Cancer Centers Assistance for Renovations and Expansion Act of 2010 - Amends title XVIII (Medicare) of the Social Security Act to direct the Secretary of Health and Human Services (HHS) to establish a program that provides loans to qualifying cancer centers for payment of the capital costs of projects for the improvement of research, prevention, or patient care infrastructure.
Sets the maximum amount of such loans at: (1) $50 million for any cancer center or comprehensive cancer center designated by the National Cancer Institute; and (2) $100 million for any entity that is a National Cancer Institute-designated comprehensive cancer center and a cancer hospital meeting certain requirements for a subsection (d) hospital.
(Generally, a subsection [d] hospital is an acute care hospital, particularly one that receives payments under Medicare's inpatient prospective payment system [IPPS] when providing covered inpatient services to eligible beneficiaries.)
[Congressional Bills 111th Congress]
[From the U.S. Government Publishing Office]
[H.R. 5861 Introduced in House (IH)]
111th CONGRESS
2d Session
H. R. 5861
To amend title XVIII of the Social Security Act to establish a cancer
center construction loan program.
_______________________________________________________________________
IN THE HOUSE OF REPRESENTATIVES
July 26, 2010
Ms. Kilroy (for herself, Mr. Ryan of Ohio, and Mr. Meek of Florida)
introduced the following bill; which was referred to the Committee on
Energy and Commerce, and in addition to the Committee on Ways and
Means, for a period to be subsequently determined by the Speaker, in
each case for consideration of such provisions as fall within the
jurisdiction of the committee concerned
_______________________________________________________________________
A BILL
To amend title XVIII of the Social Security Act to establish a cancer
center construction loan program.
Be it enacted by the Senate and House of Representatives of the
United States of America in Congress assembled,
SECTION 1. SHORT TITLE.
This Act may be cited as the ``Cancer Centers Assistance for
Renovations and Expansion Act of 2010''.
SEC. 2. CANCER CENTER CONSTRUCTION LOAN PROGRAM.
The Social Security Act is amended by inserting after section 1897
the following new section:
``cancer center construction loan program
``Sec. 1897A. (a) Establishment.--The Secretary shall establish a
loan program that provides loans to qualifying cancer centers (as
defined in subsection (b)) for payment of the capital costs of projects
for the improvement of research, prevention, or patient care
infrastructure.
``(b) Qualifying Cancer Center and Other Definitions.--In this
section:
``(1) The term `qualifying cancer center' means an entity
that--
``(A) is designated as a cancer center or
comprehensive cancer center by the National Cancer
Institute; or
``(B) is both a National Cancer Institute-
designated comprehensive cancer center and a cancer
hospital described in section 1886(d)(1)(B)(v).
``(2) The term `project for the improvement of research,
prevention, or patient care infrastructure' means--
``(A) the expansion, remodeling, renovating, or
altering of an existing clinical, prevention, or
research facility; or
``(B) the construction of a new clinical,
prevention, or research facility.
``(3) The term `intended use' means the purposes for which
the infrastructure improvements were made.
``(4) The term `shovel ready' means, with respect to a
project, that construction of the project--
``(A) has begun as of the date of the enactment of
this section; or
``(B) is ready (subject only to the receipt of
permits) to begin, and will begin, not later than 90
days after such date.
``(c) Application; Qualifications; Terms of Loans.--
``(1) In general.--No loan may be provided under this
section to a qualifying cancer center except pursuant to an
application that is submitted and approved in a time, manner,
and form specified by the Secretary.
``(2) Qualifications.--A loan may not be provided under
this section for a project for a qualifying cancer center
unless the applicant provides assurances satisfactory to the
Secretary that--
``(A) the project is a project for the improvement
of research, prevention, or patient care infrastructure
of the center;
``(B) the project is shovel ready;
``(C) the applicant will use the facility improved
or resulting from the project for its intended use for
a period of at least 20 years after completion of the
project and has sufficient funds available to
demonstrate effective use of such facility for its
intended use;
``(D) sufficient funds will be available to meet
the non-Federal share of the cost of the infrastructure
improvement; and
``(E) the proposed infrastructure improvement will
expand the applicant's capacity for research,
prevention or patient care, or is necessary to improve
or maintain the quality of the applicant's research,
prevention, or patient care.
``(3) No further requirements.--The Secretary shall not
promulgate any further requirements or restrictions on a
qualifying cancer center to obtain assistance under this
section other than those specified in this section.
``(4) Terms of loans.--
``(A) In general.--Loans under this section shall
be made consistent with the requirements of this
section.
``(B) Interest rate.--The interest rate for loans
provided under this section shall be at lowest of the
following (as published or determined, as the case may
be, as of the date of the enactment of this section):
``(i) Prime rate.--The bank prime loan rate
posted by a majority of the largest 25 United
States chartered commercial banks, as
determined based on assets in domestic offices
and as published by the Board of Governors of
the Federal Reserve System.
``(ii) Minimum federal interest rate.--The
minimum annual rate of interest determined
under section 3717(a) of title 31, United
States Code.
``(iii) Municipal market data rate.--The
Municipal Market Data (MMD) rate for triple-A
rated bonds with a 1-year maturity, as
published by Thomson Financial Services.
``(C) Limitations on loans.--The maximum, aggregate
amount of loans that may be made under this section
(and for which reimbursement may be provided under
subsection (d)(2)) for a qualifying cancer center is 75
percent of the total project costs, but not to exceed--
``(i) $100,000,000 for a qualifying cancer
center described in subsection (b)(1)(B); or
``(ii) $50,000,000 for any other qualifying
cancer center.
``(d) Forgiveness; Reimbursement Alternative.--
``(1) In general.--The Secretary may forgive repayment of a
loan under this section to a qualifying cancer center described
in subsection (b)(1)(B) if the center submits to the Secretary
a written request for loan forgiveness under this paragraph and
demonstrates that under the project for which the loan was made
the center--
``(A) has made reasonable depth and breadth of
research activities in each of the three major areas of
laboratory research, clinical research, and population-
based research, with substantial transdisciplinary
research that bridges these scientific areas;
``(B) has initiated and conducted investigator-
initiated, early phase, innovative clinical trials; and
``(C) has performed community service, outreach,
dissemination, and education and training of biomedical
researchers and health care professionals.
``(2) Alternative of reimbursement of other loans.--The
Secretary shall establish an alternative to making a loan and
providing loan forgiveness under paragraph (1) under which a
qualifying cancer center may elect to obtain a loan from a
source other than under this section, and, in the event that it
would otherwise qualify for loan forgiveness under paragraph
(1), the Secretary shall provide for reimbursement for the
amount of such loan.
``(e) Funding.--
``(1) In general.--To carry out this section, there are
appropriated out of amounts in the Treasury not otherwise
appropriated, $900,000,000.
``(2) Administrative costs.--For the administration of this
section, Secretary may not use more than $1,000,000 from the
funds made available under paragraph (1) for fiscal years 2011
through 2013.
``(3) Availability.--Amounts appropriated under this
section shall be available for obligation and obligated during
the period beginning on October 1, 2010, and ending on
September 30, 2013.
``(f) Report to Congress.--Not later than 3 years after the date of
the enactment of this section, the Secretary shall submit to Congress a
report on the projects for which loans are provided under this section
(or reimbursement is provided under subsection (d)(2)) and a
recommendation as to whether the Congress should authorize the
Secretary to continue loans under this section beyond fiscal year
2013.''.
<all>
Introduced in House
Introduced in House
Referred to House Energy and Commerce
Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
Referred to House Ways and Means
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