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Final version (Enrolled Bill) as passed by both Houses. There are 5 other versions of this bill.
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Link to House Committee Report 149
Link to House Committee Report 217

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H.R.2015

Balanced Budget Act of 1997 (Enrolled as Agreed to or Passed by Both House and Senate)

Beginning
    SECTION 1. SHORT TITLE.
    SEC. 2. TABLE OF TITLES.
TITLE I--FOOD STAMP PROVISIONS
    SEC. 1001. EXEMPTION.
    SEC. 1002. ADDITIONAL FUNDING FOR EMPLOYMENT AND TRAINING.
    SEC. 1003. DENIAL OF FOOD STAMPS FOR PRISONERS.
    SEC. 1004. NUTRITION EDUCATION.
    SEC. 1005. REGULATIONS; EFFECTIVE DATE.
TITLE II--HOUSING AND RELATED PROVISIONS
    Sec. 2001. Table of contents.
TITLE III--COMMUNICATIONS AND SPECTRUM ALLOCATION PROVISIONS
    SEC. 3001. DEFINITIONS.
    SEC. 3002. SPECTRUM AUCTIONS.
    SEC. 3003. AUCTION OF RECAPTURED BROADCAST TELEVISION SPECTRUM.
    SEC. 3004. ALLOCATION AND ASSIGNMENT OF NEW PUBLIC SAFETY SERVICES LICENSES AND COMMERCIAL LICENSES.
    `SEC. 337. ALLOCATION AND ASSIGNMENT OF NEW PUBLIC SAFETY SERVICES LICENSES AND COMMERCIAL LICENSES.
    SEC. 3005. FLEXIBLE USE OF ELECTROMAGNETIC SPECTRUM.
    SEC. 3006. UNIVERSAL SERVICE FUND PAYMENT SCHEDULE.
    SEC. 3007. DEADLINE FOR COLLECTION
    SEC. 3008. ADMINISTRATIVE PROCEDURES FOR SPECTRUM AUCTIONS.
TITLE IV--MEDICARE, MEDICAID, AND CHILDREN'S HEALTH PROVISIONS
    Sec. 4000. Amendments to Social Security Act and references to OBRA; table of contents of title.
    Sec. 4012. Administration through the Office of Competition; advisory committee.
    Sec. 4013. Project design based on FEHBP competitive bidding model.
Subtitle A--Medicare+Choice Program
CHAPTER 1--MEDICARE+CHOICE PROGRAM
Subchapter A--Medicare+Choice Program
    SEC. 4001. ESTABLISHMENT OF MEDICARE+CHOICE PROGRAM.
`Part C--Medicare+Choice Program
`ELIGIBILITY, ELECTION, AND ENROLLMENT
`BENEFITS AND BENEFICIARY PROTECTIONS
`PAYMENTS TO MEDICARE+CHOICE ORGANIZATIONS
`PREMIUMS
`ORGANIZATIONAL AND FINANCIAL REQUIREMENTS FOR MEDICARE+CHOICE ORGANIZATIONS; PROVIDER-SPONSORED ORGANIZATIONS
`ESTABLISHMENT OF STANDARDS
`CONTRACTS WITH MEDICARE+CHOICE ORGANIZATIONS
`DEFINITIONS; MISCELLANEOUS PROVISIONS
    SEC. 4002. TRANSITIONAL RULES FOR CURRENT MEDICARE HMO PROGRAM.
    SEC. 4003. CONFORMING CHANGES IN MEDIGAP PROGRAM.
Subchapter B--Special Rules for Medicare+Choice Medical Savings Accounts
    SEC. 4006. MEDICARE+CHOICE MSA.
    `SEC. 138. MEDICARE+CHOICE MSA.
CHAPTER 2--DEMONSTRATIONS
Subchapter A--Medicare+Choice Competitive Pricing Demonstration Project
    SEC. 4011. MEDICARE PREPAID COMPETITIVE PRICING DEMONSTRATION PROJECT.
    SEC. 4012. ADVISORY COMMITTEES.
Subchapter B--Social Health Maintenance Organizations
    SEC. 4014. SOCIAL HEALTH MAINTENANCE ORGANIZATIONS (SHMOS).
Subchapter C--Medicare Subvention Demonstration Project for Military Retirees
    SEC. 4015. MEDICARE SUBVENTION DEMONSTRATION PROJECT FOR MILITARY RETIREES.
`MEDICARE SUBVENTION DEMONSTRATION PROJECT FOR MILITARY RETIREES
Subchapter D--Other Projects
    SEC. 4016. MEDICARE COORDINATED CARE DEMONSTRATION PROJECT.
    SEC. 4017. ORDERLY TRANSITION OF MUNICIPAL HEALTH SERVICE DEMONSTRATION PROJECTS.
    SEC. 4018. MEDICARE ENROLLMENT DEMONSTRATION PROJECT.
    SEC. 4019. EXTENSION OF CERTAIN MEDICARE COMMUNITY NURSING ORGANIZATION DEMONSTRATION PROJECTS.
CHAPTER 3--COMMISSIONS
    SEC. 4021. NATIONAL BIPARTISAN COMMISSION ON THE FUTURE OF MEDICARE.
    SEC. 4022. MEDICARE PAYMENT ADVISORY COMMISSION.
`MEDICARE PAYMENT ADVISORY COMMISSION
CHAPTER 4--MEDIGAP PROTECTIONS
    SEC. 4031. MEDIGAP PROTECTIONS.
    SEC. 4032. ADDITION OF HIGH DEDUCTIBLE MEDIGAP POLICIES.
CHAPTER 5--TAX TREATMENT OF HOSPITALS PARTICIPATING IN PROVIDER-SPONSORED ORGANIZATIONS
    SEC. 4041. TAX TREATMENT OF HOSPITALS WHICH PARTICIPATE IN PROVIDER-SPONSORED ORGANIZATIONS.
Subtitle B--Prevention Initiatives
    SEC. 4101. SCREENING MAMMOGRAPHY.
    SEC. 4102. SCREENING PAP SMEAR AND PELVIC EXAMS.
    SEC. 4103. PROSTATE CANCER SCREENING TESTS.
`Prostate Cancer Screening Tests
    SEC. 4104. COVERAGE OF COLORECTAL SCREENING.
`Colorectal Cancer Screening Tests
    SEC. 4105. DIABETES SELF-MANAGEMENT BENEFITS.
`Diabetes Outpatient Self-Management Training Services
    SEC. 4106. STANDARDIZATION OF MEDICARE COVERAGE OF BONE MASS MEASUREMENTS.
`Bone Mass Measurement
    SEC. 4107. VACCINES OUTREACH EXPANSION.
    SEC. 4108. STUDY ON PREVENTIVE AND ENHANCED BENEFITS.
Subtitle C--Rural Initiatives
    SEC. 4201. MEDICARE RURAL HOSPITAL FLEXIBILITY PROGRAM.
`MEDICARE RURAL HOSPITAL FLEXIBILITY PROGRAM
`CRITICAL ACCESS HOSPITAL; CRITICAL ACCESS HOSPITAL SERVICES
`Payment for Inpatient Critical Access Hospital Services
    SEC. 4202. PROHIBITING DENIAL OF REQUEST BY RURAL REFERRAL CENTERS FOR RECLASSIFICATION ON BASIS OF COMPARABILITY OF WAGES.
    SEC. 4203. HOSPITAL GEOGRAPHIC RECLASSIFICATION PERMITTED FOR PURPOSES OF DISPROPORTIONATE SHARE PAYMENT ADJUSTMENTS.
    SEC. 4204. MEDICARE-DEPENDENT, SMALL RURAL HOSPITAL PAYMENT EXTENSION.
    SEC. 4205. RURAL HEALTH CLINIC SERVICES.
    SEC. 4206. MEDICARE REIMBURSEMENT FOR TELEHEALTH SERVICES.
    SEC. 4207. INFORMATICS, TELEMEDICINE, AND EDUCATION DEMONSTRATION PROJECT.
Subtitle D--Anti-Fraud and Abuse Provisions and Improvements in Protecting Program Integrity
CHAPTER 1--REVISIONS TO SANCTIONS FOR FRAUD AND ABUSE
    SEC. 4301. PERMANENT EXCLUSION FOR THOSE CONVICTED OF 3 HEALTH CARE RELATED CRIMES.
    SEC. 4302. AUTHORITY TO REFUSE TO ENTER INTO MEDICARE AGREEMENTS WITH INDIVIDUALS OR ENTITIES CONVICTED OF FELONIES.
    SEC. 4303. EXCLUSION OF ENTITY CONTROLLED BY FAMILY MEMBER OF A SANCTIONED INDIVIDUAL.
    SEC. 4304. IMPOSITION OF CIVIL MONEY PENALTIES.
CHAPTER 2--IMPROVEMENTS IN PROTECTING PROGRAM INTEGRITY
    SEC. 4311. IMPROVING INFORMATION TO MEDICARE BENEFICIARIES.
`EXPLANATION OF MEDICARE BENEFITS
    SEC. 4312. DISCLOSURE OF INFORMATION AND SURETY BONDS.
    SEC. 4313. PROVISION OF CERTAIN IDENTIFICATION NUMBERS.
    SEC. 4314. ADVISORY OPINIONS REGARDING CERTAIN PHYSICIAN SELF-REFERRAL PROVISIONS.
    SEC. 4315. REPLACEMENT OF REASONABLE CHARGE METHODOLOGY BY FEE SCHEDULES.
    SEC. 4316. APPLICATION OF INHERENT REASONABLENESS TO ALL PART B SERVICES OTHER THAN PHYSICIANS' SERVICES.
    SEC. 4317. REQUIREMENT TO FURNISH DIAGNOSTIC INFORMATION.
    SEC. 4318. REPORT BY GAO ON OPERATION OF FRAUD AND ABUSE CONTROL PROGRAM.
    SEC. 4319. COMPETITIVE BIDDING DEMONSTRATION PROJECTS.
    `SEC. 1847. DEMONSTRATION PROJECTS FOR COMPETITIVE ACQUISITION OF ITEMS AND SERVICES.
    SEC. 4320. PROHIBITING UNNECESSARY AND WASTEFUL MEDICARE PAYMENTS FOR CERTAIN ITEMS.
    SEC. 4321. NONDISCRIMINATION IN POST-HOSPITAL REFERRAL TO HOME HEALTH AGENCIES AND OTHER ENTITIES.
`PUBLIC DISCLOSURE OF CERTAIN INFORMATION ON HOSPITAL FINANCIAL INTEREST AND REFERRAL PATTERNS
CHAPTER 3--CLARIFICATIONS AND TECHNICAL CHANGES
    SEC. 4331. OTHER FRAUD AND ABUSE RELATED PROVISIONS.
Subtitle E--Provisions Relating to Part A Only
CHAPTER 1--PAYMENT OF PPS HOSPITALS
    SEC. 4401. PPS HOSPITAL PAYMENT UPDATE.
    SEC. 4402. MAINTAINING SAVINGS FROM TEMPORARY REDUCTION IN CAPITAL PAYMENTS FOR PPS HOSPITALS.
    SEC. 4403. DISPROPORTIONATE SHARE.
    SEC. 4404. MEDICARE CAPITAL ASSET SALES PRICE EQUAL TO BOOK VALUE.
    SEC. 4405. ELIMINATION OF IME AND DSH PAYMENTS ATTRIBUTABLE TO OUTLIER PAYMENTS.
    SEC. 4406. INCREASE BASE PAYMENT RATE TO PUERTO RICO HOSPITALS.
    SEC. 4407. CERTAIN HOSPITAL DISCHARGES TO POST ACUTE CARE.
    SEC. 4408. RECLASSIFICATION OF CERTAIN COUNTIES AS LARGE URBAN AREAS UNDER MEDICARE PROGRAM.
    SEC. 4409. GEOGRAPHIC RECLASSIFICATION FOR CERTAIN DISPROPORTIONATELY LARGE HOSPITALS.
    SEC. 4410. FLOOR ON AREA WAGE INDEX.
CHAPTER 2--PAYMENT OF PPS-EXEMPT HOSPITALS
Subchapter A--General Payment Provisions
    SEC. 4411. PAYMENT UPDATE.
    SEC. 4412. REDUCTIONS TO CAPITAL PAYMENTS FOR CERTAIN PPS-EXEMPT HOSPITALS AND UNITS.
    SEC. 4413. REBASING.
    SEC. 4414. CAP ON TEFRA LIMITS.
    SEC. 4415. BONUS AND RELIEF PAYMENTS.
    SEC. 4416. CHANGE IN PAYMENT AND TARGET AMOUNT FOR NEW PROVIDERS.
    SEC. 4417. TREATMENT OF CERTAIN LONG-TERM CARE HOSPITALS.
    SEC. 4418. TREATMENT OF CERTAIN CANCER HOSPITALS.
    SEC. 4419. ELIMINATION OF EXEMPTIONS FOR CERTAIN HOSPITALS.
Subchapter B--Prospective Payment System for PPS-Exempt Hospitals
    SEC. 4421. PROSPECTIVE PAYMENT FOR INPATIENT REHABILITATION HOSPITAL SERVICES.
    SEC. 4422. DEVELOPMENT OF PROPOSAL ON PAYMENTS FOR LONG-TERM CARE HOSPITALS.
CHAPTER 3--PAYMENT FOR SKILLED NURSING FACILITIES
    SEC. 4431. EXTENSION OF COST LIMITS.
    SEC. 4432. PROSPECTIVE PAYMENT FOR SKILLED NURSING FACILITY SERVICES.
CHAPTER 4--PROVISIONS RELATED TO HOSPICE SERVICES
    SEC. 4441. PAYMENTS FOR HOSPICE SERVICES.
    SEC. 4442. PAYMENT FOR HOME HOSPICE CARE BASED ON LOCATION WHERE CARE IS FURNISHED.
    SEC. 4443. HOSPICE CARE BENEFITS PERIODS.
    SEC. 4444. OTHER ITEMS AND SERVICES INCLUDED IN HOSPICE CARE.
    SEC. 4445. CONTRACTING WITH INDEPENDENT PHYSICIANS OR PHYSICIAN GROUPS FOR HOSPICE CARE SERVICES PERMITTED.
    SEC. 4446. WAIVER OF CERTAIN STAFFING REQUIREMENTS FOR HOSPICE CARE PROGRAMS IN NONURBANIZED AREAS.
    SEC. 4447. LIMITATION ON LIABILITY OF BENEFICIARIES FOR CERTAIN HOSPICE COVERAGE DENIALS.
    SEC. 4448. EXTENDING THE PERIOD FOR PHYSICIAN CERTIFICATION OF AN INDIVIDUAL'S TERMINAL ILLNESS.
    SEC. 4449. EFFECTIVE DATE.
    SEC. 4451. REDUCTIONS IN PAYMENTS FOR ENROLLEE BAD DEBT.
    SEC. 4452. PERMANENT EXTENSION OF HEMOPHILIA PASS-THROUGH PAYMENT.
    SEC. 4453. REDUCTION IN PART A MEDICARE PREMIUM FOR CERTAIN PUBLIC RETIREES.
    SEC. 4454. COVERAGE OF SERVICES IN RELIGIOUS NONMEDICAL HEALTH CARE INSTITUTIONS UNDER THE MEDICARE AND MEDICAID PROGRAMS.
`Extended Care in Religious Nonmedical Health Care Institutions',
`Religious Nonmedical Health Care Institution
`CONDITIONS FOR COVERAGE OF RELIGIOUS NONMEDICAL HEALTH CARE INSTITUTIONAL SERVICES
`exemptions for religious nonmedical health care institutions'; and
Subtitle F--Provisions Relating to Part B Only
CHAPTER 1--SERVICES OF HEALTH PROFESSIONALS
Subchapter A--Physicians' Services
    SEC. 4501. ESTABLISHMENT OF SINGLE CONVERSION FACTOR FOR 1998.
    SEC. 4502. ESTABLISHING UPDATE TO CONVERSION FACTOR TO MATCH SPENDING UNDER SUSTAINABLE GROWTH RATE.
    SEC. 4503. REPLACEMENT OF VOLUME PERFORMANCE STANDARD WITH SUSTAINABLE GROWTH RATE.
    SEC. 4504. PAYMENT RULES FOR ANESTHESIA SERVICES.
    SEC. 4505. IMPLEMENTATION OF RESOURCE-BASED METHODOLOGIES.
    SEC. 4506. DISSEMINATION OF INFORMATION ON HIGH PER DISCHARGE RELATIVE VALUES FOR IN-HOSPITAL PHYSICIANS' SERVICES.
    SEC. 4507. USE OF PRIVATE CONTRACTS BY MEDICARE BENEFICIARIES.
Subchapter B--Other Health Care Professionals
    SEC. 4511. INCREASED MEDICARE REIMBURSEMENT FOR NURSE PRACTITIONERS AND CLINICAL NURSE SPECIALISTS.
    SEC. 4512. INCREASED MEDICARE REIMBURSEMENT FOR PHYSICIAN ASSISTANTS.
    SEC. 4513. NO X-RAY REQUIRED FOR CHIROPRACTIC SERVICES.
CHAPTER 2--PAYMENT FOR HOSPITAL OUTPATIENT DEPARTMENT SERVICES
    SEC. 4521. ELIMINATION OF FORMULA-DRIVEN OVERPAYMENTS (FDO) FOR CERTAIN OUTPATIENT HOSPITAL SERVICES.
    SEC. 4522. EXTENSION OF REDUCTIONS IN PAYMENTS FOR COSTS OF HOSPITAL OUTPATIENT SERVICES.
    SEC. 4523. PROSPECTIVE PAYMENT SYSTEM FOR HOSPITAL OUTPATIENT DEPARTMENT SERVICES.
CHAPTER 3--AMBULANCE SERVICES
    SEC. 4531. PAYMENTS FOR AMBULANCE SERVICES.
    SEC. 4532. DEMONSTRATION OF COVERAGE OF AMBULANCE SERVICES UNDER MEDICARE THROUGH CONTRACTS WITH UNITS OF LOCAL GOVERNMENT.
CHAPTER 4--PROSPECTIVE PAYMENT FOR OUTPATIENT REHABILITATION SERVICES
    SEC. 4541. PROSPECTIVE PAYMENT FOR OUTPATIENT REHABILITATION SERVICES.
CHAPTER 5--OTHER PAYMENT PROVISIONS
    SEC. 4551. PAYMENTS FOR DURABLE MEDICAL EQUIPMENT.
    SEC. 4552. OXYGEN AND OXYGEN EQUIPMENT.
    SEC. 4553. REDUCTION IN UPDATES TO PAYMENT AMOUNTS FOR CLINICAL DIAGNOSTIC LABORATORY TESTS; STUDY ON LABORATORY TESTS.
    SEC. 4554. IMPROVEMENTS IN ADMINISTRATION OF LABORATORY TESTS BENEFIT.
    SEC. 4555. UPDATES FOR AMBULATORY SURGICAL SERVICES.
    SEC. 4556. REIMBURSEMENT FOR DRUGS AND BIOLOGICALS.
    SEC. 4557. COVERAGE OF ORAL ANTI-NAUSEA DRUGS UNDER CHEMOTHERAPEUTIC REGIMEN.
    SEC. 4558. RENAL DIALYSIS-RELATED SERVICES.
    SEC. 4559. TEMPORARY COVERAGE RESTORATION FOR PORTABLE ELECTROCARDIOGRAM TRANSPORTATION.
CHAPTER 6--PART B PREMIUM AND RELATED PROVISIONS
Subchapter A--Determination of Part B Premium Amount
    SEC. 4571. PART B PREMIUM.
Subchapter B--Other Provisions Related to Part B Premium
    SEC. 4581. PROTECTIONS UNDER THE MEDICARE PROGRAM FOR DISABLED WORKERS WHO LOSE BENEFITS UNDER A GROUP HEALTH PLAN.
    SEC. 4582. GOVERNMENTAL ENTITIES ELIGIBLE TO ELECT TO PAY PART B PREMIUMS FOR ELIGIBLE INDIVIDUALS.
Subtitle G--Provisions Relating to Parts A and B
CHAPTER 1--HOME HEALTH SERVICES AND BENEFITS
Subchapter A--Payments For Home Health Services
    SEC. 4601. RECAPTURING SAVINGS RESULTING FROM TEMPORARY FREEZE ON PAYMENT INCREASES FOR HOME HEALTH SERVICES.
    SEC. 4602. INTERIM PAYMENTS FOR HOME HEALTH SERVICES.
    SEC. 4603. PROSPECTIVE PAYMENT FOR HOME HEALTH SERVICES.
`PROSPECTIVE PAYMENT FOR HOME HEALTH SERVICES
    SEC. 4604. PAYMENT BASED ON LOCATION WHERE HOME HEALTH SERVICE IS FURNISHED.
Subchapter B--Home Health Benefits
    SEC. 4611. MODIFICATION OF PART A HOME HEALTH BENEFIT FOR INDIVIDUALS ENROLLED UNDER PART B.
`Post-Institutional Home Health Services; Home Health Spell of Illness
    SEC. 4612. CLARIFICATION OF PART-TIME OR INTERMITTENT NURSING CARE.
    SEC. 4613. STUDY ON DEFINITION OF HOMEBOUND.
    SEC. 4614. NORMATIVE STANDARDS FOR HOME HEALTH CLAIMS DENIALS.
    SEC. 4615. NO HOME HEALTH BENEFITS BASED SOLELY ON DRAWING BLOOD.
    SEC. 4616. REPORTS TO CONGRESS REGARDING HOME HEALTH COST CONTAINMENT.
CHAPTER 2--GRADUATE MEDICAL EDUCATION
Subchapter A--Indirect Medical Education
    SEC. 4621. INDIRECT GRADUATE MEDICAL EDUCATION PAYMENTS.
    SEC. 4622. PAYMENT TO HOSPITALS OF INDIRECT MEDICAL EDUCATION COSTS FOR MEDICARE+CHOICE ENROLLEES.
Subchapter B--Direct Graduate Medical Education
    SEC. 4623. LIMITATION ON NUMBER OF RESIDENTS AND ROLLING AVERAGE FTE COUNT.
    SEC. 4624. PAYMENTS TO HOSPITALS FOR DIRECT COSTS OF GRADUATE MEDICAL EDUCATION OF MEDICARE+CHOICE ENROLLEES.
    SEC. 4625. PERMITTING PAYMENT TO NONHOSPITAL PROVIDERS.
    SEC. 4626. INCENTIVE PAYMENTS UNDER PLANS FOR VOLUNTARY REDUCTION IN NUMBER OF RESIDENTS.
    SEC. 4627. MEDICARE SPECIAL REIMBURSEMENT RULE FOR PRIMARY CARE COMBINED RESIDENCY PROGRAMS.
    SEC. 4628. DEMONSTRATION PROJECT ON USE OF CONSORTIA.
    SEC. 4629. RECOMMENDATIONS ON LONG-TERM POLICIES REGARDING TEACHING HOSPITALS AND GRADUATE MEDICAL EDUCATION.
    SEC. 4630. STUDY OF HOSPITAL OVERHEAD AND SUPERVISORY PHYSICIAN COMPONENTS OF DIRECT MEDICAL EDUCATION COSTS.
CHAPTER 3--PROVISIONS RELATING TO MEDICARE SECONDARY PAYER
    SEC. 4631. PERMANENT EXTENSION AND REVISION OF CERTAIN SECONDARY PAYER PROVISIONS.
    SEC. 4632. CLARIFICATION OF TIME AND FILING LIMITATIONS.
    SEC. 4633. PERMITTING RECOVERY AGAINST THIRD PARTY ADMINISTRATORS.
CHAPTER 4--OTHER PROVISIONS
    SEC. 4641. PLACEMENT OF ADVANCE DIRECTIVE IN MEDICAL RECORD.
    SEC. 4642. INCREASED CERTIFICATION PERIOD FOR CERTAIN ORGAN PROCUREMENT ORGANIZATIONS.
    SEC. 4643. OFFICE OF THE CHIEF ACTUARY IN THE HEALTH CARE FINANCING ADMINISTRATION.
    SEC. 4644. CONFORMING AMENDMENTS TO COMPLY WITH CONGRESSIONAL REVIEW OF AGENCY RULEMAKING.
Subtitle H--Medicaid
CHAPTER 1--MANAGED CARE
    SEC. 4701. STATE OPTION OF USING MANAGED CARE; CHANGE IN TERMINOLOGY.
`PROVISIONS RELATING TO MANAGED CARE
    SEC. 4702. PRIMARY CARE CASE MANAGEMENT SERVICES AS STATE OPTION WITHOUT NEED FOR WAIVER.
    SEC. 4703. ELIMINATION OF 75:25 RESTRICTION ON RISK CONTRACTS.
    SEC. 4704. INCREASED BENEFICIARY PROTECTIONS.
    SEC. 4705. QUALITY ASSURANCE STANDARDS.
    SEC. 4706. SOLVENCY STANDARDS.
    SEC. 4707. PROTECTIONS AGAINST FRAUD AND ABUSE.
    SEC. 4708. IMPROVED ADMINISTRATION.
    SEC. 4709. 6-MONTH GUARANTEED ELIGIBILITY FOR ALL INDIVIDUALS ENROLLED IN MANAGED CARE.
    SEC. 4710. EFFECTIVE DATES.
CHAPTER 2--FLEXIBILITY IN PAYMENT OF PROVIDERS
    SEC. 4711. FLEXIBILITY IN PAYMENT METHODS FOR HOSPITAL, NURSING FACILITY, ICF/MR, AND HOME HEALTH SERVICES.
    SEC. 4712. PAYMENT FOR CENTER AND CLINIC SERVICES.
    SEC. 4713. ELIMINATION OF OBSTETRICAL AND PEDIATRIC PAYMENT RATE REQUIREMENTS.
    SEC. 4714. MEDICAID PAYMENT RATES FOR CERTAIN MEDICARE COST-SHARING.
    SEC. 4715. TREATMENT OF VETERANS' PENSIONS UNDER MEDICAID.
CHAPTER 3--FEDERAL PAYMENTS TO STATES
    SEC. 4721. REFORMING DISPROPORTIONATE SHARE PAYMENTS UNDER STATE MEDICAID PROGRAMS.
    SEC. 4722. TREATMENT OF STATE TAXES IMPOSED ON CERTAIN HOSPITALS.
    SEC. 4723. ADDITIONAL FUNDING FOR STATE EMERGENCY HEALTH SERVICES FURNISHED TO UNDOCUMENTED ALIENS.
    SEC. 4724. ELIMINATION OF WASTE, FRAUD, AND ABUSE.
    SEC. 4725. INCREASED FMAPS.
    SEC. 4726. INCREASE IN PAYMENT LIMITATION FOR TERRITORIES.
CHAPTER 4--ELIGIBILITY
    SEC. 4731. STATE OPTION OF CONTINUOUS ELIGIBILITY FOR 12 MONTHS; CLARIFICATION OF STATE OPTION TO COVER CHILDREN.
    SEC. 4732. PAYMENT OF PART B PREMIUMS.
`STATE COVERAGE OF MEDICARE COST-SHARING FOR ADDITIONAL LOW-INCOME MEDICARE BENEFICIARIES
    SEC. 4733. STATE OPTION TO PERMIT WORKERS WITH DISABILITIES TO BUY INTO MEDICAID.
    SEC. 4734. PENALTY FOR FRAUDULENT ELIGIBILITY.
    SEC. 4735. TREATMENT OF CERTAIN SETTLEMENT PAYMENTS.
CHAPTER 5--BENEFITS
    SEC. 4741. ELIMINATION OF REQUIREMENT TO PAY FOR PRIVATE INSURANCE.
    SEC. 4742. PHYSICIAN QUALIFICATION REQUIREMENTS.
    SEC. 4744. STUDY AND REPORT ON EPSDT BENEFIT.
CHAPTER 6--ADMINISTRATION AND MISCELLANEOUS
    SEC. 4751. ELIMINATION OF DUPLICATIVE INSPECTION OF CARE REQUIREMENTS FOR ICFS/MR AND MENTAL HOSPITALS.
    SEC. 4752. ALTERNATIVE SANCTIONS FOR NONCOMPLIANT ICFS/MR.
    SEC. 4753. MODIFICATION OF MMIS REQUIREMENTS.
    SEC. 4754. FACILITATING IMPOSITION OF STATE ALTERNATIVE REMEDIES ON NONCOMPLIANT NURSING FACILITIES.
    SEC. 4755. REMOVAL OF NAME FROM NURSE AIDE REGISTRY.
    SEC. 4756. MEDICALLY ACCEPTED INDICATION.
    SEC. 4757. CONTINUATION OF STATE-WIDE SECTION 1115 MEDICAID WAIVERS.
    SEC. 4758. EXTENSION OF MORATORIUM.
    SEC. 4759. EXTENSION OF EFFECTIVE DATE FOR STATE LAW AMENDMENT.
Subtitle I--Programs of All-Inclusive Care for the Elderly (PACE)
    SEC. 4801. COVERAGE OF PACE UNDER THE MEDICARE PROGRAM.
`PAYMENTS TO, AND COVERAGE OF BENEFITS UNDER, PROGRAMS OF ALL-INCLUSIVE CARE FOR THE ELDERLY (PACE)
    SEC. 4802. ESTABLISHMENT OF PACE PROGRAM AS MEDICAID STATE OPTION.
`PROGRAM OF ALL-INCLUSIVE CARE FOR THE ELDERLY (PACE)
    SEC. 4803. EFFECTIVE DATE; TRANSITION.
    SEC. 4804. STUDY AND REPORTS.
Subtitle J--State Children's Health Insurance Program
CHAPTER 1--STATE CHILDREN'S HEALTH INSURANCE PROGRAM
    SEC. 4901. ESTABLISHMENT OF PROGRAM.
`TITLE XXI--STATE CHILDREN'S HEALTH INSURANCE PROGRAM
    `SEC. 2101. PURPOSE; STATE CHILD HEALTH PLANS.
    `SEC. 2102. GENERAL CONTENTS OF STATE CHILD HEALTH PLAN; ELIGIBILITY; OUTREACH.
    `SEC. 2103. COVERAGE REQUIREMENTS FOR CHILDREN'S HEALTH INSURANCE.
    `SEC. 2104. ALLOTMENTS.
    `SEC. 2105. PAYMENTS TO STATES.
    `SEC. 2106. PROCESS FOR SUBMISSION, APPROVAL, AND AMENDMENT OF STATE CHILD HEALTH PLANS.
    `SEC. 2107. STRATEGIC OBJECTIVES AND PERFORMANCE GOALS; PLAN ADMINISTRATION.
    `SEC. 2108. ANNUAL REPORTS; EVALUATIONS.
    `SEC. 2109. MISCELLANEOUS PROVISIONS.
    `SEC. 2110. DEFINITIONS.
CHAPTER 2--EXPANDED COVERAGE OF CHILDREN UNDER MEDICAID
    SEC. 4911. OPTIONAL USE OF STATE CHILD HEALTH ASSISTANCE FUNDS FOR ENHANCED MEDICAID MATCH FOR EXPANDED MEDICAID ELIGIBILITY.
    SEC. 4912. MEDICAID PRESUMPTIVE ELIGIBILITY FOR LOW-INCOME CHILDREN.
`PRESUMPTIVE ELIGIBILITY FOR CHILDREN
    SEC. 4913. CONTINUATION OF MEDICAID ELIGIBILITY FOR DISABLED CHILDREN WHO LOSE SSI BENEFITS.
CHAPTER 3--DIABETES GRANT PROGRAMS
    SEC. 4921. SPECIAL DIABETES PROGRAMS FOR CHILDREN WITH TYPE I DIABETES.
    `SEC. 330B. SPECIAL DIABETES PROGRAMS FOR CHILDREN WITH TYPE I DIABETES.
    SEC. 4922. SPECIAL DIABETES PROGRAMS FOR INDIANS.
    `SEC. 330C. SPECIAL DIABETES PROGRAMS FOR INDIANS.
    SEC. 4923. REPORT ON DIABETES GRANT PROGRAMS.
TITLE V--WELFARE AND RELATED PROVISIONS
    Sec. 5000. Table of contents; references.
Subtitle A--TANF Block Grant
    SEC. 5001. WELFARE-TO-WORK GRANTS.
    SEC. 5002. LIMITATION ON AMOUNT OF FEDERAL FUNDS TRANSFERABLE TO TITLE XX PROGRAMS.
    SEC. 5004. PENALTY FOR FAILURE OF STATE TO REDUCE ASSISTANCE FOR RECIPIENTS REFUSING WITHOUT GOOD CAUSE TO WORK.
Subtitle B--Supplemental Security Income
    SEC. 5101. EXTENSION OF DEADLINE TO PERFORM CHILDHOOD DISABILITY REDETERMINATIONS.
    SEC. 5102. FEES FOR FEDERAL ADMINISTRATION OF STATE SUPPLEMENTARY PAYMENTS.
Subtitle C--Child Support Enforcement
    SEC. 5201. CLARIFICATION OF AUTHORITY TO PERMIT CERTAIN REDISCLOSURES OF WAGE AND CLAIM INFORMATION.
Subtitle D--Restricting Welfare and Public Benefits for Aliens
    SEC. 5303. EXCEPTIONS FOR CERTAIN INDIANS FROM LIMITATION ON ELIGIBILITY FOR SUPPLEMENTAL SECURITY INCOME AND MEDICAID BENEFITS.
    SEC. 5305. REINSTATEMENT OF ELIGIBILITY FOR BENEFITS.
    `SEC. 436. DERIVATIVE ELIGIBILITY FOR BENEFITS.
    SEC. 5306. TREATMENT OF CERTAIN AMERASIAN IMMIGRANTS AS REFUGEES.
    SEC. 5307. VERIFICATION OF ELIGIBILITY FOR STATE AND LOCAL PUBLIC BENEFITS.
    `SEC. 413. AUTHORIZATION FOR VERIFICATION OF ELIGIBILITY FOR STATE AND LOCAL PUBLIC BENEFITS.
    SEC. 5308. EFFECTIVE DATE.
Subtitle E--Unemployment Compensation
    SEC. 5401. CLARIFYING PROVISION RELATING TO BASE PERIODS.
    SEC. 5402. INCREASE IN FEDERAL UNEMPLOYMENT ACCOUNT CEILING.
    SEC. 5403. SPECIAL DISTRIBUTION TO STATES FROM UNEMPLOYMENT TRUST FUND.
    SEC. 5404. INTEREST-FREE ADVANCES TO STATE ACCOUNTS IN UNEMPLOYMENT TRUST FUND RESTRICTED TO STATES WHICH MEET FUNDING GOALS.
    SEC. 5405. EXEMPTION OF SERVICE PERFORMED BY ELECTION WORKERS FROM THE FEDERAL UNEMPLOYMENT TAX.
    SEC. 5406. TREATMENT OF CERTAIN SERVICES PERFORMED BY INMATES.
    SEC. 5408. STATE PROGRAM INTEGRITY ACTIVITIES FOR UNEMPLOYMENT COMPENSATION.
Subtitle F--Welfare Reform Technical Corrections
CHAPTER 1--BLOCK GRANTS FOR TEMPORARY ASSISTANCE TO NEEDY FAMILIES
    SEC. 5501. ELIGIBLE STATES; STATE PLAN.
    SEC. 5502. GRANTS TO STATES.
    SEC. 5503. USE OF GRANTS.
    SEC. 5504. MANDATORY WORK REQUIREMENTS.
    SEC. 5505. PROHIBITIONS; REQUIREMENTS.
    SEC. 5506. PENALTIES.
    SEC. 5507. DATA COLLECTION AND REPORTING.
    SEC. 5508. DIRECT FUNDING AND ADMINISTRATION BY INDIAN TRIBES.
    SEC. 5509. RESEARCH, EVALUATIONS, AND NATIONAL STUDIES.
    SEC. 5510. REPORT ON DATA PROCESSING.
    SEC. 5511. STUDY ON ALTERNATIVE OUTCOMES MEASURES.
    SEC. 5512. LIMITATION ON PAYMENTS TO THE TERRITORIES.
    SEC. 5513. CONFORMING AMENDMENTS TO THE SOCIAL SECURITY ACT.
    SEC. 5514. OTHER CONFORMING AMENDMENTS.
    SEC. 5515. MODIFICATIONS TO THE JOB OPPORTUNITIES FOR CERTAIN LOW-INCOME INDIVIDUALS PROGRAM.
    SEC. 5516. DENIAL OF ASSISTANCE AND BENEFITS FOR DRUG-RELATED CONVICTIONS.
    SEC. 5517. TRANSITION RULE.
    SEC. 5518. EFFECTIVE DATES.
CHAPTER 2--SUPPLEMENTAL SECURITY INCOME
    SEC. 5521. CONFORMING AND TECHNICAL AMENDMENTS RELATING TO ELIGIBILITY RESTRICTIONS.
    SEC. 5522. CONFORMING AND TECHNICAL AMENDMENTS RELATING TO BENEFITS FOR DISABLED CHILDREN.
    SEC. 5523. ADDITIONAL TECHNICAL AMENDMENTS TO TITLE XVI.
    SEC. 5524. ADDITIONAL TECHNICAL AMENDMENTS RELATING TO TITLE XVI.
    SEC. 5525. TECHNICAL AMENDMENTS RELATING TO DRUG ADDICTS AND ALCOHOLICS.
    SEC. 5526. ADVISORY BOARD PERSONNEL.
    SEC. 5527. TIMING OF DELIVERY OF OCTOBER 1, 2000, SSI BENEFIT PAYMENTS.
    SEC. 5528. EFFECTIVE DATES.
CHAPTER 3--CHILD SUPPORT
    SEC. 5531. STATE OBLIGATION TO PROVIDE CHILD SUPPORT ENFORCEMENT SERVICES.
    SEC. 5532. DISTRIBUTION OF COLLECTED SUPPORT.
    SEC. 5533. CIVIL PENALTIES RELATING TO STATE DIRECTORY OF NEW HIRES.
    SEC. 5534. FEDERAL PARENT LOCATOR SERVICE.
    SEC. 5535. ACCESS TO REGISTRY DATA FOR RESEARCH PURPOSES.
    SEC. 5536. COLLECTION AND USE OF SOCIAL SECURITY NUMBERS FOR USE IN CHILD SUPPORT ENFORCEMENT.
    SEC. 5537. ADOPTION OF UNIFORM STATE LAWS.
    SEC. 5538. STATE LAWS PROVIDING EXPEDITED PROCEDURES.
    SEC. 5539. VOLUNTARY PATERNITY ACKNOWLEDGEMENT.
    SEC. 5540. CALCULATION OF PATERNITY ESTABLISHMENT PERCENTAGE.
    SEC. 5541. MEANS AVAILABLE FOR PROVISION OF TECHNICAL ASSISTANCE AND OPERATION OF FEDERAL PARENT LOCATOR SERVICE.
    SEC. 5542. AUTHORITY TO COLLECT SUPPORT FROM FEDERAL EMPLOYEES.
    SEC. 5543. DEFINITION OF SUPPORT ORDER.
    SEC. 5544. STATE LAW AUTHORIZING SUSPENSION OF LICENSES.
    SEC. 5545. INTERNATIONAL SUPPORT ENFORCEMENT.
    SEC. 5546. CHILD SUPPORT ENFORCEMENT FOR INDIAN TRIBES.
    SEC. 5547. CONTINUATION OF RULES FOR DISTRIBUTION OF SUPPORT IN THE CASE OF A TITLE IV-E CHILD.
    SEC. 5548. GOOD CAUSE IN FOSTER CARE AND FOOD STAMP CASES.
    SEC. 5549. DATE OF COLLECTION OF SUPPORT.
    SEC. 5550. ADMINISTRATIVE ENFORCEMENT IN INTERSTATE CASES.
    SEC. 5551. WORK ORDERS FOR ARREARAGES.
    SEC. 5552. ADDITIONAL TECHNICAL STATE PLAN AMENDMENTS.
    SEC. 5553. FEDERAL CASE REGISTRY OF CHILD SUPPORT ORDERS.
    SEC. 5554. FULL FAITH AND CREDIT FOR CHILD SUPPORT ORDERS.
    SEC. 5555. DEVELOPMENT COSTS OF AUTOMATED SYSTEMS.
    SEC. 5556. ADDITIONAL TECHNICAL AMENDMENTS.
    SEC. 5557. EFFECTIVE DATE.
CHAPTER 4--RESTRICTING WELFARE AND PUBLIC BENEFITS FOR ALIENS
Subchapter A--Eligibility for Federal Benefits
    SEC. 5562. EXCEPTIONS TO BENEFIT LIMITATIONS: CORRECTIONS TO REFERENCE CONCERNING ALIENS WHOSE DEPORTATION IS WITHHELD.
    SEC. 5564. NOTIFICATION CONCERNING ALIENS NOT LAWFULLY PRESENT: CORRECTION OF TERMINOLOGY.
    SEC. 5565. FREELY ASSOCIATED STATES: CONTRACTS AND LICENSES.
    SEC. 5566. CONGRESSIONAL STATEMENT REGARDING BENEFITS FOR HMONG AND OTHER HIGHLAND LAO VETERANS.
Subchapter B--General Provisions
    SEC. 5572. VERIFICATION OF ELIGIBILITY FOR BENEFITS.
Subchapter C--Miscellaneous Clerical and Technical Amendments; Effective Date
    SEC. 5581. CORRECTING MISCELLANEOUS CLERICAL AND TECHNICAL ERRORS.
`Subtitle D--General Provisions'.
`Subtitle F--Earned Income Credit Denied to Unauthorized Employees'.
    SEC. 5582. EFFECTIVE DATE.
CHAPTER 5--CHILD PROTECTION
    SEC. 5591. CONFORMING AND TECHNICAL AMENDMENTS RELATING TO CHILD PROTECTION.
    SEC. 5592. ADDITIONAL TECHNICAL AMENDMENTS RELATING TO CHILD PROTECTION.
    SEC. 5593. EFFECTIVE DATE.
CHAPTER 6--CHILD CARE
    SEC. 5601. CONFORMING AND TECHNICAL AMENDMENTS RELATING TO CHILD CARE.
    SEC. 5602. ADDITIONAL CONFORMING AND TECHNICAL AMENDMENTS.
    SEC. 5603. EFFECTIVE DATES.
CHAPTER 7--ERISA AMENDMENTS RELATING TO MEDICAL CHILD SUPPORT ORDERS
    SEC. 5611. AMENDMENTS RELATING TO SECTION 303 OF THE PERSONAL RESPONSIBILITY AND WORK OPPORTUNITY RECONCILIATION ACT OF 1996.
    SEC. 5612. AMENDMENT RELATING TO SECTION 381 OF THE PERSONAL RESPONSIBILITY AND WORK OPPORTUNITY RECONCILIATION ACT OF 1996.
    SEC. 5613. AMENDMENTS RELATING TO SECTION 382 OF THE PERSONAL RESPONSIBILITY AND WORK OPPORTUNITY RECONCILIATION ACT OF 1996.
Subtitle G--Miscellaneous
    SEC. 5701. INCREASE IN PUBLIC DEBT LIMIT.
    SEC. 5702. AUTHORIZATION OF APPROPRIATIONS FOR ENFORCEMENT INITIATIVES RELATED TO THE EARNED INCOME TAX CREDIT.
TITLE VI--EDUCATION AND RELATED PROVISIONS
Subtitle A--Higher Education
    SEC. 6101. MANAGEMENT AND RECOVERY OF RESERVES.
    SEC. 6102. REPEAL OF DIRECT LOAN ORIGINATION FEES TO INSTITUTIONS OF HIGHER EDUCATION.
    SEC. 6103. FUNDS FOR ADMINISTRATIVE EXPENSES.
    SEC. 6104. EXTENSION OF STUDENT AID PROGRAMS.
Subtitle B--Repeal of Smith-Hughes Vocational Education Act
    SEC. 6201. REPEAL OF SMITH-HUGHES VOCATIONAL EDUCATION ACT.
TITLE VII--CIVIL SERVICE RETIREMENT AND RELATED PROVISIONS
    SEC. 7001. INCREASED CONTRIBUTIONS TO FEDERAL CIVILIAN RETIREMENT SYSTEMS.
    SEC. 7002. GOVERNMENT CONTRIBUTIONS UNDER THE FEDERAL EMPLOYEES HEALTH BENEFITS PROGRAM.
    SEC. 7003. REPEAL OF AUTHORIZATION OF TRANSITIONAL APPROPRIATIONS FOR THE UNITED STATES POSTAL SERVICE.
TITLE VIII--VETERANS AND RELATED MATTERS
    Sec. 8001. Short title; table of contents.
Subtitle A--Extension of Temporary Authorities
    SEC. 8011. ENHANCED LOAN ASSET SALE AUTHORITY.
    SEC. 8012. HOME LOAN FEES.
    SEC. 8013. PROCEDURES APPLICABLE TO LIQUIDATION SALES ON DEFAULTED HOME LOANS GUARANTEED BY THE DEPARTMENT OF VETERANS AFFAIRS.
    SEC. 8014. INCOME VERIFICATION AUTHORITY.
    SEC. 8015. LIMITATION ON PENSION FOR CERTAIN RECIPIENTS OF MEDICAID-COVERED NURSING HOME CARE.
Subtitle B--Copayments and Medical Care Cost Recovery
    SEC. 8021. AUTHORITY TO REQUIRE THAT CERTAIN VETERANS MAKE COPAYMENTS IN EXCHANGE FOR RECEIVING HEALTH CARE BENEFITS.
    SEC. 8022. MEDICAL CARE COST RECOVERY AUTHORITY.
    SEC. 8023. DEPARTMENT OF VETERANS AFFAIRS MEDICAL-CARE RECEIPTS.
    `Sec. 1729A. Department of Veterans Affairs Medical Care Collections Fund
Subtitle C--Other Matters
    SEC. 8031. ROUNDING DOWN OF COST-OF-LIVING ADJUSTMENTS IN COMPENSATION AND DIC RATES FOR FISCAL YEARS 1998 THROUGH 2002.
    `Sec. 1103. Cost-of-living adjustments
    `Sec. 1303. Cost-of-living adjustments
    SEC. 8032. INCREASE IN AMOUNT OF HOME LOAN FEES FOR THE PURCHASE OF REPOSSESSED HOMES FROM THE DEPARTMENT OF VETERANS AFFAIRS.
    SEC. 8033. WITHHOLDING OF PAYMENTS AND BENEFITS.
TITLE IX--ASSET SALES, USER FEES, AND MISCELLANEOUS PROVISIONS
    Sec. 9000. Table of contents.
Subtitle A--Asset Sales
Subtitle A-- Asset Sales
    SEC. 9101. SALE OF GOVERNORS ISLAND, NEW YORK.
    SEC. 9102. SALE OF AIR RIGHTS.
Subtitle B--User Fees
    SEC. 9201. EXTENSION OF HIGHER VESSEL TONNAGE DUTIES.
Subtitle C--Miscellaneous Provisions
    SEC. 9301. TEMPORARY FEDERAL SHARE FORMULA ADJUSTMENT.
    SEC. 9302. INCREASE IN EXCISE TAXES ON TOBACCO PRODUCTS.
`CHAPTER 52--TOBACCO PRODUCTS AND CIGARETTE PAPERS AND TUBES'.
    `SEC. 5754. RESTRICTION ON IMPORTATION OF PREVIOUSLY EXPORTED TOBACCO PRODUCTS.
    SEC. 9303. LEASE OF EXCESS STRATEGIC PETROLEUM RESERVE CAPACITY.
`USE OF UNDERUTILIZED FACILITIES
    SEC. 9304. IDENTIFICATION OF LIMITED TAX BENEFITS SUBJECT TO LINE ITEM VETO.
    SEC. 9305. PAYMENT OF BENEFITS IN APPROPRIATE FISCAL YEAR.
TITLE X--BUDGET ENFORCEMENT AND PROCESS PROVISIONS
    Sec. 10001. Short title; table of contents.
Subtitle A--Amendments to the Congressional Budget and Impoundment Control Act of 1974
    SEC. 10101. AMENDMENT TO SECTION 3.
    SEC. 10102. AMENDMENTS TO SECTION 201.
    SEC. 10103. AMENDMENTS TO SECTION 202.
    SEC. 10104. AMENDMENT TO SECTION 300.
    SEC. 10105. AMENDMENTS TO SECTION 301.
    SEC. 10106. AMENDMENTS TO SECTION 302.
    SEC. 10107. AMENDMENTS TO SECTION 303.
`CONCURRENT RESOLUTION ON THE BUDGET MUST BE ADOPTED BEFORE BUDGET-RELATED LEGISLATION IS CONSIDERED
    SEC. 10108. AMENDMENT TO SECTION 304.
    SEC. 10109. AMENDMENT TO SECTION 305.
    SEC. 10110. AMENDMENTS TO SECTION 308.
    SEC. 10111. AMENDMENTS TO SECTION 310.
    SEC. 10112. AMENDMENTS TO SECTION 311.
`BUDGET-RELATED LEGISLATION MUST BE WITHIN APPROPRIATE LEVELS
    SEC. 10113. AMENDMENT TO SECTION 312.
`DETERMINATIONS AND POINTS OF ORDER
    SEC. 10114. ADJUSTMENTS.
`ADJUSTMENTS
    SEC. 10115. EFFECT OF ADOPTION OF A SPECIAL ORDER OF BUSINESS IN THE HOUSE OF REPRESENTATIVES.
`EFFECT OF ADOPTION OF A SPECIAL ORDER OF BUSINESS IN THE HOUSE OF REPRESENTATIVES
    SEC. 10116. AMENDMENT TO SECTION 401 AND REPEAL OF SECTION 402.
`BUDGET-RELATED LEGISLATION NOT SUBJECT TO APPROPRIATIONS'; AND
    SEC. 10117. AMENDMENTS TO TITLE V.
    SEC. 10118. REPEAL OF TITLE VI.
    SEC. 10119. AMENDMENTS TO SECTION 904.
    SEC. 10120. REPEAL OF SECTIONS 905 AND 906.
    SEC. 10121. AMENDMENTS TO SECTIONS 1022 AND 1024.
    SEC. 10122. AMENDMENT TO SECTION 1026.
    SEC. 10123. SENATE TASK FORCE ON CONSIDERATION OF BUDGET MEASURES.
Subtitle B--Amendments to the Balanced Budget and Emergency Deficit Control Act of 1985
    SEC. 10201. PURPOSE.
    SEC. 10202. GENERAL STATEMENT AND DEFINITIONS.
    SEC. 10203. ENFORCING DISCRETIONARY SPENDING LIMITS.
    SEC. 10204. VIOLENT CRIME REDUCTION SPENDING.
    SEC. 10205. ENFORCING PAY-AS-YOU-GO.
    SEC. 10206. REPORTS AND ORDERS.
    SEC. 10207. EXEMPT PROGRAMS AND ACTIVITIES.
    SEC. 10208. GENERAL AND SPECIAL SEQUESTRATION RULES.
    SEC. 10209. THE BASELINE.
`budgetary treatment of trust fund operations
    SEC. 10210. TECHNICAL CORRECTION.
    SEC. 10211. JUDICIAL REVIEW.
    SEC. 10212. EFFECTIVE DATE.
    SEC. 10213. REDUCTION OF PREEXISTING BALANCES AND EXCLUSION OF EFFECTS OF THIS ACT FROM PAYGO SCORECARD.
TITLE XI--DISTRICT OF COLUMBIA REVITALIZATION
    SECTION 11000. SHORT TITLE; TABLE OF CONTENTS.
    Sec. 11000. Short title; table of contents.
    Sec. 11211. Truth-in-Sentencing Commission.
Subtitle A--District of Columbia Retirement Funds
CHAPTER 1--SHORT TITLE; FINDINGS; DEFINITIONS
    SEC. 11001. SHORT TITLE.
    SEC. 11002. FINDINGS AND DECLARATION OF POLICY.
    SEC. 11003. DEFINITIONS.
CHAPTER 2--FEDERAL BENEFIT PAYMENTS UNDER DISTRICT RETIREMENT PROGRAMS
    SEC. 11011. OBLIGATION OF FEDERAL GOVERNMENT TO MAKE BENEFIT PAYMENTS.
    SEC. 11012. FEDERAL BENEFIT PAYMENTS DESCRIBED.
    SEC. 11013. ESTABLISHMENT OF SINGLE ANNUAL COST-OF-LIVING ADJUSTMENT UNDER DISTRICT RETIREMENT PROGRAM.
CHAPTER 3--DETERMINATIONS AND REVIEW OF ELIGIBILITY AND PAYMENTS; INFORMATION SHARING
    SEC. 11021. DETERMINATION OF ELIGIBILITY FOR AND AMOUNT OF FEDERAL BENEFIT PAYMENTS MADE BY TRUSTEE.
    SEC. 11022. PROCEDURES FOR RESOLVING CLAIMS ARISING FROM DENIED BENEFIT PAYMENTS.
    SEC. 11023. TRANSFER OF AND ACCESS TO RECORDS OF DISTRICT GOVERNMENT.
    SEC. 11024. FEDERAL INFORMATION SHARING FOR VERIFICATION OF BENEFIT DETERMINATIONS.
CHAPTER 4--DISTRICT OF COLUMBIA FEDERAL PENSION LIABILITY TRUST FUND
    SEC. 11031. CREATION OF TRUST FUND.
    SEC. 11032. USES OF AMOUNTS IN TRUST FUND.
    SEC. 11033. TRANSFER OF ASSETS AND OBLIGATIONS OF DISTRICT RETIREMENT FUNDS.
    SEC. 11034. TREATMENT OF TRUST FUND UNDER CERTAIN LAWS.
    SEC. 11035. ADMINISTRATION THROUGH TRUSTEE.
CHAPTER 5--RESPONSIBILITIES OF DISTRICT GOVERNMENT
    SEC. 11041. INTERIM ADMINISTRATION.
    SEC. 11042. REPLACEMENT PLAN.
CHAPTER 6--FINANCING OF BENEFIT PAYMENTS AFTER DEPLETION OF TRUST FUND
    SEC. 11051. CREATION OF FEDERAL SUPPLEMENTAL FUND.
    SEC. 11052. USES OF AMOUNTS IN FUND.
    SEC. 11053. DETERMINATION OF ANNUAL PAYMENT INTO FEDERAL SUPPLEMENTAL FUND.
    SEC. 11054. DETERMINATION OF METHODOLOGY FOR MAKING PAYMENTS.
    SEC. 11055. SPECIAL REQUIREMENTS UPON DISCONTINUATION OF TRUST FUND.
CHAPTER 7--REPORTS
    SEC. 11061. ANNUAL VALUATIONS AND REPORTS BY ENROLLED ACTUARY.
    SEC. 11062. REPORTS BY COMPTROLLER GENERAL.
CHAPTER 8--JUDICIAL ENFORCEMENT
    SEC. 11071. JUDICIAL REVIEW.
    SEC. 11072. JURISDICTION AND VENUE.
    SEC. 11073. STATUTE OF LIMITATIONS.
    SEC. 11074. TREATMENT OF MISAPPROPRIATION OF FUND AMOUNTS AS FEDERAL CRIME.
CHAPTER 9--MISCELLANEOUS
    SEC. 11081. COORDINATION BETWEEN SECRETARY, TRUSTEE, AND DISTRICT GOVERNMENT.
    SEC. 11082. STUDY OF ALTERNATIVES FOR FINANCING FEDERAL OBLIGATIONS.
    SEC. 11083. ISSUANCE OF REGULATIONS BY SECRETARY.
    SEC. 11084. EFFECT ON REFORM ACT AND OTHER LAWS.
    SEC. 11085. REFERENCE TO NEW FEDERAL PROGRAM FOR RETIREMENT OF JUDGES OF DISTRICT OF COLUMBIA COURTS.
    SEC. 11086. FULL FAITH AND CREDIT.
    SEC. 11087. SEVERABILITY OF PROVISIONS.
Subtitle B--Management Reform Plans
    SEC. 11101. SHORT TITLE.
    SEC. 11102. MANAGEMENT REFORM PLANS FOR DISTRICT GOVERNMENT.
    SEC. 11103. PROCEDURES FOR DEVELOPMENT OF PLANS.
    SEC. 11104. IMPLEMENTATION OF PLANS.
    SEC. 11105. REFORM OF POWERS AND DUTIES OF DEPARTMENT HEADS.
    SEC. 11106. NO EFFECT ON POWERS OF FINANCIAL RESPONSIBILITY AND MANAGEMENT ASSISTANCE AUTHORITY.
Subtitle C--Criminal Justice
CHAPTER 1--CORRECTIONS
    SEC. 11201. BUREAU OF PRISONS.
    SEC. 11202. CORRECTIONS TRUSTEE.
    SEC. 11203. PRIORITY CONSIDERATION FOR EMPLOYEES OF THE DISTRICT OF COLUMBIA.
    SEC. 11204. AMENDMENTS RELATED TO PERSONS WITH A MENTAL DISEASE OR DEFECT.
    SEC. 11205. LIABILITY FOR AND LITIGATION AUTHORITY OF CORRECTIONS TRUSTEE.
    SEC. 11206. PERMITTING EXPENDITURE OF FUNDS TO CARRY OUT CERTAIN SEWER AGREEMENT.
CHAPTER 2--SENTENCING
    SEC. 11211. TRUTH IN SENTENCING COMMISSION.
    SEC. 11212. GENERAL DUTIES, POWERS, AND GOALS OF COMMISSION.
    SEC. 11213. DATA COLLECTION.
    SEC. 11214. ENACTMENT OF AMENDMENTS TO DISTRICT OF COLUMBIA CODE.
CHAPTER 3--OFFENDER SUPERVISION AND PAROLE
    SEC. 11231. PAROLE.
    SEC. 11232. PRETRIAL SERVICES, DEFENSE SERVICES, PAROLE, ADULT PROBATION AND OFFENDER SUPERVISION TRUSTEE.
    SEC. 11233. OFFENDER SUPERVISION, DEFENDER AND COURTS SERVICES AGENCY.
    SEC. 11234. AUTHORIZATION OF APPROPRIATIONS.
CHAPTER 4--DISTRICT OF COLUMBIA COURTS
Subchapter A--Transfer of Administration and Financing of Courts to Federal Government
    SEC. 11241. AUTHORIZATION OF APPROPRIATIONS.
    SEC. 11242. ADMINISTRATION OF COURTS UNDER DISTRICT OF COLUMBIA CODE.
    `Sec. 11-1743. Annual Budget and Expenditures.
    SEC. 11243. BUDGETING AND FINANCING REQUIREMENTS FOR COURTS UNDER HOME RULE ACT.
    SEC. 11244. AUDITING OF ACCOUNTS OF COURT SYSTEM.
    SEC. 11245. MISCELLANEOUS BUDGETING AND FINANCING REQUIREMENTS FOR COURTS UNDER DISTRICT LAW.
    SEC. 11246. OTHER PROVISIONS RELATING TO ADMINISTRATION OF DISTRICT OF COLUMBIA COURTS.
    `Sec. 11-1726. Compensation and benefits for court personnel.
Subchapter B--Judicial Retirement Program
    SEC. 11251. JUDICIAL RETIREMENT AND SURVIVORS ANNUITY FUND.
    `Sec. 11-1570. The District of Columbia Judicial Retirement and Survivors Annuity Fund.
    SEC. 11252. TERMINATION OF CURRENT FUND AND PROGRAM.
    SEC. 11253. CONFORMING AMENDMENTS.
Subchapter C--Miscellaneous Conforming and Administrative Provisions
    SEC. 11261. TREATMENT OF COURTS UNDER MISCELLANEOUS DISTRICT LAWS.
    SEC. 11262. REPRESENTATION OF INDIGENTS IN CRIMINAL CASES.
    `Sec. 11-2607. Preparation of Budget.
    `Sec. 11-2608. Authorization of appropriations.
CHAPTER 5--PRETRIAL SERVICES AGENCY AND PUBLIC DEFENDER SERVICE
    SEC. 11271. AMENDMENTS AFFECTING PRETRIAL SERVICES AGENCY.
    `Sec. 23-1304. Executive committee; composition; appointment and qualifications of Director
    `Sec. 23-1305. Duties of director; compensation
    `Sec. 23-1306. Chief assistant and other agency personnel; compensation
    `Sec. 23-1307. Annual reports
    `Sec. 23-1308. Appropriation; budget
    SEC. 11272. AMENDMENTS AFFECTING PUBLIC DEFENDER SERVICE.
    `SEC. 304. DIRECTOR AND DEPUTY DIRECTOR; APPOINTMENT; DUTIES; MEMBERSHIP IN BAR REQUIRED.
CHAPTER 6--MISCELLANEOUS PROVISIONS
    SEC. 11281. TECHNICAL ASSISTANCE AND RESEARCH.
    SEC. 11282. EXEMPTION FROM PERSONNEL AND BUDGET CEILINGS FOR TRUSTEES AND RELATED AGENCIES.
Subtitle D--Privatization of Tax Collection and Administration
    SEC. 11301. FINDINGS.
    SEC. 11302. AUTHORIZING CHIEF FINANCIAL OFFICER TO PRIVATIZE TAX ADMINISTRATION AND COLLECTION.
Subtitle E--Financing of District of Columbia Accumulated Deficit
    SEC. 11401. FINDINGS.
    `SEC. 602. INTERMEDIATE-TERM ADVANCES FOR LIQUIDATION OF DEFICIT.
    SEC. 11403. CONFORMING AMENDMENTS.
    SEC. 11404. TECHNICAL CORRECTIONS.
Subtitle F--District of Columbia Bond Financing Improvements
    SEC. 11501. SHORT TITLE.
    SEC. 11502. FINDINGS.
    SEC. 11504. AMENDMENT TO SECTION 466 (RELATING TO PUBLIC OR NEGOTIATED SALE OF GENERAL OBLIGATION BONDS).
    SEC. 11505. AMENDMENT TO SECTION 467 (RELATING TO AUTHORITY TO CREATE SECURITY INTERESTS IN DISTRICT REVENUES).
    SEC. 11506. AMENDMENT TO SECTION 472 (RELATING TO BORROWING IN ANTICIPATION OF REVENUES).
    SEC. 11507. ADDITION OF NEW SECTION 475 (RELATING TO GENERAL OBLIGATION BOND ANTICIPATION NOTES).
`BOND ANTICIPATION NOTES
    SEC. 11508. AMENDMENT TO SECTION 490 (RELATING TO REVENUE BONDS AND OTHER OBLIGATIONS).
    SEC. 11509. CONFORMING AMENDMENT.
Subtitle G--District of Columbia Government Budget
    SEC. 11601. ELIMINATION OF THE ANNUAL FEDERAL PAYMENT TO THE DISTRICT OF COLUMBIA.
    SEC. 11602. REQUIREMENT THAT THE DISTRICT OF COLUMBIA BALANCE ITS BUDGET IN FY 1998.
    SEC. 11603. PERMITTING EXPEDITED SUBMISSION AND APPROVAL OF CONSENSUS BUDGET AND FINANCIAL PLAN.
    SEC. 11604. INCREASE IN MAXIMUM AMOUNT OF PERMITTED DISTRICT BORROWING.
Subtitle H--Miscellaneous Provisions
CHAPTER 1--REGULATORY REFORM IN THE DISTRICT OF COLUMBIA
    SEC. 11701. REVIEW AND REVISION OF REGULATIONS AND PERMIT AND APPLICATION PROCESSES.
    SEC. 11702. REPEAL OF CLEAN AIR COMPLIANCE FEE ACT OF 1994.
    SEC. 11704. EXEMPTION OF CERTAIN CONTRACTS FROM COUNCIL REVIEW.
CHAPTER 2--OTHER MISCELLANEOUS PROVISIONS
    SEC. 11711. REVISIONS TO FINANCIAL RESPONSIBILITY AND MANAGEMENT ASSISTANCE ACT.
    SEC. 11712. COOPERATIVE AGREEMENTS BETWEEN FEDERAL AGENCIES AND METROPOLITAN POLICE DEPARTMENT.
    SEC. 11713. PERMITTING GARNISHMENT OF WAGES OF OFFICERS AND EMPLOYEES OF DISTRICT OF COLUMBIA GOVERNMENT.
    SEC. 11714. PERMITTING EXCESS APPROPRIATIONS BY WATER AND SEWER AUTHORITY FOR CAPITAL PROJECTS.
    SEC. 11716. REPEAL TERM OF DEED OF CONVEYANCE TO CERTAIN HOSPITAL.
    SEC. 11717. SHORT TITLE OF HOME RULE ACT.
CHAPTER 3--EFFECTIVE DATE; GENERAL PROVISIONS
    SEC. 11721. EFFECTIVE DATE.
    SEC. 11722. TECHNICAL ASSISTANCE.
    SEC. 11723. LIABILITY.


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