period of Performance.--The Secretary shall award grants
under this section to grant recipients for a period of not less than 36
months.
    ``(e) Report.--For each of the fiscal years 2018 through 2022, the
Administrator shall submit to the Committee on Homeland Security and
Governmental Affairs of the Senate and the Committee on Homeland
Security of the House of Representatives a report that contains
information on the expenditure of grants made under this section by
each grant recipient.
    ``(f) Authorization of Appropriations.--There is authorized to be
appropriated $110,000,000 for each of fiscal years 2018 through 2022
for grants under this section.''.
    (b) Conforming Amendment.--Subsection (a) of section 2002 of the
Homeland Security Act of 2002 (6 U.S.C. 603) is amended to read as
follows:
    ``(a) Grants Authorized.--The Secretary, through the Administrator,
may award grants under sections 2003, 2004, and 2009 to State, local,
and tribal governments, as appropriate.''.
    (c) Clerical Amendment.--The table of contents in section 1(b) of
the Homeland Security Act of 2002 is amended by inserting after the
item relating to section 2008 the following new item:

``Sec. 2009. Operation Stonegarden.''.

SEC. 202. SOUTHERN BORDER REGION EMERGENCY COMMUNICATIONS GRANT.

    (a) In General.--The Secretary, in consultation with the Governors
of the States located on the southern border, shall establish a two-
year grant program to improve emergency communications in the southern
border region.
    (b) Eligibility for Grants.--An individual is eligible for a grant
under this section if the individual demonstrates that the individual--
            (1) regularly resides or works in a State on the southern
        border; and
            (2) is at greater risk of border violence due to a lack of
        cellular and LTE network service at the individual's residence
        or business and the individual's proximity to the southern
        border.
    (c) Use of Grants.--Grants awarded under this section may be used
to purchase satellite telephone communications systems and services
that--
            (1) can provide access to 9-1-1 service; and
            (2) are equipped with receivers for the Global Positioning
        System.

Summary: Secure Miles with All Resources and Technology Act This bill amends the Illegal Immigration Reform and Immigrant Responsibility Act of 1996 to direct the Department of Homeland Security (DHS) to deploy the most practical and effective technology available to achieve situational awareness and operational control along the US border. DHS shall submit to Congress a comprehensive southern border strategy, which shall include: (1) a list of known physical barriers, technologies, tools, and other devices to achieve situational awareness and operational control of the border and their related cost estimates. And (2) information from federal, state, local, and private sources. DHS shall begin eradicating the carrizo cane plant and salt cedar along the Rio Grande River. The Homeland Security Act of 2002 is amended to establish Operation Stonegarden in DHS to provide border security grants to law enforcement agencies: (1) in a state bordering Canada or Mexico or a maritime border state or territory, and (2) involved in an ongoing US Customs and Border Protection operation coordinated through a sector office. DHS shall establish a two-year grant program to improve emergency communications in the southern border region for individuals who: (1) reside or work in a southern border state, and (2) are at greater risk of violence due to border proximity and a lack of residential or business cellular and LTE network service. Such grants may be used to purchase satellite telephone communications systems and services that provide access to 9-1-1 service and that are equipped with Global Positioning System receivers.