,,ii #aadth ,,congress #b;d ,session ,s4 #cjdd ,,in ,,the ,,senate ,,of ,,the ,,united ,,states ,june #i1 #bjaf ,mr4 ,sanders introduced the following bill2 which was read twice and referred to the ,committee on ,finance ,a ,,bill ,to provide certain assistance for the ,commonwealth of ,puerto ,rico1 and for other purposes4 #a4 ,short title2 table of contents 7a7 ,short title ,this ,act may be cited as the ,puerto ,rico ,humanitarian ,relief and ,reconstruction ,act4 7b7 ,table of contents ,the table of contents of this ,act is as follows3 ,sec4 #a4 ,short title2 table of contents4 ,sec4 #b4 ,definition of ,commonwealth4 ,,title ,i--,sense of ,congress on debt held by the ,commonwealth ,sec4 #aja4 ,findings4 ,sec4 #ajb4 ,purposes4 ,sec4 #ajc4 ,sense of ,congress4 ,,title ,,ii--,puerto ,rico ,reconstruction ,finance ,corporation ,sec4 #bja4 ,definitions4 ,sec4 #bjb4 ,establishment and funding4 ,sec4 #bjc4 ,board of the ,corporation4 ,sec4 #bjd4 ,duties4 ,sec4 #bje4 ,default by the ,commonwealth or a municipality of the ,commonwealth4 ,sec4 #bjf4 ,rule of construction4 ,,title ,,iii--,puerto ,rico chapter #i uniformity ,sec4 #cja4 ,amendment4 ,sec4 #cjb4 ,effective date2 application of amendment4 ,sec4 #cjc4 ,severability4 ,,title ,,iv--,addressing health care disparities in the ,commonwealth ,subtitle ,a--,medicaid ,sec4 #daa4 ,elimination of general ,medicaid funding limitations 7cap7 for ,puerto ,rico4 ,sec4 #dab4 ,elimination of specific ,federal medical assistance percentage 7,,fmap7 limitation for ,puerto ,rico4 ,sec4 #dac4 ,application of #ajj percent ,federal poverty line 7,,fpl7 limitation to ,puerto ,rico4 ,sec4 #dad4 ,extension of application of ,medicare payment floor to primary care services furnished in ,puerto ,rico under ,medicaid and application to additional providers4 ,subtitle ,b--,medicare provisions ,sec4 #dba4 ,application of part ,b deemed enrollment process to residents of ,puerto ,rico2 special enrollment period and limit on late enrollment penalties4 ,sec4 #dbb4 ,puerto ,rico practice expense ,,gpci improvement4 ,sec4 #dbc4 ,permanent extension of incentive payments for primary care services furnished in ,puerto ,rico4 ,subtitle ,c--,national environmental public health tracking and studies ,sec4 #dca4 ,national ,environmental ,public ,health ,tracking4 ,sec4 #dcb4 ,study on environmental1 biological1 and health data from the island of ,vieques1 ,puerto ,rico4 ,,title ,v--,infrastructure investments ,subtitle ,a--,energy infrastructure incentives ,sec4 #eaa4 ,grant program to promote of access to renewable energy and energy efficiency for ,puerto ,rico4 ,sec4 #eab4 ,incentives for energy efficient commercial buildings4 ,sec4 #eac4 ,incentives for new energy efficient homes4 ,subtitle ,b--,transportation1 housing1 and agriculture infrastructure incentives ,sec4 #eba4 ,general provisions4 ,sec4 #ebb4 ,highway program4 ,sec4 #ebc4 ,,tiger discretionary grants4 ,sec4 #ebd4 ,passenger and freight rail improvements4 ,sec4 #ebe4 ,airport ,improvement ,program4 ,sec4 #ebf4 ,clean and safe water revolving funds4 ,sec4 #ebg4 ,rural ,utilities ,service programs4 ,sec4 #ebh4 ,rural ,energy for ,america ,program4 ,sec4 #ebi4 ,construction of ferry boats and ferry terminal facilities4 ,sec4 #ecj4 ,corps of ,engineers funds4 ,sec4 #eca4 ,predisaster hazard mitigation and resiliency4 ,sec4 #ecb4 ,broadband programs4 ,sec4 #ecc4 ,housing and community development4 ,,title ,,vi--,earned income tax credit and tax equalization measures ,sec4 #faa4 ,puerto ,rico residents eligible for earned income tax credit4 ,sec4 #fab4 ,equitable treatment for residents of ,puerto ,rico with respect to the refundable portion of the child tax credit4 ,,title ,,vii--,puerto ,rico determination on status ,sec4 #gja4 ,vote regarding status4 ,sec4 #gjb4 ,certification and transmittal of results4 ,sec4 #gjc4 ,transition process4 ,sec4 #gjd4 ,rules for elections for ,federal offices4 ,sec4 #gje4 ,issuance of ,presidential proclamation4 ,sec4 #gjf4 ,state of ,puerto ,rico4 ,sec4 #gjg4 ,effect on membership of ,house of ,representatives4 #b4 ,definition of ,commonwealth ,in this ,act1 the term ,commonwealth means the ,commonwealth of ,puerto ,rico4 ,i ,sense of ,congress on debt held by the ,commonwealth #aja4 ,findings ,congress finds that-- 7#a7 in #bjae1 a ,commission for the ,comprehensive ,audit of ,puerto ,rico's ,public ,debt was established in ,puerto ,rico under ,act #ig2 and 7#b7 the ,commission for the ,comprehensive ,audit of ,puerto ,rico's ,public ,debt is currently conducting an audit of the debt held by ,puerto ,rico4 #ajb4 ,purposes ,the purposes of this ,act are-- 7#a7 to ensure that pensions of ordinary investors are protected2 and 7#b7 to ensure that ,wall ,street speculators are not able to profit from the misfortune of ,united ,states citizens1 including the #c1ejj1jjj people in ,puerto ,rico4 #ajc4 ,sense of ,congress ,it is the sense of ,congress that-- 7#a7 if the ,commission for the ,comprehensive ,audit of ,puerto ,rico's ,public ,debt finds that any of the debt held by ,puerto ,rico was acquired in violation of the ,constitution of ,puerto ,rico1 the ,puerto ,rican government should immediately set aside this debt and suggest to holders of this debt that they seek redress from the investment banks that helped market and sell these unconstitutional instruments2 7#b7 the ,board of ,governors of the ,federal ,reserve ,system has the authority to provide emergency financing to ,puerto ,rico to facilitate an orderly restructuring of the debt held by ,puerto ,rico under sections #ac7c7 and #ad7b77;b7 of the ,federal ,reserve ,act 7#ab ,u4,s4,c4 #cdc and #cee72 and 7#c7 ,puerto ,rico is experiencing a humanitarian crisis1 and that the ,american government must meet the basic human needs of its citizens ahead of the profits of ,wall ,street4 ,,ii ,puerto ,rico ,reconstruction ,finance ,corporation #bja4 ,definitions ,in this title3 7#a7 ,board ,the term ,board means the ,board of the ,corporation4 7#b7 ,bond ,the term ,bond means a bond1 loan1 line of credit1 note1 or other borrowing title1 in physical or dematerialized form1 of which-- 7,a7 the issuer1 borrower1 or guarantor is a municipality or the ,commonwealth2 and 7,b7 the date of issuance or incurrence of debt precedes the date of enactment of this ,act4 7#c7 ,corporation ,the term ,corporation means the ,puerto ,rico ,reconstruction ,finance ,corporation established under section #bjb4 7#d7 ,municipality ,the term municipality-- 7,a7 includes any political subdivision1 public agency1 instrumentality or instrumentality of the ,commonwealth2 and 7,b7 should be broadly construed to effectuate the purposes of this title4 #bjb4 ,establishment and funding ,there is established a public bank with the authority to draw upon the ,exchange ,stabilization ,fund1 to be known as the ,reconstruction ,finance ,corporation of ,puerto ,rico4 #bjc4 ,board of the ,corporation 7a7 ,in general ,the ,corporation shall have a board consisting of #g members1 including a chairman1 of whom all shall-- 7#a7 reside in ,puerto ,rico2 7#b7 have expertise in the economy1 culture1 history1 and government of ,puerto ,rico2 and 7#c7 represent the interests of labor1 agriculture1 small business1 and the environment4 7b7 ,appointment 7#a7 ,in general ,the ,president shall appoint the individual members of the ,board1 of whom-- 7,a7 #d members should be selected from a list submitted by the legislative branch of the ,puerto ,rican government2 7,b7 #b members should be selected from a list submitted by the ,governor of ,puerto ,rico2 and 7,c7 #a member may be selected in the sole discretion of the ,president4 7#b7 ,advice and consent ,with respect to the appointment of a ,board member described in subparagraph 7,a7 or 7,b7 of paragraph 7#a71 such an appointment shall be by and with the advice and consent of the ,senate1 unless the ,president appoints an individual from a list1 as provided in this subsection1 in which case no ,senate confirmation is required4 7c7 ,term ,each member of the ,board shall serve a term of #d years and may be reappointed after the expiration of a term4 7d7 ,ethics 7#a7 ,conflict of interest ,notwithstanding any ethics provision governing employees of the ,commonwealth1 all members and staff of the ,board shall be subject to the ,federal conflict of interest requirements described in section #bjh of title #ah1 ,united ,states ,code4 7#b7 ,financial disclosure ,notwithstanding any ethics provision governing employees of the ,commonwealth1 all members of the ,board and staff designated by the ,board shall be subject to disclosure of their financial interests1 the contents of which shall conform to the same requirements set forth in section #ajb of the ,ethics in ,government ,act of #aigh 7#e ,u4,s4,c4 ,app474 #bjd4 ,duties ,the ,board may-- 7#a7 hire and pay members of the ,board and staff2 7#b7 organize the affairs in accordance with bylaws approved by the ,board2 7#c7 discount any note or ,bond from any public entity in the ,commonwealth upon approval of a majority of the ,board2 7#d7 make any expenditure the ,board determines is necessary to address the humanitarian crisis in the ,commonwealth and restore economic growth2 7#e7 authorize expenditures and lending activities1 including discounting any note or offering a financial guarantee1 by an affirmative vote of a majority of the members of the ,board2 7#f7 negotiate with the ,commonwealth or a municipality that has defaulted on a ,bond over budgets1 revenues1 and appropriations2 7#g7 remove a stay under section #bje7;d72 7#h7 discount ,bonds and notes from the ,commonwealth or a municipality2 7#i7 may reduce the par value of any such ,bond2 and 7#aj7 protect the public pensions in the ,commonwealth as well as ordinary investors and pension funds in the ,united ,states4 #bje4 ,default by the ,commonwealth or a municipality of the ,commonwealth 7a7 ,who may file an application with the ,corporation ,an entity may file an application with the ,corporation under this title if and only if such entity-- 7#a7 is a municipality or the ,commonwealth2 7#b7 is specifically authorized1 in its capacity as a municipality or the ,commonwealth or by name1 to file an application with the ,corporation under this title by ,commonwealth law1 by the ,corporation itself1 or by a governmental officer or organization empowered by ,commonwealth law to authorize such entity to file an application with the ,corporation under this title2 7#c7 desires to and is authorized by ,commonwealth law1 by the ,corporation itself1 or by a governmental officer or organization empowered by ,commonwealth law to make such authorization to restructure its ,bond debts2 and 7#d7 7,a7 has obtained the agreement of creditors holding at least a majority in amount of the claims that such entity intends to impair under a plan in a case under this title2 7,b7 has negotiated in good faith with creditors and has failed to obtain the agreement of creditors holding at least a majority in amount of the claims of each class that such entity intends to impair under a plan in a case under this title2 or 7,c7 is unable to negotiate with creditors because such negotiation is impracticable1 as determined by the entity4 7b7 ,application ,the ,commonwealth or a municipality may file with the ,corporation an application that the ,commonwealth or municipality that the ,commonwealth or municipality-- 7#a7 meets the requirements described in subsection 7a72 and 7#b7 desires to restructure its debt4 7c7 ,purchase of ,bonds 7#a7 ,in general ,if the ,commonwealth or a municipality files an application under subsection 7b7 and the ,board1 by an affirmative vote of a majority of the members of the ,board1 accepts the application-- 7,a7 the ,corporation shall purchase each ,bond from the holder of the ,bond issued by the ,commonwealth or municipality at the price paid for the ,bond by the holder of the ,bond2 and 7,b7 the par value of each ,bond issued by the ,commonwealth or municipality shall be reduced to the last price paid for that ,bond4 7#b7 ,authority of ,corporation ,the ,corporation may examine records of sales of ,bonds to determine whether the price paid by the holder of a ,bond is not fraudulent4 7#c7 ,misrepresentation of ,bond purchase price ,any person that violates paragraph 7#a7 shall be subject to the penalties under section #aj of the ,securities ,exchange ,act of #aicd 7#ae ,u4,s4,c4 #gh;j7 in the same manner and to the same extent as if the person had violated that section4 7#d7 ,bond insurers ,any insurer of a ,bond issued by the ,commonwealth or a municipality on which the ,commonwealth or municipality has defaulted shall not be liable to the holder of a ,bond for any amount that is greater than the purchase price of the ,bond if the insurer demonstrates to the satisfaction of the ,corporation that the solvency of the issuer would be affected by the restructuring of the ,bond4 7#e7 ,payments as final settlement ,amounts paid by the ,corporation for bonds under this subsection shall be in full and final settlement of any and all debts1 claims1 and liens with respect to such bonds4 7d7 ,automatic stay 7#a7 ,except as otherwise provided in this section1 the filing and acceptance of an application under subsection 7b7 operates with respect to any claim1 debt1 or cause of action related to a ,bond as a stay1 applicable to all entities 7as such term is defined in section #aja of title #aa1 ,united ,states ,code71 of-- 7,a7 the commencement or continuation1 including the issuance or employment of process1 of a judicial1 administrative1 or other action or proceeding against the ,commonwealth or a municipality1 or to recover a claim against the ,commonwealth or a municipality2 7,b7 the enforcement1 against the ,commonwealth or a municipality or against property of the ,commonwealth or a municipality1 of a judgment2 7,c7 any act to obtain possession of property of the ,commonwealth or a municipality1 or of property from the ,commonwealth or a municipality1 or to exercise control over property of the ,commonwealth or a municipality2 7,d7 any act to create1 perfect1 or enforce any lien against property of the ,commonwealth or a municipality2 7,e7 any act to create1 perfect1 or enforce against property of the ,commonwealth or a municipality any lien to the extent that such lien secures a claim2 7,f7 any act to collect1 assess1 or recover a claim against the ,commonwealth or a municipality2 and 7,g7 the setoff of any debt owing to the ,commonwealth or a municipality against any claim against the ,commonwealth or a municipality4 7#b7 ,on motion of a party in interest and after notice and a hearing1 the ,board may grant relief from a stay under paragraph 7#a7-- 7,a7 for cause1 including the lack of adequate protection of a security interest in property of such party in interest2 or 7,b7 with respect to a stay of an act against property under paragraph 7#a71 if-- 7i7 the applying entity does not have an equity in such property2 and 7ii7 such property is not necessary for the ,commonwealth or municipality to provide essential services4 7#c7 ,thirty days after a request under paragraph 7#d7 for relief from the stay of any act against property of the ,commonwealth or a municipality under paragraph 7#a71 such stay is terminated with respect to the party in interest making such request1 unless the ,board1 after notice and a hearing1 orders such stay continued in effect pending the conclusion of1 or as a result of1 a final hearing and determination under paragraph 7#d74 ,a hearing under this subsection may be a preliminary hearing1 or may be consolidated with the final hearing under paragraph 7#d74 ,the ,corporation shall order such stay continued in effect pending the conclusion of the final hearing under paragraph 7#d7 if there is a reasonable likelihood that the party opposing relief from such stay will prevail at the conclusion of such final hearing4 ,if the hearing under this subsection is a preliminary hearing1 then such final hearing shall be concluded not later than #cj days after the conclusion of such preliminary hearing1 unless the #cj-;day period is extended with the consent of the parties in interest or for a specific time which the ,corporation finds is required by compelling circumstances4 7#d7 ,upon request of a party in interest1 the ,corporation1 with or without a hearing1 shall grant such relief from the stay provided under paragraph 7#a7 as is necessary to prevent irreparable damage to the secured interest of an entity in property1 if such interest will suffer such damage before there is an opportunity for notice and a hearing under paragraph 7#b7 or 7#c74 7#e7 ,no order1 judgment1 or decree entered in violation of this section shall have any force or effect4 7#f7 ,in any hearing under paragraph 7#b7 or 7#c7 concerning relief from a stay-- 7,a7 the party requesting such relief has the burden of proof on the issue of the applying entity's equity in property2 and 7,b7 the party opposing such relief has the burden of proof on all other issues4 #bjf4 ,rule of construction ,no application submitted or accepted under this title shall be permitted to diminish or impair any pension benefit1 or the funding obligations for such a benefit1 nor shall it permit the impairment or rejection of any agreement between a debtor and any labor organization4 ,,iii ,puerto ,rico chapter #i uniformity #cja4 ,amendment ,section #aja7eb7 of title #aa1 ,united ,states ,code1 is amended to read as follows3 7#eb7 ,the term ,state includes ,puerto ,rico and1 except for the purpose of defining who may be a debtor under chapter #i of this title1 includes the ,district of ,columbia4 4 #cjb4 ,effective date2 application of amendment 7a7 ,effective date ,except as provided in subsection 7b71 this title and the amendment made by this title shall take effect on the date of the enactment of this ,act4 7b7 ,application of amendment 7#a7 ,in general ,except as provided in paragraph 7#b71 the amendment made by this title shall apply with respect to-- 7,a7 cases commenced under title #aa of the ,united ,states ,code on or after the date of the enactment of this ,act2 and 7,b7 debts1 claims1 and liens created before1 on1 or after such date4 7#b7 ,exception ,no case commenced by a municipality of ,puerto ,rico under chapter #i of title #aa1 ,united ,states ,code1 shall permit-- 7,a7 the diminishment or impairment of any pension benefit1 or the funding obligations for such a benefit2 or 7,b7 the impairment or rejection of any agreement between a debtor and any labor organization4 #cjc4 ,severability ,if any provision of this title or any amendment made by this title1 or the application of such provision or amendment to any person or circumstance1 is held to be unconstitutional1 the remainder of this title and the amendments made by this title1 or the application of that provision or amendment to other persons or circumstances1 shall not be affected4 ,,iv ,addressing health care disparities in the ,commonwealth ,a ,medicaid #daa4 ,elimination of general ,medicaid funding limitations 7cap7 for ,puerto ,rico 7a7 ,in general ,section #aajh of the ,social ,security ,act 7#db ,u4,s4,c4 #acjh7 is amended-- 7#a7 in subsection 7f71 in the matter before paragraph 7#a71 by striking subsection 7g7 and inserting subsections 7g7 and 7h72 7#b7 in subsection 7g77#b71 in the matter before subparagraph 7,a71 by inserting and subsection 7h7 after paragraphs 7#c7 and 7#e72 and 7#c7 by adding at the end the following new subsection3 7h7 ,sunset of ,medicaid funding limitations for ,puerto ,rico ,subsections 7f7 and 7g7 shall not apply to ,puerto ,rico beginning with fiscal year #bjag4 4 7b7 ,conforming amendments 7#a7 ,section #aijc7u7 of the ,social ,security ,act 7#db ,u4,s4,c4 #acif;b7u77 is amended by striking ,puerto ,rico14 7#b7 ,section #acbc7;c77#a7 of the ,patient ,protection and ,affordable ,care ,act 7#db ,u4,s4,c4 #ahjdc7;c77#a77 is amended by striking ending with #bjai and inserting the following3 8ending with-- 7,a7 for purposes of payment pursuant to subsection 7a7 to ,puerto ,rico1 #bjaf2 and 7,b7 for purposes of payment pursuant to subsection 7a7 to another territory1 #bjai4 4 7c7 ,effective date ,the amendments made by this section shall apply beginning with fiscal year #bjag4 #dab4 ,elimination of specific ,federal medical assistance percentage 7,,fmap7 limitation for ,puerto ,rico 7a7 ,in general ,section #aije of the ,social ,security ,act 7#db ,u4,s4,c4 #acif;d7 is amended-- 7#a7 in clause 7#b7 of subsection 7b71 by striking ,puerto ,rico12 and 7#b7 in subsection 7y77#a71 in the matter preceding subparagraph 7,a7-- 7,a7 by inserting 1 for fiscal years before fiscal year #bjag1 before is one of the2 and 7,b7 by inserting and1 for fiscal year #bjag and subsequent fiscal years1 is one of the #ej ,states1 the ,district of ,columbia1 or ,puerto ,rico1 after the ,district of ,columbia4 7b7 ,effective date ,the amendments made by this section shall apply beginning with fiscal year #bjag4 #dac4 ,application of #ajj percent ,federal poverty line 7,,fpl7 limitation to ,puerto ,rico 7a7 ,in general ,section #aijb of the ,social ,security ,act 7#db ,u4,s4,c4 #acif;a7 is amended-- 7#a7 in subsection 7a77#aj77;,a77i77,,viii71 by inserting 7or1 subject to subsection 7j71 #ajj percent in the case of ,puerto ,rico7 after #acc percent2 and 7#b7 in subsection 7j7-- 7,a7 by inserting 7#a7 after 7j72 and 7,b7 by adding at the end the following new paragraph3 7#b7 7,a7 ,subject to subparagraph 7,b71 ,federal financial participation shall not be available to ,puerto ,rico for medical assistance for an individual whose family income exceeds #ajj percent of the poverty line 7as defined in section #baaj7;c77#e77 for a family of the size involved1 except in the case of individuals qualifying for medical assistance under subsection 7a77#aj77;,a77i77,,ix74 7,b7 ,the ,secretary may1 under section #aaae1 waive the limitation under subparagraph 7,a74 ,in carrying out this subparagraph1 the ,secretary shall take into account the eligibility levels established under the ,state plan of ,puerto ,rico before the date of the enactment of this paragraph4 4 7b7 ,not applying #e percent disregard ,section #aijb7;e77#ad77;,i7 of the ,social ,security ,act 7#db ,u4,s4,c4 #acif;b7e77#ad77;,i77 is amended by adding at the end the following3 ,the previous sentence shall not apply to ,puerto ,rico4 4 7c7 ,effective date ,the amendments made by this section shall apply with respect to eligibility determinations made with respect to items and services furnished on or after ,october #a1 #bjaf4 #dad4 ,extension of application of ,medicare payment floor to primary care services furnished in ,puerto ,rico under ,medicaid and application to additional providers 7a7 ,in general ,section #aijb7;a77#ac7 of the ,social ,security ,act 7#db ,u4,s4,c4 #acif;a7a77#ac77 is amended-- 7#a7 in subparagraph 7,b71 by striking 2 and and inserting a semicolon2 7#b7 in subparagraph 7,c71 by striking the semicolon at the end and inserting 2 and2 and 7#c7 by adding at the end the following new subparagraph3 7,d7 payment for primary care services 7as defined in subsection 7jj77 at a rate that is not less than #ajj percent of the payment rate that applies to such services and physician under part ,b of title ,,xviii 7or1 if greater1 the payment rate that would be applicable under such part if the conversion factor under section #ahdh7;d7 for the year involved were the conversion factor under such section for #bjji71 and that is not less than the rate that would otherwise apply to such services under this title if the rate were determined without regard to this subparagraph1 and that are furnished in ,puerto ,rico on or after ,january #a1 #bjag-- 7i7 by a physician with a primary specialty designation of family medicine1 general internal medicine1 or pediatric medicine1 but only if the physician self-attests that-- 7,i7 the physician is ,board certified in family medicine1 general internal medicine1 or pediatric medicine2 or 7,,ii7 with respect to the most recently completed calendar year 7or in the case of a newly eligible physician1 the preceding month71 #fj percent of all services the physician billed for under the ,state plan or a waiver under this title1 or provided through a medicaid managed care organization 7as defined in section #aijc7m77#a77;,a771 were for services described in subparagraph 7,a7 or 7,b7 of subsection 7jj77#a72 7ii7 by a physician with a primary specialty designation of obstetrics and gynecology1 but only if the physician self-attests that-- 7,i7 the physician is ,board certified in obstetrics and gynecology2 and 7,,ii7 with respect to the most recently completed calendar year 7or in the case of a newly eligible physician1 the preceding month71 #fj percent of all services the physician billed for under the ,state plan or a waiver under this title1 or provided through a medicaid managed care organization 7as defined in section #aijc7m77#a77;,a771 were for services described in subparagraph 7,a7 or 7,b7 of subsection 7jj77#a72 7iii7 by an advanced practice clinician1 as defined by the ,secretary1 that works under the supervision of-- 7,i7 a physician that satisfies the criteria specified in clause 7i7 or 7ii72 or 7,,ii7 a nurse practitioner or a physician assistant 7as such terms are defined in section #ahfa7;aa77#e77;,a77 who is working in accordance with ,state law1 or a certified nurse-midwife 7as defined in section #ahfa7;gg77 who is working in accordance with ,state law1 but only if the nurse practitioner1 physician assistant1 or certified nurse-midwife self-attests that1 with respect to the most recently completed calendar year 7or in the case of a newly eligible nurse practitioner1 physician assistant1 or certified nurse-midwife1 the preceding month71 #fj percent of all services the nurse practitioner1 physician assistant1 or certified nurse-midwife billed for under the ,state plan or a waiver under this title1 or provided through a medicaid managed care organization 7as defined in section #aijc7m77#a77;,a771 were for services described in subparagraph 7,a7 or 7,b7 of subsection 7jj77#a72 7iv7 by a rural health clinic1 ,federally-qualified health center1 or other health clinic that receives reimbursement on a fee schedule applicable to a physician1 a nurse practitioner or a physician assistant 7as such terms are defined in section #ahfa7;aa77#e77;,a77 who is working in accordance with ,state law1 or a certified nurse-midwife 7as defined in section #ahfa7;gg77 who is working in accordance with ,state law1 for services furnished by a physician1 nurse practitioner1 physician assistant1 or certified nurse-midwife1 or services furnished by an advanced practice clinician supervised by a physician described in clause 7i77,i7 or 7ii77,i71 another advanced practice clinician1 or a certified nurse-midwife1 but only if the rural health clinic or ,federally-qualified health center self-attests that #fj percent of all services billed for under the ,state plan or a waiver under this title1 or provided through a medicaid managed care organization 7as defined in section #aijc7m77#a77;,a771 were for services described in subparagraph 7,a7 or 7,b7 of subsection 7jj77#a72 or 7v7 by a nurse practitioner or a physician assistant 7as such terms are defined in section #ahfa7;aa77#e77;,a77 who is working in accordance with ,state law1 or a certified nurse-midwife 7as defined in section #ahfa7;gg77 who is working in accordance with ,state law1 in accordance with procedures that ensure that the portion of the payment for such services that the nurse practitioner1 physician assistant1 or certified nurse-midwife is paid is not less than the amount that the nurse practitioner1 physician assistant1 or certified nurse-midwife would be paid if the services were provided under part ,b of title ,,xviii1 but only if the nurse practitioner1 physician assistant1 or certified nurse-midwife self-attests that1 with respect to the most recently completed calendar year 7or in the case of a newly eligible nurse practitioner1 physician assistant1 or certified nurse-midwife1 the preceding month71 #fj percent of all services the nurse practitioner1 physician assistant1 or certified nurse-midwife billed for under the ,state plan or a waiver under this title1 or provided through a medicaid managed care organization 7as defined in section #aijc7m77#a77;,a771 were for services described in subparagraph 7,a7 or 7,b7 of subsection 7jj77#a72 4 7b7 ,conforming amendments 7#a7 ,section #aije7;dd7 of the ,social ,security ,act 7#db ,u4,s4,c4 #acif7;dd77 is amended-- 7,a7 by inserting the following sentence after the first sentence3 ,notwithstanding subsection 7b71 with respect to the portion of the amounts expended for medical assistance for services described in section #aijb7;a77#ac77;,d7 furnished in ,puerto ,rico on or after ,january #a1 #bjag1 that is attributable to the amount by which the minimum payment rate required under such section 7or1 by application1 section #aicb7;f77 exceeds the payment rate applicable to such services under the ,state plan as of ,july #a1 #bjji1 the ,federal medical assistance percentage shall be equal to #ajj percent42 and 7,b7 in the last sentence1 by striking preceding sentence does not and inserting preceding sentences do not4 7#b7 ,section #aicb7;f7 of the ,social ,security ,act 7#db ,u4,s4,c4 #acifu-#b7;f77 is amended-- 7,a7 by striking section #aijb7;a77#ac77;,c7 and inserting subparagraph 7,c7 or 7,d7 of section #aijb7;a77#ac72 and 7,b7 by striking specified in such section and inserting specified in such subparagraphs4 ,b ,medicare provisions #dba4 ,application of part ,b deemed enrollment process to residents of ,puerto ,rico2 special enrollment period and limit on late enrollment penalties 7a7 ,application of part ,b deemed enrollment process to residents of ,puerto ,rico ,section #ahcg7;f77#c7 of the ,social ,security ,act 7#db ,u4,s4,c4 #aciep7f77#c77 is amended by striking 1 exclusive of ,puerto ,rico4 7b7 ,effective date ,the amendment made by subsection 7a7 shall apply to individuals whose initial enrollment period under section #ahcg7;d7 of the ,social ,security ,act begins on or after the first day of the effective month1 specified by the ,secretary of ,health and ,human ,services under section #ahci7;j77#a77;,c7 of such ,act1 as added by subsection 7c77#b74 7c7 ,transition providing special enrollment period and limit on late enrollment penalties for certain ,medicare beneficiaries ,section #ahci of the ,social ,security ,act 7#db ,u4,s4,c4 #acier7 is amended-- 7#a7 in the first sentence of subsection 7b71 by inserting subject to section #ahci7;j77#b71 after subsection 7i77#d7 or 7l7 of section #ahcg12 and 7#b7 by adding at the end the following new subsection3 7j7 ,special rules for certain residents of ,puerto ,rico 7#a7 ,special enrollment period1 coverage period for residents who are eligible but not enrolled 7,a7 ,in general ,in the case of a transition individual 7as defined in paragraph 7#c77 who is not enrolled under this part as of the day before the first day of the effective month 7as defined in subparagraph 7,c771 the ,secretary shall provide for a special enrollment period under section #ahcg of #g months beginning with such effective month during which the individual may be enrolled under this part4 7,b7 ,coverage period ,in the case of such an individual who enrolls during such special enrollment period1 the coverage period under section #ahch shall begin on the first day of the second month after the month in which the individual enrolls4 7,c7 ,effective month defined ,in this section1 the term effective month means a month1 not earlier than ,october #bjag and not later than ,january #bjah1 specified by the ,secretary4 7#b7 ,reduction in late enrollment penalties for current enrollees and individuals enrolling during transition 7,a7 ,in general ,in the case of a transition individual who is enrolled under this part as of the day before the first day of the effective month or who enrolls under this part on or after the date of the enactment of this subsection but before the end of the special enrollment period under paragraph 7#a77;,a71 the amount of the late enrollment penalty imposed under section #ahci7;b7 shall be recalculated by reducing the penalty to #ae percent of the penalty otherwise established4 7,b7 ,application ,subparagraph 7,a7 shall be applied in the case of a transition individual who-- 7i7 is enrolled under this part as of the month before the effective month1 for premiums for months beginning with such effective month2 or 7ii7 enrolls under this part on or after the date of the enactment of this ,act and before the end of the special enrollment period under paragraph 7#a77;,a71 for premiums for months during the coverage period under this part which occur during or after the effective month4 7,c7 ,loss of reduction if individual terminates enrollment ,subparagraph 7,a7 shall not apply to a transition individual if the individual terminates enrollment under this part after the end of the special enrollment period under paragraph 7#a74 7#c7 ,transition individual defined ,in this section1 the term transition individual means an individual who resides in ,puerto ,rico and who would have been deemed enrolled under this part pursuant to section #ahcg7;f7 before the first day of the effective month but for the fact that the individual was a resident of ,puerto ,rico1 regardless of whether the individual is enrolled under this part as of such first day4 4 #dbb4 ,puerto ,rico practice expense ,,gpci improvement ,section #ahdh7;e77#a7 of the ,social ,security ,act 7#db ,u4,s4,c4 #aciew-#d7;e77#a77 is amended-- 7#a7 in subparagraph 7,a71 by striking and 7,i7 and inserting 7,i71 and 7,j72 and 7#b7 by adding at the end the following new subparagraph3 7,j7 ,floor for practice expense index for services furnished in ,puerto ,rico 7i7 ,in general ,for purposes of payment for services furnished in ,puerto ,rico in a year 7beginning with #bjag71 after calculating the practice expense index in subparagraph 7,a77i7 for ,puerto ,rico1 if such index is below the reference index 7as defined in clause 7ii77 for the year1 the ,secretary shall increase such index for ,puerto ,rico to equal the value of the reference index for the year4 ,the preceding sentence shall not be applied in a budget neutral manner4 7ii7 ,reference index defined ,in this subparagraph1 the term reference index means1 with respect to a year1 #j4hjj or1 if less1 the lowest practice expense index value for the year for any area in the #ej ,states or the ,district of ,columbia4 4 #dbc4 ,permanent extension of incentive payments for primary care services furnished in ,puerto ,rico ,section #ahcc7x77#a7 of the ,social ,security ,act 7#db ,u4,s4,c4 #aciel7x77#a77 is amended by inserting 7and in the case of primary care services furnished on or after ,january #a1 #bjag1 in ,puerto ,rico7 after #bjaf4 ,c ,national environmental public health tracking and studies #dca4 ,national ,environmental ,public ,health ,tracking 7a7 ,in general ,not later than #fj days after the date of enactment of this ,act1 the ,secretary of ,health and ,human ,services1 acting through the ,director of the ,centers for ,disease ,prevention and ,control1 shall update the ,national ,environmental ,public ,health ,tracking ,network of the ,centers for ,disease ,control and ,prevention to include ,puerto ,rico 7including ,vieques74 7b7 ,authorization of appropriations ,there is authorized to be appropriated such sums as may be necessary to carry out this section4 #dcb4 ,study on environmental1 biological1 and health data from the island of ,vieques1 ,puerto ,rico 7a7 ,in general ,not later than #fj days after the date of enactment of this ,act1 the ,secretary of ,health and ,human ,services shall award a grant to an institution of higher education in ,puerto ,rico for the conduct of a #c-year study1 in collaboration with the ,puerto ,rico ,department of ,health1 on the environmental1 biological1 and health of residents of ,vieques1 ,puerto ,rico and specifically whether and to what extent past military exercises on ,vieques have contributed to health conditions experienced by some residents of ,vieques4 7b7 ,elements ,the study conducted under subsection 7a7 shall include-- 7#a7 a review of the existing literature and previous public health assessments2 7#b7 testing of drinking water1 air1 seafood1 locally grown produce1 and soil samples2 7#c7 an analysis of previous biomonitoring studies in ,vieques2 7#d7 new biomonitoring testing to determine the source of previously unexplained findings of metals in residents' blood1 urine1 hair1 or feces2 7#e7 biomonitoring control group testing from mainland ,puerto ,rico2 and 7#f7 an analysis of the impact of the cumulative effects of exposure to multiple contaminants4 7c7 ,use of funds ,all costs related to biomonitoring and environmental testing under the study under subsection 7a7 shall be paid for directly with funds awarded under the grant under such subsection4 ,grant funds may be used to purchase testing equipment1 as needed4 7d7 ,final report ,the recipient of the grant under subsection 7a7 shall submit to the ,secretary of ,health and ,human ,services1 a final report under such grant4 ,not later than #cj days after the submission of such report1 the ,secretary shall make such report public4 7e7 ,authorization of appropriations ,there is authorized to be appropriated #aj1jjj1jjj to carry out this section4 ,v ,infrastructure investments ,a ,energy infrastructure incentives #eaa4 ,grant program to promote of access to renewable energy and energy efficiency for ,puerto ,rico 7a7 ,in general ,upon application1 the ,secretary of the ,treasury shall1 subject to the requirements of this section1 provide a grant to each eligible person who places in service specified energy property in the ,commonwealth to reimburse such person for a portion of the expense of such property as provided in subsection 7b74 ,no grant shall be made under this section with respect to any property unless-- 7#a7 in the case of specified energy property which is described in paragraph 7#a7 of section #de7;d7 or clause 7i7 of section #dh7;a77#c77;,a7 of the ,internal ,revenue ,code of #aihf 7determined without regard to any date by which construction must begin71 the construction of such property begins after the date of the enactment of this ,act and before ,january #a of the applicable calendar year1 and 7#b7 in the case of any other specified energy property1 such property is placed in service after the date of the enactment of this ,act and before ,january #a of the applicable calendar year4 7b7 ,grant ,amount 7#a7 ,in general ,the amount of the grant under subsection 7a7 with respect to any specified energy property shall be the applicable percentage of the basis of such property4 7#b7 ,applicable percentage ,for purposes of paragraph 7#a71 the term applicable percentage means-- 7,a7 #cj percent in the case of any property described in paragraphs 7#a7 through 7#d7 of subsection 7d71 and 7,b7 #aj percent in the case of any other property4 7#c7 ,dollar limitations ,in the case of property described in paragraph 7#a71 7#b71 7#f71 or 7#g7 of subsection 7d71 the amount of any grant under this section with respect to such property shall not exceed the limitation described in section #dh7;a77#e77;,e71 #dh7;c77#a77;,b71 #dh7;c77#b77;,b71 or #dh7;c77#c77;,b7 of the ,internal ,revenue ,code of #aihf1 respectively1 with respect to such property4 7c7 ,time for ,payment of ,grant ,the ,secretary of the ,treasury shall make payment of any grant under subsection 7a7 during the #fj-;day period beginning on the later of-- 7#a7 the date of the application for such grant1 or 7#b7 the date the specified energy property for which the grant is being made is placed in service4 7d7 ,specified ,energy ,property ,for purposes of this section1 the term specified energy property means any of the following3 7#a7 ,qualified facilities ,any qualified property 7as defined in section #dh7;a77#e77;,d7 of the ,internal ,revenue ,code of #aihf7 which is part of a qualified facility 7within the meaning of section #de of such ,code7 described in paragraph 7#a71 7#b71 7#c71 7#d71 7#f71 7#g71 7#i71 or 7#aa7 of section #de7;d7 of such ,code 7determined without regard to any date by which construction must begin74 7#b7 ,qualified fuel cell property ,any qualified fuel cell property 7as defined in section #dh7;c77#a7 of such ,code1 determined without regard to any termination date74 7#c7 ,solar property ,any property described in clause 7i7 or 7ii7 of section #dh7;a77#c77;,a7 of such ,code 7determined without regard to any termination date74 7#d7 ,qualified small wind energy property ,any qualified small wind energy property 7as defined in section #dh7;c77#d7 of such ,code1 determined without regard to any termination date74 7#e7 ,geothermal property ,any property described in clause 7iii7 of section #dh7;a77#c77;,a7 of such ,code4 7#f7 ,qualified microturbine property ,any qualified microturbine property 7as defined in section #dh7;c77#b7 of such ,code1 determined without regard to any termination date74 7#g7 ,combined heat and power system property ,any combined heat and power system property 7as defined in section #dh7;c77#c7 of such ,code1 determined without regard to subparagraph 7,a77iv7 thereof74 7#h7 ,geothermal heat pump property ,any property described in clause 7vii7 of section #dh7;a77#c77;,a7 of such ,code 7determined without regard to any termination date74 ,such term shall not include any property unless depreciation 7or amortization in lieu of depreciation7 is allowable 7or would be allowable if section #icc of the ,internal ,revenue ,code of #aihf were not taken into account7 with respect to such property4 7e7 ,eligible person ,for purposes of this section1 the term eligible person means-- 7#a7 any individual that is a bona fide resident 7as defined under section #icg of the ,internal ,revenue ,code of #aihf7 of the ,commonwealth1 and 7#b7 any corporation which is organized under the laws of the ,commonwealth4 7f7 ,applicable calendar year ,for purposes of this section1 the term applicable calendar year means the calendar year following the first calendar year in which the aggregate amount of grants paid under subsection 7a7 exceeds #a1bjj1jjj1jjj4 7g7 ,other definitions ,terms used in this section which are also used in section #de or #dh of the ,internal ,revenue ,code of #aihf shall have the same meaning for purposes of this section as when used in such section #de or #dh4 ,any reference in this section to the ,secretary of the ,treasury shall be treated as including the ,secretary's delegate4 7h7 ,application of certain rules ,in making grants under this section1 the ,secretary of the ,treasury shall apply rules similar to the rules of section #ej of the ,internal ,revenue ,code of #aihf1 except that in applying subsection 7b77#a7 thereof ,puerto ,rico shall be substituted for ,united ,states4 ,in applying such rules1 if the property is disposed of1 or otherwise ceases to be specified energy property1 the ,secretary of the ,treasury shall provide for the recapture of the appropriate percentage of the grant amount in such manner as the ,secretary of the ,treasury determines appropriate4 7i7 ,appropriations ,there is hereby appropriated to the ,secretary of the ,treasury such sums as may be necessary to carry out this section4 #eab4 ,incentives for energy efficient commercial buildings 7a7 ,permanent extension of energy efficient commercial buildings deduction ,section #agi;,d of the ,internal ,revenue ,code of #aihf is amended by striking subsection 7h74 7b7 ,update of standard 7#a7 ,in general ,section #agi;,d of the ,internal ,revenue ,code of #aihf is amended by striking ,standard #ij4a-bjja each place it appears and inserting the applicable ,,ashrae standard4 7#b7 ,applicable ,,ashrae standard ,section #agi;,d7c77#b7 of such ,code is amended to read as follows3 7#b7 ,applicable ,,ashrae standard ,the term applicable ,,ashrae standard means-- 7,a7 ,standard #ij4a-bjac of the ,american ,society of ,heating1 ,refrigerating1 and ,air ,conditioning ,engineers and the ,illuminating ,engineering ,society of ,north ,america1 or 7,b7 in the case of any subsequent standard adopted by the ,american ,society of ,heating1 ,refrigerating1 and ,air ,conditioning ,engineers which supersedes the standard described in subparagraph 7,a71 such subsequent standard4 4 7#c7 ,effective date ,the amendments made by this subsection shall apply to property placed in service after ,december #ca1 #bjae4 7c7 ,grant program for ,puerto ,rico 7#a7 ,in general ,upon application1 the ,secretary of the ,treasury shall1 subject to the requirements of this subsection1 provide a grant to each eligible person who places in service energy efficient building property to reimburse such person for a portion of the expense of such property as provided in paragraph 7#b74 ,no grant shall be made under this subsection with respect to any property unless such property is placed in service on or before the last day of the applicable calendar year4 7#b7 ,grant amount ,the amount of the grant under paragraph 7#a7 with respect to any energy efficient building property shall be equal to the product of-- 7,a7 #ce percent1 and 7,b7 the excess of-- 7i7 the product of-- 7,i7 #a4hj1 and 7,,ii7 the square footage of the building1 over 7ii7 the aggregate amount of all prior grants under paragraph 7#a7 with respect to the building4 7#c7 ,time for ,payment of ,grant ,the ,secretary of the ,treasury shall make payment of any grant under paragraph 7#a7 during the #fj-;day period beginning on the later of-- 7,a7 the date of the application for such grant1 or 7,b7 the date the energy efficient commercial building property for which the grant is being made is placed in service4 7#d7 ,energy efficient commercial building property ,for purposes of this subsection1 the term energy efficient commercial building property has the meaning given such term under section #agi;,d7c7 of the ,internal ,revenue ,code of #aihf1 except that-- 7,a7 the determination of whether depreciation 7or amortization in lieu of depreciation7 is allowable under such section #agi;,d7c77#a77;,a7 shall be made without regard to section #icc of such ,code1 and 7,b7 such section #agi;,d7c77#a77;,b77i7 shall be applied by substituting ,puerto ,rico for ,united ,states4 7#e7 ,eligible person ,for purposes of this subsection1 the term eligible person means-- 7,a7 any individual that is a bona fide resident 7as defined under section #icg of the ,internal ,revenue ,code of #aihf7 of ,puerto ,rico1 and 7,b7 any corporation which is organized under the laws of the ,commonwealth4 7#f7 ,applicable calendar year ,for purposes of this subsection1 the term applicable calendar year means the calendar year following the first calendar year in which the aggregate amount of grants paid under subsection 7a7 exceeds #djj1jjj1jjj4 7#g7 ,secretary of the ,treasury ,any reference in this subsection to the ,secretary of the ,treasury shall be treated as including the ,secretary's delegate4 7#h7 ,application of special rules ,rules similar to the rules of subsections 7d71 7f71 and 7g7 of section #agi;,d of the ,internal ,revenue ,code of #aihf shall apply with respect to grants under this subsection4 7#i7 ,appropriations ,there is hereby appropriated to the ,secretary of the ,treasury such sums as may be necessary to carry out this subsection4 #eac4 ,incentives for new energy efficient homes 7a7 ,permanent extension of new energy efficient home credit ,section #de,l of the ,internal ,revenue ,code of #aihf is amended by striking subsection 7g74 7b7 ,update of standard 7#a7 ,in general ,section #de,l of the ,internal ,revenue ,code of #aihf is amended by striking the standards of chapter #d of the #bjjf ,international ,energy ,conservation ,code1 as such ,code 7including supplements7 is in effect on ,january #a1 #bjjf each place it appears and inserting the applicable standards4 7#b7 ,applicable standards ,section #de,l of such ,code1 as amended by subsection 7a71 is amended by adding at the end the following new subsection3 7h7 ,applicable standards ,for purposes of this section1 the term applicable standards means1 with respect to any dwelling unit1 the standards in effect for residential building energy efficiency under the ,international ,energy ,conservation ,code on the first day of the taxable year in which construction for the dwelling unit commenced4 4 7#c7 ,effective date ,the amendments made by this subsection shall apply to homes acquired after ,december #ca1 #bjae4 7c7 ,grant program for ,puerto ,rico 7#a7 ,in general ,upon application1 the ,secretary of the ,treasury shall1 subject to the requirements of this subsection1 provide a grant to each eligible contractor with respect to each qualified new energy efficient home which is-- 7,a7 constructed by an eligible contractor1 and 7,b7 acquired by a person from such eligible contractor for use as a residence4 ,no grant shall be made under this subsection with respect to any qualified new energy efficient home unless such home is acquired by another person for use as a residence on or before the last day of the applicable calendar year4 7#b7 ,amount of grant ,the amount of the grant under paragraph 7#a7 with respect to any qualified new energy efficient home is an amount equal to-- 7,a7 in the case of a dwelling unit described in paragraph 7#a7 or 7#b7 of section #de,l7c7 of the ,internal ,revenue ,code of #aihf1 #b1jjj1 and 7,b7 in the case of a dwelling unit described in paragraph 7#c7 of section #de,l7c7 of the ,internal ,revenue ,code of #aihf1 #a1jjj4 7#c7 ,time for ,payment of ,grant ,the ,secretary of the ,treasury shall make payment of any grant under paragraph 7#a7 during the #fj-;day period beginning on the later of-- 7,a7 the date of the application for such grant1 or 7,b7 the date the qualified new energy efficient home for which the grant is acquired by another person for use as a residence4 7#d7 ,qualified new energy efficient home ,for purposes of this subsection1 the term qualified new energy efficient home has the meaning given such term under section #de,l7b77#b7 of the ,internal ,revenue ,code of #aihf1 except that-- 7,a7 subparagraph 7,a7 thereof shall be applied by substituting ,puerto ,rico for the ,united ,states1 and 7,b7 subparagraph 7,b7 thereof shall be applied by substituting the date of the enactment of section #eac of the ,puerto ,rico ,humanitarian ,relief and ,reconstruction ,act for the date of the enactment of this section4 7#e7 ,applicable calendar year ,for purposes of this subsection1 the term applicable calendar year means the calendar year following the first calendar year in which the aggregate amount of grants paid under subsection 7a7 exceeds #djj1jjj1jjj4 7#f7 ,other terms ,terms used in this subsection which are also used in section #de,l of the ,internal ,revenue ,code of #aihf shall have the same meaning for purposes of this subsection as when used in section #de,l4 ,any reference in this subsection to the ,secretary of the ,treasury shall be treated as including the ,secretary's delegate4 7#g7 ,appropriations ,there is hereby appropriated to the ,secretary of the ,treasury such sums as may be necessary to carry out this subsection4 ,b ,transportation1 housing1 and agriculture infrastructure incentives #eba4 ,general provisions 7a7 ,waiver of non-,federal share ,notwithstanding any other provision of law1 the non-,federal share of the cost of any program or activity carried out using funds provided under this subtitle shall be zero4 7b7 ,maintenance of funding2 administrative expenses 7#a7 ,maintenance of funding ,the funding provided to any program or account under this subtitle shall supplement 7and not supplant7 any funding provided for that program or account under any other provision of law4 7#b7 ,administrative expenses ,notwithstanding any other provision of law 7including regulations71 of any funds provided for a program or account under this subtitle1 the applicable ,federal department or agency head may use such percentage for administrative expenses as is established by the limitation for administrative expenses in applicable laws 7including regulations7 relating to the program or activity4 #ebb4 ,highway program 7a7 ,funding ,out of funds of the ,treasury not otherwise appropriated1 there is appropriated to the ,secretary of ,transportation #dej1jjj1jjj for each of fiscal years #bjag through #bjbf to carry out the ,puerto ,rico ,highway ,program under section #afe7;b7 of title #bc1 ,united ,states ,code4 7b7 ,conforming amendment ,section #afe7;a77#a7 of title #bc1 ,united ,states ,code1 is amended by striking #aeh1jjj1jjj and inserting #fjh1jjj1jjj4 #ebc4 ,,tiger discretionary grants 7a7 ,definition of ,,tiger discretionary grant ,in this section1 the term ,,tiger discretionary grant means a grant awarded and administered by the ,secretary of ,transportation using funds made available for national infrastructure investments under title ,i of division ,l of the ,consolidated ,appropriations ,act1 #bjaf 7,public ,law #aad-aac2 #abi ,stat4 #bhce74 7b7 ,requirement ,out of funds of the ,treasury not otherwise appropriated1 there is appropriated to the ,secretary of ,transportation #ej1jjj1jjj for each of fiscal years #bjag through #bjba to award ,,tiger discretionary grants for eligible programs and activities in the ,commonwealth of ,puerto ,rico4 #ebd4 ,passenger and freight rail improvements 7a7 ,funding ,out of funds of the ,treasury not otherwise appropriated1 there is appropriated to the ,secretary of ,transportation #abj1jjj1jjj for each of fiscal years #bjag through #bjba for planning and capital costs to build1 improve1 or expand passenger and freight rail projects in the ,commonwealth under titles #bc and #di1 ,united ,states ,code4 7b7 ,eligible uses ,of the amounts made available for each fiscal year under subsection 7a7-- 7#a7 not more than #ae percent may be used for temporary operating assistance for such rail and transit projects as the ,secretary of ,transportation determines to be eligible2 and 7#b7 not more than #ej percent may be allocated to another transportation capital investment account funded under this ,act1 on approval of the ,secretary of ,transportation4 #ebe4 ,airport ,improvement ,program ,out of funds of the ,treasury not otherwise appropriated1 there is appropriated to the ,secretary of ,transportation #dj1jjj1jjj for each of fiscal years #bjag through #bjba to make grants under the ,airport ,improvement ,program under subchapter ,i of chapter #dga of title #di1 ,united ,states ,code1 for eligible programs and activities in the ,commonwealth4 #ebf4 ,clean and safe water revolving funds ,out of funds of the ,treasury not otherwise appropriated1 there is appropriated to the ,administrator of the ,environmental ,protection ,agency for each of fiscal years #bjag through #bjba-- 7#a7 #be1jjj1jjj to make a capitalization grant to the ,commonwealth for the purpose of establishing and maintaining a water pollution control revolving fund under title ,,vi of the ,federal ,water ,pollution ,control ,act 7#cc ,u4,s4,c4 #acha et seq472 and 7#b7 #be1jjj1jjj to make a capitalization grant to the ,commonwealth for the purpose of establishing and maintaining a drinking water treatment revolving loan fund under section #adeb7;a7 of the ,safe ,drinking ,water ,act 7#db ,u4,s4,c4 #cjj;j-#ab7;a774 #ebg4 ,rural ,utilities ,service programs 7a7 ,water and environmental programs ,out of funds of the ,treasury not otherwise appropriated1 there is appropriated to the ,administrator of the ,rural ,utilities ,service #ej1jjj1jjj for each of fiscal years #bjag through #bjba to provide1 for eligible programs and activities in the ,commonwealth-- 7#a7 water or waste disposal grants or direct or guaranteed loans under paragraph 7#a7 or 7#b7 of section #cjf7;a7 of the ,consolidated ,farm and ,rural ,development ,act 7#g ,u4,s4,c4 #aibf7;a772 7#b7 rural water or wastewater technical assistance and training grants under section #cjf7;a77#ad7 of the ,consolidated ,farm and ,rural ,development ,act 7#g ,u4,s4,c4 #aibf7;a77#ad772 7#c7 emergency community water assistance grants under section #cjf;,a of the ,consolidated ,farm and ,rural ,development ,act 7#g ,u4,s4,c4 #aibf;a72 and 7#d7 solid waste management grants under section #caj;,b7b7 of the ,consolidated ,farm and ,rural ,development ,act 7#g ,u4,s4,c4 #aicb7;b774 7b7 ,electric program ,out of funds of the ,treasury not otherwise appropriated1 there is appropriated to the ,administrator of the ,rural ,utilities ,service #ej1jjj1jjj for each of fiscal years #bjag through #bjba to provide electric infrastructure grants for eligible programs and activities in the ,commonwealth under the ,rural ,electrification ,act of #aicf 7#g ,u4,s4,c4 #ija et seq474 #ebh4 ,rural ,energy for ,america ,program ,out of funds of the ,treasury not otherwise appropriated1 there is appropriated to the ,secretary of ,agriculture #be1jjj1jjj for each of fiscal years #bjag through #bjba to provide financial assistance and grants for eligible programs and activities in the ,commonwealth under section #ijjg of the ,farm ,security and ,rural ,investment ,act of #bjjb 7#g ,u4,s4,c4 #hajg74 #ebi4 ,construction of ferry boats and ferry terminal facilities ,out of funds of the ,treasury not otherwise appropriated1 there is appropriated to the ,secretary of ,transportation #e1jjj1jjj for each of fiscal years #bjag through #bjba for the construction of ferry boats and ferry terminal facilities in the ,commonwealth under section #adg of title #bc1 ,united ,states ,code4 #ecj4 ,corps of ,engineers funds 7a7 ,construction ,account ,out of funds of the ,treasury not otherwise appropriated1 there is appropriated to the ,construction ,account of the ,corps of ,engineers #aej1jjj1jjj for each of fiscal years #bjag through #bjba for authorized navigation1 coastal storm and riverine flood damage reduction1 ecosystem restoration1 and environmental infrastructure assistance activities in the ,commonwealth1 with priority given to dredging the ,cao ,martn ,pea4 7b7 ,operations and ,maintenance ,account ,out of funds of the ,treasury not otherwise appropriated1 there is appropriated to the ,operations and ,maintenance ,account of the ,corps of ,engineers #ge1jjj1jjj for each of fiscal years #bjag through #bjba for eligible operations and maintenance costs of coastal harbors and channels1 and for inland harbors1 to improve the movement of goods through marine ports in the ,commonwealth4 #eca4 ,predisaster hazard mitigation and resiliency ,out of funds of the ,treasury not otherwise appropriated1 there is appropriated to the ,director of the ,federal ,emergency ,management ,agency #ej1jjj1jjj for each of fiscal years #bjag through #bjba to carry out in the ,commonwealth minor localized flood reduction projects and major flood risk reduction projects under the predisaster hazard mitigation program under section #bjc of the ,robert ,t4 ,stafford ,disaster ,relief and ,emergency ,assistance ,act 7#db ,u4,s4,c4 #eacc74 #ecb4 ,broadband programs 7a7 ,broadband initiatives program ,out of funds of the ,treasury not otherwise appropriated1 there is appropriated #cj1jjj1jjj for each of fiscal years #bjag through #bjba for the broadband initiatives program established under title ,,vi of the ,rural ,electrification ,act of #aicf 7#g ,u4,s4,c4 #iej;bb et seq47 to expand access to1 and the quality of1 broadband service across the ,commonwealth1 with preference given to-- 7#a7 public or cooperatively owned telecommunications systems2 or 7#b7 telecommunications systems that provide telehealth1 distance learning1 and public safety benefits4 7b7 ,broadband,u,s,a program ,out of funds of the ,treasury not otherwise appropriated1 there is appropriated #cj1jjj1jjj for each of fiscal years #bjag through #bjba to the ,national ,telecommunications and ,information ,administration to carry out the ,broadband,u,s,a program in the ,commonwealth1 with preference given to-- 7#a7 public or cooperatively owned telecommunications systems2 or 7#b7 telecommunications systems that provide telehealth1 distance learning1 and public safety benefits4 #ecc4 ,housing and community development 7a7 ,,home ,investment ,partnerships program 7#a7 ,all participating jurisdictions ,out of funds of the ,treasury not otherwise appropriated1 there is appropriated #ag1jjj1jjj for each of fiscal years #bjag through #bjba for the ,,home ,investment ,partnerships program authorized under title ,,ii of the ,cranston-,gonzalez ,national ,affordable ,housing ,act 7#db ,u4,s4,c4 #abgba et seq47 to be allocated proportionately among participating jurisdictions in the ,commonwealth in accordance with the allocation among such jurisdictions for the most recent fiscal year4 7#b7 ,cao ,martn ,pea communities ,out of funds of the ,treasury not otherwise appropriated1 in addition to the amount appropriated under paragraph 7#a71 there is appropriated #c1jjj1jjj for each of fiscal years #bjag through #bjba for the ,,home ,investment ,partnerships program authorized under title ,,ii of the ,cranston-,gonzalez ,national ,affordable ,housing ,act 7#db ,u4,s4,c4 #abgba et seq47 to be allocated to the ,,home ,investment ,partnership ,program of the ,municipality of ,san ,juan for use by the ,cao ,martn ,pea ,community ,land ,trust 7also known as ,el ,fedeicomiso de la ,tierra del ,cao ,martn ,pea7 to create1 improve1 and rehabilitate affordable housing in the #h ,cao ,martn ,pea communities1 including for the costs of relocating homes from the banks of the channel to other locations in the community4 7b7 ,community ,development ,block ,grant program 7#a7 ,all jurisdictions ,out of funds of the ,treasury not otherwise appropriated1 there is appropriated #fj1jjj1jjj for each of fiscal years #bjag through #bjba for the community development block grant program under title ,i of the ,housing and ,community ,development ,act of #aigd 7#db ,u4,s4,c4 #ecja et seq47 to be allocated proportionately among entitlement communities and nonentitlement communities in the ,commonwealth in accordance with the allocation among such communities for the most recent fiscal year4 7#b7 ,cao ,martn ,pea communities ,out of funds of the ,treasury not otherwise appropriated1 in addition to the amount appropriated under paragraph 7#a71 there is appropriated #e1jjj1jjj for each of fiscal years #bjag through #bjba for the community development block grant program under title ,i of the ,housing and ,community ,development ,act of #aigd 7#db ,u4,s4,c4 #ecja et seq47 to be allocated to the ,municipality of ,san ,juan for use by the ,martin ,pea ,canal ,,enlace ,project ,corporation 7also known as ,la ,corporacin del ,proyecto ,,enlace del ,cao ,martn ,pea7 for housing1 community1 and economic development in the #h ,cao ,martn ,pea communities4 ,,vi ,earned income tax credit and tax equalization measures #faa4 ,puerto ,rico residents eligible for earned income tax credit 7a7 ,in general ,section #cb of the ,internal ,revenue ,code of #aihf is amended by adding at the end the following new subsection3 7n7 ,residents of ,puerto ,rico 7#a7 ,in general ,in the case of residents of ,puerto ,rico-- 7,a7 the ,united ,states shall be treated as including ,puerto ,rico for purposes of subsections 7c77#a77;,a77ii77,i7 and 7c77#c77;,c71 7,b7 subsection 7c77#a77;,d7 shall not apply to nonresident alien individuals who are residents of ,puerto ,rico1 and 7,c7 adjusted gross income and gross income shall be computed without regard to section #icc for purposes of subsections 7a77#b77;,b7 and 7c77#b77;,a77i74 7#b7 ,limitation ,the credit allowed under this section by reason of this subsection for any taxable year shall not exceed the amount1 determined under regulations or other guidance promulgated by the ,secretary1 that a similarly situated taxpayer would receive if residing in a ,state4 4 7b7 ,child tax credit not reduced ,subclause 7,,ii7 of section #bd7;d77#a77;,b77ii7 of such ,code is amended by inserting before the period 7determined without regard to section #cb7n7 in the case of residents of ,puerto ,rico74 7c7 ,effective date ,the amendments made by this section shall apply to taxable years beginning after ,december #ca1 #bjae4 #fab4 ,equitable treatment for residents of ,puerto ,rico with respect to the refundable portion of the child tax credit 7a7 ,in general ,section #bd7;d77#a7 of the ,internal ,revenue ,code of #aihf is amended by inserting or section #icc after section #aab4 7b7 ,effective date ,the amendment made by subsection 7a7 shall apply to taxable years beginning after ,december #ca1 #bjae4 ,,vii ,puerto ,rico determination on status #gja4 ,vote regarding status 7a7 ,vote 7#a7 ,in general ,not later than ,january #ca1 #bjah1 the ,state ,elections ,commission of ,puerto ,rico shall provide for a binding vote or series of votes as described in paragraph 7#b71 in accordance with rules and regulations determined by the ,commission1 including qualifications for voter eligibility4 7#b7 ,regulations ,not later than #ij days after the date of enactment of this ,act1 the ,state ,elections ,commission of ,puerto ,rico shall promulgate regulations governing the provision by the ,state ,elections ,commission of a binding vote1 or series of binding votes1 regarding whether ,puerto ,rico should-- 7,a7 be admitted as a ,state of the ,united ,states2 7,b7 become a sovereign nation2 or 7,c7 continue the status quo as a commonwealth territory of the ,united ,states and simply reform the government of the ,commonwealth4 7b7 ,funds for vote ,the funds made available pursuant to ,public ,law #aac-gf 7#abh ,stat4 #e7 may be used to conduct the vote under this section4 #gjb4 ,certification and transmittal of results ,not later than #aj days after the certification of the vote by the ,state ,elections ,commission of ,puerto ,rico1 the ,governor of ,puerto ,rico shall transmit the certified results to the ,president of the ,united ,states1 the ,speaker of the ,house of ,representatives1 and the ,president pro tempore of the ,senate4 #gjc4 ,transition process ,if a majority of the votes cast in the vote conducted pursuant to section #gja are for the admission of ,puerto ,rico into the ,united ,states as a ,state1 the following shall apply3 7#a7 ,proclamation ,within #cj calendar days of receipt of the certified results transmitted pursuant to section #gjb1 the ,president shall issue a proclamation to begin the transition process that will culminate in ,puerto ,rico's admission into the ,united ,states as a ,state effective by not later than the date that is #d years after the date on which the vote under section #gja is certified by the ,state ,elections ,commission of ,puerto ,rico4 7#b7 ,commission 7,a7 ,establishment ,within #ij calendar days of receipt of the certified results transmitted pursuant to section #gjb1 the ,president shall appoint a commission1 to be known as the ,commission on the ,equal ,application of ,federal ,law to ,puerto ,rico 7referred to in this paragraph as the ,commission74 7,b7 ,purpose ,the ,commission shall survey the laws of the ,united ,states and make recommendations to ,congress as to how laws that do not apply to the territory or apply differently to the territory than to the several ,states should be amended or repealed to treat ,puerto ,rico equally with the several ,states as of the date of the admission of ,puerto ,rico into the ,united ,states as a ,state4 7,c7 ,membership ,the ,commission shall consist of #e persons1 at least #b of whom shall be residents of ,puerto ,rico4 7,d7 ,report ,the ,commission shall issue a final report to the ,president of the ,united ,states1 the ,speaker of the ,house of ,representatives1 and the ,president pro tempore of the ,senate by ,july #a1 #bjah4 7,e7 ,termination ,upon issuing the final report under subparagraph 7,d71 the ,commission shall terminate4 7,f7 ,federal ,advisory ,committee ,act ,the ,federal ,advisory ,committee ,act 7#e ,u4,s4,c4 ,app471 other than section #ad1 shall apply to the ,commission4 #gjd4 ,rules for elections for ,federal offices 7a7 ,preparation for elections ,if a majority of the votes cast in the vote conducted pursuant to section #gja are for the admission of ,puerto ,rico into the ,united ,states as a ,state1 not later than ,january #a1 #bjbj1 ,puerto ,rico shall carry out such actions as may be necessary to enable ,puerto ,rico to hold elections for ,federal office in ,november #bjbj in accordance with this section4 7b7 ,presidential election ,with respect to the election for the office of ,president and ,vice ,president held in ,november #bjbj-- 7#a7 ,puerto ,rico shall be considered a ,state for purposes of chapter #ba of title #c1 ,united ,states ,code2 7#b7 the electors of ,puerto ,rico shall be considered electors of a ,state for purposes of such chapter2 and 7#c7 for purposes of section #c of such title1 the number of electors from ,puerto ,rico shall be equal to the number of ,senators and ,representatives to which ,puerto ,rico is entitled during the #aagth ,congress1 as determined in accordance with subsections 7c7 and 7d74 7c7 ,election of ,senators 7#a7 ,election of #b ,senators ,the regularly scheduled general elections for ,federal office held in ,puerto ,rico during ,november #bjbj shall include the election of #b ,senators1 each of whom shall first take office on the first day of the #aagth ,congress4 7#b7 ,special rule ,in the election of ,senators from ,puerto ,rico pursuant to paragraph 7#a71 the #b ,senate offices shall be separately identified and designated1 and no person may be a candidate for both offices4 ,no such identification or designation of either of the offices shall refer to1 or be taken to refer to1 the terms of such offices1 or in any way impair the privilege of the ,senate to determine the class to which each of the ,senators elected shall be assigned4 7d7 ,election of ,representatives 7#a7 ,in general ,effective on the first day of the #aagth ,congress1 and until the taking effect of the first reapportionment occurring after the regular decennial census conducted for #bjbj1 ,puerto ,rico shall be entitled to the number of ,representatives to which ,puerto ,rico would have been entitled for the #aafth ,congress if ,puerto ,rico had been a ,state during such ,congress1 as shown in the statement transmitted by the ,president to ,congress under paragraph 7#b74 7#b7 ,determination of initial number 7,a7 ,determination ,not later than ,july #a1 #bjai1 the ,president shall submit to ,congress a statement of the number of ,representatives to which ,puerto ,rico would have been entitled for the #aafth ,congress if ,puerto ,rico had been a ,state during such ,congress1 in the same manner as provided under section #bb7;a7 of the ,act of ,june #bh1 #aibi 7#b ,u4,s4,c4 #b;a7a774 7,b7 ,submission of number by ,clerk ,not later than #ae calendar days after receiving the statement of the ,president under subparagraph 7,a71 the ,clerk of the ,house of ,representatives1 in accordance with section #bb7;b7 of such ,act 7#b ,u4,s4,c4 #b;a7b771 shall transmit to the ,governor of ,puerto ,rico and the ,speaker of the ,house of ,representatives a certificate of the number of ,representatives to which ,puerto ,rico is entitled during the period described in paragraph 7#a74 7#c7 ,termination of ,office of ,resident ,commissioner ,effective on the date on which a ,representative from ,puerto ,rico first takes office in accordance with this subsection1 the ,office of the ,resident ,commissioner to the ,united ,states1 as described in section #cf of the ,act of ,march #b1 #aiag 7#dh ,u4,s4,c4 #hia et seq471 is terminated4 7e7 ,administration of primary elections ,puerto ,rico may hold primary elections for the offices described in this section at such time and in such manner as ,puerto ,rico may provide1 so long as such elections are held in the manner required by the laws applicable to elections for ,federal office4 #gje4 ,issuance of ,presidential proclamation ,following the transition process set forth in section #gjc1 if applicable1 the ,president shall issue a proclamation declaring that ,puerto ,rico is admitted into the ,united ,states on an equal footing with the other ,states1 effective on the date that is #d years after the date on which the vote under section #gja is certified by the ,state ,elections ,commission of ,puerto ,rico4 ,upon issuance of the proclamation by the ,president1 ,puerto ,rico shall be deemed admitted into the ,united ,states as a ,state4 #gjf4 ,state of ,puerto ,rico ,upon the admission of ,puerto ,rico into the ,united ,states as a ,state1 the following shall apply3 7#a7 ,state constitution ,the ,constitution of the ,commonwealth of ,puerto ,rico shall be accepted as the ,constitution of the ,state4 7#b7 ,territory ,the ,state shall consist of all of the territory1 together with the waters included in the seaward boundary1 of the ,commonwealth of ,puerto ,rico4 7#c7 ,continuity of government ,the persons holding legislative1 executive1 and judicial offices of the ,commonwealth of ,puerto ,rico shall continue to discharge the duties of their respective offices4 7#d7 ,continuity of laws 7,a7 ,territory law ,all of the territory laws in force in ,puerto ,rico shall continue in force and effect in the ,state1 except as modified by this ,act1 and shall be subject to repeal or amendment by the ,legislature and the ,governor of ,puerto ,rico4 7,b7 ,federal law ,all of the laws of the ,united ,states shall have the same force and effect as on the date immediately prior to the date of admission of ,puerto ,rico into the ,united ,states as a ,state1 except for any provision of law that treats ,puerto ,rico and its residents differently than the ,states of the ,united ,states and their residents1 which shall be amended as of the date of admission to treat the ,state of ,puerto ,rico and its residents equally with the other ,states of the ,united ,states and their residents4 #gjg4 ,effect on membership of ,house of ,representatives 7a7 ,temporary increase during initial period 7#a7 ,temporary increase ,upon the admission of ,puerto ,rico into the ,united ,states as a ,state1 during the period described in paragraph 7#a7 of section #gjd7;d7-- 7,a7 the membership of the ,house of ,representatives shall be increased by the number of ,members to which ,puerto ,rico is entitled during such period2 and 7,b7 each such ,representative shall be in addition to the membership of the ,house of ,representatives as prescribed by law on the date of enactment of this ,act4 7#b7 ,no effect on existing apportionment ,the temporary increase in the membership of the ,house of ,representatives provided under paragraph 7#a7 shall not1 during the period described in paragraph 7#a7 of section #gjd7;d7-- 7,a7 operate to either increase or decrease the permanent membership of the ,house of ,representatives as prescribed in the ,act of ,august #h1 #aiaa 7#b ,u4,s4,c4 #b72 or 7,b7 affect the basis of reapportionment established by section #bb of the ,act of ,june #bh1 #aibi 7#b ,u4,s4,c4 #b;a71 for the #hbnd ,congress and each ,congress thereafter4 7b7 ,permanent increase effective with next reapportionment 7#a7 ,in general ,upon the admission of ,puerto ,rico into the ,united ,states as a ,state1 effective with respect to the #aahth ,congress and each succeeding ,congress1 the ,house of ,representatives shall be composed of a number of ,members equal to the sum of #dce plus the number by which the membership of the ,house was increased under subsection 7a74 7#b7 ,reapportionment of ,members resulting from increase 7,a7 ,in general ,section #bb7;a7 of the ,act of ,june #bh1 #aibi 7#b ,u4,s4,c4 #b;a7a771 is amended by striking the then existing number of ,representatives and inserting the number of ,representatives established with respect to the #aahth ,congress4 7,b7 ,effective date ,the amendment made by subparagraph 7,a7 shall apply with respect to the regular decennial census conducted for #bjbj and each subsequent regular decennial census4