In this task, you are given a summary for US Congressional and California state bill, your task is to generate a Title for this bill. The preferred titles are under forty words and mention the purpose of the bill.

[EX Q]: Local and Municipal Health Care Choice Act of 2015 Amends the Public Health Service Act to authorize a local government in a secondary state to provide group health coverage to its officers, employees, or retirees (and their dependents) through a local government employee health benefits pool or program authorized under the laws of a primary state. Defines: (1) "primary state" to mean the state designated by a local government employee health benefits pool or program as the state whose covered laws shall govern the pool or program in the issuance of group health coverage, and (2) "secondary state" to mean any state that is not the primary state. Makes a local government employee health benefits pool or program eligible to offer group health coverage to officials, employees, and retirees (and their dependents) of a local government located in a secondary state through an interlocal agreement with such local government, or as approved by an applicable state authority in such secondary state, unless objections are made within a specified time frame by the municipal league or association or county association located in the secondary state. Requires the covered laws of the primary state to apply to group health coverage offered by a local government employee health benefits pool or program in the primary state and in any secondary state, but only if the coverage and the pool or program comply with conditions set forth in this Act with respect to the offering of coverage in any secondary state.  Defines "covered laws" as the laws, rules, regulations, agreements, and orders pertaining to:  group health coverage issued by a local government employee health benefits pool or program;  the offer, sale, rating, renewal, and issuance of group health coverage to local government officials, employees, and retirees or their dependents;  the management, operations, and investment activities of such a pool or program;  loss control and claims administration for such a pool or program with respect to liability for which the pool or program provides coverage; or  the payment of applicable premium and other taxes that are levied on health insurance issuers, brokers, or policyholders under the laws of the state.  Excludes from such term any law, rule, regulation, agreement, or order governing the use of care or cost management techniques. Exempts a local government pool or program that offers group health coverage in a secondary state to the officers, employees, or retirees of a local government located in such secondary state from any covered laws of the secondary state. Permits a secondary state to require such a pool or program to register with an applicable authority in such state and to comply with any state law regarding fraud and abuse or unfair claims settlement practices.
[EX A]: Local and Municipal Health Care Choice Act of 2015

[EX Q]: Amends the Indian Gaming Regulatory Act (the Act) to revise conditions under which a tribe may receive certification for certain types of gaming activities on Indian lands. 
Allows a State the option to consent to enter into negotiations with a tribe to enter into a class III gaming certification compact. Repeals the current mandate to do so. 
Allows a tribe to apply to the National Indian Gaming Commission (the Commission) for a class III gaming certificate if a State fails to consent to Federal court jurisdiction or raises a defense against such jurisdiction, or the Federal court finds it lacks such jurisdiction, for any reason not curable by the tribe. 
Directs the Commission to approve the application if such gaming will be conducted in accordance with a tribal ordinance or resolution and will be located in a State that permits such gaming for any purpose, by any person, organization, or entity.  Authorizes the Commission to add regulatory or licensing provisions as a condition of such approval and to impose annual fees to defray reasonable costs of regulation.  Considers an application approved if the Commission fails to act upon it within a specified time.
[EX A]: To amend the Indian Gaming Regulatory Act, and for other purposes.

[EX Q]: Amends titles II ( Old Age, Survivors and Disability Insurance) and XVI (Supplemental Security Income Program for the Aged, Blind, and Disabled) of the Social Security Act to require the Commissioner of Social Security , with the approval of the veteran involved, to provide the Secretary of Veterans Affairs with medical information regarding eligibility determinations for disability benefits under such titles. 
Amends provisions of Federal law relating to veterans to direct the Secretary, when there is an issue of the nature or degree of a disease or disability, to request the Commissioner to provide to the Secretary such medical information obtained when determining the veteran's eligibility under titles II or XVI of the Social Security Act.  Requires the Secretary, in those cases where a determination has not been made by the Secretary, to accept the Commissioner's determination regarding the existence of a disability or the nature or degree of such disability for purposes of laws administered by the Secretary.
[EX A]:
To amend the Social Security Act and title 38, United States Code, to provide for sharing of medical information relating to determination of disability between the Social Security Administration and Department of Veterans Affairs.