In this task, you are given text for US Congressional and California state bills, your task is to generate a summary for this bill.
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Question: SECTION 1. ENCOURAGING THE PREPARATION OF TANF RECIPIENTS FOR HIGH-
              SKILL, HIGH-DEMAND JOBS.

    (a) In General.--Section 407(c)(2)(D) of the Social Security Act 
(42 U.S.C. 607(c)(2)(D)) is amended to read as follows:
                    ``(D) Limitation on number of persons who may be 
                treated as engaged in work by reason of participation 
                in educational activities.--
                            ``(i) In general.--Except as provided in 
                        clause (ii), for purposes of paragraphs 
                        (1)(B)(i) and (2)(B) of subsection (b), not 
                        more than 30 percent of the number of 
                        individuals in all families in a State who are 
                        treated as engaged in work for a month may 
                        consist of individuals who are--
                                    ``(I) determined to be engaged in 
                                work for the month by reason of 
                                participation in vocational educational 
                                training (but only with respect to such 
                                training that does not exceed 12 months 
                                with respect to any individual); or
                                    ``(II) deemed to be engaged in work 
                                for the month by reason of subparagraph 
                                (C) of this paragraph.
                            ``(ii) Exception for education in 
                        preparation for sector-specific, high-skill 
                        occupations to meet employer demand.--
                                    ``(I) In general.--Notwithstanding 
                                clause (i) and subsection (d)(8), for 
                                purposes of determining monthly 
                                participation rates under paragraphs 
                                (1)(B)(i) and (2)(B) of subsection (b) 
                                with respect to an individual who is 
                                enrolled, in preparation for a sector-
                                specific, high-skill occupation to meet 
                                employer demand (as defined in 
                                subclause (II)), in a postsecondary 2- 
                                or 4-year degree program or in 
                                vocational educational training--
                                            ``(aa) the State may count 
                                        the number of hours per week 
                                        that the individual attends 
                                        such program or training for 
                                        purposes of determining the 
                                        number of hours for which a 
                                        family is engaged in work for 
                                        the month without regard to the 
                                        30 percent limitation under 
                                        clause (i); and
                                            ``(bb) the individual shall 
                                        be permitted to complete the 
                                        requirements of the degree 
                                        program or vocational 
                                        educational training within the 
                                        normal time frame for full-time 
                                        students seeking the particular 
                                        degree or completing such 
                                        vocational educational 
                                        training.
                                    ``(II) Sector-specific, high-skill 
                                occupation to meet employer demand 
                                defined.--In subclause (I), the term 
                                `sector-specific, high-demand, high-
                                skill occupation to meet employer 
                                demand' means an occupation--
                                            ``(aa) that has been 
                                        identified by the State 
                                        workforce investment board 
                                        established under section 111 
                                        of the Workforce Investment Act 
                                        of 1998 (29 U.S.C. 2821) as 
                                        within the needs of the State 
                                        with regard to current and 
                                        projected employment 
                                        opportunities in specific 
                                        industry sectors or that has 
                                        been defined by the State 
                                        agency administering the State 
                                        program funded under this part 
                                        as within the needs of the 
                                        State with regard to current 
                                        and projected employment 
                                        opportunities in specific 
                                        industry sectors and is 
                                        consistent with high demand 
                                        jobs identified in the State 
                                        plan in accordance with section 
                                        402(a)(1)(A)(vii);
                                            ``(bb) that requires 
                                        occupational training; and
                                            ``(cc) that provides a wage 
                                        of at least 75 percent of the 
                                        State median hourly wage, as 
                                        calculated by the Bureau of 
                                        Labor Statistics on the basis 
                                        of the most recent Occupational 
                                        Employment and Wage Survey.''.
    (b) Conforming State Plan Amendment.--Section 402(a)(1)(B) of the 
Social Security Act (42 U.S.C. 602(a)(1)(B)) is amended by adding at 
the end the following:
                            ``(vii) The document shall describe any 
                        strategies and programs the State plans to use 
                        to address employment placement, retention, and 
                        advancement for recipients of assistance under 
                        the program, including placement into high-
                        demand jobs and whether such jobs are 
                        identified using labor market information.''.
    (c) Effective Date.--The amendments made by this section take 
effect on October 1, 2005.

Answer: Revises the mandatory work requirements of part A (Temporary Assistance for Needy Families) (TANF) of title IV of the Social Security Act with respect to the limitation on the number of persons in a state who may be treated as engaged in work by reason of participation in educational activities. Removes two-parent families from the formula for such limitation. Creates an exception to the limitation for education in preparation for sector-specific, high-skill occupations to meet employer demand.

Defines sector-specific, high-demand, high-skill occupation to meet employer demand as an occupation that: (1) has been identified by the state workforce investment board or by the state agency administering the state TANF program as within state needs with regard to current and projected employment opportunities in specific industry sectors; (2) requires occupational training; and (3) provides a wage of at least 75 percent of the state median hourly wage.


Question: SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Accurate Education for Prenatal 
Screenings Act''.

SEC. 2. CELL-FREE DNA PRENATAL SCREENING EDUCATION PROGRAMS.

    Part B of title III of the Public Health Service Act is amended by 
inserting, after section 317T (42 U.S.C. 247b-22), the following:

``SEC. 317U. CELL-FREE DNA PRENATAL SCREENING EDUCATION PROGRAMS.

    ``(a) Education Programs.--With respect to cell-free DNA prenatal 
screening, the Secretary, acting through the Director of the Centers 
for Disease Control and Prevention, shall develop, implement, and 
maintain two programs, one for patients and one for health care 
providers, to educate patients and health care providers regarding 
matters including--
            ``(1) the purposes and definitions of such screenings;
            ``(2) the reasons for patients and health care providers to 
        consider such screenings;
            ``(3) the conditions such screenings may detect, including 
        accurate and up-to-date information about such conditions' 
        clinical features, prognoses, and treatments according to 
        relevant national disability organizations and medical 
        professional societies;
            ``(4) the risks and benefits of, and alternatives to, the 
        various methods of administering such screenings and prenatal 
        diagnostic testings, including the option to forego such 
        screenings and testings, as per guidelines established by 
        medical professional societies;
            ``(5) the possible results of such screenings;
            ``(6) the accuracy of the results of such screenings, 
        including positive predictive value, negative predictive value, 
        specificity, sensitivity, the inability of such screenings to 
        reliably diagnose chromosomal abnormalities, and the fact that 
        such screenings may yield false-positive and false-negative 
        results;
            ``(7) the need for diagnostic testing, and counseling by a 
        genetics professional, for patients whose screenings yield 
        positive, abnormal, or indeterminate results; and
            ``(8) the need for communication of screening results to 
        patients and appropriate follow up per guidelines established 
        by medical professional societies.
    ``(b) Materials.--Each program developed under this section shall 
include the provision of materials that--
            ``(1) contain information that is peer-reviewed, balanced, 
        accurate, and up-to-date;
            ``(2) enable the respective target audience to understand 
        the available options with regards to cell-free DNA prenatal 
        screenings, other prenatal screenings, and diagnostic tests;
            ``(3) promote the informed consent, and enhance the 
        decision-making processes of, the respective target audience 
        before and after such screenings;
            ``(4) contain information that appropriately addresses the 
        diversity of the patient population, including patients 
        proficient in languages other than English; and
            ``(5) contain contact information for relevant services and 
        support organizations for patients.
    ``(c) Assessment.--In developing, implementing, and maintaining 
programs and materials under this section, the Secretary, acting 
through the Director of the Centers for Disease Control and Prevention, 
shall--
            ``(1) consult with relevant medical professional, 
        disability support, patient advocacy, parents, and genetics 
        professionals organizations;
            ``(2) consult with companies and laboratories that perform 
        cell-free DNA prenatal screenings or develop the technologies 
        for such screenings;
            ``(3) assess and evaluate existing education activities and 
        materials for health care providers and patients related to 
        such screenings; and
            ``(4) take the results of such consultations, assessment, 
        and evaluation into account in developing educational programs 
        and materials under this section.
    ``(d) Annual Report.--Not later than 16 months after the date of 
enactment of this section and annually thereafter, the Secretary shall 
submit a progress report to the Congress with respect to--
            ``(1) the development and implementation of the education 
        programs established under this section;
            ``(2) the accessibility of each program to its respective 
        target audience;
            ``(3) the adoption of each program by its respective target 
        audience; and
            ``(4) the Secretary's efforts to ensure health care 
        providers and patients receive the materials created pursuant 
        to this section.
    ``(e) Deadline.--The Secretary shall develop and implement the 
education programs required by section 317U of the Public Health 
Service Act (as added by subsection (a)) not later than 1 year after 
the date of enactment of this Act''.

Answer: Accurate Education for Prenatal Screenings Act Amends the Public Health Service Act to direct the Centers for Disease Control and Prevention (CDC) to develop, implement, and maintain two programs, one to educate patients and one to educate health care providers regarding:   the purposes and definitions of cell-free DNA prenatal screenings;   the reasons for patients and providers to consider such screenings;  the conditions such screenings may detect;  the risks and benefits of, and alternatives to, the various methods of administering such screenings and prenatal diagnostic testing;  the possible results of such screenings and the accuracy of such results;   the need for diagnostic testing, and counseling by a genetics professional, for patients whose screenings yield positive, abnormal, or indeterminate results; and   the need for communication of results to patients and appropriate follow-up per guidelines established by medical professional societies.  Requires each program to provide materials that:   contain information that is peer-reviewed, balanced, accurate, and up-to-date;   enable the respective target audience to understand the available options with regard to such screenings, other prenatal screenings, and diagnostic tests;   promote the informed consent of, and enhance the decision-making processes of, the respective target audience before and after such screenings;   contain information that appropriately addresses the diversity of the patient population; and   contain contact information for relevant services and support organizations for patients.    Requires CDC to submit annual reports regarding:  the development and implementation of such programs;   the accessibility of each program to, and the adoption of each program by, its respective target audience; and   CDC's efforts to ensure that providers and patients receive the materials created pursuant to this Act. 


Question: SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Women and AIDS Research Initiative 
Amendments of 1993''.

SEC. 2. ESTABLISHMENT OF GENERAL PROGRAM OF RESEARCH REGARDING WOMEN 
              AND ACQUIRED IMMUNE DEFICIENCY SYNDROME.

    Part B of title XXII of the Public Health Service Act (42 U.S.C. 
800cc-11 et seq.) is amended by adding at the end the following 
section.

``SEC. 2321. RESEARCH REGARDING WOMEN.

    ``(a) In General.--With respect to cases of infection with the 
human immunodeficiency virus, the Secretary shall establish a program 
for the purpose of conducting biomedical and behavioral research on 
such cases in women, including research on the prevention of such 
cases. The Secretary may conduct such research directly, and may make 
grants to public and nonprofit private entities for the conduct of the 
research.
    ``(b) Certain Forms of Research.--In carrying out subsection (a), 
the Secretary shall provide for research on--
            ``(1) the manner in which the human immunodeficiency virus 
        is transmitted to women, including the relationship between 
        cases of infection with such virus and other cases of sexually 
        transmitted diseases, and clinical trials which examine the 
        question of the how the level of HIV infection can be prevented 
        by finding and treating sexually transmitted diseases in women;
            ``(2) measures for the prevention of exposure to and the 
        transmission of such virus, including research on--
                    ``(A) the prevention of any sexually transmitted 
                disease that may facilitate the transmission of the 
                virus;
                    ``(B) rapid, inexpensive, easy-to-use sexually 
                transmitted disease diagnostic tests for women;
                    ``(C) inexpensive single dose therapy for treatable 
                sexually transmitted diseases;
                    ``(D) the development of methods of prevention for 
                use by women; and
                    ``(E) the development and dissemination of 
                prevention programs and materials whose purpose is to 
                reduce the incidence of substance abuse among women;
            ``(3) the development and progression of symptoms resulting 
        from infection with such virus, including research regarding 
        gynecological infections as well as breast changes, hormonal 
        changes, and menses and menopause changes, whose occurrence 
        becomes probable as a result of the deterioration of the immune 
        system;
            ``(4) the treatment of cases of such infection, including 
        clinical research; and
            ``(5) behavioral research on the prevention of such cases 
        and research on model educational programs for such prevention.
    ``(c) Clinical Trials.--
            ``(1) Gynecological evaluations.--In clinical trials under 
        this title in which women participate as subjects, the 
        Secretary shall ensure that--
                    ``(A) each female subject who is infected with the 
                human immunodeficiency virus--
                            ``(i) undergoes a gynecological examination 
                        as part of the evaluation of the medical status 
                        of the woman prior to participation in the 
                        trial; and
                            ``(ii) receives appropriate follow-up 
                        services regarding such examination; and
                    ``(B) the results of the gynecological examinations 
                are analyzed to determine the relationship between 
                gynecological conditions and the infection with such 
                virus.
            ``(2) Standard treatments for gynecological conditions.--
        The Secretary shall conduct or support clinical trials under 
        subsection (a) to determine whether standard methods of 
        treating gynecological conditions are effective in the case of 
        such conditions that arise as a result of infection with the 
        human immunodeficiency virus.
            ``(3) Effectiveness of certain treatment protocols.--With 
        respect to cases of infection with the human immunodeficiency 
        virus, the Secretary shall conduct or support clinical trials 
        under subsection (a) to determine whether treatment protocols 
        approved for men with such cases are effective for women with 
        such cases.
            ``(4) Support services.--
                    ``(A) In conducting or supporting clinical trials 
                under this title in which women participate as 
                subjects, the Secretary shall provide the women with 
                such transportation, child care, and other support 
                services (including medical and mental health services, 
                treatment for drug abuse, and social services), 
                including services addressing domestic violence as may 
                be necessary to enable the women to participate as such 
                subjects.
                    ``(B) Services under subparagraph (A) shall include 
                services designed to respond to the particular needs of 
                women with respect to participation in clinical trials 
                under this title, including, as appropriate, training 
                of the individuals who conduct the trials.
    ``(d) Prevention Programs.--
            ``(1) Sexual transmission.--
                    ``(A) With respect to preventing the sexual 
                transmission of the human immunodeficiency virus, the 
                Secretary shall conduct or support research under 
                subsection (a) on barrier methods for the prevention of 
                sexually transmitted diseases, including HIV disease, 
                that women can use without their sexual partner's 
                cooperation or knowledge.
                    ``(B) In carrying out subparagraph (A), the 
                Secretary shall give priority to identified research 
                needs and opportunities identified at the National 
                Institutes of Health sponsored meeting on Development 
                of Topical Microbicides that was held in May of 1993, 
                including research on--
                            ``(i) the early stages in infectious 
                        processes;
                            ``(ii) the identification, formulation and 
                        preclinical evaluation of new preparations;
                            ``(iii) clinical testing for safety and 
                        efficacy; and
                            ``(iv) studies concerning the acceptability 
                        and compliance of safe, effective microbicides.
            ``(2) Epidemiological research.--The Secretary shall 
        conduct or support epidemiological research under subsection 
        (a) to determine the factors of risk regarding infection with 
        the human immunodeficiency virus that are particular to women, 
        including research regarding--
                    ``(A) the use of various contraceptive methods;
                    ``(B) the use of tampons;
                    ``(C) the relationship between such infection and 
                other sexually transmitted diseases;
                    ``(D) the relationship between such infection and 
                various forms of substance abuse (including use of the 
                form of cocaine commonly known as crack); and
                    ``(E) the relationship between such infection and 
                sexual activity.
    ``(e) Interagency Study.--With respect to the study being carried 
out by the Secretary (as of June 1993) through various agencies of the 
Public Health Service for the purpose of monitoring the progression in 
women of infection with the human immunodeficiency virus, and 
determining whether such progression is different in women than in men, 
which study is known as the Women's Interagency HIV Study, the 
following applies:
            ``(1) The Secretary shall ensure that not less than 5,000 
        women with such infection are included in the study.
            ``(2) The Secretary shall provide for an increase in the 
        number of sites at which the study is to be conducted.
            ``(3) The Secretary shall ensure that the study period is 
        for a minimum of 8 years.
            ``(4) With respect to the human cells commonly known as CD4 
        cells, the Secretary shall ensure that the study adequately 
        addresses the relationship between the number of such cells and 
        other markers in women with such infection and the development 
        of serious illnesses in such women. For purposes of the 
        preceding sentence, the study shall address gynecological 
        conditions, and other conditions particular to women, that are 
        not currently included in the list of conditions arising from 
        such infection that, for surveillance purposes, is maintained 
        by the Director of the Centers for Disease Control and 
        Prevention.
    ``(f) Definition.--For purposes of this section, the term `human 
immunodeficiency virus' means the etiologic agent for acquired immune 
deficiency syndrome.
    ``(g) Authorizations of Appropriations.--
            ``(1) Clinical trials.--
                    ``(A) For the purpose of carrying out subsection 
                (c)(1), there are authorized to be appropriated 
                $20,000,000 for fiscal year 1994, and such sums as may 
                be necessary for each of the fiscal years 1995 through 
                1996.
                    ``(B) For the purpose of carrying out subsection 
                (c)(2), there are authorized to be appropriated 
                $10,000,000 for fiscal year 1994, and such sums as may 
                be necessary for each of the fiscal years 1995 through 
                1996.
                    ``(C) For the purpose of carrying out subsection 
                (c)(3), there are authorized to be appropriated 
                $10,000,000 for fiscal year 1994, and such sums as may 
                be necessary for each of the fiscal years 1995 through 
                1996.
                    ``(D) For the purpose of carrying out subsection 
                (c)(4), there are authorized to be appropriated 
                $15,000,000 for fiscal year 1994, and such sums as may 
                be necessary for each of the fiscal years 1995 and 
                1996.
            ``(2) Prevention programs.--
                    ``(A) For the purpose of carrying out subsection 
                (d)(1), there are authorized to be appropriated 
                $30,000,000 for fiscal year 1994, and such sums as may 
                be necessary for each of the fiscal years 1995 through 
                1996.
                    ``(B) For the purpose of carrying out subsection 
                (d)(2), there are authorized to be appropriated 
                $10,000,000 for fiscal year 1994, and such sums as may 
                be necessary for each of the fiscal years 1995 through 
                1996.
            ``(3) Interagency study.--For the purpose of carrying out 
        subsection (e), there are authorized to be appropriated 
        $15,000,000 for fiscal year 1994, and such sums as may be 
        necessary for each of the fiscal years 1995 through 1996.''.

Answer:
Women and AIDS Research Initiative Amendments of 1993 - Amends the Public Health Service Act to establish a program to conduct or support biomedical and behavioral research on cases of infection with the human immunodeficiency virus (HIV) in women.  Regulates clinical trials with women subjects.  Mandates the conduct or support of:  (1) clinical trials regarding the effectiveness of standard gynecological treatments in treating conditions arising from HIV infection; (2) clinical trials regarding whether the treatment protocols approved for men with HIV infection are effective for women with HIV infection; (3) research on barrier methods for the prevention of sexually transmitted diseases that women can use without their sexual partner's cooperation or knowledge; and (4) epidemiological research to determine HIV risk factors particular to women. Mandates support services for women in clinical trials.  Regulates the Women's Interagency HIV Study.  Authorizes appropriations.