,,ia #aacth ,,congress #b;d ,session ,h4 ,j4 ,,res4 #aaj ,,in ,,the ,,house ,,of ,,representatives ,february #aa1 #bjad ,mr4 ,lankford introduced the following joint resolution2 which was referred to the ,committee on the ,judiciary ,,joint ,,resolution ,granting the consent of ,congress to the ,health ,care ,compact4 #a4 ,congressional ,consent ,except as provided in section #b1 ,congress hereby consents to the ,health ,care ,compact4 ,the ,compact reads as follows3 #a4 ,definitions ,as used in this ,compact1 unless the context clearly indicates otherwise3 7#a7 ,commission means the ,interstate ,advisory ,health ,care ,commission4 7#b7 ,effective ,date means the date upon which this ,compact shall become effective for purposes of the operation of ,state and ,federal law in a ,member ,state1 which shall be the later of-- 7,a7 the date upon which this ,compact shall be adopted under the laws of the ,member ,state2 or 7,b7 the date upon which this ,compact receives the consent of ,congress pursuant to ,article ,i1 ,section #aj1 of the ,united ,states ,constitution1 after at least two ,member ,states adopt this ,compact4 7#c7 ,health ,care means care1 services1 supplies1 or plans related to the health of an individual and includes but is not limited to-- 7,a7 preventive1 diagnostic1 therapeutic1 rehabilitative1 maintenance1 or palliative care and counseling1 service1 assessment1 or procedure with respect to the physical or mental condition or functional status of an individual or that affects the structure or function of the body2 7,b7 sale or dispensing of a drug1 device1 equipment1 or other item in accordance with a prescription2 and 7,c7 an individual or group plan that provides1 or pays the cost of1 care1 services1 or supplies related to the health of an individual1 except any care1 services1 supplies1 or plans provided by the ,united ,states ,department of ,defense and ,united ,states ,department of ,veterans ,affairs1 or provided to ,native ,americans4 7#d7 ,member ,state means a ,state that is signatory to this ,compact and has adopted it under the laws of that ,state4 7#e7 ,member ,state ,base ,funding ,level means a number equal to the total ,federal spending on ,health ,care in the ,member ,state during ,federal fiscal year #bjaj4 ,on or before the ,effective ,date1 each ,member ,state shall determine the ,member ,state ,base ,funding ,level for its ,state1 and that number shall be binding upon that ,member ,state4 7#f7 ,member ,state ,current ,year ,funding ,level means the ,member ,state ,base ,funding ,level multiplied by the ,member ,state ,current ,year ,population ,adjustment ,factor multiplied by the ,current ,year ,inflation ,adjustment ,factor4 7#g7 ,member ,state ,current ,year ,population ,adjustment ,factor means the average population of the ,member ,state in the current year less the average population of the ,member ,state in ,federal fiscal year #bjaj1 divided by the average population of the ,member ,state in ,federal fiscal year #bjaj1 plus #a4 ,average population in a ,member ,state shall be determined by the ,united ,states ,census ,bureau4 7#h7 ,current ,year ,inflation ,adjustment ,factor means the ,total ,gross ,domestic ,product ,deflator in the current year divided by the ,total ,gross ,domestic ,product ,deflator in ,federal fiscal year #bjaj4 ,total ,gross ,domestic ,product ,deflator shall be determined by the ,bureau of ,economic ,analysis of the ,united ,states ,department of ,commerce4 #b4 ,pledge ,the ,member ,states shall take joint and separate action to secure the consent of the ,united ,states ,congress to this ,compact in order to return the authority to regulate ,health ,care to the ,member ,states consistent with the goals and principles articulated in this ,compact1 the ,member ,states shall improve ,health ,care policy within their respective jurisdictions and according to the judgment and discretion of each ,member ,state4 #c4 ,legislative ,power ,the legislatures of the ,member ,states have the primary responsibility to regulate ,health ,care in their respective ,states4 #d4 ,state control ,each ,member ,state1 within its ,state1 may suspend by legislation the operation of all ,federal laws1 rules1 regulations1 and orders regarding ,health ,care that are inconsistent with the laws and regulations adopted by the ,member ,state pursuant to this ,compact4 ,federal and ,state laws1 rules1 regulations1 and orders regarding ,health ,care will remain in effect unless a ,member ,state expressly suspends them pursuant to its authority under this ,compact4 ,for any ,federal law1 rule1 regulation1 or order that remains in effect in a ,member ,state after the ,effective ,date1 that ,member ,state shall be responsible for the associated funding obligations in its ,state4 #e4 ,funding 7a7 ,each ,federal fiscal year1 each ,member ,state shall have the right to ,federal monies up to an amount equal to its ,member ,state ,current ,year ,funding ,level for that ,federal fiscal year1 funded by ,congress as mandatory spending and not subject to annual appropriation1 to support the exercise of ,member ,state authority under this ,compact4 ,this funding shall not be conditional on any action of or regulation1 policy1 law1 or rule being adopted by the ,member ,state4 7b7 ,by the start of each ,federal fiscal year1 ,congress shall establish an initial ,member ,state ,current ,year ,funding ,level for each ,member ,state1 based upon reasonable estimates4 ,the final ,member ,state ,current ,year ,funding ,level shall be calculated1 and funding shall be reconciled by the ,united ,states ,congress based upon information provided by each ,member ,state and audited by the ,united ,states ,government ,accountability ,office4 #f4 ,interstate ,advisory ,health ,care ,commission 7a7 ,the ,interstate ,advisory ,health ,care ,commission is established4 ,the ,commission consists of members appointed by each ,member ,state through a process to be determined by each ,member ,state4 ,a ,member ,state may not appoint more than two members to the ,commission and may withdraw membership from the ,commission at any time4 ,each ,commission member is entitled to one vote4 ,the ,commission shall not act unless a majority of the members are present1 and no action shall be binding unless approved by a majority of the ,commission's total membership4 7b7 ,the ,commission may elect from among its membership a ,chairperson4 ,the ,commission may adopt and publish bylaws and policies that are not inconsistent with this ,compact4 ,the ,commission shall meet at least once a year1 and may meet more frequently4 7c7 ,the ,commission may study issues of ,health ,care regulation that are of particular concern to the ,member ,states4 ,the ,commission may make non-binding recommendations to the ,member ,states4 ,the legislatures of the ,member ,states may consider these recommendations in determining the appropriate ,health ,care policies in their respective ,states4 7d7 ,the ,commission shall collect information and data to assist the ,member ,states in their regulation of ,health ,care1 including assessing the performance of various ,state ,health ,care programs and compiling information on the prices of ,health ,care4 ,the ,commission shall make this information and data available to the legislatures of the ,member ,states4 ,notwithstanding any other provision in this ,compact1 no ,member ,state shall disclose to the ,commission the health information of any individual1 nor shall the ,commission disclose the health information of any individual4 7e7 ,the ,commission shall be funded by the ,member ,states as agreed to by the ,member ,states4 ,the ,commission shall have the responsibilities and duties as may be conferred upon it by subsequent action of the respective legislatures of the ,member ,states in accordance with the terms of this ,compact4 7f7 ,the ,commission shall not take any action within a ,member ,state that contravenes any ,state law of that ,member ,state4 #g4 ,congressional ,consent ,this ,compact shall be effective on its adoption by at least two ,member ,states and consent of the ,united ,states ,congress4 ,this ,compact shall be effective unless the ,united ,states ,congress1 in consenting to this ,compact1 alters the fundamental purposes of this ,compact1 which are-- 7#a7 to secure the right of the ,member ,states to regulate ,health ,care in their respective ,states pursuant to this ,compact and to suspend the operation of any conflicting ,federal laws1 rules1 regulations1 and orders within their ,states2 and 7#b7 to secure ,federal funding for ,member ,states that choose to invoke their authority under this ,compact1 as prescribed by ,section #e above4 #h4 ,amendments ,the ,member ,states1 by unanimous agreement1 may amend this ,compact from time to time without the prior consent or approval of ,congress and any amendment shall be effective unless1 within one year1 the ,congress disapproves that amendment4 ,any ,state may join this ,compact after the date on which ,congress consents to the ,compact by adoption into law under its ,state ,constitution4 #i4 ,withdrawal2 ,dissolution ,any ,member ,state may withdraw from this ,compact by adopting a law to that effect1 but no such withdrawal shall take effect until six months after the ,governor of the withdrawing ,member ,state has given notice of the withdrawal to the other ,member ,states4 ,a withdrawing ,state shall be liable for any obligations that it may have incurred prior to the date on which its withdrawal becomes effective4 ,this ,compact shall be dissolved upon the withdrawal of all but one of the ,member ,states4 4 #b4 ,agencies for which consent is not granted 7a7 ,in general ,notwithstanding the consent to the ,health ,care ,compact granted under section #a1 the powers granted to ,member ,states under sections #c1 #d1 and #e of the ,health ,care ,compact shall not apply with regard to the agencies listed under subsection 7b71 and the ,member ,state ,base ,funding ,level and ,member ,state ,current ,year ,funding ,level shall not include funds spent by such agencies4 7b7 ,excluded agencies ,the agencies to which subsection 7a7 applies are as follows3 7#a7 ,the ,national ,institutes for ,health4 7#b7 ,the ,centers for ,disease ,control and ,prevention4 7#c7 ,the ,food and ,drug ,administration4