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 Input:
SECTION 1. SHORT TITLE; TABLE OF CONTENTS.

    (a) Short Title.--This Act may be cited as the ``National Parks 
Capital Improvements Act of 1999''.
    (b) Table of Contents.--The table of contents of this Act is as 
follows:

Sec. 1. Short title; table of contents.
Sec. 2. Definitions.
Sec. 3. Fundraising organization.
Sec. 4. Memorandum of agreement.
Sec. 5. National park surcharge or set-aside.
Sec. 6. Use of bond proceeds.
Sec. 7. Administration.

SEC. 2. DEFINITIONS.

    In this Act:
            (1) Fundraising organization.--The term ``fundraising 
        organization'' means an entity authorized to act as a 
        fundraising organization under section 3(a).
            (2) Memorandum of agreement.--The term ``memorandum of 
        agreement'' means a memorandum of agreement entered into by the 
        Secretary under section 3(a) that contains the terms specified 
        in section 4.
            (3) National park foundation.--The term ``National Park 
        Foundation'' means the foundation established under the Act 
        entitled ``An Act to establish the National Park Foundation'', 
        approved December 18, 1967 (16 U.S.C. 19e et seq.).
            (4) National park.--The term ``national park'' means--
                    (A) the Grand Canyon National Park; and
                    (B) any other national park designated by the 
                Secretary that has an approved general management plan 
                with capital needs in excess of $5,000,000.
            (5) Secretary.--The term ``Secretary'' means the Secretary 
        of the Interior.

SEC. 3. FUNDRAISING ORGANIZATION.

    (a) In General.--The Secretary may enter into a memorandum of 
agreement under section 4 with an entity to act as an authorized 
fundraising organization for the benefit of a national park.
    (b) Bonds.--The fundraising organization for a national park shall 
issue taxable bonds in return for the surcharge or set-aside for that 
national park collected under section 5.
    (c) Professional Standards.--The fundraising organization shall 
abide by all relevant professional standards regarding the issuance of 
securities and shall comply with all applicable Federal and State law.
    (d) Audit.--The fundraising organization shall be subject to an 
audit by the Secretary.
    (e) No Liability for Bonds.--
            (1) In general.--The United States shall not be liable for 
        the security of any bonds issued by the fundraising 
        organization.
            (2) Exception.--If the surcharge or set-aside described in 
        section 5(a) for a national park is not imposed for any reason, 
        or if the surcharge or set-aside is reduced or eliminated, the 
        full faith and credit of the United States is pledged to the 
        payment of--
                    (A) the bonds issued by a fundraising organization 
                under subsection (b) for that national park; and
                    (B) the interest accruing on the bonds.

SEC. 4. MEMORANDUM OF AGREEMENT.

    The fundraising organization shall enter into a memorandum of 
agreement that specifies--
            (1) the amount of the bond issue;
            (2) the maturity of the bonds, not to exceed 20 years;
            (3) the per capita amount required to amortize the bond 
        issue, provide for the reasonable costs of administration, and 
        maintain a sufficient reserve consistent with industry 
        standards;
            (4) the project or projects at the national park that will 
        be funded with the bond proceeds and the specific 
        responsibilities of the Secretary and the fundraising 
        organization with respect to each project; and
            (5) procedures for modifications of the agreement with the 
        consent of both parties based on changes in circumstances, 
        including modifications relating to project priorities.

SEC. 5. NATIONAL PARK SURCHARGE OR SET-ASIDE.

    (a) In General.--Notwithstanding any other provision of law, the 
Secretary may authorize the superintendent of a national park for which 
a memorandum of agreement is in effect--
            (1) to charge and collect a surcharge in an amount not to 
        exceed $2 for each individual otherwise subject to an entrance 
        fee for admission to the national park; or
            (2) to set aside not more than $2 for each individual 
        charged the entrance fee.
    (b) Surcharge in Addition to Entrance Fees.--A surcharge under 
subsection (a) shall be in addition to any entrance fee collected 
under--
            (1) section 4 of the Land and Water Conservation Fund Act 
        of 1965 (16 U.S.C. 460l-6a);
            (2) the recreational fee demonstration program authorized 
        by section 315 of the Department of the Interior and Related 
        Agencies Appropriations Act, 1996 (as contained in Public Law 
        104-134; 110 Stat. 1321-156; 1321-200; 16 U.S.C. 460l-6a note); 
        or
            (3) the national park passport program established under 
        title VI of the National Parks Omnibus Management Act of 1998 
        (Public Law 105-391; 112 Stat. 3518; 16 U.S.C. 5991 et seq.).
    (c) Limitation.--The total amount charged or set aside under 
subsection (a) may not exceed $2 for each individual charged an 
entrance fee.
    (d) Use.--A surcharge or set-aside under subsection (a) shall be 
used by the fundraising organization to--
            (1) amortize the bond issue;
            (2) provide for the reasonable costs of administration; and
            (3) maintain a sufficient reserve consistent with industry 
        standards, as determined by the bond underwriter.
    (e) Excess Funds.--Any funds collected in excess of the amount 
necessary to fund the uses in subsection (d) shall be remitted to the 
National Park Foundation to be used for the benefit of all units of the 
National Park System.

SEC. 6. USE OF BOND PROCEEDS.

    (a) Eligible Projects.--
            (1) In general.--Subject to paragraph (2), bond proceeds 
        under this Act may be used for a project for the design, 
        construction, operation, maintenance, repair, or replacement of 
        a facility in the national park for which the bond was issued.
            (2) Project limitations.--A project referred to in 
        paragraph (1) shall be consistent with--
                    (A) the laws governing the National Park System;
                    (B) any law governing the national park in which 
                the project is to be completed; and
                    (C) the general management plan for the national 
                park.
            (3) Prohibition on use for administration.--Other than 
        interest as provided in subsection (b), no part of the bond 
        proceeds may be used to defray administrative expenses.
    (b) Interest on Bond Proceeds.--
            (1) Authorized uses.--Any interest earned on bond proceeds 
        may be used by the fundraising organization to--
                    (A) meet reserve requirements; and
                    (B) defray reasonable administrative expenses 
                incurred in connection with the management and sale of 
                the bonds.
            (2) Excess interest.--All interest on bond proceeds not 
        used for purposes of paragraph (1) shall be remitted to the 
        National Park Foundation for the benefit of all units of the 
        National Park System.

SEC. 7. ADMINISTRATION.

    The Secretary, in consultation with the Secretary of Treasury, 
shall promulgate regulations to carry out this Act.

Ex Output:
Exempts the United States from liability for such bonds unless the surcharge is not imposed for any reason or if it is reduced or eliminated in which case the full faith and credit of the United States is pledged to bond payment.
Authorizes the Secretary to: (1) permit the Superintendent of the park to charge and collect, in addition to the entrance fee, a surcharge of not to exceed $2; or (2) set aside not more than $2 for each entrance fee. Requires: (1) the surcharge or set-aside to be used by the organization to amortize the bond issue, to provide for the reasonable costs of administration, and to maintain a sufficient reserve consistent with industry standards; and (2) any excess funds to be remitted to the National Park Foundation (NPF) to be used for the benefit of all National Park System (NPS) units.
Allows bond proceeds to be used for a park facility project that is consistent with: (1) the laws governing the NPS and the park; and (2) the general management plan for the park.
Requires interest earned on bond proceeds to be: (1) used by the organization to meet reserve requirements and defray reasonable administrative expenses; and (2) remitted to the NPF for the benefit of all NPS units, to the extent funds are available in excess of the amount required for projects.


Ex Input:
SECTION 1. BAN ON DISCLOSURE OF MEDICAL QUALITY ASSURANCE INFORMATION.

    Subsection (a) of section 5705 of title 38, United States Code, is 
amended--
            (1) by inserting ``(1)'' after ``(a)''; and
            (2) by adding at the end the following:
    ``(2)(A) Except as provided in subsection (b), no part of any 
medical quality assurance record or document described in subsection 
(a)(1) may be subject to discovery or admitted into evidence in any 
judicial or administrative proceeding.
    ``(B) An individual who reviews or creates medical quality 
assurance records or documents for the Department or who participates 
in any proceeding that reviews or creates such records or documents may 
not be permitted or required to testify in any judicial or 
administrative proceeding with respect to such records or documents or 
with respect to any finding, recommendation, evaluation, opinion, or 
action taken by such person in connection with such records or 
documents except as provided in this section.''.

SEC. 2. DISCLOSURE AUTHORITY.

    (a) Clarification of Coverage.--Subsection (b)(1) of section 5705 
of title 38, United States Code, is amended by striking out ``or 
document'' in the matter above subparagraph (A) and inserting in lieu 
thereof ``, document, or testimony''.
    (b) Disclosure for Professional Use.--Such subsection is further 
amended by adding at the end the following:
            ``(E) In an administrative or judicial proceeding commenced 
        by a criminal or civil law enforcement agency or 
        instrumentality referred to in subparagraph (C), but only 
        concerning the subject of such proceeding.
            ``(F) To a governmental board or agency or to a 
        professional health care society or organization, if such 
        record or document is needed by the board, agency, society, or 
        organization to issue a professional license or credential to 
        or to monitor the compliance with professional standards of any 
        health care provider who is or was an employee of the 
        Department.
            ``(G) To a hospital, medical center, or other institution 
        that provides health care services, if such record or document 
        is needed by the institution to assess the professional 
        qualifications of any health care provider who is or was an 
        employee of the Department and who has applied for or been 
        granted authority or employment to provide health care services 
        in or on behalf of such institution.
            ``(H) To an administrative or judicial proceeding commenced 
        by a present or former Department health care provider 
        concerning the termination, suspension or limitation of the 
        clinical privileges of such health care provider, or concerning 
        any adverse action involving such health care provider, but 
        only to the extent that such records or documents relate to the 
        clinical conduct or performance of the individual who has 
        commenced the action.''.
    (c) Removal of Identities.--Subsection (b)(2) of such section is 
amended by striking out ``if disclosure'' and all that follows through 
``personal privacy'' and inserting in lieu thereof ``subparagraphs 
(1)(A) and (1)(B) of this subsection''.

SEC. 3. LIMITATION ON DISCLOSURE.

    Paragraph (3) of section 5705(b) of title 38, United States Code, 
is amended to read as follows:
    ``(3) A person or entity having possession of, or access to, 
information, records, or documents, or testimony relating thereto, that 
is subject to the provisions of this section may not disclose such 
information, records, or documents, or any testimony relating thereto, 
in any manner or for any purpose except for a purpose as provided in 
this subsection. No person or entity to whom a record or document has 
been disclosed under this subsection shall make further disclosure of 
such record or document except for a purpose provided in this 
subsection.''.

SEC. 4. ACCESS TO RECORDS.

    Subsection (b) of section 5705 of title 38, United States Code, is 
amended by adding at the end the following:
    ``(7) Medical quality assurance records and documents described in 
subsection (a) which are subject to section 552a of title 5 may not be 
disclosed in accordance with that section except to the extent that 
such disclosure is also authorized under this section.
    ``(8) Medical quality assurance records or documents described in 
subsection (a) which are also subject to section 552a of title 5--
            ``(A) shall not be subject to the access provisions of such 
        section 552a to the extent that such access would reveal the 
        identities of participants in the quality assurance process 
        which generated the records or documents; and
            ``(B) are not subject to the amendment provisions of such 
        section 552a.
    ``(9) Medical quality assurance records and documents described in 
subsection (a) may not be made available to any person under section 
552 of title 5.''.

SEC. 5. REGULATIONS.

    Subsection (d)(2) of section 5705 of title 38, United States Code, 
is amended by striking out ``specified in'' and inserting in lieu 
thereof ``accomplished in accordance with''.

Ex Output:
Prohibits Department of Veterans Affairs medical quality assurance records from being subject to discovery or admitted into evidence in any judicial or administrative proceeding.  Prohibits an individual who participates in the production of such records from being required to testify at such a proceeding. 
Allows testimony concerning such records (currently, only the records or documents themselves) to be disclosed to Federal agencies for certain limited purposes (licensing, accreditation).  Specifies additional uses for which such information may be disclosed. 
Includes information and testimony related to such records within certain disclosure limitation provisions. 
Prohibits the disclosure of such records by the Department as public information to the extent that such disclosure would reveal the identities of the participants in the quality assurance process which generated the records or documents.


Ex Input:
SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Native Health Access Improvement Act 
of 2017''.

SEC. 2. SPECIAL BEHAVIORAL HEALTH PROGRAM FOR INDIANS.

    Part A of title V of the Public Health Service Act (42 U.S.C. 290aa 
et seq.) is amended by adding at the end the following new section:

``SEC. 506B. SPECIAL BEHAVIORAL HEALTH PROGRAM FOR INDIANS.

    ``(a) In General.--The Director of the Indian Health Service, in 
coordination with the Assistant Secretary for Mental Health and 
Substance Use, shall award grants for providing services in accordance 
with subsection (b) for the prevention and treatment of mental health 
and substance use disorders.
    ``(b) Services Through Indian Health Facilities.--For purposes of 
subsection (a), services are provided in accordance with this 
subsection if the services are provided through any of the following 
entities:
            ``(1) The Indian Health Service.
            ``(2) An Indian health program operated by an Indian tribe 
        or tribal organization pursuant to a contract, grant, 
        cooperative agreement, or compact with the Indian Health 
        Service pursuant to the Indian Self-Determination and Education 
        Assistance Act (25 U.S.C. 5301 et seq.).
            ``(3) An urban Indian health program operated by an urban 
        Indian organization pursuant to a grant or contract with the 
        Indian Health Service pursuant to title V of the Indian Health 
        Care Improvement Act (25 U.S.C. 1651 et seq.).
    ``(c) Reports.--Each grantee under this section shall submit 
reports at such time, in such manner, and containing such information 
as the Director of the Indian Health Service may require.
    ``(d) Technical Assistance Center.--
            ``(1) Establishment.--The Director of the Indian Health 
        Service, in coordination with the Assistant Secretary for 
        Mental Health and Substance Use, shall establish a technical 
        assistance center (directly or by contract or cooperative 
        agreement)--
                    ``(A) to provide technical assistance to grantees 
                under this section; and
                    ``(B) to collect and evaluate information on the 
                program carried out under this section.
            ``(2) Consultation.--The technical assistance center shall 
        consult with grantees under this section for purposes of 
        developing evaluation measures and data submission requirements 
        for purposes of the collection and evaluation of information 
        under paragraph (1)(B).
            ``(3) Data submission.--As a condition on receipt of a 
        grant under this section, an applicant shall agree to submit 
        data consistent with the data submission requirements developed 
        under paragraph (2).
    ``(e) Funding.--
            ``(1) In general.--For the purpose of making grants under 
        this section, there is authorized to be appropriated, and there 
        is appropriated, out of any money in the Treasury not otherwise 
        appropriated, $150,000,000 for each of fiscal years 2018 
        through 2022.
            ``(2) Technical assistance center.--Of the amount made 
        available to carry out this section for each of fiscal years 
        2018 through 2022, the Director of the Indian Health Service 
        shall allocate a percentage of such amount, to be determined by 
        the Director in consultation with Indian tribes, for the 
        technical assistance center under subsection (d).
    ``(f) Definitions.--In this section:
            ``(1) Indian health program.--The term `Indian health 
        program' has the meaning given that term in section 4 of the 
        Indian Health Care Improvement Act (25 U.S.C. 1603).
            ``(2) Indian tribe.--The term `Indian tribe' has the 
        meaning given that term in section 4 of the Indian Health Care 
        Improvement Act (25 U.S.C. 1603).
            ``(3) Tribal organization.--The term `tribal organization' 
        has the meaning given that term in section 4 of the Indian 
        Self-Determination and Education Assistance Act (25 U.S.C. 
        5304).
            ``(4) Urban indian organization.--The term `urban Indian 
        organization' has the meaning given the term `Urban Indian 
        organization' in section 4 of the Indian Health Care 
        Improvement Act (25 U.S.C. 1603).''.

SEC. 3. INDIAN DEFINED IN PPACA.

    (a) Definition of Indian.--Section 1304 of the Patient Protection 
and Affordable Care Act (42 U.S.C. 18024) is amended by adding at the 
end the following new subsection:
    ``(f) Indian.--
            ``(1) In general.--In this title, the term `Indian' means 
        any individual--
                    ``(A) described in paragraph (13) or (28) of 
                section 4 of the Indian Health Care Improvement Act (25 
                U.S.C. 1603);
                    ``(B) who is eligible for health services provided 
                by the Indian Health Service under section 809 of the 
                Indian Health Care Improvement Act (25 U.S.C. 1679);
                    ``(C) who is of Indian descent and belongs to the 
                Indian community served by the local facilities and 
                program of the Indian Health Service; or
                    ``(D) who is described in paragraph (2).
            ``(2) Included individuals.--For purposes of this title, 
        the following individuals shall be considered to be an 
        `Indian':
                    ``(A) A member of a federally recognized Indian 
                tribe.
                    ``(B) A resident of an urban center who meets one 
                or more of the following four criteria:
                            ``(i) Membership in a Tribe, band, or other 
                        organized group of Indians, including those 
                        Tribes, bands, or groups terminated since 1940 
                        and those recognized as of the date of the 
                        enactment of the Health Equity and 
                        Accountability Act of 2016 or later by the 
                        State in which they reside, or being a 
                        descendant, in the first or second degree, of 
                        any such member.
                            ``(ii) Is an Eskimo or Aleut or other 
                        Alaska Native.
                            ``(iii) Is considered by the Secretary of 
                        the Interior to be an Indian for any purpose.
                            ``(iv) Is determined to be an Indian under 
                        regulations promulgated by the Secretary.
                    ``(C) An individual who is considered by the 
                Secretary of the Interior to be an Indian for any 
                purpose.
                    ``(D) An individual who is considered by the 
                Secretary to be an Indian for purposes of eligibility 
                for Indian health care services, including as a 
                California Indian, Eskimo, Aleut, or other Alaska 
                Native.''.
    (b) Technical Amendments.--Section 4 of the Indian Health Care 
Improvement Act (25 U.S.C. 1603) is amended--
            (1) in paragraph (13), by striking ``as defined in 
        subsection (d) hereof'' and inserting ``as defined in paragraph 
        (14)''; and
            (2) in paragraph (28)--
                    (A) by striking ``as defined in subsection (g) 
                hereof'' and inserting ``as defined in paragraph 
                (27)''; and
                    (B) by striking ``subsection (c)(1) through (4)'' 
                and inserting ``subparagraphs (A) through (D) of 
                paragraph (13)''.
    (c) Conforming Amendments.--
            (1) Affordable choices health benefit plans.--Section 
        1311(c)(6)(D) of the Patient Protection and Affordable Care Act 
        (42 U.S.C. 18031(c)(6)(D)) is amended by striking ``section 4 
        of the Indian Health Care Improvement Act'' and inserting 
        ``section 1304(f)''.
            (2) Reduced cost-sharing for individuals enrolling in 
        qualified health plans.--Section 1402(d) of the Patient 
        Protection and Affordable Care Act (42 U.S.C. 18071(d)) is 
        amended--
                    (A) in paragraph (1), in the matter preceding 
                subparagraph (A), by striking ``section 4(d) of the 
                Indian Self-Determination and Education Assistance Act 
                (25 U.S.C. 450b(d))'' and inserting ``section 
                1304(f)''; and
                    (B) in paragraph (2), in the matter preceding 
                subparagraph (A), by striking ``(as so defined)'' and 
                inserting ``(as defined in section 1304(f))''.
            (3) Exemption from penalty for not maintaining minimum 
        essential coverage.--Section 5000A(e) of the Internal Revenue 
        Code of 1986 is amended by striking paragraph (3) and inserting 
        the following new paragraph:
            ``(3) Indians.--Any applicable individual who is an Indian 
        (as defined in section 1304(f) of the Patient Protection and 
        Affordable Care Act).''.

Ex Output:

Native Health Access Improvement Act of 2017 This bill amends the Public Health Service Act to require the Indian Health Service (IHS) to award grants to Indian health facilities for the prevention and treatment of mental health and substance use disorders. The IHS must establish a technical assistance center for grantees. In addition, this bill amends the Patient Protection and Affordable Care Act to define &ldquo;Indian&rdquo; for purposes of health insurance reform, exchanges, and subsidies. The definition includes individuals of Indian descent who are members of an Indian community served by the IHS and individuals considered by the Department of Health and Human Services to be Indian for purposes of eligibility for Indian health care services. Individuals included in the definition are eligible for special monthly enrollment periods on health insurance exchanges and elimination of cost sharing under individual health coverage for those whose income is not more than 300% of the poverty line. Under current law, only members of Indian tribes are eligible for these benefits. The bill amends the Internal Revenue Code to exempt Indians, as defined by this bill, from the requirement to maintain minimum essential health coverage.