Input:
SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Permanent Tax Relief Act''.

SEC. 2. PERMANENT EXTENSION OF TAX RELIEF.

    (a) 2001 Tax Relief.--The Economic Growth and Tax Relief
Reconciliation Act of 2001 is amended by striking title IX.
    (b) 2003 Relief.--Title III of the Jobs and Growth Tax Relief
Reconciliation Act of 2003 is amended by striking section 303.
    (c) Alternative Minimum Tax Exemption Amounts.--
            (1) Increased exemption amounts made permanent.--
                    (A) In general.--Paragraph (1) of section 55(d) of
                the Internal Revenue Code of 1986 is amended--
                            (i) by striking ``$45,000 ($72,450 in the
                        case of taxable years beginning in 2010 and
                        $74,450 in the case of taxable years beginning
                        in 2011)'' in subparagraph (A) and inserting
                        ``$74,450'',
                            (ii) by striking ``$33,750 ($47,450 in the
                        case of taxable years beginning in 2010 and
                        $48,450 in the case of taxable years beginning
                        in 2011)'' in subparagraph (B) and inserting
                        ``$48,450'', and
                            (iii) by striking ``paragraph (1)(A)'' in
                        subparagraph (C) and inserting ``subparagraph
                        (A)''.
            (2) Exemption amounts indexed for inflation.--Subsection
        (d) of section 55 of the Internal Revenue Code of 1986 is
        amended by adding at the end the following new paragraph:
            ``(4) Inflation adjustment.--
                    ``(A) In general.--In the case of any taxable year
                beginning in a calendar year after 2011, each of the
                dollar amounts contained in subparagraphs (A) and (B)
                of paragraph (1) shall be increased by an amount equal
                to--
                            ``(i) such dollar amount, multiplied by
                            ``(ii) the cost-of-living adjustment
                        determined under section 1(f)(3) for the
                        calendar year in which the taxable year begins,
                        determined by substituting `calendar year 2010'
                        for `calendar year 1992' in subparagraph (B)
                        thereof.
                    ``(B) Rounding.--Any increase determined under
                subparagraph (A) shall be rounded to the nearest
                multiple of $100.''.
            (3) Effective date.--The amendments made by this subsection
        shall apply to taxable years beginning after December 31, 2011.
    (d) Alternative Minimum Tax Relief for Nonrefundable Credits.--
            (1) In general.--Subsection (a) of section 26 of the
        Internal Revenue Code of 1986 is amended to read as follows:
    ``(a) Limitation Based on Amount of Tax.--The aggregate amount of
credits allowed by this subpart for the taxable year shall not exceed
the sum of--
            ``(1) the taxpayer's regular tax liability for the taxable
        year reduced by the foreign tax credit allowable under section
        27(a), and
            ``(2) the tax imposed by section 55(a) for the taxable
        year.''.
            (2) Conforming amendments.--
                    (A) Adoption credit.--
                            (i) Section 23(b) of the Internal Revenue
                        Code of 1986 is amended by striking paragraph
                        (4).
                            (ii) Section 23(c) of such Code is amended
                        by striking paragraphs (1) and (2) and
                        inserting the following:
            ``(1) In general.--If the credit allowable under subsection
        (a) for any taxable year exceeds the limitation imposed by
        section 26(a) for such taxable year reduced by the sum of the
        credits allowable under this subpart (other than this section
        and sections 25D and 1400C), such excess shall be carried to
        the succeeding taxable year and added to the credit allowable
        under subsection (a) for such taxable year.''.
                            (iii) Section 23(c) of such Code is amended
                        by redesignating paragraph (3) as paragraph
                        (2).
                    (B) Child tax credit.--
                            (i) Section 24(b) of such Code is amended
                        by striking paragraph (3).
                            (ii) Section 24(d)(1) of such Code is
                        amended--
                                    (I) by striking ``section 26(a)(2)
                                or subsection (b)(3), as the case may
                                be,'' each place it appears in
                                subparagraphs (A) and (B) and inserting
                                ``section 26(a)'', and
                                    (II) by striking ``section 26(a)(2)
                                or subsection (b)(3), as the case may
                                be'' in the second last sentence and
                                inserting ``section 26(a)''.
                    (C) Credit for interest on certain home
                mortgages.--Section 25(e)(1)(C) of such Code is amended
                to read as follows:
                    ``(C) Applicable tax limit.--For purposes of this
                paragraph, the term `applicable tax limit' means the
                limitation imposed by section 26(a) for the taxable
                year reduced by the sum of the credits allowable under
                this subpart (other than this section and sections 23,
                25D, and 1400C).''.
                    (D) Savers' credit.--Section 25B of such Code is
                amended by striking subsection (g).
                    (E) Residential energy efficient property.--Section
                25D(c) of such Code is amended to read as follows:
    ``(c) Carryforward of Unused Credit.--If the credit allowable under
subsection (a) exceeds the limitation imposed by section 26(a) for such
taxable year reduced by the sum of the credits allowable under this
subpart (other than this section), such excess shall be carried to the
succeeding taxable year and added to the credit allowable under
subsection (a) for such succeeding taxable year.''.
                    (F) Certain plug-in electric vehicles.--Section
                30(c)(2) of such Code is amended to read as follows:
            ``(2) Personal credit.--For purposes of this title, the
        credit allowed under subsection (a) for any taxable year
        (determined after application of paragraph (1)) shall be
        treated as a credit allowable under subpart A for such taxable
        year.''.
                    (G) Alternative motor vehicle credit.--Section
                30B(g)(2) of such Code is amended to read as follows:
            ``(2) Personal credit.--For purposes of this title, the
        credit allowed under subsection (a) for any taxable year
        (determined after application of paragraph (1)) shall be
        treated as a credit allowable under subpart A for such taxable
        year.''.
                    (H) New qualified plug-in electric vehicle
                credit.--Section 30D(c)(2) of such Code is amended to
                read as follows:
            ``(2) Personal credit.--For purposes of this title, the
        credit allowed under subsection (a) for any taxable year
        (determined after application of paragraph (1)) shall be
        treated as a credit allowable under subpart A for such taxable
        year.''.
                    (I) Cross references.--Section 55(c)(3) of such
                Code is amended by striking ``26(a), 30C(d)(2),'' and
                inserting ``30C(d)(2)''.
                    (J) Foreign tax credit.--Section 904 of such Code
                is amended by striking subsection (i) and by
                redesignating subsections (j) , (k), and (l) as
                subsections (i), (j), and (k), respectively.
                    (K) First-time home buyer credit for the district
                of columbia.--Section 1400C(d) of such Code is amended
                to read as follows:
    ``(d) Carryforward of Unused Credit.--If the credit allowable under
subsection (a) exceeds the limitation imposed by section 26(a) for such
taxable year reduced by the sum of the credits allowable under subpart
A of part IV of subchapter A (other than this section and section 25D),
such excess shall be carried to the succeeding taxable year and added
to the credit allowable under subsection (a) for such taxable year.''.
            (3) Effective date.--The amendments made by this subsection
        shall apply to taxable years beginning after December 31, 2011.

SEC. 3. REPEAL OF ESTATE AND GENERATION-SKIPPING TRANSFER TAXES.

    (a) Estate Tax Repeal.--Subchapter C of chapter 11 of subtitle B of
the Internal Revenue Code of 1986 is amended by adding at the end the
following new section:

``SEC. 2210. TERMINATION.

    ``(a) In General.--Except as provided in subsection (b), this
chapter shall not apply to the estates of decedents dying on or after
the date of the enactment of the Permanent Tax Relief Act.
    ``(b) Certain Distributions From Qualified Domestic Trusts.--In
applying section 2056A with respect to the surviving spouse of a
decedent dying before the date of the enactment of the Permanent Tax
Relief Act--
            ``(1) section 2056A(b)(1)(A) shall not apply to
        distributions made after the 10-year period beginning on such
        date, and
            ``(2) section 2056A(b)(1)(B) shall not apply on or after
        such date.''.
    (b) Generation-Skipping Transfer Tax Repeal.--Subchapter G of
chapter 13 of subtitle B of the Internal Revenue Code of 1986 is
amended by adding at the end the following new section:

``SEC. 2664. TERMINATION.

    ``This chapter shall not apply to generation-skipping transfers on
or after the date of the enactment of the Permanent Tax Relief Act.''.
    (c) Conforming Amendments.--
            (1) The table of sections for subchapter C of chapter 11 of
        the Internal Revenue Code of 1986 is amended by adding at the
        end the following new item:

``Sec. 2210. Termination.''.
            (2) The table of sections for subchapter G of chapter 13 of
        such Code is amended by adding at the end the following new
        item:

``Sec. 2664. Termination.''.
    (d) Restoration of Pre-EGTRRA Provisions Not Applicable.--
            (1) In general.--Section 301 of the Tax Relief,
        Unemployment Insurance Reauthorization, and Job Creation Act of
        2010 shall not apply to estates of decedents dying, and
        transfers made, on or after the date of the enactment of this
        Act.
            (2) Exception for stepped-up basis.--Paragraph (1) shall
        not apply to the provisions of law amended by subtitle E of
        title V of the Economic Growth and Tax Relief Reconciliation
        Act of 2001 (relating to carryover basis at death; other
        changes taking effect with repeal).
    (e) Sunset Not Applicable.--Section 304 of the Tax Relief,
Unemployment Insurance Reauthorization, and Job Creation Act of 2010 is
hereby repealed.
    (f) Effective Date.--The amendments made by this section shall
apply to the estates of decedents dying, and generation-skipping
transfers, after the date of the enactment of this Act.

SEC. 4. MODIFICATIONS OF GIFT TAX.

    (a) Computation of Gift Tax.--Subsection (a) of section 2502 of the
Internal Revenue Code of 1986 is amended to read as follows:
    ``(a) Computation of Tax.--
            ``(1) In general.--The tax imposed by section 2501 for each
        calendar year shall be an amount equal to the excess of--
                    ``(A) a tentative tax, computed under paragraph
                (2), on the aggregate sum of the taxable gifts for such
                calendar year and for each of the preceding calendar
                periods, over
                    ``(B) a tentative tax, computed under paragraph
                (2), on the aggregate sum of the taxable gifts for each
                of the preceding calendar periods.
            ``(2) Rate schedule.--

``If the amount with respect to which    The tentative
 the tentative tax to be computed is:.     tax is:
Not over $10,000.......................  18% of such amount.
Over $10,000 but not over $20,000......  $1,800, plus 20% of the excess
                                          over $10,000.
Over $20,000 but not over $40,000......  $3,800, plus 22% of the excess
                                          over $20,000.
Over $40,000 but not over $60,000......  $8,200, plus 24% of the excess
                                          over $40,000.
Over $60,000 but not over $80,000......  $13,000, plus 26% of the excess
                                          over $60,000.
Over $80,000 but not over $100,000.....  $18,200, plus 28% of the excess
                                          over $80,000.
Over $100,000 but not over $150,000....  $23,800, plus 30% of the excess
                                          over $100,000.
Over $150,000 but not over $250,000....  $38,800, plus 32% of the excess
                                          of $150,000.
Over $250,000 but not over $500,000....  $70,800, plus 34% of the excess
                                          over $250,000.
Over $500,000..........................  $155,800, plus 35% of the
                                          excess of $500,000.''.

    (b) Treatment of Certain Transfers in Trust.--Section 2511 of the
Internal Revenue Code of 1986 is amended by adding at the end the
following new subsection:
    ``(c) Treatment of Certain Transfers in Trust.--Notwithstanding any
other provision of this section and except as provided in regulations,
a transfer in trust shall be treated as a taxable gift under section
2503, unless the trust is treated as wholly owned by the donor or the
donor's spouse under subpart E of part I of subchapter J of chapter
1.''.
    (c) Lifetime Gift Exemption.--Paragraph (1) of section 2505(a) of
the Internal Revenue Code of 1986 is amended to read as follows:
            ``(1) the amount of the tentative tax which would be
        determined under the rate schedule set forth in section
        2502(a)(2) if the amount with respect to which such tentative
        tax is to be computed were $5,000,000, reduced by''.
    (d) Conforming Amendments.--
            (1) Section 2505(a) of the Internal Revenue Code of 1986 is
        amended by striking the last sentence.
            (2) The heading for section 2505 of such Code is amended by
        striking ``unified''.
            (3) The item in the table of sections for subchapter A of
        chapter 12 of such Code relating to section 2505 is amended to
        read as follows:

``Sec. 2505. Credit against gift tax.''.
    (e) Effective Date.--The amendments made by this section shall
apply to gifts made on or after the date of the enactment of this Act.
    (f) Transition Rule.--
            (1) In general.--For purposes of applying sections 1015(d),
        2502, and 2505 of the Internal Revenue Code of 1986, the
        calendar year in which this title is enacted shall be treated
        as 2 separate calendar years one of which ends on the day
        before the date of the enactment of this Act and the other of
        which begins on such date of enactment.
            (2) Application of section 2504(b).--For purposes of
        applying section 2504(b) of the Internal Revenue Code of 1986,
        the calendar year in which this title is enacted shall be
        treated as one preceding calendar period.

Output:
Permanent Tax Relief Act - Makes permanent: (1) the Economic Growth and Tax Relief Reconciliation Act of 2001, and (2) provisions of the Jobs and Growth Tax Relief Reconciliation Act of 2003 that reduce tax rates on dividend and capital gain income.

Amends the Internal Revenue Code to make permanent: (1) the increased alternative minimum tax (AMT) exemption amount for individual taxpayers, and (2) the offset against the AMT for certain nonrefundable personal tax credits.

Repeals the estate tax and the tax on generation-skipping transfers.  Reduces the maximum gift tax rate to 35%. Allows a lifetime gift tax exemption of $5 million.


Input:
SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Natural Resources Institute Act of
1998''.

SEC. 2. DEFINITIONS.

    As used in this Act:
            (1) Environmental sciences.--The term ``environmental
        sciences'' means the full range of fields of study (including
        biological, physical, chemical, geological, and social
        sciences, engineering, and humanities) relevant to the
        understanding of environmental problems.
            (2) Intermountain west.--The term ``Intermountain West''
        means Montana, Idaho, Wyoming, Utah, and the far eastern areas
        of Oregon and Washington.

SEC. 3. FINDINGS.

    The Congress finds the following:
            (1) In order to maintain quality of life, economic growth
        should be balanced with environmental protection and
        incorporate collaborative scientific inquiry, technology
        development, and public policy.
            (2) The environmental science data and knowledge fail to
        adequately support long-term policy leading to questions of
        science quality, credibility, and utility, resulting in an
        atmosphere of adversarial science.
            (3) Individuals affected by decisions regarding natural
        resources are not effectively involved in determining the
        needs, setting the agenda, and participating in environmental
        research and development.
            (4) Coordinated environmental research and development of
        Federal and State agencies is necessary to support effective
        policy and environmental and economic sustainability.
            (5) Decisions regarding the management of natural resources
        can significantly impact a region's economy and its residents'
        quality of life.
            (6) The Idaho National Engineering and Environmental
        Laboratory is the only multiprogrammatic federally funded
        research and development laboratory in the Intermountain West
        region of the United States, a region which will be greatly
        impacted by future natural resource decisions.
            (7) The creation of a Natural Resources Institute that
        focuses the scientific strengths of government, universities,
        and industry in collaboration with a wide variety of
        individuals affected by decisions regarding natural resources
        will expedite sustainable environmental and natural resource
        decisionmaking, which will result in the creation and retention
        of jobs and savings to taxpayers.

SEC. 4. PURPOSE.

    The purpose of this Act is to create a Natural Resources Institute
to--
            (1) coordinate research and develop appropriate and
        systematic approaches to managing natural resources and the
        specific tools and mechanisms necessary to implement these
        approaches;
            (2) support public policy development by facilitating the
        creation of public-private partnerships necessary to implement
        systematic approaches to natural resource use and management;
            (3) provide education and training regarding natural
        resources for a wide variety of users, including the public,
        local and regional government, and industry, by developing
        training programs and educational curricula using modern
        information systems such as the Internet and video
        teleconferencing;
            (4) facilitate the creation of commercial enterprises by
        involving local economic development agencies, technology
        incubators, research institutes, and the private sector to
        apply derived use science and technology; and
            (5) transfer information and analyses regarding natural
        resources to persons and organizations to allow informed
        decisionmaking and eliminate duplication of environmental
        studies.

SEC. 5. ESTABLISHMENT OF NATURAL RESOURCES INSTITUTE.

    There is hereby established a Natural Resources Institute (in this
Act referred to as the ``Institute''), the purpose of which shall be to
provide a neutral forum to develop scientific solutions that improve
the economic and environmental viability of the Intermountain West
region of the United States. The Institute shall be located at the
Idaho National Engineering and Environmental Laboratory.

SEC. 6. DUTIES AND FUNCTIONS.

    The duties and functions of the Institute shall be as follows:
            (1) To initiate and perform multidisciplinary, solution-
        oriented, focused, and needs-driven research regarding natural
        resources, including--
                    (A) coordination of research activities to minimize
                duplication of effort and maximize scientific
                advancement;
                    (B) maintenance of meaningful public involvement in
                the development and implementation of research
                activities;
                    (C) performance of research by accessing high-
                quality scientific talent through private partners of
                the Institute; and
                    (D) performance of research and development on
                understanding and predicting regional ecosystem
                dynamics, developing methodologies and tools for
                environmental stewardship, and developing and
understanding the science associated with the natural resource issues
in the Intermountain West region of the United States.
            (2) To support formulation and implementation of natural
        resources public policy through--
                    (A) consideration of the balance of socioeconomic
                concerns and quality of life issues with environmental
                remediation, cost, and schedule concerns; and
                    (B) involvement of the public with the research and
                development activities of the Institute.
            (3) To act as an information resource center by--
                    (A) serving as a centralized repository for
                environmental data, data management, and analytical
                tools for the Intermountain West region of the United
                States;
                    (B) entering into partnership agreements with
                private entities to access or acquire and maintain
                regional environmental data sets, including monitoring
                data, Geographical Information System coverages,
                satellite data, and data from local and regional
                ecological studies;
                    (C) providing quick and affordable access to all
                existing public databases, such as those maintained by
                the Federal and State agencies, and, as appropriate,
                access to private databases developed to support
                specific models or decisions; and
                    (D) maintaining trained personnel to assist the
                public and researchers in gaining access to information
                on natural resources.
            (4) To provide education and training, including--
                    (A) education for the public, future scientists,
                and educators; and
                    (B) seminars and training aids for the public and
                collaborating with universities in the Intermountain
                West region of the United States to provide resources,
                internships, and research opportunities.

SEC. 7. BOARD OF STAKEHOLDERS.

    (a) Establishment.--There shall be a Board of Stakeholders for the
Institute, which shall incorporate the vested interests and stakeholder
prospectuses into the design and operation of the Institute.
    (b) Membership.--
            (1) Appointment.--The Board of Stakeholders shall be
        composed of 11 members who shall be appointed by the Secretary
        of Energy.
            (2) Representation.--The Board of Stakeholders shall be
        comprised of representatives from government, industry, the
        private sector, universities, and interest groups.
            (3) Terms.--Members of the Board of Stakeholders shall
        serve for a term of 5 years.
            (4) Chairperson.--The Chairperson of the Board of
        Stakeholders shall be elected by the Board from among its
        members.

SEC. 8. DIRECTOR; STAFF.

    (a) Director.--(1) The Board of Stakeholders shall appoint, and
define the requirements of, the Director of the Institute. The Director
of the Institute shall exercise all authority granted to the Institute
in this Act, including powers delegated by the Board.
    (2) The Director of the Institute shall be a nonvoting, ex officio
member of the Board of Stakeholders.
    (3) The Director shall be responsible for the integration of the
duties and functions of the Institute as described in section 6, and
for ensuring the full involvement of all relevant environmental
sciences and the full range of users in these duties.
    (b) Staff.--The Director of the Institute shall hire such staff as
necessary to carry out the functions of the Institute under this Act.

SEC. 9. SCIENCE ADVISORY PANEL.

    (a) Establishment.--There is hereby established a Science Advisory
Panel which shall--
            (1) oversee development and implementation of the technical
        strategy of the Institute; and
            (2) provide oversight of the quality of science, and
        provide recommendations for the research and development
        portfolio structure of the Institute.
    (b) Membership.--
            (1) Appointment.--The Science Advisory Panel shall be
        composed of 15 members who shall be appointed by the Board of
        Stakeholders, in consultation with the Director of the Idaho
        National Engineering and Environmental Laboratory.
            (2) Representation.--The Science Advisory Panel shall be
        composed of members representing multiple disciplines of
        science and engineering.
            (3) Terms.--Members of the Science Advisory Panel shall
        serve for a term of 2 years.
            (4) Chairperson.--The Chairperson of the Science Advisory
        Panel shall be selected by the Science Advisory Panel from
        among its members.

SEC. 10. ACQUISITION OF INFORMATION FROM FEDERAL AGENCIES.

    The Institute may acquire from any Federal agency unclassified data
and nonproprietary knowledge and information obtained by Federal
departments and agencies to assist the Institute in carrying out its
duties under this Act.

SEC. 11. ACCESSIBILITY OF INFORMATION.

    The Institute shall work with Federal and State agencies,
universities, the public, and the private sector to ensure that the
information and products of the Institute are useful and accessible.

Output:
Natural Resources Institute Act of 1998 - Establishes the Natural Resources Institute at the Idaho National Engineering and Environmental Laboratory to provide a neutral forum to develop scientific solutions that improve the economic and environmental viability of the Intermountain West region of the United States. Defines such region to include Montana, Idaho, Wyoming, Utah, and the far eastern areas of Oregon and Washington.  Lists as duties of the Institute:  (1) to perform multidisciplinary research regarding natural resources; (2) to support formulation and implementation of natural resources public policy; (3) to act as an information resource center; and (4) to provide education and training.
Creates a Board of Stakeholders for the Institute which shall incorporate the vested interests and stakeholder prospectuses into the design and operation of the Institute.  Requires the Board to appoint, and define the requirements of, the Director of the Institute who shall exercise all authority granted to the Institute.
Establishes a Science Advisory panel to:  (1) oversee development and implementation of the Institute's technical strategy; and (2) provide oversight of the quality of science and recommendations for the research and development portfolio structure of the Institute.
Authorizes the Institute to acquire from any Federal agency any unclassified data and nonproprietary knowledge and information obtained by Federal agencies to assist the Institute.
Directs the Institute to work with Federal and State agencies, universities, the public, and the private sector to ensure that the Institute's information and products are useful and accessible.


Input:
SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Reducing Disparities Using Care
Models and Education Act of 2014''.

SEC. 2. FINDINGS.

    The Congress finds as follows:
            (1) The infant death rate among African-Americans is more
        than double that of Whites.
            (2) The death rate for all cancers is 30 percent higher for
        African-Americans than for Whites; for prostate cancer, it is
        more than double that for Whites.
            (3) Black women have a higher death rate from breast cancer
        despite having a mammography screening rate that is nearly the
        same as the rate for White women.
            (4) Diabetes incidence is highest among Native Americans,
        at 15.9 percent, followed by 13.2 percent for African-
        Americans, 12.8 percent for Hispanics, 9.0 percent for Asians,
        and 7.6 percent for Whites.
            (5) New cases of hepatitis and tuberculosis are higher in
        Asians and Pacific Islanders living in the United States than
        in Whites.
            (6) Individuals in same-sex couples were more likely than
        individuals in different-sex couples to report a delay in
        getting necessary prescriptions.
            (7) Infants born to Black women are 1.5 to 3 times more
        likely to die than those born to women of other races or
        ethnicities, and American Indian and Alaska Native infants die
        from sudden infant death syndrome (SIDS) at nearly 2.5 times
        the rate of White infants.
            (8) Low-income children have higher rates of mortality
        (even with the same condition), have higher rates of
        disability, and are more likely to have multiple conditions.
            (9) White children are half as likely as Black and Latino
        children not to be in excellent or very good health.
            (10) As of 2012, 38.9 percent of United States adults were
        obese, with the highest rate among African-Americans at 47.9
        percent, followed by Hispanics at 42.5 percent, Whites at 32.6
        percent, and Asians at 10.8 percent.
            (11) The risk of stroke is twice as high for African-
        Americans as for Whites, and African-Americans are more likely
        to die of stroke. Other ethnic minorities also have higher risk
        than Whites. Overall, strokes are most prevalent in the
        Southeast United States, and less so in the Northeast.
            (12) African-Americans accounted for 44 percent of all
        those infected with HIV, despite being only 12 percent of the
        United States population.
            (13) Black men who have sex with men (MSM) ages 13 to 24
        had the most new infections among youth.
            (14) One study found that among heterosexuals living in the
        same urban community, those below the poverty line were twice
        as likely to contract human immunodeficiency virus (HIV).
            (15) Persons with less than a high school diploma (6.7
        percent) and high school graduates (4.0 percent) were more
        likely to report major depression than those with at least some
        college education (2.5 percent).
            (16) Only about 10 percent of physicians practice in rural
        America despite the fact that nearly one-fourth of the
        population lives in these areas.
            (17) Rural residents are less likely to have employer-
        provided health care coverage or prescription drug coverage,
        and the rural poor are less likely to be covered by Medicaid
        benefits than their urban counterparts.
            (18) Twenty percent of nonmetropolitan counties lack mental
        health services versus 5 percent of metropolitan counties.
            (19) Fifteen percent of persons with disabilities report
        not seeing a doctor due to cost in comparison to 6 percent of
        the general population.

SEC. 3. INSTITUTE OF MEDICINE STUDY.

    (a) In General.--Not later than 60 days after the date of the
enactment of this Act, the Secretary shall enter into an arrangement
with the Institute of Medicine under which the Institute agrees to
study--
            (1) the extent of health disparities in the type and
        quality of preventive interventions, health services, and
        outcomes in the United States;
            (2) the factors that may contribute to inequities in such
        disparities;
            (3) existing programs and policies intended to reduce such
        disparities;
            (4) best practices and successful strategies in programs
        that aim to reduce such disparities;
            (5) priorities for successful intervention programs
        targeting such disparities; and
            (6) potential opportunities for expanding or replicating
        such programs.
    (b) Report.--The arrangement under subsection (a) shall provide for
submission by the Institute of Medicine to the Secretary and Congress,
not later than 20 months after the date of enactment of this Act, of a
report on the results of the study.

SEC. 4. GUIDELINES FOR DEVELOPMENT AND IMPLEMENTATION OF HEALTH
              DISPARITIES REDUCTION PROGRAMS AND ACTIVITIES.

    (a) Guidelines.--Not later than 90 days after the submission of the
report described in section 3(b), and taking such report into
consideration, the Secretary shall develop guidelines for entities to
develop and implement programs and activities to reduce health
disparities.
    (b) Use by HHS.--The Secretary shall, where appropriate,
incorporate the use of the guidelines developed under subsection (a)
into the programs and activities of the Department of Health and Human
Services.
    (c) Grants for Disparities Reduction Activities.--
            (1) In general.--The Secretary may award grants to entities
        for the development and implementation of programs and
        activities to reduce health disparities in accordance with the
        guidelines described in subparagraph (a).
            (2) Applications.--To seek a grant under this subsection,
        an entity shall submit an application to the Secretary at such
        time, in such manner, and containing such information as the
        Secretary may require.
            (3) Minimum contents.--The Secretary shall require that an
        application for a grant under this subsection contains at a
        minimum--
                    (A) a description of the population and public
                health concern the program will target and an outreach
                plan to ensure that the most in need populations will
                benefit;
                    (B) a description of the strategies the entity will
                use--
                            (i) to develop and implement its programs
                        and activities in accordance with the
                        guidelines developed under subsection (a); and
                            (ii) to make the interventions sustainable;
                        and
                    (C) an agreement by the entities to periodically
                provide data with respect to--
                            (i) the population served;
                            (ii) improvements in reducing health
                        disparities; and
                            (iii) effectiveness of the interventions
                        used.
    (d) Appropriations.--To carry out this section, there are
authorized to be appropriated $5,000,000 for fiscal year 2016 and such
sums as may be necessary for each of fiscal years 2017 through 2020.

SEC. 5. TESTING ALTERNATIVE PAYMENT AND DELIVERY MODELS TO REDUCE
              HEALTH DISPARITIES.

    (a) In General.--The Secretary acting through the Centers for
Medicare and Medicaid Innovation under section 1115A of the Social
Security Act (42 U.S.C. 1315a) shall provide for the testing of a
payment and service delivery model that includes incentives for
reducing health disparities consistent with the cost and quality
criteria otherwise applicable to the testing of models under such
section.
    (b) Documentation Requirement for Model Testing.--In carrying out
subsection (a), the Secretary shall require that an application to
conduct such testing of such a model include at least--
            (1) documentation of at least one health disparity targeted
        for reduction;
            (2) a root-cause analysis of the health disparity targeted
        for reduction;
            (3) identification and selection of performance targets for
        such reduction;
            (4) a proposal to make payments in some way contingent on a
        reduction in health disparities; and
            (5) a reliable method for monitoring progress in achieving
        such a reduction.

SEC. 6. DEFINITIONS.

    In this Act:
            (1) The term ``health disparity'' means significant
        disparity in the overall rate of disease incidence, prevalence,
        morbidity, mortality, or survival rates in a population as
        compared to the health status of the general population.
            (2) The term ``intervention'' means an activity taken by an
        entity on behalf of individuals or populations to reduce health
        disparities.
            (3) The term ``Secretary'' means the Secretary of Health
        and Human Services.

Output: Reducing Disparities Using Care Models and Education Act of 2014 - Requires the Secretary of Health and Human Services (HHS) to contract with the Institute of Medicine to study health disparities, existing programs and policies intended to reduce disparities, and priorities for, and expansion of, programs targeting disparities. Requires the Secretary to develop guidelines for entities to develop and implement programs to reduce health disparities. Directs the Secretary to incorporate these guidelines into HHS activities. Authorizes the Secretary to award grants for programs to reduce health disparities. Requires the Innovation Center of the Centers for Medicare and Medicaid Services (CMS) to test a payment and service delivery model that includes incentives for reducing health disparities.


Input:
SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Grassland Reserve Act''.

SEC. 2. FINDINGS.

    Congress finds the following:
            (1) Vast grassland once provided critical habitat for
        complex plant and animal communities throughout much of North
        America.
            (2) Today, grassland areas have been largely converted to
        other uses, threatening and eliminating plant and animal
        communities unique to North America.
            (3) A significant portion of the remaining grassland is on
        working ranches.
            (4) Ranchers have an economic interest in preserving the
        remaining grassland as forage for their livestock.
            (5) Many ranchers are also concerned about losing the open
        spaces and ``big sky'' central to the ranching way of life.
            (6) Apart from the loss of grassland, ranches themselves
        have steadily disappeared through the years and are likely to
        disappear at a faster rate in the immediate decade as a
        generation of ranchers reach retirement age.
            (7) Ranch land provides important open-space buffers for
        animal and plant habitat.
            (8) Ranching forms the economic backbone for much of the
        rural area of the western United States.
            (9) Currently, there are no Federal programs that conserve
        grassland, ranch land, or other land with comparable high
        resource value, other than wetland, on a national scale.
            (10) A grassland reserve program would provide important
        economic assistance to ranchers and other agricultural
        producers who may be struggling financially and who may
        voluntarily decide that participating in the program would be
        to their advantage.

SEC. 3. GRASSLAND RESERVE PROGRAM.

    Chapter 1 of subtitle D of title XII of the Food Security Act of
1985 (16 U.S.C. 3830 et seq.) is amended by adding at the end the
following new subchapter:

               ``Subchapter D--Grassland Reserve Program

``SEC. 1238. GRASSLAND RESERVE PROGRAM.

    ``(a) Establishment.--The Secretary, acting through the Natural
Resource Conservation Service, shall establish a grassland reserve
program (referred to in this subchapter as the `program') to assist
owners in restoring and conserving eligible land described in
subsection (c).
    ``(b) Enrollment Conditions.--
            ``(1) Maximum enrollment.--The total number of acres
        enrolled in the program shall not exceed 1,000,000 acres.
            ``(2) Methods of enrollment.--The Secretary shall enroll in
        the program for a willing owner not less than 100 contiguous
        acres of land west of the 90th meridian or not less than 50
        contiguous acres of land east of the 90th meridian through--
                    ``(A) permanent easements or 30-year easements; or
                    ``(B) in a State that imposes a maximum duration
                for such an easement, an easement for the maximum
                duration allowed under State law.
    ``(c) Eligible Land.--Land shall be eligible to be enrolled in the
program if the Secretary determines that the land is--
            ``(1) natural grass or shrubland;
            ``(2) land that--
                    ``(A) is located in an area that has been
                historically dominated by natural grass or shrubland;
                and
                    ``(B) has potential to serve as habitat for animal
                or plant populations of significant ecological value if
                the land is restored to natural grass or shrubland; or
            ``(3) land that is incidental to land described in
        paragraph (1) or (2), if that incidental land is determined by
        the Secretary to be necessary for the efficient administration
        of the easement.

``SEC. 1238A. EASEMENTS AND AGREEMENTS.

    ``(a) Requirements of Landowner.--To be eligible to enroll land in
the program, the owner of the land shall--
            ``(1) grant an easement that runs with the land to the
        Secretary;
            ``(2) create and record an appropriate deed restriction in
        accordance with applicable State law to reflect the easement;
            ``(3) provide a written statement of consent to the
        easement signed by persons holding a security interest or any
        vested interest in the land;
            ``(4) provide proof of unencumbered title to the underlying
        fee interest in the land that is the subject of the easement;
            ``(5) agree to comply with the terms of the easement and
        related restoration agreements; and
            ``(6) agree to the permanent retirement of any existing
        cropland base and allotment history for the land under any
        program administered by the Secretary.
    ``(b) Terms of Easement.--An easement under subsection (a) shall--
            ``(1) permit--
                    ``(A) common grazing practices on the land in a
                manner that is consistent with maintaining the
                viability of natural grass and shrub species indigenous
                to that locality;
                    ``(B) haying, mowing, or haying for seed
                production, except that such uses shall not be
                permitted until after the end of the nesting season for
                birds in the local area which are in significant
                decline or are conserved pursuant to State or Federal
                law, as determined by the Natural Resources
                Conservation Service State conservationist; and
                    ``(C) construction of fire breaks and fences,
                including placement of the posts necessary for fences;
            ``(2) prohibit--
                    ``(A) the production of row-crops, fruit trees,
                vineyards, or any other agricultural commodity that
                requires breaking the soil surface; and
                    ``(B) the conduct of any other activities that
                would disturb the surface of the land covered by the
                easement, including--
                            ``(i) plowing; and
                            ``(ii) disking; and
            ``(3) include such additional provisions as the Secretary
        determines are appropriate to carry out or facilitate the
        administration of this subchapter.
    ``(c) Ranking Easement Applications.--
            ``(1) Establishment of criteria.--The Secretary, in
        conjunction with State technical committees, shall establish
        criteria to evaluate and rank applications for easements under
        this subchapter.
            ``(2) Emphasis.--In establishing the criteria, the
        Secretary shall emphasize support for native grass and
        shrubland, grazing operations, and plant and animal
        biodiversity.
    ``(d) Restoration Agreements.--The Secretary shall prescribe the
terms by which grassland that is subject to an easement under the
program shall be restored. The agreement shall include duties of the
land owner and the Secretary, including the Federal share of
restoration payments and technical assistance.
    ``(e) Violations.--
            ``(1) In general.--On the violation of the terms or
        conditions of an easement or restoration agreement entered into
        under this section--
                    ``(A) the easement shall remain in force; and
                    ``(B) the Secretary may require the owner to refund
                all or part of any payments received by the owner under
                this subchapter, with interest on the payments as
                determined appropriate by the Secretary.
            ``(2) Periodic inspections.--The Secretary shall conduct
        periodic inspections of land subject to easements under this
        subchapter to ensure that the terms of the easements and
        restoration agreements are being met, after providing the
        landowner adequate notice of inspections. The Secretary may not
        prohibit the landowner or a representative of the landowner
        from being present during inspections.

``SEC. 1238B. DUTIES OF SECRETARY.

    ``(a) In General.--In return for the granting of an easement by an
owner under this subchapter, the Secretary shall make easement payments
and payments of the Federal share of restoration and provide technical
assistance to the owner in accordance with this section.
    ``(b) Easement Payments.--
            ``(1) In general.--In return for the granting of an
        easement by an owner under this subchapter, the Secretary shall
        make easement payments to the owner in an amount equal to--
                    ``(A) in the case of a permanent easement, the fair
                market value of the land less the grazing value of the
                land encumbered by the easement; and
                    ``(B) in the case of a 30-year easement or an
                easement for the maximum duration allowed under
                applicable State law, 30 percent of the fair market
                value of the land less the grazing value of the land
                for the period that the land is encumbered by the
                easement.
            ``(2) Payment schedule.--Easement payments may be provided
        in not less than one payment nor more than 10 annual payments
        of equal or unequal amount, as agreed to by the Secretary and
        the owner.
    ``(c) Federal Share of Restoration.--The Secretary shall make
payments to the owner of not more than 75 percent of the costs of
carrying out measures and practices necessary to restore grassland
functions and values.
    ``(d) Technical Assistance.--
            ``(1) In general.--The Secretary shall provide owners with
        technical assistance to execute easement documents and restore
        the grassland.
            ``(2) Reimbursement by commodity credit corporation.--The
        Commodity Credit Corporation shall reimburse the Secretary,
acting through the Natural Resources Conservation Service, for not more
than 10 percent of the cost of acquisition of easement and the Federal
share of the restoration payments obligated for that fiscal year.
    ``(e) Payments to Others.--If an owner who is entitled to a payment
under this subchapter dies, becomes incompetent, is otherwise unable to
receive the payment, or is succeeded by another person who renders or
completes the required performance, the Secretary shall make the
payment, in accordance with regulations promulgated by the Secretary
and without regard to any other provision of law, in such manner as the
Secretary determines is fair and reasonable in light of all the
circumstances.
    ``(f) Other Payments.--Easement payments received by an owner under
this subchapter shall be in addition to, and not affect, the total
amount of payments that the owner is otherwise eligible to receive
under other Federal laws.

``SEC. 1238C. ADMINISTRATION.

    ``(a) Delegation to Private Organizations or State Agencies.--
            ``(1) In general.--The Secretary shall permit a private
        conservation or land trust organization or a State agency to
        hold and enforce an easement under this subchapter, in lieu of
        the Secretary, if--
                    ``(A) the Secretary determines that granting such
                permission is likely to promote grassland conservation;
                and
                    ``(B) the landowner agrees to allow the private
                conservation or land trust organization or a State
                agency to hold and enforce the easement.
            ``(2) Application.--An organization that desires to hold an
        easement under this subchapter shall apply to the Secretary for
        approval.
            ``(3) Approval by secretary.--The Secretary shall approve
        an organization under this subchapter that is constituted for
        conservation or ranching purposes and is competent to
        administer grassland easements.
            ``(4) Reassignment.--If an organization holding an easement
        on land under this subchapter terminates--
                    ``(A) the owner of the land shall reassign the
                easement to another organization described in paragraph
                (1) or to the Secretary; and
                    ``(B) the owner and the new organization shall
                notify the Secretary in writing that a reassignment for
                termination has been made.
    ``(b) Regulations.--Not later than 180 days after the date of
enactment of this subchapter, the Secretary shall issue such
regulations as are necessary to carry out this subchapter.''.

SEC. 4. FUNDING.

    Section 1241(a)(2) of the Food Security Act of 1985 (16 U.S.C.
3841(a)(2)) is amended by striking ``subchapter C'' and inserting
``subchapters C and D''.

Output: Grassland Reserve Act - Amends the Food Security Act of 1985 to direct the Secretary of Agriculture to establish a grassland reserve program for land that is or has historically been natural grass or shrubland and has significant potential for animal or plant restoration.Sets forth provisions respecting landowner easement payments and permitted and prohibited practices.


Input:
SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Patient Freedom of Choice Act of
1997''.

SEC. 2. NOTIFICATION OF AVAILABILITY OF PROVIDERS AS PART OF DISCHARGE
              PLANNING PROCESS.

    (a) Medicare Requirement.--Section 1861(ee)(2) of the Social
Security Act (42 U.S.C. 1395x(ee)(2)) is amended--
            (1) in subparagraph (D), by inserting before the period the
        following: ``, including the availability of those services
        through individuals and entities that participate in the
        program under this title and that serve the area in which the
        patient resides and that request to be listed by the hospital
        as available''; and
            (2) by adding at the end the following:
            ``(H) Consistent with section 1802, the discharge plan
        shall--
                    ``(i) not specify or otherwise limit the qualified
                provider which may provide post-hospital care, and
                    ``(ii) identify (in a form and manner specified by
                the Secretary) any provider (to whom the individual is
                referred) in which the hospital has a disclosable
                financial interest (as specified by the Secretary
                consistent with section 1866(a)(1)(R)) or which has
                such an interest in the hospital.''.
    (b) Requirement for Medicaid Funding.--Section 1903(i) of such Act
(42 U.S.C. 1396b(i)) is amended--
            (1) by striking ``or'' at the end of paragraph (14),
            (2) by striking the period at the end of paragraph (15) and
        inserting ``; or'', and
            (3) by inserting after paragraph (15) the following new
        paragraph:
            ``(16) with respect to any amount expended for inpatient
        hospital services of a hospital unless the hospital has in
        place a discharge planning process that meets the requirements
        of section 1861(ee) with respect to individuals entitled to
        medical assistance under this title in the same manner as such
        requirements otherwise apply to individuals entitled to
        benefits under title XVIII.''.
    (c) Additional Enforcement Through Civil Money Penalties.--Section
1128A(b) of such Act (42 U.S.C. 1320a-7a(b)) is amended by adding at
the end the following new paragraph:
    ``(4) Any hospital that participates in the program under title
XVIII or XIX and that fails to comply with the discharge planning
process described in section 1861(ee)(2) either--
            ``(A) by failing to list participating individuals and
        entities requested to be listed under subparagraph (D) of such
        section, or
            ``(B) by violating subparagraph (H) of such section,
shall be subject, in addition to any other penalties that may be
prescribed by law, to a civil money penalty of not more than $10,000
for each such violation.''.
    (d) Effective Dates.--The amendments made by subsection (a) shall
apply to discharges occurring on or after 90 days after the date of the
enactment of this Act. The amendments made by subsection (b) shall
apply to expenditures for inpatient hospital services with respect to
discharges occurring on or after 90 days after the date of the
enactment of this Act. The amendments made by subsection (c) shall
apply to failures and violations occurring on or after 90 days after
the date of the enactment of this Act.

SEC. 3. MAINTENANCE AND DISCLOSURE OF INFORMATION ON POST-HOSPITAL
              SERVICE PROVIDERS.

    (a) Medicare Requirement.--Section 1866(a)(1) of the Social
Security Act (42 U.S.C. 1395cc(a)(1)) is amended--
            (1) by striking ``and'' at the end of subparagraph (P),
            (2) by striking the period at the end of subparagraph (Q),
        and
            (3) by adding at the end the following:
            ``(R) in the case of a hospital that has a financial
        interest (as specified by the Secretary in regulations) in a
        provider of post-hospital services (including an entity that
        furnishes durable medical equipment), or in which such a
        provider has such a financial interest, or in which another
        entity has such a financial interest (directly or indirectly)
        with such hospital and such a provider, to maintain and
        disclose to the Secretary (in a form and manner specified by
        the Secretary) information on--
            ``(i) the nature of such financial interest,
            ``(ii) the number of individuals who were discharged from
        the hospital and who were identified as requiring the type of
        post-hospital services provided by such provider, and
            ``(iii) the percentage of such individuals who received
        such services from such provider (or another such provider).''.
    (b) Requirement for Medicaid Funding.--Section 1903(i)(16) of such
Act (42 U.S.C. 1396b(i)), as inserted by section 2(b), is amended--
            (1) by striking ``(A)'' after ``unless'', and
            (2) by inserting before the period at the end the
        following: ``, and (B) the hospital is complying with the
        requirements of section 1866(a)(1)(R)''.
    (c) Disclosure of Information to the Public.--Title XI of such Act
is amended by inserting after section 1145 the following new section:

   ``public disclosure of certain information on hospital financial
                     interest and referral patterns

    ``Sec. 1146. The Secretary shall make available to the public, in a
form and manner specified by the Secretary, information disclosed to
the Secretary pursuant to section 1866(a)(1)(R) or section
1903(i)(16).''.
    (d) Effective Date.--The Secretary of Health and Human Services
shall issue regulations by not later than 1 year after the date of the
enactment of this Act to carry out the amendments made by this section
and such amendments shall take effect as of such date (on or after the
issuance of such regulations) as the Secretary specifies in such
regulations.

Output:
Patient Freedom of Choice Act of 1997 - Amends titles XVIII (Medicare) and XIX (Medicaid) of the Social Security Act (SSA) to require hospitals participating in the Medicare or Medicaid programs to:  (1) give notice of availability of providers as part of the discharge planning process; and (2) maintain and disclose information on certain referrals.  Provides for additional enforcement of such requirement through civil money penalties.
Amends SSA title XI to provide for disclosure of certain information on hospital financial interest and referral patterns to the Secretary of Health and Human Services, who shall in turn make such information public.


Input:
SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Students Taking Action for Road
Safety Act of 2010'' or ``STARS Act of 2010''.

SEC. 2. TEEN DRIVER SAFETY PROGRAM.

    (a) Establishment.--The Secretary of Transportation shall establish
and implement a teen traffic safety grant program under which the
Secretary shall make grants to States to implement a statewide program
to improve the traffic safety of teen drivers.
    (b) Purpose.--The purpose of the program is to support peer-to-peer
education and prevention strategies in schools and communities to
increase safety belt use and reduce speeding, impaired and distracted
driving, underage drinking, and other destructive decisions among teen
drivers that lead to injuries and fatalities.
    (c) Application.--Any State desiring a grant under this section
shall submit an application to the Secretary at such time, in such
manner, and containing such information as the Secretary may require.
    (d) Eligible Activities.--A State may use funds from a grant under
this section to implement a statewide program to improve traffic safety
of teen drivers, including activities such as--
            (1) working with student-led groups and advisors from
        schools to plan and implement teen traffic safety programs;
            (2) providing subgrants to schools throughout the State to
        support the establishment and expansion of student groups
        focused on teen traffic safety;
            (3) providing support, training, and technical assistance
        to establish and expand school and community safety programs
        for teen drivers;
            (4) creating statewide or regional Web sites to publicize
        and circulate information on teen safety programs;
            (5) conducting outreach and providing educational resources
        for parents;
            (6) establishing State or regional advisory councils
        comprised of teen drivers to provide input and recommendations
        to the governor and governor's safety representative on issues
        related to the safety of teen drivers;
            (7) collaborating with law enforcement;
            (8) organizing and hosting State and regional conferences
        for teen drivers;
            (9) establishing partnerships and promoting coordination
        among community stakeholders, including public, not-for-profit,
        and for-profit entities; and
            (10) funding a position of coordinator for the teen safety
        program in the State or region.
    (e) Grant Amount.--The amount of a grant available to a State under
this section shall be based on a formula administered by the Secretary.
In administering the formula, the Secretary shall consider the number
of teen drivers in each State, except that no State that applies for a
grant under this section shall receive less than $200,000 annually.
    (f) Supplement Not Supplant.--Grant funds provided under this
section shall be used to supplement, not supplant, Federal and non-
Federal funds available for carrying out the activities described in
this section.
    (g) Suballocation of Funds.--An agency of a State that receives a
grant under this section may suballocate grant funds to one or several
nonprofit organizations to carry out the program under this section.
    (h) Technical Assistance Center and Clearinghouse.--
            (1) Establishment of center.--From funds provided under
        subsection (c), the Secretary may use up to $500,000 to
        contract with a national, nonprofit organization to provide
        training and technical assistance to State and local officials,
        student leaders, school advisors, and other entities associated
        with the grant program established in this section.
            (2) Use of funds.--The center may use funds for training,
        communications, publications, conferences, meetings and other
        assistance considered appropriate to develop and sustain a
        statewide program to improve traffic safety of teen drivers.
            (3) Clearinghouse.--The center may operate a national teen
        traffic safety clearinghouse to develop information and
        resources for improving the health and safety of teen drivers,
        disseminate techniques and strategies used for successful teen
        safety programs, and develop and carry out a public awareness
        campaign related to the safety of teen drivers.
    (i) Authorization of Appropriations.--There is authorized to be
appropriated from the Highway Trust Fund (other than the Mass Transit
Account) to carry out this section $25,000,000 for each of fiscal years
2011 through 2015.

SEC. 3. TEEN DRIVER ADVISORY COUNCIL.

    (a) Establishment.--The Secretary shall establish the National Teen
Driver Advisory Council which shall be comprised of teen drivers and
leaders in teen traffic safety.
    (b) Strategy and Report.--
            (1) Strategy.--The Council, working with teen drivers and
        leaders in teen traffic safety, including representatives of
        appropriate Federal agencies, shall study and develop an
        education and prevention strategy for reducing injuries and
        fatalities for teen drivers.
            (2) Report.--Not later than 18 months after the date of
        enactment of this Act, the Secretary shall submit to the
        appropriate committees of Congress a report containing the
        results of the study conducted by the Council and a description
        of the strategy developed.

SEC. 4. DEFINITIONS.

    In this Act the following definitions apply:
            (1) The term ``Secretary'' means the Secretary of
        Transportation.
            (2) The term ``teen driver'' means a driver under the age
        of 21.
            (3) The term ``teen traffic safety program'' includes peer-
        to-peer education and prevention strategies in schools and
        communities to increase safety belt use and reduce speeding,
        impaired and distracted driving, underage drinking, and other
        destructive decisions among teen drivers that lead to injuries
        and fatalities.

Output:
Students Taking Action for Road Safety Act of 2010 or STARS Act of 2010 - Directs the Secretary of Transportation to establish a teen traffic safety grant program to make formula grants to states to implement statewide programs to improve the traffic safety of teen drivers.

Authorizes a state to use grant funds to implement a statewide program to improve the traffic safety of teen drivers, including activities to support peer-to-peer education and prevention strategies in schools and communities to increase safety belt use and reduce speeding, impaired and distracted driving, underage drinking, and other destructive teen driver decisions that lead to injuries and fatalities.

Authorizes the Secretary to contract with a national, nonprofit organization (center) to provide training and technical assistance to state and local officials, student leaders, school advisors, and other entities associated with the grant program. Authorizes the center to operate a national teen traffic safety clearinghouse.

Directs the Secretary to establish the National Teen Driver Advisory Council to study and develop an education and prevention strategy to reduce teen driver injuries and fatalities.


Input:
SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Healthy Kids from Day One Act''.

SEC. 2. FINDINGS AND PURPOSES.

    (a) Findings.--Congress makes the following findings:
            (1) Life-long food preferences, eating habits, and activity
        levels develop early in childhood.
            (2) Preschool years are a critical time for determining
        whether or not an individual will develop obesity later in
        life.
            (3) Aerobic fitness and healthy eating patterns support
        enhanced behavioral, emotional, and academic performance in
        school.
            (4) Recent studies indicate that children who are
        overweight at age 5 are more likely to be more overweight at
        age 9.
            (5) Obese preschool children already exhibit signs of
        cardiovascular disease and diabetes.
            (6) According to a 2007 Centers for Disease Control and
        Prevention study, 12.4 percent of children in the United States
        ages 2 through 6 are obese.
            (7) The 2001 National Household Education Survey found that
        74 percent of children in the United States ages 3 through 6
        are in some form of non-parental child care, and 56 percent are
        in center-based child care.
            (8) According to a 2009 analysis of child care center
        licensing regulations, only 12 States have a policy prohibiting
        or limiting foods of low nutritional value in child care
        centers, only 8 States require vigorous or moderate physical
        activity, only one of which has a policy quantifying a required
        number of minutes of physical activity by day or week, and only
        7 States quantify a maximum amount of time for media
        (television and electronic) each day or week.
            (9) In 2009, the Centers for Disease Control and Prevention
        released recommended community strategies and measures to
        prevent obesity in the United States that includes child care
        specific policy and environmental initiatives to achieve
        healthy eating and active living among children from birth to 5
        years of age.
            (10) In 2009, The Institute of Medicine released findings
        supporting local governments' ability to play a crucial role in
        creating environments that make it easier for children to eat
        healthy diets and remain active.
            (11) States should strive to adopt nutrition standards,
        practices, and policies for child care centers that are
        consistent with the 2005 Dietary Guidelines for Americans.
            (12) Child care centers and family child care homes should
        serve as settings where children adopt healthy eating habits,
        have opportunities for age appropriate physical activity, and
        set screen time limits.
            (13) Rates of obesity are higher for Black and Latino
        children than the overall population of children in the United
        States.
    (b) Purposes.--It is the purpose of this Act to--
            (1) establish a 3-year pilot program in 5 States that will
        focus on reducing the increasing prevalence of overweight/
        obesity among children between birth and 5 years of age in
        child care settings;
            (2) enhance the focus of child care centers and family
        child care homes serving the birth to 5 years of age population
        on children's healthy development through evidence-based or
        data-informed practices to improve healthy eating, physical
        activity, and screen time limits; and
            (3) identify emerging and expand existing evidence-based
        practices and understanding of healthy eating, physical
        activity, and screen time limits, as appropriate, as well as
        replicate curricula, interventions, practices, and policy
        changes that are most effective in promoting nutrition and
        physical activity among the birth to 5 years of age population
        in the child care setting.

SEC. 3. HEALTHY KIDS PROGRAM.

    Title III of the Public Health Service Act (42 U.S.C. 241 et seq.)
is amended by adding at the end the following:

                     ``PART W--HEALTHY KIDS PROGRAM

``SEC. 399OO. DEFINITIONS.

    ``In this part:
            ``(1) Child care center.--The term `child care center'
        means a center licensed or otherwise authorized to provide
        child care services for fewer than 24 hours per day per child
        in a non-residential setting, unless care in excess of 24 hours
        is due to the nature of the parents' work.
            ``(2) Early learning council.--The term `early learning
        council' means an early childhood assembly that is established
        to advise governors, State legislators, or State agency
        administrators on how best to meet the needs of young children
        and their families specifically through improvement of programs
        and services.
            ``(3) Family child care home.--The term `family child care
        home' means a private family home where home-based child care
        is provided for a portion of the day, unless care in excess of
        24 hours is due to the nature of the parents' work, and that is
        certified, registered, or licensed in the State in which it is
        located.
            ``(4) Screen time limits.--The term `screen time limits'
        means policies or guidelines, such as those developed by the
        American Academy of Pediatrics, designed to reduce the daily
        amount of time that children spend watching or looking at
        digital monitors or displays, including television sets,
        computer monitors, or hand-held gaming devices.
            ``(5) Secretary.--The term `Secretary' means the Secretary
        of Health and Human Services.

``SEC. 300OO-1. GRANTS.

    ``(a) In General.--The Secretary, in consultation with appropriate
entities within the Department of Health and Human Services, shall
award 3-year competitive grants to 5 State health departments (or other
appropriate child care licensing entities within such States) to help
reduce and prevent obesity among the birth to 5 year old population of
the State in child care settings outside a child's place of residence.
    ``(b) Use of Funds.--State grantees shall use amounts received
under a grant under this subsection to--
            ``(1) provide, or enter into contracts to provide, training
        (that meets the requirements of subsection (c)) to the staff of
        national, State, or community-based organizations with networks
        of child care centers, or a consortium of child care centers
        and family child care homes consisting of at least 10 centers,
        for the purpose of implementing evidence-based or data-informed
        healthy eating and physical activity policies and practices,
        including curricula and other interventions; and
            ``(2) provide grants to child care centers and family child
        care homes, whose staff received the training described in
        paragraph (1), to implement practice, curricula, and policy
        changes (that meet the requirements of subsection (d)) that
        promote healthy eating and physical activity among the birth to
        5 years of age population.
Preference in awarding grants shall be given to those States that
demonstrate collaboration between relevant State entities related to
child care and health and with key stakeholders, such as State early
learning councils and other community-based organizations working with
child care centers or family child care homes.
    ``(c) Training Requirements.--
            ``(1) In general.--Training provided under subsection (b)
        shall--
                    ``(A) include the provision of information
                concerning age-appropriate healthy eating and physical
                activity interventions and culturally competent
                curricula for the birth to 5 years of age population in
                the State involved, which at a minimum shall include--
                            ``(i) a handbook that includes
                        recommendations, guidelines, and best practices
                        for child care centers and family child care
                        homes relating to healthy eating, physical
                        activity, and screen time reduction;
                            ``(ii) information about the availability
                        of and services provided by child care health
                        consultants; and
                            ``(iii) health and wellness resources
                        available through the Child Care Bureau and the
                        Maternal and Child Health Bureau;
                    ``(B) identify, improve upon, and expand nutrition
                and physical activity best practices targeted to the
                birth to 5 years of age population in the State
                involved and identify strategies for incorporating
                parental education and other parental involvement; and
                    ``(C) provide instruction on how to appropriately
                model, direct, and encourage child care staff behavior
                to apply the best practices and strategies identified
                under subparagraph (B).
            ``(2) Training entities.--A grantee may conduct the
        training required under this section directly, or may provide
        such training through a contract with--
                    ``(A) an appropriate national, State, or community
                organization with relevant expertise;
                    ``(B) a health care provider or professional
                organization with relevant expertise;
                    ``(C) a university or research center that employs
                faculty with relevant expertise; or
                    ``(D) any other entity determined appropriate by
                the State and approved by the Secretary.
            ``(3) Requirement of contract.--If a grantee elects to
        provide the training under this section through a contract, the
        grantee shall ensure that a consistent healthy eating and
        physical activity curriculum is being developed for all child
        care entities participating in the pilot program in the State.
    ``(d) Practice, Curricula, and Policy Changes.--After training is
provided as required under subsection (c), a State grantee shall ensure
that the organizations and consortium involved--
            ``(1) implement, in child care settings, evidence-based or
        data-informed policy changes that promote healthy eating,
        physical activity, and appropriate screen time limits among the
        birth to 5 years of age population;
            ``(2) utilize an evidence-based or data-informed,
        culturally competent healthy eating and physical activity
        curriculum in child care settings focusing on such birth to age
        5 population;
            ``(3) implement programs, activities, and procedures for
        incorporating parental education and involvement of parents in
        programs, including disseminating a written parental
        involvement policy, and coordinating and integrating parental
        involvement strategies under this section, to the extent
        feasible and appropriate, with parental involvement strategies
        under other programs, such as the Head Start program and the
        Early Head Start Program; and
            ``(4) find innovative ways to remove barriers that exist to
        providing opportunities for healthy eating and physical
        activity.
All activities described in this paragraph shall be evidence-based and
data-informed and be consistent with the curriculum presented through
training activities described in subsection (c).

``SEC. 399OO-2. GRANTS FOR THE EVALUATION OF PILOT PROGRAMS.

    ``The Secretary shall award competitive grants to Prevention
Research Centers or universities to evaluate the programs carried out
with grants under section 399OO-1, including baseline, process, and
outcome measurements.

``SEC. 399OO-3. COORDINATION.

    ``(a) Interagency Coordination.--To the extent practicable, the
Secretary shall coordinate activities conducted under this part with
activities undertaken by the National Prevention, Health Promotion and
Public Health Council established under section 4001 of the Patient
Protection and Affordable Care Act (Public Law 111-148). Where
practicable, such coordination shall--
            ``(1) include the sharing of current and emerging best
        practices concerning healthy eating, physical activity, and
        screen time limits that have a population-level impact in
        promoting nutrition and physical activity in child care
        settings;
            ``(2) promote the effective implementation and
        sustainability of such programs; and
            ``(3) avoid unnecessary duplication of effort.
    ``(b) Pilot Coordination.--The Secretary shall designate an
individual (directly or through contract) to provide technical
assistance to States and pilot centers in the development,
implementation, and evaluation of activities and dissemination of
information described in paragraphs (1), (2), and (3) of subsection
(a).

``SEC. 399OO-4. EVALUATION AND REPORTING.

    ``(a) Technical Assistance and Information.--The Secretary shall--
            ``(1) provide technical assistance to grantees and other
        entities providing training under a grant under this part; and
            ``(2) disseminate to health departments and trainers under
        grants under this part information concerning evidence-based or
        data-informed approaches, including dissemination of existing
        toolkits, curricula, and existing or emerging best practices
        that can be expanded or improved upon through a program
        conducted under this part.
    ``(b) Evaluation Requirements.--With respect to evaluations
conducted under section 399OO-2, the Secretary shall ensure that--
            ``(1) evaluation metrics are consistent across all programs
        funded under this part;
            ``(2) interim outcomes are measured by the number of
        centers that have implemented policy and environmental
        strategies that support use of curricula and practices
        supporting healthy eating, physical activity, and screen time
        limits;
            ``(3) interim outcomes are measured, to the extent
        possible, by behavior changes in healthy eating, physical
        activity, and screen time; and
            ``(4) upon completion of the program, the evaluation shall
        include an identification of best practices relating to
        behavior change and reductions in the increasing prevalence of
        overweight and obesity that could be replicated in other
        settings.
    ``(c) Dissemination of Information.--Upon the conclusion of the
programs carried out under this part, the Secretary shall disseminate
to all appropriate agencies within the Department of Health and Human
Services evidence, best practices, and lessons learned from grantees.
Such agencies shall encourage the adoption of the best practices.
    ``(d) Report to Congress.--Not later than 6 months after the
completion of the pilot program under this part, the Secretary shall
submit to Congress a report concerning the evaluation of the pilot
programs, including recommendations as to how lessons learned from such
programs can be incorporated into future guidance documents developed
and provided by the Secretary and other Federal agencies, as
appropriate.

``SEC. 399OO-5. AUTHORIZATION OF APPROPRIATIONS.

    ``There is authorized to be appropriated to carry out this part,
$2,500,000 for each of fiscal years 2011, 2012 and 2013.''.

Output:
Healthy Kids from Day One Act - Amends the Public Health Service Act to require the Secretary of Health and Human Services (HHS) to award competitive grants to five state health departments to help reduce and prevent obesity among children between birth and five years of age in child care settings outside of a child's place of residence through training on and implementation of healthy eating and physical activity policies and practices. Requires the Secretary to award grants to Prevention Research Centers or universities to evaluate programs carried out under such grants.

Requires the Secretary to coordinate activities conducted under this Act with activities undertaken by the National Prevention, Health Promotion and Public Health Council, to the extent practicable, including by: (1) sharing current and emergent best practices concerning healthy eating, physical activity, and screen time limits that have a population-level impact in promoting nutrition and physical activity in child care settings; and (2) promoting the effective implementation and sustainability of such programs; and (3) avoiding unnecessary duplication of effort.


Input:
SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Matewan Flood Control Excess Project
Land Disposal Act of 1999''.

SEC. 2. DISPOSITION OF EXCESS PROPERTY.

    (a) In General.--The United States shall convey by quit claim deed
to the Town of Matewan, West Virginia, all right, title, and interest
of the United States in and to four parcels of land deemed excess by
the Secretary of the Army, acting through the Chief of the U.S. Army
Corps of Engineers, to the structural project for flood control
constructed by the Corps of Engineers along the Tug Fork River pursuant
to section 202 of Public Law 96-367.
    (b) Property Description.--The parcels of land referred to in
subsection (a) are as follows--
            (1) A certain parcel of land in the State of West Virginia,
        Mingo County, Town of Matewan, and being more particularly
        bounded and described as follows:
                    Beginning at a point on the southerly right-of-way
                line of a 40-foot-wide street right-of-way (known as
                McCoy Alley), having an approximate coordinate value of
                N228,695, E1,662,397, in the line common to the land
                designated as U.S.A. Tract No. 834, and the land
                designated as U.S.A. Tract No. 837, said point being
                South 51 deg.52' East 81.8 feet from an iron pin and
                cap marked M-12 on the boundary of the Matewan Area
                Structural Project, on the north right-of-way line of
                said street, at a corner common to designated U.S.A.
                Tracts Nos. 834 and 836; thence, leaving the right-of-
                way of said street, with the line common to the land of
                said Tract No. 834, and the land of said Tract No. 837,
                    South 14 deg.37' West 46 feet to the corner common
                to the land of said Tract No. 834, and the land of said
                Tract No. 837; thence, leaving the land of said Tract
                No. 837, severing the lands of said Project,
                    South 14 deg.37' West 46 feet,
                    South 68 deg.07' East 239 feet,
                    North 26 deg.05' East 95 feet to a point on the
                southerly right-of-way line of said street; thence,
                with the right-of-way of said street, continuing to
                sever the lands of said Project,
                    South 63 deg.55' East 206 feet; thence, leaving the
                right-of-way of said street, continuing to sever the
                lands of said Project,
                    South 26 deg.16' West 63 feet; thence, with a curve
                to the left having a radius of 70 feet, a delta of
                33 deg.58', an arc length of 41 feet, the chord
                bearing,
                    South 09 deg.17' West 41 feet; thence, leaving said
                curve, continuing to sever the lands of said Project,
                    South 07 deg.42' East 31 feet to a point on the
                right-of-way line of the floodwall; thence, with the
                right-of-way of said floodwall, continuing to sever the
                lands of said Project,
                    South 77 deg.04' West 71 feet,
                    North 77 deg.10' West 46 feet,
                    North 67 deg.07' West 254 feet,
                    North 67 deg.54' West 507 feet,
                    North 57 deg.49' West 66 feet to the intersection
                of the right-of-way line of said floodwall with the
                southerly right-of-way line of said street; thence,
                leaving the right-of-way of said floodwall and with the
                southerly right-of-way of said street, continuing to
                sever the lands of said Project,
                    North 83 deg.01' East 171 feet,
                    North 89 deg.42' East 74 feet,
                    South 83 deg.39' East 168 feet,
                    South 83 deg.38' East 41 feet,
                    South 77 deg.26' East 28 feet to the point of
                beginning, containing 2.59 acres, more or less. The
                bearings and coordinate used herein are referenced to
                the West Virginia State Plane Coordinate System, South
                Zone.
            (2) A certain parcel of land in the State of West Virginia,
        Mingo County, Town of Matewan, and being more particularly
        bounded and described as follows:
                    Beginning at an iron pin and cap designated Corner
                No. M2-2 on the southerly right-of-way line of the
                Norfolk and Western Railroad, having an approximate
                coordinate value of N228,755 E1,661,242, and being at
                the intersection of the right-of-way line of the
                floodwall with the boundary of the Matewan Area
                Structural Project; thence, leaving the right-of-way of
                said floodwall and with said Project boundary, and the
                southerly right-of-way of said Railroad,
                    North 59 deg.45' East 34 feet,
                    North 69 deg.50' East 44 feet,
                    North 58 deg.11' East 79 feet,
                    North 66 deg.13' East 102 feet,
                    North 69 deg.43' East 98 feet,
                    North 77 deg.39' East 18 feet,
                    North 72 deg.39' East 13 feet to a point at the
                intersection of said Project boundary, and the
                southerly right-of-way of said Railroad, with the
                westerly right-of-way line of State Route 49/10;
                thence, leaving said Project boundary, and the
                southerly right-of-way of said Railroad, and with the
                westerly right-of-way of said road,
                    South 03 deg.21' East 100 feet to a point at the
                intersection of the westerly right-of-way of said road
                with the right-of-way of said floodwall; thence,
                leaving the right-of-way of said road, and with the
                right-of-way line of said floodwall,
                    South 79 deg.30' West 69 feet,
                    South 78 deg.28' West 222 feet,
                    South 80 deg.11' West 65 feet,
                    North 38 deg.40' West 14 feet to the point of
                beginning, containing 0.53 acre, more or less. The
                bearings and coordinate used herein are referenced to
                the West Virginia State Plane Coordinate System, South
                Zone.
            (3) A certain parcel of land in the State of West Virginia,
        Mingo County, Town of Matewan, and being more particularly
        bounded and described as follows:
                    Beginning at a point on the southerly right-of-way
                line of the Norfolk and Western Railroad, having an
                approximate coordinate value of N228,936 E1,661,672,
                and being at the intersection of the easterly right-of-
                way line of State Route 49/10 with the boundary of the
                Matewan Area Structural Project; thence, leaving the
                right-of-way of said road, and with said Project
                boundary, and the southerly right-of-way of said
                Railroad,
                    North 77 deg.49' East 89 feet to an iron pin and
                cap designated as U.S.A. Corner No. M-4,
                    North 79 deg.30' East 74 feet to an iron pin and
                cap designated as U.S.A. Corner No. M-5-1; thence,
                leaving the southerly right-of-way of said Railroad,
                and continuing with the boundary of said Project,
                    South 06 deg.33' East 102 to an iron pipe and cap
                designated U.S.A. Corner No. M-6-1 on the northerly
                right-of-way line of State Route 49/28; thence, leaving
                the boundary of said Project, and with the right-of-way
                of said road, severing the lands of said Project,
                    North 80 deg.59' West 171 feet to a point at the
                intersection of the Northerly right-of-way line of said
                State Route 49/28 with the easterly right-of-way line
                of said State Route 49/10; thence, leaving the right-
                of-way of said State Route 49/28 and with the right-of-
                way of said State Route 49/10,
                    North 03 deg.21' West 42 feet to the point of
                beginning, containing 0.27 acre, more or less. The
                bearings and coordinate used herein are referenced to
                the West Virginia State Plane Coordinate System, South
                Zone.
            (4) A certain parcel of land in the State of West Virginia,
        Mingo County, Town of Matewan, and being more particularly
        bounded and described as follows:
                    Beginning at a point at the intersection of the
                easterly right-of-way line of State Route 49/10 with
                the right-of-way line of the floodwall, having an
                approximate coordinate value of N228,826 E1,661,679;
                thence, leaving the right-of-way of said floodwall, and
                with the right-of-way of said State Route 49/10,
                    North 03 deg.21' West 23 feet to a point at the
                intersection of the easterly right-of-way line of said
                State Route 49/10 with the southerly right-of-way line
                of State Route 49/28; thence, leaving the right-of-way
                of said State Route 49/10 and with the right-of-way of
                said State Route 49/28,
                    South 80 deg.59' East 168 feet,
                    North 82 deg.28' East 45 feet to an iron pin and
                cap designated as U.S.A. Corner No. M-8-1 on the
                boundary of the Western Area Structural Project;
                thence, leaving the right-of-way of said State Route
                49/28, and with said Project boundary,
                    South 08 deg.28' East 88 feet to an iron pin and
                cap designated as U.S.A. Corner No. M-9-1 point on the
                northerly right-of-way line of a street (known as McCoy
                Alley); thence, leaving said Project boundary and with
                the northerly right-of-way of said street,
                    South 83 deg.01' West 38 feet to a point on the
                right-of-way line of said floodwall; thence, leaving
                the right-of-way of said street, and with the right-of-
                way of said floodwall,
                    North 57 deg.49' West 180 feet,
                    South 79 deg.30' West 34 feet to a point of
                beginning, containing 0.24 acre, more or less. The
                bearings and coordinate used herein are referenced to
                the West Virginia State Plane Coordinate System, South
                Zone.

Output: Matewan Flood Control Excess Project Land Disposal Act of 1999 - Directs the United States to convey to the Town of Matewan, West Virginia, four specified parcels of land deemed excess by the Secretary of the Army, acting through the Chief of the U.S. Army Corps of Engineers, to the structural project for flood control constructed by the Corps along the Tug Fork River.