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

    This Act may be cited as the ``Safe Roads for America Act of 
2011''.

SEC. 2. FINDINGS.

    Congress finds the following:
            (1) An individual who is 65 years of age needs 4 times the 
        amount of light to see at night as compared to an individual 
        who is 25 years of age.
            (2) The AAA Foundation for Traffic Safety projects that by 
        2030 1 in every 4 drivers will be 65 years of age or older.
            (3) Increasing the retroreflectivity and size of traffic 
        signs provides added decision time for older drivers.
            (4) Increasing the retroreflectivity and size of traffic 
        signs also provides for faster response time by emergency 
        medical technicians and police and fire personnel by increasing 
        their ability to read and understand signs and reduce travel 
        time to a site.
            (5) More than 50 percent of traffic accidents resulting in 
        fatalities occur at night, and increased retroreflectivity of 
        traffic signs addresses this issue.
            (6) In 2007, the following deadlines were established in 
        the Manual on Uniform Traffic Control Devices in response to a 
        statutory requirement from Congress:
                    (A) By January 22, 2012, roadway owners must adopt 
                a plan to ensure that their signs meet minimum levels 
                of retroreflectivity.
                    (B) By January 22, 2015, regulatory and warning 
                signs and post-mounted signs must meet minimum levels 
                of retroreflectivity.
                    (C) By January 22, 2018, overhead and street name 
                signs must meet minimum levels of retroreflectivity.
            (7) The Federal Highway Administration has estimated that 
        the cost for making these retroreflectivity improvements for 
        signage throughout the United States is $37,000,000 over a 10-
        year period.
            (8) At no point must a roadway owner replace a sign that 
        meets the minimum levels of retroreflectivity.
            (9) The United States is currently experiencing the worst 
        economic conditions since the Great Depression.
            (10) As a result, local governments across the United 
        States are experiencing one of the most economically 
        challenging times in history, with available revenues unable to 
        match the costs of services demanded by the public.
            (11) To compensate for depressed revenue collections during 
        the economic downturn, counties and cities are adopting severe 
        cost-cutting measures, such as laying off and furloughing 
        employees (including public safety personnel), cancelling or 
        postponing planned capital improvements, deferring necessary 
        maintenance, cutting equipment inventories, and in some cases 
        declaring bankruptcy.
            (12) The costs of employee benefits continue to rise and 
        local governments have to devote more resources to keep up with 
        inflation.
            (13) States are passing along the costs of services to 
        local governments as a method to balance their budgets.
            (14) The outlook for recovery appears to be at least 5 
        years away given that, even when the economy recovers, local 
        governments experience a delay in increased tax collections due 
        to the nature of property tax collections.

SEC. 3. RETROREFLECTIVITY LEVEL STANDARDS APPLICABLE TO TRAFFIC SIGNS.

    (a) In General.--The Secretary of Transportation shall modify the 
target compliance dates for minimum retroreflectivity level standards 
set forth in section 2A.08 of the Manual on Uniform Traffic Control 
Devices for Streets and Highways, 2009 Edition (incorporated by 
reference in subpart F of part 655 of title 23, Code of Federal 
Regulations) so that the following target compliance dates apply:
            (1) A target compliance date of January 22, 2012, for 
        implementation and continued use of an assessment or management 
        method that is designed to maintain traffic sign 
        retroreflectivity at or above the established minimum levels.
            (2) A target compliance date of January 22, 2018, for 
        replacement of regulatory, warning, and post-mounted guide 
        (except street name) signs that are identified using the 
        assessment or management method as failing to meet the 
        established minimum levels.
            (3) A target compliance date of January 22, 2021, for 
        replacement of street name signs and overhead guide signs that 
        are identified using the assessment or management method as 
        failing to meet the established minimum levels.
    (b) Effect on Proposed Regulations.--The Secretary shall revise the 
notice of proposed amendments published in the Federal Register on 
August 31, 2011 (76 Fed. Reg. 54156), to incorporate the target 
compliance dates specified in subsection (a).
    (c) Funding.--The Secretary may use funds available to the 
Secretary to carry out this section notwithstanding any funding 
limitation enacted before the date of enactment of this Act.

SEC. 4. HIGHWAY SAFETY IMPROVEMENT PROGRAM.

    (a) Highway Signs and Pavement Markings.--Section 148(a)(3)(B)(xi) 
of title 23, United States Code, is amended to read as follows:
                            ``(xi) Installation, replacement, and 
                        upgrade of highway signs and pavement markings, 
                        including any upgrade of materials and the 
                        implementation of any assessment or management 
                        method designed to meet a State-established 
                        performance standard, Federal regulation, or 
                        requirement contained in the Manual on Uniform 
                        Traffic Control Devices relating to minimum 
                        levels of retroreflectivity.''.
    (b) Maintaining Minimum Levels of Retroreflectivity.--
            (1) Definition.--Section 148(a) of such title is amended by 
        adding at the end the following:
            ``(7) Project to maintain minimum levels of 
        retroreflectivity.--The term `project to maintain minimum 
        levels of retroreflectivity' means a project undertaken 
        pursuant to the Manual on Uniform Traffic Control Devices 
        requiring public agencies to use an assessment or management 
        method that is designed to maintain highway sign or pavement 
        marking retroreflectivity at or above prescribed minimum 
        levels.''.
            (2) Eligible projects.--Section 148(d)(1) of such title is 
        amended--
                    (A) by striking ``or'' at the end of subparagraph 
                (A);
                    (B) by redesignating subparagraph (B) as 
                subparagraph (C); and
                    (C) by inserting after subparagraph (A) the 
                following:
                    ``(B) any project to maintain minimum levels of 
                retroreflectivity on a public road, whether or not such 
                project is included in the State strategic highway 
                safety plan; or''.
            (3) Increased federal share.--The first sentence of section 
        120(c)(1) of such title is amended by inserting ``maintaining 
        minimum levels of retroreflectivity of highway signs or 
        pavement markings,'' after ``signalization,''.
    (c) Standards for Projects To Upgrade Highway Signs and Pavement 
Markings.--Section 148 of such title is amended by adding at the end 
the following:
    ``(i) Standards for Projects To Upgrade Highway Signs and Pavement 
Markings.--The Secretary shall issue standards for the use of funds 
apportioned to a State under section 104(b)(5) for highway safety 
improvement projects to upgrade highway signs and pavement markings in 
order to meet or exceed minimum maintained levels of retroreflectivity. 
Such standards shall ensure that the projects are carried out so as to 
meet defined criteria, consistent with other safety upgrades, using a 
systematic approach. Such standards shall permit the use of the funds 
for an initial upgrade of highway signs and pavement markings in the 
State, but shall prohibit the funds from being used for maintenance 
activities.''.
answer:
Safe Roads for America Act of 2011 - Requires the Secretary of Transportation to modify the target compliance dates for the following minimum retroreflectivity level standards: (1) implementation and continued use of an assessment or management method that is designed to maintain traffic sign retroreflectivity at or above the established minimum levels; (2) replacement of regulatory, warning, and post-mounted guide (except street name) signs identified using the assessment or management method as failing to meet the established minimum levels; and (3) replacement of street name signs and overhead guide signs that are identified using the assessment or management method as failing to meet the established minimum levels.

 Requires the Secretary to revise the notice of proposed amendments published in the Federal Register on August 31, 2011, to incorporate the new target compliance dates.

Includes measures designed to meet a state-established performance standard, federal regulation, or requirement contained in the Manual on Uniform Traffic Control Devices relating to minimum levels of retroreflectivity as projects for purposes of the highway safety improvement program.

Allows a maximum 100% federal share of the costs of construction related to maintaining minimum levels of retroreflectivity of highway signs or pavement markings.

Directs the Secretary to issue standards for the use of funds apportioned to a state for highway safety improvement projects to upgrade highway signs and pavement markings in order to meet or exceed minimum maintained levels of retroreflectivity. Requires such standards to prohibit fund use for maintenance activities.


question:
SECTION 1. DENIAL OF CASH BENEFITS TO DRUG ADDICTS AND ALCOHOLICS.

    (a) Amendments Relating to Title II Disability Benefits.--
            (1) In general.--Section 225(c) of the Social Security Act 
        (42 U.S.C. 425(c)) is amended--
                    (A) by striking ``(c)(1)(A)'' and inserting 
                ``(2)(A)'';
                    (B) by striking paragraph (7) and by redesignating 
                paragraphs (2) through (6) as paragraphs (3) through 
                (7), respectively; and
                    (C) by inserting before paragraph (2) as 
                redesignated by subparagraph (A) the following new 
                paragraph:
    ``(c)(1) No cash benefits shall be payable under this title to any 
individual who is otherwise entitled to benefits under this title based 
on disability, if such individual's alcoholism or drug addiction is a 
contributing factor material to the Commissioner's determination that 
such individual is disabled.''.
            (2) Treatment Requirements.--
                    (A) Section 225(c)(2)(A) of such Act (42 U.S.C. 
                425(c)(2)(A)), as redesignated by paragraph (1), is 
                amended to read as follows:
    ``(2)(A)(i) Any individual who would be entitled to cash benefits 
under this title but for the application of paragraph (1) may elect to 
comply with the provisions of this subsection.
            ``(ii) Any individual who is entitled to cash benefits 
        under this title by reason of disability (or whose entitlement 
        to such benefits is suspended), and who was entitled to such 
        benefits by reason of disability, for which such individual's 
        alcoholism or drug addiction was a contributing factor material 
        to the Commissioner's determination that such individual was 
        disabled, for the month preceding the month in which this 
        paragraph takes effect, shall be required to comply with the 
        provisions of this subsection.
                    (B) Section 225(c)(2)(B) of such Act (42 U.S.C. 
                425(c)(2)(B)), as so redesignated, is amended--
                            (i) by striking ``who is required under 
                        subparagraph (A)'' and inserting ``described in 
                        clause (ii) of subparagraph (A) who is 
                        required''; and
                            (ii) by striking ``paragraph (3)'' and 
                        inserting ``paragraph (4)''.
                    (C) Section 225(c)(3)(A) of such Act (42 U.S.C. 
                425(c)(3)(A)), as so redesignated, is amended--
                            (i) by striking ``paragraph (1)'' and 
                        inserting ``paragraph (2)(A)''; and
                            (ii) by striking ``paragraph (5)'' and 
                        inserting ``paragraph (6)''.
                    (D) Section 225(c)(3)(B) of such Act (42 U.S.C. 
                425(c)(3)(B)), as so redesignated, is amended by 
                striking ``paragraph (1)'' and inserting ``paragraph 
                (2)(A)''.
                    (E) Section 225(c)(5) of such Act (42 U.S.C. 
                425(c)(5)), as so redesignated, is amended by striking 
                ``paragraph (2)'' and inserting ``paragraph (3)''.
                    (F) Section 225(c)(6)(A) of such Act (42 U.S.C. 
                425(c)(6)(A), as so redesignated, is amended--
                            (i) by striking ``who are receiving 
                        benefits under this title and who as a 
                        condition of payment of such benefits'' and 
                        inserting ``described in paragraph (2)(A)(i) 
                        who elect to undergo treatment; and the 
                        monitoring and testing of all individuals 
                        described in paragraph (2)(A)(ii) who'';
                            (ii) by striking ``under paragraph (1)''; 
                        and
                            (iii) by striking ``paragraph (2)(A)'' and 
                        inserting ``paragraph (3)(A)''.
                    (G) Section 225(c)(6)(C)(ii)(I) of such Act (42 
                U.S.C. 425(c)(6)(C)(ii)(I)), as so redesignated, is 
                amended--
                            (i) by striking ``residing in the State'' 
                        and all that follows through ``they are 
                        disabled'' and inserting ``described in 
                        paragraph (2)(A) residing in the State''; and
                            (ii) by striking ``paragraph (2)(A)'' and 
                        inserting ``paragraph (3)(A)''.
                    (H) Section 225(c)(6)(C)(ii)(III) of such Act (42 
                U.S.C. 425(c)(6)(C)(ii)(III)), as so redesignated, is 
                amended by striking ``paragraph (2)(A)'' and inserting 
                ``paragraph (3)(A)''.
                    (I) Section 225(c)(6)(C) of such Act (42 U.S.C. 
                425(c)(6)(C)), as so redesignated, is amended by adding 
                at the end the following:
    ``(iii) The monitoring requirements of clause (ii) shall not apply 
in the case of any individual described in paragraph (2)(A)(i) who 
fails to comply with the requirements of paragraph (2).''.
                    (J) Section 225(c)(7) of such Act (42 U.S.C. 
                425(c)(7)), as so redesignated, is amended--
                            (i) in subparagraph (A), by striking ``who 
                        is entitled'' and all that follows through ``is 
                        under a disability'' and inserting ``described 
                        in paragraph (2)(A)''; and
                            (ii) in subparagraph (D), by striking ``(4) 
                        or (7)'' and inserting ``(5)''.
                    (K) Section 225(c)(8) of such Act (42 U.S.C. 
                425(c)(8)) is amended by striking ``(1), (4) or (7)'' 
                and inserting ``(2) or (5)''.
                    (L) Section 225(c) of such Act (42 U.S.C. 425(c)) 
                is amended by adding at the end the following new 
                paragraphs:
    ``(10) The Commissioner shall provide appropriate notification to 
each individual subject to the limitation on cash benefits contained in 
paragraph (1) and the treatment provisions contained in paragraph (2).
    ``(11) The requirements of paragraph (2) shall cease to apply to 
any individual if the Commissioner determines that such individual no 
longer needs treatment.''.
            (3) Representative payee requirements.--
                    (A) Section 205(j)(1)(B) of such Act (42 U.S.C. 
                405(j)(1)(B)) is amended to read as follows:
    ``(B) In the case of an individual entitled to benefits based on 
disability, the payment of such benefits shall be made to a 
representative payee if the Commissioner of Social Security determines 
that such payment would serve the interest of the individual because 
the individual also has an alcoholism or drug addiction condition (as 
determined by the Commissioner) and the individual is incapable of 
managing such benefits.''.
                    (B) Section 205(j)(2)(C)(v) of such Act (42 U.S.C. 
                405(j)(2)(C)(v)) is amended by striking ``entitled to 
                benefits'' and all that follows through ``under a 
                disability'' and inserting ``described in paragraph 
                (1)(B)''.
                    (C) Section 205(j)(2)(D)(ii)(II) of such Act (42 
                U.S.C. 405(j)(2)(D)(ii)(II)) is amended by striking all 
                that follows ``15 years, or'' and inserting ``described 
                in paragraph (1)(B).''.
                    (D) Section 205(j)(4)(A)(i)(II) of such Act (42 
                U.S.C. 405(j)(4)(A)(ii)(II)) is amended by striking 
                ``entitled to benefits'' and all that follows through 
                ``under a disability'' and inserting ``described in 
                paragraph (1)(B)''.
    (b) Amendments Relating to SSI Benefits.--
            (1) In general.--Section 1611(e)(3) of the Social Security 
        Act (42 U.S.C. 1382(e)(3)) is amended--
                    (A) by striking ``(B)'' and inserting ``(C)'';
                    (B) by striking ``(3)(A)'' and inserting ``(B)''; 
                and
                    (C) by inserting before subparagraph (B) as 
                redesignated by paragraph (2) the following new 
                subparagraph:
    ``(3)(A) No cash benefits shall be payable under this title to any 
individual who is otherwise eligible for benefits under this title by 
reason of disability, if such individual's alcoholism or drug addiction 
is a contributing factor material to the Commissioner's determination 
that such individual is disabled.''.
            (2) Treatment requirements.--
                    (A) Section 1611(e)(3)(B)(i)(I) of such Act (42 
                U.S.C. 1382(e)(3)(B)(i)(I)), as redesignated by 
                paragraph (1), is amended to read as follows:
    ``(B)(i)(I)(aa) Any individual who would be eligible for cash 
benefits under this title but for the application of subparagraph (A) 
may elect to comply with the provisions of this subparagraph.
            ``(bb) Any individual who is eligible for cash benefits 
        under this title by reason of disability (or whose eligibility 
        for such benefits is suspended) or is eligible for benefits 
        pursuant to section 1619(b), and who was eligible for such 
        benefits by reason of disability, for which such individual's 
        alcoholism or drug addiction was a contributing factor material 
        to the Commissioner's determination that such individual was 
        disabled, for the month preceding the month in which this 
        subparagraph takes effect, shall be required to comply with the 
        provisions of this subparagraph.''.
                    (B) Section 1611(e)(3)(B)(i)(II) of such Act (42 
                U.S.C. 1382(e)(3)(B)(i)(II)), as so redesignated, is 
                amended by striking ``who is required under subclause 
                (I)'' and inserting ``described in division (bb) of 
                subclause (I) who is required''.
                    (C) Subclauses (I) and (II) of section 
                1611(e)(3)(B)(ii) of such Act (42 U.S.C. 
                1382(e)(3)(B)(ii)), as so redesignated, are each 
                amended by striking ``clause (i)'' and inserting 
                ``clause (i)(I)''.
                    (D) Section 1611(e)(3)(B) of such Act (42 U.S.C. 
                1382(e)(3)(B)), as so redesignated, is amended by 
                striking clause (v) and by redesignating clause (vi) as 
                clause (v).
                    (E) Section 1611(e)(3)(B)(v) of such Act (42 U.S.C. 
                1382(e)(3)(B)(v)), as redesignated by subparagraph (D), 
                is amended--
                            (i) in subclause (I), by striking ``who is 
                        eligible'' and all that follows through ``is 
                        disabled'' and inserting ``described in clause 
                        (i)(I)''; and
                            (ii) in subclause (V), by striking ``or 
                        (v)''.
                    (F) Section 1611(e)(3)(C)(i) of such Act (42 U.S.C. 
                1382(e)(3)(C)(i)), as redesignated by paragraph (1), is 
                amended by striking ``who are receiving benefits under 
                this title and who as a condition of such benefits'' 
                and inserting ``described in subparagraph (B)(i)(I)(aa) 
                who elect to undergo treatment; and the monitoring and 
                testing of all individuals described in subparagraph 
                (B)(i)(I)(bb) who''.
                    (G) Section 1611(e)(3)(C)(iii)(II)(aa) of such Act 
                (42 U.S.C. 1382(e)(3)(C)(iii)(II)(aa)), as so 
                redesignated, is amended by striking ``residing in the 
                State'' and all that follows through ``they are 
                disabled'' and inserting ``described in subparagraph 
                (B)(i)(I) residing in the State''.
                    (H) Section 1611(e)(3)(C)(iii) of such Act (42 
                U.S.C. 1382(e)(3)(C)(iii)), as so redesignated, is 
                amended by adding at the end the following:
    ``(III) The monitoring requirements of subclause (II) shall not 
apply in the case of any individual described in subparagraph 
(B)(i)(I)(aa) who fails to comply with the requirements of subparagraph 
(B).''.
                    (I) Section 1611(e)(3) of such Act (42 U.S.C. 
                1382(e)(3)), as amended by paragraph (1), is amended by 
                adding at the end the following new subparagraphs:
    ``(D) The Commissioner shall provide appropriate notification to 
each individual subject to the limitation on cash benefits contained in 
subparagraph (A) and the treatment provisions contained in subparagraph 
(B).
    ``(E) The requirements of subparagraph (B) shall cease to apply to 
any individual if the Commissioner determines that such individual no 
longer needs treatment.''.
            (3) Representative payee requirements.--
                    (A) Section 1631(a)(2)(A)(ii)(II) of such Act (42 
                U.S.C. 1383(a)(2)(A)(ii)(II)) is amended to read as 
                follows:
    ``(II) In the case of an individual eligible for benefits under 
this title by reason of disability, the payment of such benefits shall 
be made to a representative payee if the Commissioner of Social 
Security determines that such payment would serve the interest of the 
individual because the individual also has an alcoholism or drug 
addiction condition (as determined by the Commissioner) and the 
individual is incapable of managing such benefits.''.
                    (B) Section 1631(a)(2)(B)(vii) of such Act (42 
                U.S.C. 1383(a)(2)(B)(vii)) is amended by striking 
                ``eligible for benefits'' and all that follows through 
                ``is disabled'' and inserting ``described in 
                subparagraph (A)(ii)(II)''.
                    (C) Section 1631(a)(2)(B)(ix)(II) of such Act (42 
                U.S.C. 1383(a)(2)(B)(ix)(II)) is amended by striking 
                all that follows ``15 years, or'' and inserting 
                ``described in subparagraph (A)(ii)(II).''.
                    (D) Section 1631(a)(2)(D)(i)(II) of such Act (42 
                U.S.C. 1383(a)(2)(D)(i)(II)) is amended by striking 
                ``eligible for benefits'' and all that follows through 
                ``is disabled'' and inserting ``described in 
                subparagraph (A)(ii)(II)''.
            (4) Preservation of medicaid eligibility.--Section 1634(e) 
        of such Act (42 U.S.C. 1382(e)) is amended--
                    (A) by striking ``clause (i) or (v) of section 
                1611(e)(3)(A)'' and inserting ``subparagraph (A) or 
                subparagraph (B)(i)(II) of section 1611(e)(3)''; and
                    (B) by adding at the end the following: ``This 
                subsection shall cease to apply to any such person if 
                the Commissioner determines that such person no longer 
                needs treatment.''.
            (5) Conforming amendment.--Section 201(c) of the Social 
        Security Independence and Program Improvements Act of 1994 (42 
        U.S.C. 425 note) is repealed.
    (c) Effective Dates.--
            (1) In general.--Except as provided in paragraph (2), the 
        amendments made by this section shall apply to applicants for 
        benefits under title II or title XVI of the Social Security Act 
        for months beginning on or after the date of the enactment of 
        this Act, without regard to whether regulations have been 
        issued to implement such amendments.
            (2) Application to current recipients.--Notwithstanding any 
        other provision of law, in the case of an individual who is 
        receiving benefits under title II of the Social Security Act or 
        supplemental security income benefits under title XVI of such 
        Act as of the date of the enactment of this Act and whose 
        entitlement or eligibility for such benefits would terminate by 
        reason of the amendments made by this section, such amendments 
        shall apply with respect to the benefits of such individual for 
        months beginning on or after January 1, 1997, and the 
        Commissioner of Social Security shall so notify the individual 
        not later than 90 days after the date of the enactment of this 
        Act.
            (3) Benefits under title xvi.--For purposes of this 
        subsection, the term ``benefits under title XVI of the Social 
        Security Act'' includes supplementary payments pursuant to an 
        agreement for Federal administration under section 1616(a) of 
        the Social Security Act, and payments pursuant to an agreement 
        entered into under section 212(b) of Public Law 93-66.
answer:
Denies monthly cash disability benefits under titles II (Old Age, Survivors and Disability Insurance) (OASDI) and XVI (Supplemental Security Income) (SSI), respectively, of the Social Security Act for drug addicts and alcoholics whose substance abuse is a contributing factor material to their disability.  Allows such individuals, instead, to elect to undergo treatment for their substance abuse. (Currently, such recipients are required to undergo treatment only at approved facilities or institutions.) 
Revises OASDI and SSI program representative payee requirements to require the payment of program benefits through a representative payee if it is in the interest of an otherwise disabled individual with an alcohol or drug addiction condition who is incapable of managing such benefits. 
Preserves the Medicaid eligibility of SSI recipients denied cash disability benefits because of the connection between their drug addiction or alcoholism and their disability.


question:
SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Build, Update, Improve, Lift, and 
Design Health Centers Act of 2007'' or the ``BUILD Act''.

SEC. 2. FINDINGS.

    Congress makes the following findings:
            (1) Many health care experts believe that lack of access to 
        basic health services is our Nation's single most pressing 
        health care problem. There are 56,000,000 Americans that do not 
        have access to a primary care provider, whether they have 
        health insurance or not. In addition, more than 45,000,000 
        Americans lack health insurance and have difficulty accessing 
        care due to the inability to pay for such care.
            (2) Health centers, including community health centers, 
        migrant health centers, health centers for the homeless, and 
        public housing health centers, address the health care access 
        problem by providing primary care services in thousands of 
        rural and urban medically-underserved communities throughout 
        the United States.
            (3) Health centers provide basic health care services to 
        16,000,000 Americans each year, including nearly 9,500,000 
        minorities, 850,000 farmworkers, and 750,000 homeless 
        individuals. One in five children from low-income families 
        receives care through health centers.
            (4) Studies show that health centers provide high-quality 
        and cost-effective health care. The average yearly cost for a 
        health center patient is approximately $1.25 per day.
            (5) One of the most effective ways to address America's 
        health care access problem is by dramatically expanding access 
        to health centers, as both the Senate and the President have 
        proposed.
            (6) Many existing health centers operate in facilities that 
        desperately need renovation or modernization. Thirty percent of 
        health centers are located in buildings that are more than 30 
        years old, with 12 percent of such centers operating out of 
        facilities that are more than 50 years old. In a survey of 
        health centers in 11 States, 2/3 of those centers identified a 
        need to improve, expand, or replace their current facility. An 
        extrapolation based on this survey indicates there may be as 
        much as $2,200,000,000 in unmet capital needs in our Nation's 
        health centers.
            (7) Dramatically increasing access to health centers 
        requires building new facilities in communities that have 
        access problems and lack a health center.
            (8) Health centers often do not have the means to pay for 
        capital improvements or new facilities. While most health 
        centers raise some funds through private donations, it is 
        difficult to raise sufficient amounts for capital needs without 
        a middle-upper-class donor base similar to other nonprofit 
        organizations like universities and hospitals.
            (9) Health centers have a limited ability to support loan 
        payments. Due to an increasing number of uninsured patients and 
        the fact that many health care reimbursements are less than the 
        cost of care, health centers rarely have more than minimal 
        positive operating margins. Yet lenders are rarely willing to 
        take risks on nonprofit organizations without these positive 
        margins.
            (10) While the Federal Government currently provides grants 
        to health centers to assist with operational expenses used to 
        provide care to a medically underserved population, there is no 
        authority to provide grants to assist health centers to meet 
        capital needs, such as construction of new facilities or 
        modernization, expansion, or replacement of existing buildings.
            (11) To assist health centers with their mission of 
        providing health care to the medically underserved, the Federal 
        Government should supplement local efforts to meet the capital 
        needs of health centers.

SEC. 3. AMENDMENTS TO THE PUBLIC HEALTH SERVICE ACT.

    (a) Health Care Facility Grants and Loan Guarantees.--Subpart I of 
part D of title III of the Public Health Service Act (42 U.S.C. 254b et 
seq.) is amended by adding at the end the following:

``SEC. 330R. HEALTH CARE FACILITY GRANTS AND LOAN GUARANTEES.

    ``(a) Eligible Health Center Defined.--In this section, the term 
`eligible health center' means a health center that receives--
            ``(1) a grant, on or after the date of enactment of this 
        section, under subsection (c)(1)(A), (e)(1)(A), (e)(1)(B), (f), 
        (g), (h), or (i) of section 330; or
            ``(2) a subgrant, on or after the date of enactment of this 
        section, from a grant awarded under such provision of law.
    ``(b) Grant Program Authorized.--
            ``(1) In general.--The Secretary may award grants to 
        eligible health centers to pay for the costs described in 
        paragraph (2).
            ``(2) Use of funds.--An eligible health center that 
        receives a grant under paragraph (1) may use the grant funds 
        to--
                    ``(A) modernize, expand, and replace existing 
                facilities at such center; and
                    ``(B) construct new facilities at such center.
            ``(3) Limitation.--
                    ``(A) In general.--Subject to subparagraph (B), the 
                Federal share of a grant awarded under paragraph (1) to 
                expand an existing, or construct a new, facility shall 
                not exceed 90 percent of the total cost of the project 
                (including interest payments) proposed by the eligible 
                health center.
                    ``(B) Exception.--The Federal share maximum under 
                subparagraph (A) shall not apply if--
                            ``(i) the total cost of the project 
                        proposed by the eligible health center is less 
                        than $750,000; or
                            ``(ii) the Secretary waives such maximum 
                        upon a showing of good cause.
    ``(c) Facility Loan Guarantees.--
            ``(1) In general.--
                    ``(A) In general.--The Secretary shall establish a 
                program under which the Secretary may guarantee not 
                less than 90 percent of the principal and interest on 
                the total amount of loans made to an eligible health 
                center by non-Federal lenders in order to pay for the 
                costs associated with a capital needs project described 
                in subparagraph (B).
                    ``(B) Projects.--Capital needs projects under this 
                subsection include--
                            ``(i)(I) acquiring, leasing, modernizing, 
                        expanding, or replacing existing facilities;
                            ``(II) constructing new facilities; or
                            ``(III) purchasing or leasing equipment; or
                            ``(ii) the costs of refinancing loans made 
                        for any of the projects described in clause 
                        (i).
                    ``(C) Not a federal subsidy.--Any loan guarantee 
                issued pursuant to this subsection shall not be deemed 
                a Federal subsidy for any other purpose.
            ``(2) Authority for loan guarantee program.--With respect 
        to the program established under paragraph (1), the Secretary 
        shall assume such authority--
                    ``(A) as the Secretary has under paragraphs (2) and 
                (4) of section 330; and
                    ``(B) under section 1620 as the Secretary 
                determines is necessary and appropriate.
            ``(3) Health center project applications.--The Secretary 
        shall require that all applicants for grants and loans under 
        this section--
                    ``(A) comply with the conditions set forth in 
                section 1621, as in effect on the date of enactment of 
                this section, with respect to activities authorized for 
                assistance under subsections (b)(2) and (c)(1)(B) in 
                the same manner that applicants for loans, loan 
                guarantees, or grants for medical facilities projects 
                under such section are required to comply with such 
                conditions, unless such conditions are, by their terms, 
                otherwise inapplicable; and
                    ``(B)(i) give priority to contractors that employ 
                substantial numbers of workers who reside in the area 
                to be served by the health center; and
                    ``(ii) include in the construction contract 
                involved a requirement that the contractor will give 
                priority in hiring new employees to residents of such 
                area.
            ``(4) Definitions.--In this subsection:
                    ``(A) Facilities.--The term `facilities' means a 
                building or buildings used by a health center, in whole 
                or in part, to provide services permitted under section 
                330 and for such other purposes as are not specifically 
                prohibited under such section as long as such use 
                furthers the objectives of the health center.
                    ``(B) Non-federal lender.--The term `non-Federal 
                lender' means any entity other than an agency or 
                instrumentality of the Federal Government authorized by 
                law to make loans, including a federally-insured bank, 
                a lending institution authorized or licensed to make 
                loans by the State in which it is located, a community 
                development finance institution or community 
                development entity (as designated by the Secretary of 
                the Treasury), any such lender as the Secretary may 
                designate, and a State or municipal bonding authority 
                or such authority's designee.
    ``(d) Evaluation.--Not later than 3 years after the date of 
enactment of this section, the Secretary shall prepare a report 
containing an evaluation of the programs authorized under this section. 
Such report shall include recommendations on how this section can be 
improved to better help health centers meet such centers' capital needs 
in order to expand access to health care in the United States.
    ``(e) Authorization.--For the purpose of carrying out this section, 
the Secretary shall use not more than 5 percent of any funds 
appropriated pursuant to section 330(s) (relating to authorization of 
appropriations). In addition, funds appropriated for fiscal years 1997 
and 1998 under the Departments of Labor, Health and Human Services, and 
Education, and Related Agencies Appropriations Acts of 1997 and 1998, 
which were made available for loan guarantees for loans made by non-
Federal lenders for construction, renovation, and modernization of 
medical facilities that are owned and operated by health centers and 
which have not been expended, shall be made available for loan 
guarantees under this section.''.
    (b) Authorization of Appropriations.--Section 330(r)(1) of the 
Public Health Service Act (42 U.S.C. 254b(r)(1)) (relating to 
authorization of appropriations) is amended by striking ``this 
section'' and inserting ``this section and section 330R''.
answer:

Build, Update, Improve, Lift, and Design Health Centers Act of 2007 or the BUILD Act  Amends the Public Health Service Act to require the Secretary of Health and Human Services to award grants to health centers to: (1) modernize, expand, and replace existing facilities; and (2) construct new facilities at such centers.

Requires the Secretary to establish a loan guarantee program for loans to health centers for capital need projects, including: (1) acquiring, leasing, modernizing, expanding, or replacing existing facilities; (2) constructing new facilities; (3) purchasing or leasing equipment; and (4) the costs of refinancing loans made for any such projects.