Input:
SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Ensuring Patient Access to
Healthcare Records Act of 2017''.

SEC. 2. PROMOTION OF ACCESS TO DATA, VIA RESEARCH AND USER FRIENDLY
              PRESENTATIONS AND APPLICATIONS.

    (a) In General.--Subtitle D of the Health Information Technology
for Economic and Clinical Health Act (42 U.S.C. 17921 et seq.) is
amended by adding at the end the following:

   ``PART 3--HEALTH CARE CLEARINGHOUSES; DATA PROCESSING TO EMPOWER
              PATIENTS AND IMPROVE THE HEALTH CARE SYSTEM

``SEC. 13451. MODERNIZING THE ROLE OF CLEARINGHOUSES IN HEALTH CARE.

    ``(a) Efforts To Promote Access to and Leveraging of Health
Information.--
            ``(1) In general.--The Secretary shall, through the
        updating of existing policies and development of policies that
        support dynamic technology solutions, promote patient access to
        information related to their care, including real world
        outcomes and economic data (including claims, eligibility, and
        payment data), in a manner that would ensure that such
        information is available in a form convenient for the patient,
        in a reasonable manner, and without burdening the health care
        provider involved.
            ``(2) Requirement.--Activities carried out under paragraph
        (1) shall include the development of policies to enable covered
        entities with access to health information to--
                    ``(A) provide patient access to information related
                to their care, including real world outcomes and
                economic data;
                    ``(B) develop, in accordance with HIPAA-related
                provisions (as defined in subsection (j)), patient
                engagement tools, reports, analyses, and presentations
                based on population health, epidemiological, and health
                services outcomes data, that may demonstrate a fiscal
                or treatment benefit to patients and health plan
                enrollees; and
                    ``(C) promote transparency regarding the use and
                disclosure of health information by health care
                clearinghouses in accordance with the notice provisions
                of subsection (e).
    ``(b) Treatment as Covered Entity for Specified Functions.--
            ``(1) In general.--With respect to the use and disclosure
        of protected health information, the Secretary shall--
                    ``(A) not consider health care clearinghouses that
                engage in the functions described in paragraph (3) to
                be business associates, including subcontractor
                business associates, under HIPAA-related provisions (as
                defined in subsection (j)(3)) regardless of the role of
                such clearinghouses in collecting or receiving the
                information; and
                    ``(B) consider such clearinghouses to be covered
                entities under such provisions of law for all purposes.
        Such clearinghouses shall not be considered business
        associates, or subcontractor business associates, for
        translation of data into and out of standard format, analytic,
        cloud computing, or any other purpose.
            ``(2) Data accuracy and security requirement.--In order to
        use health data as authorized by this section, a clearinghouse
        or other covered entity engaging in activities authorized under
        this section shall be certified to have the necessary expertise
        and technical infrastructure to ensure the accuracy and
        security of such claims, eligibility, and payment data through
        receipt of an accreditation by the Electronic Healthcare
        Network Accreditation Commission, or by an equivalent
        accreditation program determined appropriate by the Secretary.
            ``(3) Enhancing treatment, quality improvement, research,
        public health efforts and other functions.--
                    ``(A) Equivalent authority to other covered
                entities.--Subject to paragraph (2), a health care
                clearinghouse shall--
                            ``(i) in addition to carrying out claims
                        processing functions, be permitted to use and
                        disclose protected health information without
                        obtaining individual authorization to the same
                        extent as other covered entities, including for
                        purposes of treatment, payment, health care
                        operations as permitted by section 164.506 of
                        title 45, Code of Federal Regulations,
                        research, and public health as permitted by
                        section 164.512 of title 45, Code of Federal
                        Regulations, and creating de-identified
                        information as permitted by section 164.502(d)
                        of title 45, Code of Federal Regulations; and
                            ``(ii) use or disclose protected health
                        information as required by section
                        164.502(a)(2) of title 45, Code of Federal
                        Regulations.
                    ``(B) Additional authority.--
                            ``(i) A health care clearinghouse shall be
                        permitted to provide an individual or the
                        personal representative of such individual
                        access to the protected health information of
                        such individual as described in subsection (d).
                            ``(ii) All covered entities, including a
                        health care clearinghouse, shall, subject to
                        subsection (c)(2), be permitted to--
                                    ``(I) on behalf of covered
                                entities, use and disclose protected
                                health information for health care
                                operations purposes (as defined by
                                section 164.501 of title 45, Code of
                                Federal Regulations) without respect to
                                whether the recipient of the
                                information has or had a relationship
                                with the individual;
                                    ``(II) upon the request of a
                                covered entity, benchmark (as defined
                                by the Secretary pursuant to
                                rulemaking) the operations of such
                                covered entity against the operations
                                of one or more other covered entities
                                that have elected to participate in
                                such benchmarking; and
                                    ``(III) use and disclose protected
                                health information to facilitate
                                clinical trial recruitment, except that
                                in the case the covered entity provides
                                a consumer-facing portal or website
                                that informs individuals of clinical
                                trials conducted by the covered entity,
                                the covered entity shall secure opt-in
                                consent from the individual, or the
                                individual's personal representative,
                                prior to contacting an individual
                                regarding such clinical trials unless
                                such covered entity already has a
                                relationship with the individual.
                    ``(C) Clarification.--Nothing in this paragraph
                shall expand the authority of a health care
                clearinghouse or any other covered entity to use or
                disclose protected health information for marketing
                purposes under sections 164.501 and 164.508(a)(3) of
                title 45, Code of Federal Regulations.
    ``(c) Authorities Relating to Data Processing.--
            ``(1) In general.--In carrying out HIPAA-related
        provisions, the Secretary shall permit a health care
        clearinghouse to aggregate protected health information, within
        the clearinghouse and among other clearinghouses, that the
        clearinghouse possesses in order to carry out the functions
        described in subsection (b)(3). Subject to section
        164.502(a)(5)(i) of title 45, Code of Federal Regulations, a
        health care clearinghouse may carry out the functions described
        in subsection (b)(3) without obtaining individual authorization
        under section 164.508 of title 45, Code of Federal Regulations.
            ``(2) Privacy.--For purposes of clauses (ii) through (iv)
        of subsection (b)(3)(B), with respect to any report, analysis,
        or presentation provided by the covered entity to a third
        party, such report, analysis, or presentation--
                    ``(A) shall include only de-identified data; or
                    ``(B) shall include, subject to a qualifying data
                use agreement (as defined in subsection (j)), protected
                health information.
            ``(3) Clarification; fee permitted.--
                    ``(A) In general.--Nothing in this paragraph shall
                be construed as affecting an individual's right to
                access claims and payment records in HIPAA standard
                format, in accordance with section 164.524 of title 45,
                Code of Federal Regulations.
                    ``(B) Fee permitted.--If an individual or a
                personal representative of the individual requests a
                copy of records in HIPAA standard format a health care
                clearinghouse may charge a reasonable, cost-based fee
                so far as such fee is in accordance with section
                164.524(c)(4) of title 45, Code of Federal Regulations.
    ``(d) Comprehensive Records at the Request of an Individual.--
            ``(1) In general.--When a health care clearinghouse
        receives a written request from an individual or the personal
        representative of the individual for the protected health
        information of the individual, the clearinghouse shall provide
        to the individual a comprehensive record of such information
        (across health care providers and health plans and longitudinal
        in scope), unless the clearinghouse determines in its sole
        discretion that providing a comprehensive record is not
        technologically feasible.
            ``(2) Purchase from other clearinghouses.--In preparing a
        comprehensive record for an individual under paragraph (1), a
        health care clearinghouse may, with the permission of the
        individual, purchase the protected health information of the
        individual from one or more other health clearinghouses (and
        the amount of such purchase may be included in a fee that is
        fair market value, as defined in subsection (j)(2), charged to
        the individual.
    ``(e) Situations Not Involving Direct Interaction With
Individuals.--Sections 164.400 through 164.414 (relating to breach
notification) and sections 164.520 through 164.528 (relating to
individual rights) of title 45, Code of Federal Regulations, shall
apply to a health care clearinghouse that engages in the functions
described in subsection (b)(3) to the extent that such clearinghouse
has current contact information pursuant to direct interaction with the
individual involved. If the clearinghouse does not have direct
interaction with the individual involved, the clearinghouse shall
provide notice of any breach of unsecured protected health information
to the covered entity that does have direct interaction with the
individual involved. The clearinghouse shall not be required to report
a breach if the protected health information is rendered unusable,
unreadable, or indecipherable to unauthorized persons through the use
of a technology or methodology specified by the Secretary in the
guidance issued under section 13402(h)(2). The clearinghouse shall also
provide a notice of privacy practices on its website.
    ``(f) Transition.--
            ``(1) In general.--Except where specifically stated,
        nothing in this section shall be construed to apply to
        clearinghouses to the exclusion of other covered entities or to
        provide a health care clearinghouse greater authority to use
        and disclose protected health information than that provided to
        another covered entity.
            ``(2) Existing agreements.--With respect to agreements
        entered into by a health care clearinghouse prior to the date
        of enactment of this section, a provision of such an agreement
        that conflicts with this section shall not have any legal force
        or effect. The preceding sentence may not be construed as
        affecting any provision of an agreement that does not conflict
        with this section.
    ``(g) Safe Harbor and Clarification of Liability.--In the case of a
health care clearinghouse that engages in a function described in
subsection (b), only that clearinghouse may be held liable for a
violation of a HIPAA-related provision (and a covered entity that
provided data or data access to the clearinghouse shall not be liable
for such violations).
    ``(h) Enforcement.--Section 13410(a)(2) shall apply to this section
in the same manner as such section applies to parts 1 and 2.
    ``(i) Relation to Other Laws.--
            ``(1) Application of hitech rule.--Section 13421 shall
        apply to this section in the same manner as such section
        applies to parts 1 and 2, except to the extent that such
        section 13421 concerns section 1178(a)(2)(B) of the Social
        Security Act.
            ``(2) State laws regarding unfair or deceptive acts or
        practices.--This part shall not be construed to preempt the law
        of any State that prohibits unfair or deceptive acts or
        practices or limit the authority of State attorneys general to
        enforce such laws.
    ``(j) Definitions.--In this part:
            ``(1) De-identified.--The term `de-identified', with
        respect to health information, means such information that is
        not individually identifiable as determined in accordance with
        the standards under section 164.514(b) of title 45, Code of
        Federal Regulations.
            ``(2) Fair market value.--The term `fair market value'
        means the price that a person reasonably knowledgeable and
        interested in buying a given product or service would pay to a
        person reasonably knowledgeable and interested in selling the
        product or service.
            ``(3) Health care clearinghouse.--The term `health care
        clearinghouse' has the meaning given such term in section 1171
        of the Social Security Act.
            ``(4) HIPAA-related provision.--The term `HIPAA-related
        provision' means the provisions of each of the following:
                    ``(A) This subtitle.
                    ``(B) Part C of title XI of the Social Security
                Act.
                    ``(C) Regulations promulgated pursuant to sections
                262(a) and 264(c) of the Health Insurance Portability
                and Accountability Act of 1996 or this subtitle.
            ``(5) Individual.--The term `individual', with respect to
        protected health information, has the meaning applicable under
        section 160.103 of title 45, Code of Federal Regulations.
            ``(6) Qualifying data use agreement.--The term `qualifying
        data use agreement' means an agreement, which may be
        electronic, that--
                    ``(A) establishes the permitted uses and
                disclosures of protected health information by the
                recipient;
                    ``(B) limits such uses and disclosures to the
                original purpose of disclosure under subsection
                (b)(3)(B); and
                    ``(C) provides that the data recipient will--
                            ``(i) not use or further disclose the
                        information other than as permitted by the
                        qualifying data use agreement or as otherwise
                        required by law;
                            ``(ii) use appropriate safeguards to
                        prevent use or disclosure of the information
                        other than as provided for by the qualifying
                        data use agreement; and
                            ``(iii) ensure that any agents to whom it
                        provides the data agree to the same
                        restrictions and conditions that apply to the
                        data recipient with respect to such
                        information.''.
    (b) Regulations.--Not later than 180 days after the date of the
enactment of this Act, the Secretary of Health and Human Services shall
promulgate regulations to carry out the amendment made by subsection
(a).
    (c) Conforming Amendment.--Section 1171(2) of the Social Security
Act (42 U.S.C. 1320d(2)) is amended by inserting before the period the
following: ``or receives a standard transaction from another entity and
processes or facilitates the processing of health information into
nonstandard format or nonstandard data content for the receiving
entity. Such term also includes an entity that carries out such
processing functions, transmits standard health care claims, transmits
health care claim payments or provides advice on such, and transmits
any standard transactions on behalf of a HIPAA-covered entity and in
addition, engages in any authority of such entity described in
subsection (b)(3) of section 13451 of the Health Information Technology
for Economic and Clinical Health Act''.

Output: Ensuring Patient Access to Healthcare Records Act of 2017 This bill amends the Health Information Technology for Economic and Clinical Health Act to require the Department of Health and Human Services to develop and update policies that enable certain health-care clearinghouses, plans, and providers to: (1) provide patients with access to information related to their care; (2) develop patient-engagement tools, reports, analyses, and presentations that may demonstrate benefit to patients and health-plan enrollees; and (3) promote transparency regarding the use and disclosure of health information by health-care clearinghouses.


Input:
SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Pipeline Safety Act of 1995''.

SEC. 2. AMENDMENT OF TITLE 49, UNITED STATES CODE.

    Except as otherwise expressly provided, whenever in this Act an
amendment or repeal is expressed in terms of an amendment to, or a
repeal of, a section or other provision, the reference shall be
considered to be made to a section or other provision of title 49,
United States Code.

                  TITLE I--PIPELINE SAFETY AMENDMENTS

SEC. 101. RISK MANAGEMENT.

    Chapter 601 is amended by adding at the end the following new
section:
``Sec. 60126. Risk Management
    ``(a) The Secretary shall, based on information collected and
maintained by the Secretary, conduct an assessment of the risk to
public safety and the environment posed by pipeline transportation. The
assessment shall--
            ``(1) rank the risks identified by the Secretary in terms
        of their probability of occurrence and their likely
        consequences, and any other factors the Secretary considers
        relevant;
            ``(2) identify, in priority order, technically feasible and
        economically justified actions that should be taken to lessen
        the risks identified; and
            ``(3) address, at a minimum, the following subjects:
                    ``(A) Inspection by internal instrumented devices.
                    ``(B) Hydrostatic testing.
                    ``(C) Installation of emergency flow restricting
                devices, including leak detection systems, for natural
                gas and hazardous liquid pipelines.
                    ``(D) Inspection and burial of underwater
                pipelines.
    ``(b) Notwithstanding any other provision of this chapter, if the
Secretary determines that rulemaking regarding a subject listed in
subsection (a)(3) is not practicable, appropriate, or reasonable, the
Secretary shall transmit to Congress, not later than 60 days after the
date of such determination, an explanation of the reasons for that
determination.
    ``(c) Not later than 18 months after the date of enactment of the
Pipeline Safety Act of 1995, the Secretary shall transmit to Congress a
report including the assessment required under subsection (a) and a
plan setting forth the actions proposed by the Secretary to address
each risk identified in the assessment. Within 30 days after any
substantive change to the action plan, including the addition or
deletion of any subject or action in the plan, the Secretary shall
inform Congress in writing of the reasons for the change.''.
SEC. 102. ONE CALL NOTIFICATION SYSTEMS.

    Section 60114 (relating to one-call notification systems) is
amended by striking subsections (b) and (d), and redesignating
subsections (c) and (e) as (b) and (d), respectively.

SEC. 103. INTERNATIONAL UNIFORMITY.

    Section 60117 (relating to administration) is amended by adding at
the end the following new subsection:
    ``(k) International Uniformity of Standards.--
            ``(1) Participation in international forums.--Subject to
        guidance and direction from the Secretary of State, the
        Secretary of Transportation may participate in international
        forums that establish or recommend pipeline safety standards
        for transporting natural gas and hazardous liquids.
            ``(2) Consultation.--The Secretary of Transportation may
        consult with interested authorities to ensure that, to the
        extent practicable, regulations the Secretary prescribes under
        this chapter are consistent with standards related to pipeline
        safety transportation adopted by international authorities.
            ``(3) Differences with international standards and
        requirements.--This section does not require the Secretary to
        prescribe a standard identical to, less stringent than, or more
        stringent than a standard adopted by an international authority
        or otherwise limit the Secretary's discretion in issuing
        standards.''.

SEC. 104. GENERAL AUTHORITY.

    Section 60117 (relating to administration), as amended by section
103, is further amended by adding at the end the following new
subsection:
    ``(l) Funding Authority.--To carry out this chapter, the Secretary
may enter into grants, cooperative agreements, and other transactions
with any person, agency, or instrumentality of the United States, any
unit of State or local government, any educational institution, and any
other entity to further the objectives of this chapter, including the
development, improvement, and promotion of one-call damage prevention
programs, research, risk assessment, and mapping.''.

SEC. 105. ANNUAL REPORTS.

    Section 60124 (relating to annual reports) is repealed.

SEC. 106. AUTHORIZATION OF APPROPRIATIONS.

    Section 60125 (relating to authorization of appropriations) is
amended--
            (1) by striking ``gas:'' and all that follows in subsection
        (a) and inserting ``gas, $16,450,000 for the fiscal year ending
        September 30, 1996, and such sums as may be necessary for
        fiscal years 1997, 1998, and 1999.'';
            (2) by striking ``liquid:'' and all that follows in
        subsection (b) and inserting ``liquid, $10,968,000 for the
        fiscal year ending September 30, 1996, and such sums as may be
        necessary for fiscal years 1997, 1998, and 1999.'';
            (3)(A) by striking the heading of subsection (c) and
        inserting in lieu thereof ``State Pipeline Safety Grants.--'';
            (B) by striking ``title:'' and all that follows in
        subsection (c)(1) and inserting ``title, $15,000,000 for the
        fiscal year ending September 30, 1996, and such sums as may be
        necessary for fiscal years 1997, 1998, and 1999.'';
            (4) by striking subsection (d) and inserting the following:
    ``(d) Other Transactions.--Not more than the following amounts may
be appropriated to the Secretary to carry out section 60117(1) of this
title: $5,000,000 for the fiscal year ending September 30, 1996, and
such sums as may be necessary for fiscal years 1997, 1998, and 1999.'';
and
            (5) by adding at the end the following new subsection:
    ``(g) Special Projects.--For each of fiscal years 1996, 1997, 1998,
and 1999, not more than $500,000 or 0.5 percent of the amount
appropriated annually to carry out chapter 601, whichever is less, may
be appropriated to the Secretary to fund special projects undertaken
jointly with other offices within the Department to improve the
administration of transportation safety programs.''.

SEC. 107. TECHNICAL CORRECTIONS.

    (a) Section 60105 is amended by inserting ``Pipeline Safety
Program'' after ``State'' in the heading.
    (b) Section 60106 is amended by inserting ``Pipeline Safety'' after
``State'' in the heading.
    (c) Section 60107 is amended by inserting ``Pipeline Safety'' after
``State'' in the heading.
    (d) Section 60114(a)(9) is amended by striking ``, 60122, and
60123'' and inserting ``and 60122''.

                  TITLE II--AVIATION TARIFF AMENDMENT

SEC. 201. AVIATION TARIFF AMENDMENT.

    Section 40114(b) (relating to reports and records), is amended--
            (1) by striking ``the Secretary'' in the second sentence
        and inserting ``With the exception of tariffs, the Secretary;
        and''
            (2) by inserting ``The Secretary shall ensure that tariff
        records are available to the public on a permanent basis.''
        after the second sentence.

               TITLE III--HAZARDOUS MATERIALS AMENDMENTS

SEC. 301. HAZARDOUS MATERIALS AMENDMENTS.

    (a) Section 5107(e) (relating to employee training requirements) is
amended by striking ``section 5127(c)(3)'' and inserting ``section
5127(b)(1)''.
    (b) Section 5116(j)(4)(A) (relating to supplemental training
grants) is amended by striking ``subsection (g)'' and inserting
``section 5115''.
    (c) Section 5110(e) (relating to retention of shipping papers) is
amended--
            (1) by striking the heading and inserting the following:
    ``(e) Retention of Shipping Papers.--''; and
            (2) by striking the first sentence and inserting ``A person
        required to provide a shipping paper to a carrier and a carrier
        to which a shipping paper is provided shall retain, at or
        accessible through its principal place of business, a paper or
        electronic image copy of each shipping paper for one year from
        the date the shipping paper has been provided to the
        carrier.''.

Output:
TABLE OF CONTENTS:
     Title I:  Pipeline Safety Amendments
     Title II:  Aviation Tariff Amendment
     Title III:  Hazardous Materials Amendments
Pipeline Safety Act of 1995 -
Title I:  Pipeline Safety Amendments
 - Amends Federal natural gas and hazardous liquid pipeline safety transportation law to require the Secretary of Transportation to conduct an assessment of the risk to public safety and the environment posed by natural gas and hazardous liquid pipeline transportation.  Requires the Secretary to report to the Congress on the assessment and a plan setting forth proposed actions to address each identified risk.
(Sec. 102) Eliminates Federal grants to States for development of a one-call (before digging) notification system that informs a pipeline facility operator of activity in the vicinity that could threaten the facility's safety.
(Sec. 103) Authorizes the Secretary to participate in international forums that establish or recommend pipeline safety standards for transporting natural gas and hazardous liquids.  Provides that the Secretary is not required to prescribe a standard identical to or less stringent or more stringent than a standard adopted by an international authority, or otherwise limit his or her discretion in issuing such standards.
(Sec. 104) Authorizes the Secretary to enter into grants, cooperative agreements, and other transactions with any person, agency, or U.S. instrumentality, any State or local government, any educational institution, and any other entity to further pipeline safety, including the development, improvement, and promotion of one-call damage prevention programs, research, risk assessment, and mapping.
(Sec. 105) Repeals the requirement for the Secretary's annual report concerning natural gas and hazardous liquid safety.
(Sec. 106) Authorizes appropriations.
Title II:  Aviation Tariff Amendment
 - Repeals the Secretary's authority and responsibility to be custodian of aviation tariff records.  Requires the Secretary to ensure that such tariff records be made available to the public on a permanent basis.
Title III:  Hazardous Materials Amendments
 - Revises the requirement that a person who is required to provide a shipping paper to a carrier when offering hazardous material for transportation in commerce, and a carrier to which such paper is provided, retain a paper or electronic image copy of such paper for one year after the material is no longer in transportation.  Changes the retention period to one year from the date the shipping paper has been provided to the carrier.


Input:
SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Great Lakes Legacy Act of 2002''.

SEC. 2. REPORT ON REMEDIAL ACTION PLANS.

    Section 118(c)(3) of the Federal Water Pollution Control Act (33
U.S.C. 1268(c)(3)) is amended by adding at the end the following:
                    ``(E) Report.--Not later than 1 year after the date
                of enactment of this subparagraph, the Administrator
                shall submit to Congress a report on such actions, time
                periods, and resources as are necessary to fulfill the
                duties of the Agency relating to oversight of Remedial
                Action Plans under--
                            ``(i) this paragraph; and
                            ``(ii) the Great Lakes Water Quality
                        Agreement.''.

SEC. 3. GRANTS FOR THE REMEDIATION OF SEDIMENT CONTAMINATION IN AREAS
              OF CONCERN.

    Section 118(c) of the Federal Water Pollution Control Act (33
U.S.C. 1268(c)) is amended by adding at the end the following:
            ``(12) Grants for remediation of sediment contamination in
        areas of concern.--
                    ``(A) Definition of qualified project.--In this
                paragraph, the term `qualified project' means a
                project, to be carried out in an area of concern
                located wholly or in part in the United States, to--
                            ``(i) monitor or evaluate contaminated
                        sediment, including conducting a site
                        characterization;
                            ``(ii) remediate contaminated sediment
                        (including disposal of the contaminated
                        sediment); or
                            ``(iii) prevent further or renewed
                        contamination of sediment.
                    ``(B) Grants.--The Administrator, acting through
                the Program Office, may make grants to States to carry
                out qualified projects.
                    ``(C) Priority.--In making grants under this
                paragraph, the Administrator shall give priority to a
                qualified project that--
                            ``(i) consists of remedial action for
                        contaminated sediment;
                            ``(ii) has been identified in a Remedial
                        Action Plan that is--
                                    ``(I) submitted under paragraph
                                (3); and
                                    ``(II) ready to be implemented;
                            ``(iii) will use an innovative approach,
                        technology, or technique for remediation; or
                            ``(iv) includes remediation to be commenced
                        not later than 1 year after the receipt of the
                        grant funds.
                    ``(D) Limitations.--The Administrator may not make
                a grant under this paragraph to carry out a qualified
                project described in clause (ii) or (iii) of
                subparagraph (A)--
                            ``(i) that is located in an area of concern
                        that the Administrator determines is likely to
                        suffer significant further or renewed sediment
                        contamination from sources of pollutants after
                        the completion of the qualified project; or
                            ``(ii) at a site that has not had a
                        thorough site characterization.
                    ``(E) Coordination.--In making grants under this
                paragraph, the Administrator shall coordinate with the
                Secretary of the Army, and with the Governors of States
                in which qualified projects assisted under this
                paragraph are located, to ensure that Federal and State
                assistance for remediation in areas of concern is used
                as efficiently as practicable.
                    ``(F) NEPA applicability.--A qualified project
                carried out under this paragraph that involves a major
                activity, as determined by the Administrator, shall be
                subject to the National Environmental Policy Act of
                1969 (42 U.S.C. 4321 et seq.).
                    ``(G) Authorization of appropriations.--
                            ``(i) In general.--In addition to other
                        amounts authorized to be appropriated under
                        this section, there is authorized to be
                        appropriated to carry out this paragraph
                        $50,000,000 for each of fiscal years 2004
                        through 2008.
                            ``(ii) Availability.--Funds appropriated
                        under clause (i) shall remain available until
                        expended.
            ``(13) Research and development program.--
                    ``(A) In general.--The Administrator, in
                coordination with other Federal and local officials,
                shall conduct research on the development and use of
                innovative approaches, technologies, and techniques for
                the remediation of sediment contamination in areas of
                concern in the Great Lakes.
                    ``(B) Authorization of appropriations.--
                            ``(i) In general.--In addition to amounts
                        authorized to be appropriated under other law,
                        there is authorized to be appropriated to carry
                        out this paragraph $2,000,000 for each of
                        fiscal years 2004 through 2008.
                            ``(ii) Availability.--Funds appropriated
                        under clause (i) shall remain available until
                        expended.
            ``(14) Public information program.--
                    ``(A) In general.--The Program Office may carry out
                a public information program under which the
                Administrator makes grants to States, Indian tribes,
                local governments, and other entities to provide--
                            ``(i) information to the public in areas of
                        concern that are--
                                    ``(I) located wholly within the
                                United States; or
                                    ``(II) shared with Canada; and
                            ``(ii) local coordination and organization
                        in those areas.
                    ``(B) Selection process.--Grants under the public
                information program shall be made in accordance with
                competitive selection procedures established by the
                Administrator in carrying out other grant programs.
                    ``(C) Authorization of appropriations.--There is
                authorized to be appropriated to carry out this
                paragraph $5,000,000 for each of fiscal years 2004
                through 2008.''.

SEC. 4. RELATIONSHIP TO EXISTING FEDERAL AND STATE LAWS AND
              INTERNATIONAL TREATIES.

    Section 118(g) of the Federal Water Pollution Control Act (33
U.S.C. 1268(g)) is amended by inserting ``, including the cleanup and
protection of the Great Lakes'' after ``Lakes''.

SEC. 5. AUTHORIZATION OF APPROPRIATIONS.

    Section 118(h) of the Federal Water Pollution Control Act (33
U.S.C. 1268(h)) is amended by striking the first sentence and inserting
the following: ``There is authorized to be appropriated to carry out
this section $40,000,000 for each of fiscal years 2004 through 2008.''.

Output: Great Lakes Legacy Act of 2002 - Amends the Federal Water Pollution Control Act to require the Administrator of the Environmental Protection Agency to report to Congress regarding oversight of Remedial Action Plans for the Great Lakes.Authorizes the Administrator, acting through the Great Lakes National Program Office, to make grants for projects that: (1) monitor or evaluate contaminated sediment; (2) remediate contaminated sediment; or (3) prevent further or renewed contamination of sediment.Authorizes the Administrator to conduct research on innovative approaches, technologies, and techniques for the remediation of sediment contamination in areas of concern in the Great Lakes. Authorizes the Program Office to carry out a public information program through grants.Extends funding for Great Lakes programs.


Input:
SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Medicare Rx Drug Discount Act of
2003''.

SEC. 2. MEDICARE PRESCRIPTION DRUG DISCOUNT CARD ENDORSEMENT PROGRAM.

    Title XVIII of the Social Security Act (42 U.S.C. 1395 et seq.) is
amended by inserting after section 1806 the following new sections:

     ``medicare prescription drug discount card endorsement program

    ``Sec. 1807. (a) In General.--The Secretary shall establish a
program--
            ``(1) to endorse prescription drug discount card programs
        that meet the requirements of this section; and
            ``(2) to make available to medicare beneficiaries
        information regarding such endorsed programs.
    ``(b) Requirements for Endorsement.--The Secretary may not endorse
a prescription drug discount card program under this section unless the
program meets the following requirements:
            ``(1) Savings to medicare beneficiaries.--The program
        passes on to medicare beneficiaries who enroll in the program
        discounts on prescription drugs, including discounts negotiated
        with manufacturers.
            ``(2) Prohibition on application only to mail order.--The
        program applies to drugs that are available other than solely
        through mail order.
            ``(3) Beneficiary services.--The program provides
        pharmaceutical support services, such as education and
        counseling, and services to prevent adverse drug interactions.
            ``(4) Information.--The program makes available to medicare
        beneficiaries through the Internet and otherwise information,
        including information on enrollment fees, prices charged to
        beneficiaries, and services offered under the program, that the
        Secretary identifies as being necessary to provide for informed
        choice by beneficiaries among endorsed programs.
            ``(5) Demonstrated experience.--The entity operating the
        program has demonstrated experience and expertise in operating
        such a program or a similar program.
            ``(6) Quality assurance.--The entity has in place adequate
        procedures for assuring quality service under the program.
            ``(7) Operation of assistance program.--The entity meets
        such requirements relating to solvency, compliance with
        financial reporting requirements, audit compliance, and
        contractual guarantees as the Secretary finds necessary for
        participation.
            ``(8) Enrollment fees.--The program may charge an annual
        enrollment fee, but the amount of such annual fee may not
        exceed $25.
            ``(9) Additional beneficiary protections.--The program
        meets such additional requirements as the Secretary identifies
        to protect and promote the interest of medicare beneficiaries,
        including requirements that ensure that beneficiaries are not
        charged more than the lower of the negotiated retail price or
        the usual and customary price.
The prices negotiated by a prescription drug discount card program
endorsed under this section shall (notwithstanding any other provision
of law) not be taken into account for the purposes of establishing the
best price under section 1927(c)(1)(C).
    ``(c) Program Operation.--The Secretary shall operate the program
under this section consistent with the following:
            ``(1) Promotion of informed choice.--In order to promote
        informed choice among endorsed prescription drug discount card
        programs, the Secretary shall provide for the dissemination of
        information which compares the prices and services of such
        programs in a manner coordinated with the dissemination of
        educational information on Medicare+Choice plans under part C.
            ``(2) Oversight.--The Secretary shall provide appropriate
        oversight to ensure compliance of endorsed programs with the
        requirements of this section, including verification of the
        discounts and services provided.
            ``(3) Use of medicare toll-free number.--The Secretary
        shall provide through the 1-800-medicare toll free telephone
        number for the receipt and response to inquiries and complaints
        concerning the program and programs endorsed under this
        section.
            ``(4) Sanctions for abusive practices.--The Secretary may
        implement intermediate sanctions or may revoke the endorsement
        of a program in the case of a program that the Secretary
        determines no longer meets the requirements of this section or
        that has engaged in false or misleading marketing practices.
            ``(5) Enrollment practices.--A medicare beneficiary may not
        be enrolled in more than one endorsed program at any time. A
        medicare beneficiary may change the endorsed program in which
        the beneficiary is enrolled, but may not make such change until
        the beneficiary has been enrolled in a program for a minimum
        period of time specified by the Secretary.
    ``(d) Transition.--The Secretary shall provide for an appropriate
transition and discontinuation of the program under this section at the
time outpatient prescription drug benefits first become available under
this title.
    ``(e) Endorsement Condition.--The Secretary shall require, as
condition of endorsement under of a prescription drug discount card
program under this section that the program implement policies and
procedures to safeguard the use and disclosure of program
beneficiaries' individually identifiable health information in a manner
consistent with the Federal regulations (concerning the privacy of
individually identifiable health information) promulgated under section
264(c) of the Health Insurance Portability and Accountability Act of
1996.
    ``(f) Authorization of Appropriations.--There are authorized to be
appropriated such sums as may be necessary to carry out the program
under this section.''.

Output: Medicare Rx Drug Discount Act of 2003 - Amends title XVIII (Medicare) of the Social Security Act (SSA) to: (1) endorse any Medicare prescription drug discount card program that meets specified criteria; and (2) inform Medicare beneficiaries about such programs.


Input:
SECTION 1. SHORT TITLE.

    This Act may be cited as the ``International Megan's Law of 2008''.

SEC. 2. FINDINGS AND DECLARATION OF PURPOSES.

    (a) Findings.--Congress finds the following:
            (1) Megan Nicole Kanka, who was 7 years old, was abducted,
        sexually assaulted, and murdered in 1994, in the State of New
        Jersey by a violent predator who had been convicted previously
        of a sex offense.
            (2) In 1996, Congress adopted Megan's Law (Public Law 104-
        145) as a means to encourage States to inform the public of sex
        offenders who had been convicted and are present in their
        communities.
            (3) In 2006, Congress adopted the Sex Offender Registration
        and Notification Act (title I of Public Law 109-248), which
        further strengthens the national standards for sex offender
        registration and public notification.
            (4) Since 2003, U.S. Immigration and Customs Enforcement
        has made nearly 11,000 arrests, including over 9,100 arrests of
        non-United States citizens, of persons suspected of illegally
        exploiting children. Violations include child pornography,
        child sex tourism and facilitators, and trafficking of minors.
            (5) It is estimated that more than 2 million children are
        exploited each year in the global commercial sex trade.
    (b) Declaration of Purposes.--The purposes of this Act and the
amendments made by this Act are to prevent the international travel of
sex traffickers and other sex offenders who intend to commit a sexual
offense by--
            (1) expanding access to information about known sex
        offenders in the United States who intend to travel outside the
        United States;
            (2) ensuring that foreign nationals who have committed a
        sex offense are denied entry into the United States;
            (3) including information in the annual report to Congress
        required by section 110(b)(1) of the Trafficking Victims
        Protection Act of 2000 (22 U.S.C. 7107(b)(1)) regarding the
        establishment of systems to identify and provide notice of
        international travel by sex offenders to destination countries;
        and
            (4) providing assistance to foreign countries under the
        Foreign Assistance Act of 1961 to meet the requirements
        described in paragraph (3).

SEC. 3. SEX OFFENDER TRAVEL REPORTING REQUIREMENT.

    (a) Duty To Report.--An individual who is required to register
pursuant to section 113 of the Sex Offender Registration and
Notification Act shall notify an appropriate jurisdiction or
jurisdictions in conformity with the rules issued under subsection (b)
not later than 21 days before departure to or arrival from a foreign
place. A jurisdiction so notified shall promptly inform the Secretary
of Homeland Security and the Attorney General.
    (b) Rules for Reporting.--Not later than 90 days after the
enactment of this Act, the Secretary of Homeland Security and the
Attorney General shall make rules to carry out subsection (a) in the
light of the purposes of this Act. Such rules--
            (1) shall establish procedures for reporting under
        subsection (a);
            (2) shall set forth the information required to be
        reported; and
            (3) may provide for appropriate alternative reporting in
        situations, such as emergencies, where the requirement of
        subsection (a) is impracticable or inappropriate.
    (c) Criminal Penalty for Failure To Report.--
            (1) New offense.--Section 2250 of title 18, United States
        Code, is amended by adding at the end the following:
    ``(d) Whoever knowingly fails to report his or her travel to or
from a foreign place as required by the International Megan's Law of
2007 shall be fined under this title or imprisoned not more than 10
years, or both.''.
            (2) Amendment to heading of section.--The heading for
        section 2250 of title 18, United States Code, is amended by
        inserting ``or report international travel'' after
        ``register''.
            (3) Conforming amendment to affirmative defense.--Section
        2250(b) of title 18, United States Code, is amended by
        inserting ``or (d)'' after ``(a)''.
            (4) Conforming amendment to federal penalties for violent
        crimes.--Section 2250(c) of title 18, United States Code, is
        amended by inserting ``or (d)'' after ``(a)'' each place it
        appears.
            (5) Clerical amendment.--The item relating to section 2250
        in the table of sections at the beginning of chapter 109B of
        title 18, United States Code, is amended by inserting ``or
        report international travel'' after ``register''.
    (d) Duty To Notify Sex Offenders of Reporting Requirement.--When an
official is required under the Sex Offender Registration and
Notification Act to notify an offender of a duty to register under that
Act, the official shall also, at the same time--
            (1) notify that offender of that offender's duty to report
        under this section and the procedure for fulfilling that duty;
        and
            (2) require the offender to read and sign a form stating
        that the duty to report and the procedure for reporting has
        been explained and that the offender understands the reporting
        requirement.

SEC. 4. NOTIFICATION TO FOREIGN AUTHORITIES OF INTERNATIONAL TRAVEL BY
              SEX OFFENDERS.

    (a) In General.--In order to protect children and others and
prevent sex trafficking, the Secretary of Homeland Security shall
establish a system in consultation with the Attorney General and the
Secretary of State whereby the appropriate authorities in relevant
foreign countries or territories are notified in a timely manner about
travel outside the United States by persons required to register under
the Sex Offender Registration and Notification Act and to report
pursuant to section 3 of this Act.
    (b) Foreign Authorities To Be Given Sufficient Information.--Each
foreign authority notified under subsection (a) shall be given
sufficient identifying information so as to be able to properly
identify and track the registered individual.
    (c) Technical Assistance.--The Secretary of State may provide
technical assistance to foreign authorities in order to enable such
authorities to participate more effectively in the notification program
established under this section.

SEC. 5. IMMIGRATION LAW REFORM TO PREVENT ADMISSION OF SEX OFFENDERS TO
              THE UNITED STATES.

    Section 212(a)(2) of the Immigration and Nationality Act (8
U.S.C.1182(a)(2)) is amended by adding at the end the following:
                    ``(J) Sex offenders.--Any alien convicted of, or
                who admits having committed, or who admits committing
                acts which constitute the essential elements of, a sex
                offense (as defined in section 111 of the Sex Offender
                Registration and Notification Act (title I of Public
                Law 109-248)) is inadmissible.''.

SEC. 6. ANNUAL REPORT ON STATUS OF SEVERE FORMS OF TRAFFICKING IN
              PERSONS AND IMPLEMENTATION ASSESSMENT.

    (a) In General.--Section 110(b)(1) of the Trafficking Victims
Protection Act of 2000 (22 U.S.C. 7107(b)(1)) is amended--
            (1) in subparagraph (C), by striking ``and'' at the end;
            (2) by redesignating subparagraph (D) as subparagraph (E);
        and
            (3) by inserting after subparagraph (C) the following:
                    ``(D)(i) a list of those countries that have
                established a system--
                            ``(I) to identify sex offenders (as defined
                        for purposes of the Sex Offender Registration
                        and Notification Act (title I of Public Law
                        109-248; 42 U.S.C. 16911)) traveling to the
                        United States or any other country; and
                            ``(II) to notify the United States or the
                        other country of--
                                    ``(aa) the identity of the
                                individual,
                                    ``(bb) the nature of the sex
                                offense for which the individual was
                                convicted, and
                                    ``(cc) the anticipated manner,
                                date, and time of the individual's
                                arrival in the United States or the
                                other country,
                        prior to the individual's travel;
                    ``(ii) a list of those countries that are making
                substantial progress in establishing a system pursuant
                to clause (i), and the estimated time of completion;
                    ``(iii) a list of those countries that do not have
                and are not making substantial progress in establishing
                a system pursuant to clause (i); and
                    ``(iv) an assessment as to the progress made and
                difficulties that exist in establishing a system
                pursuant to clause (i) on a global scale, and the
                extent of inter-country cooperation with respect to sex
                offender travel notifications; and''.
    (b) Assessment Required.--Not later than two years after the date
of the enactment of this Act, the President shall transmit to the
appropriate congressional committees an assessment based on the
information provided pursuant to subparagraph (D) of section 110(b)(1)
of the Trafficking Victims Protection Act of 2000 (22 U.S.C. 7107(b)(1)
(as added by subsection (a) of this section), as to how an amendment to
section 108(a) of such Act (22 U.S.C. 7106(a)) to include the
establishment of a system described in subparagraph (D) of section
110(b)(1) of such Act (as added by subsection (a) of this section)
would facilitate and contribute to advancing the establishment of such
a system on a global scale.
    (c) Appropriate Congressional Committees Defined.--For purposes of
subsection (b), the term ``appropriate congressional committees'' means
the Committee on Foreign Affairs of the House of Representatives and
the Committee on Foreign Relations of the Senate.

SEC. 7. ASSISTANCE TO FOREIGN COUNTRIES TO MEET MINIMUM STANDARDS FOR
              THE ELIMINATION OF TRAFFICKING.

    (a) In General.--The President is strongly encouraged to exercise
the authorities of section 134 of the Foreign Assistance Act of 1961
(22 U.S.C. 2152d) to provide assistance to foreign countries directly,
or through nongovernmental and multilateral organizations, for
programs, projects, and activities designed to establish systems to
identify and provide notification of sex offenders traveling to the
United States or any other country.
    (b) Definition.--In this section, the term ``sex offender'' has the
meaning given the term for purposes of the Sex Offender Registration
and Notification Act (title I of Public Law 109-248; 42 U.S.C. 16911)).

SEC. 8. CONGRESSIONAL REPORT.

    (a) Report Required.--Not later than one year after the enactment
of this Act and every year for 4 years thereafter, the President shall
submit to the appropriate congressional committees a report on the
implementation of this Act and the amendments made by this Act,
including--
            (1) the number of sex offenders who report travel to or
        from a foreign place pursuant to section 3(a) of this Act;
            (2) the number of sex offenders prosecuted and convicted
        for failing to report travel to or from a foreign place
        pursuant to section 3(a) of this Act; and
            (3) what actions have been taken, if any, by foreign
        countries and territories of destination following notification
        pursuant to section 4 of this Act.
    (b) Appropriate Congressional Committees Defined.--For purposes of
subsection (a), the term ``appropriate congressional committees'' means
the Committee on Foreign Affairs of the House of Representatives and
the Committee on Foreign Relations of the Senate.

SEC. 9. AUTHORIZATION OF APPROPRIATIONS.

    To carry out this Act and the amendments made by this Act, there
are authorized to be appropriated such sums as may be necessary for
each of the fiscal years 2009 through 2013.

Output:
International Megan's Law of 2008 - Requires registered sex offenders to report their departure to or arrival from a foreign place not later than 21 days before such departure or arrival. Imposes a fine and/or prison term of up to 10 years for failure to report such travel.

Requires the Secretary of Homeland Security to establish a system of notice to foreign countries about travel outside of the United States by registered sex offenders.

Amends the Immigration and Nationality Act to make convicted sex offenders inadmissible to the United States.

Amends the Trafficking Victims Protection Act of 2000 to include in the annual report of the Secretary of State on the status of severe forms of human trafficking efforts of foreign countries to identify and provide notice of international travel by sex offenders.

Encourages the President to use authorities under the Foreign Assistance Act of 1961 to assist foreign countries in identifying and providing notice of sex offenders traveling to the United States and other countries.


Input:
SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Cardiac Arrest Survival Act of
2011''.

SEC. 2. FINDINGS.

    Congress finds the following:
            (1) Establishing a nationally uniform baseline of
        protection from civil liability for persons who use automated
        external defibrillators (in this section referred to as
        ``AEDs'') in perceived medical emergencies, who own or hold
        other property interests in AEDs used in perceived medical
        emergencies, or who own, occupy, or manage premises in which an
        AED is used or from which an AED is taken for use in a
        perceived medical emergency will encourage the deployment of
        additional AEDs, which will ultimately save lives that would
        otherwise have been lost to cardiac arrest.
            (2) The current patchwork of State ``Good Samaritan'' laws
        provides incomplete, inconsistent, and, in some instances,
        inadequate protection for entities considering the acquisition
        or deployment of AEDs. In these circumstances, concerns about
        potential liability resulting from the good-faith acquisition
        and deployment of this life-saving technology are inhibiting
        its deployment.
            (3) Such concerns are especially acute for entities with
        operations or facilities in multiple States, yet such entities
        are also among those in which the widespread deployment of AEDs
        would be most beneficial.
            (4) A nationally uniform baseline of protection from civil
        liability is needed for persons who use AEDs in perceived
        medical emergencies, who own or hold other property interests
        in AEDs used in perceived medical emergencies, or who own,
        occupy, or manage premises in which an AED is used or from
        which an AED is taken for use in a perceived medical emergency.

SEC. 3. LIABILITY REGARDING EMERGENCY USE OF AUTOMATED EXTERNAL
              DEFIBRILLATORS.

    Section 248 of the Public Health Service Act (42 U.S.C. 238q) is
amended to read as follows:

``SEC. 248. LIABILITY REGARDING EMERGENCY USE OF AUTOMATED EXTERNAL
              DEFIBRILLATORS.

    ``(a) Good Samaritan Protections.--Except as provided in subsection
(e), in the case of a person who--
            ``(1) uses or attempts to use an automated external
        defibrillator device on a victim of a perceived medical
        emergency, and
            ``(2) is not the owner-acquirer (as defined in subsection
        (c)(2)) of the device,
such person is immune from civil liability for any harm resulting from
the use or attempted use of such device by such person.
    ``(b) Premises Owner/Lessee/Manager Protections.--Except as
provided in subsection (e), in the case of a person who--
            ``(1) owns, occupies under a lease or similar arrangement,
        or manages--
                    ``(A) the premises at which an automated external
                defibrillator device is used or attempted to be used on
                a victim of a perceived medical emergency, or
                    ``(B) the premises from which an automated external
                defibrillator device used or attempted to be used on a
                victim of a perceived medical emergency is taken for
                such use, and
            ``(2) is not the owner-acquirer of such device,
such person is immune from civil liability for any harm resulting from
such use or attempted use of such device.
    ``(c) Device Owner-Acquirer Protections.--
            ``(1) In general.--Except as provided in subsection (e), an
        owner-acquirer of an AED is immune from civil liability for any
        harm resulting from the use or attempted use of such device,
        unless the harm was proximately caused by the failure of the
        owner-acquirer to properly maintain the device according to the
        guidelines of the device manufacturer.
            ``(2) Owner-acquirer defined.--For purposes of this
        section, the term `owner-acquirer' means any person who owns or
        has otherwise acquired a possessory property interest in an AED
        that is used or attempted to be used on a victim of a perceived
        medical emergency.
    ``(d) Applicability of Immunity in Certain Circumstances.--The
immunity provided by subsections (a), (b), and (c) of this section
shall apply regardless of whether--
            ``(1) the AED that is used or attempted to be used is
        marked with or accompanied by cautionary signage;
            ``(2) the AED that is used or attempted to be used is
        registered with any government;
            ``(3) the person who used or attempted to use the AED saw,
        read, understood, complied with, or attempted to comply with
        any cautionary signage present;
            ``(4) the person who used or attempted to use the AED had
        received any training relating to the use of (a) AEDs in
        general or (b) the particular AED used or attempted to be used;
        or
            ``(5) the person who used or attempted to use the AED was
        assisted or supervised by any other person, including but not
        limited to a licensed physician.
    ``(e) Inapplicability of Immunity in Certain Circumstances.--
Notwithstanding anything to the contrary in subsection (d) of this
section, immunity under subsection (a), (b), or (c)(1) does not apply
to a person if--
            ``(1) such person's willful or criminal misconduct, gross
        negligence, reckless misconduct, or a conscious, flagrant
        indifference to the rights or safety of the victim proximately
        caused the harm involved;
            ``(2) such person is a licensed or certified health
        professional who used the automated external defibrillator
        device while acting within the scope of the license or
        certification of the professional and within the scope of the
        employment or agency of the professional;
            ``(3) such person is a hospital, clinic, or other entity
        whose purpose is providing health care directly to patients,
        and the harm was caused by an employee or agent of the entity
        who used the device while acting within the scope of the
        employment or agency of the employee or agent; or
            ``(4) such person is an owner-acquirer of the device who
        leased the device to a health care entity (or who otherwise
        provided the device to such entity for compensation without
        selling the device to the entity), and the harm was caused by
        an employee or agent of the entity who used the device while
        acting within the scope of the employment or agency of the
        employee or agent.
    ``(f) Rules of Construction.--
            ``(1) In general.--The following applies with respect to
        this section:
                    ``(A) This section does not establish any cause of
                action, or require that an automated external
                defibrillator device be placed at any building or other
                location.
                    ``(B) With respect to the class of persons for
                which this section provides immunity from civil
                liability, this section preempts the law of any State
                to the extent that the otherwise-applicable State law
                would allow for civil liability in any circumstance
                where this section would provide immunity from civil
                liability.
                    ``(C) This section does not waive any protection
                from liability for Federal officers or employees
                under--
                            ``(i) section 233 of this title; or
                            ``(ii) sections 1346(b), 2672, and 2679 of
                        title 28, United States Code, or under
                        alternative benefits provided by the United
                        States where the availability of such benefits
                        precludes a remedy under section 1346(b) of
                        such title 28.
            ``(2) Civil actions under federal law.--
                    ``(A) In general.--The applicability of subsections
                (a), (b), (c), (d), and (e) includes applicability to
                any action for civil liability described in subsection
                (a), (b), or (c) that arises under Federal law.
                    ``(B) Federal areas adopting state law.--If a
                geographic area is under Federal jurisdiction and is
                located within a State but out of the jurisdiction of
                the State, and if, pursuant to Federal law, the law of
                the State applies in such area regarding matters for
                which there is no applicable Federal law, then an
                action for civil liability described in subsection (a),
                (b), or (c) that in such area arises under the law of
                the State is subject to subsections (a) through (f) in
                lieu of any related State law that would apply in such
                area in the absence of this subparagraph.
    ``(g) Federal Jurisdiction.--
            ``(1) In any civil action arising under State law, the
        courts of the State involved have jurisdiction to apply the
        provisions of this section.
            ``(2) The actual, asserted, or potential application of any
        provision of this section in any civil action or as to any
        civil claim shall not establish the original jurisdiction of
        the Federal courts over such action or claim under section 1331
        of title 28, United States Code.
    ``(h) Definitions.--
            ``(1) Perceived medical emergency.--For purposes of this
        section, the term `perceived medical emergency' means
        circumstances in which the behavior of an individual leads a
        reasonable person to believe that the individual is
        experiencing a life-threatening medical condition that requires
        an immediate medical response regarding the heart or other
        cardiopulmonary functioning of the individual.
            ``(2) Other definitions.--For purposes of this section:
                    ``(A) The term `automated external defibrillator
                device' or `AED' means a defibrillator device that--
                            ``(i) is commercially distributed in
                        accordance with the Federal Food, Drug, and
                        Cosmetic Act;
                            ``(ii) is capable of recognizing the
                        presence or absence of ventricular
                        fibrillation, and is capable of determining
                        without intervention by the user of the device
                        whether defibrillation should be performed;
                            ``(iii) upon determining that
                        defibrillation should be performed, is able to
                        deliver an electrical shock to an individual;
                        and
                            ``(iv) in the case of a defibrillator
                        device that may be operated in either an
                        automated or a manual mode, is set to operate
                        in the automated mode.
                    ``(B) The term `cautionary signage' means, with
                respect to an AED, any verbal or non-verbal markings or
                language purporting to limit use of the AED by members
                of the general public or to permit use of the AED only
                by persons with specific skills, qualifications, or
                training.
                    ``(C)(i) The term `harm' includes physical,
                nonphysical, economic, and noneconomic losses.
                    ``(ii) The term `economic loss' means any pecuniary
                loss resulting from harm (including the loss of
                earnings or other benefits related to employment,
                medical expense loss, replacement services loss, loss
                due to death, burial costs, and loss of business or
                employment opportunities) to the extent recovery for
                such loss is allowed under applicable State law.
                    ``(iii) The term `noneconomic losses' means losses
                for physical and emotional pain, suffering,
                inconvenience, physical impairment, mental anguish,
                disfigurement, loss of enjoyment of life, loss of
                society and companionship, loss of consortium (other
                than loss of domestic service), hedonic damages, injury
                to reputation and all other nonpecuniary losses of any
                kind or nature.''.

Output: Cardiac Arrest Survival Act of 2011 - Amends the Public Health Service Act to expand immunity from civil liability related to automated external defibrillator devices (AEDs), including by giving immunity to: (1) a person who owns, occupies, or manages the premises from which an AED is taken or at which an AED is used or attempted to be used on a victim of a perceived medical emergency; and (2) the owner-acquirer of an AED for any harm resulting from the use or attempted use of such device, unless the harm was proximately caused by the failure of the owner-acquirer to properly maintain the device according to the guidelines of the device manufacturer. Applies immunity regardless of whether: (1) the AED is marked with cautionary signage or registered with any government; or (2) the person who used or attempted to use the AED complied with such signage, had received training on such use, or was assisted or supervised by any other person, including a licensed physician.


Input:
SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Unemployment-Based Immigration
Adjustment Act of 1993''.

SEC. 2. ADJUSTMENT OF WORLDWIDE LEVEL OF IMMIGRATION.

    (a) Family-Sponsored Immigrants.--Section 201(c) of the Immigration
and Nationality Act (8 U.S.C. 1151(c)) is amended--
            (1) in paragraph (1)(A), by inserting ``and paragraph (4)''
        after ``subparagraph (B)'';
            (2) in paragraph (1)(B)(ii), by striking ``In no case'' and
        inserting ``Subject to paragraph (4), in no case''; and
            (3) by adding at the end the following:
    ``(4)(A) If for a calender year (beginning with 1993) the
unemployment rate (as defined in subparagraph (D)) is--
            ``(i) greater than 0.5 percent above the unemployment rate
        for 1990, the worldwide number of family-sponsored immigrants
        under this subsection for the fiscal year beginning after that
        shall be reduced by the percentage described in subparagraph
        (B) for that calendar year; or
            ``(ii) less than 0.5 percent below the unemployment rate
        for 1990, the worldwide number of family-sponsored immigrants
        under this subsection for the fiscal year beginning after that
        shall be increased by the percentage described in subparagraph
        (C) for that calendar year.
    ``(B) The percentage described in this subparagraph for a calendar
year is--
            ``(i) the percent by which the unemployment rate in the
        year exceeds the unemployment rate for 1990, divided by
            ``(ii) the unemployment rate for 1990,
expressed as a percentage.
    ``(C) The percentage described in this subparagraph for a calendar
year is--
            ``(i) the percent by which the unemployment rate for 1990
        exceeds the unemployment rate in the year, divided by
            ``(ii) the unemployment rate for 1990,
expressed as a percentage.
    ``(D) In this section, the term `unemployment rate' means, the
unemployment rate for the United States for a calendar year as
determined by the Bureau of Labor Statistics.''.
    (b) Employment-Based Immigrants.--Section 201(d) of such Act (8
U.S.C. 1151(d)) is amended--
            (1) in paragraph (1) by inserting ``, subject to paragraph
        (3), after ``for a fiscal year''; and
            (2) by adding at the end the following:
    ``(3) If for a calender year (beginning with 1993) the unemployment
rate (as defined in subsection (c)(4)(D)) is--
            ``(A) greater than 0.5 percent above the unemployment rate
        for 1990, the worldwide number of employment-based immigrants
        under this subsection for the fiscal year beginning after that
        shall be reduced by the percentage described in subsection
        (c)(4)(B) for that calendar year; or
            ``(B) less than 0.5 percent below the unemployment rate for
        1990, the worldwide number of employment-based immigrants under
        this subsection for the fiscal year beginning after that shall
        be increased by the percentage described in subsection
        (c)(4)(C) for that calendar year.''.
    (c) Diversity Immigrants.--Section 201(e) of such Act (8 U.S.C.
1151(e)) is amended--
            (1) by striking ``The'' and inserting ``(1) Subject to
        paragraph (2), the''; and
            (2) by adding at the end the following:
    ``(3) If for a calendar year (beginning with 1994) the unemployment
rate (as defined in subsection (c)(4)(D)) is--
            ``(A) greater than 0.5 percent above the unemployment rate
        for 1990, the worldwide number of diversity immigrants under
        this subsection for the fiscal year beginning after that shall
        be reduced by the percentage described in subsection (c)(4)(B)
        for that calendar year; or
            ``(B) less than 0.5 percent below the unemployment rate for
        1990, for the fiscal year beginning in the following year the
        worldwide number of diversity immigrants under this subsection
        shall be increased by the percentage described in subsection
        (c)(4)(C) for that calendar year.''.
    (d) Diversity Transition for Aliens Who Are Natives of Certain
Adversely Affected Foreign States.--Section 132 of the Immigration Act
of 1990 is amended--
            (1) in subsection (a) by striking ``Act,'' and inserting
        ``Act and subject to subsection (g),''; and
            (2) by adding at the end the following:
    ``(g) Adjustment Based on Unemployment Rate.--(1) If for a calendar
year (beginning with 1993) the unemployment rate (as defined in
paragraph (2)) is--
            ``(1) greater than 0.5 percent above the unemployment rate
        for 1990, the number of visas made available under subsection
        (a) for the fiscal year beginning after that shall be reduced
        by the percentage described in section 201(c)(4)(B) of the
        Immigration and Nationality Act for that calendar year; or
            ``(2) less than 0.5 percent below the unemployment rate for
        1990, the number of visas made available under subsection (a)
        for the fiscal year beginning after that shall be increased by
        the percentage described in section 201(c)(4)(C) of that Act
        for that calendar year.
    ``(2) In this subsection, the term `unemployment rate' means, the
unemployment rate for the United States for a calendar year as
determined by the Bureau of Labor Statistics.''.
    (e) Effective Date.--The amendments made by this section shall
apply to adjustments of numerical limitations for fiscal years
beginning with fiscal year 1994.

Output: Unemployment-Based Immigration Adjustment Act of 1993 - Amends the Immigration and Nationality Act to adjust annual immigration levels in inverse relation to U.S. unemployment levels.


Input:
SECTION 1. CERTAIN IMAGING COLORANTS.

    (a) In General.--Subchapter II of chapter 99 of the Harmonized
Tariff Schedule of the United States is amended by inserting in
numerical sequence the following new headings:

``      9902.01.00       Aryl substituted    Free         No change        No change        On or before 12/ ...
                          pyrazonyl                                                          31/2011.......
                          [[[substituted
                          phenyl
                          azo]substituted
                          naphthenyl] Azo
                          phenyl]azo,
                          sodium salt (PMN
                          No. P03-78)
                          (provided for in
                          subheading
                          3215.11.00)......
        9902.01.00       Substituted         Free         No change        No change        On or before 12/ ...
                          naphthalene                                                        31/2011.......
                          [[substituted
                          pyridinyl azo]
                          alkoxyphenyl
                          azo]azo,
                          potassium/sodium
                          salt (PMN No. P04-
                          390) (provided
                          for in subheading
                          3215.11.00)......
        9902.01.00       Copper              Free         No change        No change        On or before 12/ ...
                          phthalocyanine                                                     31/2011.......
                          substituted with
                          sulphonic acids
                          and alkyl
                          sulphonoamides,
                          sodium/ammonium
                          salts (PMN No.
                          P02-893)
                          (provided for in
                          subheading
                          3215.19.00)......
        9902.01.00       Copper              Free         No change        No change        On or before 12/ ...
                          phthalocyanine                                                     31/2011.......
                          substituted with
                          sulphonic acids
                          and
                          sulphonoamides,
                          sodium salts (CAS
                          No. 90295-11-7)
                          (provided for in
                          subheading
                          3215.19.00)......
        9902.01.00       Copper              Free         No change        No change        On or before 12/ ...
                          phthalocyanine                                                     31/2011.......
                          substituted with
                          sulphonic acids
                          and alkyl
                          sulphonoamides,
                          sodium salt (CAS
                          No.) (provided
                          for in subheading
                          3215.19.00)......
        9902.01.00       [[Substituted       Free         No change        No change        On or before 12/ ...
                          naphthalenylazol]                                                  31/2011.......
                          alkoxyl phenyl
                          azo]
                          carboxyphenylene,
                          lithium salt (PMN
                          No. P-00-351)
                          (provided for in
                          subheading
                          3215.11.00)......
        9902.01.00       Copper              Free         No change        No change        On or before 12/ ...
                          phthalocyanine                                                     31/2011.......
                          substituted with
                          sulphonic acids
                          and
                          sulphonoamides,
                          sodium salts (CAS
                          No. 90295-11-7)
                          (provided for in
                          subheading
                          3215.19.00)......
        9902.01.00       Substituted         Free         No change        No change        On or before 12/ ...
                          napthtylene                                                        31/2011.......
                          [[aminoalkyl
                          triazinediyl]bis
                          substituted
                          phenylene
                          azo]bis, sodium
                          salt (CAS No.
                          50925-42-3)
                          (provided for in
                          subheading
                          3215.19.00)......
        9902.01.00       [(Substituted       Free         No change        No change        On or before 12/ ...
                          naphthalenylazo)                                                   31/2011.......
                          substituted
                          naphthalenyl azo]
                          carboxyphenylene,
                          sodium salt (PMN
                          No. P-90-394)
                          (provided for in
                          subheading
                          3215.11.00)......
        9902.01.00       [[Chloro[[[substit  Free         No change        No change        On or before 12/ ...
                          uted                                                               31/2011.......
                          naphthylzao]subst
                          ituted
                          naphthalene]
                          Amino] triazinyl]
                          amino] benzoic
                          acid, sodium/
                          lithium salts
                          (PMN No. P-83-
                          386) (provided
                          for in subheading
                          3215.19.00)......
        9902.01.00       Aryl [Substituted   Free         No change        No change        On or before 12/ ''.
                          phenylazo]                                                         31/2011.......
                          pyridine, sodium/
                          lithium salt (PMN
                          No. P-02-234)
                          (provided for in
                          subheading
                          3215.19.00)......

    (b) Effective Date.--The amendment made by subsection (a) applies
to articles entered, or withdrawn from warehouse for consumption, on or
after the 15th day after the date of the enactment of this Act.

Output: Amends the Harmonized Tariff Schedule of the United States to suspend temporarily the duty on certain imaging colorants.


Input:
SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Environmental Justice Act of 2007''.

SEC. 2. CODIFICATION OF EXECUTIVE ORDER 12898.

    (a) In General.--The President of the United States is authorized
and directed to execute, administer and enforce as a matter of Federal
law the provisions of Executive Order 12898, dated February 11, 1994,
(``Federal Actions To Address Environmental Justice In Minority
Populations and Low-Income Populations'') with such modifications as
are provided in this section.
    (b) Definition of Environmental Justice.--For purposes of carrying
out the provisions of Executive Order 12898, the following definitions
shall apply:
            (1) The term ``environmental justice'' means the fair
        treatment and meaningful involvement of all people regardless
        of race, color, national origin, educational level, or income
        with respect to the development, implementation, and
        enforcement of environmental laws and regulations in order to
        ensure that--
                    (A) minority and low-income communities have access
                to public information relating to human health and
                environmental planning, regulations and enforcement;
                and
                    (B) no minority or low-income population is forced
                to shoulder a disproportionate burden of the negative
                human health and environmental impacts of pollution or
                other environmental hazard.
            (2) The term ``fair treatment'' means policies and
        practices that ensure that no group of people, including
        racial, ethnic, or socioeconomic groups bear disproportionately
        high and adverse human health or environmental effects
        resulting from Federal agency programs, policies, and
        activities.
    (c) Judicial Review and Rights of Action.--The provisions of
section 6-609 of Executive Order 12898 shall not apply for purposes of
this Act.

SEC. 3. IMPLEMENTATION OF RECOMMENDATIONS BY ENVIRONMENTAL PROTECTION
              AGENCY.

    (a) Inspector General Recommendations.--The Administrator of the
Environmental Protection Agency shall, as promptly as practicable,
carry out each of the following recommendations of the Inspector
General of the agency as set forth in report # 2006-P-00034 entitled
``EPA needs to conduct environmental justice reviews of its programs,
policies and activities'':
            (1) The recommendation that the agency's program and
        regional offices identify which programs, policies, and
        activities need environmental justice reviews and require these
        offices to establish a plan to complete the necessary reviews.
            (2) The recommendation that the Administrator of the agency
        ensure that these reviews determine whether the programs,
        policies, and activities may have a disproportionately high and
        adverse health or environmental impact on minority and low-
        income populations.
            (3) The recommendation that each program and regional
        office develop specific environmental justice review guidance
        for conducting environmental justice reviews.
            (4) The recommendation that the Administrator designate a
        responsible office to compile results of environmental justice
        reviews and recommend appropriate actions.
    (b) GAO Recommendations.--In developing rules under laws
administered by the Environmental Protection Agency, the Administrator
of the Agency shall, as promptly as practicable, carry out each of the
following recommendations of the Comptroller General of the United
States as set forth in GAO Report numbered GAO-05-289 entitled ``EPA
Should Devote More Attention to Environmental Justice when Developing
Clean Air Rules'':
            (1) The recommendation that the Administrator ensure that
        workgroups involved in developing a rule devote attention to
        environmental justice while drafting and finalizing the rule.
            (2) The recommendation that the Administrator enhance the
        ability of such workgroups to identify potential environmental
        justice issues through such steps as providing workgroup
        members with guidance and training to helping them identify
        potential environmental justice problems and involving
        environmental justice coordinators in the workgroups when
        appropriate.
            (3) The recommendation that the Administrator improve
        assessments of potential environmental justice impacts in
        economic reviews by identifying the data and developing the
        modeling techniques needed to assess such impacts.
            (4) The recommendation that the Administrator direct
        appropriate agency officers and employees to respond fully when
        feasible to public comments on environmental justice, including
        improving the agency's explanation of the basis for its
        conclusions, together with supporting data.
    (c) 2004 Inspector General Report.--The Administrator of the
Environmental Protection Agency shall, as promptly as practicable,
carry out each of the following recommendations of the Inspector
General of the agency as set forth in the report entitled ``EPA Needs
to Consistently Implement the Intent of the Executive Order on
Environmental Justice'' (Report No. 2004-P-00007):
            (1) The recommendation that the agency clearly define the
        mission of the Office of Environmental Justice (OEJ) and
        provide agency staff with an understanding of the roles and
        responsibilities of the office.
            (2) The recommendation that the agency establish (through
        issuing guidance or a policy statement from the Administrator)
        specific time frames for the development of definitions, goals,
        and measurements regarding environmental justice and provide
        the regions and program offices a standard and consistent
        definition for a minority and low-income community, with
        instructions on how the agency will implement and
        operationalize environmental justice into the agency's daily
        activities.
            (3) The recommendation that the agency ensure the
        comprehensive training program currently under development
        includes standard and consistent definitions of the key
        environmental justice concepts (such as ``low-income'',
        ``minority'', and ``disproportionately impacted'') and
        instructions for implementation of those concepts.
    (d) Report.--The Administrator shall submit an initial report to
Congress within 6 months after the enactment of this Act regarding the
Administrator's strategy for implementing the recommendations referred
to in subsections (a), (b), and (c). Thereafter, the Administrator
shall provide semi-annual reports to Congress regarding his progress in
implementing such recommendations as well as his progress on modifying
the Administrator's emergency management procedures to incorporate
environmental justice in the agency's Incident Command Structure (in
accordance with the December 18, 2006, letter from the Deputy
Administrator to the Acting Inspector General of the agency).

Output:
Environmental Justice Act of 2007 - Authorizes and directs the President to execute, administer, and enforce as a matter of federal law the provisions of Executive Order 12898, dated February 11, 1994, (Federal Actions To Address Environmental Justice In Minority Populations and Low-Income Populations) with modifications: (1) defining "environmental justice" and "fair treatment"; and (2) providing that the provisions concerning judicial review shall not apply.

Requires the Administrator of the Environmental Protection Agency (EPA) to carry out specified recommendations set forth in the following reports: (1) the EPA Inspector General's report number 2006-P-00034 entitled "EPA needs to conduct environmental justice reviews of its programs, policies and activities"; (2) the Government Accountability Office (GAO) report numbered GAO-05-289 entitled "EPA Should Devote More Attention to Environmental Justice when Developing Clean Air Rules"; and (3) the Inspector General's report number 2004-P-00007 entitled "EPA Needs to Consistently Implement the Intent of the Executive Order on Environmental Justice."

Requires the Administrator to report semiannually to Congress on the implementation of such recommendations as well as progress on modifying emergency management procedures to incorporate environmental justice in the agency's Incident Command Structure in accordance with the December 18, 2006, letter from the Deputy Administrator to the Acting Inspector General).