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Committee Reports

104th Congress (1995-1996)

House Report 104-350

House Report 104-350 1 of 1

This Report: To Accompany H.R.2491     Printer Friendly: HTML  |  PDF




{link: 'http://www.congress.gov:80/cgi-bin/cpquery?',title: 'THOMAS - Committee Report - House Report 104-350' }

BALANCED BUDGET ACT OF 1995


104TH CONGRESS 1ST SESSION
HOUSE OF REPRESENTATIVES
Report

104-350

BALANCED BUDGET ACT OF 1995

CONFERENCE REPORT

to accompany

H.R. 2491

[Graphic image not available]

NOVEMBER 16 (legislative day of NOVEMBER 15), 1995- Ordered to be printed

20-873

1995
104TH CONGRESS 1ST SESSION
HOUSE OF REPRESENTATIVES
Report

104-350

BALANCED BUDGET ACT OF 1995

CONFERENCE REPORT

to accompany

H.R. 2491

[Graphic image not available]

NOVEMBER 16 (legislative day of NOVEMBER 15), 1995- Ordered to be printed

104TH CONGRESS

Report

HOUSE OF REPRESENTATIVES

1st Session

104-350
BALANCED BUDGET ACT OF 1995

November 16 (legislative day, NOVEMBER 15), 1995- Ordered to be printed
Mr. KASICH, from the committee of conference, submitted the following
CONFERENCE REPORT
[To accompany H.R. 2491]

The committee of conference on the disagreeing votes of the two Houses on the amendment of the Senate to the bill (H.R. 2491), to provide for reconciliation pursuant to section 105 of the concurrent resolution on the budget for fiscal year 1996, having met, after full and free conference, have agreed to recommend and do recommend to their respective Houses as follows:

That the House recede from its disagreement to the amendment of the Senate and agree to the same with an amendment as follows:

In lieu of the matter proposed to be inserted by the Senate amendment, insert the following:

SECTION 1. SHORT TITLE.

SEC. 2. TABLE OF TITLES.

Title I--Agriculture and Related Provisions
Title II--Banking, Housing, and Related Provisions
Title III--Communication and Spectrum Allocation Provisions
Title IV--Education and Related Provisions
Title V--Energy and Natural Resources Provisions
Title VI--Federal Retirement and Related Provisions
Title VII--Medicaid
Title VIII--Medicare
Title IX--Transportation and Related Provisions
Title X--Veterans and Related Provisions
Title XI--Revenues
Title XII--Teaching hospitals and graduate medical education; asset sales; welfare; and other provisions

TITLE I--AGRICULTURE AND RELATED PROVISIONS

SEC. 1001. SHORT TITLE; TABLE OF CONTENTS.

Sec. 1001. Short title; table of contents.
Subtitle A--Agricultural Market Transition Program
Sec. 1101. Short title.
Sec. 1102. Definitions.
Sec. 1103. Production flexibility contracts.
Sec. 1104. Nonrecourse marketing assistance loans and loan deficiency payments.
Sec. 1105. Payment limitations.
Sec. 1106. Peanut program.
Sec. 1107. Sugar program.
Sec. 1108. Administration.
Sec. 1109. Elimination of permanent price support authority.
Sec. 1110. Effect of amendments.
Subtitle B--Conservation
Sec. 1201. Conservation.
Subtitle C--Agricultural Promotion and Export Programs
Sec. 1301. Market promotion program.
Sec. 1302. Export enhancement program.
Subtitle D--Miscellaneous
Sec. 1401. Crop insurance.
Sec. 1402. Collection and use of agricultural quarantine and inspection fees.
Sec. 1403. Commodity Credit Corporation interest rate.

Subtitle A--Agricultural Market Transition Program

SEC. 1101. SHORT TITLE.

SEC. 1102. DEFINITIONS.

SEC. 1103. PRODUCTION FLEXIBILITY CONTRACTS.

SEC. 1104. NONRECOURSE MARKETING ASSISTANCE LOANS AND LOAN DEFICIENCY PAYMENTS.

(aa) average exports of upland cotton during the preceding 6 marketing years; or

(bb) cumulative exports of upland cotton plus outstanding export sales for the marketing year in which the quota is established.

SEC. 1105. PAYMENT LIMITATIONS.

SEC. 1106. PEANUT PROGRAM.

SEC. 1107. SUGAR PROGRAM.

SEC. 1108. ADMINISTRATION.

SEC. 1109. ELIMINATION OF PERMANENT PRICE SUPPORT AUTHORITY.

`TITLE IV--ADMINISTRATION OF LOANS

`SEC. 411. ADJUSTMENTS FOR GRADE, TYPE, QUALITY, LOCATION, AND OTHER FACTORS.

SEC. 1110. EFFECT OF AMENDMENTS.

Subtitle B--Conservation

SEC. 1201. CONSERVATION.

`Subtitle E--Funding

`SEC. 1241. FUNDING.

`CHAPTER 4--LIVESTOCK ENVIRONMENTAL ASSISTANCE PROGRAM

`SEC. 1240. DEFINITIONS.

`SEC. 1240A. ESTABLISHMENT AND ADMINISTRATION OF LIVESTOCK ENVIRONMENTAL ASSISTANCE PROGRAM.

Subtitle C--Agricultural Promotion and Export Programs

SEC. 1301. MARKET PROMOTION PROGRAM.

SEC. 1302. EXPORT ENHANCEMENT PROGRAM.

Subtitle D--Miscellaneous

SEC. 1401. CROP INSURANCE.

SEC. 1402. COLLECTION AND USE OF AGRICULTURAL QUARANTINE AND INSPECTION FEES.

SEC. 1403. COMMODITY CREDIT CORPORATION INTEREST RATE.

TITLE II--BANKING, HOUSING, AND RELATED PROVISIONS

SEC. 2001. TABLE OF CONTENTS.

TITLE II--BANKING, HOUSING, AND RELATED PROVISIONS
Sec. 2001. Table of contents.
TITLE II--BANKING, HOUSING, AND RELATED PROVISIONS
Subtitle A--Financial Institutions
Sec. 2011. Special assessment to capitalize SAIF.
Sec. 2012. Financing Corporation assessments shared proportionally by all insured depository institutions.
Sec. 2013. Merger of BIF and SAIF.
Sec. 2014. Creation of SAIF Special Reserve.
Sec. 2015. Refund of amounts in deposit insurance fund in excess of designated reserve amount.
Sec. 2016. Assessment rates for SAIF members may not be less than assessment rates for BIF members.
Sec. 2017. Assessments authorized only if needed to maintain the reserve ratio of a deposit insurance fund.
Sec. 2018. Limitation on authority of Oversight Board to continue to employ more than 18 officers and employees.
Sec. 2019. Definitions.
Subtitle B--Housing
Sec. 2051. Annual adjustment factors for operating costs only; restraint on rent increases.
Sec. 2052. Foreclosure avoidance and borrower assistance.

TITLE II--BANKING, HOUSING, AND RELATED PROVISIONS

Subtitle A--Financial Institutions

SEC. 2011. SPECIAL ASSESSMENT TO CAPITALIZE SAIF.

SEC. 2012. FINANCING CORPORATION ASSESSMENTS SHARED PROPORTIONALLY BY ALL INSURED DEPOSITORY INSTITUTIONS.

SEC. 2013. MERGER OF BIF AND SAIF.

SEC. 2014. CREATION OF SAIF SPECIAL RESERVE.

SEC. 2015. REFUND OF AMOUNTS IN DEPOSIT INSURANCE FUND IN EXCESS OF DESIGNATED RESERVE AMOUNT.

SEC. 2016. ASSESSMENT RATES FOR SAIF MEMBERS MAY NOT BE LESS THAN ASSESSMENT RATES FOR BIF MEMBERS.

SEC. 2017. ASSESSMENTS AUTHORIZED ONLY IF NEEDED TO MAINTAIN THE RESERVE RATIO OF A DEPOSIT INSURANCE FUND.

SEC. 2018. LIMITATION ON AUTHORITY OF OVERSIGHT BOARD TO CONTINUE TO EMPLOY MORE THAN 18 OFFICERS AND EMPLOYEES.

SEC. 2019. DEFINITIONS.

Subtitle B--Housing

SEC. 2051. ANNUAL ADJUSTMENT FACTORS FOR OPERATING COSTS ONLY; RESTRAINT ON RENT INCREASES.

SEC. 2052. FORECLOSURE AVOIDANCE AND BORROWER ASSISTANCE.

`AUTHORITY TO ASSIST MORTGAGORS IN DEFAULT

TITLE III--COMMUNICATIONS AND SPECTRUM ALLOCATION PROVISIONS

SEC. 3001. SPECTRUM AUCTIONS.

TITLE IV--EDUCATION AND RELATED PROVISIONS

SEC. 4000. TABLE OF CONTENTS.

TITLE IV--EDUCATION AND RELATED PROVISIONS
Sec. 4000. Table of contents.
Subtitle A--Higher Education
Sec. 4001. Short title; references; and general effective date.
Sec. 4002. Participation of institutions and administration of loan programs.
Sec. 4003. Loan terms and conditions.
Sec. 4004. Amendments affecting guaranty agencies.
Sec. 4005. Amendments affecting FFELP lenders and loan holders.
Sec. 4006. Connie Lee privatization.
Sec. 4007. Extension of program duration.
Subtitle B--Provisions Relating to the Employee Retirement Income Security Act of 1974
Sec. 4101. Waiver of minimum period for joint and survivor annuity explanation before annuity starting date.

Subtitle A--Higher Education

SEC. 4001. SHORT TITLE; REFERENCES; AND GENERAL EFFECTIVE DATE.

SEC. 4002. PARTICIPATION OF INSTITUTIONS AND ADMINISTRATION OF LOAN PROGRAMS.

SEC. 4003. LOAN TERMS AND CONDITIONS.

SEC. 4004. AMENDMENTS AFFECTING GUARANTY AGENCIES.

`SEC. 428K. GUARANTOR PURCHASE OF CLAIMS WITH RESERVE FUNDS.

SEC. 4005. AMENDMENTS AFFECTING FFELP LENDERS AND LOAN HOLDERS.

SEC. 4006. CONNIE LEE PRIVATIZATION.

SEC. 4007. EXTENSION OF PROGRAM DURATION.

Subtitle B--Provisions Relating to the Employee Retirement Income Security Act of 1974

SEC. 4101. WAIVER OF MINIMUM PERIOD FOR JOINT AND SURVIVOR ANNUITY EXPLANATION BEFORE ANNUTIY STARTING DATE.

TITLE V--ENERGY AND NATURAL RESOURCES PROVISIONS

Subtitle A--Nuclear Regulatory Commission Annual Charges

SEC. 5001. NUCLEAR REGULATORY COMMISSION ANNUAL CHARGES.

Subtitle B--Department of Energy Assets

CHAPTER 1--UNITED STATES ENRICHMENT CORPORATION

SEC. 5201. SHORT TITLE.

SEC. 5202. DEFINITIONS.

SEC. 5203. SALE OF THE CORPORATION.

SEC. 5204. METHOD OF SALE.

SEC. 5205. ESTABLISHMENT OF PRIVATE CORPORATION.

SEC. 5206. TRANSFERS TO THE PRIVATE CORPORATION.

SEC. 5207. LEASING OF GASEOUS DIFFUSION FACILITIES.

SEC. 5208. TRANSFER OF CONTRACTS.

SEC. 5209. LIABILITIES.

SEC. 5210. EMPLOYEE PROTECTIONS.

SEC. 5211. OWNERSHIP LIMITATIONS.

SEC. 5212. URANIUM TRANSFERS AND SALES.

Annual maximum deliveries to end users
Year: (millions lbs. U3O8 equivalent)
1998
2
1999
4
2000
6
2001
8
2002
10
2003
12
2004
14
2005
16
2006
17
2007
18
2008
19
2009 and each year thereafter
20.

SEC. 5213. LOW-LEVEL WASTE.

SEC. 5214. AVLIS.

SEC. 5215. APPLICATION OF CERTAIN LAWS.

SEC. 5216. AMENDMENTS TO THE ATOMIC ENERGY ACT.

SEC. 5217. AMENDMENTS TO OTHER LAWS.

CHAPTER 2--DEPARTMENT OF ENERGY

SEC. 5221. SALE OF DOE ASSETS

SEC. 5222. SALE OF WEEKS ISLAND OIL.

SEC. 5223. LEASE OF EXCESS STRATEGIC PETROLEUM RESERVE CAPACITY.

`USE OF UNDERUTILIZED FACILITIES

`Sec. 168. Use of underutilized facilities.'.

Subtitle C--Natural Resources

CHAPTER 1--DEPARTMENT OF THE INTERIOR CONVEYANCES

SUBCHAPTER A--CALIFORNIA DIRECTED LAND SALE

SEC. 5301. CONVEYANCE OF PROPERTY.

SUBCHAPTER B--HELIUM RESERVES

SEC. 5311. SHORT TITLE.

SEC. 5312. AMENDMENT OF HELIUM ACT.

SEC. 5313. AUTHORITY OF SECRETARY.

`SEC. 3. AUTHORITY OF SECRETARY.

`SEC. 4. STORAGE, TRANSPORTATION, AND WITHDRAWAL OF CRUDE HELIUM.

`SEC. 5. FEES FOR STORAGE, TRANSPORTATION AND WITHDRAWAL.

SEC. 5314. SALE OF CRUDE HELIUM.

SEC. 5315. ELIMINATION OF STOCKPILE.

`SEC. 8. ELIMINATION OF STOCKPILE.

SEC. 5316. REPEAL OF AUTHORITY TO BORROW.

SEC. 5317. LAND CONVEYANCE IN POTTER COUNTY, TEXAS.

CHAPTER 2--ARCTIC COASTAL PLAIN LEASING AND REVENUE ACT

SEC. 5312. SHORT TITLE.

SEC. 5322. DEFINITIONS.

SEC. 5333. LEASING PROGRAM FOR LANDS WITHIN THE COASTAL PLAIN.

SEC. 5334. RULES AND REGULATIONS.

SEC. 5335. ADEQUACY OF THE DEPARTMENT OF THE INTERIOR'S LEGISLATIVE ENVIRONMENTAL IMPACT STATEMENT.

SEC. 5336. LEASE SALES.

SEC. 5337. GRANT OF LEASES BY THE SECRETARY.

SEC. 5338. LEASE TERMS AND CONDITIONS.

SEC. 5339. BONDING REQUIREMENTS TO ENSURE FINANCIAL RESPONSIBILITY OF LESSEE AND AVOID FEDERAL LIABILITY.

SEC. 5340. OIL AND GAS INFORMATION.

SEC. 5341. EXPEDITED JUDICIAL REVIEW.

SEC. 5342. RIGHTS-OF-WAY ACROSS THE COASTAL PLAIN.

SEC. 5343. ENFORCEMENT OF SAFETY AND ENVIRONMENTAL REGULATIONS TO ENSURE COMPLIANCE WITH TERMS AND CONDITIONS OF LEASE.

SEC. 5344. NEW REVENUES.

CHAPTER 3--WATER PROJECTS

SUBCHAPTER A--IRRIGATION PREPAYMENT

SEC. 5351. AUTHORIZATION FOR PREPAYMENT OF CONSTRUCTION CHARGES.

SEC. 5352. CONFORMING AMENDMENT.

SUBCHAPTER B--HETCH HETCHY

SEC. 5353. HETCH HETCHY DAM.

SUBCHAPTER C--COLLBRAN PROJECT

SEC. 5355. COLLBRAN PROJECT.

SUBCHAPTER D--SLY PARK

SEC. 5356. SLY PARK.

SUBCHAPTER E--CENTRAL UTAH PROJECT

SEC. 5357. PREPAYMENT OF CERTAIN REPAYMENT CONTRACTS BETWEEN THE UNITED STATES AND THE CENTRAL UTAH WATER CONSERVANCY DISTRICT.

CHAPTER 4--FEDERAL OIL AND GAS ROYALTIES

SEC. 5361. DEFINITIONS.

SEC. 5362. MAXIMIZING RECEIPTS THROUGH STATE EFFORTS.

SEC. 5363. SECRETARIAL AND DELEGATED STATES' ACTIONS AND LIMITATION PERIODS.

`SEC. 115. SECRETARIAL AND DELEGATED STATES' ACTIONS AND LIMITATION PERIODS.

`Sec. 115. Limitation periods and agency actions.'.

SEC. 5364. ADJUSTMENT AND REFUNDS.

`SEC. 111A. ADJUSTMENTS AND REFUNDS.

`Sec. 111A. Adjustments and refunds.'.

SEC. 5365. ROYALTY TERMS AND CONDITIONS, INTEREST, AND PENALTIES.

`SEC. 116. ASSESSMENTS.

`Sec. 116. Assessments.'.

`ROYALTY TERMS AND CONDITIONS, INTEREST, AND PENALTIES'.

SEC. 5366. ALTERNATIVES FOR MARGINAL PROPERTIES.

`SEC. 117. ALTERNATIVES FOR MARGINAL PROPERTIES.

`Sec. 117. Alternatives for marginal properties.'.

SEC. 5367. REPEALS.

SEC. 5368. INDIAN LANDS.

SEC. 5369. PRIVATE LANDS.

SEC. 5369A. EFFECTIVE DATE.

CHAPTER 5--MINING

SEC. 5371. SHORT TITLE.

SEC. 5372. DEFINITIONS.

SEC. 5373. RENTAL PAYMENT REQUIREMENTS.

Table 1

Assessment Year:
Amount of Payment Per Site or Claim:
1996-1998
$100 per year
1999 and thereafter
$200 per year

SEC. 5374. PATENTS.

SEC. 5375. ROYALTY.

SEC. 5376. ABANDONED LOCATABLE MINERALS MINE RECLAMATION FUND.

SEC. 5377. ALLOCATION AND PAYMENTS.

SEC. 5378. ELIGIBLE AREA.

SEC. 5379. SUNSET PROVISIONS.

SEC. 5380. EFFECT ON THE GENERAL MINING LAWS.

SEC. 5381. SEVERABILITY.

SEC. 5382. MINERAL MATERIALS.

CHAPTER 6--DEPARTMENT OF THE INTERIOR

SEC. 5391. AIRCRAFT SERVICES.

CHAPTER 7--POWER MARKETING ADMINISTRATIONS

SUBCHAPTER A--BONNEVILLE POWER ADMINISTRATION REFINANCING

SEC. 5401. DEFINITIONS.

SEC. 5402. NEW PRINCIPAL AMOUNTS.

SEC. 5403. INTEREST RATE FOR NEW PRINCIPAL AMOUNTS.

SEC. 5404. REPAYMENT DATES.

SEC. 5405. PREPAYMENT LIMITATIONS.

SEC. 5406. INTEREST RATES FOR NEW CAPITAL INVESTMENTS DURING CONSTRUCTION.

SEC. 5407. INTEREST RATES FOR NEW CAPITAL INVESTMENTS.

SEC. 5408. CREDITS TO ADMINISTRATOR'S PAYMENTS TO THE UNITED STATES TREASURY.

`SEC. 6. CREDITS TO ADMINISTRATOR'S PAYMENTS TO THE UNITED STATES TREASURY.

SEC. 5409. CONTRACT PROVISIONS.

SEC. 5410. SAVINGS PROVISIONS.

Subchapter B--Alaska Power Marketing Administration Sale

SEC. 5411. SHORT TITLE.

SEC. 5412. DEFINITIONS.

SEC. 5413. SALE OF EKLUTNA AND SNETTISHAM HYDROELECTRIC PROJECTS.

SEC. 5414. EXEMPTION AND OTHER PROVISIONS.

SEC. 5415. OTHER FEDERAL HYDROELECTRIC PROJECTS.

CHAPTER 8--OUTER CONTINENTAL SHELF DEEP WATER ROYALTY RELIEF

SEC. 5421. SHORT TITLE.

SEC. 5422. AMENDMENTS TO THE OUTER CONTINENTAL SHELF LANDS ACT.

SEC. 5423. NEW LEASES.

SEC. 5424. LEASE SALES.

SEC. 5425. REGULATIONS.

SEC. 5426. SAVINGS CLAUSE.

CHAPTER 9--EXPORTS OF ALASKA NORTH SLOPE OIL

SEC. 5431. EXPORTS OF ALASKAN NORTH SLOPE OIL.

`EXPORTS OF ALASKAN NORTH SLOPE OIL

CHAPTER 10--SKI AREA PERMIT RENTAL CHARGES ON NATIONAL FOREST SYSTEM LANDS

SEC. 5441. SKI AREA PERMIT RENTAL CHARGE.

CHAPTER 11--PARK ENTRANCE FEES

SEC. 5451. FEES.

SEC. 5452. COVERING OF INCREASED FEE REVENUES INTO SPECIAL ACCOUNTS.

SEC. 5453. ALLOCATION AND USE OF FEES.

CHAPTER 12--CONCESSION REFORM

SEC. 5461. SHORT TITLE.

SEC. 5462. DEFINITIONS.

SEC. 5463. NATURE AND TYPES OF CONCESSION AUTHORIZATIONS.

SEC. 5464. COMPETITIVE SELECTION PROCESS FOR CONCESSION SERVICE AGREEMENTS.

SEC. 5465. CAPITAL IMPROVEMENTS.

SEC. 5466. DURATION OF CONCESSION AUTHORIZATION.

SEC. 5467. RATES AND CHARGES TO THE PUBLIC.

SEC. 5468. TRANSFERABILITY OF CONCESSION AUTHORIZATIONS.

SEC. 5469. FEES CHARGED BY THE UNITED STATES FOR CONCESSION AUTHORIZATIONS.

SEC. 5470. DISPOSITION OF FEES.

National Park Service

`Fiscal year: Amount:
1997 $15,800,000
1998 $21,100,000
1999 $26,700,000
2000 $32,300,000
2001 $38,200,000
2002 $44,400,000.

SEC. 5471. REGULATIONS.

SEC. 5472. RELATIONSHIP TO OTHER LAWS.

TITLE VI--FEDERAL RETIREMENT AND RELATED PROVISIONS

Subtitle A--Civil Service and Postal Service Provisions

SEC. 6001. EXTENSION OF DELAY IN COST-OF-LIVING ADJUSTMENTS IN FEDERAL EMPLOYEE RETIREMENT BENEFITS THROUGH FISCAL YEAR 2002.

SEC. 6002. INCREASED CONTRIBUTIONS TO FEDERAL CIVILIAN RETIREMENT SYSTEMS.

`Member of the Capitol Police

Employee
Congressional employee
Member
Law enforcement officer, firefighter, member of the Capitol Police, or air traffic controller

SEC. 6003. FEDERAL RETIREMENT PROVISIONS RELATING TO MEMBERS OF CONGRESS AND CONGRESSIONAL EMPLOYEES.

SEC. 6004. ACCRUAL RATES RELATING TO CERTAIN JUDGES WITH SIMILAR TREATMENT AS CONGRESSIONAL SERVICE.

SEC. 6005. REPEAL OF AUTHORIZATION OF TRANSITIONAL APPROPRIATIONS FOR THE UNITED STATES POSTAL SERVICE.

Subtitle B--Patent and Trademark Fees

SEC. 6011. PATENT AND TRADEMARK FEES.

Subtitle C--GSA Property Sales

SEC. 6021. SALE OF GOVERNORS ISLAND, NEW YORK.

SEC. 6022. SALE OF AIR RIGHTS.

SEC. 6023. AVAILABILITY OF SURPLUS PROPERTY FOR HOMELESS ASSISTANCE.

TITLE VII--TRANSFORMATION OF THE MEDICAID PROGRAM

SEC. 7000. SHORT TITLE OF TITLE; TABLE OF CONTENTS OF TITLE.

Sec. 7000. Short title of title; table of contents of title.
Sec. 7001. Transformation of medicaid program.
Sec. 7002. Termination of current program and transition.
Sec. 7003. Medicare/MediGrant integration demonstration project.

SEC. 7001. TRANSFORMATION OF MEDICAID PROGRAM.

`TITLE XXI--MEDIGRANT PROGRAM FOR LOW-INCOME INDIVIDUALS AND FAMILIES

`TABLE OF CONTENTS OF TITLE

`Sec. 2100. Purpose; State MediGrant plans.
`Part A--Objectives, Goals, and Performance Under State Plans
`Sec. 2101. Description of strategic objectives and performance goals.
`Sec. 2102. Annual reports.
`Sec. 2103. Periodic, independent evaluations.
`Sec. 2104. Description of process for MediGrant plan development.
`Sec. 2105. Consultation in MediGrant plan development.
`Part B--Eligibility, Benefits, and Set-Asides
`Sec. 2111. Eligibility and benefits.
`Sec. 2112. Set-asides of funds.
`Sec. 2113. Premiums and cost-sharing.
`Sec. 2114. Description of process for developing capitation payment rates.
`Sec. 2115. Preventing spousal impoverishment.
`Sec. 2116. State flexibility.
`Part C--Payments to States
`Sec. 2121. Allotment of funds among States.
`Sec. 2122. Payments to States.
`Sec. 2123. Limitation on use of funds; disallowance.
`Part D--Program Integrity and Quality
`Sec. 2131. Use of audits to achieve fiscal integrity.
`Sec. 2132. Fraud prevention program.
`Sec. 2133. Information concerning sanctions taken by State licensing authorities against health care practitioners and providers.
`Sec. 2134. State MediGrant fraud control units.
`Sec. 2135. Recoveries from third parties and others.
`Sec. 2136. Assignment of rights of payment.
`Sec. 2137. Quality assurance requirements for nursing facilities.
`Sec. 2138. Other provisions promoting program integrity.
`Part E--Establishment and Amendment of MediGrant Plans
`Sec. 2151. Submittal and approval of MediGrant plans.
`Sec. 2152. Submittal and approval of plan amendments.
`Sec. 2153. Process for State withdrawal from program.
`Sec. 2154. Sanctions for noncompliance.
`Sec. 2155. Secretarial authority.
`Part F--General Provisions
`Sec. 2171. Definitions.
`Sec. 2172. Treatment of territories.
`Sec. 2173. Description of treatment of Indian Health Service facilities.
`Sec. 2174. Application of certain general provisions.
`Sec. 2175. MediGrant master drug rebate agreements.

`SEC. 2100. PURPOSE; STATE MEDIGRANT PLANS.

`PART A--OBJECTIVES, GOALS, AND PERFORMANCE UNDER STATE PLANS

`SEC. 2101. DESCRIPTION OF STRATEGIC OBJECTIVES AND PERFORMANCE GOALS.

`SEC. 2102. ANNUAL REPORTS.

`SEC. 2103. PERIODIC, INDEPENDENT EVALUATIONS.

`SEC. 2104. DESCRIPTION OF PROCESS FOR MEDIGRANT PLAN DEVELOPMENT.

`SEC. 2105. CONSULTATION IN MEDIGRANT PLAN DEVELOPMENT.

`PART B--ELIGIBILITY, BENEFITS, AND SET-ASIDES

`SEC. 2111. ELIGIBILITY AND BENEFITS.

`SEC. 2112. SET-ASIDES OF FUNDS.

`SEC. 2113. PREMIUMS AND COST-SHARING.

`SEC. 2114. DESCRIPTION OF PROCESS FOR DEVELOPING CAPITATION PAYMENT RATES.

`SEC. 2115. PREVENTING SPOUSAL IMPOVERISHMENT.

`SEC. 2116. STATE FLEXIBILITY.

`PART C--PAYMENTS TO STATES

`SEC. 2121. ALLOTMENT OF FUNDS AMONG STATES.

`State or District:
Outlay allotment (in dollars):
Alabama 1,517,652,207
Alaska 204,933,213
Arizona 1,370,781,297
Arkansas 1,011,457,933
California 8,946,838,461
Colorado 757,492,679
Connecticut 1,463,011,635
Delaware 212,327,763
District of Columbia 501,412,091
Florida 3,715,624,180
Georgia 2,426,320,602
Hawaii 323,124,375
Idaho 278,329,686
Illinois 3,467,274,342
Indiana 1,952,467,267
Iowa 835,235,895
Kansas 713,700,869
Kentucky 1,577,828,832
Louisiana 2,622,000,000
Maine 694,220,790
Maryland 1,369,699,847
Massachusetts 2,870,346,862
Michigan 3,465,182,886
Minnesota 1,793,776,356
Mississippi 1,261,781,330
Missouri 1,849,248,945
Montana 312,212,472
Nebraska 463,900,417
Nevada 257,896,453
New Hampshire 360,000,000
New Jersey 2,854,621,241
New Mexico 634,756,945
New York 12,901,793,038
North Carolina 2,587,883,809
North Dakota 241,168,563
Ohio 4,034,049,690
Oklahoma 911,198,775
Oregon 1,088,670,440
Pennsylvania 4,454,423,400
Rhode Island 545,686,262
South Carolina 1,621,021,815
South Dakota 262,804,959
Tennessee 2,519,934,251
Texas 6,351,909,343
Utah 484,274,254
Vermont 248,158,729
Virginia 1,144,962,509
Washington 1,763,460,996
West Virginia 1,156,813,157
Wisconsin 1,709,500,642
Wyoming 132,925,390.

`SEC. 2122. PAYMENTS TO STATES.

Applicable
`Fiscal year: Percentage:
1996
20
1997
40
1998
60
1999
80.

`SEC. 2123. LIMITATION ON USE OF FUNDS; DISALLOWANCE.

`PART D--PROGRAM INTEGRITY AND QUALITY

`SEC. 2131. USE OF AUDITS TO ACHIEVE FISCAL INTEGRITY.

`SEC. 2132. FRAUD PREVENTION PROGRAM.

`SEC. 2133. INFORMATION CONCERNING SANCTIONS TAKEN BY STATE LICENSING AUTHORITIES AGAINST HEALTH CARE PRACTITIONERS AND PROVIDERS.

`SEC. 2134. STATE MEDIGRANT FRAUD CONTROL UNITS.

`SEC. 2135. RECOVERIES FROM THIRD PARTIES AND OTHERS.

`SEC. 2136. ASSIGNMENT OF RIGHTS OF PAYMENT.

`SEC. 2137. QUALITY ASSURANCE REQUIREMENTS FOR NURSING FACILITIES.

`SEC. 2138. OTHER PROVISIONS PROMOTING PROGRAM INTEGRITY.

`PART E--ESTABLISHMENT AND AMENDMENT OF MEDIGRANT PLANS

`SEC. 2151. SUBMITTAL AND APPROVAL OF MEDIGRANT PLANS.

`SEC. 2152. SUBMITTAL AND APPROVAL OF PLAN AMENDMENTS.

`SEC. 2153. PROCESS FOR STATE WITHDRAWAL FROM PROGRAM.

`SEC. 2154. SANCTIONS FOR NONCOMPLIANCE.

`SEC. 2155. SECRETARIAL AUTHORITY.

`PART F--GENERAL PROVISIONS

`SEC. 2171. DEFINITIONS.

`SEC. 2172. TREATMENT OF TERRITORIES.

`SEC. 2173. DESCRIPTION OF TREATMENT OF INDIAN HEALTH SERVICE FACILITIES.

`SEC. 2174. APPLICATION OF CERTAIN GENERAL PROVISIONS.

`SEC. 2175. MEDIGRANT MASTER DRUG REBATE AGREEMENTS.

SEC. 7002. TERMINATION OF CURRENT PROGRAM AND TRANSITION.

SEC. 7003. MEDICARE/MEDIGRANT INTEGRATION DEMONSTRATION PROJECT.

TITLE VIII--MEDICARE

SEC. 8000. SHORT TITLE OF TITLE; AMENDMENTS AND REFERENCES TO OBRA; TABLE OF CONTENTS OF TITLE.

Sec. 8000. Short title of title; amendments and references to OBRA; table of contents of title.
Subtitle A--MedicarePlus Program
`Part C--MedicarePlus Program
Chapter 1--MedicarePlus Program
Sec. 8001. Establishment of MedicarePlus program.
`Part C--MedicarePlus Program
`Sec. 1851. Eligibility, election, and enrollment.
`Sec. 1852. Benefits and beneficiary protections.
`Sec. 1853. Organizational and financial requirements for MedicarePlus organizations; provider-sponsored organizations.
`Sec. 1854. Payments to MedicarePlus organizations.
`Sec. 1855. Premiums and rebates.
`Sec. 1856. Establishment of standards; certification of organizations and plans.
`Sec. 1857. Contracts with MedicarePlus organizations.
`Sec. 1858. Standards for MedicarePlus and medicare information transactions and data elements.
`Sec. 1859. Definitions; miscellaneous provisions.
Sec. 8002. Duplication and coordination of medicare-related plans.
Sec. 8003. Transitional rules for current medicare HMO program.
Chapter 2--Special Rules for MedicarePlus Medical Savings Accounts
Sec. 8011. MedicarePlus MSA.
Sec. 8012. Certain rebates excluded from gross income.
Chapter 3--Medicare Payment Review Commission
Sec. 8021. Medicare Payment Review Commission.
Chapter 4--Treatment Of Hospitals Which Participate in Provider-Sponsored Organizations
Sec. 8031. Treatment of hospitals which participate in provider-sponsored organizations.
Subtitle B--Health Care Fraud and Abuse Prevention
Chapter 1--Fraud And Abuse Control Program
Sec. 8101. Fraud and abuse control program.
Sec. 8102. Medicare integrity program.
Sec. 8103. Beneficiary incentive programs.
Sec. 8104. Application of certain health anti-fraud and abuse sanctions to fraud and abuse against Federal health care programs.
Sec. 8105. Guidance regarding application of health care fraud and abuse sanctions.
Chapter 2--Revisions To Current Sanctions for Fraud and Abuse
Sec. 8111. Mandatory exclusion from participation in medicare and State health care programs.
Sec. 8112. Establishment of minimum period of exclusion for certain individuals and entities subject to permissive exclusion from medicare and State health care programs.
Sec. 8113. Permissive exclusion of individuals with ownership or control interest in sanctioned entities.
Sec. 8114. Sanctions against practitioners and persons for failure to comply with statutory obligations.
Sec. 8115. Intermediate sanctions for medicare health maintenance organizations.
Sec. 8116. Additional exception to anti-kickback penalties for discounting and managed care arrangements.
Sec. 8117. Penalties for the fraudulent conversion of assets in order to obtain State health care program benefits.
Sec. 8118. Effective date.
Chapter 3--Administrative And Miscellaneous Provisions
Sec. 8121. Establishment of the health care fraud and abuse data collection program.
Chapter 4--Civil Monetary Penalties
Sec. 8131. Social Security Act civil monetary penalties.
Sec. 8132. Clarification of level of intent required for imposition of sanctions.
Sec. 8133. Penalty for false certification for home health services.
Chapter 5--Amendments To Criminal Law
Sec. 8141. Health care fraud.
Sec. 8142. Forfeitures for Federal health care offenses.
Sec. 8143. Injunctive relief relating to Federal health care offenses.
Sec. 8144. False Statements.
Sec. 8145. Obstruction of criminal investigations of Federal health care offenses.
Sec. 8146. Theft or embezzlement.
Sec. 8147. Laundering of monetary instruments.
Sec. 8148. Authorized investigative demand procedures.
Chapter 6--State Health Care Fraud Control Units
Sec. 8151. State health care fraud control units.
Subtitle C--Regulatory Relief
Sec. 8201. Repeal of physician ownership referral prohibitions based on compensation arrangements.
Sec. 8202. Revision of designated health services subject to ownership referral prohibition.
Sec. 8203. Delay in implementation of 1993 ownership referral changes until promulgation of regulations.
Sec. 8204. Exceptions to ownership referral prohibitions.
Sec. 8205. Effective date.
Subtitle D--Modification in Payment Policies Regarding Graduate Medical Education
Sec. 8301. Indirect medical education payments.
Sec. 8302. Direct graduate medical education.
Subtitle E--Provisions Relating to Part A
Chapter 1--General Provisions Relating to Part A
Sec. 8401. PPS hospital payment update.
Sec. 8402. PPS-exempt hospital payments.
Sec. 8403. Reductions in disproportionate share payment adjustments.
Sec. 8404. Capital payments for PPS hospitals.
Sec. 8405. Reduction in payments to hospitals for enrollees' bad debts.
Sec. 8406. Increase in update for certain hospitals with a high proportion of medicare patients.
Chapter 2--Payments To Skilled Nursing Facilities
SUBCHAPTER A--PROSPECTIVE PAYMENT SYSTEM
Sec. 8410. Prospective payment system for skilled nursing facilities.
SUBCHAPTER B--INTERIM PAYMENT SYSTEM
Sec. 8411. Payments for routine service costs.
Sec. 8412. Cost-effective management of covered non-routine services.
Sec. 8413. Payments for routine service costs.
Sec. 8414. Reductions in payment for capital-related costs.
Sec. 8415. Treatment of items and services paid for under part B.
Sec. 8416. Medical review process.
Sec. 8417. Report by medicare payment review commission.
Sec. 8418. Effective date.
Chapter 3--Other Provisions Relating to Part A
Sec. 8421. Payments for hospice services.
Sec. 8422. Permanent extension of hemophilia pass-through.
Subtitle F--Provisions Relating to Part B
Chapter 1--Payment Reforms
Sec. 8501. Payments for physicians' services.
Sec. 8502. Elimination of formula-driven overpayments for certain outpatient hospital services.
Sec. 8503. Extension of reductions in payments for costs of hospital outpatient services.
Sec. 8504. Reduction in updates to payment amounts for clinical diagnostic laboratory tests.
Sec. 8505. Payments for durable medical equipment.
Sec. 8506. Updates for ambulatory surgical services.
Sec. 8507. Payments for ambulance services.
Sec. 8508. Ensuring payment for physician and nurse for jointly furnished anesthesia services.
Chapter 2--Part B Premium
Sec. 8511. Promoting solvency of part a trust fund through part b premium.
Sec. 8512. Income-related reduction in medicare subsidy.
Subtitle G--Provisions Relating to Parts A and B
Chapter 1--Payments For Home Health Services
Sec. 8601. Payment for home health services.
Sec. 8602. Maintaining savings resulting from temporary freeze on payment increases for home health services.
Sec. 8603. Extension of waiver of presumption of lack of knowledge of exclusion from coverage for home health agencies.
Sec. 8604. Extension of period of home health agency certification.
Part 2--Medicare Secondary Payer Improvements
Sec. 8611. Extension and expansion of existing requirements.
Sec. 8612. Improvements in recovery of payments.
Chapter 3--Other Items and Services Under Parts A and B
Sec. 8621. Medicare coverage of certain anti-cancer drug treatments.
Sec. 8622. Administrative provisions.
Chapter 4--Failsafe
Sec. 8631. Failsafe budget mechanism.
Subtitle H--Rural Areas
Sec. 8701. Medicare-dependent, small, rural hospital payment extension.
Sec. 8702. Medicare rural hospital flexibility program.
Sec. 8703. Establishment of rural emergency access care hospitals.
Sec. 8704. Classification of rural referral centers.
Sec. 8705. Floor on area wage index.
Sec. 8706. Additional payments for physicians' services furnished in shortage areas.
Sec. 8707. Payments to physician assistants and nurse practitioners for services furnished in outpatient or home settings.
Sec. 8708. Expanding access to nurse aide training in underserved areas.

Subtitle A--MedicarePlus Program

CHAPTER 1--MEDICAREPLUS PROGRAM

SEC. 8001. ESTABLISHMENT OF MEDICAREPLUS PROGRAM.

`PART C--MEDICAREPLUS PROGRAM

`ELIGIBILITY, ELECTION, AND ENROLLMENT

`BENEFITS AND BENEFICIARY PROTECTIONS

`ORGANIZATIONAL AND FINANCIAL REQUIREMENTS FOR MEDICAREPLUS ORGANIZATIONS; PROVIDER-SPONSORED ORGANIZATIONS

`PAYMENTS TO MEDICAREPLUS ORGANIZATIONS