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

Example Input: SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Rural Emergency Acute Care Hospital 
Act''.

SEC. 2. FINDINGS.

    Congress finds the following:
            (1) According to the University of North Carolina's Center 
        for Health Services Research, 55 rural hospitals have closed in 
        the Unites States since January 2010.
            (2) In 2014, iVantage conducted a study for the National 
        Rural Health Association and found 283 hospitals at risk of 
        closure based upon performance indicators that matched those 
        facilities already forced to close in this decade.
            (3) Researchers at the University of North Carolina 
        identified inpatient volume as a substantial contributing 
        factor to the financial performance of rural hospitals, with 
        many of the at-risk hospitals having an average daily bed 
        census of less than 2.
            (4) Adverse impacts to the local economy and the loss of 
        timely access to emergency medical care are 2 major effects of 
        rural hospital closures.
            (5) According to the National Center for Rural Health 
        Works, the typical rural hospital creates over 140 jobs and 
        generates $6,800,000 in compensation while serving an average 
        population of 14,600.
            (6) The 2014 iVantage study estimates that the 283 at-risk 
        hospitals could result in the loss of 36,000 health care jobs, 
        50,000 community jobs, and $10,600,000,000 in gross domestic 
        product.
            (7) Time is the most critical factor for achieving 
        successful outcomes in emergency medicine, and emergency 
        medical clinicians refer to the time-sensitive period during 
        which successful outcomes may be best achieved as the ``golden 
        hour''.
            (8) The National Conference of State Legislatures states 
        that 60 percent of trauma deaths in the United States occur in 
        rural areas, where only 15 percent of the population is 
        represented.
            (9) The disproportionate percentage of trauma deaths in 
        rural areas is likely attributable in large part to a 
        combination of response time to the scene and distance to the 
        nearest emergency room to stabilize trauma victims.
            (10) The percentage of trauma deaths occurring in rural 
        areas could continue to increase as more rural hospitals close, 
        further limiting access to emergency services and requiring 
        patients to travel longer distances to receive emergency 
        medical care.
            (11) The creation of a rural emergency hospital designation 
        under the Medicare program will allow facilities in rural areas 
        to provide emergency medical services without having to 
        maintain inpatient beds.
            (12) In addition to providing emergency care, rural 
        emergency hospitals could convert the space previously used for 
        inpatient services to provide other medical services including, 
        but not limited to, observation care, skilled nursing facility 
        care, infusion services, hemodialysis, home health, hospice, 
        nursing home care, population health, and telemedicine 
        services.

SEC. 3. RURAL EMERGENCY HOSPITAL PROGRAM.

    (a) In General.--
            (1) Rural emergency hospital and services defined.--Section 
        1861 of the Social Security Act (42 U.S.C. 1395x) is amended--
                    (A) in subsection (e), in the last sentence of the 
                matter following paragraph (9), by inserting ``or a 
                rural emergency hospital (as defined in section 
                1861(iii)(1))'' before the period at the end; and
                    (B) by adding at the end the following subsection:

    ``Rural Emergency Hospital; Rural Emergency Hospital Outpatient 
                                Services

    ``(iii)(1) The term `rural emergency hospital' means a facility 
that--
            ``(A)(i) as of December 31, 2014--
                            ``(I) was a critical access hospital; or
                            ``(II) was a hospital with not more than 50 
                        beds located in a county (or equivalent unit of 
                        local government) in a rural area (as defined 
                        in section 1886(d)(2)(D)), or was a hospital 
                        with not more than 50 beds that was treated as 
                        being located in a rural area pursuant to 
                        section 1886(d)(8)(E); or
                    ``(ii) was a critical access hospital described in 
                clause (i)(I) or a hospital described in clause (i)(II) 
                that ceased operations during the period beginning on 
                the date that is 5 years prior to the date of the 
                enactment of this subsection and ending on December 30, 
                2014;
            ``(B) provides 24-hour emergency medical care and 
        observation care that does not exceed an annual per patient 
        average of 24 hours or more than 1 midnight;
            ``(C) does not provide any acute care inpatient beds and 
        has protocols in place for the timely transfer of patients who 
        require acute care inpatient services or other inpatient 
        services;
            ``(D) has elected to be designated as a rural emergency 
        hospital;
            ``(E) has received approval to operate as a rural emergency 
        hospital from the State under section 1834(r)(3)(A); and
            ``(F) is certified by the Secretary under section 
        1834(r)(3)(B).
    ``(2) The term `rural emergency hospital outpatient services' means 
medical and other health services furnished by a rural emergency 
hospital on an outpatient basis.
    ``(3) Nothing in this subsection or section 1834(r)(3) shall be 
construed to prohibit a rural emergency hospital from providing 
extended care services.''.
            (2) Payment for rural emergency hospital services.--
                    (A) In general.--Section 1833(a) of the Social 
                Security Act (42 U.S.C. 1395l(a)) is amended--
                            (i) in paragraph (8), by striking ``and'' 
                        at the end;
                            (ii) in paragraph (9), by striking the 
                        period at the end and inserting ``; and''; and
                            (iii) by inserting after paragraph (9) the 
                        following new paragraph:
            ``(10) in the case of rural emergency hospital emergency 
        services and services provided by a rural emergency hospital or 
        other provider of ambulance services to transport patients who 
        require acute care inpatient services or other inpatient 
        services from such rural emergency hospital to a hospital or 
        critical access hospital, the amounts described in section 
        1834(r).''.
                    (B) Payment amount.--Section 1834 of the Social 
                Security Act (42 U.S.C. 1395m) is amended by adding at 
                the end the following subsection:
    ``(r) Payment Rules Relating to Rural Emergency Hospitals.--
            ``(1) Payment for rural emergency hospital outpatient 
        services.--
                    ``(A) In general.--The amount of payment for rural 
                emergency hospital outpatient services of a rural 
                emergency hospital is equal to 110 percent of the 
                reasonable costs of providing such services.
                    ``(B) Telehealth services.--For purposes of this 
                paragraph, in determining the reasonable costs of 
                providing rural emergency hospital outpatient services, 
                costs associated with having a backup physician 
                available via a telecommunications system shall be 
                considered reasonable costs.
            ``(2) Payment for transportation services.--The amount of 
        payment for services provided by a rural emergency hospital or 
        other provider of ambulance services to transport patients who 
        require acute care inpatient services or other inpatient 
        services from such rural emergency hospital to a hospital or 
        critical access hospital is equal to 110 percent of the 
        reasonable costs of providing such services.
            ``(3) Requirements for rural emergency hospitals.--
                    ``(A) State approval to operate as a rural 
                emergency hospital.--No payment shall be made under 
                this subsection to a facility, or to a provider of 
                ambulance services providing transportation services 
                from such facility, unless the State in which the 
                facility is located has approved the facility's 
                designation as a rural emergency hospital.
                    ``(B) Certification of rural emergency hospital.--
                            ``(i) In general.--No payment shall be made 
                        under this subsection to a facility, or to a 
                        provider of ambulance services providing 
                        transportation services from such facility, 
                        unless the facility has been certified by the 
                        Secretary as a rural emergency hospital.
                            ``(ii) Certification requirements.--The 
                        Secretary shall certify a facility as a rural 
                        emergency hospital if the facility--
                                    ``(I) meets the criteria for rural 
                                emergency hospitals described in 
                                subparagraphs (A) through (E) of 
                                section 1861(iii)(1);
                                    ``(II) either--
                                            ``(aa) is verified by the 
                                        American College of Surgeons as 
                                        having the resources required 
                                        of a level IV trauma center or 
                                        higher; or
                                            ``(bb) employs healthcare 
                                        professionals that successfully 
                                        completed the Advanced Trauma 
                                        Life Support Course offered by 
                                        the American College of 
                                        Surgeons within the preceding 4 
                                        years;
                                    ``(III) has in effect a transfer 
                                agreement with a level I or level II 
                                trauma center; and
                                    ``(IV) meets such staff training 
                                and certification requirements as the 
                                Secretary may require.
            ``(4) Coinsurance.--
                    ``(A) In general.--The amount of payment for rural 
                emergency hospital services or transportation services 
                made to a rural emergency hospital or other provider of 
                ambulance services under this subsection shall be 
                reduced by the coinsurance amount described in 
                subparagraph (B).
                    ``(B) Coinsurance amount.--The coinsurance amount 
                described in this subparagraph, with respect to an item 
                or service provided by a rural emergency hospital or 
                provider of ambulance services, shall be calculated in 
                the same manner as the coinsurance amount for an 
                outpatient critical access hospital service is 
                calculated under section 1866(a)(2).''.
    (b) Waiver of Distance Requirement for Replacement CAHs; Subsequent 
Redesignation of Rural Emergency Hospitals as CAHs.--Section 1820(c)(2) 
of the Social Security Act (42 U.S.C. 1395i-4(c)(2)) is amended--
            (1) in subparagraph (B)(i)(I), by inserting ``subject to 
        subparagraph (F),'' before ``is located''; and
            (2) by adding at the end the following new subparagraphs:
                    ``(F) Option to waive distance requirement.--
                Beginning on the date of the enactment of this 
                subparagraph, for every critical access hospital 
                located in a State that is certified as a rural 
                emergency hospital under section 1834(r)(3)(B), the 
                State shall have the option of waiving the distance 
                requirement described in subparagraph (B)(i)(I) with 
                respect to another facility located in the State that 
                is seeking designation as a critical access hospital 
                under this paragraph.
                    ``(G) Redesignation of a rural emergency hospital 
                as a critical access hospital.--A rural emergency 
                hospital that was previously designated as a critical 
                access hospital under this paragraph may elect to be 
                redesignated as a critical access hospital (in the same 
                manner that the hospital was originally designated as a 
                critical access hospital) at any time, subject to such 
                conditions as the Secretary may establish.''.
    (c) Studies and Reports.--
            (1) Studies.--The Secretary of Health & Human Services 
        shall conduct 3 studies to evaluate the impact of rural 
        emergency hospitals on the availability of health care and 
        health outcomes in rural areas (as defined in section 
        1886(d)(2)(D) of the Social Security Act (42 U.S.C. 1395ww)). 
        The Secretary shall conduct a study--
                    (A) 2 years after the date of the enactment of this 
                Act;
                    (B) 5 years after the date of the enactment of this 
                Act; and
                    (C) 10 years after the date of the enactment of 
                this Act.
            (2) Reports.--Not later than 6 months after each date that 
        the Secretary of Health & Human Services is required to conduct 
        a study under paragraph (1), the Secretary shall submit a 
        report to Congress containing the results of each such study.
    (d) Effective Date.--The amendments made by this section shall 
apply to items and services furnished on or after the date that is 1 
year after the date of the enactment of this Act.

SEC. 4. INCLUSION OF EMERGENCY MEDICINE AS HEALTH SERVICES UNDER THE 
              NATIONAL HEALTH SERVICE CORPS.

    Section 331(a)(3)(D) of the Public Health Service Act (42 U.S.C. 
254d(a)(3)(D)) is amended by inserting ``, and includes emergency 
medicine provided by physicians in a rural emergency hospital (as 
defined in section 1861(iii) of the Social Security Act)'' before the 
period.

SEC. 5. PERMITTING HOSPITALS WITH APPROVED RESIDENCY PROGRAMS IN 
              EMERGENCY MEDICINE TO INCLUDE TIME SPENT BY INTERNS AND 
              RESIDENTS IN THE EMERGENCY DEPARTMENT OF A RURAL HOSPITAL 
              IN FULL-TIME EQUIVALENT COUNT.

    (a) Indirect Medical Education.--Section 1886(d)(5)(B)(iv) of the 
Social Security Act (42 U.S.C. 1395ww(d)(5)(B)(iv)) is amended by 
adding at the end the following new subclause:
            ``(III) Effective for discharges occurring on or after 
        October 1, 2015, all of the time spent in patient care 
        activities in the emergency department of a rural hospital by 
        interns and residents in emergency medicine from a hospital 
        with an approved medical residency training program (as defined 
        in subsection (h)(5)(A)) in such specialty shall be included in 
        determining the number of full-time equivalent interns and 
        residents in such program if the hospital with such program 
        incurs the costs of the stipends and fringe benefits of the 
        interns or residents during the time the interns or residents 
        spend in that rural hospital in accordance with subclause (II). 
        In this subclause, the term `rural hospital' means a hospital 
        that is located in a rural area (as defined for purposes of 
        paragraph (2)(D)).''.
    (b) Direct Medical Education.--Section 1886(h)(4)(E) of the Social 
Security Act (42 U.S.C. 1395(h)(4)) is amended--
            (1) in clause (ii), by striking the period at the end and 
        inserting ``; and'';
            (2) by inserting after clause (ii) the following new 
        clause:
                            ``(iii) effective for cost reporting 
                        periods beginning on or after July 1, 2015, all 
                        of the time so spent in the emergency 
                        department of a rural hospital by residents in 
                        emergency medicine from a hospital with an 
                        approved medical residency training program in 
                        such specialty shall be counted towards the 
                        determination of full-time equivalency in such 
                        program if the hospital with such program bears 
                        all, or substantially all, of the costs of 
                        training such residents in the rural hospital. 
                        In this subparagraph, the term `rural hospital' 
                        means a hospital that is located in a rural 
                        area (as defined for purposes of subsection 
                        (d)(2)(D)).''; and
            (3) by adding at the end the following new sentence: ``For 
        purposes of this subparagraph, the emergency department of a 
        rural hospital described in clause (iii) is a nonprovider 
        setting.''.
Example Output: Rural Emergency Acute Care Hospital Act  This bill amends title XVIII (Medicare) of the Social Security Act to designate as a rural emergency hospital any facility that as of December 31, 2014, was:   a critical access hospital (CAH) or a hospital with at most 50 beds located in a county in a rural area or treated as located in a rural area, or one of such hospitals that ceased operations during the period beginning five years before enactment of this Act and ending on December 30, 2014.  A rural emergency hospital:  must provide 24-hour emergency medical care and observation care not exceeding an annual per patient average of 24 hours or more than 1 midnight, does not provide any acute care inpatient beds and has protocols in place for the timely transfer of patients who require acute care inpatient services or other inpatient services, has elected to be designated as a rural emergency hospital, has received approval to operate as one from the state, and is certified by the Department of Health and Human Services (HHS).  Medicare part B (Supplementary Medical Insurance Benefits) shall cover rural emergency hospital emergency services as well as ambulance services provided by a rural emergency hospital or other provider to transport patients who require acute care inpatient services or other inpatient services from the rural emergency hospital to a hospital or a CAH. Payment for rural emergency hospital outpatient services of a rural emergency hospital, including telehealth and ambulance services, shall be 110% percent of their reasonable costs. Rural emergency hospitals must be approved by the state and certified by HHS. States shall have the option of waiving a specified distance requirement between a CAH certified as a rural emergency hospital and another facility located in the state that is seeking designation as a CAH. Primary health services which the National Health Service Corps may provide under the Public Health Service Act shall include emergency medicine provided by physicians in a rural emergency hospital. Hospitals with approved residency programs in emergency medicine shall include time spent by interns and residents in the emergency department of a rural hospital in the full-time equivalent count with respect to reimbursement for the indirect (stipend, fringe benefit) and direct (all or substantially all training) costs of medical education in subsection (d) hospitals. (Generally, a subsection [d] hospital is an acute care hospital, particularly one that receives payments under Medicare's inpatient prospective payment system [IPPS] when providing covered inpatient services to eligible beneficiaries.)

Example Input: SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Assessing Progress in Haiti Act''.

SEC. 2. FINDINGS.

    Congress finds the following:
            (1) On January 12, 2010, an earthquake measuring 7.0 on the 
        Richter magnitude scale struck the country of Haiti.
            (2) According to the United States Geological Survey 
        (USGS)--
                    (A) the earthquake epicenter was located 
                approximately 15 miles southwest of Port-au-Prince, the 
                capital of Haiti; and
                    (B) the earthquake was followed by 59 aftershocks 
                of magnitude 4.5 or greater, the most severe measuring 
                6.0.
            (3) According to the Government of Haiti, more than 316,000 
        people died as a result of the earthquake, including 103 
        citizens of the United States and more than 100 United Nations 
        personnel.
            (4) According to the United Nations and the International 
        Organization for Migration--
                    (A) an estimated 3,000,000 people were directly 
                affected by the disaster, nearly one-third of the 
                country's population; and
                    (B) more than 2,100,000 people were displaced from 
                their homes to settlements.
            (5) Casualty numbers and infrastructure damage, including 
        to roads, ports, hospitals, and residential dwellings, place 
        the earthquake as the worst cataclysm to hit Haiti in over two 
        centuries and, proportionally, one of the world's worst natural 
        disasters in modern times.
            (6) The Post Disaster Needs Assessment (PDNA) conducted by 
        the Government of Haiti, the United Nations, the World Bank, 
        the Inter-American Development Bank, and other experts 
        estimates that damage and economic losses totaled 
        $7,804,000,000, approximately 120 percent of Haiti's gross 
        domestic product in 2009.
            (7) Haiti is the poorest, least developed country in the 
        Western Hemisphere with, prior to the earthquake--
                    (A) more than 70 percent of Haitians living on less 
                than $2 per day; and
                    (B) a ranking of 149 out of 182 countries on the 
                United Nations Human Development Index.
            (8) House Resolution 1021, which was passed on January 21, 
        2010, on a vote of 411 to 1 expressed--
                    (A) the House of Representatives' ``deepest 
                condolences and sympathy for the horrific loss of 
                life'' caused by the earthquake; and
                    (B) bipartisan support for Haiti's recovery and 
                reconstruction.
            (9) The initial emergency response of the men and women of 
        the United States Government, led by the United States Agency 
        for International Development and United States Southern 
        Command, was swift and resolute.
            (10) United States urban search and rescue (USAR) teams 
        were immediately activated after the earthquake and deployed 
        from Fairfax County, Virginia, Los Angeles County, California, 
        Miami-Dade, Florida, the City of Miami, Florida, and Virginia 
        Beach, Virginia, to assist the United States Agency for 
        International Development (USAID) Disaster Assistance Response 
        Team (DART), and New York City's first responders asked the 
        Office of U.S. Foreign Disaster Assistance (OFDA) to activate a 
        New York City urban search and rescue shortly thereafter.
            (11) A month after the earthquake, the House of 
        Representatives unanimously passed House Resolution 1059 which 
        expressed gratitude to these USAR units, and highlighted that 
        the 511 United States rescue workers comprised roughly one-
        third of the entire international USAR effort in Haiti, and 
        more than 130 people were rescued from under the rubble in 
        Haiti by these units.
            (12) Individuals, businesses, and philanthropic 
        organizations across the United States and throughout the 
        international community responded in support of Haiti and its 
        populace during this crisis, sometimes in innovative ways such 
        as fundraising through text messaging.
            (13) The Haitian diaspora in the United States, which was 
        integral to emergency relief efforts--
                    (A) has annually contributed significant monetary 
                support to Haiti through remittances; and
                    (B) continues to seek opportunities to partner with 
                the United States Agency for International Development 
                and other agencies to substantively contribute to the 
                reconstruction of Haiti.
            (14) Significant challenges still remain in Haiti as it 
        works to recover and rebuild.
            (15) According to the International Organization for 
        Migration, approximately 680,000 people remain in spontaneous 
        and organized camps in Haiti.
            (16) According to numerous nongovernmental organizations 
        and United States contractors, the pace of reconstruction has 
        lagged significantly behind the original emergency relief 
        phase.
            (17) The widespread irregularities that occurred in the 
        elections held in Haiti on November 28, 2010, led to outbursts 
        of violence which undermined the recovery efforts.
            (18) On October 21, 2010, an outbreak of cholera was 
        detected in the Lower Artibonite region.
            (19) Initial efforts to contain the epidemic were disrupted 
        by Hurricane Tomas and resulting widespread flooding, which led 
        to the spreading and entrenchment of the disease throughout the 
        country.
            (20) According to the Haitian Ministry of Public Health and 
        Population, as of March 28, 2011--
                    (A) approximately 4,766 people have died from 
                cholera; and
                    (B) approximately 270,991 have been infected from 
                the disease.
            (21) According to the Pan American Health Organization and 
        the Centers for Disease Control and Prevention, cholera could 
        spread to as many as 400,000 people within the first year of 
        the epidemic, potentially causing 7,600 deaths at the current 
        case fatality rate.
            (22) The United States has provided more than $62,523,017 
        worth of assistance to combat the cholera epidemic, including 
        by assisting with stockpiling health commodities, equipping 
        cholera treatments centers, providing public information, and 
        improving water and sanitation systems.
            (23) The efforts to combat the cholera epidemic have helped 
        to drive the mortality rate from cholera down from nearly 7 
        percent to 1.7 percent of all contracted cases as of February 
        25, 2011.
            (24) Throughout the series of crises, the people of Haiti 
        continue to demonstrate unwavering resilience, dignity, and 
        courage.
            (25) On March 20, 2011, presidential and parliamentary 
        elections were held in Haiti without major disruptions or 
        problems.
            (26) At the international donors conference ``Towards a New 
        Future for Haiti'' held on March 31, 2010, 59 donors pledged 
        over $5,000,000,000 to support Haiti.
            (27) The United Nations Office of the Special Envoy for 
        Haiti estimates that nearly $1,900,000,000 has been disbursed, 
        with an additional amount of approximately $2,000,000,000 
        committed.
            (28) Haiti will need the support of the international 
        community in order to confront the ongoing cholera epidemic and 
        to promote reconstruction and development.

SEC. 3. REPORT.

    (a) Report Required.--Not later than six months after the date of 
the enactment of this Act, the President, in consultation with the 
heads of all relevant agencies, including the Department of State, the 
United States Agency for International Development, the Department of 
Defense, the Department of Health and Human Services, and the Centers 
for Disease Control and Prevention shall transmit to Congress a report 
on the status of post-earthquake humanitarian, reconstruction, and 
development efforts in Haiti, including efforts to prevent the spread 
of cholera and treat persons infected with the disease.
    (b) Contents.--The report required by subsection (a) shall include 
a description, analysis, and evaluation of the--
            (1) overall progress of relief, recovery, and 
        reconstruction in Haiti, including--
                    (A) programs and projects of the United States 
                Government;
                    (B) programs and projects to protect vulnerable 
                populations, such as internally displaced persons, 
                children, women and girls, and persons with 
                disabilities; and
                    (C) projects to improve water, sanitation, and 
                health, and plans for improvements in these areas in 
                the long-term;
            (2) extent to which United States and international efforts 
        are in line with the priorities of the Government of Haiti and 
        are actively engaging and working through Haitian ministries 
        and local authorities;
            (3) coordination among United States Government agencies, 
        and coordination between the United States Government and 
        United Nations agencies, international financial institutions, 
        and other bilateral donors;
            (4) mechanisms for communicating the progress of recovery 
        and reconstruction efforts to Haitian citizens, as well as 
        recommendations on how these can be improved;
            (5) mechanisms through which Haitian civil society, 
        including vulnerable populations, is actively participating in 
        all major stages of recovery and reconstruction efforts, and 
        recommendations on how these can be improved;
            (6) mechanisms through which the Haitian diaspora is 
        involved in recovery and reconstruction efforts; and
            (7) suitability of Haiti to receive aliens who are removed, 
        excluded, or deported from the United States pursuant to United 
        States law, and steps Haiti is taking to strengthen its 
        capacity in this regard.
    (c) Use of Previously Appropriated Funds.--Funding for the report 
required under subsection (a) shall derive from existing discretionary 
funds of the departments and agencies specified in such subsection.
Example Output: Assessing Progress in Haiti Act - Directs the President to report to Congress on the status of post-earthquake humanitarian, reconstruction, and development efforts in Haiti, including efforts to prevent the spread of cholera and treat persons infected with the disease.

Requires such report to evaluate: (1) the overall progress of relief, recovery, and reconstruction in Haiti, including U.S. government programs, programs to protect vulnerable populations, and projects to improve water, sanitation, and health; (2) the extent to which U.S. and international efforts are in line with the government of Haiti's priorities and are working through Haitian ministries and local authorities; (3) coordination among U.S. government agencies and coordination between the U.S. government and U.N. agencies, international financial institutions, and other bilateral donors; (4) mechanisms for communicating the progress of recovery and reconstruction to Haitian citizens; (5) mechanisms through which Haitian civil society and the Haitian diaspora are participating in recovery and reconstruction; and (6) Haiti's suitability to receive aliens who are removed, excluded, or deported from the United States and steps Haiti is taking to strengthen its capacity in this regard.

Example Input: SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Debt Emancipation to Enable 
Democracies (DEED) Act of 1999''.

SEC. 2. FINDINGS.

    Congress finds the following:
            (1) The International Bank for Reconstruction and 
        Development and the International Monetary Fund (IMF) have 
        classified 40 countries as heavily indebted poor countries 
        (HIPC).
            (2) According to the Department of the Treasury, as of 
        August 1998, these countries owe the United States a total of 
        $6,752,100,000 in concessional, nonconcessional, and guarantee 
        debt.
            (3) 83 percent of these countries are classified by the 
        United Nations as being in its lowest category of human 
        development based on life expectancy, literacy, and per capita 
        national income.
            (4) Since the early 1980's, these poor countries have had 
        increasing difficulty servicing their debt, resulting in the 
        total amount of money being owed by these countries to external 
        creditors to increasing from an average of $122,000,000,000 for 
        the 1983-1985 period to $221,000,000,000 for the 1993-1995 
        period.
            (5) The debt overhang faced by these countries blocks 
        needed spending for development and discourages productive 
        investment.
            (6) Efforts to promote good governance, accountability, 
        transparency, and active participation of civil society in 
        public decision making and discourage corruption are undermined 
        by diversion of resources to debt service and by the 
        micromanagement of economic policy by external actors which is 
        currently part of debt negotiations.
            (7) The Jubilee 2000 campaign, an international movement in 
        over 40 countries supported by many prominent religious leaders 
        such as Pope John Paul II, is calling for the cancellation of 
        the external debts of the poorest countries.

SEC. 3. ELIGIBLE COUNTRIES.

    In this Act, the term ``eligible country'' means a heavily indebted 
poor country, as determined by the International Bank for 
Reconstruction and Development and the International Monetary Fund for 
purposes of the Heavily Indebted Poor Country (HIPC) Initiative, and 
Haiti.

SEC. 4. CANCELLATION OF BILATERAL DEBT OWED TO THE UNITED STATES 
              GOVERNMENT BY HEAVILY INDEBTED POOR COUNTRIES.

    (a) Cancellation of Debt.--
            (1) In general.--The President shall cancel all amounts 
        owed to the United States (or any agency of the United States) 
        by any eligible country as a result of concessional and 
        nonconcessional loans made, guarantees issued, or credits 
        extended under any provision of law.
            (2) Requirement to promote democracy.--Paragraph (1) shall 
        apply only to a country the government of which--
                    (A) was chosen by and permits free and fair 
                elections;
                    (B) promotes civilian control of the military and 
                security forces and has civilian institutions 
                controlling the policy, operation, and spending of all 
                law enforcement and security institutions, as well as 
                the armed forces;
                    (C) promotes the rule of law, equality before the 
                law, and respect for individual and minority rights, 
                including freedom to speak, publish, associate, and 
                organize; and
                    (D) promotes the strengthening of political, 
                legislative, and civil institutions of democracy, as 
                well as autonomous institutions to monitor the conduct 
                of public officials and to combat corruption.
    (b) Additional Requirements.--
            (1) Cancellation of debt not considered to be assistance.--
        A debt cancellation under this section shall not be considered 
        to be assistance for purposes of any provision of law limiting 
        assistance to a country.
            (2) Inapplicability of certain prohibitions relating to 
        cancellation of debt.--Debt may be cancelled under this 
        section, notwithstanding section 620(r) of the Foreign 
        Assistance Act of 1961 (22 U.S.C. 2370(r)).

SEC. 5. CONDITIONAL BAN ON PROVIDING APPROPRIATED FUNDS TO THE IMF 
              UNTIL DEBT OWED TO THE IMF BY HEAVILY INDEBTED POOR 
              COUNTRIES HAS BEEN CANCELED.

    None of the funds appropriated in any Act may be obligated or made 
available to the International Monetary Fund until the International 
Monetary Fund--
            (1) has canceled all debts owed to the International 
        Monetary Fund by any eligible country;
            (2) has terminated the Enhanced Structural Adjustment 
        Facility; and
            (3) the Secretary of the Treasury has certified to the 
        Committee on Banking and Financial Services of the House of 
        Representatives and the Committee on Foreign Relations of the 
        Senate that--
                    (A) the debts referred to in paragraph (1) have 
                been canceled; and
                    (B) the International Monetary Fund has ceased 
                linking loans to any eligible country to the 
                implementation of structural adjustment policies.

SEC. 6. ACTIVITIES OF OVERSEAS PRIVATE INVESTMENT CORPORATION IN 
              HEAVILY INDEBTED POOR COUNTRIES CONTINGENT ON USE OF DEBT 
              RELIEF FOR POVERTY REDUCTION.

    (a) In General.--Title IV of chapter 2 of part I of the Foreign 
Assistance Act of 1961 (22 U.S.C. 2191 et seq.) is amended by inserting 
after section 234A the following:

``SEC. 234B. ACTIVITIES OF CORPORATION IN CERTAIN HEAVILY INDEBTED POOR 
              COUNTRIES CONTINGENT ON USE OF DEBT RELIEF FOR POVERTY 
              REDUCTION.

    ``The Corporation may issue insurance, guaranties, or reinsurance, 
make loans, acquire any securities, or carry out any other activity 
under section 234, or enter into risk sharing arrangements authorized 
by section 234A, for a heavily indebted poor country with respect to 
which the United States has provided debt cancellation under section 4 
of the Debt Emancipation for Emerging Democracies (DEED) Act of 1999, 
or the International Monetary Fund has provided debt cancellation in 
accordance with section 5 of such Act, only if the President certifies 
to the Congress that the government of such country is using funds 
available to the government because of such debt cancellation for 
poverty reduction in the country.''.
    (b) Effective Date.--Section 234B of the Foreign Assistance Act of 
1961, as added by subsection (a), applies with respect to a contract or 
other agreement for insurance, guaranties, or reinsurance, loans, the 
acquisition of securities, or any other activity authorized under 
section 234 of that Act, or for risk sharing arrangements authorized by 
section 234A of that Act, entered into on or after the date of the 
enactment of this Act.

SEC. 7. NOTIFICATION.

    Not less than 30 days after the date of the enactment of this Act, 
the Secretary of the Treasury shall provide written notice to each 
eligible country that it is the policy of the United States--
            (1) to cancel debts owed by the country to the United 
        States;
            (2) to advocate at the International Monetary Fund for the 
        cancellation of the country's debts;
            (3) that the proceeds of such debt cancellation should be 
        used for poverty reduction; and
            (4) to deny funding to such country from the Overseas 
        Private Investment Corporation if the country does not use the 
        proceeds of such debt cancellation for poverty reduction.

SEC. 8. ENFORCEMENT.

    (a) Private Enforcement.--A citizen of the United States may bring 
an action in any United States district court seeking compliance by the 
United States, or any department, agency, or officer of the United 
States, with any provision of this Act.
    (b) Appropriations Limitation.--None of the funds appropriated in 
any Act may be obligated or made available to the International 
Monetary Fund while any action brought under subsection (a) is pending.
    (c) Effects of Finding of Arbitrary Certification by the Secretary 
of the Treasury.--If, in an action brought under subsection (a), the 
court finally finds that the Secretary of the Treasury acted 
arbitrarily in making a certification required by this Act--
            (1) the court shall award the plaintiff $100, plus 
        reasonable attorneys' fees and court costs; and
            (2) no funds appropriated in any Act may be obligated or 
        made available to the International Monetary Fund until the 
        court subsequently finds that the Secretary has replaced the 
        arbitrarily made certification with a certification that is not 
        made arbitrarily.
Example Output:
(Sec. 4) Provides that cancellation of debt shall not be considered assistance for purposes of any law limiting assistance to a country.
(Sec. 5) Prohibits funds appropriated in this Act from being made available to the International Monetary Fund (IMF) until it: (1) has canceled all debts owed to the IMF by an eligible HIPC and Haiti; (2) has terminated the Enhanced Structural Adjustment Facility; and (3) the Secretary of the Treasury has certified to specified congressional committees that such debts have been canceled, and the IMF has ceased linking loans to an eligible HIPC and Haiti to implementation of structural adjustment policies.
(Sec. 6) Amends the Foreign Assistance Act of 1961 to authorize the Overseas Private Investment Corporation (OPIC) to issue insurance, guaranties, or reinsurance, make loans, acquire securities, or enter into risk sharing arrangements for an eligible HIPC and Haiti with respect to which the United States and the IMF have provided debt cancellation under this Act, only if the President certifies to Congress that the government of such country is using funds available because of such debt cancellation for poverty reduction in the country.
(Sec. 7) Sets forth certain notification requirements with respect to each eligible HIPC and Haiti.
(Sec. 8) Authorizes a U.S. citizen to bring an action in any U.S. district court seeking compliance by the United States with the requirements of this Act.