Input:
SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Health Care Access for Small
Businesses Act of 2003''.

SEC. 2. FINDINGS.

    Congress finds the following:
            (1) For most of the past 16 years, the number of Americans
        without health insurance has been on the rise, reaching more
        than 41,000,000 in 2002.
            (2) People without health insurance are less likely to get
        preventive care and often delay or forgo needed care. They are
        therefore more likely than those with health insurance to be
        hospitalized for conditions that could have been avoided.
            (3) Not only are the health and financial circumstances of
        uninsured Americans adversely affected by the lack of health
        insurance, their care is ultimately being paid for in the least
        efficient manner: after they get sick.
            (4) People who were uninsured during any part of 2001
        received $99,000,000,000 in care, of which $34,500,000,000 was
        not paid for either out of pocket or by a private or public
        insurance source. Federal, State, and local governments covered
        85 percent of such uncompensated care, amounting to
        $30,000,000,000.
            (5) Private health insurance enrollees also help pay for
        uncompensated care through higher premiums.
            (6) Covering more Americans will not only contribute to
        better overall health, it will lower the amount of health care
        costs assumed by taxpayers, businesses, and consumers.
            (7) Helping small businesses gain access to affordable
        health care benefits is essential to insuring more Americans.
            (8) Eighty-two percent of uninsured people are part of
        working families.
            (9) More than \1/2\ of small businesses with less than 50
        employees do not offer their employees health insurance.
            (10) Innovative community-based solutions have developed
        and should serve as a model for insuring more Americans.

SEC. 3. THREE-SHARE PROGRAMS.

    The Social Security Act (42 U.S.C. 301 et seq.) is amended by
adding at the end the following:

               ``TITLE XXII--PROVIDING FOR THE UNINSURED

``SEC. 2201. THREE-SHARE PROGRAMS.

    ``(a) Certification.--
            ``(1) In general.--The Secretary, acting through the
        Administrator, shall promulgate regulations for the
        certification of three-share programs for purposes of section
        36 of the Internal Revenue Code.
            ``(2) Three-share program requirements.--
                    ``(A) In general.--The Administrator shall require,
                for purposes of a certification under regulations under
                paragraph (1) that each three-share program shall--
                            ``(i) be either a non-profit or local
                        governmental entity;
                            ``(ii) define a region in which such
                        program will provide services;
                            ``(iii) have the capacity to carry out
                        administrative functions of managing health
                        plans, including monthly billings,
                        verification/enrollment of eligible employers
                        and employees, maintenance of membership
                        rosters, development of member materials (such
                        as handbooks and identification cards),
                        customer service, and claims processing; and
                            ``(iv) have community involvement, as
                        determined by the Administrator.
                    ``(B) Payment.--To obtain the certification
                described in paragraph (1), a three-share program shall
                pay the costs of services provided under subparagraph
                (A)(ii) by charging a monthly premium for each covered
                individual to be divided as follows:
                            ``(i) Not more than thirty percent of such
                        fee shall be paid by a qualified employee
                        desiring coverage under the three-share
                        program.
                            ``(ii) At least seventy percent of such fee
                        shall be paid by the qualified employer of such
                        a qualified employee.
            ``(3) Coverage.--
                    ``(A) In general.--To obtain the certification
                described in paragraph (1) a 3-share program shall
                provide at least the following benefits:
                            ``(i) Physicians services.
                            ``(ii) In-patient hospital services.
                            ``(iii) Out-patient services.
                            ``(iv) Emergency room visits.
                            ``(v) Emergency ambulance services.
                            ``(vi) Diagnostic lab fees and x-rays.
                            ``(vii) Prescription drug benefits.
                    ``(B) Limitation.--Nothing in subparagraph (A)
                shall be construed to require that a three-share
                program provide coverage for services performed outside
                the region described in paragraph (2)(A)(i).
                    ``(C) Preexisting conditions.--A program described
                in subparagraph (A) shall not be eligible for
                certification under paragraph (1) if any individual can
                be excluded from coverage under such program because of
                a preexisting health condition.
    ``(b) Startup Grants for Three-Share Programs.--
            ``(1) Establishment.--The Administrator may award startup
        grants to eligible entities to establish three-share programs
        for certification under subsection (a).
            ``(2) Three-share program plan.--Each entity desiring a
        grant under this subsection shall develop a plan for the
        establishment and operation of a three-share program that meets
        the requirements of paragraphs (2) and (3) of subsection (a).
            ``(3) Application.--Each entity desiring a grant under this
        subsection shall submit an application to the Administrator at
        such time, in such manner and containing such information as
        the Administrator may require, including--
                    ``(A) the three-share program plan described in
                paragraph (2); and
                    ``(B) an assurance that the eligible entity will--
                            ``(i) determine a benefit package;
                            ``(ii) recruit businesses and employees for
                        the three-share program;
                            ``(iii) build and manage a network of
                        health providers or contract with an existing
                        network or licensed insurance provider; and
                            ``(iv) manage all administrative needs.
            ``(4) Number of grants.--An eligible entity may receive
        only 1 grant under this subsection for each three-share program
        and may not receive a grant for such program under both this
        subsection and subsection (c).
    ``(c) Grants for Existing Three-Share Programs To Meet
Certification Requirements.--
            ``(1) In general.--The Administrator may award grants to
        three-share programs that are operating on the date of
        enactment of this section, to assist such programs in meeting
        the certification requirements of subsection (a).
            ``(2) Number of grants.--An eligible entity may receive
        only 1 grant under this subsection for a three-share program
        and may not receive a grant for such program under both this
        subsection and subsection (b).
            ``(3) Application.--Each eligible entity desiring a grant
        under this subsection shall submit an application to the
        Administrator at such time, in such manner, and containing such
        information as the Administrator may require.
    ``(d) Risk Pool Grants.--
            ``(1) In general.--The Administrator may award grants to
        eligible entities administering certified three-share programs
        to enhance the risk pools of such programs.
            ``(2) Number of grants.--An eligible entity administering a
        three-share program described in paragraph (1) may receive only
        1 grant under this subsection for such three-share program.
            ``(3) Application.--Each eligible entity desiring a grant
        under this subsection shall submit an application to the
        Administrator at such time, in such manner, and containing such
        information as the Administrator may require.
    ``(e) Application of State Laws.--Nothing in this Act shall be
construed to preempt State law.
    ``(f) Distressed Business Formula.--
            ``(1) In general.--Not later than 60 days after the date of
        enactment of this section, the Administrator of the Health
        Resources and Services Administration shall develop a formula
        to determine which businesses qualify as distressed businesses
        for purposes of this Act.
            ``(2) Effect on insurance market.--Granting eligibility to
        a distressed business using the formula under paragraph (1)
        shall not interfere with the insurance market. Any business
        found to have reduced benefits to qualify as a distressed
        business under the formula under paragraph (1) shall not be
        eligible for any three-share program certified pursuant to this
        section.
    ``(g) Definitions.--In this section:
            ``(1) Administrator.--The term `Administrator' means the
        Administrator of the Health Resources and Services
        Administration.
            ``(2) Covered individual.--The term `covered individual'
        means--
                    ``(A) a qualified employee; or
                    ``(B) a child under the age of 23 or a spouse of
                such qualified employee who--
                            ``(i) lacks access to health care coverage
                        through their employment or employer;
                            ``(ii) lacks access to health coverage
                        through a family member;
                            ``(iii) is not eligible for coverage under
                        the medicare program under title XVIII or the
                        medicaid program under title XIX; and
                            ``(iv) does not qualify for benefits under
                        the State Children's Health Insurance Program
                        under title XXI.
            ``(3) Distressed business.--The term `distressed business'
        means a business that--
                    ``(A) in light of economic hardship and rising
                health care premiums may be forced to discontinue or
                scale back its health care coverage; and
                    ``(B) qualifies as a distressed business according
                to the formula under subsection (f).
            ``(4) Eligible entity.--The term `eligible entity' means an
        entity that meets the requirements of subsection (a)(2)(A).
            ``(5) Full time.--The term `full time', for purposes of
        employment, means regularly working at least 35 hours per week.
            ``(6) Qualified employee.--The term `qualified employee'
        means any individual employed by a qualified employer who meets
        certain criteria including--
                    ``(A) working full time;
                    ``(B) lacking access to health coverage through a
                family member or common law partner;
                    ``(C) not being eligible for coverage under the
                medicare program under title XVIII or the medicaid
                program under title XIX; and
                    ``(D) agreeing that the share of fees described in
                subsection (a)(2)(B)(i) shall be paid in the form of
                payroll deductions from the wages of such individual.
            ``(7) Qualified employer.--The term `qualified employer'
        means an employer as defined in section 3(d) of the Fair Labor
        Standards Act of 1938 (29 U.S.C. 203(d)) who--
                    ``(A) is a small business concern as defined in
                section 3(a) of the Small Business Act (15 U.S.C. 632);
                    ``(B) is located in the region described in
                subsection (a)(2)(A)(i); and
                    ``(C) has not contributed to the health care
                benefits of its employees for at least 12 months
                consecutively or currently provides insurance but is
                classified as a distressed business.
    ``(h) Authorization of Appropriations.--There are authorized to be
appropriated to carry out this section $50,000,000 for fiscal year 2004
and such sums as may be necessary for each subsequent fiscal year.''.

SEC. 4. REFUNDABLE CREDIT FOR PORTION OF EMPLOYER COSTS OF THREE-SHARE
              PROGRAM.

    (a) In General.--Subpart C of part IV of subchapter A of chapter 1
of the Internal Revenue Code of 1986 (relating to refundable credits)
is amended by redesignating section 36 as section 37 and inserting
after section 35 the following new section:

``SEC. 36. EMPLOYER COSTS OF THREE-SHARE PROGRAM.

    ``(a) In General.--In the case of an eligible employer, there shall
be allowed as a credit against the tax imposed by this subtitle an
amount equal to 40 percent of the costs of a three-share program
resulting from the participation of the taxpayer in such program during
the taxable year.
    ``(b) Eligible Employer.--For purposes of this section, the term
`eligible employer' means any employer which pays or incurs at least 70
percent of the costs of a three-share program resulting from the
participation of the taxpayer in such program during the taxable year.
    ``(c) Three-Share Program.--For purposes of this section, the term
`three-share program' means an employee health care coverage program
approved for participation by an eligible employer pursuant to title
XXII of the Social Security Act.
    ``(d) Denial of Double Benefit.--No deduction or credit under any
other provision of this chapter shall be allowed with respect to costs
of a three-share program taken into account under subsection (a).
    ``(e) Advanced Refundability.--The Secretary shall provide for the
advanced refundability of the credit allowed under this section to be
made in quarterly payments to taxpayers providing such information as
the Secretary requires in order to make a proper determination of such
payments.
    ``(f) Regulations.--The Secretary may prescribe such regulations
and other guidance as may be necessary or appropriate to carry out this
section.''.
    (b) Conforming Amendments.--
            (1) Paragraph (2) of section 1324(b) of title 31, United
        States Code, is amended by inserting before the period ``, or
        from section 36 of such Code''.
            (2) The table of sections for subpart C of part IV of
        chapter 1 of the Internal Revenue Code of 1986 is amended by
        striking the last item and inserting the following new items:

                              ``Sec. 36. Employer costs of three-share
                                        program.
                              ``Sec. 37. Overpayments of tax.''.
    (c) Effective Date.--The amendments made by this section shall
apply to taxable years beginning after the date of the enactment of
this Act.

Output: Health Care Access for Small Business Act of 2003 - Amends the Social Security Act to add a new title XXII (Providing for the Uninsured) to direct the Secretary of Health and Human Services to promulgate regulations for the certification of three-share programs for purposes of offering a refundable tax credit to small businesses who participate in such programs where: (1) not more than 30 percent of the cost of the monthly premium for health coverage (including prescription drug benefits) is paid by the qualified employee who lacks access to health coverage and desires coverage; and (2) at least 70 percent of such cost is paid by the qualified employer of such a qualified employee.Authorizes the Administrator to award startup grants to eligible entities to establish three-share programs for certification.Amends the Internal Revenue Code to provide for a refundable tax credit in the case of an eligible employer in an amount equal to 40 percent of the costs of a three-share program resulting from the participation of the taxpayer in such program during the taxable year.


Input:
SECTION 1. SHORT TITLE.

    This Act may be cited as the ``District of Columbia Government
Improvement and Efficiency Act of 1996''.

SEC. 2. REDUCTION IN MINIMUM NUMBER OF MEMBERS OF BOARD OF TRUSTEES OF
              AMERICAN UNIVERSITY.

    (a) In General.--The first section of the Act entitled ``An Act to
incorporate the American University'', approved February 24, 1893 (27
Stat. 476), is amended by striking ``forty'' and inserting ``twenty-
five''.
    (b) Effective Date.--The amendment made by subsection (a) shall
take effect on the date of the enactment of this Act.

SEC. 3. REPEAL OF APPLICATION OF SERVICE CONTRACT ACT OF 1965 TO
              DISTRICT OF COLUMBIA.

    (a) In General.--The Service Contract Act of 1965 (41 U.S.C. 351 et
seq.) is amended--
            (1) in section 2(a) in the matter preceding paragraph (1),
        by striking ``or the District of Columbia''; and
            (2) in section 7(1), by striking ``or District of
        Columbia''.
    (b) Effective Date.--The amendment made by subsection (a) shall
apply with respect to contracts of the District of Columbia entered
into on or after the date of the enactment of this Act.

SEC. 4. AUTHORIZING AGREEMENTS BETWEEN DISTRICT OF COLUMBIA AND BUREAU
              OF PRISONS TO ESTABLISH AMOUNT OF PAYMENTS FOR HOUSING
              DISTRICT PRISONERS.

    The undesignated paragraph in the item relating to ``united states
courts'' under the heading ``JUDICIAL'' in the Act of March 3, 1915 (38
Stat. 869, ch. 75; sec. 24-424, D.C. Code) (relating to the cost of the
care and custody of District of Columbia convicts in any Federal
penitentiary) is amended by adding at the end the following new
sentence: ``Notwithstanding the previous sentence or any provision of
title 18, United States Code, to the contrary, with respect to District
of Columbia convicts in any Federal penitentiary during the 5-year
period beginning October 1, 1996, the Mayor of the District of Columbia
and the Director of the Bureau of Prisons may enter into an agreement
waiving the requirements of the previous sentence or establishing an
alternative amount to be charged against the District of Columbia for
such convicts, so long as the Director provides notice of the intent to
enter into the agreement to the Committees on Appropriations, the
Judiciary, and Government Reform and Oversight of the House of
Representatives and the Committees on Appropriations, the Judiciary,
and Governmental Affairs of the Senate not later than 15 days before
entering into the agreement.''.

SEC. 5. EXEMPTION OF CERTAIN CONTRACTS FROM COUNCIL REVIEW.

    (a) In General.--Section 451 of the District of Columbia Self-
Government and Governmental Reorganization Act (sec. 1-1130, D.C.
Code), as amended by section 304(a)(3) of the District of Columbia
Appropriations Act, 1996, is amended by adding at the end the following
new subsection:
    ``(d) Exemption for Certain Contracts.--The requirements of this
section shall not apply with respect to any of the following contracts:
            ``(1) Any contract entered into by the Washington
        Convention Center Authority for preconstruction activities,
        project management, design, or construction.
            ``(2) Any contract entered into by the District of Columbia
        Water and Sewer Authority established pursuant to the Water and
        Sewer Authority Establishment and Department of Public Works
        Reorganization Act of 1996, other than contracts for the sale
        or lease of the Blue Plains Wastewater Treatment Plant.
            ``(3) At the option of the Council, any contract for a
        highway improvement project carried out under title 23, United
        States Code.''.
    (b) Effective Date.--The amendment made by subsection (a) shall
apply with respect to contracts entered into on or after the date of
the enactment of this Act.

SEC. 6. WAIVER OF RESIDENCY REQUIREMENT FOR CERTAIN EMPLOYEES OF
              INSPECTOR GENERAL.

    Section 906 of the District of Columbia Government Comprehensive
Merit Personnel Act of 1978 (sec. 1-610.6, D.C. Code) is amended--
            (1) in subsection (a), by inserting ``or subsection (d)''
        after ``subsection (c)''; and
            (2) by adding at the end the following new subsection:
    ``(d) At the request of the Inspector General (as described in
section 208(a) of the District of Columbia Procurement Practices Act of
1985), the Director of Personnel may waive the application of
subsections (a) and (b) to employees of the Office of the Inspector
General.''.

SEC. 7. COMPENSATION OF MEMBERS OF JUDICIAL NOMINATION COMMISSION.

    (a) In General.--Effective as if included in the enactment of the
District of Columbia Appropriations Act, 1996, section 434(b)(5) of the
District of Columbia Self-Government and Governmental Reorganization
Act is amended to read as follows:
    ``(5) Members of the Commission shall serve without compensation
for services rendered in connection with their official duties on the
Commission.''.
    (b) Conforming Amendment.--Section 133(b) of the District of
Columbia Appropriations Act, 1996 is hereby repealed, and the provision
of law amended by such section is hereby restored as if such section
had not been enacted into law.

SEC. 8. SHORT TITLE OF HOME RULE ACT.

    (a) In General.--Section 101 of the District of Columbia Self-
Government and Governmental Reorganization Act is amended by striking
``District of Columbia Self-Government and Governmental Reorganization
Act'' and inserting ``District of Columbia Home Rule Act''.
    (b) References in Law.--Any reference in law or regulation to the
District of Columbia Self-Government and Governmental Reorganization
Act shall be deemed to be a reference to the District of Columbia Home
Rule Act.

Output:
District of Columbia Government Improvement and Efficiency Act of 1996 - Reduces the minimum number of members of the Board of Trustees of the American University from 40 to 25.
(Sec. 3) Repeals the application of the Service Contract Act of 1965 with respect to the District of Columbia.
(Sec. 4)  Authorizes the Mayor of the District and the Director of the Bureau of Prisons, with respect to District of Columbia convicts in any Federal penitentiary during the five-year period beginning in FY 1997, to enter into an agreement waiving requirements relating to the cost of the care and custody of D.C. convicts in Federal penitentiaries or establishing an alternative amount to be charged against the District for such convicts so long as the Director provides at least 15 days' notice of the intent to enter into the agreement to specified congressional committees.
(Sec. 5) Amends the District of Columbia Self-Government and Governmental Reorganization Act to exempt from review by the D.C. Council contracts:  (1) entered into by the Washington Convention Center Authority for preconstruction activities, project management, design, or construction; (2) entered into by the District of Columbia Water and Sewer Authority, other than contracts for the sale or lease of the Blue Plains Wastewater Treatment Plant; and (3) for Federal highway improvement projects at the option of the Council.
(Sec. 6) Amends the District of Columbia Government Comprehensive Merit Personnel Act of 1978 to allow, at the request of the Inspector General, the Director of Personnel to waive the residency requirement for employees of the Office of the Inspector General.
(Sec. 7) Requires members of the Judicial Nomination Commission to serve without compensation for services rendered in connection with their official duties on the Commission.
(Sec. 8) Renames the District of Columbia Self-Government and Governmental Reorganization Act as the District of Columbia Home Rule Act.


Input:
SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Liberian Refugee Immigration
Fairness Act of 2009''.

SEC. 2. ADJUSTMENT OF STATUS.

    (a) Adjustment of Status.--
            (1) In general.--
                    (A) Eligibility.--Except as provided under
                subparagraph (B), the Secretary of Homeland Security
                shall adjust the status of an alien described in
                subsection (b) to that of an alien lawfully admitted
                for permanent residence, if the alien--
                            (i) applies for adjustment before April 1,
                        2011; and
                            (ii) is otherwise eligible to receive an
                        immigrant visa and admissible to the United
                        States for permanent residence, except that, in
                        determining such admissibility, the grounds for
                        inadmissibility specified in paragraphs (4),
                        (5), (6)(A), and (7)(A) of section 212(a) of
                        the Immigration and Nationality Act (8 U.S.C.
                        1182(a)) shall not apply.
                    (B) Ineligible aliens.--An alien shall not be
                eligible for adjustment of status under this section if
                the Secretary of Homeland Security determines that the
                alien has been convicted of--
                            (i) any aggravated felony (as defined in
                        section 101(a)(43) of the Immigration and
                        Nationality Act (8 U.S.C. 1101(a)(43)); or
                            (ii) 2 or more crimes involving moral
                        turpitude.
            (2) Relationship of application to certain orders.--
                    (A) In general.--An alien present in the United
                States who has been subject to an order of exclusion,
                deportation, or removal, or has been ordered to depart
                voluntarily from the United States under any provision
                of the Immigration and Nationality Act may,
                notwithstanding such order, apply for adjustment of
                status under paragraph (1) if otherwise qualified under
                such paragraph.
                    (B) Separate motion not required.--An alien
                described in subparagraph (A) may not be required, as a
                condition of submitting or granting such application,
                to file a separate motion to reopen, reconsider, or
                vacate the order described in subparagraph (A).
                    (C) Effect of decision by secretary.--If the
                Secretary of Homeland Security grants an application
                under paragraph (1), the Secretary shall cancel the
                order described in subparagraph (A). If the Secretary
                of Homeland Security makes a final decision to deny the
                application, the order shall be effective and
                enforceable to the same extent as if the application
                had not been made.
    (b) Aliens Eligible for Adjustment of Status.--
            (1) In general.--The benefits provided under subsection (a)
        shall apply to any alien--
                    (A) who is--
                            (i) a national of Liberia; and
                            (ii) has been continuously present in the
                        United States from January 1, 2009, through the
                        date of application under subsection (a); or
                    (B) who is the spouse, child, or unmarried son or
                daughter of an alien described in subparagraph (A).
            (2) Determination of continuous physical presence.--For
        purposes of establishing the period of continuous physical
        presence referred to in paragraph (1), an alien shall not be
        considered to have failed to maintain continuous physical
        presence by reasons of an absence, or absences, from the United
        States for any period or periods amounting in the aggregate to
        not more than 180 days.
    (c) Stay of Removal.--
            (1) In general.--The Secretary of Homeland Security shall
        provide by regulation for an alien who is subject to a final
        order of deportation or removal or exclusion to seek a stay of
        such order based on the filing of an application under
        subsection (a).
            (2) During certain proceedings.--Notwithstanding any
        provision in the Immigration and Nationality Act, the Secretary
        of Homeland Security shall not order an alien to be removed
        from the United States if the alien is in exclusion,
        deportation, or removal proceedings under any provision of such
        Act and has applied for adjustment of status under subsection
        (a), except where the Secretary of Homeland Security has made a
        final determination to deny the application.
            (3) Work authorization.--
                    (A) In general.--The Secretary of Homeland Security
                may--
                            (i) authorize an alien who has applied for
                        adjustment of status under subsection (a) to
                        engage in employment in the United States
                        during the pendency of such application; and
                            (ii) provide the alien with an ``employment
                        authorized'' endorsement or other appropriate
                        document signifying authorization of
                        employment.
                    (B) Pending applications.--If an application for
                adjustment of status under subsection (a) is pending
                for a period exceeding 180 days and has not been
                denied, the Secretary of Homeland Security shall
                authorize such employment.
    (d) Record of Permanent Residence.--Upon the approval of an alien's
application for adjustment of status under subsection (a), the
Secretary of Homeland Security shall establish a record of the alien's
admission for permanent record as of the date of the alien's arrival in
the United States.
    (e) Availability of Administrative Review.--The Secretary of
Homeland Security shall provide to applicants for adjustment of status
under subsection (a) the same right to, and procedures for,
administrative review as are provided to--
            (1) applicants for adjustment of status under section 245
        of the Immigration and Nationality Act (8 U.S.C. 1255); and
            (2) aliens subject to removal proceedings under section 240
        of such Act (8 U.S.C. 1229a).
    (f) Limitation on Judicial Review.--A determination by the
Secretary of Homeland Security regarding the adjustment of status of
any alien under this section is final and shall not be subject to
review by any court.
    (g) No Offset in Number of Visas Available.--If an alien is granted
the status of having been lawfully admitted for permanent residence
pursuant to this section, the Secretary of State shall not be required
to reduce the number of immigrant visas authorized to be issued under
any provision of the Immigration and Nationality Act (8 U.S.C. 1101 et
seq.).
    (h) Application of Immigration and Nationality Act Provisions.--
            (1) Definitions.--Except as otherwise specifically provided
        in this Act, the definitions contained in the Immigration and
        Nationality Act (8 U.S.C. 1101 et seq.) shall apply in this
        section.
            (2) Savings provision.--Nothing in this Act may be
        construed to repeal, amend, alter, modify, effect, or restrict
        the powers, duties, function, or authority of the Secretary of
        Homeland Security in the administration and enforcement of the
        Immigration and Nationality Act or any other law relating to
        immigration, nationality, or naturalization.
            (3) Effect of eligibility for adjustment of status.--
        Eligibility to be granted the status of having been lawfully
        admitted for permanent residence under this section shall not
        preclude an alien from seeking any status under any other
        provision of law for which the alien may otherwise be eligible.

Output:
Liberian Refugee Immigration Fairness Act of 2009 - Adjusts to permanent resident status a qualifying Liberian national who: (1) has been continuously present in the United States from January 1, 2009, through the date of status adjustment application; or (2) is the spouse, child, or unmarried son or daughter of such an alien.

Requires adjustment applications to be filed before April 1, 2011.


Input:
SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Medicare Drug Savings Through Choice
Act of 2007''.

SEC. 2. ESTABLISHMENT OF MEDICARE OPERATED PRESCRIPTION DRUG PLAN
              OPTION.

    (a) In General.--Subpart 2 of part D of the Social Security Act is
amended by inserting after section 1860D-11 (42 U.S.C. 1395w-111) the
following new section:

           ``medicare operated prescription drug plan option

    ``Sec. 1860D-11A.  (a) In General.--Notwithstanding any other
provision of this part, for each year (beginning with 2008), in
addition to any plans offered under section 1860D-11, the Secretary
shall offer a Medicare operated prescription drug plan (as defined in
subsection (b)) with a service area that consists of the entire United
States.
    ``(b) Medicare Operated Prescription Drug Plan Defined.--For
purposes of this part, the term `Medicare operated prescription drug
plan' means a prescription drug plan that offers qualified prescription
drug coverage and access described in section 1860D-2(d) to the prices
negotiated under subsection (c)(1). Such plan may offer supplemental
prescription drug coverage in the same manner as other qualified
prescription drug coverage offered by other prescription drug plans.
    ``(c) Enhanced Affordability Through Negotiations.--
            ``(1) In general.--Notwithstanding section 1860D-11(i), for
        purposes of offering the Medicare operated prescription drug
        plan under this section, the Secretary shall negotiate with
        pharmaceutical manufacturers with respect to the purchase price
        of such covered part D drugs and shall encourage the use of
        more affordable therapeutic equivalents to the extent such
        practices do not override medical necessity as determined by
        the prescribing physician.
            ``(2) Implementation of other cost savings strategies.--To
        the extent practicable and consistent with paragraph (1), the
        Secretary shall implement strategies similar to those used by
        the Department of Veterans Affairs or other Federal purchasers
        of prescription drugs, and other strategies, to reduce the
        purchase cost of covered part D drugs.
            ``(3) Conditioning use of formularies.--Insofar as the
        Medicare operated prescription drug plan uses a formulary, such
        plan shall inform, consistent with section 1860D-4(a)(3)(B),
        enrollees of changes in such formulary, including changes in
        covered drugs and the prices of such drugs.
            ``(4) Savings used to fill gaps in prescription drug
        coverage.--Any savings to the Medicare operated prescription
        drug plan resulting from actions take under this subsection
        shall be used by the plan to extend coverage under the plan to
        individuals who have reached the initial coverage limit
        applicable under the plan but who have not reached the annual
        out-of-pocket threshold specified in section 1860D-2(b)(4)(B).
    ``(d) Monthly Premiums.--
            ``(1) For qualified prescription drug coverage.--
                    ``(A) Nationally uniform monthly beneficiary
                premium.--The monthly beneficiary premium for qualified
                prescription drug coverage and access to negotiated
                prices described in section 1860D-2(a)(1)(A) to be
                charged under the Medicare operated prescription drug
                plan shall be uniform nationally.
                    ``(B) Bid based on costs.--The bid submitted under
                section 1860D-11(b)(2)(C) for the Medicare operated
                prescription drug plan shall be based on the average
                monthly per capita actuarial cost of offering such plan
                for the year involved, including administrative
                expenses.
            ``(2) Supplemental prescription drug coverage.--Insofar as
        the Medicare operated prescription drug plan offers
        supplemental prescription drug coverage, the Secretary shall
        adjust the amount of the bid submitted under section 1860D-
        11(b)(2)(C) (and the premium charged under paragraph (1)) to
        reflect the additional benefits offered under such coverage.
    ``(e) Open Enrollment.--A part D eligible individual may enroll in
the Medicare operated prescription drug plan at any time.''.
    (b) No Late Enrollment Penalty for Individuals Enrolled in Medicare
Operated Prescription Drug Plan.--Section 1860D-13(b)(2) of such Act
(42 U.S.C. 1395w-113(b)(2)) is amended by adding at the end the
following new sentence: ``A part D eligible individual described in
this paragraph does not include an individual enrolled in the Medicare
operated prescription drug plan during the period in which the
individual is so enrolled.''.
    (c) Conforming Amendments.--
            (1) Section 1860D-1(b)(1)(B)(iii) of the Social Security
        Act (42 U.S.C. 1395w-101(b)(1)(B)(iii)) is amended by inserting
        ``and section 1860D-11A(e)'' after ``paragraphs (2) and (3) of
        this subsection''.
            (2) Section 1860D-2(b)(3)(A) of such Act (42 U.S.C. 1395w-
        102(b)(3)(A)) is amended by inserting ``and section 1860D-
        11A(c)(4)'' after ``paragraph (4)''.
            (3) Section 1860D-3(a) of such Act (42 U.S.C. 1395w-103(a))
        is amended by adding at the end the following new paragraph:
            ``(4) Availability of the medicare operated prescription
        drug plan.--
                    ``(A) In general.--The Medicare operated
                prescription drug plan shall be offered nationally in
                accordance with section 1860D-11A.
                    ``(B) Relationship to other plans.--
                            ``(i) In general.--Subject to clause (ii),
                        the Medicare operated prescription drug plan
                        shall be offered in addition to any qualifying
                        plan or fallback prescription drug plan offered
                        in a PDP region and shall not be considered to
                        be such a plan for purposes of meeting the
                        requirements of this subsection.
                            ``(ii) Designation as a fallback plan.--
                        Notwithstanding any other provision of this
                        part, the Secretary may designate the Medicare
                        operated prescription drug plan as the fallback
                        prescription drug plan for any fallback service
                        area (as defined in section 1860D-11(g)(3))
                        determined to be appropriate by the
                        Secretary.''.
            (4) Section 1860D-13(c)(3) of such Act (42 U.S.C. 1395w-
        113(c)(3)) is amended--
                    (A) in the heading, by inserting ``and the Medicare
                operated prescription drug plan'' after ``Fallback
                plans''; and
                    (B) by inserting ``or the Medicare operated
                prescription drug plan'' after ``a fallback
                prescription drug plan''.
            (5) Section 1860D-16(b)(1) of such Act (42 U.S.C.1395w-
        116(b)(1)) is amended--
                    (A) in subparagraph (C), by striking ``and'' after
                the semicolon at the end; and
                    (B) in subparagraph (D), by striking the period at
                the end and inserting ``; and''; and
                    ``(E) payments for expenses incurred with respect
                to the operation of the Medicare operated prescription
                drug plan under section 1860D-11A.''.
            (6) Section 1860D-41(a) of such Act (42 U.S.C. 1395w-
        151(a)) is amended by adding at the end the following new
        paragraph:
            ``(19) Medicare operated prescription drug plan.--The term
        `Medicare operated prescription drug plan' has the meaning
        given such term in section 1860D-11A(b).''.

Output:
Medicare Drug Savings Through Choice Act of 2007 - Amends part D (Voluntary Prescription Drug Benefit Program) of title XVIII (Medicare) of the Social Security Act to direct the Secretary of Health and Human Services to: (1) offer a Medicare operated prescription drug plan with a service area that consists of the entire United States; (2) negotiate with pharmaceutical manufacturers to reduce the purchase cost of covered Medicare part D drugs; and (3) encourage the use of more affordable therapeutic equivalents.

Requires the monthly beneficiary premium charged under such a plan to be uniform nationally. Requires adjustment of such premium amount in case of supplemental prescription drug coverage.


Input:
SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Children's Express Lane to Health
Coverage Act of 2003''.

SEC. 2. FINDINGS; PURPOSE.

    (a) Findings.--Congress finds the following:
            (1) Despite gains made in recent years, 8,900,000 children
        in the United States are uninsured. Of those, 6,900,000 are
        eligible for public health insurance coverage.
            (2) Most low-income uninsured children are enrolled in
        nutrition and related programs that operate under income
        guidelines similar to those of the medicaid program. In fact,
        63 percent, or 4,300,000, low-income uninsured children are in
        families that receive benefits through the food stamps program,
        the National school lunch program, or the special supplemental
        nutrition program for women, infants and children (commonly
        referred to as ``WIC'').
            (3) The public would be well served if Federal means-tested
        public programs were able to improve administrative efficiency
        and coordination as well as reduce unnecessary bureaucracy.
            (4) Uninsured children would be well served if their
        enrollment in a nutrition-based or other means-tested program
        could serve as a gateway to health coverage.
            (5) Existing law already allows children to be found income
        eligible for WIC based on their enrollment in the medicaid
        program. Current law does not, however, give States adequate
        flexibility to make an income determination for eligibility for
        the medicaid or State children's health insurance program based
        on an uninsured child's enrollment in WIC or another public
        program.
    (b) Purpose.--The purpose of this Act is to give States the
flexibility to find children income eligible for the medicaid program
or State children's health insurance program based on the fact that the
children are eligible for nutrition assistance or similar public
programs with comparable income standards and methodologies.

SEC. 3. STATE OPTION TO PROVIDE FOR SIMPLIFIED DETERMINATIONS OF A
              CHILD'S FINANCIAL ELIGIBILITY FOR MEDICAL ASSISTANCE
              UNDER MEDICAID OR CHILD HEALTH ASSISTANCE UNDER SCHIP.

    (a) Medicaid.--Section 1902(e) of the Social Security Act (42
U.S.C. 1396a(e)) is amended by adding at the end the following:
            ``(13)(A) At the option of the State, the plan may provide
        that financial eligibility requirements for medical assistance
        are met for an individual who is under an age specified by the
        State (not to exceed 21 years of age) by using a determination
        (made within a reasonable period, as found by the State, before
        its use for this purpose) of the individual's family or
        household income or resources, notwithstanding any differences
        in budget unit, disregard, deeming, or other methodology, by a
        Federal or State agency (or a public or private entity making
        such determination on behalf of such agency) specified by the
        plan, including but not limited to the agencies administering
        the Food Stamp Act of 1977, the Richard B. Russell National
        School Lunch Act, and the Child Nutrition Act of 1966, provided
        that such agency has fiscal liabilities or responsibilities
        affected or potentially affected by such determinations and
        provided that all information furnished by such agency pursuant
        to this subparagraph is used solely for purposes of determining
        eligibility for medical assistance under the State plan
        approved under this title or for child health assistance under
        a State plan approved under title XXI.
            ``(B) Nothing in subparagraph (A) shall be construed--
                    ``(i) to authorize the denial of medical assistance
                under a State plan approved under this title or of
                child health assistance under a State plan approved
                under title XXI to an individual who, without the
                application of this paragraph or an option exercised
                thereunder, would qualify for such assistance;
                    ``(ii) to relieve a State of the obligation under
                subsection (a)(8) to furnish assistance with reasonable
                promptness after the submission of an initial
                application that is evaluated or for which evaluation
                is requested pursuant to this paragraph; or
                    ``(iii) to relieve a State of the obligation to
                determine eligibility on other grounds for an
                individual found to be ineligible under this paragraph.
            ``(C) At the option of a State, the financial eligibility
        process described in subparagraph (A) may apply to an
        individual who is older than age 21 if such individual's
        eligibility for medical assistance is based on pregnancy or if
        such individual is a parent, guardian, or other caretaker
        relative of an individual found eligible under subparagraph
        (A).''.
    (b) SCHIP.--Section 2107(e)(1) of the Social Security Act (42
U.S.C. 1397gg(e)(1)) is amended by adding at the end the following:
                    ``(E) Section 1902(e)(13) (relating to the State
                option to base a child's eligibility for assistance on
                financial determinations made by a program providing
                nutrition or other public assistance).''.
    (c) Effective Date.--The amendments made by this section take
effect on October 1, 2003.

Output: Children's Express Lane to Health Coverage Act of 2003 - Amends title XIX (Medicaid) and XXI (State Children's Health Insurance) (SCHIP) of the Social Security Act to give States the option of providing that Medicaid or SCHIP financial eligibility requirements are met for children based on their eligibility for nutrition assistance or similar public programs with comparable income standards and methodologies.


Input:
SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Worker Rights and Labor Standards
Trade Act of 1994''.

SEC. 2. FINDINGS.

    The Congress makes the following findings:
            (1) International trade, when fair and open, can serve as
        an important factor in the economic well-being of nations; but
        the maintenance of a fair and open world trading system
        requires the enhancement and active enforcement of national and
        international trade agreements and laws by all trading nations.
            (2) As the productivity of our trading partners that are
        developing countries has risen, the ability of many of these
        countries to export goods cheaply to the United States has been
        based, in part, upon the violation of internationally
        recognized worker rights.
            (3) The exploitation of workers is an unacceptable means
        for any country, whether developed or developing, or industry
        to gain competitive advantage in international trade.
            (4) Exports to the United States from countries which fail
        to respect internationally recognized worker rights undermine
        living and working standards in both those countries as well as
        the United States, because international corporations can play
        workers in one country off against those in another with
        respect to wages and work standards in order to minimize costs.
            (5) At various times in the 20th century, international
        agreements and United States policy have explicitly stated that
        fundamental worker rights and fair labor standards are
        necessary to the workings of a fair international trading
        system.
            (6) The United States and over 160 other member nations of
        the International Labor Organization are legally obligated to
        ``endeavor to secure and maintain fair and humane conditions of
        labor for men, women, and children, both in their own countries
        and in all countries to which their commercial and industrial
        nations extend''.
            (7) For decades, United States trade negotiators, whether
        serving in Democratic or Republican administrations, have
        initiated discussions to no avail with ranking officials of the
        GATT and the International Labor Organization concerning the
        demonstrable relationship of fundamental worker rights and fair
        labor standards to prior rounds of multilateral trade
        negotiations.
            (8) The right of all workers to certain fundamental rights
        is affirmed in the following international agreements to which
        the United States is a party:
                    (A) The United Nations Charter, which states in
                Article 55 that ``the United Nations shall promote
                higher standards of living, full employment, and
                conditions of economic and social progress and
                development,''.
                    (B) The United Nations Universal Declaration of
                Human Rights, which states in Article 23 that
                ``Everyone has the right to work, to free choice of
                employment, to just and favorable conditions of work
                and to protection against unemployment . . . `and that'
                Everyone who works has the right to just and favorable
                remuneration ensuring for himself and his family an
                existence worthy of human dignity.''.
                    (C) The United Nations International Covenant on
                Civil and Political Rights, which states in Article 8
                that ``No one shall be required to perform forced or
                compulsory labor.''.
                    (D) The Revised Charter of the Organization of
                American States, which states in Article 31 that
                ``Member States agree to dedicate every effort to
                achieve the following basic goals . . . Fair wages,
                employment opportunities, and acceptable working
                conditions for all.''.
                    (E) The General Agreement on Tariffs and Trade
                which--
                            (i) provides in the preamble that relations
                        among countries ``in the field of trade and
                        economic endeavor should be conducted with a
                        view to raising standards of living and
                        ensuring full employment,'';
                            (ii) allows, under Article XX, any country
                        to take action against products of prison
                        labor; and
                            (iii) incorporates by reference Article 7
                        of Chapter II of the Havana Charter which
                        states that ``the members recognize that
                        measures relating to employment must take fully
                        into account the rights of workers under
                        intergovernmental declarations, conventions,
                        and agreements. The members recognize that all
                        countries have a common interest in the
                        achievement and maintenance of fair labor
                        standards related to productivity, and thus in
                        the improvement of wages and working conditions
                        as productivity may permit. The members
                        recognize that unfair labor conditions,
                        particularly in production for export, create
                        difficulties in international trade, and
                        accordingly, each member shall take whatever
                        action may be appropriate and feasible to
                        eliminate such conditions within its
                        territory.''.
            (9) The adherence of the United States to the principles
        referred to in paragraph (5) is reflected in--
                    (A) the provisions of the Tariff Act of 1930 that
                prohibit the importation of goods produced by forced
                labor,
                    (B) the provisions of title V of the Trade Act of
                1974 (relating to the Generalized System of
                Preferences) that--
                            (i) define internationally recognized
                        worker rights as the right to association, the
                        right to organize and bargain collectively, the
                        prohibition of the use of any form of forced or
                        compulsory labor, a minimum age for the
                        employment of children, and acceptable
                        conditions of work with respect to minimum
                        wages, hours of work, and occupational safety
                        and health; and
                            (ii) prohibit the extension of trade
                        preferences to any developing country that
                        ``has not or is not taking steps to afford
                        internationally recognized worker rights to its
                        workers''; and
                    (C) the provisions of section 231A of the Foreign
                Assistance Act of 1961, which allow the Overseas
                Private Investment Corporation to insure, reinsure,
                guarantee, or finance a project only if the country in
                which the project is to be undertaken ``is taking steps
                to adopt and implement laws that extend internationally
                recognized worker rights . . . to workers in that
                country.''.
            (10) Little, if any, progress has been made ``to adopt, as
        a principle of the GATT, that the denial of worker rights
        should not be a means for a country or its industries to gain
        competitive advantage in international trade'', pursuant to
        section 1101(b)(14) of the Omnibus Trade and Competitiveness
        Act of 1988.

SEC. 3. ESTABLISHMENT OF WORKING PARTY ON WORKER RIGHTS.

    (a) Action by the President.--The President shall seek the
establishment in the GATT of a working party to examine the
relationship of fundamental internationally recognized worker rights to
the articles, objectives, and related instruments of the GATT,
particularly the preamble, Article XXIX, and Article XX.
    (b) Objectives of Working Group.--The objectives of the working
group described in subsection (a) would be to--
            (1) explore ways in which to link the conduct of
        international trade to respect for fundamental internationally
        recognized worker rights;
            (2) examine the economic impact of competition that is
        based upon trade distortions that are attributable to the
        systematic denial of fundamental internationally recognized
        worker rights;
            (3) consider and develop information on the incidence and
        effects of systematic, trade-distorting worker rights practices
        and ways to address such practices; and
            (4) establish that it is unjustifiable for any country or
        any of its industries to seek to gain competitive advantage in
        international trade through the systematic denial of
        fundamental internationally recognized worker rights.

SEC. 4. ESTABLISHMENT OF STANDING COMMITTEE ON WORKER RIGHTS WITHIN THE
              WORLD TRADE ORGANIZATION.

    The President shall seek the establishment in the World Trade
Organization, when such organization becomes effective, a standing
committee to carry out the functions of the working group described in
section 3.

SEC. 5. DEFINITIONS.

    As used in this Act:
            (1) The term ``fundamental internationally recognized
        worker rights'' means ``internationally recognized worker
        rights'' as defined in section 502(a)(4) of the Trade Act of
        1974.
            (2) GATT.--The term ``GATT'' means the General Agreement on
        Tariffs and Trade.

Output: Worker Rights and Labor Standards Trade Act of 1994 - Directs the President to seek the establishment of:  (1) a working party within the General Agreement on Tariffs and Trade (GATT) to examine the relationship of fundamental internationally-recognized worker rights to specified articles of the GATT; and (2) a standing committee within the World Trade Organization to perform the functions of the working group.


Input:
SECTION 1. SHORT TITLE.

    This Act may be cited as the ``State Prescription Drug Discount Act
of 2002''.

SEC. 2. FINDINGS.

    Congress makes the following findings:
            (1) More than 70,000,000 Americans, including more than
        18,000,000 Medicare beneficiaries, are uninsured or
        underinsured for prescription drug coverage.
            (2) High prescription drug prices are denying uninsured and
        underinsured Americans access to medically necessary care,
        thereby threatening their health and safety. Many of these
        Americans require repeated doctor or medical clinic
        appointments, becoming sicker because they cannot afford to
        take the drugs prescribed for them. Many are admitted to or
        treated at hospitals because they cannot afford the drugs
        prescribed for them that could have prevented the need for
        hospitalization. Many enter expensive institutional care
        settings because they cannot afford the prescription drugs that
        could have supported them outside of an institution. In each of
        these circumstances, uninsured and underinsured residents too
        often become medicaid recipients because of their inability to
        afford prescription drugs.
            (3) Pursuant to the Social Security Act, State medicaid
        programs receive discounts in the form of rebates for
        outpatient prescription drugs. On average, these rebates
        provide discounts of more than 40 percent off retail prices.
            (4) In 49 States, individual Americans do not have access
        to medicaid rebates. But in 1 State, since June 1, 2001, over
        100,000 Americans have received discounts from those rebates
        through the ``Healthy Maine'' program. This program,
        established as a demonstration project pursuant to a waiver
        from the Secretary of Health and Human Services has proven to
        work. Americans need that program replicated in every State,
        immediately.
            (5) The Federal and State governments are the only agents
        that, as a practical matter, can play an effective role as a
        market participant on behalf of Americans who are uninsured or
        underinsured.

SEC. 3. STATE PRESCRIPTION DISCOUNT PROGRAM.

    (a) In General.--Section 1927(a) of the Social Security Act (42
U.S.C. 1396r-8(a)) is amended by adding at the end the following:
            ``(7) Requirements relating to agreements for drugs
        procured by individuals through state prescription drug
        discount programs.--
                    ``(A) In general.--A manufacturer meets the
                requirements of this paragraph if the manufacturer
                enters into an agreement with the State to make rebate
                payments for drugs covered by a State prescription drug
                discount program in the same amounts as are paid by the
                manufacturer to the State for such drugs under a rebate
                agreement described in subsection (b).
                    ``(B) State prescription drug discount program
                defined.--
                            ``(i) In general.--In this paragraph, the
                        term `State prescription drug discount program'
                        means a State program under which, with respect
                        to a rebate period, not less than the amount
                        equal to 95 percent of all the rebates paid to
                        the State under agreements entered into under
                        subparagraph (A) during such period is provided
                        to eligible State residents in the form of
                        discounted prices for the purchase of
                        outpatient prescription drugs.
                            ``(ii) Eligible state resident.--For
                        purposes of clause (i), the term `eligible
                        State resident' means an individual who is a
                        State resident and--
                                    ``(I) who is eligible for benefits
                                under title XVIII; or
                                    ``(II) whose income does not exceed
                                300 percent of the income official
                                poverty line (as defined by the Office
                                of Management and Budget, and revised
                                annually in accordance with section
                                673(2) of the Omnibus Budget
                                Reconciliation Act of 1981) applicable
                                to a family of the size involved.
                            ``(iii) Additional subsidies.--Nothing in
                        this subparagraph shall be construed as--
                                    ``(I) requiring a State to expend
                                State funds to carry out a State
                                prescription drug discount program; or
                                    ``(II) prohibiting a State from
                                electing to contribute State funds to a
                                State prescription drug discount
                                program to provide greater subsidies to
                                eligible State residents for outpatient
                                prescription drugs covered under the
                                program.
                    ``(C) No offset against medical assistance.--
                Amounts received by a State under an agreement entered
                into under subparagraph (A) in any quarter shall not be
                considered to be a reduction in the amount expended
                under the State plan in the quarter for medical
                assistance for purposes of section 1903(a)(1).''.
    (b) Conforming Amendment.--The first sentence of section 1927(a)(1)
of the Social Security Act (42 U.S.C. 1396r-8(a)(1)) is amended, by
striking ``and paragraph (6)'' and inserting ``, paragraph (6), and
paragraph (7)''.

SEC. 4. ENHANCED REBATES FOR STATE MEDICAID PROGRAMS.

    Section 1927(b)(1)(B) of the Social Security Act (42 U.S.C. 1396r-
8(b)(1)(B) is amended--
            (1) by striking ``Amounts'' and inserting the following:
                            ``(i) In general.--Except as provided in
                        clause (ii) and subsection (a)(7)(C),
                        amounts''; and
            (2) by adding at the end the following:
                            ``(ii) Enhanced rebate.--In the case of a
                        State that has a State prescription drug
                        discount program described in subsection (a)(7)
                        and that has entered into a rebate agreement
                        described in paragraph (1) or (4) of subsection
                        (a) that provides a greater rebate for a
                        covered outpatient drug than the rebate that
                        would be paid for the covered outpatient drug
                        under subsection (c), then, notwithstanding
                        clause (i), only the amount equal to \1/2\ of
                        the difference between the amount received by
                        the State in any quarter under such a rebate
                        agreement and the amount of the rebate that
                        would be paid under subsection (c) for such
                        covered outpatient drug shall be considered to
                        be a reduction in the amount expended under the
                        State plan in the quarter for medical
                        assistance for purposes of section
                        1903(a)(1).''.

SEC. 5. EFFECTIVE DATE.

    The amendments made by this Act take effect on January 1, 2004.

Output: State Prescription Drug Discount Act of 2002 - Amends title XIX (Medicaid) of the Social Security Act (SSA) to: (1) require drug manufacturers to pay rebates to State prescription drug discount programs as a condition of participation in a rebate agreement for outpatient prescription drugs under the Medicaid program; and (2) provide for enhanced rebates for State prescription drug discount programs of States with rebate agreements.


Input:
SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Minuteman Missile National Historic
Site Establishment Act of 1998''.

SEC. 2. FINDINGS AND PURPOSES.

    (a) Findings.--Congress finds that--
            (1) the Minuteman II intercontinental ballistic missile
        (hereinafter referred to as ``ICBM'') launch control facility
        and launch facility known as ``Delta 1'' and ``Delta 9'',
        respectively, have national significance as the best preserved
        examples of the operational character of American history
        during the Cold War;
            (2) the facilities are symbolic of the dedication and
        preparedness exhibited by the missileers of the Air Force
        stationed throughout the upper Great Plains in remote and
        forbidding locations during the Cold War;
            (3) the facilities provide a unique opportunity to
        illustrate the history and significance of the Cold War, the
        arms race, and ICBM development; and
            (4) the National Park System does not contain a unit that
        specifically commemorates or interprets the Cold War.
    (b) Purposes.--The purposes of this Act are--
            (1) to preserve, protect, and interpret for the benefit and
        enjoyment of present and future generations the structures
        associated with the Minuteman II missile defense system;
            (2) to interpret the historical role of the Minuteman II
        missile defense system in the broader context of the Cold War
        and the role of the system as a key component of America's
        strategic commitment to preserve world peace; and
            (3) to complement the interpretive programs relating to the
        Minuteman II missile defense system offered by the South Dakota
        Air and Space Museum at Ellsworth Air Force Base.

SEC. 3. MINUTEMAN MISSILE NATIONAL HISTORIC SITE.

    (a) Establishment.--(1) The Minuteman Missile National Historic
Site in the State of South Dakota (hereinafter referred to as the
``historic site'') is hereby established as a unit of the National Park
System. The historic site shall consist of lands and interests therein
comprising the following Minuteman II ICBM launch control facilities,
as generally depicted on the map referred to as ``Minuteman Missile
National Historic Site'', numbered 406/80,008 and dated September,
1998:
            (A) An area surrounding the Minuteman II ICBM launch
        control facility depicted as ``Delta 1 Launch Control
        Facility''.
            (B) An area surrounding the Minuteman II ICBM launch
        control facility depicted as ``Delta 9 Launch Facility''.
    (2) The map described in paragraph (1) shall be on file and
available for public inspection in the appropriate offices of the
National Park Service.
    (3) The Secretary of the Interior (hereinafter referred to as the
``Secretary'') is authorized to make minor adjustments to the boundary
of the historic site.
    (b) Administration of Historic Site.--The Secretary shall
administer the historic site in accordance with this Act and laws
generally applicable to units of the National Park System, including
the Act of August 25, 1916 (16 U.S.C. 1, 2-4) and the Act of August 21,
1935 (16 U.S.C. 461-467).
    (c) Coordination With Secretary of Defense.--The Secretary shall
consult with the Secretary of Defense and the Secretary of State, as
appropriate, to ensure that administration of the historic site is in
compliance with applicable treaties.
    (d) Cooperative Agreements.--The Secretary may enter into
cooperative agreements with appropriate public and private entities and
individuals in furtherance of the purposes of this Act.
    (e) Land Acquisition.--(1) Except as provided in paragraph (2), the
Secretary is authorized to acquire lands and interests therein within
the boundaries of the historic site by donation, purchase with donated
or appropriated funds, exchange or transfer from another Federal
agency: Provided, That lands or interests therein owned by the State of
South Dakota may only be acquired by donation or exchange.
    (2) The Secretary shall not acquire any lands pursuant to this Act
if the Secretary determines that such lands, or any portion thereof,
are contaminated with hazardous substances (as defined in the
Comprehensive Environmental Response, Compensation and Liability Act
(42 U.S.C. 9601)), unless all remedial action necessary to protect
human health and the environment has been taken pursuant to such Act.
    (f) General Management Plan.--(1) Within three years after the date
funds are made available, the Secretary shall prepare a general
management plan for the historic site.
    (2) The plan shall include an evaluation of an appropriate location
for a visitor facility and administrative site within the areas
depicted as ``Support Facility Study Area--Alternative A'' or ``Support
Facility Study Area--Alternative B'' on the map referred to in
subsection (a). Upon a determination by the Secretary of the
appropriate location for such facilities, the boundaries of the
historic site shall be modified to include the selected site.
    (3) In developing the plan, the Secretary shall consider
coordinating or consolidating appropriate administrative, management,
and personnel functions with Badlands National Park.

SEC. 4. AUTHORIZATION OF APPROPRIATIONS.

    (a) In General.--There is authorized to be appropriated such sums
as may be necessary to carry out this Act.
    (b) Air Force Funds.--The Secretary of the Air Force shall transfer
to the Secretary any funds specifically appropriated to the Air Force
for the maintenance, protection, or preservation of the facilities
described in section 3. Such funds shall be used by the Secretary for
establishing, operating, and maintaining the historic site.
    (c) Legacy Resource Management Program.--Nothing in this Act
affects the use of any funds available for the Legacy Resource
Management Program being carried out by the Air Force that, before the
date of enactment of this Act, were directed to be used for resource
preservation and treaty compliance.

            Passed the Senate October 7 (legislative day, October 2),
      1998.

            Attest:

                                                    GARY SISCO,

                                                             Secretary.

Output:
Minuteman Missile National Historic Site Establishment Act of 1998 - Establishes the Minuteman Missile National Historic Site in South Dakota as a unit of the National Park System consisting of lands and interests comprising the areas surrounding the Minuteman II ICBM launch control facilities known as Delta 1 and Delta 9.
Authorizes the Secretary to acquire lands and interests within the boundaries of the historic site by donation, purchase with donated or appropriated funds, exchange or transfer from another Federal agency. Prohibits the Secretary from acquiring any lands contaminated with hazardous substances, unless all remedial action necessary to protect human health and the environment has been taken.
Requires the Secretary to:  (1) prepare a general management plan for the historic site, including an evaluation of a location for a visitor facility and administrative site; and (2) in developing the plan, to consider coordinating and consolidating administrative, management, and personnel function with Badlands National Park.
Authorizes appropriations.  Requires the Secretary of the Air Force to transfer to the Secretary any funds specifically appropriated to the Air Force for the maintenance, protection, or preservation of the facilities.


Input:
of Approval.--A joint resolution described in
this paragraph means only a joint resolution which is introduced within
the 10-day period beginning on the date on which the Commission submits
recommendations under section 102(c) and--
            (1) which does not have a preamble;
            (2) the matter after the resolving clause of which is as
        follows: ``That Congress approves the recommendations of the
        Independent Commission on Medicare concerning methods to
        control outlays under the medicare program for fiscal year
        ________, as submitted by the Commission on ______________.'',
        the first blank space being filled in with the appropriate
        fiscal year and the second
         blank space being filled in with the appropriate date; and
            (3) the title of which is as follows: ``Joint resolution
        approving recommendations of the Independent Commission on
        Medicare concerning methods to control outlays under the
        medicare program for fiscal year ________, as submitted by the
        Commission on ______________.'', the first blank space being
        filled in with the appropriate fiscal year and the second blank
        space being filled in with the appropriate date.
    (c) Procedures for Consideration of Resolution of Approval.--
Subject to subsection (d), the provisions of section 2908 (other than
subsection (a)) of the Defense Base Closure and Realignment Act of 1990
shall apply to the consideration of a joint resolution described in
subsection (b) in the same manner as such provisions apply to a joint
resolution described in section 2908(a) of such Act.
    (d) Special Rules.--For purposes of applying subsection (c) with
respect to such provisions--
            (1) any reference to the Committee on Armed Services of the
        House of Representatives shall be deemed a reference to an
        appropriate committee of the House of Representatives
        (specified by the Speaker of the House of Representatives at
        the time of submission of recommendations under subsection (c))
        and any reference to the Committee on Armed Services of the
        Senate shall be deemed a reference to an appropriate committee
        of the Senate (specified by the majority leader of the Senate
        at the time of submission of recommendations by the Commission
        under section 102(c)); and
            (2) any reference to the date on which the President
        transmits a report shall be deemed a reference to the date on
        which the Commission submits recommendations under section
        102(c).

SEC. 104. NO TERMINATION OF COMMISSION.

    Section 14(a)(2)(B) of the Federal Advisory Committee Act (5 U.S.C.
App.; relating to the termination of advisory committees) shall not
apply to the Commission.

          TITLE II--CONTROLLING OUTLAYS UNDER MEDICARE PROGRAM

SEC. 201. ESTABLISHMENT OF ANNUAL LIMITS ON OUTLAYS.

    Not later than April 15 of each year (beginning with 1996),
Congress shall in the concurrent resolution on the budget for the
fiscal year beginning on the following October 1 establish a limit on
total outlays to be made under the medicare program for the fiscal
year.

SEC. 202. ENFORCEMENT OF LIMITS THROUGH SEQUESTRATION.

    (a) In General.--Part C of the Balanced Budget and Emergency
Deficit Control Act of 1985 (2 U.S.C. 900 et seq.) is amended by
inserting after section 252 the following new section:

``SEC. 252A. SEQUESTRATION WITH RESPECT TO MEDICARE.

    ``(a) Sequestration.--If, with respect to a fiscal year (beginning
with fiscal year 1997), Congress has not enacted a joint resolution
under section 103(b) of the Commission to Save Medicare Act of 1995
before the first day of the fiscal year, there shall be a sequestration
to eliminate any budgetary excess in the medicare program as described
in subsection (b).
    ``(b) Eliminating a Budgetary Excess.--
            ``(1) In general.--Outlays under the medicare program shall
        be reduced during a fiscal year as provided by paragraph (2),
        as necessary to eliminate any amount by which estimated outlays
        under the program in the year exceed the limit for such outlays
        established for the year by Congress pursuant to section 201 of
        the Commission to Save Medicare Act of 1995.
            ``(2) Reductions described.--In carrying out paragraph (1),
        the President shall--
                    ``(A) reduce payments made under the medicare
                program by a uniform percentage sufficient to reduce 50
                percent of the amount described in paragraph (1); and
                    ``(B) increase premiums, deductibles, copayments,
                and coinsurance required to be paid under the program
                by a uniform percentage sufficient to reduce 50 percent
                of the amount described in paragraph (1).
    ``(c) Part-Year Appropriations and OMB Estimates.--Paragraphs (4)
and (7) of section 251(a) shall apply to sequestration of amounts under
this section in the same manner as those paragraphs apply to
discretionary appropriations and sequestrations under that section.
    ``(d) Coordination With Other Sequestration.--
            ``(1) In general.--Reductions under subsection (b) for a
        fiscal year shall supersede any reduction otherwise made under
        section 252 or 253.
            ``(2) Reports.--On the dates specified in section 254(a),
        OMB and CBO shall issue preview, update, and final reports on
        medicare sequestration under this section. Such reports shall
        specify--
                    ``(A) the estimated amount described in subsection
                (b)(1) for the fiscal year;
                    ``(B) the estimated uniform percentage described in
                subsection (b)(2)(A) of the fiscal year; and
                    ``(C) the estimated uniform percentage described in
                subsection (b)(2)(B) of the fiscal year.
            ``(3) Rules for application of reductions.--The provisions
        of section 256(d) shall apply to reductions under this
        section.''.
    (b) Clerical Amendment.--The table of contents for part C of the
Balanced Budget and Emergency Deficit Control Act of 1985 (2 U.S.C. 900
et seq.) is amended by inserting after the item relating to section 252
the following:

        ``Sec. 252A. Sequestration with respect to medicare.''.

Output:
TABLE OF CONTENTS:
     Title I:  Independent Commission on Medicare
     Title II:  Controlling Outlays Under Medicare Program
Commission to Save Medicare Act of 1995 -
Title I:  Independent Commission on Medicare
 - Establishes the Independent Commission on Medicare to:  (1) report to the Congress and the President during December of each year on certain aspects of the Medicare program under title XVIII of the Social Security Act involving projected outlays and benefits; and (2) report to the Congress during July of each year specific recommendations on certain changes to ensure that total program outlays for the fiscal year involved do not exceed specified limits.  Precludes such recommendations from including changes relating to the payment of payroll taxes for financing the program.
Provides procedures for expedited congressional consideration of recommendations.
Title II:  Controlling Outlays Under Medicare Program
 - Provides that Congress, not later than April 15 of each year, shall, in the concurrent resolution on the budget for the following fiscal year, establish a limit on total outlays to be made under the Medicare program for the fiscal year involved.
Provides for the enforcement of such limits through sequestration under the Balanced Budget and Emergency Deficit Control Act of 1985 (Gramm-Rudman-Hollings Act).


Input:
SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Theodore Roosevelt Wildlife Legacy
Act of 1997''.

SEC. 2. MISSION AND PURPOSES OF THE SYSTEM.

    (a) Mission.--The overall mission of the National Wildlife Refuge
System (in this Act referred to as the ``System'') is to preserve a
network of lands and waters for the conservation and management of
fish, wildlife, and plants of the United States for the benefit of
present and future generations.
    (b) Purposes.--The purposes of the System are--
            (1) to conserve, manage, and where appropriate, restore
        fish and wildlife habitats so as to provide, in perpetuity, for
        the diversity of fish, wildlife, and plants and the ecological
        processes that sustain them;
            (2) to provide a diverse national network of lands and
        waters designed to conserve and manage, in perpetuity, fish,
        wildlife, and plants of the United States, and their habitats;
            (3) to conserve and manage migratory birds, endangered
        species, anadromous or interjurisdictional fish species, marine
        mammals, and other fish, wildlife, and plants; and
            (4) to fulfill international treaty obligations of the
        United States with respect to fish, wildlife, and plants, and
        their habitats.

SEC. 3. PRIORITY USES.

    The priority public uses of the System are wildlife observation and
photography, hunting, fishing, and environmental education and
interpretation.

SEC. 4. ADMINISTRATION OF THE SYSTEM.

    In administering the System, the Secretary of the Interior shall--
            (1) ensure that the mission and purposes of the System
        described in section 2 and the purposes of each refuge are
        carried out, except that if a conflict exists between the
        primary purpose of a National Wildlife Refuge and any purpose
        of the System, the conflict shall be resolved in a manner that
        first fulfills the primary purpose of the refuge, and, to the
        extent practicable, also achieves the purposes of the System;
            (2) ensure that opportunities for the uses described in
        section 3 receive priority attention in planning and management
        within the System, consistent with the mission and purposes of
        the System described in sections 2(a) and (b);
            (3) plan, propose, and direct expansion of the System--
                    (A) to accomplish the mission and purposes of the
                System and the purposes of each National Wildlife
                Refuge; and
                    (B) to contribute to the conservation of the
                ecosystems of the United States; and
            (4) inventory and monitor the status and trends of fish,
        wildlife, and plants in each National Wildlife Refuge.

SEC. 5. COMPATIBILITY STANDARDS AND PROCEDURES.

    (a) General Rule.--Except as provided in subsection (b), effective
beginning on the date that is 3 years after the date of enactment of
this Act, the Secretary shall not initiate or permit a new use of a
National Wildlife Refuge or expand, renew, or extend an existing
allowed use unless the Secretary determines that the use is compatible
with the primary purposes of the refuge and the mission and purposes of
the System specified in section 2 of this Act. Such determinations
shall--
            (1) be made in writing, be based on the best available
        scientific information, and represent the best professional
        judgment of the refuge officer involved;
            (2) be made after an opportunity has been provided for the
        public to review and comment on the evaluations;
            (3) where appropriate, be made concurrently with the
        development of a conservation plan for the refuge under section
        6; and
            (4) be reevaluated when conditions under which the use is
        permitted change significantly or when there is significant new
        information regarding the effects of the use, but not less
        frequently than every 10 years.
    (b) Prior Identification for New Acquisitions.--On lands added to
the System after the date of enactment of this Act, the Secretary shall
identify, prior to acquisition, existing compatible priority public
uses (as described in section 3) that shall be permitted to continue on
an interim basis pending completion of comprehensive planning.

SEC. 6. REFUGE CONSERVATION PLANNING PROGRAM.

    (a) General Rule.--Except with respect to National Wildlife Refuge
lands in Alaska (which shall be governed by the refuge planning
provision of the Alaska National Interest Lands Conservation Act (16
U.S.C. 3101 et seq.)), the Secretary shall--
            (1) propose a comprehensive conservation plan for each
        refuge or ecologically related complex of refuges consistent
        with section 2 of this Act within 15 years after the date of
        enactment of this Act and revise such plans not less frequently
        than every 15 years thereafter;
            (2) develop and implement a process to ensure an
        opportunity for active public involvement in the preparation
        and revision of conservation plans; and
            (3) manage each refuge in a manner consistent with the
        conservation plan for the refuge.
    (b) New Refuges.--With respect to any refuge established after the
date of enactment of this Act, the Secretary shall prepare a
conservation plan for the refuge not later than 2 years after the
Secretary has determined that sufficient land has been acquired to
warrant comprehensive planning.

Output:
Theodore Roosevelt Wildlife Legacy Act of 1997 - Declares the mission of the National Wildlife Refuge System to be to preserve a network of lands and waters for the conservation and management of U.S. fish, wildlife, and plants for present and future generations.
Establishes as the System's priority public uses:  (1) wildlife observation and photography; (2) hunting; (3) fishing; and (4) environmental education and interpretation.
Directs the Secretary of the Interior, in administering the System, to:  (1) resolve any conflict between the primary purpose of a National Wildlife Refuge and any purpose of the System in a manner that first fulfills the primary purpose of the refuge; (2) plan, propose, and direct System expansion to accomplish the mission and purposes of the System and of each refuge and to contribute to the conservation of U.S. ecosystems; and (3) inventory and monitor the status and trends of fish, wildlife, and plants in each refuge.
Prohibits the Secretary, effective three years after enactment of this Act, from initiating or permitting a new use of a refuge or an expansion of an existing allowed use unless such use is compatible with the primary purposes of the refuge and the mission and purposes of the System.
Directs the Secretary to:  (1) propose within 15 years and revise every 15 years comprehensive conservation plans for each refuge in the System, except refuges in Alaska; (2) develop and implement a process to ensure an opportunity for active public involvement in the preparation and revision of such plans; (3) manage each refuge in a manner consistent with its conservation plan; and (4) prepare a conservation plan for a refuge established after enactment of this Act not later than two years after the Secretary determines that sufficient land has been acquired to warrant comprehensive planning.