The math doesn’t add up anymore than tariffs will be paid by other countries and not Americans. It’s hard to tell if all this rhetoric is just naive propaganda and plain stupidity.
I know what it is for Americans who believe it.
WHAT WAS SAID
“We’re looking to save maybe $2 trillion and it’ll have no impact. Actually, it’ll make life better but it’ll have no impact on people. It’s not like — we will never cut Social Security, things like that. It’s just waste, fraud and abuse.”
This lacks evidence. Of the federal government’s $6.9 trillion budget for the 2024 fiscal year, about $4.2 trillion was mandatory spending on programs like Social Security and Medicare and about $892 billion was in interest payments. Only $1.8 trillion was in “discretionary” spending and about $954 billion of that was in military spending.
So to reach the $2 trillion in cuts, the Trump administration would need to eliminate all discretionary spending — which would include spending on Mr. Trump’s policy priorities of mass deportations and enhancing border security, protecting farmers and providing more military funding — and then some.
Cutting all discretionary spending would, without a doubt, have an impact on people. New York Times 12-18-24
QUINNSCOMMENTARY 
Favorite quote regarding “waste fraud and abuse”
“It is a popular delusion that the government wastes vast amounts of money through inefficiency and sloth. Enormous effort and elaborate planning are required to waste this much money.”
-P.J. O’Rourke
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Al Lindquist:
the market yesterday seemingly was driven by the massive debt that will be refinanced at higher rates of interest— the debt, as a % of GDP, is at record levels considering no recession and no world war–you can’t just keep on spending–with super low unemployment and record revenues we still have this problem.
think Inflation Reduction Act which was a massive spending bill and, as the corpse admitted, had nothing to do with inflation–the infrastructure legislation which sounds good but, like the IRA above, was paid for by???? the New Green Deal and all of that spending–how did the corpse tell us it would be paid for?
Jack spent all night enlightening us as to the current proposals–after a good laugh it makes you sick to see all this and of course nothing can be cut.
at least DOGE recognizes the problem which is more than I can say for the previous folks–these guys would cut the crap out of government if they could–
what if we raise taxes as James2 suggests? don’t worry, the big spenders would be back in a few years wanting more programs–more spending–more pork.– nothing will ever satisfy those who want to spend money of others and regulate the heck out of the economy.
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Yes, it’s obvious that this rapidly ballooning federal budget is all necessary and is now sacrosanct. It is a wonder how we got along just a few years ago on the pitiful amount that was budgeted then.
Let us tighten our belts and pay a surtax on April 15 to make up the difference. I say a surtax because I don’t want a tax code overhaul that people can use to avoid any pain in the pocketbook. Since the deficit is rising, it may take an extra 50 percent from each taxpayer but it’s well worth it. Right?
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Nobody said that. Of course there is waste and inefficiency, but not to any extent seriously affected the deficit UNLESS you start cutting into things Americans depend on and expect. The place to start is not adding to the deficit as we seem to be doing now.
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Agree, expectations. Promise them anything for your vote. Without deflating expectations, without changing expectations, no deficit reduction is possible – only, as you suggest, potentially not adding to it. But, even not adding to spending would still substantially increase our national debt (and interest), regardless of economic growth.
Spend was $6.74 Trillion in 2024, revenue $4.92.
So, assuming the economy grows 4% per year (all but impossible), and we restrain spending on four items Social Security, Medicare, Health Care (Medicaid), and Debt on the Interest to only 3% per year (all but impossible), requiring significant cuts in Social Security, Medicare, and Medicaid to offset the ever increasing interest on the national debt), and, only if we allow every other item in the federal budget to erode by not increasing spend by even one thin dime (as President Obama once claimed regarding Health Reform), we will continue to add to the budget deficit and the national debt every year until 2041 – increasing from about $36 Trillion to $51 Trillion over the next 16 years.
At some point in the future, it won’t be a question of reducing the size of the federal government, it will only be a question of how.
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From recent testimony this month at the House Budget Committee:
“Congress continues to fund (numerous programs) without taking a close look at them. … there are many expired or unauthorized programs that Congress should review, and we may find there’s a tremendous amount of duplication, inefficiency, and waste that the federal government could cut.
“Since 1836, House rules prohibit any appropriation unless authorized by law. Yet, we suspend that rule every year and shovel half a trillion dollars at these agencies whose authorizations expired years ago. Shouldn’t we enforce that existing rule and require an agency-by-agency review of these expired federal programs?”
“Yes! Congress has suspended too many good rules, such as the PAYGO rule, which I fear it may suspend again next year. Also, Congress has suspended the debt limit, which will return with a vengeance in January 2025. Congress should adopt a credible fiscal plan to stabilize our debt before raising the debt limit again, and certainly, they shouldn’t suspend it, which is basically a borrow-as-much-as-you-need waiver.”
“The top 10 percent of income earners pay about 70 percent of our income tax burden. We already tax the wealthy very heavily. In fact, the United States has one of the most progressive tax systems in the world. The countries that I mentioned earlier in my testimony—Germany, Sweden, and Switzerland—and most European countries tax their middle-class taxpayers at much higher rates, often through value-added tax (VAT). If we’re talking about relying solely on revenue increases to close our fiscal gap, we need to be honest with the American people: this would require steep tax hikes on the middle class.”
“Debt brakes enjoy popular support because they tackle the debt, which is something that the entire public can get behind, regardless of their political affiliations. In Germany, the debt brake takes the form of a deficit limit; in Switzerland, it’s a spending cap; and in Sweden, it’s a blend of both. Importantly, these debt brakes don’t try to achieve balance immediately, which would result in an economic calamity, but over time. They lock in fiscal commitment with popular support and bipartisan backing. Additionally, the process includes oversight by an independent council to hold lawmakers accountable. However, I must emphasize that you cannot just adopt a BBA and hope that the budget will take care of itself. Congress will still need to do the tough work of identifying how we can get on that path to balance, with the BBA acting as a commitment device.”
“we aggregated the cost of emergency spending over the past 30 years, and we were shocked by what we found: we’ve spent over $14 trillion in that period by designating expenditures as emergencies. Notably, we couldn’t find a government report that details those figures. Emergency spending occurs outside the regular budget process and isn’t subject to budget caps or rules like PAYGO. “
“If we suffered a severe fiscal crisis, where investors lost confidence in the US government’s willingness or ability to service the debt, we would suffer severe increases in interest rates and the potential of hyperinflation. While scenarios like those in Venezuela or Argentina may seem far-fetched, they are not beyond the realm of possibility if we continue on this reckless and unsustainable trajectory.”
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All true I suspect, but it’s like health care. We want it all, no questions asked, but don’t ask us to pay for anything – at least that we can see. 🤑
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I was writing with tongue-in-cheek. However, the article did not leave room for savings in anyway. Trillions here and billions there and all necessary and not discretionary. All these articles jump immediately to the defense of the budget as is. They never want to get down to business which is how do we pay for this. I simply did that.
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I’m happy to know that the NY Times is such an authority on costs and wasteful programs.
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You don’t have to be an authority to take the numbers which easily accessible and do the math. Look at the discretionary federal budget and see what it takes to save the amount claimed.
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Have you read the 1,500 page bill that is pending in Congress today?
A few of my favorites:
Sec. 201. Recycling and composting accountability.
Sec. 1102. Vetting process for prospective high-cost universal service fund applicants.
Sec. 341. Sexual risk avoidance education extension.
Sec. 534. Loan repayment program for substance use disorder treatment workforce.
Sec. 543. Comprehensive opioid recovery centers.
Sec. 642. Epidemic Intelligence Service.
Sec. 701. Action for dental health.
Sec. 713. Honor Our Living Donors.
Sec. 1001. Two-year extension of safe harbor for absence of deductible for telehealth.
Sec. 1002. Eligibility for FEHBP enrollment for Members of Congress.
Sec. 175. National dislocated worker grants.
Sec. 213. Integrated English literacy and civics education.
Sec. 104. Awareness of relevant Federal programs.
Sec. 207. Multigenerational and civic engagement activities.
Sec. 302. Grab-and-go meals.
Sec. 601. Older Americans Tribal Advisory Committee.
Sec. 705. Study on State Long-Term Care Ombudsman Programs.
The entire outline of the bill follows. Really, these are what we want our federal government of limited powers to do? How far have we strayed from the founder’s belief that civil government is necessary to restrain man’s evil in society, but that government itself should be limited in order to minimize evil within it – primarily accomplished by limiting its power and providing checks and balances by separating its functions and powers into three branches.
Yes, if we returned to that limited federal government, substantial reductions in spending would be possible.
DIVISION A—FURTHER CONTINUING APPROPRIATIONS ACT, 2025
DIVISION B—DISASTER RELIEF SUPPLEMENTAL
APPROPRIATIONS ACT, 2025
DIVISION C—OTHER MATTERS
TITLE I—DISASTER RELIEF
Sec. 101. Disaster grant closeout procedures.
Sec. 102. Availability of excess funds.
Sec. 103. Reimbursement for repair, replacement, and restoration work on private
roads and bridges impacted by Tropical Storm Helene.
TITLE II—RECYCLING, WATER, AND ENVIRONMENT RELATED
PROVISIONS
Sec. 201. Recycling and composting accountability.
Sec. 202. Recycling Infrastructure and Accessibility Program.
Sec. 203. Drinking water infrastructure risk and resilience.
Sec. 204. Reauthorization of Diesel Emissions Reduction Act.
Sec. 205. Nationwide Consumer and Fuel Retailer Choice Act of 2024.
TITLE III—FOREIGN AFFAIRS
Sec. 301. Global engagement center extension.
Sec. 302. Haiti Criminal Collusion Transparency Act of 2024.
Sec. 303. Extension of special rules for Haiti under Caribbean Basin Economic
Recovery Act.
Sec. 304. Reports on foreign boycotts of Israel.
Sec. 305. Licensing transparency.
Sec. 306. Ten-year statute of limitations for export control and anti-boycott violations.
TITLE IV—VETERANS
Sec. 401. Protecting Regular Order for Veterans Act of 2024.
Sec. 402. Improving Veterans’ Experience Act of 2024.
Sec. 403. Naming the Department of Veterans Affairs community-based outpatient
clinic in Plano, Texas, as the ‘‘U.S. Congressman Sam
Johnson Memorial VA Clinic’’.
Sec. 404. Eddie Bernice Johnson VA Medical Center.
TITLE V—COMPREHENSIVE OUTBOUND INVESTMENT NATIONAL
SECURITY ACT OF 2024
Sec. 1. Short title.
Sec. 2. Secretary defined.
Sec. 3. Severability.
Sec. 4. Authorization of appropriations.
Sec. 5. Termination.
Subtitle A—Imposition of Sanctions
Sec. 101. Imposition of sanctions.
Sec. 102. Definitions.
Subtitle B—Prohibition and Notification on Investments Relating to Covered
National Security Transactions
Sec. 111. Prohibition and notification on investments relating to covered national
security transactions.
Sec. 112. Review of and reporting on national security sensitive sites for purposes
of reviews of real estate transactions by the Committee
on Foreign Investment in the United States.
Subtitle C—Securities and Related Matters
Sec. 121. Requirements relating to the Non-SDN Chinese Military-Industrial
Complex Companies List.
Sec. 122. Extension of filing deadline for certain pre-existing reporting companies.
TITLE VI—MISCELLANEOUS
Sec. 601. Commodity Futures Trading Commission whistleblower program.
Sec. 602. Transfer and redesignation of the 121st fighter squadron of the
113th wing, District of Columbia air national guard.
Sec. 603. Public availability of reports on disaster assistance.
Sec. 604. Transfer of administrative jurisdiction over RFK Memorial Stadium
Campus to District of Columbia.
Sec. 605. Treatment of electronic services provided for House offices.
Sec. 606. Protection of certain facilities and assets from unmanned aircraft.
Sec. 607. Additional special assessment.
Sec. 608. National Cybersecurity Protection System Authorization.
DIVISION D—COMMERCE MATTERS
TITLE I—SECOND CHANCE REAUTHORIZATION ACT OF 2024
Sec. 101. Short title.
Sec. 102. Improvements to existing programs.
TITLE II—YOUTH POISONING PREVENTION
Sec. 201. Short title.
Sec. 202. Banning of products containing a high concentration of sodium nitrite.
TITLE III—CONSUMER PRODUCT SAFETY STANDARD FOR
CERTAIN BATTERIES
Sec. 301. Consumer product safety standard for certain batteries.
TITLE IV—FOREIGN ADVERSARY COMMUNICATIONS
TRANSPARENCY ACT
Sec. 401. Short title.
Sec. 402. List of entities holding FCC authorizations, licenses, or other grants
of authority and having certain foreign ownership.
TITLE V—PROMOTING RESILIENT SUPPLY CHAINS
Sec. 501. Short title.
Sec. 502. Additional responsibilities of Assistant Secretary of Commerce for Industry
and Analysis.
Sec. 503. Critical supply chain resilience working group.
Sec. 504. Department of Commerce capability assessment.
Sec. 505. No additional funds.
Sec. 506. Sunset.
Sec. 507. Definitions.
TITLE VI—DEPLOYING AMERICAN BLOCKCHAINS
Sec. 601. Short title.
Sec. 602. Definitions.
Sec. 603. Department of Commerce leadership on blockchain.
Sec. 604. Reports to Congress.
TITLE VII—FUTURE NETWORKS ACT
Sec. 801. Short title.
Sec. 802. 6G task force.
Sec. 803. Termination of task force.
TITLE VIII—SECURE SPACE ACT OF 2024
Sec. 901. Short title.
Sec. 902. Prohibition on grant of certain satellite licenses, United States market
access, or earth station authorizations.
TITLE IX—TAKE IT DOWN ACT
Sec. 1001. Short title.
Sec. 1002. Criminal prohibition on intentional disclosure of nonconsensual intimate
visual depictions.
Sec. 1003. Notice and removal of nonconsensual intimate visual depictions.
Sec. 1004. Definitions.
Sec. 1005. Severability.
TITLE X—RURAL BROADBAND PROTECTION ACT OF 2024
Sec. 1101. Short title.
Sec. 1102. Vetting process for prospective high-cost universal service fund applicants.
TITLE XI—AMERICAN MUSIC TOURISM
Sec. 1201. Short title.
Sec. 1202. Responsibilities of the Assistant Secretary of Commerce for Travel
and Tourism.
TITLE XII—INFORMING CONSUMERS ABOUT SMART DEVICES
Sec. 1301. Short title.
Sec. 1302. Required disclosure of a camera or recording capability in certain
internet-connected devices.
Sec. 1303. Enforcement by the Federal Trade Commission.
Sec. 1304. Definition of covered device.
Sec. 1305. Effective date.
TITLE XIII—SECURING SEMICONDUCTOR SUPPLY CHAINS ACT OF
2024
Sec. 1401. Short title.
Sec. 1402. SelectUSA defined.
Sec. 1403. Findings.
Sec. 1404. Coordination with State-level economic development organizations.
Sec. 1405. Report on increasing foreign direct investment in semiconductor-related
manufacturing and production.
Sec. 1406. No additional funds.
TITLE XIV—HOTEL FEES TRANSPARENCY ACT
Sec. 1601. Short title.
Sec. 1602. Prohibition on unfair and deceptive advertising of hotel rooms and
other short-term rental prices.
TITLE XV—TRANSPARENCY IN CHARGES FOR KEY EVENTS
TICKETING
Sec. 1701. Short title.
Sec. 1702. All inclusive ticket price disclosure.
Sec. 1703. Speculative ticketing ban.
Sec. 1704. Disclosures.
Sec. 1705. Refund requirements.
Sec. 1706. Report by the Federal Trade Commission on BOTS Act of 2016 enforcement.
Sec. 1707. Enforcement.
Sec. 1708. Definitions.
TITLE XVI—ROUTERS ACT
Sec. 1801. Short title.
Sec. 1802. Study of national security risks posed by certain routers and
modems.
TITLE XVII—NTIA REAUTHORIZATION
Sec. 1901. Short title.
Sec. 1902. Definitions.
Subtitle A—Reauthorization
Sec. 1911. Reauthorization of the National Telecommunications and Information
Administration Organization Act.
Sec. 1912. NTIA Consolidated Reporting Act.
Subtitle B—Office of Spectrum Management
Sec. 1921. Office of Spectrum Management.
Subtitle C—Office of International Affairs
Sec. 1931. Office of International Affairs.
DIVISION E—HEALTH
Sec. 1. Short title; table of contents.
TITLE I—MEDICAID
Sec. 101. Streamlined enrollment process for eligible out-of-state providers
under Medicaid and CHIP.
Sec. 102. Making certain adjustments to coverage of home or community-based
services under Medicaid.
Sec. 103. Removing certain age restrictions on Medicaid eligibility for working
adults with disabilities.
Sec. 104. Medicaid State plan requirement for determining residency and coverage
for military families.
Sec. 105. Ensuring the reliability of address information provided under the
Medicaid program.
Sec. 106. Codifying certain Medicaid provider screening requirements related to
deceased providers.
Sec. 107. Modifying certain State requirements for ensuring deceased individuals
do not remain enrolled.
Sec. 108. One-year delay of Medicaid and CHIP requirements for health
screenings, referrals, and case management services for eligible
juveniles in public institutions; State interim work plans.
Sec. 109. State studies and HHS report on costs of providing maternity, labor,
and delivery services.
Sec. 110. Modifying certain disproportionate share hospital allotments.
Sec. 111. Modifying certain limitations on disproportionate share hospital payment
adjustments under the Medicaid program.
Sec. 112. Ensuring accurate payments to pharmacies under Medicaid.
Sec. 113. Preventing the use of abusive spread pricing in Medicaid.
TITLE II—MEDICARE
Sec. 201. Extension of increased inpatient hospital payment adjustment for certain
low-volume hospitals.
Sec. 202. Extension of the Medicare-dependent hospital (MDH) program.
Sec. 203. Extension of add-on payments for ambulance services.
Sec. 204. Extending incentive payments for participation in eligible alternative
payment models.
Sec. 205. Temporary payment increase under the Medicare physician fee schedule
to account for exceptional circumstances.
Sec. 206. Extension of funding for quality measure endorsement, input, and selection.
Sec. 207. Extension of funding outreach and assistance for low-income programs.
Sec. 208. Extension of the work geographic index floor.
Sec. 209. Extension of certain telehealth flexibilities.
Sec. 210. Requiring modifier for use of telehealth to conduct face-to-face encounter
prior to recertification of eligibility for hospice care.
Sec. 211. Extending acute hospital care at home waiver flexibilities.
Sec. 212. Enhancing certain program integrity requirements for DME under
Medicare.
Sec. 213. Guidance on furnishing services via telehealth to individuals with limited
English proficiency.
Sec. 214. In-home cardiopulmonary rehabilitation flexibilities.
Sec. 215. Inclusion of virtual diabetes prevention program suppliers in MDPP
Expanded Model.
Sec. 216. Medication-induced movement disorder outreach and education.
Sec. 217. Report on wearable medical devices.
Sec. 218. Extension of temporary inclusion of authorized oral antiviral drugs as
covered part D drugs.
Sec. 219. Extension of adjustment to calculation of hospice cap amount.
Sec. 220. Multiyear contracting authority for MedPAC and MACPAC.
Sec. 221. Contracting parity for MedPAC and MACPAC.
Sec. 222. Adjustments to Medicare part D cost-sharing reductions for low-income
individuals.
Sec. 223. Requiring Enhanced and Accurate Lists of (REAL) Health Providers
Act.
Sec. 224. Medicare coverage of multi-cancer early detection screening tests.
Sec. 225. Medicare coverage of external infusion pumps and non-self-administrable
home infusion drugs.
Sec. 226. Assuring pharmacy access and choice for Medicare beneficiaries.
Sec. 227. Modernizing and Ensuring PBM Accountability.
Sec. 228. Requiring a separate identification number and an attestation for
each off-campus outpatient department of a provider.
Sec. 229. Medicare sequestration.
Sec. 230. Medicare improvement fund.
TITLE III—HUMAN SERVICES
Subtitle A—Reauthorize Child Welfare Services and Strengthen State and
Tribal Child Support Program
Sec. 301. Short title.
PART 1—CHILD WELFARE REAUTHORIZATION AND MODERNIZATION
Sec. 311. Short title; references.
Sec. 312. Reauthorization of child welfare programs.
Sec. 313. Enhancements to the court improvement program.
Sec. 314. Expanding regional partnership grants to address parental substance
use disorder as cause of child removal.
Sec. 315. Modernization; reducing administrative burden.
Sec. 316. Streamlining funding for Indian tribes.
Sec. 317. Accelerating access to Family First prevention services.
Sec. 318. Strengthening support for youth aging out of foster care.
Sec. 319. Recognizing the importance of relative and kinship caregivers.
Sec. 320. Avoiding neglect by addressing poverty.
Sec. 321. Strengthening support for caseworkers.
Sec. 322. Demonstration projects for improving relationships between incarcerated
parents and children in foster care.
Sec. 323. Guidance to States on improving data collection and reporting for
youth in residential treatment programs.
Sec. 324. Streamlining research, training, and technical assistance funding.
Sec. 325. Report on post adoption and subsidized guardianship services.
Sec. 326. Effective date.
PART 2—STRENGTHENING STATE AND TRIBAL CHILD SUPPORT
Sec. 331. Short title.
Sec. 332. Improving the effectiveness of tribal child support enforcement agencies.
Subtitle B—Other Matters
Sec. 341. Sexual risk avoidance education extension.
Sec. 342. Personal responsibility education extension.
Sec. 343. Extension of funding for family-to-family health information centers.
TITLE IV—PUBLIC HEALTH EXTENDERS
Subtitle A—Extensions
Sec. 401. Extension for community health centers, National Health Service
Corps, and teaching health centers that operate GME programs.
Sec. 402. Extension of special diabetes programs.
Subtitle B—World Trade Center Health Program
Sec. 411. 9/11 responder and survivor health funding corrections.
TITLE V—SUPPORT ACT REAUTHORIZATION
Sec. 501. Short title.
Subtitle A—Prevention
Sec. 511. Prenatal and postnatal health.
Sec. 512. Monitoring and education regarding infections associated with illicit
drug use and other risk factors.
Sec. 513. Preventing overdoses of controlled substances.
Sec. 514. Support for individuals and families impacted by fetal alcohol spectrum
disorder.
Sec. 515. Promoting state choice in PDMP systems.
Sec. 516. First responder training program.
Sec. 517. Donald J. Cohen National Child Traumatic Stress Initiative.
Sec. 518. Protecting suicide prevention lifeline from cybersecurity incidents.
Sec. 519. Bruce’s law.
Sec. 520. Guidance on at-home drug disposal systems.
Sec. 521. Assessment of opioid drugs and actions.
Sec. 522. Grant program for State and Tribal response to opioid use disorders.
Subtitle B—Treatment
Sec. 531. Residential treatment program for pregnant and postpartum women.
Sec. 532. Improving access to addiction medicine providers.
Sec. 533. Mental and behavioral health education and training grants.
Sec. 534. Loan repayment program for substance use disorder treatment workforce.
Sec. 535. Development and dissemination of model training programs for substance
use disorder patient records.
Sec. 536. Task force on best practices for trauma-informed identification, referral,
and support.
Sec. 537. Grants to enhance access to substance use disorder treatment.
Sec. 538. State guidance related to individuals with serious mental illness and
children with serious emotional disturbance.
Sec. 539. Reviewing the scheduling of approved products containing a combination
of buprenorphine and naloxone.
Subtitle C—Recovery
Sec. 541. Building communities of recovery.
Sec. 542. Peer support technical assistance center.
Sec. 543. Comprehensive opioid recovery centers.
Sec. 544. Youth prevention and recovery.
Sec. 545. CAREER Act.
Sec. 546. Addressing economic and workforce impacts of the opioid crisis.
Subtitle D—Miscellaneous Matters
Sec. 551. Delivery of a controlled substance by a pharmacy to a prescribing
practitioner.
Sec. 552. Technical correction on controlled substances dispensing.
Sec. 553. Required training for prescribers of controlled substances.
Sec. 554. Extension of temporary order for fentanyl-related substances.
TITLE VI—PANDEMIC AND ALL-HAZARDS PREPAREDNESS AND
RESPONSE
Sec. 601. Short title.
Subtitle A—State and Local Readiness and Response
Sec. 611. Temporary reassignment of State and local personnel during a public
health emergency.
Sec. 612. Public Health Emergency Preparedness program.
Sec. 613. Hospital Preparedness Program.
Sec. 614. Facilities and capacities of the Centers for Disease Control and Prevention
to combat public health security threats.
Sec. 615. Pilot program to support State medical stockpiles.
Sec. 616. Enhancing domestic wastewater surveillance for pathogen detection.
Sec. 617. Reauthorization of Mosquito Abatement for Safety and Health program.
Subtitle B—Federal Planning and Coordination
Sec. 621. All-Hazards Emergency Preparedness and Response.
Sec. 622. National Health Security Strategy.
Sec. 623. Improving development and distribution of diagnostic tests.
Sec. 624. Combating antimicrobial resistance.
Sec. 625. Strategic National Stockpile and material threats.
Sec. 626. Medical countermeasures for viral threats with pandemic potential.
Sec. 627. Public Health Emergency Medical Countermeasures Enterprise.
Sec. 628. Fellowship and training programs.
Sec. 629. Regional biocontainment research laboratories.
Sec. 629A. Limitation related to countries of concern conducting certain research.
Subtitle C—Addressing the Needs of All Individuals
Sec. 631. Improving access to certain programs.
Sec. 632. Supporting at-risk individuals during emergency responses.
Sec. 633. National advisory committees.
Sec. 634. National Academies study on prizes.
Subtitle D—Additional Reauthorizations
Sec. 641. Medical countermeasure priority review voucher.
Sec. 642. Epidemic Intelligence Service.
Sec. 643. Monitoring and distribution of certain medical countermeasures.
Sec. 644. Regional health care emergency preparedness and response systems.
Sec. 645. Emergency system for advance registration of volunteer health professionals.
Sec. 646. Ensuring collaboration and coordination in medical countermeasure
development.
Sec. 647. Military and civilian partnership for trauma readiness.
Sec. 648. National Disaster Medical System.
Sec. 649. Volunteer Medical Reserve Corps.
Sec. 649A. Epidemiology-laboratory capacity.
TITLE VII—PUBLIC HEALTH PROGRAMS
Sec. 701. Action for dental health.
Sec. 702. PREEMIE.
Sec. 703. Preventing maternal deaths.
Sec. 704. Sickle cell disease prevention and treatment.
Sec. 705. Traumatic brain injuries.
Sec. 706. Lifespan respite care.
Sec. 707. Dr. Lorna Breen health care provider protection.
Sec. 708. Gabriella Miller kids first research.
Sec. 709. SCREENS for Cancer.
Sec. 710. DeOndra Dixon INCLUDE Project.
Sec. 711. IMPROVE Initiative.
Sec. 712. Organ Procurement and Transplantation Network.
Sec. 713. Honor Our Living Donors.
Sec. 714. Program for pediatric studies of drugs.
TITLE VIII—FOOD AND DRUG ADMINISTRATION
Subtitle A—Give Kids a Chance
Sec. 801. Research into pediatric uses of drugs; additional authorities of Food
and Drug Administration regarding molecularly targeted cancer
drugs.
Sec. 802. Ensuring completion of pediatric study requirements.
Sec. 803. FDA report on PREA enforcement.
Sec. 804. Extension of authority to issue priority review vouchers to encourage
treatments for rare pediatric diseases.
Sec. 805. Limitations on exclusive approval or licensure of orphan drugs.
Subtitle B—United States-Abraham Accords Cooperation and Security
Sec. 811. Establishment of Abraham Accords Office within Food and Drug Administration.
TITLE IX—LOWERING PRESCRIPTION DRUG COSTS
Sec. 901. Oversight of pharmacy benefit management services.
Sec. 902. Full rebate pass through to plan; exception for innocent plan fiduciaries.
Sec. 903. Increasing transparency in generic drug applications.
Sec. 904. Title 35 amendments.
TITLE X—MISCELLANEOUS
Sec. 1001. Two-year extension of safe harbor for absence of deductible for telehealth.
Sec. 1002. Eligibility for FEHBP enrollment for Members of Congress.
DIVISION F—A STRONGER WORKFORCE FOR AMERICA ACT
Sec. 1. Short title; table of contents.
TITLE I—WORKFORCE DEVELOPMENT ACTIVITIES
Subtitle A—General Provisions
Sec. 101. Purposes.
Sec. 102. Definitions.
Sec. 103. Table of contents amendments.
Subtitle B—System Alignment
CHAPTER 1—STATE PROVISIONS
Sec. 111. State workforce development board.
Sec. 112. Unified State plan.
CHAPTER 2—LOCAL PROVISIONS
Sec. 115. Workforce development areas.
Sec. 116. Local workforce development boards.
Sec. 117. Local plan.
CHAPTER 3—PERFORMANCE ACCOUNTABILITY
Sec. 119. Performance accountability system.
Subtitle C—Workforce Investment Activities and Providers
CHAPTER 1—WORKFORCE INVESTMENT ACTIVITIES AND PROVIDERS
Sec. 121. Establishment of one-stop delivery systems.
Sec. 122. Identification of eligible providers of training services.
Sec. 123. Eligible providers of youth workforce investment activities.
CHAPTER 2—YOUTH WORKFORCE INVESTMENT ACTIVITIES
Sec. 131. Reservations; Reallocation.
Sec. 132. Use of funds for youth workforce investment activities.
CHAPTER 3—ADULT AND DISLOCATED WORKER EMPLOYMENT AND
TRAINING ACTIVITIES
Sec. 141. State allotments.
Sec. 142. Reservations for State activities; within State allocations; Reallocation.
Sec. 143. Use of funds for employment and training activities.
CHAPTER 4—GENERAL WORKFORCE INVESTMENT PROVISIONS
Sec. 145. Authorization of appropriations.
Subtitle D—Job Corps
Sec. 151. Purposes.
Sec. 152. Definitions.
Sec. 153. Individuals eligible for the Job Corps.
Sec. 154. Recruitment, screening, selection, and assignment of enrollees.
Sec. 155. Job Corps Campuses.
Sec. 156. Program activities.
Sec. 157. Counseling and job placement.
Sec. 158. Support.
Sec. 159. Operations.
Sec. 160. Standards of conduct.
Sec. 161. Community participation.
Sec. 162. Workforce councils.
Sec. 163. Advisory committees.
Sec. 164. Experimental projects and technical assistance.
Sec. 165. Special provisions.
Sec. 166. Management information.
Sec. 167. Job Corps oversight and reporting.
Sec. 168. Authorization of appropriations.
Sec. 169. Conforming amendments.
Subtitle E—National Programs
Sec. 171. Native American programs.
Sec. 172. Migrant and seasonal farmworker programs.
Sec. 173. Technical assistance.
Sec. 174. Evaluations and research.
Sec. 175. National dislocated worker grants.
Sec. 176. YouthBuild Program.
Sec. 177. Reentry employment opportunities.
Sec. 178. Youth apprenticeship readiness grant program.
Sec. 179. Strengthening community colleges grant program.
Sec. 180. Authorization of appropriations.
Subtitle F—Administration
Sec. 191. Requirements and restrictions.
Sec. 192. Monitoring.
Sec. 193. Fiscal controls; sanctions.
Sec. 194. Administrative adjudication.
Sec. 195. Judicial review.
Sec. 196. General waivers of statutory or regulatory requirements.
Sec. 197. State flexibility pilot authority.
Sec. 198. General program requirements.
TITLE II—ADULT EDUCATION AND LITERACY
Sec. 201. Purpose.
Sec. 202. Definitions.
Sec. 203. Authorization of appropriations.
Sec. 204. Special rule.
Sec. 205. Performance accountability system.
Sec. 206. Matching requirement.
Sec. 207. State leadership activities.
Sec. 208. Programs for corrections education and other institutionalized individuals.
Sec. 209. Grants and contracts for eligible providers.
Sec. 210. Local application.
Sec. 211. Local administrative cost limits.
Sec. 212. National leadership activities.
Sec. 213. Integrated English literacy and civics education.
TITLE III—AMENDMENTS TO OTHER LAWS
Sec. 301. Amendments to the Wagner-Peyser Act.
Sec. 302. Job training grants.
Sec. 303. Access to National Directory of New Hires.
Sec. 304. References to other laws.
TITLE IV—DEPARTMENT OF LABOR TECHNICAL ASSISTANCE
Sec. 401. Technical assistance for transforming to competitive integrated employment.
TITLE V—GENERAL PROVISIONS
Sec. 501. Report on data capability and interoperability of Federal and State
databases and data exchange agreements.
Sec. 502. Effective dates; transition authority.
DIVISION G—OLDER AMERICANS ACT REAUTHORIZATION ACT OF
2024
Sec. 1. Short title.
Sec. 2. Table of contents.
Sec. 3. References.
Sec. 4. Definitions.
TITLE I—STRENGTHENING THE AGING NETWORK TO MEET THE
NEEDS OF OLDER INDIVIDUALS
Sec. 101. Declaration of objectives.
Sec. 102. Addressing mental health and substance use disorders and cognitive
impairments of older individuals.
Sec. 103. List of national resource centers.
Sec. 104. Awareness of relevant Federal programs.
Sec. 105. Evaluations and surveys.
Sec. 106. Contracting.
Sec. 107. Guidance on reallocation of funding between area agencies on aging.
Sec. 108. Right to first refusal.
Sec. 109. Area agency on aging capabilities.
Sec. 110. Supporting older individuals with disabilities through improved coordination.
Sec. 111. Business acumen, fiscal training, and technical assistance.
Sec. 112. Enhancing access to assistive technology.
Sec. 113. White House Conference on Aging.
Sec. 114. Technical amendments.
TITLE II—IMPROVING HEALTH OUTCOMES AND ENCOURAGING
INDEPENDENCE FOR OLDER INDIVIDUALS
Sec. 201. Disease prevention and health promotion services.
Sec. 202. Improving health outcomes.
Sec. 203. Technical assistance on evidence-based programs.
Sec. 204. Enhancing multipurpose senior centers.
Sec. 205. Addressing home modifications.
Sec. 206. National resource center for engaging older adults.
Sec. 207. Multigenerational and civic engagement activities.
Sec. 208. Report relating to health outcomes for older individuals living with
or near family members.
Sec. 209. Improving broadband coordination and reducing social isolation.
TITLE III—ENHANCING INNOVATION AND FLEXIBILITY IN
NUTRITION SERVICES
Sec. 301. Medically tailored meals.
Sec. 302. Grab-and-go meals.
Sec. 303. GAO study on Nutrition Services Incentive Program.
Sec. 304. Innovations in nutrition programs and services.
TITLE IV—SUPPORTING FAMILY CAREGIVERS
Sec. 401. Improving the National Family Caregiver Support Program.
Sec. 402. Emphasizing respite care.
Sec. 403. Clarifying supportive services.
Sec. 404. Direct care workforce resource center.
Sec. 405. Supporting Grandparents Raising Grandchildren Act.
Sec. 406. RAISE Family Caregivers Act.
TITLE V—COMMUNITY SERVICE SENIOR OPPORTUNITIES ACT
Sec. 501. Improving the Community Service Employment Program.
Sec. 502. GAO report on alignment within the Community Service Employment
Program.
TITLE VI—IMPROVING SERVICES FOR NATIVE ELDERS
Sec. 601. Older Americans Tribal Advisory Committee.
Sec. 602. Supportive services; set aside.
Sec. 603. GAO report on Tribal services.
Sec. 604. Technical amendments.
TITLE VII—STRENGTHENING THE LONG-TERM CARE
OMBUDSMAN PROGRAMS AND ELDER ABUSE PREVENTION
Sec. 701. Director of the Office of Long-Term Care Ombudsman Programs.
Sec. 702. Legal assistance training resources relating to elder abuse prevention.
Sec. 703. Improving training of volunteers under the State Long-Term Care
Ombudsman Program.
Sec. 704. Reporting on State Long-Term Care Ombudsman Programs.
Sec. 705. Study on State Long-Term Care Ombudsman Programs.
TITLE VIII—AUTHORIZATIONS OF APPROPRIATIONS
Sec. 801. Administration on Aging.
Sec. 802. Grants for State and community programs on aging.
Sec. 803. Activities for health, independence, and longevity.
Sec. 804. Community Service Senior Opportunities Act.
Sec. 805. Grants for Native Americans.
Sec. 806. Allotments for elder rights protection activities.
DIVISION H—EXTENSION OF AGRICULTURAL PROGRAM
Sec. 1. Extension of agricultural programs.
Sec. 2. Rescissions.
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I’m so glad there’s no waste jn all that!
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If Quinn starts reading today he could be done by St Patrick’s Day.
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