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Official portrait of Rep. Rogers, Mike J. [R-MI-8]

Rep. Rogers, Mike J. [R-MI-8]

United States · Official source

Records

1,568 records where Rep. Rogers, Mike J. [R-MI-8] is listed as a sponsor, author, or other actor. Search with topics and years

Bill· HRH.R. 4960 (113th)referred

CARS Act of 2014

United States · United States Congress · 25 June 2014

Charitable Automobile Red-Tape Simplification Act of 2014 or the CARS Act of 2014 - Amends the Internal Revenue Code, with respect to the tax deduction for charitable contributions, to modify the substantiation rules for donations of qualified vehicles (i.e., motor vehicles manufactured primarily for use on public streets, roads, and highways and boats or airplanes) to require: (1) a statement with respect to such qualified vehicles and a good faith estimate of their value at the time of donation; and (2) a contemporaneous written acknowledgement of the contribution by the donee organization, with information about the donor and the qualified vehicle.

Bill· HRH.R. 4857 (113th)referred

Ensuring Equal Access to Treatments Act of 2014

United States · United States Congress · 12 June 2014

Ensuring Equal Access to Treatments Act of 2014 - Amends title XVIII (Medicare) of the Social Security Act, with respect to the prospective payment system for hospital outpatient department (OPD) services, to direct the Secretary of Health and Human Services (HHS) to create certain additional groups of covered OPD services that classify separately, from those that do not utilize such a drug, procedures that utilize a drug (other than contrast agents and diagnostic radiopharmaceuticals) that both has a cost above the drug packaging threshold and functions as a supply when used in a diagnostic test or procedure.

Law· HRH.R. 4681 (113th)enacted

Intelligence Authorization Act for Fiscal Year 2015

United States · United States Congress · 20 May 2014

Intelligence Authorization Act for Fiscal Years 2014 and 2015 - Authorizes FY2014-FY2015 appropriations for the conduct of intelligence and intelligence-related activities of the: (1) Office of the Director of National Intelligence (DNI); (2) Central Intelligence Agency (CIA); (3) Department of Defense (DOD); (4) Defense Intelligence Agency (DIA); (5) National Security Agency (NSA); (6) Departments of the Army, Navy, and Air Force; (7) Coast Guard; (8) Departments of State, the Treasury, Energy (DOE), and Justice (DOJ); (9) Federal Bureau of Investigation (FBI); (10) Drug Enforcement Administration (DEA); (11) National Reconnaissance Office; (12) National Geospatial-Intelligence Agency; and (13) Department of Homeland Security (DHS). Specifies that the amounts authorized and the authorized personnel ceilings as of September 30, 2014, and as of September 30, 2015, respectively, for such activities are those specified in the classified Schedule of Authorizations for FY2014 and FY2015, which shall be made available to the congressional appropriations committees and the President. Allows the DNI to authorize employment of civilian personnel in excess of the number authorized for FY2014 or FY2015 when necessary for the performance of important intelligence functions. Requires notification to the intelligence committees on the use of such authority. Requires the DNI to establish guidelines to govern the treatment under such authorized personnel levels of employment or assignment in: (1) a student or trainee program; (2) a reserve corps or as a reemployed annuitant; or (3) details, joint duty, or long term, full-time training. Authorizes appropriations for the Intelligence Community Management Account for FY2014 and FY2015, as well as for personnel positions for elements within such Account. Authorizes appropriations for FY2014 and FY2015 for the Central Intelligence Agency Retirement and Disability Fund. Permits appropriations authorized by this Act for salary, pay, retirement, and other benefits for federal employees to be increased by such additional or supplemental amounts as necessary for increases in such compensation or benefits authorized by law. Prohibits the authorization of appropriations by this Act from being deemed to constitute authority to conduct any intelligence activity not otherwise authorized by the Constitution or laws of the United States.

Bill· HRH.R. 4661 (113th)referred

Intelligence Authorization Act for Fiscal Year 2015

United States · United States Congress · 15 May 2014

Intelligence Authorization Act for Fiscal Year 2015 - Authorizes FY2015 appropriations for the conduct of intelligence and intelligence-related activities of the: (1) Office of the Director of National Intelligence (DNI); (2) Central Intelligence Agency (CIA); (3) Department of Defense (DOD); (4) Defense Intelligence Agency (DIA); (5) National Security Agency (NSA); (6) Departments of the Army, Navy, and Air Force; (7) Coast Guard; (8) Departments of State, the Treasury, Energy (DOE), and Justice (DOJ); (9) Federal Bureau of Investigation (FBI); (10) Drug Enforcement Administration (DEA); (11) National Reconnaissance Office; (12) National Geospatial-Intelligence Agency; and (13) Department of Homeland Security (DHS). Specifies that the amounts authorized and the authorized personnel ceilings as of September 30, 2015, for such activities are those in the classified Schedule of Authorizations, which shall be made available to the congressional appropriations committees and the President. Allows the DNI, with the approval of the Office of Management and Budget (OMB), to authorize employment of civilian personnel in excess of the number authorized for FY2015 when necessary for the performance of important intelligence functions. Requires notification to the intelligence committees on the use of such authority. Requires the DNI to establish guidelines to govern the treatment under such authorized personnel levels of employment or assignment in: (1) a student or trainee program; (2) a reserve corps or as a reemployed annuitant; or (3) details, joint duty, or long term, full-time training. Authorizes appropriations for the Intelligence Community Management Account for FY2015, as well as for personnel positions for elements within such Account. Authorizes appropriations for FY2015 for the Central Intelligence Agency Retirement and Disability Fund. Permits appropriations authorized by this Act for salary, pay, retirement, and other benefits for federal employees to be increased by such additional or supplemental amounts as necessary for increases in such compensation or benefits authorized by law. Prohibits the authorization of appropriations by this Act from being deemed to constitute authority to conduct any intelligence activity not otherwise authorized by the Constitution or laws of the United States.

Bill· HRH.R. 4510 (113th)open

Insurance Capital Standards Clarification Act of 2014

United States · United States Congress · 29 April 2014

Insurance Capital Standards Clarification Act of 2014 - Amends the Dodd-Frank Wall Street Reform and Consumer Protection Act concerning establishment of minimum leverage and minimum risk-based capital requirements on a consolidated basis for a depository institution holding company or a nonbank financial company supervised by the Board of Governors of the Federal Reserve System (Board). States that federal banking agencies shall not be required to subject any person to such minimum capital requirements, to the extent that such person either: (1) acts in its capacity as a regulated insurance entity regulated by a state insurance regulator, or (2) is a regulated foreign subsidiary engaged in the business of insurance (including a regulated foreign affiliate of such subsidiary). Exempts from any requirement to prepare holding company financial statements in accordance with Generally Accepted Accounting Principles any Board-supervised depository institution holding company or nonbank financial company that is also a person regulated by a state insurance regulator or a regulated foreign subsidiary (or a regulated foreign affiliate) that files its holding company financial statements using only Statutory Accounting Principles in accordance with state law.

Bill· HRH.R. 4450 (113th)open

Travel Promotion, Enhancement, and Modernization Act of 2014

United States · United States Congress · 10 April 2014

Travel Promotion, Enhancement, and Modernization Act of 2014 - Amends the Travel Promotion Act of 2009 (TPA) to revise qualifications requirements for members of the Board of Directors of the Corporation for Travel Promotion. Revises requirements for the Corporation's annual report to the Secretary of Commerce (Secretary) to require a description of and rationales for: (1) the Corporation's efforts to focus on specific countries and populations, and (2) its combination of media channels employed in meeting the promotional objectives of its marketing campaign. Directs the Corporation and the Secretary (or their designees) to meet biannually to review procedures to determine the fair market value of goods and services received by the Corporation from non-federal sources. Reduces from 80% to 75% the percentage of the fair market value of those goods and services the Corporation may receive from non-federal sources each fiscal year, increasing from 20% to 25% the federal matching rate. Includes U.S. territories among the states and the District of Columbia whose benefit the Corporation's international travel promotion plan must ensure. Extends the TPA and the Corporation through FY2020. Amends the Immigration and Nationality Act to extend through FY2020 also the authority of the Secretary of Homeland Security (DHS) to charge a fee for use of the electronic travel authorization system to determine, in advance, an alien's eligibility to travel to the United States. Amends the TPA to require the Corporation to establish performance metrics to: (1) measure the impact of its marketing efforts, and (2) demonstrate any cost or benefit to the U.S. economy. Requires the Corporation to report to Congress actions it has taken in response to any recommendations the Government Accountability Office (GAO) might make to it. Requires the Corporation to: (1) establish a competitive procurement process, and (2) certify in its annual report to Congress that any contracts it has entered into were in compliance with that process.

Bill· HRH.R. 4421 (113th)referred

MotorCities National Heritage Area Extension Act

United States · United States Congress · 8 April 2014

MotorCities National Heritage Area Extension Act - Amends the Automobile National Heritage Area Act to extend through FY2030 the authority of the Secretary of the Interior to make grants or provide assistance for the Automobile National Heritage Area in Michigan.

Resolution· HRESH.Res. 538 (113th)referred

Expressing support for designation of May as "National Bladder Cancer Awareness Month".

United States · United States Congress · 3 April 2014

Supports the designation, and the goals and ideals, of National Bladder Cancer Awareness Month. Calls on the people of the United States, interested groups, and affected persons to: (1) promote awareness of bladder cancer and to foster understanding of the impact of the disease on patients and their families and caregivers, and (2) take an active role in the fight to end bladder cancer.

Bill· HRH.R. 4301 (113th)referred

Restoration of America's Wire Act

United States · United States Congress · 26 March 2014

Restoration of America's Wire Act - Amends provisions of the federal criminal code, commonly known as the Wire Act, to provide that the prohibition against transmission of wagering information shall apply to any bet or wager, or information assisting in the placing of any bet or wager (thus making such prohibition applicable to all types of gambling activities, including internet gambling). States that nothing in this Act shall be construed to: (1) preempt any state law prohibiting gambling; or (2) alter, limit, or extend the relationship between the Interstate Horseracing Act of 1978 and other federal laws currently in effect, the ability of a state licensed lottery retailer to make in-person, computer-generated retail lottery sales, or the relationship between federal laws and state charitable gaming laws.

Bill· HRH.R. 4291 (113th)referred

FISA Transparency and Modernization Act

United States · United States Congress · 25 March 2014

FISA Transparency and Modernization Act - Amends the Foreign Intelligence Surveillance Act of 1978 (FISA) to exclude call detail records from the categories of items that the Federal Bureau of Investigation (FBI) may seek in an application to a FISA court for an order requiring the production of tangible things (commonly referred to as business records) for an investigation to obtain foreign intelligence information not concerning a U.S. person or to protect against international terrorism or clandestine intelligence activities. Defines "call detail records" as communications routing information. Prohibits the federal government from acquiring under FISA: (1) records of any electronic communication without the use of specific identifiers or selection terms; or (2) library circulation records, library patron lists, book sales records, book customer lists, firearm sales records, tax return records, educational records, or medical records containing information that would identify a person without the use of specific identifiers or selection terms. Authorizes the FISA court or the FISA court of review to appoint amicus curiae to assist in the consideration of certain FISA applications. Expands the categories of FISA court decisions, orders, or opinions that the Attorney General (DOJ) is required to submit to Congress within 45 days after issuance of the decision, to include: (1) a denial or modification of a request for an order under FISA; and (2) a change of the application, or a new application, of any FISA provision. Directs the Attorney General to include with such court documents a brief statement of the relevant background factual information, questions of law, legal analysis, and decision rendered. Requires the Director of National Intelligence (DNI) to: (1) conduct a declassification review of each decision, order, or opinion issued by the FISA court and the FISA court of review that includes a significant construction or interpretation of FISA; and (2) make such documents publicly available to the greatest extent practicable, subject to permissible redactions. Authorizes the DNI to waive such review and public availability requirements if: (1) a waiver is necessary to protect the national security or properly classified intelligence sources or methods, and (2) an unclassified summary is made publicly available. Requires the Attorney General to make available to the public an annual report describing the number of instances in which the contents of a U.S. person's communication were acquired under FISA authorities that could not reasonably have been anticipated to capture such contents. Amends the National Security Act of 1947 to require the DNI to report annually to Congress regarding violations of laws or executive orders by personnel of an element of the intelligence community, including violations of Executive Order 12333 relating to U.S. intelligence activities. Directs each head of an element of the intelligence community to review, at least every five years, the Attorney General-approved procedures required by the intelligence collection provisions of such Executive Order. Requires the heads of such elements, in coordination with the Attorney General and DNI, to propose any appropriate modifications to existing procedures and to provide any modified procedures to Congress. Establishes procedures under which the Attorney General and the DNI may authorize jointly, for up to one year, the acquisition from an electronic communication service provider (ECSP) of certain communications records pertaining to a foreign power if: (1) the FISA court issues an order approving a certification, submitted to the court by the Attorney General and the DNI, that attests to the use of appropriate selection procedures and privacy protections; or (2) the Attorney General and the DNI, before obtaining FISA court approval, make a determination that time does not permit the issuance of a FISA court order because exigent circumstances exist that may result in the loss or untimely acquisition of intelligence important to national security. Authorizes the Attorney General and the DNI, upon obtaining a FISA court order or making such an exigent circumstances determination, to acquire from an ECSP records created as a result of communications of an individual or facility that, based on reasonable and articulable suspicion, is: (1) a foreign power or the agent of a foreign power; (2) associated with a foreign power or the agent of a foreign power; or (3) in contact with, or known to, a suspected agent of a foreign power. Requires any such acquisition to be reasonably designed not to acquire: (1) the contents associated with any communication; (2) records of wire or electronic communications without the use of specific identifiers or selection terms; or (3) the name, address, social security number, employer or taxpayer identification number, date of birth, or credit card number of any U.S. person. Directs the Attorney General and the DNI, in the case of an acquisition under exigent circumstances before obtaining the FISA court's approval, to submit a certification to the FISA court for authorization within seven days after such determination. Allows the Attorney General and the DNI, with respect to an acquisition approved by the FISA court or authorized under exigent circumstances, to issue a directive requiring an ECSP to provide to the government records that exist or are created in the future. Requires the government to compensate ECSPs for providing such records. Directs the Attorney General to provide the FISA court a copy of each acquisition directive submitted to an ECSP. Permits the FISA court, if it determines that the selection procedures in a directive are improper, to order that the production of records be terminated or modified, that the information produced be destroyed, or another appropriate remedy. Allows ECSPs to file a petition with the FISA court to modify or set aside a directive. Permits the government or an ECSP to file a petition seeking Supreme Court review of a decision of the FISA court of review. Prohibits procedures for issuing such directives from being construed to prevent a directive from requiring an ECSP to produce additional records, whether existing or created in the future, based on records produced by a previous directive. Directs the DNI to: (1) ensure that employees, officers, and contractors of each element of the intelligence community who have been determined eligible for access to classified information are monitored on a continual basis to determine whether they continue to meet eligibility requirements; (2) require information sharing between elements of the community concerning potentially derogatory security information that may impact such an individual's security clearance eligibility. Requires the DNI to ensure that contracts awarded by elements of the intelligence community require the contractor to operate under a security plan that complies with DNI standards for intelligence community networks.

Bill· HRH.R. 4166 (113th)open

Lake Berryessa Recreation Enhancement Act of 2014

United States · United States Congress · 6 March 2014

Lake Berryessa Recreation Enhancement Act of 2014 - Transfers the administrative jurisdiction over specified water and land that is within or adjacent to Lake Berryessa in California from the Bureau of Reclamation to the Bureau of Land Management (BLM) for administration as the Lake Berryessa Recreation Area. Directs the Secretary of the Interior to act in accordance with any existing agreement with any organization for the management of campgrounds and marinas located in the Area. Authorizes the Secretary to develop a management plan for the Area as a new document or by adopting the recreational use plan adopted by the Bureau of Reclamation on June 2, 2006. Declares that, nothing in this Act or any subsequent management plan shall impair the ability of the Bureau of Reclamation and its managing partners to operate, maintain, or manage Monticello Dam, Lake Berryessa, and other Solano Project facilities in accordance with that project's authorized purposes. Requires the Commissioner of Reclamation to continue to administer and operate the Dam and any power facility related to it. Authorizes the Secretary to establish, modify, charge, and collect recreation or concession fees at the Area in accordance with the Federal Lands Recreation Enhancement Act. Permits the Secretary to retain such fees for purposes of managing the Area.

Bill· HRH.R. 6 (113th)open

Domestic Prosperity and Global Freedom Act

United States · United States Congress · 6 March 2014

Domestic Prosperity and Global Freedom Act - Amends the Natural Gas Act to require the expedited approval by the Federal Power Commission of applications for the export of natural gas from the United States to a World Trade Organization (WTO) member nation. (Currently, the expedited approval process applies to such applications where the United States has in effect with a foreign country a free trade agreement requiring national treatment for trade in natural gas.) Requires expedited approval of any applications for which a notice has been published in the Federal Register before March 6, 2014.

Bill· HRH.R. 4139 (113th)referred

American Job Creation and Strategic Alliances LNG Act

United States · United States Congress · 4 March 2014

American Job Creation and Strategic Alliances LNG Act - Amends the Natural Gas Act to deem consistent with the public interest an expedited application and approval process for the importation or exportation of natural gas to a World Trade Organization country.

Bill· HRH.R. 4031 (113th)open

Department of Veterans Affairs Management Accountability Act of 2014

United States · United States Congress · 11 February 2014

Department of Veterans Affairs Management Accountability Act of 2014 - Authorizes the Secretary of Veterans Affairs (VA) to: (1) remove any individual from the Senior Executive Service upon determining that such individual's performance warrants such removal, and (2) remove such individual from federal service or transfer the individual to a General Schedule position at any grade the Secretary deems appropriate. Requires: (1) the Secretary to notify the House and Senate Veterans' Affairs committees within 30 days after removing such an individual, and (2) such removal to be done in the same manner as the removal of a professional staff member employed by a Member of Congress. .

Bill· HRH.R. 4015 (113th)open

SGR Repeal and Medicare Provider Payment Modernization Act of 2014

United States · United States Congress · 6 February 2014

SGR Repeal and Medicare Provider Payment Modernization Act of 2014 - Amends title XVIII (Medicare) of the Social Security Act (SSA) to: (1) end and remove sustainable growth rate (SGR) methodology from the determination of annual conversion factors in the formula for payment for physicians' services, (2) establish an update to the single conversion factor for 2014 through 2018 of 0.5%, (3) freeze the update to the single conversion factor at 0.00% for 2019 through 2023, and (4) establish an update of 1% for health professionals participating in alternative payment models (APMs) and an update of 0.5% for all other health professionals after 2023. Directs the Medicare Payment Advisory Commission (MEDPAC) to report to Congress on the relationship between: (1) physician and other health professional utilization and expenditures (and their rate of increase) of items and services for which Medicare payment is made; and (2) total utilization and expenditures (and their rate of increase) under Medicare parts A (Hospital Insurance), B (Supplementary Medical Insurance), and D (Voluntary Prescription Drug Benefit Program). Directs MEDPAC to report to Congress on: (1) the payment update for professional services applied under Medicare for 2014 through 2018; (2) the effect of such update on the efficiency, economy, and quality of care provided under such program; (3) the effect of such update on ensuring a sufficient number of providers to maintain access to care by Medicare beneficiaries; and (4) recommendations for any future payment updates for professional services under such program to ensure adequate access to care is maintained for Medicare beneficiaries Revises and consolidates components of the three specified existing performance incentive programs into a merit-based incentive payment system (MIPS) the Secretary of Health and Human Services (HHS) is directed to establish, under which MIPS-eligible professionals (excluding most Alternative Payment Model [APM] participants) receive annual payment increases or decreases based on their performance. Applies the MIPS program to payments for items and services furnished on or after January 1, 2018. Requires specified incentive payments to be made to eligible partial qualifying APM participants. Directs the Secretary to make available on the Physician Compare website of the Centers for Medicare & Medicaid Services (CMS) certain information, including information regarding the performance of MIPS-eligible professionals. Requires the Comptroller General (GAO) to evaluate the MIPS program. Requires GAO to submit to Congress a report that: (1) compares the similarities and differences in the use of quality measures under the original Medicare fee-for-service programs, the Medicare Advantage (MA) program under Medicare part C (Medicare+Choice), selected state Medicaid programs, and private payer arrangements; and (2) make recommendations on how to reduce the administrative burden involved in applying such quality measures. Directs GAO to report to Congress on: (1) whether entities that pool financial risk for physician services can play a role in supporting physician practices in assuming financial risk for treatment of patients; and (2) the transition to an APM of professionals in rural areas, health professional shortage areas, or medically underserved areas. Establishes the Payment Model Technical Advisory Committee to make recommendations to the Secretary on physician-focused payment models. Requires the Secretary to study: (1) the application of federal fraud prevention laws related to APMs; (2) the effect of individuals' socioeconomic status on quality and resource use outcome measures for individuals under Medicare; and (3) the impact of risk factors, race, health literacy, limited English proficiency (LEP), and patient activation, on quality and resource use outcome measures under Medicare. Directs the Secretary to: (1) post on the CMS Internet website a draft plan for the development of quality measures to assess professionals, (2) establish new Healthcare Common Procedure Coding System (HCPCS) codes for chronic care management services, and (3) conduct an education and outreach campaign to inform professionals who furnish items and services under Medicare part B and Medicare part B enrollees of the benefits of chronic care management services. Authorizes the Secretary to: (1) collect and use information on the resources directly or indirectly related to physicians' services in the determination of relative values under the Medicare physician fee schedule; and (2) establish or adjust practice expense relative values using cost, charge, or other data from suppliers or service providers. Revises and expands factors for identification of potentially misvalued codes. Sets an annual target for relative value adjustments for misvalued services. Phases-in of significant relative value unit (RVU) reductions. Directs GAO to study the processes used by the Relative Value Scale Update Committee (RUC) to make recommendations to the Secretary regarding relative values for specific services under the Medicare physician fee schedule. Makes Metropolitan Statistical Areas in California fee schedule areas for Medicare payments. Directs the Secretary to: (1) establish a program to promote the use of appropriate use criteria for certain imaging services furnished by ordering professionals and furnishing professionals, and (2) make publicly available on the CMS Physician Compare website specified information with respect to eligible professionals. Expands the kinds and uses of data available to qualified entities for quality improvement activities. Directs the Secretary to provide Medicare data to qualified clinical data registries to facilitate quality improvement or patient safety. Permits continuing automatic extensions of a Medicare physician and practitioner election to opt-out of the Medicare physician payment system into private contracts. Directs the Secretary to: (1) make publicly available through an appropriate publicly accessible website information on the number and characteristics of opt-out physicians and practitioners; and (2) report to Congress recommendations to amend existing fraud and abuse laws, through exceptions, safe harbors, or other narrowly targeted provisions, to permit gainsharing or similar arrangements between physicians and hospitals that improve care while reducing waste and increasing efficiency. Declares it a national objective to achieve widespread exchange of health information through interoperable certified electronic health record (EHR) technology nationwide by December 31, 2017, as a consequence of a significant federal investment in the implementation of health information technology through the Medicare and Medicaid EHR programs. Directs the Secretary to study the feasibility of establishing mechanisms that includes aggregated results of surveys of meaningful EHR users on the functionality of certified EHR products to enable such users to compare directly the functionality and other features of such products. Requires GAO studies on the use of telehealth under federal programs and on remote patient monitoring services.

Bill· HRH.R. 4001 (113th)referred

Defending Against Aquatic Invasive Species Act of 2014

United States · United States Congress · 5 February 2014

Defending Against Aquatic Invasive Species Act of 2014 - Authorizes the Secretary of the Army to carry out projects necessary to separate the hydrologic connection between the Great Lakes and Mississippi River basins to prevent the interbasin transfer of aquatic invasive species. Requires the Secretary: (1) not later than 180 days after this Act's enactment, to undertake design activities necessary to carry out such projects; and (2) not later than 180 days after completion of such design activities, to begin construction of such projects. Authorizes: (1) the Secretary to enter into agreements with non-federal interests to assist in carrying out such projects, and (2) a federal cost share for such projects of up to 100%.

Bill· HRH.R. 3930 (113th)referred

National Commission on the Structure of the Army Act of 2014

United States · United States Congress · 27 January 2014

National Commission on the Structure of the Army Act of 2014 - Establishes the National Commission on the Structure of the Army to undertake a comprehensive study of the structure of the Army to determine: (1) the proper force mixture of the active component and reserve component, and (2) how the structure should be modified to best fulfill mission requirements in a manner consistent with available resources. Directs the Commission to give particular consideration to evaluating a structure that: (1) meets current and anticipated requirements of the combatant commands; (3) achieves a cost-efficiency balance between the regular and reserve components, with a focus on fully burdened and lifecycle cost of Army personnel; (3) ensures that the regular and reserve components have the capacity needed to support homeland defense and disaster assistance missions in the United States; (4) provides for sufficient numbers of regular members of the Army to provide a base of trained personnel from which the personnel of the reserve components could be recruited; (5) maintains a peacetime rotation force to support operational tempo goals of 1:2 for regular members and 1:5 for members of the reserve components; and (6) maximizes and appropriately balances affordability, efficiency, effectiveness, capability, and readiness. Prohibits the use of any funds made available for FY2015 for the Army to: (1) divest, retire, or transfer, or prepare to divest, retire, or transfer, any aircraft of the Army assigned to units of the Army National Guard as of January 15, 2014; or (2) reduce personnel below the authorized end strength levels of 350,000 for the Army National Guard as of September 30, 2014.

Bill· HRH.R. 3902 (113th)referred

Child Protection Improvements Act of 2013

United States · United States Congress · 16 January 2014

Child Protection Improvements Act of 2013 - Amends the National Child Protection Act of 1993 to direct the Attorney General to: (1) establish policies and procedures to streamline the process of obtaining state and national criminal history background checks on covered individuals, and (2) establish a criminal history review program to provide covered entities with reliable and accurate information on the criminal history of a covered individual. Defines "covered entity" as any business or organization that provides, or licenses, certifies, or coordinates individuals or organizations to provide, care, care placement, supervision, treatment, education, training, instruction, or recreation to children. Defines "covered individual" as an individual who: (1) has, seeks to have, or may have unsupervised access to vulnerable populations (i.e., elderly, disabled, and children) served by a covered entity; (2) is employed by or volunteers with, or seeks to be employed by or volunteer with, a covered entity; or (3) owns or operates, or seeks to own or operate, a covered entity.

Bill· HRH.R. 3811 (113th)referred

Health Exchange Security and Transparency Act of 2014

United States · United States Congress · 7 January 2014

Health Exchange Security and Transparency Act of 2014 - Requires the Secretary of Health and Human Services (HHS) to notify an individual within two business days after discovery of any breach of security of any system maintained by a health care exchange established under the Patient Protection and Affordable Care Act which is known to have resulted in the theft of or unlawful access to the individual's personally identifiable information.

Bill· HRH.R. 3742 (113th)referred

Antibiotic Development to Advance Patient Treatment Act of 2013

United States · United States Congress · 12 December 2013

Antibiotic Development to Advance Patient Treatment Act of 2013 - Amends the Federal Food, Drug, and Cosmetic Act (FFDCA) to authorize the Secretary of Health and Human Services (HHS) to approve the use of an antibacterial or antifungal drug that is intended for treatment of a serious or life-threatening disease or condition to treat a limited population of patients for which there is an unmet medical need. Requires the labeling of such drugs to prominently include in the prescribing information the statement that the drug is indicated for use in a limited and specific population of patients. Amends the Public Health Service Act to authorize the Secretary to license those antibacterial or antifungal drugs as biological products. Requires the Secretary, acting through the Director of the Centers for Disease Control and Prevention (CDC), to: (1) monitor the use of antibacterial and antifungal drugs, (2) monitor changes in bacterial and fungal resistance to drugs, and (3) make the information derived from such monitoring available to the public. Amends the FFDCA to direct the Secretary: (1) to identify upon approval, and subsequently update, susceptibility test interpretive criteria for antibacterial drugs by relying upon preclinical and clinical data, Bayesian and pharmacometric statistical methodologies, and such other confirmatory evidence the Secretary deems necessary; (2) on a quarterly basis, to evaluate new or updated criteria published by a nationally or internationally recognized standard development organization; and (3) to publish on the Food and Drug Administration's (FDA's) website a notice adopting, declining to adopt, or partially adopting such new or updated criteria.

Bill· HRH.R. 3723 (113th)referred

Viral Hepatitis Testing Act of 2013

United States · United States Congress · 12 December 2013

Viral Hepatitis Testing Act of 2013 - Amends the Public Health Service Act to require the Secretary of Health and Human Services (HHS) to carry out surveillance, education, and testing programs with respect to hepatitis B (HBV) and hepatitis C (HCV) virus infections. Requires the Secretary to establish a national system with respect to HBV and HCV to: (1) determine the prevalence of such infections; (2) carry out testing programs to increase the number of individuals who are aware of their infection; (3) disseminate public information and education programs for the detection and control of such infections; (4) improve the training of health professionals in the detection, control, and treatment of such infections; and (5) provide referrals for counseling and medical treatment and ensure the provision of follow-up services. Directs the Secretary to determine the populations that are considered at high risk. Directs the Secretary to establish and support public-private partnerships that facilitate such HBV and HCV surveillance, education, screening, testing, and linkage to care programs. Requires the Director of the Agency for Healthcare Research and Quality (AHRQ) to convene the Preventive Services Task Force every three years to review its recommendation for HBV and HCV screening. Directs the Secretary of Veterans Affairs (VA) to establish and carry out a plan to provide veterans who were born between 1945 and 1965 with an HBC risk assessment and, if they are diagnosed with such virus, a thorough evaluation of, and information regarding, their need for treatment, vaccination, or other therapy. Requires the VA to use compliance with such plan as a key performance measure under the VA Handbook Performance Management System or its successor, including by giving the director of a VA medical facility that is not fully compliant a less than fully successful performance appraisal.

Bill· HRH.R. 3544 (113th)referred

Office of Strategic Services Congressional Gold Medal Act

United States · United States Congress · 20 November 2013

Office of Strategic Services Congressional Gold Medal Act - Requires the Speaker of the House of Representatives and the President pro tempore of the Senate to arrange for the presentation of a congressional gold medal to the members of the Office of Strategic Services (OSS) in recognition of their superior service and major contributions during World War II.

Bill· HRH.R. 3381 (113th)open

Intelligence Authorization Act for Fiscal Year 2014

United States · United States Congress · 30 October 2013

Intelligence Authorization Act for Fiscal Year 2014 - Authorizes appropriations for FY2014 for the conduct of intelligence and intelligence-related activities of the: (1) Office of the Director of National Intelligence; (2) Central Intelligence Agency (CIA); (3) Department of Defense (DOD); (4) Defense Intelligence Agency (DIA); (5) National Security Agency (NSA); (6) Departments of the Army, Navy, and Air Force; (7) Coast Guard; (8) Departments of State, the Treasury, Energy (DOE), and Justice (DOJ); (9) Federal Bureau of Investigation (FBI); (10) Drug Enforcement Administration (DEA); (11) National Reconnaissance Office; (12) National Geospatial-Intelligence Agency; and (13) Department of Homeland Security (DHS). Specifies that the amounts authorized and the authorized personnel ceilings as of September 30, 2014, for such activities are those specified in the classified Schedule of Authorizations, which shall be made available to the congressional appropriations committees and the President. Allows the Director of National Intelligence, with the approval of the Director of the Office of Management and Budget (OMB), to authorize employment of civilian personnel in excess of the number authorized for FY2014 when necessary for the performance of important intelligence functions. Requires notification to the intelligence committees on the use of such authority. Authorizes appropriations for the Intelligence Community Management Account for FY2014, as well as for full-time personnel for elements within such Account. Authorizes appropriations for FY2014 for the Central Intelligence Agency Retirement and Disability Fund. Permits appropriations authorized by this Act for salary, pay, retirement, and other benefits for federal employees to be increased by such additional or supplemental amounts as necessary for increases in such compensation or benefits authorized by law. Prohibits the authorization of appropriations by this Act from being deemed to constitute authority to conduct any intelligence activity not otherwise authorized by the Constitution or laws of the United States.

Bill· HRH.R. 3350 (113th)referred

Keep Your Health Plan Act of 2013

United States · United States Congress · 28 October 2013

Keep Your Health Plan Act of 2013 - Permits a health insurance issuer that has in effect health insurance coverage in the individual market as of January 1, 2013, to continue offering such coverage for sale during 2014 outside of a health care exchange established under the Patient Protection and Affordable Care Act. Treats such coverage as a grandfathered health plan for purposes of an individual meeting the requirement to maintain minimum essential health coverage.

Bill· HRH.R. 3320 (113th)referred

Medicare Ventricular Assist Device Access Act of 2013

United States · United States Congress · 23 October 2013

Medicare Ventricular Assist Device Access Act of 2013 - Directs the Secretary of Health and Human Services (HHS) to revise the Medicare national coverage determination relating to coverage of ventricular assist devices to extend the coverage of such devices under title XVIII (Medicare) of the Social Security Act for individuals approved for heart transplantation to apply also to: (1) individuals undergoing an evaluation to determine candidacy for heart transplantation; and (2) individuals who would be heart transplant candidates, but are not so eligible because of a contraindication that may be favorably modified by the use of a ventricular assist device. Directs the Secretary to use specified processes to revise its national coverage determination relating to ventricular assist devices to incorporate the requirements of this Act.

Bill· HRH.R. 3306 (113th)referred

Telehealth Enhancement Act of 2013

United States · United States Congress · 22 October 2013

Telehealth Enhancement Act of 2013 - Amends title XVIII (Medicare) of the Social Security Act (SSA) to direct the Secretary of Health and Human Services (HHS), in order to provide a positive incentive for certain hospitals to lower their excess readmission ratios for inpatient services, to make an additional payment to a hospital in such proportion that provides for a sharing of the savings from better-than-expected performance between the hospital and the Medicare program. Authorizes the Secretary, in the case of a state that has amended its Medicaid plan to provide coordinated care through a health home for individuals with chronic conditions, to contract with the state medical assistance agency to serve eligible individuals with chronic conditions who select a designated provider, a team of health care professionals operating with such a provider, or a health team as the individual's health home. Authorizes the Secretary to contract with a national or multi-state regional center of excellence with a network of affiliated local providers to provide through one or more medical homes for targeted, accessible, continuous, and coordinated care to individuals under Medicare and Medicaid with a long-term illness or medical condition that requires regular medical treatment, advising, and monitoring. Authorizes an Accountable Care Organization (ACO) to include coverage of telehealth and remote patient monitoring services as supplemental health care benefits to the same extent as a Medicare Advantage plan is permitted to provide such coverage of such services as supplemental health care. Recognizes telehealth services and remote patient monitoring in the national pilot program on payment bundling. Includes among originating sites (at which an eligible telehealth individual is located at the time a service is furnished via a telecommunications system), but without receiving payment of a facility fee, any critical access hospitals, sole community hospitals, home telehealth sites, as well as specified others. Amends SSA title XIX (Medicaid) to give states the option to provide coordinated care for enrollees with high-risk pregnancies and births. Amends the Communications Act of 1934 to specify additional health care providers to which universal telecommunications service support must be provided. Requires Federal Communications Commission (FCC) rules for enhancing health care provider access to advanced telecommunications and information services to disregard provider location.

Bill· HRH.R. 3211 (113th)open

Mortgage Choice Act of 2013

United States · United States Congress · 28 September 2013

Mortgage Choice Act of 2013 - Amends the Truth in Lending Act with respect to requirements for disclosure to a consumer of points and fees information about a consumer credit transaction, secured by the consumer's principal dwelling, but which is not a residential mortgage transaction, a reverse mortgage transaction, or a transaction under an open end credit plan, when the total points and fees the consumer must pay at or before closing will exceed 8% of the total loan amount or $400, whichever is greater. (Such consumer credit transactions might include an equity credit line to which consumer purchases or leases may be charged.) Excludes from the computation of such points and fees any escrow for future payment of insurance. Modifies the criteria for exclusion from the computation of points and fees of certain reasonable charges elsewhere exempted from the computation of the finance charge in extensions of credit secured by an interest in real property. Excludes from points and fees any such reasonable charges even though a creditor receives compensation, but only in so far as the creditor or its affiliate retains the compensation as a result of their participation in an affiliated business arrangement. (An "affiliated business arrangement" is one in which: (1) a person who is in a position to refer business incident to or a part of a real estate settlement service involving a federally related mortgage loan, or an associate of such person, has either an affiliate relationship with or a direct or beneficial ownership interest of more than 1% in a provider of settlement services; and (2) either of such persons directly or indirectly refers such business to that provider or affirmatively influences the provider's selection.) Revises the additional requirement that such a reasonable charge be paid to a third party unaffiliated with the creditor. Requires the charge to be: (1) a bona fide third party charge not retained by the mortgage originator, creditor, or an affiliate; or (2) a fee or premium for title examination, title insurance, or similar purposes. Modifies the conditions under which federal departments and agencies may exempt refinancings under a streamlined refinancing from an income verification requirement that, at the time a refinancing is consummated, the consumer has a reasonable ability to repay the loan and all applicable taxes, insurance, and assessments. Repeals the exception for bona fide third party charges not retained by the mortgage originator, creditor, or an affiliate from the requirement that total points and fees not exceed 3% of the total new loan amount. (Thus subjects such charges to the same 3% ceiling.)

Bill· HRH.R. 3103 (113th)referred

Intelligence Oversight and Accountability Act of 2013

United States · United States Congress · 16 September 2013

Intelligence Oversight and Accountability Act of 2013 - Amends the Foreign Intelligence Surveillance Act of 1978 (FISA) to revise congressional reporting requirements with respect to FISA court decisions. Requires the Attorney General (DOJ), within 45 days after the Foreign Intelligence Surveillance Court or the Foreign Intelligence Surveillance Court of Review issues a decision, order, or opinion that includes a denial or modification of a request for an order, or that results in a change of application or a new application of FISA, to submit to Congress a copy of such decision and any associated pleadings, applications, or memoranda of law. (Currently, the Attorney General submits such materials only with respect to decisions that the Attorney General determines are a significant construction or interpretation of FISA.) Directs the Attorney General to include with such court documents a brief statement (a summary) of the relevant background factual information, questions of law, legal analysis, and decision rendered.

Bill· HRH.R. 3086 (113th)open

Permanent Internet Tax Freedom Act

United States · United States Congress · 12 September 2013

Permanent Internet Tax Freedom Act - Amends the Internet Tax Freedom Act to make permanent the ban on state and local taxation of Internet access and on multiple or discriminatory taxes on electronic commerce.

Law· HRH.R. 3095 (113th)enacted

To ensure that any new or revised requirement providing for the screening, testing, or treatment of individuals operating commercial motor vehicles for sleep disorders is adopted pursuant to a rulemaking proceeding, and for other purposes.

United States · United States Congress · 12 September 2013

Authorizes the Secretary of Transportation (DOT) to implement or enforce a requirement providing for the screening, testing, or treatment of individuals operating commercial motor vehicles for sleep disorders (including obstructive sleep apnea) only if it is adopted pursuant to a rulemaking proceeding. Applies this Act only to a requirement adopted on or after September 1, 2013.

Bill· HRH.R. 3077 (113th)referred

TELE-MED Act of 2013

United States · United States Congress · 10 September 2013

TELEmedicine for MEDicare Act of 2013 or TELE-MED Act of 2013 - Amends title XVIII (Medicare) of the Social Security Act to permit certain Medicare providers licensed in a state to provide telemedicine services to Medicare beneficiaries in a different state.

Bill· HRH.R. 2959 (113th)referred

National Right-to-Carry Reciprocity Act of 2013

United States · United States Congress · 1 August 2013

National Right-to-Carry Reciprocity Act of 2013 - Amends the federal criminal code to authorize a person who is carrying a valid, government-issued identification document containing that person's photograph and a valid permit to carry a concealed firearm in one state, and who is not prohibited from possessing, transporting, shipping, or receiving a firearm under federal law, to possess or carry a concealed handgun (other than a machine gun or destructive device) in another state in accordance with the restrictions of that state.

Bill· HRH.R. 2869 (113th)referred

Medicare Patient Access to Cancer Treatment Act of 2013

United States · United States Congress · 31 July 2013

Medicare Patient Access to Cancer Treatment Act of 2013 - Expresses the sense of Congress that, to ensure the future of community cancer care, Medicare reimbursement should be equal for the same service provided to a cancer patient regardless of whether the service is delivered in the hospital outpatient department (OPD) or physician's office. Amends title XVIII (Medicare) of the Social Security Act (SSA) with respect to the prospective payment system (PPS) for OPD services to require that the payment amount under PPS and physician fee schedules for covered OPD cancer services be a budget neutral combination of the amount otherwise payable under the PPS and the amount otherwise payable under the physician fee schedule for such services.

Bill· HRH.R. 2807 (113th)open

Conservation Easement Incentive Act of 2014

United States · United States Congress · 24 July 2013

Conservation Easement Incentive Act of 2013 - Amends the Internal Revenue Code to make permanent the tax deduction for charitable contributions by individuals and corporations of real property interests for conservation purposes.

Bill· HRH.R. 2810 (113th)open

SGR Repeal and Medicare Beneficiary Access Act of 2013

United States · United States Congress · 24 July 2013

Medicare Patient Access and Quality Improvement Act of 2013 - Amends title XVIII (Medicare) of the Social Security Act (SSA) to: (1) repeal sustainable growth rate (SGR) methodology from the determination of annual conversion factors in the formula for payment for physicians' services; and (2) prescribe an update to the single conversion factor for 2014 through 2018, as well as 2019 all subsequent years, of 0.5%. Requires the update for a year beginning with 2019 to be adjusted by the applicable determined quality adjustment for any eligible professional who does not have a payment arrangement (eligible professional quality update incentive program). Prescribes requirements for core measure sets as well as quality measures for them. Directs the Secretary of Health and Human Services (HHS) to establish: (1) an eligible professional quality update incentive program meeting specified criteria, and (2) one or more methods to assess an eligible professional's performance with respect to quality measures and clinical practice improvement activities. Amends SSA title XVIII part B (Supplementary Medical Insurance) to require payment for covered professional services furnished by an eligible professional under a specified Alternative Payment Model (APM) to be made under Medicare in accordance with the payment arrangement under such model. Directs the Secretary to establish a process to implement eligible APMs. Sets forth requirements for: (1) expanding uses of Medicare data by qualified entities; (2) promoting care coordination and Medicare homes; (3) soliciting recommendations on non-acute episodes of care definitions; and (4) establishing a physician reporting system to improve the accuracy of relative values, such as data relating to service volume and time.

Bill· HRH.R. 2791 (113th)referred

Responsible Electronics Recycling Act

United States · United States Congress · 23 July 2013

Responsible Electronics Recycling Act - Amends the Solid Waste Disposal Act to: (1) prohibit the export of restricted electronic waste to countries that are not members of the Organization for Economic Cooperation and Development (OECD) or the European Union (EU), or Liechtenstein; (2) require the Administrator of the Environmental Protection Agency (EPA) to develop and promulgate procedures for identifying certain electronic equipment as well as additional restricted toxic materials contained in such equipment which poses a potential hazard to human health or the environment; and (3) establish criminal penalties for knowingly exporting restricted electronic waste in violation of this Act. Allows certain exceptions to such export ban. Defines "restricted electronic waste" to include electronic equipment (excluding parts of a motor vehicle), such as computers, televisions, printers, copiers, video game systems, telephones, and similar used electronic products, that contain cathode ray tubes, batteries, switches, and other parts containing lead, cadmium, mercury, organic solvents, hexavalent chromium, beryllium, or other toxic ingredients. Requires persons who handle restricted electronic wastes to permit appropriate EPA and state officials access to such wastes upon request. Directs the Secretary of Energy to establish a competitive research application program to provide grants for research in the recovering and recycling of critical minerals and rare earth elements found in electronic devices.

Bill· HRH.R. 2725 (113th)referred

Food and Drug Administration Safety Over Sequestration Act of 2013

United States · United States Congress · 18 July 2013

Food and Drug Administration Safety Over Sequestration Act of 2013 - Amends the Balanced Budget and Emergency Deficit Control Act of 1985 (Gramm-Rudman-Hollings Act) to exempt from sequestration calculations (mandatory across-the-board spending cuts) user fees that fund salaries and other administrative expenses of the Food and Drug Administration (FDA).

Bill· HRH.R. 2700 (113th)referred

Health Care Waiver Fairness Act of 2013

United States · United States Congress · 16 July 2013

Health Care Waiver Fairness Act of 2013 - Amends the Patient Protection and Affordable Care Act (PPACA) to require the Secretary of Health and Human Services (HHS), the Secretary of Labor, and the Secretary of Treasury to establish waiver processes under which the administrator of a health plan, an employer, an individual, or other entity may seek to waive the application of a health insurance coverage requirement under PPACA. Sets forth PPACA requirements that may be waived, including those related to minimum essential coverage and employers offering health care coverage to employees. Establishes requirements for the waiver process, including requiring submission of a statement describing how the imposition of the PPACA requirement would result in a significant decrease in access to coverage or a significant increase in premiums or other costs for such plan, employer, individual, or entity. Deems to be approved any waiver including such a statement. Requires the Secretary of HHS to conduct a public awareness campaign of the waiver process with funds made available for the Prevention and Public Health Fund.

Bill· HRH.R. 2682 (113th)referred

Defund Obamacare Act of 2013

United States · United States Congress · 11 July 2013

Defund Obamacare Act of 2013 - Prohibits any federal funds from being made available to carry out the provisions of the Patient Protection and Affordable Care Act or the health care provisions of the Health Care and Education Reconciliation Act of 2010. Prohibits any entitlement to benefits under such provisions from remaining in effect on and after the date of the enactment of this Act. Prohibits any payments from being awarded, owed, or made to any state, district, or territory under any such provision. Rescinds any unobligated balances available under such provisions.

Bill· HRH.R. 2651 (113th)referred

Critical Care Assessment and Improvement Act of 2013

United States · United States Congress · 10 July 2013

Critical Care Assessment and Improvement Act of 2013 - Requires studies on critical care health services in the United States by the Institute of Medicine and the Health Resources and Services Administration of the Department of Health and Human Services (HHS).  Directs the HHS Secretary, acting through the Director of the National Institutes of Health (NIH), to establish the Critical Care Coordinating Council to coordinate the collection and analysis of information on current NIH research relating to the care of the critically ill and injured, identify gaps in such research, and make recommendations to the Director of NIH on how to improve such research. Directs the Secretary, acting through the Center for Medicare and Medicaid Innovation, to carry out a demonstration project to improve the quality and efficiency of care provided to critically ill and injured patients receiving care in acute care hospitals.

Bill· HRH.R. 2575 (113th)open

Save American Workers Act of 2014

United States · United States Congress · 28 June 2013

Save American Workers Act of 2013 - Amends the Internal Revenue Code, as amended by the Patient Protection and Affordable Care Act, to redefine "full-time employee," for purposes of the mandate requiring employers to provide health care coverage for their employees, as an employee who is employed on average at least 40 hours of service a week (currently, at least 30 hours of service a week).

Bill· HRH.R. 2548 (113th)referred

Electrify Africa Act of 2014

United States · United States Congress · 27 June 2013

Electrify Africa Act of 2013 - Directs the President to establish a multiyear strategy to assist countries in sub-Saharan Africa develop an appropriate mix of power solutions to provide sufficient electricity access to people living in rural and urban areas in order to alleviate poverty and drive economic growth. Expresses the sense of Congress that the U.S. Agency for International Development (USAID) should: (1) prioritize where loan guarantees to African financial institutions would facilitate involvement in African power projects, and where partnerships and grants would increase access to electricity; and (2) consider providing grants to develop national, regional, and local energy and electricity policy plans, and expand electricity access to the poorest. Urges: (1) the Secretary of the Treasury to use U.S. influence at each institution in the World Bank Group and the African Development Bank to encourage power sector and electrification investments in sub-Saharan Africa, (2) the Overseas Private Investment Corporation (OPIC) to prioritize investment in the electricity sector of sub-Saharan Africa, and (3) the Trade and Development Agency to promote U.S. private sector participation in energy sector development projects in sub-Saharan Africa.

Law· HRH.R. 2366 (113th)enacted

World War I American Veterans Centennial Commemorative Coin Act

United States · United States Congress · 13 June 2013

World War I American Veterans Centennial Commemorative Coin Act - Directs the Secretary of the Treasury to: (1) mint and issue $1 silver coins in commemoration of the centennial of America's involvement in World War I, and (2) hold a competition and provide compensation for its winner to design the obverse and reverse of the coins. Requires the design of such coins to be emblematic of the centennial of America's involvement in World War I. Permits the Secretary to issue such coins only during calendar year 2018. Subjects the coin sales to a surcharge of $10 per coin, payable by the Secretary to the World War I Centennial Commission.

Bill· HRH.R. 2330 (113th)referred

Medicare Audiology Services Enhancement Act of 2013

United States · United States Congress · 12 June 2013

Medicare Audiology Services Enhancement Act of 2013 - Amends title XVIII (Medicare) of the Social Security Act to: (1) limit covered auditory services to only auditory treatment, vestibular treatment, and intraoperative neurophysiologic monitoring services in addition to currently covered hearing and balance assessment services; (2) exclude inter-operative neurophysiological monitoring provided by a physician or qualified audiologist in hospitals from covered inpatient hospital services; (3) revise the requirements and procedure for payment of outpatient auditory services claims of service providers; (4) include audiology services under the limitation on certain physician referrals for designated health services; and (5) declare that nothing in such Act shall be construed to require a qualified audiologist to participate in Medicare.