[Congressional Bills 103th Congress]
[From the U.S. Government Publishing Office]
[H.R. 2034 Reported in House (RH)]
Union Calendar No. 47
103d CONGRESS
1st Session
H. R. 2034
[Report No. 103-92]
_______________________________________________________________________
A BILL
To amend title 38, United States Code, to revise and improve veterans'
health programs, and for other purposes.
_______________________________________________________________________
May 13, 1993
Committed to the Committee of the Whole House on the State of the Union
and ordered to be printed
Union Calendar No. 47
103d CONGRESS
1st Session
H. R. 2034
[Report No. 103-92]
To amend title 38, United States Code, to revise and improve veterans'
health programs, and for other purposes.
_______________________________________________________________________
IN THE HOUSE OF REPRESENTATIVES
May 6, 1993
Mr. Rowland (for himself and Mr. Smith of New Jersey) introduced the
following bill; which was referred to the Committee on Veterans'
Affairs
May 13, 1993
Additional sponsors: Mr. Kennedy, and Mr. Bishop
May 13, 1993
Committed to the Committee of the Whole House on the State of the Union
and ordered to be printed
_______________________________________________________________________
A BILL
To amend title 38, United States Code, to revise and improve veterans'
health programs, and for other purposes.
Be it enacted by the Senate and House of Representatives of the
United States of America in Congress assembled,
SECTION 1. SHORT TITLE; REFERENCES TO TITLE 38, UNITED STATES CODE;
TABLE OF CONTENTS.
(a) Short Title.--This Act may be cited as the ``Veterans' Health
Programs Amendments of 1993''.
(b) References to Title 38, United States Code.--Except as
otherwise expressly provided, whenever in this Act an amendment or
repeal is expressed in terms of an amendment to, or repeal of, a
section or other provision, the reference shall be considered to be
made to a section or other provision of title 38, United States Code.
(c) Table of Contents.--The table of contents of this Act is as
follows:
Sec. 1. Short title; references to title 38, United States Code; table
of contents.
TITLE I--HEALTH CARE PLANNING AND PROGRAMS
Sec. 101. Health care facilities missions.
Sec. 102. Pilot program for noninstitutional alternatives to nursing
home care.
TITLE II--MEDICAL FACILITIES ACQUISITION
Sec. 201. Major construction projects authorization.
Sec. 202. Revision to prospectus requirements.
Sec. 203. Prioritization methodology.
Sec. 204. Assessment of need for nursing home beds in Chesapeake
network area.
TITLE III--ADMINISTRATION
Sec. 301. Authority for expedited reorganization of medical facilities
in event of a life-threatening emergency.
Sec. 302. Clarification of contracting limitation.
TITLE IV--STATE HOME PROGRAM
Sec. 401. Per diem for adult day health care.
Sec. 402. Construction assistance program.
Sec. 403. Sharing of resources with State homes.
TITLE V--MISCELLANEOUS
Sec. 501. Department of Veterans Affairs research advisory committees.
Sec. 502. Limitation on claims for copayments.
Sec. 503. Child care services.
TITLE I--HEALTH CARE PLANNING AND PROGRAMS
SEC. 101. HEALTH CARE FACILITIES MISSIONS.
(a) In General.--The Secretary of Veterans Affairs shall prescribe
a specific, detailed statement of the mission of, and the clinical
programs to be operated at, each health care facility of the
Department, determined based upon a requirement that each such facility
operate within a network of Department facilities in the same
geographic area which, taken together, provide a full range of services
for veterans.
(b) Purposes of Mission Statements.--The mission statements shall
be designed so as to permit--
(1) effective planning;
(2) reduction in duplication of services and programs in
the same geographic area;
(3) realignment of services among facilities within each
network;
(4) improved means of resource distribution; and
(5) more efficient delivery of needed services.
(c) Review of Current Missions.--In preparing the mission
statements under subsection (a), the Secretary shall review the
existing missions and clinical programs at each health care facility of
the Department.
(d) Deadline and Report.--The Secretary, not later than nine months
after the date of the enactment of this Act, shall--
(1) prescribe the mission statements required by subsection
(a); and
(2) submit to the Committees on Veterans' Affairs of the
Senate and House of Representatives a report on the
implementation of this section and on the timetable and
projected milestones for implementing actions to enable each
such facility to carry out fully its prescribed missions.
SEC. 102. PILOT PROGRAM FOR NONINSTITUTIONAL ALTERNATIVES TO NURSING
HOME CARE.
(a) Extension of Program.--Subsection (a) of section 1720C is
amended by striking out ``During the four-year period beginning on
October 1, 1990,'' and inserting in lieu thereof ``During the period
through September 30, 1997,''.
(b) Veterans Eligible To Participate in Program.--Such subsection
is further amended by striking out ``care and who--'' and inserting in
lieu thereof ``care. The Secretary shall give priority for
participation in such program to veterans who--''.
(c) Program Funding.--Such section is further amended by adding at
the end the following new subsection:
``(f) The Secretary shall carry out the pilot program under this
section using funds available for the community nursing home program
under section 1720 of this title.''.
(d) Report Deadlines.--Section 201(b) of the Department of Veterans
Affairs Nurse Pay Act of 1990 (Public Law 101-366; 104 Stat. 438) is
amended--
(1) by striking out ``February 1, 1994,'' and inserting in
lieu thereof ``February 1, 1997,''; and
(2) by striking out ``September 30, 1993,'' and inserting
in lieu thereof ``September 30, 1996,''.
TITLE II--MEDICAL FACILITIES ACQUISITION
SEC. 201. AUTHORIZATION OF MAJOR MEDICAL FACILITY PROJECTS AND MAJOR
MEDICAL FACILITY LEASES.
(a) Authorization of Projects and Leases in Budget.--Except as
provided in subsection (b), the Secretary of Veterans Affairs may carry
out the major medical facility projects for the Department of Veterans
Affairs, and may carry out the major medical facility leases for that
Department, for which funds are requested in the budget of the
President for fiscal year 1994.
(b) Nonauthorized Projects.--The Secretary is not authorized to
carry out the project for which funds are requested in the budget of
the President for fiscal year 1994 for the construction of a nursing
home facility in Baltimore, Maryland.
(c) Authorization of Design for Certain Future Projects.--In
addition to the projects authorized in subsection (a), the Secretary
may carry out design of the following major medical facility projects,
in the amounts specified:
(1) Construction of an outpatient care addition at the
Department of Veterans Affairs Medical Center in San Juan,
Puerto Rico, $3,970,000.
(2) Construction of a spinal cord injury unit and energy
center at the Department of Veterans Affairs Medical Center in
Tampa, Florida, $4,490,000.
(3) Construction of an outpatient care addition at the
Department of Veterans Affairs Medical Center in West Haven,
Connecticut, $4,860,000.
(d) Authorization of Appropriations.--There is hereby authorized to
be appropriated to the Secretary of Veterans Affairs for fiscal year
1994--
(1) $110,420,000 for the major medical facility projects
authorized in subsections (a) and (c); and
(2) $50,123,105 for the major medical facility leases
authorized in subsection (a).
(e) Limitation.--The projects authorized in subsections (a) and (c)
may only be carried out using--
(1) funds appropriated for fiscal year 1994 pursuant to the
authorization of appropriations in subsection (d);
(2) funds appropriated for Construction, Major Projects for
a fiscal year before fiscal year 1994 that remain available for
obligation; and
(3) funds appropriated for Construction, Major Projects for
fiscal year 1994 for a category of activity not specific to a
project.
SEC. 202. REVISION TO PROSPECTUS REQUIREMENTS.
(a) Additional Information.--Section 8104(b) is amended--
(1) by striking out ``shall include--'' and inserting in
lieu thereof ``shall include:'';
(2) in paragraph (1)--
(A) by striking out ``a detailed'' and inserting in
lieu thereof ``A detailed''; and
(B) by striking out the semicolon at the end and
inserting in lieu thereof a period;
(3) in paragraph (2)--
(A) by striking out ``an estimate'' and inserting
in lieu thereof ``An estimate''; and
(B) by striking out ``; and'' and inserting in lieu
thereof a period;
(4) in paragraph (3), by striking out ``an estimate'' and
inserting in lieu thereof ``An estimate''; and
(5) by adding at the end the following new paragraphs:
``(4) Demographic data applicable to the project.
``(5) Current and projected workload and utilization data.
``(6) The relationship between the mission of the facility
and the missions and capabilities of other nearby Department
facilities and, as applicable, the availability or lack of
availability of alternative sources of service in the community
and the cost-effectiveness of using such alternative sources.
``(7) Current and projected operating costs of the
facility.
``(8) The raw score assigned to the proposal under the
Department's prioritization methodology and, if the project is
being proposed for funding ahead of a project with a higher
score, a comprehensive explanation of the specific factors on
the basis of which the project is being proposed for funding
ahead of each such higher-scored project.
``(9) A listing of each alternative to construction of the
facility that has been considered.''.
(b) Applicability.--The amendments made by subsection (a) shall
apply with respect to any prospectus submitted by the Secretary of
Veterans Affairs after the date of the enactment of this Act.
SEC. 203. PRIORITIZATION METHODOLOGY.
(a) Review of Methodology.--The Secretary of Veterans Affairs shall
conduct a review of the methodology used by the Department for
establishing the relative priority for major construction projects
under consideration in the Department.
(b) Revision.--Based upon the review under subsection (a), the
Secretary shall revise the prioritization methodology so as to give
additional weight, as determined appropriate by the Secretary taking
into consideration particularly the needs of the aging veteran
population, to projects intended to expand long-term care and
ambulatory care programs.
(c) Report.--Not later than 120 days after the date of the
enactment of this Act, the Secretary shall submit to the Committees on
Veterans' Affairs of the Senate and House of Representatives a report
on the actions of the Secretary in carrying out this section.
SEC. 204. ASSESSMENT OF NEED FOR NURSING HOME BEDS IN CHESAPEAKE
NETWORK AREA.
(a) Assessment.--The Secretary of Veterans Affairs shall conduct an
assessment of the need for nursing home beds operated by the Secretary
in the area (referred to as the ``Chesapeake network'') served by the
Department of Veterans Affairs medical centers in Baltimore, Maryland;
Fort Howard, Maryland; Martinsburg, West Virginia; Perry Point,
Maryland; and Washington, DC.
(b) Matters To Be Determined By Secretary.--In conducting the
assessment, the Secretary shall determine--
(1) what the specific mission of each medical center
operated by the Secretary in the Chesapeake network should be
to achieve the purposes identified in section 101;
(2) whether there is a need for expansion and modernization
of the nursing home care unit at the medical center at Fort
Howard, Maryland; and
(3) what effect the construction of nursing home beds in
Baltimore, Maryland, as proposed in the President's budget for
the Department of Veterans Affairs for fiscal year 1994, would
have for the missions of each of the other medical centers
operated by the Secretary in the Chesapeake network.
(c) Report on Assessment.--Not later than 90 days after the date of
the enactment of this Act, the Secretary shall submit to the Committees
on Veterans' Affairs of the Senate and House of Representatives a
report on the assessment under subsection (a). The Secretary shall
include in the report a statement of each determination made by the
Secretary under subsection (b).
TITLE III--ADMINISTRATION
SEC. 301. AUTHORITY FOR EXPEDITED REORGANIZATION OF MEDICAL FACILITIES
IN EVENT OF A LIFE-THREATENING EMERGENCY.
Section 510 is amended--
(1) by redesignating subsections (e) and (f) as subsections
(f) and (g), respectively; and
(2) by inserting after subsection (d) the following new
subsection (e):
``(e)(1) The limitation in subsection (b) does not apply with
respect to an administrative reorganization at a medical facility if
the Secretary determines that the reorganization is necessary to
respond to an emergency situation at that facility.
``(2) The Secretary may determine that there is an emergency
situation at a medical facility for purposes of paragraph (1) only if
the Secretary determines (A) that circumstances at the facility are
such that patients and employees at the facility face imminent danger
because of conditions at the facility that are permanent in nature, and
(B) that those conditions are not susceptible to repair or that it is
not feasible to repair those conditions.
``(3) For purposes of this subsection, an emergency situation may
not be considered to exist in anticipation of, but before the
occurrence of an event giving rise to any consideration of an
administrative reorganization.
``(4) Whenever the Secretary determines under paragraph (1) that it
is necessary to carry out an administrative reorganization at a medical
facility without regard to the limitation in subsection (b), the
Secretary shall promptly submit to the Committees on Veterans' Affairs
of the Senate and House of Representatives a report describing the
administrative reorganization. The report shall provide the same
information as is provided in a detailed plan and justification under
subsection (g)(2). The Secretary shall include in the report an
explanation of each alternative to the proposed administrative
organization that was considered and each factor that was considered in
the decision to reject each such alternative.''.
SEC. 302. CLARIFICATION OF CONTRACTING LIMITATION.
Section 8110(c)(3) is amended--
(1) by striking out ``or'' at the end of subparagraph (A);
(2) by redesignating subparagraph (B) as subparagraph (C)
and in that subparagraph striking out ``section 213 or 4117''
and inserting in lieu thereof ``section 7409''; and
(3) by inserting after subparagraph (A) the following new
subparagraph (B):
``(B) to a contract under section 513 of this title if the
Under Secretary for Health certifies to the Secretary in
writing, before the contract is entered into, that the contract
is necessary in order to provide services to eligible veterans
at a Department health-care facility that could not otherwise
be provided at such facility; or''.
TITLE IV--STATE HOME PROGRAM
SEC. 401. PER DIEM FOR ADULT DAY HEALTH CARE.
(a) In General.--Subsection (a) of section 1741 is amended to read
as follows:
``(a)(1) The Secretary shall pay to each State a per diem amount
for each veteran receiving domiciliary care, nursing home care,
hospital care, or adult day health care in a State home if the veteran
is eligible to receive that care in a Department facility.
``(2) The per diem rate to be paid under this subsection is as
follows:
``(A) For domiciliary care, $11.79 for each day.
``(B) For nursing home care and hospital care, $27.61 for
each day.
``(C) For adult day health care, $16.50 for each day.''.
(b) Effective Date.--The amendment made by subsection (a) shall
apply with respect to adult day health care provided in a State home
after September 30, 1993.
SEC. 402. CONSTRUCTION ASSISTANCE PROGRAM.
(a) In General.--Subchapter III of chapter 81 is amended as
follows:
(1) Section 8131(3) is amended by inserting ``or adult day
health care'' after ``hospital care''.
(2) Section 8132 is amended by inserting ``adult day health
care'' after ``hospital care''.
(3) Section 8135(a)(4) is amended by inserting ``and, in
the case of adult day health care, not more than 25 percent of
the number of patients participating in that program,'' after
``occupancy''.
(4) Section 8135(b) is amended--
(A) in paragraph (2)(C), by inserting ``or adult
day health care facilities'' after ``domiciliary
beds''; and
(B) in paragraph (3)(A), by inserting ``, or would
involve expansion, remodeling, or alteration of
existing buildings for the furnishing of adult day
health care'' after ``buildings''.
(5) Section 8136 is amended by inserting ``adult day health
care'' after ``hospital care''.
(6) The heading of such subchapter is amended to read as
follows:
``SUBCHAPTER III--STATE HOME FACILITIES FOR FURNISHING DOMICILIARY
CARE, NURSING HOME CARE, ADULT DAY HEALTH CARE, AND HOSPITAL CARE''.
(b) Clerical Amendment.--The item relating to subchapter III in the
table of sections at the beginning of chapter 81 is amended to read as
follows:
``SUBCHAPTER III--STATE HOME FACILITIES FOR FURNISHING DOMICILIARY
CARE, NURSING HOME CARE, ADULT DAY HEALTH CARE, AND HOSPITAL CARE''.
(c) Effective Date.--The amendments made by subsection (a) shall
apply with respect to grants made to States using funds appropriated
after the date of the enactment of this Act.
SEC. 403. SHARING OF RESOURCES WITH STATE HOMES.
(a) Purpose.--Section 8151 is amended by adding at the end the
following: ``It is further the purpose of this subchapter to improve
the provision of care to veterans under this title by authorizing the
Secretary to enter into agreements with State veterans facilities for
the sharing of health-care resources.''.
(b) Definition.--Section 8152 is amended--
(1) by redesignating paragraph (3) as paragraph (4); and
(2) by inserting after paragraph (2) the following new
paragraph (3):
``(3) The term `health-care resource' includes hospital
care, medical services, and rehabilitative services, as those
terms are defined in paragraphs (5), (6), and (8),
respectively, of section 1701 of this title, any other health-
care service, and any health-care support or administrative
resource.''.
(c) Sharing of Health-Care Resources.--Section 8153(a) is amended--
(1) by inserting ``(1)'' after ``(a)''; and
(2) by striking out ``other form of agreement,'' and all
that follows and inserting in lieu thereof
``other form of agreement for the mutual use, or exchange of use, of--
``(A) specialized medical resources between Department
health-care facilities and other health-care facilities
(including organ banks, blood banks, or similar institutions),
research centers, or medical schools; and
``(B) health-care resources between Department health-care
facilities and State home facilities recognized under section
1742(a) of this title.
``(2) The Secretary may execute a contract or other agreement under
paragraph (1) only if (A) such an agreement will obviate the need for a
similar resource to be provided in a Department health care facility,
or (B) the Department resources which are the subject of the agreement
and which have been justified on the basis of veterans' care are not
used to their maximum effective capacity.''.
TITLE V--MISCELLANEOUS
SEC. 501. DEPARTMENT OF VETERANS AFFAIRS RESEARCH ADVISORY COMMITTEES.
(a) Statutory Basis for Research Advisory Committees.--Chapter 5 is
amended by adding at the end of subchapter III the following new
section:
``Sec. 544. Veterans research advisory committees
``(a) Congress declares that each of the veterans research advisory
committees specified in subsection (c) (previously established by the
Secretary in carrying out the duties of the Secretary under section
7303 of this title) has a continuing, ongoing function that is
integrally related to the successful completion by the Department of
its statutory duties. Each such committee shall, for all purposes,
operate as though such committee had been established by, and chartered
pursuant to, law. The objectives and scope of the activities of each
such committee and the duties for which the committee is responsible,
as specified by the Secretary as of March 1, 1993, shall be those in
effect as of that date.
``(b) The Secretary may not terminate a veterans' research advisory
committee specified in subsection (c) unless the Secretary finds that
the committee is no longer needed. Not less than 120 days before
terminating such a committee, the Secretary shall submit to the
congressional veterans' affairs committees a report on the proposed
termination. The report shall include an explanation of (1) the basis
for the Secretary's determination that such committee is no longer
needed, and (2) the manner in which the Secretary will carry out the
Secretary's responsibilities under section 7303 of this title in the
absence of the committee.
``(c) For purposes of this section, each of the following
committees and boards, as established by the Secretary as of March 1,
1993, shall be considered to be a veterans' research advisory
committee:
``(1) The Career Development Committee.
``(2) The Department of Veterans Affairs Cooperative
Studies Evaluation Committee.
``(3) The Merit Review Board for Basic Sciences Programs.
``(4) The Merit Review Board for Cardiovascular Programs.
``(5) The Merit Review Board for Clinical Pharmacology,
Alcoholism, and Drug Dependence Programs.
``(6) The Merit Review Board for Endocrinology Programs.
``(7) The Merit Review Board for Gastroenterology Programs.
``(8) The Merit Review Board for Hematology Programs.
``(9) The Merit Review Board for Immunology Programs.
``(10) The Merit Review Board for Infectious Diseases
Programs.
``(11) The Merit Review Board for Mental Health and
Behavioral Sciences Programs.
``(12) The Merit Review Board for Nephrology Programs.
``(13) The Merit Review Board for Neurobiology Programs.
``(14) The Merit Review Board for Oncology Programs.
``(15) The Merit Review Board for Respiration Programs.
``(16) The Merit Review Board for Surgery Programs.
``(17) The Scientific Review Evaluation Board for Health
Services Research and Development.
``(18) The Scientific Review Evaluation Board for
Rehabilitation Research and Development.''.
(b) Clerical Amendment.--The table of sections at the beginning of
chapter 5 is amended by inserting after the item relating to section
543 the following new item:
``544. Veterans research advisory committees.''.
SEC. 502. LIMITATION ON CLAIMS FOR COPAYMENTS.
(a) Hospital Care and Nursing Home Care.--Section 1710(f) is
amended by adding at the end the following new paragraph:
``(6) A veteran may not be required to make a payment under this
subsection for any day of care if the Secretary does not notify the
veteran in writing of the amount owed for that care before the end of
the two-year period beginning on the date on which the care is
provided, unless the reason the Secretary did not notify the veteran
within such period was due to reliance by the Secretary on information
furnished by the veteran to the Secretary which was subsequently
determined to be erroneous.''.
(b) Outpatient Medical Services.--Section 1712(f) is amended by
adding at the end the following new paragraph:
``(5) A veteran may not be required to make a payment under this
subsection for any medical services if the Secretary does not notify
the veteran in writing of the amount owed for those services before the
end of the two-year period beginning on the date on which the services
were provided, unless the reason the Secretary did not notify the
veteran within such period was due to reliance by the Secretary on
information furnished by the veteran to the Secretary which was
subsequently determined to be erroneous.''.
(c) Medications.--Section 1722A(a) is amended by adding at the end
the following new paragraph:
``(3) A veteran may not be required to make a payment under this
subsection for any supply of medication if the Secretary does not
notify the veteran in writing of the amount owed for that medication
before the end of the two-year period beginning on the date on which
the medication is supplied, unless the reason the Secretary did not
notify the veteran within such period was due to reliance by the
Secretary on information furnished by the veteran to the Secretary
which was subsequently determined to be erroneous.''.
SEC. 503. CHILD CARE SERVICES.
(a) Revised Child Care Authority.--Chapter 81 is amended by
inserting after section 8116 the following new section:
``Sec. 8117. Child care centers
``(a) The Secretary may provide for the operation of child care
centers at Department facilities. The operation of such centers under
this section shall be carried out to the extent that the Secretary
determines, based on the demand of employees of the Department for the
care involved, that such operation is in the best interest of the
Department and that it is practicable to do so.
``(b)(1) In offering child care services under this section, the
Secretary shall give priority (in the following order) to employees
of--
``(A) the Department;
``(B) other departments and agencies of the Federal
Government, and
``(C) schools affiliated with the Department and
corporations created under section 7361 of this title.
``(2) To the extent that space is available, the Secretary may
provide child care services to members of the public at a child care
center operated under this section if the Secretary determines that to
do so is necessary to assure the financial success of that center.
``(c)(1) The Secretary shall establish reasonable charges for child
care services provided at each child care center operated under this
section. Such charges may be established at different rates for
different centers.
``(2) In establishing charges for child care services provided at a
center, the Secretary--
``(A) shall (except as provided in paragraph (3)) establish
the charges so as to ensure that the sum of all charges for
child care services at that center is sufficient to meet the
staffing expenses of that center; and
``(B) may also consider the expenses of constructing or
acquiring space for the center, the expenses of converting
existing space into the center, and the expenses of equipment
and services furnished to the center under subsection (d)(2).
``(3) The Secretary may establish charges for child care services
provided at a center at rates less than those necessary to ensure that
the sum of all charges for child care services at that center is
sufficient to meet the staffing expenses of that center if the
Secretary determines (with respect to a particular facility of the
Department) that--
``(A) the operation of a child care center at that facility
would help overcome serious recruitment or retention problems;
``(B) adherence to the requirement to establish charges for
child care services at that center at rates sufficient to meet
the staffing expenses of that center would make the operation
of a child care center at that facility unfeasible; and
``(C) there are no other practical alternatives to meeting
the needs of employees at that facility for child care
services.
``(4) Proceeds from charges for child care services shall be
credited to the applicable Department of Veterans Affairs account and
shall be allotted to the facility served by the child care center and
shall remain available until expended.
``(d) In connection with the establishment and operation of a child
care center under this section, the Secretary--
``(1) may construct or alter space in any Department
facility, and may lease space in a non-Department facility for
a term not to exceed 20 years, for use as a child care center;
``(2) may provide, out of operating funds, other items and
services necessary for the operation of the center, including
furniture, office machines and equipment, utility and custodial
services, and other necessary services and amenities;
``(3) shall provide for the participation (directly or
through a parent advisory committee) of parents of children
receiving care in the center in the establishment of policies
to govern the operation of the center and in the oversight of
the implementation of such policies;
``(4) shall require the development and use of a process
for determining the fitness and suitability of prospective
employees of or volunteers at the center; and
``(5) shall require in connection with the operation of the
center compliance with all State and local laws, ordinances,
and regulations relating to health and safety and the operation
of child care centers.
``(e) The Secretary shall prescribe guidelines to carry out this
section.
``(f) For the purpose of this section, the term `parent advisory
committee' means a committee comprised of, and selected by, the parents
of children receiving care in a child care center operated under this
section.''.
(b) Conforming Repeal.--Section 7809 is repealed.
(c) Clerical Amendments.--(1) The table of sections at the
beginning of chapter 81 is amended by inserting after the item relating
to section 8116 the following new item:
``8117. Child care centers.''.
(2) The table of sections at the beginning of chapter 78 is amended
by striking out the item relating to section 7809.
HR 2034 RH----2