#aae? ,,congress #b;d ,session ,9 ! ,h\se ( ,repres5tatives1 ,u4 ,s41 ,febru>y #f1 #bjah ,,h\se ,,am5dm5t ,,to ,,s5ate ,,am5dm5t3 ,t ! ,h\se agree to ! am5dm5t ( ! ,s5ate to ! bill 7,h4,r4 #ahib7 entitl$ ,an ,act to am5d title #d1 ,unit$ ,/ates ,code1 to provide = ! fly+ ( ! flag at half-/aff 9 ! ev5t ( ! dea? ( a fir/ respond] 9 ! l9e ( duty41 ) ! foll[+ ,at ! end ( ! matt] ins]t$ by ! ,s5ate am5dm5t1 ins]t ! foll[+3 ,b ,fur!r ,ext5sion ( ,cont9u+ ,appropriations ,act1 #bjah #ajja4 ,! ,cont9u+ ,appropriations ,act1 #bjah 7division ,d ( ,public ,law #aae-ef7 is fur!r am5d$-- 7#a7 by /rik+ ! date specifi$ 9 section #ajf7c7 & ins]t+ ,m>* #bc1 #bjah2 & 7#b7 by add+ aft] section #aee ! foll[+3 #aef4 ,not)/&+ section #aja1 am\nts are provid$ = ,dep>tm5t ( ,comm]ce--,bureau ( ! ,c5sus--,p]iodic ,c5suses & ,programs at a rate = op]ations ( #a1bea1jjj1jjj1 & su* am\nts may be apportion$ up to ! rate = op]ations necess>y to ma9ta9 ! s*$ule & deliv] ! requir$ data accord+ to /atutory deadl9es 9 ! #bjbj ,dec5nial ,c5sus ,program4 #aeg4 ,not)/&+ section #aja1 ! matt] prec$+ ! fir/ proviso & ! fir/ proviso "u ! head+ ,p[] ,m>ket+ ,adm9i/rations--,op]ation & ,ma9t5ance1 ,s\!a/]n ,p[] ,adm9i/ration 9 division ,d ( ,public ,law #aae-ca %all be appli$ by sub/itut+ #f1cgi1jjj = #a1jjj1jjj ea* place x appe>s4 #aeh4 ,z au?oriz$ by section #djd ( ! ,bip>tisan ,budget ,act ( #bjae 7,public ,law #aad-gd2 #db ,u4,s4,c4 #fbci note71 ! ,secret>y ( ,en]gy %all draw d[n & sell n to exce$ #cej1jjj1jjj ( crude oil f ! ,/rategic ,petroleum ,res]ve 9 fiscal ye> #bjah3 ,provid$1 ,t ! proce$s f su* drawd[n & sale %all be deposit$ into ! ,en]gy ,security & ,infra/ructure ,mod]nization ,fund 79 ?is section ref]r$ to z ! ,fund7 dur+ fiscal ye> #bjah3 ,provid$ fur!r1 ,t 9 addition to am\nts o!rwise made available by section #aja1 & not)/&+ section #ajd1 any am\nts deposit$ 9 ! ,fund %all be made available & %all rema9 available until exp5d$ at a rate = op]ations ( #cej1jjj1jjj1 = necess>y exp5ses 9 c>ry+ out ! ,life ,ext5sion ,,ii project = ! ,/rategic ,petroleum ,res]ve4 #aei4 ,am\nts made available by section #aja = ,! ,judici>y--,c\rts ( ,appeals1 ,di/rict ,c\rts1 & ,o!r ,judicial ,s]vices--,fees ( ,jurors & ,commission]s may be apportion$ up to ! rate = op]ations necess>y to accommodate increas$ juror usage4 #afj4 7a7 ,9 addition to am\nts o!rwise made available by section #aja1 !re is appropriat$ = an additional am\nt = ! ,small ,bus9ess ,adm9i/ration--,disa/] ,loans ,program ,acc\nt #bbe1jjj1jjj1 to rema9 available until exp5d$1 = ! co/ ( direct loans au?oriz$ by section #g7;b7 ( ! ,small ,bus9ess ,act3 ,provid$1 ,t su* am\nt is designat$ by ! ,congress z an em]g5cy requirem5t pursuant to section #bea7;b77#b77;,a77i7 ( ! ,balanc$ ,budget & ,em]g5cy ,deficit ,control ,act ( #aihe4 7b7 ,! am\nt designat$ 9 subsection 7a7 by ! ,congress z an em]g5cy requirem5t pursuant to section #bea7;b77#b77;,a77i7 ( ! ,balanc$ ,budget & ,em]g5cy ,deficit ,control ,act ( #aihe %all be available only if ! ,presid5t subsequ5tly s designates su* am\nt & transmits su* designation to ! ,congress4 4 ,?is division may be cit$ z ! ,fur!r ,ext5sion ( ,cont9u+ ,appropriations ,act1 #bjah4 ,c ,dep>tm5t ( ,def5se ,appropriations ,act1 #bjah ,t ! foll[+ sums are appropriat$1 out ( any money 9 ! ,treasury n o!rwise appropriat$1 = ! fiscal ye> end+ ,septemb] #cj1 #bjah1 = milit>y functions adm9i/]$ by ! ,dep>tm5t ( ,def5se & = o!r purposes1 namely3 ,i ,milit>y p]sonnel ,milit>y p]sonnel1 army ,= pay1 all[ances1 individual clo?+1 subsi/5ce1 int]e/ on deposits1 gratuities1 p]man5t *ange ( /ation travel 7includ+ all exp5ses !re( = organizational movem5ts71 & exp5ses ( tempor>y duty travel betwe5 p]man5t duty /ations1 = memb]s ( ! ,army on active duty 7except memb]s ( res]ve compon5ts provid$ = else:]e71 cadets1 & aviation cadets2 = memb]s ( ! ,res]ve ,(fic]s' ,tra9+ ,corps2 & = paym5ts pursuant to section #aef ( ,public ,law #ig-cgg1 z am5d$ 7#db ,u4,s4,c4 #djb note71 & to ! ,dep>tm5t ( ,def5se ,milit>y ,retirem5t ,fund1 #da1dbg1jed1jjj4 ,milit>y p]sonnel1 navy ,= pay1 all[ances1 individual clo?+1 subsi/5ce1 int]e/ on deposits1 gratuities1 p]man5t *ange ( /ation travel 7includ+ all exp5ses !re( = organizational movem5ts71 & exp5ses ( tempor>y duty travel betwe5 p]man5t duty /ations1 = memb]s ( ! ,navy on active duty 7except memb]s ( ! ,res]ve provid$ = else:]e71 mid%ipm51 & aviation cadets2 = memb]s ( ! ,res]ve ,(fic]s' ,tra9+ ,corps2 & = paym5ts pursuant to section #aef ( ,public ,law #ig-cgg1 z am5d$ 7#db ,u4,s4,c4 #djb note71 & to ! ,dep>tm5t ( ,def5se ,milit>y ,retirem5t ,fund1 #bh1gjg1iah1jjj 7r$uc$ by #b1jjj1jjj7 7increas$ by #b1jjj1jjj74 ,milit>y p]sonnel1 m>9e corps ,= pay1 all[ances1 individual clo?+1 subsi/5ce1 int]e/ on deposits1 gratuities1 p]man5t *ange ( /ation travel 7includ+ all exp5ses !re( = organizational movem5ts71 & exp5ses ( tempor>y duty travel betwe5 p]man5t duty /ations1 = memb]s ( ! ,m>9e ,corps on active duty 7except memb]s ( ! ,res]ve provid$ = else:]e72 & = paym5ts pursuant to section #aef ( ,public ,law #ig-cgg1 z am5d$ 7#db ,u4,s4,c4 #djb note71 & to ! ,dep>tm5t ( ,def5se ,milit>y ,retirem5t ,fund1 #ac1afe1gad1jjj4 ,milit>y p]sonnel1 air =ce ,= pay1 all[ances1 individual clo?+1 subsi/5ce1 int]e/ on deposits1 gratuities1 p]man5t *ange ( /ation travel 7includ+ all exp5ses !re( = organizational movem5ts71 & exp5ses ( tempor>y duty travel betwe5 p]man5t duty /ations1 = memb]s ( ! ,air ,=ce on active duty 7except memb]s ( res]ve compon5ts provid$ = else:]e71 cadets1 & aviation cadets2 = memb]s ( ! ,res]ve ,(fic]s' ,tra9+ ,corps2 & = paym5ts pursuant to section #aef ( ,public ,law #ig-cgg1 z am5d$ 7#db ,u4,s4,c4 #djb note71 & to ! ,dep>tm5t ( ,def5se ,milit>y ,retirem5t ,fund1 #bh1gch1cbj1jjj4 ,res]ve p]sonnel1 army ,= pay1 all[ances1 clo?+1 subsi/5ce1 gratuities1 travel1 & relat$ exp5ses = p]sonnel ( ! ,army ,res]ve on active duty "u sections #ajbaa1 #ajcjb1 & #cjch ( title #aj1 ,unit$ ,/ates ,code1 or :ile s]v+ on active duty "u section #abcja7;d7 ( title #aj1 ,unit$ ,/ates ,code1 9 connection ) p]=m+ duty specifi$ 9 section #abcaj7;a7 ( title #aj1 ,unit$ ,/ates ,code1 or :ile und]go+ res]ve tra9+1 or :ile p]=m+ drills or equival5t duty or o!r duty1 & exp5ses au?oriz$ by section #afaca ( title #aj1 ,unit$ ,/ates ,code2 & = paym5ts to ! ,dep>tm5t ( ,def5se ,milit>y ,retirem5t ,fund1 #d1gba1abh1jjj4 ,res]ve p]sonnel1 navy ,= pay1 all[ances1 clo?+1 subsi/5ce1 gratuities1 travel1 & relat$ exp5ses = p]sonnel ( ! ,navy ,res]ve on active duty "u section #ajbaa ( title #aj1 ,unit$ ,/ates ,code1 or :ile s]v+ on active duty "u section #abcja7;d7 ( title #aj1 ,unit$ ,/ates ,code1 9 connection ) p]=m+ duty specifi$ 9 section #abcaj7;a7 ( title #aj1 ,unit$ ,/ates ,code1 or :ile und]go+ res]ve tra9+1 or :ile p]=m+ drills or equival5t duty1 & exp5ses au?oriz$ by section #afaca ( title #aj1 ,unit$ ,/ates ,code2 & = paym5ts to ! ,dep>tm5t ( ,def5se ,milit>y ,retirem5t ,fund1 #a1ihg1ffb1jjj4 ,res]ve p]sonnel1 m>9e corps ,= pay1 all[ances1 clo?+1 subsi/5ce1 gratuities1 travel1 & relat$ exp5ses = p]sonnel ( ! ,m>9e ,corps ,res]ve on active duty "u section #ajbaa ( title #aj1 ,unit$ ,/ates ,code1 or :ile s]v+ on active duty "u section #abcja7;d7 ( title #aj1 ,unit$ ,/ates ,code1 9 connection ) p]=m+ duty specifi$ 9 section #abcaj7;a7 ( title #aj1 ,unit$ ,/ates ,code1 or :ile und]go+ res]ve tra9+1 or :ile p]=m+ drills or equival5t duty1 & = memb]s ( ! ,m>9e ,corps platoon lead]s class1 & exp5ses au?oriz$ by section #afaca ( title #aj1 ,unit$ ,/ates ,code2 & = paym5ts to ! ,dep>tm5t ( ,def5se ,milit>y ,retirem5t ,fund1 #gfb1gic1jjj4 ,res]ve p]sonnel1 air =ce ,= pay1 all[ances1 clo?+1 subsi/5ce1 gratuities1 travel1 & relat$ exp5ses = p]sonnel ( ! ,air ,=ce ,res]ve on active duty "u sections #ajbaa1 #ajcje1 & #hjch ( title #aj1 ,unit$ ,/ates ,code1 or :ile s]v+ on active duty "u section #abcja7;d7 ( title #aj1 ,unit$ ,/ates ,code1 9 connection ) p]=m+ duty specifi$ 9 section #abcaj7;a7 ( title #aj1 ,unit$ ,/ates ,code1 or :ile und]go+ res]ve tra9+1 or :ile p]=m+ drills or equival5t duty or o!r duty1 & exp5ses au?oriz$ by section #afaca ( title #aj1 ,unit$ ,/ates ,code2 & = paym5ts to ! ,dep>tm5t ( ,def5se ,milit>y ,retirem5t ,fund1 #a1hjh1dcd1jjj4 ,national gu>d p]sonnel1 army ,= pay1 all[ances1 clo?+1 subsi/5ce1 gratuities1 travel1 & relat$ exp5ses = p]sonnel ( ! ,army ,national ,gu>d :ile on duty "u sections #ajbaa1 #ajcjb1 or #abdjb ( title #aj or section #gjh ( title #cb1 ,unit$ ,/ates ,code1 or :ile s]v+ on duty "u section #abcja7;d7 ( title #aj or section #ejb7;f7 ( title #cb1 ,unit$ ,/ates ,code1 9 connection ) p]=m+ duty specifi$ 9 section #abcaj7;a7 ( title #aj1 ,unit$ ,/ates ,code1 or :ile und]go+ tra9+1 or :ile p]=m+ drills or equival5t duty or o!r duty1 & exp5ses au?oriz$ by section #afaca ( title #aj1 ,unit$ ,/ates ,code2 & = paym5ts to ! ,dep>tm5t ( ,def5se ,milit>y ,retirem5t ,fund1 #h1beb1dbf1jjj4 ,national gu>d p]sonnel1 air =ce ,= pay1 all[ances1 clo?+1 subsi/5ce1 gratuities1 travel1 & relat$ exp5ses = p]sonnel ( ! ,air ,national ,gu>d on duty "u sections #ajbaa1 #ajcje1 or #abdjb ( title #aj or section #gjh ( title #cb1 ,unit$ ,/ates ,code1 or :ile s]v+ on duty "u section #abcja7;d7 ( title #aj or section #ejb7;f7 ( title #cb1 ,unit$ ,/ates ,code1 9 connection ) p]=m+ duty specifi$ 9 section #abcaj7;a7 ( title #aj1 ,unit$ ,/ates ,code1 or :ile und]go+ tra9+1 or :ile p]=m+ drills or equival5t duty or o!r duty1 & exp5ses au?oriz$ by section #afaca ( title #aj1 ,unit$ ,/ates ,code2 & = paym5ts to ! ,dep>tm5t ( ,def5se ,milit>y ,retirem5t ,fund1 #c1djf1acg1jjj4 ,,ii ,op]ation & ma9t5ance ,op]ation & ma9t5ance1 army ,= exp5ses1 n o!rwise provid$ =1 necess>y = ! op]ation & ma9t5ance ( ! ,army1 z au?oriz$ by law1 #ch1dhc1hdf1jjj 7r$uc$ by #e1jjj1jjj7 7r$uc$ by #e1fjj1jjj7 7r$uc$ by #f1jjj1jjj73 ,provid$1 ,t n to exce$ #ab1dgh1jjj c be us$ = em]g5cies & extraord9>y exp5ses1 to be exp5d$ on ! approval or au?ority ( ! ,secret>y ( ! ,army1 & paym5ts may be made on 8 c]tificate ( necessity = confid5tial milit>y purposes4 ,op]ation & ma9t5ance1 navy ,= exp5ses1 n o!rwise provid$ =1 necess>y = ! op]ation & ma9t5ance ( ! ,navy & ! ,m>9e ,corps1 z au?oriz$ by law1 #de1ihj1acc1jjj 7r$uc$ by #eih1jjj7 7r$uc$ by #g1jjj1jjj73 ,provid$1 ,t n to exce$ #ae1jee1jjj c be us$ = em]g5cies & extraord9>y exp5ses1 to be exp5d$ on ! approval or au?ority ( ! ,secret>y ( ! ,navy1 & paym5ts may be made on 8 c]tificate ( necessity = confid5tial milit>y purposes4 ,op]ation & ma9t5ance1 m>9e corps ,= exp5ses1 n o!rwise provid$ =1 necess>y = ! op]ation & ma9t5ance ( ! ,m>9e ,corps1 z au?oriz$ by law1 #f1hhe1hhd1jjj4 ,op]ation & ma9t5ance1 air =ce ,= exp5ses1 n o!rwise provid$ =1 necess>y = ! op]ation & ma9t5ance ( ! ,air ,=ce1 z au?oriz$ by law1 #ch1eib1gde1jjj3 ,provid$1 ,t n to exce$ #g1fii1jjj c be us$ = em]g5cies & extraord9>y exp5ses1 to be exp5d$ on ! approval or au?ority ( ! ,secret>y ( ! ,air ,=ce1 & paym5ts may be made on 8 c]tificate ( necessity = confid5tial milit>y purposes4 ,op]ation & ma9t5ance1 def5se-,wide 7includ+ transf] ( funds7 ,= exp5ses1 n o!rwise provid$ =1 necess>y = ! op]ation & ma9t5ance ( activities & ag5cies ( ! ,dep>tm5t ( ,def5se 7o!r ?an ! milit>y dep>tm5ts71 z au?oriz$ by law1 #cc1gga1gfi1jjj 7increas$ by #e1jjj1jjj7 7r$uc$ by #aj1jjj1jjj7 7r$uc$ by #ajj1jjj7 7increas$ by #ajj1jjj7 7r$uc$ by #aid1hig1jjj7 7increas$ by #aid1hig1jjj7 7r$uc$ by #bf1bjj1jjj7 7r$uc$ by #bj1jjj1jjj7 7r$uc$ by #f1jjj1jjj7 7r$uc$ by #d1jjj1jjj7 7r$uc$ by #bj1jjj1jjj7 7r$uc$ by #a1jjj1jjj7 7r$uc$ by #aj1jjj1jjj7 7r$uc$ by #b1ejj1jjj7 7r$uc$ by #b1jjj1jjj7 7r$uc$ by #h1jjj1jjj7 7r$uc$ by #f1bej1jjj7 7r$uc$ by #aj1jjj1jjj7 7r$uc$ by #aj1jjj1jjj7 7r$uc$ by #cj1jjj1jjj7 7r$uc$ by #cd1gcd1jjj7 7r$uc$ by #fj1jjj1jjj73 ,provid$1 ,t n m ?an #ae1jjj1jjj may be us$ = ! ,combatant ,comm&] ,initiative ,fund au?oriz$ "u section #aff;a ( title #aj1 ,unit$ ,/ates ,code3 ,provid$ fur!r1 ,t n to exce$ #cf1jjj1jjj c be us$ = em]g5cies & extraord9>y exp5ses1 to be exp5d$ on ! approval or au?ority ( ! ,secret>y ( ,def5se1 & paym5ts may be made on 8 c]tificate ( necessity = confid5tial milit>y purposes3 ,provid$ fur!r1 ,t ( ! funds provid$ "u ?is head+1 n less ?an #ch1deh1jjj %all be made available = ! ,procurem5t ,te*nical ,assi/ance ,coop]ative ,agreem5t ,program1 ( :i* n less ?an #c1fjj1jjj %all be available = c5t]s def9$ 9 #aj ,u4,s4,c4 #bdaa7a77;,d73 ,provid$ fur!r1 ,t none ( ! funds appropriat$ or o!rwise made available by ?is ,act may be us$ to plan or implem5t ! consolidation ( a budget or appropriations liaison (fice ( ! ,(fice ( ! ,secret>y ( ,def5se1 ! (fice ( ! ,secret>y ( a milit>y dep>tm5t1 or ! s]vice headqu>t]s ( "o ( ! ,arm$ ,=ces into a legislative affairs or legislative liaison (fice3 ,provid$ fur!r1 ,t #i1che1jjj1 to rema9 available until exp5d$1 is available only = exp5ses relat+ to c]ta9 classifi$ activities1 & may be transf]r$ z necess>y by ! ,secret>y ( ,def5se to op]ation & ma9t5ance appropriations or rese>*1 developm5t1 te/ & evaluation appropriations1 to be m]g$ ) & to be available = ! same "t p]iod z ! appropriations to :i* transf]r$3 ,provid$ fur!r1 ,t any ceil+ on ! inve/m5t item unit co/ ( items t may be pur*as$ ) op]ation & ma9t5ance funds %all n apply to ! funds describ$ 9 ! prec$+ proviso3 ,provid$ fur!r1 ,t ( ! funds provid$ "u ?is head+1 #dae1jjj1jjj1 ( :i* #ajj1jjj1jjj to rema9 available until ,septemb] #cj1 #bjai1 %all be available to provide support & assi/ance to =eign security =ces or o!r gr\ps or individuals to conduct1 support or facilitate c\nt]t]rorism1 crisis response1 or o!r ,dep>tm5t ( ,def5se security coop]ation programs3 ,provid$ fur!r1 ,t ! transf] au?ority provid$ "u ?is head+ is 9 addition to any o!r transf] au?ority provid$ else:]e 9 ?is ,act4 ,op]ation & ma9t5ance1 army res]ve ,= exp5ses1 n o!rwise provid$ =1 necess>y = ! op]ation & ma9t5ance1 includ+ tra9+1 organization1 & adm9i/ration1 ( ! ,army ,res]ve2 repair ( facilities & equipm5t2 hire ( pass5g] motor vehicles2 travel & transportation2 c>e ( ! dead2 recruit+2 procurem5t ( s]vices1 supplies1 & equipm5t2 & communications1 #b1hgj1afc1jjj4 ,op]ation & ma9t5ance1 navy res]ve ,= exp5ses1 n o!rwise provid$ =1 necess>y = ! op]ation & ma9t5ance1 includ+ tra9+1 organization1 & adm9i/ration1 ( ! ,navy ,res]ve2 repair ( facilities & equipm5t2 hire ( pass5g] motor vehicles2 travel & transportation2 c>e ( ! dead2 recruit+2 procurem5t ( s]vices1 supplies1 & equipm5t2 & communications1 #a1jch1ejg1jjj4 ,op]ation & ma9t5ance1 m>9e corps res]ve ,= exp5ses1 n o!rwise provid$ =1 necess>y = ! op]ation & ma9t5ance1 includ+ tra9+1 organization1 & adm9i/ration1 ( ! ,m>9e ,corps ,res]ve2 repair ( facilities & equipm5t2 hire ( pass5g] motor vehicles2 travel & transportation2 c>e ( ! dead2 recruit+2 procurem5t ( s]vices1 supplies1 & equipm5t2 & communications1 #bhb1ccg1jjj4 ,op]ation & ma9t5ance1 air =ce res]ve ,= exp5ses1 n o!rwise provid$ =1 necess>y = ! op]ation & ma9t5ance1 includ+ tra9+1 organization1 & adm9i/ration1 ( ! ,air ,=ce ,res]ve2 repair ( facilities & equipm5t2 hire ( pass5g] motor vehicles2 travel & transportation2 c>e ( ! dead2 recruit+2 procurem5t ( s]vices1 supplies1 & equipm5t2 & communications1 #c1bcc1gde1jjj4 ,op]ation & ma9t5ance1 army national gu>d ,= exp5ses ( tra9+1 organiz+1 & adm9i/]+ ! ,army ,national ,gu>d1 includ+ m$ical & hospital treatm5t & relat$ exp5ses 9 non-,f$]al hospitals2 ma9t5ance1 op]ation1 & repairs to /ructures & facilities2 hire ( pass5g] motor vehicles2 p]sonnel s]vices 9 ! ,national ,gu>d ,bureau2 travel exp5ses 7o!r ?an mileage71 z au?oriz$ by law = ,army p]sonnel on active duty1 = ,army ,national ,gu>d division1 regim5tal1 & battalion comm&]s :ile inspect+ units 9 compliance ) ,national ,gu>d ,bureau regulations :5 specifically au?oriz$ by ! ,*ief1 ,national ,gu>d ,bureau2 supply+ & equipp+ ! ,army ,national ,gu>d z au?oriz$ by law2 & exp5ses ( repair1 modification1 ma9t5ance1 & issue ( supplies & equipm5t 7includ+ aircraft71 #g1bge1hbj1jjj4 ,op]ation & ma9t5ance1 air national gu>d ,= exp5ses ( tra9+1 organiz+1 & adm9i/]+ ! ,air ,national ,gu>d1 includ+ m$ical & hospital treatm5t & relat$ exp5ses 9 non-,f$]al hospitals2 ma9t5ance1 op]ation1 & repairs to /ructures & facilities2 transportation ( ?+s1 hire ( pass5g] motor vehicles2 supply+ & equipp+ ! ,air ,national ,gu>d1 z au?oriz$ by law2 exp5ses = repair1 modification1 ma9t5ance1 & issue ( supplies & equipm5t1 includ+ ^? furni%$ f /ocks "u ! control ( ag5cies ( ! ,dep>tm5t ( ,def5se2 travel exp5ses 7o!r ?an mileage7 on ! same basis z au?oriz$ by law = ,air ,national ,gu>d p]sonnel on active ,f$]al duty1 = ,air ,national ,gu>d comm&]s :ile inspect+ units 9 compliance ) ,national ,gu>d ,bureau regulations :5 specifically au?oriz$ by ! ,*ief1 ,national ,gu>d ,bureau1 #f1gce1icj1jjj4 ,unit$ /ates c\rt ( appeals = ! arm$ =ces ,= sal>ies & exp5ses necess>y = ! ,unit$ ,/ates ,c\rt ( ,appeals = ! ,arm$ ,=ces1 #ad1ech1jjj1 ( :i* n to exce$ #e1jjj may be us$ = (ficial repres5tation purposes4 ,environm5tal re/oration1 army 7includ+ transf] ( funds7 ,= ! ,dep>tm5t ( ! ,army1 #bae1hji1jjj1 to rema9 available until transf]r$3 ,provid$1 ,t ! ,secret>y ( ! ,army %all1 ^u det]m9+ t su* funds are requir$ = environm5tal re/oration1 r$uction & recycl+ ( haz>d\s wa/e1 removal ( unsafe build+s & debris ( ! ,dep>tm5t ( ! ,army1 or = simil> purposes1 transf] ! funds made available by ?is appropriation to o!r appropriations made available to ! ,dep>tm5t ( ! ,army1 to be m]g$ ) & to be available = ! same purposes & = ! same "t p]iod z ! appropriations to :i* transf]r$3 ,provid$ fur!r1 ,t ^u a det]m9ation t all or "p ( ! funds transf]r$ f ?is appropriation are n necess>y = ! purposes provid$ h]e91 su* am\nts may be transf]r$ back to ?is appropriation3 ,provid$ fur!r1 ,t ! transf] au?ority provid$ "u ?is head+ is 9 addition to any o!r transf] au?ority provid$ else:]e 9 ?is ,act4 ,environm5tal re/oration1 navy 7includ+ transf] ( funds7 ,= ! ,dep>tm5t ( ! ,navy1 #bhh1iae1jjj 7increas$ by #cd1gcd1jjj7 7increas$ by #cj1jjj1jjj71 to rema9 available until transf]r$3 ,provid$1 ,t ! ,secret>y ( ! ,navy %all1 ^u det]m9+ t su* funds are requir$ = environm5tal re/oration1 r$uction & recycl+ ( haz>d\s wa/e1 removal ( unsafe build+s & debris ( ! ,dep>tm5t ( ! ,navy1 or = simil> purposes1 transf] ! funds made available by ?is appropriation to o!r appropriations made available to ! ,dep>tm5t ( ! ,navy1 to be m]g$ ) & to be available = ! same purposes & = ! same "t p]iod z ! appropriations to :i* transf]r$3 ,provid$ fur!r1 ,t ^u a det]m9ation t all or "p ( ! funds transf]r$ f ?is appropriation are n necess>y = ! purposes provid$ h]e91 su* am\nts may be transf]r$ back to ?is appropriation3 ,provid$ fur!r1 ,t ! transf] au?ority provid$ "u ?is head+ is 9 addition to any o!r transf] au?ority provid$ else:]e 9 ?is ,act4 ,environm5tal re/oration1 air =ce 7includ+ transf] ( funds7 ,= ! ,dep>tm5t ( ! ,air ,=ce1 #cjh1gdi1jjj 7increas$ by #cj1jjj1jjj71 to rema9 available until transf]r$3 ,provid$1 ,t ! ,secret>y ( ! ,air ,=ce %all1 ^u det]m9+ t su* funds are requir$ = environm5tal re/oration1 r$uction & recycl+ ( haz>d\s wa/e1 removal ( unsafe build+s & debris ( ! ,dep>tm5t ( ! ,air ,=ce1 or = simil> purposes1 transf] ! funds made available by ?is appropriation to o!r appropriations made available to ! ,dep>tm5t ( ! ,air ,=ce1 to be m]g$ ) & to be available = ! same purposes & = ! same "t p]iod z ! appropriations to :i* transf]r$3 ,provid$ fur!r1 ,t ^u a det]m9ation t all or "p ( ! funds transf]r$ f ?is appropriation are n necess>y = ! purposes provid$ h]e91 su* am\nts may be transf]r$ back to ?is appropriation3 ,provid$ fur!r1 ,t ! transf] au?ority provid$ "u ?is head+ is 9 addition to any o!r transf] au?ority provid$ else:]e 9 ?is ,act4 ,environm5tal re/oration1 def5se-,wide 7includ+ transf] ( funds7 ,= ! ,dep>tm5t ( ,def5se1 #i1jjb1jjj 7increas$ by #aj1jjj1jjj71 to rema9 available until transf]r$3 ,provid$1 ,t ! ,secret>y ( ,def5se %all1 ^u det]m9+ t su* funds are requir$ = environm5tal re/oration1 r$uction & recycl+ ( haz>d\s wa/e1 removal ( unsafe build+s & debris ( ! ,dep>tm5t ( ,def5se1 or = simil> purposes1 transf] ! funds made available by ?is appropriation to o!r appropriations made available to ! ,dep>tm5t ( ,def5se1 to be m]g$ ) & to be available = ! same purposes & = ! same "t p]iod z ! appropriations to :i* transf]r$3 ,provid$ fur!r1 ,t ^u a det]m9ation t all or "p ( ! funds transf]r$ f ?is appropriation are n necess>y = ! purposes provid$ h]e91 su* am\nts may be transf]r$ back to ?is appropriation3 ,provid$ fur!r1 ,t ! transf] au?ority provid$ "u ?is head+ is 9 addition to any o!r transf] au?ority provid$ else:]e 9 ?is ,act4 ,environm5tal re/oration1 =m]ly us$ def5se sites 7includ+ transf] ( funds7 ,= ! ,dep>tm5t ( ! ,army1 #bcc1fgc1jjj1 to rema9 available until transf]r$3 ,provid$1 ,t ! ,secret>y ( ! ,army %all1 ^u det]m9+ t su* funds are requir$ = environm5tal re/oration1 r$uction & recycl+ ( haz>d\s wa/e1 removal ( unsafe build+s & debris at sites =m]ly us$ by ! ,dep>tm5t ( ,def5se1 transf] ! funds made available by ?is appropriation to o!r appropriations made available to ! ,dep>tm5t ( ! ,army1 to be m]g$ ) & to be available = ! same purposes & = ! same "t p]iod z ! appropriations to :i* transf]r$3 ,provid$ fur!r1 ,t ^u a det]m9ation t all or "p ( ! funds transf]r$ f ?is appropriation are n necess>y = ! purposes provid$ h]e91 su* am\nts may be transf]r$ back to ?is appropriation3 ,provid$ fur!r1 ,t ! transf] au?ority provid$ "u ?is head+ is 9 addition to any o!r transf] au?ority provid$ else:]e 9 ?is ,act4 ,ov]seas humanit>ian1 disa/]1 & civic aid ,= exp5ses relat+ to ! ,ov]seas ,humanit>ian1 ,disa/]1 & ,civic ,aid programs ( ! ,dep>tm5t ( ,def5se 7consi/+ ( ! programs provid$ "u sections #dja1 #djb1 #djd1 #djg1 #beeg1 & #befa ( title #aj1 ,unit$ ,/ates ,code71 #ajg1ijj1jjj1 to rema9 available until ,septemb] #cj1 #bjah4 ,coop]ative ?reat r$uction acc\nt ,= assi/ance1 includ+ assi/ance provid$ by contract or by grants1 "u programs & activities ( ! ,dep>tm5t ( ,def5se ,coop]ative ,?reat ,r$uction ,program au?oriz$ "u ! ,dep>tm5t ( ,def5se ,coop]ative ,?reat ,r$uction ,act1 #cbd1fjj1jjj1 to rema9 available until ,septemb] #cj1 #bjai4 ,op]ation & ,ma9t5ance1 ,national ,def5se ,re/oration ,fund 7includ+ transf] ( funds7 ,9 addition to am\nts provid$ else:]e 9 ?is ,act1 !re is appropriat$ #e1jjj1jjj1jjj1 = ! ,op]ation & ,ma9t5ance1 ,national ,def5se ,re/oration ,fund3 ,provid$1 ,t su* funds provid$ "u ?is head+ %all only be available = programs1 projects & activities necess>y to implem5t ! #bjah ,national ,def5se ,/rategy3 ,provid$ fur!r1 ,t su* funds %all n be available = transf] until #cj days aft] ! ,secret>y has submitt$1 & ! congressional def5se committees h approv$1 ! propos$ allocation plan = ! use ( su* funds to implem5t su* /rategy3 ,provid$ fur!r1 ,t su* allocation plan %all include a detail$ ju/ification = ! use ( su* funds & a description ( h[ su* inve/m5ts are necess>y to implem5t ! /rategy3 ,provid$ fur!r1 ,t ! ,secret>y ( ,def5se may transf] ^! funds only to op]ation & ma9t5ance acc\nts3 ,provid$ fur!r1 ,t ! funds transf]r$ %all be m]g$ ) & %all be available = ! same purposes & = ! same "t p]iod1 z ! appropriation to :i* transf]r$3 ,provid$ fur!r1 ,t none ( ! funds made available "u ?is head+ may be transf]r$ to any program1 project1 or activity specifically limit$ or d5i$ by ?is ,act3 ,provid$ fur!r1 ,t ! transf] au?ority provid$ "u ?is head+ is 9 addition to any o!r transf] au?ority available to ! ,dep>tm5t ( ,def5se4 ,,iii ,procurem5t ,aircraft procurem5t1 army ,= con/ruction1 procurem5t1 production1 modification1 & mod]nization ( aircraft1 equipm5t1 includ+ ordnance1 gr\nd h&l+ equipm5t1 sp>e p>ts1 & accessories !re=2 specializ$ equipm5t & tra9+ devices2 expansion ( public & private plants1 includ+ ! l& necess>y !re=1 = ! =ego+ purposes1 & su* l&s & int]e/s !re91 may be acquir$1 & con/ruction prosecut$ !reon prior to approval ( title2 & procurem5t & in/allation ( equipm5t1 appliances1 & ma*9e tools 9 public & private plants2 res]ve plant & ,gov]nm5t & contractor-own$ equipm5t layaway2 & o!r exp5ses necess>y = ! =ego+ purposes1 #d1def1ecc1jjj1 to rema9 available = obligation until ,septemb] #cj1 #bjbj4 ,missile procurem5t1 army ,= con/ruction1 procurem5t1 production1 modification1 & mod]nization ( missiles1 equipm5t1 includ+ ordnance1 gr\nd h&l+ equipm5t1 sp>e p>ts1 & accessories !re=2 specializ$ equipm5t & tra9+ devices2 expansion ( public & private plants1 includ+ ! l& necess>y !re=1 = ! =ego+ purposes1 & su* l&s & int]e/s !re91 may be acquir$1 & con/ruction prosecut$ !reon prior to approval ( title2 & procurem5t & in/allation ( equipm5t1 appliances1 & ma*9e tools 9 public & private plants2 res]ve plant & ,gov]nm5t & contractor-own$ equipm5t layaway2 & o!r exp5ses necess>y = ! =ego+ purposes1 #b1eha1fjj1jjj1 to rema9 available = obligation until ,septemb] #cj1 #bjbj4 ,procurem5t ( weapons & track$ combat vehicles1 army ,= con/ruction1 procurem5t1 production1 & modification ( weapons & track$ combat vehicles1 equipm5t1 includ+ ordnance1 sp>e p>ts1 & accessories !re=2 specializ$ equipm5t & tra9+ devices2 expansion ( public & private plants1 includ+ ! l& necess>y !re=1 = ! =ego+ purposes1 & su* l&s & int]e/s !re91 may be acquir$1 & con/ruction prosecut$ !reon prior to approval ( title2 & procurem5t & in/allation ( equipm5t1 appliances1 & ma*9e tools 9 public & private plants2 res]ve plant & ,gov]nm5t & contractor-own$ equipm5t layaway2 & o!r exp5ses necess>y = ! =ego+ purposes1 #c1eef1age1jjj1 to rema9 available = obligation until ,septemb] #cj1 #bjbj4 ,procurem5t ( ammunition1 army ,= con/ruction1 procurem5t1 production1 & modification ( ammunition1 & accessories !re=2 specializ$ equipm5t & tra9+ devices2 expansion ( public & private plants1 includ+ ammunition facilities1 au?oriz$ by section #bhed ( title #aj1 ,unit$ ,/ates ,code1 & ! l& necess>y !re=1 = ! =ego+ purposes1 & su* l&s & int]e/s !re91 may be acquir$1 & con/ruction prosecut$ !reon prior to approval ( title2 & procurem5t & in/allation ( equipm5t1 appliances1 & ma*9e tools 9 public & private plants2 res]ve plant & ,gov]nm5t & contractor-own$ equipm5t layaway2 & o!r exp5ses necess>y = ! =ego+ purposes1 #a1haa1hjh1jjj1 to rema9 available = obligation until ,septemb] #cj1 #bjbj4 ,o!r procurem5t1 army ,= con/ruction1 procurem5t1 production1 & modification ( vehicles1 includ+ tactical1 support1 & non-track$ combat vehicles2 ! pur*ase ( pass5g] motor vehicles = replacem5t only2 communications & electronic equipm5t2 o!r support equipm5t2 sp>e p>ts1 ordnance1 & accessories !re=2 specializ$ equipm5t & tra9+ devices2 expansion ( public & private plants1 includ+ ! l& necess>y !re=1 = ! =ego+ purposes1 & su* l&s & int]e/s !re91 may be acquir$1 & con/ruction prosecut$ !reon prior to approval ( title2 & procurem5t & in/allation ( equipm5t1 appliances1 & ma*9e tools 9 public & private plants2 res]ve plant & ,gov]nm5t & contractor-own$ equipm5t layaway2 & o!r exp5ses necess>y = ! =ego+ purposes1 #f1cef1jdd1jjj 7increas$ by #cj1jjj1jjj71 to rema9 available = obligation until ,septemb] #cj1 #bjbj4 ,aircraft procurem5t1 navy ,= con/ruction1 procurem5t1 production1 modification1 & mod]nization ( aircraft1 equipm5t1 includ+ ordnance1 sp>e p>ts1 & accessories !re=2 specializ$ equipm5t2 expansion ( public & private plants1 includ+ ! l& necess>y !re=1 & su* l&s & int]e/s !re91 may be acquir$1 & con/ruction prosecut$ !reon prior to approval ( title2 & procurem5t & in/allation ( equipm5t1 appliances1 & ma*9e tools 9 public & private plants2 res]ve plant & ,gov]nm5t & contractor-own$ equipm5t layaway1 #ag1ijh1bgj1jjj1 to rema9 available = obligation until ,septemb] #cj1 #bjbj4 ,weapons procurem5t1 navy ,= con/ruction1 procurem5t1 production1 modification1 & mod]nization ( missiles1 torp$oes1 o!r weapons1 & relat$ support equipm5t includ+ sp>e p>ts1 & accessories !re=2 expansion ( public & private plants1 includ+ ! l& necess>y !re=1 & su* l&s & int]e/s !re91 may be acquir$1 & con/ruction prosecut$ !reon prior to approval ( title2 & procurem5t & in/allation ( equipm5t1 appliances1 & ma*9e tools 9 public & private plants2 res]ve plant & ,gov]nm5t & contractor-own$ equipm5t layaway1 #c1chg1hbf1jjj 7increas$ by #bf1bjj1jjj71 to rema9 available = obligation until ,septemb] #cj1 #bjbj4 ,procurem5t ( ammunition1 navy & m>9e corps ,= con/ruction1 procurem5t1 production1 & modification ( ammunition1 & accessories !re=2 specializ$ equipm5t & tra9+ devices2 expansion ( public & private plants1 includ+ ammunition facilities1 au?oriz$ by section #bhed ( title #aj1 ,unit$ ,/ates ,code1 & ! l& necess>y !re=1 = ! =ego+ purposes1 & su* l&s & int]e/s !re91 may be acquir$1 & con/ruction prosecut$ !reon prior to approval ( title2 & procurem5t & in/allation ( equipm5t1 appliances1 & ma*9e tools 9 public & private plants2 res]ve plant & ,gov]nm5t & contractor-own$ equipm5t layaway2 & o!r exp5ses necess>y = ! =ego+ purposes1 #gce1fea1jjj1 to rema9 available = obligation until ,septemb] #cj1 #bjbj4 ,%ipbuild+ & conv]sion1 navy ,= exp5ses necess>y = ! con/ruction1 acquisition1 or conv]sion ( vessels z au?oriz$ by law1 includ+ armor & armam5t !re(1 plant equipm5t1 appliances1 & ma*9e tools & in/allation !re( 9 public & private plants2 res]ve plant & ,gov]nm5t & contractor-own$ equipm5t layaway2 procurem5t ( critical1 long lead "t compon5ts & designs = vessels to be con/ruct$ or conv]t$ 9 ! future2 & expansion ( public & private plants1 includ+ l& necess>y !re=1 & su* l&s & int]e/s !re91 may be acquir$1 & con/ruction prosecut$ !reon prior to approval ( title1 z foll[s3 ,ohio ,replacem5t ,subm>9e 7,,ap71 #hdb1hec1jjj2 ,c>ri] ,replacem5t ,program1 #a1hfi1fdf1jjj2 ,c>ri] ,replacem5t ,program 7,,ap71 #b1efa1jeh1jjj2 ,virg9ia ,class ,subm>9e1 #c1cje1cae1jjj2 ,virg9ia ,class ,subm>9e 7,,ap71 #a1ibj1eif1jjj2 ,,cvn ,refuel+ ,ov]hauls1 #a1efi1ffi1jjj2 ,,cvn ,refuel+ ,ov]hauls 7,,ap71 #ge1hig1jjj2 ,,ddg-#ajjj ,program1 #afd1igf1jjj2 ,,ddg-#ea ,de/roy]1 #c1dii1jgi1jjj2 ,,ddg-#ea ,de/roy] 7,,ap71 #ij1ccf1jjj2 ,littoral ,combat ,%ip1 #a1eff1iga1jjj2 ,exp$ition>y ,sea ,base1 #fce1jjj1jjj2 ,,lha ,replacem5t1 #a1fie1jgg1jjj2 ,,tao ,fleet ,oil]1 #ddi1dae1jjj2 ,,tao ,fleet ,oil] 7,,ap71 #ge1jfh1jjj2 ,%ip to ,%ore ,connector1 #cij1eed1jjj2 ,s]vice ,craft1 #bc1iid1jjj2 ,t[+1 ,salvage1 & ,rescue ,%ip1 #gf1bjd1jjj2 ,,lcu #agjj1 #ca1hej1jjj2 ,= outfitt+1 po/ deliv]y1 conv]sions1 & fir/ de/9ation transportation1 #edb1fbf1jjj2 & ,completion ( ,prior ,ye> ,%ipbuild+ ,programs1 #aag1edb1jjj4;,9 all3 #ba1ejc1gbf1jjj1 to rema9 available = obligation until ,septemb] #cj1 #bjbb3 ,provid$1 ,t additional obligations may be incurr$ aft] ,septemb] #cj1 #bjbb1 = eng9e]+ s]vices1 te/s1 evaluations1 & o!r su* budget$ "w t mu/ be p]=m$ 9 ! f9al /age ( %ip con/ruction3 ,provid$ fur!r1 ,t none ( ! funds provid$ "u ?is head+ = ! con/ruction or conv]sion ( any naval vessel to be con/ruct$ 9 %ipy>ds 9 ! ,unit$ ,/ates %all be exp5d$ 9 =eign facilities = ! con/ruction ( major compon5ts ( su* vessel3 ,provid$ fur!r1 ,t none ( ! funds provid$ "u ?is head+ %all be us$ = ! con/ruction ( any naval vessel 9 =eign %ipy>ds3 ,provid$ fur!r1 ,t funds appropriat$ or o!rwise made available by ?is ,act = production ( ! common missile comp>tm5t ( nucle>-p[]$ vessels may be available = multiye> procurem5t ( critical compon5ts to support cont9u\s production ( su* comp>tm5ts only 9 accordance ) ! provisions ( subsection 7i7 ( section #bbah;a ( title #aj1 ,unit$ ,/ates ,code 7z add$ by section #ajbc ( ! ,national ,def5se ,au?orization ,act = ,fiscal ,ye> #bjag 7,public ,law #aad-cbh774 ,o!r procurem5t1 navy ,= procurem5t1 production1 & mod]nization ( support equipm5t & mat]ials n o!rwise provid$ =1 ,navy ordnance 7except ordnance = new aircraft1 new %ips1 & %ips au?oriz$ = conv]sion72 ! pur*ase ( pass5g] motor vehicles = replacem5t only2 expansion ( public & private plants1 includ+ ! l& necess>y !re=1 & su* l&s & int]e/s !re91 may be acquir$1 & con/ruction prosecut$ !reon prior to approval ( title2 & procurem5t & in/allation ( equipm5t1 appliances1 & ma*9e tools 9 public & private plants2 res]ve plant & ,gov]nm5t & contractor-own$ equipm5t layaway1 #g1heb1ieb1jjj1 to rema9 available = obligation until ,septemb] #cj1 #bjbj4 ,procurem5t1 m>9e corps ,= exp5ses necess>y = ! procurem5t1 manufacture1 & modification ( missiles1 armam5t1 milit>y equipm5t1 sp>e p>ts1 & accessories !re=2 plant equipm5t1 appliances1 & ma*9e tools1 & in/allation !re( 9 public & private plants2 res]ve plant & ,gov]nm5t & contractor-own$ equipm5t layaway2 vehicles = ! ,m>9e ,corps1 includ+ ! pur*ase ( pass5g] motor vehicles = replacem5t only2 & expansion ( public & private plants1 includ+ l& necess>y !re=1 & su* l&s & int]e/s !re91 may be acquir$1 & con/ruction prosecut$ !reon prior to approval ( title1 #a1hah1hdf1jjj 7increas$ by #bj1jjj1jjj71 to rema9 available = obligation until ,septemb] #cj1 #bjbj4 ,aircraft procurem5t1 air =ce ,= con/ruction1 procurem5t1 & modification ( aircraft & equipm5t1 includ+ armor & armam5t1 specializ$ gr\nd h&l+ equipm5t1 & tra9+ devices1 sp>e p>ts1 & accessories !re=2 specializ$ equipm5t2 expansion ( public & private plants1 ,gov]nm5t-own$ equipm5t & in/allation !re( 9 su* plants1 erection ( /ructures1 & acquisition ( l&1 = ! =ego+ purposes1 & su* l&s & int]e/s !re91 may be acquir$1 & con/ruction prosecut$ !reon prior to approval ( title2 res]ve plant & ,gov]nm5t & contractor-own$ equipm5t layaway2 & o!r exp5ses necess>y = ! =ego+ purposes includ+ r5ts & transportation ( ?+s1 #af1eec1aif1jjj 7increas$ by #af1jjj1jjj71 to rema9 available = obligation until ,septemb] #cj1 #bjbj4 ,missile procurem5t1 air =ce ,= con/ruction1 procurem5t1 & modification ( missiles1 rockets1 & relat$ equipm5t1 includ+ sp>e p>ts & accessories !re=2 gr\nd h&l+ equipm5t1 & tra9+ devices2 expansion ( public & private plants1 ,gov]nm5t-own$ equipm5t & in/allation !re( 9 su* plants1 erection ( /ructures1 & acquisition ( l&1 = ! =ego+ purposes1 & su* l&s & int]e/s !re91 may be acquir$1 & con/ruction prosecut$ !reon prior to approval ( title2 res]ve plant & ,gov]nm5t & contractor-own$ equipm5t layaway2 & o!r exp5ses necess>y = ! =ego+ purposes includ+ r5ts & transportation ( ?+s1 #b1bjc1aja1jjj1 to rema9 available = obligation until ,septemb] #cj1 #bjbj4 ,space procurem5t1 air =ce ,= con/ruction1 procurem5t1 & modification ( spacecraft1 rockets1 & relat$ equipm5t1 includ+ sp>e p>ts & accessories !re=2 gr\nd h&l+ equipm5t1 & tra9+ devices2 expansion ( public & private plants1 ,gov]nm5t-own$ equipm5t & in/allation !re( 9 su* plants1 erection ( /ructures1 & acquisition ( l&1 = ! =ego+ purposes1 & su* l&s & int]e/s !re91 may be acquir$1 & con/ruction prosecut$ !reon prior to approval ( title2 res]ve plant & ,gov]nm5t & contractor-own$ equipm5t layaway2 & o!r exp5ses necess>y = ! =ego+ purposes includ+ r5ts & transportation ( ?+s1 #c1baj1cee1jjj1 to rema9 available = obligation until ,septemb] #cj1 #bjbj4 ,procurem5t ( ammunition1 air =ce ,= con/ruction1 procurem5t1 production1 & modification ( ammunition1 & accessories !re=2 specializ$ equipm5t & tra9+ devices2 expansion ( public & private plants1 includ+ ammunition facilities1 au?oriz$ by section #bhed ( title #aj1 ,unit$ ,/ates ,code1 & ! l& necess>y !re=1 = ! =ego+ purposes1 & su* l&s & int]e/s !re91 may be acquir$1 & con/ruction prosecut$ !reon prior to approval ( title2 & procurem5t & in/allation ( equipm5t1 appliances1 & ma*9e tools 9 public & private plants2 res]ve plant & ,gov]nm5t & contractor-own$ equipm5t layaway2 & o!r exp5ses necess>y = ! =ego+ purposes1 #a1caf1igg1jjj1 to rema9 available = obligation until ,septemb] #cj1 #bjbj4 ,o!r procurem5t1 air =ce ,= procurem5t & modification ( equipm5t 7includ+ gr\nd guidance & electronic control equipm5t1 & gr\nd electronic & communication equipm5t71 & supplies1 mat]ials1 & sp>e p>ts !re=1 n o!rwise provid$ =2 ! pur*ase ( pass5g] motor vehicles = replacem5t only2 lease ( pass5g] motor vehicles2 & expansion ( public & private plants1 ,gov]nm5t-own$ equipm5t & in/allation !re( 9 su* plants1 erection ( /ructures1 & acquisition ( l&1 = ! =ego+ purposes1 & su* l&s & int]e/s !re91 may be acquir$1 & con/ruction prosecut$ !reon1 prior to approval ( title2 res]ve plant & ,gov]nm5t & contractor-own$ equipm5t layaway1 #ai1cah1had1jjj1 to rema9 available = obligation until ,septemb] #cj1 #bjbj4 ,procurem5t1 def5se-,wide ,= exp5ses ( activities & ag5cies ( ! ,dep>tm5t ( ,def5se 7o!r ?an ! milit>y dep>tm5ts7 necess>y = procurem5t1 production1 & modification ( equipm5t1 supplies1 mat]ials1 & sp>e p>ts !re=1 n o!rwise provid$ =2 ! pur*ase ( pass5g] motor vehicles = replacem5t only2 expansion ( public & private plants1 equipm5t1 & in/allation !re( 9 su* plants1 erection ( /ructures1 & acquisition ( l& = ! =ego+ purposes1 & su* l&s & int]e/s !re91 may be acquir$1 & con/ruction prosecut$ !reon prior to approval ( title2 res]ve plant & ,gov]nm5t & contractor-own$ equipm5t layaway1 #e1bci1bci1jjj 7r$uc$ by #aj1jjj1jjj71 to rema9 available = obligation until ,septemb] #cj1 #bjbj4 ,def5se production act pur*ases ,= activities by ! ,dep>tm5t ( ,def5se pursuant to sections #ajh1 #cja1 #cjb1 & #cjc ( ! ,def5se ,production ,act ( #aiej 7#ej ,u4,s4,c4 #deah1 #deca1 #decb1 & #decc71 #fg1dja1jjj1 to rema9 available until exp5d$4 ,procurem5t1 ,national ,def5se ,re/oration ,fund 7includ+ transf] ( funds7 ,9 addition to am\nts provid$ else:]e 9 ?is ,act1 !re is appropriat$ #ab1fbb1ica1jjj1 = ! ,procurem5t1 ,national ,def5se ,re/oration ,fund3 ,provid$1 ,t su* funds provid$ "u ?is head+ %all only be available = programs1 projects & activities necess>y to implem5t ! #bjah ,national ,def5se ,/rategy3 ,provid$ fur!r1 ,t su* funds %all n be available = transf] until #cj days aft] ! ,secret>y has submitt$1 & ! congressional def5se committees h approv$1 ! propos$ allocation plan = ! use ( su* funds to implem5t su* /rategy3 ,provid$ fur!r1 ,t su* allocation plan %all include a detail$ ju/ification = ! use ( su* funds & a description ( h[ su* inve/m5ts are necess>y to implem5t ! /rategy3 ,provid$ fur!r1 ,t ! ,secret>y ( ,def5se may transf] ^! funds only to procurem5t acc\nts3 ,provid$ fur!r1 ,t ! funds transf]r$ %all be m]g$ ) & %all be available = ! same purposes & = ! same "t p]iod1 z ! appropriation to :i* transf]r$3 ,provid$ fur!r1 ,t none ( ! funds made available "u ?is head+ may be transf]r$ to any program1 project1 or activity specifically limit$ or d5i$ by ?is ,act1 except = missile def5se requirem5ts result+ f urg5t or em]g5t op]ational ne$s3 ,provid$ fur!r1 ,t ! transf] au?ority provid$ "u ?is head+ is 9 addition to any o!r transf] au?ority available to ! ,dep>tm5t ( ,def5se4 ,,iv ,rese>*1 developm5t1 te/ & evaluation ,rese>*1 developm5t1 te/ & evaluation1 army ,= exp5ses necess>y = basic & appli$ sci5tific rese>*1 developm5t1 te/ & evaluation1 includ+ ma9t5ance1 rehabilitation1 lease1 & op]ation ( facilities & equipm5t1 #i1fgd1bbb1jjj 7increas$ by #f1jjj1jjj7 7increas$ by #d1jjj1jjj7 7increas$ by #ab1jjj1jjj7 7increas$ by #e1jjj1jjj71 to rema9 available = obligation until ,septemb] #cj1 #bjai4 ,rese>*1 developm5t1 te/ & evaluation1 navy ,= exp5ses necess>y = basic & appli$ sci5tific rese>*1 developm5t1 te/ & evaluation1 includ+ ma9t5ance1 rehabilitation1 lease1 & op]ation ( facilities & equipm5t1 #ag1aif1eba1jjj 7increas$ by #eih1jjj7 7increas$ by #bj1jjj1jjj7 7r$uc$ by #b1ejj1jjj7 7increas$ by #bd1jjj1jjj71 to rema9 available = obligation until ,septemb] #cj1 #bjai3 ,provid$1 ,t funds appropriat$ 9 ?is p>agraph :i* are available = ! ,v-#bb may be us$ to meet unique op]ational requirem5ts ( ! ,special ,op]ations ,=ces4 ,rese>*1 developm5t1 te/ & evaluation1 air =ce ,= exp5ses necess>y = basic & appli$ sci5tific rese>*1 developm5t1 te/ & evaluation1 includ+ ma9t5ance1 rehabilitation1 lease1 & op]ation ( facilities & equipm5t1 #cc1hgd1ihj1jjj 7increas$ by #e1jjj1jjj7 7increas$ by #f1jjj1jjj7 7increas$ by #aj1jjj1jjj7 7r$uc$ by #cj1jjj1jjj7 7increas$ by #cj1jjj1jjj71 to rema9 available = obligation until ,septemb] #cj1 #bjai4 ,rese>*1 developm5t1 te/ & evaluation1 def5se-,wide 7includ+ transf] ( funds7 ,= exp5ses ( activities & ag5cies ( ! ,dep>tm5t ( ,def5se 7o!r ?an ! milit>y dep>tm5ts71 necess>y = basic & appli$ sci5tific rese>*1 developm5t1 te/ & evaluation2 advanc$ rese>* projects z may be designat$ & det]m9$ by ! ,secret>y ( ,def5se1 pursuant to law2 ma9t5ance1 rehabilitation1 lease1 & op]ation ( facilities & equipm5t1 #bj1fih1cec1jjj 7r$uc$ by #af1jjj1jjj7 7r$uc$ by #ab1jjj1jjj7 7r$uc$ by #b1ejj1jjj7 7r$uc$ by #ab1ejj1jjj7 7increas$ by #bj1jjj1jjj7 7r$uc$ by #bj1jjj1jjj7 7r$uc$ by #d1ace1jjj7 7increas$ by #d1ace1jjj7 7r$uc$ by #bg1ejj1jjj7 7increas$ by #aj1jjj1jjj71 to rema9 available = obligation until ,septemb] #cj1 #bjai3 ,provid$1 ,t1 ( ! funds made available 9 ?is p>agraph1 #bej1jjj1jjj = ! ,def5se ,rapid ,innovation ,program %all only be available = exp5ses1 n o!rwise provid$ =1 to include program managem5t & ov]sight1 to conduct rese>*1 developm5t1 te/ & evaluation to include pro( ( concept demon/ration2 eng9e]+1 te/+1 & validation2 & transition to full-scale production3 ,provid$ fur!r1 ,t ! ,secret>y ( ,def5se may transf] funds provid$ h]e9 = ! ,def5se ,rapid ,innovation ,program to appropriations = rese>*1 developm5t1 te/ & evaluation to accompli% ! purpose provid$ h]e93 ,provid$ fur!r1 ,t ?is transf] au?ority is 9 addition to any o!r transf] au?ority available to ! ,dep>tm5t ( ,def5se3 ,provid$ fur!r1 ,t ! ,secret>y ( ,def5se %all1 n few] ?an #cj days prior to mak+ transf]s f ?is appropriation1 notify ! congressional def5se committees 9 writ+ ( ! details ( any su* transf]4 ,op]ational te/ & evaluation1 def5se ,= exp5ses1 n o!rwise provid$ =1 necess>y = ! indep5d5t activities ( ! ,director1 ,op]ational ,te/ & ,evaluation1 9 ! direction & sup]vision ( op]ational te/ & evaluation1 includ+ initial op]ational te/ & evaluation :i* is conduct$ prior to1 & 9 support (1 production decisions2 jo9t op]ational te/+ & evaluation2 & adm9i/rative exp5ses 9 connection !re)1 #baj1ijj1jjj1 to rema9 available = obligation until ,septemb] #cj1 #bjai4 ,rese>*1 developm5t1 te/ & evaluation1 ,national ,def5se ,re/oration ,fund 7includ+ transf] ( funds7 ,9 addition to am\nts provid$ else:]e 9 ?is ,act1 !re is appropriat$ #a1jjj1jjj1jjj1 = ! ,rese>*1 ,developm5t1 ,te/ & ,evaluation1 ,national ,def5se ,re/oration ,fund3 ,provid$1 ,t su* funds provid$ "u ?is head+ %all only be available = programs1 projects & activities necess>y to implem5t ! #bjah ,national ,def5se ,/rategy3 ,provid$ fur!r1 ,t su* funds %all n be available = transf] until #cj days aft] ! ,secret>y has submitt$1 & ! congressional def5se committees h approv$1 ! propos$ allocation plan = ! use ( su* funds to implem5t su* /rategy3 ,provid$ fur!r1 ,t su* allocation plan %all include a detail$ ju/ification = ! use ( su* funds & a description ( h[ su* inve/m5ts are necess>y to implem5t ! /rategy3 ,provid$ fur!r1 ,t ! ,secret>y ( ,def5se may transf] ^! funds only to rese>*1 developm5t1 te/ & evaluation acc\nts3 ,provid$ fur!r1 ,t ! funds transf]r$ %all be m]g$ ) & %all be available = ! same purposes & = ! same "t p]iod1 z ! appropriation to :i* transf]r$3 ,provid$ fur!r1 ,t none ( ! funds made available "u ?is head+ may be transf]r$ to any program1 project1 or activity specifically limit$ or d5i$ by ?is ,act1 except = missile def5se requirem5ts result+ f urg5t or em]g5t op]ational ne$s3 ,provid$ fur!r1 ,t ! transf] au?ority provid$ "u ?is head+ is 9 addition to any o!r transf] au?ority available to ! ,dep>tm5t ( ,def5se4 ,v ,revolv+ & managem5t funds ,def5se work+ capital funds ,= ! ,def5se ,work+ ,capital ,funds1 #a1ehf1eif1jjj4 ,,vi ,o!r dep>tm5t ( def5se programs ,def5se heal? program ,= exp5ses1 n o!rwise provid$ =1 = m$ical & heal? c>e programs ( ! ,dep>tm5t ( ,def5se z au?oriz$ by law1 #cc1ica1eff1jjj 7increas$ by #g1jjj1jjj7 7increas$ by #a1jjj1jjj7 7increas$ by #aj1jjj1jjj7 7increas$ by #b1jjj1jjj7 7increas$ by #b1jjj1jjj7 7increas$ by #aj1jjj1jjj7 7increas$ by #e1jjj1jjj7 7increas$ by #aj1jjj1jjj72 ( :i* #ca1gce1ibc1jjj 7increas$ by #b1jjj1jjj7 7increas$ by #e1jjj1jjj7 %all be = op]ation & ma9t5ance1 ( :i* n to exce$ "o p]c5t %all rema9 available = obligation until ,septemb] #cj1 #bjai1 & ( :i* up to #ae1cdi1gjj1jjj may be available = contracts ent]$ into "u ! ,,tric>e program2 ( :i* #hie1cbh1jjj1 to rema9 available = obligation until ,septemb] #cj1 #bjbj1 %all be = procurem5t2 & ( :i* #a1cjj1cae1jjj 7increas$ by #g1jjj1jjj7 7increas$ by #a1jjj1jjj7 7increas$ by #aj1jjj1jjj7 7increas$ by #b1jjj1jjj7 7increas$ by #aj1jjj1jjj7 7increas$ by #aj1jjj1jjj71 to rema9 available = obligation until ,septemb] #cj1 #bjai1 %all be = rese>*1 developm5t1 te/ & evaluation3 ,provid$1 ,t1 not)/&+ any o!r provision ( law1 ( ! am\nt made available "u ?is head+ = rese>*1 developm5t1 te/ & evaluation1 n less ?an #h1jjj1jjj %all be available = ,,hiv prev5tion educational activities und]tak5 9 connection ) ,unit$ ,/ates milit>y tra9+1 ex]cises1 & humanit>ian assi/ance activities conduct$ prim>ily 9 ,african nations3 ,provid$ fur!r1 ,t ( ! funds provid$ "u ?is head+ = rese>*1 developm5t1 te/ & evaluation1 n less ?an #fbg1ajj1jjj %all be made available to ! ,unit$ ,/ates ,army ,m$ical ,rese>* & ,mat]iel ,comm& to c>ry out ! congressionally direct$ m$ical rese>* programs4 ,*emical ag5ts & munitions de/ruction1 def5se ,= exp5ses1 n o!rwise provid$ =1 necess>y = ! de/ruction ( ! ,unit$ ,/ates /ockpile ( le?al *emical ag5ts & munitions 9 accordance ) ! provisions ( section #adab ( ! ,dep>tm5t ( ,def5se ,au?orization ,act1 #aihf 7#ej ,u4,s4,c4 #aeba71 & = ! de/ruction ( o!r *emical w>f>e mat]ials t are n 9 ! *emical weapon /ockpile1 #ifa1gcb1jjj1 ( :i* #ajd1bcg1jjj %all be = op]ation & ma9t5ance1 ( :i* no less ?an #di1dja1jjj %all be = ! ,*emical ,/ockpile ,em]g5cy ,prep>$ness ,program1 consi/+ ( #ba1jde1jjj = activities on milit>y in/allations & #bh1cef1jjj1 to rema9 available until ,septemb] #cj1 #bjai1 to assi/ ,/ate & local gov]nm5ts2 #ah1jha1jjj %all be = procurem5t1 to rema9 available until ,septemb] #cj1 #bjbj1 ( :i* #ah1jha1jjj %all be = ! ,*emical ,/ockpile ,em]g5cy ,prep>$ness ,program to assi/ ,/ate & local gov]nm5ts2 & #hci1dad1jjj1 to rema9 available until ,septemb] #cj1 #bjai1 %all be = rese>*1 developm5t1 te/ & evaluation1 ( :i* #gej1gjj1jjj %all only be = ! ,assembl$ ,*emical ,weapons ,alt]natives program4 ,drug int]diction & c\nt]-,drug ,activities1 def5se 7includ+ transf] ( funds7 ,= drug int]diction & c\nt]-drug activities ( ! ,dep>tm5t ( ,def5se1 = transf] to appropriations available to ! ,dep>tm5t ( ,def5se = milit>y p]sonnel ( ! res]ve compon5ts s]v+ "u ! provisions ( title #aj & title #cb1 ,unit$ ,/ates ,code2 = op]ation & ma9t5ance2 = procurem5t2 & = rese>*1 developm5t1 te/ & evaluation1 #hed1had1jjj1 ( :i* #ecb1fdh1jjj %all be = c\nt]-n>cotics support2 #abj1hac1jjj %all be = ! drug dem& r$uction program2 & #bja1cec1jjj %all be = ! ,national ,gu>d c\nt]-drug program3 ,provid$1 ,t ! funds appropriat$ "u ?is head+ %all be available = obligation = ! same "t p]iod & = ! same purpose z ! appropriation to :i* transf]r$3 ,provid$ fur!r1 ,t ^u a det]m9ation t all or "p ( ! funds transf]r$ f ?is appropriation are n necess>y = ! purposes provid$ h]e91 su* am\nts may be transf]r$ back to ?is appropriation3 ,provid$ fur!r1 ,t ! transf] au?ority provid$ "u ?is head+ is 9 addition to any o!r transf] au?ority conta9$ else:]e 9 ?is ,act4 ,(fice ( ! inspector g5]al ,= exp5ses & activities ( ! ,(fice ( ! ,inspector ,g5]al 9 c>ry+ out ! provisions ( ! ,inspector ,g5]al ,act ( #aigh1 z am5d$1 #ccf1hhg1jjj1 ( :i* #ccd1jhg1jjj %all be = op]ation & ma9t5ance1 ( :i* n to exce$ #gjj1jjj is available = em]g5cies & extraord9>y exp5ses to be exp5d$ on ! approval or au?ority ( ! ,inspector ,g5]al1 & paym5ts may be made on ! ,inspector ,g5]al's c]tificate ( necessity = confid5tial milit>y purposes2 & ( :i* #b1hjj1jjj1 to rema9 available until ,septemb] #cj1 #bjai1 %all be = rese>*1 developm5t1 te/ & evaluation4 ,,vii ,relat$ ag5cies ,c5tral intellig5ce ag5cy retirem5t & disability sy/em fund ,= paym5t to ! ,c5tral ,intellig5ce ,ag5cy ,retirem5t & ,disability ,sy/em ,fund1 to ma9ta9 ! prop] fund+ level = cont9u+ ! op]ation ( ! ,c5tral ,intellig5ce ,ag5cy ,retirem5t & ,disability ,sy/em1 #ead1jjj1jjj4 ,intellig5ce community managem5t acc\nt ,= necess>y exp5ses ( ! ,intellig5ce ,community ,managem5t ,acc\nt1 #ebb1ajj1jjj4 ,,viii ,g5]al provisions #aaja4 ,no "p ( any appropriation conta9$ 9 ?is ,act %all be us$ = publicity or propag&a purposes n au?oriz$ by ! ,congress4 #aajb4 ,dur+ ! curr5t fiscal ye>1 provisions ( law prohibit+ ! paym5t ( comp5sation to1 or employm5t (1 any p]son n a citiz5 ( ! ,unit$ ,/ates %all n apply to p]sonnel ( ! ,dep>tm5t ( ,def5se3 ,provid$1 ,t sal>y increases grant$ to direct & indirect hire =eign national employees ( ! ,dep>tm5t ( ,def5se fund$ by ?is ,act %all n be at a rate 9 excess ( ! p]c5tage increase au?oriz$ by law = civilian employees ( ! ,dep>tm5t ( ,def5se ^: pay is comput$ "u ! provisions ( section #eccb ( title #e1 ,unit$ ,/ates ,code1 or at a rate 9 excess ( ! p]c5tage increase provid$ by ! appropriate ho/ nation to its own employees1 :i*ev] is high]3 ,provid$ fur!r1 ,t ?is section %all n apply to ,dep>tm5t ( ,def5se =eign s]vice national employees s]v+ at ,unit$ ,/ates diplomatic missions ^: pay is set by ! ,dep>tm5t ( ,/ate "u ! ,=eign ,s]vice ,act ( #aihj3 ,provid$ fur!r1 ,t ! limitations ( ?is provision %all n apply to =eign national employees ( ! ,dep>tm5t ( ,def5se 9 ! ,republic ( ,turkey4 #aajc4 ,no "p ( any appropriation conta9$ 9 ?is ,act %all rema9 available = obligation beyond ! curr5t fiscal ye>1 unless expressly s provid$ h]e94 #aajd4 ,no m ?an #bj p]c5t ( ! appropriations 9 ?is ,act :i* are limit$ = obligation dur+ ! curr5t fiscal ye> %all be obligat$ dur+ ! la/ #b mon?s ( ! fiscal ye>3 ,provid$1 ,t ?is section %all n apply to obligations = support ( active duty tra9+ ( res]ve compon5ts or summ] camp tra9+ ( ! ,res]ve ,(fic]s' ,tra9+ ,corps4 7transf] ( funds7 #aaje4 ,^u det]m9ation by ! ,secret>y ( ,def5se t su* action is necess>y 9 ! national int]e/1 he may1 ) ! approval ( ! ,(fice ( ,managem5t & ,budget1 transf] n to exce$ #d1ejj1jjj1jjj ( work+ capital funds ( ! ,dep>tm5t ( ,def5se or funds made available 9 ?is ,act to ! ,dep>tm5t ( ,def5se = milit>y functions 7except milit>y con/ruction7 betwe5 su* appropriations or funds or any subdivision !re(1 to be m]g$ ) & to be available = ! same purposes1 & = ! same "t p]iod1 z ! appropriation or fund to :i* transf]r$3 ,provid$1 ,t su* au?ority to transf] may n be us$ unless = high] priority items1 bas$ on un=ese5 milit>y requirem5ts1 ?an ^? = :i* orig9ally appropriat$ & 9 no case :]e ! item = :i* funds are reque/$ has be5 d5i$ by ! ,congress3 ,provid$ fur!r1 ,t ! ,secret>y ( ,def5se %all notify ! ,congress promptly ( all transf]s made pursuant to ?is au?ority or any o!r au?ority 9 ?is ,act3 ,provid$ fur!r1 ,t no "p ( ! funds 9 ?is ,act %all be available to prep>e or pres5t a reque/ to ! ,committees on ,appropriations = reprogramm+ ( funds1 unless = high] priority items1 bas$ on un=ese5 milit>y requirem5ts1 ?an ^? = :i* orig9ally appropriat$ & 9 no case :]e ! item = :i* reprogramm+ is reque/$ has be5 d5i$ by ! ,congress3 ,provid$ fur!r1 ,t a reque/ = multiple reprogramm+s ( funds us+ au?ority provid$ 9 ?is section %all be made prior to ,june #cj1 #bjag3 ,provid$ fur!r1 ,t transf]s among milit>y p]sonnel appropriations %all n be tak5 into acc\nt = purposes ( ! limitation on ! am\nt ( funds t may be transf]r$ "u ?is section4 #aajf4 7a7 ,) reg>d to ! li/ ( specific programs1 projects1 & activities 7& ! doll> am\nts & adju/m5ts to budget activities correspond+ to su* programs1 projects1 & activities7 conta9$ 9 ! tables titl$ ,explanation ( ,project ,level ,adju/m5ts 9 ! explanatory /atem5t reg>d+ ?is ,act1 ! obligation & exp5diture ( am\nts appropriat$ or o!rwise made available 9 ?is ,act = ^? programs1 projects1 & activities = :i* ! am\nts appropriat$ exce$ ! am\nts reque/$ are h]eby requir$ by law to be c>ri$ out 9 ! mann] provid$ by su* tables to ! same ext5t z if ! tables 7 includ$ 9 ! text ( ?is ,act4 7b7 ,am\nts specifi$ 9 ! ref]5c$ tables describ$ 9 subsection 7a7 %all n be treat$ z subdivisions ( appropriations = purposes ( section #hjje ( ?is ,act3 ,provid$1 ,t section #hjje %all apply :5 transf]s ( ! am\nts describ$ 9 subsection 7a7 occur betwe5 appropriation acc\nts4 #aajg4 7a7 ,n lat] ?an #fj days aft] enactm5t ( ?is ,act1 ! ,dep>tm5t ( ,def5se %all submit a report to ! congressional def5se committees to e/abli% ! basel9e = application ( reprogramm+ & transf] au?orities = fiscal ye> #bjah3 ,provid$1 ,t ! report %all include-- 7#a7 a table = ea* appropriation ) a sep>ate column to display ! ,presid5t's budget reque/1 adju/m5ts made by ,congress1 adju/m5ts due to enact$ rescissions1 if appropriate1 & ! fiscal ye> enact$ level2 7#b7 a del9eation 9 ! table = ea* appropriation bo? by budget activity & program1 project1 & activity z detail$ 9 ! ,budget ,app5dix2 & 7#c7 an id5tification ( items ( special congressional int]e/4 7b7 ,not)/&+ section #hjje ( ?is ,act1 none ( ! funds provid$ 9 ?is ,act %all be available = reprogramm+ or transf] until ! report id5tifi$ 9 subsection 7a7 is submitt$ to ! congressional def5se committees1 unless ! ,secret>y ( ,def5se c]tifies 9 writ+ to ! congressional def5se committees t su* reprogramm+ or transf] is necess>y z an em]g5cy requirem5t3 ,provid$1 ,t ?is subsection %all n apply to transf]s f ! foll[+ appropriations acc\nts3 7#a7 ,environm5tal ,re/oration1 ,army2 7#b7 ,environm5tal ,re/oration1 ,navy 2 7#c7 ,environm5tal ,re/oration1 ,air ,=ce2 7#d7 ,environm5tal ,re/oration1 ,def5se-,wide 7#e7 ,environm5tal ,re/oration1 ,=m]ly ,us$ ,def5se ,sites2 & 7#f7 ,drug ,int]diction & ,c\nt]-drug ,activities1 ,def5se4 7transf] ( funds7 #aajh4 ,dur+ ! curr5t fiscal ye>1 ca% balances 9 work+ capital funds ( ! ,dep>tm5t ( ,def5se e/abli%$ pursuant to section #bbjh ( title #aj1 ,unit$ ,/ates ,code1 may be ma9ta9$ 9 only su* am\nts z are necess>y at any "t = ca% disbursem5ts to be made f su* funds3 ,provid$1 ,t transf]s may be made betwe5 su* funds3 ,provid$ fur!r1 ,t transf]s may be made betwe5 work+ capital funds & ! ,=eign ,curr5cy ,fluctuations1 ,def5se appropriation & ! ,op]ation & ,ma9t5ance appropriation acc\nts 9 su* am\nts z may be det]m9$ by ! ,secret>y ( ,def5se1 ) ! approval ( ! ,(fice ( ,managem5t & ,budget1 except t su* transf]s may n be made unless ! ,secret>y ( ,def5se has notifi$ ! ,congress ( ! propos$ transf]3 ,provid$ fur!r1 ,t except 9 am\nts equal to ! am\nts appropriat$ to work+ capital funds 9 ?is ,act1 no obligations may be made aga9/ a work+ capital fund to procure or increase ! value ( w> res]ve mat]ial inv5tory1 unless ! ,secret>y ( ,def5se has notifi$ ! ,congress prior to any su* obligation4 #aaji4 ,funds appropriat$ by ?is ,act may n be us$ to initiate a special access program )\t prior notification #cj cal5d> days 9 advance to ! congressional def5se committees4 #aaaj4 ,none ( ! funds provid$ 9 ?is ,act %all be available to initiate3 7#a7 a multiye> contract t employs economic ord] quantity procurem5t 9 excess ( #bj1jjj1jjj 9 any "o ye> ( ! contract or t includes an unfund$ cont+5t liability 9 excess ( #bj1jjj1jjj2 or 7#b7 a contract = advance procurem5t lead+ to a multiye> contract t employs economic ord] quantity procurem5t 9 excess ( #bj1jjj1jjj 9 any "o ye>1 unless ! congressional def5se committees h be5 notifi$ at lea/ #cj days 9 advance ( ! propos$ contract aw>d3 ,provid$1 ,t no "p ( any appropriation conta9$ 9 ?is ,act %all be available to initiate a multiye> contract = :i* ! economic ord] quantity advance procurem5t is n fund$ at lea/ to ! limits ( ! ,gov]nm5t's liability3 ,provid$ fur!r1 ,t no "p ( any appropriation conta9$ 9 ?is ,act %all be available to initiate multiye> procurem5t contracts = any sy/ems or compon5t !re( if ! value ( ! multiye> contract w\ld exce$ #ejj1jjj1jjj unless specifically provid$ 9 ?is ,act3 ,provid$ fur!r1 ,t no multiye> procurem5t contract c be t]m9at$ )\t #cj-;day prior notification to ! congressional def5se committees3 ,provid$ fur!r1 ,t ! execution ( multiye> au?ority %all require ! use ( a pres5t value analysis to det]m9e l[e/ co/ comp>$ to an annual procurem5t3 ,provid$ fur!r1 ,t none ( ! funds provid$ 9 ?is ,act may be us$ = a multiye> contract execut$ aft] ! date ( ! enactm5t ( ?is ,act unless 9 ! case ( any su* contract-- 7#a7 ! ,secret>y ( ,def5se has submitt$ to ,congress a budget reque/ = full fund+ ( units to be procur$ ?r\gh ! contract &1 9 ! case ( a contract = procurem5t ( aircraft1 t includes1 = any aircraft unit to be procur$ ?r\gh ! contract = :i* procurem5t funds are reque/$ 9 t budget reque/ = production beyond advance procurem5t activities 9 ! fiscal ye> cov]$ by ! budget1 full fund+ ( procurem5t ( su* unit 9 t fiscal ye>2 7#b7 cancellation provisions 9 ! contract d n include consid]ation ( recurr+ manufactur+ co/s ( ! contractor associat$ ) ! production ( unfund$ units to be deliv]$ "u ! contract2 7#c7 ! contract provides t paym5ts to ! contractor "u ! contract %all n be made 9 advance ( incurr$ co/s on fund$ units2 & 7#d7 ! contract does n provide = a price adju/m5t bas$ on a failure to aw>d a foll[-on contract4 ,funds appropriat$ 9 title ,,iii ( ?is ,act may be us$1 subject to section #bcjf;b ( title #aj 1 ,unit$ ,/ates ,code1 = multiye> procurem5t contracts z foll[s3 ,v-#bb ,osprey aircraft v>iants2 up to #ac ,,ssn ,virg9ia ,class ,subm>9es & ,gov]nm5t-furni%$ equipm5t2 & ,,ddg-#ea ,arleigh ,burke class ,flight ,,iii guid$ missile de/roy]s1 ! ,,mk #da ,v]tical ,laun*+ ,sy/ems1 & associat$ ,gov]nm5t-furni%$ sy/ems & subsy/ems4 #aaaa4 ,)9 ! funds appropriat$ = ! op]ation & ma9t5ance ( ! ,arm$ ,=ces1 funds are h]eby appropriat$ pursuant to section #dja ( title #aj1 ,unit$ ,/ates ,code1 = humanit>ian & civic assi/ance co/s "u *apt] #bj ( title #aj1 ,unit$ ,/ates ,code4 ,su* funds may also be obligat$ = humanit>ian & civic assi/ance co/s incid5tal to au?oriz$ op]ations & pursuant to au?ority grant$ 9 section #dja ( *apt] #bj ( title #aj1 ,unit$ ,/ates ,code1 & ^! obligations %all be report$ z requir$ by section #dja7;d7 ( title #aj1 ,unit$ ,/ates ,code3 ,provid$1 ,t funds available = op]ation & ma9t5ance %all be available = provid+ humanit>ian & simil> assi/ance by us+ ,civic ,action ,teams 9 ! ,tru/ ,t]ritories ( ! ,pacific ,isl&s & freely associat$ /ates ( ,micronesia1 pursuant to ! ,compact ( ,free ,association z au?oriz$ by ,public ,law #ii-bci3 ,provid$ fur!r1 ,t ^u a det]m9ation by ! ,secret>y ( ! ,army t su* action is b5eficial = graduate m$ical education programs conduct$ at ,army m$ical facilities locat$ 9 ,hawaii1 ! ,secret>y ( ! ,army may au?orize ! provision ( m$ical s]vices at su* facilities & transportation to su* facilities1 on a nonreimbursable basis1 = civilian pati5ts f ,am]ican ,samoa1 ! ,commonweal? ( ! ,nor!rn ,m>iana ,isl&s1 ! ,m>%all ,isl&s1 ! ,f$]at$ ,/ates ( ,micronesia1 ,palau1 & ,guam4 #aaab4 7a7 ,dur+ ! curr5t fiscal ye>1 ! civilian p]sonnel ( ! ,dep>tm5t ( ,def5se may n be manag$ on ! basis ( any end-/r5g?1 & ! managem5t ( su* p]sonnel dur+ t fiscal ye> %all n be subject to any con/ra9t or limitation 7kn[n z an end-/r5g?7 on ! numb] ( su* p]sonnel :o may be employ$ on ! la/ day ( su* fiscal ye>4 7b7 ,! fiscal ye> #bjai budget reque/ = ! ,dep>tm5t ( ,def5se z well z all ju/ification mat]ial & o!r docum5tation support+ ! fiscal ye> #bjai ,dep>tm5t ( ,def5se budget reque/ %all be prep>$ & submitt$ to ! ,congress z if subsections 7a7 & 7b7 ( ?is provision 7 effective ) reg>d to fiscal ye> #bjai4 7c7 ,z requir$ by section #aajg ( ! ,national ,def5se ,au?orization ,act = ,fiscal ,ye> #bjad 7,public ,law #aac-ff2 #aj ,u4,s4,c4 #bceh note7 civilian p]sonnel at ! ,dep>tm5t ( ,army ,sci5ce & ,te*nology ,re9v5tion ,laboratories may n be manag$ on ! basis ( ! ,table ( ,di/ribution & ,all[ances1 & ! managem5t ( ! work=ce /r5g? %all be done 9 a mann] consi/5t ) ! budget available ) respect to su* ,laboratories4 7d7 ,no?+ 9 ?is section %all be con/ru$ to apply to milit>y 7civilian7 te*nicians4 #aaac4 ,none ( ! funds made available by ?is ,act %all be us$ 9 any way1 directly or indirectly1 to influ5ce congressional action on any legislation or appropriation matt]s p5d+ be=e ! ,congress4 #aaad4 ,none ( ! funds appropriat$ by ?is ,act %all be available = ! basic pay & all[ances ( any memb] ( ! ,army p>ticipat+ z a full-"t /ud5t & receiv+ b5efits paid by ! ,secret>y ( ,vet]ans ,affairs f ! ,dep>tm5t ( ,def5se ,education ,b5efits ,fund :5 "t sp5t z a full-"t /ud5t is cr$it$ t[>d completion ( a s]vice commitm5t3 ,provid$1 ,t ?is section %all n apply to ^? memb]s :o h re5li/$ ) ?is option prior to ,octob] #a1 #aihg3 ,provid$ fur!r1 ,t ?is section applies only to active compon5ts ( ! ,army4 7transf] ( funds7 #aaae4 ,funds appropriat$ 9 title ,,iii ( ?is ,act = ! ,dep>tm5t ( ,def5se ,pilot ,m5tor-,protg ,program may be transf]r$ to any o!r appropriation conta9$ 9 ?is ,act solely = ! purpose ( implem5t+ a ,m5tor-,protg ,program developm5tal assi/ance agreem5t pursuant to section #hca ( ! ,national ,def5se ,au?orization ,act = ,fiscal ,ye> #aiia 7,public ,law #aja-eaj2 #aj ,u4,s4,c4 #bcjb note71 z am5d$1 "u ! au?ority ( ?is provision or any o!r transf] au?ority conta9$ 9 ?is ,act4 #aaaf4 ,none ( ! funds 9 ?is ,act may be available = ! pur*ase by ! ,dep>tm5t ( ,def5se 7& its dep>tm5ts & ag5cies7 ( weld$ %ipbo>d an*or & moor+ *a9 #d in*es 9 diamet] & "u unless ! an*or & moor+ *a9 are manufactur$ 9 ! ,unit$ ,/ates f compon5ts :i* are sub/antially manufactur$ 9 ! ,unit$ ,/ates3 ,provid$1 ,t = ! purpose ( ?is section1 ! t]m manufactur$ %all include cutt+1 heat treat+1 quality control1 te/+ ( *a9 & weld+ 7includ+ ! =g+ & %ot bla/+ process73 ,provid$ fur!r1 ,t = ! purpose ( ?is section sub/antially all ( ! compon5ts ( an*or & moor+ *a9 %all be consid]$ to be produc$ or manufactur$ 9 ! ,unit$ ,/ates if ! aggregate co/ ( ! compon5ts produc$ or manufactur$ 9 ! ,unit$ ,/ates exce$s ! aggregate co/ ( ! compon5ts produc$ or manufactur$ outside ! ,unit$ ,/ates3 ,provid$ fur!r1 ,t :5 adequate dome/ic supplies are n available to meet ,dep>tm5t ( ,def5se requirem5ts on a timely basis1 ! ,secret>y ( ! s]vice responsible = ! procurem5t may waive ?is re/riction on a case-by-case basis by c]tify+ 9 writ+ to ! ,committees on ,appropriations t su* an acquisition mu/ be made 9 ord] to acquire capability = national security purposes4 #aaag4 ,none ( ! funds available to ! ,dep>tm5t ( ,def5se may be us$ to demilit>ize or dispose ( ,m-#a ,c>b9es1 ,m-#a ,g>& rifles1 ,m-#ad rifles1 4#bb calib] rifles1 4#cj calib] rifles1 or ,m-#aiaa pi/ols1 or to demilit>ize or de/roy small arms ammunition or ammunition compon5ts t are n o!rwise prohibit$ f comm]cial sale "u ,f$]al law1 unless ! small arms ammunition or ammunition compon5ts are c]tifi$ by ! ,secret>y ( ! ,army or designee z uns]viceable or unsafe = fur!r use4 #aaah4 ,no m ?an #ejj1jjj ( ! funds appropriat$ or made available 9 ?is ,act %all be us$ dur+ a s+le fiscal ye> = any s+le relocation ( an organization1 unit1 activity or function ( ! ,dep>tm5t ( ,def5se into or )9 ! ,national ,capital ,region3 ,provid$1 ,t ! ,secret>y ( ,def5se may waive ?is re/riction on a case-by-case basis by c]tify+ 9 writ+ to ! congressional def5se committees t su* a relocation is requir$ 9 ! be/ int]e/ ( ! ,gov]nm5t4 #aaai4 ,( ! funds made available 9 ?is ,act1 #bj1jjj1jjj %all be available = inc5tive paym5ts au?oriz$ by section #ejd ( ! ,indian ,f9anc+ ,act ( #aigd 7#be ,u4,s4,c4 #aedd73 ,provid$1 ,t a prime contractor or a subcontractor at any ti] t makes a subcontract aw>d to any subcontractor or suppli] z def9$ 9 section #aedd ( title #be1 ,unit$ ,/ates ,code1 or a small bus9ess own$ & controll$ by an individual or individuals def9$ "u section #dbba7i7 ( title #be1 ,unit$ ,/ates ,code1 %all be consid]$ a contractor = ! purposes ( be+ all[$ additional comp5sation "u section #ejd ( ! ,indian ,f9anc+ ,act ( #aigd 7#be ,u4,s4,c4 #aedd7 :5ev] ! prime contract or subcontract am\nt is ov] #ejj1jjj & involves ! exp5diture ( funds appropriat$ by an ,act mak+ appropriations = ! ,dep>tm5t ( ,def5se ) respect to any fiscal ye>3 ,provid$ fur!r1 ,t not)/&+ section #aijf ( title #da1 ,unit$ ,/ates ,code1 ?is section %all be applicable to any ,dep>tm5t ( ,def5se acquisition ( supplies or s]vices1 includ+ any contract & any subcontract at any ti] = acquisition ( comm]cial items produc$ or manufactur$1 9 :ole or 9 "p1 by any subcontractor or suppli] def9$ 9 section #aedd ( title #be1 ,unit$ ,/ates ,code1 or a small bus9ess own$ & controll$ by an individual or individuals def9$ "u section #dbba7i7 ( title #be1 ,unit$ ,/ates ,code4 #aabj4 ,funds appropriat$ by ?is ,act = ! ,def5se ,m$ia ,activity %all n be us$ = any national or int]national political or psy*ological activities4 #aaba4 ,dur+ ! curr5t fiscal ye>1 ! ,dep>tm5t ( ,def5se is au?oriz$ to incur obligations ( n to exce$ #cej1jjj1jjj = purposes specifi$ 9 section #bcej;j7c7 ( title #aj1 ,unit$ ,/ates ,code1 9 anticipation ( receipt ( contributions1 only f ! ,gov]nm5t ( ,kuwait1 "u t section3 ,provid$1 ,t1 ^u receipt1 su* contributions f ! ,gov]nm5t ( ,kuwait %all be cr$it$ to ! appropriations or fund :i* incurr$ su* obligations4 #aabb4 7a7 ,( ! funds made available 9 ?is ,act1 n less ?an #dc1ajj1jjj %all be available = ! ,civil ,air ,patrol ,corporation1 ( :i*-- 7#a7 #cj1hjj1jjj %all be available f ,op]ation & ,ma9t5ance1 ,air ,=ce to support ,civil ,air ,patrol ,corporation op]ation & ma9t5ance1 read9ess1 c\nt]-drug activities1 & drug dem& r$uction activities involv+ y\? programs2 7#b7 #aj1fjj1jjj %all be available f ,aircraft ,procurem5t1 ,air ,=ce2 & 7#c7 #a1gjj1jjj %all be available f ,o!r ,procurem5t1 ,air ,=ce = vehicle procurem5t4 7b7 ,! ,secret>y ( ! ,air ,=ce %\ld waive reimbursem5t = any funds us$ by ! ,civil ,air ,patrol = c\nt]-drug activities 9 support ( ,f$]al1 ,/ate1 & local gov]nm5t ag5cies4 #aabc4 7a7 ,none ( ! funds appropriat$ 9 ?is ,act are available to e/abli% a new ,dep>tm5t ( ,def5se 7dep>tm5t7 f$]ally fund$ rese>* & developm5t c5t] 7,,ffrdc71 ei!r z a new entity1 or z a sep>ate entity adm9i/rat$ by an organization manag+ ano!r ,,ffrdc1 or z a nonpr(it memb]%ip corporation consi/+ ( a consortium ( o!r ,f,f,r,d,cs & o!r nonpr(it entities4 7b7 ,no memb] ( a ,bo>d ( ,directors1 ,tru/ees1 ,ov]se]s1 ,advisory ,gr\p1 ,special ,issues ,panel1 ,visit+ ,committee1 or any simil> entity ( a def5se ,,ffrdc1 & no paid consultant to any def5se ,,ffrdc1 except :5 act+ 9 a te*nical advisory capacity1 may be comp5sat$ = 8 or h] s]vices z a memb] ( su* entity1 or z a paid consultant by m ?an "o ,,ffrdc 9 a fiscal ye>3 ,provid$1 ,t a memb] ( any su* entity ref]r$ to previ\sly 9 ?is subsection %all be all[$ travel exp5ses & p] diem z au?oriz$ "u ! ,f$]al ,jo9t ,travel ,regulations1 :5 engag$ 9 ! p]=mance ( memb]%ip duties4 7c7 ,not)/&+ any o!r provision ( law1 none ( ! funds available to ! dep>tm5t f any s\rce dur+ ! curr5t fiscal ye> may be us$ by a def5se ,,ffrdc1 ?r\gh a fee or o!r paym5t me*anism1 = con/ruction ( new build+s n locat$ on a milit>y in/allation1 = paym5t ( co/ %>+ = projects fund$ by ,gov]nm5t grants1 = absorption ( contract ov]runs1 or = c]ta9 *>itable contributions1 n to include employee p>ticipation 9 community s]vice &_/or developm5t4 7d7 ,not)/&+ any o!r provision ( law1 ( ! funds available to ! dep>tm5t dur+ fiscal ye> #bjah1 n m ?an #f1jjj /aff ye>s ( te*nical ef=t 7/aff ye>s7 may be fund$ = def5se ,f,f,r,d,cs3 ,provid$1 ,t1 ( ! specific am\nt ref]r$ to previ\sly 9 ?is subsection1 n m ?an #a1ahj /aff ye>s may be fund$ = ! def5se /udies & analysis ,f,f,r,d,cs3 ,provid$ fur!r1 ,t ?is subsection %all n apply to /aff ye>s fund$ 9 ! ,national ,intellig5ce ,program 7,,nip7 & ! ,milit>y ,intellig5ce ,program 7,,mip74 7e7 ,! ,secret>y ( ,def5se %all1 ) ! submission ( ! dep>tm5t's fiscal ye> #bjai budget reque/1 submit a report pres5t+ ! specific am\nts ( /aff ye>s ( te*nical ef=t to be allocat$ = ea* def5se ,,ffrdc dur+ t fiscal ye> & ! associat$ budget e/imates4 7f7 ,not)/&+ any o!r provision ( ?is ,act1 ! total am\nt appropriat$ 9 ?is ,act = ,f,f,r,d,cs is h]eby r$uc$ by #baj1jjj1jjj4 #aabd4 ,none ( ! funds appropriat$ or made available 9 ?is ,act %all be us$ to procure c>bon1 alloy1 or armor /eel plate = use 9 any ,gov]nm5t-own$ facility or prop]ty "u ! control ( ! ,dep>tm5t ( ,def5se :i* 7 n melt$ & roll$ 9 ! ,unit$ ,/ates or ,canada3 ,provid$1 ,t ^! procurem5t re/rictions %all apply to any & all ,f$]al ,supply ,class #ieae1 ,am]ican ,society ( ,te/+ & ,mat]ials 7,,a/m7 or ,am]ican ,iron & ,/eel ,in/itute 7,,aisi7 specifications ( c>bon1 alloy or armor /eel plate3 ,provid$ fur!r1 ,t ! ,secret>y ( ! milit>y dep>tm5t responsible = ! procurem5t may waive ?is re/riction on a case-by-case basis by c]tify+ 9 writ+ to ! ,committees on ,appropriations ( ! ,h\se ( ,repres5tatives & ! ,s5ate t adequate dome/ic supplies are n available to meet ,dep>tm5t ( ,def5se requirem5ts on a timely basis & t su* an acquisition mu/ be made 9 ord] to acquire capability = national security purposes3 ,provid$ fur!r1 ,t ^! re/rictions %all n apply to contracts :i* are 9 be+ z ( ! date ( ! enactm5t ( ?is ,act4 #aabe4 ,= ! purposes ( ?is ,act1 ! t]m congressional def5se committees means ! ,arm$ ,s]vices ,committee ( ! ,h\se ( ,repres5tatives1 ! ,arm$ ,s]vices ,committee ( ! ,s5ate1 ! ,subcommittee on ,def5se ( ! ,committee on ,appropriations ( ! ,s5ate1 & ! ,subcommittee on ,def5se ( ! ,committee on ,appropriations ( ! ,h\se ( ,repres5tatives4 #aabf4 ,dur+ ! curr5t fiscal ye>1 ! ,dep>tm5t ( ,def5se may acquire ! modification1 depot ma9t5ance & repair ( aircraft1 vehicles & vessels z well z ! production ( compon5ts & o!r ,def5se-relat$ articles1 ?r\gh competition betwe5 ,dep>tm5t ( ,def5se depot ma9t5ance activities & private firms3 ,provid$1 ,t ! ,s5ior ,acquisition ,executive ( ! milit>y dep>tm5t or ,def5se ,ag5cy conc]n$1 ) p[] ( delegation1 %all c]tify t successful bids include comp>able e/imates ( all direct & indirect co/s = bo? public & private bids3 ,provid$ fur!r1 ,t ,(fice ( ,managem5t & ,budget ,circul> ,a-#gf %all n apply to competitions conduct$ "u ?is section4 #aabg4 7a7 7#a7 ,if ! ,secret>y ( ,def5se1 aft] consultation ) ! ,unit$ ,/ates ,trade ,repres5tative1 det]m9es t a =eign c\ntry :i* is p>ty to an agreem5t describ$ 9 p>agraph 7#b7 has violat$ ! t]ms ( ! agreem5t by discrim9at+ aga9/ c]ta9 types ( products produc$ 9 ! ,unit$ ,/ates t are cov]$ by ! agreem5t1 ! ,secret>y ( ,def5se %all resc9d ! ,secret>y's blanket waiv] ( ! ,buy ,am]ican ,act ) respect to su* types ( products produc$ 9 t =eign c\ntry4 7#b7 ,an agreem5t ref]r$ to 9 p>agraph 7#a7 is any reciprocal def5se procurem5t memor&um ( und]/&+1 betwe5 ! ,unit$ ,/ates & a =eign c\ntry pursuant to :i* ! ,secret>y ( ,def5se has prospectively waiv$ ! ,buy ,am]ican ,act = c]ta9 products 9 t c\ntry4 7b7 ,! ,secret>y ( ,def5se %all submit to ! ,congress a report on ! am\nt ( ,dep>tm5t ( ,def5se pur*ases f =eign entities 9 fiscal ye> #bjah4 ,su* report %all sep>ately indicate ! doll> value ( items = :i* ! ,buy ,am]ican ,act 0 waiv$ pursuant to any agreem5t describ$ 9 subsection 7a77#b71 ! ,trade ,agreem5t ,act ( #aigi 7#ai ,u4,s4,c4 #beja et seq471 or any int]national agreem5t to :i* ! ,unit$ ,/ates is a p>ty4 7c7 ,= purposes ( ?is section1 ! t]m ,buy ,am]ican ,act means *apt] #hc ( title #da1 ,unit$ ,/ates ,code4 #aabh4 ,dur+ ! curr5t fiscal ye>1 am\nts conta9$ 9 ! ,dep>tm5t ( ,def5se ,ov]seas ,milit>y ,facility ,inve/m5t ,recov]y ,acc\nt e/abli%$ by section #biba7;c77#a7 ( ! ,national ,def5se ,au?orization ,act ( #aiia 7,public ,law #aja-eaj2 #aj ,u4,s4,c4 #bfhg note7 %all be available until exp5d$ = ! paym5ts specifi$ by section #biba7;c77#b7 ( t ,act4 #aabi4 7a7 ,not)/&+ any o!r provision ( law1 ! ,secret>y ( ! ,air ,=ce may convey at no co/ to ! ,air ,=ce1 )\t consid]ation1 to ,indian tribes locat$ 9 ! ,/ates ( ,nevada1 ,idaho1 ,nor? ,dakota1 ,s\? ,dakota1 ,montana1 ,oregon1 ,m9nesota1 & ,wa%+ton relocatable milit>y h\s+ units locat$ at ,gr& ,=ks ,air ,=ce ,base1 ,malm/rom ,air ,=ce ,base1 ,m\nta9 ,home ,air ,=ce ,base1 ,ellswor? ,air ,=ce ,base1 & ,m9ot ,air ,=ce ,base t are excess to ! ne$s ( ! ,air ,=ce4 7b7 ,! ,secret>y ( ! ,air ,=ce %all convey1 at no co/ to ! ,air ,=ce1 milit>y h\s+ units "u subsection 7a7 9 accordance ) ! reque/ = su* units t are submitt$ to ! ,secret>y by ! ,op]ation ,walk+ ,%ield ,program on behalf ( ,indian tribes locat$ 9 ! ,/ates ( ,nevada1 ,idaho1 ,nor? ,dakota1 ,s\? ,dakota1 ,montana1 ,oregon1 ,m9nesota1 & ,wa%+ton4 ,any su* conveyance %all be subject to ! condition t ! h\s+ units %all be remov$ )9 a reasonable p]iod ( "t1 z det]m9$ by ! ,secret>y4 7c7 ,! ,op]ation ,walk+ ,%ield ,program %all resolve any conflicts among reque/s ( ,indian tribes = h\s+ units "u subsection 7a7 be=e submitt+ reque/s to ! ,secret>y ( ! ,air ,=ce "u subsection 7b74 7d7 ,9 ?is section1 ! t]m ,indian tribe means any recogniz$ ,indian tribe includ$ on ! curr5t li/ publi%$ by ! ,secret>y ( ! ,int]ior "u section #ajd ( ! ,f$]ally ,recogniz$ ,indian ,tribe ,act ( #aiid 7,public ,law #ajc-ded2 #ajh ,/at4 #dgib2 #be ,u4,s4,c4 #dgi;a-#a74 #aacj4 ,dur+ ! curr5t fiscal ye>1 appropriations :i* are available to ! ,dep>tm5t ( ,def5se = op]ation & ma9t5ance may be us$ to pur*ase items hav+ an inve/m5t item unit co/ ( n m ?an #bej1jjj4 #aaca4 ,none ( ! funds made available by ?is ,act may be us$ to-- 7#a7 dise/abli%1 or prep>e to dise/abli%1 a ,s5ior ,res]ve ,(fic]s' ,tra9+ ,corps program 9 accordance ) ,dep>tm5t ( ,def5se ,in/ruction ,numb] #abae4jh1 dat$ ,june #bf1 #bjjf2 or 7#b7 close1 d[ngrade f ho/ to ext5sion c5t]1 or place on probation a ,s5ior ,res]ve ,(fic]s' ,tra9+ ,corps program 9 accordance ) ! in=mation pap] ( ! ,dep>tm5t ( ! ,army titl$ ,army ,s5ior ,res]ve ,(fic]s' ,tra9+ ,corps 7,,srotc7 ,program ,review & ,crit]ia1 dat$ ,janu>y #bg1 #bjad4 #aacb4 ,! ,secret>y ( ,def5se %all issue regulations to prohibit ! sale ( any tobacco or tobacco-relat$ products 9 milit>y resale outlets 9 ! ,unit$ ,/ates1 its t]ritories & possessions at a price bel[ ! mo/ competitive price 9 ! local community3 ,provid$1 ,t su* regulations %all direct t ! prices ( tobacco or tobacco-relat$ products 9 ov]seas milit>y retail outlets %all be )9 ! range ( prices e/abli%$ = milit>y retail sy/em /ores locat$ 9 ! ,unit$ ,/ates4 #aacc4 7a7 ,dur+ ! curr5t fiscal ye>1 none ( ! appropriations or funds available to ! ,dep>tm5t ( ,def5se ,work+ ,capital ,funds %all be us$ = ! pur*ase ( an inve/m5t item = ! purpose ( acquir+ a new inv5tory item = sale or anticipat$ sale dur+ ! curr5t fiscal ye> or a subsequ5t fiscal ye> to cu/om]s ( ! ,dep>tm5t ( ,def5se ,work+ ,capital ,funds if su* an item w\ld n h be5 *>geable to ! ,dep>tm5t ( ,def5se ,bus9ess ,op]ations ,fund dur+ fiscal ye> #aiid & if ! pur*ase ( su* an inve/m5t item w\ld be *>geable dur+ ! curr5t fiscal ye> to appropriations made to ! ,dep>tm5t ( ,def5se = procurem5t4 7b7 ,! fiscal ye> #bjai budget reque/ = ! ,dep>tm5t ( ,def5se z well z all ju/ification mat]ial & o!r docum5tation support+ ! fiscal ye> #bjai ,dep>tm5t ( ,def5se budget %all be prep>$ & submitt$ to ! ,congress on ! basis t any equipm5t :i* 0 classifi$ z an end item & fund$ 9 a procurem5t appropriation conta9$ 9 ?is ,act %all be budget$ = 9 a propos$ fiscal ye> #bjai procurem5t appropriation & n 9 ! supply managem5t bus9ess area or any o!r area or category ( ! ,dep>tm5t ( ,def5se ,work+ ,capital ,funds4 #aacd4 ,none ( ! funds appropriat$ by ?is ,act = programs ( ! ,c5tral ,intellig5ce ,ag5cy %all rema9 available = obligation beyond ! curr5t fiscal ye>1 except = funds appropriat$ = ! ,res]ve = ,cont+5cies1 :i* %all rema9 available until ,septemb] #cj1 #bjai3 ,provid$1 ,t funds appropriat$1 transf]r$1 or o!rwise cr$it$ to ! ,c5tral ,intellig5ce ,ag5cy ,c5tral ,s]vices ,work+ ,capital ,fund dur+ ?is or any prior or subsequ5t fiscal ye> %all rema9 available until exp5d$3 ,provid$ fur!r1 ,t any funds appropriat$ or transf]r$ to ! ,c5tral ,intellig5ce ,ag5cy = advanc$ rese>* & developm5t acquisition1 = ag5t op]ations1 & = cov]t action programs au?oriz$ by ! ,presid5t "u section #ejc ( ! ,national ,security ,act ( #aidg 7#ej ,u4,s4,c4 #cjic7 %all rema9 available until ,septemb] #cj1 #bjai4 #aace4 ,not)/&+ any o!r provision ( law1 funds made available 9 ?is ,act & h]eaft] = ! ,def5se ,intellig5ce ,ag5cy may be us$ = ! design1 developm5t1 & deploym5t ( ,g5]al ,def5se ,intellig5ce ,program intellig5ce communications & intellig5ce in=mation sy/ems = ! ,s]vices1 ! ,unifi$ & ,specifi$ ,comm&s1 & ! compon5t comm&s4 #aacf4 ,( ! funds appropriat$ to ! ,dep>tm5t ( ,def5se "u ! head+ ,op]ation & ,ma9t5ance1 ,def5se-,wide1 n less ?an #ab1jjj1jjj %all be made available only = ! mitigation ( environm5tal impacts1 includ+ tra9+ & te*nical assi/ance to tribes1 relat$ adm9i/rative support1 ! ga!r+ ( in=mation1 docum5t+ ( environm5tal damage1 & develop+ a sy/em = prioritization ( mitigation & co/ to complete e/imates = mitigation1 on ,indian l&s result+ f ,dep>tm5t ( ,def5se activities4 #aacg4 7a7 ,none ( ! funds appropriat$ 9 ?is ,act may be exp5d$ by an entity ( ! ,dep>tm5t ( ,def5se unless ! entity1 9 exp5d+ ! funds1 complies ) ! ,buy ,am]ican ,act4 ,= purposes ( ?is subsection1 ! t]m ,buy ,am]ican ,act means *apt] #hc ( title #da1 ,unit$ ,/ates ,code4 7b7 ,if ! ,secret>y ( ,def5se det]m9es t a p]son has be5 convict$ ( int5tionally affix+ a label be>+ a ,made 9 ,am]ica inscription to any product sold 9 or %ipp$ to ! ,unit$ ,/ates t is n made 9 ,am]ica1 ! ,secret>y %all det]m9e1 9 accordance ) section #bdaj;f ( title #aj1 ,unit$ ,/ates ,code1 :e!r ! p]son %\ld be deb>r$ f contract+ ) ! ,dep>tm5t ( ,def5se4 7c7 ,9 ! case ( any equipm5t or products pur*as$ ) appropriations provid$ "u ?is ,act1 x is ! s5se ( ! ,congress t any entity ( ! ,dep>tm5t ( ,def5se1 9 exp5d+ ! appropriation1 pur*ase only ,am]ican-made equipm5t & products1 provid$ t ,am]ican-made equipm5t & products are co/-competitive1 quality competitive1 & available 9 a timely fa%ion4 #aach4 7a7 ,except z provid$ 9 subsections 7b7 & 7c71 none ( ! funds made available by ?is ,act may be us$-- 7#a7 to e/abli% a field op]at+ ag5cy2 or 7#b7 to pay ! basic pay ( a memb] ( ! ,arm$ ,=ces or civilian employee ( ! dep>tm5t :o is transf]r$ or reassign$ f a headqu>t]s activity if ! memb] or employee's place ( duty rema9s at ! location ( t headqu>t]s4 7b7 ,! ,secret>y ( ,def5se or ,secret>y ( a milit>y dep>tm5t may waive ! limitations 9 subsection 7a71 on a case-by-case basis1 if ! ,secret>y det]m9es1 & c]tifies to ! ,committees on ,appropriations ( ! ,h\se ( ,repres5tatives & ! ,s5ate t ! grant+ ( ! waiv] w r$uce ! p]sonnel requirem5ts or ! f9ancial requirem5ts ( ! dep>tm5t4 7c7 ,?is section does n apply to-- 7#a7 field op]at+ ag5cies fund$ )9 ! ,national ,intellig5ce ,program2 7#b7 an ,army field op]at+ ag5cy e/abli%$ to elim9ate1 mitigate1 or c\nt] ! effects ( improvis$ explosive devices1 &1 z det]m9$ by ! ,secret>y ( ! ,army1 o!r simil> ?reats2 7#c7 an ,army field op]at+ ag5cy e/abli%$ to improve ! effectiv5ess & effici5cies ( biometric activities & to integrate common biometric te*nologies ?r\gh\t ! ,dep>tm5t ( ,def5se2 or 7#d7 an ,air ,=ce field op]at+ ag5cy e/abli%$ to adm9i/] ! ,air ,=ce ,mortu>y ,affairs ,program & ,mortu>y ,op]ations = ! ,dep>tm5t ( ,def5se & au?oriz$ ,f$]al entities4 #aaci4 7a7 ,none ( ! funds appropriat$ by ?is ,act %all be available to conv]t to contractor p]=mance an activity or function ( ! ,dep>tm5t ( ,def5se t1 on or aft] ! date ( ! enactm5t ( ?is ,act1 is p]=m$ by ,dep>tm5t ( ,def5se civilian employees unless-- 7#a7 ! conv]sion is bas$ on ! result ( a public-private competition t includes a mo/ effici5t & co/ effective organization plan develop$ by su* activity or function2 7#b7 ! ,competitive ,s\rc+ ,(ficial det]m9es t1 ov] all p]=mance p]iods /at$ 9 ! solicitation ( (f]s = p]=mance ( ! activity or function1 ! co/ ( p]=mance ( ! activity or function by a contractor w\ld be less co/ly to ! ,dep>tm5t ( ,def5se by an am\nt t equals or exce$s ! less] (-- 7,a7 #aj p]c5t ( ! mo/ effici5t organization's p]sonnel-relat$ co/s = p]=mance ( t activity or function by ,f$]al employees2 or 7,b7 #aj1jjj1jjj2 & 7#c7 ! contractor does n receive an advantage = a proposal t w\ld r$uce co/s = ! ,dep>tm5t ( ,def5se by-- 7,a7 n mak+ an employ]-sponsor$ heal? insurance plan available to ! work]s :o are to be employ$ 9 ! p]=mance ( t activity or function "u ! contract2 or 7,b7 (f]+ to su* work]s an employ]-sponsor$ heal? b5efits plan t requires ! employ] to contribute less t[>ds ! premium or subscription %>e ?an ! am\nt t is paid by ! ,dep>tm5t ( ,def5se = heal? b5efits = civilian employees "u *apt] #hi ( title #e1 ,unit$ ,/ates ,code4 7b7 7#a7 ,! ,dep>tm5t ( ,def5se1 )\t reg>d to subsection 7a7 ( ?is section or subsection 7a71 7b71 or 7c7 ( section #bdfa ( title #aj1 ,unit$ ,/ates ,code1 & not)/&+ any adm9i/rative regulation1 requirem5t1 or policy to ! contr>y %all h full au?ority to ent] into a contract = ! p]=mance ( any comm]cial or indu/rial type function ( ! ,dep>tm5t ( ,def5se t-- 7,a7 is includ$ on ! procurem5t li/ e/abli%$ pursuant to section #b ( ! ,javits-,wagn]-,o',day ,act 7section #hejc ( title #da1 ,unit$ ,/ates ,code72 7,b7 is plann$ to be conv]t$ to p]=mance by a qualifi$ nonpr(it ag5cy = ! bl9d or by a qualifi$ nonpr(it ag5cy = o!r sev]ely h&icapp$ individuals 9 accordance ) t ,act2 or 7,c7 is plann$ to be conv]t$ to p]=mance by a qualifi$ firm "u at lea/ #ea p]c5t own]%ip by an ,indian tribe1 z def9$ 9 section #d7;e7 ( ! ,indian ,self-,det]m9ation & ,education ,assi/ance ,act 7#be ,u4,s4,c4 #dej;b7e771 or a ,native ,hawaiian ,organization1 z def9$ 9 section #h7;a77#ae7 ( ! ,small ,bus9ess ,act 7#ae ,u4,s4,c4 #fcg7;a77#ae774 7#b7 ,?is section %all n apply to depot contracts or contracts = depot ma9t5ance z provid$ 9 sections #bdfi & #bdgd ( title #aj1 ,unit$ ,/ates ,code4 7c7 ,! conv]sion ( any activity or function ( ! ,dep>tm5t ( ,def5se "u ! au?ority provid$ by ?is section %all be cr$it$ t[>d any competitive or outs\rc+ goal1 t>get1 or measurem5t t may be e/abli%$ by /atute1 regulation1 or policy & is deem$ to be aw>d$ "u ! au?ority (1 & 9 compliance )1 subsection 7h7 ( section #bcjd ( title #aj1 ,unit$ ,/ates ,code1 = ! competition or outs\rc+ ( comm]cial activities4 7rescissions7 #aadj4 ,( ! funds appropriat$ 9 ,dep>tm5t ( ,def5se ,appropriations ,acts1 ! foll[+ funds are h]eby resc9d$ f ! foll[+ acc\nts & programs 9 ! specifi$ am\nts3 ,provid$1 ,t no am\nts may be resc9d$ f am\nts t 7 designat$ by ! ,congress = ,ov]seas ,cont+5cy ,op]ations_/,global ,w> on ,t]rorism or z an em]g5cy requirem5t pursuant to ! ,concurr5t ,resolution on ! ,budget or ! ,balanc$ ,budget & ,em]g5cy ,deficit ,control ,act ( #aihe1 z am5d$3 ,aircraft ,procurem5t1 ,navy1 #bjaf_/bjah1 #bgd1jjj1jjj2 ,aircraft ,procurem5t1 ,air ,=ce1 #bjaf_/bjah1 #hb1gjj1jjj2 ,missile ,procurem5t1 ,army1 #bjag_/bjai1 #ai1cai1jjj2 ,procurem5t ( ,weapons & ,track$ ,combat ,vehicles1 ,army1 #bjag_/bjai1 #i1gfd1jjj2 ,o!r ,procurem5t1 ,army1 #bjag_/bjai1 #aj1jjj1jjj2 ,aircraft ,procurem5t1 ,navy1 #bjag_/bjai1 #aje1fjj1jjj2 ,weapons ,procurem5t1 ,navy1 #bjag_/bjai1 #ed1abb1jjj2 ,%ipbuild+ & ,conv]sion1 ,navy1 #bjag_/bjba1 #de1aaf1jjj2 ,aircraft ,procurem5t1 ,air ,=ce1 #bjag_/bjai1 #fc1bic1jjj2 ,missile ,procurem5t1 ,air ,=ce1 #bjag_/bjai1 #ca1fci1jjj2 ,space ,procurem5t1 ,air ,=ce1 #bjag_/bjai1 #ae1jjj1jjj2 ,o!r ,procurem5t1 ,air ,=ce1 #bjag_/bjai1 #aje1jjj1jjj2 ,rese>*1 ,developm5t1 ,te/ & ,evaluation1 ,navy1 #bjag_/bjah1 #cd1abh1jjj2 ,rese>*1 ,developm5t1 ,te/ & ,evaluation1 ,air ,=ce1 #bjag_/bjah1 #da1gjj1jjj4 #aada4 ,none ( ! funds available 9 ?is ,act may be us$ to r$uce ! au?oriz$ positions = milit>y te*nicians 7dual /atus7 ( ! ,army ,national ,gu>d1 ,air ,national ,gu>d1 ,army ,res]ve & ,air ,=ce ,res]ve = ! purpose ( apply+ any adm9i/ratively impos$ civilian p]sonnel ceil+1 freeze1 or r$uction on milit>y te*nicians 7dual /atus71 unless su* r$uctions are a direct result ( a r$uction 9 milit>y =ce /ructure4 #aadb4 ,none ( ! funds appropriat$ or o!rwise made available 9 ?is ,act may be obligat$ or exp5d$ = assi/ance to ! ,democratic ,p's ,republic ( ,korea unless specifically appropriat$ = t purpose4 #aadc4 ,funds appropriat$ 9 ?is ,act = op]ation & ma9t5ance ( ! ,milit>y ,dep>tm5ts1 ,combatant ,comm&s & ,def5se ,ag5cies %all be available = reimbursem5t ( pay1 all[ances & o!r exp5ses :i* w\ld o!rwise be incurr$ aga9/ appropriations = ! ,national ,gu>d & ,res]ve :5 memb]s ( ! ,national ,gu>d & ,res]ve provide intellig5ce or c\nt]9tellig5ce support to ,combatant ,comm&s1 ,def5se ,ag5cies & ,jo9t ,intellig5ce ,activities1 includ+ ! activities & programs includ$ )9 ! ,national ,intellig5ce ,program & ! ,milit>y ,intellig5ce ,program3 ,provid$1 ,t no?+ 9 ?is section au?orizes deviation f e/abli%$ ,res]ve & ,national ,gu>d p]sonnel & tra9+ proc$ures4 #aadd4 7a7 ,none ( ! funds available to ! ,dep>tm5t ( ,def5se = any fiscal ye> = drug int]diction or c\nt]-drug activities may be transf]r$ to any o!r dep>tm5t or ag5cy ( ! ,unit$ ,/ates except z specifically provid$ 9 an appropriations law4 7b7 ,none ( ! funds available to ! ,c5tral ,intellig5ce ,ag5cy = any fiscal ye> = drug int]diction or c\nt]-drug activities may be transf]r$ to any o!r dep>tm5t or ag5cy ( ! ,unit$ ,/ates except z specifically provid$ 9 an appropriations law4 #aade4 ,none ( ! funds appropriat$ by ?is ,act may be us$ = ! procurem5t ( ball & roll] be>+s o!r ?an ^? produc$ by a dome/ic s\rce & ( dome/ic orig93 ,provid$1 ,t ! ,secret>y ( ! milit>y dep>tm5t responsible = su* procurem5t may waive ?is re/riction on a case-by-case basis by c]tify+ 9 writ+ to ! ,committees on ,appropriations ( ! ,h\se ( ,repres5tatives & ! ,s5ate1 t adequate dome/ic supplies are n available to meet ,dep>tm5t ( ,def5se requirem5ts on a timely basis & t su* an acquisition mu/ be made 9 ord] to acquire capability = national security purposes3 ,provid$ fur!r1 ,t ?is re/riction %all n apply to ! pur*ase ( comm]cial items1 z def9$ by section #ajc ( title #da1 ,unit$ ,/ates ,code1 except t ! re/riction %all apply to ball or roll] be>+s pur*as$ z end items4 #aadf4 ,none ( ! funds made available by ?is ,act = ,evolv$ ,exp5dable ,laun* ,vehicle s]vice competitive procurem5ts may be us$ unless ! competitive procurem5ts are op5 = aw>d to all c]tifi$ provid]s ( ,evolv$ ,exp5dable ,laun* ,vehicle-class sy/ems3 ,provid$1 ,t ! aw>d %all be made to ! provid] t (f]s ! be/ value to ! gov]nm5t4 #aadg4 ,9 addition to ! am\nts appropriat$ or o!rwise made available else:]e 9 ?is ,act1 #dd1jjj1jjj is h]eby appropriat$ to ! ,dep>tm5t ( ,def5se3 ,provid$1 ,t ^u ! det]m9ation ( ! ,secret>y ( ,def5se t x %all s]ve ! national int]e/1 ! ,secret>y %all make grants 9 ! am\nts specifi$ z foll[s3 #bj1jjj1jjj to ! ,unit$ ,s]vice ,organizations & #bd1jjj1jjj to ! ,r$ ,cross4 #aadh4 ,none ( ! funds 9 ?is ,act may be us$ to pur*ase any sup]comput] :i* is n manufactur$ 9 ! ,unit$ ,/ates1 unless ! ,secret>y ( ,def5se c]tifies to ! congressional def5se committees t su* an acquisition mu/ be made 9 ord] to acquire capability = national security purposes t is n available f ,unit$ ,/ates manufactur]s4 #aadi4 ,not)/&+ any o!r provision 9 ?is ,act1 ! ,small ,bus9ess ,innovation ,rese>* program & ! ,small ,bus9ess ,te*nology ,transf] program set-asides %all be tak5 proportionally f all programs1 projects1 or activities to ! ext5t !y contribute to ! extramural budget4 #aaej4 ,none ( ! funds available to ! ,dep>tm5t ( ,def5se "u ?is ,act %all be obligat$ or exp5d$ to pay a contractor "u a contract ) ! ,dep>tm5t ( ,def5se = co/s ( any am\nt paid by ! contractor to an employee :5-- 7#a7 su* co/s are = a bonus or o!rwise 9 excess ( ! normal sal>y paid by ! contractor to ! employee2 & 7#b7 su* bonus is "p ( re/ructur+ co/s associat$ ) a bus9ess comb9ation4 7includ+ transf] ( funds7 #aaea4 ,dur+ ! curr5t fiscal ye>1 no m ?an #cj1jjj1jjj ( appropriations made 9 ?is ,act "u ! head+ ,op]ation & ,ma9t5ance1 ,def5se-,wide may be transf]r$ to appropriations available = ! pay ( milit>y p]sonnel1 to be m]g$ )1 & to be available = ! same "t p]iod z ! appropriations to :i* transf]r$1 to be us$ 9 support ( su* p]sonnel 9 connection ) support & s]vices = eligible organizations & activities outside ! ,dep>tm5t ( ,def5se pursuant to section #bjab ( title #aj1 ,unit$ ,/ates ,code4 #aaeb4 ,dur+ ! curr5t fiscal ye>1 9 ! case ( an appropriation acc\nt ( ! ,dep>tm5t ( ,def5se = :i* ! p]iod ( availability = obligation has expir$ or :i* has clos$ "u ! provisions ( section #aeeb ( title #ca1 ,unit$ ,/ates ,code1 & :i* has a negative unliquidat$ or unexp5d$ balance1 an obligation or an adju/m5t ( an obligation may be *>g$ to any curr5t appropriation acc\nt = ! same purpose z ! expir$ or clos$ acc\nt if-- 7#a7 ! obligation w\ld h be5 prop]ly *>geable 7except z to am\nt7 to ! expir$ or clos$ acc\nt be=e ! end ( ! p]iod ( availability or clos+ ( t acc\nt2 7#b7 ! obligation is n o!rwise prop]ly *>geable to any curr5t appropriation acc\nt ( ! ,dep>tm5t ( ,def5se2 & 7#c7 9 ! case ( an expir$ acc\nt1 ! obligation is n *>geable to a curr5t appropriation ( ! ,dep>tm5t ( ,def5se "u ! provisions ( section #adje7;b77#h7 ( ! ,national ,def5se ,au?orization ,act = ,fiscal ,ye> #aiia1 ,public ,law #aja-eaj1 z am5d$ 7#ca ,u4,s4,c4 #aeea note73 ,provid$1 ,t 9 ! case ( an expir$ acc\nt1 if subsequ5t review or inve/igation discloses t !re 0 n 9 fact a negative unliquidat$ or unexp5d$ balance 9 ! acc\nt1 any *>ge to a curr5t acc\nt "u ! au?ority ( ?is section %all be rev]s$ & record$ aga9/ ! expir$ acc\nt3 ,provid$ fur!r1 ,t ! total am\nt *>g$ to a curr5t appropriation "u ?is section may n exce$ an am\nt equal to #a p]c5t ( ! total appropriation = t acc\nt4 #aaec4 7a7 ,not)/&+ any o!r provision ( law1 ! ,*ief ( ! ,national ,gu>d ,bureau may p]mit ! use ( equipm5t ( ! ,national ,gu>d ,di/ance ,le>n+ ,project by any p]son or entity on a space-available1 reimbursable basis4 ,! ,*ief ( ! ,national ,gu>d ,bureau %all e/abli% ! am\nt ( reimbursem5t = su* use on a case-by-case basis4 7b7 ,am\nts collect$ "u subsection 7a7 %all be cr$it$ to funds available = ! ,national ,gu>d ,di/ance ,le>n+ ,project & be available to defray ! co/s associat$ ) ! use ( equipm5t ( ! project "u t subsection4 ,su* funds %all be available = su* purposes )\t fiscal ye> limitation4 #aaed4 ,none ( ! funds available to ! ,dep>tm5t ( ,def5se may be obligat$ to modify comm& & control relation%ips to give ,fleet ,=ces ,comm& op]ational & adm9i/rative control ( ,unit$ ,/ates ,navy =ces assign$ to ! ,pacific fleet3 ,provid$1 ,t ! comm& & control relation%ips :i* exi/$ on ,octob] #a1 #bjjd1 %all rema9 9 =ce until a writt5 modification has be5 propos$ to ! ,h\se & ,s5ate ,appropriations ,committees3 ,provid$ fur!r1 ,t ! propos$ modification may be implem5t$ #cj days aft] ! notification unless an objection is receiv$ f ei!r ! ,h\se or ,s5ate ,appropriations ,committees3 ,provid$ fur!r1 ,t any propos$ modification %all n preclude ! ability ( ! comm&] ( ,unit$ ,/ates ,pacific ,comm& to meet op]ational requirem5ts4 7includ+ transf] ( funds7 #aaee4 ,( ! funds appropriat$ 9 ?is ,act "u ! head+ ,op]ation & ,ma9t5ance1 ,def5se-,wide1 #be1jjj1jjj 7increas$ by #aj1jjj1jjj7 %all be = cont9u$ implem5tation & expansion ( ! ,sexual ,assault ,special ,victims' ,c\nsel ,program3 ,provid$1 ,t ! funds are made available = transf] to ! ,dep>tm5t ( ! ,army1 ! ,dep>tm5t ( ! ,navy1 & ! ,dep>tm5t ( ! ,air ,=ce3 ,provid$ fur!r1 ,t funds transf]r$ %all be m]g$ ) & available = ! same purposes & = ! same "t p]iod z ! appropriations to :i* ! funds are transf]r$3 ,provid$ fur!r1 ,t ?is transf] au?ority is 9 addition to any o!r transf] au?ority provid$ 9 ?is ,act4 #aaef4 ,none ( ! funds appropriat$ 9 title ,,iv ( ?is ,act may be us$ to procure end-items = deliv]y to milit>y =ces = op]ational tra9+1 op]ational use or inv5tory requirem5ts3 ,provid$1 ,t ?is re/riction does n apply to end-items us$ 9 developm5t1 prototyp+1 & te/ activities prec$+ & lead+ to acceptance = op]ational use3 ,provid$ fur!r1 ,t ?is re/riction does n apply to programs fund$ )9 ! ,national ,intellig5ce ,program3 ,provid$ fur!r1 ,t ! ,secret>y ( ,def5se may waive ?is re/riction on a case-by-case basis by c]tify+ 9 writ+ to ! ,committees on ,appropriations ( ! ,h\se ( ,repres5tatives & ! ,s5ate t x is 9 ! national security int]e/ to d s4 #aaeg4 7a7 ,! ,secret>y ( ,def5se may1 on a case-by-case basis1 waive ) respect to a =eign c\ntry ea* limitation on ! procurem5t ( def5se items f =eign s\rces provid$ 9 law if ! ,secret>y det]m9es t ! application ( ! limitation ) respect to t c\ntry w\ld invalidate coop]ative programs ent]$ into betwe5 ! ,dep>tm5t ( ,def5se & ! =eign c\ntry1 or w\ld invalidate reciprocal trade agreem5ts = ! procurem5t ( def5se items ent]$ into "u section #beca ( title #aj1 ,unit$ ,/ates ,code1 & ! c\ntry does n discrim9ate aga9/ ! same or simil> def5se items produc$ 9 ! ,unit$ ,/ates = t c\ntry4 7b7 ,subsection 7a7 applies ) respect to-- 7#a7 contracts & subcontracts ent]$ into on or aft] ! date ( ! enactm5t ( ?is ,act2 & 7#b7 options = ! procurem5t ( items t are ex]cis$ aft] su* date "u contracts t are ent]$ into be=e su* date if ! option prices are adju/$ = any reason o!r ?an ! application ( a waiv] grant$ "u subsection 7a74 7c7 ,subsection 7a7 does n apply to a limitation reg>d+ con/ruction ( public vessels1 ball & roll] be>+s1 food1 & clo?+ or textile mat]ials z def9$ by section ,,xi 7*apt]s #ej-fe7 ( ! ,h>moniz$ ,t>iff ,s*$ule ( ! ,unit$ ,/ates & products classifi$ "u head+s #djaj1 #dbjb1 #dbjc1 #fdja ?r\gh #fdjf1 #feje1 #gjai1 #gbah ?r\gh #gbbi1 #gcjd4da ?r\gh #gcjd4di1 #gcjf4dj1 #gejb ?r\gh #gejh1 #haje1 #hajh1 #haji1 #hbaa1 #hbae1 & #idjd4 #aaeh4 ,none ( ! funds appropriat$ or o!rwise made available by ?is or o!r ,dep>tm5t ( ,def5se ,appropriations ,acts may be obligat$ or exp5d$ = ! purpose ( p]=m+ repairs or ma9t5ance to milit>y family h\s+ units ( ! ,dep>tm5t ( ,def5se1 includ+ areas 9 su* milit>y family h\s+ units t may be us$ = ! purpose ( conduct+ (ficial ,dep>tm5t ( ,def5se bus9ess4 #aaei4 ,not)/&+ any o!r provision ( law1 funds appropriat$ 9 ?is ,act "u ! head+ ,rese>*1 ,developm5t1 ,te/ & ,evaluation1 ,def5se-,wide = any new />t advanc$ concept te*nology demon/ration project or jo9t capability demon/ration project may only be obligat$ #de days aft] a report1 includ+ a description ( ! project1 ! plann$ acquisition & transition /rategy & its e/imat$ annual & total co/1 has be5 provid$ 9 writ+ to ! congressional def5se committees3 ,provid$1 ,t ! ,secret>y ( ,def5se may waive ?is re/riction on a case-by-case basis by c]tify+ to ! congressional def5se committees t x is 9 ! national int]e/ to d s4 #aafj4 ,! ,secret>y ( ,def5se %all cont9ue to provide a classifi$ qu>t]ly report to ! ,h\se & ,s5ate ,appropriations ,committees1 ,subcommittees on ,def5se on c]ta9 matt]s z direct$ 9 ! classifi$ annex accompany+ ?is ,act4 #aafa4 ,not)/&+ section #abcaj7;b7 ( title #aj1 ,unit$ ,/ates ,code1 a ,res]ve :o is a memb] ( ! ,national ,gu>d s]v+ on full-"t ,national ,gu>d duty "u section #ejb7;f7 ( title #cb1 ,unit$ ,/ates ,code1 may p]=m duties 9 support ( ! gr\nd-bas$ elem5ts ( ! ,national ,balli/ic ,missile ,def5se ,sy/em4 #aafb4 ,none ( ! funds provid$ 9 ?is ,act may be us$ to transf] to any nongov]nm5tal entity ammunition held by ! ,dep>tm5t ( ,def5se t has a c5t]-fire c>tridge & a ,unit$ ,/ates milit>y nom5clature designation ( armor p5etrator1 armor pi]c+ 7,,ap71 armor pi]c+ inc5di>y 7,,api71 or armor-pi]c+ inc5di>y trac] 7,,api-,t71 except to an entity p]=m+ demilit>ization s]vices = ! ,dep>tm5t ( ,def5se "u a contract t requires ! entity to demon/rate to ! satisfaction ( ! ,dep>tm5t ( ,def5se t armor pi]c+ projectiles are ei!r3 7#a7 r5d]$ incapable ( reuse by ! demilit>ization process2 or 7#b7 us$ to manufacture ammunition pursuant to a contract ) ! ,dep>tm5t ( ,def5se or ! manufacture ( ammunition = export pursuant to a ,lic5se = ,p]man5t ,export ( ,unclassifi$ ,milit>y ,articles issu$ by ! ,dep>tm5t ( ,/ate4 #aafc4 ,not)/&+ any o!r provision ( law1 ! ,*ief ( ! ,national ,gu>d ,bureau1 or 8 designee1 may waive paym5t ( all or "p ( ! consid]ation t o!rwise w\ld be requir$ "u section #bffg ( title #aj1 ,unit$ ,/ates ,code1 9 ! case ( a lease ( p]sonal prop]ty = a p]iod n 9 excess ( #a ye> to any organization specifi$ 9 section #ejh7;d7 ( title #cb1 ,unit$ ,/ates ,code1 or any o!r y\?1 social1 or frat]nal nonpr(it organization z may be approv$ by ! ,*ief ( ! ,national ,gu>d ,bureau1 or 8 designee1 on a case-by-case basis4 7includ+ transf] ( funds7 #aafd4 ,( ! am\nts appropriat$ 9 ?is ,act "u ! head+ ,op]ation & ,ma9t5ance1 ,army1 #ff1hha1ghj %all rema9 available until exp5d$3 ,provid$1 ,t1 not)/&+ any o!r provision ( law1 ! ,secret>y ( ,def5se is au?oriz$ to transf] su* funds to o!r activities ( ! ,f$]al ,gov]nm5t3 ,provid$ fur!r1 ,t ! ,secret>y ( ,def5se is au?oriz$ to ent] into & c>ry out contracts = ! acquisition ( real prop]ty1 con/ruction1 p]sonal s]vices1 & op]ations relat$ to projects c>ry+ out ! purposes ( ?is section3 ,provid$ fur!r1 ,t contracts ent]$ into "u ! au?ority ( ?is section may provide = su* indemnification z ! ,secret>y det]m9es to be necess>y3 ,provid$ fur!r1 ,t projects au?oriz$ by ?is section %all comply ) applicable ,f$]al1 ,/ate1 & local law to ! maximum ext5t consi/5t ) ! national security1 z det]m9$ by ! ,secret>y ( ,def5se4 #aafe4 7a7 ,none ( ! funds appropriat$ 9 ?is or any o!r ,act may be us$ to take any action to modify-- 7#a7 ! appropriations acc\nt /ructure = ! ,national ,intellig5ce ,program budget1 includ+ ?r\gh ! creation ( a new appropriation or new appropriation acc\nt2 7#b7 h[ ! ,national ,intellig5ce ,program budget reque/ is pres5t$ 9 ! unclassifi$ ,p-#a1 ,r-#a1 & ,o-#a docum5ts support+ ! ,dep>tm5t ( ,def5se budget reque/2 7#c7 ! process by :i* ! ,national ,intellig5ce ,program appropriations are apportion$ to ! execut+ ag5cies2 or 7#d7 ! process by :i* ! ,national ,intellig5ce ,program appropriations are allott$1 obligat$ & disburs$4 7b7 ,no?+ 9 section 7a7 %all be con/ru$ to prohibit ! m]g] ( programs or *anges to ! ,national ,intellig5ce ,program budget at or bel[ ! ,exp5diture ,c5t] level1 provid$ su* *ange is o!rwise 9 accordance ) p>agraphs 7a77#a7-7c74 7c7 ,! ,director ( ,national ,intellig5ce & ! ,secret>y ( ,def5se may jo9tly1 only = ! purposes ( a*iev+ auditable f9ancial /atem5ts & improv+ fiscal report+1 /udy & develop detail$ proposals = alt]native f9ancial managem5t processes4 ,su* /udy %all include a compreh5sive c\nt]9tellig5ce risk assessm5t to ensure t none ( ! alt]native processes w adv]sely affect c\nt]9tellig5ce4 7d7 ,^u developm5t ( ! detail$ proposals def9$ "u subsection 7c71 ! ,director ( ,national ,intellig5ce & ! ,secret>y ( ,def5se %all-- 7#a7 provide ! propos$ alt]natives to all affect$ ag5cies2 7#b7 receive c]tification f all affect$ ag5cies atte/+ t ! propos$ alt]natives w help a*ieve auditability1 improve fiscal report+1 & w n adv]sely affect c\nt]9tellig5ce2 & 7#c7 n lat] ?an #cj days aft] receiv+ all necess>y c]tifications "u p>agraph 7#b71 pres5t ! propos$ alt]natives & c]tifications to ! congressional def5se & intellig5ce committees4 #aaff4 ,9 addition to am\nts provid$ else:]e 9 ?is ,act1 #e1jjj1jjj 7increas$ by #e1jjj1jjj7 is h]eby appropriat$ to ! ,dep>tm5t ( ,def5se1 to rema9 available = obligation until exp5d$3 ,provid$1 ,t not)/&+ any o!r provision ( law1 t ^u ! det]m9ation ( ! ,secret>y ( ,def5se t x %all s]ve ! national int]e/1 ^! funds %all be available only = a grant to ! ,fi%] ,h\se ,f\ndation1 ,inc41 only = ! con/ruction & furni%+ ( additional ,fi%] ,h\ses to meet ! ne$s ( milit>y family memb]s :5 confront$ ) ! illness or hospitalization ( an eligible milit>y b5efici>y4 7includ+ transf] ( funds7 #aafg4 ,( ! am\nts appropriat$ 9 ?is ,act "u ! head+s ,procurem5t1 ,def5se-,wide & ,rese>*1 ,developm5t1 ,te/ & ,evaluation1 ,def5se-,wide1 #gje1hjj1jjj %all be = ! ,israeli ,coop]ative ,programs3 ,provid$1 ,t ( ?is am\nt1 #ib1jjj1jjj %all be = ! ,secret>y ( ,def5se to provide to ! ,gov]nm5t ( ,israel = ! procurem5t ( ! ,iron ,dome def5se sy/em to c\nt] %ort-range rocket ?reats1 subject to ! ,u4,s4-,israel ,iron ,dome ,procurem5t ,agreem5t1 z am5d$2 #bba1ejj1jjj %all be = ! ,%ort ,range ,balli/ic ,missile ,def5se 7,,srbmd7 program1 includ+ cruise missile def5se rese>* & developm5t "u ! ,,srbmd program1 ( :i* #abj1jjj1jjj %all be = co-production activities ( ,,srbmd missiles 9 ! ,unit$ ,/ates & 9 ,israel to meet ,israel's def5se requirem5ts consi/5t ) ea* nation's laws1 regulations1 & proc$ures1 subject to ! ,u4,s4-,israeli co-production agreem5t = ,,srbmd1 z am5d$2 #bje1jjj1jjj %all be = an upp]-ti] compon5t to ! ,israeli ,missile ,def5se ,ar*itecture1 ( :i* #abj1jjj1jjj %all be = co-production activities ( ,arr[ #c ,upp] ,ti] missiles 9 ! ,unit$ ,/ates & 9 ,israel to meet ,israel's def5se requirem5ts consi/5t ) ea* nation's laws1 regulations1 & proc$ures1 subject to ! ,u4,s4-,israeli co-production agreem5t = ,arr[ #c ,upp] ,ti]1 z am5d$2 #aje1jjj1jjj %all be = te/+ ( ! upp]-ti] compon5t to ! ,israeli ,missile ,def5se ,ar*itecture 9 ! ,unit$ ,/ates2 & #hb1cjj1jjj %all be = ! ,arr[ ,sy/em ,improvem5t ,program includ+ developm5t ( a long range1 gr\nd & airborne1 detection suite3 ,provid$ fur!r1 ,t ! transf] au?ority provid$ "u ?is provision is 9 addition to any o!r transf] au?ority conta9$ 9 ?is ,act4 7includ+ transf] ( funds7 #aafh4 ,( ! am\nts appropriat$ 9 ?is ,act "u ! head+ ,%ipbuild+ & ,conv]sion1 ,navy1 #aag1edb1jjj %all be available until ,septemb] #cj1 #bjah1 to fund prior ye> %ipbuild+ co/ increases3 ,provid$1 ,t ^u enactm5t ( ?is ,act1 ! ,secret>y ( ! ,navy %all transf] funds to ! foll[+ appropriations 9 ! am\nts specifi$3 ,provid$ fur!r1 ,t ! am\nts transf]r$ %all be m]g$ ) & be available = ! same purposes z ! appropriations to :i* transf]r$ to3 7#a7 ,"u ! head+ ,%ipbuild+ & ,conv]sion1 ,navy1 #bjab_/bjah3 ,c>ri] ,replacem5t ,program #bj1jjj1jjj2 7#b7 ,"u ! head+ ,%ipbuild+ & ,conv]sion1 ,navy1 #bjjh_/bjah3 ,,ddg-#ea ,de/roy] #ai1dcf1jjj2 7#c7 ,"u ! head+ ,%ipbuild+ & ,conv]sion1 ,navy1 #bjab_/bjah3 ,littoral ,combat ,%ip #f1cid1jjj2 7#d7 ,"u ! head+ ,%ipbuild+ & ,conv]sion1 ,navy1 #bjab_/bjah3 ,,lha ,replacem5t #ad1bjj1jjj2 7#e7 ,"u ! head+ ,%ipbuild+ & ,conv]sion1 ,navy1 #bjac_/bjah3 ,,ddg-#ea ,de/roy] #ca1ida1jjj2 7#f7 ,"u ! head+ ,%ipbuild+ & ,conv]sion1 ,navy1 #bjad_/bjah3 ,litoral ,combat ,%ip #bj1dga1jjj2 & 7#g7 ,"u ! head+ ,%ipbuild+ & ,conv]sion1 ,navy1 #bjae_/bjah3 ,,lcac #e1ajj1jjj4 #aafi4 ,funds appropriat$ by ?is ,act1 or made available by ! transf] ( funds 9 ?is ,act1 = intellig5ce activities are deem$ to be specifically au?oriz$ by ! ,congress = purposes ( section #ejd ( ! ,national ,security ,act ( #aidg 7#ej ,u4,s4,c4 #cjid7 dur+ fiscal ye> #bjah until ! enactm5t ( ! ,intellig5ce ,au?orization ,act = ,fiscal ,ye> #bjah4 #aagj4 ,none ( ! funds provid$ 9 ?is ,act %all be available = obligation or exp5diture ?r\gh a reprogramm+ ( funds t creates or initiates a new program1 project1 or activity unless su* program1 project1 or activity mu/ be und]tak5 imm$iately 9 ! int]e/ ( national security & only aft] writt5 prior notification to ! congressional def5se committees4 #aaga4 ,! budget ( ! ,presid5t = fiscal ye> #bjah submitt$ to ! ,congress pursuant to section #aaje ( title #ca1 ,unit$ ,/ates ,code1 %all include sep>ate budget ju/ification docum5ts = co/s ( ,unit$ ,/ates ,arm$ ,=ces' p>ticipation 9 cont+5cy op]ations = ! ,milit>y ,p]sonnel acc\nts1 ! ,op]ation & ,ma9t5ance acc\nts1 ! ,procurem5t acc\nts1 & ! ,rese>*1 ,developm5t1 ,te/ & ,evaluation acc\nts3 ,provid$1 ,t ^! docum5ts %all include a description ( ! fund+ reque/$ = ea* cont+5cy op]ation1 = ea* milit>y s]vice1 to include all ,active & ,res]ve compon5ts1 & = ea* appropriations acc\nt3 ,provid$ fur!r1 ,t ^! docum5ts %all include e/imat$ co/s = ea* elem5t ( exp5se or object class1 a reconciliation ( increases & decreases = ea* cont+5cy op]ation1 & programmatic data includ+1 b n limit$ to1 troop /r5g? = ea* ,active & ,res]ve compon5t1 & e/imates ( ! major weapons sy/ems deploy$ 9 support ( ea* cont+5cy3 ,provid$ fur!r1 ,t ^! docum5ts %all include budget exhibits ,,op-#e & ,,op-#cb 7z def9$ 9 ! ,dep>tm5t ( ,def5se ,f9ancial ,managem5t ,regulation7 = all cont+5cy op]ations = ! budget ye> & ! two prec$+ fiscal ye>s4 #aagb4 ,none ( ! funds 9 ?is ,act may be us$ = rese>*1 developm5t1 te/1 evaluation1 procurem5t or deploym5t ( nucle> arm$ int]ceptors ( a missile def5se sy/em4 #aagc4 ,not)/&+ any o!r provision ( ?is ,act1 to reflect sav+s due to favorable =eign ex*ange rates1 ! total am\nt appropriat$ 9 ?is ,act is h]eby r$uc$ by #bhi1jjj1jjj4 #aagd4 ,none ( ! funds appropriat$ or made available 9 ?is ,act %all be us$ to r$uce or dise/abli% ! op]ation ( ! #ecrd ,wea!r ,reconnaissance ,squadron ( ! ,air ,=ce ,res]ve1 if su* action w\ld r$uce ! ,,wc-#acj ,wea!r ,reconnaissance mission bel[ ! levels fund$ 9 ?is ,act3 ,provid$1 ,t ! ,air ,=ce %all all[ ! #ecrd ,wea!r ,reconnaissance ,squadron to p]=m o!r missions 9 support ( national def5se requirem5ts dur+ ! non-hurricane season4 #aage4 ,none ( ! funds provid$ 9 ?is ,act %all be available = integration ( =eign intellig5ce in=mation unless ! in=mation has be5 lawfully collect$ & process$ dur+ ! conduct ( au?oriz$ =eign intellig5ce activities3 ,provid$1 ,t in=mation p]ta9+ to ,unit$ ,/ates p]sons %all only be h&l$ 9 accordance ) protections provid$ 9 ! ,f\r? ,am5dm5t ( ! ,unit$ ,/ates ,con/itution z implem5t$ ?r\gh ,executive ,ord] ,no4 #abccc4 #aagf4 7a7 ,none ( ! funds appropriat$ by ?is ,act may be us$ to transf] rese>* & developm5t1 acquisition1 or o!r program au?ority relat+ to curr5t tactical unmann$ a]ial vehicles 7,t,u,a,vs7 f ! ,army4 7b7 ,! ,army %all reta9 responsibility = & op]ational control ( ! ,,mq-#a;,c ,gray ,eagle ,unmann$ ,a]ial ,vehicle 7,,uav7 9 ord] to support ! ,secret>y ( ,def5se 9 matt]s relat+ to ! employm5t ( unmann$ a]ial vehicles4 #aagg4 ,none ( ! funds appropriat$ by ?is ,act = programs ( ! ,(fice ( ! ,director ( ,national ,intellig5ce %all rema9 available = obligation beyond ! curr5t fiscal ye>1 except = funds appropriat$ = rese>* & te*nology1 :i* %all rema9 available until ,septemb] #cj1 #bjai4 #aagh4 ,= purposes ( section #aeec7;b7 ( title #ca1 ,unit$ ,/ates ,code1 any subdivision ( appropriations made 9 ?is ,act "u ! head+ ,%ipbuild+ & ,conv]sion1 ,navy %all be consid]$ to be = ! same purpose z any subdivision "u ! head+ ,%ipbuild+ & ,conv]sion1 ,navy appropriations 9 any prior fiscal ye>1 & ! #a p]c5t limitation %all apply to ! total am\nt ( ! appropriation4 #aagi4 7a7 ,n lat] ?an #fj days aft] ! date ( enactm5t ( ?is ,act1 ! ,director ( ,national ,intellig5ce %all submit a report to ! congressional intellig5ce committees to e/abli% ! basel9e = application ( reprogramm+ & transf] au?orities = fiscal ye> #bjah3 ,provid$1 ,t ! report %all include-- 7#a7 a table = ea* appropriation ) a sep>ate column to display ! ,presid5t's budget reque/1 adju/m5ts made by ,congress1 adju/m5ts due to enact$ rescissions1 if appropriate1 & ! fiscal ye> enact$ level2 7#b7 a del9eation 9 ! table = ea* appropriation by ,exp5diture ,c5t] & project2 & 7#c7 an id5tification ( items ( special congressional int]e/4 7b7 ,none ( ! funds provid$ = ! ,national ,intellig5ce ,program 9 ?is ,act %all be available = reprogramm+ or transf] until ! report id5tifi$ 9 subsection 7a7 is submitt$ to ! congressional intellig5ce committees1 unless ! ,director ( ,national ,intellig5ce c]tifies 9 writ+ to ! congressional intellig5ce committees t su* reprogramm+ or transf] is necess>y z an em]g5cy requirem5t4 #aahj4 ,none ( ! funds made available by ?is ,act may be us$ to elim9ate1 re/ructure1 or realign ,army ,contract+ ,comm&--,new ,j]sey or make disproportionate p]sonnel r$uctions at any ,army ,contract+ ,comm&--,new ,j]sey sites )\t #cj-;day prior notification to ! congressional def5se committees4 7rescission7 #aaha4 ,( ! unobligat$ balances available to ! ,dep>tm5t ( ,def5se1 ! foll[+ funds are p]man5tly resc9d$ f ! foll[+ acc\nts & programs 9 ! specifi$ am\nts to reflect excess ca% balances 9 ! ,dep>tm5t ( ,def5se ,acquisition ,work=ce ,developm5t ,fund3 ,f ,dep>tm5t ( ,def5se ,acquisition ,work=ce ,developm5t ,fund1 ,def5se1 #aj1jjj1jjj4 #aahb4 ,none ( ! funds made available by ?is ,act = excess def5se articles1 assi/ance "u section #ccc ( title #aj1 ,unit$ ,/ates ,code1 or peacekeep+ op]ations = ! c\ntries designat$ annually to be 9 violation ( ! /&>ds ( ! ,*ild ,soldi]s ,prev5tion ,act ( #bjjh 7,public ,law #aaj-deg2 #bb ,u4,s4,c4 #bcgj;c-#a7 may be us$ to support any milit>y tra9+ or op]ation t includes *ild soldi]s1 z def9$ by ! ,*ild ,soldi]s ,prev5tion ,act ( #bjjh1 unless su* assi/ance is o!rwise p]mitt$ "u section #djd ( ! ,*ild ,soldi]s ,prev5tion ,act ( #bjjh4 #aahc4 7a7 ,none ( ! funds provid$ = ! ,national ,intellig5ce ,program 9 ?is or any prior appropriations ,act %all be available = obligation or exp5diture ?r\gh a reprogramm+ or transf] ( funds 9 accordance ) section #ajb;,a7d7 ( ! ,national ,security ,act ( #aidg 7#ej ,u4,s4,c4 #cjbd7;d77 t-- 7#a7 creates a new />t ef=t2 7#b7 t]m9ates a program ) appropriat$ fund+ ( #aj1jjj1jjj or m2 7#c7 transf]s fund+ into or out ( ! ,national ,intellig5ce ,program2 or 7#d7 transf]s fund+ betwe5 appropriations1 unless ! congressional intellig5ce committees are notifi$ #cj days 9 advance ( su* reprogramm+ ( funds2 ?is notification p]iod may be r$uc$ = urg5t national security requirem5ts4 7b7 ,none ( ! funds provid$ = ! ,national ,intellig5ce ,program 9 ?is or any prior appropriations ,act %all be available = obligation or exp5diture ?r\gh a reprogramm+ or transf] ( funds 9 accordance ) section #ajb;,a7d7 ( ! ,national ,security ,act ( #aidg 7#ej ,u4,s4,c4 #cjbd7;d77 t results 9 a cumulative increase or decrease ( ! levels specifi$ 9 ! classifi$ annex accompany+ ! ,act unless ! congressional intellig5ce committees are notifi$ #cj days 9 advance ( su* reprogramm+ ( funds2 ?is notification p]iod may be r$uc$ = urg5t national security requirem5ts4 #aahd4 ,! ,director ( ,national ,intellig5ce %all submit to ,congress ea* ye>1 at or ab\t ! "t t ! ,presid5t's budget is submitt$ to ,congress t ye> "u section #aaje7;a7 ( title #ca1 ,unit$ ,/ates ,code1 a future-ye>s intellig5ce program 7includ+ associat$ annexes7 reflect+ ! e/imat$ exp5ditures & propos$ appropriations includ$ 9 t budget4 ,any su* future-ye>s intellig5ce program %all cov] ! fiscal ye> ) respect to :i* ! budget is submitt$ & at lea/ ! f\r succe$+ fiscal ye>s4 #aahe4 ,= ! purposes ( ?is ,act1 ! t]m congressional intellig5ce committees means ! ,p]man5t ,select ,committee on ,intellig5ce ( ! ,h\se ( ,repres5tatives1 ! ,select ,committee on ,intellig5ce ( ! ,s5ate1 ! ,subcommittee on ,def5se ( ! ,committee on ,appropriations ( ! ,h\se ( ,repres5tatives1 & ! ,subcommittee on ,def5se ( ! ,committee on ,appropriations ( ! ,s5ate4 7includ+ transf] ( funds7 #aahf4 ,dur+ ! curr5t fiscal ye>1 n to exce$ #aa1jjj1jjj f ea* ( ! appropriations made 9 title ,,ii ( ?is ,act = ,op]ation & ,ma9t5ance1 ,army1 ,op]ation & ,ma9t5ance1 ,navy1 & ,op]ation & ,ma9t5ance1 ,air ,=ce may be transf]r$ by ! milit>y dep>tm5t conc]n$ to its c5tral fund e/abli%$ = ,fi%] ,h\ses & ,suites pursuant to section #bdic7;d7 ( title #aj1 ,unit$ ,/ates ,code4 7includ+ transf] ( funds7 #aahg4 ,n to exce$ #ejj1jjj1jjj appropriat$ by ?is ,act = op]ation & ma9t5ance may be available = ! purpose ( mak+ remittances & transf] to ! ,def5se ,acquisition ,work=ce ,developm5t ,fund 9 accordance ) section #agje ( title #aj1 ,unit$ ,/ates ,code4 #aahh4 7a7 ,any ag5cy receiv+ funds made available 9 ?is ,act1 %all1 subject to subsections 7b7 & 7c71 po/ on ! public website ( t ag5cy any report requir$ to be submitt$ by ! ,congress 9 ?is or any o!r ,act1 ^u ! det]m9ation by ! head ( ! ag5cy t x %all s]ve ! national int]e/4 7b7 ,subsection 7a7 %all n apply to a report if-- 7#a7 ! public po/+ ( ! report compromises national security2 or 7#b7 ! report conta9s propriet>y in=mation4 7c7 ,! head ( ! ag5cy po/+ su* report %all d s only aft] su* report has be5 made available to ! reque/+ ,committee or ,committees ( ,congress = no less ?an #de days4 #aahi4 7a7 ,none ( ! funds appropriat$ or o!rwise made available by ?is ,act may be exp5d$ = any ,f$]al contract = an am\nt 9 excess ( #a1jjj1jjj1 unless ! contractor agrees n to-- 7#a7 ent] into any agreem5t ) any ( its employees or indep5d5t contractors t requires1 z a condition ( employm5t1 t ! employee or indep5d5t contractor agree to resolve ?r\gh arbitration any claim "u title ,,vii ( ! ,civil ,rights ,act ( #aifd or any tort relat$ to or aris+ out ( sexual assault or h>assm5t1 includ+ assault & batt]y1 int5tional infliction ( emotional di/ress1 false imprisonm5t1 or neglig5t hir+1 sup]vision1 or ret5tion2 or 7#b7 take any action to en=ce any provision ( an exi/+ agreem5t ) an employee or indep5d5t contractor t m&ates t ! employee or indep5d5t contractor resolve ?r\gh arbitration any claim "u title ,,vii ( ! ,civil ,rights ,act ( #aifd or any tort relat$ to or aris+ out ( sexual assault or h>assm5t1 includ+ assault & batt]y1 int5tional infliction ( emotional di/ress1 false imprisonm5t1 or neglig5t hir+1 sup]vision1 or ret5tion4 7b7 ,none ( ! funds appropriat$ or o!rwise made available by ?is ,act may be exp5d$ = any ,f$]al contract unless ! contractor c]tifies t x requires ea* cov]$ subcontractor to agree n to ent] into1 & n to take any action to en=ce any provision (1 any agreem5t z describ$ 9 p>agraphs 7#a7 & 7#b7 ( subsection 7a71 ) respect to any employee or indep5d5t contractor p]=m+ "w relat$ to su* subcontract4 ,= purposes ( ?is subsection1 a cov]$ subcontractor is an entity t has a subcontract 9 excess ( #a1jjj1jjj on a contract subject to subsection 7a74 7c7 ,! prohibitions 9 ?is section d n apply ) respect to a contractor's or subcontractor's agreem5ts ) employees or indep5d5t contractors t may n be en=c$ 9 a c\rt ( ! ,unit$ ,/ates4 7d7 ,! ,secret>y ( ,def5se may waive ! application ( subsection 7a7 or 7b7 to a p>ticul> contractor or subcontractor = ! purposes ( a p>ticul> contract or subcontract if ! ,secret>y or ! ,deputy ,secret>y p]sonally det]m9es t ! waiv] is necess>y to avoid h>m to national security int]e/s ( ! ,unit$ ,/ates1 & t ! t]m ( ! contract or subcontract is n long] ?an necess>y to avoid su* h>m4 ,! det]m9ation %all set =? ) specificity ! gr\nds = ! waiv] & = ! contract or subcontract t]m select$1 & %all /ate any alt]natives consid]$ 9 lieu ( a waiv] & ! reasons ea* su* alt]native w\ld n avoid h>m to national security int]e/s ( ! ,unit$ ,/ates4 ,! ,secret>y ( ,def5se %all transmit to ,congress1 & simultane\sly make public1 any det]m9ation "u ?is subsection n less ?an #ae bus9ess days be=e ! contract or subcontract address$ 9 ! det]m9ation may be aw>d$4 7includ+ transf] ( funds7 #aaij4 ,f )9 ! funds appropriat$ = op]ation & ma9t5ance = ! ,def5se ,heal? ,program 9 ?is ,act1 up to #aae1eai1jjj1 %all be available = transf] to ! ,jo9t ,dep>tm5t ( ,def5se-,dep>tm5t ( ,vet]ans ,affairs ,m$ical ,facility ,demon/ration ,fund 9 accordance ) ! provisions ( section #agjd ( ! ,national ,def5se ,au?orization ,act = ,fiscal ,ye> #bjaj1 ,public ,law #aaa-hd3 ,provid$1 ,t = purposes ( section #agjd7;b71 ! facility op]ations fund$ are op]ations ( ! integrat$ ,capta9 ,james ,a4 ,lovell ,f$]al ,heal? ,c>e ,c5t]1 consi/+ ( ! ,nor? ,*icago ,vet]ans ,affairs ,m$ical ,c5t]1 ! ,navy ,ambulatory ,c>e ,c5t]1 & support+ facilities designat$ z a comb9$ ,f$]al m$ical facility z describ$ by section #gjf ( ,public ,law #aaj-dag3 ,provid$ fur!r1 ,t additional funds may be transf]r$ f funds appropriat$ = op]ation & ma9t5ance = ! ,def5se ,heal? ,program to ! ,jo9t ,dep>tm5t ( ,def5se-,dep>tm5t ( ,vet]ans ,affairs ,m$ical ,facility ,demon/ration ,fund ^u writt5 notification by ! ,secret>y ( ,def5se to ! ,committees on ,appropriations ( ! ,h\se ( ,repres5tatives & ! ,s5ate4 #aaia4 ,none ( ! funds appropriat$ or o!rwise made available by ?is ,act may be us$ by ! ,dep>tm5t ( ,def5se or a compon5t !re( 9 contrav5tion ( ! provisions ( section #acj;h ( title #aj1 ,unit$ ,/ates ,code4 #aaib4 ,appropriations available to ! ,dep>tm5t ( ,def5se may be us$ = ! pur*ase ( heavy & light armor$ vehicles = ! physical security ( p]sonnel or = =ce protection purposes up to a limit ( #dej1jjj p] vehicle1 not)/&+ price or o!r limitations applicable to ! pur*ase ( pass5g] c>ry+ vehicles4 7includ+ transf] ( funds7 #aaic4 ,^u a det]m9ation by ! ,director ( ,national ,intellig5ce t su* action is necess>y & 9 ! national int]e/1 ! ,director may1 ) ! approval ( ! ,(fice ( ,managem5t & ,budget1 transf] n to exce$ #a1ejj1jjj1jjj ( ! funds made available 9 ?is ,act = ! ,national ,intellig5ce ,program3 ,provid$1 ,t su* au?ority to transf] may n be us$ unless = high] priority items1 bas$ on un=ese5 intellig5ce requirem5ts1 ?an ^? = :i* orig9ally appropriat$ & 9 no case :]e ! item = :i* funds are reque/$ has be5 d5i$ by ! ,congress3 ,provid$ fur!r1 ,t a reque/ = multiple reprogramm+s ( funds us+ au?ority provid$ 9 ?is section %all be made prior to ,june #cj1 #bjag4 #aaid4 ,none ( ! funds appropriat$ or o!rwise made available 9 ?is or any o!r ,act may be us$ to transf]1 release1 or assi/ 9 ! transf] or release to or )9 ! ,unit$ ,/ates1 its t]ritories1 or possessions ,khalid ,%eikh ,mohamm$ or any o!r deta9ee :o-- 7#a7 is n a ,unit$ ,/ates citiz5 or a memb] ( ! ,arm$ ,=ces ( ! ,unit$ ,/ates2 & 7#b7 is or 0 held on or aft] ,june #bd1 #bjji1 at ,unit$ ,/ates ,naval ,/ation1 ,guantnamo ,bay1 ,cuba1 by ! ,dep>tm5t ( ,def5se4 #aaie4 7a7 ,none ( ! funds appropriat$ or o!rwise made available 9 ?is or any o!r ,act may be us$ to con/ruct1 acquire1 or modify any facility 9 ! ,unit$ ,/ates1 its t]ritories1 or possessions to h\se any individual describ$ 9 subsection 7c7 = ! purposes ( det5tion or imprisonm5t 9 ! cu/ody or "u ! effective control ( ! ,dep>tm5t ( ,def5se4 7b7 ,! prohibition 9 subsection 7a7 %all n apply to any modification ( facilities at ,unit$ ,/ates ,naval ,/ation1 ,guantnamo ,bay1 ,cuba4 7c7 ,an individual describ$ 9 ?is subsection is any individual :o1 z ( ,june #bd1 #bjji1 is locat$ at ,unit$ ,/ates ,naval ,/ation1 ,guantnamo ,bay1 ,cuba1 & :o-- 7#a7 is n a citiz5 ( ! ,unit$ ,/ates or a memb] ( ! ,arm$ ,=ces ( ! ,unit$ ,/ates2 & 7#b7 is-- 7,a7 9 ! cu/ody or "u ! effective control ( ! ,dep>tm5t ( ,def5se2 or 7,b7 o!rwise "u det5tion at ,unit$ ,/ates ,naval ,/ation1 ,guantnamo ,bay1 ,cuba4 #aaif4 ,none ( ! funds appropriat$ or o!rwise made available 9 ?is ,act may be us$ to transf] any individual deta9$ at ,unit$ ,/ates ,naval ,/ation ,guantnamo ,bay1 ,cuba1 to ! cu/ody or control ( ! individual's c\ntry ( orig91 any o!r =eign c\ntry1 or any o!r =eign entity except 9 accordance ) section #ajcd ( ! ,national ,def5se ,au?orization ,act = ,fiscal ,ye> #bjaf 7,public ,law #aad-ib7 & section #ajcd ( ! ,national ,def5se ,au?orization ,act = ,fiscal ,ye> #bjag 7,public ,law #aad-cbh74 #aaig4 ,none ( ! funds made available by ?is ,act may be us$ 9 contrav5tion ( ! ,w> ,p[]s ,resolution 7#ej ,u4,s4,c4 #aeda et seq474 #aaih4 7a7 ,none ( ! funds appropriat$ or o!rwise made available by ?is or any o!r ,act may be us$ by ! ,secret>y ( ,def5se1 or any o!r (ficial or (fic] ( ! ,dep>tm5t ( ,def5se1 to ent] into a contract1 memor&um ( und]/&+1 or coop]ative agreem5t )1 or make a grant to1 or provide a loan or loan gu>antee to ,rosoboronexport or any subsidi>y ( ,rosoboronexport4 7b7 ,! ,secret>y ( ,def5se may waive ! limitation 9 subsection 7a7 if ! ,secret>y1 9 consultation ) ! ,secret>y ( ,/ate & ! ,director ( ,national ,intellig5ce1 det]m9es t x is 9 ! vital national security int]e/ ( ! ,unit$ ,/ates to d s1 & c]tifies 9 writ+ to ! congressional def5se committees t1 to ! be/ ( ! ,secret>y's k3 7#a7 ,rosoboronexport has ceas$ ! transf] ( le?al milit>y equipm5t to1 & ! ma9t5ance ( exi/+ le?al milit>y equipm5t =1 ! ,gov]nm5t ( ! ,syrian ,arab ,republic2 7#b7 ,! arm$ =ces ( ! ,russian ,f$]ation h )drawn f ,crimea1 o!r ?an arm$ =ces pres5t on milit>y bases subject to agreem5ts 9 =ce betwe5 ! ,gov]nm5t ( ! ,russian ,f$]ation & ! ,gov]nm5t ( ,ukra9e2 & 7#c7 ,ag5ts ( ! ,russian ,f$]ation h ceas$ tak+ active measures to de/abilize ! control ( ! ,gov]nm5t ( ,ukra9e ov] ea/]n ,ukra9e4 7c7 ,! ,inspector ,g5]al ( ! ,dep>tm5t ( ,def5se %all conduct a review ( any action involv+ ,rosoboronexport ) respect to a waiv] issu$ by ! ,secret>y ( ,def5se pursuant to subsection 7b71 & n lat] ?an #ij days aft] ! date on :i* su* a waiv] is issu$ by ! ,secret>y ( ,def5se1 ! ,inspector ,g5]al %all submit to ! congressional def5se committees a report conta9+ ! results ( ! review conduct$ ) respect to su* waiv]4 #aaii4 ,none ( ! funds made available 9 ?is ,act may be us$ = ! pur*ase or manufacture ( a flag ( ! ,unit$ ,/ates unless su* flags are treat$ z cov]$ items "u section #becc;a7b7 ( title #aj1 ,unit$ ,/ates ,code4 #abjj4 7a7 ,( ! funds appropriat$ 9 ?is ,act = ! ,dep>tm5t ( ,def5se1 am\nts may be made available1 "u su* regulations z ! ,secret>y ( ,def5se may prescribe1 to local milit>y comm&]s appo9t$ by ! ,secret>y1 or by an (fic] or employee designat$ by ! ,secret>y1 to provide at _! discretion ex gratia paym5ts 9 am\nts consi/5t ) subsection 7d7 ( ?is section = damage1 p]sonal injury1 or dea? t is incid5t to combat op]ations ( ! ,arm$ ,=ces 9 a =eign c\ntry4 7b7 ,an ex gratia paym5t "u ?is section may be provid$ only if-- 7#a7 ! prospective =eign civilian recipi5t is det]m9$ by ! local milit>y comm&] to be fri5dly to ! ,unit$ ,/ates2 7#b7 a claim = damages w\ld n be comp5sable "u *apt] #afc ( title #aj1 ,unit$ ,/ates ,code 7commonly kn[n z ! ,=eign ,claims ,act72 & 7#c7 ! prop]ty damage1 p]sonal injury1 or dea? 0 n caus$ by action by an enemy4 7c7 ,nature ( paym5ts ,any paym5ts provid$ "u a program "u subsection 7a7 %all n be consid]$ an admission or ackn[l$gem5t ( any legal obligation to comp5sate = any damage1 p]sonal injury1 or dea?4 7d7 ,am\nt ( paym5ts ,if ! ,secret>y ( ,def5se det]m9es a program "u subsection 7a7 to be appropriate 9 a p>ticul> sett+1 ! am\nts ( paym5ts1 if any1 to be provid$ to civilians det]m9$ to h suff]$ h>m incid5t to combat op]ations ( ! ,arm$ ,=ces "u ! program %\ld be det]m9$ pursuant to regulations prescrib$ by ! ,secret>y & bas$ on an assessm5t1 :i* %\ld include su* factors z cultural appropriat5ess & prevail+ economic conditions4 7e7 ,legal advice ,local milit>y comm&]s %all receive legal advice be=e mak+ ex gratia paym5ts "u ?is subsection4 ,! legal advisor1 "u regulations ( ! ,dep>tm5t ( ,def5se1 %all advise on :e!r an ex gratia paym5t is prop] "u ?is section & applicable ,dep>tm5t ( ,def5se regulations4 7f7 ,writt5 record ,a writt5 record ( any ex gratia paym5t (f]$ or d5i$ %all be kept by ! local comm&] & on a timely basis submitt$ to ! appropriate (fice 9 ! ,dep>tm5t ( ,def5se z det]m9$ by ! ,secret>y ( ,def5se4 7g7 ,report ,! ,secret>y ( ,def5se %all report to ! congressional def5se committees on an annual basis ! efficacy ( ! ex gratia paym5t program includ+ ! numb] ( types ( cases consid]$1 am\nts (f]$1 ! response f ex gratia paym5t recipi5ts1 & any recomm5d$ modifications to ! program4 #abja4 ,none ( ! funds available 9 ?is ,act to ! ,dep>tm5t ( ,def5se1 o!r ?an appropriations made = necess>y or r\t9e refurbi%m5ts1 upgrades or ma9t5ance activities1 %all be us$ to r$uce or to prep>e to r$uce ! numb] ( deploy$ & non-deploy$ /rategic deliv]y vehicles & laun*]s bel[ ! levels set =? 9 ! report submitt$ to ,congress 9 accordance ) section #ajdb ( ! ,national ,def5se ,au?orization ,act = ,fiscal ,ye> #bjab4 #abjb4 ,! ,secret>y ( ,def5se %all po/ grant aw>ds on a public ,website 9 a se>*able =mat4 #abjc4 ,none ( ! funds made available by ?is ,act may be us$ to fund ! p]=mance ( a flight demon/ration team at a location outside ( ! ,unit$ ,/ates3 ,provid$1 ,t ?is prohibition applies only if a p]=mance ( a flight demon/ration team at a location )9 ! ,unit$ ,/ates 0 cancel$ dur+ ! curr5t fiscal ye> due to insuffici5t fund+4 #abjd4 ,none ( ! funds made available by ?is ,act may be us$ by ! ,national ,security ,ag5cy to-- 7#a7 conduct an acquisition pursuant to section #gjb ( ! ,=eign ,intellig5ce ,surveillance ,act ( #aigh = ! purpose ( t>get+ a ,unit$ ,/ates p]son2 or 7#b7 acquire1 monitor1 or /ore ! cont5ts 7z su* t]m is def9$ 9 section #beaj7h7 ( title #ah1 ,unit$ ,/ates ,code7 ( any electronic communication ( a ,unit$ ,/ates p]son f a provid] ( electronic communication s]vices to ! public pursuant to section #eja ( ! ,=eign ,intellig5ce ,surveillance ,act ( #aigh4 #abje4 ,none ( ! funds made available by ?is ,act may be obligat$ or exp5d$ to implem5t ! ,arms ,trade ,treaty until ! ,s5ate approves a resolution ( ratification = ! ,treaty4 #abjf4 ,none ( ! funds made available 9 ?is or any o!r ,act may be us$ to pay ! sal>y ( any (fic] or employee ( any ag5cy fund$ by ?is ,act :o approves or implem5ts ! transf] ( adm9i/rative responsibilities or budget>y res\rces ( any program1 project1 or activity f9anc$ by ?is ,act to ! jurisdiction ( ano!r ,f$]al ag5cy n f9anc$ by ?is ,act unless explicity provid$ = 9 a ,def5se ,appropriations ,act3 ,provid$1 ,t ?is limitation %all n apply to transf]s ( funds expressly provid$ = 9 ,def5se ,appropriations ,acts1 or provisions ( ,acts provid+ supplem5tal appropriations = ! ,dep>tm5t ( ,def5se4 #abjg4 ,none ( ! funds made available 9 ?is ,act may be obligat$ = activities au?oriz$ "u section #abjh ( ! ,ronald ,w4 ,reagan ,national ,def5se ,au?orization ,act = ,fiscal ,ye> #bjje 7,public ,law #aab-ha2 #abe ,/at4 #afba7 to initiate support =1 or exp& support to1 =eign =ces1 irregul> =ces1 gr\ps1 or individuals unless ! congressional def5se committees are notifi$ 9 accordance ) ! direction conta9$ 9 ! classifi$ annex accompany+ ?is ,act1 n less ?an #ae days be=e initiat+ su* support3 ,provid$1 ,t none ( ! funds made available 9 ?is ,act may be us$ "u section #abjh = any activity t is n 9 support ( an ongo+ milit>y op]ation be+ conduct$ by ,unit$ ,/ates ,special ,op]ations ,=ces to combat t]rorism3 ,provid$ fur!r1 ,t ! ,secret>y ( ,def5se may waive ! prohibitions 9 ?is section if ! ,secret>y det]m9es t su* waiv] is requir$ by extraord9>y circum/ances &1 by n lat] ?an #gb h\rs aft] mak+ su* waiv]1 notifies ! congressional def5se committees ( su* waiv]4 #abjh4 ,none ( ! funds made available by ?is ,act may be us$ ) respect to ,iraq 9 contrav5tion ( ! ,w> ,p[]s ,resolution 7#ej ,u4,s4,c4 #aeda et seq471 includ+ = ! introduction ( ,unit$ ,/ates arm$ =ces into ho/ilities 9 ,iraq1 into situations 9 ,iraq :]e imm95t involvem5t 9 ho/ilities is cle>ly indicat$ by ! circum/ances1 or into ,iraqi t]ritory1 airspace1 or wat]s :ile equipp$ = combat1 9 contrav5tion ( ! congressional consultation & report+ requirem5ts ( sections #c & #d ( su* ,resolution 7#ej ,u4,s4,c4 #aedb & #aedc74 #abji4 ,none ( ! funds provid$ 9 ?is ,act = ! ,t-,,ao ,fleet ,oil] or ! ,t[+1 ,salvage1 & ,rescue ,%ip programs %all be us$ to aw>d a new contract t provides = ! acquisition ( ! foll[+ compon5ts unless ^? compon5ts are manufactur$ 9 ! ,unit$ ,/ates3 ,auxili>y equipm5t 7includ+ pumps7 = %ipbo>d s]vices2 propulsion equipm5t 7includ+ eng9es1 r$uction ge>s1 & propell]s72 %ipbo>d cranes2 & spread]s = %ipbo>d cranes4 #abaj4 ,! am\nt appropriat$ 9 title ,,ii ( ?is ,act = ,op]ation & ,ma9t5ance1 ,army is h]eby r$uc$ by #ge1jjj1jjj to reflect excess ca% balances 9 ,dep>tm5t ( ,def5se ,work+ ,capital ,funds4 #abaa4 ,not)/&+ any o!r provision ( ?is ,act1 to reflect sav+s due to l[] ?an anticipat$ fuel co/s1 ! total am\nt appropriat$ 9 title ,,ii ( ?is ,act is h]eby r$uc$ by #a1jjg1bfg1jjj4 #abab4 ,none ( ! funds made available by ?is ,act may be us$ = ,gov]nm5t ,travel ,*>ge ,c>d exp5ses by milit>y or civilian p]sonnel ( ! ,dep>tm5t ( ,def5se = gam+1 or = ent]ta9m5t t includes topless or nude ent]ta9]s or p>ticipants1 z prohibit$ by ,dep>tm5t ( ,def5se ,,fmr1 ,volume #i1 ,*apt] #c & ,dep>tm5t ( ,def5se ,in/ruction #ajae4aj 7enclosure #c1 #ad;a & #ad;b74 #abac4 ,none ( ! funds made available by ?is ,act may be us$ to propose1 plan =1 or execute a new or additional ,base ,realignm5t & ,closure 7,,brac7 r\nd4 #abad4 ,( ! am\nts appropriat$ 9 ?is ,act = ,op]ation & ,ma9t5ance1 ,navy1 #bhi1bee1jjj1 to rema9 available until exp5d$1 may be us$ = any purposes relat$ to ! ,national ,def5se ,res]ve ,fleet e/abli%$ "u section #aa ( ! ,m]*ant ,%ip ,sales ,act ( #aidf 7#ej ,u4,s4,c4 #ddje73 ,provid$1 ,t su* am\nts are available = reimbursem5ts to ! ,ready ,res]ve ,=ce1 ,m>itime ,adm9i/ration acc\nt ( ! ,unit$ ,/ates ,dep>tm5t ( ,transportation = programs1 projects1 activities1 & exp5ses relat$ to ! ,national ,def5se ,res]ve ,fleet4 #abae4 ,none ( ! funds made available by ?is ,act = ! ,jo9t ,surveillance ,t>get ,attack ,rad> ,sy/em recapitalization program may be obligat$ or exp5d$ = pre-mile/one ,b activities aft] ,m>* #ca1 #bjah1 except = s\rce selection & o!r activities necess>y to ent] ! eng9e]+ & manufactur+ developm5t phase4 #abaf4 ,none ( ! funds made available by ?is ,act may be us$ to c>ry out ! closure or realignm5t ( ! ,unit$ ,/ates ,naval ,/ation1 ,guantnamo ,bay1 ,cuba4 7includ+ transf] ( funds7 #abag4 ,additional read9ess funds made available 9 title ,,ii ( ?is ,act = ,op]ation & ,ma9t5ance1 ,army1 ,op]ation & ,ma9t5ance1 ,navy1 ,op]ation & ,ma9t5ance1 ,m>9e ,corps1 & ,op]ation & ,ma9t5ance1 ,air ,=ce may be transf]r$ to & m]g$ ) any appropriation ( ! ,dep>tm5t ( ,def5se = activities relat$ to ! ,zika virus 9 ord] to provide heal? support = ! full range ( milit>y op]ations & su/a9 ! heal? ( ! memb]s ( ! ,arm$ ,=ces1 civilian employees ( ! ,dep>tm5t ( ,def5se1 & _! families1 to include3 rese>* & developm5t1 disease surveillance1 vacc9e developm5t1 rapid detection1 vector controls & surveillance1 tra9+1 & outbreak response3 ,provid$1 ,t ! au?ority provid$ 9 ?is section is subject to ! same t]ms & conditions z ! au?ority provid$ 9 section #hjje ( ?is ,act4 #abah4 7a7 ,none ( ! funds made available 9 ?is ,act may be us$ to ma9ta9 or e/abli% a comput] network unless su* network is design$ to block access to pornography websites4 7b7 ,no?+ 9 subsection 7a7 %all limit ! use ( funds necess>y = any ,f$]al1 ,/ate1 tribal1 or local law en=cem5t ag5cy or any o!r entity c>ry+ out crim9al inve/igations1 prosecution1 or adjudication activities1 or = any activity necess>y = ! national def5se1 includ+ intellig5ce activities4 #abai4 ,not)/&+ any o!r provision ( law1 any transf] ( funds appropriat$ or o!rwise made available by ?is ,act to ! ,global ,engagem5t ,c5t] pursuant to section #abhg ( ! ,national ,def5se ,au?orization ,act = ,fiscal ,ye> #bjag 7,public ,law #aad-cbh7 %all be made 9 accordance ) section #hjje or #ijjb ( ?is ,act1 z applicable4 #abbj4 ,no am\nts cr$it$ or o!rwise made available 9 ?is or any o!r ,act to ! ,dep>tm5t ( ,def5se ,acquisition ,work=ce ,developm5t ,fund may be transf]r$ to3 7#a7 ! ,rapid ,prototyp+ ,fund e/abli%$ "u section #hjd7;d7 ( ! ,national ,def5se ,au?orization ,act = ,fiscal ,ye> #bjaf 7#aj ,u4,s4,c4 #bcjb note72 or 7#b7 cr$it$ to a milit>y-dep>tm5t specific fund e/abli%$ "u section #hjd7;d77#b7 ( ! ,national ,def5se ,au?orization ,act = ,fiscal ,ye> #bjaf 7z am5d$ by section #hig ( ! ,national ,def5se ,au?orization ,act = ,fiscal ,ye> #bjag74 7includ+ transf] fund7 #abba4 ,9 addition to am\nts provid$ else:]e 9 ?is ,act = milit>y p]sonnel pay1 includ+ active duty1 res]ve & ,national ,gu>d p]sonnel1 #bjf1djj1jjj is h]eby appropriat$ to ! ,dep>tm5t ( ,def5se & made available = transf] only to milit>y p]sonnel acc\nts3 ,provid$1 ,t ! transf] au?ority provid$ "u ?is head+ is 9 addition to any o!r transf] au?ority provid$ else:]e 9 ?is ,act4 #abbb4 ,9 addition to am\nts provid$ else:]e 9 ?is ,act1 !re is appropriat$ #bce1jjj1jjj1 = an additional am\nt = ,op]ation & ,ma9t5ance1 ,def5se-,wide1 to rema9 available until exp5d$3 ,provid$1 ,t su* funds %all only be available to ! ,secret>y ( ,def5se1 act+ ?r\gh ! ,(fice ( ,economic ,adju/m5t ( ! ,dep>tm5t ( ,def5se1 or = transf] to ! ,secret>y ( ,education1 not)/&+ any o!r provision ( law1 to make grants1 conclude coop]ative agreem5ts1 or supplem5t o!r ,f$]al funds to con/ruct1 r5ovate1 repair1 or exp& elem5t>y & second>y public s*ools on milit>y in/allations 9 ord] to address capacity or facility condition defici5cies at su* s*ools3 ,provid$fur!r1 ,t 9 mak+ su* funds available1 ! ,(fice ( ,economic ,adju/m5t or ! ,secret>y ( ,education %all give priority consid]ation to ^? milit>y in/allations ) s*ools hav+ ! mo/ s]i\s capacity or facility condition defici5cies z det]m9$ by ! ,secret>y ( ,def5se3 ,provid$ fur!r1 ,t z a condition ( receiv+ funds "u ?is section a local educational ag5cy or ,/ate %all provide a mat*+ %>e z describ$ 9 ! notice titl$ ,dep>tm5t ( ,def5se ,program = ,con/ruction1 ,r5ovation1 ,repair or ,expansion ( ,public ,s*ools ,locat$ on ,milit>y ,in/allations publi%$ by ! ,dep>tm5t ( ,def5se 9 ! ,f$]al ,regi/] on ,septemb] #i1 #bjaa 7#gf ,f$4 ,reg4 #eehhc et seq473 ,provid$ fur!r1 ,t ^! provisions apply to funds provid$ "u ?is section1 & to funds previ\sly provid$ by ,congress to con/ruct1 r5ovate1 repair1 or exp& elem5t>y & second>y public s*ools on milit>y in/allations 9 ord] to address capacity or facility condition defici5cies at su* s*ools to ! ext5t su* funds rema9 unobligat$ on ! date ( enactm5t ( ?is section4 #abbc4 ,none ( ! funds made available by ?is ,act may be us$ to c>ry out ! *anges to ! ,jo9t ,travel ,regulations ( ! ,dep>tm5t ( ,def5se describ$ 9 ! memor&um ( ! ,p] ,diem ,travel & ,transportation ,all[ance ,committee titl$ ,,utd_/,,ctd = ,,map #aah-ac_/;,,cap #aah-ac - ,flat ,rate ,p] ,diem = ,long ,t]m ,,tdy & dat$ ,octob] #a1 #bjad4 #abbd4 ,9 c>ry+ out ! program describ$ 9 ! memor&um on ! subject ( ,policy = ,assi/$ ,reproductive ,s]vices = ! ,b5efit ( ,s]i\sly or ,sev]ely ,ill_/,injur$ 7,category ,,ii or ,,iii7 ,active ,duty ,s]vice ,memb]s issu$ by ! ,assi/ant ,secret>y ( ,def5se = ,heal? ,affairs on ,april #c1 #bjab1 & ! guidance issu$ to implem5t su* memor&um1 ! ,secret>y ( ,def5se %all apply su* policy & guidance1 except t-- 7#a7 ! limitation on p]iods reg>d+ embryo cryopres]vation & /orage set =? 9 "p ,,iii7,g7 & 9 "p ,,iv7,h7 ( su* memor&um %all n apply2 & 7#b7 ! t]m assi/$ reproductive te*nology %all include embryo cryopres]vation & /orage )\t limitation on ! duration ( su* cryopres]vation & /orage4 ,,ix ,ov]seas cont+5cy op]ations_/,global w> on t]rorism ,milit>y ,p]sonnel ,milit>y ,p]sonnel1 ,army ,= an additional am\nt = ,milit>y ,p]sonnel1 ,army1 #b1fce1cag1jjj3 ,provid$1 ,t su* am\nt is designat$ by ! ,congress = ,ov]seas ,cont+5cy ,op]ations_/,global ,w> on ,t]rorism pursuant to section #bea7;b77#b77;,a77ii7 ( ! ,balanc$ ,budget & ,em]g5cy ,deficit ,control ,act ( #aihe4 ,milit>y ,p]sonnel1 ,navy ,= an additional am\nt = ,milit>y ,p]sonnel1 ,navy1 #cgg1heg1jjj3 ,provid$1 ,t su* am\nt is designat$ by ! ,congress = ,ov]seas ,cont+5cy ,op]ations_/,global ,w> on ,t]rorism pursuant to section #bea7;b77#b77;,a77ii7 ( ! ,balanc$ ,budget & ,em]g5cy ,deficit ,control ,act ( #aihe4 ,milit>y ,p]sonnel1 ,m>9e ,corps ,= an additional am\nt = ,milit>y ,p]sonnel1 ,m>9e ,corps1 #ajc1hjj1jjj3 ,provid$1 ,t su* am\nt is designat$ by ! ,congress = ,ov]seas ,cont+5cy ,op]ations_/,global ,w> on ,t]rorism pursuant to section #bea7;b77#b77;,a77ii7 ( ! ,balanc$ ,budget & ,em]g5cy ,deficit ,control ,act ( #aihe4 ,milit>y ,p]sonnel1 ,air ,=ce ,= an additional am\nt = ,milit>y ,p]sonnel1 ,air ,=ce1 #iab1ggi1jjj3 ,provid$1 ,t su* am\nt is designat$ by ! ,congress = ,ov]seas ,cont+5cy ,op]ations_/,global ,w> on ,t]rorism pursuant to section #bea7;b77#b77;,a77ii7 ( ! ,balanc$ ,budget & ,em]g5cy ,deficit ,control ,act ( #aihe4 ,res]ve ,p]sonnel1 ,army ,= an additional am\nt = ,res]ve ,p]sonnel1 ,army1 #bd1idb1jjj3 ,provid$1 ,t su* am\nt is designat$ by ! ,congress = ,ov]seas ,cont+5cy ,op]ations_/,global ,w> on ,t]rorism pursuant to section #bea7;b77#b77;,a77ii7 ( ! ,balanc$ ,budget & ,em]g5cy ,deficit ,control ,act ( #aihe4 ,res]ve ,p]sonnel1 ,navy ,= an additional am\nt = ,res]ve ,p]sonnel1 ,navy1 #i1jia1jjj3 ,provid$1 ,t su* am\nt is designat$ by ! ,congress = ,ov]seas ,cont+5cy ,op]ations_/,global ,w> on ,t]rorism pursuant to section #bea7;b77#b77;,a77ii7 ( ! ,balanc$ ,budget & ,em]g5cy ,deficit ,control ,act ( #aihe4 ,res]ve ,p]sonnel1 ,m>9e ,corps ,= an additional am\nt = ,res]ve ,p]sonnel1 ,m>9e ,corps1 #b1cbh1jjj3 ,provid$1 ,t su* am\nt is designat$ by ! ,congress = ,ov]seas ,cont+5cy ,op]ations_/,global ,w> on ,t]rorism pursuant to section #bea7;b77#b77;,a77ii7 ( ! ,balanc$ ,budget & ,em]g5cy ,deficit ,control ,act ( #aihe4 ,res]ve ,p]sonnel1 ,air ,=ce ,= an additional am\nt = ,res]ve ,p]sonnel1 ,air ,=ce1 #bj1efi1jjj3 ,provid$1 ,t su* am\nt is designat$ by ! ,congress = ,ov]seas ,cont+5cy ,op]ations_/,global ,w> on ,t]rorism pursuant to section #bea7;b77#b77;,a77ii7 ( ! ,balanc$ ,budget & ,em]g5cy ,deficit ,control ,act ( #aihe4 ,national ,gu>d ,p]sonnel1 ,army ,= an additional am\nt = ,national ,gu>d ,p]sonnel1 ,army1 #ahd1ehi1jjj3 ,provid$1 ,t su* am\nt is designat$ by ! ,congress = ,ov]seas ,cont+5cy ,op]ations_/,global ,w> on ,t]rorism pursuant to section #bea7;b77#b77;,a77ii7 ( ! ,balanc$ ,budget & ,em]g5cy ,deficit ,control ,act ( #aihe4 ,national ,gu>d ,p]sonnel1 ,air ,=ce ,= an additional am\nt = ,national ,gu>d ,p]sonnel1 ,air ,=ce1 #e1jjd1jjj3 ,provid$1 ,t su* am\nt is designat$ by ! ,congress = ,ov]seas ,cont+5cy ,op]ations_/,global ,w> on ,t]rorism pursuant to section #bea7;b77#b77;,a77ii7 ( ! ,balanc$ ,budget & ,em]g5cy ,deficit ,control ,act ( #aihe4 ,milit>y ,p]sonnel1 ,national ,def5se ,re/oration ,fund 7includ+ transf] ( funds7 ,9 addition to am\nts provid$ else:]e 9 ?is ,act1 !re is appropriat$ #a1jjj1jjj1jjj1 = ! ,milit>y ,p]sonnel1 ,national ,def5se ,re/oration ,fund3 ,provid$1 ,t su* funds provid$ "u ?is head+ %all only be available = programs1 projects & activities necess>y to implem5t ! #bjah ,national ,def5se ,/rategy3 ,provid$ fur!r1 ,t su* funds %all n be available = transf] until #cj days aft] ! ,secret>y has submitt$1 & ! congressional def5se committees h approv$1 ! propos$ allocation plan = ! use ( su* funds to implem5t su* /rategy3 ,provid$ fur!r1 ,t su* allocation plan %all include a detail$ ju/ification = ! use ( su* funds & a description ( h[ su* inve/m5ts are necess>y to implem5t ! /rategy3 ,provid$ fur!r1 ,t ! ,secret>y ( ,def5se may transf] ^! funds only to milit>y p]sonnel acc\nts3 ,provid$ fur!r1 ,t ! funds transf]r$ %all be m]g$ ) & %all be available = ! same purposes & = ! same "t p]iod1 z ! appropriation to :i* transf]r$3 ,provid$ fur!r1 ,t none ( ! funds made available "u ?is head+ may be transf]r$ to any program1 project1 or activity specifically limit$ or d5i$ by ?is ,act3 ,provid$ fur!r1 ,t ! transf] au?ority provid$ "u ?is head+ is 9 addition to any o!r transf] au?ority available to ! ,dep>tm5t ( ,def5se3,provid$ fur!r1 ,t su* am\nt is designat$ by ! ,congress = ,ov]seas ,cont+5cy ,op]ations_/,global ,w> on ,t]rorism pursuant to section #bea7;b77#b77;,a77ii7 ( ! ,balanc$ ,budget & ,em]g5cy ,deficit ,control ,act ( #aihe4 ,op]ation & ,ma9t5ance ,op]ation & ,ma9t5ance1 ,army ,= an additional am\nt = ,op]ation & ,ma9t5ance1 ,army1 #af1abf1djc1jjj3 ,provid$1 ,t su* am\nt is designat$ by ! ,congress = ,ov]seas ,cont+5cy ,op]ations_/,global ,w> on ,t]rorism pursuant to section #bea7;b77#b77;,a77ii7 ( ! ,balanc$ ,budget & ,em]g5cy ,deficit ,control ,act ( #aihe4 ,op]ation & ,ma9t5ance1 ,navy ,= an additional am\nt = ,op]ation & ,ma9t5ance1 ,navy1 #e1hge1jae1jjj1 ( :i* up to #afa1hhe1jjj may be transf]r$ to ! ,coa/ ,gu>d ,op]at+ ,exp5ses acc\nt3 ,provid$1 ,t su* am\nt is designat$ by ! ,congress = ,ov]seas ,cont+5cy ,op]ations_/,global ,w> on ,t]rorism pursuant to section #bea7;b77#b77;,a77ii7 ( ! ,balanc$ ,budget & ,em]g5cy ,deficit ,control ,act ( #aihe4 ,op]ation & ,ma9t5ance1 ,m>9e ,corps ,= an additional am\nt = ,op]ation & ,ma9t5ance1 ,m>9e ,corps1 #a1aaf1fdj1jjj3 ,provid$1 ,t su* am\nt is designat$ by ! ,congress = ,ov]seas ,cont+5cy ,op]ations_/,global ,w> on ,t]rorism pursuant to section #bea7;b77#b77;,a77ii7 ( ! ,balanc$ ,budget & ,em]g5cy ,deficit ,control ,act ( #aihe4 ,op]ation & ,ma9t5ance1 ,air ,=ce ,= an additional am\nt = ,op]ation & ,ma9t5ance1 ,air ,=ce1 #aj1bff1bie1jjj3 ,provid$1 ,t su* am\nt is designat$ by ! ,congress = ,ov]seas ,cont+5cy ,op]ations_/,global ,w> on ,t]rorism pursuant to section #bea7;b77#b77;,a77ii7 ( ! ,balanc$ ,budget & ,em]g5cy ,deficit ,control ,act ( #aihe4 ,op]ation & ,ma9t5ance1 ,def5se-,wide ,= an additional am\nt = ,op]ation & ,ma9t5ance1 ,def5se-,wide1 #f1idd1bja1jjj3 ,provid$1 ,t ( ! funds provid$ "u ?is head+1 n to exce$ #ijj1jjj1jjj1 to rema9 available until ,septemb] #cj1 #bjai1 %all be = paym5ts to reimburse key coop]at+ nations = logi/ical1 milit>y1 & o!r support1 includ+ access1 provid$ to ,unit$ ,/ates milit>y & /ability op]ations 9 ,afghani/an & to c\nt] ! ,islamic ,/ate ( ,iraq & ! ,levant3 ,provid$ fur!r1 ,t su* reimbursem5t paym5ts may be made 9 su* am\nts z ! ,secret>y ( ,def5se1 ) ! concurr5ce ( ! ,secret>y ( ,/ate1 & 9 consultation ) ! ,director ( ! ,(fice ( ,managem5t & ,budget1 may det]m9e1 bas$ on docum5tation det]m9$ by ! ,secret>y ( ,def5se to adequately acc\nt = ! support provid$1 & su* det]m9ation is f9al & conclusive ^u ! acc\nt+ (fic]s ( ! ,unit$ ,/ates1 & #ae days foll[+ notification to ! appropriate congressional committees3 ,provid$ fur!r1 ,t funds provid$ "u ?is head+ may be us$ = ! purpose ( provid+ specializ$ tra9+ & procur+ supplies & specializ$ equipm5t & provid+ su* supplies & loan+ su* equipm5t on a non-reimbursable basis to coalition =ces support+ ,unit$ ,/ates milit>y & /ability op]ations 9 ,afghani/an & to c\nt] ! ,islamic ,/ate ( ,iraq & ! ,levant1 & #ae days foll[+ notification to ! appropriate congressional committees3 ,provid$ fur!r1 ,t funds provid$ "u ?is head+ may be us$ to support ! ,gov]nm5t ( ,jordan1 9 su* am\nts z ! ,secret>y ( ,def5se may det]m9e1 to enhance ! ability ( ! arm$ =ces ( ,jordan to increase or su/a9 security along its bord]s1 ^u #ae days prior writt5 notification to ! congressional def5se committees outl9+ ! am\nts int5d$ to be provid$ & ! nature ( ! exp5ses incurr$3 ,provid$ fur!r1 ,t ( ! funds provid$ "u ?is head+1 n to exce$ #gej1jjj1jjj1 to rema9 available until ,septemb] #cj1 #bjai1 %all be available to provide support & assi/ance to =eign security =ces or o!r gr\ps or individuals to conduct1 support1 or facilitate c\nt]t]rorism1 crisis response1 or o!r ,dep>tm5t ( ,def5se security coop]ation programs3 ,provid$ fur!r1 ,t su* am\nt is designat$ by ! ,congress = ,ov]seas ,cont+5cy ,op]ations_/,global ,w> on ,t]rorism pursuant to section #bea7;b77#b77;,a77ii7 ( ! ,balanc$ ,budget & ,em]g5cy ,deficit ,control ,act ( #aihe4 ,op]ation & ,ma9t5ance1 ,army ,res]ve ,= an additional am\nt = ,op]ation & ,ma9t5ance1 ,army ,res]ve1 #bd1fii1jjj3 ,provid$1 ,t su* am\nt is designat$ by ! ,congress = ,ov]seas ,cont+5cy ,op]ations_/,global ,w> on ,t]rorism pursuant to section #bea7;b77#b77;,a77ii7 ( ! ,balanc$ ,budget & ,em]g5cy ,deficit ,control ,act ( #aihe4 ,op]ation & ,ma9t5ance1 ,navy ,res]ve ,= an additional am\nt = ,op]ation & ,ma9t5ance1 ,navy ,res]ve1 #bc1ihj1jjj3 ,provid$1 ,t su* am\nt is designat$ by ! ,congress = ,ov]seas ,cont+5cy ,op]ations_/,global ,w> on ,t]rorism pursuant to section #bea7;b77#b77;,a77ii7 ( ! ,balanc$ ,budget & ,em]g5cy ,deficit ,control ,act ( #aihe4 ,op]ation & ,ma9t5ance1 ,m>9e ,corps ,res]ve ,= an additional am\nt = ,op]ation & ,ma9t5ance1 ,m>9e ,corps ,res]ve1 #c1cfg1jjj3 ,provid$1 ,t su* am\nt is designat$ by ! ,congress = ,ov]seas ,cont+5cy ,op]ations_/,global ,w> on ,t]rorism pursuant to section #bea7;b77#b77;,a77ii7 ( ! ,balanc$ ,budget & ,em]g5cy ,deficit ,control ,act ( #aihe4 ,op]ation & ,ma9t5ance1 ,air ,=ce ,res]ve ,= an additional am\nt = ,op]ation & ,ma9t5ance1 ,air ,=ce ,res]ve1 #eh1ebc1jjj3 ,provid$1 ,t su* am\nt is designat$ by ! ,congress = ,ov]seas ,cont+5cy ,op]ations_/,global ,w> on ,t]rorism pursuant to section #bea7;b77#b77;,a77ii7 ( ! ,balanc$ ,budget & ,em]g5cy ,deficit ,control ,act ( #aihe4 ,op]ation & ,ma9t5ance1 ,army ,national ,gu>d ,= an additional am\nt = ,op]ation & ,ma9t5ance1 ,army ,national ,gu>d1 #ajh1aaa1jjj3 ,provid$1 ,t su* am\nt is designat$ by ! ,congress = ,ov]seas ,cont+5cy ,op]ations_/,global ,w> on ,t]rorism pursuant to section #bea7;b77#b77;,a77ii7 ( ! ,balanc$ ,budget & ,em]g5cy ,deficit ,control ,act ( #aihe4 ,op]ation & ,ma9t5ance1 ,air ,national ,gu>d ,= an additional am\nt = ,op]ation & ,ma9t5ance1 ,air ,national ,gu>d1 #ae1djj1jjj3 ,provid$1 ,t su* am\nt is designat$ by ! ,congress = ,ov]seas ,cont+5cy ,op]ations_/,global ,w> on ,t]rorism pursuant to section #bea7;b77#b77;,a77ii7 ( ! ,balanc$ ,budget & ,em]g5cy ,deficit ,control ,act ( #aihe4 ,op]ation & ,ma9t5ance1 ,national ,def5se ,re/oration ,fund 7includ+ transf] ( funds7 ,9 addition to am\nts provid$ else:]e 9 ?is ,act1 !re is appropriat$ #b1jjj1jjj1jjj1 = ! ,op]ation & ,ma9t5ance1 ,national ,def5se ,re/oration ,fund3 ,provid$1 ,t su* funds provid$ "u ?is head+ %all only be available = programs1 projects & activities necess>y to implem5t ! #bjah ,national ,def5se ,/rategy3 ,provid$ fur!r1 ,t su* funds %all n be available = transf] until #cj days aft] ! ,secret>y has submitt$1 & ! congressional def5se committees h approv$1 ! propos$ allocation plan = ! use ( su* funds to implem5t su* /rategy3 ,provid$ fur!r1 ,t su* allocation plan %all include a detail$ ju/ification = ! use ( su* funds & a description ( h[ su* inve/m5ts are necess>y to implem5t ! /rategy3 ,provid$ fur!r1 ,t ! ,secret>y ( ,def5se may transf] ^! funds only to op]ation & ma9t5ance acc\nts3 ,provid$ fur!r1 ,t ! funds transf]r$ %all be m]g$ ) & %all be available = ! same purposes & = ! same "t p]iod1 z ! appropriation to :i* transf]r$3 ,provid$ fur!r1 ,t none ( ! funds made available "u ?is head+ may be transf]r$ to any program1 project1 or activity specifically limit$ or d5i$ by ?is ,act3 ,provid$ fur!r1 ,t ! transf] au?ority provid$ "u ?is head+ is 9 addition to any o!r transf] au?ority available to ! ,dep>tm5t ( ,def5se3 ,provid$ fur!r1 ,t su* am\nt is designat$ by ! ,congress = ,ov]seas ,cont+5cy ,op]ations_/,global ,w> on ,t]rorism pursuant to section #bea7;b77#b77;,a77ii7 ( ! ,balanc$ ,budget & ,em]g5cy ,deficit ,control ,act ( #aihe4 ,afghani/an ,security ,=ces ,fund ,= ! ,afghani/an ,security ,=ces ,fund1 #d1icg1eae1jjj 7r$uc$ by #ab1jjj1jjj71 to rema9 available until ,septemb] #cj1 #bjai3 ,provid$1 ,t su* funds %all be available to ! ,secret>y ( ,def5se1 not)/&+ any o!r provision ( law1 = ! purpose ( all[+ ! ,comm&]1 ,comb9$ ,security ,transition ,comm&--,afghani/an1 or ! ,secret>y's designee1 to provide assi/ance1 ) ! concurr5ce ( ! ,secret>y ( ,/ate1 to ! security =ces ( ,afghani/an1 includ+ ! provision ( equipm5t1 supplies1 s]vices1 tra9+1 facility & infra/ructure repair1 r5ovation1 con/ruction1 & fund+3 ,provid$ fur!r1 ,t ! ,secret>y ( ,def5se may obligate & exp5d funds made available to ! ,dep>tm5t ( ,def5se 9 ?is title = additional co/s associat$ ) exi/+ projects previ\sly fund$ ) am\nts provid$ "u ! head+ ,afghani/an ,infra/ructure ,fund 9 prior ,acts3 ,provid$ fur!r1 ,t su* co/s %all be limit$ to contract *anges result+ f inflation1 m>ket fluctuation1 rate adju/m5ts1 & o!r necess>y contract actions to complete exi/+ projects1 & associat$ sup]vision & adm9i/ration co/s & co/s = design dur+ con/ruction3 ,provid$ fur!r1 ,t ! ,secret>y may n use m ?an #ej1jjj1jjj "u ! au?ority provid$ 9 ?is section3 ,provid$ fur!r1 ,t ! ,secret>y %all notify 9 advance su* contract *anges & adju/m5ts 9 annual reports to ! congressional def5se committees3 ,provid$ fur!r1 ,t ! au?ority to provide assi/ance "u ?is head+ is 9 addition to any o!r au?ority to provide assi/ance to =eign nations3 ,provid$ fur!r1 ,t contributions ( funds = ! purposes provid$ h]e9 f any p]son1 =eign gov]nm5t1 or int]national organization may be cr$it$ to ?is ,fund1 to rema9 available until exp5d$1 & us$ = su* purposes3 ,provid$ fur!r1 ,t ! ,secret>y ( ,def5se %all notify ! congressional def5se committees 9 writ+ ^u ! receipt & ^u ! obligation ( any contribution1 del9eat+ ! s\rces & am\nts ( ! funds receiv$ & ! specific use ( su* contributions3 ,provid$ fur!r1 ,t ! ,secret>y ( ,def5se %all1 n few] ?an #ae days prior to obligat+ f ?is appropriation acc\nt1 notify ! congressional def5se committees 9 writ+ ( ! details ( any su* obligation3 ,provid$ fur!r1 ,t ! ,secret>y ( ,def5se %all notify ! congressional def5se committees ( any propos$ new projects or transf] ( funds betwe5 budget sub-activity gr\ps 9 excess ( #bj1jjj1jjj3 ,provid$ fur!r1 ,t ! ,unit$ ,/ates may accept equipm5t procur$ us+ funds provid$ "u ?is head+ 9 ?is or prior ,acts t 0 transf]r$ to ! security =ces ( ,afghani/an & return$ by su* =ces to ! ,unit$ ,/ates3 ,provid$ fur!r1 ,t equipm5t procur$ us+ funds provid$ "u ?is head+ 9 ?is or prior ,acts1 & n yet transf]r$ to ! security =ces ( ,afghani/an or transf]r$ to ! security =ces ( ,afghani/an & return$ by su* =ces to ! ,unit$ ,/ates1 may be treat$ z /ocks ( ! ,dep>tm5t ( ,def5se ^u writt5 notification to ! congressional def5se committees3 ,provid$ fur!r1 ,t ( ! funds provid$ "u ?is head+1 n less ?an #aj1jjj1jjj %all be = recruitm5t & ret5tion ( wom5 9 ! ,afghani/an ,national ,security ,=ces1 & ! recruitm5t & tra9+ ( female security p]sonnel3 ,provid$ fur!r1 ,t su* am\nt is designat$ by ! ,congress = ,ov]seas ,cont+5cy ,op]ations_/,global ,w> on ,t]rorism pursuant to section #bea7;b77#b77;,a77ii7 ( ! ,balanc$ ,budget & ,em]g5cy ,deficit ,control ,act ( #aihe4 ,c\nt]-,,isil ,tra9 & ,equip ,fund ,= ! ,c\nt]-,islamic ,/ate ( ,iraq & ! ,levant ,tra9 & ,equip ,fund1 #a1gfi1jjj1jjj1 to rema9 available until ,septemb] #cj1 #bjai3 ,provid$1 ,t su* funds %all be available to ! ,secret>y ( ,def5se 9 coord9ation ) ! ,secret>y ( ,/ate1 to provide assi/ance1 includ+ tra9+2 equipm5t2 logi/ics support1 supplies1 & s]vices2 /ip5ds2 infra/ructure repair & r5ovation2 & su/a9m5t1 to =eign security =ces1 irregul> =ces1 gr\ps1 or individuals p>ticipat+1 or prep>+ to p>ticipate 9 activities to c\nt] ! ,islamic ,/ate ( ,iraq & ! ,levant1 & _! affiliat$ or associat$ gr\ps3 ,provid$ fur!r1 ,t ^! funds may be us$ 9 su* am\nts z ! ,secret>y ( ,def5se may det]m9e to enhance ! bord] security ( nations adjac5t to conflict areas includ+ ,jordan1 ,lebanon1 ,egypt1 & ,tunisia result+ f actions ( ! ,islamic ,/ate ( ,iraq & ! ,levant3 ,provid$ fur!r1 ,t am\nts made available "u ?is head+ %all be available to provide assi/ance only = activities 9 a c\ntry designat$ by ! ,secret>y ( ,def5se1 9 coord9ation ) ! ,secret>y ( ,/ate1 z hav+ a security mission to c\nt] ! ,islamic ,/ate ( ,iraq & ! ,levant1 & foll[+ writt5 notification to ! congressional def5se committees ( su* designation3 ,provid$ fur!r1 ,t ! ,secret>y ( ,def5se %all ensure t prior to provid+ assi/ance to elem5ts ( any =ces or individuals1 su* elem5ts or individuals are appropriately vett$1 includ+ at a m9imum1 assess+ su* elem5ts = associations ) t]rori/ gr\ps or gr\ps associat$ ) ! ,gov]nm5t ( ,iran2 & receiv+ commitm5ts f su* elem5ts to promote respect = human rights & ! rule ( law3,provid$ fur!r1 ,t ! ,secret>y ( ,def5se %all1 n few] ?an #ae days prior to obligat+ f ?is appropriation acc\nt1 notify ! congressional def5se committees 9 writ+ ( ! details ( any su* obligation3 ,provid$ fur!r1 ,t ! ,secret>y ( ,def5se may accept & reta9 contributions1 includ+ assi/ance 9-k9d1 f =eign gov]nm5ts1 includ+ ! ,gov]nm5t ( ,iraq & o!r entities1 to c>ry out assi/ance au?oriz$ "u ?is head+3 ,provid$ fur!r1 ,t contributions ( funds = ! purposes provid$ h]e9 f any =eign gov]nm5t or o!r entity may be cr$it$ to ?is ,fund1 to rema9 available until exp5d$1 & us$ = su* purposes3 ,provid$ fur!r1 ,t ! ,secret>y ( ,def5se may waive a provision ( law relat+ to ! acquisition ( items & support s]vices or sections #dj & #dj;,a ( ! ,arms ,export ,control ,act 7#bb ,u4,s4,c4 #bghj & #bghe7 if ! ,secret>y det]m9es t su* provision ( law w\ld prohibit1 re/rict1 delay or o!rwise limit ! provision ( su* assi/ance & a notice ( & ju/ification = su* waiv] is submitt$ to ! congressional def5se committees1 ! ,committees on ,appropriations & ,=eign ,relations ( ! ,s5ate & ! ,committees on ,appropriations & ,=eign ,affairs ( ! ,h\se ( ,repres5tatives3 ,provid$ fur!r1 ,t ! ,unit$ ,/ates may accept equipm5t procur$ us+ funds provid$ "u ?is head+1 or "u ! head+1 ,iraq ,tra9 & ,equip ,fund 9 prior ,acts1 t 0 transf]r$ to security =ces1 irregul> =ces1 or gr\ps p>ticipat+1 or prep>+ to p>ticipate 9 activities to c\nt] ! ,islamic ,/ate ( ,iraq & ! ,levant & return$ by su* =ces or gr\ps to ! ,unit$ ,/ates1 may be treat$ z /ocks ( ! ,dep>tm5t ( ,def5se ^u writt5 notification to ! congressional def5se committees3 ,provid$ fur!r1 ,t equipm5t procur$ us+ funds provid$ "u ?is head+1 or "u ! head+1 ,iraq ,tra9 & ,equip ,fund 9 prior ,acts1 & n yet transf]r$ to security =ces1 irregul> =ces1 or gr\ps p>ticipat+1 or prep>+ to p>ticipate 9 activities to c\nt] ! ,islamic ,/ate ( ,iraq & ! ,levant may be treat$ z /ocks ( ! ,dep>tm5t ( ,def5se :5 det]m9$ by ! ,secret>y to no long] be requir$ = transf] to su* =ces or gr\ps & ^u writt5 notification to ! congressional def5se committees3 ,provid$ fur!r1 ,t ! ,secret>y ( ,def5se %all provide qu>t]ly reports to ! congressional def5se committees on ! use ( funds provid$ "u ?is head+1 includ+1 b n limit$ to1 ! numb] ( individuals tra9$1 ! nature & scope ( support & su/a9m5t provid$ to ea* gr\p or individual1 ! area ( op]ations = ea* gr\p1 & ! contributions ( o!r c\ntries1 gr\ps1 or individuals3 ,provid$ fur!r1 ,t su* am\nt is designat$ by ! ,congress = ,ov]seas ,cont+5cy ,op]ations_/ ,global ,w> on ,t]rorism pursuant to section #bea7;b77#b77;,a77ii7 ( ! ,balanc$ ,budget & ,em]g5cy ,deficit ,control ,act ( #aihe4 ,procurem5t ,aircraft ,procurem5t1 ,army ,= an additional am\nt = ,aircraft ,procurem5t1 ,army1 #dbd1fhf1jjj1 to rema9 available until ,septemb] #cj1 #bjbj3 ,provid$1 ,t su* am\nt is designat$ by ! ,congress = ,ov]seas ,cont+5cy ,op]ations_/,global ,w> on ,t]rorism pursuant to section #bea7;b77#b77;,a77ii7 ( ! ,balanc$ ,budget & ,em]g5cy ,deficit ,control ,act ( #aihe4 ,missile ,procurem5t1 ,army ,= an additional am\nt = ,missile ,procurem5t1 ,army1 #eeg1ehc1jjj1 to rema9 available until ,septemb] #cj1 #bjbj3 ,provid$1 ,t su* am\nt is designat$ by ! ,congress = ,ov]seas ,cont+5cy ,op]ations_/,global ,w> on ,t]rorism pursuant to section #bea7;b77#b77;,a77ii7 ( ! ,balanc$ ,budget & ,em]g5cy ,deficit ,control ,act ( #aihe4 ,procurem5t ( ,weapons & ,track$ ,combat ,vehicles1 ,army ,= an additional am\nt = ,procurem5t ( ,weapons & ,track$ ,combat ,vehicles1 ,army1 #a1aia1aci1jjj1 to rema9 available until ,septemb] #cj1 #bjbj3 ,provid$1 ,t su* am\nt is designat$ by ! ,congress = ,ov]seas ,cont+5cy ,op]ations_/,global ,w> on ,t]rorism pursuant to section #bea7;b77#b77;,a77ii7 ( ! ,balanc$ ,budget & ,em]g5cy ,deficit ,control ,act ( #aihe4 ,procurem5t ( ,ammunition1 ,army ,= an additional am\nt = ,procurem5t ( ,ammunition1 ,army1 #aic1dcf1jjj1 to rema9 available until ,septemb] #cj1 #bjbj3 ,provid$1 ,t su* am\nt is designat$ by ! ,congress = ,ov]seas ,cont+5cy ,op]ations_/,global ,w> on ,t]rorism pursuant to section #bea7;b77#b77;,a77ii7 ( ! ,balanc$ ,budget & ,em]g5cy ,deficit ,control ,act ( #aihe4 ,o!r ,procurem5t1 ,army ,= an additional am\nt = ,o!r ,procurem5t1 ,army1 #dje1ege1jjj1 to rema9 available until ,septemb] #cj1 #bjbj3 ,provid$1 ,t su* am\nt is designat$ by ! ,congress = ,ov]seas ,cont+5cy ,op]ations_/,global ,w> on ,t]rorism pursuant to section #bea7;b77#b77;,a77ii7 ( ! ,balanc$ ,budget & ,em]g5cy ,deficit ,control ,act ( #aihe4 ,aircraft ,procurem5t1 ,navy ,= an additional am\nt = ,aircraft ,procurem5t1 ,navy1 #aeg1cjj1jjj1 to rema9 available until ,septemb] #cj1 #bjbj3 ,provid$1 ,t su* am\nt is designat$ by ! ,congress = ,ov]seas ,cont+5cy ,op]ations_/,global ,w> on ,t]rorism pursuant to section #bea7;b77#b77;,a77ii7 ( ! ,balanc$ ,budget & ,em]g5cy ,deficit ,control ,act ( #aihe4 ,weapons procurem5t1 navy ,= an additional am\nt = ,weapons ,procurem5t1 ,navy1 #acj1iid1jjj1 to rema9 available until ,septemb] #cj1 #bjbj3 ,provid$1 ,t su* am\nt is designat$ by ! ,congress = ,ov]seas ,cont+5cy ,op]ations_/,global ,w> on ,t]rorism pursuant to section #bea7;b77#b77;,a77ii7 ( ! ,balanc$ ,budget & ,em]g5cy ,deficit ,control ,act ( #aihe4 ,procurem5t ( ,ammunition1 ,navy & ,m>9e ,corps ,= an additional am\nt = ,procurem5t ( ,ammunition1 ,navy & ,m>9e ,corps1 #bbc1hdc1jjj1 to rema9 available until ,septemb] #cj1 #bjbj3 ,provid$1 ,t su* am\nt is designat$ by ! ,congress = ,ov]seas ,cont+5cy ,op]ations_/,global ,w> on ,t]rorism pursuant to section #bea7;b77#b77;,a77ii7 ( ! ,balanc$ ,budget & ,em]g5cy ,deficit ,control ,act ( #aihe4 ,o!r ,procurem5t1 ,navy ,= an additional am\nt = ,o!r ,procurem5t1 ,navy1 #bjg1ihd1jjj1 to rema9 available until ,septemb] #cj1 #bjbj3 ,provid$1 ,t su* am\nt is designat$ by ! ,congress = ,ov]seas ,cont+5cy ,op]ations_/,global ,w> on ,t]rorism pursuant to section #bea7;b77#b77;,a77ii7 ( ! ,balanc$ ,budget & ,em]g5cy ,deficit ,control ,act ( #aihe4 ,procurem5t1 ,m>9e ,corps ,= an additional am\nt = ,procurem5t1 ,m>9e ,corps1 #fd1jga1jjj1 to rema9 available until ,septemb] #cj1 #bjbj3 ,provid$1 ,t su* am\nt is designat$ by ! ,congress = ,ov]seas ,cont+5cy ,op]ations_/,global ,w> on ,t]rorism pursuant to section #bea7;b77#b77;,a77ii7 ( ! ,balanc$ ,budget & ,em]g5cy ,deficit ,control ,act ( #aihe4 ,aircraft ,procurem5t1 ,air ,=ce ,= an additional am\nt = ,aircraft ,procurem5t1 ,air ,=ce1 #eaj1hcf1jjj1 to rema9 available until ,septemb] #cj1 #bjbj3 ,provid$1 ,t su* am\nt is designat$ by ! ,congress = ,ov]seas ,cont+5cy ,op]ations_/,global ,w> on ,t]rorism pursuant to section #bea7;b77#b77;,a77ii7 ( ! ,balanc$ ,budget & ,em]g5cy ,deficit ,control ,act ( #aihe4 ,missile ,procurem5t1 ,air ,=ce ,= an additional am\nt = ,missile ,procurem5t1 ,air ,=ce1 #cha1gjj1jjj1 to rema9 available until ,septemb] #cj1 #bjbj3 ,provid$1 ,t su* am\nt is designat$ by ! ,congress = ,ov]seas ,cont+5cy ,op]ations_/,global ,w> on ,t]rorism pursuant to section #bea7;b77#b77;,a77ii7 ( ! ,balanc$ ,budget & ,em]g5cy ,deficit ,control ,act ( #aihe4 ,space ,procurem5t1 ,air ,=ce ,= an additional am\nt = ,space ,procurem5t1 ,air ,=ce1 #b1bef1jjj1 to rema9 available until ,septemb] #cj1 #bjbj3 ,provid$1 ,t su* am\nt is designat$ by ! ,congress = ,ov]seas ,cont+5cy ,op]ations_/,global ,w> on ,t]rorism pursuant to section #bea7;b77#b77;,a77ii7 ( ! ,balanc$ ,budget & ,em]g5cy ,deficit ,control ,act ( #aihe4 ,procurem5t ( ,ammunition1 ,air ,=ce ,= an additional am\nt = ,procurem5t ( ,ammunition1 ,air ,=ce1 #eja1eji1jjj1 to rema9 available until ,septemb] #cj1 #bjbj3 ,provid$1 ,t su* am\nt is designat$ by ! ,congress = ,ov]seas ,cont+5cy ,op]ations_/,global ,w> on ,t]rorism pursuant to section #bea7;b77#b77;,a77ii7 ( ! ,balanc$ ,budget & ,em]g5cy ,deficit ,control ,act ( #aihe4 ,o!r ,procurem5t1 ,air ,=ce ,= an additional am\nt = ,o!r ,procurem5t1 ,air ,=ce1 #c1iih1hhg1jjj1 to rema9 available until ,septemb] #cj1 #bjbj3 ,provid$1 ,t su* am\nt is designat$ by ! ,congress = ,ov]seas ,cont+5cy ,op]ations_/,global ,w> on ,t]rorism pursuant to section #bea7;b77#b77;,a77ii7 ( ! ,balanc$ ,budget & ,em]g5cy ,deficit ,control ,act ( #aihe4 ,procurem5t1 ,def5se-,wide ,= an additional am\nt = ,procurem5t1 ,def5se-,wide1 #eaj1gda1jjj1 to rema9 available until ,septemb] #cj1 #bjbj3 ,provid$1 ,t su* am\nt is designat$ by ! ,congress = ,ov]seas ,cont+5cy ,op]ations_/,global ,w> on ,t]rorism pursuant to section #bea7;b77#b77;,a77ii7 ( ! ,balanc$ ,budget & ,em]g5cy ,deficit ,control ,act ( #aihe4 ,national ,gu>d & ,res]ve ,equipm5t ,acc\nt ,= procurem5t ( rot>y-w+ aircraft2 combat1 tactical & support vehicles2 o!r weapons2 & o!r procurem5t items = ! res]ve compon5ts ( ! ,arm$ ,=ces1 #a1jjj1jjj1jjj1 to rema9 available = obligation until ,septemb] #cj1 #bjbj3 ,provid$1 ,t ! ,*iefs ( ,national ,gu>d & ,res]ve compon5ts %all1 n lat] ?an #cj days aft] enactm5t ( ?is ,act1 individually submit to ! congressional def5se committees ! mod]nization priority assessm5t = _! respective ,national ,gu>d or ,res]ve compon5t3 ,provid$ fur!r1 ,t none ( ! funds made available by ?is p>agraph may be us$ to procure mann$ fix$ w+ aircraft1 or procure or modify missiles1 munitions1 or ammunition3 ,provid$ fur!r1 ,t su* am\nt is designat$ by ! ,congress = ,ov]seas ,cont+5cy ,op]ations_/,global ,w> on ,t]rorism pursuant to section #bea7;b77#b77;,a77ii7 ( ! ,balanc$ ,budget & ,em]g5cy ,deficit ,control ,act ( #aihe4 ,procurem5t1 ,national ,def5se ,re/oration ,fund 7includ+ transf] ( funds7 ,9 addition to am\nts provid$ else:]e 9 ?is ,act1 !re is appropriat$ #f1jjj1jjj1jjj1 = ! ,procurem5t1 ,national ,def5se ,re/oration ,fund3 ,provid$1 ,t su* funds provid$ "u ?is head+ %all only be available = programs1 projects & activities necess>y to implem5t ! #bjah ,national ,def5se ,/rategy3 ,provid$ fur!r1 ,t su* funds %all n be available = transf] until #cj days aft] ! ,secret>y has submitt$1 & ! congressional def5se committees h approv$1 ! propos$ allocation plan = ! use ( su* funds to implem5t su* /rategy3 ,provid$ fur!r1 ,t su* allocation plan %all include a detail$ ju/ification = ! use ( su* funds & a description ( h[ su* inve/m5ts are necess>y to implem5t ! /rategy3 ,provid$ fur!r1 ,t ! ,secret>y ( ,def5se may transf] ^! funds only to procurem5t acc\nts3 ,provid$ fur!r1 ,t ! funds transf]r$ %all be m]g$ ) & %all be available = ! same purposes & = ! same "t p]iod1 z ! appropriation to :i* transf]r$3 ,provid$ fur!r1 ,t none ( ! funds made available "u ?is head+ may be transf]r$ to any program1 project1 or activity specifically limit$ or d5i$ by ?is ,act3 ,provid$ fur!r1 ,t ! transf] au?ority provid$ "u ?is head+ is 9 addition to any o!r transf] au?ority available to ! ,dep>tm5t ( ,def5se3 ,provid$ fur!r1 ,t su* am\nt is designat$ by ! ,congress = ,ov]seas ,cont+5cy ,op]ations_/,global ,w> on ,t]rorism pursuant to section #bea7;b77#b77;,a77ii7 ( ! ,balanc$ ,budget & ,em]g5cy ,deficit ,control ,act ( #aihe4 ,rese>*1 ,developm5t1 ,te/ & ,evaluation ,rese>*1 ,developm5t1 ,te/ & ,evaluation1 ,army ,= an additional am\nt = ,rese>*1 ,developm5t1 ,te/ & ,evaluation1 ,army1 #aai1cfh1jjj 7increas$ by #f1jjj1jjj71 to rema9 available until ,septemb] #cj1 #bjai3 ,provid$1 ,t su* am\nt is designat$ by ! ,congress = ,ov]seas ,cont+5cy ,op]ations_/,global ,w> on ,t]rorism pursuant to section #bea7;b77#b77;,a77ii7 ( ! ,balanc$ ,budget & ,em]g5cy ,deficit ,control ,act ( #aihe4 ,rese>*1 ,developm5t1 ,te/ & ,evaluation1 ,navy ,= an additional am\nt = ,rese>*1 ,developm5t1 ,te/ & ,evaluation1 ,navy1 #abd1hfe1jjj1 to rema9 available until ,septemb] #cj1 #bjai3 ,provid$1 ,t su* am\nt is designat$ by ! ,congress = ,ov]seas ,cont+5cy ,op]ations_/,global ,w> on ,t]rorism pursuant to section #bea7;b77#b77;,a77ii7 ( ! ,balanc$ ,budget & ,em]g5cy ,deficit ,control ,act ( #aihe4 ,rese>*1 ,developm5t1 ,te/ & ,evaluation1 ,air ,=ce ,= an additional am\nt = ,rese>*1 ,developm5t1 ,te/ & ,evaluation1 ,air ,=ce1 #add1ejh1jjj1 to rema9 available until ,septemb] #cj1 #bjai3 ,provid$1 ,t su* am\nt is designat$ by ! ,congress = ,ov]seas ,cont+5cy ,op]ations_/,global ,w> on ,t]rorism pursuant to section #bea7;b77#b77;,a77ii7 ( ! ,balanc$ ,budget & ,em]g5cy ,deficit ,control ,act ( #aihe4 ,rese>*1 ,developm5t1 ,te/ & ,evaluation1 ,def5se-,wide ,= an additional am\nt = ,rese>*1 ,developm5t1 ,te/ & ,evaluation1 ,def5se-,wide1 #bbf1jif1jjj1 to rema9 available until ,septemb] #cj1 #bjai3 ,provid$1 ,t su* am\nt is designat$ by ! ,congress = ,ov]seas ,cont+5cy ,op]ations_/,global ,w> on ,t]rorism pursuant to section #bea7;b77#b77;,a77ii7 ( ! ,balanc$ ,budget & ,em]g5cy ,deficit ,control ,act ( #aihe4 ,rese>*1 ,developm5t1 ,te/ & ,evaluation1 ,national ,def5se ,re/oration ,fund 7includ+ transf] ( funds7 ,9 addition to am\nts provid$ else:]e 9 ?is ,act1 !re is appropriat$ #a1jjj1jjj1jjj1 = ! ,rese>*1 ,developm5t1 ,te/ & ,evaluation1 ,national ,def5se ,re/oration ,fund3 ,provid$1 ,t su* funds provid$ "u ?is head+ %all only be available = programs1 projects & activities necess>y to implem5t ! #bjah ,national ,def5se ,/rategy3 ,provid$ fur!r1 ,t su* funds %all n be available = transf] until #cj days aft] ! ,secret>y has submitt$1 & ! congressional def5se committees h approv$1 ! propos$ allocation plan = ! use ( su* funds to implem5t su* /rategy3 ,provid$ fur!r1 ,t su* allocation plan %all include a detail$ ju/ification = ! use ( su* funds & a description ( h[ su* inve/m5ts are necess>y to implem5t ! /rategy3 ,provid$ fur!r1 ,t ! ,secret>y ( ,def5se may transf] ^! funds only to rese>*1 developm5t1 te/ & evaluation acc\nts3 ,provid$ fur!r1 ,t ! funds transf]r$ %all be m]g$ ) & %all be available = ! same purposes & = ! same "t p]iod1 z ! appropriation to :i* transf]r$3 ,provid$ fur!r1 ,t none ( ! funds made available "u ?is head+ may be transf]r$ to any program1 project1 or activity specifically limit$ or d5i$ by ?is ,act3 ,provid$ fur!r1 ,t ! transf] au?ority provid$ "u ?is head+ is 9 addition to any o!r transf] au?ority available to ! ,dep>tm5t ( ,def5se3 ,provid$ fur!r1 ,t su* am\nt is designat$ by ! ,congress = ,ov]seas ,cont+5cy ,op]ations_/,global ,w> on ,t]rorism pursuant to section #bea7;b77#b77;,a77ii7 ( ! ,balanc$ ,budget & ,em]g5cy ,deficit ,control ,act ( #aihe4 ,revolv+ & ,managem5t ,funds ,def5se ,work+ ,capital ,funds ,= an additional am\nt = ,def5se ,work+ ,capital ,funds1 #adh1ief1jjj3 ,provid$1 ,t su* am\nt is designat$ by ! ,congress = ,ov]seas ,cont+5cy ,op]ations_/,global ,w> on ,t]rorism pursuant to section #bea7;b77#b77;,a77ii7 ( ! ,balanc$ ,budget & ,em]g5cy ,deficit ,control ,act ( #aihe4 ,o!r ,dep>tm5t ( ,def5se ,programs ,def5se ,heal? ,program ,= an additional am\nt = ,def5se ,heal? ,program1 #cie1hje1jjj1 :i* %all be = op]ation & ma9t5ance3 ,provid$1 ,t su* am\nt is designat$ by ! ,congress = ,ov]seas ,cont+5cy ,op]ations_/,global ,w> on ,t]rorism pursuant to section #bea7;b77#b77;,a77ii7 ( ! ,balanc$ ,budget & ,em]g5cy ,deficit ,control ,act ( #aihe4 ,drug ,int]diction & ,c\nt]-,drug ,activities1 ,def5se ,= an additional am\nt = ,drug ,int]diction & ,c\nt]-,drug ,activities1 ,def5se1 #aif1cjj1jjj3 ,provid$1 ,t su* am\nt is designat$ by ! ,congress = ,ov]seas ,cont+5cy ,op]ations_/,global ,w> on ,t]rorism pursuant to section #bea7;b77#b77;,a77ii7 ( ! ,balanc$ ,budget & ,em]g5cy ,deficit ,control ,act ( #aihe4 ,jo9t ,improvis$-,?reat ,defeat ,fund 7includ+ transf] ( funds7 ,= ! ,jo9t ,improvis$-,?reat ,defeat ,fund1 #dhc1jeh1jjj1 to rema9 available until ,septemb] #cj1 #bjbj3 ,provid$1 ,t su* funds %all be available to ! ,secret>y ( ,def5se1 not)/&+ any o!r provision ( law1 = ! purpose ( all[+ ! ,director ( ! ,jo9t ,improvis$-,?reat ,defeat ,organization to inve/igate1 develop & provide equipm5t1 supplies1 s]vices1 tra9+1 facilities1 p]sonnel & funds to assi/ ,unit$ ,/ates =ces 9 ! defeat ( improvis$ explosive devices3 ,provid$ fur!r1 ,t ! ,secret>y ( ,def5se may transf] funds provid$ h]e9 to appropriations = milit>y p]sonnel2 op]ation & ma9t5ance2 procurem5t2 rese>*1 developm5t1 te/ & evaluation2 & def5se work+ capital funds to accompli% ! purpose provid$ h]e93 ,provid$ fur!r1 ,t ?is transf] au?ority is 9 addition to any o!r transf] au?ority available to ! ,dep>tm5t ( ,def5se3 ,provid$ fur!r1 ,t ! ,secret>y ( ,def5se %all1 n few] ?an #e days prior to mak+ transf]s f ?is appropriation1 notify ! congressional def5se committees 9 writ+ ( ! details ( any su* transf]3 ,provid$ fur!r1 ,t su* am\nt is designat$ by ! ,congress = ,ov]seas ,cont+5cy ,op]ations_/,global ,w> on ,t]rorism pursuant to section #bea7;b77#b77;,a77ii7 ( ! ,balanc$ ,budget & ,em]g5cy ,deficit ,control ,act ( #aihe4 ,(fice ( ! ,inspector ,g5]al ,= an additional am\nt = ! ,(fice ( ! ,inspector ,g5]al1 #bd1fib1jjj3 ,provid$1 ,t su* am\nt is designat$ by ! ,congress = ,ov]seas ,cont+5cy ,op]ations_/,global ,w> on ,t]rorism pursuant to section #bea7;b77#b77;,a77ii7 ( ! ,balanc$ ,budget & ,em]g5cy ,deficit ,control ,act ( #aihe4 ,,g5]al ,,provisions--,,?is ,,title #acja4 ,not)/&+ any o!r provision ( law1 funds made available 9 ?is title are 9 addition to am\nts appropriat$ or o!rwise made available = ! ,dep>tm5t ( ,def5se = fiscal ye> #bjah4 7includ+ transf] ( funds7 #acjb4 ,^u ! det]m9ation ( ! ,secret>y ( ,def5se t su* action is necess>y 9 ! national int]e/1 ! ,secret>y may1 ) ! approval ( ! ,(fice ( ,managem5t & ,budget1 transf] up to #b1ejj1jjj1jjj betwe5 ! appropriations or funds made available to ! ,dep>tm5t ( ,def5se 9 ?is title3 ,provid$1 ,t ! ,secret>y %all notify ! ,congress promptly ( ea* transf] made pursuant to ! au?ority 9 ?is section3 ,provid$ fur!r1 ,t ! au?ority provid$ 9 ?is section is 9 addition to any o!r transf] au?ority available to ! ,dep>tm5t ( ,def5se & is subject to ! same t]ms & conditions z ! au?ority provid$ 9 section #hjje ( ?is ,act4 #acjc4 ,sup]vision & adm9i/ration co/s & co/s = design dur+ con/ruction associat$ ) a con/ruction project fund$ ) appropriations available = op]ation & ma9t5ance or ! ,afghani/an ,security ,=ces ,fund provid$ 9 ?is ,act & execut$ 9 direct support ( ov]seas cont+5cy op]ations 9 ,afghani/an1 may be obligat$ at ! "t a con/ruction contract is aw>d$3 ,provid$1 ,t1 = ! purpose ( ?is section1 sup]vision & adm9i/ration co/s & co/s = design dur+ con/ruction include all 9-h\se ,gov]nm5t co/s4 #acjd4 ,f funds made available 9 ?is title1 ! ,secret>y ( ,def5se may pur*ase = use by milit>y & civilian employees ( ! ,dep>tm5t ( ,def5se 9 ! ,unit$ ,/ates ,c5tral ,comm& area ( responsibility3 7#a7 pass5g] motor vehicles up to a limit ( #ge1jjj p] vehicle2 & 7#b7 heavy & light armor$ vehicles = ! physical security ( p]sonnel or = =ce protection purposes up to a limit ( #dej1jjj p] vehicle1 not)/&+ price or o!r limitations applicable to ! pur*ase ( pass5g] c>ry+ vehicles4 #acje4 ,n to exce$ #e1jjj1jjj ( ! am\nts appropriat$ by ?is title "u ! head+ ,op]ation & ,ma9t5ance1 ,army may be us$1 not)/&+ any o!r provision ( law1 to fund ! ,comm&]s' ,em]g5cy ,response ,program 7,,c]p71 = ! purpose ( enabl+ milit>y comm&]s 9 ,afghani/an to respond to urg5t1 small-scale1 humanit>ian relief & recon/ruction requirem5ts )9 _! areas ( responsibility3 ,provid$1 ,t ea* project 7includ+ any ancill>y or relat$ elem5ts 9 connection ) su* project7 execut$ "u ?is au?ority %all n exce$ #b1jjj1jjj3 ,provid$ fur!r1 ,t n lat] ?an #de days aft] ! end ( ea* #f mon?s ( ! fiscal ye>1 ! ,secret>y ( ,def5se %all submit to ! congressional def5se committees a report reg>d+ ! s\rce ( funds & ! allocation & use ( funds dur+ t #f-mon? p]iod t 7 made available pursuant to ! au?ority provid$ 9 ?is section or "u any o!r provision ( law = ! purposes describ$ h]e93 ,provid$ fur!r1 ,t1 n lat] ?an #cj days aft] ! end ( ea* fiscal ye> qu>t]1 ! ,army %all submit to ! congressional def5se committees qu>t]ly commitm5t1 obligation1 & exp5diture data = ! ,,c]p 9 ,afghani/an3 ,provid$ fur!r1 ,t1 n less ?an #ae days be=e mak+ funds available pursuant to ! au?ority provid$ 9 ?is section or "u any o!r provision ( law = ! purposes describ$ h]e9 = a project ) a total anticipat$ co/ = completion ( #ejj1jjj or m1 ! ,secret>y %all submit to ! congressional def5se committees a writt5 notice conta9+ ea* ( ! foll[+3 7#a7 ,! location1 nature & purpose ( ! propos$ project1 includ+ h[ ! project is int5d$ to advance ! milit>y campaign plan = ! c\ntry 9 :i* x is to be c>ri$ out4 7#b7 ,! budget1 implem5tation timel9e ) mile/ones1 & completion date = ! propos$ project1 includ+ any o!r ,,c]p fund+ t has be5 or is anticipat$ to be contribut$ to ! completion ( ! project4 7#c7 ,a plan = ! su/a9m5t ( ! propos$ project1 includ+ ! agreem5t ) ei!r ! ho/ nation1 a non-,dep>tm5t ( ,def5se ag5cy ( ! ,unit$ ,/ates ,gov]nm5t or a ?ird-p>ty contributor to f9ance ! su/a9m5t ( ! activities & ma9t5ance ( any equipm5t or facilities to be provid$ ?r\gh ! propos$ project4 #acjf4 ,funds available to ! ,dep>tm5t ( ,def5se = op]ation & ma9t5ance may be us$1 not)/&+ any o!r provision ( law1 to provide supplies1 s]vices1 transportation1 includ+ airlift & sealift1 & o!r logi/ical support to alli$ =ces p>ticipat+ 9 a comb9$ op]ation ) ! arm$ =ces ( ! ,unit$ ,/ates & coalition =ces support+ milit>y & /ability op]ations 9 ,afghani/an & to c\nt] ! ,islamic ,/ate ( ,iraq & ! ,levant3 ,provid$1 ,t ! ,secret>y ( ,def5se %all provide qu>t]ly reports to ! congressional def5se committees reg>d+ support provid$ "u ?is section4 #acjg4 ,none ( ! funds appropriat$ or o!rwise made available by ?is or any o!r ,act %all be obligat$ or exp5d$ by ! ,unit$ ,/ates ,gov]nm5t = a purpose z foll[s3 7#a7 ,to e/abli% any milit>y in/allation or base = ! purpose ( provid+ = ! p]man5t /ation+ ( ,unit$ ,/ates ,arm$ ,=ces 9 ,iraq4 7#b7 ,to ex]cise ,unit$ ,/ates control ov] any oil res\rce ( ,iraq4 7#c7 ,to e/abli% any milit>y in/allation or base = ! purpose ( provid+ = ! p]man5t /ation+ ( ,unit$ ,/ates ,arm$ ,=ces 9 ,afghani/an4 #acjh4 ,none ( ! funds made available 9 ?is ,act may be us$ 9 contrav5tion ( ! foll[+ laws enact$ or regulations promulgat$ to implem5t ! ,unit$ ,nations ,conv5tion ,aga9/ ,torture & ,o!r ,cruel1 ,inhuman or ,degrad+ ,treatm5t or ,puni%m5t 7done at ,new ,york on ,decemb] #aj1 #aihd73 7#a7 ,section #bcdj;,a ( title #ah1 ,unit$ ,/ates ,code4 7#b7 ,section #bbdb ( ! ,=eign ,affairs ,re=m & ,re/ructur+ ,act ( #aiih 7division ,g ( ,public ,law #aje-bgg2 #aab ,/at4 #bfha-hbb2 #h ,u4,s4,c4 #abca note7 & regulations prescrib$ !reto1 includ+ regulations "u "p #bjh ( title #h1 ,code ( ,f$]al ,regulations1 & "p #ie ( title #bb1 ,code ( ,f$]al ,regulations4 7#c7 ,sections #ajjb & #ajjc ( ! ,dep>tm5t ( ,def5se1 ,em]g5cy ,supplem5tal ,appropriations to ,address ,hurricanes 9 ! ,gulf ( ,mexico1 & ,p&emic ,influ5za ,act1 #bjjf 7,public ,law #aji-adh74 #acji4 ,none ( ! funds provid$ = ! ,afghani/an ,security ,=ces ,fund 7,,asff7 may be obligat$ prior to ! approval ( a f9ancial & activity plan by ! ,afghani/an ,res\rces ,ov]sight ,c\ncil 7,,aroc7 ( ! ,dep>tm5t ( ,def5se3 ,provid$1 ,t ! ,,aroc mu/ approve ! requirem5t & acquisition plan = any s]vice requirem5ts 9 excess ( #ej1jjj1jjj annually & any non-/&>d equipm5t requirem5ts 9 excess ( #ajj1jjj1jjj us+ ,,asff3 ,provid$ fur!r1 ,t ! ,dep>tm5t ( ,def5se mu/ c]tify to ! congressional def5se committees t ! ,,aroc has conv5$ & approv$ a process = ensur+ compliance ) ! requirem5ts 9 ! prec$+ proviso & accompany+ report language = ! ,,asff4 #acaj4 ,funds made available 9 ?is title to ! ,dep>tm5t ( ,def5se = op]ation & ma9t5ance may be us$ to pur*ase items hav+ an inve/m5t unit co/ ( n m ?an #bej1jjj3 ,provid$1 ,t1 ^u det]m9ation by ! ,secret>y ( ,def5se t su* action is necess>y to meet ! op]ational requirem5ts ( a ,comm&] ( a ,combatant ,comm& engag$ 9 cont+5cy op]ations ov]seas1 su* funds may be us$ to pur*ase items hav+ an inve/m5t item unit co/ ( n m ?an #ejj1jjj4 #acaa4 ,up to #ejj1jjj1jjj ( funds appropriat$ by ?is ,act = ! ,def5se ,security ,coop]ation ,ag5cy 9 ,op]ation & ,ma9t5ance1 ,def5se-,wide may be us$ to provide assi/ance to ! ,gov]nm5t ( ,jordan to support ! arm$ =ces ( ,jordan & to enhance security along its bord]s4 #acab4 ,none ( ! funds made available by ?is ,act "u ! head+ ,c\nt]-,,isil ,tra9 & ,equip ,fund may be us$ to procure or transf] man-portable air def5se sy/ems4 #acac4 ,= ! ,ukra9e ,security ,assi/ance ,initiative1 #aej1jjj1jjj is h]eby appropriat$1 to rema9 available until ,septemb] #cj1 #bjah3 ,provid$1 ,t su* funds %all be available to ! ,secret>y ( ,def5se1 9 coord9ation ) ! ,secret>y ( ,/ate1 to provide assi/ance1 includ+ tra9+2 equipm5t2 le?al weapons ( a def5sive nature2 logi/ics support1 supplies & s]vices2 su/a9m5t2 & intellig5ce support to ! milit>y & national security =ces ( ,ukra9e1 & = replacem5t ( any weapons or def5sive articles provid$ to ! ,gov]nm5t ( ,ukra9e f ! inv5tory ( ! ,unit$ ,/ates3 ,provid$ fur!r1 ,t ! ,secret>y ( ,def5se %all1 n less ?an #ae days prior to obligat+ funds provid$ "u ?is head+1 notify ! congressional def5se committees 9 writ+ ( ! details ( any su* obligation3 ,provid$ fur!r1 ,t ! ,unit$ ,/ates may accept equipm5t procur$ us+ funds provid$ "u ?is head+ 9 ?is or prior ,acts t 0 transf]r$ to ! security =ces ( ,ukra9e & return$ by su* =ces to ! ,unit$ ,/ates3 ,provid$ fur!r1 ,t equipm5t procur$ us+ funds provid$ "u ?is head+ 9 ?is or prior ,acts1 & n yet transf]r$ to ! milit>y or ,national ,security ,=ces ( ,ukra9e or return$ by su* =ces to ! ,unit$ ,/ates1 may be treat$ z /ocks ( ! ,dep>tm5t ( ,def5se ^u writt5 notification to ! congressional def5se committees3 ,provid$ fur!r1 ,t am\nts made available by ?is section are designat$ by ! ,congress = ,ov]seas ,cont+5cy ,op]ations_/,global ,w> on ,t]rorism pursuant to section #bea7;b77#b77;,a77ii7 ( ! ,balanc$ ,budget & ,em]g5cy ,deficit ,control ,act ( #aihe4 #acad4 ,funds appropriat$ 9 ?is title %all be available = replacem5t ( funds = items provid$ to ! ,gov]nm5t ( ,ukra9e f ! inv5tory ( ! ,unit$ ,/ates to ! ext5t specifically provid$ = 9 section #ijac ( ?is ,act4 #acae4 ,none ( ! funds made available by ?is ,act "u section #ijac = ,assi/ance & ,su/a9m5t to ! ,milit>y & ,national ,security ,=ces ( ,ukra9e may be us$ to procure or transf] man-portable air def5se sy/ems4 #acaf4 7a7 ,none ( ! funds appropriat$ or o!rwise made available by ?is ,act "u ! head+ ,op]ation & ,ma9t5ance1 ,def5se-,wide = paym5ts "u section #abcc ( ,public ,law #aaj-aha = reimbursem5t to ! ,gov]nm5t ( ,paki/an may be made available unless ! ,secret>y ( ,def5se1 9 coord9ation ) ! ,secret>y ( ,/ate1 c]tifies to ! congressional def5se committees t ! ,gov]nm5t ( ,paki/an is-- 7#a7 coop]at+ ) ! ,unit$ ,/ates 9 c\nt]t]rorism ef=ts aga9/ ! ,haqqani ,network1 ! ,quetta ,%ura ,taliban1 ,la%k> e-,tayyiba1 ,jai%-e-,mohamm$1 ,al ,qa$a1 & o!r dome/ic & =eign t]rori/ organizations1 includ+ tak+ /eps to end support = su* gr\ps & prev5t !m f bas+ & op]at+ 9 ,paki/an & c>ry+ out cross bord] attacks into neighbor+ c\ntries2 7#b7 n support+ t]rori/ activities aga9/ ,unit$ ,/ates or coalition =ces 9 ,afghani/an1 & ,paki/an's milit>y & intellig5ce ag5cies are n int]v5+ extra-judicially into political & judicial processes 9 ,paki/an2 7#c7 dismantl+ improvis$ explosive device 7,,i$7 networks & int]dict+ precursor *emicals us$ 9 ! manufacture ( ,i,e,ds2 7#d7 prev5t+ ! prolif]ation ( nucle>-relat$ mat]ial & exp]tise2 7#e7 implem5t+ policies to protect judicial indep5d5ce & due process ( law2 7#f7 issu+ visas 9 a timely mann] = ,unit$ ,/ates visitors engag$ 9 c\nt]t]rorism ef=ts & assi/ance programs 9 ,paki/an2 & 7#g7 provid+ humanit>ian organizations access to deta9ees1 int]nally displac$ p]sons1 & o!r ,paki/ani civilians affect$ by ! conflict4 7b7 ,! ,secret>y ( ,def5se1 9 coord9ation ) ! ,secret>y ( ,/ate1 may waive ! re/riction 9 subsection 7a7 on a case-by-case basis by c]tify+ 9 writ+ to ! congressional def5se committees t x is 9 ! national security int]e/ to d s3 ,provid$1 ,t if ! ,secret>y ( ,def5se1 9 coord9ation ) ! ,secret>y ( ,/ate1 ex]cises su* waiv] au?ority1 ! ,secret>ies %all report to ! congressional def5se committees on bo? ! ju/ification = ! waiv] & on ! requirem5ts ( ?is section t ! ,gov]nm5t ( ,paki/an 0 n able to meet3 ,provid$ fur!r1 ,t su* report may be submitt$ 9 classifi$ =m if necess>y4 7includ+ transf] ( funds7 #acag4 ,9 addition to am\nts o!rwise made available 9 ?is ,act1 #ejj1jjj1jjj is h]eby appropriat$ to ! ,dep>tm5t ( ,def5se & made available = transf] only to ! op]ation & ma9t5ance1 milit>y p]sonnel1 & procurem5t acc\nts1 to improve ! intellig5ce1 surveillance1 & reconnaissance capabilities ( ! ,dep>tm5t ( ,def5se3 ,provid$1 ,t ! transf] au?ority provid$ 9 ?is section is 9 addition to any o!r transf] au?ority provid$ else:]e 9 ?is ,act3 ,provid$ fur!r1 ,t n lat] ?an #cj days prior to ex]cis+ ! transf] au?ority provid$ 9 ?is section1 ! ,secret>y ( ,def5se %all submit a report to ! congressional def5se committees on ! propos$ uses ( ^! funds3 ,provid$ fur!r1 ,t ! funds provid$ 9 ?is section may n be transf]r$ to any program1 project1 or activity specifically limit$ or d5i$ by ?is ,act3 ,provid$ fur!r1 ,t am\nts made available by ?is section are designat$ by ! ,congress = ,ov]seas ,cont+5cy ,op]ations_/,global ,w> on ,t]rorism pursuant to section #bea7;b77#b77;,a77ii7 ( ! ,balanc$ ,budget & ,em]g5cy ,deficit ,control ,act ( #aihe3 ,provid$ fur!r1 ,t ! au?ority to provide fund+ "u ?is section %all t]m9ate on ,septemb] #cj1 #bjah4 #acah4 ,none ( ! funds made available by ?is ,act may be us$ ) respect to ,syria 9 contrav5tion ( ! ,w> ,p[]s ,resolution 7#ej ,u4,s4,c4 #aeda et seq471 includ+ = ! introduction ( ,unit$ ,/ates arm$ or milit>y =ces into ho/ilities 9 ,syria1 into situations 9 ,syria :]e imm95t involvem5t 9 ho/ilities is cle>ly indicat$ by ! circum/ances1 or into ,syrian t]ritory1 airspace1 or wat]s :ile equipp$ = combat1 9 contrav5tion ( ! congressional consultation & report+ requirem5ts ( sections #c & #d ( t law 7#ej ,u4,s4,c4 #aedb & #aedc74 7rescissions7 #acai4 ,( ! funds appropriat$ 9 ,dep>tm5t ( ,def5se ,appropriations ,acts1 ! foll[+ funds are h]eby resc9d$ f ! foll[+ acc\nts & programs 9 ! specifi$ am\nts3 ,provid$1 ,t su* am\nts are designat$ by ! ,congress = ,ov]seas ,cont+5cy ,op]ations_/,global ,w> on ,t]rorism pursuant to section #bea7;b77#b77;,a77ii7 ( ! ,balanc$ ,budget & ,em]g5cy ,deficit ,control ,act ( #aihe3 ,o!r ,procurem5t1 ,air ,=ce1 #bjag_/bjai1 #be1ajj1jjj2 ,afghani/an ,security ,=ces ,fund1 #bjag_/bjah1 #ajj1jjj1jjj2 & ,c\nt]-,,isil ,tra9 & ,equip ,fund1 #bjag_/bjah1 #aab1eac1jjj4 ,op]ation & ,ma9t5ance1 ,def5se-,wide1 ,,dsca ,coalition ,support ,fund1 #bjag_/bjah1 #cej1jjj1jjj4 #acbj4 ,ea* am\nt designat$ 9 ?is ,act by ! ,congress = ,ov]seas ,cont+5cy ,op]ations_/,global ,w> on ,t]rorism pursuant to section #bea7;b77#b77;,a77ii7 ( ! ,balanc$ ,budget & ,em]g5cy ,deficit ,control ,act ( #aihe %all be available only if ! ,presid5t subsequ5tly s designates all su* am\nts & transmits su* designations to ! ,congress4 #acba4 7a7 ,n lat] ?an #cj days aft] ! date ( ! enactm5t ( ?is ,act1 ! ,presid5t %all submit to ,congress a report on ! ,unit$ ,/ates /rategy to defeat ,al-,qa$a1 ! ,taliban1 ! ,islamic ,/ate ( ,iraq & ,syria 7,,isis71 & _! associat$ =ces & co-bellig]5ts4 7b7 ,! report requir$ "u subsection 7a7 %all include ! foll[+3 7#a7 ,an analysis ( ! adequacy ( ! exi/+ legal framework to accompli% ! /rategy describ$ 9 subsection 7a71 p>ticul>ly ) respect to ! ,au?orization = ,use ( ,milit>y ,=ce 7,public ,law #ajg-dj2 #ej ,u4,s4,c4 #aeda note7 & ! ,au?orization = ,use ( ,milit>y ,=ce ,aga9/ ,iraq ,resolution ( #bjjb 7,public ,law #ajg-bdc2 #ej ,u4,s4,c4 #aeda note74 7#b7 ,an analysis ( ! budget>y res\rces necess>y to accompli% ! /rategy describ$ 9 subsection 7a74 7c7 ,n lat] ?an #cj days aft] ! date on :i* ! ,presid5t submits to ! appropriate congressional committees ! report requir$ by subsection 7a71 ! ,secret>y ( ,/ate & ! ,secret>y ( ,def5se %all te/ify at any he>+ held by any ( ! appropriate congressional committees on ! report & to :i* ! ,secret>y is invit$4 7d7 ,9 ?is section1 ! t]m appropriate congressional committees means-- 7#a7 ! ,committee on ,=eign ,relations & ! ,committee on ,arm$ ,s]vices ( ! ,s5ate2 & 7#b7 ! ,committee on ,=eign ,affairs & ! ,committee on ,arm$ ,s]vices ( ! ,h\se ( ,repres5tatives4 #acbb4 7a7 ,9 addition to am\nts provid$ else:]e 9 ?is ,act1 !re is h]eby appropriat$ #a1ahd1aab1jjj1 = ! foll[+ acc\nts & programs 9 ! specifi$ am\nts = co/s associat$ ) ,op]ation ,fre$om's ,s5t9el3 7#a7 ,milit>y ,p]sonnel1 ,army1 #dh1cgg1jjj2 7#b7 ,milit>y ,p]sonnel1 ,m>9e ,corps1 #agi1jjj2 7#c7 ,milit>y ,p]sonnel1 ,air ,=ce1 #a1cdj1jjj2 7#d7 ,op]ation & ,ma9t5ance1 ,army1 #hgb1dia1jjj2 7#e7 ,op]ation & ,ma9t5ance1 ,navy1 #gf1bgd1jjj2 7#f7 ,op]ation & ,ma9t5ance1 ,m>9e ,corps1 #bd1gcd1jjj2 7#g7 ,op]ation & ,ma9t5ance1 ,def5se-,wide1 #ha1afd1jjj2 7#h7 ,procurem5t ( ,ammunition1 ,navy & ,m>9e ,corps1 #aj1hec1jjj1 to rema9 available until ,septemb] #cj1 #bjbj2 7#i7 ,o!r ,procurem5t1 ,navy1 #ca1ejj1jjj1 to rema9 available until ,septemb] #cj1 #bjbj2 & 7#aj7 ,rese>*1 ,developm5t1 ,te/ & ,evaluation1 ,navy1 #cg1bjj1jjj1 to rema9 available until ,septemb] #cj1 #bjai4 7b7 ,am\nts provid$ pursuant to ?is section are h]eby designat$ by ! ,congress = ,ov]seas ,cont+5cy ,op]ations_/,global ,w> on ,t]rorism pursuant to section #bea7;b77#b77;,a77ii7 ( ! ,balanc$ ,budget & ,em]g5cy ,deficit ,control ,act ( #aihe4 ,x ,additional ,g5]al ,provisions ,ref]5ces to report #adja4 ,any ref]5ce to a report accompany+ ?is ,act conta9$ 9 ?is ,act %all be treat$ z a ref]5ce to ,h\se ,report #aae-bai4 ,su* report %all apply = purposes ( det]m9+ ! allocation ( funds provid$ by1 & ! implem5tation (1 ?is ,act4 sp5d+ r$uction acc\nt #adjb4 #j4 #adjc4 ,none ( ! funds appropriat$ or o!rwise made available "u ! head+ ,afghani/an ,security ,=ces ,fund may be us$ to procure uni=ms = ! ,afghan ,national ,army4 #adjd4 ,none ( ! funds made available 9 ?is ,act may be us$ = ! closure ( a biosafety level #d laboratory4 #adje4 ,none ( ! funds made available by ?is ,act may be us$ to provide arms1 tra9+1 or o!r assi/ance to ! ,azov ,battalion4 #adjf4 ,none ( ! f9ds made available by ?is ,act may be us$ to pur*ase heavy wat] f ,iran4 #adjg4 ,none ( ! funds appropriat$ by ?is ,act may be us$ to plan =1 beg91 cont9ue1 complete1 process1 or approve a public-private competition "u ! ,(fice ( ,managem5t & ,budget ,circul> ,a-#gf4 #adjh4 ,not)/&+ any o!r provision ( law1 ) respect to ! revis$ security category 7z t t]m is def9$ 9 section #bej7;c77#d77;,d7 ( ! ,balanc$ ,budget & ,em]g5cy ,deficit ,control ,act ( #aihe71 any seque/ration ord] issu$ "u su* ,act = fiscal ye> #bjah %all h no =ce or effect4 ,?is division may be cit$ z ! ,dep>tm5t ( ,def5se ,appropriations ,act1 #bjah4 ,d ,miscellane\s #aeja4 7a7 ,section #abdj;,b ( ! ,food ,security ,act ( #aihe 7#af ,u4,s4,c4 #chci;aa-#b7 is am5d$ by /rik+ subsection 7a7 & ins]t+ ! foll[+3 7a7 ,e/abli%m5t ,dur+ ea* ( ! #bjjb ?r\gh #bjai fiscal ye>s1 ! ,secret>y %all provide paym5ts to produc]s t ent] into contracts ) ! ,secret>y "u ! program4 4 7b7 ,section #abda ( ! ,food ,security ,act ( #aihe 7#af ,u4,s4,c4 #chda7 is am5d$-- 7#a7 9 subsection 7a7-- 7,a7 9 ! matt] prec$+ p>agraph 7#a71 by /rik+ #bjah & ins]t+ #bjah 7& fiscal ye> #bjai 9 ! case ( ! program specifi$ 9 p>agraph 7#e772 & 7,b7 9 p>agraph 7#e77;,e71 by /rik+ fiscal ye> #bjah & ins]t+ ea* ( fiscal ye>s #bjah ?r\gh #bjai2 & 7#b7 9 subsection 7b71 by /rik+ #bjah & ins]t+ #bjah 7& fiscal ye> #bjai 9 ! case ( ! program specifi$ 9 subsection 7a77#e774 ,e ,tax ,matt]s #afja4 ,repeal ( %ift 9 "t ( paym5t ( corporate e/imat$ taxes ,! ,trade ,pref]5ces ,ext5sion ,act ( #bjae is am5d$ by /rik+ section #hjc 7relat+ to "t = paym5t ( corporate e/imat$ taxes74 ,f ,heal? ,provisions #bajj4 ,%ort title ,?is division may be cit$ z ! ,/r5g!n+ & ,und]p9n+ ! ,safety-net to ,aid ,individuals ,ne$+ ,c>e ,act ( #bjah or ! ,,su/a9 ,c>e ,act ( #bjah4 ,i ,m$ic>e ,ext5d]s & ,relat$ ,policies ,a ,m$ic>e ,"p ,a #baja4 ,ext5sion ( ! ,m$ic>e-dep5d5t hospital 7,,mdh7 program 7a7 ,9 g5]al ,section #ahhf7;d77#e77;,g7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acieww7d77#e77;,g77 is am5d$-- 7#a7 9 clause 7i71 by /rik+ ,octob] #a1 #bjag & ins]t+ ,octob] #a1 #bjai2 7#b7 9 clause 7ii77,,ii71 by /rik+ ,octob] #a1 #bjag & ins]t+ ,octob] #a1 #bjai2 & 7#c7 9 clause 7iv7-- 7,a7 by am5d+ subclause 7,i7 to read z foll[s3 7,i7 t-- 7aa7 is locat$ 9 a rural area2 or 7bb7 = dis*>ges occurr+ on or aft] ,octob] #a1 #bjag1 is locat$ 9 a ,/ate ) no rural area 7z def9$ 9 p>agraph 7#b77;,d77 & satisfies any ( ! crit]ia 9 subclause 7,i71 7,,ii71 7,,iii71 or 7,,iv7 ( p>agraph 7#h77;,e77ii71 2 & 7,b7 by add+ at ! end1 aft] & bel[ subclause 7,,iv71 ! foll[+ flu% s5t5ce3 ,= purposes ( apply+ subclause 7,,ii7 ( p>agraph 7#h77;,e77ii7 "u subclause 7,i77bb71 su* subclause 7,,ii7 %all be appli$ by ins]t+ z ( ,janu>y #a1 #bjah1 aft] su* ,/ate ea* place x appe>s4 4 7b7 ,con=m+ am5dm5ts 7#a7 ,ext5sion ( t>get am\nt ,section #ahhf7;b77#c77;,d7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acieww7b77#c77;,d77 is am5d$-- 7,a7 9 ! matt] prec$+ clause 7i71 by /rik+ ,octob] #a1 #bjag & ins]t+ ,octob] #a1 #bjai2 & 7,b7 9 clause 7iv71 by /rik+ ?r\gh fiscal ye> #bjag & ins]t+ ?r\gh fiscal ye> #bjai4 7#b7 ,p]mitt+ hospitals to decl9e reclassification ,section #aceja7;e77#b7 ( ! ,omnibus ,budget ,reconciliation ,act ( #aiic 7#db ,u4,s4,c4 #acieww note7 is am5d$ by /rik+ ?r\gh fiscal ye> #bjag & ins]t+ ?r\gh fiscal ye> #bjai4 #bajb4 ,ext5sion ( increas$ inpati5t hospital paym5t adju/m5t = c]ta9 l[-volume hospitals ,section #ahhf7;d77#ab7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acieww7d77#ab77 is am5d$-- 7#a7 9 subp>agraph 7,b71 9 ! matt] prec$+ clause 7i71 by /rik+ fiscal ye> #bjah & ins]t+ fiscal ye> #bjbj2 7#b7 9 subp>agraph 7,c77i71 by /rik+ fiscal ye>s #bjaa ?r\gh #bjag & ins]t+ fiscal ye>s #bjaa ?r\gh #bjai ea* place x appe>s2 & 7#c7 9 subp>agraph 7,d71 by /rik+ fiscal ye>s #bjaa ?r\gh #bjag & ins]t+ fiscal ye>s #bjaa ?r\gh #bjai4 #bajc4 ,/udies relat+ to hospital programs paid outside ( prospective paym5t sy/ems 7a7 ,med,p,a,c report ,us+ data f hospital programs ) respect to :i* hospitals receive paym5t outside ( ! prospective paym5t sy/ems "u sections #ahcc & #ahhf ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciel2 #db ,u4,s4,c4 #acieww7 7su* programs ref]r$ to 9 ?is subsection z ,,pps c>ve-out programs7 or o!r data1 z available1 n lat] ?an ,june #cj1 #bjai1 ! ,m$ic>e ,paym5t ,advisory ,commission %all submit to ,congress a report t evaluates & recomm5ds *anges to ,,pps c>ve-out programs1 includ+ ) respect to am5dm5ts made by sections #baja & #bajb ( ?is ,act1 sections #ahad1 #ahbj1 #ahhf7;d77#e77;,d77iii71 & #aaae7;,a7 ( ! ,social ,security ,act1 & su* o!r sections ( title ,,xviii ( ! ,social ,security ,act deem$ appropriate4 ,to ! ext5t feasible1 su* report %all make recomm5dations on a paym5t me?odology "u ! ,m$ic>e program = hospital paym5ts1 includ+ ) respect to ,,pps c>ve-out programs1 t diff]s f ! paym5t me?odology applicable to su* programs z ( ,septemb] #cj1 #bjag4 7b7 ,med,p,a,c ,recomm5dations = possible alt]native paym5ts ,n lat] ?an #b ye>s aft] ! date by :i* ! ,secret>y ( ,heal? & ,human ,s]vices has collect$ #b ye>s ( data "u sections #ahhf7;d77#e77;,g7 & #ahhf7;d77#ab7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acieww7d77#e77;,g72 #db ,u4,s4,c4 #acieww7d77#ab771 z ext5d$ pursuant to sections #baja & #bajb ( ?is ,act1 ! ,m$ic>e ,paym5t ,advisory ,commission %all submit to ,congress a report1 includ+-- 7#a7 recomm5dations on paym5ts1 includ+ a te*nical prototype = paym5ts = ,,pps c>ve-out programs1 if w>rant$2 7#b7 recomm5dations1 if any1 on :i* ,m$ic>e fee-=-s]vice regulations = hospital paym5ts "u title ,,xviii ( ! ,social ,security ,act %\ld be alt]$ 7su* z ! critical access hospital #if-;h\r rule72 7#c7 an analysis ( ! impact ( ! recomm5d$ paym5ts describ$ 9 p>agraph 7#a7 on ,m$ic>e b5efici>y co/-%>+1 access to c>e1 & *oice ( sett+2 7#d7 a projection ( any pot5tial r$uction 9 exp5ditures "u title ,,xviii ( ! ,social ,security ,act t may be attributable to ! application ( ! recomm5d$ paym5ts describ$ 9 p>agraph 7#a72 7#e7 a review ( ! value ( hospitals p>ticipat+ 9 ,,pps c>ve-out programs collect+ & report+ to ! ,secret>y /&>diz$ pati5t assessm5t data ) respect to inpati5t hospital s]vices2 7#f7 ! types ( rural hospital classifications & paym5t me?odologies "u ! ,m$ic>e program1 includ+ in=mation on ea* special paym5t /ructure su* z eligibility crit]ia1 & any areas ( ov]lap betwe5 su* special paym5t programs2 7#g7 ,m$ic>e sp5d+ on ea* ,,pps c>ve-out program2 7#h7 ! f9ancial aspects ( hospitals p>ticipat+ 9 su* ,,pps c>ve-out programs1 su* z ! %>e ( dis*>ges "u ! ,m$ic>e & ,m$icaid programs2 & 7#i7 :e!r su* paym5t programs are empirically ju/ifi$ to support ,m$ic>e b5efici>y access to c>e4 #bajd4 ,ext5sion ( home heal? rural add-on 7a7 ,ext5sion 7#a7 ,9 g5]al ,section #dba ( ! ,m$ic>e ,prescription ,drug1 ,improvem5t1 & ,mod]nization ,act ( #bjjc 7,public ,law #ajh-agc2 #aag ,/at4 #bbhc2 #db ,u4,s4,c4 #acie;fff note71 z am5d$ by section #ebja7;b7 ( ! ,deficit ,r$uction ,act ( #bjje 7,public ,law #aji-aga2 #abj ,/at4 #df71 section #caca7;c7 ( ! ,pati5t ,protection & ,af=dable ,c>e ,act 7,public ,law #aaa-adh2 #abd ,/at4 #dbh71 & section #baj ( ! ,m$ic>e ,access & ,,*ip ,reau?orization ,act ( #bjae 7,public ,law #aad-aj2 #abi ,/at4 #aea7 is am5d$-- 7,a7 9 subsection 7a71 by /rik+ ,janu>y #a1 #bjah & ins]t+ ,janu>y #a1 #bjai ea* place x appe>s2 7,b7 by r$esignat+ subsections 7b7 & 7c7 z subsections 7c7 & 7d71 respectively2 7,c7 9 ea* ( subsections 7c7 & 7d71 z s r$esignat$1 by /rik+ subsection 7a7 & ins]t+ subsection 7a7 or 7b72 & 7,d7 by ins]t+ aft] subsection 7a7 ! foll[+ new subsection3 7b7 ,subsequ5t tempor>y increase 7#a7 ,9 g5]al ,! ,secret>y %all increase ! paym5t am\nt o!rwise made "u su* section #ahie = home heal? s]vices furni%$ 9 a c\nty 7or equival5t area7 9 a rural area 7z def9$ 9 su* section #ahhf7;d77#b77;,d77 t1 z det]m9$ by ! ,secret>y-- 7,a7 is 9 ! highe/ qu>tile ( all c\nties 7or equival5t areas7 bas$ on ! numb] ( ,m$ic>e home heal? episodes furni%$ p] #ajj individuals :o are entitl$ to1 or enroll$ =1 b5efits "u "p ,a ( title ,,xviii ( ! ,social ,security ,act or enroll$ = b5efits "u "p ,b ( su* title 7b n enroll$ 9 a plan "u "p ,c ( su* title7-- 7i7 9 ! case ( episodes & visits end+ dur+ #bjai1 by #a4e p]c5t2 & 7ii7 9 ! case ( episodes & visits end+ dur+ #bjbj1 by #j4e p]c5t2 7,b7 has a population d5sity ( #f individuals or few] p] squ>e mile ( l& area & is n describ$ 9 subp>agraph 7,a7-- 7i7 9 ! case ( episodes & visits end+ dur+ #bjai1 by #d p]c5t2 7ii7 9 ! case ( episodes & visits end+ dur+ #bjbj1 by #c p]c5t2 7iii7 9 ! case ( episodes & visits end+ dur+ #bjba1 by #b p]c5t2 & 7iv7 9 ! case ( episodes & visits end+ dur+ #bjbb1 by #a p]c5t2 & 7,c7 is n describ$ 9 ei!r subp>agraph 7,a7 or 7,b7-- 7i7 9 ! case ( episodes & visits end+ dur+ #bjai1 by #c p]c5t2 7ii7 9 ! case ( episodes & visits end+ dur+ #bjbj1 by #b p]c5t2 & 7iii7 9 ! case ( episodes & visits end+ dur+ #bjba1 by #a p]c5t4 7#b7 ,rules = det]m9ations 7,a7 ,no swit*+ ,= purposes ( ?is subsection1 ! det]m9ation by ! ,secret>y z to :i* subp>agraph ( p>agraph 7#a7 applies to a c\nty 7or equival5t area7 %all be made a s+le "t & %all apply = ! duration ( ! p]iod to :i* ?is subsection applies4 7,b7 ,utilization ,9 det]m9+ :i* c\nties 7or equival5t areas7 are 9 ! highe/ qu>tile "u p>agraph 7#a77;,a71 ! foll[+ rules %all apply3 7i7 ,! ,secret>y %all use data f #bjae4 7ii7 ,! ,secret>y %all exclude data f ! t]ritories 7& ! t]ritories %all n be describ$ 9 su* p>agraph74 7iii7 ,! ,secret>y may exclude data f c\nties 7or equival5t areas7 9 rural areas ) a l[ volume ( home heal? episodes 7& if data is s exclud$ ) respect to a c\nty 7or equival5t area71 su* c\nty 7or equival5t area7 %all n be describ$ 9 su* p>agraph74 7,c7 ,population d5sity ,9 det]m9+ population d5sity "u p>agraph 7#a77;,b71 ! ,secret>y %all use data f ! #bjaj dec5nial ,c5sus4 7#c7 ,limitations on review ,!re %all be no adm9i/rative or judicial review "u section #ahfi1 section #ahgh1 or o!rwise ( det]m9ations "u p>agraph 7#a74 4 7#b7 ,requirem5t to submit c\nty data on claim =m ,section #ahie7;c7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acie;fff7c77 is am5d$-- 7,a7 9 p>agraph 7#a71 by /rik+ & at ! end2 7,b7 9 p>agraph 7#b71 by /rik+ ! p]iod at ! end & ins]t+ 2 &2 & 7,c7 by add+ at ! end ! foll[+ new p>agraph3 7#c7 9 ! case ( home heal? s]vices furni%$ on or aft] ,janu>y #a1 #bjai1 ! claim conta9s ! code = ! c\nty 7or equival5t area7 9 :i* ! home heal? s]vice 0 furni%$4 4 7b7 ,,oig review ,! ,(fice ( ! ,inspector ,g5]al %all submit to ,congress1 n lat] ?an ,janu>y #a1 #bjbj1 & annually !reaft] ?r\gh ,janu>y #a1 #bjbd1 a report conta9+-- 7#a7 an analysis ( paym5ts made "u section #ahie ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acie;fff7 increas$ "u section #dba ( ! ,m$ic>e ,prescription ,drug1 ,improvem5t1 & ,mod]nization ,act ( #bjjc 7,public ,law #ajh-agc2 #aag ,/at4 #bbhc2 #db ,u4,s4,c4 #acie;fff note71 z am5d$ by section #ebja7;b7 ( ! ,deficit ,r$uction ,act ( #bjje 7,public ,law #aji-aga2 #abj ,/at4 #df71 section #caca7;c7 ( ! ,pati5t ,protection & ,af=dable ,c>e ,act 7,public ,law #aaa-adh2 #abd ,/at4 #dbh71 section #baj ( ! ,m$ic>e ,access & ,,*ip ,reau?orization ,act ( #bjae 7,public ,law #aad-aj2 #abi ,/at4 #aea71 & subsection 7a72 & 7#b7 a recomm5dation on :e!r su* paym5ts %\ld cont9ue to be made bas$ on c\nty data4 ,b ,m$ic>e ,"p ,b #baaa4 ,gr\nd ambulance s]vices co/ report+ requirem5t 7a7 ,9 g5]al ,section #aaba ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acbj;a7 is am5d$-- 7#a7 9 subsection 7a7-- 7,a7 by /rik+ ,= ! purposes ( & ins]t+ ,subject to subsection 7d71 = ! purposes (2 7,b7 by ins]t+ suppli]s ( gr\nd ambulance s]vices1 aft] heal? ma9t5ance organizations12 & 7,c7 9 ! matt] foll[+ p>agraph 7#e71 by add+ ! foll[+ new s5t5ce3 ,n lat] ?an ,decemb] #ca1 #bjai1 ! ,secret>y %all modify ! uni=m report+ sy/ems = provid]s ( s]vices ) respect to gr\nd ambulance s]vices to ensure t su* sy/ems conta9 in=mation simil> 7z det]m9$ by ! ,secret>y7 to in=mation requir$ "u ! uni=m report+ sy/em = suppli]s ( gr\nd ambulance s]vices42 & 7#b7 by add+ at ! end ! foll[+ new subsection3 7d7 ,9 ! case ( a provid] or suppli] ( gr\nd ambulance s]vices1 ! ,secret>y may modify ! requirem5ts = ! inclusion ( any data elem5t specifi$ 9 subsection 7a7 9 reports made 9 accordance ) ! uni=m report+ sy/em e/abli%$ "u ?is section ) respect to su* s]vices = su* provid] or suppli]4 4 7b7 ,susp5sion ( paym5t = gr\nd ambulance s]vices2 deem+ c]ta9 paym5ts ov]paym5ts ,section #ahcd7l7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciem7l77 is am5d$ by add+ at ! end ! foll[+ new p>agraph3 7#ag7 ,requirem5t to submit co/ report & au?ority to susp5d paym5ts & deem c]ta9 paym5ts ov]paym5ts = gr\nd ambulance s]vices 7,a7 ,9 g5]al ,) respect to gr\nd ambulance s]vices furni%$ by a suppli] ( su* s]vices dur+ co/ report+ p]iods 7z def9$ 9 subp>agraph 7,i77 beg9n+ on or aft] ,janu>y #a1 #bjbj1 su* suppli] %all make reports to ! ,secret>y ( in=mation describ$ 9 section #aaba7;a7 9 accordance ) ! uni=m report+ sy/em e/abli%$ "u su* section = su* suppli]s &1 z may be requir$ by ! ,secret>y1 ( any ( ! in=mation describ$ 9 subp>agraph 7,b74 7,b7 ,additional in=mation ,! ,secret>y may1 ) respect to a suppli] ( gr\nd ambulance s]vices1 require ! foll[+ in=mation 7to be report$ to ! ext5t practicable "u ! uni=m report+ sy/em e/abli%$ "u section #aaba7;a7 = su* suppli]s73 7i7 ,:e!r ! suppli] is "p ( an em]g5cy s]vices dep>tm5t1 a gov]nm5tal organization1 or ano!r type ( entity 7z describ$ by ! ,secret>y74 7ii7 ,! numb] ( h\rs 9 a week dur+ :i* ! suppli] is available = furni%+ gr\nd ambulance s]vices4 7iii7 ,! av]age numb] ( volunte] h\rs a week us$ by ! suppli]4 7,c7 ,susp5sion ( paym5t ,subject to subp>agraph 7,e71 9 ! case t ! ,secret>y det]m9es t a suppli] ( gr\nd ambulance s]vices has n made to ! ,secret>y a timely report describ$ 9 subp>agraph 7,a7 ) respect to a co/ report+ p]iod beg9n+ on or aft] ,janu>y #a1 #bjbj1 & be=e ,janu>y #a1 #bjbb1 ! ,secret>y may susp5d paym5ts made "u ?is subsection1 9 :ole or 9 "p1 to su* suppli] until ! ,secret>y det]m9es t su* suppli] has made su* a report4 7,d7 ,deem+ c]ta9 paym5ts ov]paym5ts ,subject to subp>agraphs 7,e7 & 7,f71 9 ! case t ! ,secret>y det]m9es t a suppli] ( gr\nd ambulance s]vices has n made to ! ,secret>y a complete1 accurate1 & timely report describ$ 9 subp>agraph 7,a7 ) respect to a co/ report+ p]iod beg9n+ on or aft] ,janu>y #a1 #bjbb1 ! ,secret>y may ei!r-- 7i7 deem paym5ts made "u ?is subsection to su* suppli] = su* p]iod to be ov]paym5ts & rec\p su* ov]paym5ts2 or 7ii7 susp5d paym5ts made "u ?is subsection to su* suppli] = su* p]iod4 7,e7 ,h>d%ip delay ,! ,secret>y %all e/abli% a process :]eby a suppli] ( gr\nd ambulance s]vices may reque/ a delay 9 mak+ a report describ$ 9 subp>agraph 7,a7 ) respect to a co/ report+ p]iod = reason ( significant h>d%ip 7z det]m9$ by ! ,secret>y74 7,f7 ,au?ority to modify co/ report+ elem5ts & en=cem5t ,n e>li] ?an ,janu>y #a1 #bjbd1 ! ,secret>y may provide t subp>agraph 7,d7 no long] applies to suppli]s ( gr\nd ambulance s]vices or a category ( su* suppli]s aft]-- 7i7 tak+ into acc\nt ! recomm5dation ( ! ,m$ic>e ,paym5t ,advisory ,commission 9 ! mo/ rec5t report available to ! ,secret>y submitt$ "u section #baaa7;g7 ( ! ,,su/a9 ,c>e ,act ( #bjah :e!r co/ reports made by suppli]s or a category ( suppli]s 7z specifi$ = purposes ( ! report submitt$ "u su* section7 ( gr\nd ambulance s]vices %\ld be requir$ or modifi$2 & 7ii7 und]tak+ notice & comm5t rulemak+4 7,g7 ,audit ( co/ reports ,! ,secret>y %all audit reports describ$ 9 subp>agraph 7,a7 made ) respect to co/ report+ p]iods beg9n+ on or aft] ,janu>y #a1 #bjba4 7,h7 ,appeals ,! ,secret>y %all e/abli% a process :]eby a suppli] ( gr\nd ambulance s]vices may appeal a det]m9ation describ$ 9 subp>agraph 7,c7 or 7,d7 made ) respect to a co/ report requir$ to be made by su* suppli] "u subp>agraph 7,a74 7,i7 ,def9ition ,9 ?is p>agraph1 ! t]m co/ report+ p]iod means1 ) respect to a ye>1 ! #ab-mon? p]iod beg9n+ on ,janu>y #a ( su* ye>4 4 7c7 ,/akehold] fe$back 7#a7 ,9 g5]al ,! ,secret>y ( ,heal? & ,human ,s]vices %all implem5t ! provisions ( ?is section1 includ+ ! am5dm5ts made by ?is section1 ?r\gh notice & comm5t rulemak+ & seek input f /akehold]s4 7#b7 ,nonapplication ( ,pap]work ,r$uction ,act ,*apt] #ce ( title #dd1 ,unit$ ,/ates ,code1 %all n apply ) respect to-- 7,a7 ! developm5t & implem5tation ( ! uni=m report+ sy/em requir$ "u section #aaba7;a7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acbj;a7a77 = suppli]s ( gr\nd ambulance s]vices & reports requir$ to be made "u section #ahcd7l77#ag7 ( su* ,act 7#db ,u4,s4,c4 #aciem7l77#ag772 & 7,b7 ! modification ( ! uni=m report+ sy/ems "u su* section #aaba7;a7 ( su* ,act = provid]s ( su* s]vices & reports requir$ to be made "u section #ahfa7v77#a77;,f7 ( su* ,act 7#db ,u4,s4,c4 #aciex7v77#a77;,f774 7d7 ,implem5tation res\rces ,9 addition to funds o!rwise available1 !re are appropriat$ to ! ,c5t]s = ,m$ic>e ,m$icaid ,s]vices ,program ,managem5t ,acc\nt f ! ,f$]al ,hospital ,insurance ,tru/ ,fund "u section #ahag ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acie;i7 #h1jjj1jjj & f ! ,f$]al ,supplem5t>y ,m$ical ,insurance ,tru/ ,fund "u section #ahda ( su* ,act 7#db ,u4,s4,c4 #aciet7 #acg1jjj1jjj 7( :i* n less ?an #ae1jjj1jjj %all be us$ to fulfill ! audit+ requirem5t "u section #ahcd7l77#ag77;,g7 ( su* ,act1 z add$ by subsection 7b7 ( ?is section7 to c>ry out ! provisions ( ?is section1 includ+ ! am5dm5ts made by ?is section1 to rema9 available ?r\gh ,decemb] #ca1 #bjbb4 ,( ! am\nts appropriat$ "u ! previ\s s5t5ce1 ! ,secret>y %all use su* sums z may be necess>y to hire n less ?an #b full-"t employees = purposes ( c>ry+ out su* provisions1 includ+ su* am5dm5ts4 7e7 ,ext5sion ( rural add-on paym5ts ,section #ahcd7l7 ( ! ,social ,security ,act 7#db4 ,u4,s4,c4 #aciem7l77 is am5d$-- 7#a7 9 p>agraph 7#ab77;,a71 by /rik+ #bjah & ins]t+ #bjbc2 & 7#b7 9 p>agraph 7#ac77;,a71 by /rik+ #bjah ea* place x appe>s & ins]t+ #bjbc4 7f7 ,s5se ( ,congress ,x is ! s5se ( ,congress t-- 7#a7 a co/ report made by a suppli] ( gr\nd ambulance s]vices ) respect to a co/ report+ p]iod beg9n+ be=e ,janu>y #a1 #bjbb1 may n conta9 complete & accurate in=mation on gr\nd ambulance s]vices furni%$ dur+ su* a p]iod by ! suppli]2 & 7#b7 ! ,secret>y %\ld take into acc\nt only ! timel9ess ( su* a report made ) respect to su* a p]iod :5 det]m9+ :e!r to susp5d paym5ts to a suppli] "u section #ahcd7l7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciem7l774 7g7 ,gr\nd ambulance s]vices co/ report+ /udy 7#a7 ,9 g5]al ,n lat] ?an ,m>* #ae1 #bjbc1 & z det]m9$ necess>y by ! ,m$ic>e ,paym5t ,advisory ,commission !reaft]1 su* ,commission %all assess & submit to ,congress a report on co/ reports ( suppli]s & provid]s ( gr\nd ambulance s]vices c>ri$ out 9 accordance ) sections #aaba7;a7 & #ahcd7l7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acbj;a7a71 #aciem7l771 ! adequacy ( paym5ts = su* s]vices made "u section #ahcd7l7 ( su* ,act1 & geographic v>iations 9 ! co/ ( provid+ su* s]vices4 7#b7 ,cont5ts ,! report describ$ 9 p>agraph 7#a7 %all conta9 ! foll[+3 7,a7 ,an analysis ( co/ report data submitt$ 9 accordance ) su* sections4 7,b7 ,an analysis ( any burd5 on provid]s & suppli]s ( su* s]vices associat$ ) report+ su* data4 7,c7 ,a recomm5dation on :e!r or n co/ reports ( gr\nd ambulance s]vices made by suppli]s or a category ( suppli]s 7z specifi$ by ! ,secret>y7 ( su* s]vices1 or ! gr\nd ambulance portion ( co/ reports made by provid]s ( su* s]vices1 %\ld be requir$ or modifi$1 tak+ into acc\nt ! analyses describ$ 9 subp>agraphs 7,a7 & 7,b74 #baab4 ,ext5sion ( "w ,,gpci floor ,section #ahdh7;e77#a77;,e7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciew-#d7;e77#a77;,e77 is am5d$ by /rik+ ,janu>y #a1 #bjah & ins]t+ ,janu>y #a1 #bjbj4 #baac4 ,repeal ( ,m$ic>e paym5t cap = !rapy s]vices2 replacem5t ) limitation to ensure appropriate !rapy ,section #ahcc7;g7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciel7g77 is am5d$-- 7#a7 9 p>agraph 7#a7-- 7,a7 by /rik+ ,subject to p>agraphs 7#d7 & 7#e7 & ins]t+ 7,a7 ,subject to p>agraphs 7#d7 & 7#e72 7,b7 9 ! subp>agraph 7,a71 z ins]t$ & designat$ by subp>agraph 7,a7 ( ?is p>agraph1 by add+ at ! end ! foll[+ new s5t5ce3 ,! prec$+ s5t5ce %all n apply to exp5ses incurr$ ) respect to s]vices furni%$ aft] ,decemb] #ca1 #bjag42 & 7,c7 by add+ at ! end ! foll[+ new subp>agraph3 7,b7 ,) respect to s]vices furni%$ dur+ #bjah or a subsequ5t ye>1 9 ! case ( physical !rapy s]vices ( ! type describ$ 9 section #ahfa7p71 spee*-language pa?ology s]vices ( ! type describ$ 9 su* section ?r\gh ! application ( section #ahfa7ll77#b71 & physical !rapy s]vices & spee*-language pa?ology s]vices ( su* type :i* are furni%$ by a physician or z incid5t to physicians' s]vices1 ) respect to exp5ses incurr$ 9 any cal5d> ye>1 any am\nt t is m ?an ! am\nt specifi$ 9 p>agraph 7#b7 = ! ye> %all n be consid]$ z incurr$ exp5ses = purposes ( subsections 7a7 & 7b7 unless ! applicable requirem5ts ( p>agraph 7#g7 are met4 2 7#b7 9 p>agraph 7#c7-- 7,a7 by /rik+ ,subject to p>agraphs 7#d7 & 7#e7 & ins]t+ 7,a7 ,subject to p>agraphs 7#d7 & 7#e72 7,b7 9 ! subp>agraph 7,a71 z ins]t$ & designat$ by subp>agraph 7,a7 ( ?is p>agraph1 by add+ at ! end ! foll[+ new s5t5ce3 ,! prec$+ s5t5ce %all n apply to exp5ses incurr$ ) respect to s]vices furni%$ aft] ,decemb] #ca1 #bjag42 & 7,c7 by add+ at ! end ! foll[+ new subp>agraph34 7,b7 ,) respect to s]vices furni%$ dur+ #bjah or a subsequ5t ye>1 9 ! case ( occupational !rapy s]vices 7( ! type t are describ$ 9 section #ahfa7p7 ?r\gh ! op]ation ( section #ahfa7;g7 & ( su* type :i* are furni%$ by a physician or z incid5t to physicians' s]vices71 ) respect to exp5ses incurr$ 9 any cal5d> ye>1 any am\nt t is m ?an ! am\nt specifi$ 9 p>agraph 7#b7 = ! ye> %all n be consid]$ z incurr$ exp5ses = purposes ( subsections 7a7 & 7b7 unless ! applicable requirem5ts ( p>agraph 7#g7 are met4 2 7#c7 9 p>agraph 7#e7-- 7,a7 by r$esignat+ subp>agraph 7,d7 z p>agraph 7#h7 & mov+ su* p>agraph to imm$iately foll[ p>agraph 7#g71 z add$ by p>agraph 7#d7 ( ?is section2 & 7,b7 9 subp>agraph 7,e77iv71 by ins]t+ 1 except z su* process is appli$ "u p>agraph 7#g77;,b7 be=e ! p]iod at ! end2 & 7#d7 by add+ at ! end ! foll[+ new p>agraph3 7#g7 ,= purposes ( p>agraphs 7#a77;,b7 & 7#c77;,b71 ) respect to s]vices describ$ 9 su* p>agraphs1 ! requirem5ts describ$ 9 ?is p>agraph are z foll[s3 7,a7 ,inclusion ( appropriate modifi] ,! claim = su* s]vices conta9s an appropriate modifi] 7su* z ! ,,kx modifi] describ$ 9 p>agraph 7#e77;,b77 indicat+ t su* s]vices are m$ically necess>y z ju/ifi$ by appropriate docum5tation 9 ! m$ical record involv$4 7,b7 ,t>get$ m$ical review = c]ta9 s]vices above ?re%old 7i7 ,9 g5]al ,9 ! case :]e exp5ses t w\ld be incurr$ = su* s]vices w\ld exce$ ! ?re%old describ$ 9 clause 7ii7 = ! ye>1 su* s]vices %all be subject to ! process = m$ical review implem5t$ "u p>agraph 7#e77;,e74 7ii7 ,?re%old ,! ?re%old "u ?is clause =-- 7,i7 a ye> be=e #bjbh1 is #c1jjj2 7,,ii7 #bjbh1 is ! am\nt specifi$ 9 subclause 7,i7 increas$ by ! p]c5tage increase 9 ! ,,mei 7z def9$ 9 section #ahdb7;i77#c77 = #bjbh2 & 7,,iii7 a subsequ5t ye>1 is ! am\nt specifi$ 9 ?is clause = ! prec$+ ye> increas$ by ! p]c5tage increase 9 ! ,,mei 7z def9$ 9 section #ahdb7;i77#c77 = su* subsequ5t ye>2 except t if an increase "u subclause 7,,ii7 or 7,,iii7 = a ye> is n a multiple ( #aj1 x %all be r\nd$ to ! ne>e/ multiple ( #aj4 7iii7 ,application ,! ?re%old "u clause 7ii7 %all be appli$ sep>ately-- 7,i7 = physical !rapy s]vices & spee*-language pa?ology s]vices2 & 7,,ii7 = occupational !rapy s]vices4 7iv7 ,fund+ ,= purposes ( c>ry+ out ?is subp>agraph1 ! ,secret>y %all provide = ! transf]1 f ! ,f$]al ,supplem5t>y ,m$ical ,insurance ,tru/ ,fund "u section #ahda to ! ,c5t]s = ,m$ic>e ,m$icaid ,s]vices ,program ,managem5t ,acc\nt1 ( #e1jjj1jjj = ea* fiscal ye> beg9n+ ) fiscal ye> #bjah1 to rema9 available until exp5d$4 ,su* funds may n be us$ by a contractor "u section #ahic7;h7 = m$ical reviews "u ?is subp>agraph4 4 ,c ,miscellane\s #baba4 ,provid+ cont9u$ access to m$ic>e advantage special ne$s plans = vuln]able populations 7a7 ,ext5sion ,section #ahei7;f77#a7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciew-#bh7;f77#a77 is am5d$ by /rik+ & = p]iods be=e ,janu>y #a1 #bjai4 7b7 ,increas$ integration ( dual ,s,n,ps 7#a7 ,9 g5]al ,section #ahei7;f7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciew-#bh7;f77 is am5d$-- 7,a7 9 p>agraph 7#c71 by add+ at ! end ! foll[+ new subp>agraph3 7,f7 ,! plan meets ! requirem5ts applicable "u p>agraph 7#h74 2 & 7,b7 by add+ at ! end ! foll[+ new p>agraph3 7#h7 ,increas$ integration ( dual ,s,n,ps 7,a7 ,designat$ contact ,! ,secret>y1 act+ ?r\gh ! ,f$]al ,coord9at$ ,heal? ,c>e ,(fice e/abli%$ "u section #bfjb ( ,public ,law #aaa-adh1 %all s]ve z a d$icat$ po9t ( contact = ,/ates to address misalignm5ts t arise ) ! integration ( specializ$ ,,ma plans = special ne$s individuals describ$ 9 subsection 7b77#f77;,b77ii7 "u ?is p>agraph &1 consi/5t ) su* role1 %all e/abli%-- 7i7 a uni=m process = dissem9at+ to ,/ate ,m$icaid ag5cies in=mation "u ?is title impact+ contracts betwe5 su* ag5cies & su* plans "u ?is subsection2 & 7ii7 basic res\rces = ,/ates int]e/$ 9 explor+ su* plans z a plat=m = integration1 su* z a model contract or o!r tools to a*ieve ^? goals4 7,b7 ,unifi$ grievances & appeals process 7i7 ,9 g5]al ,n lat] ?an ,april #a1 #bjbj1 ! ,secret>y %all e/abli% proc$ures1 to ! ext5t feasible z det]m9$ by ! ,secret>y1 unify+ grievances & appeals proc$ures "u sections #aheb7;f71 #aheb7;g71 #aijb7;a77#c71 #aijb7;a77#e71 & #aicb7;b77#d7 = items & s]vices provid$ by specializ$ ,,ma plans = special ne$s individuals describ$ 9 subsection 7b77#f77;,b77ii7 "u ?is title & title ,,xix4 ,) respect to items & s]vices describ$ 9 ! prec$+ s5t5ce1 proc$ures e/abli%$ "u ?is clause %all apply 9 place ( o!rwise applicable grievances & appeals proc$ures4 ,! ,secret>y %all solicit comm5t 9 develop+ su* proc$ures f ,/ates1 plans1 b5efici>ies & _! repres5tatives1 & o!r relevant /akehold]s4 7ii7 ,proc$ures ,! proc$ures e/abli%$ "u clause 7i7 %all be includ$ 9 ! plan contract "u p>agraph 7#c77;,d7 & %all-- 7,i7 adopt ! provisions = ! enrollee t are mo/ protective = ! enrollee &1 to ! ext5t feasible z det]m9$ by ! ,secret>y1 are compatible ) unifi$ timeframes & consolidat$ access to ext]nal review "u an integrat$ process2 7,,ii7 take into acc\nt diff]5ces 9 ,/ate plans "u title ,,xix to ! ext5t necess>y2 7,,iii7 be easily navigable by an enrollee2 & 7,,iv7 include ! elem5ts describ$ 9 clause 7iii71 z applicable4 7iii7 ,elem5ts describ$ ,bo? unifi$ appeals & unifi$ grievance proc$ures %all include1 z applicable1 ! foll[+ elem5ts describ$ 9 ?is clause3 7,i7 ,s+le writt5 notification ( all applicable grievances & appeal rights "u ?is title & title ,,xix4 ,= purposes ( ?is subp>agraph1 ! ,secret>y may waive ! requirem5ts "u section #aheb7;g77#a77;,b7 :5 ! specializ$ ,,ma plan cov]s items or s]vices "u ?is "p or "u title ,,xix4 7,,ii7 ,s+le pa?ways = resolution ( any grievance or appeal relat$ to a p>ticul> item or s]vice provid$ by specializ$ ,,ma plans = special ne$s individuals describ$ 9 subsection 7b77#f77;,b77ii7 "u ?is title & title ,,xix4 7,,iii7 ,notices writt5 9 pla9 language & available 9 a language & =mat t is accessible to ! enrollee1 includ+ 9 non-,engli% languages t are preval5t 9 ! s]vice area ( ! specializ$ ,,ma plan4 7,,iv7 ,unifi$ timeframes = grievances & appeals processes1 su* z an individual's fil+ ( a grievance or appeal1 a plan's ackn[l$gm5t & resolution ( a grievance or appeal1 & notification ( decisions ) respect to a grievance or appeal4 7,v7 ,requirem5ts = h[ ! plan mu/ process1 track1 & resolve grievances & appeals1 to ensure b5efici>ies are notifi$ on a timely basis ( decisions t are made ?r\gh\t ! grievance or appeals process & are able to easily det]m9e ! /atus ( a grievance or appeal4 7iv7 ,cont9uation ( b5efits p5d+ appeal ,! unifi$ proc$ures "u clause 7i7 %all1 ) respect to all b5efits "u p>ts ,a & ,b & title ,,xix subject to appeal "u su* proc$ures1 incorporate provisions "u curr5t law & implem5t+ regulations t provide cont9uation ( b5efits p5d+ appeal "u ?is title & title ,,xix4 7,c7 ,requirem5t = unifi$ grievances & appeals ,= #bjba & subsequ5t ye>s1 ! contract ( a specializ$ ,,ma plan = special ne$s individuals describ$ 9 subsection 7b77#f77;,b77ii7 ) a ,/ate ,m$icaid ag5cy "u p>agraph 7#c77;,d7 %all require ! use ( unifi$ grievances & appeals proc$ures z describ$ 9 subp>agraph 7,b74 7,d7 ,requirem5ts = integration 7i7 ,9 g5]al ,= #bjba & subsequ5t ye>s1 a specializ$ ,,ma plan = special ne$s individuals describ$ 9 subsection 7b77#f77;,b77ii7 %all meet "o or m ( ! foll[+ requirem5ts1 to ! ext5t p]mitt$ "u ,/ate law1 = integration ( b5efits "u ?is title & title ,,xix3 7,i7 ,! specializ$ ,,ma plan mu/ meet ! requirem5ts ( contract+ ) ! ,/ate ,m$icaid ag5cy describ$ 9 p>agraph 7#c77;,d7 9 addition to coord9at+ long-t]m s]vices & supports or behavioral heal? s]vices1 or bo?1 by meet+ an additional m9imum set ( requirem5ts det]m9$ by ! ,secret>y ?r\gh ! ,f$]al ,coord9at$ ,heal? ,c>e ,(fice e/abli%$ "u section #bfjb ( ! ,pati5t ,protection & ,af=dable ,c>e ,act bas$ on input f /akehold]s1 su* z notify+ ! ,/ate 9 a timely mann] ( hospitalizations1 em]g5cy room visits1 & hospital or nurs+ home dis*>ges ( enrollees1 assign+ "o prim>y c>e provid] = ea* enrollee1 or %>+ data t w\ld b5efit ! coord9ation ( items & s]vices "u ?is title & ! ,/ate plan "u title ,,xix4 ,su* m9imum set ( requirem5ts mu/ be includ$ 9 ! contract ( ! specializ$ ,,ma plan ) ! ,/ate ,m$icaid ag5cy "u su* p>agraph4 7,,ii7 ,! specializ$ ,,ma plan mu/ meet ! requirem5ts ( a fully integrat$ plan describ$ 9 section #ahec7;a77#a77;,b77iv77,,ii7 7o!r ?an ! requirem5t t ! plan h simil> av]age levels ( frailty1 z det]m9$ by ! ,secret>y1 z ! ,,pace program71 or ent] into a capitat$ contract ) ! ,/ate ,m$icaid ag5cy to provide long-t]m s]vices & supports or behavioral heal? s]vices1 or bo?4 7,,iii7 ,9 ! case ( a specializ$ ,,ma plan t is (f]$ by a p>5t organization t is also ! p>5t organization ( a ,m$icaid manag$ c>e organization provid+ long t]m s]vices & supports or behavioral s]vices "u a contract "u section #aijc7m71 ! p>5t organization mu/ assume cl9ical & f9ancial responsibility = b5efits provid$ "u ?is title & title ,,xix ) respect to any individual :o is enroll$ 9 bo? ! specializ$ ,,ma plan & ! ,m$icaid manag$ c>e organization4 7ii7 ,susp5sion ( enrollm5t = failure to meet requirem5ts dur+ initial p]iod ,dur+ ! p]iod ( plan ye>s #bjba ?r\gh #bjbe1 if ! ,secret>y det]m9es t a specializ$ ,,ma plan = special ne$s individuals describ$ 9 subsection 7b77#f77;,b77ii7 has fail$ to comply ) clause 7i71 ! ,secret>y may provide = ! application aga9/ ! ,m$ic>e ,advantage organization (f]+ ! plan ( ! rem$y describ$ 9 section #aheg7;g77#b77;,b7 9 ! same mann] z ! ,secret>y may apply su* rem$y1 & 9 accordance ) ! same proc$ures z w\ld apply1 9 ! case ( an ,,ma organization det]m9$ by ! ,secret>y to h engag$ 9 conduct describ$ 9 section #aheg7;g77#a74 ,if ! ,secret>y applies su* rem$y to a ,m$ic>e ,advantage organization "u ! prec$+ s5t5ce1 ! organization %all submit to ! ,secret>y 7at a "t1 & 9 a =m & mann]1 specifi$ by ! ,secret>y7 in=mation describ+ h[ ! plan w come into compliance ) clause 7i74 7,e7 ,/udy & report to ,congress 7i7 ,9 g5]al ,n lat] ?an ,janu>y #a1 #bjbb1 &1 subject to clause 7iii71 bi5nially !reaft] ?r\gh #bjcb1 ! ,m$ic>e ,paym5t ,advisory ,commission e/abli%$ "u section #ahje1 9 consultation ) ! ,m$icaid & ,,*ip ,paym5t & ,access ,commission e/abli%$ "u section #aijj1 %all conduct 7& submit to ! ,secret>y & ! ,committees on ,ways & ,means & ,en]gy & ,comm]ce ( ! ,h\se ( ,repres5tatives & ! ,committee on ,f9ance ( ! ,s5ate a report on7 a /udy to det]m9e h[ specializ$ ,,ma plans = special ne$s individuals describ$ 9 subsection 7b77#f77;,b77ii7 p]=m among ea* o!r bas$ on data f ,heal?c>e ,effectiv5ess ,data & ,in=mation ,set 7,,h$is7 quality measures1 report$ on ! plan level1 z requir$ "u section #aheb7;e77#c7 7or su* o!r measures or data s\rces t are available & appropriate1 su* z enc\nt] data & ,consum] ,assessm5t ( ,heal?c>e ,provid]s & ,sy/ems data1 z specifi$ by su* ,commissions z enabl+ an accurate evaluation "u ?is subp>agraph74 ,su* /udy %all include1 z feasible1 ! foll[+ comp>ison gr\ps ( specializ$ ,,ma plans = special ne$s individuals describ$ 9 subsection 7b77#f77;,b77ii73 7,i7 ,a comp>ison gr\p ( su* plans t are describ$ 9 subp>agraph 7,d77i77,i74 7,,ii7 ,a comp>ison gr\p ( su* plans t are describ$ 9 subp>agraph 7,d77i77,,ii74 7,,iii7 ,a comp>ison gr\p ( su* plans op]at+ )9 ! ,f9ancial ,alignm5t ,initiative demon/ration = ! p]iod = :i* su* plan is s op]at+ & ! demon/ration is 9 effect1 &1 9 ! case t an integration option t is n ) respect to specializ$ ,,ma plans = special ne$s individuals is e/abli%$ aft] ! conclusion ( ! demon/ration involv$4 7,,iv7 ,a comp>ison gr\p ( su* plans t are describ$ 9 subp>agraph 7,d77i77,,iii74 7,v7 ,a comp>ison gr\p ( ,,ma plans1 z feasible1 n describ$ 9 a previ\s subclause ( ?is clause1 ) respect to ! p]=mance ( su* plans = enrollees :o are special ne$s individuals describ$ 9 subsection 7b77#f77;,b77ii74 7ii7 ,discretion>y additional reports ,beg9n+ ) #bjcc & e five ye>s !reaft]1 ! ,m$ic>e ,paym5t ,advisory ,commission1 9 consultation ) ! ,m$icaid & ,,*ip ,paym5t & ,access ,commission %all1 at ! discretion ( ! ,secret>y1 conduct a /udy describ$ 9 clause 7i74 4 7#b7 ,con=m+ am5dm5t to responsibilities ( f$]al coord9at$ heal? c>e (fice ,section #bfjb7;d7 ( ,public ,law #aaa-adh 7#db ,u4,s4,c4 #acae;b7d77 is am5d$ by add+ at ! end ! foll[+ new p>agraphs3 7#f7 ,to act z a designat$ contact = ,/ates "u subsection 7f77#h77;,a7 ( section #ahei ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciew-#bh7 ) respect to ! integration ( specializ$ ,,ma plans = special ne$s individuals describ$ 9 subsection 7b77#f77;,b77ii7 ( su* section4 7#g7 ,to be responsible1 subject to ! f9al approval ( ! ,secret>y1 = develop+ regulations & guidance relat$ to ! implem5tation ( a unifi$ grievance & appeals process z describ$ 9 subp>agraphs 7,b7 & 7,c7 ( section #ahei7;f77#h7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciew-#bh7;f77#h774 7#h7 ,to be responsible1 subject to ! f9al approval ( ! ,secret>y1 = develop+ regulations & guidance relat$ to ! integration or alignm5t ( policy & ov]sight "u ! ,m$ic>e program "u title ,,xviii ( su* ,act & ! ,m$icaid program "u title ,,xix ( su* ,act reg>d+ specializ$ ,,ma plans = special ne$s individuals describ$ 9 subsection 7b77#f77;,b77ii7 ( su* section #ahei4 4 7c7 ,improvem5ts to ,sev]e or ,disabl+ ,*ronic ,condition ,s,n,ps 7#a7 ,c>e managem5t requirem5ts ,section #ahei7;f77#e7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciew-#bh7;f77#e77 is am5d$-- 7,a7 by /rik+ all snps4--,! requirem5ts & ins]t+ all ,s,n,ps4-- 7,a7 ,9 g5]al ,subject to subp>agraph 7,b71 ! requirem5ts 2 7,b7 by r$esignat+ subp>agraphs 7,a7 & 7,b7 z clauses 7i7 & 7ii71 respectively1 & ind5t+ appropriately2 & 7,c7 9 clause 7ii71 z r$esignat$ by subp>agraph 7,b71 by r$esignat+ clauses 7i7 ?r\gh 7iii7 z subclauses 7,i7 ?r\gh 7,,iii71 respectively1 & ind5t+ appropriately2 & 7,d7 by add+ at ! end ! foll[+ new subp>agraph3 7,b7 ,improvem5ts to c>e managem5t requirem5ts = sev]e or disabl+ *ronic condition snps ,= #bjbj & subsequ5t ye>s1 9 ! case ( a specializ$ ,,ma plan = special ne$s individuals describ$ 9 subsection 7b77#f77;,b77iii71 ! requirem5ts describ$ 9 ?is p>agraph include ! foll[+3 7i7 ,! int]discipl9>y team "u subp>agraph 7,a77ii77,,iii7 includes a team ( provid]s ) demon/rat$ exp]tise1 includ+ tra9+ 9 an applicable specialty1 9 treat+ individuals simil> to ! t>get$ population ( ! plan4 7ii7 ,requirem5ts develop$ by ! ,secret>y to provide face-to-face enc\nt]s ) individuals enroll$ 9 ! plan n less frequ5tly ?an on an annual basis4 7iii7 ,z "p ( ! model ( c>e "u clause 7i7 ( subp>agraph 7,a71 ! results ( ! initial assessm5t & annual reassessm5t "u clause 7ii77,i7 ( su* subp>agraph ( ea* individual enroll$ 9 ! plan are address$ 9 ! individual's individualiz$ c>e plan "u clause 7ii77,,ii7 ( su* subp>agraph4 7iv7 ,z "p ( ! annual evaluation & approval ( su* model ( c>e1 ! ,secret>y %all take into acc\nt :e!r ! plan fulfill$ ! previ\s ye>'s goals 7z requir$ "u ! model ( c>e74 7v7 ,! ,secret>y %all e/abli% a m9imum b5*m>k = ea* elem5t ( ! model ( c>e ( a plan4 ,! ,secret>y %all only approve a plan's model ( c>e "u ?is p>agraph if ea* elem5t ( ! model ( c>e meets ! m9imum b5*m>k applicable "u ! prec$+ s5t5ce4 4 7#b7 ,revisions to ! def9ition ( a sev]e or disabl+ *ronic conditions specializ$ ne$s individual 7,a7 ,9 g5]al ,section #ahei7;b77#f77;,b77iii7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciew-#bh7;b77#f77;,b77iii77 is am5d$-- 7i7 by /rik+ :o h & ins]t+ :o-- 7,i7 be=e ,janu>y #a1 #bjbb1 h 2 7ii7 9 subclause 7,i71 z add$ by clause 7i71 by /rik+ ! p]iod at ! end & ins]t+ 2 &2 & 7iii7 by add+ at ! end ! foll[+ new subclause3 7,,ii7 on or aft] ,janu>y #a1 #bjbb1 h "o or m comorbid & m$ically complex *ronic conditions t is life ?reat5+ or significantly limits ov]all heal? or function1 h a high risk ( hospitalization or o!r adv]se heal? outcomes1 & require int5sive c>e coord9ation & t is li/$ "u subsection 7f77#i77;,a74 4 7,b7 ,panel ( cl9ical advisors ,section #ahei7;f7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciew-#bh7;f771 z am5d$ by subsection 7b71 is am5d$ by add+ at ! end ! foll[+ new p>agraph3 7#i7 ,li/ ( conditions = cl>ification ( ! def9ition ( a sev]e or disabl+ *ronic conditions specializ$ ne$s individual 7,a7 ,9 g5]al ,n lat] ?an ,decemb] #ca1 #bjbj1 & e #e ye>s !reaft]1 subject to subp>agraphs 7,b7 & 7,c71 ! ,secret>y %all conv5e a panel ( cl9ical advisors to e/abli% & update a li/ ( conditions t meet ea* ( ! foll[+ crit]ia3 7i7 ,conditions t meet ! def9ition ( a sev]e or disabl+ *ronic condition "u subsection 7b77#f77;,b77iii7 on or aft] ,janu>y #a1 #bjbb4 7ii7 ,conditions t require prescription drugs1 provid]s1 & models ( c>e t are unique to ! specific population ( enrollees 9 a specializ$ ,,ma plan = special ne$s individuals describ$ 9 su* subsection on or aft] su* date &-- 7,i7 z a result ( access to1 & enrollm5t 91 su* a specializ$ ,,ma plan = special ne$s individuals1 individuals ) su* condition w\ld h a reasonable expectation ( sl[+ or halt+ ! progression ( ! disease1 improv+ heal? outcomes & decreas+ ov]all co/s = individuals diagnos$ ) su* condition comp>$ to available options ( c>e o!r ?an ?r\gh su* a specializ$ ,,ma plan = special ne$s individuals2 or 7,,ii7 h a l[ preval5ce 9 ! g5]al population ( b5efici>ies "u ?is title or a disproportionally high p]-b5efici>y co/ "u ?is title4 7,b7 ,inclusion ( c]ta9 conditions ,! conditions li/$ "u subp>agraph 7,a7 %all include ,,hiv_/,,aids1 end /age r5al disease1 & *ronic & disabl+ m5tal illness4 7,c7 ,requirem5t ,9 e/abli%+ & updat+ ! li/ "u subp>agraph 7,a71 ! panel %all take into acc\nt ! availability ( v>i$ b5efits1 co/-%>+1 & supplem5tal b5efits "u ! model describ$ 9 p>agraph 7#b7 ( section #ahei7;h71 includ+ ! expansion "u p>agraph 7#a7 ( su* section4 4 7d7 ,quality ,measurem5t at ! ,plan ,level = ,s,n,ps & ,det]m9ation ( ,feasability ( ,quality ,measurem5t at ! ,plan ,level = ,all ,,ma ,plans ,section #ahec7o7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciew-#bc7o77 is am5d$ by add+ at ! end ! foll[+ new p>agraphs3 7#f7 ,quality measurem5t at ! plan level = snps 7,a7 ,9 g5]al ,subject to subp>agraph 7,b71 ! ,secret>y may require report+ ( data "u section #aheb7;e7 =1 & apply "u ?is subsection1 quality measures at ! plan level = specializ$ ,,ma plans = special ne$s individuals in/ead ( at ! contract level4 7,b7 ,consid]ations ,prior to apply+ quality measurem5t at ! plan level "u ?is p>agraph1 ! ,secret>y %all-- 7i7 take into consid]ation ! m9imum numb] ( enrollees 9 a specializ$ ,,ma plan = special ne$s individuals 9 ord] to det]m9e if a /ati/ically significant or valid measurem5t ( quality at ! plan level is possible "u ?is p>agraph2 7ii7 take into consid]ation ! impact ( su* application on plans t s]ve a disproportionate numb] ( individuals dually eligible = b5efits "u ?is title & "u title ,,xix2 7iii7 if quality measures are report$ at ! plan level1 ensure t ,,ma plans are n requir$ to provide duplicative in=mation2 & 7iv7 ensure t su* report+ does n int]f]e ) ! collection ( enc\nt] data submitt$ by ,,ma organizations or ! adm9i/ration ( any *anges to ! program "u ?is "p z a result ( ! collection ( su* data4 7,c7 ,application ,if ! ,secret>y applies quality measurem5t at ! plan level "u ?is p>agraph-- 7i7 su* quality measurem5t may include ,m$ic>e ,heal? ,outcomes ,survey 7,,hos71 ,heal?c>e ,effectiv5ess ,data & ,in=mation ,set 7,,h$is71 ,consum] ,assessm5t ( ,heal?c>e ,provid]s & ,sy/ems 7,,cahps7 measures & quality measures "u "p ,d2 & 7ii7 ! ,secret>y %all consid] apply+ adm9i/rative actions1 su* z rem$ies describ$ 9 section #aheg7;g77#b71 at ! plan level4 7#g7 ,det]m9ation ( feasibility ( quality measurem5t at ! plan level = all ma plans 7,a7 ,det]m9ation ( feasibility ,! ,secret>y %all det]m9e ! feasibility ( requir+ report+ ( data "u section #aheb7;e7 =1 & apply+ "u ?is subsection1 quality measures at ! plan level = all ,,ma plans "u ?is "p4 7,b7 ,consid]ation ( *ange ,aft] mak+ a det]m9ation "u subp>agraph 7,a71 ! ,secret>y %all consid] requir+ su* report+ & apply+ su* quality measures at ! plan level z describ$ 9 su* subp>agraph 4 7e7 ,,gao ,/udy & ,report on ,/ate-,level ,integration ,betwe5 ,dual ,s,n,ps & ,m$icaid 7#a7 ,/udy ,! ,comptroll] ,g5]al ( ! ,unit$ ,/ates 79 ?is subsection ref]r$ to z ! ,comptroll] ,g5]al7 %all conduct a /udy on ,/ate-level integration betwe5 specializ$ ,,ma plans = special ne$s individuals describ$ 9 subsection 7b77#f7 7,b77ii7 ( section #ahei ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciew-#bh7 & ! ,m$icaid program "u title ,,xix ( su* ,act 7#db ,u4,s4,c4 #acif et seq474 ,su* /udy %all include an analysis ( ! foll[+3 7,a7 ,! *>act]i/ics ( ,/ates 9 :i* ! ,/ate ag5cy responsible = adm9i/]+ ! ,/ate plan "u su* title ,,xix has a contract ) su* a specializ$ ,,ma plan & t deliv]s long-t]m s]vices & supports "u ! ,/ate plan "u su* title ,,xix ?r\gh a manag$ c>e program1 includ+ ! requirem5ts "u su* ,/ate plan ) respect to long-t]m s]vices & supports4 7,b7 ,! types ( su* specializ$ ,,ma plans1 :i* may include ! foll[+3 7i7 ,a plan describ$ 9 section #ahec7;a77#a77;,b77iv77,,ii7 ( su* ,act 7#db ,u4,s4,c4 #aciew-#bc7;a77#a77;,b77iv77,,ii774 7ii7 ,a plan t meets ! requirem5ts describ$ 9 subsection 7f77#c77;,d7 ( su* section #ahei4 7iii7 ,a plan describ$ 9 clause 7ii7 t also meets additional requirem5ts e/abli%$ by ! ,/ate4 7,c7 ,! *>act]i/ics ( individuals enroll$ 9 su* specializ$ ,,ma plans4 7,d7 ,z practicable1 ! foll[+ ) respect to ,/ate programs = ! deliv]y ( long-t]m s]vices & supports "u su* title ,,xix ?r\gh a manag$ c>e program3 7i7 ,:i* populations ( individuals are eligible to receive su* s]vices & supports4 7ii7 ,:e!r all su* s]vices & supports are provid$ on a capitat$ basis or if any ( su* s]vices & supports are c>v$ out & provid$ ?r\gh fee-=s]vice4 7,e7 ,z practicable1 h[ ! availability & v>iation ( integration arrangem5ts ( su* specializ$ ,,ma plans (f]$ 9 ,/ates affects sp5d+1 s]vice deliv]y options1 access to community-bas$ c>e1 & utilization ( c>e4 7,f7 ,! ef=ts ( ,/ate ,m$icaid programs to transition dually-eligible b5efici>ies receiv+ long-t]m s]vices & supports 7,,ltss7 f in/itutional sett+s to home & community-bas$ sett+s & relat$ f9ancial impacts ( su* transitions4 7,g7 ,b>ri]s & opportunities = mak+ fur!r progress on dual integration1 z well z recomm5dations = legislation or adm9i/rative action to exp$ite or ref9e pa?ways t[>d fully integrat$ c>e4 7#b7 ,report ,n lat] ?an #b ye>s aft] ! date ( ! enactm5t ( ?is ,act1 ! ,comptroll] ,g5]al %all submit to ,congress a report conta9+ ! results ( ! /udy conduct$ "u p>agraph 7#a71 toge!r ) recomm5dations = su* legislation & adm9i/rative action z ! ,comptroll] ,g5]al det]m9es appropriate4 #babb4 ,ext5sion ( c]ta9 ,,mippa fund+ provisions2 ,/ate heal? insurance assi/ance program report+ requirem5ts 7a7 ,fund+ ext5sions ,section #aai ( ! ,m$ic>e ,improvem5ts = ,pati5ts & ,provid]s ,act ( #bjjh 7#db ,u4,s4,c4 #acie;b-#c note7 is am5d$-- 7#a7 9 subsection 7a77#a77;,b7-- 7,a7 9 clause 7vi71 by /rik+ & at ! end2 7,b7 9 clause 7vii71 by /rik+ ! p]iod at ! end & ins]t+ 2 &2 & 7,c7 by ins]t+ aft] clause 7vii7 ! foll[+ new clause3 7viii7 = ea* ( fiscal ye>s #bjah & #bjai1 ( #ac1jjj1jjj4 2 7#b7 9 subsection 7b77#a77;,b7-- 7,a7 9 clause 7vi71 by /rik+ & at ! end2 7,b7 9 clause 7vii71 by /rik+ ! p]iod at ! end & ins]t+ 2 &2 & 7,c7 by ins]t+ aft] clause 7vii7 ! foll[+ new clause3 7viii7 = ea* ( fiscal ye>s #bjah & #bjai1 ( #g1ejj1jjj4 2 7#c7 9 subsection 7c77#a77;,b7-- 7,a7 9 clause 7vi71 by /rik+ & at ! end2 7,b7 9 clause 7vii71 by /rik+ ! p]iod at ! end & ins]t+ 2 &2 & 7,c7 by ins]t+ aft] clause 7vii7 ! foll[+ new clause3 7viii7 = ea* ( fiscal ye>s #bjah & #bjai1 ( #e1jjj1jjj4 2 & 7#d7 9 subsection 7d77#b7-- 7,a7 9 clause 7vi71 by /rik+ & at ! end2 7,b7 9 clause 7vii71 by /rik+ ! p]iod at ! end & ins]t+ 2 &2 & 7,c7 by ins]t+ aft] clause 7vii7 ! foll[+ new clause3 7viii7 = ea* ( fiscal ye>s #bjah & #bjai1 ( #ab1jjj1jjj4 4 7b7 ,/ate heal? insurance assi/ance program report+ requirem5ts ,beg9n+ n lat] ?an ,april #a1 #bjai1 & bi5nially !reaft]1 ! ,ag5cy = ,community ,liv+ %all electronically po/ on its website ! foll[+ in=mation1 ) respect to grants to ,/ates = ,/ate heal? insurance assi/ance programs1 7su* in=mation to be pres5t$ by ,/ate & by entity receiv+ funds f ! ,/ate to c>ry out su* a program fund$ by su* grant73 7#a7 ,! am\nt ( ,f$]al fund+ provid$ to ea* su* ,/ate = su* program = ! p]iod involv$ & ! am\nt ( ,f$]al fund+ provid$ by ea* su* ,/ate = su* program to ea* su* entity = ! p]iod involv$4 7#b7 ,in=mation z ! ,secret>y may specify1 ) respect to su* programs c>ri$ out ?r\gh su* grants1 consi/5t ) ! t]ms & conditions = receipt ( su* grants4 #babc4 ,ext5sion ( fund+ = quality measure endorsem5t1 input1 & selection2 report+ requirem5ts 7a7 ,9 g5]al ,section #ahij7;d7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acie;aaa7d77 is am5d$-- 7#a7 9 p>agraph 7#b71 by add+ at ! end ! foll[+ new s5t5ce3 ,any ( su* am\nts rema9+ available z ( ! date ( ! enactm5t ( ! ,,su/a9 ,c>e ,act ( #bjah %all be us$ only = purposes "u ?is section t are purposes o!r ?an fund+ a contract ent]$ into "u subsection 7a742 & 7#b7 by add+ at ! end ! foll[+ new p>agraph3 7#c7 ,= purposes ( c>ry+ out ?is section1 ! ,secret>y %all provide = ! transf]1 f ! ,f$]al ,hospital ,insurance ,tru/ ,fund "u section #ahag & ! ,f$]al ,supplem5tal ,m$ical ,insurance ,tru/ ,fund "u #ahda1 9 su* proportion z ,secret>y deems appropriate1 to ! ,c5t]s = ,m$ic>e ,m$icaid ,s]vices ,program ,managem5t ,acc\nt ( #g1ejj1jjj = ea* ( fiscal ye>s #bjah & #bjai4 ,( ! am\nt transf]r$ "u ! previ\s s5t5ce = a fiscal ye>1 !re %all be us$ = ! purpose ( fund+ a contract ent]$ into "u subsection 7a7 ) respect to c>ry+ out section #ahij;,a 7o!r ?an subsections 7e7 & 7f77 = su* fiscal ye> an am\nt t is n less ?an ! am\nt us$ = su* purpose = fiscal ye> #bjag4 4 7b7 ,annual report by ,secret>y to ,congress ,section #ahij ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acie;aaa7 is am5d$ by add+ at ! end ! foll[+ new subsection3 7e7 ,annual report by ,secret>y to ,congress ,by n lat] ?an ,m>* #a ( ea* ye> 7beg9n+ ) #bjah71 ! ,secret>y %all submit to ,congress a report conta9+ ! foll[+3 7#a7 ,a compreh5sive plan t id5tifies ! quality measurem5t ne$s ( programs & initiatives ( ! ,secret>y & provides a /rategy = us+ ! "w p]=m$ by ! entity ) a contract "u subsection 7a7 & ! "w ( any o!r entity ! ,secret>y has contract$ ) to p]=m "w associat$ ) ?is section or section #ahij;,a to help meet ^? ne$s1 specifically ) respect to ! programs "u ?is title & title ,,xix4 7#b7 ,! am\nt ( m&atory fund+ provid$ "u subsection 7d7 = purposes ( c>ry+ out ?is section & section #ahij;,a t has be5 obligat$ by ! ,secret>y1 ! am\nt ( fund+ provid$ t has be5 exp5d$1 & ! am\nt ( fund+ provid$ t rema9s unobligat$4 7#c7 ,a description ( h[ ! funds provid$ t are obligat$ h be5 allocat$1 includ+ h[ mu* ( t fund+ has be5 allocat$ = "w p]=m$ by ! ,secret>y1 ! entity ) a contract "u subsection 7a71 & any o!r entity ! ,secret>y has contract$ ) to p]=m "w relat$ to ?is section or section #ahij;,a1 respectively4 7#d7 ,a description ( ! activities = :i* ! obligat$ funds h be5 or w be us$1 includ+ any activities p]=m$ by ! ,secret>y1 task ord]s1 specific projects1 & activities assign$ to ! entity ) a contract "u subsection 7a71 & task ord]s1 specific projects1 & activities assign$ to any o!r entity ! ,secret>y has contract$ ) to p]=m "w relat$ to c>ry+ out ?is section or section #ahij;,a4 7#e7 ,! am\nt ( fund+ allocat$ to ea* ( ! activities describ$ 9 p>agraph 7#d74 7#f7 ,e/imates =1 & descriptions (1 obligations & exp5ditures t ! ,secret>y anticipates w be ne$$ 9 ! succe$+ two ye> p]iod to c>ry out ea* ( ! quality measurem5t activities requir$ "u ?is section & section #ahij;,a1 includ+ any obligations t w require funds to be exp5d$ 9 a future ye>4 4 7c7 ,revisions to annual report f cons5sus-bas$ entity to ,congress & ! ,secret>y 7#a7 ,9 g5]al ,section #ahij7;b77#e77;,a7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acie;aaa7b77#e77;,a77 is am5d$-- 7,a7 by r$esignat+ clauses 7i7 ?r\gh 7vi7 z subclauses 7,i7 ?r\gh 7,,vi71 respectively1 & mov+ ! m>g9s accord+ly2 7,b7 9 ! matt] prec$+ subclause 7,i71 z r$esignat$ by clause 7i71 by /rik+ conta9+ a description (-- & ins]t+ 8conta9+ ! foll[+3 7i7 ,a description (-- 2 & 7,c7 by add+ at ! end ! foll[+ new clauses3 7ii7 ,an itemization ( f9ancial in=mation = ! fiscal ye> end+ ,septemb] #cj ( ! prec$+ ye>1 includ+-- 7,i7 annual rev5ues ( ! entity 7includ+ any gov]nm5t fund+1 private sector contributions1 grants1 memb]%ip rev5ues1 & inve/m5t rev5ue72 7,,ii7 annual exp5ses ( ! entity 7includ+ grants paid1 b5efits paid1 sal>ies or o!r comp5sation1 fundrais+ exp5ses1 & ov]head co/s72 & 7,,iii7 a breakd[n ( ! am\nt aw>d$ p] contract$ task ord] & ! specific projects fund$ 9 ea* task ord] assign$ to ! entity4 7iii7 ,any updates or modifications ( int]nal policies & proc$ures ( ! entity z !y relate to ! duties ( ! entity "u ?is section1 includ+-- 7,i7 specifically id5tify+ any modifications to ! disclosure ( int]e/s & conflicts ( int]e/s = committees1 "w gr\ps1 task =ces1 & advisory panels ( ! entity2 & 7,,ii7 in=mation on ext]nal /akehold] p>ticipation 9 ! duties ( ! entity "u ?is section 7includ+ complete ro/]s = all committees1 "w gr\ps1 task =ces1 & advisory panels fund$ ?r\gh gov]nm5t contracts1 descriptions ( relevant int]e/s & any conflicts ( int]e/ = memb]s ( all committees1 "w gr\ps1 task =ces1 & advisory panels1 & ! total p]c5tage by heal? c>e sector ( all conv5$ committees1 "w gr\ps1 task =ces1 & advisory panels4 4 7#b7 ,effective date ,! am5dm5ts made by ?is subsection %all apply to reports submitt$ = ye>s beg9n+ ) #bjah4 7d7 ,,gao /udy & report 7#a7 ,/udy ,! ,comptroll] ,g5]al ( ! ,unit$ ,/ates %all conduct a /udy on heal? c>e quality measurem5t ef=ts fund$ "u sections #ahij & #ahij;,a ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acie;aaa2 #acie;aaa-#a74 ,su* /udy %all include an exam9ation ( ! foll[+3 7,a7 ,! ext5t to :i* ! ,secret>y ( ,heal? & ,human ,s]vices 79 ?is subsection ref]r$ to z ! ,secret>y7 has set & prioritiz$ objectives to be a*iev$ = ea* ( ! quality measurem5t activities requir$ "u su* sections #ahij & #ahij;,a4 7,b7 ,! ef=ts t ! ,secret>y has und]tak5 to meet quality measurem5t objectives associat$ ) su* sections #ahij & #ahij;,a1 includ+ division ( responsibilities = ^? ef=ts )9 ! ,dep>tm5t ( ,heal? & ,human ,s]vices & ?r\gh contracts ) a cons5sus-bas$ entity "u subsection 7a7 ( su* section #ahij 79 ?is subsection ref]r$ to z ! cons5sus-bas$ entity7 & o!r entities1 & ! ext5t ( any ov]lap among ! "w p]=m$ by ! ,secret>y1 ! cons5sus-bas$ entity1 ! ,measure ,application ,p>tn]%ip 7,,map7 conv5$ by su* entity to provide input to ! ,secret>y on ! selection ( quality & effici5cy measures1 & any o!r entities ! ,secret>y has contract$ ) to p]=m "w relat$ to c>ry+ out su* sections #ahij & #ahij;,a4 7,c7 ,! total am\nt ( m&atory fund+ provid$ to ! ,secret>y = purposes ( c>ry+ out su* sections #ahij & #ahij;,a1 ! am\nt ( su* fund+ t has be5 obligat$ by ! ,secret>y1 & ! am\nt ( su* fund+ t rema9s unobligat$4 7,d7 ,h[ ! obligat$ funds h be5 allocat$1 includ+ h[ mu* ( ! obligat$ fund+ has be5 allocat$ = "w p]=m$ by ! ,secret>y1 ! cons5sus-bas$ entity1 & any o!r entity ! ,secret>y has contract$ ) to p]=m "w relat$ to c>ry+ out su* sections #ahij & #ahij;,a1 respectively1 & descriptions ( su* "w4 7,e7 ,! ext5t to :i* ! ,secret>y has develop$ a compreh5sive & long-t]m plan to ensure t x c a*ieve quality measurem5t objectives relat$ to c>ry+ out su* sections #ahij & #ahij;,a 9 a timely mann] & ) effici5t use ( available res\rces1 includ+ ! roles ( ! cons5sus-bas$ entity1 ! ,measure ,application ,p>tn]%ip 7,,map71 & any o!r entity ! ,secret>y has contract$ ) to p]=m "w relat$ to su* sections #ahij & #ahij;,a 9 help+ ! ,secret>y a*ieve ^? objectives4 7#b7 ,report ,n lat] ?an #ah mon?s aft] ! date ( enactm5t ( ?is ,act1 ! ,comptroll] ,g5]al ( ! ,unit$ ,/ates %all submit to ,congress a report conta9+ ! results ( ! /udy conduct$ "u p>agraph 7#a71 toge!r ) recomm5dations = su* legislation & adm9i/rative action z ! ,comptroll] ,g5]al det]m9es appropriate4 ,,ii ,additional ,m$ic>e ,policies ,relat+ to ,ext5d]s #bbja4 ,home heal? paym5t re=m 7a7 ,budget neutral transition to a #cj-;day unit ( paym5t = home heal? s]vices ,section #ahie7;b7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acie;fff7b77 is am5d$-- 7#a7 9 p>agraph 7#b7-- 7,a7 by /rik+ paym5t4--,9 def9+ & ins]t+ paym5t4-- 7,a7 ,9 g5]al ,9 def9+ 2 & 7,b7 by add+ at ! end ! foll[+ new subp>agraph3 7,b7 #cj-;day unit ( s]vice ,= purposes ( implem5t+ ! prospective paym5t sy/em ) respect to home heal? units ( s]vice furni%$ dur+ a ye> beg9n+ ) #bjbj1 ! ,secret>y %all apply a #cj-;day unit ( s]vice z ! unit ( s]vice appli$ "u ?is p>agraph4 2 7#b7 9 p>agraph 7#c7-- 7,a7 9 subp>agraph 7,a71 by add+ at ! end ! foll[+ new clause3 7iv7 ,budget neutrality = #bjbj ,) respect to paym5ts = home heal? units ( s]vice furni%$ t end dur+ ! #ab-mon? p]iod beg9n+ ,janu>y #a1 #bjbj1 ! ,secret>y %all calculate a /&>d prospective paym5t am\nt 7or am\nts7 = #cj-;day units ( s]vice 7z describ$ 9 p>agraph 7#b77;,b77 = ! prospective paym5t sy/em "u ?is subsection4 ,su* /&>d prospective paym5t am\nt 7or am\nts7 %all be calculat$ 9 a mann] su* t ! e/imat$ aggregate am\nt ( exp5ditures "u ! sy/em dur+ su* p]iod ) application ( p>agraph 7#b77;,b7 is equal to ! e/imat$ aggregate am\nt ( exp5ditures t o!rwise w\ld h be5 made "u ! sy/em dur+ su* p]iod if p>agraph 7#b77;,b7 _h n be5 enact$4 ,! previ\s s5t5ce %all be appli$ be=e 7& n affect ! application (7 p>agraph 7#c77;,b74 ,9 calculat+ su* am\nt 7or am\nts71 ! ,secret>y %all make assumptions ab\t behavior *anges t c\ld occur z a result ( ! implem5tation ( p>agraph 7#b77;,b7 & ! case-mix adju/m5t factors e/abli%$ "u p>agraph 7#d77;,b7 & %all provide a description ( su* assumptions 9 ! notice & comm5t rulemak+ us$ to implem5t ?is clause4 2 & 7,b7 by add+ at ! end ! foll[+ new subp>agraph3 7,d7 ,behavior assumptions & adju/m5ts 7i7 ,9 g5]al ,! ,secret>y %all annually det]m9e ! impact ( diff]5ces betwe5 assum$ behavior *anges 7z describ$ 9 p>agraph 7#c77;,a77iv77 & actual behavior *anges on e/imat$ aggregate exp5ditures "u ?is subsection ) respect to ye>s beg9n+ ) #bjbj & end+ ) #bjbf4 7ii7 ,p]man5t adju/m5ts ,! ,secret>y %all1 at a "t & 9 a mann] det]m9$ appropriate1 ?r\gh notice & comm5t rulemak+1 provide = "o or m p]man5t increases or decreases to ! /&>d prospective paym5t am\nt 7or am\nts7 = applicable ye>s1 on a prospective basis1 to (fset = su* increases or decreases 9 e/imat$ aggregate exp5ditures 7z det]m9$ "u clause 7i774 7iii7 ,tempor>y adju/m5ts = retrospective behavior ,! ,secret>y %all1 at a "t & 9 a mann] det]m9$ appropriate1 ?r\gh notice & comm5t rulemak+1 provide = "o or m tempor>y increases or decreases to ! paym5t am\nt = a unit ( home heal? s]vices 7z det]m9$ "u p>agraph 7#d77 = applicable ye>s1 on a prospective basis1 to (fset = su* increases or decreases 9 e/imat$ aggregate exp5ditures 7z det]m9$ "u clause 7i774 ,su* a tempor>y increase or decrease %all apply only ) respect to ! ye> = :i* su* tempor>y increase or decrease is made1 & ! ,secret>y %all n take into acc\nt su* a tempor>y increase or decrease 9 comput+ su* am\nt "u ?is subsection = a subsequ5t ye>4 2 & 7#c7 9 p>agraph 7#d77;,b7-- 7,a7 by /rik+ ,factors4--,! ,secret>y & ins]t+ ,factors4-- 7i7 ,9 g5]al ,! ,secret>y 2 & 7,b7 by add+ at ! end ! foll[+ new clause3 7ii7 ,treatm5t ( !rapy ?re%olds ,= #bjbj & subsequ5t ye>s1 ! ,secret>y %all elim9ate ! use ( !rapy ?re%olds 7e/abli%$ by ! ,secret>y7 9 case mix adju/m5t factors e/abli%$ "u clause 7i7 = calculat+ paym5ts "u ! prospective paym5t sy/em "u ?is subsection4 4 7b7 ,te*nical exp]t panel 7#a7 ,9 g5]al ,dur+ ! p]iod beg9n+ on ,janu>y #a1 #bjah1 & end+ on ,decemb] #ca1 #bjah1 ! ,secret>y ( ,heal? & ,human ,s]vices %all hold at lea/ "o session ( a te*nical exp]t panel1 ! p>ticipants ( :i* %all include home heal? provid]s1 pati5t repres5tatives1 & o!r relevant /akehold]s4 ,! te*nical exp]t panel %all id5tify & prioritize recomm5dations ) respect to ! prospective paym5t sy/em = home heal? s]vices "u section #ahie7;b7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acie;fff7b771 on ! foll[+3 7,a7 ,! ,home ,heal? ,gr\p+s ,model1 z describ$ 9 ! propos$ rule ,m$ic>e & ,m$icaid ,programs2 ,,cy #bjah ,home ,heal? ,prospective ,paym5t ,sy/em ,rate ,update & ,propos$ ,,cy #bjai ,case-,mix ,adju/m5t ,me?odology ,ref9em5ts2 ,home ,heal? ,value-,bas$ ,pur*as+ ,model2 & ,home ,heal? ,quality ,report+ ,requirem5ts 7#hb ,f$4 ,reg4 #cebid ?r\gh #ceccb 7,july #bh1 #bjag774 7,b7 ,alt]native case-mix models to ! ,home ,heal? ,gr\p+s ,model t 7 submitt$ dur+ #bjag z comm5ts 9 response to propos$ rule mak+1 includ+ pati5t-focus$ factors t consid] ! risks ( hospitalization & readmission to a hospital1 improvem5t or ma9t5ance ( functionality ( individuals to increase ! capacity = self-c>e1 quality ( c>e1 & res\rce utilization4 7#b7 ,inapplicability ( ,,faca ,! provisions ( ! ,f$]al ,advisory ,committee ,act 7#e ,u4,s4,c4 ,app47 %all n apply to ! te*nical exp]t panel "u p>agraph 7#a74 7#c7 ,report ,n lat] ?an ,april #a1 #bjai1 ! ,secret>y ( ,heal? & ,human ,s]vices %all submit to ! ,committee on ,ways & ,means & ! ,committee on ,en]gy & ,comm]ce ( ! ,h\se ( ,repres5tatives & ! ,committee on ,f9ance ( ! ,s5ate a report on ! recomm5dations ( su* panel describ$ 9 su* p>agraph4 7#d7 ,notice & comm5t rulemak+ ,n lat] ?an ,decemb] #ca1 #bjai1 ! ,secret>y ( ,heal? & ,human ,s]vices %all pursue notice & comm5t rulemak+ on a case-mix sy/em ) respect to ! prospective paym5t sy/em = home heal? s]vices "u section #ahie7;b7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acie;fff7b774 7c7 ,reports 7#a7 ,int]im report ,n lat] ?an ,m>* #ae1 #bjbb1 ! ,m$ic>e ,paym5t ,advisory ,commission %all submit to ,congress an int]im report on ! application ( a #cj-;day unit ( s]vice z ! unit ( s]vice appli$ "u section #ahie7;b77#b7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acie;fff7b77#b771 z am5d$ by subsection 7a71 includ+ an analysis ( ! level ( paym5ts provid$ to home heal? ag5cies z comp>$ to ! co/ ( deliv]+ home heal? s]vices1 & any un9t5d$ consequ5ces1 includ+ ) respect to behavioral *anges & quality4 7#b7 ,f9al report ,n lat] ?an ,m>* #ae1 #bjbf1 su* ,commission %all submit to ,congress a f9al report on su* application & any su* consequ5ces4 #bbjb4 ,in=mation to satisfy docum5tation ( ,m$ic>e eligibility = home heal? s]vices 7a7 ,"p ,a ,section #ahad7;a7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acie;f7a77 is am5d$ by ins]t+ be=e ,= purposes ( p>agraph 7#b77;,c71 ! foll[+ new s5t5ce3 ,= purposes ( docum5tation = physician c]tification & rec]tification made "u p>agraph 7#b7 on or aft] ,janu>y #a1 #bjai1 & made ) respect to home heal? s]vices furni%$ by a home heal? ag5cy1 9 addition to us+ docum5tation 9 ! m$ical record ( ! physician :o s c]tifies or ! m$ical record ( ! acute or po/-acute c>e facility 79 ! case t home heal? s]vices 7 furni%$ to an individual :o 0 directly admitt$ to ! home heal? ag5cy f su* a facility71 ! ,secret>y may use docum5tation 9 ! m$ical record ( ! home heal? ag5cy z support+ mat]ial1 z appropriate to ! case involv$44 7b7 ,"p ,b ,section #ahce7;a7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acien7a77 is am5d$ by ins]t+ be=e ,= purposes ( p>agraph 7#b77;,a71 ! foll[+ new s5t5ce3 ,= purposes ( docum5tation = physician c]tification & rec]tification made "u p>agraph 7#b7 on or aft] ,janu>y #a1 #bjai1 & made ) respect to home heal? s]vices furni%$ by a home heal? ag5cy1 9 addition to us+ docum5tation 9 ! m$ical record ( ! physician :o s c]tifies or ! m$ical record ( ! acute or po/-acute c>e facility 79 ! case t home heal? s]vices 7 furni%$ to an individual :o 0 directly admitt$ to ! home heal? ag5cy f su* a facility71 ! ,secret>y may use docum5tation 9 ! m$ical record ( ! home heal? ag5cy z support+ mat]ial1 z appropriate to ! case involv$44 #bbjc4 ,volunt>y settlem5t ( home heal? claims 7a7 ,settlem5t process = home heal? claims 7#a7 ,9 g5]al ,n lat] ?an "o ye> aft] ! date ( enactm5t ( ?is ,act1 ! ,secret>y ( ,heal? & ,human ,s]vices %all e/abli% a settlem5t process "u :i* a home heal? ag5cy entitl$ to an eligible adm9i/rative appeal has ! option to ent] into a settlem5t ) ! ,secret>y t is rea*$ 9 a mann] consi/5t ) ! succe$+ p>agraphs ( ?is subsection4 7#b7 ,process & consid]ation ( home heal? claims ,a settlem5t "u p>agraph 7#a7 ) a home heal? ag5cy t is ) respect to an eligible adm9i/rative appeal may only be rea*$ 9 accordance ) ! foll[+ process3 7,a7 ,a settlem5t "u su* p>agraph ) ! home heal? ag5cy %all be ) respect to all claims by su* ag5cy1 subject to p>agraph 7#d71 t1 z ( ! date ( su* settlem5t1 are "u an eligible adm9i/rative appeal4 7,b7 ,= ! duration ( ! settlem5t process ) su* ag5cy1 an eligible adm9i/rative appeal t is ) respect to any su* claim by su* ag5cy %all be susp5d$4 7,c7 ,"u ! settlem5t process1 ! ,secret>y %all det]m9e an aggregate am\nt to be paid to ! home heal? ag5cy ) respect to all claims by su* ag5cy t are "u an eligible adm9i/rative appeal 9 ! foll[+ mann]3 7i7 ,! ,secret>y %all1 = purposes ( apply+ clause 7ii7 ) respect to all settlem5ts "u p>agraph 7#a71 select a p]c5tage4 ,9 select+ su* p]c5tage1 ! ,secret>y %all consid] ! p]c5tage us$ "u ! ,c5t]s = ,m$ic>e ,m$icaid ,s]vices hospital appeals settlem5t t began on ,augu/ #bi1 #bjad4 7ii7 ,! ,secret>y %all1 ) respect to ea* d5i$ claim = su* ag5cy t is "u an eligible adm9i/rative appeal1 calculate an am\nt 7ref]r$ to 9 ?is subp>agraph z an individual claim am\nt7 by multiply+ ! net payable am\nt = su* claim by ! p]c5tage select$ "u clause 7i74 7iii7 ,su* aggregate am\nt ) respect to su* ag5cy %all be det]m9$ by calculat+ ! total sum ( all ! individual claim am\nts calculat$ "u clause 7ii7 ) respect to su* ag5cy4 7#c7 ,effect ( process 7,a7 ,effect ( settlem5t 7i7 ,fur!r appeal ,z "p ( any settlem5t "u p>agraph 7#a7 betwe5 a home heal? ag5cy & ! ,secret>y1 su* home heal? ag5cy %all be requir$ to =ego ! "r to an adm9i/rative appeal "u section #ahfi ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acie;ff7 or section #ahgh ( su* ,act 7#db ,u4,s4,c4 #acieoo7 7includ+ any r$et]m9ation1 reconsid]ation1 he>+1 or review7 ) respect to any claims = home heal? s]vices t are subject to ! settlem5t4 7ii7 ,judicial review ,!re %all be no adm9i/rative or judicial review "u su* section #ahfi or o!rwise ( a settlem5t "u p>agraph 7#a7 & ! claims cov]$ by ! settlem5t4 7,b7 ,effect ( no settlem5t ,9 ! ev5t t ! process describ$ 9 p>agraph 7#b7 does n1 ) respect to a home heal? ag5cy1 result 9 a settlem5t "u p>agraph 7#a7 ) su* ag5cy1 any appeal "u su* section #ahfi t is ) respect to a claim by su* ag5cy t 0 susp5d$ pursuant to p>agraph 7#b77;,b7 %all resume "u su* section4 7#d7 ,coord9ation ) law en=cem5t ,! ,secret>y ( ,heal? & ,human ,s]vices %all e/abli% a process to coord9ate ) appropriate law en=cem5t ag5cies 9 ord] to avoid ! inadv]t5t settlem5t ( cases t involve fraud or o!r crim9al activity4 7b7 ,no entitlem5t to settlem5t process ,no?+ 9 ?is section %all be con/ru$ z creat+ an entitlem5t to ent] into a settlem5t process e/abli%$ pursuant to subsection 7a74 7c7 ,eligible adm9i/rative appeal def9$ ,= purposes ( ?is section1 ! t]m eligible adm9i/rative appeal means an appeal "u section #ahfi ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acie;ff7 7includ+ any r$et]m9ation1 reconsid]ation1 he>+1 or review7-- 7#a7 t is ) respect to "o or m claims t-- 7,a7 are = home heal? s]vices t 7 furni%$ on or aft] ,janu>y #a1 #bjaa1 & be=e ,janu>y #a1 #bjae2 & 7,b7 7 timely fil$ consi/5t ) section #ahad7;a77#a7 ( su* ,act 7#db ,u4,s4,c4 #acie;f7a77#a77 or sections #ahce7;a77#a7 & #ahdb7;b77#c7 ( su* ,act 7#db ,u4,s4,c4 #acien7a77#a71 #acieu7b77#c772 & 7#b7 ei!r-- 7,a7 0 timely fil$ consi/5t ) section #ahfi ( su* ,act 7#db ,u4,s4,c4 #acie;ff7 & is p5d+2 or 7,b7 = :i* ! applicable "t frame to file an appeal has n expir$4 7d7 ,con=m+ am5dm5t ,section #ahfi ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acie;ff7 is am5d$ by add+ at ! end ! foll[+ new subsection3 7j7 ,application ) respect to c]ta9 home heal? claims ,= ! application ( ! provisions ( ?is section ) respect to c]ta9 claims = home heal? s]vices t 7 furni%$ on or aft] ,janu>y #a1 #bjaa1 & be=e ,janu>y #a1 #bjae1 see section #ajf ( ! ,heal?c>e ,ext5sion1 ,reau?orization1 & ,opportunities ,act ( #bjag4 4 #bbjd4 ,ext5sion ( en=cem5t in/ruction on m$ic>e sup]vision requirem5ts = outpati5t !rapeutic s]vices 9 critical access & small rural hospitals ,section #ahcd ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciem7 is am5d$ by add+ at ! end ! foll[+ new subsection3 7v7 ,ext5sion ( en=cem5t in/ruction on sup]vision requirem5ts = outpati5t !rapeutic s]vices 9 critical access & small rural hospitals ,= cal5d> ye> #bjag1 ! ,secret>y %all cont9ue to apply ! en=cem5t in/ruction describ$ 9 ! notice ( ! ,c5t]s = ,m$ic>e ,m$icaid ,s]vices entitl$ ,en=cem5t ,in/ruction on ,sup]vision ,requirem5ts = ,outpati5t ,!rapeutic ,s]vices 9 ,critical ,access & ,small ,rural ,hospitals = ,,cy #bjac1 dat$ ,novemb] #a1 #bjab 7provid+ = an exception to ! re/atem5t & cl>ification "u ! f9al rulemak+ *anges to ! ,m$ic>e hospital outpati5t prospective paym5t sy/em & cal5d> ye> #bjji paym5t rates 7publi%$ 9 ! ,f$]al ,regi/] on ,novemb] #ah1 #bjjh1 #gc ,f$4 ,reg4 #fhgjb ?r\gh #fhgjd7 ) respect to requirem5ts = direct sup]vision by physicians = !rapeutic hospital outpati5t s]vices71 z previ\sly ext5d$ "u section #a ( ,public ,law #aac-aih1 z am5d$ by section #a ( ,public ,law #aad-aab & section #afjjd7;a7 ( ! #ba/ ,c5tury ,cures ,act 7,public ,law #aad-bee74 4 #bbje4 ,te*nical am5dm5ts to ,public ,law #aad-aj 7a7 ,,mips transition ,section #ahdh ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciew-#d7 is am5d$-- 7#a7 9 subsection 7q7-- 7,a7 9 p>agraph 7#a7-- 7i7 9 subp>agraph 7,b71 by /rik+ items & s]vices & ins]t+ cov]$ pr(essional s]vices 7z def9$ 9 subsection 7k77#c77;,a772 & 7ii7 9 subp>agraph 7,c77iv7-- 7,i7 by am5d+ subclause 7,i7 to read z foll[s3 7,i7 ,! m9imum numb] 7z det]m9$ by ! ,secret>y7 (-- 7aa7 = p]=mance p]iods beg9n+ be=e ,janu>y #a1 #bjah1 individuals enroll$ "u ?is "p :o are treat$ by ! eligible pr(essional = ! p]=mance p]iod involv$2 & 7bb7 = p]=mance p]iods beg9n+ on or aft] ,janu>y #a1 #bjah1 individuals enroll$ "u ?is "p :o are furni%$ cov]$ pr(essional s]vices 7z def9$ 9 subsection 7k77#c77;,a77 by ! eligible pr(essional = ! p]=mance p]iod involv$4 2 7,,ii7 9 subclause 7,,ii71 by /rik+ items & s]vices & ins]t+ cov]$ pr(essional s]vices 7z def9$ 9 subsection 7k77#c77;,a772 & 7,,iii7 by am5d+ subclause 7,,iii7 to read z foll[s3 7,,iii7 ,! m9imum am\nt 7z det]m9$ by ! ,secret>y7 (-- 7aa7 = p]=mance p]iods beg9n+ be=e ,janu>y #a1 #bjah1 all[$ *>ges bill$ by su* pr(essional "u ?is "p = su* p]=mance p]iod2 & 7bb7 = p]=mance p]iods beg9n+ on or aft] ,janu>y #a1 #bjah1 all[$ *>ges = cov]$ pr(essional s]vices 7z def9$ 9 subsection 7k77#c77;,a77 bill$ by su* pr(essional = su* p]=mance p]iod4 2 7,b7 9 p>agraph 7#e77;,d7-- 7i7 9 clause 7i77,i71 by ins]t+ subject to clause 7iii71 aft] clauses 7i7 & 7ii7 ( p>agraph 7#b77;,a712 & 7ii7 by add+ at ! end ! foll[+ new clause3 7iii7 ,transition ye>s ,= ea* ( ! second1 ?ird1 f\r?1 & fif? ye>s = :i* ! ,,mips applies to paym5ts1 ! p]=mance score = ! p]=mance category describ$ 9 p>agraph 7#b77;,a77ii7 %all n take into acc\nt ! improvem5t ( ! pr(essional involv$4 2 7,c7 9 p>agraph 7#e77;,e7-- 7i7 9 clause 7i77,i77bb7-- 7,i7 9 ! head+ by /rik+ ,fir/ #b ye>s & ins]t+ ,fir/ #e ye>s2 & 7,,ii7 by /rik+ ! fir/ & second ye>s & ins]t+ ea* ( ! fir/ ?r\gh fif? ye>s2 7ii7 9 clause 7i77,,ii77bb7-- 7,i7 9 ! head+1 by /rik+ #b ye>s & ins]t+ #e ye>s2 & 7,,ii7 by /rik+ ! second s5t5ce & ins]t+ ! foll[+ new s5t5ces3 ,= ea* ( ! second1 ?ird1 f\r?1 & fif? ye>s = :i* ! ,,mips applies to paym5ts1 n less ?an #aj p]c5t & n m ?an #cj p]c5t ( su* score %all be bas$ on p]=mance ) respect to ! category describ$ 9 clause 7ii7 ( p>agraph 7#b77;,a74 ,no?+ 9 ! previ\s s5t5ce %all be con/ru$1 ) respect to a p]=mance p]iod = a ye> describ$ 9 ! previ\s s5t5ce1 z prev5t+ ! ,secret>y f bas+ #cj p]c5t ( su* score = su* ye> ) respect to ! category describ$ 9 su* clause 7ii71 if ! ,secret>y det]m9es1 bas$ on in=mation po/$ "u subsection 7r77#b77;,i7 t suffici5t res\rce use measures are ready = adoption = use "u ! p]=mance category "u p>agraph 7#b77;,a77ii7 = su* p]=mance p]iod42 7,d7 9 p>agraph 7#f77;,d7-- 7i7 9 clause 7i71 9 ! second s5t5ce1 by /rik+ ,su* p]=mance ?re%old & ins]t+ ,subject to clauses 7iii7 & 7iv71 su* p]=mance ?re%old2 7ii7 9 clause 7ii7-- 7,i7 9 ! fir/ s5t5ce1 by ins]t+ 7beg9n+ ) #bjai & end+ ) #bjbd7 aft] = ea* ye> ( ! ,,mips2 & 7,,ii7 9 ! second s5t5ce1 by ins]t+ subject to clause 7iii71 aft] ,= ea* su* ye>12 7iii7 9 clause 7iii7-- 7,i7 9 ! head+1 by /rik+ #b & ins]t+ #e2 & 7,,ii7 9 ! fir/ s5t5ce1 by /rik+ two ye>s & ins]t+ five ye>s2 & 7iv7 by add+ at ! end ! foll[+ new clause3 7iv7 ,additional special rule = ?ird1 f\r? & fif? ye>s ( ,,mips ,= purposes ( det]m9+ ,,mips adju/m5t factors "u subp>agraph 7,a71 9 addition to ! requirem5ts specifi$ 9 clause 7iii71 ! ,secret>y %all increase ! p]=mance ?re%old ) respect to ea* ( ! ?ird1 f\r?1 & fif? ye>s to :i* ! ,,mips applies to ensure a gradual & increm5tal transition to ! p]=mance ?re%old describ$ 9 clause 7i7 7z e/imat$ by ! ,secret>y7 ) respect to ! six? ye> to :i* ! ,,mips applies4 2 7,e7 9 p>agraph 7#f77;,e7-- 7i7 by /rik+ ,9 ! case ( items & s]vices & ins]t+ ,9 ! case ( cov]$ pr(essional s]vices 7z def9$ 9 subsection 7k77#c77;,a772 & 7ii7 by /rik+ "u ?is "p ) respect to su* items & s]vices & ins]t+ "u ?is "p ) respect to su* cov]$ pr(essional s]vices2 & 7,f7 9 p>agraph 7#g71 9 ! fir/ s5t5ce1 by /rik+ items & s]vices & ins]t+ cov]$ pr(essional s]vices 7z def9$ 9 subsection 7k77#c77;,a772 7#b7 9 subsection 7r77#b71 by add+ at ! end ! foll[+ new subp>agraph3 7,i7 ,in=mation ,! ,secret>y %all1 n lat] ?an ,decemb] #ca/ ( ea* ye> 7beg9n+ ) #bjah71 po/ on ! ,int]net website ( ! ,c5t]s = ,m$ic>e ,m$icaid ,s]vices in=mation on res\rce use measures 9 use "u subsection 7q71 res\rce use measures "u developm5t & ! "t-frame = su* developm5t1 pot5tial future res\rce use measure topics1 a description ( /akehold] engagem5t1 & ! p]c5t ( exp5ditures "u "p ,a & ?is "p t are cov]$ by res\rce use measures4 2 & 7#c7 9 subsection 7s77#e77;,b71 by /rik+ section #ahcc7z77#b77;,c7 & ins]t+ section #ahcc7z77#c77;,d74 7b7 ,physician-focus$ paym5t model te*nical advisory committee provision ( initial proposal fe$back ,section #ahfh7;c77#b77;,c7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acie;ee7c77#b77;,c77 is am5d$ to read z foll[s3 7,c7 ,committee review ( models submitt$ ,! ,committee1 on a p]iodic basis-- 7i7 %all review models submitt$ "u subp>agraph 7,b72 7ii7 may provide individuals & /akehold] entities :o submitt$ su* models )-- 7,i7 initial fe$back on su* models reg>d+ ! ext5t to :i* su* models meet ! crit]ia describ$ 9 subp>agraph 7,a72 & 7,,ii7 an explanation ( ! basis = ! fe$back provid$ "u subclause 7,i72 & 7iii7 %all prep>e comm5ts & recomm5dations reg>d+ :e!r su* models meet ! crit]ia describ$ 9 subp>agraph 7,a7 & submit su* comm5ts & recomm5dations to ! ,secret>y4 4 #bbjf4 ,revis$ requirem5ts = ,m$ic>e int5sive c>diac rehabilitation programs 7a7 ,9 g5]al ,section #ahfa7;eee77#d77;,b7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciex7eee77#d77;,b77 is am5d$-- 7#a7 9 clause 7v71 by /rik+ or at ! end2 7#b7 9 clause 7vi71 by /rik+ ! p]iod at ! end & ins]t+ a semicolon2 & 7#c7 by add+ at ! end ! foll[+ new clauses3 7vii7 /able1 *ronic he>t failure 7def9$ z pati5ts ) left v5tricul> ejection fraction ( #ce p]c5t or less & ,new ,york ,he>t ,association 7,,nyha7 class ,,ii to ,,iv symptoms despite be+ on optimal he>t failure !rapy = at lea/ #f weeks72 or 7viii7 any additional condition = :i* ! ,secret>y has det]m9$ t a c>diac rehabilitation program %all be cov]$1 unless ! ,secret>y det]m9es1 us+ ! same process us$ to det]m9e t ! condition is cov]$ = a c>diac rehabilitation program1 t su* cov]age is n support$ by ! cl9ical evid5ce4 4 7b7 ,ensur+ ,future ,sup]vision ,level ,p>ity ) ,c>diac ,rehabilitation ,programs ,section #ahfa7;eee77#d77;,a7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciex7eee77#d77;,a77 is am5d$1 9 ! matt] prec$+ clause 7i71 by /rik+ physician-sup]vis$ program 7z describ$ 9 p>agraph 7#b77 & ins]t+ program 7sup]vis$ z describ$ 9 p>agraph 7#b774 ,,iii ,creat+ ,high-,quality ,results & ,outcomes ,necess>y to ,improve ,*ronic 7,,*ronic7 ,c>e ,a ,receiv+ ,high ,quality ,c>e 9 ! ,home #bcja4 ,ext5d+ ! ,indep5d5ce at ,home ,demon/ration ,program 7a7 ,9 g5]al ,section #ahff;,e ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acie;cc-#e7 is am5d$-- 7#a7 9 subsection 7e7-- 7,a7 9 p>agraph 7#a7-- 7i7 by /rik+ ,an agreem5t & ins]t+ ,agreem5ts2 & 7ii7 by /rik+ #e-ye> & ins]t+ #g-ye>2 & 7,b7 9 p>agraph 7#e7-- 7i7 by /rik+ #aj1jjj & ins]t+ #ae1jjj2 & 7ii7 by add+ at ! end ! foll[+ new s5t5ce3 ,an applicable b5efici>y t p>ticipates 9 ! demon/ration program by reason ( ! increase f #aj1jjj to #ae1jjj 9 ! prec$+ s5t5ce pursuant to ! am5dm5t made by section #bcja7;a77#a77;,b7 ( ! ,,su/a9 ,c>e ,act ( #bjah %all be consid]$ 9 ! sp5d+ t>get e/imates "u p>agraph 7#a7 ( subsection 7c7 & ! inc5tive paym5t calculations "u p>agraph 7#b7 ( su* subsection = ! six? & sev5? ye>s ( su* program42 7#b7 9 subsection 7g71 9 ! fir/ s5t5ce1 by ins]t+ 1 includ+1 to ! ext5t practicable1 ) respect to ! use ( electronic heal? in=mation sy/ems1 z describ$ 9 subsection 7b77#a77;,a77vi7 aft] "u ! demon/ration program2 & 7#c7 9 subsection 7i77#a77;,a71 by /rik+ w n receive an inc5tive paym5t = ! second ( #b & ins]t+ did n a*ieve sav+s = ! ?ird ( #c4 7b7 ,effective date ,! am5dm5t made by subsection 7a77#c7 %all take effect z if includ$ 9 ! enactm5t ( ,public ,law #aaa-adh4 #bcjb4 ,exp&+ access to home dialysis !rapy 7a7 ,9 g5]al ,section #ahha7;b77#c7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acierr7b77#c77 is am5d$-- 7#a7 by r$esignat+ subp>agraphs 7,a7 & 7,b7 z clauses 7i7 & 7ii71 respectively2 7#b7 9 clause 7ii71 z r$esignat$ by p>agraph 7#a71 by /rik+ on a compreh5sive & ins]t subject to subp>agraph 7,b71 on a compreh5sive2 7#c7 by /rik+ ,) respect to & ins]t+ 7,a7 ,) respect to2 & 7#d7 by add+ at ! end ! foll[+ new subp>agraph3 7,b7 7i7 ,= purposes ( subp>agraph 7,a77ii71 subject to clause 7ii71 an individual det]m9$ to h end /age r5al disease receiv+ home dialysis may *oose to receive mon?ly end /age r5al disease-relat$ cl9ical assessm5ts furni%$ on or aft] ,janu>y #a1 #bjai1 via teleheal?4 7ii7 ,clause 7i7 %all apply to an individual only if ! individual receives a face-to-face cl9ical assessm5t1 )\t ! use ( teleheal?-- 7,i7 9 ! case ( ! initial #c mon?s ( home dialysis ( su* individual1 at lea/ mon?ly2 & 7,,ii7 aft] su* initial #c mon?s1 at lea/ once e #c consecutive mon?s4 4 7b7 ,orig9at+ site requirem5ts 7#a7 ,9 g5]al ,section #ahcd7m7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciem7m77 is am5d$-- 7,a7 9 p>agraph 7#d77;,c77ii71 by add+ at ! end ! foll[+ new subclauses3 7,,ix7 ,a r5al dialysis facility1 b only = purposes ( section #ahha7;b77#c77;,b74 7,x7 ,! home ( an individual1 b only = purposes ( section #ahha7;b77#c77;,b74 2 & 7,b7 by add+ at ! end ! foll[+ new p>agraph3 7#e7 ,treatm5t ( home dialysis mon?ly ,,esrd-relat$ visit ,! geographic requirem5ts describ$ 9 p>agraph 7#d77;,c77i7 %all n apply ) respect to teleheal? s]vices furni%$ on or aft] ,janu>y #a1 #bjai1 = purposes ( section #ahha7;b77#c77;,b71 at an orig9at+ site describ$ 9 subclause 7,,vi71 7,,ix71 or 7,x7 ( p>agraph 7#d77;,c77ii74 4 7#b7 ,no facility fee if orig9at+ site = home dialysis !rapy is ! home ,section #ahcd7m77#b77;,b7 ( ! ,social ,security 7#db ,u4,s4,c4 #aciem7m77#b77;,b77 is am5d$-- 7,a7 by r$esignat+ clauses 7i7 & 7ii7 z subclauses 7,i7 & 7,,ii71 & ind5t+ appropriately2 7,b7 9 subclause 7,,ii71 z r$esignat$ by subp>agraph 7,a71 by /rik+ clause 7i7 or ?is clause & ins]t+ subclause 7,i7 or ?is subclause2 7,c7 by /rik+ site4--,) respect to & ins]t+ 8site4-- 7i7 ,9 g5]al ,subject to clause 7ii71 ) respect to 2 & 7,d7 by add+ at ! end ! foll[+ new clause3 7ii7 ,no facility fee if orig9at+ site = home dialysis !rapy is ! home ,no facility fee %all be paid "u ?is subp>agraph to an orig9at+ site describ$ 9 p>agraph 7#d77;,c77ii77,x74 4 7c7 ,cl>ification reg>d+ teleheal? provid$ to b5efici>ies ,section #aabh;,a7i77#f7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acbj;a-#g;a7i77#f77 is am5d$-- 7#a7 9 subp>agraph 7,h71 by /rik+ or at ! end2 7#b7 9 subp>agraph 7,i71 by /rik+ ! p]iod at ! end & ins]t+ 2 or2 & 7#c7 by add+ at ! end ! foll[+ new subp>agraph3 7,j7 ! provision ( teleheal? te*nologies 7z def9$ by ! ,secret>y7 on or aft] ,janu>y #a1 #bjai1 by a provid] ( s]vices or a r5al dialysis facility 7z su* t]ms are def9$ = purposes ( title ,,xviii7 to an individual ) end /age r5al disease :o is receiv+ home dialysis = :i* paym5t is be+ made "u "p ,b ( su* title1 if-- 7i7 ! teleheal? te*nologies are n (f]$ z "p ( any adv]tisem5t or solicitation2 7ii7 ! teleheal? te*nologies are provid$ = ! purpose ( furni%+ teleheal? s]vices relat$ to ! individual's end /age r5al disease2 & 7iii7 ! provision ( ! teleheal? te*nologies meets any o!r requirem5ts set =? 9 regulations promulgat$ by ! ,secret>y4 4 7d7 ,con=m+ am5dm5t ,section #ahha7;b77#a7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acierr7b77#a77 is am5d$ by /rik+ p>agraph 7#c77;,a7 & ins]t+ p>agraph 7#c77;,a77i74 ,b ,exp&+ ,innovation & ,te*nology #bcaa4 ,adapt+ b5efits to meet ! ne$s ( *ronically ill ,m$ic>e ,advantage enrollees ,section #ahei ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciew-#bh7 is am5d$ by add+ at ! end ! foll[+ new subsection3 7h7 ,national te/+ ( ,m$ic>e ,advantage ,value-,bas$ ,insurance ,design model 7#a7 ,9 g5]al ,9 implem5t+ ! ,m$ic>e ,advantage ,value-,bas$ ,insurance ,design model t is be+ te/$ "u section #aaae;,a7b71 ! ,secret>y %all revise ! te/+ ( ! model "u su* section to cov]1 effective n lat] ?an ,janu>y #a1 #bjbj1 all ,/ates4 7#b7 ,t]m9ation & modification provision n applicable until ,janu>y #a1 #bjbb ,! provisions ( section #aaae;,a7b77#c77;,b7 %all apply to ! ,m$ic>e ,advantage ,value-,bas$ ,insurance ,design model1 includ+ su* model z revis$ "u p>agraph 7#a71 beg9n+ ,janu>y #a1 #bjbb1 b %all n apply to su* model1 z s revis$1 prior to su* date4 7#c7 ,fund+ ,! ,secret>y %all allocate funds made available "u section #aaae;,a7f77#a7 to design1 implem5t1 & evaluate ! ,m$ic>e ,advantage ,value-,bas$ ,insurance ,design model1 z revis$ "u p>agraph 7#a74 4 #bcab4 ,exp&+ supplem5tal b5efits to meet ! ne$s ( *ronically ill ,m$ic>e ,advantage enrollees 7a7 ,9 g5]al ,section #aheb7;a77#c7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciew-#bb7;a77#c77 is am5d$-- 7#a7 9 subp>agraph 7,a71 by /rik+ ,ea* & ins]t+ ,subject to subp>agraph 7,d71 ea*2 & 7#b7 by add+ at ! end ! foll[+ new subp>agraph3 7,d7 ,exp&+ supplem5tal b5efits to meet ! ne$s ( *ronically ill enrollees 7i7 ,9 g5]al ,= plan ye> #bjbj & subsequ5t plan ye>s1 9 addition to any supplem5tal heal? c>e b5efits o!rwise provid$ "u ?is p>agraph1 an ,,ma plan1 includ+ a specializ$ ,,ma plan = special ne$s individuals 7z def9$ 9 section #ahei7;b77#f771 may provide supplem5tal b5efits describ$ 9 clause 7ii7 to a *ronically ill enrollee 7z def9$ 9 clause 7iii774 7ii7 ,supplem5tal b5efits describ$ 7,i7 ,9 g5]al ,supplem5tal b5efits describ$ 9 ?is clause are supplem5tal b5efits t1 ) respect to a *ronically ill enrollee1 h a reasonable expectation ( improv+ or ma9ta9+ ! heal? or ov]all function ( ! *ronically ill enrollee & may n be limit$ to be+ prim>ily heal? relat$ b5efits4 7,,ii7 ,au?ority to waive uni=mity requirem5ts ,! ,secret>y may1 only ) respect to supplem5tal b5efits provid$ to a *ronically ill enrollee "u ?is subp>agraph1 waive ! uni=mity requirem5ts "u ?is "p1 z det]m9$ appropriate by ! ,secret>y4 7iii7 ,*ronically ill enrollee def9$ ,9 ?is subp>agraph1 ! t]m *ronically ill enrollee means an enrollee 9 an ,,ma plan t ! ,secret>y det]m9es-- 7,i7 has "o or m comorbid & m$ically complex *ronic conditions t is life ?reat5+ or significantly limits ! ov]all heal? or function ( ! enrollee2 7,,ii7 has a high risk ( hospitalization or o!r adv]se heal? outcomes2 & 7,,iii7 requires int5sive c>e coord9ation4 4 7b7 ,,gao /udy & report 7#a7 ,/udy ,! ,comptroll] ,g5]al ( ! ,unit$ ,/ates 79 ?is subsection ref]r$ to z ! ,comptroll] ,g5]al7 %all conduct a /udy on supplem5tal b5efits provid$ to enrollees 9 ,m$ic>e ,advantage plans "u "p ,c ( title ,,xviii ( ! ,social ,security ,act1 includ+ specializ$ ,,ma plans = special ne$s individuals 7z def9$ 9 section #ahei7;b77#f7 ( su* ,act 7#db ,u4,s4,c4 #aciew-#bh7;b77#f7774 ,to ! ext5d data are available1 su* /udy %all include an analysis ( ! foll[+3 7,a7 ,! type ( supplem5tal b5efits provid$ to su* enrollees1 ! total numb] ( enrollees receiv+ ea* supplem5tal b5efit1 & :e!r ! supplem5tal b5efit is cov]$ by ! /&>d b5*m>k co/ ( ! b5efit or ) an additional premium4 7,b7 ,! frequ5cy 9 :i* supplem5tal b5efits are utiliz$ by su* enrollees4 7,c7 ,! impact supplem5tal b5efits h on-- 7i7 indicators ( ! quality ( c>e receiv$ by su* enrollees1 includ+ ov]all heal? & function ( ! enrollees2 7ii7 ! utilization ( items & s]vices = :i* b5efits are available "u ! orig9al ,m$ic>e fee-=-s]vice program option "u p>ts ,a & ,b ( su* title ,,xviii by su* enrollees2 & 7iii7 ! am\nt ( ! bids submitt$ by ,m$ic>e ,advantage ,organizations = ,m$ic>e ,advantage plans "u su* "p ,c4 7#b7 ,consultation ,9 conduct+ ! /udy "u p>agraph 7#a71 ! ,comptroll] ,g5]al %all1 z necess>y1 consult ) ! ,c5t]s = ,m$ic>e ,m$icaid ,s]vices & ,m$ic>e ,advantage organizations (f]+ ,m$ic>e ,advantage plans4 7#c7 ,report ,n lat] ?an #e ye>s aft] ! date ( ! enactm5t ( ?is ,act1 ! ,comptroll] ,g5]al %all submit to ,congress a report conta9+ ! results ( ! /udy conduct$ "u p>agraph 7#a71 toge!r ) recomm5dations = su* legislation & adm9i/rative action z ! ,comptroll] ,g5]al det]m9es appropriate4 #bcac4 ,increas+ conv5i5ce = ,m$ic>e ,advantage enrollees ?r\gh teleheal? 7a7 ,9 g5]al ,section #aheb ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciew-#bb7 is am5d$-- 7#a7 9 subsection 7a77#a77;,b77i71 by ins]t+ 1 subject to subsection 7m71 aft] means2 & 7#b7 by add+ at ! end ! foll[+ new subsection3 7m7 ,provision ( additional teleheal? b5efits 7#a7 ,,ma plan option ,= plan ye> #bjbj & subsequ5t plan ye>s1 subject to ! requirem5ts ( p>agraph 7#c71 an ,,ma plan may provide additional teleheal? b5efits 7z def9$ 9 p>agraph 7#b77 to individuals enroll$ "u ?is "p4 7#b7 ,additional teleheal? b5efits def9$ 7,a7 ,9 g5]al ,= purposes ( ?is subsection & section #ahed3 7i7 ,def9ition ,! t]m additional teleheal? b5efits means s]vices-- 7,i7 = :i* b5efits are available "u "p ,b1 includ+ s]vices = :i* paym5t is n made "u section #ahcd7m7 due to ! conditions = paym5t "u su* section2 & 7,,ii7 t are id5tifi$ = ! ye> involv$ by ! ,secret>y z cl9ically appropriate to furni% us+ electronic in=mation & telecommunications te*nology :5 a physician 7z def9$ 9 section #ahfa7r77 or practition] 7describ$ 9 section #ahdb7;b77#ah77;,c77 provid+ ! s]vice is n at ! same location z ! plan enrollee4 7ii7 ,exclusion ( capital & infra/ructure co/s & inve/m5ts ,! t]m additional teleheal? b5efits does n include capital & infra/ructure co/s & inve/m5ts relat+ to su* b5efits4 7,b7 ,public comm5t ,n lat] ?an ,novemb] #cj1 #bjah1 ! ,secret>y %all solicit comm5ts on-- 7i7 :at types ( items & s]vices 7includ+ ^? provid$ ?r\gh supplem5tal heal? c>e b5efits1 su* z remote pati5t monitor+1 secure messag+1 /ore & =w>d te*nologies1 & o!r non-face-to-face communication7 %\ld be consid]$ to be additional teleheal? b5efits2 & 7ii7 ! requirem5ts = ! provision or furni%+ ( su* b5efits 7su* z lic5sure1 tra9+1 & coord9ation requirem5ts74 7#c7 ,requirem5ts = additional teleheal? b5efits ,! ,secret>y %all specify requirem5ts = ! provision or furni%+ ( additional teleheal? b5efits1 includ+ ) respect to ! foll[+3 7,a7 ,physician or practition] qualifications 7o!r ?an lic5sure7 & o!r requirem5ts su* z specific tra9+4 7,b7 ,factors necess>y = ! coord9ation ( su* b5efits ) o!r items & s]vices1 includ+ ^? furni%$ 9-p]son4 7,c7 ,su* o!r areas z det]m9$ by ! ,secret>y4 7#d7 ,enrollee *oice ,if an ,,ma plan provides a s]vice z an additional teleheal? b5efit 7z def9$ 9 p>agraph 7#b77-- 7,a7 ! ,,ma plan %all also provide access to su* b5efit ?r\gh an 9-p]son visit 7& n only z an additional teleheal? b5efit72 & 7,b7 an individual enrollee %all h discretion z to :e!r to receive su* s]vice ?r\gh ! 9-p]son visit or z an additional teleheal? b5efit4 7#e7 ,treatm5t "u ,,ma ,= purposes ( ?is subsection & section #ahed1 if a plan provides additional teleheal? b5efits1 su* additional teleheal? b5efits %all be treat$ z if !y 7 b5efits "u ! orig9al ,m$ic>e fee-=-s]vice program option4 7#f7 ,con/ruction ,no?+ 9 ?is subsection %all be con/ru$ z affect+ ! requirem5t "u subsection 7a77#a7 t ,,ma plans provide enrollees ) items & s]vices 7o!r ?an hospice c>e7 = :i* b5efits are available "u p>ts ,a & ,b1 includ+ b5efits available "u section #ahcd7m74 4 7b7 ,cl>ification reg>d+ inclusion 9 bid am\nt ,section #ahed7;a77#f77;,a77ii77,i7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciew-#bd7;a77#f77;,a77ii77,i77 is am5d$ by ins]t+ 1 includ+1 = plan ye> #bjbj & subsequ5t plan ye>s1 ! provision ( additional teleheal? b5efits z describ$ 9 section #aheb7m7 be=e ! semicolon at ! end4 #bcad4 ,provid+ acc\ntable c>e organizations ! ability to exp& ! use ( teleheal? 7a7 ,9 g5]al ,section #ahii ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acie;jjj7 is am5d$ by add+ at ! end ! foll[+ new subsection3 7l7 ,provid+ ,a,c,os ! ability ,to exp& ! use ( teleheal? s]vices 7#a7 ,9 g5]al ,9 ! case ( teleheal? s]vices = :i* paym5t w\ld o!rwise be made "u ?is title furni%$ on or aft] ,janu>y #a1 #bjbj1 = purposes ( ?is subsection only1 ! foll[+ %all apply ) respect to su* s]vices furni%$ by a physician or practition] p>ticipat+ 9 an applicable ,,aco 7z def9$ 9 p>agraph 7#b77 to a ,m$ic>e fee-=-s]vice b5efici>y assign$ to ! applicable ,,aco3 7,a7 ,inclusion ( home z orig9at+ site ,subject to p>agraph 7#c71 ! home ( a b5efici>y %all be treat$ z an orig9at+ site describ$ 9 section #ahcd7m77#d77;,c77ii74 7,b7 ,no application ( geographic limitation ,! geographic limitation "u section #ahcd7m77#d77;,c77i7 %all n apply ) respect to an orig9at+ site describ$ 9 section #ahcd7m77#d77;,c77ii7 7includ+ ! home ( a b5efici>y "u subp>agraph 7,a771 subject to ,/ate lic5s+ requirem5ts4 7#b7 ,def9itions ,9 ?is subsection3 7,a7 ,applicable ,,aco ,! t]m applicable ,,aco means an ,,aco p>ticipat+ 9 a model te/$ or exp&$ "u section #aaae;,a or "u ?is section-- 7i7 t op]ates "u a two-sid$ model-- 7,i7 describ$ 9 section #dbe4fjj7;a7 ( title #db1 ,code ( ,f$]al ,regulations2 or 7,,ii7 te/$ or exp&$ "u section #aaae;,a2 & 7ii7 = :i* ,m$ic>e fee-=-s]vice b5efici>ies are assign$ to ! ,,aco us+ a prospective assignm5t me?od1 z det]m9$ appropriate by ! ,secret>y4 7,b7 ,home ,! t]m home means1 ) respect to a ,m$ic>e fee-=-s]vice b5efici>y1 ! place ( resid5ce us$ z ! home ( ! b5efici>y4 7#c7 ,teleheal? s]vices receiv$ 9 ! home ,9 ! case ( teleheal? s]vices describ$ 9 p>agraph 7#a7 :]e ! home ( a ,m$ic>e fee-=-s]vice b5efici>y is ! orig9at+ site1 ! foll[+ %all apply3 7,a7 ,no facility fee ,!re %all be no facility fee paid to ! orig9at+ site "u section #ahcd7m77#b77;,b74 7,b7 ,exclusion ( c]ta9 s]vices ,no paym5t may be made = su* s]vices t are inappropriate to furni% 9 ! home sett+ su* z s]vices t are typically furni%$ 9 inpati5t sett+s su* z a hospital4 4 7b7 ,/udy & report 7#a7 ,/udy 7,a7 ,9 g5]al ,! ,secret>y ( ,heal? & ,human ,s]vices 79 ?is subsection ref]r$ to z ! ,secret>y7 %all conduct a /udy on ! implem5tation ( section #ahii7l7 ( ! ,social ,security ,act1 z add$ by subsection 7a74 ,su* /udy %all include an analysis ( ! utilization (1 & exp5ditures =1 teleheal? s]vices "u su* section4 7,b7 ,collection ( data ,! ,secret>y may collect su* data z ! ,secret>y det]m9es necess>y to c>ry out ! /udy "u ?is p>agraph4 7#b7 ,report ,n lat] ?an ,janu>y #a1 #bjbf1 ! ,secret>y %all submit to ,congress a report conta9+ ! results ( ! /udy conduct$ "u p>agraph 7#a71 toge!r ) recomm5dations = su* legislation & adm9i/rative action z ! ,secret>y det]m9es appropriate4 #bcae4 ,exp&+ ! use ( teleheal? = individuals ) /roke ,section #ahcd7m7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciem7m771 z am5d$ by section #bcjb7;b71 is am5d$-- 7#a7 9 p>agraph 7#d77;,c77i71 9 ! matt] prec$+ subclause 7,i71 by /rik+ ,! t]m & ins]t+ ,except z provid$ 9 p>agraph 7#f71 ! t]m2 & 7#b7 by add+ at ! end ! foll[+ new p>agraph3 7#f7 ,treatm5t ( /roke teleheal? s]vices 7,a7 ,non-application ( orig9at+ site requirem5ts ,! requirem5ts describ$ 9 p>agraph 7#d77;,c7 %all n apply ) respect to teleheal? s]vices furni%$ on or aft] ,janu>y #a1 #bjba1 = purposes ( diagnosis1 evaluation1 or treatm5t ( symptoms ( an acute /roke1 z det]m9$ by ! ,secret>y4 7,b7 ,inclusion ( c]ta9 sites ,) respect to teleheal? s]vices describ$ 9 subp>agraph 7,a71 ! t]m orig9at+ site %all include any hospital 7z def9$ 9 section #ahfa7;e77 or critical access hospital 7z def9$ 9 section #ahfa7mm77#a771 any mobile /roke unit 7z def9$ by ! ,secret>y71 or any o!r site det]m9$ appropriate by ! ,secret>y1 at :i* ! eligible teleheal? individual is locat$ at ! "t ! s]vice is furni%$ via a telecommunications sy/em4 7,c7 ,no orig9at+ site facility fee = new sites ,no facility fee %all be paid "u p>agraph 7#b77;,b7 to an orig9at+ site ) respect to a teleheal? s]vice describ$ 9 subp>agraph 7,a7 if ! orig9at+ site does n o!rwise meet ! requirem5ts = an orig9at+ site "u p>agraph 7#d77;,c74 4 ,c ,id5tify+ ! ,*ronically ,ill ,population #bcba4 ,provid+ flexibility = b5efici>ies to be "p ( an acc\ntable c>e organization ,section #ahii7;c7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acie;jjj7c77 is am5d$-- 7#a7 by r$esignat+ p>agraphs 7#a7 & 7#b7 z subp>agraphs 7,a7 & 7,b71 respectively1 & ind5t+ appropriately2 7#b7 by /rik+ ,a,c,os4--,! ,secret>y & ins]t+ 8,a,c,os4-- 7#a7 ,9 g5]al ,subject to p>agraph 7#b71 ! ,secret>y 2 & 7#c7 by add+ at ! end ! foll[+ new p>agraph3 7#b7 ,provid+ flexibility 7,a7 ,*oice ( prospective assignm5t ,= ea* agreem5t p]iod 7effective = agreem5ts ent]$ into or r5ew$ on or aft] ,janu>y #a1 #bjbj71 9 ! case :]e an ,,aco e/abli%$ "u ! program is 9 a ,track t provides = ! retrospective assignm5t ( ,m$ic>e fee-=-s]vice b5efici>ies to ! ,,aco1 ! ,secret>y %all p]mit ! ,,aco to *oose to h ,m$ic>e fee-=-s]vice b5efici>ies assign$ prospectively1 r ?an retrospectively1 to ! ,,aco = an agreem5t p]iod4 7,b7 ,assignm5t bas$ on volunt>y id5tification by ,m$ic>e fee-=-s]vice b5efici>ies 7i7 ,9 g5]al ,= p]=mance ye> #bjah & ea* subsequ5t p]=mance ye>1 if a sy/em is available = electronic designation1 ! ,secret>y %all p]mit a ,m$ic>e fee-=-s]vice b5efici>y to volunt>ily id5tify an ,,aco pr(essional z ! prim>y c>e provid] ( ! b5efici>y = purposes ( assign+ su* b5efici>y to an ,,aco1 z det]m9$ by ! ,secret>y4 7ii7 ,notification process ,! ,secret>y %all e/abli% a process "u :i* a ,m$ic>e fee-=-s]vice b5efici>y is-- 7,i7 notifi$ ( _! ability to make an id5tification describ$ 9 clause 7i72 & 7,,ii7 in=m$ ( ! process by :i* !y may make & *ange su* id5tification4 7iii7 ,sup]s$+ claims-bas$ assignm5t ,a volunt>y id5tification by a ,m$ic>e fee-=-s]vice b5efici>y "u ?is subp>agraph %all sup]s$e any claims-bas$ assignm5t o!rwise det]m9$ by ! ,secret>y4 4 ,d ,emp[]+ ,individuals & ,c>egiv]s 9 ,c>e ,deliv]y #bcca4 ,elim9at+ b>ri]s to c>e coord9ation "u acc\ntable c>e organizations 7a7 ,9 g5]al ,section #ahii ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acie;jjj71 z am5d$ by section #bcad7;a71 is am5d$-- 7#a7 9 subsection 7b77#b71 by add+ at ! end ! foll[+ new subp>agraph3 7,i7 ,an ,,aco t seeks to op]ate an ,,aco ,b5efici>y ,inc5tive ,program pursuant to subsection 7m7 %all apply to ! ,secret>y at su* "t1 9 su* mann]1 & ) su* in=mation z ! ,secret>y may require4 2 7#b7 by add+ at ! end ! foll[+ new subsection3 7m7 ,au?ority ,to provide inc5tive paym5ts to b5efici>ies ) respect to qualify+ prim>y c>e s]vices 7#a7 ,program 7,a7 ,9 g5]al ,9 ord] to enc\rage ,m$ic>e fee-=-s]vice b5efici>ies to obta9 m$ically necess>y prim>y c>e s]vices1 an ,,aco p>ticipat+ "u ?is section "u a paym5t model describ$ 9 clause 7i7 or 7ii7 ( p>agraph 7#b77;,b7 may apply to e/abli% an ,,aco ,b5efici>y ,inc5tive ,program to provide inc5tive paym5ts to su* b5efici>ies :o are furni%$ qualify+ s]vices 9 accordance ) ?is subsection4 ,! ,secret>y %all p]mit su* an ,,aco to e/abli% su* a program at ! ,secret>y's discretion & subject to su* requirem5ts1 includ+ program integrity requirem5ts1 z ! ,secret>y det]m9es necess>y4 7,b7 ,implem5tation ,! ,secret>y %all implem5t ?is subsection on a date det]m9$ appropriate by ! ,secret>y4 ,su* date %all be no e>li] ?an ,janu>y #a1 #bjai1 & no lat] ?an ,janu>y #a1 #bjbj4 7#b7 ,conduct ( program 7,a7 ,duration ,subject to subp>agraph 7,h71 an ,,aco ,b5efici>y ,inc5tive ,program e/abli%$ "u ?is subsection %all be conduct$ = su* p]iod 7( n less ?an #a ye>7 z ! ,secret>y may approve4 7,b7 ,scope ,an ,,aco ,b5efici>y ,inc5tive ,program e/abli%$ "u ?is subsection %all provide inc5tive paym5ts to all ( ! foll[+ ,m$ic>e fee-=-s]vice b5efici>ies :o are furni%$ qualify+ s]vices by ! ,,aco3 7i7 ,) respect to ! ,track #b & ,track #c paym5t models describ$ 9 section #dbe4fjj7;a7 ( title #db1 ,code ( ,f$]al ,regulations 7or 9 any successor regulation71 ,m$ic>e fee-=-s]vice b5efici>ies :o are prelim9>ily prospectively or prospectively assign$ 7or o!rwise assign$1 z det]m9$ by ! ,secret>y7 to ! ,,aco4 7ii7 ,) respect to any future paym5t models involv+ two-sid$ risk1 ,m$ic>e fee-=-s]vice b5efici>ies :o are assign$ to ! ,,aco1 z det]m9$ by ! ,secret>y4 7,c7 ,qualify+ s]vice ,= purposes ( ?is subsection1 a qualify+ s]vice is a prim>y c>e s]vice1 z def9$ 9 section #dbe4bj ( title #db1 ,code ( ,f$]al ,regulations 7or 9 any successor regulation71 ) respect to :i* co9surance applies "u "p ,b1 furni%$ ?r\gh an ,,aco by-- 7i7 an ,,aco pr(essional describ$ 9 subsection 7h77#a77;,a7 :o has a prim>y c>e specialty designation includ$ 9 ! def9ition ( prim>y c>e physician "u section #dbe4bj ( title #db1 ,code ( ,f$]al ,regulations 7or any successor regulation72 7ii7 an ,,aco pr(essional describ$ 9 subsection 7h77#a77;,b72 or 7iii7 a ,f$]ally qualifi$ heal? c5t] or rural heal? cl9ic 7z su* t]ms are def9$ 9 section #ahfa7;aa774 7,d7 ,inc5tive paym5ts ,an inc5tive paym5t made by an ,,aco pursuant to an ,,aco ,b5efici>y ,inc5tive ,program e/abli%$ "u ?is subsection %all be-- 7i7 9 an am\nt up to #bj1 ) su* maximum am\nt updat$ annually by ! p]c5tage increase 9 ! consum] price index = all urban consum]s 7,unit$ ,/ates city av]age7 = ! #ab-mon? p]iod end+ ) ,june ( ! previ\s ye>2 7ii7 9 ! same am\nt = ea* ,m$ic>e fee-=-s]vice b5efici>y describ$ 9 clause 7i7 or 7ii7 ( subp>agraph 7,b7 )\t reg>d to enrollm5t ( su* a b5efici>y 9 a m$ic>e supplem5tal policy 7describ$ 9 section #ahhb7;g77#a771 9 a ,/ate ,m$icaid plan "u title ,,xix or a waiv] ( su* a plan1 or 9 any o!r heal? insurance policy or heal? b5efit plan2 7iii7 made = ea* qualify+ s]vice furni%$ to su* a b5efici>y describ$ 9 clause 7i7 or 7ii7 ( subp>agraph 7,b7 dur+ a p]iod specifi$ by ! ,secret>y2 & 7iv7 made no lat] ?an #cj days aft] a qualify+ s]vice is furni%$ to su* a b5efici>y describ$ 9 clause 7i7 or 7ii7 ( subp>agraph 7,b74 7,e7 ,no sep>ate paym5ts f ! ,secret>y ,! ,secret>y %all n make any sep>ate paym5t to an ,,aco = ! co/s1 includ+ inc5tive paym5ts1 ( c>ry+ out an ,,aco ,b5efici>y ,inc5tive ,program e/abli%$ "u ?is subsection4 ,no?+ 9 ?is subp>agraph %all be con/ru$ z prohibit+ an ,,aco f us+ %>$ sav+s receiv$ "u ?is section to c>ry out an ,,aco ,b5efici>y ,inc5tive ,program4 7,f7 ,no application to %>$ sav+s calculation ,inc5tive paym5ts made by an ,,aco "u ?is subsection %all be disreg>d$ = purposes ( calculat+ b5*m>ks1 e/imat$ av]age p] capita ,m$ic>e exp5ditures1 & %>$ sav+s "u ?is section4 7,g7 ,report+ requirem5ts ,an ,,aco conduct+ an ,,aco ,b5efici>y ,inc5tive ,program "u ?is subsection %all1 at su* times & 9 su* =mat z ! ,secret>y may require1 report to ! ,secret>y su* in=mation & reta9 su* docum5tation z ! ,secret>y may require1 includ+ ! am\nt & frequ5cy ( inc5tive paym5ts made & ! numb] ( ,m$ic>e fee-=-s]vice b5efici>ies receiv+ su* paym5ts4 7,h7 ,t]m9ation ,! ,secret>y may t]m9ate an ,,aco ,b5efici>y ,inc5tive ,program e/abli%$ "u ?is subsection at any "t = reasons det]m9$ appropriate by ! ,secret>y4 7#c7 ,exclusion ( inc5tive paym5ts ,any paym5t made "u an ,,aco ,b5efici>y ,inc5tive ,program e/abli%$ "u ?is subsection %all n be consid]$ income or res\rces or o!rwise tak5 into acc\nt = purposes (-- 7,a7 det]m9+ eligibility = b5efits or assi/ance 7or ! am\nt or ext5t ( b5efits or assi/ance7 "u any ,f$]al program or "u any ,/ate or local program f9anc$ 9 :ole or 9 "p ) ,f$]al funds2 or 7,b7 any ,f$]al or ,/ate laws relat+ to taxation4 2 7#c7 9 subsection 7e71 by ins]t+ 1 includ+ an ,,aco ,b5efici>y ,inc5tive ,program "u subsections 7b77#b77;,i7 & 7m7 aft] ! program2 & 7#d7 9 subsection 7g77#f71 by ins]t+ or ( an ,,aco ,b5efici>y ,inc5tive ,program "u subsections 7b77#b77;,i7 & 7m7 aft] "u subsection 7d77#d74 7b7 ,am5dm5t to section #aabh;,b ,section #aabh;,b7b77#c7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acbj;a-#g;b7b77#c77 is am5d$-- 7#a7 by /rik+ & at ! end ( subp>agraph 7,i72 7#b7 by /rik+ ! p]iod at ! end ( subp>agraph 7,j7 & ins]t+ 2 &2 & 7#c7 by add+ at ! end ! foll[+ new subp>agraph3 7,k7 an inc5tive paym5t made to a ,m$ic>e fee-=-s]vice b5efici>y by an ,,aco "u an ,,aco ,b5efici>y ,inc5tive ,program e/abli%$ "u subsection 7m7 ( section #ahii1 if ! paym5t is made 9 accordance ) ! requirem5ts ( su* subsection & meets su* o!r conditions z ! ,secret>y may e/abli%4 4 7c7 ,evaluation & report 7#a7 ,evaluation ,! ,secret>y ( ,heal? & ,human ,s]vices 79 ?is subsection ref]r$ to z ! ,secret>y7 %all conduct an evaluation ( ! ,,aco ,b5efici>y ,inc5tive ,program e/abli%$ "u subsections 7b77#b77;,i7 & 7m7 ( section #ahii ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acie;jjj71 z add$ by subsection 7a74 ,! evaluation %all include an analysis ( ! impact ( ! implem5tation ( ! ,program on exp5ditures & b5efici>y heal? outcomes "u title ,,xviii ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acie et seq474 7#b7 ,report ,n lat] ?an ,octob] #a1 #bjbc1 ! ,secret>y %all submit to ,congress a report conta9+ ! results ( ! evaluation "u p>agraph 7#a71 toge!r ) recomm5dations = su* legislation & adm9i/rative action z ! ,secret>y det]m9es appropriate4 #bccb4 ,,gao /udy & report on longitud9al compreh5sive c>e plann+ s]vices "u ,m$ic>e "p ,b 7a7 ,/udy ,! ,comptroll] ,g5]al %all conduct a /udy on ! e/abli%m5t "u "p ,b ( ! ,m$ic>e program "u title ,,xviii ( ! ,social ,security ,act ( a paym5t code = a visit = longitud9al compreh5sive c>e plann+ s]vices4 ,su* /udy %all include an analysis ( ! foll[+ to ! ext5t su* in=mation is available3 7#a7 ,! frequ5cy ) :i* s]vices simil> to longitud9al compreh5sive c>e plann+ s]vices are furni%$ to ,m$ic>e b5efici>ies1 :i* provid]s ( s]vices & suppli]s are furni%+ ^? s]vices1 :e!r ,m$ic>e reimbursem5t is be+ receiv$ = ^? s]vices1 &1 if s1 ?r\gh :i* codes ^? s]vices are be+ reimburs$4 7#b7 ,:e!r1 & ! ext5t to :i*1 longitud9al compreh5sive c>e plann+ s]vices w\ld ov]lap1 & c\ld !re=e result 9 duplicative paym5t1 ) s]vices cov]$ "u ! hospice b5efit z well z ! *ronic c>e managem5t code1 evaluation & managem5t codes1 or o!r codes t already exi/ "u "p ,b ( ! ,m$ic>e program4 7#c7 ,any b>ri]s to hospitals1 skill$ nurs+ facilities1 hospice programs1 home heal? ag5cies1 & o!r applicable provid]s work+ ) a ,m$ic>e b5efici>y to engage 9 ! c>e plann+ process & complete ! necess>y docum5tation to support ! treatm5t & c>e plan ( ! b5efici>y & provide su* docum5tation to o!r provid]s & ! b5efici>y or ! b5efici>y's repres5tative4 7#d7 ,any b>ri]s to provid]s1 o!r ?an ! provid] furni%+ longitud9al compreh5sive c>e plann+ s]vices1 access+ ! c>e plan & associat$ docum5tation = use relat$ to ! c>e ( ! ,m$ic>e b5efici>y4 7#e7 ,pot5tial options = ensur+ t applicable provid]s are notifi$ ( a pati5t's exi/+ longitud9al c>e plan & t applicable provid]s consid] t plan 9 mak+ _! treatm5t decisions1 & :at ! *all5ges might be 9 implem5t+ su* options4 7#f7 ,/akehold]'s views on ! ne$ = ! developm5t ( quality metrics ) respect to longitud9al compreh5sive c>e plann+ s]vices1 su* z measures relat$ to-- 7,a7 ! process ( elicit+ input f ! ,m$ic>e b5efici>y or f a legally au?oriz$ repres5tative & docum5t+ 9 ! m$ical record ! pati5t-direct$ c>e plan2 7,b7 ! effectiv5ess & pati5t-c5t]$ness ( ! c>e plan 9 organiz+ deliv]y ( s]vices consi/5t ) ! plan2 7,c7 ! availability ( ! c>e plan & associat$ docum5tation to o!r provid]s t c>e = ! b5efici>y2 & 7,d7 ! ext5t to :i* ! b5efici>y receiv$ s]vices & support t is free f discrim9ation bas$ on advanc$ age1 disability /atus1 or advanc$ illness4 7#g7 ,/akehold]'s views on h[ su* quality metrics w\ld provide in=mation on-- 7,a7 ! goals1 values1 & pref]5ces ( ! b5efici>y2 7,b7 ! docum5tation ( ! c>e plan2 7,c7 s]vices furni%$ to ! b5efici>y2 & 7,d7 outcomes ( treatm5t4 7#h7 ,/akehold]'s views on-- 7,a7 ! type ( tra9+ & education ne$$ = applicable provid]s1 individuals1 & c>egiv]s 9 ord] to facilitate longitud9al compreh5sive c>e plann+ s]vices2 7,b7 ! types ( provid]s ( s]vices & suppli]s t %\ld be includ$ 9 ! int]discipl9>y team ( an applicable provid]2 & 7,c7 ! *>act]i/ics ( ,m$ic>e b5efici>ies t w\ld be mo/ appropriate to receive longitud9al compreh5sive c>e plann+ s]vices1 su* z individuals ) advanc$ disease & individuals :o ne$ assi/ance ) multiple activities ( daily liv+4 7#i7 ,/akehold]'s views on ! frequ5cy ) :i* longitud9al compreh5sive c>e plann+ s]vices %\ld be furni%$4 7b7 ,report ,n lat] ?an #ah mon?s aft] ! date ( ! enactm5t ( ?is ,act1 ! ,comptroll] ,g5]al %all submit to ,congress a report conta9+ ! results ( ! /udy conduct$ "u subsection 7a71 toge!r ) recomm5dations = su* legislation & adm9i/rative action z ! ,comptroll] ,g5]al det]m9es appropriate4 7c7 ,def9itions ,9 ?is section3 7#a7 ,applicable provid] ,! t]m applicable provid] means a hospice program 7z def9$ 9 subsection 7dd77#b7 ( section #ahfa ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acieww77 or o!r provid] ( s]vices 7z def9$ 9 subsection 7u7 ( su* section7 or suppli] 7z def9$ 9 subsection 7d7 ( su* section7 t-- 7,a7 furni%es longitud9al compreh5sive c>e plann+ s]vices ?r\gh an int]discipl9>y team2 & 7,b7 meets su* o!r requirem5ts z ! ,secret>y may det]m9e to be appropriate4 7#b7 ,comptroll] ,g5]al ,! t]m ,comptroll] ,g5]al means ! ,comptroll] ,g5]al ( ! ,unit$ ,/ates4 7#c7 ,int]discipl9>y team ,! t]m int]discipl9>y team means a gr\p t-- 7,a7 includes ! p]sonnel describ$ 9 subsection 7dd77#b77;,b77i7 ( su* section #ahfa2 7,b7 may include a *apla91 m9i/]1 or o!r cl]gy2 & 7,c7 may include o!r direct c>e p]sonnel4 7#d7 ,longitud9al compreh5sive c>e plann+ s]vices ,! t]m longitud9al compreh5sive c>e plann+ s]vices means a volunt>y %>$ decisionmak+ process t is furni%$ by an applicable provid] ?r\gh an int]discipl9>y team & includes a conv]sation ) ,m$ic>e b5efici>ies :o h receiv$ a diagnosis ( a s]i\s or life-?reat5+ illness4 ,! purpose ( su* s]vices is to discuss a longitud9al c>e plan t addresses ! progression ( ! disease1 treatm5t options1 ! goals1 values1 & pref]5ces ( ! b5efici>y1 & ! availability ( o!r res\rces & social supports t may r$uce ! b5efici>y's heal? risks & promote self-managem5t & %>$ decisionmak+4 7#e7 ,secret>y ,! t]m ,secret>y means ! ,secret>y ( ,heal? & ,human ,s]vices4 ,e ,o!r ,policies to ,improve ,c>e = ! ,*ronically ,ill #bcda4 ,,gao /udy & report on improv+ m$ication syn*ronization 7a7 ,/udy ,! ,comptroll] ,g5]al ( ! ,unit$ ,/ates 79 ?is section ref]r$ to z ! ,comptroll] ,g5]al7 %all conduct a /udy on ! ext5t to :i* ,m$ic>e prescription drug plans 7,,ma-,,pd plans & /& alone prescription drug plans7 "u "p ,d ( title ,,xviii ( ! ,social ,security ,act & private payors use programs t syn*ronize ph>macy disp5s+ s t individuals may receive multiple prescriptions on ! same day to facilitate compreh5sive c\nsel+ & promote m$ication adh]5ce4 ,! /udy %all include a analysis ( ! foll[+3 7#a7 ,! ext5t to :i* ph>macies h adopt$ su* programs4 7#b7 ,! common *>act]i/ics ( su* programs1 includ+ h[ ph>macies /ructure c\nsel+ sessions "u su* programs & ! types ( paym5t & o!r arrangem5ts t ,m$ic>e prescription drug plans & private payors employ "u su* programs to support ! ef=ts ( ph>macies4 7#c7 ,h[ su* programs comp>e = ,m$ic>e prescription drug plans & private payors4 7#d7 ,:at is kn[n ab\t h[ su* programs affect pati5t m$ication adh]5ce & ov]all pati5t heal? outcomes1 includ+ if adh]5ce & outcomes v>y by pati5t subpopulations1 su* z disease /ate & socioeconomic /atus4 7#e7 ,:at is kn[n ab\t ov]all pati5t satisfaction ) su* programs & satisfaction ) su* programs1 includ+ )9 pati5t subpopulations1 su* z disease /ate & socioeconomic /atus4 7#f7 ,! ext5t to :i* laws & regulations ( ! ,m$ic>e program support su* programs4 7#g7 ,b>ri]s to ! use ( m$ication syn*ronization programs by ,m$ic>e prescription drug plans4 7b7 ,report ,n lat] ?an #ah mon?s aft] ! date ( ! enactm5t ( ?is ,act1 ! ,comptroll] ,g5]al %all submit to ,congress a report conta9+ ! results ( ! /udy "u subsection 7a71 toge!r ) recomm5dations = su* legislation & adm9i/rative action z ! ,comptroll] ,g5]al det]m9es appropriate4 #bcdb4 ,,gao /udy & report on impact ( obesity drugs on pati5t heal? & sp5d+ 7a7 ,/udy ,! ,comptroll] ,g5]al ( ! ,unit$ ,/ates 79 ?is section ref]r$ to z ! ,comptroll] ,g5]al7 %all1 to ! ext5t data are available1 conduct a /udy on ! use ( prescription drugs to manage ! weight ( obese pati5ts & ! impact ( cov]age ( su* drugs on pati5t heal? & on heal? c>e sp5d+4 ,su* /udy %all exam9e ! use & impact ( ^! obesity drugs 9 ! non-,m$ic>e population & = ,m$ic>e b5efici>ies :o h su* drugs cov]$ ?r\gh an ,,ma-,,pd plan 7z def9$ 9 section #ahfj;,d-#a7;a77#c77;,c7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciew-#aja7;a77#c77;,c777 z a supplem5tal heal? c>e b5efit4 ,! /udy %all include an analysis ( ! foll[+3 7#a7 ,! preval5ce ( obesity 9 ! ,m$ic>e & non-,m$ic>e population4 7#b7 ,! utilization ( obesity drugs4 7#c7 ,! di/ribution ( ,body ,mass ,index by individuals tak+ obesity drugs1 to ! ext5t practicable4 7#d7 ,:at is kn[n ab\t ! use ( obesity drugs 9 conjunction ) ! receipt ( o!r items or s]vices1 su* z behavioral c\nsel+1 & h[ ^! comp>e to items & s]vices receiv$ by obese individuals :o d n take obesity drugs4 7#e7 ,physician consid]ations & attitudes relat$ to prescrib+ obesity drugs4 7#f7 ,! ext5t to :i* cov]age policies cease or limit cov]age = individuals :o fail to receive cl9ical b5efit4 7#g7 ,:at is kn[n ab\t ! ext5t to :i* individuals :o take obesity drugs adh]e to ! prescrib$ regim54 7#h7 ,:at is kn[n ab\t ! ext5t to :i* individuals :o take obesity drugs ma9ta9 weight loss ov] "t4 7#i7 ,:at is kn[n ab\t ! subsequ5t impact su* drugs h on m$ical s]vices t are directly relat$ to obesity1 includ+ ) respect to subpopulations det]m9$ bas$ on ! ext5t ( obesity4 7#aj7 ,:at is kn[n ab\t ! sp5d+ associat$ ) ! c>e ( individuals :o take obesity drugs1 comp>$ to ! sp5d+ associat$ ) ! c>e ( individuals :o d n take su* drugs4 7b7 ,report ,n lat] ?an #ah mon?s aft] ! date ( ! enactm5t ( ?is ,act1 ! ,comptroll] ,g5]al %all submit to ,congress a report conta9+ ! results ( ! /udy "u subsection 7a71 toge!r ) recomm5dations = su* legislation & adm9i/rative action z ! ,comptroll] ,g5]al det]m9es appropriate4 #bcdc4 ,,hhs /udy & report on long-t]m risk factors = *ronic conditions among ,m$ic>e b5efici>ies 7a7 ,/udy ,! ,secret>y ( ,heal? & ,human ,s]vices 79 ?is section ref]r$ to z ! ,secret>y7 %all conduct a /udy on long-t]m co/ driv]s to ! ,m$ic>e program1 includ+ obesity1 tobacco use1 m5tal heal? conditions1 & o!r factors t may contribute to ! det]ioration ( heal? conditions among individuals ) *ronic conditions 9 ! ,m$ic>e population4 ,! /udy %all include an analysis ( any b>ri]s to collect+ & analyz+ su* in=mation & h[ to remove any su* b>ri]s 7includ+ ?r\gh legislation & adm9i/rative actions74 7b7 ,report ,n lat] ?an #ah mon?s aft] ! date ( ! enactm5t ( ?is ,act1 ! ,secret>y %all submit to ,congress a report conta9+ ! results ( ! /udy "u subsection 7a71 toge!r ) recomm5dations = su* legislation & adm9i/rative action z ! ,secret>y det]m9es appropriate4 ,! ,secret>y %all also po/ su* report on ! ,int]net website ( ! ,dep>tm5t ( ,heal? & ,human ,s]vices4 ,,iv ,m$ic>e ,"p ,b ,miscellane\s ,policies ,a ,m$ic>e ,"p ,b ,improvem5t ,act #bdja4 ,home infusion !rapy s]vices tempor>y transitional paym5t 7a7 ,9 g5]al ,section #ahcd7u7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciem7u77 is am5d$ by add+ at ! end ! foll[+ new p>agraph3 7#g7 ,home infusion !rapy s]vices tempor>y transitional paym5t 7,a7 ,tempor>y transitional paym5t 7i7 ,9 g5]al ,! ,secret>y %all1 9 accordance ) ! paym5t me?odology describ$ 9 subp>agraph 7,b7 & subject to ! provisions ( ?is p>agraph1 provide a home infusion !rapy s]vices tempor>y transitional paym5t "u ?is "p to an eligible home infusion suppli] 7z def9$ 9 subp>agraph 7,f77 = items & s]vices describ$ 9 subp>agraphs 7,a7 & 7,b7 ( section #ahfa7;iii77#b77 furni%$ dur+ ! p]iod specifi$ 9 clause 7ii7 by su* suppli] 9 coord9ation ) ! furni%+ ( transitional home infusion drugs 7z def9$ 9 clause 7iii774 7ii7 ,p]iod specifi$ ,= purposes ( clause 7i71 ! p]iod specifi$ 9 ?is clause is ! p]iod beg9n+ on ,janu>y #a1 #bjai1 & end+ on ! day be=e ! date ( ! implem5tation ( ! paym5t sy/em "u p>agraph 7#a77;,a74 7iii7 ,transitional home infusion drug def9$ ,= purposes ( ?is p>agraph1 ! t]m transitional home infusion drug has ! mean+ giv5 to ! t]m home infusion drug "u section #ahfa7;iii77#c77;,c771 except t clause 7ii7 ( su* section %all n apply if a drug describ$ 9 su* clause is id5tifi$ 9 clauses 7i71 7ii71 7iii7 or 7iv7 ( subp>agraph 7,c7 z ( ! date ( ! enactm5t ( ?is p>agraph4 7,b7 ,paym5t me?odology ,= purposes ( ?is p>agraph1 ! ,secret>y %all e/abli% a paym5t me?odology1 ) respect to items & s]vices describ$ 9 subp>agraph 7,a77i74 ,"u su* paym5t me?odology ! ,secret>y %all-- 7i7 create ! ?ree paym5t categories describ$ 9 clauses 7i71 7ii71 & 7iii7 ( subp>agraph 7,c72 7ii7 assign drugs to su* categories1 9 accordance ) su* clauses2 7iii7 assign appropriate ,heal?c>e ,common ,proc$ure ,cod+ ,sy/em 7,,hcpcs7 codes to ea* paym5t category2 & 7iv7 e/abli% a s+le paym5t am\nt = ea* su* paym5t category1 9 accordance ) subp>agraph 7,d71 = ea* infusion drug adm9i/ration cal5d> day 9 ! individual's home = drugs assign$ to su* category4 7,c7 ,paym5t categories 7i7 ,paym5t category #a ,! ,secret>y %all create a paym5t category #a & assign to su* category drugs :i* are cov]$ "u ! ,local ,cov]age ,det]m9ation on ,ext]nal ,infusion ,pumps 7,,lcd numb] ,l#ccgid7 & bill$ ) ! foll[+ ,,hcpcs codes 7z id5tifi$ z ( ,janu>y #a1 #bjah1 & z subsequ5tly modifi$ by ! ,secret>y73 ,j#jacc1 ,j#jbhe1 ,j#jbhg1 ,j#jbhh1 ,j#jbhi1 ,j#jhie1 ,j#aagj1 ,j#abej1 ,j#abfe1 ,j#acbe1 ,j#adee1 ,j#adeg1 ,j#aegj1 ,j#bage1 ,j#bbfj1 ,j#bbgj1 ,j#bbgd1 ,j#bbgh1 ,j#cjaj1 or ,j#cbhe4 7ii7 ,paym5t category #b ,! ,secret>y %all create a paym5t category #b & assign to su* category drugs :i* are cov]$ "u su* local cov]age det]m9ation & bill$ ) ! foll[+ ,,hcpcs codes 7z id5tifi$ z ( ,janu>y #a1 #bjah1 & z subsequ5tly modifi$ by ! ,secret>y73 ,j#aeee ,,jb1 ,j#aeei ,,jb1 ,j#aefa ,,jb1 ,j#aefb ,,jb1 ,j#aefi ,,jb1 or ,j#aege ,,jb4 7iii7 ,paym5t category #c ,! ,secret>y %all create a paym5t category #c & assign to su* category drugs :i* are cov]$ "u su* local cov]age det]m9ation & bill$ ) ! foll[+ ,,hcpcs codes 7z id5tifi$ z ( ,janu>y #a1 #bjah1 & z subsequ5tly modifi$ by ! ,secret>y73 ,j#ijjj1 ,j#ijci1 ,j#ijdj1 ,j#ijfe1 ,j#iajj1 ,j#iaij1 ,j#ibjj1 ,j#icfj1 or ,j#icgj4 7iv7 ,infusion drugs n o!rwise includ$ ,) respect to drugs t are n includ$ 9 paym5t category #a1 #b1 or #c "u clause 7i71 7ii71 or 7iii71 respectively1 ! ,secret>y %all assign to ! mo/ appropriate ( su* categories1 z det]m9$ by ! ,secret>y1 drugs :i* are-- 7,i7 cov]$ "u su* local cov]age det]m9ation & bill$ "u ,,hcpcs codes ,j#ggii or ,j#giii 7z id5tifi$ z ( ,july #a1 #bjag1 & z subsequ5tly modifi$ by ! ,secret>y72 or 7,,ii7 bill$ "u any code t is implem5t$ aft] ! date ( ! enactm5t ( ?is p>agraph & includ$ 9 su* local cov]age det]m9ation or includ$ 9 subregulatory guidance z a home infusion drug describ$ 9 subp>agraph 7,a77i74 7,d7 ,paym5t am\nts 7i7 ,9 g5]al ,"u ! paym5t me?odology1 ! ,secret>y %all pay eligible home infusion suppli]s1 ) respect to items & s]vices describ$ 9 subp>agraph 7,a77i7 furni%$ dur+ ! p]iod describ$ 9 subp>agraph 7,a77ii7 by su* suppli] to an individual1 at am\nts equal to ! am\nts det]m9$ "u ! physician fee s*$ule e/abli%$ "u section #ahdh = s]vices furni%$ dur+ ! ye> = codes & units ( su* codes describ$ 9 clauses 7ii71 7iii71 & 7iv7 ) respect to drugs includ$ 9 ! paym5t category "u subp>agraph 7,c7 specifi$ 9 ! respective clause1 det]m9$ )\t application ( ! geographic adju/m5t "u subsection 7e7 ( su* section4 7ii7 ,paym5t am\nt = category #a ,= purposes ( clause 7i71 ! codes & units describ$ 9 ?is clause1 ) respect to drugs includ$ 9 paym5t category #a describ$ 9 subp>agraph 7,c77i71 are "o unit ( ,,hcpcs code #ifcfe plus ?ree units ( ,,hcpcs code #ifcff 7z id5tifi$ z ( ,janu>y #a1 #bjah1 & z subsequ5tly modifi$ by ! ,secret>y74 7iii7 ,paym5t am\nt = category #b ,= purposes ( clause 7i71 ! codes & units describ$ 9 ?is clause1 ) respect to drugs includ$ 9 paym5t category #b describ$ 9 subp>agraph 7,c77i71 are "o unit ( ,,hcpcs code #ifcfi plus ?ree units ( ,,hcpcs code #ifcgj 7z id5tifi$ z ( ,janu>y #a1 #bjah1 & z subsequ5tly modifi$ by ! ,secret>y74 7iv7 ,paym5t am\nt = category #c ,= purposes ( clause 7i71 ! codes & units describ$ 9 ?is clause1 ) respect to drugs includ$ 9 paym5t category #c describ$ 9 subp>agraph 7,c77i71 are "o unit ( ,,hcpcs code #ifdac plus ?ree units ( ,,hcpcs code #ifdae 7z id5tifi$ z ( ,janu>y #a1 #bjah1 & z subsequ5tly modifi$ by ! ,secret>y74 7,e7 ,cl>ifications 7i7 ,infusion drug adm9i/ration day ,= purposes ( ?is subsection1 ) respect to ! furni%+ ( transitional home infusion drugs or home infusion drugs to an individual by an eligible home infusion suppli] or a qualifi$ home infusion !rapy suppli]1 a ref]5ce to paym5t to su* suppli] = an infusion drug adm9i/ration cal5d> day 9 ! individual's home %all ref] to paym5t only = ! date on :i* pr(essional s]vices 7z describ$ 9 section #ahfa7;iii77#b77;,a77 7 furni%$ to adm9i/] su* drugs to su* individual4 ,= purposes ( ! previ\s s5t5ce1 an infusion drug adm9i/ration cal5d> day %all include all su* drugs adm9i/]$ to su* individual on su* day4 7ii7 ,treatm5t ( multiple drugs adm9i/]$ on same infusion drug adm9i/ration day ,9 ! case t an eligible home infusion suppli]1 ) respect to an infusion drug adm9i/ration cal5d> day 9 an individual's home1 furni%es to su* individual transitional home infusion drugs :i* are n all assign$ to ! same paym5t category "u subp>agraph 7,c71 paym5t to su* suppli] = su* infusion drug adm9i/ration cal5d> day 9 ! individual's home %all be a s+le paym5t equal to ! am\nt ( paym5t "u ?is p>agraph = ! drug1 among all su* drugs s furni%$ to su* individual dur+ su* cal5d> day1 = :i* ! highe/ paym5t w\ld be made "u ?is p>agraph4 7,f7 ,eligible home infusion suppli]s ,9 ?is p>agraph1 ! t]m eligible home infusion suppli] means a suppli] t is enroll$ "u ?is "p z a ph>macy t provides ext]nal infusion pumps & ext]nal infusion pump supplies & t ma9ta9s all ph>macy lic5sure requirem5ts 9 ! ,/ate 9 :i* ! applicable infusion drugs are adm9i/]$4 7,g7 ,implem5tation ,not)/&+ any o!r provision ( law1 ! ,secret>y may implem5t ?is p>agraph by program in/ruction or o!rwise4 4 7b7 ,con=m+ am5dm5t 7#a7 ,section #ahdb7;b77#f77;,i7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acieu7b77#f77;,i77 is am5d$ by ins]t+ or1 9 ! case ( items & s]vices describ$ 9 clause 7i7 ( section #ahcd7u77#g77;,a7 furni%$ to an individual dur+ ! p]iod describ$ 9 clause 7ii7 ( su* section1 paym5t %all be made to ! eligible home infusion !rapy suppli] aft] paym5t %all be made to ! qualifi$ home infusion !rapy suppli]4 7#b7 ,section #ejab7;d7 ( ! #ba/ ,c5tury ,cures ,act is am5d$ by ins]t+ ! foll[+ be=e ! p]iod at ! end ! foll[+3 1 except t ! am5dm5ts made by p>agraphs 7#a7 & 7#b7 ( subsection 7c7 %all apply to items & s]vices furni%$ on or aft] ,janu>y #a1 #bjai4 #bdjb4 ,or?oti/'s & pro/heti/'s cl9ical notes z "p ( ! pati5t's m$ical record ,section #ahcd7;h7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciem7h77 is am5d$ by add+ at ! end ! foll[+ new p>agraph3 7#e7 ,docum5tation creat$ by or?oti/s & pro/heti/s ,= purposes ( det]m9+ ! reasonabl5ess & m$ical necessity ( or?otics & pro/hetics1 docum5tation creat$ by an or?oti/ or pro/heti/ %all be consid]$ "p ( ! individual's m$ical record to support docum5tation creat$ by eligible pr(essionals describ$ 9 section #ahdh7k77#c77;,b74 4 #bdjc4 ,indep5d5t accr$itation = dialysis facilities & assurance ( high quality surveys 7a7 ,accr$itation & surveys 7#a7 ,9 g5]al ,section #ahfe ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acie;bb7 is am5d$-- 7,a7 9 subsection 7a7-- 7i7 9 p>agraph 7#a71 9 ! matt] prec$+ subp>agraph 7,a71 by /rik+ or ! conditions & requirem5ts "u section #ahha7;b72 & 7ii7 9 p>agraph 7#d71 by ins]t+ 7includ+ a r5al dialysis facility7 aft] facility2 & 7,b7 by add+ at ! end ! foll[+ new subsection3 7e7 ,) respect to an accr$itation body t has receiv$ approval f ! ,secret>y "u subsection 7a77#c77;,a7 = accr$itation ( provid] entities t are requir$ to meet ! conditions & requirem5ts "u section #ahha7;b71 9 addition to review & ov]sight au?orities o!rwise applicable "u ?is title1 ! ,secret>y %all 7z ! ,secret>y det]m9es appropriate7 conduct1 ) respect to su* accr$itation body & provid] entities1 any or all ( ! foll[+ z frequ5tly z is o!rwise requir$ to be conduct$ "u ?is title ) respect to o!r accr$itation bodies or o!r provid] entities3 7#a7 ,validation surveys ref]r$ to 9 subsection 7d74 7#b7 ,accr$itation program reviews 7z def9$ 9 section #dhh4h7;c7 ( title #db ( ! ,code ( ,f$]al ,regulations1 or a successor regulation74 7#c7 ,p]=mance reviews 7z def9$ 9 section #dhh4h7;a7 ( title #db ( ! ,code ( ,f$]al ,regulations1 or a successor regulation74 4 7#b7 ,tim+ = acceptance ( reque/s f accr$itation organizations ,n lat] ?an #ij days aft] ! date ( enactm5t ( ?is ,act1 ! ,secret>y ( ,heal? & ,human ,s]vices %all beg9 accept+ reque/s f national accr$itation bodies = a f9d+ describ$ 9 section #ahfe7;a77#c77;,a7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acie;bb7a77#c77;,a77 = purposes ( accr$it+ provid] entities t are requir$ to meet ! conditions & requirem5ts "u section #ahha7;b7 ( su* ,act 7#db ,u4,s4,c4 #acierr7b774 7b7 ,requirem5t = tim+ ( surveys ( new dialysis facilities ,section #ahha7;b77#a7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acierr7b77#a77 is am5d$ by add+ at ! end ! foll[+ new s5t5ce3 ,beg9n+ #ahj days aft] ! date ( ! enactm5t ( ?is s5t5ce1 an initial survey ( a provid] ( s]vices or a r5al dialysis facility to det]m9e if ! conditions & requirem5ts "u ?is p>agraph are met %all be initiat$ n lat] ?an #ij days aft] su* date on :i* bo? ! provid] enrollm5t =m 7)\t reg>d to :e!r su* =m is submitt$ prior to or aft] su* date ( enactm5t7 has be5 det]m9$ by ! ,secret>y to be complete & ! provid]'s enrollm5t /atus indicates approval is p5d+ ! results ( su* survey44 #bdjd4 ,mod]niz+ ! application ( ! ,/>k rule "u ,m$ic>e 7a7 ,cl>ification ( ! writ+ requirem5t & signature requirem5t = arrangem5ts pursuant to ! ,/>k rule 7#a7 ,writ+ requirem5t ,section #ahgg7;h77#a7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acienn7h77#a77 is am5d$ by add+ at ! end ! foll[+ new subp>agraph3 7,d7 ,writt5 requirem5t cl>ifi$ ,9 ! case ( any requirem5t pursuant to ?is section = a comp5sation arrangem5t to be 9 writ+1 su* requirem5t %all be satisfi$ by su* means z det]m9$ by ! ,secret>y1 includ+ by a collection ( docum5ts1 includ+ contemporane\s docum5ts evid5c+ ! c\rse ( conduct betwe5 ! p>ties involv$4 4 7#b7 ,signature requirem5t ,section #ahgg7;h77#a7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acienn7h77#a771 z am5d$ by p>agraph 7#a71 is fur!r am5d$ by add+ at ! end ! foll[+ new subp>agraph3 7,e7 ,special rule = signature requirem5ts ,9 ! case ( any requirem5t pursuant to ?is section = a comp5sation arrangem5t to be 9 writ+ & sign$ by ! p>ties1 su* signature requirem5t %all be met if-- 7i7 n lat] ?an #ij consecutive cal5d> days imm$iately foll[+ ! date on :i* ! comp5sation arrangem5t became noncompliant1 ! p>ties obta9 ! requir$ signatures2 & 7ii7 ! comp5sation arrangem5t o!rwise complies ) all crit]ia ( ! applicable exception4 4 7b7 ,indef9ite holdov] = lease arrangem5ts & p]sonal s]vices arrangem5ts pursuant to ! ,/>k rule ,section #ahgg7;e7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acienn7e77 is am5d$-- 7#a7 9 p>agraph 7#a71 by add+ at ! end ! foll[+ new subp>agraph3 7,c7 ,holdov] lease arrangem5ts ,9 ! case ( a holdov] lease arrangem5t = ! lease ( (fice space or equipm5t1 :i* imm$iately foll[s a lease arrangem5t describ$ 9 subp>agraph 7,a7 = ! use ( su* (fice space or subp>agraph 7,b7 = ! use ( su* equipm5t & t expir$ aft] a t]m ( at lea/ #a ye>1 paym5ts made by ! lessee to ! lessor pursuant to su* holdov] lease arrangem5t1 if-- 7i7 ! lease arrangem5t met ! conditions ( subp>agraph 7,a7 = ! lease ( (fice space or subp>agraph 7,b7 = ! use ( equipm5t :5 ! arrangem5t expir$2 7ii7 ! holdov] lease arrangem5t is on ! same t]ms & conditions z ! imm$iately prec$+ arrangem5t2 & 7iii7 ! holdov] arrangem5t cont9ues to satisfy ! conditions ( subp>agraph 7,a7 = ! lease ( (fice space or subp>agraph 7,b7 = ! use ( equipm5t4 2 & 7#b7 9 p>agraph 7#c71 by add+ at ! end ! foll[+ new subp>agraph3 7,c7 ,holdov] p]sonal s]vice arrangem5t ,9 ! case ( a holdov] p]sonal s]vice arrangem5t1 :i* imm$iately foll[s an arrangem5t describ$ 9 subp>agraph 7,a7 t expir$ aft] a t]m ( at lea/ #a ye>1 remun]ation f an entity pursuant to su* holdov] p]sonal s]vice arrangem5t1 if-- 7i7 ! p]sonal s]vice arrangem5t met ! conditions ( subp>agraph 7,a7 :5 ! arrangem5t expir$2 7ii7 ! holdov] p]sonal s]vice arrangem5t is on ! same t]ms & conditions z ! imm$iately prec$+ arrangem5t2 & 7iii7 ! holdov] arrangem5t cont9ues to satisfy ! conditions ( subp>agraph 7,a74 4 ,b ,additional ,provisions #bdaa4 ,mak+ p]man5t ! removal ( ! r5tal cap = durable m$ical equipm5t "u ,m$ic>e ) respect to spee* g5]at+ devices ,section #ahcd7;a77#b77;,a77iv7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciem7a77#b77;,a77iv77 is am5d$ by /rik+ & be=e ,octob] #a1 #bjah14 #bdab4 ,increas$ civil & crim9al p5alties & increas$ s5t5ces = ,f$]al heal? c>e program fraud & abuse 7a7 ,increas$ civil money p5alties & crim9al f9es 7#a7 ,increas$ civil money p5alties ,section #aabh;,a ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acbj;a-#g;a7 is am5d$-- 7,a7 9 subsection 7a71 9 ! matt] foll[+ p>agraph 7#aj7-- 7i7 by /rik+ #aj1jjj & ins]t+ #bj1jjj ea* place x appe>s2 7ii7 by /rik+ #ae1jjj & ins]t+ #cj1jjj2 & 7iii7 by /rik+ #ej1jjj & ins]t+ #ajj1jjj ea* place x appe>s2 & 7,b7 9 subsection 7b7-- 7i7 9 p>agraph 7#a71 9 ! flu% text foll[+ subp>agraph 7,b71 by /rik+ #b1jjj & ins]t+ #e1jjj2 7ii7 9 p>agraph 7#b71 by /rik+ #b1jjj & ins]t+ #e1jjj2 & 7iii7 9 p>agraph 7#c77;,a77i71 by /rik+ #e1jjj & ins]t+ #aj1jjj4 7#b7 ,increas$ crim9al f9es ,section #aabh;,b ( su* ,act 7#db ,u4,s4,c4 #acbj;a-#g;b7 is am5d$-- 7,a7 9 subsection 7a71 9 ! matt] foll[+ p>agraph 7#f7-- 7i7 by /rik+ #be1jjj & ins]t+ #ajj1jjj2 & 7ii7 by /rik+ #aj1jjj & ins]t+ #bj1jjj2 7,b7 9 subsection 7b7-- 7i7 9 p>agraph 7#a71 9 ! flu% text foll[+ subp>agraph 7,b71 by /rik+ #be1jjj & ins]t+ #ajj1jjj2 & 7ii7 9 p>agraph 7#b71 9 ! flu% text foll[+ subp>agraph 7,b71 by /rik+ #be1jjj & ins]t+ #ajj1jjj2 7,c7 9 subsection 7c71 by /rik+ #be1jjj & ins]t+ #ajj1jjj2 7,d7 9 subsection 7d71 9 ! flu% text foll[+ p>agraph 7#b71 by /rik+ #be1jjj & ins]t+ #ajj1jjj2 & 7,e7 9 subsection 7e71 by /rik+ #b1jjj & ins]t+ #d1jjj4 7b7 ,increas$ s5t5ces = felonies involv+ ,f$]al heal? c>e program fraud & abuse 7#a7 ,false /atem5ts & repres5tations ,section #aabh;,b7a7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acbj;a-#g;b7a77 is am5d$1 9 ! matt] foll[+ p>agraph 7#f71 by /rik+ n m ?an five ye>s or bo?1 or 7ii7 & ins]t+ n m ?an #aj ye>s or bo?1 or 7ii74 7#b7 ,antikickback ,section #aabh;,b7b7 ( su* ,act 7#db ,u4,s4,c4 #acbj;a-#g;b7b77 is am5d$-- 7,a7 9 p>agraph 7#a71 9 ! flu% text foll[+ subp>agraph 7,b71 by /rik+ n m ?an five ye>s & ins]t+ n m ?an #aj ye>s2 & 7,b7 9 p>agraph 7#b71 9 ! flu% text foll[+ subp>agraph 7,b71 by /rik+ n m ?an five ye>s & ins]t+ n m ?an #aj ye>s4 7#c7 ,false /atem5t or repres5tation ) respect to conditions or op]ations ( facilities ,section #aabh;,b7c7 ( su* ,act 7#db ,u4,s4,c4 #acbj;a-#g;b7c77 is am5d$ by /rik+ n m ?an five ye>s & ins]t+ n m ?an #aj ye>s4 7#d7 ,excess *>ges ,section #aabh;,b7d7 ( su* ,act 7#db ,u4,s4,c4 #acbj;a-#g;b7d77 is am5d$1 9 ! flu% text foll[+ p>agraph 7#b71 by /rik+ n m ?an five ye>s & ins]t+ n m ?an #aj ye>s4 7c7 ,effective date ,! am5dm5ts made by ?is section %all apply to acts committ$ aft] ! date ( ! enactm5t ( ?is ,act4 #bdac4 ,r$uc+ ! volume ( future ,,ehr-relat$ significant h>d%ip reque/s ,section #ahdh7o77#b77;,a7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciew-#d7o77#b77;,a77 & section #ahhf7n77#c77;,a7 ( su* ,act 7#db ,u4,s4,c4 #acieww7n77#c77;,a77 are ea* am5d$ 9 ! la/ s5t5ce by /rik+ by requir+ & all t foll[s ?r\gh ?is p>agraph4 #bdad4 ,cov]age ( c]ta9 ,,dna specim5 prov5ance assay te/s "u ,m$ic>e 7a7 ,b5efit 7#a7 ,cov]age ,section #ahfa ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciex7 is am5d$-- 7,a7 9 subsection 7s77#b7-- 7i7 9 subp>agraph 7,,ff71 by /rik+ & at ! end2 7ii7 9 subp>agraph 7,,gg71 by ins]t+ & at ! end2 & 7iii7 by add+ at ! end ! foll[+ new subp>agraph3 7,,hh7 a pro/ate canc] ,,dna ,specim5 ,prov5ance ,assay te/ 7,,dspa te/7 7z def9$ 9 subsection 7jjj772 & 2 & 7,b7 by add+ at ! end ! foll[+ new subsection3 7jjj7 ,pro/ate ,canc] ,,dna ,specim5t ,prov5ance ,assay ,te/ ,! t]m pro/ate canc] ,,dna ,specim5 ,prov5ance ,assay ,te/ 7,,dspa te/7 means a te/ t1 aft] a det]m9ation ( canc] 9 "o or m pro/ate biopsy specim5s obta9$ f an individual1 assesses ! id5tity ( ! ,,dna 9 su* specim5s by comp>+ su* ,,dna ) ! ,,dna t 0 sep>ately tak5 f su* individual at ! "t ( ! biopsy4 4 7#b7 ,exclusion f cov]age ,section #ahfb7;a77#a7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciey7a77#a77 is am5d$-- 7,a7 9 subp>agraph 7,o71 by /rik+ & at ! end2 7,b7 9 subp>agraph 7,p71 by /rik+ ! semicolon at ! end & ins]t+ 1 &2 & 7,c7 by add+ at ! end ! foll[+ new subp>agraph3 7,q7 9 ! case ( a pro/ate canc] ,,dna ,specim5 ,prov5ance ,assay te/ 7,,dspa te/7 7z def9$ 9 section #ahfa7;jjj771 unless su* te/ is furni%$ on or aft] ,janu>y #a1 #bjai1 & be=e ,janu>y #a1 #bjbd1 & su* te/ is ord]$ by ! physician :o furni%$ ! pro/ate canc] biopsy t obta9$ ! specim5 te/$2 4 7b7 ,paym5t am\nt & relat$ requirem5ts ,section #ahcd ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciem71 z am5d$ by section #bbjd1 is fur!r am5d$ by add+ at ! end ! foll[+ new subsection3 7w7 ,pro/ate canc] ,,dna ,specim5 ,prov5ance ,assay te/s 7#a7 ,paym5t = cov]$ te/s 7,a7 ,9 g5]al ,subject to subp>agraph 7,b71 ! paym5t am\nt = a pro/ate canc] ,,dna ,specim5 ,prov5ance ,assay te/ 7,,dspa te/7 7z def9$ 9 section #ahfa7;jjj77 %all be #bjj4 ,su* paym5t %all be paym5t = all ( ! specim5s obta9$ f ! biopsy furni%$ to an individual t are te/$4 7,b7 ,limitation ,paym5t = a ,,dspa te/ "u subp>agraph 7,a7 may only be made on an assignm5t-relat$ basis4 7,c7 ,prohibition on sep>ate paym5t ,no sep>ate paym5t %all be made = obta9+ ,,dna t 0 sep>ately tak5 f an individual at ! "t ( a biopsy describ$ 9 subp>agraph 7,a74 7#b7 ,,hcpcs code & modifi] assignm5t 7,a7 ,9 g5]al ,! ,secret>y %all assign "o or m ,,hcpcs codes to a pro/ate canc] ,,dna ,specim5 ,prov5ance ,assay te/ & may use a modifi] to facilitate mak+ paym5t "u ?is section = su* te/4 7,b7 ,id5tification ( dna mat* on claim ,! ,secret>y %all require an indication on a claim = a pro/ate canc] ,,dna ,specim5 ,prov5ance ,assay te/ ( :e!r ! ,,dna ( ! pro/ate biopsy specim5s mat* ! ,,dna ( ! individual diagnos$ ) pro/ate canc]4 ,su* indication may be made ?r\gh use ( a ,,hcpcs code1 a modifi]1 or o!r means1 z det]m9$ appropriate by ! ,secret>y4 7#c7 ,,dna mat* review 7,a7 ,9 g5]al ,! ,secret>y %all review at lea/ ?ree ye>s ( claims "u "p ,b = pro/ate canc] ,,dna ,specim5 ,prov5ance ,assay te/s to id5tify :e!r ! ,,dna ( ! pro/ate biopsy specim5s mat* ! ,,dna ( ! individuals diagnos$ ) pro/ate canc]4 7,b7 ,po/+ on ,int]net website ,n lat] ?an ,july #a1 #bjbb1 ! ,secret>y %all po/ on ! ,int]net website ( ! ,c5t]s = ,m$ic>e ,m$icaid ,s]vices ! f9d+s ( ! review conduct$ "u subp>agraph 7,a74 4 7c7 ,co/-%>+ ,section #ahcc7;a77#a7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciel7a77#a77 is am5d$-- 7#a7 by /rik+ & 7,,bb7 & ins]t+ 7,,bb72 & 7#b7 by ins]t+ be=e ! semicolon at ! end ! foll[+3 1 & 7,,cc7 ) respect to a pro/ate canc] ,,dna ,specim5 ,prov5ance ,assay te/ 7,,dspa te/7 7z def9$ 9 section #ahfa7;jjj771 ! am\nt paid %all be an am\nt equal to #hj p]c5t ( ! less] ( ! actual *>ge = ! te/ or ! am\nt specifi$ "u section #ahcd7w74 #bdae4 ,/r5g!n+ rules 9 case ( competition = diabetic te/+ /rips 7a7 ,special rule 9 case ( competition = diabetic te/+ /rips 7#a7 ,9 g5]al ,p>agraph 7#aj7 ( section #ahdg7;b7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciew-#c7;b77 is am5d$-- 7,a7 9 subp>agraph 7,a71 by /rik+ ! second s5t5ce & ins]t+ ! foll[+ new s5t5ce3 ,) respect to bids to furni% su* types ( products on or aft] ,janu>y #a1 #bjai1 ! volume = su* types ( products %all be det]m9$ by ! ,secret>y ?r\gh ! use ( multiple s\rces ( data 7f mail ord] & non-mail ord] ,m$ic>e m>kets71 includ+ m>ket-bas$ data measur+ sales ( diabetic te/+ /rip products t are n exclusively sold by a s+le retail] f su* m>kets42 & 7,b7 by add+ at ! end ! foll[+ new subp>agraphs3 7,c7 ,demon/ration ( ability to furni% types ( diabetic te/+ /rip products ,) respect to bids to furni% diabetic te/+ /rip products on or aft] ,janu>y #a1 #bjai1 an entity %all atte/ to ! ,secret>y t ! entity has ! ability to obta9 an inv5tory ( ! types & quantities ( diabetic te/+ /rip products t w all[ ! entity to furni% su* products 9 a mann] consi/5t ) its bid &-- 7i7 demon/rate to ! ,secret>y1 ?r\gh lett]s ( int5t ) manufactur]s1 :olesal]s1 or o!r suppli]s1 or o!r evid5ce z ! ,secret>y may specify1 su* ability2 or 7ii7 demon/rate to ! ,secret>y t x made a good fai? attempt to obta9 su* a lett] ( int5t or su* o!r evid5ce4 7,d7 ,use ( unli/$ types 9 calculation ( p]c5tage ,) respect to bids to furni% diabetic te/+ /rip products on or aft] ,janu>y #a1 #bjai1 9 det]m9+ "u subp>agraph 7,a7 :e!r a bid submitt$ by an entity "u su* subp>agraph cov]s #ej p]c5t 7or su* high] p]c5tage z ! ,secret>y may specify7 ( all types ( diabetic te/+ /rip products1 ! ,secret>y may n attribute a p]c5tage to types ( diabetic te/+ /rip products t ! ,secret>y does n id5tify by br&1 model1 & m>ket %>e volume4 7,e7 ,adh]5ce to demon/ration 7i7 ,9 g5]al ,9 ! case ( an entity t is furni%+ diabetic te/+ /rip products on or aft] ,janu>y #a1 #bjai1 "u a contract ent]$ into "u ! competition conduct$ pursuant to p>agraph 7#a71 ! ,secret>y %all e/abli% a process to monitor1 on an ongo+ basis1 ! ext5t to :i* su* entity cont9ues to cov] ! product types includ$ 9 ! entity's bid4 7ii7 ,t]m9ation ,if ! ,secret>y det]m9es t an entity describ$ 9 clause 7i7 fails to ma9ta9 9 inv5tory1 or o!rwise ma9ta9 ready access to 7?r\gh requirem5ts1 contracts1 or o!rwise7 a type ( product includ$ 9 ! entity's bid1 ! ,secret>y may t]m9ate su* contract unless ! ,secret>y f9ds t ! failure ( ! entity to ma9ta9 inv5tory (1 or ready access to1 ! product is ! result ( ! discont9uation ( ! product by ! product manufactur]1 a m>ket-wide %ortage ( ! product1 or ! introduction ( a new] model or v]sion ( ! product 9 ! m>ket involv$4 4 7b7 ,codify+ & exp&+ anti-swit*+ rule ,section #ahdg7;b7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciew-#c7;b771 z am5d$ by subsection 7a77#a71 is fur!r am5d$-- 7#a7 by r$esignat+ p>agraph 7#aa7 z p>agraph 7#ab72 & 7#b7 by ins]t+ aft] p>agraph 7#aj7 ! foll[+ new p>agraph3 7#aa7 ,additional special rules 9 case ( competition = diabetic te/+ /rips 7,a7 ,9 g5]al ,) respect to an entity t is furni%+ diabetic te/+ /rip products to individuals "u a contract ent]$ into "u ! competitive acquisition program e/abli%$ "u ?is section1 ! entity %all furni% to ea* individual a br& ( su* products t is compatible ) ! home blood glucose monitor select$ by ! individual4 7,b7 ,prohibition on influ5c+ & inc5tiviz+ ,an entity describ$ 9 subp>agraph 7,a7 may n attempt to influ5ce or inc5tivize an individual to swit* ! br& ( glucose monitor or diabetic te/+ /rip product select$ by ! individual1 includ+ by-- 7i7 p]suad+1 pressur+1 or advis+ ! individual to swit*2 or 7ii7 furni%+ in=mation ab\t alt]native br&s to ! individual :]e ! individual has n reque/$ su* in=mation4 7,c7 ,provision ( in=mation 7i7 ,/&>diz$ in=mation ,n lat] ?an ,janu>y #a1 #bjai1 ! ,secret>y %all develop & make available to entities describ$ 9 subp>agraph 7,a7 /&>diz$ in=mation t describes ! rights ( an individual ) respect to su* an entity4 ,! in=mation describ$ 9 ! prec$+ s5t5ce %all include in=mation reg>d+-- 7,i7 ! requirem5ts e/abli%$ "u subp>agraphs 7,a7 & 7,b72 7,,ii7 ! "r ( ! individual to pur*ase diabetic te/+ /rip products f ano!r mail ord] suppli] ( su* products or a retail ph>macy if ! entity is n able to furni% ! br& ( su* product t is compatible ) ! home blood glucose monitor select$ by ! individual2 & 7,,iii7 ! "r ( ! individual to return diabetic te/+ /rip products furni%$ to ! individual by ! entity4 7ii7 ,requirem5t ,) respect to diabetic te/+ /rip products furni%$ on or aft] ! date on :i* ! ,secret>y develops ! /&>diz$ in=mation "u clause 7i71 an entity describ$ 9 subp>agraph 7,a7 may n communicate directly to an individual until ! entity has v]bally provid$ ! individual ) su* /&>diz$ in=mation4 7,d7 ,ord] refills ,) respect to diabetic te/+ /rip products furni%$ on or aft] ,janu>y #a1 #bjai1 ! ,secret>y %all require an entity furni%+ diabetic te/+ /rip products to an individual to contact & receive a reque/ f ! individual = su* products n m ?an #ad days prior to disp5s+ a refill ( su* products to ! individual4 4 7c7 ,implem5tation2 non-application ( ! pap]work r$uction act 7#a7 ,implem5tation ,not)/&+ any o!r provision ( law1 ! ,secret>y ( ,heal? & ,human ,s]vices may implem5t ! provisions (1 & am5dm5ts made by1 ?is section by program in/ruction or o!rwise4 7#b7 ,non-application ( ! pap]work r$uction act ,*apt] #ce ( title #dd1 ,unit$ ,/ates ,code 7commonly ref]r$ to z ! ,pap]work ,r$uction ,act ( #aiie71 %all n apply to ?is section or ! am5dm5ts made by ?is section4 ,v ,o!r ,heal? ,ext5d]s #beja4 ,ext5sion = community heal? c5t]s1 ! ,national ,heal? ,s]vice ,corps1 & tea*+ heal? c5t]s t op]ate ,,gme programs 7a7 ,community heal? c5t]s fund+ ,section #ajejc7;b77#a7 ( ! ,pati5t ,protection & ,af=dable ,c>e ,act 7#db ,u4,s4,c4 #bed;b-#b7;b77#a771 z am5d$ by section #caja ( ,public ,law #aae-if1 is am5d$ by am5d+ subp>agraph 7,f7 to read z foll[s3 7,f7 #c1fjj1jjj1jjj = ea* ( fiscal ye>s #bjah & #bjai4 4 7b7 ,o!r community heal? c5t]s provisions ,section #ccj ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bed;b7 is am5d$-- 7#a7 9 subsection 7b77#a77;,a77ii71 by /rik+ abuse & ins]t+ use disord]2 7#b7 9 subsection 7b77#b77;,a71 by /rik+ abuse & ins]t+ use disord]2 7#c7 9 subsection 7c7-- 7,a7 9 p>agraph 7#a71 by /rik+ subp>agraphs 7,b7 ?r\gh 7,d72 7,b7 by /rik+ 7#a7 ,9 g5]al & all t foll[s ?r\gh ,! ,secret>y & ins]t+ ! foll[+3 7#a7 ,c5t]s ,! ,secret>y 2 & 7,c7 9 p>agraph 7#a71 z am5d$1 by r$esignat+ clauses 7i7 ?r\gh 7v7 z subp>agraphs 7,a7 ?r\gh 7,e7 & mov+ ! m>g9 ( ea* ( su* r$esignat$ subp>agraph #b ems to ! left2 7#d7 by /rik+ subsection 7d7 & ins]t+ ! foll[+3 7d7 ,improv+ quality ( c>e 7#a7 ,supplem5tal aw>ds ,! ,secret>y may aw>d supplem5tal grant funds to heal? c5t]s fund$ "u ?is section to implem5t evid5ce-bas$ models = increas+ access to high-quality prim>y c>e s]vices1 :i* may include models relat$ to-- 7,a7 improv+ ! deliv]y ( c>e = individuals ) multiple *ronic conditions2 7,b7 work=ce configuration2 7,c7 r$uc+ ! co/ ( c>e2 7,d7 enhanc+ c>e coord9ation2 7,e7 exp&+ ! use ( teleheal? & te*nology-enabl$ collaborative le>n+ & capacity build+ models2 7,f7 c>e integration1 includ+ integration ( behavioral heal?1 m5tal heal?1 or sub/ance use disord] s]vices2 & 7,g7 address+ em]g+ public heal? or sub/ance use disord] issues to meet ! heal? ne$s ( ! population s]v$ by ! heal? c5t]4 7#b7 ,su/a9ability ,9 mak+ supplem5tal aw>ds "u ?is subsection1 ! ,secret>y may consid] :e!r ! heal? c5t] involv$ has submitt$ a plan = cont9u+ ! activities fund$ "u ?is subsection aft] supplem5tal fund+ is exp5d$4 7#c7 ,special consid]ation ,! ,secret>y may give special consid]ation to applications = supplem5tal fund+ "u ?is subsection t seek to address significant b>ri]s to access to c>e 9 areas ) a great] %ortage ( heal? c>e provid]s & heal? s]vices relative to ! national av]age4 2 7#e7 9 subsection 7e77#a7-- 7,a7 9 subp>agraph 7,b7-- 7i7 by /rik+ #b ye>s & ins]t+ #a ye>2 & 7ii7 by add+ at ! end ! foll[+3 ,! ,secret>y %all n make a grant "u ?is p>agraph unless ! applicant provides assurances to ! ,secret>y t )9 #abj days ( receiv+ grant fund+ = ! op]ation ( ! heal? c5t]1 ! applicant w submit1 = approval by ! ,secret>y1 an implem5tation plan to meet ! requirem5ts ( subsection 7k77#c74 ,! ,secret>y may ext5d su* #abj-;day p]iod = a*iev+ compliance ^u a demon/ration ( good cause by ! heal? c5t]42 & 7,b7 9 subp>agraph 7,c7-- 7i7 9 ! subp>agraph head+1 by /rik+ & plans2 7ii7 by /rik+ or plan 7z describ$ 9 subp>agraphs 7,b7 & 7,c7 ( subsection 7c77#a772 7iii7 by /rik+ or plan1 includ+ ! pur*ase & ins]t+ ! foll[+3 8includ+-- 7i7 ! pur*ase 2 7iv7 by ins]t+ 1 :i* may include data & in=mation sy/ems aft] ( equipm5t2 7v7 by /rik+ ! p]iod at ! end & ins]t+ a semicolon2 & 7vi7 by add+ at ! end ! foll[+3 7ii7 ! provision ( tra9+ & te*nical assi/ance2 & 7iii7 o!r activities t-- 7,i7 r$uce co/s associat$ ) ! provision ( heal? s]vices2 7,,ii7 improve access to1 & availability (1 heal? s]vices provid$ to individuals s]v$ by ! c5t]s2 7,,iii7 enhance ! quality & coord9ation ( heal? s]vices2 or 7,,iv7 improve ! heal? /atus ( communities4 2 7#f7 9 subsection 7e77#e77;,b7-- 7,a7 9 ! head+ ( subp>agraph 7,b71 by /rik+ & plans2 & 7,b7 by /rik+ & subp>agraphs 7,b7 & 7,c7 ( subsection 7c77#a7 to a heal? c5t] or to a network or plan & ins]t+ to a heal? c5t] or to a network2 7#g7 9 subsection 7e71 by add+ at ! end ! foll[+3 7#f7 ,new access po9ts & exp&$ s]vices 7,a7 ,approval ( new access po9ts 7i7 ,9 g5]al ,! ,secret>y may approve applications = grants "u subp>agraph 7,a7 or 7,b7 ( p>agraph 7#a7 to e/abli% new deliv]y sites4 7ii7 ,special consid]ation ,9 c>ry+ out clause 7i71 ! ,secret>y may give special consid]ation to applicants t h demon/rat$ ! new deliv]y site w be locat$ )9 a sp>sely populat$ area1 or an area :i* has a level ( unmet ne$ t is high] relative to o!r applicants4 7iii7 ,consid]ation ( applications ,9 c>ry+ out clause 7i71 ! ,secret>y %all approve applications = grants 9 su* a mann] t ! ratio ( ! m$ically und]s]v$ populations 9 rural areas :i* may be expect$ to use ! s]vices provid$ by ! applicants involv$ to ! m$ically und]s]v$ populations 9 urban areas :i* may be expect$ to use ! s]vices provid$ by ! applicants is n less ?an two to ?ree or great] ?an ?ree to two4 7iv7 ,s]vice area ov]lap ,if 9 c>ry+ out clause 7i7 ! applicant proposes to s]ve an area t is curr5tly s]v$ by ano!r heal? c5t] fund$ "u ?is section1 ! ,secret>y may consid] :e!r ! aw>d ( fund+ to an additional heal? c5t] 9 ! area c be ju/ifi$ bas$ on ! unmet ne$ = additional s]vices )9 ! cat*m5t area4 7,b7 ,approval ( exp&$ s]vice applications 7i7 ,9 g5]al ,! ,secret>y may approve applications = grants "u subp>agraph 7,a7 or 7,b7 ( p>agraph 7#a7 to exp& ! capacity ( ! applicant to provide requir$ prim>y heal? s]vices describ$ 9 subsection 7b77#a7 or additional heal? s]vices describ$ 9 subsection 7b77#b74 7ii7 ,priority expansion projects ,9 c>ry+ out clause 7i71 ! ,secret>y may give special consid]ation to exp&$ s]vice applications t seek to address em]g+ public heal? or behavioral heal?1 m5tal heal?1 or sub/ance abuse issues ?r\gh increas+ ! availability ( additional heal? s]vices describ$ 9 subsection 7b77#b7 9 an area 9 :i* !re are significant b>ri]s to access+ c>e4 7iii7 ,consid]ation ( applications ,9 c>ry+ out clause 7i71 ! ,secret>y %all approve applications = grants 9 su* a mann] t ! ratio ( ! m$ically und]s]v$ populations 9 rural areas :i* may be expect$ to use ! s]vices provid$ by ! applicants involv$ to ! m$ically und]s]v$ populations 9 urban areas :i* may be expect$ to use ! s]vices provid$ by su* applicants is n less ?an two to ?ree or great] ?an ?ree to two4 2 7#h7 9 subsection 7h7-- 7,a7 9 p>agraph 7#a71 by /rik+ & *ildr5 & y\? at risk ( homelessness & ins]t+ 1 *ildr5 & y\? at risk ( homelessness1 homeless vet]ans1 & vet]ans at risk ( homelessness2 & 7,b7 9 p>agraph 7#e7-- 7i7 by /rik+ subp>agraph 7,b72 7ii7 by r$esignat+ subp>agraph 7,c7 z subp>agraph 7,b72 & 7iii7 9 subp>agraph 7,b7 7z s r$esignat$7-- 7,i7 9 ! subp>agraph head+1 by /rik+ abuse & ins]t+ use disord]2 & 7,,ii7 by /rik+ abuse & ins]t+ use disord]2 7#i7 9 subsection 7k7-- 7,a7 9 p>agraph 7#b7-- 7i7 9 ! p>agraph head+1 by ins]t+ unmet be=e ne$2 7ii7 9 ! matt] prec$+ subp>agraph 7,a71 by ins]t+ or subsection 7e77#f7 aft] subsection 7e77#a72 7iii7 9 subp>agraph 7,a71 by ins]t+ unmet be=e ne$ = heal? s]vices2 7iv7 9 subp>agraph 7,b71 by /rik+ & at ! end2 7v7 9 subp>agraph 7,c71 by /rik+ ! p]iod at ! end & ins]t+ 2 &2 & 7vi7 by add+ aft] subp>agraph 7,c7 ! foll[+3 7,d7 9 ! case ( an application = a grant pursuant to subsection 7e77#f71 a demon/ration t ! applicant has consult$ ) appropriate ,/ate & local gov]nm5t ag5cies1 & heal? c>e provid]s reg>d+ ! ne$ = ! heal? s]vices to be provid$ at ! propos$ deliv]y site4 2 7,b7 9 p>agraph 7#c7-- 7i7 9 ! matt] prec$+ subp>agraph 7,a71 by ins]t+ or subsection 7e77#f7 aft] subsection 7e77#a77;,b72 7ii7 9 subp>agraph 7,b71 by /rik+ 9 ! cat*m5t area ( ! c5t] & ins]t+ 1 includ+ o!r heal? c>e provid]s t provide c>e )9 ! cat*m5t area1 local hospitals1 & specialty provid]s 9 ! cat*m5t area ( ! c5t]1 to provide access to s]vices n available ?r\gh ! heal? c5t] & to r$uce ! non-urg5t use ( hospital em]g5cy dep>tm5ts2 7iii7 9 subp>agraph 7,h77ii71 by ins]t+ :o %all be directly employ$ by ! c5t] aft] approves ! selection ( a director = ! c5t]2 7iv7 9 subp>agraph 7,l71 by /rik+ & at ! end2 7v7 9 subp>agraph 7,m71 by /rik+ ! p]iod & ins]t+ 2 &2 & 7vi7 by ins]t+ aft] subp>agraph 7,m71 ! foll[+3 7,n7 ! c5t] has writt5 policies & proc$ures 9 place to ensure ! appropriate use ( ,f$]al funds 9 compliance ) applicable ,f$]al /atutes1 regulations1 & ! t]ms & conditions ( ! ,f$]al aw>d4 2 & 7,c7 by /rik+ p>agraph 7#d72 7#aj7 9 subsection 7l71 by add+ at ! end ! foll[+3 ,funds exp5d$ to c>ry out activities "u ?is subsection & op]ational support activities "u subsection 7m7 %all n exce$ #c p]c5t ( ! am\nt appropriat$ = ?is section = ! fiscal ye> involv$42 7#aa7 9 subsection 7q77#d71 by add+ at ! end ! foll[+3 ,a waiv] provid$ by ! ,secret>y "u ?is p>agraph may n rema9 9 effect = m ?an #a ye> & may n be ext5d$ aft] su* p]iod4 ,an entity may n receive m ?an "o waiv] "u ?is p>agraph 9 consecutive ye>s42 7#ab7 9 subsection 7r77#c7-- 7,a7 by /rik+ appropriate committees ( ,congress a report conc]n+ ! di/ribution ( funds "u ?is section & ins]t+ ! foll[+3 8,committee on ,heal?1 ,education1 ,labor1 & ,p5sions ( ! ,s5ate1 & ! ,committee on ,en]gy & ,comm]ce ( ! ,h\se ( ,repres5tatives1 a report includ+1 at a m9imum-- 7,a7 ! di/ribution ( funds = c>ry+ out ?is section 2 7,b7 by /rik+ populations4 ,su* report %all include an assessm5t & ins]t+ ! foll[+3 8populations2 7,b7 an assessm5t 2 7,c7 by /rik+ & ! rationale = any sub/antial *anges 9 ! di/ribution ( funds4 & ins]t+ a semicolon2 & 7,d7 by add+ at ! end ! foll[+3 7,c7 ! di/ribution ( aw>ds & fund+ = new or exp&$ s]vices 9 ea* ( rural areas & urban areas2 7,d7 ! di/ribution ( aw>ds & fund+ = e/abli%+ new access po9ts1 & ! numb] ( new access po9ts creat$2 7,e7 ! am\nt ( unexp5d$ fund+ = loan gu>antees & loan gu>antee au?ority "u title ,,xvi2 7,f7 ! rationale = any sub/antial *anges 9 ! di/ribution ( funds2 7,g7 ! rate ( closures = heal? c5t]s & access po9ts2 7,h7 ! numb] & reason = any grants aw>d$ pursuant to subsection 7e77#a77;,b72 & 7,i7 ! numb] & reason = any waiv]s provid$ pursuant to subsection 7q77#d74 2 7#ac7 9 subsection 7r71 by add+ at ! end ! foll[+ new p>agraph3 7#e7 ,fund+ = p>ticipation ( heal? c5t]s 9 ,all ( ,u ,rese>* ,program ,9 addition to any am\nts made available pursuant to p>agraph 7#a7 ( ?is subsection1 section #djb;,a ( ?is ,act1 or section #ajejc ( ! ,pati5t ,protection & ,af=dable ,c>e ,act1 !re is au?oriz$ to be appropriat$1 & !re is appropriat$1 out ( any monies 9 ! ,treasury n o!rwise appropriat$1 to ! ,secret>y #be1jjj1jjj = fiscal ye> #bjah to support ! p>ticipation ( heal? c5t]s 9 ! ,all ( ,u ,rese>* ,program "u ! ,precision ,m$ic9e ,initiative "u section #dih;,e ( ?is ,act4 2 & 7#ad7 by /rik+ subsection 7s74 7c7 ,national ,heal? ,s]vice ,corps ,section #ajejc7;b77#b7 ( ! ,pati5t ,protection & ,af=dable ,c>e ,act 7#db ,u4,s4,c4 #bed;b-#b7;b77#b771 z am5d$ by section #caja ( ,public ,law #aae-if1 is am5d$ by am5d+ subp>agraph 7,f7 to read z foll[s3 7,f7 #caj1jjj1jjj = ea* ( fiscal ye>s #bjah & #bjai4 4 7d7 ,tea*+ heal? c5t]s t op]ate graduate m$ical education programs 7#a7 ,paym5ts ,subsection 7a7 ( section #cdj;,h ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bef;h7 is am5d$ to read z foll[s3 7a7 ,paym5ts 7#a7 ,9 g5]al ,subject to subsection 7h77#b71 ! ,secret>y %all make paym5ts "u ?is section = direct exp5ses & indirect exp5ses to qualifi$ tea*+ heal? c5t]s t are li/$ z sponsor+ in/itutions by ! relevant accr$it+ body =1 z appropriate-- 7,a7 ma9t5ance ( fill$ positions at exi/+ approv$ graduate m$ical resid5cy tra9+ programs2 7,b7 expansion ( exi/+ approv$ graduate m$ical resid5cy tra9+ programs2 & 7,c7 e/abli%m5t ( new approv$ graduate m$ical resid5cy tra9+ programs4 7#b7 ,p] resid5t am\nt ,9 mak+ paym5ts "u p>agraph 7#a71 ! ,secret>y %all consid] ! co/ ( tra9+ resid5ts at tea*+ heal? c5t]s & ! implications ( ! p] resid5t am\nt on approv$ graduate m$ical resid5cy tra9+ programs at tea*+ heal? c5t]s4 7#c7 ,priority ,9 mak+ paym5ts "u p>agraph 7#a77;,c71 ! ,secret>y %all give priority to qualifi$ tea*+ heal? c5t]s t-- 7,a7 s]ve a heal? pr(essional %ortage area ) a designation 9 effect "u section #ccb or a m$ically und]s]v$ community 7z def9$ 9 section #gii;,b72 or 7,b7 are locat$ 9 a rural area 7z def9$ 9 section #ahhf7;d77#b77;,d7 ( ! ,social ,security ,act74 4 7#b7 ,fund+ ,p>agraph 7#a7 ( section #cdj;,h7g7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bef;h7g771 z am5d$ by section #caja ( ,public ,law #aae-if1 is am5d$ by /rik+ & #cj1jjj1jjj = ! p]iod ( ! fir/ & second qu>t]s ( fiscal ye> #bjah & ins]t+ & #abf1ejj1jjj = ea* ( fiscal ye>s #bjah & #bjai4 7#c7 ,annual report+ ,subsection 7h77#a7 ( section #cdj;,h ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bef;h7 is am5d$-- 7,a7 by r$esignat+ subp>agraph 7,d7 z subp>agraph 7,h72 & 7,b7 by ins]t+ aft] subp>agraph 7,c7 ! foll[+3 7,d7 ,! numb] ( pati5ts treat$ by resid5ts describ$ 9 p>agraph 7#d74 7,e7 ,! numb] ( visits by pati5ts treat$ by resid5ts describ$ 9 p>agraph 7#d74 7,f7 ,( ! numb] ( resid5ts describ$ 9 p>agraph 7#d7 :o complet$ _! resid5cy tra9+ at ! end ( su* resid5cy academic ye>1 ! numb] & p]c5tage ( su* resid5ts ent]+ prim>y c>e practice 7mean+ any ( ! areas ( practice li/$ 9 ! def9ition ( a prim>y c>e resid5cy program 9 section #gdi;,a74 7,g7 ,( ! numb] ( resid5ts describ$ 9 p>agraph 7#d7 :o complet$ _! resid5cy tra9+ at ! end ( su* resid5cy academic ye>1 ! numb] & p]c5tage ( su* resid5ts :o ent]$ practice at a heal? c>e facility-- 7i7 prim>ily s]v+ a heal? pr(essional %ortage area ) a designation 9 effect "u section #ccb or a m$ically und]s]v$ community 7z def9$ 9 section #gii;,b72 or 7ii7 locat$ 9 a rural area 7z def9$ 9 section #ahhf7;d77#b77;,d7 ( ! ,social ,security ,act74 4 7#d7 ,report on tra9+ co/s ,n lat] ?an ,m>* #ca1 #bjai1 ! ,secret>y ( ,heal? & ,human ,s]vices %all submit to ! ,congress a report on ! direct graduate exp5ses ( approv$ graduate m$ical resid5cy tra9+ programs1 & ! indirect exp5ses associat$ ) ! additional co/s ( tea*+ resid5ts1 ( qualifi$ tea*+ heal? c5t]s 7z su* t]ms are us$ or def9$ 9 section #cdj;,h ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bef;h774 7#e7 ,def9ition ,subsection 7j7 ( section #cdj;,h ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bef;h7 is am5d$-- 7,a7 by r$esignat+ p>agraphs 7#b7 & 7#c7 z p>agraphs 7#c7 & 7#d71 respectively2 & 7,b7 by ins]t+ aft] p>agraph 7#a7 ! foll[+3 7#b7 ,new approv$ graduate m$ical resid5cy tra9+ program ,! t]m new approv$ graduate m$ical resid5cy tra9+ program means an approv$ graduate m$ical resid5cy tra9+ program = :i* ! sponsor+ qualifi$ tea*+ heal? c5t] has n receiv$ a paym5t "u ?is section = a previ\s fiscal ye> 7o!r ?an pursuant to subsection 7a77#a77;,c774 4 7#f7 ,te*nical correction ,subsection 7f7 ( section #cdj;,h 7#db ,u4,s4,c4 #bef;h7 is am5d$ by /rik+ hospital ea* place x appe>s & ins]t+ tea*+ heal? c5t]4 7#g7 ,paym5ts = previ\s fiscal ye>s ,! provisions ( section #cdj;,h ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bef;h71 z 9 effect on ! day be=e ! date ( enactm5t ( ,public ,law #aae-if1 %all cont9ue to apply ) respect to paym5ts "u su* section = fiscal ye>s be=e fiscal ye> #bjah4 7e7 ,application ,am\nts appropriat$ pursuant to ?is section = fiscal ye> #bjah or #bjai are subject to ! requirem5ts conta9$ 9 ,public ,law #aae-ca = funds = programs au?oriz$ "u sections #ccj ?r\gh #cdj ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bed;b-#bef74 7f7 ,con=m+ am5dm5t ,p>agraph 7#d7 ( section #cjad7;h7 ( title #ah1 ,unit$ ,/ates ,code1 z am5d$ by section #caja ( ,public ,law #aae-if1 is am5d$ by /rik+ & section #caja7;d7 ( ! ,,*ip & ,public ,heal? ,fund+ ,ext5sion ,act & ins]t+ & section #beja7;e7 ( ! ,,su/a9 ,c>e ,act ( #bjah4 #bejb4 ,ext5sion = special diabetes programs 7a7 ,special diabetes program = type ,i diabetes ,subp>agraph 7,d7 ( section #ccj;,b7b77#b7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bed;c-#b7;b77#b771 z am5d$ by section #cajb ( ,public ,law #aae-if1 is am5d$ to read z foll[s3 7,d7 #aej1jjj1jjj = ea* ( fiscal ye>s #bjah & #bjai1 to rema9 available until exp5d$4 4 7b7 ,special diabetes program = ,indians ,subp>agraph 7,d7 ( section #ccj;,c7c77#b7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bed;c-#c7;c77#b771 z am5d$ by section #cajb ( ,public ,law #aae-if1 is am5d$ to read z foll[s3 7,d7 #aej1jjj1jjj = ea* ( fiscal ye>s #bjah & #bjai1 to rema9 available until exp5d$4 4 #bejc4 ,ext5sion = family-to-family heal? in=mation c5t]s ,section #eja7;c7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #gja7;c77 is am5d$-- 7#a7 9 p>agraph 7#a77;,a7-- 7,a7 9 clause 7v71 by /rik+ & at ! end2 7,b7 9 clause 7vi71 by /rik+ ! p]iod at ! end & ins]t+ 2 &2 & 7,c7 by add+ at ! end ! foll[+ new clause3 7vii7 #f1jjj1jjj = ea* ( fiscal ye>s #bjah & #bjai4 2 7#b7 9 p>agraph 7#c77;,c71 by ins]t+ be=e ! p]iod ! foll[+3 1 & ) respect to fiscal ye>s #bjah & #bjai1 su* c5t]s %all also be develop$ 9 all t]ritories & at lea/ "o su* c5t] %all be develop$ = ,indian ,tribes2 & 7#c7 by am5d+ p>agraph 7#e7 to read z foll[s3 7#e7 ,= purposes ( ?is subsection-- 7,a7 ! t]m ,indian ,tribe has ! mean+ giv5 to ! t]m ,indian tribe 9 section #d ( ! ,indian ,heal? ,c>e ,improvem5t ,act 7#be ,u4,s4,c4 #afjc72 7,b7 ! t]m ,/ate means ea* ( ! #ej ,/ates & ! ,di/rict ( ,columbia2 & 7,c7 ! t]m t]ritory means ,pu]to ,rico1 ,guam1 ,am]ican ,samoa1 ! ,unit$ ,/ates ,virg9 ,isl&s1 & ! ,nor!rn ,m>iana ,isl&s4 4 #bejd4 ,ext5sion = sexual risk avoidance education 7a7 ,9 g5]al ,section #eaj ( ! ,social ,security ,act 7#db ,u4,s4,c4 #gaj7 is am5d$ to read z foll[s3 #eaj4 ,sexual risk avoidance education 7a7 ,9 g5]al 7#a7 ,allotm5ts to ,/ates ,= ! purpose describ$ 9 subsection 7b71 ! ,secret>y %all1 = ea* ( fiscal ye>s #bjah & #bjai1 allot to ea* ,/ate :i* has transmitt$ an application = ! fiscal ye> "u section #eje7;a7 an am\nt equal to ! product (-- 7,a7 ! am\nt appropriat$ pursuant to subsection 7e77#a7 = ! fiscal ye>1 m9us ! am\nt res]v$ "u subsection 7e77#b7 = ! fiscal ye>2 & 7,b7 ! proportion t ! numb] ( l[-income *ildr5 9 ! ,/ate be>s to ! total ( su* numb]s ( *ildr5 = all ! ,/ates4 7#b7 ,o!r allotm5ts 7,a7 ,o!r entities ,= ! purpose describ$ 9 subsection 7b71 ! ,secret>y %all1 = ea* ( fiscal ye>s #bjah & #bjai1 = any ,/ate :i* has n transmitt$ an application = ! fiscal ye> "u section #eje7;a71 allot to "o or m entities 9 ! ,/ate ! am\nt t w\ld h be5 allott$ to ! ,/ate "u p>agraph 7#a7 if ! ,/ate _h submitt$ su* an application4 7,b7 ,process ,! ,secret>y %all select ! recipi5ts ( allotm5ts "u subp>agraph 7,a7 by means ( a competitive grant process "u :i*-- 7i7 n lat] ?an #cj days aft] ! deadl9e = ! ,/ate involv$ to submit an application = ! fiscal ye> "u section #eje7;a71 ! ,secret>y publi%es a notice solicit+ grant applications2 & 7ii7 n lat] ?an #abj days aft] su* deadl9e1 all su* applications mu/ be submitt$4 7b7 ,purpose 7#a7 ,9 g5]al ,except = rese>* "u p>agraph 7#e7 & in=mation collection & report+ "u p>agraph 7#f71 ! purpose ( an allotm5t "u subsection 7a7 to a ,/ate 7or to ano!r entity 9 ! ,/ate pursuant to subsection 7a77#b77 is to enable ! ,/ate or o!r entity to implem5t education exclusively on sexual risk avoidance 7mean+ volunt>ily refra9+ f sexual activity74 7#b7 ,requir$ compon5ts ,education on sexual risk avoidance pursuant to an allotm5t "u ?is section %all-- 7,a7 ensure t ! unambigu\s & prim>y emphasis & context = ea* topic describ$ 9 p>agraph 7#c7 is a message to y\? t normalizes ! optimal heal? behavior ( avoid+ nonm>ital sexual activity2 7,b7 be m$ically accurate & complete2 7,c7 be age-appropriate2 7,d7 be bas$ on adolesc5t le>n+ & developm5tal !ories = ! age gr\p receiv+ ! education2 & 7,e7 be culturally appropriate1 recogniz+ ! exp]i5ces ( y\? f div]se communities1 backgr\nds1 & exp]i5ces4 7#c7 ,topics ,education on sexual risk avoidance pursuant to an allotm5t "u ?is section %all address ea* ( ! foll[+ topics3 7,a7 ,! holi/ic individual & societal b5efits associat$ ) p]sonal responsibility1 self-regulation1 goal sett+1 heal?y decisionmak+1 & a focus on ! future4 7,b7 ,! advantage ( refra9+ f nonm>ital sexual activity 9 ord] to improve ! future prospects & physical & emotional heal? ( y\?4 7,c7 ,! increas$ likelihood ( avoid+ pov]ty :5 y\? atta9 self-suffici5cy & emotional maturity be=e engag+ 9 sexual activity4 7,d7 ,! f\ndational compon5ts ( heal?y relation%ips & _! impact on ! =mation ( heal?y m>riages & safe & /able families4 7,e7 ,h[ o!r y\? risk behaviors1 su* z drug & alcohol usage1 increase ! risk = te5 sex4 7,f7 ,h[ to resi/ & avoid1 & receive help reg>d+1 sexual co]cion & dat+ viol5ce1 recogniz+ t ev5 ) cons5t te5 sex rema9s a y\? risk behavior4 7#d7 ,contraception ,education on sexual risk avoidance pursuant to an allotm5t "u ?is section %all ensure t-- 7,a7 any in=mation provid$ on contraception is m$ically accurate & complete & ensures t /ud5ts und]/& t contraception (f]s physical risk r$uction1 b n risk elim9ation2 & 7,b7 ! education does n include demon/rations1 simulations1 or di/ribution ( contraceptive devices4 7#e7 ,rese>* 7,a7 ,9 g5]al ,a ,/ate or o!r entity receiv+ an allotm5t pursuant to subsection 7a7 may use up to #bj p]c5t ( su* allotm5t to build ! evid5ce base = sexual risk avoidance education by conduct+ or support+ rese>*4 7,b7 ,requirem5ts ,any rese>* conduct$ or support$ pursuant to subp>agraph 7,a7 %all be-- 7i7 rigor\s2 7ii7 evid5ce-bas$2 & 7iii7 design$ & conduct$ by indep5d5t rese>*]s :o h exp]i5ce 9 conduct+ & publi%+ rese>* 9 pe]-review$ outlets4 7#f7 ,in=mation collection & report+ ,a ,/ate or o!r entity receiv+ an allotm5t pursuant to subsection 7a7 %all1 z specifi$ by ! ,secret>y-- 7,a7 collect in=mation on ! programs & activities fund$ ?r\gh ! allotm5t2 & 7,b7 submit reports to ! ,secret>y on ! data f su* programs & activities4 7c7 ,national evaluation 7#a7 ,9 g5]al ,! ,secret>y %all-- 7,a7 9 consultation ) appropriate ,/ate & local ag5cies1 conduct "o or m rigor\s evaluations ( ! education fund$ ?r\gh ?is section & associat$ data2 & 7,b7 submit a report to ! ,congress on ! results ( su* evaluations1 toge!r ) a summ>y ( ! in=mation collect$ pursuant to subsection 7b77#f74 7#b7 ,consultation ,9 conduct+ ! evaluations requir$ by p>agraph 7#a71 includ+ ! e/abli%m5t ( rigor\s evaluation me?odologies1 ! ,secret>y %all consult ) relevant /akehold]s & evaluation exp]ts4 7d7 ,applicability ( c]ta9 provisions 7#a7 ,sections #ejc1 #ejg1 & #ejh apply to allotm5ts "u subsection 7a7 to ! same ext5t & 9 ! same mann] z su* sections apply to allotm5ts "u section #ejb7;c74 7#b7 ,sections #eje & #ejf apply to allotm5ts "u subsection 7a7 to ! ext5t det]m9$ by ! ,secret>y to be appropriate4 7e7 ,def9itions ,9 ?is section3 7#a7 ,! t]m age-appropriate means suitable 79 t]ms ( topics1 messages1 & tea*+ me?ods7 to ! developm5tal & social maturity ( ! p>ticul> age or age gr\p ( *ildr5 or adolesc5ts1 bas$ on develop+ cognitive1 emotional1 & behavioral capacity typical = ! age or age gr\p4 7#b7 ,! t]m m$ically accurate & complete means v]ifi$ or support$ by ! weight ( rese>* conduct$ 9 compliance ) accept$ sci5tific me?ods &-- 7,a7 publi%$ 9 pe]-review$ j\rnals1 :]e applicable2 or 7,b7 compris+ in=mation t lead+ pr(essional organizations & ag5cies ) relevant exp]tise 9 ! field recognize z accurate1 objective1 & complete4 7#c7 ,! t]m rigor\s1 ) respect to rese>* or evaluation1 means us+-- 7,a7 e/abli%$ sci5tific me?ods = measur+ ! impact ( an int]v5tion or program model 9 *ang+ behavior 7specifically sexual activity or o!r sexual risk behaviors71 or r$uc+ pregnancy1 among y\?2 or 7,b7 o!r evid5ce-bas$ me?odologies e/abli%$ by ! ,secret>y = purposes ( ?is section4 7#d7 ,! t]m y\? ref]s to "o or m individuals :o h atta9$ age #aj b n age #bj4 7f7 ,fund+ 7#a7 ,9 g5]al ,to c>ry out ?is section1 !re is appropriat$1 out ( any money 9 ! ,treasury n o!rwise appropriat$1 #ge1jjj1jjj = ea* ( fiscal ye>s #bjah & #bjai4 7#b7 ,res]vation ,! ,secret>y %all res]ve1 = ea* ( fiscal ye>s #bjah & #bjai1 n m ?an #bj p]c5t ( ! am\nt appropriat$ pursuant to p>agraph 7#a7 = adm9i/]+ ! program "u ?is section1 includ+ ! conduct+ ( national evaluations & ! provision ( te*nical assi/ance to ! recipi5ts ( allotm5ts4 4 7b7 ,effective date ,! am5dm5t made by ?is section takes effect on ,octob] #a1 #bjag4 #beje4 ,ext5sion = p]sonal responsibility education 7a7 ,9 g5]al ,section #eac ( ! ,social ,security ,act 7#db ,u4,s4,c4 #gac7 is am5d$-- 7#a7 9 subsection 7a77#a77;,a71 by /rik+ #bjag & ins]t+ #bjai2 & 7#b7 9 subsection 7a77#d7-- 7,a7 9 subp>agraph 7,a71 by /rik+ #bjag ea* place x appe>s & ins]t+ #bjai2 & 7,b7 9 subp>agraph 7,b7-- 7i7 9 ! subp>agraph head+1 by /rik+ #c-ye> grants & ins]t+ ,competitive ,,prep grants2 & 7ii7 9 clause 7i71 by /rik+ solicit applications to aw>d #c-ye> grants 9 ea* ( fiscal ye>s #bjab ?r\gh #bjag & ins]t+ cont9ue ?r\gh fiscal ye> #bjai grants aw>d$ = any ( fiscal ye>s #bjae ?r\gh #bjag2 7#c7 9 subsection 7c77#a71 by ins]t+ aft] y\? ) ,,hiv_/,,aids1 ! foll[+3 victims ( human traffick+12 & 7#d7 9 subsection 7f71 by /rik+ #bjag & ins]t+ #bjai4 7b7 ,effective date ,! am5dm5ts made by ?is section take effect on ,octob] #a1 #bjag4 ,,vi ,*ild & ,family ,s]vices & ,support ,a ,family ,fir/ ,prev5tion ,s]vices ,act #bfja4 ,%ort title ,?is subtitle may be cit$ z ! ,family ,fir/ ,prev5tion ,s]vices ,act4 #a ,inve/+ 9 ,prev5tion & ,family ,s]vices #bfaa4 ,purpose ,! purpose ( ?is *apt] is to enable ,/ates to use ,f$]al funds available "u p>ts ,b & ,e ( title ,,iv ( ! ,social ,security ,act to provide enhanc$ support to *ildr5 & families & prev5t fo/] c>e placem5ts ?r\gh ! provision ( m5tal heal? & sub/ance abuse prev5tion & treatm5t s]vices1 9-home p>5t skill-bas$ programs1 & k9%ip navigator s]vices4 ,a ,prev5tion ,activities "u ,title ,,iv-,e #bfba4 ,fo/] c>e prev5tion s]vices & programs 7a7 ,/ate option ,section #dga ( ! ,social ,security ,act 7#db ,u4,s4,c4 #fga7 is am5d$-- 7#a7 9 subsection 7a77#a71 by /rik+ & & all t foll[s ?r\gh ! semicolon & ins]t+ 1 adoption assi/ance 9 accordance ) section #dgc1 &1 at ! option ( ! ,/ate1 s]vices or programs specifi$ 9 subsection 7e77#a7 ( ?is section = *ildr5 :o are c&idates = fo/] c>e or :o are pregnant or p>5t+ fo/] y\? & ! p>5ts or k9 c>egiv]s ( ! *ildr51 9 accordance ) ! requirem5ts ( t subsection22 & 7#b7 by add+ at ! end ! foll[+3 7e7 ,prev5tion & family s]vices & programs 7#a7 ,9 g5]al ,subject to ! succe$+ provisions ( ?is subsection1 ! ,secret>y may make a paym5t to a ,/ate = provid+ ! foll[+ s]vices or programs = a *ild describ$ 9 p>agraph 7#b7 & ! p>5ts or k9 c>egiv]s ( ! *ild :5 ! ne$ ( ! *ild1 su* a p>5t1 or su* a c>egiv] = ! s]vices or programs are directly relat$ to ! safety1 p]man5ce1 or well-be+ ( ! *ild or to prev5t+ ! *ild f ent]+ fo/] c>e3 7,a7 ,m5tal heal? & sub/ance abuse prev5tion & treatm5t s]vices ,m5tal heal? & sub/ance abuse prev5tion & treatm5t s]vices provid$ by a qualifi$ cl9ician = n m ?an a #ab-mon? p]iod t beg9s on any date describ$ 9 p>agraph 7#c7 ) respect to ! *ild4 7,b7 ,9-home p>5t skill-bas$ programs ,9-home p>5t skill-bas$ programs = n m ?an a #ab-mon? p]iod t beg9s on any date describ$ 9 p>agraph 7#c7 ) respect to ! *ild & t include p>5t+ skills tra9+1 p>5t education1 & individual & family c\nsel+4 7#b7 ,*ild describ$ ,= purposes ( p>agraph 7#a71 a *ild describ$ 9 ?is p>agraph is ! foll[+3 7,a7 ,a *ild :o is a c&idate = fo/] c>e 7z def9$ 9 section #dge7ac77 b c rema9 safely at home or 9 a k9%ip placem5t ) receipt ( s]vices or programs specifi$ 9 p>agraph 7#a74 7,b7 ,a *ild 9 fo/] c>e :o is a pregnant or p>5t+ fo/] y\?4 7#c7 ,date describ$ ,= purposes ( p>agraph 7#a71 ! dates describ$ 9 ?is p>agraph are ! foll[+3 7,a7 ,! date on :i* a *ild is id5tifi$ 9 a prev5tion plan ma9ta9$ "u p>agraph 7#d7 z a *ild :o is a c&idate = fo/] c>e 7z def9$ 9 section #dge7ac774 7,b7 ,! date on :i* a *ild is id5tifi$ 9 a prev5tion plan ma9ta9$ "u p>agraph 7#d7 z a pregnant or p>5t+ fo/] y\? 9 ne$ ( s]vices or programs specifi$ 9 p>agraph 7#a74 7#d7 ,requirem5ts relat$ to provid+ s]vices & programs ,s]vices & programs specifi$ 9 p>agraph 7#a7 may be provid$ "u ?is subsection only if specifi$ 9 advance 9 ! *ild's prev5tion plan describ$ 9 subp>agraph 7,a7 & ! requirem5ts 9 subp>agraphs 7,b7 ?r\gh 7,e7 are met3 7,a7 ,prev5tion plan ,! ,/ate ma9ta9s a writt5 prev5tion plan = ! *ild t meets ! foll[+ requirem5ts 7z applicable73 7i7 ,c&idates ,9 ! case ( a *ild :o is a c&idate = fo/] c>e describ$ 9 p>agraph 7#b77;,a71 ! prev5tion plan %all-- 7,i7 id5tify ! fo/] c>e prev5tion /rategy = ! *ild s t ! *ild may rema9 safely at home1 live tempor>ily ) a k9 c>egiv] until reunification c be safely a*iev$1 or live p]man5tly ) a k9 c>egiv]2 7,,ii7 li/ ! s]vices or programs to be provid$ to or on behalf ( ! *ild to ensure ! success ( t prev5tion /rategy2 & 7,,iii7 comply ) su* o!r requirem5ts z ! ,secret>y %all e/abli%4 7ii7 ,pregnant or p>5t+ fo/] y\? ,9 ! case ( a *ild :o is a pregnant or p>5t+ fo/] y\? describ$ 9 p>agraph 7#b77;,b71 ! prev5tion plan %all-- 7,i7 be includ$ 9 ! *ild's case plan requir$ "u section #dge7a72 7,,ii7 li/ ! s]vices or programs to be provid$ to or on behalf ( ! y\? to ensure t ! y\? is prep>$ 79 ! case ( a pregnant fo/] y\?7 or able 79 ! case ( a p>5t+ fo/] y\?7 to be a p>5t2 7,,iii7 describe ! fo/] c>e prev5tion /rategy = any *ild born to ! y\?2 & 7,,iv7 comply ) su* o!r requirem5ts z ! ,secret>y %all e/abli%4 7,b7 ,trauma-in=m$ ,! s]vices or programs to be provid$ to or on behalf ( a *ild are provid$ "u an organizational /ructure & treatm5t framework t involves und]/&+1 recogniz+1 & respond+ to ! effects ( all types ( trauma & 9 accordance ) recogniz$ pr9ciples ( a trauma-in=m$ approa* & trauma-specific int]v5tions to address trauma's consequ5ces & facilitate heal+4 7,c7 ,only s]vices & programs provid$ 9 accordance ) promis+1 support$1 or well-support$ practices p]mitt$ 7i7 ,9 g5]al ,only ,/ate exp5ditures = s]vices or programs specifi$ 9 subp>agraph 7,a7 or 7,b7 ( p>agraph 7#a7 t are provid$ 9 accordance ) practices t meet ! requirem5ts specifi$ 9 clause 7ii7 ( ?is subp>agraph & t meet ! requirem5ts specifi$ 9 clause 7iii71 7iv71 or 7v71 respectively1 = be+ a promis+1 support$1 or well-support$ practice1 %all be eligible = a ,f$]al mat*+ paym5t "u section #dgd7;a77#f77;,a74 7ii7 ,g5]al practice requirem5ts ,! g5]al practice requirem5ts specifi$ 9 ?is clause are ! foll[+3 7,i7 ,! practice has a book1 manual1 or o!r available writ+s t specify ! compon5ts ( ! practice protocol & describe h[ to adm9i/] ! practice4 7,,ii7 ,!re is no empirical basis sugge/+ t1 comp>$ to its likely b5efits1 ! practice con/itutes a risk ( h>m to ^? receiv+ x4 7,,iii7 ,if multiple outcome /udies h be5 conduct$1 ! ov]all weight ( evid5ce supports ! b5efits ( ! practice4 7,,iv7 ,outcome measures are reliable & valid1 & are adm9i/rat$ consi/5tly & accurately across all ^? receiv+ ! practice4 7,v7 ,!re is no case data sugge/+ a risk ( h>m t 0 probably caus$ by ! treatm5t & t 0 sev]e or frequ5t4 7iii7 ,promis+ practice ,a practice %all be consid]$ to be a promis+ practice if ! practice is sup]ior to an appropriate comp>ison practice us+ conv5tional /&>ds ( /ati/ical significance 79 t]ms ( demon/rat$ mean+ful improvem5ts 9 validat$ measures ( important *ild & p>5t outcomes1 su* z m5tal heal?1 sub/ance abuse1 & *ild safety & well-be+71 z e/abli%$ by ! results or outcomes ( at lea/ "o /udy t-- 7,i7 0 rat$ by an indep5d5t sy/ematic review = ! quality ( ! /udy design & execution & det]m9$ to be well-design$ & well-execut$2 & 7,,ii7 utiliz$ "s =m ( control 7su* z an untreat$ gr\p1 a placebo gr\p1 or a wait li/ /udy74 7iv7 ,support$ practice ,a practice %all be consid]$ to be a support$ practice if-- 7,i7 ! practice is sup]ior to an appropriate comp>ison practice us+ conv5tional /&>ds ( /ati/ical significance 79 t]ms ( demon/rat$ mean+ful improvem5ts 9 validat$ measures ( important *ild & p>5t outcomes1 su* z m5tal heal?1 sub/ance abuse1 & *ild safety & well-be+71 z e/abli%$ by ! results or outcomes ( at lea/ "o /udy t-- 7aa7 0 rat$ by an indep5d5t sy/ematic review = ! quality ( ! /udy design & execution & det]m9$ to be well-design$ & well-execut$2 7bb7 0 a rigor\s r&om-controll$ trial 7or1 if n available1 a /udy us+ a rigor\s quasi-exp]im5tal rese>* design72 & 7cc7 0 c>ri$ out 9 a usual c>e or practice sett+2 & 7,,ii7 ! /udy describ$ 9 subclause 7,i7 e/abli%$ t ! practice has a su/a9$ effect 7:5 comp>$ to a control gr\p7 = at lea/ #f mon?s beyond ! end ( ! treatm5t4 7v7 ,well-support$ practice ,a practice %all be consid]$ to be a well-support$ practice if-- 7,i7 ! practice is sup]ior to an appropriate comp>ison practice us+ conv5tional /&>ds ( /ati/ical significance 79 t]ms ( demon/rat$ mean+ful improvem5ts 9 validat$ measures ( important *ild & p>5t outcomes1 su* z m5tal heal?1 sub/ance abuse1 & *ild safety & well-be+71 z e/abli%$ by ! results or outcomes ( at lea/ two /udies t-- 7aa7 7 rat$ by an indep5d5t sy/ematic review = ! quality ( ! /udy design & execution & det]m9$ to be well-design$ & well-execut$2 7bb7 7 rigor\s r&om-controll$ trials 7or1 if n available1 /udies us+ a rigor\s quasi-exp]im5tal rese>* design72 & 7cc7 7 c>ri$ out 9 a usual c>e or practice sett+2 & 7,,ii7 at lea/ "o ( ! /udies describ$ 9 subclause 7,i7 e/abli%$ t ! practice has a su/a9$ effect 7:5 comp>$ to a control gr\p7 = at lea/ #a ye> beyond ! end ( treatm5t4 7,d7 ,guidance on practices crit]ia & pre-approv$ s]vices & programs 7i7 ,9 g5]al ,n lat] ?an ,octob] #a1 #bjah1 ! ,secret>y %all issue guidance to ,/ates reg>d+ ! practices crit]ia requir$ = s]vices or programs to satisfy ! requirem5ts ( subp>agraph 7,c74 ,! guidance %all include a pre-approv$ li/ ( s]vices & programs t satisfy ! requirem5ts4 7ii7 ,updates ,! ,secret>y %all issue updates to ! guidance requir$ by clause 7i7 z (t5 z ! ,secret>y det]m9es necess>y4 7,e7 ,outcome assessm5t & report+ ,! ,/ate %all collect & report to ! ,secret>y ! foll[+ in=mation ) respect to ea* *ild = :om1 or on ^: behalf m5tal heal? & sub/ance abuse prev5tion & treatm5t s]vices or 9-home p>5t skill-bas$ programs are provid$ dur+ a #ab-mon? p]iod beg9n+ on ! date ! *ild is det]m9$ by ! ,/ate to be a *ild describ$ 9 p>agraph 7#b73 7i7 ,! specific s]vices or programs provid$ & ! total exp5ditures = ea* ( ! s]vices or programs4 7ii7 ,! duration ( ! s]vices or programs provid$4 7iii7 ,9 ! case ( a *ild describ$ 9 p>agraph 7#b77;,a71 ! *ild's placem5t /atus at ! beg9n+1 & at ! end1 ( ! #a-ye> p]iod1 respectively1 & :e!r ! *ild ent]$ fo/] c>e )9 #b ye>s aft] be+ det]m9$ a c&idate = fo/] c>e4 7#e7 ,/ate plan compon5t 7,a7 ,9 g5]al ,a ,/ate elect+ to provide s]vices or programs specifi$ 9 p>agraph 7#a7 %all submit z "p ( ! ,/ate plan requir$ by subsection 7a7 a prev5tion s]vices & programs plan compon5t t meets ! requirem5ts ( subp>agraph 7,b74 7,b7 ,prev5tion s]vices & programs plan compon5t ,9 ord] to meet ! requirem5ts ( ?is subp>agraph1 a prev5tion s]vices & programs plan compon5t1 ) respect to ea* #e-ye> p]iod = :i* ! plan compon5t is 9 op]ation 9 ! ,/ate1 %all include ! foll[+3 7i7 ,h[ provid+ s]vices & programs specifi$ 9 p>agraph 7#a7 is expect$ to improve specific outcomes = *ildr5 & families4 7ii7 ,h[ ! ,/ate w monitor & ov]see ! safety ( *ildr5 :o receive s]vices & programs specifi$ 9 p>agraph 7#a71 includ+ ?r\gh p]iodic risk assessm5ts ?r\gh\t ! p]iod 9 :i* ! s]vices & programs are provid$ on behalf ( a *ild & reexam9ation ( ! prev5tion plan ma9ta9$ = ! *ild "u p>agraph 7#d7 = ! provision ( ! s]vices or programs if ! ,/ate det]m9es ! risk ( ! *ild ent]+ fo/] c>e rema9s high despite ! provision ( ! s]vices or programs4 7iii7 ,) respect to ! s]vices & programs specifi$ 9 subp>agraphs 7,a7 & 7,b7 ( p>agraph 7#a71 in=mation on ! specific promis+1 support$1 or well-support$ practices ! ,/ate plans to use to provide ! s]vices or programs1 includ+ a description (-- 7,i7 ! s]vices or programs & :e!r ! practices us$ are promis+1 support$1 or well-support$2 7,,ii7 h[ ! ,/ate plans to implem5t ! s]vices or programs1 includ+ h[ implem5tation ( ! s]vices or programs w be cont9u\sly monitor$ to ensure fidelity to ! practice model & to det]m9e outcomes a*iev$ & h[ in=mation le>n$ f ! monitor+ w be us$ to ref9e & improve practices2 7,,iii7 h[ ! ,/ate select$ ! s]vices or programs2 7,,iv7 ! t>get population = ! s]vices or programs2 & 7,v7 h[ ea* s]vice or program provid$ w be evaluat$ ?r\gh a well-design$ & rigor\s process1 :i* may consi/ ( an ongo+1 cross-site evaluation approv$ by ! ,secret>y4 7iv7 ,a description ( ! consultation t ! ,/ate ag5cies responsible = adm9i/]+ ! ,/ate plans "u ?is "p & "p ,b engage 9 ) o!r ,/ate ag5cies responsible = adm9i/]+ heal? programs1 includ+ m5tal heal? & sub/ance abuse prev5tion & treatm5t s]vices1 & ) o!r public & private ag5cies ) exp]i5ce 9 adm9i/]+ *ild & family s]vices1 includ+ community-bas$ organizations1 9 ord] to fo/] a cont9uum ( c>e = *ildr5 describ$ 9 p>agraph 7#b7 & _! p>5ts or k9 c>egiv]s4 7v7 ,a description ( h[ ! ,/ate %all assess *ildr5 & _! p>5ts or k9 c>egiv]s to det]m9e eligibility = s]vices or programs specifi$ 9 p>agraph 7#a74 7vi7 ,a description ( h[ ! s]vices or programs specifi$ 9 p>agraph 7#a7 t are provid$ = or on behalf ( a *ild & ! p>5ts or k9 c>egiv]s ( ! *ild w be coord9at$ ) o!r *ild & family s]vices provid$ to ! *ild & ! p>5ts or k9 c>egiv]s ( ! *ild "u ! ,/ate plans 9 effect "u subp>ts #a & #b ( "p ,b4 7vii7 ,descriptions ( /eps ! ,/ate is tak+ to support & enhance a compet5t1 skill$1 & pr(essional *ild welf>e work=ce to deliv] trauma-in=m$ & evid5ce-bas$ s]vices1 includ+-- 7,i7 ensur+ t /aff is qualifi$ to provide s]vices or programs t are consi/5t ) ! promis+1 support$1 or well-support$ practice models select$2 & 7,,ii7 develop+ appropriate prev5tion plans1 & conduct+ ! risk assessm5ts requir$ "u clause 7iii74 7viii7 ,a description ( h[ ! ,/ate w provide tra9+ & support = casework]s 9 assess+ :at *ildr5 & _! families ne$1 connect+ to ! families s]v$1 kn[+ h[ to access & deliv] ! ne$$ trauma-in=m$ & evid5ce-bas$ s]vices1 & ov]see+ & evaluat+ ! cont9u+ appropriat5ess ( ! s]vices4 7ix7 ,a description ( h[ caseload size & type = prev5tion casework]s w be det]m9$1 manag$1 & ov]se54 7x7 ,an assurance t ! ,/ate w report to ! ,secret>y su* in=mation & data z ! ,secret>y may require ) respect to ! provision ( s]vices & programs specifi$ 9 p>agraph 7#a71 includ+ in=mation & data necess>y to det]m9e ! p]=mance measures = ! ,/ate "u p>agraph 7#f7 & compliance ) p>agraph 7#g74 7,c7 ,reimbursem5t = s]vices "u ! prev5tion plan compon5t 7i7 ,limitation ,except z provid$ 9 subclause 7ii71 a ,/ate may n receive a ,f$]al paym5t "u ?is "p = a giv5 promis+1 support$1 or well-support$ practice unless 79 accordance ) subp>agraph 7,b77iii77,v77 ! plan includes a well-design$ & rigor\s evaluation /rategy = t practice4 7ii7 ,waiv] ( limitation ,! ,secret>y may waive ! requirem5t = a well-design$ & rigor\s evaluation ( any well-support$ practice if ! ,secret>y deems ! evid5ce ( ! effectiv5ess ( ! practice to be compell+ & ! ,/ate meets ! cont9u\s quality improvem5t requirem5ts includ$ 9 subp>agraph 7,b77iii77,,ii7 ) reg>d to ! practice4 7#f7 ,prev5tion s]vices measures 7,a7 ,e/abli%m5t2 annual updates ,beg9n+ ) fiscal ye> #bjba1 & annually !reaft]1 ! ,secret>y %all e/abli% ! foll[+ prev5tion s]vices measures bas$ on in=mation & data report$ by ,/ates t elect to provide s]vices & programs specifi$ 9 p>agraph 7#a73 7i7 ,p]c5tage ( c&idates = fo/] c>e :o d n ent] fo/] c>e ,! p]c5tage ( c&idates = fo/] c>e = :om1 or on ^: behalf1 ! s]vices or programs are provid$ :o d n ent] fo/] c>e1 includ+ ^? plac$ ) a k9 c>egiv] outside ( fo/] c>e1 dur+ ! #ab-mon? p]iod 9 :i* ! s]vices or programs are provid$ & ?r\gh ! end ( ! succe$+ #ab-mon? p]iod4 7ii7 ,p]-*ild sp5d+ ,! total am\nt ( exp5ditures made = m5tal heal? & sub/ance abuse prev5tion & treatm5t s]vices or 9-home p>5t skill-bas$ programs1 respectively1 =1 or on behalf (1 ea* *ild describ$ 9 p>agraph 7#b74 7,b7 ,data ,! ,secret>y %all e/abli% & annually update ! prev5tion s]vices measures-- 7i7 bas$ on ! m$ian ,/ate values ( ! in=mation report$ "u ea* clause ( subp>agraph 7,a7 = ! #c !n mo/ rec5t ye>s2 & 7ii7 tak+ into acc\nt ,/ate diff]5ces 9 ! price levels ( consumption goods & s]vices us+ ! mo/ rec5t regional price p>ities publi%$ by ! ,bureau ( ,economic ,analysis ( ! ,dep>tm5t ( ,comm]ce or su* o!r data z ! ,secret>y det]m9es appropriate4 7,c7 ,publication ( ,/ate prev5tion s]vices measures ,! ,secret>y %all annually make available to ! public ! prev5tion s]vices measures ( ea* ,/ate4 7#g7 ,ma9t5ance ( ef=t = ,/ate fo/] c>e prev5tion exp5ditures 7,a7 ,9 g5]al ,if a ,/ate elects to provide s]vices & programs specifi$ 9 p>agraph 7#a7 = a fiscal ye>1 ! ,/ate fo/] c>e prev5tion exp5ditures = ! fiscal ye> %all n be less ?an ! am\nt ( ! exp5ditures = fiscal ye> #bjad 7or1 at ! option ( a ,/ate describ$ 9 subp>agraph 7,e71 fiscal ye> #bjae or fiscal ye> #bjaf 7:i*ev] ! ,/ate elects774 7,b7 ,/ate fo/] c>e prev5tion exp5ditures ,! t]m ,/ate fo/] c>e prev5tion exp5ditures means ! foll[+3 7i7 ,,tanf2 ,,iv-,b2 ,,ssbg ,/ate exp5ditures = fo/] c>e prev5tion s]vices & activities "u ! ,/ate program fund$ "u "p ,a 7includ+ f am\nts made available by ! ,f$]al ,gov]nm5t71 "u ! ,/ate plan develop$ "u "p ,b 7includ+ any su* am\nts71 or "u ! ,social ,s]vices ,block ,grant ,programs "u subtitle ,a ( title ,,xx 7includ+ any su* am\nts74 7ii7 ,o!r ,/ate programs ,/ate exp5ditures = fo/] c>e prev5tion s]vices & activities "u any ,/ate program t is n describ$ 9 clause 7i7 7o!r ?an any ,/ate exp5ditures = fo/] c>e prev5tion s]vices & activities "u ! ,/ate program "u ?is "p 7includ+ "u a waiv] ( ! program774 7,c7 ,/ate exp5ditures ,! t]m ,/ate exp5ditures means all ,/ate or local funds t are exp5d$ by ! ,/ate or a local ag5cy includ+ ,/ate or local funds t are mat*$ or reimburs$ by ! ,f$]al ,gov]nm5t & ,/ate or local funds t are n mat*$ or reimburs$ by ! ,f$]al ,gov]nm5t4 7,d7 ,det]m9ation ( prev5tion s]vices & activities ,! ,secret>y %all require ea* ,/ate t elects to provide s]vices & programs specifi$ 9 p>agraph 7#a7 to report ! exp5ditures specifi$ 9 subp>agraph 7,b7 = fiscal ye> #bjad & = su* fiscal ye>s !reaft] z are necess>y to det]m9e :e!r ! ,/ate is comply+ ) ! ma9t5ance ( ef=t requirem5t 9 subp>agraph 7,a74 ,! ,secret>y %all specify ! specific s]vices & activities "u ea* program ref]r$ to 9 subp>agraph 7,b7 t are prev5tion s]vices & activities = purposes ( ! reports4 7,e7 ,/ate describ$ ,= purposes ( subp>agraph 7,a71 a ,/ate is describ$ 9 ?is subp>agraph if ! population ( *ildr5 9 ! ,/ate 9 #bjad 0 less ?an #bjj1jjj 7z det]m9$ by ! ,bureau ( ! ,c5sus74 7#h7 ,prohibition aga9/ use ( ,/ate fo/] c>e prev5tion exp5ditures & ,f$]al ,,iv-,e prev5tion funds = mat*+ or exp5diture requirem5t ,a ,/ate t elects to provide s]vices & programs specifi$ 9 p>agraph 7#a7 %all n use any ,/ate fo/] c>e prev5tion exp5ditures = a fiscal ye> = ! ,/ate %>e ( exp5ditures "u section #dgd7;a77#f7 = a fiscal ye>4 7#i7 ,adm9i/rative co/s ,exp5ditures describ$ 9 section #dgd7;a77#f77;,b7-- 7,a7 %all n be eligible = paym5t "u subp>agraph 7,a71 7,b71 or 7,e7 ( section #dgd7;a77#c72 & 7,b7 %all be eligible = paym5t "u section #dgd7;a77#f77;,b7 )\t reg>d to :e!r ! exp5ditures are incurr$ on behalf ( a *ild :o is1 or is pot5tially1 eligible = fo/] c>e ma9t5ance paym5ts "u ?is "p4 7#aj7 ,application 7,a7 ,9 g5]al ,! provision ( s]vices or programs "u ?is subsection to or on behalf ( a *ild describ$ 9 p>agraph 7#b7 %all n be consid]$ to be receipt ( aid or assi/ance "u ! ,/ate plan "u ?is "p = purposes ( eligibility = any o!r program e/abli%$ "u ?is ,act4 7,b7 ,c&idates 9 k9%ip c>e ,a *ild describ$ 9 p>agraph 7#b7 = :om su* s]vices or programs "u ?is subsection are provid$ = m ?an #f mon?s :ile 9 ! home ( a k9 c>egiv]1 & :o w\ld satisfy ! ,,afdc eligibility requirem5t ( section #dgb7;a77#c77;,a77ii77,,ii7 b = resid+ 9 ! home ( ! c>egiv] = m ?an #f mon?s1 is deem$ to satisfy t requirem5t = purposes ( det]m9+ :e!r ! *ild is eligible = fo/] c>e ma9t5ance paym5ts "u section #dgb4 4 7b7 ,def9ition ,section #dge ( su* ,act 7#db ,u4,s4,c4 #fge7 is am5d$ by add+ at ! end ! foll[+3 7#ac7 ,! t]m *ild :o is a c&idate = fo/] c>e means1 a *ild :o is id5tifi$ 9 a prev5tion plan "u section #dga7;e77#d77;,a7 z be+ at imm95t risk ( ent]+ fo/] c>e 7)\t reg>d to :e!r ! *ild w\ld be eligible = fo/] c>e ma9t5ance paym5ts "u section #dgb or is or w\ld be eligible = adoption assi/ance or k9%ip gu>dian%ip assi/ance paym5ts "u section #dgc7 b :o c rema9 safely 9 ! *ild's home or 9 a k9%ip placem5t z long z s]vices or programs specifi$ 9 section #dga7;e77#a7 t are necess>y to prev5t ! entry ( ! *ild into fo/] c>e are provid$4 ,! t]m includes a *ild ^: adoption or gu>dian%ip arrangem5t is at risk ( a disruption or dissolution t w\ld result 9 a fo/] c>e placem5t4 4 7c7 ,paym5ts "u title ,,iv-,e ,section #dgd7;a7 ( su* ,act 7#db ,u4,s4,c4 #fgd7;a77 is am5d$-- 7#a7 9 p>agraph 7#e71 by /rik+ ! p]iod at ! end & ins]t+ 2 plus2 & 7#b7 by add+ at ! end ! foll[+3 7#f7 subject to section #dga7;e7-- 7,a7 = ea* qu>t]-- 7i7 subject to clause 7ii7-- 7,i7 beg9n+ aft] ,septemb] #cj1 #bjai1 & be=e ,octob] #a1 #bjbf1 an am\nt equal to #ej p]c5t ( ! total am\nt exp5d$ dur+ ! qu>t] = ! provision ( s]vices or programs specifi$ 9 subp>agraph 7,a7 or 7,b7 ( section #dga7;e77#a7 t are provid$ 9 accordance ) promis+1 support$1 or well-support$ practices t meet ! applicable crit]ia specifi$ = ! practices 9 section #dga7;e77#d77;,c72 & 7,,ii7 beg9n+ aft] ,septemb] #cj1 #bjbf1 an am\nt equal to ! ,f$]al m$ical assi/ance p]c5tage 7:i* %all be z def9$ 9 section #aije7;b71 9 ! case ( a ,/ate o!r ?an ! ,di/rict ( ,columbia1 or #gj p]c5t1 9 ! case ( ! ,di/rict ( ,columbia7 ( ! total am\nt exp5d$ dur+ ! qu>t] = ! provision ( s]vices or programs specifi$ 9 subp>agraph 7,a7 or 7,b7 ( section #dga7;e77#a7 t are provid$ 9 accordance ) promis+1 support$1 or well-support$ practices t meet ! applicable crit]ia specifi$ = ! practices 9 section #dga7;e77#d77;,c7 7or1 ) respect to ! paym5ts made dur+ ! qu>t] "u a coop]ative agreem5t or contract ent]$ into by ! ,/ate & an ,indian tribe1 tribal organization1 or tribal consortium = ! adm9i/ration or paym5t ( funds "u ?is "p1 an am\nt equal to ! ,f$]al m$ical assi/ance p]c5tage t w\ld apply "u section #dgi;,b7d7 79 ?is p>agraph ref]r$ to z ! tribal ,,fmap7 if ! ,indian tribe1 tribal organization1 or tribal consortium made ! paym5ts "u a program op]at$ "u t section1 unless ! tribal ,,fmap is less ?an ! ,f$]al m$ical assi/ance p]c5tage t applies to ! ,/ate72 except t 7ii7 n less ?an #ej p]c5t ( ! total am\nt exp5d$ by a ,/ate "u clause 7i7 = a fiscal ye> %all be = ! provision ( s]vices or programs specifi$ 9 subp>agraph 7,a7 or 7,b7 ( section #dga7;e77#a7 t are provid$ 9 accordance ) well-support$ practices2 plus 7,b7 = ea* qu>t] specifi$ 9 subp>agraph 7,a71 an am\nt equal to ! sum ( ! foll[+ proportions ( ! total am\nt exp5d$ dur+ ! qu>t]-- 7i7 #ej p]c5t ( s mu* ( ! exp5ditures z are f\nd necess>y by ! ,secret>y = ! prop] & effici5t adm9i/ration ( ! ,/ate plan = ! provision ( s]vices or programs specifi$ 9 section #dga7;e77#a71 includ+ exp5ditures = activities approv$ by ! ,secret>y t promote ! developm5t ( necess>y processes & proc$ures to e/abli% & implem5t ! provision ( ! s]vices & programs = individuals :o are eligible = ! s]vices & programs & exp5ditures attributable to data collection & report+2 & 7ii7 #ej p]c5t ( s mu* ( ! exp5ditures ) respect to ! provision ( s]vices & programs specifi$ 9 section #dga7;e77#a7 z are = tra9+ ( p]sonnel employ$ or prep>+ = employm5t by ! ,/ate ag5cy or by ! local ag5cy adm9i/]+ ! plan 9 ! political subdivision & ( ! memb]s ( ! /aff ( ,/ate-lic5s$ or ,/ate-approv$ *ild welf>e ag5cies provid+ s]vices to *ildr5 describ$ 9 section #dga7;e77#b7 & _! p>5ts or k9 c>egiv]s1 includ+ on h[ to det]m9e :o are individuals eligible = ! s]vices or programs1 h[ to id5tify & provide appropriate s]vices & programs1 & h[ to ov]see & evaluate ! ongo+ appropriat5ess ( ! s]vices & programs4 4 7d7 ,te*nical assi/ance & be/ practices1 cle>+h\se1 & data collection & evaluations ,section #dgf ( su* ,act 7#db ,u4,s4,c4 #fgf7 is am5d$ by add+ at ! end ! foll[+3 7d7 ,te*nical assi/ance & be/ practices1 cle>+h\se1 data collection1 & evaluations relat+ to prev5tion s]vices & programs 7#a7 ,te*nical assi/ance & be/ practices ,! ,secret>y %all provide to ,/ates &1 z applicable1 to ,indian tribes1 tribal organizations1 & tribal consortia1 te*nical assi/ance reg>d+ ! provision ( s]vices & programs describ$ 9 section #dga7;e77#a7 & %all dissem9ate be/ practices ) respect to ! provision ( ! s]vices & programs1 includ+ h[ to plan & implem5t a well-design$ & rigor\s evaluation ( a promis+1 support$1 or well-support$ practice4 7#b7 ,cle>+h\se ( promis+1 support$1 & well-support$ practices ,! ,secret>y %all1 directly or ?r\gh grants1 contracts1 or int]ag5cy agreem5ts1 evaluate rese>* on ! practices specifi$ 9 clauses 7iii71 7iv71 & 7v71 respectively1 ( section #dga7;e77#d77;,c71 & programs t meet ! requirem5ts describ$ 9 section #dbg7;a77#a71 includ+ culturally specific1 or location- or population-bas$ adaptations ( ! practices1 to id5tify & e/abli% a public cle>+h\se ( ! practices t satisfy ea* category describ$ by su* clauses4 ,9 addition1 ! cle>+h\se %all include in=mation on ! specific outcomes associat$ ) ea* practice1 includ+ :e!r ! practice has be5 %[n to prev5t *ild abuse & neglect & r$uce ! likelihood ( fo/] c>e placem5t by support+ bir? families & k9%ip families & improv+ t>get$ supports = pregnant & p>5t+ y\? & _! *ildr54 7#c7 ,data collection & evaluations ,! ,secret>y1 directly or ?r\gh grants1 contracts1 or int]ag5cy agreem5ts1 may collect data & conduct evaluations ) respect to ! provision ( s]vices & programs describ$ 9 section #dga7;e77#a7 = purposes ( assess+ ! ext5t to :i* ! provision ( ! s]vices & programs-- 7,a7 r$uces ! likelihood ( fo/] c>e placem5t2 7,b7 increases use ( k9%ip c>e arrangem5ts2 or 7,c7 improves *ild well-be+4 7#d7 ,reports to ,congress 7,a7 ,9 g5]al ,! ,secret>y %all submit to ! ,committee on ,f9ance ( ! ,s5ate & ! ,committee on ,ways & ,means ( ! ,h\se ( ,repres5tatives p]iodic reports bas$ on ! provision ( s]vices & programs describ$ 9 section #dga7;e77#a7 & ! activities c>ri$ out "u ?is subsection4 7,b7 ,public availability ,! ,secret>y %all make ! reports to ! ,congress submitt$ "u ?is p>agraph publicly available4 7#e7 ,appropriation ,out ( any money 9 ! ,treasury ( ! ,unit$ ,/ates n o!rwise appropriat$1 !re are appropriat$ to ! ,secret>y #a1jjj1jjj = fiscal ye> #bjah & ea* fiscal ye> !reaft] to c>ry out ?is subsection4 4 7e7 ,application to programs op]at$ by ,indian tribal organizations 7#a7 ,9 g5]al ,section #dgi;,b ( su* ,act 7#db ,u4,s4,c4 #fgi;c7 is am5d$-- 7,a7 9 subsection 7c77#a7-- 7i7 9 subp>agraph 7,c77i7-- 7,i7 9 subclause 7,,ii71 by /rik+ & aft] ! semicolon2 7,,ii7 9 subclause 7,,iii71 by /rik+ ! p]iod at ! end & ins]t+ 2 &2 & 7,,iii7 by add+ at ! end ! foll[+3 7,,iv7 at ! option ( ! tribe1 organization1 or consortium1 s]vices & programs specifi$ 9 section #dga7;e77#a7 to *ildr5 describ$ 9 section #dga7;e77#b7 & _! p>5ts or k9 c>egiv]s1 9 accordance ) section #dga7;e7 & subp>agraph 7,e74 2 & 7ii7 by add+ at ! end ! foll[+3 7,e7 ,prev5tion s]vices & programs = *ildr5 & _! p>5ts & k9 c>egiv]s 7i7 ,9 g5]al ,9 ! case ( a tribe1 organization1 or consortium t elects to provide s]vices & programs specifi$ 9 section #dga7;e77#a7 to *ildr5 describ$ 9 section #dga7;e77#b7 & _! p>5ts or k9 c>egiv]s "u ! plan1 ! ,secret>y %all specify ! requirem5ts applicable to ! provision ( ! s]vices & programs4 ,! requirem5ts %all1 to ! greate/ ext5t practicable1 be consi/5t ) ! requirem5ts applicable to ,/ates "u section #dga7;e7 & %all p]mit ! provision ( ! s]vices & programs 9 ! =m ( s]vices & programs t are adapt$ to ! culture & context ( ! tribal communities s]v$4 7ii7 ,p]=mance measures ,! ,secret>y %all e/abli% specific p]=mance measures = ea* tribe1 organization1 or consortium t elects to provide s]vices & programs specifi$ 9 section #dga7;e77#a74 ,! p]=mance measures %all1 to ! greate/ ext5t practicable1 be consi/5t ) ! prev5tion s]vices measures requir$ = ,/ates "u section #dga7;e77#f7 b %all all[ = consid]ation ( factors unique to ! provision ( ! s]vices by tribes1 organizations1 or consortia4 2 & 7,b7 9 subsection 7d77#a71 by /rik+ & 7#e7 & ins]t+ 7#e71 & 7#f77;,a74 7#b7 ,con=m+ am5dm5t ,! head+ = subsection 7d7 ( section #dgi;,b ( su* ,act 7#db ,u4,s4,c4 #fgi;c7 is am5d$ by /rik+ = ,fo/] ,c>e ,ma9t5ance & ,adoption ,assi/ance ,paym5ts4 7f7 ,application to programs op]at$ by t]ritories ,section #aajh7;a77#b7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acjh7;a77#b77 is am5d$ by /rik+ or #dac7;f7 & ins]t+ #dac7;f71 or #dgd7;a77#f74 #bfbb4 ,fo/] c>e ma9t5ance paym5ts = *ildr5 ) p>5ts 9 a lic5s$ resid5tial family-bas$ treatm5t facility = sub/ance abuse 7a7 ,9 g5]al ,section #dgb ( ! ,social ,security ,act 7#db ,u4,s4,c4 #fgb7 is am5d$-- 7#a7 9 subsection 7a77#b77;,c71 by /rik+ or & ins]t+ 1 ) a p>5t resid+ 9 a lic5s$ resid5tial family-bas$ treatm5t facility1 b only to ! ext5t p]mitt$ "u subsection 7j71 or 9 a 2 & 7#b7 by add+ at ! end ! foll[+3 7j7 ,*ildr5 plac$ ) a p>5t resid+ 9 a lic5s$ resid5tial family-bas$ treatm5t facility = sub/ance abuse 7#a7 ,9 g5]al ,not)/&+ ! prec$+ provisions ( ?is section1 a *ild :o is eligible = fo/] c>e ma9t5ance paym5ts "u ?is section1 or :o w\ld be eligible = ! paym5ts if ! eligibility 7 det]m9$ )\t reg>d to p>agraphs 7#a77;,b7 & 7#c7 ( subsection 7a71 %all be eligible = ! paym5ts = a p]iod ( n m ?an #ab mon?s dur+ :i* ! *ild is plac$ ) a p>5t :o is 9 a lic5s$ resid5tial family-bas$ treatm5t facility = sub/ance abuse1 b only if-- 7,a7 ! recomm5dation = ! placem5t is specifi$ 9 ! *ild's case plan be=e ! placem5t2 7,b7 ! treatm5t facility provides1 z "p ( ! treatm5t = sub/ance abuse1 p>5t+ skills tra9+1 p>5t education1 & individual & family c\nsel+2 & 7,c7 ! sub/ance abuse treatm5t1 p>5t+ skills tra9+1 p>5t education1 & individual & family c\nsel+ is provid$ "u an organizational /ructure & treatm5t framework t involves und]/&+1 recogniz+1 & respond+ to ! effects ( all types ( trauma & 9 accordance ) recogniz$ pr9ciples ( a trauma-in=m$ approa* & trauma-specific int]v5tions to address ! consequ5ces ( trauma & facilitate heal+4 7#b7 ,application ,) respect to *ildr5 = :om fo/] c>e ma9t5ance paym5ts are made "u p>agraph 7#a71 only ! *ildr5 :o satisfy ! requirem5ts ( p>agraphs 7#a77;,b7 & 7#c7 ( subsection 7a7 %all be consid]$ to be *ildr5 ) respect to :om fo/] c>e ma9t5ance paym5ts are made "u ?is section = purposes ( subsection 7h7 or section #dgc7;b77#c77;,b74 4 7b7 ,con=m+ am5dm5t ,section #dgd7;a77#a7 ( su* ,act 7#db ,u4,s4,c4 #fgd7;a77#a77 is am5d$ by ins]t+ subject to section #dgb7;j71 be=e an am\nt equal to ! ,f$]al ! fir/ place x appe>s4 #bfbc4 ,title ,,iv-,e paym5ts = evid5ce-bas$ k9%ip navigator programs ,section #dgd7;a7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #fgd7;a771 z am5d$ by section #bfba7;c7 ( ?is ,act1 is am5d$-- 7#a7 9 p>agraph 7#f71 by /rik+ ! p]iod at ! end & ins]t+ 2 plus2 & 7#b7 by add+ at ! end ! foll[+3 7#g7 an am\nt equal to #ej p]c5t ( ! am\nts exp5d$ by ! ,/ate dur+ ! qu>t] z ! ,secret>y det]m9es are = k9%ip navigator programs t meet ! requirem5ts describ$ 9 section #dbg7;a77#a7 & t ! ,secret>y det]m9es are op]at$ 9 accordance ) promis+1 support$1 or well-support$ practices t meet ! applicable crit]ia specifi$ = ! practices 9 section #dga7;e77#d77;,c71 )\t reg>d to :e!r ! exp5ditures are incurr$ on behalf ( *ildr5 :o are1 or are pot5tially1 eligible = fo/] c>e ma9t5ance paym5ts "u ?is "p4 4 ,b ,enhanc$ support "u ,title ,,iv-,b #bfca4 ,elim9ation ( "t limit = family reunification s]vices :ile 9 fo/] c>e & p]mitt+ "t-limit$ family reunification s]vices :5 a *ild returns home f fo/] c>e 7a7 ,9 g5]al ,section #dca7;a77#g7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #fbi;a7a77#g77 is am5d$-- 7#a7 9 ! p>agraph head+1 by /rik+ ,"t-limit$ family & ins]t+ ,family2 & 7#b7 9 subp>agraph 7,a7-- 7,a7 by /rik+ "t-limit$ family & ins]t+ family2 7,b7 by ins]t+ or a *ild :o has be5 return$ home aft] *ild c>e in/itution2 & 7,c7 by /rik+ 1 b only dur+ ! #ae-mon? p]iod t beg9s on ! date t ! *ild1 pursuant to section #dge7e77;,f71 is consid]$ to h ent]$ fo/] c>e & ins]t+ & to ensure ! /r5g? & /ability ( ! reunification4 ,9 ! case ( a *ild :o has be5 return$ home1 ! s]vices & activities %all only be provid$ dur+ ! #ae-mon? p]iod t beg9s on ! date t ! *ild returns home4 7b7 ,con=m+ am5dm5ts 7#a7 ,section #dcj ( su* ,act 7#db ,u4,s4,c4 #fbi7 is am5d$ 9 ! matt] prec$+ p>agraph 7#a71 by /rik+ "t-limit$4 7#b7 ,subsections 7a77#d71 7a77#e77;,a71 & 7b77#a7 ( section #dcb ( su* ,act 7#db ,u4,s4,c4 #fbi;b7 are am5d$ by /rik+ "t-limit$ ea* place x appe>s4 #bfcb4 ,r$uc+ bureaucracy & unnecess>y delays :5 plac+ *ildr5 9 homes across ,/ate l9es 7a7 ,/ate plan requirem5t 7#a7 ,9 g5]al ,section #dga7;a77#be7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #fga7;a77#be77 is am5d$-- 7,a7 by /rik+ provide & ins]t+ provides2 & 7,b7 by ins]t+ 1 :i*1 9 ! case ( a ,/ate o!r ?an ! ,commonweal? ( ,pu]to ,rico1 ! ,unit$ ,/ates ,virg9 ,isl&s1 ,guam1 & ,am]ican ,samoa1 n lat] ?an ,octob] #a1 #bjbg1 %all include ! use ( an electronic int]/ate case-process+ sy/em be=e ! fir/ semicolon4 7#b7 ,exemption ( ,indian tribes ,section #dgi;,b7c7 ( su* ,act 7#db ,u4,s4,c4 #fgi;c7c77 is am5d$ by add+ at ! end ! foll[+3 7#d7 ,inapplicability ( ,/ate plan requirem5t to h 9 effect proc$ures provid+ = ! use ( an electronic int]/ate case-process+ sy/em ,! requirem5t 9 section #dga7;a77#be7 t a ,/ate plan provide t ! ,/ate %all h 9 effect proc$ures provid+ = ! use ( an electronic int]/ate case-process+ sy/em %all n apply to an ,indian tribe1 tribal organization1 or tribal consortium t elects to op]ate a program "u ?is "p4 4 7b7 ,fund+ = ! developm5t ( an electronic int]/ate case-process+ sy/em to exp$ite ! int]/ate placem5t ( *ildr5 9 fo/] c>e or gu>dian%ip1 or = adoption ,section #dcg ( su* ,act 7#db ,u4,s4,c4 #fbi;g7 is am5d$ by add+ at ! end ! foll[+3 7g7 ,fund+ = ! developm5t ( an electronic int]/ate case-process+ sy/em to exp$ite ! int]/ate placem5t ( *ildr5 9 fo/] c>e or gu>dian%ip1 or = adoption 7#a7 ,purpose ,! purpose ( ?is subsection is to facilitate ! developm5t ( an electronic int]/ate case-process+ sy/em = ! ex*ange ( data & docum5ts to exp$ite ! placem5ts ( *ildr5 9 fo/]1 gu>dian%ip1 or adoptive homes across ,/ate l9es4 7#b7 ,requirem5ts ,a ,/ate t seeks fund+ "u ?is subsection %all submit to ! ,secret>y ! foll[+ in=mation3 7,a7 ,a description ( ! goals & outcomes to be a*iev$1 :i* goals & outcomes mu/ result 9-- 7i7 r$uc+ ! "t x takes = a *ild to be provid$ ) a safe & appropriate p]man5t liv+ arrangem5t across ,/ate l9es2 7ii7 improv+ adm9i/rative processes & r$uc+ co/s 9 ! fo/] c>e sy/em2 & 7iii7 ! secure ex*ange ( relevant case files & o!r necess>y mat]ials 9 real "t1 & timely communications & placem5t decisions reg>d+ int]/ate placem5ts ( *ildr54 7,b7 ,a description ( ! activities to be fund$ 9 :ole or 9 "p ) ! funds1 includ+ ! sequ5c+ ( ! activities4 7,c7 ,a description ( ! /rategies = integrat+ programs & s]vices = *ildr5 :o are plac$ across ,/ate l9es4 7,d7 ,su* o!r in=mation z ! ,secret>y may require4 7#c7 ,fund+ au?ority ,! ,secret>y may provide funds to a ,/ate t complies ) p>agraph 7#b74 ,9 provid+ funds "u ?is subsection1 ! ,secret>y %all prioritize ,/ates t are n yet connect$ ) ! electronic int]/ate case-process+ sy/em ref]r$ to 9 p>agraph 7#a74 7#d7 ,use ( funds ,a ,/ate to :i* fund+ is provid$ "u ?is subsection %all use ! fund+ to support ! ,/ate 9 connect+ )1 or enhanc+ or exp$it+ s]vices provid$ "u1 ! electronic int]/ate case-process+ sy/em ref]r$ to 9 p>agraph 7#a74 7#e7 ,evaluations ,n lat] ?an #a ye> aft] ! f9al ye> 9 :i* funds are aw>d$ "u ?is subsection1 ! ,secret>y %all submit to ! ,congress1 & make available to ! g5]al public by po/+ on a website1 a report t conta9s ! foll[+ in=mation3 7,a7 ,h[ us+ ! electronic int]/ate case-process+ sy/em develop$ pursuant to p>agraph 7#d7 has *ang$ ! "t x takes = *ildr5 to be plac$ across ,/ate l9es4 7,b7 ,! numb] ( cases subject to ! ,int]/ate ,compact on ! ,placem5t ( ,*ildr5 t 7 process$ ?r\gh ! electronic int]/ate case-process+ sy/em1 & ! numb] ( int]/ate *ild placem5t cases t 7 process$ outside ! electronic int]/ate case-process+ sy/em1 by ea* ,/ate 9 ea* ye>4 7,c7 ,! progress made by ,/ates 9 implem5t+ ! electronic int]/ate case-process+ sy/em4 7,d7 ,h[ us+ ! electronic int]/ate case-process+ sy/em has affect$ v>i\s metrics relat$ to *ild safety & well-be+1 includ+ ! "t x takes = *ildr5 to be plac$ across ,/ate l9es4 7,e7 ,h[ us+ ! electronic int]/ate case-process+ sy/em has affect$ adm9i/rative co/s & casework] "t sp5t on plac+ *ildr5 across ,/ate l9es4 7#f7 ,data integration ,! ,secret>y1 9 consultation ) ! ,secret>iat = ! ,int]/ate ,compact on ! ,placem5t ( ,*ildr5 & ! ,/ates1 %all assess h[ ! electronic int]/ate case-process+ sy/em develop$ pursuant to p>agraph 7#d7 c\ld be us$ to bett] s]ve & protect *ildr5 t come to ! att5tion ( ! *ild welf>e sy/em1 by-- 7,a7 connect+ ! sy/em ) o!r data sy/ems 7su* z sy/ems op]at$ by ,/ate law en=cem5t & judicial ag5cies1 sy/ems op]at$ by ! ,f$]al ,bureau ( ,inve/igation = ! purposes ( ! ,innoc5ce ,lo/ ,national ,initiative1 & o!r sy/ems72 7,b7 simplify+ & improv+ report+ relat$ to p>agraphs 7#cd7 & 7#ce7 ( section #dga7;a7 reg>d+ *ildr5 or y\? :o h be5 id5tifi$ z be+ a sex traffick+ victim or *ildr5 miss+ f fo/] c>e2 & 7,c7 improv+ ! ability ( ,/ates to quickly comply ) backgr\nd *eck requirem5ts ( section #dga7;a77#bj71 includ+ *ecks ( *ild abuse & neglect regi/ries z requir$ by section #dga7;a77#bj77;,b74 4 7c7 ,res]vation ( funds to improve ! int]/ate placem5t ( *ildr5 ,section #dcg7;b7 ( su* ,act 7#db ,u4,s4,c4 #fbi;g7b77 is am5d$ by add+ at ! end ! foll[+3 7#d7 ,improv+ ! int]/ate placem5t ( *ildr5 ,! ,secret>y %all res]ve #e1jjj1jjj ( ! am\nt made available = fiscal ye> #bjah = grants "u subsection 7g71 & ! am\nt s res]v$ %all rema9 available ?r\gh fiscal ye> #bjbb4 4 #bfcc4 ,enhancem5ts to grants to improve well-be+ ( families affect$ by sub/ance abuse ,section #dcg7;f7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #fbi;g7f77 is am5d$-- 7#a7 9 ! subsection head+1 by /rik+ increase ! well-be+ (1 & to improve ! p]man5cy outcomes =1 *ildr5 affect$ by & ins]t+ implem5t ,,iv-,e prev5tion s]vices1 & improve ! well-be+ (1 & improve p]man5cy outcomes =1 *ildr5 & families affect$ by h]o91 opioids1 & o!r2 7#b7 by /rik+ p>agraph 7#b7 & ins]t+ ! foll[+3 7#b7 ,regional p>tn]%ip def9$ ,9 ?is subsection1 ! t]m regional p>tn]%ip means a collaborative agreem5t 7:i* may be e/abli%$ on an int]/ate1 ,/ate1 or intra/ate basis7 ent]$ into by ! foll[+3 7,a7 ,m&atory p>tn]s = all p>tn]%ip grants 7i7 ,! ,/ate *ild welf>e ag5cy t is responsible = ! adm9i/ration ( ! ,/ate plan "u ?is "p & "p ,e4 7ii7 ,! ,/ate ag5cy responsible = adm9i/]+ ! sub/ance abuse prev5tion & treatm5t block grant provid$ "u subp>t ,,ii ( "p ,b ( title ,,xix ( ! ,public ,heal? ,s]vice ,act4 7,b7 ,m&atory p>tn]s = p>tn]%ip grants propos+ to s]ve *ildr5 9 out-(-home placem5ts ,if ! p>tn]%ip proposes to s]ve *ildr5 9 out-(-home placem5ts1 ! ,juv5ile ,c\rt or ,adm9i/rative ,(fice ( ! ,c\rt t is mo/ appropriate to ov]see ! adm9i/ration ( c\rt programs 9 ! region to address ! population ( families :o come to ! att5tion ( ! c\rt due to *ild abuse or neglect4 7,c7 ,optional p>tn]s ,at ! option ( ! p>tn]%ip1 any ( ! foll[+3 7i7 ,an ,indian tribe or tribal consortium4 7ii7 ,nonpr(it *ild welf>e s]vice provid]s4 7iii7 ,=-pr(it *ild welf>e s]vice provid]s4 7iv7 ,community heal? s]vice provid]s1 includ+ sub/ance abuse treatm5t provid]s4 7v7 ,community m5tal heal? provid]s4 7vi7 ,local law en=cem5t ag5cies4 7vii7 ,s*ool p]sonnel4 7viii7 ,tribal *ild welf>e ag5cies 7or a consortia ( ! ag5cies74 7ix7 ,any o!r provid]s1 ag5cies1 p]sonnel1 (ficials1 or entities t are relat$ to ! provision ( *ild & family s]vices "u a ,/ate plan approv$ "u ?is subp>t4 7,d7 ,exception = regional p>tn]%ips :]e ! lead applicant is an ,indian tribe or tribal consortia ,if an ,indian tribe or tribal consortium ent]s into a regional p>tn]%ip = purposes ( ?is subsection1 ! ,indian tribe or tribal consortium-- 7i7 may 7b is n requir$ to7 include ! ,/ate *ild welf>e ag5cy z a p>tn] 9 ! collaborative agreem5t2 7ii7 may n ent] into a collaborative agreem5t only ) tribal *ild welf>e ag5cies 7or a consortium ( ! ag5cies72 & 7iii7 if ! condition describ$ 9 p>agraph 7#b77;,b7 applies1 may include tribal c\rt organizations 9 lieu ( o!r judicial p>tn]s4 2 7#c7 9 p>agraph 7#c7-- 7,a7 9 subp>agraph 7,a7-- 7i7 by /rik+ #bjab ?r\gh #bjaf & ins]t+ #bjag ?r\gh #bjba2 & 7ii7 by /rik+ #ejj1jjj & n m ?an #a1jjj1jjj & ins]t+ #bej1jjj & n m ?an #a1jjj1jjj2 7,b7 9 subp>agraph 7,b7-- 7i7 9 ! subp>agraph head+1 by ins]t+ 2 plann+ aft] approval2 7ii7 9 clause 7i71 by /rik+ clause 7ii7 & ins]t+ clauses 7ii7 & 7iii72 & 7iii7 by add+ at ! end ! foll[+3 7iii7 ,suffici5t plann+ ,a grant aw>d$ "u ?is subsection %all be disburs$ 9 two phases3 a plann+ phase 7n to exce$ #b ye>s7 & an implem5tation phase4 ,! total disbursem5t to a grantee = ! plann+ phase may n exce$ #bej1jjj1 & may n exce$ ! total anticipat$ fund+ = ! implem5tation phase4 2 & 7,c7 by add+ at ! end ! foll[+3 7,d7 ,limitation on paym5t = a fiscal ye> ,no paym5t %all be made "u subp>agraph 7,a7 or 7,c7 = a fiscal ye> until ! ,secret>y det]m9es t ! eligible p>tn]%ip has made suffici5t progress 9 meet+ ! goals ( ! grant & t ! memb]s ( ! eligible p>tn]%ip are coord9at+ to a reasonable degree ) ! o!r memb]s ( ! eligible p>tn]%ip4 2 7#d7 9 p>agraph 7#d7-- 7,a7 9 subp>agraph 7,b7-- 7i7 9 clause 7i71 by ins]t+ 1 p>5ts1 & families aft] *ildr52 7ii7 9 clause 7ii71 by /rik+ safety & p]man5ce = su* *ildr52 & & ins]t+ safe1 p]man5t c>egiv+ relation%ips = ! *ildr522 7iii7 9 clause 7iii71 by /rik+ or & ins]t+ increase reunification rates = *ildr5 :o h be5 plac$ 9 out-(-home c>e1 or decrease2 & 7iv7 by r$esignat+ clause 7iii7 z clause 7v7 & ins]t+ aft] clause 7ii7 ! foll[+3 7iii7 improve ! sub/ance abuse treatm5t outcomes = p>5ts includ+ ret5tion 9 treatm5t & successful completion ( treatm5t2 7iv7 facilitate ! implem5tation1 deliv]y1 & effectiv5ess ( prev5tion s]vices & programs "u section #dga7;e72 & 2 7,b7 9 subp>agraph 7,d71 by /rik+ :]e appropriate12 & 7,c7 by /rik+ subp>agraphs 7,e7 & 7,f7 & ins]t+ ! foll[+3 7,e7 ,a description ( a plan = su/a9+ ! s]vices provid$ by or activities fund$ "u ! grant aft] ! conclusion ( ! grant p]iod1 includ+ ?r\gh ! use ( prev5tion s]vices & programs "u section #dga7;e7 & o!r funds provid$ to ! ,/ate = *ild welf>e & sub/ance abuse prev5tion & treatm5t s]vices4 7,f7 ,additional in=mation ne$$ by ! ,secret>y to det]m9e t ! propos$ activities & implem5tation w be consi/5t ) rese>* or evaluations %[+ :i* practices & approa*es are mo/ effective4 2 7#e7 9 p>agraph 7#e77;,a71 by /rik+ abuse treatm5t & ins]t+ use disord] treatm5t includ+ m$ication assi/$ treatm5t & 9-home sub/ance abuse disord] treatm5t & recov]y2 7#f7 9 p>agraph 7#g7-- 7,a7 by /rik+ & at ! end ( subp>agraph 7,c72 & 7,b7 by r$esignat+ subp>agraph 7,d7 z subp>agraph 7,e7 & ins]t+ aft] subp>agraph 7,c7 ! foll[+3 7,d7 demon/rate a track record ( successful collaboration among *ild welf>e1 sub/ance abuse disord] treatm5t & m5tal heal? ag5cies2 & 2 7#g7 9 p>agraph 7#h7-- 7,a7 9 subp>agraph 7,a7-- 7i7 by /rik+ e/abli% indicators t w be & ins]t+ review indicators t are2 & 7ii7 by /rik+ 9 us+ funds made available "u su* grants to a*ieve ! purpose ( ?is subsection & ins]t+ & e/abli% a set ( core indicators relat$ to *ild safety1 p>5tal recov]y1 p>5t+ capacity1 & family well-be+4 ,9 develop+ ! core indicators1 to ! ext5t possible1 indicators %all be made consi/5t ) ! outcome measures describ$ 9 section #dga7;e77#f72 & 7,b7 9 subp>agraph 7,b7-- 7i7 9 ! matt] prec$+ clause 7i71 by ins]t+ base ! p]=mance measures on lessons le>n$ f prior r\nds ( regional p>tn]%ip grants "u ?is subsection1 & be=e consult2 & 7ii7 by /rik+ clauses 7iii7 & 7iv7 & ins]t+ ! foll[+3 7iii7 ,o!r /akehold]s or con/itu5cies z det]m9$ by ! ,secret>y4 2 7#h7 9 p>agraph 7#i77;,a71 by /rik+ clause 7i7 & ins]t+ ! foll[+3 7i7 ,semiannual reports ,n lat] ?an ,septemb] #cj ( ea* fiscal ye> 9 :i* a recipi5t ( a grant "u ?is subsection is paid funds "u ! grant1 & e #f mon?s !reaft]1 ! grant recipi5t %all submit to ! ,secret>y a report on ! s]vices provid$ & activities c>ri$ out dur+ ! report+ p]iod1 progress made 9 a*iev+ ! goals ( ! program1 ! numb] ( *ildr51 adults1 & families receiv+ s]vices1 & su* additional in=mation z ! ,secret>y det]m9es is necess>y4 ,! report due n lat] ?an ,septemb] #cj ( ! la/ su* fiscal ye> %all include1 at a m9imum1 data on ea* ( ! p]=mance indicators includ$ 9 ! evaluation ( ! regional p>tn]%ip4 2 & 7#i7 9 p>agraph 7#aj71 by /rik+ #bjab ?r\gh #bjaf & ins]t+ #bjag ?r\gh #bjba4 ,c ,miscellane\s #bfda4 ,review+ & improv+ lic5s+ /&>ds = placem5t 9 a relative fo/] family home 7a7 ,id5tification ( reputable model lic5s+ /&>ds ,n lat] ?an ,octob] #a1 #bjah1 ! ,secret>y ( ,heal? & ,human ,s]vices %all id5tify reputable model lic5s+ /&>ds ) respect to ! lic5s+ ( fo/] family homes 7z def9$ 9 section #dgb7;c77#a7 ( ! ,social ,security ,act74 7b7 ,/ate plan requirem5t ,section #dga7;a7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #fga7;a77 is am5d$-- 7#a7 9 p>agraph 7#cd77;,b71 by /rik+ & aft] ! semicolon2 7#b7 9 p>agraph 7#ce77;,b71 by /rik+ ! p]iod at ! end & ins]t+ a semicolon2 & 7#c7 by add+ at ! end ! foll[+3 7#cf7 provides t1 n lat] ?an ,april #a1 #bjai1 ! ,/ate %all submit to ! ,secret>y in=mation address+-- 7,a7 :e!r ! ,/ate lic5s+ /&>ds are 9 accord ) model /&>ds id5tifi$ by ! ,secret>y1 & if n1 ! reason = ! specific deviation & a description z to :y hav+ a /&>d t is reasonably 9 accord ) ! correspond+ national model /&>ds is n appropriate = ! ,/ate2 7,b7 :e!r ! ,/ate has elect$ to waive /&>ds e/abli%$ 9 #dga7;a77#aj77;,a7 = relative fo/] family homes 7pursuant to waiv] au?ority provid$ by #dga7;a77#aj77;,d771 a description ( :i* /&>ds ! ,/ate mo/ commonly waives1 & if ! ,/ate has n elect$ to waive ! /&>ds1 ! reason = n waiv+ ^! /&>ds2 7,c7 if ! ,/ate has elect$ to waive /&>ds specifi$ 9 subp>agraph 7,b71 h[ casework]s are tra9$ to use ! waiv] au?ority & :e!r ! ,/ate has develop$ a process or provid$ tools to assi/ casework]s 9 waiv+ nonsafety /&>ds p] ! au?ority provid$ 9 #dga7;a77#aj77;,d7 to quickly place *ildr5 ) relatives2 & 7,d7 a description ( ! /eps ! ,/ate is tak+ to improve casework] tra9+ or ! process1 if any2 & 4 #bfdb4 ,developm5t ( a /atewide plan to prev5t *ild abuse & neglect fatalities ,section #dbb7;b77#ai7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #fbb7;b77#ai77 is am5d$ to read z foll[s3 7#ai7 docum5t /eps tak5 to track & prev5t *ild maltreatm5t dea?s by includ+-- 7,a7 a description ( ! /eps ! ,/ate is tak+ to compile complete & accurate in=mation on ! dea?s requir$ by ,f$]al law to be report$ by ! ,/ate ag5cy ref]r$ to 9 p>agraph 7#a71 includ+ ga!r+ relevant in=mation on ! dea?s f ! relevant organizations 9 ! ,/ate includ+ entities su* z ,/ate vital /ati/ics dep>tm5t1 *ild dea? review teams1 law en=cem5t ag5cies1 (fices ( m$ical exam9]s1 or coron]s2 & 7,b7 a description ( ! /eps ! ,/ate is tak+ to develop & implem5t a compreh5sive1 /atewide plan to prev5t ! fatalities t involves & engages relevant public & private ag5cy p>tn]s1 includ+ ^? 9 public heal?1 law en=cem5t1 & ! c\rts4 4 #bfdc4 ,mod]niz+ ! title & purpose ( title ,,iv-,e 7a7 ,"p head+ ,! head+ = "p ,e ( title ,,iv ( ! ,social ,security ,act 7#db ,u4,s4,c4 #fgj et seq47 is am5d$ to read z foll[s3 ,e ,f$]al ,paym5ts = ,fo/] ,c>e1 ,prev5tion1 & ,p]man5cy 4 7b7 ,purpose ,! fir/ s5t5ce ( section #dgj ( su* ,act 7#db ,u4,s4,c4 #fgj7 is am5d$-- 7#a7 by /rik+ #aiie7 & & ins]t+ #aiie712 7#b7 by ins]t+ k9%ip gu>dian%ip assi/ance1 & prev5tion s]vices or programs specifi$ 9 section #dga7;e77#a71 aft] ne$s12 & 7#c7 by /rik+ 7comm5c+ ) ! fiscal ye> :i* beg9s ,octob] #a1 #aihj74 #bfdd4 ,effective dates 7a7 ,effective dates 7#a7 ,9 g5]al ,except z provid$ 9 p>agraph 7#b71 subject to subsection 7b71 ! am5dm5ts made by ?is *apt] %all take effect on ,octob] #a1 #bjah4 7#b7 ,exceptions ,! am5dm5ts made by sections #bfba7;d71 #bfda1 & #bfdc %all take effect on ! date ( enactm5t ( ?is ,act4 7b7 ,transition rule 7#a7 ,9 g5]al ,9 ! case ( a ,/ate plan "u "p ,b or ,e ( title ,,iv ( ! ,social ,security ,act :i* ! ,secret>y ( ,heal? & ,human ,s]vices det]m9es requires ,/ate legislation 7o!r ?an legislation appropriat+ funds7 9 ord] = ! plan to meet ! additional requirem5ts impos$ by ! am5dm5ts made by ?is *apt]1 ! ,/ate plan %all n be reg>d$ z fail+ to comply ) ! requirem5ts ( su* "p solely on ! basis ( ! failure ( ! plan to meet su* additional requirem5ts be=e ! fir/ day ( ! fir/ cal5d> qu>t] beg9n+ aft] ! close ( ! fir/ regul> session ( ! ,/ate legislature t beg9s aft] ! date ( enactm5t ( ?is ,act4 ,= purposes ( ! previ\s s5t5ce1 9 ! case ( a ,/ate t has a #b-ye> legislative session1 ea* ye> ( ! session %all be deem$ to be a sep>ate regul> session ( ! ,/ate legislature4 7#b7 ,application to programs op]at$ by ,indian tribal organizations ,9 ! case ( an ,indian tribe1 tribal organization1 or tribal consortium :i* ! ,secret>y ( ,heal? & ,human ,s]vices det]m9es requires "t to take action necess>y to comply ) ! additional requirem5ts impos$ by ! am5dm5ts made by ?is *apt] 7:e!r ! tribe1 organization1 or tribal consortium has a plan "u section #dgi;,b ( ! ,social ,security ,act or a coop]ative agreem5t or contract ent]$ into ) a ,/ate71 ! ,secret>y %all provide ! tribe1 organization1 or tribal consortium ) su* additional "t z ! ,secret>y det]m9es is necess>y = ! tribe1 organization1 or tribal consortium to take ! action to comply ) ! additional requirem5ts be=e be+ reg>d$ z fail+ to comply ) ! requirem5ts4 #b ,ensur+ ! necessity ( a placem5t t is n 9 a fo/] family home #bfea4 ,limitation on ,f$]al f9ancial p>ticipation = placem5ts t are n 9 fo/] family homes 7a7 ,limitation on ,f$]al f9ancial p>ticipation 7#a7 ,9 g5]al ,section #dgb ( ! ,social ,security ,act 7#db ,u4,s4,c4 #fgb71 z am5d$ by section #bfbb ( ?is ,act1 is am5d$-- 7,a7 9 subsection 7a77#b77;,c71 by ins]t+ 1 b only to ! ext5t p]mitt$ "u subsection 7k7 aft] in/itution2 & 7,b7 by add+ at ! end ! foll[+3 7k7 ,limitation on ,f$]al f9ancial p>ticipation 7#a7 ,9 g5]al ,beg9n+ ) ! ?ird week = :i* fo/] c>e ma9t5ance paym5ts are made "u ?is section on behalf ( a *ild plac$ 9 a *ild-c>e in/itution1 no ,f$]al paym5t %all be made to ! ,/ate "u section #dgd7;a77#a7 = am\nts exp5d$ = fo/] c>e ma9t5ance paym5ts on behalf ( ! *ild unless-- 7,a7 ! *ild is plac$ 9 a *ild-c>e in/itution t is a sett+ specifi$ 9 p>agraph 7#b7 7or is plac$ 9 a lic5s$ resid5tial family-bas$ treatm5t facility consi/5t ) subsection 7j772 & 7,b7 9 ! case ( a *ild plac$ 9 a qualifi$ resid5tial treatm5t program 7z def9$ 9 p>agraph 7#d771 ! requirem5ts specifi$ 9 p>agraph 7#c7 & section #dge;,a7c7 are met4 7#b7 ,specifi$ sett+s = placem5t ,! sett+s = placem5t specifi$ 9 ?is p>agraph are ! foll[+3 7,a7 ,a qualifi$ resid5tial treatm5t program 7z def9$ 9 p>agraph 7#d774 7,b7 ,a sett+ specializ+ 9 provid+ pr5atal1 po/-p>tum1 or p>5t+ supports = y\?4 7,c7 ,9 ! case ( a *ild :o has atta9$ #ah ye>s ( age1 a sup]vis$ sett+ 9 :i* ! *ild is liv+ indep5d5tly4 7,d7 ,a sett+ provid+ high-quality resid5tial c>e & supportive s]vices to *ildr5 & y\? :o h be5 f\nd to be1 or are at risk ( becom+1 sex traffick+ victims1 9 accordance ) section #dga7;a77#i77;,c74 7#c7 ,assessm5t to det]m9e appropriat5ess ( placem5t 9 a qualifi$ resid5tial treatm5t program 7,a7 ,deadl9e = assessm5t ,9 ! case ( a *ild :o is plac$ 9 a qualifi$ resid5tial treatm5t program1 if ! assessm5t requir$ "u section #dge;,a7c77#a7 is n complet$ )9 #cj days aft] ! placem5t is made1 no ,f$]al paym5t %all be made to ! ,/ate "u section #dgd7;a77#a7 = any am\nts exp5d$ = fo/] c>e ma9t5ance paym5ts on behalf ( ! *ild dur+ ! placem5t4 7,b7 ,deadl9e = transition out ( placem5t ,if ! assessm5t requir$ "u section #dge;,a7c77#a7 det]m9es t ! placem5t ( a *ild 9 a qualifi$ resid5tial treatm5t program is n appropriate1 a c\rt disapproves su* a placem5t "u section #dge;,a7c77#b71 or a *ild :o has be5 9 an approv$ placem5t 9 a qualifi$ resid5tial treatm5t program is go+ to return home or be plac$ ) a fit & will+ relative1 a legal gu>dian1 or an adoptive p>5t1 or 9 a fo/] family home1 ,f$]al paym5ts %all be made to ! ,/ate "u section #dgd7;a77#a7 = am\nts exp5d$ = fo/] c>e ma9t5ance paym5ts on behalf ( ! *ild :ile ! *ild rema9s 9 ! qualifi$ resid5tial treatm5t program only dur+ ! p]iod necess>y = ! *ild to transition home or to su* a placem5t4 ,9 no ev5t %all a ,/ate receive ,f$]al paym5ts "u section #dgd7;a77#a7 = am\nts exp5d$ = fo/] c>e ma9t5ance paym5ts on behalf ( a *ild :o rema9s plac$ 9 a qualifi$ resid5tial treatm5t program aft] ! end ( ! #cj-;day p]iod t beg9s on ! date a det]m9ation is made t ! placem5t is no long] ! recomm5d$ or approv$ placem5t = ! *ild4 7#d7 ,qualifi$ resid5tial treatm5t program ,= purposes ( ?is "p1 ! t]m qualifi$ resid5tial treatm5t program means a program t-- 7,a7 has a trauma-in=m$ treatm5t model t is design$ to address ! ne$s1 includ+ cl9ical ne$s z appropriate1 ( *ildr5 ) s]i\s emotional or behavioral disord]s or di/urbances &1 ) respect to a *ild1 is able to implem5t ! treatm5t id5tifi$ = ! *ild by ! assessm5t ( ! *ild requir$ "u section #dge;,a7c72 7,b7 subject to p>agraphs 7#e7 & 7#f71 has regi/]$ or lic5s$ nurs+ /aff & o!r lic5s$ cl9ical /aff :o-- 7i7 provide c>e )9 ! scope ( _! practice z def9$ by ,/ate law2 7ii7 are on-site 9 accordance ) ! treatm5t model ref]r$ to 9 subp>agraph 7,a72 & 7iii7 are available #bd h\rs a day & #g days a week2 7,c7 to ext5t appropriate1 & 9 accordance ) ! *ild's be/ int]e/s1 facilitates p>ticipation ( family memb]s 9 ! *ild's treatm5t program2 7,d7 facilitates outrea* to ! family memb]s ( ! *ild1 includ+ sibl+s1 docum5ts h[ ! outrea* is made 7includ+ contact in=mation71 & ma9ta9s contact in=mation = any kn[n biological family & fictive k9 ( ! *ild2 7,e7 docum5ts h[ family memb]s are integrat$ into ! treatm5t process = ! *ild1 includ+ po/-dis*>ge1 & h[ sibl+ connections are ma9ta9$2 7,f7 provides dis*>ge plann+ & family-bas$ aft]c>e support = at lea/ #f mon?s po/-dis*>ge2 & 7,g7 is lic5s$ 9 accordance ) section #dga7;a77#aj7 & is accr$it$ by any ( ! foll[+ indep5d5t1 n-=-pr(it organizations3 7i7 ,! ,commission on ,accr$itation ( ,rehabilitation ,facilities 7,,c>f74 7ii7 ,! ,jo9t ,commission on ,accr$itation ( ,heal?c>e ,organizations 7,,jcaho74 7iii7 ,! ,c\ncil on ,accr$itation 7,,coa74 7iv7 ,any o!r indep5d5t1 n-=-pr(it accr$it+ organization approv$ by ! ,secret>y4 7#e7 ,adm9i/rative co/s ,! prohibition 9 p>agraph 7#a7 on ,f$]al paym5ts "u section #dgd7;a77#a7 %all n be con/ru$ z prohibit+ ,f$]al paym5ts = adm9i/rative exp5ditures incurr$ on behalf ( a *ild plac$ 9 a *ild-c>e in/itution & = :i* paym5t is available "u section #dgd7;a77#c74 7#f7 ,rule ( con/ruction ,! requirem5ts 9 p>agraph 7#d77;,b7 %all n be con/ru$ z requir+ a qualifi$ resid5tial treatm5t program to acquire nurs+ & behavioral heal? /aff solely ?r\gh means ( a direct employ] to employee relation%ip4 4 7#b7 ,con=m+ am5dm5t ,section #dgd7;a77#a7 ( su* ,act 7#db ,u4,s4,c4 #fgd7;a77#a771 z am5d$ by section #bfbb7;b7 ( ?is ,act1 is am5d$ by /rik+ section #dgb7;j7 & ins]t+ subsections 7j7 & 7k7 ( section #dgb4 7b7 ,def9ition ( fo/] family home1 *ild-c>e in/itution ,section #dgb7;c7 ( su* ,act 7#db ,u4,s4,c4 #fgb7;c77#a77 is am5d$ to read z foll[s3 7c7 ,def9itions ,= purposes ( ?is "p3 7#a7 ,fo/] family home 7,a7 ,9 g5]al ,! t]m fo/] family home means ! home ( an individual or family-- 7i7 t is lic5s$ or approv$ by ! ,/ate 9 :i* x is situat$ z a fo/] family home t meets ! /&>ds e/abli%$ = ! lic5s+ or approval2 & 7ii7 9 :i* a *ild 9 fo/] c>e has be5 plac$ 9 ! c>e ( an individual1 :o resides ) ! *ild & :o has be5 lic5s$ or approv$ by ! ,/ate to be a fo/] p>5t-- 7,i7 t ! ,/ate deems capable ( adh]+ to ! reasonable & prud5t p>5t /&>d2 7,,ii7 t provides #bd-;h\r sub/itute c>e = *ildr5 plac$ away f _! p>5ts or o!r c>etak]s2 & 7,,iii7 t provides ! c>e = n m ?an six *ildr5 9 fo/] c>e4 7,b7 ,/ate flexibility ,! numb] ( fo/] *ildr5 t may be c>$ = 9 a home "u subp>agraph 7,a7 may exce$ ! num]ical limitation 9 subp>agraph 7,a77ii77,,iii71 at ! option ( ! ,/ate1 = any ( ! foll[+ reasons3 7i7 ,to all[ a p>5t+ y\? 9 fo/] c>e to rema9 ) ! *ild ( ! p>5t+ y\?4 7ii7 ,to all[ sibl+s to rema9 toge!r4 7iii7 ,to all[ a *ild ) an e/abli%$ mean+ful relation%ip ) ! family to rema9 ) ! family4 7iv7 ,to all[ a family ) special tra9+ or skills to provide c>e to a *ild :o has a sev]e disability4 7,c7 ,rule ( con/ruction ,subp>agraph 7,a7 %all n be con/ru$ z prohibit+ a fo/] p>5t f r5t+ ! home 9 :i* ! p>5t c>es = a fo/] *ild plac$ 9 ! p>5t's c>e4 7#b7 ,*ild-c>e in/itution 7,a7 ,9 g5]al ,! t]m *ild-c>e in/itution means a private *ild-c>e in/itution1 or a public *ild-c>e in/itution :i* accommodates no m ?an #be *ildr51 :i* is lic5s$ by ! ,/ate 9 :i* x is situat$ or has be5 approv$ by ! ag5cy ( ! ,/ate responsible = lic5s+ or approval ( in/itutions ( ?is type z meet+ ! /&>ds e/abli%$ = ! lic5s+4 7,b7 ,sup]vis$ sett+s ,9 ! case ( a *ild :o has atta9$ #ah ye>s ( age1 ! t]m %all include a sup]vis$ sett+ 9 :i* ! individual is liv+ indep5d5tly1 9 accordance ) su* conditions z ! ,secret>y %all e/abli% 9 regulations4 7,c7 ,exclusions ,! t]m %all n include det5tion facilities1 =e/ry camps1 tra9+ s*ools1 or any o!r facility op]at$ prim>ily = ! det5tion ( *ildr5 :o are det]m9$ to be del9qu5t4 4 7c7 ,tra9+ = /ate judges1 attorneys1 & o!r legal p]sonnel 9 *ild welf>e cases ,section #dch7;b77#a7 ( su* ,act 7#db ,u4,s4,c4 #fbi;h7b77#a77 is am5d$ 9 ! matt] prec$+ subp>agraph 7,a7 by ins]t+ %all provide = ! tra9+ ( judges1 attorneys1 & o!r legal p]sonnel 9 *ild welf>e cases on ,f$]al *ild welf>e policies & paym5t limitations ) respect to *ildr5 9 fo/] c>e :o are plac$ 9 sett+s t are n a fo/] family home1 aft] ) respect to ! *ild14 7d7 ,assurance ( nonimpact on juv5ile ju/ice sy/em 7#a7 ,/ate plan requirem5t ,section #dga7;a7 ( su* ,act 7#db ,u4,s4,c4 #fga7;a771 z am5d$ by section #bfda ( ?is ,act1 is fur!r am5d$ by add+ at ! end ! foll[+3 7#cg7 includes a c]tification t1 9 response to ! limitation impos$ "u section #dgb7k7 ) respect to fo/] c>e ma9t5ance paym5ts made on behalf ( any *ild :o is plac$ 9 a sett+ t is n a fo/] family home1 ! ,/ate w n enact or advance policies or practices t w\ld result 9 a significant increase 9 ! population ( y\? 9 ! ,/ate's juv5ile ju/ice sy/em4 4 7#b7 ,,gao /udy & report ,! ,comptroll] ,g5]al ( ! ,unit$ ,/ates %all evaluate ! impact1 if any1 on ,/ate juv5ile ju/ice sy/ems ( ! limitation impos$ "u section #dgb7k7 ( ! ,social ,security ,act 7z add$ by subsection 7a77#a7 ( ?is section7 on fo/] c>e ma9t5ance paym5ts made on behalf ( any *ild :o is plac$ 9 a sett+ t is n a fo/] family home1 9 accordance ) ! am5dm5ts made by subsections 7a7 & 7b7 ( ?is section4 ,9 p>ticul>1 ! ,comptroll] ,g5]al %all evaluate ! ext5t to :i* *ildr5 9 fo/] c>e :o also are subject to ! juv5ile ju/ice sy/em ( ! ,/ate are plac$ 9 a facility "u ! jurisdiction ( ! juv5ile ju/ice sy/em & :e!r ! lack ( available congregate c>e placem5ts "u ! jurisdiction ( ! *ild welf>e sy/ems is a contribut+ factor to t result4 ,n lat] ?an ,decemb] #ca1 #bjbd1 ! ,comptroll] ,g5]al %all submit to ,congress a report on ! results ( ! evaluation4 #bfeb4 ,assessm5t & docum5tation ( ! ne$ = placem5t 9 a qualifi$ resid5tial treatm5t program ,section #dge;,a ( ! ,social ,security ,act 7#db ,u4,s4,c4 #fge;a7 is am5d$ by add+ at ! end ! foll[+3 7c7 ,assessm5t1 docum5tation1 & judicial det]m9ation requirem5ts = placem5t 9 a qualifi$ resid5tial treatm5t program ,9 ! case ( any *ild :o is plac$ 9 a qualifi$ resid5tial treatm5t program 7z def9$ 9 section #dgb7k77#d771 ! foll[+ requirem5ts %all apply = purposes ( approv+ ! case plan = ! *ild & ! case sy/em review proc$ure = ! *ild3 7#a7 7,a7 ,)9 #cj days ( ! />t ( ea* placem5t 9 su* a sett+1 a qualifi$ individual 7z def9$ 9 subp>agraph 7,d77 %all-- 7i7 assess ! /r5g?s & ne$s ( ! *ild us+ an age-appropriate1 evid5ce-bas$1 validat$1 functional assessm5t tool approv$ by ! ,secret>y2 7ii7 det]m9e :e!r ! ne$s ( ! *ild c be met ) family memb]s or ?r\gh placem5t 9 a fo/] family home or1 if n1 :i* sett+ f among ! sett+s specifi$ 9 section #dgb7k77#b7 w\ld provide ! mo/ effective & appropriate level ( c>e = ! *ild 9 ! lea/ re/rictive environm5t & be consi/5t ) ! %ort- & long-t]m goals = ! *ild1 z specifi$ 9 ! p]man5cy plan = ! *ild2 & 7iii7 develop a li/ ( *ild-specific %ort- & long-t]m m5tal & behavioral heal? goals4 7,b7 7i7 ,! ,/ate %all assemble a family & p]man5cy team = ! *ild 9 accordance ) ! requirem5ts ( clauses 7ii7 & 7iii74 ,! qualifi$ individual conduct+ ! assessm5t requir$ "u subp>agraph 7,a7 %all "w 9 conjunction ) ! family (1 & p]man5cy team =1 ! *ild :ile conduct+ & mak+ ! assessm5t4 7ii7 ,! family & p]man5cy team %all consi/ ( all appropriate biological family memb]s1 relative1 & fictive k9 ( ! *ild1 z well z1 z appropriate1 pr(essionals :o are a res\rce to ! family ( ! *ild1 su* z tea*]s1 m$ical or m5tal heal? provid]s :o h treat$ ! *ild1 or cl]gy4 ,9 ! case ( a *ild :o has atta9$ age #ad1 ! family & p]man5cy team %all include ! memb]s ( ! p]man5cy plann+ team = ! *ild t are select$ by ! *ild 9 accordance ) section #dge7e77;,c77iv74 7iii7 ,! ,/ate %all docum5t 9 ! *ild's case plan-- 7,i7 ! reasonable & good fai? ef=t ( ! ,/ate to id5tify & include all su* individuals on ! family (1 & p]man5cy team =1 ! *ild2 7,,ii7 all contact in=mation = memb]s ( ! family & p]man5cy team1 z well z contact in=mation = o!r family memb]s & fictive k9 :o are n "p ( ! family & p]man5cy team2 7,,iii7 evid5ce t meet+s ( ! family & p]man5cy team1 includ+ meet+s relat+ to ! assessm5t requir$ "u subp>agraph 7,a71 are held at a "t & place conv5i5t = family2 7,,iv7 if reunification is ! goal1 evid5ce demon/rat+ t ! p>5t f :om ! *ild 0 remov$ provid$ input on ! memb]s ( ! family & p]man5cy team2 7,v7 evid5ce t ! assessm5t requir$ "u subp>agraph 7,a7 is det]m9$ 9 conjunction ) ! family & p]man5cy team2 7,,vi7 ! placem5t pref]5ces ( ! family & p]man5cy team relative to ! assessm5t t recognizes *ildr5 %\ld be plac$ ) _! sibl+s unless !re is a f9d+ by ! c\rt t su* placem5t is contr>y to _! be/ int]e/2 & 7,,vii7 if ! placem5t pref]5ces ( ! family & p]man5cy team & *ild are n ! placem5t sett+ recomm5d$ by ! qualifi$ individual conduct+ ! assessm5t "u subp>agraph 7,a71 ! reasons :y ! pref]5ces ( ! team & ( ! *ild 7 n recomm5d$4 7,c7 ,9 ! case ( a *ild :o ! qualifi$ individual conduct+ ! assessm5t "u subp>agraph 7,a7 det]m9es %\ld n be plac$ 9 a fo/] family home1 ! qualifi$ individual %all specify 9 writ+ ! reasons :y ! ne$s ( ! *ild _c be met by ! family ( ! *ild or 9 a fo/] family home4 ,a %ortage or lack ( fo/] family homes %all n be an acceptable reason = det]m9+ t ! ne$s ( ! *ild _c be met 9 a fo/] family home4 ,! qualifi$ individual also %all specify 9 writ+ :y ! recomm5d$ placem5t 9 a qualifi$ resid5tial treatm5t program is ! sett+ t w provide ! *ild ) ! mo/ effective & appropriate level ( c>e 9 ! lea/ re/rictive environm5t & h[ t placem5t is consi/5t ) ! %ort- & long-t]m goals = ! *ild1 z specifi$ 9 ! p]man5cy plan = ! *ild4 7,d7 7i7 ,subject to clause 7ii71 9 ?is subsection1 ! t]m qualifi$ individual means a tra9$ pr(essional or lic5s$ cl9ician :o is n an employee ( ! ,/ate ag5cy & :o is n connect$ to1 or affiliat$ )1 any placem5t sett+ 9 :i* *ildr5 are plac$ by ! ,/ate4 7ii7 ,! ,secret>y may approve a reque/ ( a ,/ate to waive any requirem5t 9 clause 7i7 ^u a submission by ! ,/ate1 9 accordance ) crit]ia e/abli%$ by ! ,secret>y1 t c]tifies t ! tra9$ pr(essionals or lic5s$ cl9icians ) responsibility = p]=m+ ! assessm5ts describ$ 9 subp>agraph 7,a7 %all ma9ta9 objectivity ) respect to det]m9+ ! mo/ effective & appropriate placem5t = a *ild4 7#b7 ,)9 #fj days ( ! />t ( ea* placem5t 9 a qualifi$ resid5tial treatm5t program1 a family or juv5ile c\rt or ano!r c\rt 7includ+ a tribal c\rt7 ( compet5t jurisdiction1 or an adm9i/rative body appo9t$ or approv$ by ! c\rt1 indep5d5tly1 %all-- 7,a7 consid] ! assessm5t1 det]m9ation1 & docum5tation made by ! qualifi$ individual conduct+ ! assessm5t "u p>agraph 7#a72 7,b7 det]m9e :e!r ! ne$s ( ! *ild c be met ?r\gh placem5t 9 a fo/] family home or1 if n1 :e!r placem5t ( ! *ild 9 a qualifi$ resid5tial treatm5t program provides ! mo/ effective & appropriate level ( c>e = ! *ild 9 ! lea/ re/rictive environm5t & :e!r t placem5t is consi/5t ) ! %ort- & long-t]m goals = ! *ild1 z specifi$ 9 ! p]man5cy plan = ! *ild2 & 7,c7 approve or disapprove ! placem5t4 7#c7 ,! writt5 docum5tation made "u p>agraph 7#a77;,c7 & docum5tation ( ! det]m9ation & approval or disapproval ( ! placem5t 9 a qualifi$ resid5tial treatm5t program by a c\rt or adm9i/rative body "u p>agraph 7#b7 %all be includ$ 9 & made "p ( ! case plan = ! *ild4 7#d7 ,z long z a *ild rema9s plac$ 9 a qualifi$ resid5tial treatm5t program1 ! ,/ate ag5cy %all submit evid5ce at ea* /atus review & ea* p]man5cy he>+ held ) respect to ! *ild-- 7,a7 demon/rat+ t ongo+ assessm5t ( ! /r5g?s & ne$s ( ! *ild cont9ues to support ! det]m9ation t ! ne$s ( ! *ild _c be met ?r\gh placem5t 9 a fo/] family home1 t ! placem5t 9 a qualifi$ resid5tial treatm5t program provides ! mo/ effective & appropriate level ( c>e = ! *ild 9 ! lea/ re/rictive environm5t1 & t ! placem5t is consi/5t ) ! %ort- & long-t]m goals = ! *ild1 z specifi$ 9 ! p]man5cy plan = ! *ild2 7,b7 docum5t+ ! specific treatm5t or s]vice ne$s t w be met = ! *ild 9 ! placem5t & ! l5g? ( "t ! *ild is expect$ to ne$ ! treatm5t or s]vices2 & 7,c7 docum5t+ ! ef=ts made by ! ,/ate ag5cy to prep>e ! *ild to return home or to be plac$ ) a fit & will+ relative1 a legal gu>dian1 or an adoptive p>5t1 or 9 a fo/] family home4 7#e7 ,9 ! case ( any *ild :o is plac$ 9 a qualifi$ resid5tial treatm5t program = m ?an #ab consecutive mon?s or #ah nonconsecutive mon?s 7or1 9 ! case ( a *ild :o has n atta9$ age #ac1 = m ?an #f consecutive or nonconsecutive mon?s71 ! ,/ate ag5cy %all submit to ! ,secret>y-- 7,a7 ! mo/ rec5t v]sions ( ! evid5ce & docum5tation specifi$ 9 p>agraph 7#d72 & 7,b7 ! sign$ approval ( ! head ( ! ,/ate ag5cy = ! cont9u$ placem5t ( ! *ild 9 t sett+4 4 #bfec4 ,protocols to prev5t inappropriate diagnoses 7a7 ,/ate plan requirem5t ,section #dbb7;b77#ae77;,a7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #fbb7;b77#ae77;,a77 is am5d$-- 7#a7 9 clause 7vi71 by /rik+ & aft] ! semicolon2 7#b7 by r$esignat+ clause 7vii7 z clause 7viii72 & 7#c7 by ins]t+ aft] clause 7vi7 ! foll[+3 7vii7 ! proc$ures & protocols ! ,/ate has e/abli%$ to ensure t *ildr5 9 fo/] c>e placem5ts are n inappropriately diagnos$ ) m5tal illness1 o!r emotional or behavioral disord]s1 m$ically fragile conditions1 or developm5tal disabilities1 & plac$ 9 sett+s t are n fo/] family homes z a result ( ! inappropriate diagnoses2 & 4 7b7 ,evaluation ,section #dgf ( su* ,act 7#db ,u4,s4,c4 #fgf71 z am5d$ by section #bfba7;d7 ( ?is ,act1 is fur!r am5d$ by add+ at ! end ! foll[+3 7e7 ,evaluation ( ,/ate proc$ures & protocols to prev5t inappropriate diagnoses ( m5tal illness or o!r conditions ,! ,secret>y %all conduct an evaluation ( ! proc$ures & protocols e/abli%$ by ,/ates 9 accordance ) ! requirem5ts ( section #dbb7;b77#ae77;,a77vii74 ,! evaluation %all analyze ! ext5t to :i* ,/ates comply ) & en=ce ! proc$ures & protocols & ! effectiv5ess ( v>i\s ,/ate proc$ures & protocols & %all id5tify be/ practices4 ,n lat] ?an ,janu>y #a1 #bjbj1 ! ,secret>y %all submit a report on ! results ( ! evaluation to ,congress4 4 #bfed4 ,additional data & reports reg>d+ *ildr5 plac$ 9 a sett+ t is n a fo/] family home ,section #dgi;,a7a77#g77;,a7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #fgi;b7a77#g77;,a77 is am5d$ by /rik+ clauses 7i7 ?r\gh 7vi7 & ins]t+ ! foll[+3 7i7 ) respect to ea* su* placem5t-- 7,i7 ! type ( ! placem5t sett+1 includ+ :e!r ! placem5t is %elt] c>e1 a gr\p home & if s1 ! range ( ! *ild population 9 ! home1 a resid5tial treatm5t facility1 a hospital or in/itution provid+ m$ical1 rehabilitative1 or psy*iatric c>e1 a sett+ specializ+ 9 provid+ pr5atal1 po/-p>tum1 or p>5t+ supports1 or "s o!r k9d ( *ild-c>e in/itution & if s1 :at k9d2 7,,ii7 ! numb] ( *ildr5 9 ! placem5t sett+ & ! age1 race1 e?nicity1 & g5d] ( ea* ( ! *ildr52 7,,iii7 = ea* *ild 9 ! placem5t sett+1 ! l5g? ( ! placem5t ( ! *ild 9 ! sett+1 :e!r ! placem5t ( ! *ild 9 ! sett+ is ! fir/ placem5t ( ! *ild & if n1 ! numb] & type ( previ\s placem5ts ( ! *ild1 & :e!r ! *ild has special ne$s or ano!r diagnos$ m5tal or physical illness or condition2 & 7,,iv7 ! ext5t ( any specializ$ education1 treatm5t1 c\nsel+1 or o!r s]vices provid$ 9 ! sett+2 & 7ii7 sep>ately1 ! numb] & ages ( *ildr5 9 ! placem5ts :o h a p]man5cy plan ( ano!r plann$ p]man5t liv+ arrangem5t2 & 4 #bfee4 ,crim9al records *ecks & *ecks ( *ild abuse & neglect regi/ries = adults work+ 9 *ild-c>e in/itutions & o!r gr\p c>e sett+s 7a7 ,/ate plan requirem5t ,section #dga7;a77#bj7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #fga7;a77#bj77 is am5d$-- 7#a7 9 ea* ( subp>agraphs 7,a77ii7 & 7,b77iii71 by /rik+ & aft] ! semicolon2 7#b7 9 subp>agraph 7,c71 by add+ & aft] ! semicolon2 & 7#c7 by ins]t+ aft] subp>agraph 7,c7 ! foll[+3 7,d7 provides proc$ures = any *ild c>e in/itution1 includ+ a gr\p home1 resid5tial treatm5t c5t]1 %elt]1 or o!r congregate c>e sett+1 to conduct crim9al records *ecks1 includ+ f+]pr9t-bas$ *ecks ( national crime in=mation databases 7z def9$ 9 section #ecd7;f77#c77;,a7 ( title #bh1 ,unit$ ,/ates ,code71 & *ecks describ$ 9 subp>agraph 7,b7 ( ?is p>agraph1 on any adult work+ 9 a *ild-c>e in/itution1 includ+ a gr\p home1 resid5tial treatm5t c5t]1 %elt]1 or o!r congregate c>e sett+1 unless ! ,/ate reports to ! ,secret>y ! alt]native crim9al records *ecks & *ild abuse regi/ry *ecks ! ,/ate conducts on any adult work+ 9 a *ild-c>e in/itution1 includ+ a gr\p home1 resid5tial treatm5t c5t]1 %elt]1 or o!r congregate c>e sett+1 & :y ! *ecks specifi$ 9 ?is subp>agraph are n appropriate = ! ,/ate2 4 7b7 ,te*nical am5dm5ts ,subp>agraphs 7,a7 & 7,c7 ( section #dga7;a77#bj7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #fga7;a77#bj77 are ea* am5d$ by /rik+ section #ecd7;e77#c77;,a7 & ins]t+ section #ecd7;f77#c77;,a74 #bfef4 ,effective dates2 application to waiv]s 7a7 ,effective dates 7#a7 ,9 g5]al ,subject to p>agraph 7#b7 & subsections 7b7 ?r\gh 7d71 ! am5dm5ts made by ?is *apt] %all take effect on ,janu>y #a1 #bjah4 7#b7 ,transition rule ,9 ! case ( a ,/ate plan "u "p ,b or ,e ( title ,,iv ( ! ,social ,security ,act :i* ! ,secret>y ( ,heal? & ,human ,s]vices det]m9es requires ,/ate legislation 7o!r ?an legislation appropriat+ funds7 9 ord] = ! plan to meet ! additional requirem5ts impos$ by ! am5dm5ts made by ?is *apt]1 ! ,/ate plan %all n be reg>d$ z fail+ to comply ) ! requirem5ts ( su* "p solely on ! basis ( ! failure ( ! plan to meet ! additional requirem5ts be=e ! fir/ day ( ! fir/ cal5d> qu>t] beg9n+ aft] ! close ( ! fir/ regul> session ( ! ,/ate legislature t beg9s aft] ! date ( enactm5t ( ?is ,act4 ,= purposes ( ! previ\s s5t5ce1 9 ! case ( a ,/ate t has a #b-ye> legislative session1 ea* ye> ( ! session %all be deem$ to be a sep>ate regul> session ( ! ,/ate legislature4 7b7 ,limitation on ,f$]al f9ancial p>ticipation = placem5ts t are n 9 fo/] family homes & relat$ provisions 7#a7 ,9 g5]al ,! am5dm5ts made by sections #bfea7;a71 #bfea7;b71 #bfea7;d71 & #bfeb %all take effect on ,octob] #a1 #bjai4 7#b7 ,/ate option to delay effective date = n m ?an #b ye>s ,if a ,/ate reque/s a delay 9 ! effective date provid$ = 9 p>agraph 7#a71 ! ,secret>y ( ,heal? & ,human ,s]vices %all delay ! effective date ) respect to ! ,/ate = ! am\nt ( "t reque/$ by ! ,/ate n to exce$ #b ye>s4 ,if ! effective date is s delay$ = a p]iod ) respect to a ,/ate "u ! prec$+ s5t5ce1 !n-- 7,a7 not)/&+ section #bfdd1 ! date t ! am5dm5ts made by section #bfba7;c7 take effect ) respect to ! ,/ate %all be delay$ = ! p]iod2 & 7,b7 9 apply+ section #dgd7;a77#f7 ( ! ,social ,security ,act ) respect to ! ,/ate1 8on or aft] ! date ?is p>agraph takes effect ) respect to ! ,/ate0 is deem$ to be sub/itut$ = 8aft] ,septemb] #cj1 #bjai0 9 subp>agraph 7,a77i77,i7 ( su* section4 7c7 ,crim9al records *ecks & *ecks ( *ild abuse & neglect regi/ries = adults work+ 9 *ild-c>e in/itutions & o!r gr\p c>e sett+s ,! am5dm5ts made by section #bfee %all take effect on ,octob] #a1 #bjah4 7d7 ,application to ,/ates ) waiv]s ,9 ! case ( a ,/ate t1 on ! date ( enactm5t ( ?is ,act1 has 9 effect a waiv] approv$ "u section #aacj ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acbj;a-#i71 ! am5dm5ts made by ?is *apt] %all n apply ) respect to ! ,/ate be=e ! expiration 7det]m9$ )\t reg>d to any ext5sions7 ( ! waiv] to ! ext5t ! am5dm5ts are inconsi/5t ) ! t]ms ( ! waiv]4 #c ,cont9u+ ,support = ,*ild & ,family ,s]vices #bffa4 ,support+ & reta9+ fo/] families = *ildr5 7a7 ,support+ & reta9+ fo/] p>5ts z a family support s]vice ,section #dca7;a77#b77;,b7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #fca7;a77#b77;,b77 is am5d$ by r$esignat+ clauses 7iii7 ?r\gh 7vi7 z clauses 7iv7 ?r\gh 7vii71 respectively1 & ins]t+ aft] clause 7ii7 ! foll[+3 7iii7 ,to support & reta9 fo/] families s !y c provide quality family-bas$ sett+s = *ildr5 9 fo/] c>e4 4 7b7 ,support = fo/] family homes ,section #dcf ( su* ,act 7#db ,u4,s4,c4 #fbi;f7 is am5d$ by add+ at ! end ! foll[+3 7c7 ,support = fo/] family homes ,out ( any money 9 ! ,treasury ( ! ,unit$ ,/ates n o!rwise appropriat$1 !re are appropriat$ to ! ,secret>y = fiscal ye> #bjah1 #h1jjj1jjj = ! ,secret>y to make competitive grants to ,/ates1 ,indian tribes1 or tribal consortia to support ! recruitm5t & ret5tion ( high-quality fo/] families to increase _! capacity to place m *ildr5 9 family sett+s1 focus$ on ,/ates1 ,indian tribes1 or tribal consortia ) ! highe/ p]c5tage ( *ildr5 9 non-family sett+s4 ,! am\nt appropriat$ "u ?is subp>agraph %all rema9 available ?r\gh fiscal ye> #bjbb4 4 #bffb4 ,ext5sion ( *ild & family s]vices programs 7a7 ,ext5sion ( ,/ephanie ,tubbs ,jones *ild welf>e s]vices program ,section #dbe ( ! ,social ,security ,act 7#db ,u4,s4,c4 #fbe7 is am5d$ by /rik+ #bjab ?r\gh #bjaf & ins]t+ #bjag ?r\gh #bjba4 7b7 ,ext5sion ( promot+ safe & /able families program au?orizations 7#a7 ,9 g5]al ,section #dcf7;a7 ( su* ,act 7#db ,u4,s4,c4 #fbi;f7a77 is am5d$ by /rik+ all t foll[s #cde1jjj1jjj & ins]t+ = ea* ( fiscal ye>s #bjag ?r\gh #bjba44 7#b7 ,discretion>y grants ,section #dcg7;a7 ( su* ,act 7#db ,u4,s4,c4 #fbi;g7a77 is am5d$ by /rik+ #bjab ?r\gh #bjaf & ins]t+ #bjag ?r\gh #bjba4 7c7 ,ext5sion ( fund+ res]vations = mon?ly casework] visits & regional p>tn]%ip grants ,section #dcf7;b7 ( su* ,act 7#db ,u4,s4,c4 #fbi;f7b77 is am5d$-- 7#a7 9 p>agraph 7#d77;,a71 by /rik+ #bjab ?r\gh #bjaf & ins]t+ #bjag ?r\gh #bjba2 & 7#b7 9 p>agraph 7#e71 by /rik+ #bjab ?r\gh #bjaf & ins]t+ #bjag ?r\gh #bjba4 7d7 ,reau?orization ( fund+ = ,/ate c\rts 7#a7 ,ext5sion ( program ,section #dch7;c77#a7 ( su* ,act 7#db ,u4,s4,c4 #fbi;h7c77#a77 is am5d$ by /rik+ #bjab ?r\gh #bjaf & ins]t+ #bjag ?r\gh #bjba4 7#b7 ,ext5sion ( ,f$]al %>e ,section #dch7;d7 ( su* ,act 7#db ,u4,s4,c4 #fbi;h7d77 is am5d$ by /rik+ #bjab ?r\gh #bjaf & ins]t+ #bjag ?r\gh #bjba4 7e7 ,repeal ( expir$ provisions ,section #dch7;e7 ( su* ,act 7#db ,u4,s4,c4 #fbi;h7e77 is repeal$4 #bffc4 ,improvem5ts to ! ,john ,h4 ,*afee ,fo/] ,c>e ,indep5d5ce ,program & relat$ provisions 7a7 ,au?ority to s]ve =m] fo/] y\? up to age #bc ,section #dgg ( ! ,social ,security ,act 7#db ,u4,s4,c4 #fgg7 is am5d$-- 7#a7 9 subsection 7a77#e71 by ins]t+ 7or #bc ye>s ( age1 9 ! case ( a ,/ate ) a c]tification "u subsection 7b77#c77;,a77ii7 to provide assi/ance & s]vices to y\?s :o h ag$ out ( fo/] c>e & h n atta9$ su* age1 9 accordance ) su* subsection7 aft] #ba ye>s ( age2 7#b7 9 subsection 7b77#c77;,a7-- 7,a7 by ins]t+ 7i7 be=e ,a c]tification2 7,b7 by /rik+ *ildr5 :o h left fo/] c>e & all t foll[s ?r\gh ! p]iod & ins]t+ y\?s :o h ag$ out ( fo/] c>e & h n atta9$ #ba ye>s ( age42 & 7,c7 by add+ at ! end ! foll[+3 7ii7 ,if ! ,/ate has elect$ "u section #dge7h77;,b7 to ext5d eligibility = fo/] c>e to all *ildr5 :o h n atta9$ #ba ye>s ( age1 or if ! ,secret>y det]m9es t ! ,/ate ag5cy responsible = adm9i/]+ ! ,/ate plans "u ?is "p & "p ,b uses ,/ate funds or any o!r funds n provid$ "u ?is "p to provide s]vices & assi/ance = y\?s :o h ag$ out ( fo/] c>e t are comp>able to ! s]vices & assi/ance ! y\?s w\ld receive if ! ,/ate _h made su* an election1 ! c]tification requir$ "u clause 7i7 may provide t ! ,/ate w provide assi/ance & s]vices to y\?s :o h ag$ out ( fo/] c>e & h n atta9$ #bc ye>s ( age4 2 & 7#c7 9 subsection 7b77#c77;,b71 by /rik+ *ildr5 :o h left fo/] c>e & all t foll[s ?r\gh ! p]iod & ins]t+ y\?s :o h ag$ out ( fo/] c>e & h n atta9$ #ba ye>s ( age 7or #bc ye>s ( age1 9 ! case ( a ,/ate ) a c]tification "u subp>agraph 7,a77i7 to provide assi/ance & s]vices to y\?s :o h ag$ out ( fo/] c>e & h n atta9$ su* age1 9 accordance ) subp>agraph 7,a77ii7744 7b7 ,au?ority to r$i/ribute unsp5t funds ,section #dgg7;d7 ( su* ,act 7#db ,u4,s4,c4 #fgg7;d77 is am5d$-- 7#a7 9 p>agraph 7#d71 by ins]t+ or does n exp5d allocat$ funds )9 ! "t p]iod specifi$ "u section #dgg7;d77#c7 aft] provid$ by ! ,secret>y2 & 7#b7 by add+ at ! end ! foll[+3 7#e7 ,r$i/ribution ( unexp5d$ am\nts 7,a7 ,availability ( am\nts ,to ! ext5t t am\nts paid to ,/ates "u ?is section 9 a fiscal ye> rema9 unexp5d$ by ! ,/ates at ! end ( ! succe$+ fiscal ye>1 ! ,secret>y may make ! am\nts available = r$i/ribution 9 ! second succe$+ fiscal ye> among ! ,/ates t apply = additional funds "u ?is section = t second succe$+ fiscal ye>4 7,b7 ,r$i/ribution 7i7 ,9 g5]al ,! ,secret>y %all r$i/ribute ! am\nts made available "u subp>agraph 7,a7 = a fiscal ye> among eligible applicant ,/ates4 ,9 ?is subp>agraph1 ! t]m eligible applicant ,/ate means a ,/ate t has appli$ = additional funds = ! fiscal ye> "u subp>agraph 7,a7 if ! ,secret>y det]m9es t ! ,/ate w use ! funds = ! purpose = :i* orig9ally allott$ "u ?is section4 7ii7 ,am\nt to be r$i/ribut$ ,! am\nt to be r$i/ribut$ to ea* eligible applicant ,/ate %all be ! am\nt s made available multipli$ by ! ,/ate fo/] c>e ratio1 7z def9$ 9 subsection 7c77#d71 except t1 9 su* subsection1 all eligible applicant ,/ates 7z def9$ 9 subsection 7d77#e77;,b77i77 %all be sub/itut$ = all ,/ates74 7iii7 ,treatm5t ( r$i/ribut$ am\nt ,any am\nt made available to a ,/ate "u ?is p>agraph %all be reg>d$ z "p ( ! allotm5t ( ! ,/ate "u ?is section = ! fiscal ye> 9 :i* ! r$i/ribution is made4 7,c7 ,tribes ,= purposes ( ?is p>agraph1 ! t]m ,/ate includes an ,indian tribe1 tribal organization1 or tribal consortium t receives an allotm5t "u ?is section4 4 7c7 ,exp&+ & cl>ify+ ! use ( education & tra9+ v\*]s 7#a7 ,9 g5]al ,section #dgg7;i77#c7 ( su* ,act 7#db ,u4,s4,c4 #fgg7;i77#c77 is am5d$-- 7,a7 by /rik+ on ! date & all t foll[s ?r\gh #bc & ins]t+ to rema9 eligible until !y atta9 #bf2 & 7,b7 by ins]t+ 1 b 9 no ev5t may a y\? p>ticipate 9 ! program = m ?an #e ye>s 7:e!r or n consecutive7 be=e ! p]iod4 7#b7 ,con=m+ am5dm5t ,section #dgg7;i77#a7 ( su* ,act 7#db ,u4,s4,c4 #fgg7;i77#a77 is am5d$ by ins]t+ :o h atta9$ #ad ye>s ( age be=e ! p]iod4 7d7 ,o!r improvem5ts ,section #dgg ( su* ,act 7#db ,u4,s4,c4 #fgg71 z am5d$ by subsections 7a71 7b71 & 7c7 ( ?is section1 is am5d$-- 7#a7 9 ! section head+1 by /rik+ ,indep5d5ce ,program & ins]t+ ,program = ,successful ,transition to ,adul?ood2 7#b7 9 subsection 7a7-- 7,a7 9 p>agraph 7#a7-- 7i7 by /rik+ id5tify *ildr5 :o are likely to rema9 9 fo/] c>e until #ah ye>s ( age & to help ^! *ildr5 make ! transition to self-suffici5cy by provid+ s]vices & ins]t+ support all y\? :o h exp]i5c$ fo/] c>e at age #ad or old] 9 _! transition to adul?ood ?r\gh transitional s]vices2 7ii7 by ins]t+ & po/-second>y education aft] high s*ool diploma2 & 7iii7 by /rik+ tra9+ 9 daily liv+ skills1 tra9+ 9 budget+ & f9ancial managem5t skills & ins]t+ tra9+ & opportunities to practice daily liv+ skills 7su* z f9ancial lit]acy tra9+ & driv+ in/ruction72 7,b7 9 p>agraph 7#b71 by /rik+ :o are likely to rema9 9 fo/] c>e until #ah ye>s ( age receive ! education1 tra9+1 & s]vices necess>y to obta9 employm5t & ins]t+ :o h exp]i5c$ fo/] c>e at age #ad or old] a*ieve mean+ful1 p]man5t connections ) a c>+ adult2 7,c7 9 p>agraph 7#c71 by /rik+ :o are likely to rema9 9 fo/] c>e until #ah ye>s ( age prep>e = & ent] po/second>y tra9+ & education in/itutions & ins]t+ :o h exp]i5c$ fo/] c>e at age #ad or old] engage 9 age or developm5tally appropriate activities1 positive y\? developm5t1 & exp]i5tial le>n+ t reflects :at _! pe]s 9 intact families exp]i5ce2 & 7,d7 by /rik+ p>agraph 7#d7 & r$esignat+ p>agraphs 7#e7 ?r\gh 7#h7 z p>agraphs 7#d7 ?r\gh 7#g72 7#c7 9 subsection 7b7-- 7,a7 9 p>agraph 7#b77;,d71 by /rik+ adolesc5ts & ins]t+ y\?2 & 7,b7 9 p>agraph 7#c7-- 7i7 9 subp>agraph 7,d7-- 7,i7 by ins]t+ includ+ tra9+ on y\? developm5t aft] to provide tra9+2 & 7,,ii7 by /rik+ adolesc5ts prep>+ = indep5d5t liv+ & all t foll[s ?r\gh ! p]iod & ins]t+ y\? prep>+ = a successful transition to adul?ood & mak+ a p]man5t connection ) a c>+ adult42 7ii7 9 subp>agraph 7,h71 by /rik+ adolesc5ts ea* place x appe>s & ins]t+ y\?2 & 7iii7 9 subp>agraph 7,k7-- 7,i7 by /rik+ an adolesc5t & ins]t+ a y\?2 & 7,,ii7 by /rik+ ! adolesc5t ea* place x appe>s & ins]t+ ! y\?2 & 7#d7 9 subsection 7f71 by /rik+ p>agraph 7#b7 & ins]t+ ! foll[+3 7#b7 ,report to congress ,n lat] ?an ,octob] #a1 #bjai1 ! ,secret>y %all submit to ! ,committee on ,ways & ,means ( ! ,h\se ( ,repres5tatives & ! ,committee on ,f9ance ( ! ,s5ate a report on ! ,national ,y\? 9 ,transition ,database & any o!r databases 9 :i* ,/ates report outcome measures relat+ to *ildr5 9 fo/] c>e & *ildr5 :o h ag$ out ( fo/] c>e or left fo/] c>e = k9%ip gu>dian%ip or adoption4 ,! report %all include ! foll[+3 7,a7 ,a description ( ! reasons = entry into fo/] c>e & ( ! fo/] c>e exp]i5ces1 su* z l5g? ( /ay1 numb] ( placem5t sett+s1 case goal1 & dis*>ge reason ( #ag-ye>-olds :o are survey$ by ! ,national ,y\? 9 ,transition ,database & an analysis ( ! comp>ison ( t description ) ! reasons = entry & fo/] c>e exp]i5ces ( *ildr5 ( o!r ages :o exit f fo/] c>e be=e atta9+ age #ag4 7,b7 ,a description ( ! *>act]i/ics ( ! individuals :o report poor outcomes at ages #ai & #ba to ! ,national ,y\? 9 ,transition ,database4 7,c7 ,b5*m>ks = det]m9+ :at con/itutes a poor outcome = y\? :o rema9 9 or h exit$ f fo/] c>e & plans ! executive bran* w take to incorporate ^! b5*m>ks 9 ef=ts to evaluate *ild welf>e ag5cy p]=mance 9 provid+ s]vices to *ildr5 transition+ f fo/] c>e4 7,d7 ,an analysis ( ! association betwe5 types ( placem5t1 numb] ( ov]all placem5ts1 "t sp5t 9 fo/] c>e1 & o!r factors1 & outcomes at ages #ai & #ba4 7,e7 ,an analysis ( ! diff]5ces 9 outcomes = *ildr5 9 & =m]ly 9 fo/] c>e at age #ai & #ba among ,/ates4 4 7e7 ,cl>ify+ docum5tation provid$ to fo/] y\? leav+ fo/] c>e ,section #dge7e77;,i7 ( su* ,act 7#db ,u4,s4,c4 #fge7e77;,i77 is am5d$ by ins]t+ aft] ,,real ,,id ,act ( #bjje ! foll[+3 1 & any (ficial docum5tation necess>y to prove t ! *ild 0 previ\sly 9 fo/] c>e4 #d ,cont9u+ ,inc5tives to ,/ates to ,promote ,adoption & ,legal ,gu>dian%ip #bffe4 ,reau?oriz+ adoption & legal gu>dian%ip inc5tive programs 7a7 ,9 g5]al ,section #dgc;,a ( ! ,social ,security ,act 7#db ,u4,s4,c4 #fgc;b7 is am5d$-- 7#a7 9 subsection 7b77#d71 by /rik+ #bjac ?r\gh #bjae & ins]t+ #bjaf ?r\gh #bjbj2 7#b7 9 subsection 7h77#a77;,d71 by /rik+ #bjaf & ins]t+ #bjba2 & 7#c7 9 subsection 7h77#b71 by /rik+ #bjaf & ins]t+ #bjba4 7b7 ,effective date ,! am5dm5ts made by subsection 7a7 %all take effect z if enact$ on ,octob] #a1 #bjag4 #e ,te*nical ,corrections #bffg4 ,te*nical corrections to data ex*ange /&>ds to improve program coord9ation 7a7 ,9 g5]al ,section #ddj ( ! ,social ,security ,act 7#db ,u4,s4,c4 #fbim7 is am5d$ to read z foll[s3 #ddj4 ,data ex*ange /&>ds = improv$ int]op]ability 7a7 ,designation ,! ,secret>y %all1 9 consultation ) an int]ag5cy "w gr\p e/abli%$ by ! ,(fice ( ,managem5t & ,budget & consid]+ ,/ate gov]nm5t p]spectives1 by rule1 designate data ex*ange /&>ds to gov]n1 "u ?is "p & "p ,e-- 7#a7 necess>y categories ( in=mation t ,/ate ag5cies op]at+ programs "u ,/ate plans approv$ "u ?is "p are requir$ "u applicable ,f$]al law to electronically ex*ange ) ano!r ,/ate ag5cy2 & 7#b7 ,f$]al report+ & data ex*ange requir$ "u applicable ,f$]al law4 7b7 ,requirem5ts ,! data ex*ange /&>ds requir$ by p>agraph 7#a7 %all1 to ! ext5t practicable-- 7#a7 incorporate a widely accept$1 non-propriet>y1 se>*able1 comput]-readable =mat1 su* z ! ,ext5sible ,m>kup ,language2 7#b7 conta9 int]op]able /&>ds develop$ & ma9ta9$ by int]gov]nm5tal p>tn]%ips1 su* z ! ,national ,in=mation ,ex*ange ,model2 7#c7 incorporate int]op]able /&>ds develop$ & ma9ta9$ by ,f$]al entities ) au?ority ov] contract+ & f9ancial assi/ance2 7#d7 be consi/5t ) & implem5t applicable acc\nt+ pr9ciples2 7#e7 be implem5t$ 9 a mann] t is co/-effective & improves program effici5cy & effectiv5ess2 & 7#f7 be capable ( be+ cont9ually upgrad$ z necess>y4 7c7 ,rule ( con/ruction ,no?+ 9 ?is subsection %all be con/ru$ to require a *ange to exi/+ data ex*ange /&>ds f\nd to be effective & effici5t4 4 7b7 ,effective date ,n lat] ?an ! date t is #bd mon?s aft] ! date ( ! enactm5t ( ?is section1 ! ,secret>y ( ,heal? & ,human ,s]vices %all issue a propos$ rule t-- 7#a7 id5tifies f$]ally requir$ data ex*anges1 include specification & tim+ ( ex*anges to be /&>diz$1 & address ! factors us$ 9 det]m9+ :e!r & :5 to /&>dize data ex*anges2 & 7#b7 specifies ,/ate implem5tation options & describes future mile/ones4 #bffh4 ,te*nical corrections to ,/ate requirem5t to address ! developm5tal ne$s ( "y *ildr5 ,section #dbb7;b77#ah7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #fbb7;b77#ah77 is am5d$ by /rik+ su* *ildr5 & ins]t+ all vuln]able *ildr5 "u #e ye>s ( age4 #f ,ensur+ ,/ates re9ve/ sav+s result+ f increase 9 adoption assi/ance #bffi4 ,delay ( adoption assi/ance phase-9 7a7 ,9 g5]al ,! table 9 section #dgc7;e77#a77;,b7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #fgc7;e77#a77;,b77 is am5d$ by /rik+ ! la/ #b r[s & ins]t+ ! foll[+3 #bjag ?r\gh #bjbcb #bjbdb 7or1 9 ! case ( a *ild = :om an adoption assi/ance agreem5t is ent]$ into "u ?is section on or aft] ,july #a1 #bjbd1 any age7 #bjbe or !reaft]any age4 4 7b7 ,effective date ,! am5dm5t made by ?is section %all take effect on ,janu>y #a1 #bjah4 #bfgj4 ,,gao /udy & report on ,/ate re9ve/m5t ( sav+s result+ f increase 9 adoption assi/ance 7a7 ,/udy ,! ,comptroll] ,g5]al ( ! ,unit$ ,/ates %all /udy ! ext5t to :i* ,/ates are comply+ ) ! requirem5ts ( section #dgc7;a77#h7 ( ! ,social ,security ,act relat+ to ! effects ( phas+ out ! ,,afdc income eligibility requirem5ts = adoption assi/ance paym5ts "u section #dgc ( ! ,social ,security ,act1 z enact$ by section #djb ( ! ,fo/]+ ,connections to ,success & ,increas+ ,adoptions ,act ( #bjjh 7,public ,law #aaj-cea2 #abb ,/at4 #cige7 & am5d$ by section #bjf ( ! ,prev5t+ ,sex ,traffick+ & ,/r5g!n+ ,families ,act 7,public ,law #aac-ahc2 #abh ,/at4 #aiai74 ,9 p>ticul>1 ! ,comptroll] ,g5]al %all analyze ! ext5t to :i* ,/ates are comply+ ) ! foll[+ requirem5ts "u section #dgc7;a77#h77;,d7 ( ! ,social ,security ,act3 7#a7 ,! requirem5t to sp5d an am\nt equal to ! am\nt ( ! sav+s 7if any7 9 ,/ate exp5ditures "u "p ,e ( title ,,iv ( ! ,social ,security ,act result+ f phas+ out ! ,,afdc income eligibility requirem5ts = adoption assi/ance paym5ts "u section #dgc ( su* ,act to provide to *ildr5 ( families any s]vice t may be provid$ "u "p ,b or ,e ( title ,,iv ( su* ,act4 7#b7 ,! requirem5t t a ,/ate %all sp5d n less ?an #cj p]c5t ( ! am\nt ( any sav+s describ$ 9 p>agraph 7#a7 on po/-adoption s]vices1 po/-gu>dian%ip s]vices1 & s]vices to support & su/a9 positive p]man5t outcomes = *ildr5 :o o!rwise might ent] into fo/] c>e "u ! responsibility ( ! ,/ate1 ) at lea/ #b_/c ( ! sp5d+ by ! ,/ate to comply ) ! #cj p]c5t requirem5t be+ sp5t on po/-adoption & po/-gu>dian%ip s]vices4 7b7 ,report ,! ,comptroll] ,g5]al ( ! ,unit$ ,/ates %all submit to ! ,committee on ,f9ance ( ! ,s5ate1 ! ,committee on ,ways & ,means ( ! ,h\se ( ,repres5tatives1 & ! ,secret>y ( ,heal? & ,human ,s]vices a report t conta9s ! results ( ! /udy requir$ by subsection 7a71 includ+ recomm5dations to ensure compliance ) laws ref]r$ to 9 subsection 7a74 ,b ,support+ social impact p>tn]%ips to pay = results #bfha4 ,support+ social impact p>tn]%ips to pay = results ,title ,,xx ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acig et seq47 is am5d$-- 7#a7 9 ! title head+1 by /rik+ to ,/ates & ins]t+ & ,programs2 & 7#b7 by add+ at ! end ! foll[+3 ,c ,social impact demon/ration projects #bjea4 ,purposes ,! purposes ( ?is subtitle are ! foll[+3 7#a7 ,to improve ! lives ( families & individuals 9 ne$ 9 ! ,unit$ ,/ates by fund+ social programs t a*ieve real results4 7#b7 ,to r$irect funds away f programs t1 bas$ on objective data1 are ineffective1 & into programs t a*ieve demon/rable1 measurable results4 7#c7 ,to ensure ,f$]al funds are us$ effectively on social s]vices to produce positive outcomes = bo? s]vice recipi5ts & taxpay]s4 7#d7 ,to e/abli% ! use ( social impact p>tn]%ips to address "s ( our ,nation's mo/ press+ problems4 7#e7 ,to facilitate ! creation ( public-private p>tn]%ips t bundle philan?ropic or o!r private res\rces ) exi/+ public sp5d+ to scale up effective social int]v5tions already be+ implem5t$ by private organizations1 nonpr(its1 *>itable organizations1 & ,/ate & local gov]nm5ts across ! c\ntry4 7#f7 ,to br+ pay-=-p]=mance to ! social sector1 all[+ ! ,unit$ ,/ates to improve ! impact & effectiv5ess ( vital social s]vices programs :ile r$irect+ ineffici5t or duplicative sp5d+4 7#g7 ,to incorporate outcomes measurem5t & r&omiz$ controll$ trials or o!r rigor\s me?odologies = assess+ program impact4 #bjeb4 ,social impact p>tn]%ip application 7a7 ,notice ,n lat] ?an #a ye> aft] ! date ( ! enactm5t ( ?is subtitle1 ! ,secret>y ( ! ,treasury1 9 consultation ) ! ,f$]al ,int]ag5cy ,c\ncil on ,social ,impact ,p>tn]%ips1 %all publi% 9 ! ,f$]al ,regi/] a reque/ = proposals f ,/ates or local gov]nm5ts = social impact p>tn]%ip projects 9 accordance ) ?is section4 7b7 ,requir$ outcomes = social impact p>tn]%ip project ,to qualify z a social impact p>tn]%ip project "u ?is subtitle1 a project mu/ produce "o or m measurable1 cle>ly def9$ outcomes t result 9 social b5efit & ,f$]al1 ,/ate1 or local sav+s ?r\gh any ( ! foll[+3 7#a7 ,increas+ "w & e>n+s by individuals 9 ! ,unit$ ,/ates :o are unemploy$ = m ?an #f consecutive mon?s4 7#b7 ,increas+ employm5t & e>n+s ( individuals :o h atta9$ #af ye>s ( age b n #be ye>s ( age4 7#c7 ,increas+ employm5t among individuals receiv+ ,f$]al disability b5efits4 7#d7 ,r$uc+ ! dep5d5ce ( l[-income families on ,f$]al means-te/$ b5efits4 7#e7 ,improv+ rates ( high s*ool graduation4 7#f7 ,r$uc+ te5 & unplann$ pregnancies4 7#g7 ,improv+ bir? outcomes & e>ly *ildhood heal? & developm5t among l[-income families & individuals4 7#h7 ,r$uc+ rates ( a/hma1 diabetes1 or o!r prev5table diseases among l[-income families & individuals to r$uce ! utilization ( em]g5cy & o!r high-co/ c>e4 7#i7 ,increas+ ! proportion ( *ildr5 liv+ 9 two-p>5t families4 7#aj7 ,r$uc+ incid5ces & adv]se consequ5ces ( *ild abuse & neglect4 7#aa7 ,r$uc+ ! numb] ( y\? 9 fo/] c>e by increas+ adoptions1 p]man5t gu>dian%ip arrangem5ts1 reunifications1 or placem5ts ) a fit & will+ relative1 or by avoid+ plac+ *ildr5 9 fo/] c>e by ensur+ !y c be c>$ = safely 9 _! own homes4 7#ab7 ,r$uc+ ! numb] ( *ildr5 & y\? 9 fo/] c>e resid+ 9 gr\p homes1 *ild c>e in/itutions1 ag5cy-op]at$ fo/] homes1 or o!r non-family fo/] homes1 unless x is det]m9$ t x is 9 ! int]e/ ( ! *ild's long-t]m heal?1 safety1 or psy*ological well-be+ to n be plac$ 9 a family fo/] home4 7#ac7 ,r$uc+ ! numb] ( *ildr5 return+ to fo/] c>e4 7#ad7 ,r$uc+ recidivism among juv5ile (f5d]s1 individuals releas$ f prison1 or o!r high-risk populations4 7#ae7 ,r$uc+ ! rate ( homelessness among our mo/ vuln]able populations4 7#af7 ,improv+ ! heal? & well-be+ ( ^? ) m5tal1 emotional1 & behavioral heal? ne$s4 7#ag7 ,improv+ ! educational outcomes ( special-ne$s or l[-income *ildr54 7#ah7 ,improv+ ! employm5t & well-be+ ( return+ ,unit$ ,/ates milit>y memb]s4 7#ai7 ,increas+ ! f9ancial /ability ( l[-income families4 7#bj7 ,increas+ ! indep5d5ce & employability ( individuals :o are physically or m5tally disabl$4 7#ba7 ,o!r measurable outcomes def9$ by ! ,/ate or local gov]nm5t t result 9 positive social outcomes & ,f$]al sav+s4 7c7 ,application requir$ ,! notice describ$ 9 subsection 7a7 %all require a ,/ate or local gov]nm5t to submit an application = ! social impact p>tn]%ip project t addresses ! foll[+3 7#a7 ,! outcome goals ( ! project4 7#b7 ,a description ( ea* int]v5tion 9 ! project & anticipat$ outcomes ( ! int]v5tion4 7#c7 ,rigor\s evid5ce demon/rat+ t ! int]v5tion c be expect$ to produce ! desir$ outcomes4 7#d7 ,! t>get population t w be s]v$ by ! project4 7#e7 ,! expect$ social b5efits to p>ticipants :o receive ! int]v5tion & o!rs :o may be impact$4 7#f7 ,project$ ,f$]al1 ,/ate1 & local gov]nm5t co/s & o!r co/s to conduct ! project4 7#g7 ,project$ ,f$]al1 ,/ate1 & local gov]nm5t sav+s & o!r sav+s1 includ+ an e/imate ( ! sav+s to ! ,f$]al ,gov]nm5t1 on a program-by-program basis & 9 ! aggregate1 if ! project is implem5t$ & ! outcomes are a*iev$ z a result ( ! int]v5tion4 7#h7 ,if sav+s result+ f ! successful completion ( ! project are e/imat$ to accrue to ! ,/ate or local gov]nm5t1 ! likelihood ( ! ,/ate or local gov]nm5t to realize ^? sav+s4 7#i7 ,a plan = deliv]+ ! int]v5tion ?r\gh a social impact p>tn]%ip model4 7#aj7 ,a description ( ! exp]tise ( ea* s]vice provid] t w adm9i/] ! int]v5tion1 includ+ a summ>y ( ! exp]i5ce ( ! s]vice provid] 9 deliv]+ ! propos$ int]v5tion or a simil> int]v5tion1 or demon/rat+ t ! s]vice provid] has ! exp]tise necess>y to deliv] ! propos$ int]v5tion4 7#aa7 ,an explanation ( ! exp]i5ce ( ! ,/ate or local gov]nm5t1 ! int]m$i>y1 or ! s]vice provid] 9 rais+ private & philan?ropic capital to fund social s]vice inve/m5ts4 7#ab7 ,! detail$ roles & responsibilities ( ea* entity involv$ 9 ! project1 includ+ any ,/ate or local gov]nm5t entity1 int]m$i>y1 s]vice provid]1 indep5d5t evaluator1 inve/or1 or o!r /akehold]4 7#ac7 ,a summ>y ( ! exp]i5ce ( ! s]vice provid] 9 deliv]+ ! propos$ int]v5tion or a simil> int]v5tion1 or a summ>y demon/rat+ ! s]vice provid] has ! exp]tise necess>y to deliv] ! propos$ int]v5tion4 7#ad7 ,a summ>y ( ! unmet ne$ 9 ! area :]e ! int]v5tion w be deliv]$ or among ! t>get population :o w receive ! int]v5tion4 7#ae7 ,! propos$ paym5t t]ms1 ! me?odology us$ to calculate outcome paym5ts1 ! paym5t s*$ule1 & p]=mance ?re%olds4 7#af7 ,! project budget4 7#ag7 ,! project timel9e4 7#ah7 ,! crit]ia us$ to det]m9e ! eligibility ( an individual = ! project1 includ+ h[ select$ populations w be id5tifi$1 h[ !y w be ref]r$ to ! project1 & h[ !y w be enroll$ 9 ! project4 7#ai7 ,! evaluation design4 7#bj7 ,! metrics t w be us$ 9 ! evaluation to det]m9e :e!r ! outcomes h be5 a*iev$ z a result ( ! int]v5tion & h[ ! metrics w be measur$4 7#ba7 ,an explanation ( h[ ! metrics us$ 9 ! evaluation to det]m9e :e!r ! outcomes a*iev$ z a result ( ! int]v5tion are indep5d5t1 objective indicators ( impact & are n subject to manipulation by ! s]vice provid]1 int]m$i>y1 or inve/or4 7#bb7 ,a summ>y expla9+ ! indep5d5ce ( ! evaluator f ! o!r entities involv$ 9 ! project & ! evaluator's exp]i5ce 9 conduct+ rigor\s evaluations ( program effectiv5ess includ+1 :]e available1 well-implem5t$ r&omiz$ controll$ trials on ! int]v5tion or simil> int]v5tions4 7#bc7 ,! capacity ( ! s]vice provid] to deliv] ! int]v5tion to ! numb] ( p>ticipants ! ,/ate or local gov]nm5t proposes to s]ve 9 ! project4 7#bd7 ,a description ( :e!r & h[ ! ,/ate or local gov]nm5t & s]vice provid]s plan to su/a9 ! int]v5tion1 if x is timely & appropriate to d s1 to ensure t successful int]v5tions cont9ue to op]ate aft] ! p]iod ( ! social impact p>tn]%ip4 7d7 ,project int]m$i>y in=mation requir$ ,! application describ$ 9 subsection 7c7 %all also conta9 ! foll[+ in=mation ab\t any int]m$i>y = ! social impact p>tn]%ip project 7:e!r an int]m$i>y is a s]vice provid] or o!r entity73 7#a7 ,exp]i5ce & capacity = provid+ or facilitat+ ! provision ( ! type ( int]v5tion propos$4 7#b7 ,! mission & goals4 7#c7 ,in=mation on :e!r ! int]m$i>y is already work+ ) s]vice provid]s t provide ?is int]v5tion or an explanation ( ! capacity ( ! int]m$i>y to beg9 work+ ) s]vice provid]s to provide ! int]v5tion4 7#d7 ,exp]i5ce work+ 9 a collaborative environm5t across gov]nm5t & nongov]nm5tal entities4 7#e7 ,previ\s exp]i5ce collaborat+ ) public or private entities to implem5t evid5ce-bas$ programs4 7#f7 ,ability to raise or provide fund+ to cov] op]at+ co/s 7if applicable to ! project74 7#g7 ,capacity & infra/ructure to track outcomes & measure results1 includ+-- 7,a7 capacity to track & analyze program p]=mance & assess program impact2 & 7,b7 exp]i5ce ) p]=mance-bas$ aw>ds or p]=mance-bas$ contract+ & a*iev+ project mile/ones & t>gets4 7#h7 ,role 9 deliv]+ ! int]v5tion4 7#i7 ,h[ ! int]m$i>y w\ld monitor program success1 includ+ a description ( ! int]im b5*m>ks & outcome measures4 7e7 ,feasibility /udies fund$ ?r\gh o!r s\rces ,! notice describ$ 9 subsection 7a7 %all p]mit a ,/ate or local gov]nm5t to submit an application = social impact p>tn]%ip fund+ t conta9s in=mation f a feasibility /udy develop$ = purposes o!r ?an apply+ = fund+ "u ?is subtitle4 #bjec4 ,aw>d+ social impact p>tn]%ip agreem5ts 7a7 ,timel9e 9 aw>d+ agreem5t ,n lat] ?an #f mon?s aft] receiv+ an application 9 accordance ) section #bjeb1 ! ,secret>y1 9 consultation ) ! ,f$]al ,int]ag5cy ,c\ncil on ,social ,impact ,p>tn]%ips1 %all det]m9e :e!r to ent] into an agreem5t = a social impact p>tn]%ip project ) a ,/ate or local gov]nm5t4 7b7 ,consid]ations 9 aw>d+ agreem5t ,9 det]m9+ :e!r to ent] into an agreem5t = a social impact p>tn]%ip project 7! application = :i* 0 submitt$ "u section #bjeb7 ! ,secret>y1 9 consultation ) ! ,f$]al ,int]ag5cy ,c\ncil on ,social ,impact ,p>tn]%ips & ! head ( any ,f$]al ag5cy adm9i/]+ a simil> int]v5tion or s]v+ a population simil> to t s]v$ by ! project1 %all consid] ea* ( ! foll[+3 7#a7 ,! recomm5dations made by ! ,commission on ,social ,impact ,p>tn]%ips4 7#b7 ,! value to ! ,f$]al ,gov]nm5t ( ! outcomes expect$ to be a*iev$ if ! outcomes specifi$ 9 ! agreem5t are a*iev$ z a result ( ! int]v5tion4 7#c7 ,! likelihood1 bas$ on evid5ce provid$ 9 ! application & o!r evid5ce1 t ! ,/ate or local gov]nm5t 9 collaboration ) ! int]m$i>y & ! s]vice provid]s w a*ieve ! outcomes4 7#d7 ,! sav+s to ! ,f$]al ,gov]nm5t if ! outcomes specifi$ 9 ! agreem5t are a*iev$ z a result ( ! int]v5tion4 7#e7 ,! sav+s to ! ,/ate & local gov]nm5ts if ! outcomes specifi$ 9 ! agreem5t are a*iev$ z a result ( ! int]v5tion4 7#f7 ,! expect$ quality ( ! evaluation t w\ld be conduct$ ) respect to ! agreem5t4 7#g7 ,! capacity & commitm5t ( ! ,/ate or local gov]nm5t to su/a9 ! int]v5tion1 if appropriate & timely & if ! int]v5tion is successful1 beyond ! p]iod ( ! social impact p>tn]%ip4 7c7 ,agreem5t au?ority 7#a7 ,agreem5t requirem5ts ,9 accordance ) ?is section1 ! ,secret>y1 9 consultation ) ! ,f$]al ,int]ag5cy ,c\ncil on ,social ,impact ,p>tn]%ips & ! head ( any ,f$]al ag5cy adm9i/]+ a simil> int]v5tion or s]v+ a population simil> to t s]v$ by ! project1 may ent] into an agreem5t = a social impact p>tn]%ip project ) a ,/ate or local gov]nm5t if ! ,secret>y1 9 consultation ) ! ,f$]al ,int]ag5cy ,c\ncil on ,social ,impact ,p>tn]%ips1 det]m9es t ea* ( ! foll[+ requirem5ts are met3 7,a7 ,! ,/ate or local gov]nm5t agrees to a*ieve "o or m outcomes z a result ( ! int]v5tion1 z specifi$ 9 ! agreem5t & validat$ by indep5d5t evaluation1 9 ord] to receive paym5t4 7,b7 ,! ,f$]al paym5t to ! ,/ate or local gov]nm5t = ea* specifi$ outcome a*iev$ z a result ( ! int]v5tion is less ?an or equal to ! value ( ! outcome to ! ,f$]al ,gov]nm5t ov] a p]iod n to exce$ #aj ye>s1 z det]m9$ by ! ,secret>y1 9 consultation ) ! ,/ate or local gov]nm5t4 7,c7 ,! duration ( ! project does n exce$ #aj ye>s4 7,d7 ,! ,/ate or local gov]nm5t has demon/rat$1 ?r\gh ! application submitt$ "u section #bjeb1 t1 bas$ on prior rigor\s exp]im5tal evaluations or rigor\s quasi-exp]im5tal /udies1 ! int]v5tion c be expect$ to a*ieve ea* outcome specifi$ 9 ! agreem5t4 7,e7 ,! ,/ate1 local gov]nm5t1 int]m$i>y1 or s]vice provid] has exp]i5ce rais+ private or philan?ropic capital to fund social s]vice inve/m5ts 7if applicable to ! project74 7,f7 ,! ,/ate or local gov]nm5t has %[n t ea* s]vice provid] has exp]i5ce deliv]+ ! int]v5tion1 a simil> int]v5tion1 or has o!rwise demon/rat$ ! exp]tise necess>y to deliv] ! int]v5tion4 7#b7 ,paym5t ,! ,secret>y %all pay ! ,/ate or local gov]nm5t only if ! indep5d5t evaluator describ$ 9 section #bjee det]m9es t ! social impact p>tn]%ip project has met ! requirem5ts specifi$ 9 ! agreem5t & a*iev$ an outcome z a result ( ! int]v5tion1 z specifi$ 9 ! agreem5t & validat$ by indep5d5t evaluation4 7d7 ,notice ( agreem5t aw>d ,n lat] ?an #cj days aft] ent]+ into an agreem5t "u ?is section ! ,secret>y %all publi% a notice 9 ! ,f$]al ,regi/] t includes1 ) reg>d to ! agreem5t1 ! foll[+3 7#a7 ,! outcome goals ( ! social impact p>tn]%ip project4 7#b7 ,a description ( ea* int]v5tion 9 ! project4 7#c7 ,! t>get population t w be s]v$ by ! project4 7#d7 ,! expect$ social b5efits to p>ticipants :o receive ! int]v5tion & o!rs :o may be impact$4 7#e7 ,! detail$ roles1 responsibilities1 & purposes ( ea* ,f$]al1 ,/ate1 or local gov]nm5t entity1 int]m$i>y1 s]vice provid]1 indep5d5t evaluator1 inve/or1 or o!r /akehold]4 7#f7 ,! paym5t t]ms1 ! me?odology us$ to calculate outcome paym5ts1 ! paym5t s*$ule1 & p]=mance ?re%olds4 7#g7 ,! project budget4 7#h7 ,! project timel9e4 7#i7 ,! project eligibility crit]ia4 7#aj7 ,! evaluation design4 7#aa7 ,! metrics t w be us$ 9 ! evaluation to det]m9e :e!r ! outcomes h be5 a*iev$ z a result ( ea* int]v5tion & h[ ^! metrics w be measur$4 7#ab7 ,! e/imate ( ! sav+s to ! ,f$]al1 ,/ate1 & local gov]nm5t1 on a program-by-program basis & 9 ! aggregate1 if ! agreem5t is ent]$ into & implem5t$ & ! outcomes are a*iev$ z a result ( ea* int]v5tion4 7e7 ,au?ority to transf] adm9i/ration ( agreem5t ,! ,secret>y may transf] to ! head ( ano!r ,f$]al ag5cy ! au?ority to adm9i/] 7includ+ mak+ paym5ts "u7 an agreem5t ent]$ into "u subsection 7c71 & any funds necess>y to d s4 7f7 ,requirem5t on fund+ us$ to b5efit *ildr5 ,n less ?an #ej p]c5t ( all ,f$]al paym5ts made to c>ry out agreem5ts "u ?is section %all be us$ = initiatives t directly b5efit *ildr54 #bjed4 ,feasibility /udy fund+ 7a7 ,reque/s = fund+ = feasibility /udies ,! ,secret>y %all res]ve a portion ( ! am\nt made available to c>ry out ?is subtitle to assi/ ,/ates or local gov]nm5ts 9 develop+ feasibility /udies to apply = social impact p>tn]%ip fund+ "u section #bjeb4 ,to be eligible to receive fund+ to assi/ ) complet+ a feasibility /udy1 a ,/ate or local gov]nm5t %all submit an application = feasibility /udy fund+ address+ ! foll[+3 7#a7 ,a description ( ! outcome goals ( ! social impact p>tn]%ip project4 7#b7 ,a description ( ! int]v5tion1 includ+ anticipat$ program design1 t>get population1 an e/imate reg>d+ ! numb] ( individuals to be s]v$1 & sett+ = ! int]v5tion4 7#c7 ,evid5ce to support ! likelihood t ! int]v5tion w produce ! desir$ outcomes4 7#d7 ,a description ( ! pot5tial metrics to be us$4 7#e7 ,! expect$ social b5efits to p>ticipants :o receive ! int]v5tion & o!rs :o may be impact$4 7#f7 ,e/imat$ co/s to conduct ! project4 7#g7 ,e/imates ( ,f$]al1 ,/ate1 & local gov]nm5t sav+s & o!r sav+s if ! project is implem5t$ & ! outcomes are a*iev$ z a result ( ea* int]v5tion4 7#h7 ,an e/imat$ timel9e = implem5tation & completion ( ! project1 :i* %all n exce$ #aj ye>s4 7#i7 ,) respect to a project = :i* ! ,/ate or local gov]nm5t selects an int]m$i>y to op]ate ! project1 any p>tn]%ips ne$$ to successfully execute ! project & ! ability ( ! int]m$i>y to fo/] ! p>tn]%ips4 7#aj7 ,! expect$ res\rces ne$$ to complete ! feasibility /udy = ! ,/ate or local gov]nm5t to apply = social impact p>tn]%ip fund+ "u section #bjeb4 7b7 ,f$]al selection ( applications = feasibility /udy ,n lat] ?an #f mon?s aft] receiv+ an application = feasibility /udy fund+ "u subsection 7a71 ! ,secret>y1 9 consultation ) ! ,f$]al ,int]ag5cy ,c\ncil on ,social ,impact ,p>tn]%ips & ! head ( any ,f$]al ag5cy adm9i/]+ a simil> int]v5tion or s]v+ a population simil> to t s]v$ by ! project1 %all select ,/ate or local gov]nm5t feasibility /udy proposals = fund+ bas$ on ! foll[+3 7#a7 ,! recomm5dations made by ! ,commission on ,social ,impact ,p>tn]%ips4 7#b7 ,! likelihood t ! proposal w a*ieve ! desir$ outcomes4 7#c7 ,! value ( ! outcomes expect$ to be a*iev$ z a result ( ea* int]v5tion4 7#d7 ,! pot5tial sav+s to ! ,f$]al ,gov]nm5t if ! social impact p>tn]%ip project is successful4 7#e7 ,! pot5tial sav+s to ! ,/ate & local gov]nm5ts if ! project is successful4 7c7 ,public disclosure ,n lat] ?an #cj days aft] select+ a ,/ate or local gov]nm5t = feasibility /udy fund+ "u ?is section1 ! ,secret>y %all cause to be publi%$ on ! website ( ! ,f$]al ,int]ag5cy ,c\ncil on ,social ,impact ,p>tn]%ips in=mation expla9+ :y a ,/ate or local gov]nm5t 0 grant$ feasibility /udy fund+4 7d7 ,fund+ re/riction 7#a7 ,feasibility /udy re/riction ,! ,secret>y may n provide feasibility /udy fund+ "u ?is section = m ?an #ej p]c5t ( ! e/imat$ total co/ ( ! feasibility /udy report$ 9 ! ,/ate or local gov]nm5t application submitt$ "u subsection 7a74 7#b7 ,aggregate re/riction ,( ! total am\nt made available to c>ry out ?is subtitle1 ! ,secret>y may n use m ?an #aj1jjj1jjj to provide feasibility /udy fund+ to ,/ates or local gov]nm5ts "u ?is section4 7#c7 ,no gu>antee ( fund+ ,! ,secret>y %all h ! option to aw>d no fund+ "u ?is section4 7e7 ,submission ( feasibility /udy requir$ ,n lat] ?an #i mon?s aft] ! receipt ( feasibility /udy fund+ "u ?is section1 a ,/ate or local gov]nm5t receiv+ ! fund+ %all complete ! feasibility /udy & submit ! /udy to ! ,f$]al ,int]ag5cy ,c\ncil on ,social ,impact ,p>tn]%ips4 7f7 ,delegation ( au?ority ,! ,secret>y may transf] to ! head ( ano!r ,f$]al ag5cy ! au?orities provid$ 9 ?is section & any funds necess>y to ex]cise ! au?orities4 #bjee4 ,evaluations 7a7 ,au?ority to ent] into agreem5ts ,= ea* ,/ate or local gov]nm5t aw>d$ a social impact p>tn]%ip project approv$ by ! ,secret>y "u ?is subtitle1 ! head ( ! relevant ag5cy1 z recomm5d$ by ! ,f$]al ,int]ag5cy ,c\ncil on ,social ,impact ,p>tn]%ips & det]m9$ by ! ,secret>y1 %all ent] into an agreem5t ) ! ,/ate or local gov]nm5t to pay = all or "p ( ! indep5d5t evaluation to det]m9e :e!r ! ,/ate or local gov]nm5t project has a*iev$ a specific outcome z a result ( ! int]v5tion 9 ord] = ! ,/ate or local gov]nm5t to receive outcome paym5ts "u ?is subtitle4 7b7 ,evaluator qualifications ,! head ( ! relevant ag5cy may n ent] into an agreem5t ) a ,/ate or local gov]nm5t unless ! head det]m9es t ! evaluator is indep5d5t ( ! o!r p>ties to ! agreem5t & has demon/rat$ sub/antial exp]i5ce 9 conduct+ rigor\s evaluations ( program effectiv5ess includ+1 :]e available & appropriate1 well-implem5t$ r&omiz$ controll$ trials on ! int]v5tion or simil> int]v5tions4 7c7 ,me?odologies to be us$ ,! evaluation us$ to det]m9e :e!r a ,/ate or local gov]nm5t w receive outcome paym5ts "u ?is subtitle %all use exp]im5tal designs us+ r&om assignm5t or o!r reliable1 evid5ce-bas$ rese>* me?odologies1 z c]tifi$ by ! ,f$]al ,int]ag5cy ,c\ncil on ,social ,impact ,p>tn]%ips1 t all[ = ! /ronge/ possible causal inf]5ces :5 r&om assignm5t is n feasible4 7d7 ,progress report 7#a7 ,submission ( report ,! indep5d5t evaluator %all-- 7,a7 n lat] ?an #b ye>s aft] a project has be5 approv$ by ! ,secret>y & biannually !reaft] until ! project is conclud$1 submit to ! head ( ! relevant ag5cy & ! ,f$]al ,int]ag5cy ,c\ncil on ,social ,impact ,p>tn]%ips a writt5 report summ>iz+ ! progress t has be5 made 9 a*iev+ ea* outcome specifi$ 9 ! agreem5t2 & 7,b7 be=e ! s*$ul$ "t ( ! fir/ outcome paym5t & be=e ! s*$ul$ "t ( ea* subsequ5t paym5t1 submit to ! head ( ! relevant ag5cy & ! ,f$]al ,int]ag5cy ,c\ncil on ,social ,impact ,p>tn]%ips a writt5 report t includes ! results ( ! evaluation conduct$ to det]m9e :e!r an outcome paym5t %\ld be made along ) in=mation on ! unique factors t contribut$ to a*iev+ or fail+ to a*ieve ! outcome1 ! *all5ges fac$ 9 attempt+ to a*ieve ! outcome1 & in=mation on ! improv$ future deliv]y ( ?is or simil> int]v5tions4 7#b7 ,submission to ! ,secret>y & ,congress ,n lat] ?an #cj days aft] receipt ( ! writt5 report pursuant to p>agraph 7#a77;,b71 ! ,f$]al ,int]ag5cy ,c\ncil on ,social ,impact ,p>tn]%ips %all submit ! report to ! ,secret>y & ea* committee ( jurisdiction 9 ! ,h\se ( ,repres5tatives & ! ,s5ate4 7e7 ,f9al report 7#a7 ,submission ( report ,)9 #f mon?s aft] ! social impact p>tn]%ip project is complet$1 ! indep5d5t evaluator %all-- 7,a7 evaluate ! effects ( ! activities und]tak5 pursuant to ! agreem5t ) reg>d to ea* outcome specifi$ 9 ! agreem5t2 & 7,b7 submit to ! head ( ! relevant ag5cy & ! ,f$]al ,int]ag5cy ,c\ncil on ,social ,impact ,p>tn]%ips a writt5 report t includes ! results ( ! evaluation & ! conclusion ( ! evaluator z to :e!r ! ,/ate or local gov]nm5t has fulfill$ ea* obligation ( ! agreem5t1 along ) in=mation on ! unique factors t contribut$ to ! success or failure ( ! project1 ! *all5ges fac$ 9 attempt+ to a*ieve ! outcome1 & in=mation on ! improv$ future deliv]y ( ?is or simil> int]v5tions4 7#b7 ,submission to ! ,secret>y & ,congress ,n lat] ?an #cj days aft] receipt ( ! writt5 report pursuant to p>agraph 7#a77;,b71 ! ,f$]al ,int]ag5cy ,c\ncil on ,social ,impact ,p>tn]%ips %all submit ! report to ! ,secret>y & ea* committee ( jurisdiction 9 ! ,h\se ( ,repres5tatives & ! ,s5ate4 7f7 ,limitation on co/ ( evaluations ,( ! am\nt made available "u ?is subtitle = social impact p>tn]%ip projects1 ! ,secret>y may n obligate m ?an #ae p]c5t to evaluate ! implem5tation & outcomes ( ! projects4 7g7 ,delegation ( au?ority ,! ,secret>y may transf] to ! head ( ano!r ,f$]al ag5cy ! au?orities provid$ 9 ?is section & any funds necess>y to ex]cise ! au?orities4 #bjef4 ,f$]al int]ag5cy c\ncil on social impact p>tn]%ips 7a7 ,e/abli%m5t ,!re is e/abli%$ ! ,f$]al ,int]ag5cy ,c\ncil on ,social ,impact ,p>tn]%ips 79 ?is section ref]r$ to z ! ,c\ncil7 to-- 7#a7 coord9ate ) ! ,secret>y on ! ef=ts ( social impact p>tn]%ip projects fund$ "u ?is subtitle2 7#b7 advise & assi/ ! ,secret>y 9 ! developm5t & implem5tation ( ! projects2 7#c7 advise ! ,secret>y on specific programmatic & policy matt] relat$ to ! projects2 7#d7 provide subject-matt] exp]tise to ! ,secret>y ) reg>d to ! projects2 7#e7 c]tify to ! ,secret>y t ea* ,/ate or local gov]nm5t t has ent]$ into an agreem5t ) ! ,secret>y = a social impact p>tn]%ip project "u ?is subtitle & ea* evaluator select$ by ! head ( ! relevant ag5cy "u section #bjee has access to ,f$]al adm9i/rative data to assi/ ! ,/ate or local gov]nm5t & ! evaluator 9 evaluat+ ! p]=mance & outcomes ( ! project2 7#f7 address issues t w influ5ce ! future ( social impact p>tn]%ip projects 9 ! ,unit$ ,/ates2 7#g7 provide guidance to ! executive bran* on ! future ( social impact p>tn]%ip projects 9 ! ,unit$ ,/ates2 7#h7 prior to approval by ! ,secret>y1 c]tify t ea* ,/ate & local gov]nm5t application = a social impact p>tn]%ip conta9s rigor\s1 indep5d5t data & reliable1 evid5ce-bas$ rese>* me?odologies to support ! conclusion t ! project w yield sav+s to ! ,/ate or local gov]nm5t or ! ,f$]al ,gov]nm5t if ! project outcomes are a*iev$2 7#i7 c]tify to ! ,secret>y1 9 ! case ( ea* approv$ social impact p>tn]%ip t is expect$ to yield sav+s to ! ,f$]al ,gov]nm5t1 t ! project w yield a project$ sav+s to ! ,f$]al ,gov]nm5t if ! project outcomes are a*iev$1 & coord9ate ) ! relevant ,f$]al ag5cy to produce an aft]-action acc\nt+ once ! project is complete to det]m9e ! actual ,f$]al sav+s realiz$1 & ! ext5t to :i* actual sav+s align$ ) project$ sav+s2 & 7#aj7 provide p]iodic reports to ! ,secret>y & make available reports p]iodically to ,congress & ! public on ! implem5tation ( ?is subtitle4 7b7 ,composition ( c\ncil ,! ,c\ncil %all h #aa memb]s1 z foll[s3 7#a7 ,*air ,! ,*air ( ! ,c\ncil %all be ! ,director ( ! ,(fice ( ,managem5t & ,budget4 7#b7 ,o!r memb]s ,! head ( ea* ( ! foll[+ entities %all designate "o (fic] or employee ( ! entity to be a ,c\ncil memb]3 7,a7 ,! ,dep>tm5t ( ,labor4 7,b7 ,! ,dep>tm5t ( ,heal? & ,human ,s]vices4 7,c7 ,! ,social ,security ,adm9i/ration4 7,d7 ,! ,dep>tm5t ( ,agriculture4 7,e7 ,! ,dep>tm5t ( ,ju/ice4 7,f7 ,! ,dep>tm5t ( ,h\s+ & ,urban ,developm5t4 7,g7 ,! ,dep>tm5t ( ,education4 7,h7 ,! ,dep>tm5t ( ,vet]ans ,affairs4 7,i7 ,! ,dep>tm5t ( ! ,treasury4 7,j7 ,! ,corporation = ,national & ,community ,s]vice4 #bjeg4 ,commission on social impact p>tn]%ips 7a7 ,e/abli%m5t ,!re is e/abli%$ ! ,commission on ,social ,impact ,p>tn]%ips 79 ?is section ref]r$ to z ! ,commission74 7b7 ,duties ,! duties ( ! ,commission %all be to-- 7#a7 assi/ ! ,secret>y & ! ,f$]al ,int]ag5cy ,c\ncil on ,social ,impact ,p>tn]%ips 9 review+ applications = fund+ "u ?is subtitle2 7#b7 make recomm5dations to ! ,secret>y & ! ,f$]al ,int]ag5cy ,c\ncil on ,social ,impact ,p>tn]%ips reg>d+ ! fund+ ( social impact p>tn]%ip agreem5ts & feasibility /udies2 & 7#c7 provide o!r assi/ance & in=mation z reque/$ by ! ,secret>y or ! ,f$]al ,int]ag5cy ,c\ncil on ,social ,impact ,p>tn]%ips4 7c7 ,composition ,! ,commission %all be compos$ ( n9e memb]s1 ( :om-- 7#a7 "o %all be appo9t$ by ! ,presid5t1 :o w s]ve z ! ,*air ( ! ,commission2 7#b7 "o %all be appo9t$ by ! ,majority ,lead] ( ! ,s5ate2 7#c7 "o %all be appo9t$ by ! ,m9ority ,lead] ( ! ,s5ate2 7#d7 "o %all be appo9t$ by ! ,speak] ( ! ,h\se ( ,repres5tatives2 7#e7 "o %all be appo9t$ by ! ,m9ority ,lead] ( ! ,h\se ( ,repres5tatives2 7#f7 "o %all be appo9t$ by ! ,*airman ( ! ,committee on ,f9ance ( ! ,s5ate2 7#g7 "o %all be appo9t$ by ! rank+ memb] ( ! ,committee on ,f9ance ( ! ,s5ate2 7#h7 "o memb] %all be appo9t$ by ! ,*airman ( ! ,committee on ,ways & ,means ( ! ,h\se ( ,repres5tatives2 & 7#i7 "o %all be appo9t$ by ! rank+ memb] ( ! ,committee on ,ways & ,means ( ! ,h\se ( ,repres5tatives4 7d7 ,qualifications ( commission memb]s ,! memb]s ( ! ,commission %all-- 7#a7 be exp]i5c$ 9 f9ance1 economics1 pay = p]=mance1 or program evaluation2 7#b7 h relevant pr(essional or p]sonal exp]i5ce 9 a field relat$ to "o or m ( ! outcomes li/$ 9 ?is subtitle2 or 7#c7 be qualifi$ to review applications = social impact p>tn]%ip projects to det]m9e :e!r ! propos$ metrics & evaluation me?odologies are appropriately rigor\s & reliant ^u indep5d5t data & evid5ce-bas$ rese>*4 7e7 ,tim+ ( appo9tm5ts ,! appo9tm5ts ( ! memb]s ( ! ,commission %all be made n lat] ?an #abj days aft] ! date ( ! enactm5t ( ?is subtitle1 or1 9 ! ev5t ( a vacancy1 n lat] ?an #ij days aft] ! date ! vacancy arises4 ,if a memb] ( ,congress fails to appo9t a memb] by t date1 ! ,presid5t may select a memb] ( ! ,presid5t's *oice on behalf ( ! memb] ( ,congress4 ,not)/&+ ! prec$+ s5t5ce1 if n all appo9tm5ts h be5 made to ! ,commission z ( t date1 ! ,commission may op]ate ) no few] ?an five memb]s until all appo9tm5ts h be5 made4 7f7 ,t]m ( appo9tm5ts 7#a7 ,9 g5]al ,! memb]s appo9t$ "u subsection 7c7 %all s]ve z foll[s3 7,a7 ,?ree memb]s %all s]ve = #b ye>s4 7,b7 ,?ree memb]s %all s]ve = #c ye>s4 7,c7 ,?ree memb]s 7"o ( :i* %all be ,*air ( ! ,commission appo9t$ by ! ,presid5t7 %all s]ve = #d ye>s4 7#b7 ,assignm5t ( t]ms ,! ,commission %all designate ! t]m l5g? t ea* memb] appo9t$ "u subsection 7c7 %all s]ve by unanim\s agreem5t4 ,9 ! ev5t t unanim\s agreem5t _c be rea*$1 t]m l5g?s %all be assign$ to ! memb]s by a r&om process4 7g7 ,vacancies ,subject to subsection 7e71 9 ! ev5t ( a vacancy 9 ! ,commission1 :e!r due to ! resignation ( a memb]1 ! expiration ( a memb]'s t]m1 or any o!r reason1 ! vacancy %all be fill$ 9 ! mann] 9 :i* ! orig9al appo9tm5t 0 made & %all n affect ! p[]s ( ! ,commission4 7h7 ,appo9tm5t p[] ,memb]s ( ! ,commission appo9t$ "u subsection 7c7 %all n be subject to confirmation by ! ,s5ate4 #bjeh4 ,limitation on use ( funds ,( ! am\nts made available to c>ry out ?is subtitle1 ! ,secret>y may n use m ?an #b1jjj1jjj 9 any fiscal ye> to support ! review1 approval1 & ov]sight ( social impact p>tn]%ip projects1 includ+ activities conduct$ by-- 7#a7 ! ,f$]al ,int]ag5cy ,c\ncil on ,social ,impact ,p>tn]%ips2 & 7#b7 any o!r ag5cy consult$ by ! ,secret>y be=e approv+ a social impact p>tn]%ip project or a feasibility /udy "u section #bjed4 #bjei4 ,no ,f$]al fund+ = cr$it enhancem5ts ,no am\nt made available to c>ry out ?is subtitle may be us$ to provide any insurance1 gu>antee1 or o!r cr$it enhancem5t to a ,/ate or local gov]nm5t "u :i* a ,f$]al paym5t w\ld be made to a ,/ate or local gov]nm5t z ! result ( a ,/ate or local gov]nm5t fail+ to a*ieve an outcome specifi$ 9 an agreem5t4 #bjfj4 ,availability ( funds ,am\nts made available to c>ry out ?is subtitle %all rema9 available until #aj ye>s aft] ! date ( ! enactm5t ( ?is subtitle4 #bjfa4 ,website ,! ,f$]al ,int]ag5cy ,c\ncil on ,social ,impact ,p>tn]%ips %all e/abli% & ma9ta9 a public website t %all display ! foll[+3 7#a7 ,a copy (1 or me?od ( access+1 ea* notice publi%$ reg>d+ a social impact p>tn]%ip project pursuant to ?is subtitle4 7#b7 ,a copy ( ea* feasibility /udy fund$ "u ?is subtitle4 7#c7 ,= ea* ,/ate or local gov]nm5t t has ent]$ into an agreem5t ) ! ,secret>y = a social impact p>tn]%ip project1 ! website %all conta9 ! foll[+ in=mation3 7,a7 ,! outcome goals ( ! project4 7,b7 ,a description ( ea* int]v5tion 9 ! project4 7,c7 ,! t>get population t w be s]v$ by ! project4 7,d7 ,! expect$ social b5efits to p>ticipants :o receive ! int]v5tion & o!rs :o may be impact$4 7,e7 ,! detail$ roles1 responsibilities1 & purposes ( ea* ,f$]al1 ,/ate1 or local gov]nm5t entity1 int]m$i>y1 s]vice provid]1 indep5d5t evaluator1 inve/or1 or o!r /akehold]4 7,f7 ,! paym5t t]ms1 me?odology us$ to calculate outcome paym5ts1 ! paym5t s*$ule1 & p]=mance ?re%olds4 7,g7 ,! project budget4 7,h7 ,! project timel9e4 7,i7 ,! project eligibility crit]ia4 7,j7 ,! evaluation design4 7,k7 ,! metrics us$ to det]m9e :e!r ! propos$ outcomes h be5 a*iev$ & h[ ^! metrics are measur$4 7#d7 ,a copy ( ! progress reports & ! f9al reports relat+ to ea* social impact p>tn]%ip project4 7#e7 ,an e/imate ( ! sav+s to ! ,f$]al1 ,/ate1 & local gov]nm5t1 on a program-by-program basis & 9 ! aggregate1 result+ f ! successful completion ( ! social impact p>tn]%ip project4 #bjfb4 ,regulations ,! ,secret>y1 9 consultation ) ! ,f$]al ,int]ag5cy ,c\ncil on ,social ,impact ,p>tn]%ips1 may issue regulations z necess>y to c>ry out ?is subtitle4 #bjfc4 ,def9itions ,9 ?is subtitle3 7#a7 ,ag5cy ,! t]m ag5cy has ! mean+ giv5 t t]m 9 section #eea ( title #e1 ,unit$ ,/ates ,code4 7#b7 ,int]v5tion ,! t]m int]v5tion means a specific s]vice deliv]$ to a*ieve an impact ?r\gh a social impact p>tn]%ip project4 7#c7 ,secret>y ,! t]m ,secret>y means ! ,secret>y ( ! ,treasury4 7#d7 ,social impact p>tn]%ip project ,! t]m social impact p>tn]%ip project means a project t f9ances social s]vices us+ a social impact p>tn]%ip model4 7#e7 ,social impact p>tn]%ip model ,! t]m social impact p>tn]%ip model means a me?od ( f9anc+ social s]vices 9 :i*-- 7,a7 ,f$]al funds are aw>d$ to a ,/ate or local gov]nm5t only if a ,/ate or local gov]nm5t a*ieves c]ta9 outcomes agre$ on by ! ,/ate or local gov]nm5t & ! ,secret>y2 & 7,b7 ! ,/ate or local gov]nm5t coord9ates ) s]vice provid]s1 inve/ors 7if applicable to ! project71 & 7if necess>y7 an int]m$i>y to id5tify-- 7i7 an int]v5tion expect$ to produce ! outcome2 7ii7 a s]vice provid] to deliv] ! int]v5tion to ! t>get population2 & 7iii7 inve/ors to fund ! deliv]y ( ! int]v5tion4 7#f7 ,/ate ,! t]m ,/ate means ea* ,/ate ( ! ,unit$ ,/ates1 ! ,di/rict ( ,columbia1 ea* commonweal?1 t]ritory or possession ( ! ,unit$ ,/ates1 & ea* f$]ally recogniz$ ,indian tribe4 #bjfd4 ,fund+ ,out ( any money 9 ! ,treasury ( ! ,unit$ ,/ates n o!rwise appropriat$1 !re is h]eby appropriat$ #ib1jjj1jjj = fiscal ye> #bjah to c>ry out ?is subtitle4 4 ,c ,mod]niz+ *ild support en=cem5t fees #bfia4 ,mod]niz+ *ild support en=cem5t fees 7a7 ,9 g5]al ,section #ded7f77;,b77ii7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #fed7f77;,b77ii77 is am5d$-- 7#a7 by /rik+ #be & ins]t+ #ce2 & 7#b7 by /rik+ #ejj ea* place x appe>s & ins]t+ #eej4 7b7 ,effective date 7#a7 ,9 g5]al ,! am5dm5t made by subsection 7a7 %all take effect on ! #a/ day ( ! #a/ fiscal ye> t beg9s on or aft] ! date ( ! enactm5t ( ?is ,act1 & %all apply to paym5ts "u "p ,d ( title ,,iv ( ! ,social ,security ,act = cal5d> qu>t]s beg9n+ on or aft] su* #a/ day4 7#b7 ,delay p]mitt$ if /ate legislation requir$ ,if ! ,secret>y ( ,heal? & ,human ,s]vices det]m9es t ,/ate legislation 7o!r ?an legislation appropriat+ funds7 is requir$ 9 ord] = a ,/ate plan develop$ pursuant to "p ,d ( title ,,iv ( ! ,social ,security ,act to meet ! requirem5t impos$ by ! am5dm5t made by subsection 7a71 ! plan %all n be reg>d$ z fail+ to meet ! requirem5t be=e ! #a/ day ( ! #a/ cal5d> qu>t] beg9n+ aft] ! fir/ regul> session ( ! ,/ate legislature t beg9s aft] ! date ( ! enactm5t ( ?is ,act4 ,= purposes ( ! prec$+ s5t5ce1 if ! ,/ate has a #b-ye> legislative session1 ea* ye> ( ! session is deem$ to be a sep>ate regul> session ( ! ,/ate legislature4 ,d ,increas+ effici5cy ( prison data report+ #bfii4 ,increas+ effici5cy ( prison data report+ 7a7 ,9 g5]al ,section #afaa7;e77#a77;,i77i77,,ii7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #achb7;e77#a77;,i77i77,,ii77 is am5d$ by /rik+ #cj days ea* place x appe>s & ins]t+ #ae days4 7b7 ,effective date ,! am5dm5ts made by subsection 7a7 %all apply ) respect to any paym5t made by ! ,commission] ( ,social ,security pursuant to section #afaa7;e77#a77;,i77i77,,ii7 ( ! ,social ,security ,act 7z am5d$ by su* subsection7 on or aft] ! date t is #f mon?s aft] ! date ( enactm5t ( ?is ,act4 ,,vii ,(fsets #bgja4 ,paym5t = e>ly dis*>ges to hospice c>e 7a7 ,9 g5]al ,section #ahhf7;d77#e77;,j7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acieww7d77#e77;,j77 is am5d$-- 7#a7 9 clause 7ii7-- 7,a7 9 subclause 7,,iii71 by /rik+ or at ! end2 7,b7 by r$esignat+ subclause 7,,iv7 z subclause 7,v72 & 7,c7 by ins]t+ aft] subclause 7,,iii7 ! foll[+ new subclause3 7,,iv7 = dis*>ges occurr+ on or aft] ,octob] #a1 #bjbb1 is provid$ hospice c>e by a hospice program2 or 2 & 7#b7 9 clause 7iv7-- 7,a7 by ins]t+ aft] ! fir/ s5t5ce ! foll[+ new s5t5ce3 ,! ,secret>y %all include 9 ! propos$ rule publi%$ = fiscal ye> #bjbc1 a description ( ! effect ( clause 7ii77,,iv742 & 7,b7 9 subclause 7,i71 by /rik+ & 7,,iii7 & ins]t+ 7,,iii71 &1 9 ! case ( propos$ & f9al rules = fiscal ye> #bjbc & subsequ5t fiscal ye>s1 7,,iv74 7b7 ,med,p,a,c evaluation & report on hospital to hospice transf]s 7#a7 ,evaluation ,! ,m$ic>e ,paym5t ,advisory ,commission 79 ?is subsection ref]r$ to z ! ,commission7 %all conduct an evaluation ( ! effects ( ! am5dm5ts made by subsection 7a71 includ+ ! effects on-- 7,a7 ! numb]s ( dis*>ges ( pati5ts f an inpati5t hospital sett+ to a hospice program2 7,b7 ! l5g?s ( /ays ( pati5ts 9 an inpati5t hospital sett+ :o are dis*>g$ to a hospice program2 7,c7 sp5d+ "u ! ,m$ic>e program "u title ,,xviii ( ! ,social ,security ,act2 & 7,d7 o!r areas det]m9$ appropriate by ! ,commission4 7#b7 ,consid]ation ,9 conduct+ ! evaluation "u p>agraph 7#a71 ! ,commission %all consid] factors su* z :e!r ! timely access to hospice c>e by pati5ts admitt$ to a hospital has be5 affect$ ?r\gh *anges to hospital policies or behaviors made z a result ( su* am5dm5ts4 7#c7 ,prelim9>y results ,n lat] ?an ,m>* #ae1 #bjbd1 ! ,commission %all provide ,congress ) prelim9>y results on ! evaluation be+ conduct$ "u p>agraph 7#a74 7#d7 ,report ,n lat] ?an ,m>* #ae1 #bjbe1 ! ,commission %all submit to ,congress a report on ! evaluation conduct$ "u p>agraph 7#a74 #bgjb4 ,home heal? m>ket basket r$uction ,section #ahie7;b77#c77;,b7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acie;fff7b77#c77;,b77 is am5d$-- 7#a7 9 clause 7iii71 9 ! la/ s5t5ce1 by ins]t+ be=e ! p]iod at ! end ! foll[+3 & = #bjbj %all be #a4e p]c5t2 & 7#b7 9 clause 7vi71 by ins]t+ & #bjbj aft] except #bjah4 #bgjc4 ,r$uction = non-em]g5cy ,,esrd ambulance transports ,section #ahcd7l77#ae7 ( ! ,social ,security ,act 7#db4 ,u4,s4,c4 #aciem7l77#ae77 is am5d$ by /rik+ on or aft] ,octob] #a1 #bjac & ins]t+ dur+ ! p]iod beg9n+ on ,octob] #a1 #bjac1 & end+ on ,septemb] #cj1 #bjah1 & by #bc p]c5t = su* s]vices furni%$ on or aft] ,octob] #a1 #bjah4 #bgjd4 ,ext5sion ( t>get = relative value adju/m5ts = misvalu$ s]vices & transitional paym5t rules = c]ta9 radiation !rapy s]vices "u ! physician fee s*$ule ,section #ahdh ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciew-#d7 is am5d$-- 7#a7 9 subsection 7b77#aa71 by /rik+ #bjag & #bjah & ins]t+ #bjag1 #bjah1 & #bjai2 & 7#b7 9 subsection 7c77#b7-- 7,a7 9 subp>agraph 7,k77iv71 by /rik+ #bjag & #bjah & ins]t+ #bjag1 #bjah1 & #bjai2 & 7,b7 9 subp>agraph 7,o71 by /rik+ #bjah & ins]t+ #bjai4 #bgje4 ,delay 9 au?ority to t]m9ate contracts = ,m$ic>e ,advantage plans fail+ to a*ieve m9imum quality rat+s ,section #aheg7;h77#c7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciew-#bg7;h77#c77 is am5d$ by /rik+ #bjah & ins]t+ #bjbg4 #bgjf4 ,m$ic>e ,improvem5t ,fund ,section #ahih7;b77#a7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acie;iii7b77#a77 is am5d$ by /rik+ dur+ & aft] fiscal ye> #bjba & all t foll[s ?r\gh ! p]iod at ! end & ins]t+ dur+ & aft] fiscal ye> #bjba1 #j44 #bgjg4 ,paym5t = outpati5t physical !rapy s]vices & outpati5t occupational !rapy s]vices furni%$ by a !rapy assi/ant ,section #ahcd ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciem71 z am5d$ by sections #bbjd & #bdad1 is fur!r am5d$ by add+ at ! end ! foll[+ new subsection3 7x7 ,paym5t = outpati5t physical !rapy s]vices & outpati5t occupational !rapy s]vices furni%$ by a !rapy assi/ant 7#a7 ,9 g5]al ,9 ! case ( an outpati5t physical !rapy s]vice or outpati5t occupational !rapy s]vice furni%$ on or aft] ,janu>y #a1 #bjbb1 = :i* paym5t is made "u section #ahdh or subsection 7k71 t is furni%$ 9 :ole or 9 "p by a !rapy assi/ant 7z def9$ by ! ,secret>y71 ! am\nt ( paym5t = su* s]vice %all be an am\nt equal to #he p]c5t ( ! am\nt ( paym5t o!rwise applicable = ! s]vice "u ?is "p4 ,no?+ 9 ! prec$+ s5t5ce %all be con/ru$ to *ange applicable requirem5ts ) respect to su* s]vices4 7#b7 ,use ( modifi] 7,a7 ,e/abli%m5t ,n lat] ?an ,janu>y #a1 #bjai1 ! ,secret>y %all e/abli% a modifi] to indicate 79 a =m & mann] specifi$ by ! ,secret>y71 9 ! case ( an outpati5t physical !rapy s]vice or outpati5t occupational !rapy s]vice furni%$ 9 :ole or 9 "p by a !rapy assi/ant 7z s def9$71 t ! s]vice 0 furni%$ by a !rapy assi/ant4 7,b7 ,requir$ use ,ea* reque/ = paym5t1 or bill submitt$1 = an outpati5t physical !rapy s]vice or outpati5t occupational !rapy s]vice furni%$ 9 :ole or 9 "p by a !rapy assi/ant 7z s def9$7 on or aft] ,janu>y #a1 #bjbj1 %all include ! modifi] e/abli%$ "u subp>agraph 7,a7 = ea* su* s]vice4 7#c7 ,implem5tation ,! ,secret>y %all implem5t ?is subsection ?r\gh notice & comm5t rulemak+4 4 #bgjh4 ,*anges to long-t]m c>e hospital paym5ts 7a7 ,ext5sion ,section #ahhf7m77#f77;,b77i7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acieww7m77#f77;,b77i77 is am5d$-- 7#a7 9 subclause 7,i71 by /rik+ fiscal ye> #bjaf or fiscal ye> #bjag & ins]t+ fiscal ye>s #bjaf ?r\gh #bjai2 & 7#b7 9 subclause 7,,ii71 by /rik+ #bjah & ins]t+ #bjbj4 7b7 ,tempor>y adju/m5t to site neutral paym5t rates ,section #ahhf7m77#f77;,b7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acieww7m77#f77;,b77 is am5d$-- 7#a7 9 clause 7ii71 9 ! matt] prec$+ subclause 7,i71 by /rik+ ,9 ?is p>agraph & ins]t+ ,subject to clause 7iv71 9 ?is p>agraph2 & 7#b7 by add+ at ! end ! foll[+ new clause3 7iv7 ,adju/m5t ,= ea* ( fiscal ye>s #bjah ?r\gh #bjbf1 ! am\nt t w\ld o!rwise apply "u clause 7ii77,i7 = ! ye> 7det]m9$ )\t reg>d to ?is clause7 %all be r$uc$ by #d4f p]c5t4 4 #bgji4 ,non-,budget ,neutral ,transitional ,pass-,?r\gh ,paym5t ,*ange = ,c]ta9 ,products 7a7 ,9 g5]al ,subsection #ahcc7t77#f77;,a77iv7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciel7t77#f77;,a77iv77 is am5d$ by ins]t+ 7except1 beg9n+ z ( ,april #a1 #bjah1 a biosimil> biological product 7z def9$ "u section #ahdg;,a7c77#f77;,h777 aft] biological4 7b7 ,application ,! am5dm5t made by subsection 7a7 %all apply ) respect to biosimil> biological products beg9n+ on ,april #a1 #bjah1 reg>dless ( :e!r su* products 7 receiv+ pass-?r\gh /atus = an additional paym5t "u section #ahcc7t77#f7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciel7t77#f77 be=e su* date4 ,9 ! case ( a product t 0 receiv+ su* an additional paym5t pursuant to clause 7iv7 ( subp>agraph 7,a7 ( su* section z ( ! day be=e su* date & aft] application ( ! am5dm5t "u subsection 7a7 is n eligible = su* an additional paym5t z ( su* date1 su* product may n be eligible = su* an additional paym5t pursuant to any o!r clause ( su* subp>agraph 7,a74 #bgaj4 ,?ird p>ty liability 9 ,m$icaid & ,,*ip 7a7 ,modification ( ?ird p>ty liability rules relat$ to special treatm5t ( c]ta9 types ( c>e & paym5ts 7#a7 ,9 g5]al ,section #aijb7;a77#be77;,e7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif;a7a77#be77;,e77 is am5d$1 9 ! matt] prec$+ clause 7i71 by /rik+ pr5atal or4 7#b7 ,effective date ,! am5dm5t made by p>agraph 7#a7 %all take effect on ! date ( enactm5t ( ?is ,act4 7b7 ,delay 9 effective date & repeal ( c]ta9 ,bip>tisan ,budget ,act ( #bjac am5dm5ts 7#a7 ,repeal ,effective z ( ,septemb] #cj1 #bjag1 subsection 7b7 ( section #bjb ( ! ,bip>tisan ,budget ,act ( #bjac 7,public ,law #aac-fg2 #abg ,/at4 #aagg2 #db ,u4,s4,c4 #acif;a note7 7includ+ any am5dm5ts made by su* subsection7 is repeal$ & ! provisions am5d$ by su* subsection %all be appli$ & adm9i/]$ z if su* am5dm5ts _h nev] be5 enact$4 7#b7 ,delay 9 effective date ,subsection 7c7 ( section #bjb ( ! ,bip>tisan ,budget ,act ( #bjac 7,public ,law #aac-fg2 #abg ,/at4 #aagg2 #db ,u4,s4,c4 #acif;a note7 is am5d$ to read z foll[s3 7c7 ,effective date ,! am5dm5ts made by subsection 7a7 %all take effect on ,octob] #a1 #bjai4 4 7#c7 ,effective date2 treatm5t ,! repeal & am5dm5t made by ?is subsection %all take effect z if enact$ on ,septemb] #cj1 #bjag1 & %all apply ) respect to any op5 claims1 includ+ claims p5d+1 g5]at$1 or fil$1 aft] su* date4 ,! am5dm5ts made by subsections 7a7 & 7b7 ( section #bjb ( ! ,bip>tisan ,budget ,act ( #bjac 7,public ,law #aac-fg2 #abg ,/at4 #aagg2 #db ,u4,s4,c4 #acif;a note7 t took effect on ,octob] #a1 #bjag1 are null & void & section #aijb7;a77#be7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif;a7a77#be77 %all be appli$ & adm9i/]$ z if su* am5dm5ts _h n tak5 effect on su* date4 7c7 ,,gao /udy & report ,n lat] ?an #ah mon?s aft] ! date ( enactm5t ( ?is ,act1 ! ,comptroll] ,g5]al ( ! ,unit$ ,/ates %all submit a report to ! ,committee on ,en]gy & ,comm]ce ( ! ,h\se ( ,repres5tatives & ! ,committee on ,f9ance ( ! ,s5ate on ! impacts ( ! am5dm5ts made by subsections 7a77#a7 & 7b77#b71 includ+-- 7#a7 ! impact1 or pot5tial effect1 ( su* am5dm5ts on access to pr5atal & prev5tive p$iatric c>e 7includ+ e>ly & p]iodic scre5+1 diagno/ic1 & treatm5t s]vices7 cov]$ "u ,/ate plans "u su* title 7or waiv]s ( su* plans72 7#b7 ! impact1 or pot5tial effect1 ( su* am5dm5ts on access to s]vices cov]$ "u su* plans or waiv]s = individuals on ^: behalf *ild support en=cem5t is be+ c>ri$ out by a ,/ate ag5cy "u "p ,d ( title ,,iv ( su* ,act2 & 7#c7 ! impact1 or pot5tial effect1 on provid]s ( s]vices "u su* plans or waiv]s ( delays 9 paym5t or relat$ issues t result f su* am5dm5ts4 7d7 ,application to ,,*ip 7#a7 ,9 g5]al ,section #bajg7;e77#a7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acig;gg7e77#a77 is am5d$-- 7,a7 by r$esignat+ subp>agraphs 7,b7 ?r\gh 7,r7 z subp>agraphs 7,c7 ?r\gh 7,s71 respectively2 & 7,b7 by ins]t+ aft] subp>agraph 7,a7 ! foll[+ new subp>agraph3 7,b7 ,section #aijb7;a77#be7 7relat+ to ?ird p>ty liability74 4 7#b7 ,m&atory report+ ,section #aijb7;a77#be77;,i77i7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif;a7a77#be77;,i77i77 is am5d$-- 7,a7 by /rik+ m$ical assi/ance "u ! ,/ate plan & ins]t+ m$ical assi/ance "u a ,/ate plan 7or "u a waiv] ( ! plan72 7,b7 by /rik+ 7&1 at ,/ate option1 *ild & ins]t+ & *ild2 & 7,c7 by /rik+ title ,,xxi7 & ins]t+ title ,,xxi4 #bgaa4 ,treatm5t ( lott]y w9n+s & o!r lump-sum income = purposes ( income eligibility "u ,m$icaid 7a7 ,9 g5]al ,section #aijb ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif;a7 is am5d$-- 7#a7 9 subsection 7a77#ag71 by /rik+ 7e77#ad71 7e77#ad7 & ins]t+ 7e77#ad71 7e77#ae72 & 7#b7 9 subsection 7e77#ad71 by add+ at ! end ! foll[+ new subp>agraph3 7,k7 ,treatm5t ( c]ta9 lott]y w9n+s & income receiv$ z a lump sum 7i7 ,9 g5]al ,9 ! case ( an individual :o is ! recipi5t ( qualifi$ lott]y w9n+s 7pursuant to lott]ies occurr+ on or aft] ,janu>y #a1 #bjah7 or qualifi$ lump sum income 7receiv$ on or aft] su* date7 & ^: eligibility = m$ical assi/ance is det]m9$ bas$ on ! application ( modifi$ adju/$ gross income "u subp>agraph 7,a71 a ,/ate %all1 9 det]m9+ su* eligibility1 include su* w9n+s or income 7z applicable7 z income receiv$-- 7,i7 9 ! mon? 9 :i* su* w9n+s or income 7z applicable7 is receiv$ if ! am\nt ( su* w9n+s or income is less ?an #hj1jjj2 7,,ii7 ov] a p]iod ( #b mon?s if ! am\nt ( su* w9n+s or income 7z applicable7 is great] ?an or equal to #hj1jjj b less ?an #ij1jjj2 7,,iii7 ov] a p]iod ( #c mon?s if ! am\nt ( su* w9n+s or income 7z applicable7 is great] ?an or equal to #ij1jjj b less ?an #ajj1jjj2 & 7,,iv7 ov] a p]iod ( #c mon?s plus #a additional mon? = ea* increm5t ( #aj1jjj ( su* w9n+s or income 7z applicable7 receiv$1 n to exce$ a p]iod ( #abj mon?s 7= w9n+s or income ( #a1bfj1jjj or m71 if ! am\nt ( su* w9n+s or income is great] ?an or equal to #ajj1jjj4 7ii7 ,c\nt+ 9 equal in/allm5ts ,= purposes ( subclauses 7,,ii71 7,,iii71 & 7,,iv7 ( clause 7i71 w9n+s or income to :i* su* subclause applies %all be c\nt$ 9 equal mon?ly in/allm5ts ov] ! p]iod ( mon?s specifi$ "u su* subclause4 7iii7 ,h>d%ip exemption ,an individual ^: income1 by application ( clause 7i71 exce$s ! applicable eligibility ?re%old e/abli%$ by ! ,/ate1 %all cont9ue to be eligible = m$ical assi/ance to ! ext5t t ! ,/ate det]m9es1 "u proc$ures e/abli%$ by ! ,/ate 79 accordance ) /&>ds specifi$ by ! ,secret>y71 t ! d5ial ( eligibility ( ! individual w\ld cause an undue m$ical or f9ancial h>d%ip z det]m9$ on ! basis ( crit]ia e/abli%$ by ! ,secret>y4 7iv7 ,notifications & assi/ance requir$ 9 case ( loss ( eligibility ,a ,/ate %all1 ) respect to an individual :o loses eligibility = m$ical assi/ance "u ! ,/ate plan 7or a waiv] ( su* plan7 by reason ( clause 7i7-- 7,i7 be=e ! date on :i* ! individual loses su* eligibility1 in=m ! individual-- 7aa7 ( ! individual's opportunity to enroll 9 a qualifi$ heal? plan (f]$ ?r\gh an ,ex*ange e/abli%$ "u title ,i ( ! ,pati5t ,protection & ,af=dable ,c>e ,act dur+ ! special enrollm5t p]iod specifi$ 9 section #ihja7;f77#c7 ( ! ,int]nal ,rev5ue ,code ( #aihf 7relat+ to loss ( ,m$icaid or ,,*ip cov]age72 & 7bb7 ( ! date on :i* ! individual w\ld no long] be consid]$ ineligible by reason ( clause 7i7 to receive m$ical assi/ance "u ! ,/ate plan or "u any waiv] ( su* plan & be eligible to reapply to receive su* m$ical assi/ance2 & 7,,ii7 provide te*nical assi/ance to ! individual seek+ to enroll 9 su* a qualifi$ heal? plan4 7v7 ,qualifi$ lott]y w9n+s def9$ ,9 ?is subp>agraph1 ! t]m qualifi$ lott]y w9n+s means w9n+s f a sweep/akes1 lott]y1 or pool describ$ 9 p>agraph 7#c7 ( section #ddjb ( ! ,int]nal ,rev5ue ,code ( #aihf or a lott]y op]at$ by a multi/ate or multijurisdictional lott]y association1 includ+ am\nts aw>d$ z a lump sum paym5t4 7vi7 ,qualifi$ lump sum income def9$ ,9 ?is subp>agraph1 ! t]m qualifi$ lump sum income means income t is receiv$ z a lump sum f monet>y w9n+s f gambl+ 7z def9$ by ! ,secret>y & includ+ gambl+ activities describ$ 9 section #aiee7;b77#d7 ( title #ah1 ,unit$ ,/ates ,code74 4 7b7 ,rules ( con/ruction 7#a7 ,int]ception ( lott]y w9n+s all[$ ,no?+ 9 ! am5dm5t made by subsection 7a77#b7 %all be con/ru$ z prev5t+ a ,/ate f int]cept+ ! ,/ate lott]y w9n+s aw>d$ to an individual 9 ! ,/ate to recov] am\nts paid by ! ,/ate "u ! ,/ate ,m$icaid plan "u title ,,xix ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif et seq47 = m$ical assi/ance furni%$ to ! individual4 7#b7 ,applicability limit$ to eligibility ( recipi5t ( lott]y w9n+s or lump sum income ,no?+ 9 ! am5dm5t made by subsection 7a77#b7 %all be con/ru$1 ) respect to a det]m9ation ( h\sehold income = purposes ( a det]m9ation ( eligibility = m$ical assi/ance "u ! ,/ate plan "u title ,,xix ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif et seq47 7or a waiv] ( su* plan7 made by apply+ modifi$ adju/$ gross income "u subp>agraph 7,a7 ( section #aijb7;e77#ad7 ( su* ,act 7#db ,u4,s4,c4 #acif;a7e77#ad771 z limit+ ! eligibility = su* m$ical assi/ance ( any individual t is a memb] ( ! h\sehold o!r ?an ! individual :o receiv$ qualifi$ lott]y w9n+s or qualifi$ lump-sum income 7z def9$ 9 subp>agraph 7,k7 ( su* section #aijb7;e77#ad71 z add$ by subsection 7a77#b7 ( ?is section74 #bgab4 ,modify+ r$uctions 9 ,m$icaid ,,d% allotm5ts ,section #aibc7;f77#g77;,a7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acifr-#d7;f77#g77;,a77 is am5d$-- 7#a7 9 clause 7i71 9 ! matt] prec$+ subclause 7,i71 by /rik+ #bjah & ins]t+ #bjbj2 & 7#b7 9 clause 7ii71 by /rik+ subclauses 7,i7 ?r\gh 7,,viii7 & ins]t+ ! foll[+3 7,i7 #d1jjj1jjj1jjj = fiscal ye> #bjbj2 & 7,,ii7 #h1jjj1jjj1jjj = ea* ( fiscal ye>s #bjba ?r\gh #bjbe4 4 #bgac4 ,m$icaid ,improvem5t ,fund rescission ,section #aida7;b7 ( ! ,social ,security ,act 7#db ,u4,s4,c #acifw-#a7;b77 is am5d$-- 7#a7 9 p>agraph 7#a71 by /rik+ #e1jjj1jjj & ins]t+ #j2 & 7#b7 9 p>agraph 7#c77;,a7 7z add$ by section #cjjf7b77;,b7 ( ! ,help+ ,ensure ,access = ,little ,ones1 ,toddl]s1 & ,hopeful ,y\? by ,keep+ ,insurance ,deliv]y ,/able ,act 7,public ,law #aae-abj771 by /rik+ #ihj1jjj1jjj & ins]t+ #j4 #bgad4 ,sunsett+ exclusion ( biosimil>s f ,m$ic>e "p ,d cov]age gap disc\nt program ,section #ahfj;,d-#ad;,a7g77#b77;,a7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciew-#aad;a7g77#b77;,a77 is am5d$ by ins]t+ 1 ) respect to a plan ye> be=e #bjai1 aft] o!r ?an4 #bgae4 ,prev5tion & ,public ,heal? ,fund ,section #djjb7;b7 ( ! ,pati5t ,protection & ,af=dable ,c>e ,act 7#db ,u4,s4,c4 #cjju-#aa7;b77 is am5d$ by /rik+ p>agraphs 7#a7 ?r\gh 7#i7 & ins]t+ ! foll[+ new p>agraphs3 7#a7 = ea* ( fiscal ye>s #bjah & #bjai1 #ijj1jjj1jjj2 7#b7 = ea* ( fiscal ye>s #bjbj & #bjba1 #a1jjj1jjj1jjj2 7#c7 = ea* ( fiscal ye>s #bjbb ?r\gh #bjbg1 #a1ajj1jjj1jjj2 & 7#d7 = fiscal ye> #bjbh & ea* subsequ5t fiscal ye>1 #b1jjj1jjj1jjj4 4 ,g ,budget>y ,effects #cjja4 ,budget>y effects 7a7 ,9 g5]al ,! budget>y effects ( division ,d & ea* succe$+ division %all n be ent]$ on ei!r ,,paygo scorec>d ma9ta9$ pursuant to section #d7;d7 ( ! ,/atutory ,pay-,z-,y-,g ,act ( #bjaj4 7b7 ,s5ate ,,paygo ,scorec>ds ,! budget>y effects ( division ,d & ea* succe$+ division %all n be ent]$ on any ,,paygo scorec>d ma9ta9$ = purposes ( section #dajf ( ,h4 ,con4 ,res4 #ga 7#aae? ,congress74 7c7 ,classification ( budget>y effects ,not)/&+ ,rule #c ( ! ,budget ,scorekeep+ ,guidel9es set =? 9 ! jo9t explanatory /atem5t ( ! committee ( conf]5ce accompany+ ,conf]5ce ,report #aje-bag & section #bej7;c77#h7 ( ! ,balanc$ ,budget & ,em]g5cy ,deficit ,control ,act ( #aihe1 ! budget>y effects ( division ,d & ea* succe$+ division %all n be e/imat$-- 7#a7 = purposes ( section #bea ( su* ,act2 & 7#b7 = purposes ( p>agraph 7#d77;,c7 ( section #c ( ! ,/atutory ,pay-,z-,y-,g ,act ( #bjaj z be+ includ$ 9 an appropriation ,act4 ,cl]k4