Input:
SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Patient Access to Durable Medical
Equipment Act of 2016''.

SEC. 2. EXTENSION OF THE TRANSITION TO NEW PAYMENT RATES FOR DURABLE
              MEDICAL EQUIPMENT UNDER THE MEDICARE PROGRAM.

    The Secretary of Health and Human Services shall extend the
transition period described in clause (i) of section 414.210(g)(9) of
title 42, Code of Federal Regulations, from June 30, 2016, to June 30,
2017 (with the full implementation described in clause (ii) of such
section applying to items and services furnished with dates of service
on or after July 1, 2017).

SEC. 3. FLOOR ON BID CEILING FOR COMPETITIVE ACQUISITION FOR DURABLE
              MEDICAL EQUIPMENT UNDER THE MEDICARE PROGRAM.

    Section 1847(b)(5) of the Social Security Act (42 U.S.C. 1395w-
3(b)(5)) is amended--
            (1) in subparagraph (A)--
                    (A) by inserting ``, subject to subparagraph (E),''
                after ``subsection (a)(2)''; and
                    (B) by inserting ``, subject to subparagraph (E),''
                after ``Based on such bids''; and
            (2) by adding at the end the following new subparagraph:
                    ``(E) Floor on bid ceiling for durable medical
                equipment.--
                            ``(i) In general.--The ceiling for a bid
                        submitted for applicable covered items may not
                        be less than the fee schedule amount that would
                        otherwise be determined under section 1834(a),
                        section 1834(h), or section 1842(s) for such
                        items furnished on July 1, 2016 (determined as
                        if section 2 of the Patient Access to Durable
                        Medical Equipment Act of 2016 had not been
                        enacted).
                            ``(ii) Applicable covered items defined.--
                        For purposes of this subparagraph, the term
                        `applicable covered items' means competitively
                        priced items and services described in
                        subsection (a)(2) that are furnished with
                        respect to rounds of competition that begin on
                        or after January 1, 2017.''.

SEC. 4. REQUIREMENTS IN DETERMINING ADJUSTMENTS USING INFORMATION FROM
              COMPETITIVE BIDDING PROGRAMS.

    (a) In General.--Section 1834(a)(1)(G) of the Social Security Act
(42 U.S.C. 1395m(a)(1)(G)) is amended by adding at the end the
following new sentence: ``In the case of items and services furnished
on or after January 1, 2019, in making any adjustments under clause
(ii) or (iii) of subparagraph (F), under subsection (h)(1)(H)(ii), or
under section 1842(s)(3)(B), the Secretary shall--
                            ``(i) solicit and take into account
                        stakeholder input; and
                            ``(ii) take into account the highest amount
                        bid by a winning supplier in a competitive
                        acquisition area and a comparison of each of
                        the following with respect to non-competitive
                        acquisition areas and competitive acquisition
                        areas:
                                    ``(I) The average travel distance
                                and cost associated with furnishing
                                items and services in the area.
                                    ``(II) Any barriers to access for
                                items and services in the area.
                                    ``(III) The average delivery time
                                in furnishing items and services in the
                                area.
                                    ``(IV) The average volume of items
                                and services furnished by suppliers in
                                the area.
                                    ``(V) The number of suppliers in
                                the area.''.
    (b) Conforming Amendments.--(1) Section 1834(h)(1)(H)(ii) of the
Social Security Act (42 U.S.C. 1395m(h)(1)(H)(ii)) is amended by
striking ``the Secretary'' and inserting ``subject to subsection
(a)(1)(G), the Secretary''.
    (2) Section 1842(s)(3)(B) of the Social Security Act (42 U.S.C.
1395m(s)(3)(B)) is amended by striking ``the Secretary'' and inserting
``subject to section 1834(a)(1)(G), the Secretary''.

SEC. 5. REPORTS ON THE RESULTS OF THE MONITORING OF ACCESS OF MEDICARE
              BENEFICIARIES TO DURABLE MEDICAL EQUIPMENT AND OF HEALTH
              OUTCOMES.

    Not later than October 1, 2016, January 1, 2017, April 1, 2017, and
July 1, 2017, the Secretary of Health and Human Services shall publish
on the Internet website of the Centers for Medicare & Medicaid Services
the results of the monitoring of access of Medicare beneficiaries to
durable medical equipment and of health outcomes, as described on page
66228 in the final rule published by the Center for Medicare & Medicaid
Services on November 6, 2014, and entitled ``Medicare Program; End-
Stage Renal Disease Prospective Payment System, Quality Incentive
Program, and Durable Medical Equipment, Prosthetics, Orthotics, and
Supplies'' (79 Fed. Reg. 66120-66265).

SEC. 6. REVISION OF EFFECTIVE DATE OF PROVISION LIMITING FEDERAL
              MEDICAID REIMBURSEMENT TO STATES FOR DURABLE MEDICAL
              EQUIPMENT (DME) TO MEDICARE PAYMENT RATES.

    (a) In General.--Section 1903(i)(27) of the Social Security Act (42
U.S.C. 1396b(i)(27)) is amended by striking ``January 1, 2019'' and
inserting ``October 1, 2018''.
    (b) Effective Date.--The amendment made by subsection (a) shall
take effect as if included in the enactment of section 503 of division
O of Public Law 114-113.

            Passed the Senate June 21, 2016.

            Attest:

                                                JULIE E. ADAMS,

                                                             Secretary.

Output: Patient Access to Durable Medical Equipment Act of 2016 (Sec. 2) This bill amends title XVIII (Medicare) of the Social Security Act to delay by one year the full implementation of new Medicare payment rates for durable medical equipment (such as wheelchairs). (Sec. 3) In addition, the bill specifies that the bid ceiling for durable medical equipment items under Medicare's competitive acquisition program (through which rates are set according to a bidding process rather than by an established fee schedule) shall not be less than the fee schedule amount that would otherwise be determined for those items. (Sec. 4) Under current law, the Centers for Medicare & Medicaid Services (CMS) must use payment information from competitive acquisition programs to make payment adjustments for durable medical equipment items furnished in areas outside of such programs. Current law also allows, but does not require, CMS to make such adjustments with respect to certain orthotics (such as splints and braces) and parenteral and enteral nutrients, equipment, and supplies (such as feeding tubes). The bill requires CMS, in making these adjustments, to account for stakeholder input. In addition, CMS must account for a comparison of competitive acquisition areas and other areas with respect to the following factors:  average travel distance and cost associated with furnishing items and services,  barriers to access,  average delivery time,  average volume of items and services furnished by suppliers, and  number of suppliers. (Sec. 5) In four quarterly reports, CMS must publish on its website the results of the monitoring of health outcomes and Medicare beneficiaries' access to durable medical equipment. (Sec. 6) The bill accelerates the applicability, from January 1, 2019, to October 1, 2018, of provisions of current law that limit federal Medicaid reimbursement to states for durable medical equipment to Medicare payment rates.


Input:
SECTION 1. SHORT TITLE.

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

SEC. 2. ESTABLISHMENT.

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

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

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

SEC. 4. PAIN THERAPY SCREENING PROGRAM.

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

SEC. 5. FUNDING PROVISIONS.

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

SEC. 6. AUTHORITY.

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

SEC. 7. REPORTS.

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

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


Input:
to provide for annexing the
        Hawaiian Islands to the United States of July 7, 1898 (30 Stat.
        750), and which were later transferred to the State of Hawaii
        in the Act entitled ``An Act to provide for the admission of
        the State of Hawaii into the Union'' approved March 18, 1959
        (Public Law 86-3;
        73 Stat. 4).
            (4) Indigenous, native people.--The term ``indigenous,
        native people'' means the lineal descendants of the aboriginal,
        indigenous, native people of the United States.
            (5) Interagency coordinating group.--The term ``Interagency
        Coordinating Group'' means the Native Hawaiian Interagency
        Coordinating Group established under section 5.
            (6) Native hawaiian.--
                    (A) Prior to the recognition by the United States
                of the Native Hawaiian governing entity, the term
``Native Hawaiian'' means the indigenous, native people of Hawaii who
are the direct lineal descendants of the aboriginal, indigenous, native
people who resided in the islands that now comprise the State of Hawaii
on or before January 1, 1893, and who occupied and exercised
sovereignty in the Hawaiian archipelago, including the area that now
constitutes the State of Hawaii, and includes all Native Hawaiians who
were eligible in 1921 for the programs authorized by the Hawaiian Homes
Commission Act (42 Stat. 108, chapter 42) and their lineal descendants.
                    (B) Following the recognition by the United States
                of the Native Hawaiian governing entity, the term
                ``Native Hawaiian'' shall have the meaning given to
                such term in the organic governing documents of the
                Native Hawaiian governing entity.
            (7) Native hawaiian governing entity.--The term ``Native
        Hawaiian governing entity'' means the governing entity
        organized by the Native Hawaiian people.
            (8) Secretary.--The term ``Secretary'' means the Secretary
        of the Interior.

SEC. 3. UNITED STATES POLICY AND PURPOSE.

    (a) Policy.--The United States reaffirms that--
            (1) Native Hawaiians are a unique and distinct, indigenous,
        native people, with whom the United States has a political and
        legal relationship;
            (2) the United States has a special trust relationship to
        promote the welfare of Native Hawaiians;
            (3) Congress possesses the authority under the Constitution
        to enact legislation to address the conditions of Native
        Hawaiians and has exercised this authority through the
        enactment of--
                    (A) the Hawaiian Homes Commission Act, 1920 (42
                Stat. 108, chapter 42);
                    (B) the Act entitled ``An Act to provide for the
                admission of the State of Hawaii into the Union'',
                approved March 18, 1959 (Public Law 86-3; 73 Stat. 4);
                and
                    (C) more than 150 other Federal laws addressing the
                conditions of Native Hawaiians;
            (4) Native Hawaiians have--
                    (A) an inherent right to autonomy in their internal
                affairs;
                    (B) an inherent right of self-determination and
                self-governance; and
                    (C) the right to reorganize a Native Hawaiian
                governing entity; and
            (5) the United States shall continue to engage in a process
        of reconciliation and political relations with the Native
        Hawaiian people.
    (b) Purpose.--It is the intent of Congress that the purpose of this
Act is to provide a process for the recognition by the United States of
a Native Hawaiian governing entity for purposes of continuing a
government-to-government relationship.

SEC. 4. ESTABLISHMENT OF THE UNITED STATES OFFICE FOR NATIVE HAWAIIAN
              RELATIONS.

    (a) In General.--There is established within the Office of the
Secretary the United States Office for Native Hawaiian Relations.
    (b) Duties of the Office.--The United States Office for Native
Hawaiian Relations shall--
            (1) effectuate and coordinate the trust relationship
        between the Native Hawaiian people and the United States, and
        upon the recognition of the Native Hawaiian governing entity by
        the United States, between the Native Hawaiian governing entity
        and the United States through the Secretary, and with all other
        Federal agencies;
            (2) continue the process of reconciliation with the Native
        Hawaiian people, and upon the recognition of the Native
        Hawaiian governing entity by the United States, continue the
        process of reconciliation with the Native Hawaiian governing
        entity;
            (3) fully integrate the principle and practice of
        meaningful, regular, and appropriate consultation with the
        Native Hawaiian governing entity by providing timely notice to,
        and consulting with the Native Hawaiian people and the Native
        Hawaiian governing entity prior to taking any actions that may
        have the potential to significantly affect Native Hawaiian
        resources, rights, or lands;
            (4) consult with the Interagency Coordinating Group, other
        Federal agencies, and with relevant agencies of the State of
        Hawaii on policies, practices, and proposed actions affecting
        Native Hawaiian resources, rights, or lands; and
            (5) prepare and submit to the Committee on Indian Affairs
        and the Committee on Energy and Natural Resources of the
        Senate, and the Committee on Resources of the House of
        Representatives an annual report detailing the activities of
        the Interagency Coordinating Group that are undertaken with
        respect to the continuing process of reconciliation and to
        effect meaningful consultation with the Native Hawaiian
        governing entity and providing recommendations for any
        necessary changes to existing Federal statutes or regulations
        promulgated under the authority of Federal law.

SEC. 5. NATIVE HAWAIIAN INTERAGENCY COORDINATING GROUP.

    (a) Establishment.--In recognition of the fact that Federal
programs authorized to address the conditions of Native Hawaiians are
largely administered by Federal agencies other than the Department of
the Interior, there is established an interagency coordinating group to
be known as the ``Native Hawaiian Interagency Coordinating Group''.
    (b) Composition.--The Interagency Coordinating Group shall be
composed of officials, to be designated by the President, from--
            (1) each Federal agency that administers Native Hawaiian
        programs, establishes or implements policies that affect Native
        Hawaiians, or whose actions may significantly or uniquely
        impact on Native Hawaiian resources, rights, or lands; and
            (2) the United States Office for Native Hawaiian Relations
        established under section 4.
    (c) Lead Agency.--The Department of the Interior shall serve as the
lead agency of the Interagency Coordinating Group, and meetings of the
Interagency Coordinating Group shall be convened by the lead agency.
    (d) Duties.--The responsibilities of the Interagency Coordinating
Group shall be--
            (1) the coordination of Federal programs and policies that
        affect Native Hawaiians or actions by any agency or agencies of
        the Federal Government which may significantly or uniquely
        impact on Native Hawaiian resources, rights, or lands;
            (2) to assure that each Federal agency develops a policy on
        consultation with the Native Hawaiian people, and upon
        recognition of the Native Hawaiian governing entity by the
        United States, consultation with the Native Hawaiian governing
        entity; and
            (3) to assure the participation of each Federal agency in
        the development of the report to Congress authorized in section
        4(b)(5).

SEC. 6. PROCESS FOR THE RECOGNITION OF THE NATIVE HAWAIIAN GOVERNING
              ENTITY.

    (a) Recognition of the Native Hawaiian Governing Entity.--The right
of the Native Hawaiian people to organize for their common welfare and
to adopt appropriate organic governing documents is hereby recognized
by the United States.
    (b) Process for Recognition.--
            (1) Submittal of organic governing documents.--Following
        the organization of the Native Hawaiian governing entity, the
        adoption of organic governing documents, and the election of
        officers of the Native Hawaiian governing entity, the duly
        elected officers of the Native Hawaiian governing entity shall
        submit the organic governing documents of the Native Hawaiian
        governing entity to the Secretary.
            (2) Certifications.--
                    (A) In general.--Within 90 days of the date that
                the duly elected officers of the Native Hawaiian
                governing entity submit the organic governing documents
                to the Secretary, the Secretary shall certify that the
                organic governing documents--
                            (i) establish the criteria for citizenship
                        in the Native Hawaiian governing entity;
                            (ii) were adopted by a majority vote of the
                        citizens of the Native Hawaiian governing
                        entity;
                            (iii) provide for the exercise of
                        governmental authorities by the Native Hawaiian
                        governing entity;
                            (iv) provide for the Native Hawaiian
                        governing entity to negotiate with Federal,
                        State, and local governments, and other
                        entities;
                            (v) prevent the sale, disposition, lease,
                        or encumbrance of lands, interests in lands, or
                        other assets of the Native Hawaiian governing
                        entity without the consent of the Native
                        Hawaiian governing entity;
                            (vi) provide for the protection of the
                        civil rights of the citizens of the Native
                        Hawaiian governing entity and all persons
                        subject to the authority of the Native Hawaiian
                        governing entity, and ensure that the Native
                        Hawaiian governing entity exercises its
                        authority consistent with the requirements of
                        section 202 of the Act of April 11, 1968 (25
                        U.S.C. 1302); and
                            (vii) are consistent with applicable
                        Federal law and the special trust relationship
                        between the United States and the indigenous
                        native people of the United States.
                    (B) By the secretary.--Within 90 days of the date
                that the duly elected officers of the Native Hawaiian
                governing entity submit the organic governing documents
                to the Secretary, the Secretary shall certify that the
                State of Hawaii supports the recognition of the Native
                Hawaiian governing entity by the United States as
                evidenced by a resolution or act of the Hawaii State
                legislature.
                    (C) Resubmission in case of noncompliance.--
                            (i) Resubmission by the secretary.--If the
                        Secretary determines that the organic governing
                        documents do not address the criteria described
                        in subparagraph (A) or that the organic
                        governing documents, or any part thereof, are
                        not consistent with other applicable Federal
                        law, the Secretary shall resubmit the organic
                        governing documents to the duly elected
                        officers of the Native Hawaiian governing
                        entity along with a justification for each of
                        the Secretary's findings as to why the
                        provisions are not consistent with such law.
                            (ii) Amendment and resubmission by the
                        native hawaiian governing entity.--If the
                        organic governing documents are resubmitted to
                        the duly elected officers of the Native
                        Hawaiian governing entity by the Secretary
                        under clause (i), the duly elected officers of
                        the Native Hawaiian governing entity shall--
                                    (I) amend the organic governing
                                documents to ensure that the documents
                                comply with applicable Federal law and
                                address the criteria described in
                                subparagraph (A); and
                                    (II) resubmit the amended organic
                                governing documents to the Secretary
                                for certification in accordance with
                                the requirements of this paragraph.
                    (D) Certifications deemed made.--The certifications
                authorized in subparagraph (A) shall be deemed to have
                been made if the Secretary has not acted within 90 days
                of the date that the duly elected officers of the
                Native Hawaiian governing entity have submitted the
                organic governing documents of the Native Hawaiian
                governing entity to the Secretary.
            (3) Federal recognition.--Notwithstanding any other
        provision of law, upon the election of the officers of the
        Native Hawaiian governing entity and the certifications by the
        Secretary required under paragraph (2), the United States
        hereby extends Federal recognition to the Native Hawaiian
        governing entity as the representative governing body of the
        Native Hawaiian people.

SEC. 7. AUTHORIZATION OF APPROPRIATIONS.

    There is authorized to be appropriated such sums as may be
necessary to carry out the activities authorized in this Act.

SEC. 8. REAFFIRMATION OF DELEGATION OF FEDERAL
              AUTHORITY; NEGOTIATIONS.

    (a) Reaffirmation.--The delegation by the United States of
authority to the State of Hawaii to address the conditions of the
indigenous, native people of Hawaii contained in the Act entitled ``An
Act to provide for the admission of the State of Hawaii into the
Union'' approved March 18, 1959 (Public Law 86-3; 73 Stat. 5) is hereby
reaffirmed.
    (b) Negotiations.--Upon the Federal recognition of the Native
Hawaiian governing entity by the United States, the United States is
authorized to negotiate and enter into an agreement with the State of
Hawaii and the Native Hawaiian governing entity regarding the transfer
of lands, resources, and assets dedicated to Native Hawaiian use to the
Native Hawaiian governing entity. Nothing in this Act is intended to
serve as a settlement of any claims against the United States.

SEC. 9. APPLICABILITY OF CERTAIN FEDERAL LAWS.

    (a) Indian Gaming Regulatory Act.--Nothing contained in this Act
shall be construed as an authorization for the Native Hawaiian
governing entity to conduct gaming activities under the authority of
the Indian Gaming Regulatory Act (25 U.S.C. 2701 et seq.).
    (b) Bureau of Indian Affairs.--Nothing contained in this Act shall
be construed as an authorization for eligibility to participate in any
programs and services provided by the Bureau of Indian Affairs for any
persons not otherwise eligible for such programs or services.

SEC. 10. SEVERABILITY.

    In the event that any section or provision of this Act is held
invalid, it is the intent of Congress that the remaining sections or
provisions of this Act shall continue in full force and effect.

Output: Establishes the United States Office for Native Hawaiian Relations within the Office of the Secretary of the Interior.(Sec. 5) Establishes the Native Hawaiian Interagency Coordinating Group to: (1) coordinate Federal programs and policies or actions that may significantly or uniquely affect Native Hawaiian resources, rights, or lands; (2) assure that each Federal agency develops a policy on consultation with Native Hawaiians; and (3) assure the participation of such agencies in the development of an annual report to Congress.(Sec. 6) Recognizes the right of the Native Hawaiian people to adopt organic governing documents, to be submitted to the Secretary. Requires the Secretary to certify that: (1) such documents meet specified certifications; and (2) the State of Hawaii supports the recognition of such Native Hawaiian government as evidenced by a resolution or act of the Hawaiian State legislature. Extends Federal recognition to such government as the representative governing body of the Native Hawaiian people upon election of officers and certification by the Secretary.(Sec. 7) Authorizes appropriations.(Sec. 8) Reaffirms the delegation by the United States of authority to the State of Hawaii to address the conditions of the indigenous, native people of Hawaii. Permits the United States, upon Federal recognition of the Native Hawaiian government, to enter into an agreement with the State and such government regarding the transfer of lands, resources, and assets dedicated to Native Hawaiian use.


Input:
SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Organic Farmer and Consumer
Protection Act of 2017''.

SEC. 2. AUTHORIZATION OF APPROPRIATIONS FOR NATIONAL ORGANIC PROGRAM.

    Subsection (b) of section 2123 of the Organic Foods Production Act
of 1990 (7 U.S.C. 6522) is amended to read as follows:
    ``(b) National Organic Program.--Notwithstanding any other
provision of law, in order to carry out activities under the national
organic program established under this title, there are authorized to
be appropriated--
            ``(1) $15,000,000 for fiscal year 2018;
            ``(2) $16,500,000 for fiscal year 2019;
            ``(3) $18,000,000 for fiscal year 2020;
            ``(4) $20,000,000 for fiscal year 2021;
            ``(5) $22,000,000 for fiscal year 2022; and
            ``(6) $24,000,000 for fiscal year 2023.''.

SEC. 3. MODERNIZATION AND IMPROVEMENT OF INTERNATIONAL TRADE TECHNOLOGY
              SYSTEMS AND DATA COLLECTION.

    Section 2123 of the Organic Foods Production Act of 1990 (7 U.S.C.
6522) is amended by adding at the end the following new subsection:
    ``(d) Modernization and Improvement of International Trade
Technology Systems and Data Collection.--
            ``(1) In general.--The Secretary shall modernize
        international trade tracking and data collection systems of the
        national organic program.
            ``(2) Activities.--In carrying out paragraph (1), the
        Secretary shall modernize trade and transaction certificates to
        ensure full traceability without unduly hindering trade, such
        as through an electronic trade document exchange system.
            ``(3) Funding.--Of the funds of the Commodity Credit
        Corporation, the Secretary shall make available $5,000,000 for
        fiscal year 2019 for the purposes of--
                    ``(A) carrying out this subsection; and
                    ``(B) maintaining the database and technology
                upgrades previously carried out pursuant to subsection
                (c).
            ``(4) Availability.--The amount made available under
        paragraph (3) is in addition to any other funds made available
        for the purposes specified in such paragraph and shall remain
        available until expended.''.

SEC. 4. RECORDKEEPING, INVESTIGATION, AND ENFORCEMENT.

    (a) In General.--Section 2120 of the Organic Foods Production Act
of 1990 (7 U.S.C. 6519) is amended by adding at the end the following:
    ``(d) Collaborative Investigations and Enforcement.--
            ``(1) Information sharing during active investigation.--In
        carrying out this title, all parties to an active investigation
        (including certifying agents, State organic certification
        programs, and the national organic program) may share
        confidential business information with Federal and State
        government officers and employees and certifying agents
        involved in the investigation as necessary to fully investigate
        and enforce potential violations of this title and regulations
        issued under this title.
            ``(2) Access to data documentation systems.--The Secretary
        shall have access to available data from cross-border
        documentation systems administered by other Federal agencies,
        including--
                    ``(A) the Automated Commercial Environment system
                of the U.S. Customs and Border Patrol; and
                    ``(B) the Phytosanitary Certificate Issuance and
                Tracking system of the Animal and Plant Health
                Inspection Service.
            ``(3) Additional documentation and verification.--The
        Secretary, acting through the national organic program, has the
        authority, and shall grant an accredited certifying agent the
        authority, to require increased additional documentation or
        verification before granting certification, in the case of a
        known area of risk or when there is a specific area of concern,
        as determined by the Secretary or the certifying agent.''.
    (b) Modification of Regulations on Exclusions From Certification.--
Not later than 1 year after the date of the enactment of this Act, the
Secretary of Agriculture shall issue regulations to limit the type of
operations that are excluded from certification under section 205.101
of title 7, Code of Federal Regulations, and any other corresponding
sections.

SEC. 5. ADDITIONAL ACCREDITATION AUTHORITY.

    Section 2115 of the Organic Foods Production Act of 1990 (7 U.S.C.
6514) is amended--
            (1) by redesignating subsection (c) as subsection (d); and
            (2) by inserting after subsection (b) the following:
    ``(c) Satellite Offices and Overseas Operations.--As part of the
accreditation of certifying agents under this section, the Secretary--
            ``(1) has oversight and approval authority over any
        certifying agent operating in a foreign country; and
            ``(2) shall require an annual authorization for each
        certifying agent that intends to operate in any foreign
        country.''.

SEC. 6. ANNUAL REPORT.

    Section 2122 of the Organic Foods Production Act of 1990 (7 U.S.C.
6521) is amended by adding at the end the following:
    ``(c) Annual Report.--Not later than March 1, 2019, and annually
thereafter, the Secretary shall submit to Congress a report describing
national organic program activities with respect to all domestic and
overseas investigations and compliance actions taken pursuant to this
title during the preceding year.''.

Output: Organic Farmer and Consumer Protection Act of 2017  This bill amends the Organic Foods Production Act of 1990 to reauthorize through FY2023 and modify the Department of Agriculture (USDA) National Organic Program (NOP).   USDA must modernize the international trade tracking and data collection systems of the NOP, which must include ensuring that trade and transaction certificates are fully traceable without unduly hindering trade. The bill authorizes mandatory funding to be used for this purpose and for maintaining previous database and technology upgrades.  The bill modifies requirements for recordkeeping, investigations, and enforcement with respect to the organic certification process to:    allow parties to an active investigation to share confidential business information with government officers or employees and certifying agents involved in the investigation,  require federal agencies that administer cross-border documentation systems to provide USDA with access to the data from the systems,   allow the NOP to grant an accredited certifying agent the authority to require additional documentation or verification before granting certification, and  require USDA to issue regulations limiting the type of operations that are excluded from certification.  With respect to the accreditation process for certifying agents, the bill: (1) authorizes USDA to oversee and approve certifying agents operating in a foreign country, and (2) requires certifying agents that intend to operate in a foreign country to be annually authorized.


Input:
SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Survivor Benefits Improvement Act of
2013''.

SEC. 2. EXTENSION OF INITIAL PERIOD FOR INCREASED DEPENDENCY AND
              INDEMNITY COMPENSATION FOR SURVIVING SPOUSES WITH
              CHILDREN.

    Section 1311(f)(2) of title 38, United States Code, is amended by
striking ``two-year'' and inserting ``five-year''.

SEC. 3. ELIGIBILITY FOR DEPENDENCY AND INDEMNITY COMPENSATION, HEALTH
              CARE, AND HOUSING LOANS FOR SURVIVING SPOUSES WHO REMARRY
              AFTER AGE 55.

    Subparagraph (B) of section 103(d)(2) of title 38, United States
Code, is amended to read as follows:
    ``(B) The remarriage after age 55 of the surviving spouse of a
veteran shall not bar the furnishing of benefits specified in paragraph
(5) to such person as the surviving spouse of the veteran.''.

SEC. 4. BENEFITS FOR CHILDREN OF CERTAIN THAILAND SERVICE VETERANS BORN
              WITH SPINA BIFIDA.

    (a) In General.--Subchapter III of chapter 18 of title 38, United
States Code, is amended by adding at the end the following new section:
``Sec. 1822. Benefits for children of certain Thailand service veterans
              born with spina bifida
    ``(a) Benefits Authorized.--The Secretary may provide to any child
of a veteran of covered service in Thailand who is suffering from spina
bifida the health care, vocational training and rehabilitation, and
monetary allowance required to be paid to a child of a Vietnam veteran
who is suffering from spina bifida under subchapter I of this chapter
as if such child of a veteran of covered service in Thailand were a
child of a Vietnam veteran who is suffering from spina bifida under
such subchapter.
    ``(b) Spina Bifida Conditions Covered.--This section applies with
respect to all forms and manifestations of spina bifida, except spina
bifida occulta.
    ``(c) Veteran of Covered Service in Thailand.--For purposes of this
section, a veteran of covered service in Thailand is any individual,
without regard to the characterization of that individual's service,
who--
            ``(1) served in the active military, naval, or air service
        in Thailand, as determined by the Secretary in consultation
        with the Secretary of Defense, during the period beginning on
        January 9, 1962, and ending on May 7, 1975; and
            ``(2) is determined by the Secretary, in consultation with
        the Secretary of Defense, to have been exposed to a herbicide
        agent during such service in Thailand.
    ``(d) Herbicide Agent.--For purposes of this section, the term
`herbicide agent' means a chemical in a herbicide used in support of
United States and allied military operations in Thailand, as determined
by the Secretary in consultation with the Secretary of Defense, during
the period beginning on January 9, 1962, and ending on May 7, 1975.''.
    (b) Clerical Amendments.--
            (1) Subchapter heading.--The heading for subchapter III of
        chapter 18 of such title is amended by inserting ``AND
        THAILAND'' after ``KOREA''.
            (2) Table of sections.--The table of sections at the
        beginning of chapter 18 of such title is amended--
                    (A) by striking the item relating to subchapter III
                and inserting the following new item:

   ``subchapter iii--children of certain korea and thailand service
                   veterans born with spina bifida'';

        and
                    (B) by inserting after the item relating to section
                1821 the following new item:

``1822. Benefits for children of certain Thailand service veterans born
                            with spina bifida.''.

SEC. 5. PILOT PROGRAM ON GRIEF COUNSELING IN RETREAT SETTINGS FOR
              SURVIVING SPOUSES OF VETERANS WHO DIE WHILE SERVING ON
              ACTIVE DUTY IN THE ARMED FORCES.

    (a) Pilot Program Required.--
            (1) In general.--Commencing not later than 180 days after
        the date of the enactment of this Act, the Secretary of
        Veterans Affairs shall carry out, through the Readjustment
        Counseling Service of the Veterans Health Administration, a
        pilot program to assess the feasibility and advisability of
        providing grief counseling services described in subsection (b)
        in group retreat settings to surviving spouses of veterans who
        die while serving on active duty in the Armed Forces.
            (2) Participation at election of surviving spouse.--The
        participation of a surviving spouse in the pilot program under
        this section shall be at the election of the surviving spouse.
    (b) Covered Services.--The services provided to a surviving spouse
under the pilot program shall include the following:
            (1) Information and counseling on coping with grief.
            (2) Information about benefits and services available to
        surviving spouses under laws administered by the Secretary.
            (3) Such other information and counseling as the Secretary
        considers appropriate to assist a surviving spouse under the
        pilot program with adjusting to the death of a spouse.
    (c) Locations.--The Secretary shall carry out the pilot program at
not fewer than six locations as follows:
            (1) Three locations at which surviving spouses with
        dependent children are encouraged to bring their children.
            (2) Three locations at which surviving spouses with
        dependent children are not encouraged to bring their children.
    (d) Duration.--The pilot program shall be carried out during the
two-year period beginning on the date of the commencement of the pilot
program.
    (e) Reports.--
            (1) In general.--Not later than 180 days after the
        completion of the first year of the pilot program and not later
        than 180 days after the completion of the pilot program, the
        Secretary shall submit to Congress a report on the pilot
        program.
            (2) Contents.--Each report submitted under paragraph (1)
        shall contain the findings and conclusions of the Secretary as
        a result of the pilot program, and shall include such
        recommendations for the continuation or expansion of the pilot
        program as the Secretary considers appropriate.
    (f) Definitions.--In this section, the terms ``active duty'',
``surviving spouse'', and ``veteran'' have the meanings given such
terms in section 101 of title 38, United States Code.

Output: Survivor Benefits Improvement Act of 2013 - Allows dependency and indemnity compensation (DIC) paid through the Department of Veterans Affairs (VA) to the surviving spouses of veterans to be increased for months occurring during the five-year (under current law, two-year) period beginning on the date of entitlement. Provides that the remarriage after age 55 of the surviving spouse of a veteran shall not bar the furnishing of VA DIC, health care, educational assistance, and housing loans. Authorizes the Secretary of Veterans Affairs to provide, to any spina bifida-affected child of a veteran who served on active duty in Thailand beginning on January 9, 1962, and ending on May 7, 1975, and was exposed to a herbicide agent during such service, the same health care, vocational training and rehabilitation, and monetary allowance required to be paid to a similarly-affected child of a Vietnam veteran. Directs the Secretary to carry out a two-year pilot program to assess the feasibility and advisability of providing grief counseling services for the surviving spouses of veterans who die while serving on active duty.


Input:
SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Veterans Tobacco Trust Fund Act of
1998''.

SEC. 2. FINDINGS.

    Congress finds the following:
            (1) A consensus exists within the scientific and medical
        communities that tobacco products are inherently dangerous and
        cause cancer, heart disease, emphysema, and other serious
        illnesses.
            (2) Tobacco advertising and marketing has for decades
        contributed significantly to the use of tobacco products by
        adolescents and young adults, and, particularly, members of the
        Nation's uniformed services.
            (3) Reliable studies indicate that 75 percent of World War
        II veterans began smoking as young adults, and today large
        numbers of veterans are smokers.
            (4) Smoking related illnesses are highly prevalent among
        the more than 3,000,000 veterans who use the Department of
        Veterans Affairs health care system annually.
            (5) The Department of Veterans Affairs estimates that it
        spent $3,600,000,000 in 1997 to treat smoking-related illnesses
        and that over the next five years it will spend $20,000,000,000
        on such care.
            (6) Congress established the Department of Veterans Affairs
        in furtherance of its constitutional power to provide for the
        national defense in order to provide benefits and services to
        veterans of the uniformed services.
            (7) There is in the Department of Veterans Affairs a health
        care system which has as its primary function to provide a
        complete medical and hospital service for the medical care and
        treatment of such veterans as can be served through available
        appropriations.
            (8) The sale, distribution, marketing, advertising, and use
        of tobacco products has substantially and adversely impaired
        the ability of the Department of Veterans Affairs to carry out
        its health care mission because of the prevalence of smoking-
        related illnesses among veterans.
            (9) The Federal Government, including the Department of
        Veterans Affairs, has lacked the means to prevent the onset of
        smoking-related illnesses among veterans and has had no
        authority to deny needed treatment to any veteran on the basis
        that an illness is or might be smoking-related.
            (10) With some 20 percent of its health care budget
        absorbed in treating smoking-related illnesses, the Department
        of Veterans Affairs health care system has lacked resources to
        provide needed nursing home care, home care, community-based
        ambulatory care, and other services to tens of thousands of
        other veterans.
            (11) The network of academically affiliated medical centers
        of the Department of Veterans Affairs provides a unique system
        within which outstanding medical research is conducted and
        which has the potential to expand significantly ongoing
        research on tobacco-related illnesses.
            (12) It is in the public interest for Congress to enact
        legislation requiring that a portion of any amounts received
        from manufacturers of tobacco products be used to meet the
        costs of (A) treatment for diseases and adverse health effects
        associated with the use of tobacco products by those who served
        their country in uniform, and (B) medical and health services
        research relating to prevention and treatment of, and
        rehabilitation from, tobacco addiction and diseases associated
        with tobacco use.

SEC. 3. ESTABLISHMENT OF TRUST FUND.

    (a) In General.--Chapter 17 of title 38, United States Code, is
amended by inserting after section 1729A the following new section:
``Sec. 1729B. Veterans Tobacco Trust Fund
    ``(a) There is established in the Treasury of the United States a
trust fund to be known as the `Veterans Tobacco Trust Fund', consisting
of such amounts as may be appropriated, credited, or donated to the
trust fund.
    ``(b) If a law is enacted that provides for the allocation of funds
received from tobacco product manufacturers for programs to reduce use
of tobacco products by minors and for health-care research, among other
purposes, there shall be credited to the trust fund from amounts
received by the United States pursuant to that law, without further
appropriation, the amount of $3,000,000,000.
    ``(c) Amounts in the trust fund shall be available, without fiscal
year limitation, to the Secretary of Veterans Affairs for the following
purposes:
            ``(1) Furnishing medical care and services under this
        chapter, to be available during any fiscal year for the same
        purposes and subject to the same limitations (other than with
        respect to the period of availability for obligation) as apply
        to amounts appropriated from the general fund of the Treasury
        for that fiscal year for medical care.
            ``(2) Conducting medical research, rehabilitation research,
        and health systems research, with particular emphasis on
        research relating to prevention and treatment of, and
        rehabilitation from, tobacco addiction and diseases associated
        with tobacco use.''.
    (b) Clerical Amendment.-- The table of sections at the beginning of
such chapter is amended by inserting after the item relating to section
1729A the following new item:

``Sec. 1729B. Veterans Tobacco Trust Fund.''.

Output:
Veterans Tobacco Trust Fund Act of 1998 - Establishes in the Treasury the Veterans Tobacco Trust Fund.  Provides that if a law is enacted that provides for the allocation of funds received from tobacco product manufacturers for programs to reduce the use of tobacco products by minors and for health-care research, then there shall be credited to the Fund, without further appropriation, the amount of $3 billion.
Makes such amount available to the Secretary of Veterans Affairs for:  (1) furnishing veterans' medical care and services; and (2) conducting medical, rehabilitation, and health systems research, with particular emphasis on research relating to the prevention and treatment of, and rehabilitation from, tobacco addiction and diseases associated with tobacco use.


Input:
SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Medicaid Directory of Caregivers
Act'' or the ``Medicaid DOC Act''.

SEC. 2. REQUIRING PUBLICATION OF FEE-FOR-SERVICE PROVIDER DIRECTORY.

    (a) In General.--Section 1902(a) of the Social Security Act (42
U.S.C. 1396a(a)) is amended by inserting after paragraph (77) the
following new paragraph:
            ``(78) provide that, not later than 180 days after the date
        of the enactment of this paragraph, in the case of a State plan
        that provides medical assistance on a fee-for-service basis or
        through a primary care case-management system described in
        section 1915(b)(1) (other than a primary care case management
        entity (as defined by the Secretary)), the State shall publish
        (and update on at least an annual basis) on the public Website
        of the State agency administering the State plan, a directory
        of the providers (including, at a minimum, primary and
        specialty care physicians) described in subsection (ll) that
        includes--
                    ``(A) with respect to each such provider--
                            ``(i) the name of the provider;
                            ``(ii) the specialty of the provider;
                            ``(iii) the address of the provider; and
                            ``(iv) the telephone number of the
                        provider; and
                    ``(B) with respect to any such provider
                participating in such a primary care case-management
                system, information regarding--
                            ``(i) whether the provider is accepting as
                        new patients individuals who receive medical
                        assistance under this title; and
                            ``(ii) the provider's cultural and
                        linguistic capabilities, including the
                        languages spoken by the provider or by the
                        skilled medical interpreter providing
                        interpretation services at the provider's
                        office;''.
    (b) Directory Providers Described.--Section 1902 of the Social
Security Act (42 U.S.C. 1396a) is amended by adding at the end the
following new subsection:
    ``(ll) Directory Providers Described.--A provider described in this
subsection is--
            ``(1) in the case of a provider of a provider type for
        which the State agency, as a condition on receiving payment for
        items and services furnished by the provider to individuals
        eligible to receive medical assistance under the State plan,
        requires the enrollment of the provider with the State agency,
        a provider that--
                    ``(A) is enrolled with the agency as of the date on
                which the directory is published or updated (as
                applicable) under subsection (a)(78); and
                    ``(B) received payment under the State plan in the
                12-month period preceding such date; and
            ``(2) in the case of a provider of a provider type for
        which the State agency does not require such enrollment, a
        provider that received payment under the State plan in the 12-
        month period preceding the date on which the directory is
        published or updated (as applicable) under subsection
        (a)(78).''.
    (c) Rule of Construction.--
            (1) In general.--The amendment made by subsection (a) shall
        not be construed to apply in the case of a State in which all
        the individuals enrolled in the State plan under title XIX of
        the Social Security Act (or under a waiver of such plan), other
        than individuals described in paragraph (2), are enrolled with
        a medicaid managed care organization (as defined in section
        1903(m)(1)(A) of such Act (42 U.S.C. 1396b(m)(1)(A))),
        including prepaid inpatient health plans and prepaid ambulatory
        health plans (as defined by the Secretary of Health and Human
        Services).
            (2) Individuals described.--An individual described in this
        paragraph is an individual who is an Indian (as defined in
        section 4 of the Indian Health Care Improvement Act (25 U.S.C.
        1603)) or an Alaska Native.
    (d) Exception for State Legislation.--In the case of a State plan
under title XIX of the Social Security Act (42 U.S.C. 1396 et seq.),
which the Secretary determines requires State legislation in order for
the respective plan to meet one or more additional requirements imposed
by amendments made by this section, the respective plan shall not be
regarded as failing to comply with the requirements of such title
solely on the basis of its failure to meet such an additional
requirement before the first day of the first calendar quarter
beginning after the close of the first regular session of the State
legislature that begins after the date of enactment of this section.
For purposes of the previous sentence, in the case of a State that has
a 2-year legislative session, each year of the session shall be
considered to be a separate regular session of the State legislature.

Output: Medicaid Directory of Caregivers Act or the Medicaid DOC Act This bill amends title XIX (Medicaid) of the Social Security Act to require a state to publish and annually update a directory of providers that participate in the state plan for medical assistance on a fee-for-service basis or through a primary care case-management system. The directory must include each provider's name, specialty, address, and telephone number. In addition, with respect to a provider that participates in a primary care case-management system, the directory must specify: (1) the provider's language capabilities, and (2) whether the provider is accepting new Medicaid patients.


Input:
SECTION 1. SHORT TITLE.

    This Act may be cited as the ``United States Specialty Crop Export
Opportunities Act of 2007''.

SEC. 2. REGULATION OF EXPORTS OF PLANTS, PLANT PRODUCTS, BIOLOGICAL
              CONTROL ORGANISMS, AND NOXIOUS WEEDS.

    (a) In General.--Subtitle A of title IV of the Agricultural Risk
Protection Act of 2000 (7 U.S.C. 7701 et seq.) is amended by adding at
the end the following new section:

``SEC. 420. REGULATION OF EXPORTS OF PLANTS, PLANT PRODUCTS, BIOLOGICAL
              CONTROL ORGANISMS, AND NOXIOUS WEEDS.

    ``(a) In General.--The Secretary may regulate plants, plant
products, biological control organisms, and noxious weeds for export
purposes.
    ``(b) Duties.--The Secretary shall--
            ``(1) coordinate fruit and vegetable market analyses with
        the private sector and the Administrator of the Foreign
        Agricultural Service; and
            ``(2) make publicly available on an Internet website--
                    ``(A) the status of all export petitions;
                    ``(B) to the greatest extent possible, an
                explanation of the sanitary or phytosanitary issues
                associated with each pending export petition; and
                    ``(C) to the greatest extent possible, information
                on the import requirements of foreign countries for
                fruits and vegetables.
    ``(c) Regulations.--The Secretary may issue regulations to
implement this section.''.
    (b) Table of Contents.--The table of contents in section 1(b) of
such Act (7 U.S.C. 1501 note) is amended by inserting after the item
relating to section 419 the following new item:

``Sec. 420. Regulation of exports of plants, plant products, biological
                            control organisms, and noxious weeds.''.

SEC. 3. RESTORATION OF IMPORT AND ENTRY AGRICULTURAL INSPECTION
              FUNCTIONS TO THE DEPARTMENT OF AGRICULTURE.

    (a) Repeal of Transfer of Functions.--Section 421 of the Homeland
Security Act of 2002 (6 U.S.C. 231) is repealed.
    (b) Conforming Amendment to Function of Secretary of Homeland
Security.--Section 402 of the Homeland Security Act of 2002 (6 U.S.C.
202) is amended--
            (1) by striking paragraph (7); and
            (2) by redesignating paragraph (8) as paragraph (7).
    (c) Transfer Agreement.--
            (1) In general.--Not later than the effective date
        described in subsection (g), the Secretary of Agriculture and
        the Secretary of Homeland Security shall enter into an
        agreement to effectuate the return of functions required by the
        amendments made by this section.
            (2) Use of certain employees.--The agreement may include
        authority for the Secretary of Agriculture to use employees of
        the Department of Homeland Security to carry out authorities
        delegated to the Animal and Plant Health Inspection Service
        regarding the protection of domestic livestock and plants.
    (d) Restoration of Department of Agriculture Employees.--Not later
than the effective date described in subsection (e), all full-time
equivalent positions of the Department of Agriculture transferred to
the Department of Homeland Security under section 421(g) of the
Homeland Security Act of 2002 (6 U.S.C. 231(g)) (as in effect on the
day before the effective date described in subsection (g)) shall be
restored to the Department of Agriculture.
    (e) Authority of APHIS.--
            (1) Establishment of program.--The Secretary of Agriculture
        shall establish within the Animal and Plant Health Inspection
        Service a program, to be known as the ``International
        Agricultural Inspection Program'', under which the
        Administrator of the Animal and Plant Health Inspection Service
        (referred to in this subsection as the ``Administrator'') shall
        carry out import and entry agricultural inspections.
            (2) Information gathering and inspections.--In carrying out
        the program under paragraph (1), the Administrator shall have
        full access to--
                    (A) each secure area of any terminal for screening
                passengers or cargo under the control of the Department
                of Homeland Security on the day before the date of
                enactment of this Act for purposes of carrying out
                inspections and gathering information; and
                    (B) each database (including any database relating
                to cargo manifests or employee and business records)
                under the control of the Department of Homeland
                Security on the day before the date of enactment of
                this Act for purposes of gathering information.
            (3) Inspection alerts.--The Administrator may issue
        inspection alerts, including by indicating cargo to be held for
        immediate inspection.
            (4) Inspection user fees.--The Administrator may, as
        applicable--
                    (A) continue to collect any agricultural quarantine
                inspection user fee; and
                    (B) administer any reserve account for the fees.
            (5) Career track program.--
                    (A) In general.--The Administrator shall establish
                a program, to be known as the ``import and entry
                agriculture inspector career track program'', to
                support the development of long-term career
                professionals with expertise in import and entry
                agriculture inspection.
                    (B) Strategic plan and training.--In carrying out
                the program under this paragraph, the Administrator, in
                coordination with the Secretary of Agriculture, shall--
                            (i) develop a strategic plan to incorporate
                        import and entry agricultural inspectors into
                        the infrastructure protecting food, fiber,
                        forests, bioenergy, and the environment of the
                        United States from animal and plant pests,
                        diseases, and noxious weeds; and
                            (ii) as part of the plan under clause (i),
                        provide training for import and entry
                        agricultural inspectors participating in the
                        program not less frequently than once each year
                        to improve inspection skills.
    (f) Duties of Secretary.--
            (1) In general.--The Secretary of Agriculture (referred to
        in this subsection as the ``Secretary'') shall--
                    (A) develop standard operating procedures for
                inspection, monitoring, and auditing relating to import
                and entry agricultural inspections, in accordance with
                recommendations from the Comptroller General of the
                United States and reports of interagency advisory
                groups, as applicable; and
                    (B) ensure that the Animal and Plant Health
                Inspection Service has a national electronic system
                with real-time tracking capability for monitoring,
                tracking, and reporting inspection activities of the
                Service.
            (2) Federal and state cooperation.--
                    (A) Communication system.--The Secretary shall
                develop and maintain an integrated, real-time
                communication system with respect to import and entry
                agricultural inspections to alert State departments of
                agriculture of significant inspection findings of the
                Animal and Plant Health Inspection Service.
                    (B) Advisory committee.--
                            (i) Establishment.--The Secretary shall
                        establish a committee, to be known as the
                        ``International Trade Inspection Advisory
                        Committee'' (referred to in this subparagraph
                        as the ``committee''), to advise the Secretary
                        on policies and other issues relating to import
                        and entry agricultural inspection.
                            (ii) Model.--In establishing the committee,
                        the Secretary shall use as a model the
                        Agricultural Trade Advisory Committee.
                            (iii) Membership.--The committee shall be
                        composed of members representing--
                                    (I) State departments of
                                agriculture;
                                    (II) directors of ports and
                                airports in the United States;
                                    (III) the transportation industry;
                                    (IV) the public; and
                                    (V) such other entities as the
                                Secretary determines to be appropriate.
            (3) Report.--Not less frequently than once each year, the
        Secretary shall submit to Congress a report containing an
        assessment of--
                    (A) the resource needs for import and entry
                agricultural inspection, including the number of
                inspectors required;
                    (B) the adequacy of--
                            (i) inspection and monitoring procedures
                        and facilities in the United States; and
                            (ii) the strategic plan developed under
                        subsection (e)(5)(B)(i); and
                    (C) new and potential technologies and practices,
                including recommendations regarding the technologies
                and practices, to improve import and entry agricultural
                inspection.
            (4) Funding.--The Secretary shall pay the costs of each
        import and entry agricultural inspector employed by the Animal
        and Plant Health Inspection Service--
                    (A) from amounts made available to the Department
                of Agriculture for the applicable fiscal year; or
                    (B) if amounts described in subparagraph (A) are
                unavailable, from amounts of the Commodity Credit
                Corporation.
    (g) Effective Date.--The amendments made by this section take
effect on the date that is 180 days after the date of enactment of this
Act.

SEC. 4. REPORTS OF TRADE ADVISORY COMMITTEES.

    Whenever the Agricultural Policy Committee on Trade or the
Agricultural Technical Advisory Committee on Trade in Fruits and
Vegetables, established under section 135 of the Trade Act of 1974,
provides any recommendations to the United States Trade Representative,
that committee shall at the same time provide those recommendations to
the Committee on Agriculture and the Committee on Ways and Means of the
House of Representatives and to the Committee on Agriculture and the
Committee on Finance of the Senate.

SEC. 5. REPORT ON FOREIGN AGRICULTURAL SERVICE STAFFING LEVELS FOR
              MONITORING OTHER COUNTRIES' COMPLIANCE WITH TRADE
              AGREEMENTS.

    Not later than 60 days after the date of the enactment of this Act,
the Secretary of Agriculture shall submit to Congress a report--
            (1) evaluating the ability of the Foreign Agricultural
        Service to adequately monitor other countries' compliance with
        the terms of the Uruguay Round Agreements and the terms of
        other agreements (including NAFTA and other bilateral
        agreements) to ensure that the United States realizes the full
        benefits of these agreements as they relate to agricultural
        commodities; and
            (2) containing the recommending of the Secretary regarding
        whether current vacancies in the monitoring office of the
        Foreign Agricultural Service should be filled.

SEC. 6. FEASIBILITY REPORT REGARDING EXPORT INDEMNIFICATION FOR
              UNSUBSIDIZED COMMODITIES.

    Not later than January 1, 2008, the Secretary of Agriculture shall
submit to Congress a report evaluating the feasibility and cost of
establishing an indemnity program for exporters of articles classified
under chapters 7 and 8 of the Harmonized Tariff Schedule of the United
States that will provide compensation to those exporters when they
comply fully with United States export and foreign country import
requirements for the articles, but the articles are wrongfully denied
entry into the foreign country.

SEC. 7. TREATMENT OF UNSUBSIDIZED COMMODITIES UNDER AGREEMENT ON
              AGRICULTURE.

    The United States Trade Representative shall propose in the Doha
Round of negotiations conducted under the auspices of the World Trade
Organization that all articles classified under chapters 7 and 8 of the
Harmonized Tariff Schedule of the United States be excluded from
coverage under article 13 of the Agreement on Agriculture referred to
in section 101(d)(2) of the Uruguay Round Agreements Act (19 U.S.C.
3511(d)(2)).

SEC. 8. SPECIAL EXPORT CREDIT GUARANTEE PROGRAM.

    The Secretary of Agriculture shall establish and maintain a program
of export credits that is, as nearly as may be, identical to the
program administered under sections 1493.400 through 1493.530 of title
7, Code of Federal Regulations, except that--
            (1) either an exporter to, or an importer in, a foreign
        place shall be eligible for a credit guarantee;
            (2) the guarantee shall be for a period of 45 days
        beginning on the date of issuance of the guarantee; and
            (3) the cost of the guarantee shall not exceed 45 cents for
        each $100 of coverage purchased.

SEC. 9. AUTHORIZATION LEVELS FOR EMERGING MARKET CREDIT PROGRAM.

    Section 1542 of the Food, Agriculture, Conservation, and Trade Act
of 1990 (7 U.S.C. 5622 note) is amended--
            (1) in subsections (a) and (d)(1)(A)(i) by striking
        ``2007'' and inserting ``2013''; and
            (2) in subsections (a) and (d) (1)(H) by striking
        $10,000,000'' and inserting ``$20,000,000''.

SEC. 10. DEFINITIONS.

    In this Act:
            (1) NAFTA.--The term ``NAFTA'' means the North American
        Free Trade Agreement.
            (2) Uruguay round agreements.--The term ``Uruguay Round
        Agreements'' means the agreements referred to in section 101(d)
        of the Uruguay Round Agreements Act (19 U.S.C. 3511(d)).

Output:
United States Specialty Crop Export Opportunities Act of 2007 - Amends the Agricultural Risk Protection Act of 2000 to authorize the Secretary of Agriculture to regulate plants, plant products, biological control organisms, and noxious weeds for export purposes.

Directs the Secretary to: (1) coordinate fruit and vegetable market analyses with the private sector and the Administrator of the Foreign Agricultural Service; and (2) make publicly available on an Internet website the status of all export petitions and an explanation of the sanitary or phytosanitary issues associated with each pending export petition, and information on the import requirements of foreign countries for fruits and vegetables.

Amends the Homeland Security Act to repeal the transfer of agricultural import and entry inspection functions from the Department of Agriculture to the Department of Homeland Security (DHS).

Directs the Secretary to establish: (1) within the Animal and Plant Health Inspection Service the international agricultural inspection program to carry out import and entry agricultural inspections; (2) a federal-state agricultural inspection communications system; (3) the International Trade Inspection Advisory Committee; and (4) a special export credit guarantee program.

Amends the Food, Agriculture, Conservation, and Trade Act of 1990 to extend: (1) the promotion of agricultural exports to emerging markets program; and (2) the E. (Kika) de la Garza Agricultural Fellowship program.


Input:
SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Quality of Life for Women Act''.

SEC. 2. FINDINGS.

    The Congress finds as follows:
            (1) Women's pelvic floor disorders are a group of common
        conditions that cause considerable disability and pain.
            (2) Such disorders include bladder and bowel dysfunction,
        including incontinence. Another such disorder is pelvic organ
        prolapse, which involves a downward shift of uterine or vaginal
        structures from their normal positions. Often these conditions
        coexist.
            (3) Women's pelvic floor disorders are extremely common and
        are barriers to healthy living.
            (4) Women often suffer from a broad overlap of all pelvic
        floor disorders, usually experiencing several disorders
        simultaneously.
            (5) Thirty percent of American women will suffer from a
        form of urinary incontinence.
            (6) Eleven percent of women in the United States have
        surgery for urinary incontinence or pelvic organ prolapse
        during their lifetime, and close to one third will have a
        second surgery. Many more women are treated with nonsurgical
        techniques or remain untreated.
            (7) Of the 3 million vaginal deliveries that occur each
        year in the United States, 900,000 women will develop
        symptomatic urinary incontinence and a smaller number will
        develop pelvic organ prolapse and bowel incontinence.
            (8) An estimated $26.3 billion is spent annually to either
        treat or compensate for urinary incontinence.
            (9) Many health care providers are not prepared to evaluate
        urinary pelvic floor disorders, including incontinence, and are
        unaware of treatment options.
            (10) To address the public health threat posed by women's
        pelvic floor disorders, there is a need for the establishment
        of awareness and education programs directed at the public and
        primary-care providers, including the authorization of research
        focused on urinary incontinence and other pelvic floor
        disorders. Such programs will greatly help promote better care
        and treatment to those women afflicted with these disorders.

SEC. 3. EDUCATION REGARDING WOMEN'S PELVIC FLOOR DISORDERS.

    (a) In General.--Part P of title III of the Public Health Service
Act (42 U.S.C. 280g et seq.) is amended by adding at the end the
following section:

``SEC. 399O. EDUCATION REGARDING WOMEN'S PELVIC FLOOR DISORDERS.

    ``(a) In General.--The Secretary, acting through the Administrator
of the Health Resources and Services Administration and the Director of
the Centers for Disease Control and Prevention, shall carry out a
program to provide education regarding bladder and bowel dysfunction
(including incontinence), pelvic organ prolapse, and other pelvic floor
disorders to health professionals and the general public. Activities
under such program shall be carried out directly by the Secretary and
through awards of grants or contracts to States, political subdivisions
of States, and other public or nonprofit private entities.
    ``(b) Certain Information.--The Secretary shall ensure that
education under subsection (a) includes, at a minimum--
            ``(1) information describing the prevalence of pelvic floor
        disorders in women; and
            ``(2) information regarding treatment options for such
        disorders.
    ``(c) Use of Internet.--The Secretary shall ensure that the means
through which education under subsection (a) is provided includes the
posting of information on the Internet site of the Centers for Disease
Control and Prevention. The Secretary shall ensure that, in the case of
health professionals, such means includes means in addition to the
posting of information on such site.
    ``(d) Authorization of Appropriations.--For the purpose of carrying
out this section, there are authorized to be appropriated such sums as
may be necessary for each of the fiscal years 2006 through 2010.''.
    (b) Sense of Congress.--It is the sense of the Congress that the
Director of the Centers for Disease Control and Prevention should
establish a national registry for surgical treatment of pelvic floor
disorders, especially procedures using new technology.

SEC. 4. RESEARCH THROUGH NATIONAL INSTITUTES OF HEALTH.

    (a) In General.--Part B of title IV of the Public Health Service
Act (42 U.S.C. 284 et seq.) is amended by adding at the end the
following:

``SEC. 409J. WOMEN'S PELVIC FLOOR DISORDERS.

    ``(a) In General.--The Directors of the National Institute of
Diabetes and Digestive and Kidney Diseases and the National Institute
of Child Health and Human Development shall expand and intensify the
activities of such Institutes with respect to women's pelvic floor
disorders, including proposals for research on such disorders that are
developed independently of solicitations by the National Institutes of
Health for research proposals.
    ``(b) Networks.--
            ``(1) Urinary incontinence treatment network.--The Director
        of the National Institute of Diabetes and Digestive and Kidney
        Diseases, in consultation with the Director of the National
        Institute of Child Health and Human Development, shall provide
        for the continuing operation of the Urinary Incontinence
        Treatment Network. The Network was established pursuant to
        financial awards from such Institutes, and includes multiple
        continence treatment centers and a single biostatistical
        coordinating committee. The Director shall ensure that not
        fewer than eight such treatment centers are in operation and
        may provide for the establishment of additional treatment
        centers, subject to appropriations Acts.
            ``(2) Clinical trials network for female pelvic
        disorders.--The Director of the National Institute of Child
        Health and Human Development, in consultation with the Director
        of the National Institute of Diabetes and Digestive and Kidney
        Diseases, shall provide for the continuing operation of the
        Clinical Trials Network for Female Pelvic Disorders. The
        Network was established pursuant to financial awards from such
        Institutes, and includes multiple clinical sites and a single
        data coordinating committee. The Director shall ensure that not
        fewer than seven such clinical sites are in operation and may
        provide for the establishment of additional clinical sites,
        subject to appropriations Acts.
    ``(c) Peer Review.--With respect to technical and scientific peer
review under section 492, the Director of NIH shall ensure that groups
that review research proposals under this section include
urogynecologists and other pelvic floor specialists.''.
    (b) Sense of Congress.--
            (1) In general.--The Congress commends--
                    (A) the National Institute of Diabetes and
                Digestive and Kidney Diseases for its financial support
                of the Urinary Incontinence Treatment Network;
                    (B) the National Institute of Child Health and
                Human Development for its financial support of the
                Clinical Trials Network for Female Pelvic Disorders;
                    (C) the successful collaboration of such Institutes
                with respect to the Networks; and
                    (D) each of such Networks for the research it is
                conducting toward improving women's pelvic health.
            (2) Certain activities.--It is the sense of the Congress
        that the Directors of the National Institute of Diabetes and
        Digestive and Kidney Diseases and the National Institute of
        Child Health and Human Development should--
                    (A) increase the size, scope, number, and funding
                for multidisciplinary research through centers and
                clinical sites of the Networks referred to in paragraph
                (1);
                    (B) encourage industry relationships in women's
                pelvic floor health related research;
                    (C) recruit established scientists from other
                relevant areas (such as cardiac or gastrointestinal
                physiology, cell signaling, biomechanical engineering,
                genomics, and proteomics) to apply their work to the
                urinary tract and incontinence by encouraging
                collaborative efforts between basic and clinical
                scientists;
                    (D) increase research funding for studies that use
                cellular and molecular techniques to examine the basic
                mechanisms of bladder and urethral interactions that
                create urinary continence and incontinence;
                    (E) support research to develop appropriate animal
                models of urinary incontinence;
                    (F) develop novel techniques (both invasive and
                noninvasive) for measuring neural, muscular (striated
                and smooth), and vascular function relating to pelvic
                floor health;
                    (G) identify risk factors for pelvic floor
                disorders and urinary incontinence related to
                childbirth and aging so that prevention measures and
                improved disease-specific treatment can be developed;
                    (H) initiate research to develop preventive and
                therapeutic approaches to urinary incontinence that are
                sensitive to gender, race, and culture, and develop the
                means of measuring outcomes for treatments in these
                varied settings;
                    (I) develop a national data registry and tissue
                bank of people suffering from incontinence to meet the
                needs of researchers for well-characterized tissue
                samples; and
                    (J) research the relationship between the anatomic
                changes of pelvic organ prolapse and the functional
                derangement's commonly seen in association with them,
                including voiding dysfunction and incontinence.

SEC. 5. INCLUSION OF WOMEN'S PELVIC FLOOR HEALTH IN NATIONAL CHILDREN'S
              STUDY.

    The Director of the National Institute of Child Health and Human
Development shall include women's pelvic floor health as one of the
matters studied in the prospective cohort study regarding child health
and human development that is being conducted under section 1004(b) of
the Children's Health Act of 2000 (Public Law 106-310; 114 Stat. 1130)
and is known as the National Children's Study.

SEC. 6. CONSULTATION.

    In carrying out this Act, the Secretary of Health and Human
Services shall consult with the American Urogynecologic Society and
such other qualified professional and patient organizations as the
Secretary determines to be appropriate.

Output:
Quality of Life for Women Act - Amends the Public Health Service Act to require the Secretary of Health and Human Services, acting through the Administrator of the Health Resources and Services Administration (HRSA) and the Director of the Centers for Disease Control and Prevention (CDC), to educate health professionals and the public on bladder and bowel dysfunction (including incontinence), pelvic organ prolapse, and other pelvic floor disorders.

Expresses the sense of Congress that the Director should establish a national registry for surgical treatment of such disorders.

Requires the Directors of the National Institute of Diabetes and Digestive and Kidney Diseases and the National Institute of Child Health and Human Development to: (1) expand and intensify the activities of such Institutes with respect to women's pelvic floor disorders, including developing proposals for research on such disorders; and (2) provide for the continuing operation of the Urinary Incontinence Treatment Network and the Clinical Trials Network for Female Pelvic Disorders. Commends such Institutes for their support of such Networks and such Networks for their research toward improving women's pelvic health.

Expresses the sense of Congress as to efforts that such Institutes should undertake, including increasing their research, recruiting established scientists, and developing a national data registry and tissue bank of people suffering from incontinence.


Input:
SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Fluke Fairness Act of 2013''.

SEC. 2. FINDINGS.

    Congress finds the following:
            (1) Summer flounder is an important economic fish stock for
        commercial and recreational fishermen across the Northeast and
        Mid-Atlantic United States.
            (2) The Magnuson-Stevens Fishery Conservation and
        Management Act (16 U.S.C. 1801 et seq.) was reauthorized in
        2006 and instituted annual catch limits and accountability
        measures for important fish stocks.
            (3) That reauthorization prompted fishery managers to look
        at alternate management schemes to rebuild depleted stocks like
        summer flounder.
            (4) Summer flounder occur in both State and Federal waters
        and are managed through a joint fishery management plan between
        the Council and the Commission.
            (5) The Council and the Commission decided that each
        State's recreational and commercial harvest limits for summer
        flounder would be based upon landings in previous years.
            (6) These historical landings were based on flawed data
        sets that no longer provide fairness or flexibility for
        fisheries managers to allocate resources based on the best
        science.
            (7) This allocation mechanism resulted in an uneven split
        among the States along the East Coast which is problematic.
            (8) The Fishery Management Plan for summer flounder does
        not account for regional changes in the location of the fluke
        stock even though the stock has moved further to the north and
        changes in effort by anglers along the East Coast.
            (9) The States have been locked in a management system
        based on data that occurred over a decade ago and the summer
        flounder stock is not being managed using the best available
        science and modern fishery management techniques.
            (10) It is in the interest of the Federal Government to
        establish a new fishery management plan for summer flounder
        that is based on current geographic, scientific, and economic
        realities.

SEC. 3. DEFINITIONS.

    In this Act:
            (1) Commission.--The term ``Commission'' means the Atlantic
        States Marine Fisheries Commission.
            (2) Council.--The term ``Council'' means the Mid-Atlantic
        Fishery Management Council established under section 302(a) of
        the Magnuson-Stevens Fishery Conservation and Management Act
        (16 U.S.C. 1852(a)).
            (3) National standards.--The term ``National Standards''
        means the national standards for fishery conservation and
        management set out in section 301(a) of the Magnuson-Stevens
        Fishery Conservation and Management Act (16 U.S.C. 1851(a)).
            (4) Secretary.--The term ``Secretary'' means the Secretary
        of Commerce.
            (5) Summer flounder.--The term ``summer flounder'' means
        the species Paralichthys dentatus.

SEC. 4. SUMMER FLOUNDER MANAGEMENT REFORM.

    (a) Fishery Management Plan Modification.--Not later than 1 year
after the date of the enactment of this Act, the Council shall submit
to the Secretary, and the Secretary may approve, a modified fishery
management plan for the commercial and recreational management of
summer flounder under title III of the Magnuson-Stevens Fishery
Conservation and Management Act (16 U.S.C. 1851 et seq.) or an
amendment to such plan that--
            (1) shall be based on the best scientific information
        available;
            (2) reflects changes in the distribution, abundance, and
        location of summer flounder in establishing distribution of the
        commercial and recreational catch quotas;
            (3) considers regional, coastwide, or other management
        measures for summer flounder that comply with the National
        Standards; and
            (4) prohibits the allocation of commercial or recreational
        catch quotas for summer flounder on a State-by-State basis
        using historical landings data that does not reflect the status
        of the summer flounder stock, based on the most recent
        scientific information.
    (b) Consultation With the Commission.--In preparing the modified
fishery management plan or an amendment to such a plan as described in
subsection (a), the Council shall consult with the Commission to ensure
consistent management throughout the range of the summer flounder.
    (c) Failure To Submit Plan.--If the Council fails to submit a
modified fishery management plan or an amendment to such a plan as
described in subsection (a) that may be approved by the Secretary, the
Secretary shall prepare and approve such a modified plan or amendment.

SEC. 5. REPORT.

    Not later than 1 year after the date of the approval under section
4 of a modified fishery management plan for the commercial and
recreational management of summer flounder or an amendment to such
plan, the Comptroller General of the United States shall submit to
Congress a report on the implementation of such modified plan or
amendment that includes an assessment of whether such implementation
complies with the National Standards.

Output: Fluke Fairness Act of 2013 - Directs the Mid-Atlantic Fishery Management Council to submit for approval by the Secretary of Commerce a modified fishery management plan for the commercial and recreational management of summer flounder, or an amendment to such plan, that: (1) is based on the best scientific information available; (2) reflects changes in the distribution, abundance, and location of summer flounder in establishing distribution of the commercial and recreational catch quotas; (3) considers regional, coastwide, or other management measures that comply with national standards under the Magnuson-Stevens Fishery Conservation and Management Act; and (4) prohibits the allocation of catch quotas on a state-by-state basis using historical landings data that does not reflect the status of the summer flounder stock, based on the most recent scientific information.  Requires the Council, in preparing such modifications or amendments, to consult with the Atlantic States Marine Fisheries Commission. Directs the Secretary to prepare and approve a plan if the Council fails to submit such modifications or amendments. Requires a Comptroller General (GAO) report that assesses whether the subsequent implementation of the approved plan complies with national standards.