In this task, you are given text for US Congressional and California state bills, your task is to generate a summary for this bill.

[EX Q]: SECTION 1. INCENTIVES TO INCREASE USE OF HIV SCREENING TESTS UNDER THE 
              MEDICAID PROGRAM.

    (a) Higher Federal Matching Percentage for Routine HIV Screening 
Services.--Section 1903 of the Social Security Act (42 U.S.C. 1396b) is 
amended--
            (1) in subsection (a)--
                    (A) by redesignating paragraph (7) as paragraph 
                (8); and
                    (B) by inserting after paragraph (6) the following 
                new paragraph:
            ``(7) an amount equal to 90 percent of the sums expended 
        during such quarter which are attributable to the costs of 
        providing routine HIV screening services (as defined in 
        subsection (aa)(1)) if the conditions described in subsection 
        (aa)(2) are met; plus''; and
            (2) by adding at the end the following new subsection:
    ``(aa) Routine HIV Screening Services.--
            ``(1) In general.--For purposes of this section, the term 
        `routine HIV screening services' means the following:
                    ``(A) An HIV screening test (and, if such test is 
                positive, a confirmatory HIV test), including the 
                interpretation of such tests, that is provided as part 
                of medical care in any health care setting (other than 
                an inpatient hospital setting) for an individual who--
                            ``(i) is at least 13, but not more than 64, 
                        years of age;
                            ``(ii) is not known to the health care 
                        provider (directly, through information 
                        provided by the individual, or through access 
                        to an electronic medical record) previously 
                        ever to have had a positive test for HIV or, 
                        subject to paragraph (3), within the previous 6 
                        months to have had any test for HIV; and
                            ``(iii) has been informed that such a test 
                        will be administered and has not objected to 
                        such a test.
                    ``(B) Informing an individual so tested of the 
                results of the tests at the time of such examination.
                    ``(C) In the case of such an individual who tests 
                positive for HIV on the screening and confirmatory 
                tests, post-test counseling concerning HIV at the time, 
                and as part of, such examination.
            ``(2) Conditions.--For purposes of subsection (a)(7), the 
        conditions of this paragraph, with respect to routine HIV 
        screening services, are that--
                    ``(A) the payment amount for such services under 
                this title is reasonable and closely approximates the 
                payment amount for such services under part B of title 
                XVIII;
                    ``(B) no cost-sharing is imposed under this title 
                for the provision of such services; and
                    ``(C) in the case of a State for which a political 
                subdivision is required to contribute towards the non-
                Federal share of expenditures for routine HIV screening 
                services, the increase in the Federal share applicable 
                under subsection (a)(5) to such services is first 
                applied to reduce the contribution (but not below zero) 
                required by such political subdivision.
            ``(3) Exception.--The limitation under paragraph (1)(A)(ii) 
        with respect to having a test for HIV within the previous 6 
        months shall not apply to an individual if the individual 
        indicates that, because of the individual's possible exposure 
        to HIV during the intervening period, the individual is at 
        increased risk of acquiring HIV since such previous test.''.
    (b) Conforming Amendments.--
            (1) Subparagraphs (E) and (F) of section 1919(h)(2) of such 
        Act (42 U.S.C. 1396r(h)(2)) are each amended by striking 
        ``1903(a)(7)'' and inserting ``1903(a)(8)''.
            (2) Paragraphs (1) and (2) of section 1931(h) of such Act 
        (42 U.S.C. 1396u-1(h)) are each amended by striking 
        ``1903(a)(7)'' and inserting ``1903(a)(8)''.
            (3) Section 1938(d)(4) of such Act (42 U.S.C. 1396u-
        8(d)(4)) is amended by striking ``1903(a)(7)'' and inserting 
        ``1903(a)(8)''.
            (4) Section 1940(j) of such Act (42 U.S.C. 1396w(j)) is 
        amended by striking ``paragraph (7)'' and inserting ``paragraph 
        (8)''.
    (c) Effective Date.--The amendments made by subsection (a) shall 
apply to services furnished on or after the date of the enactment of 
this Act.
    (d) Report.--Not later 2 years after the date of the enactment of 
this Act, the Secretary of Health and Human Services shall submit a 
report to Congress on barriers that exist for Medicaid beneficiaries to 
access routine HIV screening services (as defined in section 1903(aa) 
of the Social Security Act, as added by subsection (a)(2)). Such report 
shall include recommendations on how to reduce such barriers to access 
such services.
[EX A]: Amends title XIX (Medicaid) of the Social Security Act to direct the Secretary of Health and Human Services (HHS) to make quarterly payments to states with Medicaid plans for 90% of their expenditures for routine HIV screening services.

[EX Q]: SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Banking Privacy Act of 1999''.

SEC. 2. PERSONAL INFORMATION SHARING.

    (a) Depository Institutions and Subsidiaries of Depository 
Institutions.--Section 18 of the Federal Deposit Insurance Act (12 
U.S.C. 1828) is amended by adding at the end the following new 
subsection:
    ``(t) Personal Information Sharing Requirements.--
            ``(1) Information sharing prohibited if customer opts 
        out.--Notwithstanding any other provision of law and except as 
        permitted under paragraph (5), an insured depository 
        institution and a subsidiary of a depository institution may 
        not disclose or transfer customer information relating to any 
        customer to any other person, including an affiliate of the 
        depository institution, unless--
                    ``(A) the customer to whom such information relates 
                has been provided with notice in accordance with 
                paragraph (2); and
                    ``(B) the customer has not provided a written 
                directive (including a transmission by e-mail, 
                facsimile, or other form of electronic communication) 
                to the insured depository institution or subsidiary, at 
                any time before the close of business on the 6th 
                business day before such disclosure or transfer, that 
                such information shall not be disclosed or transferred, 
                except when specifically authorized by the customer in 
                connection with and pertaining to a specific 
                transaction with the depository institution or 
                subsidiary.
            ``(2) Notice.--
                    ``(A) In general.--The notice referred to in 
                paragraph (1)(A) shall fully and fairly disclose, in 
                accordance with regulations which the Federal banking 
                agencies shall jointly prescribe, what information is 
                being disclosed or transferred, the policy of the 
                insured depository institution or subsidiary of an 
                insured depository institution with regard to 
                information sharing, and the right of the customer to 
                prohibit the disclosure or transfer of such 
                information.
                    ``(B) Form of notice.--
                            ``(i) In general.--The regulations 
                        prescribed pursuant to subparagraph (A) shall 
                        require that the notice required under such 
                        subparagraph--
                                    ``(I) be prominently displayed on a 
                                document which is separate from any 
                                other document;
                                    ``(II) have the term `Privacy 
                                Notice' in prominent typeface at the 
                                top of the notice.
                            ``(ii) Notice requirements.--
                                    ``(I) Mailing.--If the notice 
                                required under subparagraph (A) is 
                                mailed to the customer, the notice 
                                shall be mailed separately from any 
                                other statement, document, or notice 
                                mailed to the customer.
                                    ``(II) In person.--If the notice 
                                required under subparagraph (A) is 
                                disclosed to the customer in person by 
                                an officer, director, or agent of the 
                                depository institution or subsidiary 
                                thereof, the officer, employee, or 
                                agent shall obtain the written 
                                acknowledgement of the customer of the 
                                receipt of such notice separately from 
                                any other signature or written 
                                acknowledgment of the customer.
            ``(3) Customer information defined.--For purposes of this 
        subsection, the term `customer information' means any 
        information acquired from a customer of the insured depository 
        institution that is personally identifiable to the customer, 
        including information relating to transactions, balances, 
        maturity dates, payouts, and payout dates, and transaction or 
        experience information.
            ``(4) Reasonable opportunity to respond to notice.--In 
        order to provide any customer of an insured depository 
        institution or any subsidiary of an insured depository 
        institution with reasonable opportunity to respond to any 
        notice referred to in paragraph (1)(A), the prohibition 
        contained in paragraph (1) on the disclosure or transfer of any 
        customer information relating to such customer to any other 
        person, including an affiliate, shall continue during the 30-
        day period beginning on the date the notice referred to in such 
        paragraph was sent or delivered to such customer, unless the 
        customer has authorized such disclosure or transfer.
            ``(5) Exceptions.--Paragraph (1) shall not apply to the 
        disclosure or transfer of customer information--
                    ``(A) in connection with processing a specific 
                financial transaction that the customer to whom the 
                information relates has authorized, if--
                            ``(i) the customer has been informed that 
                        any such transaction will necessarily involve 
                        the disclosure or transfer of such information; 
                        and
                            ``(ii) the person to whom such information 
                        is transferred or disclosed is subject to a 
                        legal or contractual obligation not to use such 
                        information for any purpose other than in 
                        connection with facilitating the transaction;
                    ``(B) in connection with any routine financial 
                transaction which does not involve marketing of 
                services or the sale of customer information, if the 
                person to whom such information is transferred or 
                disclosed is subject to a legal or contractual 
                obligation not to use such information for any purpose 
                other than in connection with effectuating the 
                transaction;
                    ``(C) in connection with clearing checks, 
                processing credit transactions or electronic fund 
                transfers, or providing mailing services, if the person 
                to whom such information is transferred or disclosed is 
                subject to a legal or contractual obligation not to use 
                such information for any purpose other than in 
                connection with clearing or processing the transaction 
                or providing the service;
                    ``(D) to a governmental, regulatory, or self-
                regulatory authority having jurisdiction over the 
                insured depository institution for examination, 
                compliance, or other authorized purposes;
                    ``(E) to a court of competent jurisdiction;
                    ``(F) to a consumer reporting agency, as defined in 
                section 603(f) of the Fair Credit Reporting Act, for 
                use solely in accordance with such Act;
                    ``(G) in the case of a default by the customer on 
                an obligation to the depository institution or 
                subsidiary, to a debt collector, as defined in section 
                803(6) of the Fair Debt Collection Practices Act, 
                counsel, or other entity involved in debt collection, 
                for use solely in accordance with such Act;
                    ``(H) in the case of any claim or litigation 
                between the customer and a depository institution or 
                subsidiary, to a counsel or other person involved in 
                the resolution of the dispute;
                    ``(I) that is not personally identifiable to the 
                customer or is public information; or
                    ``(J) that is necessary to prevent or investigate 
                fraudulent or unlawful acts which the depository 
                institution or subsidiary has a good faith belief may 
                occur or may have occurred.''.
    (b) Bank Holding Companies and Affiliates of Bank Holding 
Companies.--Section 5 of the Bank Holding Company Act of 1956 (12 
U.S.C. 1844) is amended by adding at the end the following new 
subsection:
    ``(g) Personal Information Sharing Requirements.--
            ``(1) Information sharing prohibited if customer opts 
        out.--Notwithstanding any other provision of law and except as 
        permitted under paragraph (5), a bank holding company and an 
        affiliate of a bank holding company (other than a depository 
        institution subsidiary or subsidiary of such depository 
        institution) may not disclose or transfer customer information 
        relating to any customer to any other person, including another 
        affiliate of the bank holding company, unless--
                    ``(A) the customer to whom such information relates 
                has been provided with notice in accordance with 
                paragraph (2); and
                    ``(B) the customer has not provided a written 
                directive (including a transmission by e-mail, 
                facsimile, or other form of electronic communication) 
                to the bank holding company or affiliate, at any time 
                before the close of business on the 6th business day 
                before such disclosure or transfer, that such 
                information shall not be disclosed or transferred, 
                except when specifically authorized by the customer in 
                connection with and pertaining to a specific 
                transaction with the bank holding company or affiliate.
            ``(2) Notice.--
                    ``(A) In general.--The notice referred to in 
                paragraph (1)(A) shall fully and fairly disclose, in 
                accordance with regulations which the Board shall 
                prescribe, what information is being disclosed or 
                transferred, the policy of the bank holding company or 
                affiliate of a bank holding company with regard to 
                information sharing, and the right of the customer to 
                prohibit the disclosure or transfer of such 
                information.
                    ``(B) Form of notice.--
                            ``(i) In general.--The regulations 
                        prescribed pursuant to subparagraph (A) shall 
                        require that the notice required under such 
                        subparagraph--
                                    ``(I) be prominently displayed on a 
                                document which is separate from any 
                                other document:
                                    ``(II) have the term `Privacy 
                                Notice' in prominent typeface at the 
                                top of the notice.
                            ``(ii) Notice requirements.--
                                    ``(I) Mailing.--If the notice 
                                required under subparagraph (A) is 
                                mailed to the customer, the notice 
                                shall be mailed separately from any 
                                other statement, document, or notice 
                                mailed to the customer.
                                    ``(II) In person.--If the notice 
                                required under subparagraph (A) is 
                                disclosed to the customer in person by 
                                an officer, director, or agent of the 
                                bank holding company or affiliate 
                                thereof, the officer, employee, or 
                                agent shall obtain the written 
                                acknowledgement of the customer of the 
                                receipt of such notice separately from 
                                any other signature or written 
acknowledgment of the customer.
            ``(3) Customer information defined.--For purposes of this 
        subsection, the term `customer information' means any 
        information acquired from a customer of the bank holding 
        company or affiliate that is personally identifiable to the 
        customer, including information relating to transactions, 
        balances, maturity dates, payouts, and payout dates, and 
        transaction or experience information.
            ``(4) Reasonable opportunity to respond to notice.--In 
        order to provide any customer of a bank holding company or any 
        affiliate of a bank holding company with reasonable opportunity 
        to respond to any notice referred to in paragraph (1)(A), the 
        prohibition contained in paragraph (1) on the disclosure or 
        transfer of any customer information relating to such customer 
        to any other person, including another affiliate, shall 
        continue during the 30-day period beginning on the date the 
        notice referred to in such paragraph was sent or delivered to 
        such customer, unless the customer has authorized such 
        disclosure or transfer.
            ``(5) Exceptions.--Paragraph (1) shall not apply to the 
        disclosure or transfer of customer information--
                    ``(A) in connection with processing a specific 
                financial transaction that the customer to whom the 
                information relates has authorized, if--
                            ``(i) the customer has been informed that 
                        any such transaction will necessarily involve 
                        the disclosure or transfer of such information; 
                        and
                            ``(ii) the person to whom such information 
                        is transferred or disclosed is subject to a 
                        legal or contractual obligation not to use such 
                        information for any purpose other than in 
                        connection with facilitating the transaction;
                    ``(B) in connection with any routine financial 
                transaction which does not involve marketing of 
                services or the sale of customer information, if the 
                person to whom such information is transferred or 
                disclosed is subject to a legal or contractual 
                obligation not to use such information for any purpose 
                other than in connection with effectuating the 
                transaction;
                    ``(C) in connection with clearing checks, 
                processing financial transactions or electronic fund 
                transfers, or providing mailing services, if the person 
                to whom such information is transferred or disclosed is 
                subject to a legal or contractual obligation not to use 
                such information for any purpose other than in 
                connection with clearing or processing the transaction 
                or providing the service;
                    ``(D) to a governmental, regulatory, or self-
                regulatory authority having jurisdiction over the 
                insured depository institution for examination, 
                compliance, or other authorized purposes;
                    ``(E) to a court of competent jurisdiction;
                    ``(F) to a consumer reporting agency, as defined in 
                section 603(f) of the Fair Credit Reporting Act, for 
                use solely in accordance with such Act;
                    ``(G) in the case of a default by the customer on 
                an obligation to the bank holding company or affiliate, 
                to a debt collector, as defined in section 803(6) of 
                the Fair Debt Collection Practices Act, counsel, or 
                other entity involved in debt collection, for use 
                solely in accordance with such Act;
                    ``(H) in the case of any claim or litigation 
                between the customer and a depository institution or 
                subsidiary, to counsel or any other person involved in 
                the resolution of the dispute;
                    ``(I) that is not personally identifiable to the 
                customer or is public information; or
                    ``(J) that is necessary to prevent or investigate 
                fraudulent or unlawful acts which the bank holding 
                company or affiliate has a good faith belief may occur 
                or may have occurred.''.
[EX A]: Banking Privacy Act of 1999 - Amends the Federal Deposit Insurance Act and the Bank Holding Company Act of 1956 to mandate customer notice and written consent as a prerequisite to personal information sharing between institutions under their purview (an insured depository institution or bank holding company, respectively) and other persons or affiliates. 
Delineates notice and consent procedures.

[EX Q]: SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Improving Employment Outcomes of 
TANF Recipients Act''.

SEC. 2. IMPROVING ECONOMIC MOBILITY OF TANF RECIPIENTS.

    Section 403(a)(4) of the Social Security Act (42 U.S.C. 603(a)(4)) 
is amended to read as follows:
            ``(4) Improving economic mobility of tanf recipients.--
                    ``(A) Measuring state performance.--
                            ``(i) In general.--Each State, in 
                        consultation with the Secretary, shall collect 
                        and report information necessary to measure the 
                        level of performance of the State for each 
                        indicator described in clause (ii), for fiscal 
                        year 2019 and each fiscal year thereafter, and 
                        the Secretary shall use the information 
                        collected for fiscal year 2019 to establish the 
                        baseline level of performance of each State for 
                        each such indicator.
                            ``(ii) Indicators.--The indicators 
                        described in this clause, for a fiscal year, 
                        are the following:
                                    ``(I) The employment percentage for 
                                the fiscal year, which is equal to--
                                            ``(aa) the number of 
                                        families receiving assistance 
                                        under the State program funded 
                                        under this part or any other 
                                        State program funded with 
                                        qualified State expenditures 
                                        (as defined in section 
                                        409(a)(7)(B)(ii)) who, during a 
                                        quarter in the fiscal year, 
                                        exited from the program, and 
                                        who, during the 2nd quarter 
                                        after the exit, include an 
                                        adult in unsubsidized 
                                        employment; divided by
                                            ``(bb) the number of 
                                        families who received 
                                        assistance from the program in 
                                        the exit quarter referred to in 
                                        subclause (aa).
                                    ``(II) The retention percentage for 
                                the fiscal year, which is equal to--
                                            ``(aa) the number of 
                                        families receiving assistance 
                                        from the State program funded 
                                        under this part or any other 
                                        State program funded with 
                                        qualified State expenditures 
                                        (as defined in section 
                                        409(a)(7)(B)(ii)) who, during a 
                                        quarter in the fiscal year, 
                                        exited from the program, and 
                                        who, during the 4th quarter 
                                        after the exit, include an 
                                        adult in unsubsidized 
                                        employment; divided by
                                            ``(bb) the number of 
                                        families who received 
                                        assistance under the program in 
                                        the exit quarter referred to in 
                                        subclause (aa).
                                    ``(III) The advancement measure for 
                                the fiscal year, which is equal to the 
                                median earnings of the adults receiving 
                                assistance under the State program 
                                funded under this part or any other 
                                State program funded with qualified 
                                State expenditures (as defined in 
                                section 409(a)(7)(B)(ii)) who, during a 
                                quarter in the fiscal year, exited from 
                                the program, and who during the 2nd 
                                quarter after the exit, are in 
                                unsubsidized employment.
                            ``(iii) Agreement on requisite performance 
                        level for each indicator.--
                                    ``(I) Fiscal years 2020 and 2021.--
                                The State shall reach agreement with 
                                the Secretary on the requisite level of 
                                performance for each indicator 
                                described in clause (ii), for each of 
                                fiscal years 2020 and 2021. In 
                                establishing the requisite levels of 
                                performance, the State and the 
                                Secretary shall--
                                            ``(aa) take into account 
                                        how the levels involved compare 
                                        with the levels established for 
                                        other States;
                                            ``(bb) ensure the levels 
                                        involved are adjusted, using 
                                        the objective statistical model 
                                        referred to in clause (v), 
                                        based on--

                                                    ``(AA) the 
                                                differences among 
                                                States in actual 
                                                economic conditions, 
                                                including differences 
                                                in unemployment rates 
                                                and job losses or gains 
                                                in particular 
                                                industries; and

                                                    ``(BB) the 
                                                characteristics of 
                                                participants on entry 
                                                into the program, 
                                                including indicators of 
                                                prior work history, 
                                                lack of educational or 
                                                occupational skills 
                                                attainment, or other 
                                                factors that may affect 
                                                employment and 
                                                earnings; and

                                            ``(cc) take into account 
                                        the extent to which the levels 
                                        involved promote continuous 
                                        improvement in performance by 
                                        each State.
                                    ``(II) Fiscal year 2022.--The State 
                                shall reach agreement with the 
                                Secretary, before fiscal year 2022, on 
                                the requisite level of performance for 
                                each indicator described in clause 
                                (ii), for fiscal year 2022, which shall 
                                be established in accordance with 
                                subclause (I) of this clause.
                            ``(iv) Revisions based on economic 
                        conditions and individuals receiving assistance 
                        during the fiscal year.--The Secretary shall, 
                        in accordance with the objective statistical 
                        model referred to in clause (v), revise the 
                        requisite levels of performance for a fiscal 
                        year and a State to reflect the actual economic 
                        conditions and characteristics of participants 
                        during that fiscal year in the State.
                            ``(v) Statistical adjustment model.--The 
                        Secretary shall use an objective statistical 
                        model to make adjustments to the requisite 
                        levels of performance for actual economic 
                        conditions and characteristics of participants, 
                        and shall consult with the Secretary of Labor 
                        to develop a model that is the same as or 
                        similar to the model described in section 
                        116(b)(3)(viii) of the Workforce Innovation and 
                        Opportunity Act (29 U.S.C. 3141).
                    ``(B) Report on state performance.--
                            ``(i) In general.--Not later than October 
                        1, 2018, the Secretary shall develop a template 
                        which each State shall use to report on 
                        outcomes achieved under the State program 
                        funded under this part or any other State 
                        program funded with qualified State 
                        expenditures (as defined in section 
                        409(a)(7)(B)(i)).
                            ``(ii) Contents.--Each such report shall 
                        include--
                                    ``(I) the number of individuals who 
                                exited the program during the year, and 
                                their reasons for doing so, including a 
                                separate accounting of the number of 
                                work-eligible individuals (as so 
                                defined) who exited the program during 
                                the year and their reasons for doing 
                                so;
                                    ``(II) the characteristics of the 
                                individuals who exited the program 
                                during the year, including information 
                                on the length of time the individual 
                                received assistance under the program, 
                                the educational level of the 
                                individual, and the earnings of the 
                                individual in the 4 quarters preceding 
                                the exit; and
                                    ``(III) information specifying the 
                                levels of performance achieved on each 
                                indicator described in subparagraph 
                                (A)(ii).
                            ``(iii) Publication.--Not later than 
                        September 30 of fiscal year 2021 and of each 
                        succeeding fiscal year, the Secretary shall 
                        make available electronically to the public 
                        each report submitted under this subparagraph 
                        during the fiscal year.
                    ``(C) Regulations.--The Secretary, in consultation 
                with the Secretary of Labor, shall prescribe such 
                regulations as may be necessary to provide for the 
                measurement of State performance on the indicators 
                described in this paragraph.''.

SEC. 3. EFFECTIVE DATE.

    The amendments made by this Act shall take effect on October 1, 
2017.
[EX A]:
Improving Employment Outcomes of TANF Recipients Act This bill requires a state participating&nbsp;in the Temporary Assistance for Needy Families (TANF) program to report to the Administration for Children and Families on specified indicators that measure&nbsp;the state's program performance levels.