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

Input: Consider Input: SECTION 1. SHORT TITLE.

    This Act may be cited as the ``International Cooperative 
Antiterrorism Act of 2002''.

SEC. 2. FINDINGS.

    Congress makes the following findings:
            (1) The use of terrorism is detestable and an illegitimate 
        means of political expression.
            (2) International terrorist organizations pose a direct 
        threat to the United States, and this threat is becoming more 
        acute and more difficult to prevent.
            (3) The threat from international terrorism is made far 
        more dangerous by the proliferation of chemical, biological, 
        and radiological weapons and the means to produce those 
        weapons.
            (4) The prosecution of the war against international 
        terrorist organizations must continue until those organizations 
        and the threat they pose to the people and interests of the 
        United States are eliminated.
            (5) The United States can only win the war on terrorism if 
        it receives cooperation from other countries and entities.
            (6) Protecting the United States homeland and United States 
        interests overseas from terrorism is of the highest priority in 
        the foreign relations of the United States.
            (7) Cooperation in the global war against international 
        terrorism must be a primary focus of United States foreign 
        relations, United States assistance, and international security 
        relations.
            (8) Winning the war on terrorism requires cooperation from 
        the international community, especially in the areas of 
        preventing the financing of terror, sharing information on 
        international terror networks, eliminating terror cells, and in 
        preventing the promotion of anti-Americanism and the 
        glorification of terrorism in state-owned media and state-
        controlled schools.
            (9) The promotion of terrorism, intolerance, and virulent 
        anti-Americanism in state-owned media and state-controlled 
        education systems is abhorrent and poses a long-term threat to 
        the safety and security of the United States as well as the 
        community of nations.
            (10) All countries and entities must be encouraged to 
        cooperate in the global war on international terrorism.
            (11) Many foreign governments and entities are doing little 
        to counter proterrorist and prointolerance messages to mass 
        audiences, including to school age children.
            (12) Countries providing direct or indirect assistance to 
        international terrorist organizations undermine the direct 
        security interests of the United States.
            (13) Countries demonstrating indifference to or providing 
        actual endorsement of international terror as a legitimate 
        political tool make a direct threat to the security interests 
        of the United States.
            (14) The National Commission on Terrorism established by 
        section 591 of the Foreign Operations Export Financing, and 
        Related Programs Appropriations Act, 1999, as enacted by Public 
        Law 105-277 (112 Stat. 2681-210), concluded that the United 
        States should strengthen its efforts to discourage the broad 
        range of assistance that countries provide to international 
        terrorists.
            (15) The National Commission on Terrorism further 
        recommends that the President make more effective use of 
        authority to designate foreign governments as ``not fully 
        cooperative'' with the United States counterterrorism efforts.
            (16) United States assistance programs and the transfer of 
        United States Munitions List items are a critical tool of 
        United States foreign policy and winning the global war on 
        terrorism.
            (17) Countries receiving United States assistance and the 
        export of items on the United States Munitions List must be 
        obligated to support the global war on international terror.
            (18) Several existing laws, including the USA Patriot Act 
        of 2001, the Antiterrorism and Effective Death Penalty Act of 
        1996, the Foreign Assistance Act of 1961, the Arms Export 
        Control Act, and the Export Administration Act of 1979 (or 
        successor statute), prohibit the provision of United States 
        assistance, and the licensing for export of items on the United 
        States Munitions List, to countries supporting terror or not 
        fully cooperating in antiterror efforts of the United States. 
        These laws should be expanded to include the definition of 
        ``fully cooperative in the global war against international 
        terrorism'' set forth in this Act, including preventing 
        promotion of terror in state-owned and controlled media and 
        educational systems.

SEC. 3. STATEMENT OF POLICY.

    It shall be the policy of the United States that--
            (1) no United States assistance may be provided to any 
        foreign country or entity that is not making a maximum effort 
        to be fully cooperative in the global war against international 
        terrorism; and
            (2) no license for export of an item on the United States 
        Munitions List to a country or entity may be issued if that 
        country or entity is not making a maximum effort to be fully 
        cooperative in the war against international terrorism.

SEC. 4. PROHIBITION ON UNITED STATES ASSISTANCE AND COMMERCIAL ARMS 
              EXPORTS.

    (a) United States Assistance.--No United States assistance, other 
than humanitarian assistance and cooperative nonproliferation and 
counterproliferation programs, may be provided to any country or entity 
if the President determines that such country or entity is not making a 
maximum effort to be fully cooperative in the global war against 
international terrorism.
    (b) Commercial Arms Exports.--No license for the export of an item 
on the United States Munitions List to any country or entity may be 
issued if the President determines that such country or entity is not 
making a maximum effort to be fully cooperative in the global war 
against international terrorism.

SEC. 5. REQUIREMENT FOR AN ANNUAL REPORT.

    (a) Requirement for Report.--The President, in consultation with 
the Secretary of State, the Secretary of the Treasury, the 
Administrator of the United States Agency for International 
Development, and the Director of Central Intelligence, shall prepare an 
annual report that--
            (1) lists each country or entity for which the President 
        has determined that there is credible evidence that such 
        country or entity is not being fully cooperative in the global 
        war against international terrorism under section 4; and
            (2) describes for each country or entity listed under 
        paragraph (1)--
                    (A) the specific failures of each country or entity 
                to be fully cooperative in the global war on 
                international terrorism;
                    (B) the reasons why such country or entity is not 
                fully cooperative;
                    (C) the efforts being made by the United States 
                Government to promote greater adherence by such 
                countries or entities with the global war on 
                international terrorism; and
                    (D) any removal of a country or entity from the 
                list in paragraph (1).
    (b) Dissemination.--The report required by this section shall--
            (1) be submitted to Congress every year by December 31; and
            (2) not be classified, except that the report may contain a 
        classified addendum, if necessary.

SEC. 6. PRESIDENTIAL WAIVER.

    United States assistance or exports prohibited by section 4 may be 
provided to a country or entity described in that section if the 
President--
            (1) determines that permitting such assistance or exports 
        is essential to the national security interests of the United 
        States; and
            (2) not later than 15 days before permitting such 
        assistance or exports, furnishes a report describing the United 
        States assistance or exports to be provided to the appropriate 
        committees of Congress.

SEC. 7. DEFINITIONS.

    In this Act:
            (1) Expression of support for terrorism against the united 
        states.--The term ``expression of support for terrorism against 
        the United States'' means actions or expressions that are 
        designed to provoke anti-American action, especially of a 
        violent nature, or to glorify the use of violence against 
        citizens or government officials of the United States.
            (2) Fully cooperative in the global war against 
        international terrorism.--The term ``fully cooperative in the 
        global war against international terrorism'' means a country or 
        entity that is--
                    (A) preventing the financing of terrorism, 
                including preventing--
                            (i) direct financial payments to any 
                        terrorist organization;
                            (ii) any terrorist organization or any 
                        entity supporting a terrorist organization from 
                        receiving financial services such as brokering, 
                        lending, or transferring currency or credit;
                            (iii) any person from soliciting funds or 
                        items of value for a terrorist group; and
                            (iv) any humanitarian or other 
                        nongovernmental organization from providing 
                        financial support to terrorist organizations;
                    (B) sharing intelligence information with the 
                United States, including--
                            (i) releasing information to the United 
                        States related to any terrorist organization;
                            (ii) cooperating in investigations 
                        conducted by the United States; and
                            (iii) providing, to the extent possible, 
                        individuals suspected of or supporting 
                        terrorist organizations to United States 
                        investigators; and
                    (C) acting against terrorist organizations, 
                including--
                            (i) preventing terrorist organizations from 
                        committing or inciting to commit terrorist acts 
                        against the United States or its interests 
                        overseas;
                            (ii) preventing terrorist organizations 
                        from operating safe houses or providing 
                        transportation, communication, false 
                        documentation, identification, weapons 
                        (including chemical, biological, or 
                        radiological weapons), explosives, or training 
                        to terrorists; and
                            (iii) in the cases of a country--
                                    (I) investigating suspected 
                                terrorists within its national 
                                territory;
                                    (II) enforcing international 
                                agreements and United Nations Security 
                                Council Resolutions against terrorism; 
                                and
                                    (III) curbing any domestic 
                                expression of support for terrorism 
                                against the United States and its 
                                allies in state-owned media, state-
                                sanctioned gatherings, state-governed 
                                religious institutions, and state-
                                sanctioned school and textbooks.
            (3) Humanitarian assistance.--The term ``humanitarian 
        assistance'' means any humanitarian goods and services, 
        including foodstuffs, medicines, and health assistance 
        programs.
            (4) Terrorist organization.--The term ``terrorist 
        organization'' means an organization designated as a foreign 
        terrorist organization by the Secretary of State under section 
        219 of the Immigration and Nationality Act (8 U.S.C. 1189).
            (5) United states assistance.--The term ``United States 
        assistance'' means--
                    (A) any assistance under the Foreign Assistance Act 
                of 1961 (including programs under title IV of chapter 
                2, relating to the Overseas Private Investment 
                Corporation);
                    (B) sales, or financing on any terms, under the 
                Arms Export Control Act;
                    (C) the provision of agricultural commodities, 
                other than food, under the Agricultural Trade 
                Development and Assistance Act of 1954; and
                    (D) financing under the Export-Import Bank Act of 
                1945.
            (6) United states munitions list.--The term ``United States 
        Munitions List'' means the defense articles and defense 
        services controlled by the President under section 38 of the 
        Arms Export Control Act (22 U.S.C. 2778).

Output: International Cooperative Antiterrorism Act of 2002 - Prohibits the provision of U.S. assistance (except humanitarian assistance and cooperative nonproliferation and counterproliferation programs), or the issuance of a license for the export of an item on the U.S. Munitions List, to any country or entity that the President has determined is not making a maximum effort to be fully cooperative in the global war against international terrorism. Authorizes the President to waive the requirements of this Act in the national security interests of the United States.


Input: Consider Input: SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Rural Entrepreneur and 
Microenterprise Assistance Act''.

SEC. 2. RURAL ENTREPRENEUR AND MICROENTERPRISE ASSISTANCE PROGRAM.

    Subtitle D of the Consolidated Farm and Rural Development Act is 
amended by inserting after section 364 (7 U.S.C. 2006f) the following:

``SEC. 365. RURAL ENTREPRENEUR AND MICROENTERPRISE ASSISTANCE PROGRAM.

    ``(a) Definitions.--In this section:
            ``(1) Economically disadvantaged microentrepreneur.--The 
        term `economically disadvantaged microentrepreneur' means an 
        owner, majority owner, or developer of a microenterprise that 
        has the ability to compete in the private sector but has been 
        impaired because of diminished capital and credit 
        opportunities, as compared to other microentrepreneurs in the 
        industry.
            ``(2) Indian tribe.--The term `Indian tribe' has the 
        meaning given the term in section 4 of the Indian Self-
        Determination and Education Assistance Act (25 U.S.C. 450b).
            ``(3) Intermediary.--The term `intermediary' means a 
        private, nonprofit entity that provides assistance--
                    ``(A) to a microenterprise development 
                organization; or
                    ``(B) for a microenterprise development program.
            ``(4) Low-income individual.--The term low-income 
        individual means an individual with an income (adjusted for 
        family size) of not more than the greatest of--
                    ``(A) 80 percent of median income of an area;
                    ``(B) 80 percent of the statewide non-metropolitan 
                area median income; or
                    ``(C) 80 percent of the national median income.
            ``(5) Microcredit.--The term `microcredit' means a business 
        loan or loan guarantee of not more than $50,000 that is 
        provided to a rural entrepreneur.
            ``(6) Microenterprise.--The term `microenterprise' means--
                    ``(A) a sole proprietorship; or
                    ``(B) a business entity with not more than 10 full-
                time-equivalent employees.
            ``(7) Microenterprise development organization.--
                    ``(A) In general.--The term `microenterprise 
                development organization' means a private, nonprofit 
                entity that--
                            ``(i) provides training and technical 
                        assistance to rural entrepreneurs; and
                            ``(ii) facilitates access to capital or 
                        another service described in subsection (b) for 
                        rural entrepreneurs.
                    ``(B) Inclusions.--The term `microenterprise 
                development organization' includes an organization 
                described in subparagraph (A) with a demonstrated 
                record of delivering services to economically 
                disadvantaged microentrepreneurs, or an effective plan 
                to develop a program to deliver microenterprise 
                services to rural entrepreneurs effectively, as 
                determined by the Secretary.
            ``(8) Microenterprise development program.--The term 
        `microenterprise development organization' means a program 
        administered by an organization serving a rural area.
            ``(9) Microentrepreneur.--The term `microentrepreneur' 
        means the owner, operator, or developer of a microenterprise.
            ``(10) Program.--The term `program' means the rural 
        entrepreneur and microenterprise program established under 
        subsection (b)(1).
            ``(11) Qualified organization.--The term `qualified 
        organization' means--
                    ``(A) a microenterprise development organization or 
                microenterprise development program that has a 
                demonstrated record of delivering microenterprise 
                services to rural entrepreneurs, or an effective plan 
                to develop a program to deliver microenterprise 
                services to rural entrepreneurs effectively, as 
                determined by the Secretary.
                    ``(B) an intermediary that has a demonstrated 
                record of delivery assistance to microenterprise 
                development organizations or microenterprise 
                development programs;
                    ``(C) a microenterprise development organization or 
                microenterprise development program that serves rural 
                entrepreneurs;
                    ``(D) an Indian tribe, the tribal government of 
                which certifies to the Secretary that no 
                microenterprise development organization or 
                microenterprise development program exists under the 
                jurisdiction of the Indian tribe;
                    ``(E) a group of 2 or more organizations or Indian 
                tribes described in any of subparagraphs (A) through 
                (D) that agree to act jointly as a qualified 
                organization under this section; or
                    ``(F) for purposes of subsection (b), a public 
                college or university.
            ``(12) Rural area.--The term `rural area' means any 
        community that is rural in character and has a population of 
        not more than 25,000 individuals.
            ``(13) Rural capacity building service.--The term `rural 
        capacity building service' means a service provided to an 
        organization that--
                    ``(A) is, or is in the process of becoming, a 
                microenterprise development organization or 
                microenterprise development program; and
                    ``(B) serves rural areas for the purpose of 
                enhancing the ability of the organization to provide 
                training, technical assistance, and other related 
                services to rural entrepreneurs.
            ``(14) Rural entrepreneur.--The term `rural entrepreneur' 
        means a microentrepreneur, or prospective microentrepreneur--
                    ``(A) the principal place of business of which is 
                in a rural area; and
                    ``(B) that is unable to obtain sufficient training, 
                technical assistance, or microcredit elsewhere, as 
                determined by the Secretary.
            ``(15) Secretary.--The term `Secretary' means the Secretary 
        of Agriculture, acting through the Rural Business-Cooperative 
        Service.
            ``(16) Tribal government.--The term `tribal government' 
        means the governing body of an Indian tribe.
    ``(b) Rural Entrepreneurship and Microenterprise Program.--
            ``(1) Establishment.--The Secretary shall establish a rural 
        entrepreneurship and microenterprise program.
            ``(2) Purpose.--The purpose of the program shall be to 
        provide low-income individuals and moderate-income individuals 
        with--
                    ``(A) the skills necessary to establish new small 
                businesses in rural areas; and
                    ``(B) continuing technical and financial assistance 
                as individuals and business starting or operating small 
                businesses.
            ``(3) Grants.--
                    ``(A) In general.--The Secretary may make a grant 
                under the program to a qualified organization--
                            ``(i) to provide training, operational 
                        support, or a rural capacity building service 
                        to a qualified organization to assist the 
                        qualified organization in developing 
                        microenterprise training, technical assistance, 
                        market development assistance, and other 
                        related services, primarily for business with 5 
                        or fewer full-time-equivalent employees;
                            ``(ii) to assist in researching and 
                        developing the best practices in delivering 
                        training, technical assistance, and microcredit 
                        to rural entrepreneurs; and
                            ``(iii) to carry out such other projects 
                        and activities as the Secretary determines to 
                        be consistent with the purposes of this 
                        section.
                    ``(B) Subgrants.--Subject to such regulations as 
                the Secretary may promulgate, a qualified organization 
                that receives a grant under this paragraph may use the 
                grant to provide assistance to other qualified 
                organizations, such as small or emerging qualified 
                organizations.
                    ``(C) Diversity.--In making grants under this 
                paragraph, the Secretary shall ensure, to the maximum 
                extent practicable, that grant recipients include 
                qualified organizations--
                            ``(i) of varying sizes; and
                            ``(ii) that serve racially- and ethnically-
                        diverse populations.
                    ``(D) Cost sharing.--
                            ``(i) Federal share.--The Federal share of 
                        the cost of a project carried out using funds 
                        from a grant made under this paragraph shall be 
                        75 percent.
                            ``(ii) Form of non-federal share.--The non-
                        Federal share of the cost of a project 
                        described in clause (i) may be provided--
                                    ``(I) in cash (including through 
                                fees, grants (including community 
                                development block grants), and gifts); 
                                or
                                    ``(II) in kind.
            ``(4) Rural microloan program.--
                    ``(A) Establishment.--In carrying out the program, 
                the Secretary may carry out a rural microloan program.
                    ``(B) Purpose.--The purpose of the rural microloan 
                program shall be to provide technical and financial 
                assistance to sole proprietorships and small businesses 
                located in rural areas with a particular focus on those 
                businesses with 5 or fewer full-time equivalent 
                employees.
                    ``(C) Authority of secretary.--In carrying out the 
                rural microloan program, the Secretary may--
                            ``(i) make direct loans to qualified 
                        organizations for the purpose of making short-
                        term, fixed interest rate microloans to 
                        startup, newly established, and growing rural 
                        microbusiness concerns; and
                            ``(ii) in conjunction with those loans, 
                        provide grants in accordance with subparagraph 
                        (E) to those qualified organizations for the 
                        purpose of providing intensive marketing, 
                        management, and technical assistance to small 
                        business concerns that are borrowers under this 
                        paragraph.
                    ``(D) Loan duration; interest rates; conditions.--
                            ``(i) Loan duration.--A loan made by the 
                        Secretary under this paragraph shall be for a 
                        term of 20 years.
                            ``(ii) Applicable interest rates.--A loan 
                        made by the Secretary under this paragraph to a 
                        qualified organization shall bear an annual 
                        interest rate of at least 1 percent.
                            ``(iii) Deferral of interest and 
                        principal.--The Secretary may permit the 
                        deferral of payments, for principal and 
                        interest, on a loan made under this paragraph 
                        for a period of not more than 2 years, 
                        beginning on the date on which the loan was 
                        made.
                    ``(E) Grant amounts.--
                            ``(i) In general.--Except as otherwise 
                        provided in this section, each qualified 
                        organization that receives a loan under this 
                        paragraph shall be eligible to receive a grant 
                        to provide marketing, management, and technical 
                        assistance to small business concerns that are 
                        borrowers or potential borrowers under this 
                        subsection.
                            ``(ii) Maximum amount of grant for 
                        microenterprise development organizations.--
                        Each microenterprise development organization 
                        that receives a loan under this paragraph shall 
                        receive an annual grant in an amount equal to 
                        not more than 25 percent of the total 
                        outstanding balance of loans made to the 
                        microenterprise development organization under 
                        this paragraph, as of the date of provision of 
                        the grant.
                            ``(iii) Matching requirement.--
                                    ``(I) In general.--As a condition 
                                of any grant made to a qualified 
                                organization under this subparagraph, 
                                the Secretary shall require the 
                                qualified organization to match not 
                                less than 15 percent of the total 
                                amount of the grant.
                                    ``(II) Sources.--In addition to 
                                cash from non-Federal sources, a 
                                matching share provided by the 
                                qualified organization may include 
                                indirect costs or in-kind contributions 
                                funded under non-Federal programs.
    ``(c) Administrative Expenses.--Not more than 10 percent of 
assistance received by a qualified organization for a fiscal year under 
this section may be used to pay administrative expenses.
    ``(d) Funding.--
            ``(1) In general.--Not later than 30 days after the date of 
        enactment of this Act, and on October 1, 2008, and each October 
        1 thereafter through October 1, 2012, out of any funds in the 
        Treasury not otherwise appropriated, the Secretary of the 
        Treasury shall transfer to the Secretary to carry out this 
        section $50,000,000, to remain available until expended.
            ``(2) Allocation of funds.--Of the amount made available by 
        paragraph (1) for each fiscal year--
                    ``(A) not less than $30,000,000 shall be available 
                for use in carrying out subsection (b)(3); and
                    ``(B) not less than $20,000,000 shall be available 
                for use in carrying out subsection (b)(4), of which not 
                more than $7,000,000 shall be used to support direct 
                loans.
                    ``(C) Receipt and acceptance.--The Secretary shall 
                be entitled to receive, shall accept, and shall use to 
                carry out this section the funds transferred under 
                paragraph (1), without further appropriation.''.

Output: Rural Entrepreneur and Microenterprise Assistance Act - Amends the Consolidated Farm and Rural Development Act to direct the Secretary of Agriculture to establish a rural entrepreneur and microenterprise (sole proprietorship or business entity with not more than 10 full-time employees) program to help low- and moderate- income individuals acquire: (1) necessary skills to establish small rural businesses; and (2) technical and financial assistance.

Authorizes the Secretary to carry out a related rural microloan program to provide technical and financial assistance to sole proprietorships and small rural businesses with a particular focus on businesses with five or fewer full-time employees.


Input: Consider Input: SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Rural Health Care Protection and 
Improvement Act of 1995''.

SEC. 2. IMPROVING HEALTH CARE ACCESS AND REDUCING HEALTH CARE COSTS 
              THROUGH TELEMEDICINE.

    (a) In General.--Title XVII of the Public Health Service Act (42 
U.S.C. 300u et seq.) is amended--
            (1) in the title heading by striking out ``AND HEALTH 
        PROMOTION'' and inserting ``, HEALTH PROMOTION AND TELEMEDICINE 
        DEVELOPMENT'';
            (2) by inserting after the title heading the following:

        ``Part A--Health Information and Health Promotion''; and

            (3) by adding at the end thereof the following new part:

                   ``Part B--Telemedicine Development

``SEC. 1711. GRANT PROGRAM FOR PROMOTING THE DEVELOPMENT OF RURAL 
              TELEMEDICINE NETWORKS.

    ``(a) Establishment.--The Secretary shall establish a program to 
award grants to eligible entities in accordance with this subsection to 
promote the development of rural telemedicine networks.
    ``(b) Grants for Development of Rural Telemedicine.--The Secretary 
of Health and Human Services, acting through the Office of Rural Health 
Policy, shall award grants to eligible entities that have applications 
approved under subsection (d) for the purpose of expanding access to 
health care services for individuals in rural areas through the use of 
telemedicine. Grants shall be awarded under this section to--
            ``(1) encourage the initial development of rural 
        telemedicine networks;
            ``(2) expand existing networks;
            ``(3) link existing networks together; or
            ``(4) link such networks to existing fiber optic 
        telecommunications systems.
    ``(c) Eligible Entity Defined.--For the purposes of this section 
the term `eligible entity' means hospitals and other health care 
providers operating in a health care network of community-based 
providers that includes at least three of the following--
            ``(1) community or migrant health centers;
            ``(2) local health departments;
            ``(3) community mental health centers;
            ``(4) nonprofit hospitals;
            ``(5) private practice health professionals, including 
        rural health clinics; or
            ``(6) other publicly funded health or social services 
        agencies.
    ``(d) Application.--To be eligible to receive a grant under this 
section an eligible entity shall prepare and submit to the Secretary an 
application at such time, in such manner and containing such 
information as the Secretary may require, including a description of--
            ``(1) the need of the entity for the grant;
            ``(2) the use to which the entity would apply any amounts 
        received under such grant;
            ``(3) the source and amount of non-Federal funds that the 
        entity will pledge for the project funded under the grant; and
            ``(4) the long-term viability of the project and evidence 
        of the providers commitment to the network.
    ``(e) Preference in Awarding Grants.--In awarding grants under this 
section, the Secretary shall give preference to applicants that--
            ``(1) are health care providers operating in rural health 
        care networks or that propose to form such networks with the 
        majority of the providers in such networks being located in a 
        medically undeserved area or health professional shortage area;
            ``(2) can demonstrate broad geographic coverage in the 
        rural areas of the State, or States in which the applicant is 
        located; and
            ``(3) propose to use funds received under the grant to 
        develop plans for, or to establish, telemedicine systems that 
        will link rural hospitals and rural health care providers to 
        other hospitals and health care providers;
            ``(4) will use the amounts provided under the grant for a 
        range of health care applications and to promote greater 
        efficiency in the use of health care resources;
            ``(5) demonstrate the long-term viability of projects 
        through use of local matching funds (in cash or in-kind); and
            ``(6) demonstrate financial, institutional, and community 
        support and the long-range viability of the network.
    ``(f) Use of Amounts.--Amounts received under a grant awarded under 
this section shall be utilized for the development of telemedicine 
networks. Such amounts may be used to cover the costs associated with 
the development of telemedicine networks and the acquisition of 
telemedicine equipment and modifications or improvements of 
telecommunications facilities, including--
            ``(1) the development and acquisition through lease or 
        purchase of computer hardware and software, audio and visual 
        equipment, computer network equipment, modification or 
        improvements to telecommunications transmission facilities, 
        telecommunications terminal equipment, interactive video 
        equipment, data terminal equipment, and other facilities and 
        equipment that would further the purposes of this section;
            ``(2) the provision of technical assistance and instruction 
        for the development and use of such programming equipment or 
        facilities;
            ``(3) the development and acquisition of instructional 
        programming;
            ``(4) the development of projects for teaching or training 
        medical students, residents, and other health professions 
        students in rural training sites about the application of 
        telemedicine;
            ``(5) transmission costs, maintenance of equipment, and 
        compensation of specialists and referring practitioners;
            ``(6) the development of projects to use telemedicine to 
        facilitate collaboration between health care providers; and
            ``(7) such other uses that are consistent with achieving 
        the purposes of this section as approved by the Secretary.
    ``(g) Prohibited Use of Amounts.--Amounts received under a grant 
awarded under this section shall not be used for--
            ``(1) expenditures to purchase or lease equipment to the 
        extent the expenditures would exceed more than 60 percent of 
        the total grant funds; or
            ``(2) expenditures for indirect costs (as determined by the 
        Secretary) to the extent the expenditures would exceed more 
        than 10 percent of the total grant funds.
    ``(h) Authorization of Appropriations.--There are authorized to be 
appropriated such sums as may be necessary to carry out this section.
    ``(i) Definition.--For the purposes of this section, the term 
`rural health care network' means a group of rural hospitals or other 
rural health care providers (including clinics, physicians and non-
physicians primary care providers) that have entered into a 
relationship with each other or with nonrural hospitals and health care 
providers for the purpose of strengthening the delivery of health care 
services in rural areas or specifically to improve their patients' 
access to telemedicine services. At least 75 percent of hospitals and 
other health care providers participating in the network shall be 
located in rural areas.
    ``(j) Regulations on Reimbursement of Telemedicine.--Not later than 
July 1, 1996, the Secretary, in consultation with the Office of Rural 
Health and the Health Care Financing Administration, shall issue 
regulations regarding reimbursement for telemedicine services provided 
under title XVIII of the Social Security Act.''.

SEC. 3. ESTABLISHMENT OF RURAL HEALTH OUTREACH GRANT PROGRAM.

    Title III of the Public Health Service Act (42 U.S.C. 241 et seq.) 
is amended by adding at the end thereof the following new part:

                 ``Part O--Rural Health Outreach Grants

``SEC. 399O. RURAL HEALTH OUTREACH GRANT PROGRAM.

    ``(a) In General.--The Secretary may make grants to demonstrate the 
effectiveness of outreach to populations in rural areas that do not 
normally seek or do not have access to health or mental health 
services. Grants shall be awarded to enhance linkages, integration, and 
cooperation in order to provide health or mental health services, to 
enhance services, or increase access to or utilization of health or 
mental health services.
    ``(b) Mission of the Outreach Projects.--Projects funded under 
subsection (a) should be designed to facilitate the integration and 
coordination of services in or among rural communities in order to 
address the needs of populations living in rural or frontier 
communities.
    ``(c) Composition of Program.--
            ``(1) Consortium arrangement.--To be eligible to 
        participate in the grant program established under subsection 
        (a), an applicant entity shall be a consortium of three or more 
        separate and distinct entities formed to carry out an outreach 
        project under subsection (b).
            ``(2) Certain requirements.--A consortium under paragraph 
        (1) shall be composed of three or more public or private 
        nonprofit health care or social service providers. Consortium 
        members may include local health departments, community or 
        migrant health centers, community mental health centers, 
        hospitals or private practices, or other publicly funded health 
        or social service agencies.
    ``(d) Authorization of Appropriations.--For the purpose of carrying 
out this section, there are authorized to be appropriated $30,000,000 
for fiscal year 1996, and such sums as may be necessary for each of the 
fiscal years 1997 through 2000.''.

SEC. 4. EXTENSION OF CERTAIN PAYMENT PROVISIONS FOR MEDICARE DEPENDENT 
              SMALL RURAL HOSPITALS.

    (a) In General.--Section 1886(d)(5)(G)(i) of the Social Security 
Act (42 U.S.C. 1395ww(d)(5)(G)(i)) is amended by striking ``October 1, 
1994'' and inserting ``October 1, 1999''.
    (b) Payment.--Section 1886(b)(3)(D) of such Act (42 U.S.C. 
1395ww(b)(3)(D)) is amended by striking ``September 30, 1994'' and 
inserting ``September 30, 1999''.
    (C) Effective Date.--The amendments made by this section shall take 
effect as if enacted on October 1, 1994.


Output: Rural Health Care Protection and Improvement Act of 1995 - Directs the Secretary of Health and Human Services to award grants to eligible entities to expand access to health care services for individuals in rural areas through the use of telemedicine.  Authorizes appropriations. 
Directs the Secretary to issue regulations regarding reimbursement for telemedicine services provided under title XVIII (Medicare) of the Social Security Act. 
Amends the Public Health Service Act to authorize the Secretary to make grants to demonstrate the effectiveness of outreach to populations in rural areas that do not normally seek or have adequate access to health or mental health services.  Authorizes appropriations. 
Amends Medicare provisions to extend special payments under part A (Hospital Insurance) for the operating costs of inpatient services of small, rural Medicare-dependent hospitals.