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

Ex Input:
SECTION 1. SHORT TITLE.
    This Act may be cited as the ``Fair Treatment for Experienced 
Pilots Act''.
SEC. 2. AGE STANDARDS FOR PILOTS.
    (a) In General.--Chapter 447 of title 49, United States Code, is 
amended by adding at the end the following:
``Sec. 44729. Age standards for pilots
    ``(a) In General.--Subject to the limitation in subsection (c), a 
pilot may serve in multicrew covered operations until attaining 65 
years of age.
    ``(b) Covered Operations Defined.--In this section, the term 
`covered operations' means operations under part 121 of title 14, Code 
of Federal Regulations.
    ``(c) Limitation for International Flights.--
        ``(1) Applicability of icao standard.--A pilot who has attained 
    60 years of age may serve as pilot-in-command in covered operations 
    between the United States and another country only if there is 
    another pilot in the flight deck crew who has not yet attained 60 
    years of age.
        ``(2) Sunset of limitation.--Paragraph (1) shall cease to be 
    effective on such date as the Convention on International Civil 
    Aviation provides that a pilot who has attained 60 years of age may 
    serve as pilot-in-command in international commercial operations 
    without regard to whether there is another pilot in the flight deck 
    crew who has not attained age 60.
    ``(d) Sunset of Age 60 Retirement Rule.--On and after the date of 
enactment of this section, section 121.383(c) of title 14, Code of 
Federal Regulations, shall cease to be effective.
    ``(e) Applicability.--
        ``(1) Nonretroactivity.--No person who has attained 60 years of 
    age before the date of enactment of this section may serve as a 
    pilot for an air carrier engaged in covered operations unless--
            ``(A) such person is in the employment of that air carrier 
        in such operations on such date of enactment as a required 
        flight deck crew member; or
            ``(B) such person is newly hired by an air carrier as a 
        pilot on or after such date of enactment without credit for 
        prior seniority or prior longevity for benefits or other terms 
        related to length of service prior to the date of rehire under 
        any labor agreement or employment policies of the air carrier.
        ``(2) Protection for compliance.--An action taken in 
    conformance with this section, taken in conformance with a 
    regulation issued to carry out this section, or taken prior to the 
    date of enactment of this section in conformance with section 
    121.383(c) of title 14, Code of Federal Regulations (as in effect 
    before such date of enactment), may not serve as a basis for 
    liability or relief in a proceeding, brought under any employment 
    law or regulation, before any court or agency of the United States 
    or of any State or locality.
    ``(f) Amendments to Labor Agreements and Benefit Plans.--Any 
amendment to a labor agreement or benefit plan of an air carrier that 
is required to conform with the requirements of this section or a 
regulation issued to carry out this section, and is applicable to 
pilots represented for collective bargaining, shall be made by 
agreement of the air carrier and the designated bargaining 
representative of the pilots of the air carrier.
    ``(g) Medical Standards and Records.--
        ``(1) Medical examinations and standards.--Except as provided 
    by paragraph (2), a person serving as a pilot for an air carrier 
    engaged in covered operations shall not be subject to different 
    medical standards, or different, greater, or more frequent medical 
    examinations, on account of age unless the Secretary determines 
    (based on data received or studies published after the date of 
    enactment of this section) that different medical standards, or 
    different, greater, or more frequent medical examinations, are 
    needed to ensure an adequate level of safety in flight.
        ``(2) Duration of first-class medical certificate.--No person 
    who has attained 60 years of age may serve as a pilot of an air 
    carrier engaged in covered operations unless the person has a 
    first-class medical certificate. Such a certificate shall expire on 
    the last day of the 6-month period following the date of 
    examination shown on the certificate.
    ``(h) Safety.--
        ``(1) Training.--Each air carrier engaged in covered operations 
    shall continue to use pilot training and qualification programs 
    approved by the Federal Aviation Administration, with specific 
    emphasis on initial and recurrent training and qualification of 
    pilots who have attained 60 years of age, to ensure continued 
    acceptable levels of pilot skill and judgment.
        ``(2) Line evaluations.--Not later than 6 months after the date 
    of enactment of this section, and every 6 months thereafter, an air 
    carrier engaged in covered operations shall evaluate the 
    performance of each pilot of the air carrier who has attained 60 
    years of age through a line check of such pilot. Notwithstanding 
    the preceding sentence, an air carrier shall not be required to 
    conduct for a 6-month period a line check under this paragraph of a 
    pilot serving as second-in-command if the pilot has undergone a 
    regularly scheduled simulator evaluation during that period.
        ``(3) GAO report.--Not later than 24 months after the date of 
    enactment of this section, the Comptroller General shall submit to 
    the Committee on Transportation and Infrastructure of the House of 
    Representatives and the Committee on Commerce, Science, and 
    Transportation of the Senate a report concerning the effect, if 
    any, on aviation safety of the modification to pilot age standards 
    made by subsection (a).''.
    (b) Clerical Amendment.--The analysis for chapter 447 of title 49, 
United States Code, is amended by adding at the end the following:

``44729. Age standards for pilots.''.


                               Speaker of the House of Representatives.

                            Vice President of the United States and    
                                               President of the Senate.

Ex Output:
Fair Treatment for Experienced Pilots Act - Amends federal transportation law to allow a pilot who has attained 60 years of age to serve as a passenger airline pilot until the age of 65, provided that a pilot who has attained age 60 may serve as pilot-in-command on international flights only if there is another pilot in the flight crew who has not yet attained 60 years of age.

Prohibits subjecting pilots to different medical examinations and standards on account of age unless to ensure an adequate level of safety in flight, except that no person who has attained 60 years of age may serve as a pilot unless such person has a first-class medical certificate.

Requires air carriers to: (1) continue to provide FAA-approved training to pilots, with specific emphasis on initial and recurring training and qualification of pilots who have attained 60 years of age; and (2) evaluate, every six months, the performance of pilots who have attained 60 years of age through a line check of such pilot.

Requires the Comptroller General to report to Congress on the effect of the modification of pilot age requirements, if any, on aviation safety.


Ex Input:
SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Bucket Drowning Prevention Act of 
1993.''

SEC. 2. LABELING STANDARD REQUIREMENTS.

    On October 1, 1994, or 240 days after the date of the enactment of 
this title, whichever first occurs, there is established and effective 
a consumer product safety standard under section 9 of the Consumer 
Product Safety Act (15 U.S.C. 2058), to eliminate or reduce the risk of 
injury or death resulting from infants falling into 4-gallon to 6-
gallon buckets containing liquid. Such standard, when established, 
shall require straight sided or slightly tapered, open head containers 
with a capacity of more than 4 gallons and less than 6 gallons 
(referred to in this Act as a ``bucket''), to bear one warning label in 
English and Spanish. The label shall meet the following requirements:
            (1) The label shall be permanent so that such label cannot 
        be removed, torn or defaced without the aid of tools or 
        solvents.
            (2) The label shall be at least 7 inches in height, and 
        3\1/2\ inches in width, or any larger size as the labeler may 
        choose.
            (3) The label shall be centered on one side of the bucket 
        just below the point where the handle is inserted.
            (4) The label shall have a border or other form of contrast 
        around its edges to delineate it from any other information on 
        the bucket.
            (5) The label shall bear (A) the signal word ``WARNING'' in 
        both English and Spanish, in bold uppercase lettering, and (B) 
        in upper and lower case lettering the words ``Children Can Fall 
        Into Bucket and Drown. Keep Children Away From Buckets With 
        Even a Small Amount of Liquid.'', with an equivalent Spanish 
        translation in at least the same type size as English. The 
        signal word panel shall be preceded by a safety alert symbol 
        consisting of an exclamation mark in a triangle.
            (6) The label shall be clear and conspicuous and in 
        contrasting colors.
            (7) The label shall include a picture of a child falling 
        into a bucket containing liquid. An encircled slash symbol 
        shall be superimposed over, and surround the pictorial. The 
        picture shall be positioned between the signal word panel and 
        the message panel.

SEC. 3. CERTAIN BUCKETS NOT AFFECTED.

    The standard established by section 2 applies only to buckets 
manufactured or imported on or after the effective date of such 
standard, and buckets manufactured or imported before such effective 
date may be sold without the warning label required by section 2 even 
though such sales occur after that date. The Consumer Product Safety 
Commission, by rule, shall prohibit a manufacturer, filler, 
distributor, and retailer from stockpiling buckets to which consumer 
product safety standards established by section 2 of this title would 
have applied but for the preceding sentence. For purposes of this 
section, the term ``stockpiling'' shall have the same meaning as that 
provided by section 9(g)(2) of the Consumer Product Safety Act.

SEC. 4. PROHIBITED ACTS.

    (a) Removal of Label.--Once placed on a bucket pursuant to the 
standard provided by section 2, it shall be a prohibited act under 
section 19 of the Consumer Product Safety Act for any person in the 
chain of distribution of the bucket to intentionally cover, obstruct, 
tear, deface or remove the label.
    (b) Consumer Product Safety Standard.--The standard established by 
section 2 of this title shall be considered a consumer product safety 
standard established under the Consumer Product Safety Act.

SEC. 5. EXISTING LABELS.

    Notwithstanding section 2, any bucket label in use on September 1, 
1993, may, if such label is substantially in conformance with the 
requirements of paragraphs (3), (4), (5), and (6) of section 2, 
continue to be placed on buckets until 12 months after the date of the 
enactment of this title. Notwithstanding the preceding sentence, 
buckets subject to the provisions of this section must bear both an 
English and Spanish language label on and after the effective date of 
the standard established by section 2.

SEC. 6. AMENDMENTS.

    Section 553 of title 5, United States Code, shall apply with 
respect to the Consumer Product Safety Commission's issuance of any 
amendments or changes to the bucket labeling standard established by 
section 2 of this title. Sections 7 and 9 of the Consumer Product 
Safety Act shall not apply to such amendments or changes.

SEC. 7. RESPONSIBILITY FOR LABELING.

    (a) Labeling.--The standard established by section 2 requires the 
labeling of buckets covered by such standard to be the responsibility 
of the manufacturer of any such buckets, unless otherwise specified by 
contract between the manufacturer, and either the filler, distributor, 
or retailer of such buckets. Under no circumstances shall any such 
bucket enter the stream of commerce without such label.
    (b) Time for Placing Labels.--The required label must be on the 
bucket at the time it is sold or delivered to the end user of the 
bucket or its contents or, in the case of a bucket intended to be sold 
to the public in an empty state, at the time it is shipped to a 
retailer for sale to the public.

SEC. 8. PERFORMANCE STANDARD.

    (a) Performance Standard.--Within 30 days following the date of 
enactment of this title, the Consumer Product Safety Commission shall 
commence a proceeding under the Consumer Product Safety Act for the 
issuance of a performance standard for buckets to address the drowning 
hazard associated with this product. Section 553 of title 5, United 
States Code, shall apply with respect to the issuance of such standard. 
Sections 7 and 9 of the Consumer Product Safety Act shall not apply to 
the issuance of such standard. Such standard shall take effect at such 
time as may be prescribed by the Consumer Product Safety Commission, 
but in no event later than 15 months following the date of the 
enactment of this title. The Consumer Product Safety Commission shall 
consider any American Society for Testing and Materials voluntary 
performance standard in existence prior to such date of enactment.
    (b) Labeling Requirements.--The labeling requirements under section 
2 shall not apply to buckets certified by the Consumer Product Safety 
Commission as meeting the performance standard in subsection (a).

SEC. 9. CONSULTATION.

    To avoid duplicative and conflicting labeling, the Consumer Product 
Safety Commission shall complete a consultation with relevant Federal 
agencies within 30 days following the date of enactment of this Act.

SEC. 10. REQUIREMENT FOR CPSC STUDY.

    (a) The Consumer Product Safety Commission shall conduct a study to 
determine:
            (1) consumer use patterns of new and used 4- to 6- gallon 
        steel and metal buckets; and
            (2) the prevalence of incidents of death or injury to 
        children associated with the use of such containers.
The study also shall be designed to identify use patterns that may 
signify that such containers are being used by consumers in and around 
a household, residence, school or otherwise. The study shall be 
completed within 12 months of the date of enactment. The study shall be 
repeated for two consecutive years following completion of the initial 
study. The study shall be repeated if necessary to track any changes in 
use patterns or to identify incidents of death or injury.
    (b) During the pendency of this study and in the absence of any 
regulation of 4- to 6-gallon containers by the Commission thereafter, 
metal containers which would otherwise be required to comply with the 
labeling requirements of section 3 are exempt from such requirements. 
For the purposes of section 26 of the Consumer Product Safety Act, such 
exemption shall be considered a consumer product safety standard. Upon 
review of the results of the study, the CPSC shall decide whether to 
continue this exemption, to require compliance by metal containers, or 
to consider further study in the future.

Ex Output:
Bucket Drowning Prevention Act of 1993 - Establishes a consumer product safety standard requiring four- to six-gallon buckets to bear a warning label that includes a picture of a child falling into a bucket and the words, in English and Spanish:  "WARNING.  Children Can Fall into Bucket and Drown.  Keep Children Away From Buckets With Even a Small Amount of Liquid." 
Exempts buckets manufactured or imported before the effective date of this labeling standard.  Requires the Consumer Product Safety Commission to prohibit a manufacturer, filler, distributor, and retailer from stockpiling such buckets. 
Requires the Commission to conduct a study to determine:  (1) consumer use patterns of new and used four- to six-gallon steel and metal buckets; and (2) the prevalence of incidents of death or injury to children associated with their use.  Exempts metal containers from the labeling requirements of this Act during the pendency of the study and in the absence of any regulation of four- to six-gallon containers by the Commission thereafter. Requires the Commission, upon the review of the results of the study, to decide whether to continue this exemption, to require compliance by metal containers, or to consider a further study.


Ex Input:
SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Medicare Long-Term Care Hospital 
Improvement Act of 2007''.

SEC. 2. FINDINGS.

    Congress finds the following:
            (1) Long-term care hospitals (in this Act referred to as 
        ``LTCHs'') serve a valuable role in the post-acute care 
        continuum by providing care to medically complex patients 
        needing long hospital stays.
            (2) The Medicare program should ensure that patients 
        receive post-acute care in the most appropriate setting. The 
        use of additional certification criteria for LTCHs, including 
        facility and patient criteria, will promote the appropriate 
        placement of severely ill patients into LTCHs. Further, patient 
        admission, continued stay, and discharge screening tools can 
        guide appropriate patient placement.
            (3) Measuring and reporting on quality of care is an 
        important function of any Medicare provider and a national 
        quality initiative for LTCHs should be similar to short-term 
        general acute care hospitals in the Medicare program.
            (4) To conform the prospective payment system for LTCHs 
        with certain aspects of the prospective payment system for 
        short-term general acute care hospitals and promote payment 
        stability, the Secretary of Health and Human Services (in this 
        Act referred to as the ``Secretary'') should--
                    (A) perform an annual market basket update;
                    (B) conduct the long term care diagnosis related 
                groups (in this Act referred to as ``LTCDRGs'') 
                reweighting and wage level adjustments in a budget 
                neutral manner each year;
                    (C) not perform a proposed one-time budget 
                neutrality adjustment; and
                    (D) not extend the 25-percent limitation on 
                reimbursement of co-located hospital patient admissions 
                to freestanding LTCHs.
            (5) LTCHs co-located with another hospital in underserved 
        areas, including rural areas and areas with an urban single or 
        MSA dominant hospital, should be afforded greater relief from 
        the 50 percent limitation on reimbursement of co-located 
        hospital patient admissions.

SEC. 3. NEW DEFINITION OF A LONG-TERM CARE HOSPITAL WITH FACILITY AND 
              PATIENT CRITERIA.

    (a) Definition.--Section 1861 of the Social Security Act (42 U.S.C. 
1395x) is amended by adding at the end the following new subsection:

                       ``Long-Term Care Hospital

    ``(ccc) The term `long-term care hospital' means an institution 
which--''
            ``(1) is primarily engaged in providing, by or under the 
        supervision of physicians, to medically complex inpatients 
        needing long hospital stays--
                    ``(A) diagnostic services and therapeutic services 
                for medical diagnosis, treatment, and care of injured, 
                disabled, or sick persons; or
                    ``(B) rehabilitation services for the 
                rehabilitation of injured, disabled, or sick persons;
            ``(2) has an average inpatient length of stay (as 
        determined by the Secretary) for beneficiaries under this title 
        of greater than 25 days, or as otherwise defined in section 
        1886(d)(1)(B)(iv);
            ``(3) satisfies the requirements of paragraphs (2) through 
        (9) of subsection (e);
            ``(4) meets the following additional facility criteria:
                    ``(A) the institution has a patient review process, 
                documented in the patient medical record, that screens 
                patients prior to admission, validates within 48 hours 
                of admission that patients meet admission criteria, 
                regularly evaluates patients throughout their stay, and 
                assesses the available discharge options when patients 
                no longer meet the continued stay criteria;
                    ``(B) the institution applies a standard patient 
                screening tool, as determined by the Secretary, that is 
                a valid clinical tool appropriate for this level of 
                care, uniformly used by all long-term care hospitals, 
                to measure the severity of illness and intensity of 
                service requirements for patients for the purposes of 
                making admission, continuing stay, and discharge 
                medical necessity determinations taking into account 
                the medical judgment of the patient's physician, as 
                provided for under sections 1814(a)(3) and 
                1835(a)(2)(B);
                    ``(C) the institution has active physician 
                involvement with patients during their treatment 
                through an organized medical staff, physician review of 
                patient progress on a daily basis, and consulting 
                physicians on call and capable of being at the 
                patient's side within a moderate period of time, as 
                determined by the Secretary;
                    ``(D) the institution has interdisciplinary team 
                treatment for patients, requiring interdisciplinary 
                teams of health care professionals, including 
                physicians, to prepare and carry out an individualized 
                treatment plan for each patient; and
                    ``(E) the institution maintains adequate staffing 
                levels of licensed health care professionals, as 
                determined by the Secretary, to ensure that long-term 
                care hospitals provide the intensive level of care that 
                is sufficient to meet the needs of medically complex 
                patients needing long hospital stays; and
            ``(5) meets patient criteria relating to patient mix and 
        severity appropriate to the medically complex cases that long-
        term care hospitals are uniquely designed to treat, as measured 
        under section 1886(m).''.
    (b) New Patient Criteria for Long-Term Care Hospital Prospective 
Payment.--Section 1886 of such Act (42 U.S.C. 1395ww) is amended by 
adding at the end the following new subsection:
    ``(m) Patient Criteria for Prospective Payment to Long-Term Care 
Hospitals.--
            ``(1) In general.--To be eligible for prospective payment 
        as a long-term care hospital, a majority of the total number of 
        patients entitled to benefits under part A who are discharged 
        from a long-term care hospital must be medically complex 
        patients admitted with a high severity of illness, as that term 
        is defined by the Secretary for payment purposes, with 1 or 
        more enumerated medical conditions specified in paragraph (2).
            ``(2) Medically complex medical conditions.--The Secretary 
        shall determine a list of medical conditions associated with a 
        high severity of illness of patients who are appropriate for 
        treatment in long-term care hospitals, as indicated by the 
        presence of clinical comorbidities in accordance with a 
        methodology specified by the Secretary. Such list shall include 
        the following medical conditions:
                    ``(A) Circulatory conditions.
                    ``(B) Digestive, endocrine, and metabolic 
                conditions.
                    ``(C) Infectious disease.
                    ``(D) Neurological conditions.
                    ``(E) Renal conditions.
                    ``(F) Respiratory conditions.
                    ``(G) Skin conditions.
                    ``(H) Other medically complex conditions as defined 
                by the Secretary.''.
    (c) Negotiated Rulemaking to Develop LTCH Facility and Patient 
Criteria.--The Secretary shall promulgate regulations to carry out the 
amendments made by this section on an expedited basis and using a 
negotiated rulemaking process under subchapter III of chapter 5 of 
title 5, United States Code.
    (d) Effective Date.--The amendments made by this section shall 
apply to discharges occurring on or after October 1, 2007.

SEC. 4. LTCH QUALITY IMPROVEMENT INITIATIVE.

    (a) Study To Establish Quality Measures.--The Secretary shall 
conduct a study (in this section referred to as the ``study'') to 
determine appropriate quality measures for Medicare beneficiaries 
receiving care in LTCHs.
    (b) Report.--Not later than October 1, 2007, the Secretary shall 
submit to Congress a report on the results of the study.
    (c) Selection of Quality Measures.--Subject to subsection (e), the 
Secretary shall choose 3 quality measures from the study to be reported 
by LTCHs.
    (d) Requirement for Submission of Data.--
            (1) In general.--LTCHs shall--
                    (A) collect data on the 3 quality measures chosen 
                under subsection (c); and
                    (B) submit all required quality data to the 
                Secretary.
            (2) Failure to submit data.--Any LTCH which does not submit 
        the required quality data to the Secretary in any fiscal year 
        shall have the applicable LTCH market basket under section 1886 
        reduced by not more than 0.4 percent for such year.
    (e) Expansion of Quality Measures.--The Secretary may expand the 
number of quality indicators required to be reported by LTCHs under the 
study. If the Secretary adds other measures, the measures shall reflect 
consensus among the affected parties. The Secretary may replace any 
measures in appropriate cases, such as where all hospitals are 
effectively in compliance or where measures have been shown not to 
represent the best clinical practice.
    (f) Availability of Data to Public.--The Secretary shall establish 
procedures for making the quality data submitted under this section 
available to the public.

SEC. 5. CONFORMING LTCH PPS UPDATES TO THE INPATIENT PPS.

    (a) Requiring Annual Updates of Base Rates and Wage Indices and 
Annual Updates and Reweighting of LTCDRGs.--
            (1) In general.--The second sentence of section 307(b)(1) 
        of the Medicare, Medicaid, and SCHIP Benefits Improvement and 
        Protection Act of 2000 (114 Stat. 2763A-496), as enacted into 
        law by section 1(a)(6) of Public Law 106-554, is amended by 
        inserting before the period at the end the following: ``, and 
        shall provide (consistent with updating and reweighting 
        provided for subsection (d) hospitals under paragraphs 
        (2)(B)(ii), (3)(D)(iii), and (3)(E) of section 1886 of the 
        Social Security Act) for an annual update under such system in 
        payment rates, in the wage indices (in a budget neutral 
        manner), and in the classification and reweighting (in a budget 
        neutral manner) of the diagnosis-related groups applied under 
        such system''.
            (2) Application.--Pursuant to the amendment made by 
        paragraph (1), the Secretary shall provide annual updates to 
        the LTCH base rate, as is specified for the inpatient hospital 
        prospective payment system under section 1886(d)(2)(B)(ii) of 
        the Social Security Act (42 U.S.C. 1395ww(d)(2)(B)(ii)). The 
        Secretary shall annually update and reweight the LTCDRGs under 
        section 307(b) of the Medicare, Medicaid, and SCHIP Benefits 
        Improvement and Protection Act of 2000 or an alternative 
        patient classification system in a budget neutral manner, 
        consistent with such updating and reweighting applied under 
        section 1886(d)(3)(D)(iii) of the Social Security Act (42 
        U.S.C. 1395ww(d)(3)(D)(iii)). The Secretary shall annually 
        update wage levels for LTCHs in a budget neutral manner, 
        consistent with such annual updating applied under section 
        1886(d)(3)(E) of the Social Security Act (42 U.S.C. 
        1395ww(d)(3)(E)).
    (b) Elimination of One-Time Budget Neutrality Adjustment.--The 
Secretary shall not make a one-time prospective adjustment to the LTCH 
prospective payment system rates under section 412.523(d)(3) of title 
42, Code of Federal Regulations, or otherwise conduct any budget 
neutrality adjustment to address such rates, during the transition 
period specified in section 412.533 of such title from cost-based 
payment to the prospective payment system for LTCHs.
    (c) No Application of 25 Percent Patient Threshold Payment 
Adjustment to Freestanding LTCHs.--The Secretary shall not extend the 
25 percent (or applicable percentage) patient threshold payment 
adjustment under section 412.534 of title 42, Code of Federal 
Regulations, or any similar provision, to freestanding LTCHs.

SEC. 6. RELIEF FOR CERTAIN LONG-TERM CARE HOSPITALS AND SATELLITE 
              FACILITIES THAT ARE CO-LOCATED WITH OTHER HOSPITALS.

    (a) Urban Single and MSA Dominant Hospitals.--The Secretary shall 
permit up to 75 percent of the discharged Medicare impatient population 
of an applicable hospital to be admitted from a co-located urban single 
or co-located MSA dominant hospital (as defined in section 
412.534(e)(4) of title 42, Code of Federal Regulations) without 
adjustment to the hospital's LTCH prospective payment system payment in 
the manner described in section 412.534(e) of such title.
    (b) Rural Hospitals.--The Secretary shall permit up to 75 percent 
of the discharged Medicare impatient population of an applicable 
hospital which is located in a rural area (as defined in section 
412.64(b)(1)(ii)(C) of title 42, Code of Federal Regulations) to be 
admitted from a co-located hospital without adjustment to the 
hospital's LTCH prospective payment system payment in the manner 
described in section 412.534(d) of such title.
    (c) Applicable Long-Term Care Hospital Defined.--In this section, 
the term ``applicable long-term care hospital'' means--
            (1) a long-term care hospital that meets the criteria in 
        section 412.22(e) of title 42, Code of Federal Regulations; and
            (2) a satellite facility of a long-term care hospital that 
        meet the criteria in section 412.22(h) of such title.

Ex Output:

Medicare Long-Term Care Hospital Improvement Act of 2007 - Amends title XVIII (Medicare) of the Social Security Act to prescribe requirements for a long-term care hospital (LTCH) and patient criteria for prospective payment to an LTCH.

Directs the Secretary of Health and Human Services to: (1) determine a list of medical conditions associated with a high severity of illness of patients who are appropriate for treatment in long-term care hospitals, as indicated by the presence of clinical comorbidities in accordance with a methodology specified by the Secretary; and (2) study and report to Congress on appropriate quality measures for Medicare beneficiaries receiving care in LTCHs.

Directs the Secretary to choose three quality measures from the study for LTCHs to report.

Amends the Medicare, Medicaid, and SCHIP Benefits Improvement and Protection Act of 2000 to require annual updates of LTCH base rates and wage indices and the reweighting of LTCH-DRGs.

Prohibits the Secretary from extending application of the 25% (or applicable percentage) patient threshold payment adjustment to freestanding LTCHs.

Directs the Secretary to permit up to 75% of the discharged Medicare inpatient population: (1) of an applicable hospital to be admitted from a co-located urban single or co-located MSA dominant hospital without adjustment to the hospital's LTCH prospective payment system payment in a specified manner; and (2) of an applicable hospital located in a rural area to be admitted from a co-located hospital without such an adjustment, either.