TASK DEFINITION: In this task, you are given text for US Congressional and California state bills, your task is to generate a summary for this bill.
PROBLEM: SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Urban Medicare-Dependent Hospitals 
Preservation Act of 2011''.

SEC. 2. CRITERIA AND PAYMENT FOR CERTAIN URBAN MEDICARE-DEPENDENT 
              HOSPITALS.

    (a) In General.--Section 1886(d)(5) of the Social Security Act (42 
U.S.C. 1395ww(d)(5)) is amended by adding at the end the following new 
subparagraph:
                    ``(M)(i) For cost reporting periods beginning on or 
                after October 1, 2011, and before October 1, 2014, in 
                the case of a subsection (d) hospital which is an urban 
                Medicare-dependent hospital, payment under paragraph 
                (1)(A) shall be equal to the sum of the amount 
                determined under clause (ii) and the amount determined 
                under paragraph (1)(A)(iii).
                    ``(ii) The amount determined under this clause is, 
                for discharges occurring during a cost reporting period 
                that begins on or after October 1, 2011, and before 
                October 1, 2014, 50 percent of the amount by which the 
                hospital's target amount for the cost reporting period 
                (as defined in subsection (b)(3)(L)) exceeds the amount 
                determined under paragraph (1)(A)(iii).
                    ``(iii) For purposes of this subparagraph, the term 
                `urban Medicare-dependent hospital' means, with respect 
                to any cost reporting period to which clause (i) 
                applies, any hospital--
                            ``(I) located in an urban area or 
                        reclassified to an urban area for wage index 
                        purposes;
                            ``(II) that does not receive payment--
                                    ``(aa) under subparagraph (C) as a 
                                rural referral center;
                                    ``(bb) under subparagraph (D) as a 
                                sole community hospital;
                                    ``(cc) under subparagraph (B) or 
                                under subsection (h); or
                                    ``(dd) under subparagraph (F);
                            ``(III) that is not a physician-owned 
                        hospital, as defined in section 489.3 of title 
                        42, Code of Federal Regulations (as in effect 
                        as of the date of the enactment of this 
                        subparagraph); and
                            ``(IV) for which not less than 60 percent 
                        of its inpatient days or discharges during the 
                        cost reporting period beginning in fiscal year 
                        2006, or two of the three most recently audited 
                        cost reporting periods for which the Secretary 
                        has a settled cost report, were attributable to 
                        inpatients entitled to benefits under part A 
                        and not enrolled in a Medicare Advantage plan 
                        under part C.''.
    (b) Target Payment Amount.--Section 1886(b)(3) of the Social 
Security Act (42 U.S.C. 1395ww(b)(3)) is amended--
            (1) in subparagraph (B)(iv), by striking ``and (D)'' and 
        inserting ``, (D), and (M)''; and
            (2) by adding at the end the following new subparagraph:
                    ``(M) For cost reporting periods occurring on or 
                after October 1, 2011, and before October 1, 2014, in 
                the case of a hospital that is an urban Medicare-
                dependent hospital (as defined in subsection 
                (d)(5)(M)), the term `target amount' means--
                            ``(i) with respect to the first 12-month 
                        cost reporting period in which this 
                        subparagraph is applied to the hospital, the 
                        allowable operating costs of inpatient hospital 
                        services (as defined in subsection (a)(4)) 
                        recognized under this title for the hospital 
                        for the 12-month cost reporting period 
                        beginning during fiscal year 2002 or 2006 
                        (whichever results in a higher target amount), 
                        increased by the applicable percentage increase 
                        under subparagraph (B)(iv) for each of fiscal 
                        years 2003 through 2011 or 2007 through 2011, 
                        respectively; and
                            ``(ii) with respect to discharges occurring 
                        after the first 12-month cost reporting period 
                        in which this subparagraph is applied to the 
                        hospital, the target amount for the preceding 
                        year increased by the applicable percentage 
                        increase under subparagraph (B)(iv).''.

SOLUTION: Urban Medicare-Dependent Hospitals Preservation Act of 2011 - Amends title XVIII (Medicare) of the Social Security Act, with respect to cost reporting periods beginning on or after October 1, 2011, and before October 1, 2014, to revise the criteria and payment formula for "subsection (d) hospitals" which are urban Medicare-dependent hospitals.

(Generally a subsection (d) hospital is an acute care hospital particularly one that receives payments under Medicare's inpatient prospective payment system when providing covered inpatient services to eligible beneficiaries.)

PROBLEM: SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Secret Service Protective Privilege 
Act of 1999''.

SEC. 2. FINDINGS AND PURPOSES.

    (a) Findings.--Congress makes the following findings:
            (1) The physical safety of the Nation's top elected 
        officials is a public good of transcendent importance.
            (2) By virtue of the critical importance of the Office of 
        the President, the President and those in direct line of the 
        Presidency are subject to unique and mortal jeopardy--jeopardy 
        that in turn threatens profound disruption to our system of 
        representative government and to the security and future of the 
        Nation.
            (3) The physical safety of visiting heads of foreign states 
        and foreign governments is also a matter of paramount 
        importance. The assassination of such a person while on 
        American soil could have calamitous consequences for our 
        foreign relations and national security.
            (4) Given these grave concerns, Congress has provided for 
        the Secret Service to protect the President and those in direct 
        line of the Presidency, and has directed that these officials 
        may not waive such protection. Congress has also provided for 
        the Secret Service to protect visiting heads of foreign states 
        and foreign governments.
            (5) The protective strategy of the Secret Service depends 
        critically on the ability of its personnel to maintain close 
        and unremitting physical proximity to the protectee.
            (6) Secret Service personnel must remain at the side of the 
        protectee on occasions of confidential conversations and, as a 
        result, may overhear top secret discussions, diplomatic 
        exchanges, sensitive conversations, and matters of personal 
        privacy.
            (7) The necessary level of proximity can be maintained only 
        in an atmosphere of complete trust and confidence between the 
        protectee and his or her protectors.
            (8) If a protectee has reason to doubt the confidentiality 
        of actions or conversations taken in sight or hearing of Secret 
        Service personnel, the protectee may seek to push the 
        protective envelope away or undermine it to the point at which 
        it could no longer be fully effective.
            (9) The possibility that Secret Service personnel might be 
        compelled to testify against their protectees could induce 
        foreign nations to refuse Secret Service protection in future 
        state visits, making it impossible for the Secret Service to 
        fulfill its important statutory mission of protecting the life 
        and safety of foreign dignitaries.
            (10) A privilege protecting information acquired by Secret 
        Service personnel while performing their protective function in 
        physical proximity to a protectee will preserve the security of 
        the protectee by lessening the incentive of the protectee to 
        distance Secret Service personnel in situations in which there 
        is some risk to the safety of the protectee.
            (11) Recognition of a protective function privilege for the 
        President and those in direct line of the Presidency, and for 
        visiting heads of foreign states and foreign governments, will 
        promote sufficiently important interests to outweigh the need 
        for probative evidence.
            (12) Because Secret Service personnel retain law 
        enforcement responsibility even while engaged in their 
        protective function, the privilege must be subject to a crime/
        treason exception.
    (b) Purposes.--The purposes of this Act are--
            (1) to facilitate the relationship of trust and confidence 
        between Secret Service personnel and certain protected 
        officials that is essential to the ability of the Secret 
        Service to protect these officials, and the Nation, from the 
        risk of assassination; and
            (2) to ensure that Secret Service personnel are not 
        precluded from testifying in a criminal investigation or 
        prosecution about unlawful activity committed within their view 
        or hearing.

SEC. 3. ESTABLISHMENT OF PROTECTIVE FUNCTION PRIVILEGE.

    (a) Admissibility of Information Acquired by Secret Service 
Personnel While Performing Their Protective Function.--Chapter 203 of 
title 18, United States Code, is amended by inserting after section 
3056 the following:
``Sec. 3056A. Testimony by Secret Service personnel; protective 
              function privilege
    ``(a) Definitions.--In this section:
            ``(1) Protectee.--The term `protectee' means--
                    ``(A) the President;
                    ``(B) the Vice President (or other officer next in 
                the order of succession to the Office of President);
                    ``(C) the President-elect;
                    ``(D) the Vice President-elect; and
                    ``(E) visiting heads of foreign states or foreign 
                governments who, at the time and place concerned, are 
                being provided protection by the United States Secret 
                Service.
            ``(2) Secret service personnel.--The term `Secret Service 
        personnel' means any officer or agent of the United States 
        Secret Service.
    ``(b) General Rule of Privilege.--Subject to subsection (c), 
testimony by Secret Service personnel or former Secret Service 
personnel regarding information affecting a protectee that was acquired 
during the performance of a protective function in physical proximity 
to the protectee shall not be received in evidence or otherwise 
disclosed in any trial, hearing, or other proceeding in or before any 
court, grand jury, department, officer, agency, regulatory body, or 
other authority of the United States, a State, or a political 
subdivision thereof.
    ``(c) Exceptions.--There is no privilege under this section--
            ``(1) with respect to information that, at the time the 
        information was acquired by Secret Service personnel, was 
        sufficient to provide reasonable grounds to believe that a 
        crime had been, was being, or would be committed; or
            ``(2) if the privilege is waived by the protectee or the 
        legal representative of a protectee or deceased protectee.
    ``(d) Concurrent Privileges.--The proximity of Secret Service 
personnel to a protectee engaged in a privileged communication with 
another shall not, by itself, defeat an otherwise valid claim of 
privilege.''.
    (b) Technical and Conforming Amendment.--The analysis for chapter 
203 of title 18, United States Code, is amended by inserting after the 
item relating to section 3056 the following:

``3056A. Testimony by Secret Service personnel; protective function 
                            privilege.''.

SEC. 4. APPLICATION.

    This Act and the amendments made by this Act shall apply to any 
proceeding commenced on or after the date of enactment of this Act.

SOLUTION: Secret Service Protective Privilege Act of 1999 - Amends the Federal criminal code to prohibit testimony by Secret Service personnel or former personnel regarding information affecting a protectee (defined as the President, Vice President, and specified other officials) that was acquired during the performance of a protective function in physical proximity to the protectee from being received in evidence or otherwise disclosed in any proceeding in or before any court, grand jury, department, officer, agency, regulatory body, or other authority of the United States, a State, or a political subdivision thereof. 
Makes exceptions: (1) with respect to information that, at the time it was acquired by Secret Service personnel, was sufficient to provide reasonable grounds to believe that a crime had been, was being, or would be committed; or (2) if the privilege is waived by the protectee or the legal representative of a protectee or deceased protectee. 
Specifies that the proximity of Secret Service personnel to a protectee engaged in a privileged communication with another shall not, by itself, defeat an otherwise valid claim of privilege.

PROBLEM: SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Wounded Warriors Joint Health Care 
Ombudsman Act''.

SEC. 2. ESTABLISHMENT OF A DEPARTMENT OF DEFENSE-WIDE OMBUDSMAN OFFICE.

    (a) Establishment.--The Secretary of Defense shall establish a 
Department of Defense-wide Ombudsman Office (in this Act referred to as 
the ``Ombudsman Office'') and assign the responsibility for overseeing 
the Office to the Assistant Secretary of Defense for Health Affairs.
    (b) Functions.--The functions of the Ombudsman Office are to 
provide assistance to and answer questions from medical holdover 
patients and their families regarding--
            (1) administrative processes, financial matters, and non-
        military related services available to the patients and their 
        families throughout the patient's evaluation, treatment, and 
        recovery;
            (2) transfer to the care of the Veterans Administration; 
        and
            (3) support services available upon the patient's return 
        home.
    (c) Additional Requirements.--
            (1) Accountability standards.--The Ombudsman Office shall--
                    (A) create and maintain case files for individual 
                specific questions received, and initiate inquiries and 
                track responses for all such questions;
                    (B) set standards for timeliness of responses; and
                    (C) set standards for accountability to medical 
                holdover patients and their families, including 
                requirements for daily updates to patients and family 
                members about steps being taken to alleviate problems 
                and concerns until problems are addressed.
            (2) Toll-free phone numbers.--The Ombudsman shall establish 
        and maintain toll-free telephone assistance phone numbers as 
        follows:
                    (A) One number shall be available for medical 
                holdover patients and their families and shall operate 
                8 hours a day and 7 days a week.
                    (B) One number shall be available for medical 
                emergency questions 24 hours a day and 7 days a week.
            (3) Status reports.--The Ombudsman Office shall submit 
        weekly status reports of actions taken to address individual 
        concerns to the Secretary of Defense, the Secretary of each 
        military department, and the inspector general of each military 
        department. The Office shall also report to the commander or 
        director of the office or facility with responsibility for the 
        patients covered by the status report.
    (d) Responses From Other Offices.--The Secretary of Defense shall 
ensure that all other offices within the Department of Defense and the 
military departments respond in a timely manner to resolve questions 
and requests from the Ombudsman Office on behalf of medical holdover 
patients and their families, including offices responsible for medical 
matters (including medical holdover processes), financial and 
accounting matters, legal matters, human resources matters, reserve 
component matters, installation and management matters, and physical 
disability matters.
    (e) Briefings.--The head of the Ombudsman Office shall conduct 
briefings of senior leadership in the military departments on all 
medical holdover trends, issues, and problems in person on a monthly 
basis.
    (f) Congressional Inquiries.--The Ombudsman Office shall be 
responsible for handling, and for setting standards regarding the 
handling of, all inquiries from Congress regarding medical holdover 
patients and other medical questions related to the Armed Forces. The 
Ombudsman Office may report about congressional inquiries to the 
congressional liaison headquarters of each military department.
    (g) Staff of the Office.--
            (1) Head.--The Ombudsman Office should be headed by a 
        general or flag officer.
            (2) Staff.--The Ombudsman Office shall be staffed by 
        personnel from offices of the Surgeon General of each military 
        department and also shall include representatives from each 
        military department with responsibility for a part of patient 
        processing and representatives from reserve components. 
        Personnel in the Ombudsman office should--
                    (A) be highly trained in their office and command 
                processes;
                    (B) be given standardized and updated information 
                on all military retention facility personnel charged 
                with on-location assistance; and
                    (C) in the case of military personnel, be assigned 
                to the Office for a period of at least 3 years, and in 
                the case of civilian personnel, be assigned to the 
                Office permanently if practicable.
            (3) Training and testing.--Ombudsman personnel should be 
        tested and evaluated on a standardized basis. Ombudsman 
        personnel should be also trained to deal with members of the 
        Armed Forces with post-traumatic stress disorder and other 
        brain injuries.
    (h) Medical Holdover Patient.--In this Act, the term ``medical 
holdover patient'' means a member of the Armed Forces, including a 
member of the National Guard or other reserve component, who is 
undergoing medical treatment, recuperation, or therapy, or is otherwise 
in medical hold or holdover status, for an injury, illness, or disease 
incurred or aggravated while on active duty in the Armed Forces.
    (I) Authorization.--There is authorized to be appropriated to carry 
out this Act $2,000,000 for fiscal year 2007, and $1,000,000 for each 
of fiscal years 2008 and 2009.

SOLUTION:
Wounded Warriors Joint Health Care Ombudsman Act - Directs the Secretary of Defense to establish a Department of Defense (DOD)-wide Ombudsman Office and to assign Office oversight responsibility to the Assistant Secretary of Defense for Health Affairs.

Requires the Ombudsman to provide assistance to and answer questions from medical holdover patients and their families regarding: (1) administrative processes, financial matters, and non-military related services available to such patients and families; (2) transfer to the care of the Veterans Administration (VA); and (3) support services available upon the patient's return home. Directs the Ombudsman to establish toll-free telephone numbers for such patients and family members. Makes the Ombudsman responsible for handling congressional inquiries regarding medical holdover patients and other medical questions related to the Armed Forces.

Defines a medical holdover patient as one held over for medical treatment by DOD for an injury, illness, or disease incurred or aggravated while on active duty.