,,ii #aafth ,,congress #ast ,session ,s4 #cjja ,,in ,,the ,,senate ,,of ,,the ,,united ,,states ,december #i1 #bjai,mr4 ,toomey 7for himself and ,mr4 ,crapo7 introduced the following bill2 which was read twice and referred to the ,committee on ,finance ,a ,,bill ,to provide for certain extensions with respect to the ,medicare and ,medicaid programs under titles ,,xviii and ,,xix of the ,social ,security ,act1 and for other purposes4 #a4 ,short title2 table of contents 7a7 ,short title ,this ,act may be cited as the ,permanent ,relief for ,seniors and ,medicare1 ,medicaid1 ,human ,services ,extension ,act of #bjai4 7b7 ,table of contents ,the table of contents for this ,act is as follows3 ,sec4 #a4 ,short title2 table of contents4,,title ,i--,miscellaneous,sec4 #aja4 ,repeal of medical device excise tax4,sec4 #ajb4 ,permanent extension of reduction in medical expense deduction floor4,sec4 #ajc4 ,moratorium on annual fee on health insurance providers4,,title ,,ii--,medicare ,extenders,sec4 #bja4 ,extension of the work geographic index floor under the ,medicare program4,sec4 #bjb4 ,authorization of additional funding for quality measure endorsement1 input1 and selection4,sec4 #bjc4 ,authorization of additional funding for outreach and assistance for low-income programs4,sec4 #bjd4 ,extension and authorization of additional funding to the ,patient-,centered ,outcomes ,research ,trust ,fund4,,title ,,iii--,medicaid ,extenders,sec4 #cja4 ,delay of ,,dsh reductions4,sec4 #cjb4 ,extension of spousal impoverishment protections4,sec4 #cjc4 ,extension of ,community ,mental ,health ,services demonstration program4,,title ,,iv--,human ,services ,extenders,sec4 #dja4 ,extension of sexual risk avoidance education program4,sec4 #djb4 ,jobs and ,opportunity with ,benefits and ,services for ,success ,act4 ,i ,miscellaneous #aja4 ,repeal of medical device excise tax 7a7 ,in general ,chapter #cb of the ,internal ,revenue ,code of #aihf is amended by striking subchapter ,e4 7b7 ,conforming amendments 7#a7 ,subsection 7a7 of section #dbba of the ,internal ,revenue ,code of #aihf is amended by striking the last sentence4 7#b7 ,paragraph 7#b7 of section #fdaf7;b7 of such ,code is amended by striking the last sentence4 7c7 ,clerical amendment ,the table of subchapters for chapter #cb of the ,internal ,revenue ,code of #aihf is amended by striking the item relating to subchapter ,e4 7d7 ,effective date ,the amendments made by this section shall apply to sales after ,december #ca1 #bjai4 #ajb4 ,permanent extension of reduction in medical expense deduction floor 7a7 ,reduction 7#a7 ,in general ,section #bac7;a7 of the ,internal ,revenue ,code of #aihf is amended by striking #aj percent and inserting #g4e percent4 7#b7 ,conforming amendment ,section #bac of such ,code is amended by striking subsection 7f74 7b7 ,repeal of minimum tax preference ,section #ef7;b77#a7 of the ,internal ,revenue ,code of #aihf is amended by striking subparagraph 7,b74 7c7 ,effective date ,the amendments made by this section shall apply to taxable years beginning after ,december #ca1 #bjah4 #ajc4 ,moratorium on annual fee on health insurance providers ,subsection 7j7 of section #ijaj of the ,patient ,protection and ,affordable ,care ,act 7#bf ,u4,s4,c4 #djja note prec47 is amended-- 7#a7 by striking and at the end of paragraph 7#b72 7#b7 by striking the period at the end of paragraph 7#c7 and inserting 1 and ending before ,january #a1 #bjba1 and2 and 7#c7 by adding at the end the following new paragraph3 7#d7 beginning after ,december #ca1 #bjbb4 4 ,,ii ,medicare ,extenders #bja4 ,extension of the work geographic index floor under the ,medicare program ,section #ahdh7;e77#a77;,e7 of the ,social ,security ,act 7#db ,u4,s4,c4 #aciew-#d7;e77#a77;,e77 is amended by striking ,january #a1 #bjbj and inserting ,december #ba1 #bjbj4 #bjb4 ,authorization of additional funding for quality measure endorsement1 input1 and selection ,section #ahij7;d77#b7 of the ,social ,security ,act 7#db ,u4,s4,c4 #acie;aaa7d77#b77 is amended-- 7#a7 by inserting 7,a7 after 7#b72 and 7#b7 by adding at the end the following new subparagraph3 7,b7 7i7 ,for purposes of carrying out this section and section #ahij;,a 7other than subsections 7e7 and 7f771 there is hereby authorized to be appropriated for the period beginning on ,december #ba1 #bjai1 and ending on ,december #bj1 #bjbj1 #cj1jjj1jjj4 7ii7 ,amounts appropriated pursuant to clause 7i7 shall remain available until expended1 and shall be in addition to any unobligated funds transferred pursuant to subparagraph 7,a7 for a preceding fiscal year that are available under the third sentence of such subparagraph4 4 #bjc4 ,authorization of additional funding for outreach and assistance for low-income programs 7a7 ,additional funding for ,state health insurance programs ,subsection 7a77#a77;,b7 of section #aai of the ,medicare ,improvements for ,patients and ,providers ,act of #bjjh 7#db ,u4,s4,c4 #acie;b-#c note71 as amended by section #ccjf of the ,patient ,protection and ,affordable ,care ,act 7,public ,law #aaa-adh71 section #faj of the ,american ,taxpayer ,relief ,act of #bjab 7,public ,law #aab-bdj71 section #aaaj of the ,pathway for ,,sgr ,reform ,act of #bjac 7,public ,law #aac-fg71 section #aaj of the ,protecting ,access to ,medicare ,act of #bjad 7,public ,law #aac-ic71 section #bjh of the ,medicare ,access and ,,chip ,reauthorization ,act of #bjae 7,public ,law #aad-aj71 section #ejbjg of division ,e of the ,bipartisan ,budget ,act of #bjah 7,public ,law #aae-abc71 section #adjb of the ,continuing ,appropriations ,act1 #bjbj1 and ,health ,extenders ,act of #bjai 7,public ,law #aaf-ei71 and section #adjb of the ,further ,continuing ,appropriations ,act1 #bjbj1 and ,further ,health ,extenders ,act of #bjai 7,public ,law #aaf-fi71 is amended-- 7#a7 by redesignating clauses 7i7 through 7xi7 as subclauses 7,i7 through 7,,xi7 and moving such subclauses #b ems to the right2 7#b7 by striking ,for purposes of making grants under this subsection1 the ,secretary and inserting 8,for purposes of making grants under this subsection-- 7i7 the ,secretary 2 7#c7 in subclause 7,,xi71 as redesignated by paragraph 7#a71 by striking the period at the end and inserting 2 and2 and 7#d7 by inserting after such subclause 7,,xi71 the following new clause3 7ii7 there is hereby authorized to be appropriated for the period beginning on ,december #ba1 #bjai1 and ending on ,december #bj1 #bjbj1 #ac1jjj1jjj4 4 7b7 ,additional funding for area agencies on aging ,subsection 7b77#a77;,b7 of such section #aai1 as so amended1 is amended-- 7#a7 by redesignating clauses 7i7 through 7xi7 as subclauses 7,i7 through 7,,xi7 and moving such subclauses #b ems to the right2 7#b7 by striking ,for purposes of making grants under this subsection1 the ,secretary and inserting 8,for purposes of making grants under this subsection-- 7i7 the ,secretary 2 7#c7 in subclause 7,,xi71 as redesignated by paragraph 7#a71 by striking the period at the end and inserting 2 and2 and 7#d7 by inserting after such subclause 7,,xi71 the following new clause3 7ii7 there is hereby authorized to be appropriated for the period beginning on ,december #ba1 #bjai1 and ending on ,december #bj1 #bjbj1 #g1ejj1jjj4 4 7c7 ,additional funding for aging and disability resource centers ,subsection 7c77#a77;,b7 of such section #aai1 as so amended1 is amended-- 7#a7 by redesignating clauses 7i7 through 7xi7 as subclauses 7,i7 through 7,,xi7 and moving such subclauses #b ems to the right2 7#b7 by striking ,for purposes of making grants under this subsection1 the ,secretary and inserting 8,for purposes of making grants under this subsection-- 7i7 the ,secretary 2 7#c7 in subclause 7,,xi71 as redesignated by paragraph 7#a71 by striking the period at the end and inserting 2 and2 and 7#d7 by inserting after such subclause 7,,xi71 the following new clause3 7ii7 there is hereby authorized to be appropriated for the period beginning on ,december #ba1 #bjai1 and ending on ,december #bj1 #bjbj1 #e1jjj1jjj4 4 7d7 ,additional funding for contract with the national center for benefits and outreach enrollment ,subsection 7d77#b7 of such section #aai1 as so amended1 is amended-- 7#a7 by redesignating clauses 7i7 through 7xi7 as subclauses 7,i7 through 7,,xi7 and moving such subclauses #b ems to the right2 7#b7 by striking ,for purposes of making a grant or entering into a contract under paragraph 7#a71 the ,secretary and inserting 8,for purposes of making a grant or entering into a contract under paragraph 7#a7-- 7i7 the ,secretary 2 7#c7 in subclause 7,,xi71 as redesignated by paragraph 7#a71 by striking the period at the end and inserting 2 and2 and 7#d7 by inserting after such subclause 7,,xi71 the following new clause3 7ii7 there is hereby authorized to be appropriated for the period beginning on ,december #ba1 #bjai1 and ending on ,december #bj1 #bjbj1 #ab1jjj1jjj4 4 #bjd4 ,extension and authorization of additional funding to the ,patient-,centered ,outcomes ,research ,trust ,fund ,section #ieaa of the ,internal ,revenue ,code of #aihf is amended-- 7#a7 in subsection 7b71 by adding at the end the following new paragraph3 7#d7 ,authorization 7,a7 ,in general ,there is hereby authorized to be appropriated to the ,trust ,fund1 for the period beginning on ,october #a1 #bjai1 and ending on ,december #bj1 #bjbj1 an amount equal to the sum of-- 7i7 an amount equal to #b multiplied by the average number of individuals entitled to benefits under part ,a1 or enrolled under part ,b1 of title ,,xviii of the ,social ,security ,act during such period2 and 7ii7 #aej1jjj1jjj4 7,b7 ,availability ,amounts appropriated pursuant to subparagraph 7,a7 shall remain available until expended4 2 7#b7 in subsection 7d77#b77;,a71 by inserting 1 and for the period beginning on ,october #a1 #bjai1 and ending on ,december #bj1 #bjbj1 after #bjai2 and 7#c7 in subsection 7f71 by striking ,december #bj1 #bjai and inserting ,december #bj1 #bjbj4 ,,iii ,medicaid ,extenders #cja4 ,delay of ,,dsh reductions ,section #aibc7;f77#g77;,a7 of the ,social ,security ,act 7#db ,u4,s4,c4 #acifr-#d7;f77#g77;,a77 is amended-- 7#a7 in clause 7i71 in the matter preceding subclause 7,i71 by striking ,for the period beginning and all that follows through #bjbe and inserting ,for the period beginning ,december #ba1 #bjbj1 and ending ,september #cj1 #bjba1 and for each of fiscal years #bjbb through #bjbh2 and 7#b7 in clause 7ii7-- 7,a7 by amending subclause 7,i7 to read as follows3 7,i7 #h1jjj1jjj1jjj for the period beginning ,december #ba1 #bjbj1 and ending ,september #cj1 #bjba2 and 2 and 7,b7 in subclause 7,,ii71 by striking fiscal years #bjba through #bjbe and inserting fiscal years #bjbb through #bjbh4 #cjb4 ,extension of spousal impoverishment protections 7a7 ,in general ,section #bdjd of ,public ,law #aaa-adh 7#db ,u4,s4,c4 #acifr-#e note7 is amended by striking ,december #ca1 #bjai and inserting ,december #bj1 #bjbj4 7b7 ,rule of construction ,nothing in section #bdjd of ,public ,law #aaa-adh 7#db ,u4,s4,c4 #acifr-#e note7 or section #aijb7;a77#ag7 or #aibd of the ,social ,security ,act 7#db ,u4,s4,c4 #acif;a7a77#ag71 #acifr-#e7 shall be construed as prohibiting a ,state from applying an income or resource disregard under a methodology authorized under section #aijb7r77#b7 of such ,act 7#db ,u4,s4,c4 #acif;a7r77#b77-- 7#a7 to the income or resources of an individual described in section #aijb7;a77#aj77;,a77ii77,,vi7 of such ,act 7#db ,u4,s4,c4 #acif;a7a77#aj77;,a77ii77,,vi77 7including a disregard of the income or resources of such individual's spouse72 or 7#b7 on the basis of an individual's need for home and community-based services authorized under subsection 7c71 7d71 7i71 or 7k7 of section #aiae of such ,act 7#db ,u4,s4,c4 #acifn7 or under section #aaae of such ,act 7#db ,u4,s4,c4 #acae74 7c7 ,,gao report ,not later than ,september #cj1 #bjbj1 the ,comptroller ,general of the ,united ,states shall submit to ,congress a report evaluating the effect of applying section #aibd7;h7 of the ,social ,security ,act 7#db ,u4,s4,c4 #acifr-#e7;h77 pursuant to section #bdjd of ,public ,law #aaa-adh 7#db ,u4,s4,c4 #acifr-#e note7 on the number of individuals who qualify as community spouses 7as such term is defined in such section #aibd7;h774 #cjc4 ,extension of ,community ,mental ,health ,services demonstration program 7a7 ,in general ,section #bbc7;d77#c7 of the ,protecting ,access to ,medicare ,act of #bjad 7#db ,u4,s4,c4 #acif;a note7 is amended by striking ,december #bj1 #bjai and inserting ,march #ca1 #bjba4 7b7 ,phasedown of enhanced ,,fmap ,subparagraph 7,b7 of section #bbc7;d77#e7 of the ,protecting ,access to ,medicare ,act of #bjad 7#db ,u4,s4,c4 #acif;a note7 is amended to read as follows3 7,b7 ,federal matching percentage 7i7 ,in general ,the ,federal matching percentage specified in this subparagraph is with respect to medical assistance described in subparagraph 7,a7 that is furnished-- 7,i7 to a newly eligible individual described in paragraph 7#b7 of section #aije7y7 of the ,social ,security ,act 7#db ,u4,s4,c4 #acif;d7y771 the matching rate applicable under paragraph 7#a7 of that section2 and 7,,ii7 to an individual who is not a newly eligible individual 7as so described7 but who is eligible for medical assistance under the ,state ,medicaid program1 the enhanced ,,fmap applicable to the ,state or1 for fiscal quarters beginning on or after ,january #a1 #bjbj1 the matching rate determined for the ,state and quarter under clause 7ii74 7ii7 ,phasedown of enhanced ,,fmap ,for purposes of clause 7i77,,ii71 the matching rate determined for a ,state and fiscal quarter under this clause shall be-- 7,i7 for the fiscal quarter beginning on ,january #a1 #bjbj1 a percentage equal to the enhanced ,,fmap applicable to the ,state reduced by a number of percentage points equal to #a_/f of the percentage points difference between the enhanced ,,fmap applicable to the ,state and the ,federal medical assistance percentage applicable to the ,state under section #aije7;b7 of the ,social ,security ,act 7#db ,u4,s4,c4 #acif;d7b772 7,,ii7 for the fiscal quarter beginning on ,april #a1 #bjbj1 a percentage equal to the enhanced ,,fmap applicable to the ,state reduced by a number of percentage points equal to #a_/c of the percentage points difference between the enhanced ,,fmap applicable to the ,state and the ,federal medical assistance percentage applicable to the ,state under section #aije7;b7 of the ,social ,security ,act 7#db ,u4,s4,c4 #acif;d7b772 7,,iii7 for the fiscal quarter beginning on ,july #a1 #bjbj1 a percentage equal to the enhanced ,,fmap applicable to the ,state reduced by a number of percentage points equal to #a_/b of the percentage points difference between the enhanced ,,fmap applicable to the ,state and the ,federal medical assistance percentage applicable to the ,state under section #aije7;b7 of the ,social ,security ,act 7#db ,u4,s4,c4 #acif;d7b772 7,,iv7 for the fiscal quarter beginning on ,october #a1 #bjbj1 a percentage equal to the enhanced ,,fmap applicable to the ,state reduced by a number of percentage points equal to #b_/c of the percentage points difference between the enhanced ,,fmap applicable to the ,state and the ,federal medical assistance percentage applicable to the ,state under section #aije7;b7 of the ,social ,security ,act 7#db ,u4,s4,c4 #acif;d7b772 7,v7 for the fiscal quarter beginning on ,january #a1 #bjba1 a percentage equal to the enhanced ,,fmap applicable to the ,state reduced by a number of percentage points equal to #e_/f of the percentage points difference between the enhanced ,,fmap applicable to the ,state and the ,federal medical assistance percentage applicable to the ,state under section #aije7;b7 of the ,social ,security ,act 7#db ,u4,s4,c4 #acif;d7b772 and 7,,vi7 for the fiscal quarter beginning on ,april #a1 #bjba1 and each subsequent fiscal quarter1 a percentage equal to the ,federal medical assistance percentage applicable to the ,state under section #aije7;b7 of the ,social ,security ,act 7#db ,u4,s4,c4 #acif;d7b774 4 7c7 ,clarifying authority ,to recover overpayments ,section #bbc7;d77#e7 of the ,protecting ,access to ,medicare ,act of #bjad 7#db ,u4,s4,c4 #acif;a note7 is amended by adding at the end the following new subparagraph3 7,d7 ,recovery of overpayments ,the amount of any overpayment made to a ,state under this paragraph shall be deemed an overpayment to the ,state under title ,,xix of the ,social ,security ,act 7#db ,u4,s4,c4 #acif et seq47 to be disallowed against the ,state's regular quarterly draw for all ,medicaid spending under section #aijc7;d77#b7 of such ,act 7#db ,u4,s4,c4 #acif;b7d77#b774 4 7d7 ,report to ,congress on certified community behavioral health center performance 7#a7 ,study ,the ,comptroller ,general of the ,united ,states shall conduct #a or more studies on certified community behavioral health clinics participating in the demonstration program established under section #bbc of the ,protecting ,access to ,medicare ,act of #bjad 7#db ,u4,s4,c4 #acif;a note7 that shall include the following3 7,a7 ,an evaluation of encounter data submissions and other reporting submitted by certified community behavioral health clinics participating in the demonstration program1 including identifying challenges faced in collecting1 submitting1 and ensuring the quality of the data submitted1 as well as-- 7i7 an evaluation of the extent to which the ,centers for ,medicare ,medicaid ,services and ,states face challenges validating encounter data for completeness and accuracy2 7ii7 an assessment of requirements imposed on such certified community behavioral health clinics for collecting and submitting encounter data2 7iii7 an assessment of any challenges such certified community behavioral health clinics face in collecting and submitting encounter data2 and 7iv7 an assessment of the efficacy of automated checks conducted on encounter data submitted by such certified community behavioral health clinics for completeness and accuracy4 7,b7 ,an evaluation of the payment arrangement for certified community behavioral health clinics participating in the demonstration program and of payment arrangements for all certified community behavioral health clinics1 including any challenges related to the accuracy of payments1 such as-- 7i7 the extent to which the ,secretary of ,health and ,human ,services and ,states participating in the demonstration program can monitor the accuracy of payments made under the program to certified community behavioral health clinics participating in the program2 7ii7 any challenges associated with requiring the ,secretary of ,health and ,human ,services to accurately assess the comparative impact of the certified community behavioral health clinics participating in such program1 as compared to certified community behavioral health clinics that are not participating in such program1 on the ,federal and ,state costs for furnishing a full range of mental health services 7including inpatient1 emergency and ambulatory services72 and 7iii7 any comparisons of payment arrangements by certified community behavioral health clinics and the degree to which there are payment disparities among such clinics for furnishing the same or similar services4 7,c7 ,an evaluation of the quality of data submissions by ,states and certified community behavioral health clinics participating in the demonstration program1 including the extent to which-- 7i7 the ,secretary of ,health and ,human ,services faced challenges validating the quality of data submitted by such ,states and such certified community behavioral health clinics2 7ii7 the quality measures used to evaluate certified community behavioral health clinics participating in the demonstration program compare with the measures reported by certified community behavioral health clinics that are not participating in the program2 and 7iii7 the quality measures being reported by certified community behavioral health clinics participating in the demonstration program offer insights on the quality of care provided at1 and the health status of individuals treated by1 such clinics4 7,d7 ,an assessment of the extent to which the certified community behavioral health clinics participating in the demonstration program expanded the services they offer1 as compared to certified community behavioral health clinics that are not participating in the program1 and if so1 what factored into the decision to expand4 7,e7 ,such recommendations as the ,comptroller ,general determines appropriate for improving-- 7i7 the reporting1 accuracy1 and validation of encounter data2 7ii7 accuracy in payments to certified community behavioral health clinics under ,state programs under title ,,xix of the ,social ,security ,act 7#db ,u4,s4,c4 #acif et seq47 and quality monitoring of such clinics2 and 7iii7 quality measure reporting and replacing process-driven quality measures with outcome-based measures that reflect improvements in patient functional status4 7#b7 ,report ,not later than ,december #ca1 #bjbj1 the ,comptroller ,general of the ,united ,states shall submit to ,congress a report containing the findings of the study conducted under paragraph 7#a74 ,,iv ,human ,services ,extenders #dja4 ,extension of sexual risk avoidance education program ,section #eaj of the ,social ,security ,act 7#db ,u4,s4,c4 #gaj7 is amended-- 7#a7 in subsection 7a7-- 7,a7 in paragraph 7#a71 in the matter preceding subparagraph 7,a71 by striking and #bjai and all that follows through ,december #bj1 #bjai and inserting through #bjbj and for the period beginning ,october #a1 #bjbj1 and ending ,december #bj1 #bjbj2 and 7,b7 in paragraph 7#b77;,a71 by striking and #bjai and all that follows through ,december #bj1 #bjai and inserting through #bjbj and for the period beginning ,october #a1 #bjbj1 and ending ,december #bj1 #bjbj2 and 7#b7 in subsection 7f77#a71 by striking and #bjai and all that follows through ,december #bj1 #bjai and inserting through #bjbj and #af1fdc1hcf for the period beginning ,october #a1 #bjbj1 and ending ,december #bj1 #bjbj4 #djb4 ,jobs and ,opportunity with ,benefits and ,services for ,success ,act 7a7 ,references ,except as otherwise expressly provided1 wherever in this section an amendment or repeal is expressed in terms of an amendment to1 or repeal of1 a section or other provision1 the reference shall be considered to be made to a section or other provision of the ,social ,security ,act4 7b7 ,re-,naming of program 7#a7 ,in general ,the heading for part ,a of title ,,iv is amended to read as follows3 ,a ,jobs and ,opportunity with ,benefits and ,services ,program 4 7#b7 ,conforming amendments 7,a7 ,the heading for section #djc7;a77#b77;,b7 7#db ,u4,s4,c4 #fjc7;a77#b77;,b77 is amended by striking tanf and inserting jobs4 7,b7 ,the heading for section #dac 7#db ,u4,s4,c4 #fac7 is amended by striking ,temporary ,assistance for ,needy ,families and inserting ,jobs and ,opportunity with ,benefits and ,services4 7,c7 ,the heading for section #dac7;a7 7#db ,u4,s4,c4 #fac7;a77 is amended by striking ,,tanf and inserting ,,jobs4 7,d7 ,the heading for section #dga7;e77#g77;,b77i7 7#db ,u4,s4,c4 #fga7;e77#g77;,b77i771 as in effect pursuant to the amendment made by section #ejgaa7;a77#b7 of division ,e of the ,bipartisan ,budget ,act of #bjah 7,public ,law #aae-abc71 is amended by striking ,,tanf and inserting ,,jobs4 7c7 ,helping more ,americans enter and remain in the workforce 7#a7 ,family assistance grants ,section #djc7;a77#a7 7#db ,u4,s4,c4 #fjc7;a77#a77 is amended in each of subparagraphs 7,a7 and 7,c7 by striking #bjag and #bjah and inserting #bjbj through #bjbd4 7#b7 ,healthy marriage promotion and responsible fatherhood grants ,section #djc7;a77#b77;,d7 7#db ,u4,s4,c4 #fjc7;a77#b77;,d77 is amended-- 7,a7 by striking #bjag and #bjah and inserting #bjbj through #bjbd2 and 7,b7 by striking for fiscal year #bjag or #bjah4 7#c7 ,tribal grants ,section #dab7;a7 7#db ,u4,s4,c4 #fab7;a77 is amended in each of paragraphs 7#a77;,a7 and 7#b77;,a7 by striking #bjag and #bjah and inserting #bjbj through #bjbd4 7#d7 ,improving access to child care ,to support work ,section #dah7;a77#c7 7#db ,u4,s4,c4 #fah7;a77#c77 is amended to read as follows3 7#c7 ,appropriation ,for grants under this section1 there are appropriated-- 7,a7 #b1iag1jjj1jjj for fiscal year #bjbj2 and 7,b7 #c1ebe1jjj1jjj for each of fiscal years #bjba through #bjbd4 4 7#e7 ,grants to the territories ,section #aajh7;b77#b7 7#db ,u4,s4,c4 #acjh7;b77#b77 is amended by striking #bjag and #bjah and inserting #bjbj through #bjbd4 7#f7 ,prorating of appropriations for fiscal year #bjbj ,notwithstanding the amendments made by the paragraphs 7#a7 through 7#c7 and 7#e7 of this subsection1 the amount appropriated in each provision of law amended by such paragraphs for fiscal year #bjbj shall be-- 7,a7 the amount that would be so appropriated in the absence of this subsection2 multiplied by 7,b7 the number of days in the period from the date of the enactment of this ,act through ,september #cj1 #bjbj1 divided by #cfe4 7#g7 ,effective date ,this subsection and the amendments made by this subsection shall take effect on the date of the enactment of this ,act4 7d7 ,expecting universal engagement and case management ,section #djh7;b7 7#db ,u4,s4,c4 #fjh7;b77 is amended to read as follows3 7b7 ,individual opportunity plans 7#a7 ,assessment ,the ,state agency responsible for administering the ,state program funded under this part shall make an initial assessment of the following for each work-eligible individual 7as defined in the regulations promulgated pursuant to section #djg7;i77#a77;,a77i773 7,a7 ,the education obtained1 skills1 prior work experience1 work readiness1 and barriers to work of the individual4 7,b7 ,the well-being of the children in the family of the individual and1 where appropriate1 activities or services 7such as services offered by a program funded under section #eaa7 to improve the well-being of the children4 7#b7 ,contents of plans ,on the basis of the assessment required by paragraph 7#a7 of this subsection1 the ,state agency1 in consultation with the individual1 shall develop an individual opportunity plan that-- 7,a7 includes a personal responsibility agreement in which the individual acknowledges receipt of publicly funded benefits and responsibility to comply with program requirements in order to receive the benefits2 7,b7 sets forth the obligations of the individual to participate in work activities 7as defined in section #djg7;d771 and the number of hours per month for which the individual will so participate pursuant to section #djg2 7,c7 sets forth an employment goal and planned short-1 intermediate-1 and long-term actions to achieve the goal1 and1 in the case of an individual who has not attained #bd years of age and is in secondary school or the equivalent1 the intermediate action may be completion of secondary school or the equivalent2 7,d7 describes the job counseling and other services the ,state will provide to the individual to enable the individual to obtain and keep unsubsidized employment2 7,e7 may include referral to appropriate substance abuse or mental health treatment2 and 7,f7 is signed by the individual4 7#c7 ,timing ,the ,state agency shall comply with paragraphs 7#a7 and 7#b7 with respect to a work-eligible individual-- 7,a7 within #a year after the effective date of this subsection1 in the case of an individual who1 as of such effective date1 is a recipient of assistance under the ,state program funded under this part 7as in effect immediately before such effective date72 or 7,b7 within #fj days after the individual is determined to be eligible for the assistance1 in the case of any other individual4 7#d7 ,universal engagement ,subject to the exceptions in paragraph 7#c71 each ,state shall require all work-eligible recipients receiving funds under the ,state program funded under this part to engage in work in accordance with the provisions of section #djg7;c71 #djg7;d71 and #djg7;e74 7#e7 ,penalty for noncompliance by individual ,in addition to any other penalties required under the ,state program funded under this part1 the ,state shall reduce1 by such amount as the ,state considers appropriate1 the amount of assistance otherwise payable under the ,state program to a family that includes an individual who fails without good cause to comply with an individual opportunity plan developed pursuant to this subsection1 that is signed by the individual4 7#f7 ,periodic review ,the ,state shall meet with each work-eligible individual assessed by the ,state under paragraph 7#a71 not less frequently than every #ij days1 to-- 7,a7 review the individual opportunity plan developed for the individual1 including the eligibility of the individual for benefits2 7,b7 discuss with the individual the progress made by the individual in achieving the goals specified in the plan2 and 7,c7 update the plan1 as necessary1 to reflect any changes in the circumstances of the individual since the plan was last reviewed4 4 7e7 ,promoting accountability by measuring work outcomes 7#a7 ,in general ,section #djg7;a7 7#db ,u4,s4,c4 #fjg7;a77 is amended to read as follows3 7a7 ,performance accountability and work outcomes 7#a7 ,work outcomes 7,a7 ,in general ,a ,state to which a grant is made under section #djc shall achieve the requisite minimum level of performance for a fiscal year described in this paragraph with respect to the percentage of employment exits for families receiving assistance under the ,state program funded under this part1 or be subject to penalty as described in section #dji7;a77#c74 7,b7 ,calculation of percentage of employment exits ,for purposes of this paragraph1 the percentage of employment exits with respect to a ,state equals the ratio of the number of work-eligible individuals who are in unsubsidized employment #f months after their exit to the average monthly number of families receiving assistance under the ,state program funded under this part4 7,c7 ,agreement on requisite level of performance ,the ,secretary and the ,state shall negotiate the requisite level of performance for the ,state with respect to employment exits for each fiscal year beginning with fiscal year #bjba4 7#b7 ,performance accountability 7,a7 ,purpose ,the purpose of this paragraph is to provide for the establishment of performance accountability measures to assess the effectiveness of ,states in increasing employment1 retention1 and advancement among families receiving assistance under the ,state program funded under this part4 7,b7 ,in general ,a ,state to which a grant is made under section #djc for a fiscal year shall achieve the requisite level of performance on an indicator described in subparagraph 7,d7 of this paragraph for the fiscal year4 7,c7 ,measuring state performance ,each ,state1 in consultation with the ,secretary1 shall collect and submit to the ,secretary the information necessary to measure the level of performance of the ,state for each indicator described in subparagraph 7,d71 for fiscal year #bjba and each fiscal year thereafter1 and the ,secretary shall use the information collected for fiscal year #bjba to establish the baseline level of performance for each ,state for each such indicator4 7,d7 ,indicators of performance ,the indicators described in this subparagraph1 for a fiscal year1 are the following3 7i7 ,the percentage of individuals who were work-eligible individuals as of the time of exit from the program1 who are in unsubsidized employment during the #bnd quarter after the exit4 7ii7 ,the percentage of individuals who were work-eligible individuals who were in unsubsidized employment in the #bnd quarter after the exit1 who are also in unsubsidized employment during the #dth quarter after the exit4 7iii7 ,the median earnings of individuals who were work-eligible individuals as of the time of exit from the program1 who are in unsubsidized employment during the #bnd quarter after the exit4 7iv7 ,the percentage of individuals who have not attained #bd years of age1 are attending high school or enrolled in an equivalency program1 and are work-eligible individuals or were work-eligible individuals as of the time of exit from the program1 who obtain a high school degree or its recognized equivalent while receiving assistance under the ,state program funded under this part or within #a year after the exit4 7,e7 ,levels of performance 7i7 ,in general ,for each ,state submitting a ,state plan pursuant to section #djb7;a71 there shall be established1 in accordance with this subparagraph1 levels of performance for each of the indicators described in subparagraph 7,d74 7ii7 ,weight ,the weight assigned to such an indicator shall be the following3 7,i7 ,forty percent1 in the case of the indicator described in subparagraph 7,d77i74 7,,ii7 ,twenty-five percent1 in the case of the indicator described in subparagraph 7,d77ii74 7,,iii7 ,twenty-five percent1 in the case of the indicator described in subparagraph 7,d77iii74 7,,iv7 ,ten percent1 in the case of the indicator described in subparagraph 7,d77iv74 7iii7 ,agreement on requisite performance level for each indicator 7,i7 ,in general ,the ,secretary and the ,state shall negotiate the requisite level of performance for the ,state with respect to each indicator described in clause 7ii71 for each fiscal year beginning with fiscal year #bjba1 and shall do so before the beginning of the fiscal year involved4 7,,ii7 ,requirements in establishing performance levels ,in establishing the requisite levels of performance1 the ,state and the ,secretary shall-- 7aa7 take into account how the levels involved compare with the levels established for other ,states2 and 7bb7 ensure the levels involved are adjusted1 using the objective statistical model referred to in clause 7v71 based on-- 7,,aa7 the differences among ,states in economic conditions1 including differences in unemployment rates or employment losses or gains in particular industries2 7,,bb7 the characteristics of participants on entry into the program1 including indicators of prior work history1 lack of educational or occupational skills attainment1 or other factors that may affect employment and earnings2 and 7,,cc7 take into account the extent to which the levels involved promote continuous improvement in performance by each ,state4 7iv7 ,revisions based on economic conditions and individuals receiving assistance during the fiscal year ,the ,secretary shall1 in accordance with the objective statistical model referred to in clause 7v71 revise the requisite levels of performance for a ,state and a fiscal year to reflect the economic conditions and characteristics of the relevant individuals in the ,state during the fiscal year4 7v7 ,statistical adjustment model ,the ,secretary shall use an objective statistical model to make adjustments to the requisite levels of performance for the economic conditions and characteristics of the relevant individuals1 and shall consult with the ,secretary of ,labor to develop a model that is the same as or similar to the model described in section #aaf7;b77#c77;,a77viii7 of the ,workforce ,innovation and ,opportunity ,act 7#bi ,u4,s4,c4 #cada7;b77#c77;,a77viii774 7vi7 ,definition of exit ,in this paragraph1 the term exit means1 with respect to a ,state program funded under this part1 ceases to a receive a ,,jobs benefit under the program4 7,f7 ,state option to establish common exit measures ,notwithstanding subparagraph 7,e77vi7 of this paragraph1 a ,state that has not provided the notification under section #aba7;b77#a77;,c77ii7 of the ,workforce ,innovation and ,opportunity ,act to exclude the ,state program funded under this part as a mandatory one-stop partner may adopt an alternative definition of exit for the purpose of creating common exit measures to improve alignment with workforce programs operated under title ,i of such ,act4 7,g7 ,regulations ,in order to ensure nationwide comparability of data1 the ,secretary1 after consultation with the ,secretary of ,labor and with ,states1 shall issue regulations governing the establishment of the performance accountability system under this paragraph and a template for performance reports to be used by all ,states consistent with subsection 7b74 4 7#b7 ,reports on state performance on ,,hhs online dashboard ,section #djg7;b7 7#db ,u4,s4,c4 #fjg7;b77 is amended to read as follows3 7b7 ,publication of ,state performance ,the ,secretary shall1 directly or through the use of grants or contracts1 establish and operate an ,internet website that is accessible to the public1 with a dashboard that is regularly updated and provides easy-to-understand information on the performance of each ,state program funded under this part1 including a profile for each such program1 expressed by use of a template1 which shall include-- 7#a7 information on the indicators and requisite performance levels established for the ,state under subsection 7a71 including1 with respect to each such level1 whether the ,state achieves1 exceeds1 or fails to achieve the level on an ongoing basis1 including-- 7,a7 information on any adjustments made to the requisite levels using the statistical adjustment model described in subsection 7a77#c77;,d77v72 and 7,b7 a grade based on the overall performance of the ,state1 as determined by the ,secretary and in consultation with the ,state1 and the overall performance shall be graded based on the performance indicators and weights for each such indicator as described in subsection 7a72 7#b7 information reported under section #daa on the characteristics and demographics of individuals receiving assistance under the ,state program1 including-- 7,a7 the number and percentage of child-only cases and reason why the cases are child-only2 and 7,b7 the average weekly number of hours that each work-eligible individual in the ,state program participates in work activities1 including a separate section showing the number and percentage of the work-eligible individuals with zero hours of the participation and the reason for non-participation2 7#c7 information on the results of improper payments reviews2 7#d7 a link to the ,state plan approved under section #djb2 and 7#e7 information regarding any penalty imposed1 or other corrective action taken1 by the ,secretary against a ,state for failing to achieve a requisite performance level or any other requirement imposed by or under this part4 4 7#c7 ,modification of rules for determining whether an individual is engaged in work ,section #djg7;c7 7#db ,u4,s4,c4 #fjg7;c77 is amended-- 7,a7 in paragraph 7#a7-- 7i7 in subparagraph 7,a7-- 7,i7 by striking ,for purposes of subsection 7b77#a77;,b77i71 a and inserting ,a2 and 7,,ii7 by striking 1 not fewer than and all that follows through this subsection2 and 7ii7 in subparagraph 7,b7-- 7,i7 in the matter preceding clause 7i71 by striking ,for purposes of subsection 7b77#b77;,b71 an and inserting ,an2 7,,ii7 in clause 7i71 by striking 1 not fewer than and all that follows through this subsection2 and 7,,iii7 in clause 7ii71 by striking 1 not fewer than and all that follows through subsection 7d72 and 7,b7 in paragraph 7#b7-- 7i7 by striking subparagraphs 7,a7 and 7,d72 7ii7 in each of subparagraphs 7,b7 and 7,c71 by striking ,for purposes of determining monthly participation rates under subsection 7b77#a77;,b77i71 a and inserting ,a2 7iii7 by redesignating subparagraphs 7,b7 and 7,c7 as subparagraphs 7,a7 and 7,b71 respectively2 and 7iv7 by adding at the end the following3 7,c7 ,state option for participation requirement exemptions ,for any fiscal year1 a ,state may1 at its option1 not require an individual who is a single custodial parent caring for a child who has not attained #ab months of age to engage in work1 for not more than #ab months4 4 7#d7 ,modifications to allowable work activities ,section #djg7;d7 7#db ,u4,s4,c4 #fjg7;d77 is amended-- 7,a7 in paragraph 7#e71 by inserting 1 including apprenticeship before the semicolon2 7,b7 in paragraph 7#f71 by inserting supervised before job search2 7,c7 in paragraph 7#h71 by striking 7not to exceed #ab months with respect to any individual7 and inserting 1 including career technical education2 7,d7 in paragraph 7#aa71 by striking and at the end2 7,e7 in paragraph 7#ab71 by striking the period and inserting 2 and2 and 7,f7 by adding at the end the following3 7#ac7 participation in an in-home program teaching parenting skills that complies with the requirements of section #djg7;c74 4 7#e7 ,penalty against ,states 7,a7 ,in general ,section #dji7;a77#c7 7#db ,u4,s4,c4 #fji7;a77#c77 is amended by striking all that precedes subparagraph 7,b7 and inserting the following3 7#c7 ,failure to satisfy work outcomes and work engagement 7,a7 ,in general ,if the ,secretary determines that a ,state to which a grant is made under section #djc for a fiscal year has failed to comply with any of section #djg7;a77#a71 section #djh7;b77#c71 or section #djh7;b77#d7 for the fiscal year1 the ,secretary shall reduce the grant payable to the ,state under section #djc7;a77#a7 for the immediately succeeding fiscal year by an amount equal to the applicable percentage of the ,state family assistance grant4 4 7,b7 ,transition rule ,the ,secretary of ,health and ,human ,services may not impose a penalty under section #dji7;a77#c7 of the ,social ,security ,act by reason of the failure of a ,state to comply with section #djg7;a7 of such ,act for any fiscal year before fiscal year #bjba4 7#f7 ,pro rata reduction of assistance for individual noncompliance ,section #djg7;e7 7#db ,u4,s4,c4 #fjg7;e77 is amended by adding at the end the following3 7#c7 ,pro rata reduction ,for purposes of paragraph 7#a77;,a71 the amount of a pro rata reduction in assistance shall be determined by multiplying the total amount of monthly assistance that would1 in the absence of the application of this paragraph1 be paid to the entire family1 by the ratio of-- 7,a7 the number of hours of required work activities as designated in subsection 7d7 actually performed by the individual during the month2 to 7,b7 the number of hours of work activities that the individual was required to perform during the month in accordance with subsection 7c74 7#d7 ,penalties and engagement 7,a7 ,in general ,subject to the limitation in 7,b71 if in a given month an individual who received assistance under this part was required to engage in work under section #djh7;b77#d71 failed to fulfill those obligations and was subsequently sanctioned in accordance with section #djg7;e77#b7 and 7#c71 that individual shall judged to be engaged in work for that month for purposes of section #djh7;b77#d74 7,b7 ,limitation ,if an individual receives no benefits for two consecutive months due to sanctioning under section #djg7;e77#b7 and 7#c71 that individual shall not be counted as engaged in work in subsequent months for purposes of section #djh7;b77#d7 unless actual work in accordance with section #djg7;d7 was resumed4 4 7#g7 ,conforming amendment ,the heading of section #dab7;c7 7#db ,u4,s4,c4 #fab7;c77 is amended by striking ,minimum ,work ,participation ,requirements and inserting ,requirements for work outcome measures4 7f7 ,targeting funds to truly needy families 7#a7 ,prohibition on use of funds for families with income greater than twice the poverty line ,section #djd7k7 7#db ,u4,s4,c4 #fjd7k77 is amended to read as follows3 7k7 ,prohibitions 7#a7 ,use of funds for persons with income greater than twice the poverty line ,a ,state to which a grant is made under this part shall not use the grant to provide any assistance or services to a family whose monthly income exceeds twice the poverty line 7as defined by the ,office of ,management and ,budget1 and revised annually in accordance with section #fgc7b7 of the ,omnibus ,budget ,reconciliation ,act of #aiha 7#db ,u4,s4,c4 #iijb7b7774 4 7#b7 ,elimination of limitation on use of funds for case management activities ,section #djd7;b77#b7 7#db ,u4,s4,c4 #fjd7;b77#b77 is amended to read as follows3 7#b7 ,exceptions ,paragraph 7#a7 of this subsection shall not apply to the use of a grant for-- 7,a7 information technology and computerization needed for tracking1 monitoring1 or data collection required by or under this part2 or 7,b7 case management activities to carry out section #djh7;b74 4 7#c7 ,prohibition on use of funds for direct spending on child care services or activities ,section #djd7k7 7#db ,u4,s4,c4 #fjd7k771 as amended by subsection 7a7 of this section1 is amended by adding at the end the following3 7#b7 ,direct spending on child care services or activities ,a ,state to which a grant is made under this part shall not use the grant for direct spending on child care and other early childhood education programs1 services1 or activities4 4 7#d7 ,limitation on use of funds for child welfare services or activities ,section #djd7k7 7#db ,u4,s4,c4 #fjd7k771 as amended by subsections 7a7 and 7c7 of this section1 is amended-- 7,a7 in the subsection heading1 by inserting 2 limitation after ,prohibitions2 and 7,b7 by adding at the end the following3 7#c7 ,limitation on use of funds for child welfare services or activities ,a ,state may use not more than #aj percent of a grant made to the ,state under section #djc7;a77#a7 for child welfare services or activities1 taking into account any amount transferred under subsection 7d77#b7 of this section4 4 7#e7 ,expansion of authority ,to transfer funds ,section #djd7;d7 7#db ,u4,s4,c4 #fjd7;d77 is amended by striking paragraphs 7#a7 through 7#c7 and inserting the following3 7#a7 ,in general ,a ,state may transfer not more than #ej percent of the grant made to the ,state under section #djc7;a77#a7 to a ,state program pursuant to any or all of the following provisions of law3 7,a7 ,the ,child ,care and ,development ,block ,grant ,act of #aiij4 7,b7 ,title ,i of the ,workforce ,innovation and ,opportunity ,act4 7,c7 ,subpart #a of part ,b of this title4 7#b7 ,limitation on amount transferable to subpart #a of part b ,a ,state may transfer not more than #aj percent of a grant made to the ,state under section #djc7;a77#a7 to carry out ,state programs operated pursuant to the ,state plan developed under subpart #a of part ,b1 taking into account any amount used as described in subsection 7k77#c7 of this section4 7#c7 ,applicable rules 7,a7 ,in general ,except as provided in subparagraph 7,b7 of this paragraph1 any amount paid to a ,state under this part that is used to carry out a ,state program pursuant to a provision of law specified in paragraph 7#a7 shall not be subject to the requirements of this part1 but shall be subject to the requirements that apply to ,federal funds provided directly under the provision of law to carry out the program1 and the expenditure of any amount so used shall not be considered to be an expenditure under this part4 7,b7 ,funds transferred to the ,,wioa ,in the case of funds transferred under paragraph 7#a77;,b7 of this subsection-- 7i7 the ,state shall provide an assurance that the funds will be used to support individuals eligible for assistance or services under this part pursuant to subsection 7k77#a72 and 7ii7 not more than #ae percent of the funds will be reserved for statewide workforce investment activities referred to in section #abh7;a77#a7 of the ,workforce ,innovation and ,opportunity ,act4 7#d7 ,,wioa transfer authority not available to ,states excluding the ,state ,,jobs program as a mandatory one-stop partner under the ,,wioa ,the authority provided by paragraph 7#a77;,b7 of this subsection may not be exercised by a ,state that has provided the notification referred to in section #djg7;a77#b77;,f74 4 7g7 ,targeting funds to core purposes 7#a7 ,requirement that ,states reserve #be percent of ,,jobs grant for spending on core activities ,section #djh7;a7 7#db ,u4,s4,c4 #fjh7;a77 is amended by adding at the end the following3 7#ac7 ,requirement that ,states reserve #be percent of ,,jobs grant for spending on core activities ,a ,state to which a grant is made under section #djc7;a77#a7 for a fiscal year shall expend not less than #be percent of the grant on assistance1 case management1 work supports and supportive services1 work1 wage subsidies1 work activities 7as defined in section #djg7;d771 and non-recurring short-term benefits4 4 7#b7 ,requirement that at least #be percent of qualified ,state expenditures be for core activities ,section #djh7;a7 7#db ,u4,s4,c4 #fjh7;a771 as amended by subsection 7a7 of this section1 is amended by adding at the end the following3 7#ad7 ,requirement that at least #be percent of qualified ,state expenditures be for core activities ,not less than #be percent of the qualified ,state expenditures 7as defined in section #dji7;a77#g77;,b77ii77 of a ,state during the fiscal year shall be for assistance1 case management1 work supports and supportive services1 work1 wage subsidies1 work activities 7as defined in section #djg7;d771 and non-recurring short-term benefits4 4 7#c7 ,phase-,out of counting of third-,party contributions as qualified ,state expenditures ,section #djh7;a7 7#db ,u4,s4,c4 #fjh7;a771 as amended by subsections 7a7 and 7b7 of this section1 is amended by adding at the end the following3 7#ae7 ,phase-out of counting of third-party contributions as qualified ,state expenditures 7,a7 ,in general ,the qualified ,state expenditures 7as defined in section #dji7;a77#g77;,b77i77 of a ,state for a fiscal year that are attributable to the value of goods and services provided by a source other than a ,state or local government shall not exceed the applicable percentage of the expenditures for the fiscal year4 7,b7 ,applicable percentage ,in subparagraph 7,a71 the term applicable percentage means1 with respect to a fiscal year-- 7i7 #ge percent1 in the case of fiscal year #bjbj2 7ii7 #ej percent1 in the case of fiscal year #bjba2 7iii7 #be percent1 in the case of fiscal year #bjbb2 and 7iv7 #j percent1 in the case of fiscal year #bjbc or any succeeding fiscal year4 4 7h7 ,strengthening program integrity by measuring improper payments ,section #djd 7#db ,u4,s4,c4 #fjd7 is amended by adding at the end the following3 7l7 ,applicability of improper payments laws 7#a7 ,in general ,the ,improper ,payments ,information ,act of #bjjb and the ,improper ,payments ,elimination and ,recovery ,act of #bjaj shall apply to a ,state in respect of the ,state program funded under this part in the same manner in which such ,acts apply to a ,federal agency4 7#b7 ,regulations ,within #b years after the date of the enactment of this subsection1 the ,secretary shall prescribe regulations governing how a ,state reviews and reports improper payments under the ,state program funded under this part4 4 7i7 ,prohibition on ,state diversion of ,federal funds ,to replace ,state spending 7#a7 ,in general ,section #djh7;a7 7#db ,u4,s4,c4 #fjh7;a771 as amended by section #i of this ,act1 is amended by adding at the end the following3 7#af7 ,non-supplantation requirement ,funds made available to a ,state under this part shall be used to supplement1 not supplant1 ,state general revenue spending on activities described in section #djd4 4 7#b7 ,effective date ,the amendment made by paragraph 7#a7 shall take effect on ,october #a1 #bjbj4 7j7 ,inclusion of poverty reduction as a program purpose ,section #dja7;a7 7#db ,u4,s4,c4 #fja7;a77 is amended-- 7#a7 by striking and at the end of paragraph 7#c72 7#b7 by striking the period at the end of paragraph 7#d7 and inserting 2 and2 and 7#c7 by adding at the end the following3 7#e7 reduce child poverty by increasing employment entry1 retention1 and advancement of needy parents4 4 7k7 ,welfare for needs not weed 7#a7 ,prohibition ,section #djh7;a77#ab77;,a7 7#db ,u4,s4,c4 #fjh7;a77#ab77;,a77 is amended-- 7,a7 by striking or at the end of clause 7ii72 7,b7 by striking the period at the end of clause 7iii7 and inserting 2 or2 and 7,c7 by adding at the end the following3 7iv7 any establishment that offers marihuana 7as defined in section #ajb7af7 of the ,controlled ,substances ,act7 for sale4 4 7#b7 ,effective date ,the amendments made by paragraph 7#a7 shall take effect on the date that is #c years after the date of the enactment of this ,act4 7l7 ,strengthening accountability through ,,hhs approval of ,state plans 7#a7 ,in general ,section #djb 7#db ,u4,s4,c4 #fjb7 is amended-- 7,a7 in subsection 7a7-- 7i7 in the matter preceding paragraph 7#a7-- 7,i7 by striking #bg-month and inserting #bd-month2 and 7,,ii7 by striking found and inserting approved that2 and 7ii7 in paragraph 7#a7-- 7,i7 in subparagraph 7,a7-- 7aa7 by striking clauses 7ii7 and 7iii7 and inserting the following3 7ii7 ,require work-eligible individuals 7as defined in the regulations promulgated pursuant to section #djg7;i77#a77;,a77i77 to engage in work activities consistent with section #djg7;c74 ,the document shall describe any in-home parenting program participation in which will be considered by the ,state as a work activity pursuant to section #djg7;d77#ac74 2 7bb7 by redesignating clauses 7iv7 through 7viii7 as clauses 7iii7 through 7vii71 respectively2 and 7cc7 by adding at the end the following3 7viii7 ,describe the case management practices of the ,state with respect to the requirements of section #djh7;b71 provide a copy of the form or forms that will be used to assess a work-eligible individual 7as so defined7 and prepare an individual opportunity plan for the individual1 describe how the ,state will ensure that such a plan is reviewed in accordance with section #djh7;b77#f71 and describe how the ,state will measure progress under the plan4 7ix7 ,propose the requisite levels of performance for the ,state for purposes of section #djg7;a7 for each year in the #b-year period referred to in subsection 7d7 of this section1 and provide an explanation with supporting data of why each such level is appropriate4 7x7 ,describe how the ,state will engage low-income noncustodial parents who owe child support and how such a parent will be provided with access to work support and other services under the program to which the parent is referred to support their employment and advancement4 7xi7 ,describe how the ,state will comply with improper payments provisions in section #djd7l74 7xii7 ,describe coordination with other programs1 including whether the ,state intends to exercise authority provided by section #djd7;d7 of this ,act to transfer any funds paid to the ,state under this part1 provide assurance that1 in the case of a transfer to carry out a program under title ,i of the ,workforce ,innovation and ,opportunity ,act1 the ,state will comply with section #djd7;d77#c77;,b7 of this ,act and coordinate with the one-stop delivery system under the ,workforce ,innovation and ,opportunity ,act1 and describe how the ,state will coordinate with the programs involved to provide services to families receiving assistance under the program referred to in paragraph 7#a7 of this subsection4 7xiii7 ,describe how the ,state will promote marriage1 such as through temporary disregard of the income of a new spouse when an individual receiving assistance under the ,state program marries so that the couple doesn't automatically lose benefits due to marriage4 7xiv7 ,describe how the ,state will allow for a transitional period of benefits1 such as through temporary earned income disregards or a gradual reduction in the monthly benefit amount1 for an individual receiving assistance who obtains employment and becomes ineligible due to an increase in income obtained through employment or through an increase in wages4 2 and 7,,ii7 in subparagraph 7,b71 by striking clauses 7iv7 and 7v72 7,b7 by striking subsection 7c7 and inserting the following3 7c7 ,public availability of ,state plans ,the ,secretary shall make available to the public a link to any plan or plan amendment submitted by a ,state under this subsection4 2 and 7,c7 by adding at the end the following3 7d7 #b-,year plan ,a plan submitted pursuant to this section shall be designed to be implemented during a #b-year period4 7e7 ,combined plan allowed ,a ,state may submit to the ,secretary and the ,secretary of ,labor a combined ,state plan that meets the requirements of subsections 7a7 and 7d7 and that is for programs and activities under the ,workforce ,innovation and ,opportunity ,act4 7f7 ,approval of plans ,the ,secretary shall approve any plan submitted pursuant to this section that meets the requirements of subsections 7a7 through 7d74 4 7#b7 ,duties of the ,secretary 7,a7 ,coordination of activities2 dissemination of information ,section #daf 7#db ,u4,s4,c4 #faf7 is amended-- 7i7 by inserting 7a7 ,in general4-- before ,the programs2 and 7ii7 by adding at the end the following3 7b7 ,coordination of activities ,the ,secretary shall coordinate all activities of the ,department of ,health and ,human ,services relating to work activities 7as defined in section #djg7;d77 and requirements and measurement of employment outcomes1 and1 to the maximum extent practicable1 coordinate the activities of the ,department in this regard with similar activities of other ,federal entities4 7c7 ,dissemination of information ,the ,secretary shall disseminate1 for voluntary informational purposes1 information on practices that scientifically valid research indicates are most successful in improving the quality of ,state and tribal programs funded under this part4 4 7#c7 ,technical assistance 7,a7 ,in general ,section #djf 7#db ,u4,s4,c4 #fjf7 is amended to read as follows3 #djf4 ,technical assistance 7a7 ,in general ,the ,secretary shall provide technical assistance to ,states and ,indian tribes 7which may include providing technical assistance on a reimbursable basis71 which shall be provided by qualified experts on practices grounded in scientifically valid research1 where appropriate1 to support activities related to publication of ,state performance under section #djg7;b7 and to carry out ,state and tribal programs funded under this part4 7b7 ,reservation of funds ,the ,secretary shall reserve not more than #j4be percent of the amount appropriated by section #djc7;a77#a77;,c7 for a fiscal year to carry out subsection 7a7 of this section4 4 7,b7 ,conforming amendment ,section #djc7;a77#a77;,b7 7#db ,u4,s4,c4 #fjc7;a77#a77;,b77 is amended by striking percentage specified in section #dac7;h77#a7 and inserting the sum of the percentages specified in sections #djf7;b7 and #dac7;h74 7m7 ,aligning and improving data reporting 7#a7 ,requirement that ,states report full-,population data ,section #daa7;a77#a7 7#db ,u4,s4,c4 #faa7;a77#a77 is amended-- 7,a7 by striking subparagraph 7,b72 7,b7 by striking 7#a7 ,general reporting requirement4--2 and 7,c7 by-- 7i7 redesignating-- 7,i7 subparagraph 7,a7 as paragraph 7#a72 7,,ii7 clauses 7i7 through 7xvii7 of subparagraph 7,a7 as subparagraphs 7,a7 through 7,q71 respectively2 7,,iii7 subclauses 7,i7 through 7,v7 of clause 7ii7 as clauses 7i7 through 7v71 respectively2 7,,iv7 subclauses 7,i7 through 7,,vii7 of clause 7xi7 as clauses 7i7 through 7vii71 respectively2 and 7,v7 subclauses 7,i7 through 7,v7 of clause 7xvi7 as clauses 7i7 through 7v71 respectively2 and 7ii7 moving each such redesignated provision #b ems to the left4 7#b7 ,report on participation in work activities ,section #daa7;a77#a7 7#db ,u4,s4,c4 #faa7;a77#a771 as amended by subsection 7a77#c7 of this section1 is amended by striking subparagraphs 7,k7 and 7,l7 and inserting the following3 7,k7 ,the work eligibility status of each individual in the family1 and-- 7i7 in the case of each work-eligible individual 7as defined in the regulations promulgated pursuant to section #djg7;i77#a77;,a77i77 in the family-- 7,i7 the number of hours 7including zero hours7 per month of participation in-- 7aa7 work activities 7as defined in section #djg7;d772 and 7bb7 any other activity required by the ,state to remove a barrier to employment2 and 7ii7 in the case of each individual in the family who is not a work-eligible individual 7as so defined71 the reason for that status4 7,l7 ,for each work-eligible individual 7as so defined7 and each adult in the family who did not participate in work activities 7as so defined7 during a month1 the reason for the lack of participation4 4 7#c7 ,reporting of information on employment and earnings outcomes ,section #daa7;c7 7#db ,u4,s4,c4 #faa7;c77 is amended to read as follows3 7c7 ,reporting of information on employment and earnings outcomes ,the ,secretary1 in consultation with the ,secretary of ,labor1 shall determine the information that is necessary to compute the employment and earnings outcomes and the statistical adjustment model for the employment and earnings outcomes required under section #djg1 and each eligible ,state shall collect and report that information to the ,secretary4 4 7n7 ,technical corrections to data exchange standards ,to improve program coordination 7#a7 ,in general ,section #daa7;d7 7#db ,u4,s4,c4 #faa7;d77 is amended to read as follows3 7d7 ,data exchange standards for improved interoperability 7#a7 ,designation ,the ,secretary shall1 in consultation with an interagency work group established by the ,office of ,management and ,budget and considering ,state government perspectives1 by rule1 designate data exchange standards to govern1 under this part-- 7,a7 necessary categories of information that ,state agencies operating programs under ,state plans approved under this part are required under applicable ,federal law to electronically exchange with another ,state agency2 and 7,b7 ,federal reporting and data exchange required under applicable ,federal law4 7#b7 ,requirements ,the data exchange standards required by paragraph 7#a7 shall1 to the extent practicable-- 7,a7 incorporate a widely accepted1 non-proprietary1 searchable1 computer-readable format1 such as the e,xtensible ,markup ,language2 7,b7 contain interoperable standards developed and maintained by intergovernmental partnerships1 such as the ,national ,information ,exchange ,model2 7,c7 incorporate interoperable standards developed and maintained by ,federal entities with authority over contracting and financial assistance2 7,d7 be consistent with and implement applicable accounting principles2 7,e7 be implemented in a manner that is cost-effective and improves program efficiency and effectiveness2 and 7,f7 be capable of being continually upgraded as necessary4 7#c7 ,rule of construction ,nothing in this subsection shall be construed to require a change to existing data exchange standards found to be effective and efficient4 4 7#b7 ,effective date ,not later than the date that is #bd months after the date of the enactment of this subsection1 the ,secretary of ,health and ,human ,services shall issue a proposed rule that-- 7,a7 identifies federally required data exchanges1 include specification and timing of exchanges to be standardized1 and address the factors used in determining whether and when to standardize data exchanges2 and 7,b7 specifies ,state implementation options and describes future milestones4 7o7 ,set-,aside for economic downturns ,section #djd7;e7 7#db ,u4,s4,c4 #fjd7;e77 is amended to read as follows3 7e7 ,deadlines for obligation and expenditures of funds by ,states 7#a7 ,in general ,except as provided in paragraph 7#b71 a ,state to which a grant is made under section #djc7;a77#a7 shall obligate the funds within #b years after the date the funds are made available1 and shall expend the funds within #c years after such date4 7#b7 ,exception for limited amount of funds set aside for future use 7,a7 ,in general ,a ,state to which funds are paid under section #djc7;a77#a7 may reserve not more than #ae percent of the funds for use in the ,state program funded under this part without fiscal year limitation4 7,b7 ,notice of intent to reserve funds ,a ,state that intends to reserve funds paid to the ,state under section #djb7;a77#a7 shall notify the ,secretary of the intention not later than the end of the period in which the funds are available for obligation without regard to subparagraph 7,a7 of this paragraph4 4 7p7 ,definitions related to use of funds ,section #dai 7#db ,u4,s4,c4 #fai7 is amended by adding at the end the following3 7#f7 ,assistance ,the term assistance means cash1 payments1 vouchers1 and other forms of benefits designed to meet a family's ongoing basic needs 7such as for food1 clothing1 shelter1 utilities1 household goods1 personal care items1 and general incidental expenses74 7#g7 ,work supports ,the term work supports means assistance and non-assistance transportation benefits 7such as the value of allowances1 bus tokens1 car payments1 auto repair1 auto insurance reimbursement1 and van services7 provided in order to help families obtain1 retain1 or advance in employment1 participate in work activities 7as defined in section #djg7;d771 or as a non-recurrent1 short-term benefit1 including goods provided to individuals in order to help them obtain or maintain employment 7such as tools1 uniforms1 fees to obtain special licenses1 bonuses1 incentives1 and work support allowances and expenditures for job access74 7#h7 ,supportive services ,the term supportive services means services such as domestic violence services1 and mental health1 substance abuse and disability services1 housing counseling services1 and other family supports1 except to the extent that the provision of the service would violate section #djh7;a77#f74 7#i7 ,,jobs benefit ,the term ,,jobs benefit means-- 7,a7 assistance2 or 7,b7 wage subsidies that are paid1 with funds provided under section #djc7;a7 or with qualified ,state expenditures1 with respect to a person who-- 7i7 was a work-eligible individual 7as defined in the regulations promulgated pursuant to section #djg7;i77#a77;,a77i77 at the time of entry into subsidized employment1 such as on-the-job training or apprenticeship2 and 7ii7 is not receiving assistance4 4 7q7 ,elimination of obsolete provisions 7#a7 ,elimination of supplemental grants to ,states ,section #djc7;a7 7#db ,u4,s4,c4 #fjc7;a77 is amended by striking paragraph 7#c74 7#b7 ,elimination of bonus ,to reward high performance ,states 7,a7 ,in general ,section #djc7;a7 7#db ,u4,s4,c4 #fjc7;a77 is amended by striking paragraph 7#d74 7,b7 ,conforming amendment ,section #aajh7;a77#b7 7#db ,u4,s4,c4 #acjh7;a77#b77 is amended by striking #djc7;a77#d714 7#c7 ,elimination of welfare-to-,work grants 7,a7 ,in general ,section #djc7;a7 7#db ,u4,s4,c4 #fjc7;a77 is amended by striking paragraph 7#e74 7,b7 ,conforming amendments 7i7 ,elimination of exclusion from time limit ,section #djh7;a77#g7 7#db ,u4,s4,c4 #fjh7;a77#g77 is amended by striking subparagraph 7,g74 7ii7 ,elimination of penalty for misuse of competitive welfare-to-work funds ,section #dji7;a77#a7 7#db ,u4,s4,c4 #fji7;a77#a77 is amended by striking subparagraph 7,c74 7iii7 ,elimination of exclusion from qualified ,state expenditures of ,state funds used to match welfare-to-work grant funds ,section #dji7;a77#g77;,b77iv7 7#db ,u4,s4,c4 #fji7;a77#g77;,b77iv77 is amended in the #ast sentence-- 7,i7 by adding or at the end of subclause 7,,ii72 and 7,,ii7 by striking subclause 7,,iii7 and redesignating subclause 7,,iv7 as subclause 7,,iii74 7iv7 ,elimination of penalty for failure of state to maintain historic effort during year in which welfare-to-work grant is received ,section #dji7;a7 7#db ,u4,s4,c4 #fji7;a77 is amended by striking paragraph 7#ac74 7v7 ,elimination of requirements relating to welfare-to-work grants in quarterly state reports ,section #daa7;a7 7#db ,u4,s4,c4 #faa7;a771 as amended by section #ae7;a7 of this ,act1 is amended-- 7,i7 in paragraph 7#a71 by striking 7except for information relating to activities carried out under section #djc7;a77#e772 and 7,,ii7 in each of paragraphs 7#b7 through 7#d71 by striking the comma and all that follows and inserting a period4 7vi7 ,indian tribal programs ,section #dab7;a7 7#db ,u4,s4,c4 #fab7;a77 is amended by striking paragraph 7#c74 7vii7 ,elimination of requirement to disclose certain information to private industry council receiving welfare-to-work funds ,section #ded;,a7f7 7#db ,u4,s4,c4 #fed;a7f77 is amended by striking paragraph 7#e74 7viii7 ,grants to territories ,section #aajh7;a77#b7 7#db ,u4,s4,c4 #acjh7;a77#b77 is amended by striking #djc7;a77#e714 7#d7 ,elimination of ,contingency ,fund 7,a7 ,in general ,section #djc 7#db ,u4,s4,c4 #fjc7 is amended by striking all of subsection 7b7 except paragraph 7#e74 7,b7 ,conforming amendments 7i7 ,transfer of needy ,state definition 7,i7 ,in general ,paragraph 7#e7 of section #djc7;b7 7#db ,u4,s4,c4 #fjc7;b77#e77 is-- 7aa7 amended-- 7,,aa7 in the matter preceding subparagraph 7,a71 by striking paragraph 7#d7 and inserting subparagraph 7,c72 7,,bb7 in each of subparagraphs 7,a7 and 7,b71 by redesignating clauses 7i7 and 7ii7 as subclauses 7,i7 and 7,,ii71 respectively2 7,,cc7 by redesignating subparagraphs 7,a7 and 7,b7 as clauses 7i7 and 7ii71 respectively2 7,,dd7 by redesignating such paragraph as subparagraph 7,d72 and 7,,ee7 by moving each provision #b ems to the right2 and 7bb7 as so amended1 hereby transferred into section #dji7;a77#c7 7#db ,u4,s4,c4 #fji7;a77#c77 and added to the end of such section4 7,,ii7 ,conforming amendment ,section #dji7;a77#c77;,c7 7#db ,u4,s4,c4 #fji7;a77#c77;,c77 is amended by striking 7as defined in section #djc7;b77#e774 7ii7 ,elimination of penalty for failure of state receiving amounts from contingency fund to maintain #ajj percent of historic effort ,section #dji7;a7 7#db ,u4,s4,c4 #fji7;a77 is amended by striking paragraph 7#aj74 7#e7 ,conforming amendments related to elimination of ,federal loans for state welfare programs 7,a7 ,elimination of associated penalty provision 7i7 ,in general ,section #dji7;a7 7#db ,u4,s4,c4 #fji7;a77 is amended by striking paragraph 7#f74 7ii7 ,conforming amendments ,section #dab7;g77#a7 7#db ,u4,s4,c4 #fab7;g77#a77 is amended by striking 7a77#f714 7,b7 ,elimination of provision providing for tribal eligibility ,section #dab 7#db ,u4,s4,c4 #fab7 is amended by striking subsection 7f74 7,c7 ,elimination of disregard of loan in applying limit on payments to the territories ,section #aajh7;a77#b7 7#db ,u4,s4,c4 #acjh7;a77#b77 is amended by striking #djf14 7#f7 ,elimination of limitations on other ,state programs funded with qualified ,state expenditures 7,a7 ,the following provisions are each amended by striking or any other ,state program funded with qualified ,state expenditures 7as defined in section #dji7;a77#g77;,b77i773 7i7 ,paragraphs 7#a7 and 7#b7 of section #djg7;e7 7#db ,u4,s4,c4 #fjg7;e77#a7 and 7#b774 7ii7 ,section #daa7;a77#a7 7#db ,u4,s4,c4 #faa7;a77#a771 as amended by section #ae7;a77#c77;,a77i7 of this ,act4 7iii7 ,subsections 7d7 and 7e77#a7 of section #dac 7#db ,u4,s4,c4 #fac7;d7 and 7e77#a774 7,b7 ,section #dac7;a7 7#db ,u4,s4,c4 #fac7;a77 is amended by striking and any other ,state program funded with qualified ,state expenditures 7as defined in section #dji7;a77#g77;,b77i774 7#g7 ,conforming amendments related to elimination of report 7,a7 ,in general ,section #dji7;a77#b7 7#db ,u4,s4,c4 #fji7;a77#b77 is amended-- 7i7 in the paragraph heading1 by inserting quarterly before report2 7ii7 in subparagraph 7,a77ii71 by striking clause 7i7 and inserting subparagraph 7,a72 7iii7 by striking 7,a7 ,quarterly reports4--2 7iv7 by striking subparagraph 7,b72 and 7v7 by redesignating clauses 7i7 and 7ii7 of subparagraph 7,a7 as subparagraphs 7,a7 and 7,b71 respectively 7and adjusting the margins accordingly74 7,b7 ,conforming amendments 7i7 ,section #dji7;b77#b7 7#db ,u4,s4,c4 #fji7;b77#b77 is amended by striking and1 and all that follows and inserting a period4 7ii7 ,section #dji7;c77#d7 7#db ,u4,s4,c4 #fji7;c77#d77 is amended by striking 7#b77;,b714 7#h7 ,annual reports to ,congress ,section #daa7;b77#a77;,a7 7#db ,u4,s4,c4 #faa7;b77#a77;,a77 is amended by striking participation rates and inserting outcome measures4 7#i7 ,reduction in force provisions ,section #daf7;a7 7#db ,u4,s4,c4 #faf7;a771 as so designated by section #ad7;b77#a77;,a7 of this ,act1 is amended by striking 1 and the ,secretary and all that follows and inserting a period4 7#aj7 ,conforming cross-,references 7,a7 ,section #dji 7#db ,u4,s4,c4 #fji7 is amended-- 7i7 in subsection 7a77#g77;,b77i77,,iii71 by striking 7#ab7 and inserting 7#aj72 7ii7 in subsection 7a7 7as amended by subsections 7c77#b77;,d71 7d77#b77;,b71 and 7e77#a77;,a7 of this section71 by redesignating paragraphs 7#g71 7#h71 7#i71 7#aa71 7#ab71 7#ad71 7#ae71 and 7#af7 as paragraphs 7#f7 through 7#ac71 respectively2 7iii7 in subsection 7b77#b71 by striking 7#h71 7#aj71 7#ab71 or 7#ac7 and inserting or 7#aj72 and 7iv7 in subsection 7c77#d71 by striking 7#h71 7#aj71 7#ab71 7#ac71 or 7#af7 and inserting 7#aj71 or 7#ac74 7,b7 ,section #deb 7#db ,u4,s4,c4 #feb7 is amended in each of subsections 7d77#c77;,a77i7 and 7g77#a7 by striking #dji7;a77#h7 and inserting #dji7;a77#g74 7#aa7 ,modifications to maintenance-of-,effort requirement ,section #dji7;a77#f77;,b77i7 7#db ,u4,s4,c4 #fji7;a77#f77;,b77i771 as redesignated by subsection 7j77#a77;,b7 of this section1 is amended-- 7,a7 in subclause 7,i7-- 7i7 in the matter preceding item 7aa71 by striking all ,state programs and inserting the ,state program funded under this part2 7ii7 by redesignating items 7dd7 and 7ee7 as items 7ee7 and 7ff71 respectively1 and inserting after item 7cc7 the following3 7dd7 ,expenditures for a purpose described in paragraph 7#c71 7#d71 or 7#e7 of section #dja7;a74 2 and 7iii7 in item 7ee7 7as so redesignated71 by striking and 7ee7 and inserting 7dd71 and 7ff72 7,b7 by striking subclause 7,v72 and 7,c7 in subclause 7,,iv71 by inserting 1 except any of such families whose monthly income exceeds twice the poverty line 7as defined by the ,office of ,management and ,budget1 and revised annually in accordance with section #fgc7b7 of the ,omnibus ,budget ,reconciliation ,act of #aiha 7#db ,u4,s4,c4 #iijb7b777 before the period4 7r7 ,effective date ,except as provided in subsections 7c77#g71 7i77#b71 and 7k77#b71 the amendments made by this section shall take effect on ,october #a1 #bjbj4