Input:
SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Achieving a Better Life Experience
Act of 2011'' or the ``ABLE Act of 2011''.

SEC. 2. PURPOSES.

    The purposes of this Act are as follows:
            (1) To encourage and assist individuals and families in
        saving private funds for the purpose of supporting individuals
        with disabilities to maintain health, independence, and quality
        of life.
            (2) To provide secure funding for disability-related
        expenses on behalf of designated beneficiaries with
        disabilities that will supplement, but not supplant, benefits
        provided through private insurance, the Medicaid program under
        title XIX of the Social Security Act, the supplemental security
        income program under title XVI of such Act, the beneficiary's
        employment, and other sources.

SEC. 3. ABLE ACCOUNTS.

    (a) Establishment.--
            (1) In general.--Section 529 of the Internal Revenue Code
        of 1986 is amended by redesignating subsection (f) as
        subsection (g) and by inserting after subsection (e) the
        following new subsection:
    ``(f) ABLE Accounts.--
            ``(1) General rules.--For purposes of any other provision
        of law with respect to a qualified ABLE program and an ABLE
        account, except as otherwise provided in this subsection--
                    ``(A) a qualified ABLE program and an ABLE account
                shall be treated in the same manner as a qualified
                tuition program and an account described in subsection
                (b)(1)(A)(ii), respectively, are treated, and
                    ``(B) qualified disability expenses with respect to
                a program or account described in subparagraph (A)
                shall be treated in the same manner as qualified higher
                education expenses are treated.
            ``(2) Qualified able program.--For purposes of this
        subsection, the term `qualified ABLE program' means a program
        established and maintained by a State or agency or
        instrumentality thereof--
                    ``(A) under which a person may make contributions
                to an ABLE account which is established for the purpose
                of meeting the qualified disability expenses of the
                designated beneficiary of the account,
                    ``(B) which meets the requirements of the preceding
                subsections of this section (as modified by this
                subsection), determined by substituting--
                            ``(i) `qualified ABLE program' for
                        `qualified tuition program', and
                            ``(ii) `ABLE account' for `account', and
                    ``(C) which meets the other requirements of this
                subsection.
            ``(3) Qualified disability expenses.--For purposes of this
        subsection--
                    ``(A) In general.--The term `qualified disability
                expenses' means any expenses which are made for the
                benefit of an individual with a disability who is a
                designated beneficiary.
                    ``(B) Expenses included.--The following expenses
                shall be qualified disability expenses if such expenses
                are made for the benefit of an individual with a
                disability who is a designated beneficiary and are
                related to such disability:
                            ``(i) Education.--Expenses for education,
                        including tuition for preschool thru post-
                        secondary education, books, supplies, and
                        educational materials related to such
                        education, tutors, and special education
                        services.
                            ``(ii) Housing.--Expenses for a primary
                        residence, including rent, purchase of a
                        primary residence or an interest in a primary
                        residence, mortgage payments, real property
                        taxes, and utility charges.
                            ``(iii) Transportation.--Expenses for
                        transportation, including the use of mass
                        transit, the purchase or modification of
                        vehicles, and moving expenses.
                            ``(iv) Employment support.--Expenses
                        related to obtaining and maintaining
                        employment, including job-related training,
                        assistive technology, and personal assistance
                        supports.
                            ``(v) Health, prevention, and wellness.--
                        Expenses for health and wellness, including
                        premiums for health insurance, mental health,
                        medical, vision, and dental expenses,
                        habilitation and rehabilitation services,
                        durable medical equipment, therapy, respite
                        care, long term services and supports,
                        nutritional management, communication services
                        and devices, adaptive equipment, assistive
                        technology, and personal assistance.
                            ``(vi) Miscellaneous expenses.--Financial
                        management and administrative services; legal
                        fees; expenses for oversight; monitoring; home
                        improvements, and modifications, maintenance
                        and repairs, at primary residence; or funeral
                        and burial expenses.
                            ``(vii) Assistive technology and personal
                        support services.--Expenses for assistive
                        technology and personal support with respect to
                        any item described in clauses (i) through (vi).
                            ``(viii) Other approved expenses.--Any
                        other expenses which are approved by the
                        Secretary under regulations and consistent with
                        the purposes of this section.
                    ``(C) Individual with a disability.--
                            ``(i) In general.--Except as provided in
                        clause (ii), an individual is an individual
                        with a disability for a year if the individual
                        (regardless of age)--
                                    ``(I) has a medically determinable
                                physical or mental impairment, which
                                results in marked and severe functional
                                limitations, and which can be expected
                                to result in death or which has lasted
                                or can be expected to last for a
                                continuous period of not less than 12
                                month, or
                                    ``(II) is blind.
                            ``(ii) Disability certification required.--
                        An individual shall not be treated as an
                        individual with a disability for a year unless
                        the individual--
                                    ``(I) is receiving (or, for
                                purposes of title XIX of the Social
                                Security Act, is deemed to be, or
                                treated as, receiving) benefits under
                                the supplemental security income
                                program under title XVI of such Act, or
                                whose benefits under such program are
                                suspended other than by reason of
                                misconduct,
                                    ``(II) is receiving disability
                                benefits under title II of such Act, or
                                    ``(III) files a disability
                                certification with the Secretary for
                                such year.
                            ``(iii) Disability certification defined.--
                        The term `disability certification' means, with
                        respect to an individual, a certification to
                        the satisfaction of the Secretary by the
                        designated beneficiary or the parent or
                        guardian of the designated beneficiary that--
                                    ``(I) the individual meets the
                                criteria described in clause (i), and
                                    ``(II) includes a copy of the
                                designated beneficiary's diagnosis,
                                signed by a physician meeting the
                                criteria of section 1861(r)(1) of the
                                Social Security Act.
                            ``(iv) Restriction on use of
                        certification.--No inference may be drawn from
                        a disability certification for purposes of
                        establishing eligibility for benefits under
                        title II or XVI of the Social Security Act.
            ``(4) Rollovers from able accounts.--The limits on
        contributions pursuant to subsection (b)(6) shall not apply to
        any amount paid or distributed from an ABLE account to the
        extent that the amount received is paid, not later than the
        60th day after the date of such payment or distribution, into--
                    ``(A) another ABLE account for the benefit of--
                            ``(i) the same beneficiary, or
                            ``(ii) an individual who--
                                    ``(I) is the spouse of such
                                individual with a disability, or bears
                                a relationship to such individual with
                                a disability which is described in
                                section 152(d)(2), and
                                    ``(II) is also an individual with a
                                disability,
                    ``(B) any trust which is described in subparagraph
                (A) or (C) of section 1917(d)(4) of the Social Security
                Act and which is for the benefit of an individual
                described in clause (i) or (ii) of subparagraph (A), or
                    ``(C) a qualified tuition program--
                            ``(i) for the benefit of the designated
                        beneficiary, or
                            ``(ii) to the credit of another designated
                        beneficiary under a qualified tuition program
                        who is a member of the family of the designated
                        beneficiary with respect to which the
                        distribution was made.
        The preceding sentence shall not apply to any payment or
        distribution if it applied to any prior payment or distribution
        during the 12-month period ending on the date of the payment or
        distribution.
            ``(5) Transfer to state.--Subject to any outstanding
        payments due for qualified disability expenses, in the case
        that the designated beneficiary dies or ceases to be an
        individual with a disability, all amounts remaining in the
        qualified ABLE account not in excess of the amount equal to the
        total medical assistance paid for the designated beneficiary
        after the establishment of the account, net of any premiums
        paid from the account or paid by or on behalf of the
        beneficiary to a Medicaid Buy-In program, under any State
        Medicaid plan established under title XIX of the Social
        Security Act shall be distributed to such State upon filing of
        a claim for payment by such State. For purposes of this
        paragraph, the State shall be a creditor of an ABLE account and
        not a beneficiary. Subsection (c)(3) shall not apply to a
        distribution under the preceding sentence.
            ``(6) Regulations.--Not later than 6 months after the date
        of the enactment of this section, the Secretary may prescribe
        such regulations or other guidance as the Secretary determines
        necessary or appropriate to carry out the purposes of this
        section, including regulations to prevent fraud and abuse with
        respect to amounts claimed as qualified disability expenses.''.
            (2) Conforming amendment.--Paragraph (2) of section 6693(a)
        of the Internal Revenue Code of 1986 such Code is amended by
        striking ``and'' at the end of subparagraph (D), by striking
        the period at the end of subparagraph (E) and inserting
        ``and'', and by inserting after subparagraph (E) the following
        new subparagraph:
                    ``(F) section 529(d) by reason of 529(f) (relating
                to ABLE accounts).''.
    (b) Annual Reports.--
            (1) In general.--The Secretary of the Treasury shall report
        annually to Congress on the usage of ABLE accounts under
        section 529(f) of the Internal Revenue Code of 1986.
            (2) Contents of report.--Any report under paragraph (1)
        shall include--
                    (A) the number of people with an ABLE account,
                    (B) the total amount of contributions to such
                accounts,
                    (C) the total amount and nature of distributions
                from such accounts,
                    (D) issues relating to the abuse of such accounts,
                if any, and
                    (E) the amounts repaid from such accounts to State
                Medicaid programs established under title XIX of the
                Social Security Act.
    (c) Effective Date.--The amendments made by this section shall
apply to taxable years beginning after the date of the enactment of
this Act.

SEC. 4. TREATMENT OF ABLE ACCOUNTS UNDER CERTAIN FEDERAL PROGRAMS.

    (a) Account Funds Disregarded for Purposes of Certain Other Means-
Tested Federal Programs.--Notwithstanding any other provision of
Federal law that requires consideration of 1 or more financial
circumstances of an individual, for the purpose of determining
eligibility to receive, or the amount of, any assistance or benefit
authorized by such provision to be provided to or for the benefit of
such individual, any amount (including earnings thereon) in any ABLE
account (as defined in section 529(f) of the Internal Revenue Code of
1986) of such individual, and any distribution for qualified disability
expenses (as defined in paragraph (3) of such section) shall be
disregarded for such purpose with respect to any period during which
such individual maintains, makes contributions to, or receives
distributions from such ABLE account, except that, in the case of the
supplemental security income program under title XVI of the Social
Security Act, a distribution for housing expenses (as defined in
subparagraph (B)(ii) of such paragraph) shall not be so disregarded,
and in the case of such program, only the 1st $100,000 of the amount
(including such earnings) in such ABLE account shall be so disregarded.
    (b) Suspension of SSI Benefits During Periods of Excessive Account
Funds.--
            (1) In general.--The benefits of an individual under the
        supplemental security income program under title XVI of the
        Social Security Act shall not be terminated, but shall be
        suspended, by reason of excess resources of the individual
        attributable to an amount in the ABLE account (as defined in
        section 529(f) of the Internal Revenue Code of 1986) of the
        individual not disregarded under subsection (a) of this
        section.
            (2) No impact on medicaid eligibility.--An individual who
        would be receiving payment of such supplemental security income
        benefits but for the application of the previous sentence shall
        be treated for purposes of title XIX of the Social Security Act
        as if the individual continued to be receiving payment of such
        benefits.

Output:
Achieving a Better Life Experience Act of 2011 or the ABLE Act of 2011 - Amends the Internal Revenue Code to establish tax-exempt ABLE accounts to assist an individual with a disability in building an account to pay for qualified disability expenses. Defines "qualified disability expenses" to include expenses for education, a primary residence, transportation, obtaining and maintaining employment, health and wellness, and other personal support expenses.

Treats a qualified ABLE program and an ABLE account in the same manner as a qualified tuition program for income tax purposes (i.e., allowing a tax exemption for such program and an exclusion from gross income of amounts attributable to a contributor to or a beneficiary of a program account). Defines "qualified ABLE program" as a program established and maintained by a state agency under which a person may make contributions to an ABLE account established to pay for qualified disability expenses.

Requires amounts in ABLE accounts to be disregarded in determining eligibility for Medicaid and other means-tested federal programs. Suspends the payment of supplemental security income benefits under title XVI (Supplemental Security Income) of the Social Security Act to an individual during any period in which such individual has excess resources attributable to an ABLE account.


Input:
SECTION 1. SHORT TITLE.

    That this Act may be cited as the ``Reserve Account for
Administrative Savings Act of 1993''.

SEC. 2. GOVERNMENT EFFICIENCY RESERVE ACCOUNTS.

    Subchapter II of chapter 15 of title 31, United States Code, is
amended by adding at the end the following:
``Sec. 1520. Special rule for apportioning salaries and expenses within
              an appropriation
    ``(a) All appropriations for salaries and expenses shall be
apportioned as necessary to carry out this section.
    ``(b)(1) Except as provided by paragraph (2), in apportioning any
appropriation for salaries and expenses for a fiscal year under this
section, a reserve shall be established in an amount that is equal to 5
percent of the actual amount incurred for those salaries and expenses
in the immediately preceding fiscal year.
    ``(2) The size of each reserve to be established under paragraph
(1) for a fiscal year shall (if applicable) be reduced by a dollar
amount equal to the amount by which that fiscal year's appropriation
for salaries and expenses is less than the actual amount incurred for
those salaries and expenses in the immediately preceding fiscal year.
    ``(c) Each appropriation subject to this section shall be
apportioned by the appropriate official referred to in section 1513 and
within the applicable time parameters set forth in that section.
    ``(d) The head of each agency that has an appropriation for
salaries and expenses for a fiscal year subject to this section shall,
within 60 days after the beginning of that fiscal year or within 60
days after the date of enactment of the law by which the appropriation
for that fiscal year is made available, whichever occurs later, and
after consultation with it chief financial officer and the Deputy
Director for Management (or his or her designee) of the Office of
Management and Budget, make recommendations to the President of changes
in laws or regulations or other changes that should be made to bring
about a more efficient and cost-effective operation and thereby reduce
salaries and expenditures without jeopardizing any programs that agency
administers.
    ``(e) The President's annual budget submission for a budget year
under section 1105(a) shall include a special message which sets forth
on an agency-by-agency basis a recommendation for the current fiscal
year of whether--
            ``(1) for the programs that agency administers to be
        maintained at a proper administrative level the release of all
        or part of those funds held in reserve under subsection (b) is
        necessary;
            ``(2) those programs can function effectively at reduced
        levels and the funds held in reserve under subsection (b)
        should be rescinded and returned to the Treasury; or
            ``(3) supplemental appropriations for other programs are
        necessary and can be offset by rescissions of the funds held in
        reserve under subsection (b).
If that special message recommends the option set forth in paragraph
(1) for any agency, then the President shall include with that special
message a bill that, if enacted, would release specified amounts of
funds held in reserve under subsection (b) as set forth in that bill.
    ``(f) Except to the extent that a law is enacted under section 1521
requiring the release of all or part of the money reserved under
subsection (b), on August 1 of the calendar year during which a fiscal
year ends, all funds held in any reserve under subsection (b)
respecting that fiscal year are hereby rescinded and shall be promptly
returned to the general fund of the Treasury.
``Sec. 1521. Fast-track supplemental appropriation of amounts not to
              exceed aggregate amount rescinded under section 1520
    ``(a)(1) Before the close of the second legislative day of the
House of Representatives after the date of receipt of a special message
transmitted to Congress under section 1520(e), the majority leader or
minority leader of the House of Representatives shall introduce (by
request) the draft bill accompanying that special message. If the bill
is not introduced as provided in the preceding sentence, then, on the
third legislative day of the House of Representatives after the date of
receipt of that special message, any Member of that House may introduce
the bill.
    ``(2) The bill shall be referred to the Committee on Appropriations
of the House of Representatives. The committee shall report the bill
with or without recommendation. The bill shall be reported not later
than the seventh legislative day of that House after the date of
receipt of that special message. If the Committee on Appropriations
fails to report the bill within that period, that committee shall be
automatically discharged from consideration of the bill, and the bill
shall be placed on the appropriate calendar.
    ``(3) During consideration under this subsection, any Member of the
House of Representatives may move to strike any provision of the bill
or offer an amendment to reduce any amount proposed to be released.
    ``(4) A vote on final passage of the bill shall be taken in the
House of Representatives on or before the close of the 10th legislative
day of that House after the date of the introduction of the bill in
that House. If the bill is passed, the Clerk of the House of
Representatives shall cause the bill to be engrossed, certified, and
transmitted to the Senate within one calendar day of the day on which
the bill is passed.
    ``(5)(A) A motion in the House of Representatives to proceed to the
consideration of a bill under this section shall be highly privileged
and not debatable. An amendment to the motion shall not be in order,
nor shall it be in order to move to reconsider the vote by which the
motion is agreed to or disagreed to.
    ``(B) Debate in the House of Representatives on a bill under this
section shall not exceed 4 hours, which shall be divided equally
between those favoring and those opposing the bill. A motion further to
limit debate shall not be debatable. It shall not be in order to move
to recommit a bill under this section or to move to reconsider the vote
by which the bill is agreed to or disagreed to.
    ``(C) Appeals from decisions of the Chair relating to the
application of the Rules of the House of Representatives to the
procedure relating to a bill under this section shall be decided
without debate.
    ``(D) Except to the extent specifically provided in the preceding
provisions of this subsection, consideration of a bill under this
section shall be governed by the Rules of the House of Representatives.
    ``(6)(A) A bill transmitted to the Senate pursuant to paragraph (4)
shall be referred to its Committee on Appropriations. The committee
shall report the bill with or without recommendation. The bill shall be
reported not later than the seventh legislative day of the Senate after
it receives the bill. A committee failing to report the bill within
such period shall be automatically discharged from consideration of the
bill, and the bill shall be placed upon the appropriate calendar.
    ``(B) During consideration under this subsection, any Member of the
Senate may move to strike any provision of the bill or offer an
amendment to reduce any amount proposed to be released.
    ``(C) A vote on final passage of a bill transmitted to the Senate
shall be taken on or before the close of the 10th legislative day of
the Senate after the date on which the bill is transmitted. If the bill
is passed in the Senate without amendment, the Secretary of the Senate
shall cause the engrossed bill to be returned to the House of
Representatives.
    ``(7)(A) A motion in the Senate to proceed to the consideration of
a bill under this subsection shall be privileged and not debatable. An
amendment to the motion shall not be in order, nor shall it be in order
to move to reconsider the vote by which the motion is agreed to or
disagreed to.
    ``(B) Debate in the Senate on a bill under this subsection, and all
debatable motions and appeals in connection therewith, shall not exceed
10 hours. The time shall be equally divided between, and controlled by,
the majority leader and the minority leader or their designees.
    ``(C) Debate in the Senate on any debatable motion or appeal in
connection with a bill under this section shall be limited to not more
than 1 hour, to be equally divided between, and controlled by, the
mover and the manager of the bill, except that in the event the manager
of the bill is in favor of any such motion or appeal, the time in
opposition thereto, shall be controlled by the minority leader or his
designee. Such leaders, or either of them, may, from time under their
control on the passage of a bill, allot additional time to any Senator
during the consideration of any debatable motion or appeal.
    ``(D) A motion in the Senate to further limit debate on a bill
under this subsection is not debatable. A motion to recommit a bill
under this section is not in order.
    ``(b) Amendments and Divisions.--No amendment to a bill considered
under this section shall be in order in either the House of
Representatives or the Senate except an amendment to strike a provision
of the bill or to reduce an amount proposed to be restored by the bill.
It shall not be in order to demand a division of the question in the
House of Representatives (or in a Committee of the Whole) or in the
Senate. No motion to suspend the application of this subsection shall
be in order in either House, nor shall it be in order in either House
to suspend the application of this subsection by unanimous consent.
    ``(c) Requirement to Make Available for Obligation.--Any amount of
budget authority proposed to be restored in a special message
transmitted to Congress under section 1520(e) shall be made available
for obligation on the day after the date on which the bill proposing to
restore such amount of budget authority is enacted into law unless it
has been automatically rescinded under that section.
    ``(d) Definition.--For purposes of this section, the term
`legislative day' means, with respect to either House of Congress, any
day during which that House is in session.''.

SEC. 3. EFFECTIVE DATE.

    The amendments made by this Act shall only apply to fiscal years
1994, 1995, 1996, 1997, and 1998 and shall have no force or effect
after September 30, 1998.

Output:
Reserve Account for Administrative Savings Act of 1993 - Amends Federal law to require that appropriated salaries and expenses be apportioned.  Requires the establishment of reserve accounts equal to five percent of the actual amount incurred for those salaries and expenses in the immediately preceding fiscal year.
Provides procedures for such funds to be permanently rescinded, released and spent, or used to offset supplemental appropriations.


Input:
SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Governors Island Preservation and
Development Act of 1998''.

SEC. 2. GOVERNORS ISLAND COMMISSION.

    Title I of the Federal Property and Administrative Services Act of
1949 (40 U.S.C. 751 et seq.) is amended by adding at the end the
following:

``SEC. 113. GOVERNORS ISLAND COMMISSION.

    ``(a) Establishment.--There is established a commission to be known
as the `Governors Island Commission' (referred to in this section as
the `Commission').
    ``(b) Membership.--
            ``(1) In general.--The Commission shall be composed of 11
        members, of whom--
                    ``(A) 1 shall be the Administrator of General
                Services (or a designee);
                    ``(B) 1 shall be the Secretary of the Interior (or
                a designee);
                    ``(C) 1 shall be the Commandant of the Coast Guard
                (or a designee); and
                    ``(D) 8 shall be individuals appointed by the
                President not later than 60 days after the date of
                enactment of this section, of whom--
                            ``(i) 2 shall be appointed from among
                        individuals recommended, not later than 30 days
                        after the date of enactment of this section, by
                        the Governor of the State of New York;
                            ``(ii) 2 shall be appointed from among
                        individuals recommended, not later than 30 days
                        after the date of enactment of this section, by
                        the mayor of the city of New York, New York;
                            ``(iii) 1 shall be appointed from among
                        individuals recommended, not later than 30 days
                        after the date of enactment of this section, by
                        the speaker of the city council of the city of
                        New York, New York;
                            ``(iv) 1 shall be a representative of a
                        national historic preservation organization;
                        and
                            ``(v) 2 shall be other individuals that
                        meet the qualifications stated in paragraph
                        (3).
            ``(2) Failure to make recommendations.--If the Governor of
        the State of New York, mayor of the city of New York, New York,
        or speaker of the city council of the city of New York, New
        York, fails to submit recommendations under clause (i), (ii),
        or (iii) of paragraph (1)(D) on or before the date that is 30
        days after the date of enactment of this section, the President
        shall proceed expeditiously to appoint a member or members, as
        the case may be, under that clause and may do so without regard
        to any recommendation that may be made under that clause after
        that date.
            ``(3) Qualifications to be considered.--In appointing
        members of the Commission under paragraph (1), the President
        shall consider New York State residents residing in the
        metropolitan New York City area with expertise in economic
        development, the real estate industry, the environment,
        tourism, education, historic properties, and civic
        undertakings.
    ``(c) Chairperson.--The Administrator of General Services shall
serve as chairperson of the Commission.
    ``(d) Compensation; Travel Expenses.--
            ``(1) In general.--Subject to paragraph (2), a member of
        the Commission shall serve without compensation.
            ``(2) Travel expenses.--A member of the Commission shall be
        allowed travel expenses, including per diem in lieu of
        subsistence, at rates authorized for employees of agencies
        under subchapter I of chapter 57 of title 5, United States
        Code, while away from the home or regular place of business of
        the member in the performance of the duties of the Commission.
    ``(e) Administrative Support Services.--The Administrator of
General Services and the heads of other Federal, State, and local
public agencies represented on the Commission shall provide such
administrative and other support services and facilities as the
Commission may require to perform the duties of the Commission.
    ``(f) Duties.--The Commission shall--
            ``(1) conduct meetings and hold hearings in accordance with
        subsection (g);
            ``(2) consider each plan for the disposition of Governors
        Island, New York, that any person or entity may submit to the
        Commission; and
            ``(3) not later than 180 days after the date on which all
        of the members of the Commission have been appointed, submit to
        the President a recommendation for the disposition of Governors
        Island, New York.
    ``(g) Meetings; Hearings.--
            ``(1) Meetings.--The Commission shall conduct its first
        meeting not later than the date that is 15 days after the date
        on which all of the members of the Commission have been
        appointed and at such other times as the chairperson shall
        direct.
            ``(2) Hearings.--The Commission shall conduct at least 4
        hearings at which members of the public shall be entitled to
        present views on the appropriate disposition of Governors
        Island.
            ``(3) Location.--All meetings and hearings conducted by the
        Commission shall be conducted in the city of New York, New
        York.
    ``(h) Recommendation.--The recommendation of the Commission for
disposition of Governors Island shall include specific proposals for--
            ``(1) the retention of ownership, in whole or in part, by
        the United States or the sale or transfer to State, city, or
        local public or private entities of all of or portions of the
        Island;
            ``(2) the rehabilitation, maintenance, and management of
        structures of national historic significance by the National
        Park Service or other public or private entities;
            ``(3) the use of portions of the Island for commercial
        activities, recreational activities, or private or public
        educational or residential purposes and other uses;
            ``(4) the appropriate proportions of Federal, State, and
        local public and private transitional funding and other
        assistance that will be required to make the recommended
        disposition economically feasible;
            ``(5) waiver of any provision of this Act or any other law
        the application of which the Commission determines would
        preclude or unduly interfere with the optimum future use of
        Governors Island; and
            ``(6) any Federal, State, or local legislation or
        regulation that may be necessary to allow implementation of the
        recommendation.
    ``(i) Implementation.--Notwithstanding or any other provision of
this Act or any other law--
            ``(1) the President shall have authority to implement a
        recommendation under subsection (f)(2); and
            ``(2) not later than 30 days after the date on which the
        Commission submits the recommendation, the President shall
        proceed to implement the recommendation, with such
        modifications as the President considers appropriate.
    ``(j) Termination.--The Commission shall cease to exist on the date
that is 30 days after the date on which the Commission submits a
recommendation under subsection (f)(2).''.

SEC. 3. REPEAL.

    The Balanced Budget Act of 1997 is amended by striking section 9101
(111 Stat. 670).

SEC. 4. TRANSFER OF SIGNIFICANT HISTORIC STRUCTURES TO THE NATIONAL
              PARK SERVICE.

    (a) In General.--Administrative jurisdiction over the structures
described in subsection (b) and adjacent grounds is transferred to the
Secretary of the Interior, acting through the Director of the National
Park Service (referred to in this section as the ``Secretary'').
    (b) Historic Structures.--The structures referred to in subsection
(a) are the following structures on Governors Island, New York:
            (1) Castle Williams.
            (2) Fort Jay.
            (3) The Admiral's Headquarters.
            (4) The Governor's House.
            (5) The Block House.
    (c) Plan.--Not later than the date on which the Governors Island
Commission submits its recommendation to the President under section
113(f)(2) of the Federal Property and Administrative Services Act of
1949, as added by section 2, the Secretary shall submit to Congress a
plan for inclusion of the structures described in subsection (b) in the
National Park System.

SEC. 5. AUTHORIZATION OF APPROPRIATIONS.

    There are authorized to be appropriated, for maintenance and
preservation of Governors Island and its structures by the Coast Guard
and the National Park Service--
            (1) $12,000,000 for fiscal year 1999; and
            (2) such sums as are necessary for fiscal year 2000 and
        each fiscal year thereafter.

Output:
Governors Island Preservation and Development Act of 1998 - Establishes the Governors Island Commission to:  (1) conduct meetings and hold hearings in accordance with this Act; (2) consider each plan for the disposition of Governors Island, New York, that any person or entity may submit to the Commission; and (3) within 180 days after all of the members of the Commission have been appointed, submit to the President a recommendation for the disposition of Governors Island, New York.
Repeals provisions of the Balanced Budget Act of 1997 providing for the sale of the Island.
Provides for the transfer of administrative jurisdiction to the Secretary of the Interior, acting through the Director of the National Park Service, over the following structures and adjacent grounds on: (1) Castle Williams; (2) Fort Jay; (3) the Admiral's Headquarters; (4) the Governor's House; and (5) the Block House.
Requires the Secretary of the Interior to submit to the Congress a plan for inclusion of the structures in the National Park System by the date on which the Commission submits its recommendation to the President.
Authorizes appropriations.


Input:
SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Lupus Research and Care Amendments
of 2000''.

SEC. 2. FINDINGS.

    The Congress finds that--
            (1) lupus is a serious, complex, inflammatory, autoimmune
        disease of particular concern to women;
            (2) lupus affects women nine times more often than men;
            (3) there are three main types of lupus: systemic lupus, a
        serious form of the disease that affects many parts of the
        body; discoid lupus, a form of the disease that affects mainly
        the skin; and drug-induced lupus caused by certain medications;
            (4) lupus can be fatal if not detected and treated early;
            (5) the disease can simultaneously affect various areas of
        the body, such as the skin, joints, kidneys, and brain, and can
        be difficult to diagnose because the symptoms of lupus are
        similar to those of many other diseases;
            (6) lupus disproportionately affects African-American
        women, as the prevalence of the disease among such women is
        three times the prevalence among white women, and an estimated
        1 in 250 African-American women between the ages of 15 and 65
        develops the disease;
            (7) it has been estimated that between 1,400,000 and
        2,000,000 Americans have been diagnosed with the disease, and
        that many more have undiagnosed cases;
            (8) current treatments for the disease can be effective,
        but may lead to damaging side effects;
            (9) many victims of the disease suffer debilitating pain
        and fatigue, making it difficult to maintain employment and
        lead normal lives; and
            (10) in fiscal year 1996, the amount allocated by the
        National Institutes of Health for research on lupus was
        $33,000,000, which is less than one-half of 1 percent of the
        budget for such Institutes.

                       TITLE I--RESEARCH ON LUPUS

SEC. 101. EXPANSION AND INTENSIFICATION OF ACTIVITIES.

    Subpart 4 of part C of title IV of the Public Health Service Act
(42 U.S.C. 285d et seq.) is amended by inserting after section 441 the
following section:

                                ``lupus

    ``Sec. 441A. (a) In General.--The Director of the Institute shall
expand and intensify research and related activities of the Institute
with respect to lupus.
    ``(b) Coordination With Other Institutes.--The Director of the
Institute shall coordinate the activities of the Director under
subsection (a) with similar activities conducted by the other national
research institutes and agencies of the National Institutes of Health
to the extent that such Institutes and agencies have responsibilities
that are related to lupus.
    ``(c) Programs for Lupus.--In carrying out subsection (a), the
Director of the Institute shall conduct or support research to expand
the understanding of the causes of, and to find a cure for, lupus.
Activities under such subsection shall include conducting and
supporting the following:
            ``(1) Research to determine the reasons underlying the
        elevated prevalence of lupus in women, including African-
        American women.
            ``(2) Basic research concerning the etiology and causes of
        the disease.
            ``(3) Epidemiological studies to address the frequency and
        natural history of the disease and the differences among the
        sexes and among racial and ethnic groups with respect to the
        disease.
            ``(4) The development of improved diagnostic techniques.
            ``(5) Clinical research for the development and evaluation
        of new treatments, including new biological agents.
            ``(6) Information and education programs for health care
        professionals and the public.
    ``(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 2001 through 2003.''.

             TITLE II--DELIVERY OF SERVICES REGARDING LUPUS

SEC. 201. ESTABLISHMENT OF PROGRAM OF GRANTS.

    (a) In General.--The Secretary of Health and Human Services shall
in accordance with this title make grants to provide for projects for
the establishment, operation, and coordination of effective and cost-
efficient systems for the delivery of essential services to individuals
with lupus and their families.
    (b) Recipients of Grants.--A grant under subsection (a) may be made
to an entity only if the entity is a public or nonprofit private
entity, which may include a State or local government; a public or
nonprofit private hospital, community-based organization, hospice,
ambulatory care facility, community health center, migrant health
center, or homeless health center; or other appropriate public or
nonprofit private entity.
    (c) Certain Activities.--To the extent practicable and appropriate,
the Secretary shall ensure that projects under subsection (a) provide
services for the diagnosis and disease management of lupus. Activities
that the Secretary may authorize for such projects may also include the
following:
            (1) Delivering or enhancing outpatient, ambulatory, and
        home-based health and support services, including case
        management and comprehensive treatment services, for
        individuals with lupus; and delivering or enhancing support
        services for their families.
            (2) Delivering or enhancing inpatient care management
        services that prevent unnecessary hospitalization or that
        expedite discharge, as medically appropriate, from inpatient
        facilities of individuals with lupus.
            (3) Improving the quality, availability, and organization
        of health care and support services (including transportation
        services, attendant care, homemaker services, day or respite
        care, and providing counseling on financial assistance and
        insurance) for individuals with lupus and support services for
        their families.
    (d) Integration With Other Programs.--To the extent practicable and
appropriate, the Secretary shall integrate the program under this title
with other grant programs carried out by the Secretary, including the
program under section 330 of the Public Health Service Act.

SEC. 202. CERTAIN REQUIREMENTS.

    A grant may be made under section 201 only if the applicant
involved makes the following agreements:
            (1) Not more than 5 percent of the grant will be used for
        administration, accounting, reporting, and program oversight
        functions.
            (2) The grant will be used to supplement and not supplant
        funds from other sources related to the treatment of lupus.
            (3) The applicant will abide by any limitations deemed
        appropriate by the Secretary on any charges to individuals
        receiving services pursuant to the grant. As deemed appropriate
        by the Secretary, such limitations on charges may vary based on
        the financial circumstances of the individual receiving
        services.
            (4) The grant will not be expended to make payment for
        services authorized under section 201(a) to the extent that
        payment has been made, or can reasonably be expected to be
        made, with respect to such services--
                    (A) under any State compensation program, under an
                insurance policy, or under any Federal or State health
                benefits program; or
                    (B) by an entity that provides health services on a
                prepaid basis.
            (5) The applicant will, at each site at which the applicant
        provides services under section 201(a), post a conspicuous
        notice informing individuals who receive the services of any
        Federal policies that apply to the applicant with respect to
        the imposition of charges on such individuals.

SEC. 203. TECHNICAL ASSISTANCE.

    The Secretary may provide technical assistance to assist entities
in complying with the requirements of this title in order to make such
entities eligible to receive grants under section 201.

SEC. 204. DEFINITIONS.

    For purposes of this title:
            (1) The term ``official poverty line'' means the poverty
        line established by the Director of the Office of Management
        and Budget and revised by the Secretary in accordance with
        section 673(2) of the Omnibus Budget Reconciliation Act of
        1981.
            (2) The term ``Secretary'' means the Secretary of Health
        and Human Services.

SEC. 205. AUTHORIZATION OF APPROPRIATIONS.

    For the purpose of carrying out this title, there are authorized to
be appropriated such sums as may be necessary for each of the fiscal
years 2001 through 2003.

            Passed the House of Representatives October 10, 2000.

            Attest:

                                                                 Clerk.

Output: Requires the Director to: (1) coordinate such activities with similar activities conducted by other national research institutes and agencies of the National Institutes of Health; and (2) conduct or support research to expand the understanding of the causes of, and to find a cure for, lupus, including research to determine the reasons underlying the elevated prevalence of the disease among African-American and other women.Authorizes appropriations.Title II: Delivery of Services Regarding Lupus - Mandates grants for the establishment, operation, and coordination of effective and cost-efficient systems for the delivery of essential services to individuals with lupus and their families. Requires the Secretary of Health and Human Services to: (1) ensure that grant projects provide services for lupus diagnosis and disease management; and (2) integrate such projects with other grant programs carried out by the Secretary. Authorizes technical assistance. Authorizes appropriations.


Input:
SECTION 1. PREPAYMENT OF DEVELOPMENT COMPANY 0DEBENTURES.

    (a) In General.--Title V of the Small Business Investment Act of
1958 (15 U.S.C. 695, et seq.) is amended by adding at the end the
following new section:

``SEC. 507. PREPAYMENT OF DEVELOPMENT COMPANY DEBENTURES.

    ``(a) In General.--(1) If the requirements of subsection (b) are
met and subject to the availability of appropriations, the issuer of a
debenture purchased by the Federal Financing Bank and guaranteed by the
Administration under section 503 may, at the election of the borrower
whose loan secures such debenture and with the approval of the
Administration, prepay such debenture by paying to the Federal
Financing Bank the amount that is equal to the sum of the unpaid
principal balance due on the debenture on the date of the prepayment
(plus accrued interest at the coupon rate on the debenture) and the
amount of the repurchase premium described in paragraph (2)(A). The
Administration shall pay to the Federal Financing Bank the difference
between the repurchase premium paid by the issuer of the debenture
under this subsection and the repurchase premium that the Federal
Financing Bank would otherwise have received.
    ``(2)(A) The amount of the repurchase premium described in this
paragraph is the product of--
            ``(i) the unpaid principal balance due on the debenture on
        the date of prepayment;
            ``(ii) the interest rate of the debenture; and
            ``(iii) the factor `P', as determined under subparagraph
        (B).
    ``(B) for purposes of subparagraph (A)(iii), the factor `P' means
the applicable percent determined in accordance with the following
table:

------------------------------------------------------------------------
                                            Applicable percent
  ``Year in which prepayment of  ---------------------------------------
 debenture is made (from date of   10-year   15-year   20-year   25-year
       original issuance)           term      term      term      term
                                    loan      loan      loan      loan
------------------------------------------------------------------------
1...............................      1.00      1.00      1.00      1.00
2...............................       .80       .85       .90       .92
3...............................       .60       .70       .80       .84
4...............................       .40       .55       .70       .76
5...............................       .20       .40       .60       .68
6...............................         0       .25       .50       .60
7...............................         0       .10       .40       .52
8...............................         0         0       .30       .44
9...............................         0         0       .20       .36
10..............................         0         0       .10       .28
11..............................         0         0         0       .20
12..............................         0         0         0       .12
13..............................         0         0         0       .04
14 through 25...................         0         0         0         0
------------------------------------------------------------------------

    ``(b) Requirements.--The requirements of this subsection are met
if--
            ``(1) the debenture is outstanding and neither the loan
        that secures the debenture nor the debenture is in default on
        the date the prepayment is made;
            ``(2) State or personal funds, which may include
        refinancing under the programs authorized by sections 504 and
        505 of this Act, are used to prepay the debenture; and
            ``(3) the issuer certifies that the benefits, net of fees
        and expenses authorized herein, associated with prepayment of
        the debenture are entirely passed through to the borrower.
    ``(c) No fees or penalties other than those specified in this
section may be imposed as a condition of such prepayment against the
issuer or the borrower, or the Administration or any fund or account
administered by the Administration, except as provided in this Act.
    ``(d) The refinancing of debentures authorized by paragraph (b)(2)
of this section under section 504 of this Act shall be limited to only
such amounts as are needed to prepay existing debentures and shall be
subject to all of the other provisions of sections 504 and 505 of this
Act and the rules and regulations of the Administration promulgated
thereunder, including, but not limited to, rules and regulations
governing payment of authorized expenses and commissions, fees and
discounts to brokers and dealers in trust certificates issued pursuant
to section 505: Provided, however, That no applicant for refinancing
under section 504 of this Act need demonstrate that a requisite number
of jobs will be created with the proceeds of such refinancing.''
    Sec. 2. (a) The provisions of this Act are exercisable at the
option of the borrower.
    (b) Any new credit or spending authority provided for in this Act
is subject to amounts provided in advance in appropriations Acts.
    (c) There are authorized to be appropriated such sums as may be
necessary to carry out the provisions of this Act.
    (d) Within 30 days of the effective date of this Act, the
Administration shall promulgate such regulations as are necessary,
including establishing an order of priority to accomplish the
provisions of this Act.
    (e) Subsection 504(b) of this Act is hereby repealed, subsection
504(a) is renumbered as section 504, and paragraphs (1) through (3) of
subsection 504(a) are renumbered as subsections 504 (a) through (c).

Output:
Amends the Small Business Investment Act of 1958 to permit a qualified State or local development company that issues a debenture purchased by the Federal Financing Bank and guaranteed by the Small Business Administration, at the election of the small business borrower whose loan secures such debenture and with the Administrators approval, to prepay the debenture by payment to the Bank of the unpaid principal balance, accrued interest, and repurchase premium amount (as determined under this Act).
Prohibits any fees or penalties from being imposed against the issuer, borrower, or the Administration as a condition of prepayment under this Act.
Authorizes appropriations.


Input:
SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Beaches Environmental Assessment,
Closure, and Health Act of 1999''.

SEC. 2. FINDINGS AND PURPOSE.

    (a) Findings.--Congress finds that--
            (1) the Nation's beaches and coastal recreation waters are
        valuable public resources used for recreation by millions of
        people annually;
            (2) the beaches of coastal States are hosts to many out-of-
        State and international visitors;
            (3) tourism in the coastal zone generates billions of
        dollars annually;
            (4) increased population and urbanization of the watershed
        have contributed to the decline in the environmental quality of
        coastal waters;
            (5) pollution in coastal waters is not restricted by State
        and other political boundaries;
            (6) coastal States have different methods of testing, and
        parameters for evaluating, the quality of coastal recreation
        waters, providing varying degrees of protection to the public;
            (7) the adoption of consistent criteria by coastal States
        for monitoring and evaluating the quality of coastal recreation
        waters, and the posting of signs at beaches notifying the
        public during periods when the standards are exceeded, would
        enhance public health and safety; and
            (8) while the adoption of such criteria will enhance public
        health and safety, exceedances of such criteria should be
        addressed (for example, as part of a watershed approach to
        effectively identify and eliminate sources of pollution).
    (b) Purpose.--The purpose of this Act is to require uniform
criteria and procedures for testing, monitoring, and notifying users of
those coastal recreation waters and beaches open for use by the public
in order to protect public safety and improve environmental quality.

SEC. 3. BEACH AND COASTAL RECREATION WATER QUALITY.

    The Federal Water Pollution Control Act (33 U.S.C. 1251 et seq.) is
amended by adding at the end the following:

        ``TITLE VII--BEACH AND COASTAL RECREATION WATER QUALITY

``SEC. 701. DEFINITIONS.

    ``In this title, the following definitions apply:
            ``(1) Coastal recreation waters.--The term `coastal
        recreation waters' means waters adjacent to public beaches of
        the Great Lakes and other marine coastal waters (including
        bays, lagoon mouths, and coastal estuaries within the tidal
        zone) used by the public for swimming, bathing, surfing, or
        other similar water contact activities.
            ``(2) Floatable materials.--The term `floatable materials'
        means any foreign matter that may float or remain suspended in
        the water column and includes plastic, aluminum cans, wood,
        bottles, paper products, and fishing gear.

``SEC. 702. ADOPTION OF COASTAL RECREATIONAL WATER QUALITY CRITERIA BY
              STATES.

    ``(a) General Rule.--A State shall adopt water quality criteria for
coastal recreation waters which, at a minimum, are consistent with the
criteria published by the Administrator under section 304(a)(1) not
later than 3\1/2\ years following the date of the enactment of this
title. Such water quality criteria shall be developed and promulgated
in accordance with the requirements of section 303(c). A State shall
incorporate such criteria into all appropriate programs into which such
State would incorporate other water quality criteria adopted under
section 303(c) and revise such criteria not later than 3 years
following the date of publication of revisions by the Administrator
under section 703(b).
    ``(b) Failure of States To Adopt.--If a State has not complied with
subsection (a) by the last day of the 3\1/2\-year period beginning on
the date of the enactment of this title, the water quality criteria
issued by the Administrator under section 304(a)(1) shall become
applicable as the water quality criteria for coastal recreational
waters for the State, and shall be deemed to have been promulgated by
the Administrator pursuant to section 303(c)(4).

``SEC. 703. REVISIONS TO WATER QUALITY CRITERIA.

    ``(a) Studies.--After consultation with appropriate Federal, State,
and local officials, including local health officials, and other
interested persons, but not later than the last day of the 3-year
period beginning on the date of the enactment of this Act, the
Administrator shall conduct, in cooperation with the Under Secretary of
Commerce for Oceans and Atmosphere, studies to provide additional
information to the current base of knowledge for use in developing--
            ``(1) a more complete list of potential human health risks
        from inhalation, ingestion, or body contact with coastal
        recreation waters, including effects to the upper respiratory
        system;
            ``(2) appropriate and effective indicators for improving
        direct detection of the presence of pathogens that are harmful
        to human health in coastal recreational waters;
            ``(3) appropriate, accurate, and expeditious methods
        (including predictive models) for detecting the presence of
        pathogens, harmful to human health, found in coastal recreation
        waters; and
            ``(4) guidance for the State-to-State application of the
        criteria to be issued under subsection (b) to account for the
        diversity of geographic and aquatic conditions nationwide.
    ``(b) Revised Criteria.--Based on the results of the studies
conducted under subsection (a), the Administrator, after consultation
with appropriate Federal, State, and local officials, including local
health officials, and other interested persons, shall--
            ``(1) issue, within 5 years after the date of the enactment
        of this title, revised water quality criteria for pathogens in
        coastal recreation waters that are harmful to human health,
        including a revised list of indicators and testing methods; and
            ``(2) review and revise such criteria from time to time
        thereafter, but in no event less than once every 5 years.

``SEC. 704. COASTAL BEACH WATER QUALITY MONITORING.

    ``(a) Monitoring.--Within 18 months after the date of enactment of
this title, the Administrator shall publish regulations requiring
monitoring by States of those coastal recreation waters and beaches
open for use by the public for compliance with applicable water quality
criteria and protection of public safety. Monitoring requirements
established pursuant to this subsection shall specify, at a minimum--
            ``(1) available monitoring methods to be used by States;
            ``(2) the frequency and location of monitoring based on--
                    ``(A) the periods of recreational use of such
                waters;
                    ``(B) the extent and degree of use during such
                periods; and
                    ``(C) the proximity of coastal recreation waters to
                known or identified point and nonpoint sources of
                pollution and in relation to storm events;
            ``(3) methods for detecting levels of pathogens that are
        harmful to human health and for identifying short-term
        increases in pathogens that are harmful to human health in
        coastal recreation waters, including in relation to storm
        events; and
            ``(4) conditions and procedures under which discrete areas
        of coastal recreation waters may be exempted by the
        Administrator from the monitoring requirements of this
        subsection, if the Administrator determines that an exemption
        will not impair compliance with the applicable water quality
        criteria for those waters and protection of public safety.
    ``(b) Notification.--
            ``(1) Requirement.--Regulations published pursuant to
        subsection (a) shall require States to provide prompt
        notification to local governments, the public, and the
        Administrator of an exceedance of applicable water quality
        criteria for State coastal recreation waters or the immediate
        likelihood of such an exceedance.
            ``(2) Contents.--Notification pursuant to this subsection
        shall include, at a minimum--
                    ``(A) prompt communication of the occurrence,
                nature, extent, location, and substances (including
                pathogens) of such an exceedance, or the immediate
                likelihood of such an exceedance, to a designated
                official of a local government having jurisdiction over
                land adjoining the coastal recreation waters for which
                an exceedance is identified; and
                    ``(B) posting of signs for the period during which
                the exceedance continues, sufficient to give notice to
                the public of an exceedance of applicable water quality
                criteria for such waters and the potential risks
                associated with water contact activities in such
                waters.
    ``(c) Review and Revision of Regulations.--The Administrator shall
review and revise regulations published pursuant to this section
periodically, but in no event less than once every 5 years.
    ``(d) State Implementation.--A State must implement a monitoring
and notification program that conforms to the regulations issued
pursuant to subsections (a) and (b) not later than 3\1/2\ years after
the date of the enactment of this title and revise such program not
later than 2 years following the date of publication of revisions by
the Administrator under subsection (c).
    ``(e) Delegation of Responsibility.--Not later than 18 months after
the date of the enactment of this title, the Administrator shall issue
guidance establishing core performance measures for testing,
monitoring, and notification programs and the delegation of such
programs under this section to local government authorities. In the
case that such responsibilities are delegated by a State to a local
government authority, or have been delegated to a local government
authority before such date of enactment, in a manner that, at a
minimum, is consistent with the guidance issued by the Administrator,
State resources, including grants made under section 706, shall be
made available to the delegated authority for the purpose of program
implementation.
    ``(f) Floatable Materials Monitoring Procedures.--The Administrator
shall provide technical assistance to States for the implementation of
uniform assessment and monitoring procedures for floatable materials in
coastal recreation waters and specify the conditions under which the
presence of floatable material will constitute a threat to public
health and safety.
    ``(g) Occurrence Database.--The Administrator shall establish,
maintain, and make available to the public by electronic and other
means--
            ``(1) a national coastal recreation water pollution
        occurrence database, using reliable information, including that
        reported under subsection (b); and
            ``(2) a listing of those communities complying with the
        regulations issued under subsections (a) and (b).

``SEC. 705. REPORT TO CONGRESS.

    ``Not later than 4 years after the date of the enactment of this
title, and periodically thereafter, the Administrator shall submit to
Congress a report including--
            ``(1) recommendations concerning the need for additional
        water quality criteria and other actions needed to improve the
        quality of coastal recreation waters; and
            ``(2) an evaluation of State efforts to implement this
        title.

``SEC. 706. GRANTS TO STATES.

    ``(a) Grants.--The Administrator may make grants to States for use
in fulfilling requirements established pursuant to sections 702 and
704.
    ``(b) Cost Sharing.--The total amount of grants to a State under
this section for a fiscal year shall not exceed 50 percent of the cost
to the State of implementing requirements established pursuant to
sections 702 and 704.
    ``(c) Eligible State.--After the last day of the 3\1/2\-year period
beginning on the date of the enactment of this title, the Administrator
may make a grant to a State under this section only if the State
demonstrates to the satisfaction of the Administrator that it is
implementing its monitoring and notification program under section 704.

``SEC. 707. AUTHORIZATION OF APPROPRIATIONS.

    ``There is authorized to be appropriated to the Administrator--
            ``(1) for use in making grants to States under section 706
        not more than $9,000,000 for each of fiscal years 2000 through
        2004; and
            ``(2) for carrying out the other provisions of this title
        not more than $3,000,000 for each of fiscal years 2000 through
        2004.''.

Output:
Directs the Administrator to conduct studies for use in developing: (1) a more complete list of potential health risks from inhalation, ingestion, or body contact, including effects to the upper respiratory system; (2) appropriate and effective indicators and appropriate, accurate, and expeditious methods for detecting the presence of pathogens in coastal recreational waters; and (3) guidance for State-to-State application of the revised water quality criteria for pathogens required to be issued by the Administrator under this Act that accounts for the diversity of geographic and aquatic conditions nationwide.  Directs the Administrator to publish and revise regulations requiring monitoring of, and specifying methods to be used by States to monitor, coastal recreation waters at public beaches for compliance with water quality criteria and protection of public safety.  Requires notification of local governments, the public, and the Administrator of exceedances, or the likelihood of exceedances, of water quality criteria for such waters.
Requires the Administrator to issue guidance establishing core performance measures for testing, monitoring, and notification programs and for the delegation of such programs to local government authorities.  Makes State resources available to such authorities if the programs are so delegated.
Directs the Administrator to: (1) provide technical assistance to States for the implementation of uniform assessment and monitoring procedures for floatable materials in such waters; (2) specify the conditions under which the presence of floatable material constitutes a threat to public health and safety; and (3) establish a national coastal recreation water pollution occurrence database and a listing of communities complying with the monitoring and notification regulations published pursuant to this Act.
Authorizes the Administrator to make grants to States to fulfill requirements under this Act.
Authorizes appropriations.


Input:
SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Prescription Coverage Now Act of
2006''.

SEC. 2. EXPEDITING LOW-INCOME SUBSIDIES UNDER THE MEDICARE PRESCRIPTION
              DRUG PROGRAM.

    (a) In General.--Section 1860D-14 of the Social Security Act (42
U.S.C. 1395w-114) is amended by adding at the end the following new
subsection:
    ``(e) Expedited Application and Eligibility Process.--
            ``(1) Expedited process.--
                    ``(A) In general.--The Secretary shall provide for
                an expedited process under this subsection for the
                qualification for low-income assistance under this
                section through a request by the Secretary to the
                Secretary of the Treasury as provided in subparagraphs
                (B) and (C) for information sufficient to identify
                whether the individual involved is likely eligible for
                subsidies under this section based on such information
                and the amount of premium and cost-sharing subsidies
                for which they would qualify based on such information.
                Such process shall be conducted in cooperation with the
                Commissioner of Social Security.
                    ``(B) Opt in for newly eligible individuals.--Not
                later than 60 days after the date of the enactment of
                this subsection, the Secretary shall ensure that, as
                part of the Medicare enrollment process, enrolling
                individuals--
                            ``(i) receive information describing the
                        low-income subsidy provided under this section;
                        and
                            ``(ii) are provided the opportunity to opt-
                        in to the expedited process described in this
                        subsection by giving consent for the Secretary
                        to screen the beneficiary for eligibility for
                        such subsidy through a request to the Secretary
                        of the Treasury under section 6103(l)(7) of the
                        Internal Revenue Code of 1986.
                    ``(C) Transition for currently eligible
                individuals.--In the case of any part D eligible
                individual to which subparagraph (B) did not apply at
                the time of such individual's enrollment, the Secretary
                shall, as soon as practicable after implementation of
                subparagraph (B), request in writing that the Secretary
                of the Treasury disclose, pursuant to section
                6103(l)(21) of the Internal Revenue Code of 1986,
                whether such individual has either filed no income tax
                return or whether such individual's income tax return
                indicates likely eligibility for the low-income subsidy
                provided under this section.
            ``(2) Notification of potentially eligible individuals.--
        Under such process, in the case of each individual identified
        under paragraph (1) who has not otherwise applied for, or been
        determined eligible for, benefits under this section (or who
        has applied for and been determined ineligible for such
        benefits based only on excess resources), the Secretary shall
        send them a letter (using basic, uncomplicated language)
        containing the following:
                    ``(A) Eligibility.--A statement that, based on the
                information obtained under paragraph (1), the
                individual is likely eligible for low-income subsidies
                under this section.
                    ``(B) Amount of subsidies.--A description of the
                amount of premium and cost-sharing subsidies under this
                section for which the individual would likely be
                eligible based on such information.
                    ``(C) Enrollment opportunity.--In case the
                individual is not enrolled in a prescription drug plan
                or MA-PD plan--
                            ``(i) a statement that--
                                    ``(I) the individual has the
                                opportunity to enroll in a prescription
                                drug plan or MA-PD plan for benefits
                                under this part, but is not required to
                                be so enrolled; and
                                    ``(II) if the individual has
                                creditable prescription drug coverage,
                                the individual need not so enroll;
                            ``(ii) a list of the prescription drug
                        plans and MA-PD plans in which the individual
                        is eligible to enroll;
                            ``(iii) an enrollment form that may be used
                        to enroll in such a plan by mail and that
                        provides that if the individual wishes to
                        enroll but does not designate a plan, the
                        Secretary is authorized to enroll the
                        individual in such a prescription drug plan
                        selected by the Secretary; and
                            ``(iv) a statement that the individual may
                        also enroll online or by telephone, but, in
                        order to qualify for low-income subsidies, the
                        individual must complete the attestation
                        described in subparagraph (D) or otherwise
                        apply for such subsidies.
                    ``(D) Attestation.--A one-page application form
                that provides for a signed attestation, under penalty
                of law, as to the amount of income and assets of the
                individual and constitutes an application for the low-
                income subsidies described in subparagraph (B). Such
                form--
                            ``(i) shall not require the submittal of
                        additional documentation regarding income or
                        assets;
                            ``(ii) shall permit the appointment of a
                        personal representative described in paragraph
                        (6); and
                            ``(iii) may provide for the specification
                        of a language (other than English) that is
                        preferred for subsequent communications with
                        respect to the individual under this part.
                    ``(E) Information on ship.--Information on how the
                individual may contact the State Health Insurance
                Assistance Program (SHIP) for the State in which the
                individual is located in order to obtain assistance
                regarding enrollment and benefits under this part.
        If a State is doing its own outreach to low-income seniors
        regarding enrollment and low-income subsidies under this part,
        such process shall be coordinated with the State's outreach
        effort.
            ``(3) Follow-up communications.--If the individual does not
        respond to the letter described in paragraph (2) either by
        making an enrollment described in paragraph (2)(C), completing
        an attestation described in paragraph (2)(D), or declining
        either or both, the Secretary shall make additional attempts to
        contact the individual to obtain such an affirmative response.
            ``(4) Hold-harmless.--Under such process, if an individual
        in good faith and the absence of fraud executes an attestation
        described in paragraph (2)(D) and is provided low-income
        subsidies under this section on the basis of such attestation,
        if the individual is subsequently found not eligible for such
        subsidies, there shall be no recovery made against the
        individual because of such subsidies improperly paid.
            ``(5) Use of authorized representative.--Under such
        process, with proper authorization (which may be part of the
        attestation form described in paragraph (2)(D)), an individual
        may authorize another individual to act as the individual's
        personal representative with respect to communications under
        this part and the enrollment of the individual under a
        prescription drug plan (or MA-PD plan) and for low-income
        subsidies under this section.
            ``(6) Use of preferred language in subsequent
        communications.--In the case an attestation described in
        paragraph (2)(D) is completed and in which a language other
        than English is specified under clause (iii) of such paragraph,
        the Secretary shall provide that subsequent communications to
        the individual under this part shall be in such language.
            ``(7) Construction.--Nothing in this subsection shall be
        construed as precluding the Secretary from taking additional
        outreach efforts to enroll eligible individuals under this part
        and to provide low-income subsidies to eligible individuals.''.
    (b) Transitional Disclosure of Return Information for Purposes of
Providing Low-Income Subsidies Under Medicare.--
            (1) In general.--Subsection (l) of section 6103 of the
        Internal Revenue Code of 1986 is amended by adding at the end
        the following new paragraph:
            ``(21) Transitional disclosure of return information for
        purposes of providing low-income subsidies under medicare.--
                    ``(A) In general.--The Secretary, upon written
                request from the Secretary of Health and Human Services
                under section 1860D-14(e)(1) of the Social Security Act
                for an individual described in subparagraph (C) of such
                section, shall disclose to officers and employees of
                the Department of Health and Human Services and the
                Social Security Administration with respect to a
                taxpayer for the applicable year--
                            ``(i)(I) whether the adjusted gross income,
                        as modified in accordance with specifications
                        of the Secretary of Health and Human Services
                        for purposes of carrying out such section, of
                        such taxpayer and, if applicable, such
                        taxpayer's spouse, for the applicable year,
                        exceeds the amounts specified by the Secretary
                        of Health and Human Services as indicating
                        likely eligibility for the low-income subsidy
                        provided under section 1860D-14 of such Act,
                            ``(II) whether the return was a joint
                        return, and
                            ``(III) the applicable year, or
                            ``(ii) if applicable, the fact that there
                        is no return filed for such taxpayer for the
                        applicable year.
                    ``(B) Definition of applicable year.--For the
                purposes of this paragraph, the term `applicable year'
                means the most recent taxable year for which
                information is available in the Internal Revenue
                Service's taxpayer data information systems, or, if
                there is no return filed for such taxpayer for such
                year, the prior taxable year.
                    ``(C) Restriction on use of disclosed
                information.--Return information disclosed under this
                paragraph may be used only for the purposes of
                identifying eligible individuals for, and
                administering--
                            ``(i) low-income subsidies under section
                        1860D-14 of the Social Security Act, and
                            ``(ii) the Medicare Savings Program
                        implemented under clauses (i), (iii), and (iv)
                        of section 1902(a)(10)(E) of such Act.
                    ``(D) Termination.--Return information may not be
                disclosed under this paragraph after the date that is
                one year after the date of the enactment of this
                paragraph.''.
            (2) Confidentiality.--Paragraph (3) of section 6103(a) of
        such Code is amended by striking ``or (20)'' and inserting
        ``(20), or (21)''.
            (3) Procedures and recordkeeping related to disclosures.--
        Paragraph (4) of section 6103(p) of such Code is amended by
        striking ``or (20)'' each place it appears and inserting
        ``(20), or (21)''.
            (4) Unauthorized disclosure or inspection.--Paragraph (2)
        of section 7213(a) of such Code is amended by striking ``or
        (20)'' and inserting ``(20), or (21)''.

SEC. 3. INCREASE IN PERMITTED RESOURCES TO OBTAIN LOW-INCOME SUBSIDIES.

    (a) Increase in Resource Limits.--Subparagraph (E) of section
1860D-14(a)(3) of the Social Security Act (42 U.S.C. 1395ww-114(a)(3))
is amended--
            (1) in subclause (I), by striking ``for 2006'' and
        inserting ``for months in 2006 before the first day of the
        first month beginning after the date of the enactment of the
        Prescription Drug Now Act of 2006'' and by striking ``and'' at
        the end;
            (2) by redesignating subclause (II) as subclause (III);
            (3) by inserting after subclause (I) the following new
        subclause:
                                    ``(II) for months in 2006 beginning
                                with the first month that begins after
                                the date of the enactment of the
                                Prescription Drug Now Act of 2006,
                                $50,000 (or $100,000 in the case of the
                                combined value of the individual's
                                assets or resources and the assets or
                                resources of the individual's spouse);
                                and''; and
            (4) in the last sentence, by striking ``subclause (II)''
        and inserting ``subclause (III)''.
    (b) Not Counting Value of Life Insurance as Resource.--Such section
is further amended--
            (1) in subparagraphs (D) and (E), by inserting ``, except
        as provided in subparagraph (G)'' after ``supplemental security
        income program''; and
            (2) by adding at the end the following new subparagraph:
                    ``(G) Exclusion of life insurance in resources.--
                For purposes of subparagraphs (D) and (E), the value of
                a life insurance policy shall not be counted as a
                resource for months beginning after the date of the
                enactment of this subparagraph.''.

SEC. 4. WAIVER OF LATE ENROLLMENT PENALTY FOR SUBSIDY ELIGIBLE
              INDIVIDUALS FOR FIRST 24 MONTHS OF NON-ENROLLMENT.

    Section 1860D-13(b)(3)(B) of the Social Security Act (42 U.S.C.
1395w-113(b)(3)(B)) is amended by inserting before the period at the
end the following: ``, except that in the case of a subsidy eligible
individual (as defined in section 1860D-14(a)(3)(A)) the first 24
uncovered months shall not be counted''.

Output:
Prescription Coverage Now Act of 2006 - Amends part D (Voluntary Prescription Drug Benefit Program) of title XVIII (Medicare) of the Social Security Act to direct the Secretary of Health and Human Service to provide for an expedited process for the qualification for low-income assistance through a request to the Secretary of the Treasury for tax return and other information sufficient to identify: (1) whether the individual involved is likely eligible for subsidies; and (2) the amount of premium and cost-sharing subsidies for which they would qualify based on such information.

Increases the maximum permissible resource level for subsidy eligibility.

Waives the late enrollment penalty for subsidy-eligible individuals for the first 24 months of non-enrollment.