Input:
SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Medicare Fraud Enforcement and
Prevention Act of 2013''.

SEC. 2. ENHANCED CRIMINAL PENALTIES TO COMBAT MEDICARE AND MEDICAID
              FRAUD.

    (a) In General.--Section 1128B of the Social Security Act (42
U.S.C. 1320a-7b) is amended--
            (1) in subsection (a), by striking ``$10,000 or imprisoned
        for not more than one year'' and inserting ``$20,000 or
        imprisoned for not more than two years''; and
            (2) in each of subsections (a), (b)(1), (b)(2), (c), and
        (d), by striking ``$25,000 or imprisoned for not more than five
        years'' and inserting ``$50,000 or imprisoned for not more than
        10 years''.
    (b) Illegal Distribution of Medicare or Medicaid Beneficiary
Identification or Billing Privileges.--Section 1128B of the Social
Security Act (42 U.S.C. 1320a-7b) is amended by adding at the end the
following new subsection:
    ``(h) Whoever knowingly purchases, sells, or unlawfully
distributes, or arranges for the purchase, sale, or unlawful
distribution of two or more Medicare or Medicaid beneficiary
identification numbers or billing privileges under title XVIII or title
XIX shall be imprisoned for not more than 10 years or fined under title
18, United States Code (or, if greater, an amount equal to the monetary
loss to the Federal and any State government as a result of such acts),
or both.''.
    (c) Effective Date.--The amendments made by this section shall
apply to acts committed on or after the date of the enactment of this
Act.

SEC. 3. ENHANCED CIVIL AUTHORITIES TO COMBAT MEDICARE AND MEDICAID
              FRAUD.

    (a) Civil Monetary Penalties Law Alignment and Other Changes.--
            (1) Section 1128A(a) of the Social Security Act (42 U.S.C.
        1320a-7a(a)) is amended--
                    (A) in paragraph (1), by striking ``to an officer,
                employee, or agent of the United States, or of any
                department or agency thereof, or of any State agency
                (as defined in subsection (i)(1)),'';
                    (B) by inserting after paragraph (10), as added by
                section 6402(d)(2) of the Patient Protection and
                Affordable Care Act (Public Law 111-148) the following
                new paragraphs:
            ``(11) conspires to commit a violation of this section; or
            ``(12) knowingly makes, uses, or causes to be made or used,
        a false record or statement material to an obligation to pay or
        transmit money or property to a Federal health care program, or
        knowingly conceals or knowingly and improperly avoids or
        decreases an obligation to pay or transmit money or property to
        a Federal health care program;'';
                    (C) in the first sentence--
                            (i) by striking ``or in cases under
                        paragraph (9)'' and inserting ``in cases under
                        paragraph (9)''; and
                            (ii) by striking ``fact)'' and inserting
                        ``fact), in cases under paragraph (11), $50,000
                        for any violation described in this section
                        committed in furtherance of the conspiracy
                        involved, and in cases under paragraph (12),
                        $50,000 for each false record or statement, or
                        concealment, avoidance, or decrease''; and
                    (D) in the second sentence, by striking ``material
                fact).'' and inserting ``material fact); or in cases
                under paragraph (11), an assessment of not more than 3
                times the total amount that would otherwise apply for
                any violation described in this section committed in
                furtherance of the conspiracy involved; or in cases
                under paragraph (12), an assessment of not more than 3
                times the total amount of the obligation to which the
                false record or statement was material or that was
                avoided or decreased.''.
            (2) Section 1128A(c)(1) of the Social Security Act (42
        U.S.C. 1320a-7a(c)(1)) is amended by striking ``six years'' and
        inserting ``10 years''.
            (3) Section 1128A(i) of the Social Security Act (42 U.S.C.
        1320a-7a(i)) is amended--
                    (A) by amending paragraph (2) to read as follows:
            ``(2) The term `claim' means any application, request, or
        demand, whether under contract, or otherwise, for money or
        property for items and services under a Federal health care
        program (as defined in section 1128B(f)), whether or not the
        United States or a State agency has title to the money or
        property, that--
                    ``(A) is presented or caused to be presented to an
                officer, employee, or agent of the United States, or of
                any department or agency thereof, or of any State
                agency (as defined in subsection (i)(1)); or
                    ``(B) is made to a contractor, grantee, or other
                recipient if the money or property is to be spent or
                used on the Federal health care program's behalf or to
                advance a Federal health care program interest, and if
                the Federal health care program--
                            ``(i) provides or has provided any portion
                        of the money or property requested or demanded;
                        or
                            ``(ii) will reimburse such contractor,
                        grantee, or other recipient for any portion of
                        the money or property which is requested or
                        demanded.'';
                    (B) by amending paragraph (3) to read as follows:
            ``(3) The term `item or service' means, without limitation,
        any medical, social, management, administrative, or other item
        or service used in connection with or directly or indirectly
        related to a Federal health care program.'';
                    (C) in paragraph (7)--
                            (i) by striking ``term `should know'
                        means'' and inserting ``terms `knowing',
                        `knowingly', and `should know' mean'';
                            (ii) by redesignating subparagraphs (A) and
                        (B) as subparagraphs (B) and (C), respectively;
                            (iii) by inserting before subparagraph (B),
                        as redesignated by clause (ii), the following
                        new subparagraph:
                    ``(A) has actual knowledge of the information;'';
                and
                            (iv) in the matter following subparagraph
                        (C), as redesignated by clause (ii)--
                                    (I) by inserting ``require'' after
                                ``and''; and
                                    (II) by striking ``is required'';
                                and
                    (D) by adding at the end the following new
                paragraphs:
            ``(8) The term `obligation' means an established duty,
        whether or not fixed, arising from an express or implied
        contractual, grantor-grantee, or licensor licensee
        relationship, from a fee-based or similar relationship, from
        statute or regulation, or from the retention of any
        overpayment.
            ``(9) The term `material' means having a natural tendency
        to influence, or be capable of influencing, the payment or
        receipt of money or property.''.
    (b) Exclusion of Responsible Corporate Officials.--Section 1128(b)
of the Social Security Act (42 U.S.C. 1320a-7(b)) is amended by
striking clauses (i) and (ii) of paragraph (15)(A) and inserting the
following:
                            ``(i) who has or had a direct or indirect
                        ownership or control interest in a sanctioned
                        entity at the time of and who knew or should
                        have known (as defined in section 1128(i)(7))
                        of any of the conduct that formed a basis for
                        the conviction or exclusion described in
                        subparagraph (B); or
                            ``(ii) who is or was an officer or managing
                        employee (as defined in section 1126(b)) of
                        such an entity at the time of any of the
                        conduct that formed a basis for the conviction
                        or exclusion so described.''.
    (c) Payment Suspensions.--Subsection (o)(1) of section 1862 of the
Social Security Act (42 U.S.C. 1395y) is amended by striking ``may''
and inserting ``shall''.
    (d) Civil Monetary Penalties for False Statements or Delaying
Inspections.--Paragraph (9) of section 1128A(a) of the Social Security
Act (42 U.S.C. 1320a-7a(a)) is amended by inserting ``or to timely
provide information in response to a request authorized by section
1128J(b),'' after ``regulations),''.

SEC. 4. ENHANCED SCREENING, MEDICARE DATA-MINING SYSTEM; BIOMETRIC
              TECHNOLOGY STUDY.

    (a) Enhanced Screening.--Section 1866(j)(2)(B)(ii) of the Social
Security Act (42 U.S.C. 1395cc(j)(2)(B)(ii)) is amended by striking
``may'' and inserting ``shall''.
    (b) Access to Real Time Claims and Payment Data.--Section
1128J(a)(2) of the Social Security Act is amended--
            (1) by inserting ``including real time claims and payment
        data,'' after ``access to claims and payment data''; and
            (2) by adding at the end the following sentence: ``In
        carrying out this section, the Inspector General of the
        Department of Health and Human Services, in consultation with
        the Attorney General, shall implement mechanisms for the
        sharing of information about suspected fraud relating to the
        Federal health care programs under titles XVIII, XIX, and XXI
        with other appropriate law enforcement officials.''.
    (c) Study on Use of Biometric Technology.--
            (1) In general.--The Secretary of Health and Human Services
        shall provide for a study that analyzes the feasibility and
        benefits in reducing waste, fraud, and abuse of carrying out a
        program (in this subsection referred to as a ``biometric
        technology program'') that implements biometric technology to
        ensure that individuals entitled to benefits under part A of
        title XVIII of the Social Security Act or enrolled under part B
        of such title are physically present at the time and place of
        receipt of certain items and services (specified by the
        Secretary) for which payment may be made under such title. Such
        a program may provide for financial incentives to encourage
        voluntary participation of providers of services (as defined in
        section 1861(u) of such Act) and suppliers (as defined in
        section 1861(d) of such Act).
            (2) Report.--Not later than 6 months after the date of the
        enactment of this Act, the Secretary shall submit to the
        Congress a report on the study conducted under paragraph (1).
        Such report shall include an analysis of the likely
        effectiveness of a biometric technology program on reducing
        waste, fraud, and abuse under the Medicare program and may
        include recommendations with regard to whether such a program,
        on a pilot or other basis, should be implemented.

Output: Medicare Fraud Enforcement and Prevention Act of 2013 - Amends title XI of the Social Security Act (SSA) to increase criminal penalties for both felony and misdemeanor fraud under SSA titles XVIII (Medicare) and XIX (Medicaid).  Adds a new offense of distribution of two or more Medicare or Medicaid beneficiary identification numbers or billing privileges. Applies civil monetary penalties to: (1) conspiracy to make false statements or commit other specified offenses with respect to Medicare or Medicaid claims; and (2) knowing creation or use of false records or statements with respect to the transmission of money or property to a federal health care program. Extends the statute of limitations from six to 10 years after presentation of a claim. Amends SSA title XVIII (Medicare), as amended by the Patient Protection and Affordable Care Act (PPACA), to revise screening requirements. Amends SSA title XI, as amended by PPACA, to require the access to claims and payment data granted to Inspector General of the Department of Health and Human Services (HHS) and the Attorney General to include access to real time claims and payment data. Requires the HHS Inspector General to implement mechanisms for the sharing of information about suspected fraud relating to the federal health care programs under Medicare, Medicaid, and SSA title XXI (Children's Health Insurance Program) (CHIP) with other appropriate law enforcement officials. Directs the HHS Secretary to provide for a study that analyzes the feasibility and benefits in reducing waste, fraud, and abuse of carrying out a program that implements biometric technology to ensure that individuals entitled to benefits under Medicare part A or enrolled under Medicare part B are physically present at the time and place of receipt of certain items and services for which payment may be made.


Input:
SECTION 1. SHORT TITLE.

    This Act may be cited as ``Education Tax Credit Simplification Act
of 2004''.

SEC. 2. HOPE AND LIFETIME LEARNING CREDITS COMBINED.

    (a) In General.--So much of section 25A of the Internal Revenue
Code of 1986 (relating to Hope and Lifetime Learning Credits) as
precedes subsection (d) is amended to read as follows:

``SEC. 25A. EDUCATION CREDIT.

    ``(a) Allowance of Credit.--In the case of an individual, there
shall be allowed as a credit against the tax imposed by this chapter
for the taxable year the amount equal to 50 percent of so much of the
qualified expenses paid by the taxpayer during the taxable year (for
education furnished to an individual during any academic period
beginning in such taxable year) as does not exceed $3,000 for such
taxable year with respect to such individual.
    ``(b) Qualified Expenses.--For purposes of subsection (a), the term
`qualified expenses' means the sum of--
            ``(1) qualified higher education expenses, and
            ``(2) the expenses described in subsection (d)(1) with
        respect to any course of instruction at an eligible educational
        institution to acquire or improve job skills of the
        individual.''.
    (b) Conforming Amendments to Credit.--
            (1) Section 25A of such Code is amended--
                    (A) by striking subsection (h), and
                    (B) by redesignating subsections (d), (e), (f),
                (g), and (i) as subsections (c), (d), (e), (f), and
                (g), respectively.
            (2) Subsection (f)(2) of section 25A of such Code, as so
        redesignated, is amended by striking ``(before the application
        of subsections (b), (c), and (d))''.
    (c) Other Conforming and Clerical Amendments.--
            (1) The following provisions of such Code are each amended
        by striking ``section 25A(g)(2)'' and inserting ``section
        25A(f)(2)'':
                    (A) Section 72(t)(7)(B).
                    (B) Section 221(d)(2)(B).
                    (C) Section 222(d)(1) (as amended by section 132 of
                this Act).
                    (D) Section 529(c)(3)(B)(v)(I).
                    (E) Section 530(b)(2)(A).
                    (F) Section 530(d)(2)(C)(i)(I).
                    (G) Section 530(d)(4)(B)(iii).
            (2) Section 221(d) of such Code is amended--
                    (A) in paragraph (2) by striking ``section
                25A(f)(2)'' and inserting ``section 25A(e)(2)'', and
                    (B) by amending paragraph (3) to read as follows:
            ``(3) Eligible student.--The term `eligible student' means,
        with respect to any academic period, a student who--
                    ``(A) meets the requirements of section 484(a)(1)
                of the Higher Education Act of 1965 (20 U.S.C.
                1091(a)(1)), as in effect on the date of the enactment
                of this section, and
                    ``(B) is carrying at least \1/2\ the normal full-
                time work load for the course of study the student is
                pursuing.''.
            (3) Section 529(e)(3)(B)(i) of such Code is amended by
        striking ``section 25A(b)(3)'' and inserting ``section
        221(d)(3)''.
            (4) The heading of section 529(c)(3)(B)(v) of such Code is
        amended to read as follows: ``Coordination with education
        credit.--''.
            (5) The heading of section 530(d)(2)(C) of such Code is
        amended to read as follows: ``Coordination with education
        credit and qualified tuition programs.--''.
            (6) Section 6050S(e) of such Code is amended by striking
        ``subsection (g)(2)'' and inserting ``subsection (f)(2)''.
            (7) Section 6213(g)(2)(J) of such Code is amended by
        striking ``section 25A(g)(1)'' and inserting ``section
        25A(f)(1)''.
            (8) The item relating to section 25A in the table of
        sections for subpart A of part IV of subchapter A of chapter 1
        of such Code is amended to read as follows:

``Sec. 25A. Education Credit.''.
    (d) Effective Date.--The amendments made by this section shall
apply to taxable years beginning after December 31, 2003.

SEC. 3. UNIFORM DEFINITION OF QUALIFYING HIGHER EDUCATION EXPENSES.

    (a) In General.--Paragraph (3) of section 529(e) of such Code
(relating to other definitions and special rules) is amended to read as
follows:
            ``(3) Qualified higher education expenses.--
                    ``(A) In general.--The term `qualified higher
                education expenses' means--
                            ``(i) tuition, fees, books, supplies, and
                        equipment required for the enrollment or
                        attendance of a designated beneficiary at an
                        eligible educational institution; and
                            ``(ii) expenses for special needs services
                        in the case of a special needs beneficiary
                        which are incurred in connection with such
                        enrollment or attendance.
                    ``(B) Room and board included for students who are
                at least half-time.--
                            ``(i) In general.--In the case of an
                        individual who is an eligible student for any
                        academic period, such term shall also include
                        reasonable costs for such period (as determined
                        under the qualified tuition program) incurred
                        by the designated beneficiary for room and
                        board while attending such institution. For
                        purposes of subsection (b)(7), a designated
                        beneficiary shall be treated as meeting the
                        requirements of this clause.
                            ``(ii) Limitation.--The amount treated as
                        qualified higher education expenses by reason
                        of clause (i) shall not exceed--
                                    ``(I) the allowance (applicable to
                                the student) for room and board
                                included in the cost of attendance (as
                                defined in section 472 of the Higher
                                Education Act of 1965 (20 U.S.C.
                                1087ll), as in effect on the date of
                                the enactment of the Economic Growth
                                and Tax Relief Reconciliation Act of
                                2001) as determined by the eligible
                                educational institution for such
                                period, or
                                    ``(II) if greater, the actual
                                invoice amount the student residing in
                                housing owned or operated by the
                                eligible educational institution is
                                charged by such institution for room
                                and board costs for such period.
                            ``(iii) Eligible student.--For purposes of
                        this subparagraph, the term `eligible student'
                        means, with respect to any academic period, a
                        student who--
                                    ``(I) meets the requirements of
                                section 484(a)(1) of the Higher
                                Education Act of 1965 (20 U.S.C.
                                1091(a)(1)), as in effect on the date
                                of the enactment of this section, and
                                    ``(II) is carrying at least \1/2\
                                the normal full-time work load for the
                                course of study the student is
                                pursuing.
                    ``(C) Exceptions.--
                            ``(i) Exception for education involving
                        sports, etc.--Such term does not include
                        expenses with respect to any course or other
                        education involving sports, games, or hobbies,
                        unless such course or other education is part
                        of the individual's degree program.
                            ``(ii) Exception for nonacademic fees.--
                        Such term does not include student activity
                        fees, athletic fees, insurance expenses, or
                        other expenses unrelated to an individual's
                        academic course of instruction.''.
    (b) Conforming Amendments.--
            (1) Section 25A and 6050S of such Code are each amended by
        striking ``qualified tuition and related expenses'' each place
        it appears and inserting ``qualified higher education
        expenses''.
            (2) Section 25A(e)(1) of such Code (as amended by this Act)
        is amended to read as follows:
            ``(1) Qualified higher education expenses.--The term
        `qualified higher education expenses' means the qualified
        higher education expenses (as defined by section 529(e)(3)
        without regard to subparagraph (B) thereof) required for the
        enrollment or attendance of--
                    ``(A) the taxpayer,
                    ``(B) the taxpayer's spouse, or
                    ``(C) any dependent of the taxpayer with respect to
                whom the taxpayer is allowed a deduction under section
                151,
        at an eligible educational institution for courses of
        instruction of such individual at such institution.''.
            (3) Section 135(c)(2) of such Code is amended--
                    (A) by striking ``tuition and fees'' and inserting
                ``the qualified higher education expenses (as defined
                by section 529(e)(3) without regard to subparagraph (B)
                thereof)'', and
                    (B) by striking subparagraph (B) and redesignating
                subparagraph (C) as subparagraph (B).
            (4) Section 221(d)(2) of such Code is amended by striking
        ``the cost of attendance (as defined in section 472 of the
        Higher Education Act of 1965, 20 U.S.C. 1087ll, as in effect on
        the day before the date of the enactment of this Act)'' and
        inserting ``the qualified higher education expenses (as defined
        by section 529(e)(3) without regard to subparagraph (B)
        thereof) incurred for attendance''.
            (5)(A) Section 222 of such Code is amended by striking
        ``qualified tuition and related expenses'' each place it
        appears and inserting ``qualified higher education expenses''.
            (B) Section 222(d)(1) of such Code is amended to read as
        follows:
            ``(1) Qualified higher education expenses.--The term
        `qualified higher education expenses' has the meaning given
        such term by section 529(e)(3) (without regard to subparagraph
        (B) thereof). Such expenses shall be reduced in the same manner
        as under section 25A(f)(2).''.
            (C) Section 222(d) of such Code is amended by redesignating
        paragraph (6) as paragraph (7) and by inserting after paragraph
        (5) the following new paragraph:
            ``(6) Room and board included for students who are full-
        time.--No amount shall be taken into account under this section
        for an expense described in section 529(e)(3)(B) (relating to
        room and board included for students who are at least half-
        time) unless such individual is an eligible student (as defined
        in section 25A(b)(3), determined by substituting `the normal
        full-time work load' in lieu of `\1/2\ the normal full-time
        work load' in subparagraph (B) thereof.''.
            (D) The heading for section 222 of such Code is amended by
        striking ``TUITION AND RELATED'' and inserting ``HIGHER
        EDUCATION''.
            (E) The table of sections for part VII of subchapter B of
        chapter 1 of such Code is amended by amending the item relating
        to section 222 to read as follows:

``Sec. 222. Qualified higher education expenses.''.
            (6)(A) Section 6724(d) of such Code is amended--
                    (i) in paragraph (1)(B)(x) by striking ``qualified
                tuition and related expenses'' and inserting
                ``qualified higher education expenses'', and
                    (ii) in paragraph (2)(Z) by striking ``qualified
                tuition and related expenses'' and inserting
                ``qualified higher education expenses''.
    (c) Effective Date.--The amendments made by this section shall
apply to amounts paid in taxable years beginning after December 31,
2003, for education furnished in periods beginning after such date.

Output: Education Tax Credit Simplification Act of 2004 - Amends the Internal Revenue Code to revise the Hope and Lifetime Learning Tax Credits. Combines both credits into an Education Credit that allows certain students a tax credit of 50 percent of their qualified higher education expenses and educational expenses to acquire or improve job skills, up to $3,000 per year. Eliminates the annual cost of living adjustments to the allowable credit amount.


Input:
SECTION 1. SHORT TITLE.

    This Act may be referred to as the ``Department of the Interior
Reform and Savings Act of 1993''.

              TITLE I--IMPROVE THE FEDERAL HELIUM PROGRAM

SEC. 101. AMENDMENTS TO HELIUM ACT AMENDMENTS OF 1960.

    (a) Section 4 of the Helium Act Amendments of 1960 (74 Stat. 920,
50 U.S.C. 167b) is amended to insert after ``lands acquired, leased, or
reserved;'' the following: ``reduce costs and increase operational
efficiencies, especially in operations that do not produce revenue;
establish and adjust fees charged private industry for storage,
transmission, and withdrawal of privately-owned helium from Government
storage facilities to compensate fully for all costs incurred;''.
    (b) Section 6 of the Helium Act Amendments of 1960 (74 Stat. 921,
50 U.S.C. 167d) is amended--
            (1) by amending subsection (b) to read:
    ``(b) The Secretary is authorized to sell helium for Federal,
medical, scientific, and commercial uses in such quantities and under
such terms and conditions as the Secretary determines. Sales shall be
made in quantities and a manner to avoid undue disruption of the usual
markets of producers, processors, and consumers of helium and to
protect the United States against avoidable loss.''; and
            (2) by amending subsection (c) to read:
    ``(c) Sales of helium by the Secretary shall be at prices, as
established by the Secretary, that are adequate to cover all costs
incurred in carrying out the provisions of this Act. Helium shall be
sold at prices comparable to helium sold by private industry. An annual
review of price comparability shall be made and adjustments shall be
made accordingly.''.

SEC. 102. LONG-TERM COMPREHENSIVE PLAN.

    The Secretary of the Interior shall prepare and develop a long-
term, comprehensive plan to (1) cancel the outstanding debt owed to the
Treasury by the Department of the Interior related to the Federal
helium program; and (2) improve Federal helium program operations over
a multi-year period. The plan should analyze various options to
accomplish (1) and (2) above, with emphasis on ways to minimize adverse
impacts on Federal employment, Federal helium purchasers, and U.S.
private sector helium markets. The plan, with the Secretary's preferred
options, shall be presented to the President within 4 months of
enactment of this Act. The President may adopt the plan, in whole or in
part, and is authorized to cancel the out-standing debt upon a finding
that such debt cancellation is in the national interest.

    TITLE II--IMPROVE MINERALS MANAGEMENT SERVICE ROYALTY COLLECTION

SEC. 201. IMPROVEMENT OF MINERALS MANAGEMENT SERVICE ROYALTY
              COLLECTION.

    (a) The Secretary of the Interior shall, by fiscal year 1995,
direct the Minerals Management Service, Royalty Management Program, to
develop and implement (1) an automated business information system to
provide to its auditors a lease history that includes reference,
royalty, production, financial, compliance history, pricing and
valuation, and other information; (2) the optimum methods to identify
and resolve anomalies and to verify that royalties are paid correctly;
(3) a more efficient and cost-effective royalty collection process by
instituting new compliance and enforcement measures, including
assessments and penalties for erroneous reporting and underreporting;
and (4) such other actions as may be necessary to reduce royalty
underpayment and increase revenue to the U.S. Treasury by an estimated
total of $28 million by fiscal year 1999.
    (b) The Federal Oil and Gas Royalty Management Act of 1982 (Public
Law No. 97-451), (30 U.S.C. 1701 et seq.) is amended by adding a new
subsection 111(h) as follows:

                  ``penalty assessment for substantial

                      underreporting of royalty''

    ``Sec. 111. (h)(1) If there is any underreporting of royalty owned
on production from any lease issued or administered by the Secretary
for the production of oil, gas, coal, any other mineral, or geothermal
steam, from any Federal or Indian lands or the Outer Continental Shelf,
for any production month, by any person who is responsible for paying
royalty, the Secretary may assess a penalty of 10 percent of the amount
of that underreporting.
    ``(2) If there is a substantial underreporting of royalty owed on
production from any lease issued or administered by the Secretary for
the production of oil, gas, coal, any other mineral, or geothermal
steam, from any Federal or Indian lands or the Outer Continental Shelf,
for any production month, by any person who is responsible for paying
royalty, the Secretary may access a penalty of 20 percent of the amount
of that substantial underreporting.
    ``(3) For purposes of this section, the term `undereporting' means
the difference between the royalty on the value of the production which
should have been reported and the royalty on the value of the
production which was reported, if the value of the production which
should have been reported is greater than the value of the production
which was reported. An underreporting constitutes a `substantial
underreporting' if such difference exceeds 10 percent of the royalty on
the value of the production which should have been reported.
    ``(4) The Secretary shall not impose the assessment provided in
paragraphs (1) or (2) if the person corrects the underreporting before
the date the person receives notice from the Secretary that an
underreporting may have occurred, or before 90 days after the date of
enactment of this section, whichever is later.
    ``(5) The Secretary shall waive any portion of an assessment
provided in paragraphs (1) or (2) attributable to that portion of the
underreporting for which the person demonstrates that--
            ``(i) the person had written authorization from the
        Secretary to report royalty on the value of the production on
        the basis on which it was reported, or
            ``(ii) the person had substantial authority for reporting
        royalty on the value of the production on the basis on which it
        was reported, or
            ``(iii) the person previously had notified the Secretary,
        in such manner as the Secretary may by rule prescribe, of
        relevant reasons or facts affecting the royalty treatment of
        specific production which led to the underreporting, or
            ``(iv) the person meets any other exception which the
        Secretary may, by rule, establish.
    ``(6) All penalties collected under this subsection shall be
deposited to the same accounts in the Treasury or paid to the same
recipients in the same manner as the royalty with respect to which such
penalty is paid.''.

           TITLE III--PHASE OUT THE MINERAL INSTITUTE PROGRAM

SEC. 301. PHASE OUT OF MINERAL INSTITUTE PROGRAM.

    The Secretary of the Interior, beginning in fiscal year 1995, shall
take action to phase out the Mining and Mineral Resources Research
Institute Act of 1984, Public Law 98-409, as amended (98 Stat. 1536
through 1541 and 102 Stat. 2339 through 2341, 30 U.S.C. 1221 through
1230). There are hereby authorized to be appropriated under the Act the
following amounts: fiscal year 1995--$6.5 million; fiscal year 1996--$5
million; fiscal year 1997--$3 million; and fiscal year 1998--$1.5
million. No further appropriations for this Act are authorized after
September 30, 1998.

Output:
TABLE OF CONTENTS:
     Title I:  Improve the Federal Helium Program
     Title II:  Improve Minerals Management Service Royalty
          Collection
     Title III:  Phase Out the Mineral Institute Program
Department of the Interior Reform and Savings Act of 1993 -
Title I:  Improve the Federal Helium Program
 - Amends the Helium Act Amendments of 1960 to authorize the Secretary of the Interior (the Secretary) to:  (1) reduce costs and increase operational efficiencies; and (2) set fees charged private industry for storage, transmission, and withdrawal of privately-owned helium from Federal storage facilities to compensate fully for all costs incurred.
Directs the Secretary to:  (1) make helium sales in a manner that avoids undue disruption of the usual helium market and protects the United States against avoidable loss; (2) sell helium at prices comparable to those set by private industry; and (3) develop a long-term comprehensive plan to cancel the outstanding debt owed to the Treasury related to the Federal helium program, and to improve Federal helium program operations.
Title II:  Improve Minerals Management Service Royalty Collection
 - Requires the Secretary to direct the Minerals Management Service, Royalty Management Program, to develop and implement:  (1) an automated business information system to provide its auditors a lease history; (2) optimum methods to identify and resolve anomalies and to verify royalty payments; (3) new royalty compliance and enforcement measures; and (4) other actions necessary to reduce royalty underpayment and increase revenues by a specified amount.
Amends the Federal Oil and Gas Royalty Management Act  of 1982 to authorize the Secretary to assess a penalty of ten percent of the amount of underreported royalty, and 20 percent of the amount of substantially underreported royalty.
Title III:  Phase Out the Mineral Institute Program
 - Directs the Secretary to phase out the Mining and Mineral Resources Research Institute Act of 1984 by the end of FY 1998.


Input:
SECTION 1. TEACHER RECRUITMENT.

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

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

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

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

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

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

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

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

``SEC. 10995D. INDIVIDUAL SCHOLARSHIP ELIGIBILITY.

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

``SEC. 10995E. SCHOLARSHIP AMOUNT.

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

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

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

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

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

``SEC. 10995H. REPORT TO CONGRESS.

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

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


Input:
SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Irrigation Subsidy Reduction Act of
1996''.

SEC. 2. FINDINGS.

    Congress finds that--
            (1) the Federal reclamation program has been in existence
        for over 90 years, with an estimated taxpayer investment of
        over $70,000,000,000;
            (2) the program has had and continues to have an enormous
        effect on the water resources and aquatic environments of the
        western States;
            (3) irrigation water made available from Federal water
        projects in the West is a very valuable resource for which
        there are increasing and competing demands;
            (4) the justification for providing water at less than full
        cost was to benefit and promote the development of small family
        farms and exclude large corporate farms, but this purpose has
        been frustrated over the years due to inadequate implementation
        of subsidy and acreage limits;
            (5) below-cost water prices tend to encourage excessive use
        of scarce water supplies in the arid regions of the West, and
        reasonable price increases to the wealthiest western farmers
        would provide an economic incentive for greater water
        conservation;
            (6) the Federal Government has increasingly applied
        eligibility tests based on income for Federal entitlement and
        subsidy programs, measures that are consistent with the
        historic approach of the reclamation program's acreage
        limitations that seek to limit water subsidies to smaller
        farms; and
            (7) including a means test based on gross income in the
        reclamation program will increase the effectiveness of carrying
        out the family farm goals of the Federal reclamation laws.

SEC. 3. AMENDMENTS.

    (a) Definitions.--Section 202 of the Reclamation Reform Act of 1982
(43 U.S.C. 390bb) is amended--
            (1) by redesignating paragraphs (7), (8), (9), (10), and
        (11) as paragraphs (9), (10), (11), (12), and (13),
        respectively;
            (2) in paragraph (6) by striking ``owned or operated under
        a lease which'' and inserting ``owned, leased, or operated by
        an individual or legal entity and which'';
            (3) by inserting after paragraph (6) the following:
            ``(7) Legal entity.--The term `legal entity' includes a
        corporation, association, partnership, trust, joint tenancy, or
        tenancy in common, or any other entity that owns, leases, or
        operates a farm operation for the benefit of more than 1
        individual under any form of agreement or arrangement.
            ``(8) Operator.--
                    ``(A) In general.--The term `operator'--
                            ``(i) means an individual or legal entity
                        that operates a single farm operation on a
                        parcel (or parcels) of land that is owned or
                        leased by another person (or persons) under any
                        form of agreement or arrangement (or agreements
                        or arrangements); and
                            ``(ii) if the individual or legal entity--
                                    ``(I) is an employee of an
                                individual or legal entity, includes
                                the individual or legal entity; or
                                    ``(II) is a legal entity that
                                controls, is controlled by, or is under
                                common control with another legal
                                entity, includes each such other legal
                                entity.
                    ``(B) Operation of a farm operation.--For the
                purposes of subparagraph (A), an individual or legal
                entity shall be considered to operate a farm operation
                if the individual or legal entity is the person that
                performs the greatest proportion of the decisionmaking
                for and supervision of the agricultural enterprise on
                land served with irrigation water.''; and
            (4) by adding at the end the following:
            ``(14) Single farm operation.--
                    ``(A) In general.--The term `single farm operation'
                means the total acreage of land served with irrigation
                water for which an individual or legal entity is the
                operator.
                    ``(B) Rules for determining whether separate
                parcels are operated as a single farm operation.--
                            ``(i) Equipment- and labor-sharing
                        activities.--The conduct of equipment- and
                        labor-sharing activities on separate parcels of
                        land by separate individuals or legal entities
                        shall not by itself serve as a basis for
                        concluding that the farming operations of the
                        individuals or legal entities constitute a
                        single farm operation.
                            ``(ii) Performance of certain services.--
                        The performance by an individual or legal
                        entity of an agricultural chemical application,
                        pruning, or harvesting for a farm operation on
                        a parcel of land shall not by itself serve as a
                        basis for concluding that the farm operation on
                        that parcel of land is part of a single farm
                        operation operated by the individual or entity
                        on other parcels of land.''.
    (b) Identification of Owners, Lessees, and Operators and of Single
Farm Operations.--The Reclamation Reform Act of 1982 (43 U.S.C. 39aa et
seq.) is amended by inserting after section 201 the following:

``SEC. 201A. IDENTIFICATION OF OWNERS, LESSEES, AND OPERATORS AND OF
              SINGLE FARM OPERATIONS.

    ``(a) In General.--Subject to subsection (b), for each parcel of
land to which irrigation water is delivered or proposed to be
delivered, the Secretary shall identify a single individual or legal
entity as the owner, lessee, or operator.
    ``(b) Shared Decisionmaking and Supervision.--If the Secretary
determines that no single individual or legal entity is the owner,
lessee, or other individual that performs the greatest proportion of
decisionmaking for and supervision of the agricultural enterprise on a
parcel of land--
            ``(1) all individuals and legal entities that own, lease,
        or perform a proportion of decisionmaking and supervision that
        is equal as among themselves but greater than the proportion
        performed by any other individual or legal entity shall be
        considered jointly to be the owner, lessee, or operator; and
            ``(2) all parcels of land of which any such individual or
        legal entity is the owner, lessee, or operator shall be
        considered to be part of the single farm operation of the
        owner, lessee, or operator identified under subsection (1).
    (c) Pricing.--Section 205 of the Reclamation Reform Act of 1982 (43
U.S.C. 390ee) is amended by adding at the end the following:
    ``(d) Single Farm Operations Generating More Than $500,000 in Gross
Farm Income.--
            ``(1) In general.--Notwithstanding subsections (a), (b),
        and (c), in the case of--
                    ``(A) a qualified recipient that reports gross farm
                income from a single farm operation in excess of
                $500,000 for a taxable year; or
                    ``(B) a limited recipient that received irrigation
                water on or before October 1, 1981, and that reports
                gross farm income from a single farm operation in
                excess of $500,000 for a taxable year;
        irrigation water may be delivered to the single farm operation
        of the qualified recipient or limited recipient at less than
        full cost to a number of acres that does not exceed the number
        of acres determined under paragraph (2).
            ``(2) Maximum number of acres to which irrigation water may
        be delivered at less than full cost.--The number of acres
        determined under this subparagraph is the number equal to the
        number of acres of the single farm operation multiplied by a
        fraction, the numerator of which is $500,000 and the
        denominator of which is the amount of gross farm income
        reported by the qualified recipient or limited recipient in the
        most recent taxable year.
            ``(3) Inflation adjustment.--
                    ``(A) In general.--The $500,000 amount under
                paragraphs (1) and (2) for any taxable year beginning
                in a calendar year after 1997 shall be equal to the
                product of--
                            ``(i) $500,000, multiplied by
                            ``(ii) the inflation adjustment factor for
                        the taxable year.
                    ``(B) Inflation adjustment factor.--The term
                `inflation adjustment factor' means, with respect to
                any calendar year, a fraction the numerator of which is
                the GDP implicit price deflator for the preceding
                calendar year and the denominator of which is the GDP
implicit price deflator for 1996. Not later than April 1 of any
calendar year, the Secretary shall publish the inflation adjustment
factor for the preceding calendar year.
                    ``(C) GDP implicit price deflator.--For purposes of
                subparagraph (B), the term `GDP implicit price
                deflator' means the first revision of the implicit
                price deflator for the gross domestic product as
                computed and published by the Secretary of Commerce.
                    ``(D) Rounding.--If any increase determined under
                subparagraph (A) is not a multiple of $100, the
                increase shall be rounded to the next lowest multiple
                of $100.''.
    (d) Certification of Compliance.--Section 206 of the Reclamation
Reform Act of 1982 (43 U.S.C. 390ff) is amended to read as follows:

``SEC. 206. CERTIFICATION OF COMPLIANCE.

    ``(a) In General.--As a condition to the receipt of irrigation
water for land in a district that has a contract described in section
203, each owner, lessee, or operator in the district shall furnish the
district, in a form prescribed by the Secretary, a certificate that the
owner, lessee, or operator is in compliance with this title, including
a statement of the number of acres owned, leased, or operated, the
terms of any lease or agreement pertaining to the operation of a farm
operation, and, in the case of a lessee or operator, a certification
that the rent or other fees paid reflect the reasonable value of the
irrigation water to the productivity of the land.
    ``(b) Documentation.--The Secretary may require a lessee or
operator to submit for the Secretary's examination--
            ``(1) a complete copy of any lease or other agreement
        executed by each of the parties to the lease or other
        agreement; and
            ``(2) a copy of the return of income tax imposed by chapter
        1 of the Internal Revenue Code of 1986 for any taxable year in
        which the single farm operation of the lessee or operator
        received irrigation water at less than full cost.''.
    (e) Trusts.--Section 214 of the Reclamation Reform Act of 1982 (43
U.S.C. 390nn) is repealed.
    (f) Administrative Provisions.--
            (1) Penalties.--Section 224(c) of the Reclamation Reform
        Act of 1982 (43 U.S.C. 390ww(c)) is amended--
                    (A) by striking ``(c) The Secretary'' and inserting
                the following:
    ``(c) Regulations; Data Collection; Penalties.--
            ``(1) Regulations; data collection.--The Secretary''; and
                    (B) by adding at the end the following:
            ``(2) Penalties.--Notwithstanding any other provision of
        law, the Secretary shall establish appropriate and effective
        penalties for failure to comply with any provision of this Act
        or any regulation issued under this Act.''.
            (2) Interest.--Section 224(i) of the Reclamation Reform Act
        of 1982 (43 U.S.C. 390ww(i)) is amended by striking the last
        sentence and inserting the following: ``The interest rate
        applicable to underpayments shall be equal to the rate
        applicable to expenditures under section 202(3)(C).''.
    (g) Reporting.--Section 228 of the Reclamation Reform Act of 1982
(43 U.S.C. 390zz) is amended by inserting ``operator or'' before
``contracting entity'' each place it appears.
    (h) Memorandum of Understanding.--The Reclamation Reform Act of
1982 (43 U.S.C. 390aa et seq.) is amended--
            (1) by redesignating sections 229 and 230 as sections 230
        and 231; and
            (2) by inserting after section 228 the following:

``SEC. 229. MEMORANDUM OF UNDERSTANDING.

    ``The Secretary, the Secretary of the Treasury, and the Secretary
of Agriculture shall enter into a memorandum of understanding or other
appropriate instrument to permit the Secretary, notwithstanding section
6103 of the Internal Revenue Code of 1986, to have access to and use of
available information collected or maintained by the Department of the
Treasury and the Department of Agriculture that would aid enforcement
of the ownership and pricing limitations of Federal reclamation law.''.

Output:
Irrigation Subsidy Reduction Act of 1996 - Amends the Reclamation Reform Act of 1982 to define the terms "legal entity," "operator," and "single farm operation."
Directs the Secretary of the Interior, for each parcel of land to which irrigation water is delivered or proposed to be delivered, to identify a single individual or legal entity as the owner, lessee, or operator.
Allows irrigation water to be delivered at less than the normal per-acre cost to either:  (1) a qualified recipient that reports gross farm income from a single farm operation in excess of $500,000 per taxable year; or (2) a limited recipient that received such water on or before October 1, 1981, and that reports gross farm income in excess of such amount.  Provides an inflation adjustment for calendar years after 1997.
Requires lessees (currently, only owners and operators) of an irrigation district to furnish such district a certification of compliance with the Act.  Allows the Secretary to require a lessee or operator to submit for examination a copy of a tax return for any taxable year in which the single farm operation of the lessee or operator received irrigation water at less than full cost.
Repeals a provision exempting district lands held in trust from Federal reclamation ownership and cost pricing limitations.
Directs the Secretary to establish penalties for failure to comply with provisions of the Act.
Directs the Secretaries of the Interior, the Treasury, and Agriculture to enter into a memorandum of understanding to permit the Secretary of the Interior to have access to and use available information collected or maintained by either the Department of the Treasury or Agriculture that would aid in enforcement of the ownership and pricing limitations of Federal reclamation law.


Input:
SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Hospital Price Disclosure Act of
2005''.

SEC. 2. PUBLIC DISCLOSURE OF HOSPITAL AND AMBULATORY SURGICAL CENTER
              DATA.

    (a) Requirement.--
            (1) Hospitals.--Subsection (a)(1) of section 1866 of the
        Social Security Act (42 U.S.C. 1395cc) is amended--
                    (A) in subparagraph (U), by striking ``and'' at the
                end;
                    (B) in subparagraph (V), by striking the period at
                the end and inserting ``, and''; and
                    (C) by inserting after subparagraph (V) the
                following new subparagraph:
            ``(W) in the case of a hospital, to report to the Secretary
        data in accordance with subsection (k)(1) and to post notice
        regarding such data in accordance with subsection (k)(2)(B).''.
            (2) Ambulatory surgical centers.--Section 1832(a)(2)(F)(i)
        of such Act (42 U.S.C. 1395k(a)(2)(F)(i)) is amended by
        inserting after ``other standards'' the following: ``,
        including the reporting to the Secretary of data in accordance
        with section 1866(k)(1) and the posting of notice regarding
        such data in accordance with section 1866(k)(2)(B)''.
    (b) Data Reporting by Hospitals and Ambulatory Surgical Centers for
Certain Inpatient and Outpatient Procedures and Inpatient Drugs.--
Section 1866 of such Act (42 U.S.C. 1395cc) is further amended by
adding at the end the following new subsection:
    ``(k) Data Reporting by Hospitals and Ambulatory Surgical Centers
and Public Posting.--
            ``(1) Quarterly reporting requirement.--Not later than 45
        days after the end of each calendar quarter (beginning more
        than one year after the date of the enactment of this
        subsection), a hospital shall report to the Secretary, for each
        procedure or drug selected under paragraph (3), and an
        ambulatory surgical center shall report to the Secretary, for
        each procedure selected under paragraph (3)(A)(ii), the
        following data:
                    ``(A) The frequency with which the hospital
                performed the procedure, or administered the drug in an
                inpatient setting, or the center performed the
                procedure during such quarter.
                    ``(B) If the procedure was performed or the drug
                was so administered during such quarter, the average
                and the median of the price charged by the hospital or
                center for such procedure or drug during such quarter.
            ``(2) Public availability of data.--
                    ``(A) Public posting of data.--The Secretary shall
                promptly post, on the official public Internet site of
                the Department of Health and Human Services, the data
                reported under paragraph (1). Such data shall be set
                forth in a manner that promotes price comparison among
                hospitals and ambulatory surgical centers.
                    ``(B) Notice of availability.--A hospital and
                ambulatory surgical center shall prominently post at
                each admission site of the hospital or center a notice
                of the availability of the data reported under
                paragraph (1) on the official public Internet site
                under subparagraph (A).
            ``(3) Selection of procedures and drugs.--
                    ``(A) Initial selection.--Based on national data,
                the Secretary shall select the following:
                            ``(i) The 25 most frequently performed
                        hospital inpatient procedures.
                            ``(ii) The 25 most frequently performed
                        hospital outpatient procedures.
                            ``(iii) The 50 most frequently administered
                        drugs in a hospital inpatient setting.
                    ``(B) Updating selection.--The Secretary shall
                periodically update the procedures and drugs selected
                under subparagraph (A).
            ``(4) Civil money penalty.--The Secretary may impose a
        civil money penalty of not more than $10,000 for each knowing
        violation of the provisions of paragraph (1) or (2)(B) by a
        hospital or ambulatory surgical center. A civil money penalty
        under this paragraph shall be imposed and collected in the same
        manner as a civil money penalty under subsection (a) of section
        1128A is imposed and collected under that section.
            ``(5) Administrative provisions.--
                    ``(A) Classification of procedures.--For purposes
                of this subsection, the Secretary shall establish rules
                for the classification of different procedures and for
                the assignment of items and services to those
                procedures.
                    ``(B) Computation of average and median prices.--
                For purposes of paragraph (1), the computation of an
                average and median price for a procedure or drug shall
                be in accordance with a methodology prescribed by the
                Secretary. Such methodology may provide for reporting
                by the hospital or ambulatory surgical center of unit
                prices for specific items and services included in a
                procedure, including appropriate per diem prices, and a
                method of converting such unit prices for a procedure
                to an average and median price for such procedure.
                    ``(C) Form of report and notice.--The Secretary
                shall specify the electronic form and manner by which a
                hospital or ambulatory surgical center shall report
                data under paragraph (1) and the form for posting of
                notices under paragraph (2)(B).
            ``(6) Non-preemption of state laws.--Nothing in this
        subsection shall be construed as preempting or otherwise
        affecting any provision of State law relating to the disclosure
        of price or other information for a hospital or ambulatory
        surgical center.
            ``(7) Drug defined.--For purposes of this subsection, the
        term `drug' includes a biological and a non-prescription drug,
        such as an ointment. ''.

Output: Hospital Price Disclosure Act of 2005 - Amends title XVIII (Medicare) of the Social Security Act to require the public disclosure of prices for hospital and ambulatory surgical center procedures and drugs.


Input:
SECTION 1. SHORT TITLE; PURPOSE.

    (a) Short Title.--This Act may be cited as the ``Preserving
Equitable Access to Community-based Home Health (PEACH) Act of 2009''.
    (b) Purpose.--It is the purpose of this Act to preserve access to
home health services for all Americans, regardless of their ability to
pay or their severity of illness.

SEC. 2. FINDINGS.

    The Congress finds the following:
            (1) The Medicare home health benefit is vulnerable to
        agency selection of the most profitable beneficiaries and
        avoidance of the most complex and costly beneficiaries.
            (2) Such ``cherry picking'' by some home health agencies
        compromises access to care for the most complex, highest risk
        beneficiaries.
            (3) The Government Accountability Office has reported that
        hospital discharge planners have difficulty placing more than
        10 percent of eligible patients in home health due to their
        extensive care needs.
            (4) Proposals to reduce Medicare payments to home health
        agencies (in response to large aggregate margins across all
        home health agencies) may undermine the financial viability of
        mission-driven and non-profit home health agencies, which often
        have low to negative margins, while allowing high-margin
        agencies to remain in operation.

SEC. 3. SUPPLEMENTAL PAYMENTS FOR PEACH AGENCIES.

    (a) In General.--There shall be established a fund (to be known as
the ``PEACH fund'') from which home health agencies meeting specified
criteria shall be paid supplemental amounts in addition to their
statutory payment amounts under title XVIII of the Social Security Act.
Is this to be a trust fund? Where is this fund to be established? Who
adminsters it? What are the sources of funding that goes into the fund?
What are the allowed uses of such funding?
    (b) Peach Program.--Title XVIII of the Social Security Act is
amended by inserting after section 1895 the following new section:

               ``supplemental payments for peach agencies

    ``Sec. 1895A.  (a) Designation.--
            ``(1) In general.--The Secretary shall designate as a
        `PEACH agency' any home health agency that meets the criteria
        under paragraph (2).
            ``(2) Criteria.--The Secretary may not designate a home
        health agency as a PEACH agency unless the home health agency
        meets the following criteria:
                    ``(A) The home health agency is certified for
                participation under this title.
                    ``(B) The home health agency offers--
                            ``(i) the complete range of home health
                        services as defined under section 1861(m) of
                        this title;
                            ``(ii) the complete range of home health
                        services on a 24 hours per day, 7 days per week
                        on-call basis; and
                            ``(iii) its services to all eligible
                        beneficiaries or enrollees under this title
                        and/or title XIX, and uninsured individuals up
                        to its service capacity, regardless of their
                        ability to pay or the complexity or intensity
                        of care they require.
                    ``(C) The home health agency provides charity care
                in an amount greater than or equal to 1 percent of its
                total revenue.
                    ``(D) The home health agency agrees that the
                Secretary may, by statistical or other means, verify on
                an annual basis that the agency meets the criteria
                defined in this paragraph, and that the agency will be
                subject to disqualification from the PEACH program if
                such criteria are not met.
    ``(b) Supplemental Payments.--
            ``(1) In general.--Subject to the availability of funds
        under subsection (c), the Secretary shall make supplemental
        payments to PEACH agencies based on information submitted by
        the agency on an additional schedule in the Medicare cost
        report.
            ``(2) Cost reporting.--The Secretary shall implement an
        additional schedule, as a component of the cost reporting
        process, on which home health agencies may report information
        the Secretary deems necessary for designation and payment as a
        PEACH agency.
            ``(3) Amount and timing for first year as peach agency.--
                    ``(A) The supplemental payment made to a home
                health agency for the first year in which such agency
                is designated a PEACH agency under this section shall
                be equal to its shortfall in that year, defined as the
                sum of--
                            ``(i) the aggregate reasonable cost of home
                        health services delivered under parts A and B
                        of this title by the PEACH agency for such
                        year, less the aggregate payments received by
                        the PEACH agency pursuant to section 1895;
                            ``(ii) the aggregate actual costs of home
                        health and home and community based services
                        delivered by the agency under sections
                        1905(a)(7), 1905(a)(22), and 1915(c) through
                        (e) of title XIX for such year, less the
                        aggregate payments received by the PEACH agency
                        for such services under that title; and
                            ``(iii) the aggregate cost of uncompensated
                        home health services delivered by the PEACH
                        agency for such year.
                    ``(B) The supplemental payment under subparagraph
                (A) shall be paid within 90 days of receipt of the
                annual cost report by the Secretary.
            ``(4) Amount and timing for subsequent years.--For each
        year after the first year in which a home health agency is
        designated a PEACH agency, a PEACH agency shall receive interim
        supplemental payments based on--
                    ``(A) the intervals at which the agency submits
                cost reports; and
                    ``(B) the estimated shortfall, as defined in
                subparagraph (3)(A), for the year or interval in
                question.
    ``(c) Funding.--Supplemental payments under this section shall be--
            ``(1) paid from the PEACH fund, which shall be capped at
        $500,000,000 annually and shall be administered by the
        Secretary; and
            ``(2) paid to PEACH agencies--
                    ``(A) pursuant to subsection (b); or
                    ``(B) if the PEACH fund is insufficient to cover
                all the supplemental payments that should be paid under
                subsection (b), in proportion to each agency's
                shortfall relative to the aggregate shortfall of all
                PEACH agencies for the year in question.
        In any year in which the Secretary determines that the PEACH
        fund will not cover the aggregate estimated shortfall of all
        PEACH agencies, the Secretary shall make a preliminary
        supplemental payment to each PEACH agency within 90 days of
        receipt of its annual cost report and, if funds remain, an
        additional supplemental payment after all PEACH agency cost
        reports have been received.
    ``(d) Definitions.--For purposes of this section--
            ``(1) the term `charity care' means home health services
        that are provided to an individual who is--
                    ``(A) not eligible for payment under this title,
                under title XIX, or by any other third-party payer; and
                    ``(B) unable to pay any portion of the full cost of
                care, including any amount subsidized or otherwise
                discounted due to an individual's inability to pay; and
            ``(2) the term `uncompensated care' means home health
        services provided to an individual by a home health agency with
        the knowledge that the individual will be financially unable to
        pay for the services.''.
    (c) Conforming Amendment.--Section 1895(a) of the Social Security
Act is amended by inserting before the period at the end the following:
``and the provisions of section 1895A''.

SEC. 4. REGULATIONS.

    The Secretary shall issue such regulations as are necessary and
appropriate for the implementation of the provisions of this Act.

SEC. 5. AUTHORIZATION OF APPROPRIATIONS.

    There is authorized for appropriation $500,000,000 for each fiscal
year beginning with fiscal year 2010 for purposes of carrying out the
purposes of this Act. Is there anything this funds other than the PEACH
fund? Should this go into the provision creating that fund?

Output:
Preserving Equitable Access to Community-based Home Health (PEACH) Act of 2009 - Establishes the PEACH fund from which home health agencies meeting specified criteria shall be paid supplemental amounts in addition to their statutory payment amounts under title XVIII (Medicare) of the Social Security Act (SSA).

Amends SSA title XVIII to direct the Secretary of Health and Human Services (HHS) to make supplemental payments to certain community-based home health agencies that the Secretary has designated as PEACH agencies for estimated shortfalls due to providing uncompensated care.


Input:
SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Long Island Sound Stewardship Act of
2004''.

SEC. 2. FINDINGS AND PURPOSE.

    (a) Findings.--Congress finds that--
            (1) Long Island Sound is a national treasure of great
        cultural, environmental, and ecological importance;
            (2) 8,000,000 people live within the Long Island Sound
        watershed and 28,000,000 people (approximately 10 percent of
        the population of the United States) live within 50 miles of
        Long Island Sound;
            (3) activities that depend on the environmental health of
        Long Island Sound contribute more than $5,000,000,000 each year
        to the regional economy;
            (4) the portion of the shoreline of Long Island Sound that
        is accessible to the general public (estimated at less than 20
        percent of the total shoreline) is not adequate to serve the
        needs of the people living in the area;
            (5) existing shoreline facilities are in many cases
        overburdened and underfunded;
            (6) large parcels of open space already in public ownership
        are strained by the effort to balance the demand for recreation
        with the needs of sensitive natural resources;
            (7) approximately \1/3\ of the tidal marshes of Long Island
        Sound have been filled, and much of the remaining marshes have
        been ditched, dyked, or impounded, reducing the ecological
        value of the marshes; and
            (8) many of the remaining exemplary natural landscape is
        vulnerable to further development.
    (b) Purpose.--The purpose of this Act is to establish the Long
Island Sound Stewardship System to preserve areas of critical
importance because of the open space, public access, and ecological
value of the areas.

SEC. 3. DEFINITIONS.

     In this Act:
            (1) Committee.--The term ``Committee'' means the Long
        Island Sound Stewardship Coordinating Committee established by
        section 5(a).
            (2) Region.--The term ``Region'' means the Long Island
        Sound Stewardship System Region established by section 4(a).
            (3) States.--The term ``States'' means the States of
        Connecticut and New York.

SEC. 4. LONG ISLAND SOUND STEWARDSHIP SYSTEM REGION.

    (a) Establishment.--There is established in the States the Long
Island Sound Stewardship System Region.
    (b) Boundaries.--The Region shall encompass the immediate coastal
upland and underwater areas along Long Island Sound, including those
portions of the Sound with coastally influenced vegetation, as
described on the map entitled the ``Long Island Sound Stewardship
Region'' and dated April 21, 2004.

SEC. 5. LONG ISLAND SOUND STEWARDSHIP COORDINATING COMMITTEE.

    (a) Establishment.--There is established a committee to be known as
the ``Long Island Sound Stewardship Coordinating Committee''.
    (b) Chairperson.--The Chairperson of the Committee shall be the
Director of the Long Island Sound Office of the Environmental
Protection Agency, or designee.
    (c) Membership.--
            (1) Composition.--
                    (A) In general.--The chairperson shall appoint the
                members of the Committee in accordance with this
                subsection and section 320(c) of the Federal Water
                Pollution Control Act (33 U.S.C. 1330(c)).
                    (B) Representation.--The Committee shall--
                            (i) include equal representation of the
                        interests of the States; and
                            (ii) represent--
                                    (I) Federal, State, and local
                                government interests;
                                    (II) the interests of
                                nongovernmental organizations;
                                    (III) academic interests; and
                                    (IV) private interests.
            (2) Date of appointments.--The appointment of a member of
        the Committee shall be made not later than 180 days after the
        date of enactment of this Act.
    (d) Term; Vacancies.--
            (1) Term.--A member shall be appointed for the life of the
        Committee.
            (2) Vacancies.--A vacancy on the Committee--
                    (A) shall not affect the powers of the Committee;
                and
                    (B) shall be filled in the same manner as the
                original appointment was made.
    (e) Initial Meeting.--Not later than 30 days after the date on
which all members of the Committee have been appointed, the Committee
shall hold the initial meeting of the Committee.
    (f) Meetings.--The Committee shall meet at the call of the
Chairperson, but not less than 4 times each year.
    (g) Quorum.--A majority of the members of the Committee shall
constitute a quorum, but a lesser number of members may hold hearings.

SEC. 6. DUTIES OF THE COMMITTEE.

    The Committee shall--
            (1) consistent with the guidelines described in section
        9(c)--
                    (A) establish specific criteria for the evaluation
                of applications for stewardship site designations; and
                    (B) evaluate and award or deny stewardship
                designation to applicants for that designation;
            (2) consistent with the guidelines described in section
        9(d)--
                    (A) evaluate applications from government or
                nonprofit organizations qualified to hold conservation
                easements for funds to purchase land or development
                rights for stewardship sites; and
                    (B) award funds to qualified applicants;
            (3) not later than 1 year after the date of enactment of
        this Act, develop and publish a management plan that--
                    (A) assesses the current resources of and threats
                to Long Island Sound;
                    (B) assesses the role of the Long Island Sound
                Stewardship System in protecting Long Island Sound;
                    (C) establishes--
                            (i) guidelines, schedules, and due dates
                        for applying for designation as a stewardship
                        site; and
                            (ii) specific criteria to be used in
                        evaluating stewardship site applications;
                    (D) includes information about any grants that are
                available for the purchase of land or property rights
                to protect stewardship sites;
                    (E) shall be made available to the public on the
                Internet and in hardcopy form; and
                    (F) shall be updated at least every other year,
                with information on applications for stewardship site
                designation and funding published more frequently; and
            (4) concurrent with the first management plan, publish a
        list of sites that the Committee considers most appropriate for
        designation as stewardship sites.

SEC. 7. POWERS OF THE COMMITTEE.

    (a) Hearings.--The Committee may hold such hearings, meet and act
at such times and places, take such testimony, and receive such
evidence as the Committee considers advisable to carry out this Act.
    (b) Information From Federal Agencies.--
            (1) In general.--The Committee may secure directly from a
        Federal agency such information as the Committee considers
        necessary to carry out this Act.
            (2) Provision of information.--On request of the
        Chairperson of the Committee, the head of the agency shall
        provide the information to the Committee.
    (c) Postal Services.--The Committee may use the United States mails
in the same manner and under the same conditions as other agencies of
the Federal Government.
    (d) Gifts.--The Committee may accept, use, and dispose of gifts or
donations of services or property.

SEC. 8. COMMITTEE PERSONNEL MATTERS.

    (a) Compensation of Members.--
            (1) Non-federal employees.--A member of the Committee who
        is not an officer or employee of the Federal Government shall
        be compensated at a rate equal to the daily equivalent of the
        annual rate of basic pay prescribed for level IV of the
        Executive Schedule under section 5315 of title 5, United States
        Code, for each day (including travel time) during which the
        member is engaged in the performance of the duties of the
        Committee.
            (2) Federal employees.--A member of the Committee who is an
        officer or employee of the Federal Government shall serve
        without compensation in addition to the compensation received
        for the services of the member as an officer or employee of the
        Federal Government.
    (b) Travel Expenses.--A member of the Committee shall be allowed
travel expenses, including per diem in lieu of subsistence, at rates
authorized for an employee of an agency under subchapter I of chapter
57 of title 5, United States Code, while away from the home or regular
place of business of the member in the performance of the duties of the
Committee.
    (c) Staff.--
            (1) In general.--The Chairperson of the Committee may,
        without regard to the civil service laws (including
        regulations), appoint and terminate an executive director and
        such other additional personnel as are necessary to enable the
        Committee to perform the duties of the Committee.
            (2) Confirmation of executive director.--The employment of
        an executive director shall be subject to confirmation by the
        Committee.
            (3) Compensation.--
                    (A) In general.--Except as provided in subparagraph
                (B), the Chairperson of the Committee may fix the
                compensation of the executive director and other
                personnel without regard to the provisions of chapter
                51 and subchapter III of chapter 53 of title 5, United
                States Code, relating to classification of positions
                and General Schedule pay rates.
                    (B) Maximum rate of pay.--The rate of pay for the
                executive director and other personnel shall not exceed
                the rate payable for level V of the Executive Schedule
                under section 5316 of title 5, United States Code.
    (d) Detail of Federal Government Employees.--
            (1) In general.--An employee of the Federal Government may
        be detailed to the Committee without reimbursement.
            (2) Civil service status.--The detail of the employee shall
        be without interruption or loss of civil service status or
        privilege.
    (e) Procurement of Temporary and Intermittent Services.--The
Chairperson of the Committee may procure temporary and intermittent
services in accordance with section 3109(b) of title 5, United States
Code, at rates for individuals that do not exceed the daily equivalent
of the annual rate of basic pay prescribed for level V of the Executive
Schedule under section 5316 of that title.

SEC. 9. STEWARDSHIP SITES.

    (a) Definition of Qualifying Land.--In this section, the term
``qualifying land'' means land--
            (1) that is in the Region; and
            (2) that is--
                    (A) Federal, State, local, or tribal land;
                    (B) land owned by a nonprofit organization; or
                    (C) privately owned land.
    (b) Application for Designation.--Owners or other parties in
control of qualifying land may apply to the Committee to have the
qualifying land designated as a Long Island Sound stewardship site.
    (c) General Guidelines for Stewardship Site Designation.--
            (1) In general.--The Committee shall choose land to be
        designated as a stewardship site based on--
                    (A) the contribution of the land to open space on
                and public access to Long Island Sound; and
                    (B) the ecological value of the land.
            (2) Criteria.--In considering land described in
        applications submitted under subsection (b), the Committee
        shall consider--
                    (A) land cover;
                    (B) size;
                    (C) adjacency and connectivity to existing parks
                and open spaces;
                    (D) water quality;
                    (E) current or prospective recreational use;
                    (F) visitor demand;
                    (G) scenic quality;
                    (H) cultural resources;
                    (I) erosion and flood hazard prevention;
                    (J) environmental justice;
                    (K) fish and wildlife productivity;
                    (L) biodiversity;
                    (M) scientific value;
                    (N) water quality protection;
                    (O) habitat restoration characteristics;
                    (P) connectivity to other habitats that are vital
                to sustaining healthy living resources in the Long
                Island Sound watershed;
                    (Q) risk of development; and
                    (R) other criteria developed by the Committee under
                section 6(1)(A).
    (d) General Guidelines for Awarding Funds.--
            (1) In general.--The Committee shall award funds to
        qualified applicants to help to secure and improve the open
        space, public access, or ecological values of stewardship
        sites, through--
                    (A) purchase of the property of the site;
                    (B) purchase of relevant property rights of the
                site; or
                    (C) entering into any other binding legal
                arrangement that ensures that the values of the site
                are preserved.
            (2) Equitable distribution of funds.--The Committee shall
        exert due diligence to distribute funds equitably between the
        States.

SEC. 10. AUTHORIZATION OF APPROPRIATIONS.

    (a) In General.--There is authorized to be appropriated to carry
out this Act $40,000,000 for each fiscal year, to be allocated from the
national estuary program under section 320 of the Federal Water
Pollution Control Act (33 U.S.C. 1330).
    (b) Allocation of Funds.--For each fiscal year--
            (1) not more than 15 percent of funds made available under
        subsection (a) shall be used to improve the facilities of
        stewardship sites; and
            (2) at least 85 percent of funds made available under
        subsection (a) shall be used to secure the values of
        stewardship sites.
    (c) Federal Share.--The Federal share of the cost of an activity
carried out using any assistance or grant under this Act shall not
exceed 75 percent of the total cost of the activity.

Output:
Long Island Sound Stewardship Act of 2004 - Establishes the Long Island Sound Stewardship System Region in Connecticut and New York.

Establishes the Long Island Sound Stewardship Coordinating Committee to evaluate applications: (1) from owners or other controlling parties to have qualifying land within the Region designated as "stewardship sites" for purposes of awarding preservation funds; and (2) from government or nonprofit organizations qualified to hold conservation easements for funds to purchase land or development rights for stewardship sites.

Requires the Committee to develop and publish a management plan that describes the current status of Long Island Sound, the Committee's role in protecting it, and details of the stewardship site designation program.