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

    This Act may be cited as the ``Medicare Home Health Rebasing Relief 
and Reassessment Act''.

SEC. 2. RELIEF AND REASSESSMENT OF THE REBASING OF MEDICARE HOME HEALTH 
              PROSPECTIVE PAYMENT AMOUNTS.

    (a) Suspension of Rebasing.--Section 1895(b)(3)(A)(iii) of the 
Social Security Act (42 U.S.C. 1395fff(b)(3)(A)(iii)) is amended--
            (1) in subclause (I), in the first sentence, by striking 
        ``subclause (II)'' and inserting ``subclauses (II) and (III)'';
            (2) in subclause (II), in the first sentence, by striking 
        ``The Secretary'' and inserting ``Subject to subclause (III), 
        the Secretary''; and
            (3) by adding at the end the following new subclause:
                                    ``(III) Special rule.--Subclauses 
                                (I) and (II) shall not apply for the 
                                12-month period beginning on the date 
                                of the enactment of this subclause. For 
                                periods beginning after the period 
                                described in the previous sentence, the 
                                Secretary shall apply such subclauses 
                                as if the previous sentence had not 
                                been enacted.''.
    (b) Revision of Home Health Outlier Adjustment.--Section 
1895(b)(5)(A) of the Social Security Act (42 U.S.C. 1395fff(b)(5)(A)) 
is amended, in the second sentence, by inserting ``(or, in the case of 
each of the years 2015 through 2023, 2.25 percent)'' after ``2.5 
percent''.
    (c) Study and Report.--
            (1) Study.--
                    (A) In general.--The Secretary of Health and Human 
                Services, in consultation with representatives of 
                Medicare home health agencies and beneficiaries, shall 
                conduct a study on alternative methods for determining 
                the appropriate adjustment under section 
                1895(b)(3)(A)(iii) of the Social Security Act (42 
                U.S.C. 1395(b)(3)(A)(iii)), including methods offered 
                by stakeholders. Such study shall include an analysis 
                of each of the following:
                            (i) The projected impact on Medicare 
                        beneficiary access to care during each of 2014 
                        through 2017 of applying section 1895(b)(3) 
                        during each of such years without application 
                        of subparagraph (A)(iii) of such section, 
                        compared to the projected impact on such access 
                        during each of such years of applying such 
                        section during each of such years with 
                        application of such subparagraph.
                            (ii) The number and share of home health 
                        agencies that are projected to experience 
                        negative Medicare margins by 2017, including 
                        the location, size, and type of such agencies.
                            (iii) With respect to home health agencies 
                        described in clause (ii)--
                                    (I) the total number, average age, 
                                average income, and average number of 
                                activities of daily living of the 
                                Medicare beneficiaries such agencies 
                                serve;
                                    (II) the number of staff such 
                                agencies employ;
                                    (III) the number and location of 
                                counties in which such agencies serve 
                                as the sole provider of Medicare home 
                                health services; and
                                    (IV) to the extent practicable, the 
                                payer mix of such agencies.
                            (iv) The impact of the adjustment on small 
                        home health agencies, as defined by the United 
                        States Small Business Administration small 
                        business size standards, consistent with the 
                        principles of the Regulatory Flexibility Act, 
                        which requires Federal agencies, including the 
                        Department of Health and Human Services, to 
                        fully consider during the rulemaking process 
                        the economic impact of regulatory provisions, 
                        as well as less burdensome regulatory 
                        alternatives, to small entities.
                            (v) Any other areas determined appropriate 
                        by the Secretary.
                    (B) Requirement for alternative methods and other 
                considerations.--For purposes of the analysis under 
                subparagraph (A)--
                            (i) the alternative methods described in 
                        such subparagraph shall cover each of the years 
                        in which the rebasing adjustment under such 
                        section 1895(b)(3)(A)(iii) is to be applied; 
                        and
                            (ii) the Secretary shall include a 
                        cumulative analysis of other Medicare home 
                        health reimbursement reductions established by 
                        statute or regulation, consistent with the 
                        requirements of Executive Order 13563.
            (2) Report.--Not later than 6 months after the date of the 
        enactment of this Act, the Secretary of Health and Human 
        Services shall submit to Congress a report on the study 
        conducted under paragraph (1), together with such 
        recommendations as the Secretary determines appropriate based 
        on the findings of such study. Such report shall include--
                    (A) a determination by the Secretary as to whether, 
                as a result of the findings of such study, the 
                Secretary intends to use the authority under section 
                1871 of the Social Security Act (42 U.S.C. 1395hh) to 
                modify the adjustment described in paragraph (1)(A) and 
                the extent of any such modification; and
                    (B) in the case the Secretary determines not to use 
                such authority, the rationale for such determination.

Answer: Medicare Home Health Rebasing Relief and Reassessment Act - Amends title XVIII (Medicare) of the Social Security Act, with respect to the system for prospective payments for home health services, to suspend for a 12-month period a specified adjustment to (rebasing of) Medicare home health prospective payment amounts. Revises the home health outlier adjustment to equal not to exceed 2.25% (currently, 2.5%) for 2015 through 2023. Directs the Secretary of Health and Human Services (HHS) to study alternative methods for determining the appropriate adjustment for 2014 and subsequent years to the prospective payment for home health services, including methods offered by stakeholders.


Question: SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Alexis Agin Identity Theft 
Protection Act of 2013''.

SEC. 2. LIMITATION ON DISTRIBUTION OF DEATH INFORMATION FURNISHED TO OR 
              MAINTAINED BY THE SOCIAL SECURITY ADMINISTRATION.

    (a) In General.--Section 205(r) of the Social Security Act (42 
U.S.C. 405(r)) is amended--
            (1) in paragraph (2), by inserting ``, and to ensure 
        completeness, timeliness, and accuracy of,'' after 
        ``transmitting'';
            (2) by striking paragraph (3) and inserting the following:
    ``(3) The Commissioner of Social Security shall, to the extent 
feasible, provide for the use of information regarding deceased 
individuals furnished to or maintained by the Commissioner, subject to 
such safeguards as the Commissioner of Social Security determines are 
necessary or appropriate to protect the information from unauthorized 
use or disclosure, to any Federal or State agency providing or 
administering Federally funded benefits to individuals, other than 
benefits under this Act, through a cooperative arrangement with such 
agency designed to ensure proper payment of those benefits with respect 
to such individuals if--
            ``(A) under such arrangement the agency provides 
        reimbursement to the Commissioner of Social Security for the 
        reasonable costs of carrying out such arrangement, including 
        the reasonable costs associated with the collection and 
        maintenance of information regarding deceased individuals 
        furnished to the Commissioner pursuant to paragraph (1); and
            ``(B) such arrangement does not conflict with the duties of 
        the Commissioner of Social Security under paragraph (1).'';
            (3) in paragraph (4), by inserting ``or in benefit and 
        pension plans for employees of the States or local 
        governments'' after ``by the States'';
            (4) by striking paragraph (5) and inserting the following:
    ``(5)(A) The Commissioner of Social Security may use or provide for 
the use of information regarding deceased individuals furnished to or 
maintained by the Commissioner, subject to such safeguards as the 
Commissioner of Social Security determines are necessary or appropriate 
to protect the information from unauthorized use or disclosure, 
provided the requirements of subparagraphs (A) and (B) of paragraph (3) 
are met and such information is provided--
            ``(i) to any Federal agency through a cooperative agreement 
        with such agency for the purpose of law enforcement or tax 
        administration; or
            ``(ii) for statistical and research activities conducted by 
        Federal and State agencies.
    ``(B) A Federal or State agency may disclose death information 
obtained from the Commissioner to a contractor for the purposes of 
assisting with such law enforcement, tax administration, or statistical 
and research activities, provided that the agency ensures, at a 
minimum, that the contractor fulfills the requirements of clauses (ii) 
and (iv) of paragraph (7)(E).'';
            (5) by striking paragraph (7) and inserting the following:
    ``(7)(A) For purposes of this paragraph, death information shall 
consist of information regarding deceased individuals maintained by the 
Commissioner of Social Security, except for information furnished to or 
maintained by the Commissioner pursuant to paragraphs (1) or (2), and 
the death information to be provided shall consist only of the name, 
social security number, date of birth, and date of death of a deceased 
individual.''
    ``(B) The Commissioner may disclose death information under this 
paragraph to the Secretary of Defense provided that--
            ``(i) the Secretary uses the information provided solely 
        for the purpose of assisting in the identification of 
        unidentified remains, and
            ``(ii) the Secretary enforces requirements similar to those 
        in clauses (i), (ii), (iv), (v), (vi), and (vii) with respect 
        to any contractor the Secretary hires to assist in such 
        identifications.
    ``(C) The Commissioner of Social Security may disclose death 
information, except for information furnished to or maintained by the 
Commissioner of Social Security pursuant to paragraphs (1) or (2), 
provided the requirements of this paragraph and the requirements of 
subparagraphs (A) and (B) of paragraph (3) are met.
    ``(D) The Commissioner may disclose--
            ``(i) to any entity, information maintained by the 
        Commissioner concerning individuals whose date of death 
        occurred at least 3 calendar years prior to the year that the 
        entity requests such information pursuant to a written 
        agreement; and
            ``(ii) to any entity `certified' by the Commissioner under 
        subparagraph (E), information maintained by the Commissioner 
        concerning individuals whose date of death does not satisfy the 
        requirements of clause (i), pursuant to a written agreement 
        between the Commissioner and the entity.
    ``(E) For purposes of this paragraph an entity is `certified' only 
if the Commissioner--
            ``(i) establishes procedures to certify and decertify 
        entities eligible to obtain such information;
            ``(ii) includes in the agreement with such an entity 
        provisions to require such entity to safeguard the information 
        provided, assure that the information is used only for the 
        purpose which was the basis for the certification, assure that 
        the information is not disclosed by the entity to any other 
        entity, and include contractual penalties, including monetary 
        penalties and loss of certification, for the violation of any 
        requirements imposed by the Commissioner as a condition of 
        receiving the information;
            ``(iii) requires that the entity demonstrate that--
                    ``(I) it has a legitimate business need for the 
                information, which shall include a requirement that the 
                information regarding a deceased individual will aid in 
                preventing financial harm to the entity or to a 
                customer or client of the entity or will aid in 
                permitting the entity to fulfill an obligation to a 
                beneficiary of an individual that is contingent upon 
                the death of such individual; or
                    ``(II) it has a legitimate interest in preventing 
                fraud or unauthorized financial transactions;
            ``(iv) requires that the entity demonstrate that it has 
        infrastructure and procedures in place to prevent wrongful 
        access to or the disclosure of information provided by the 
        Commissioner;
            ``(v) determines that the entity has adequate experience 
        and expertise in maintaining the confidentiality and security 
        of information;
            ``(vi) includes such other requirements and restrictions as 
        the Commissioner deems appropriate to assure the 
        confidentiality of the information; and
            ``(vii) requires that the entity permit periodic and 
        unscheduled audits of the entity to assure compliance with the 
        requirements established by the Commissioner.
    ``(F) The Commissioner shall establish application and other fees 
to be paid by entities seeking to be certified or to maintain 
certification under this paragraph so that the Commissioner is fully 
reimbursed for all costs associated with development of the 
certification process, evaluating applications, auditing compliance 
with the requirements established by the Commissioner, inspecting 
records and assuring compliance with contract requirements, and any 
other costs associated with assuring continuing eligibility for 
certification under this paragraph.
    ``(G) For purposes of this paragraph, the terms `entity' or 
`entities' includes `individual' and `individuals' respectively.
    ``(H) The Commissioner may delegate any of the activities under 
this paragraph to another agency and may perform any activity through a 
contractor, provided that the delegation or contract requires such 
agency or contractor to comply with all requirements of this section 
and of the implementing policies developed by the Commissioner.'';
            (6) by adding at the end the following new paragraph:
    ``(10) Information related to a deceased individual received by the 
Commissioner of Social Security other than as described in paragraph 
(1) shall be treated for purposes of paragraph (6) in the same manner 
as information received as described in paragraph (1).''.
    (b) Report.--Not later than 1 year after the date of the enactment 
of this Act and each year thereafter through 2019, the Commissioner of 
Social Security shall submit to the Committee on Finance of the Senate 
and the Committee on Ways and Means of the House of Representatives a 
report describing the entities certified by the Commissioner under 
section 205(r)(7) of the Social Security Act (42 U.S.C. 405(r)(7)) 
during the preceding year and their compliance with the requirements of 
subparagraph (E) of such section.
    (c) Effective Dates.--
            (1) In general.--Except as provided in paragraph (2), the 
        amendments made by this section take effect on the date that is 
        60 days after the date of the enactment of this Act.
            (2) Exception.--The amendment made by subsection (a)(6) 
        shall take effect on January 1, 2014.
    (d) Sunset.--Subparagraphs (C) through (H) of section 205(r)(7) of 
the Social Security Act (42 U.S.C. 405(r)(7)) (as amended by subsection 
(a)) shall cease to be effective on January 1, 2019, except that--
            (1) clauses (ii) and (iv) of subparagraph (E) of such 
        section shall continue to apply for purposes of section 
        205(r)(5)(B) of such Act (42 U.S.C. 405(r)(5)(B)) (as amended 
        by subsection (a)).

Answer: Alexis Agin Identity Theft Protection Act of 2013 - Amends title II (Old Age, Survivors and Disability Insurance) (OASDI) of the Social Security Act to revise the treatment of death information furnished to or maintained by the Social Security Administration (SSA). Authorizes the Commissioner of Social Security to use or provide such information to federal and state agencies for statistical and research activities or to any federal agency for law enforcement or tax administration purposes. Authorizes disclosure of such information by: (1) federal and state agencies to contractors to assist with similar activities, (2) the Commissioner to entities concerning certain individuals who died more than three years earlier as well as to entities certified by the Commissioner, and (3) the Commissioner to the Secretary of Defense (DOD) to assist in the identification of remains. 


Question: SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Maritime Regulatory Reform Act of 
1994''.

SEC. 2. SAFETY MANAGEMENT AND ALTERNATIVE COMPLIANCE.

    (a) Chapter 21 of title 46, United States Code, is amended by 
adding a new section 2103a to read as follows:

``SEC. 2103a. SAFETY MANAGEMENT AND ALTERNATIVE COMPLIANCE.

    ``(a) To implement the International Management Code for the Safe 
Operation of Ships and for Pollution Prevention adopted by the 
International Maritime Organization and to establish voluntary 
alternative compliance programs, the Secretary may prescribe 
regulations governing the merchant marine of the United States, 
merchant marine personnel, and shore-based management of vessels that 
affect the safety of vessels and personnel subject to this subtitle and 
marine pollution prevention. Compliance with regulations implementing 
the International Management Code for the Safe Operation of Ships and 
for Pollution Prevention shall be voluntary until the dates for 
mandatory compliance provided for in the International Convention for 
the Safety of life at Sea.
    ``(b) In implementing the International Management Code for the 
Safe Operation of Ships and for Pollution Prevention and alternative 
compliance programs established pursuant to this section, the Secretary 
may establish optional regulatory requirements commensurate with the 
level of quality control adopted by the shipowner or operator, provided 
that an equivalent level of safety is maintained.
    ``(c) The Secretary may require vessel owners and operators to 
maintain records and submit reports and other information which the 
Secretary deems necessary to carry out the objectives of this 
section.''.
    (b) The table of sections for chapter 21 of title 46, United States 
Code, is amended by inserting between the items relating to section 
2103 and section 2104 the following:

                              ``Sec. 2103a. Safety management and 
                                        alternative compliance.''.

SEC. 3. USE OF REPORTS, DOCUMENTS, AND CERTIFICATES.

    (a) Chapter 31 of title 46, United States Code, is amended by 
adding a new section 3103 to read as follows:

``SEC. 3103. USE OF REPORTS, DOCUMENTS, AND CERTIFICATES.

    ``In carrying out this part, the Secretary may utilize reports, 
documents, and certificates issued by persons who the Secretary 
determines may be relied upon with regard to marine safety, security, 
and environmental protection.''.
    (b) The table of sections for chapter 31 of title 46, United States 
Code, is amended by adding at the end the following:

                              ``Sec. 3103. Use of reports, documents, 
                                        and certificates.''.

SEC. 4. EQUIPMENT APPROVAL.

    Section 3306(b) of title 46, United States Code, is amended to read 
as follows:
    ``(b)(1) Equipment subject to regulation under this section may not 
be used on any vessel without prior approval as prescribed by 
regulation.
    ``(2) Except as otherwise provided in paragraph (3) of this 
subsection, the Secretary may accept approvals of fire and life safety 
equipment and materials by foreign governments which the Secretary 
determines utilize design and testing standards that meet the 
requirements of the International Convention for the Safety of Life at 
Sea to which the United States is a party, and its associated 
International Maritime Organization guidance documents.
    ``(3) In determining whether to accept approvals issued by foreign 
governments, the Secretary shall give due regard to whether adherence 
to standards promulgated by regulation under this subsection is 
necessary in order to preserve higher levels of safety.''.

SEC. 5. FREQUENCY OF INSPECTION.

    (a) Section 3307 of title 46, United States Code, is amended as 
follows:
            (1) In paragraph (1)--
                    (A) by striking ``and'' and inserting a comma in 
                its place;
                    (B) by inserting after ``nautical school vessel'', 
                ``, and small passenger vessel carrying more than 12 
                passengers on an international voyage''; and
                    (C) by adding ``and'' at the end.
            (2) By striking paragraph (2).
            (3) In paragraph (3)--
                    (A) by changing the designation of paragraph (3) to 
                paragraph (2); and
                    (B) by striking ``2 years'' and inserting ``5 
                years'' in its place.
    (b) Section 3710(b) of title 46, United States Code, is amended by 
striking ``24 months'' and substituting ``5 years''.

SEC. 6. CERTIFICATE OF INSPECTION.

    Section 3309(c) of title 46, United States Code, is amended by 
deleting the words ``(but not more than 60 days)'' after the words ``At 
least 30 days''.

SEC. 7. CLASSIFICATION SOCIETIES.

    (a) Section 3316 of title 46, United States Code, is amended as 
follows:
            (1) Subsection (a) is amended to read as follows:
    ``(a) In carrying out this part, the Secretary may rely on reports, 
documents, and certificates issued by the American Bureau of Shipping 
or other classification society recognized by the Secretary as meeting 
acceptable standards for such a society, or an agent of the Bureau or 
society.''.
            (2) Subsection (c)(1) is amended to read as follows:
    ``(c)(1) To the maximum extent practicable, the Secretary may 
delegate to the Bureau or other classification society recognized by 
the Secretary as meeting acceptable standards for such a society, or an 
agent of the Bureau or society, the inspection or examination, in the 
United States or in a foreign country, of a vessel documented or to be 
documented as a vessel of the United States. The Bureau, society, or 
agent may issue the certificate of inspection required by this part and 
other certificates essential to documentation.''.
            (3) Subsection (d) is amended to read as follows:
    ``(d) The Secretary also may make an agreement with or use the 
Bureau or other classification society recognized by the Secretary as 
meeting acceptable standards for such a society, or an agent of the 
Bureau or society, for reviewing and approving plans required for 
issuing a certificate of inspection.''.
    (b) The item for section 3316 of the table of sections for chapter 
33 of title 46, United States Code, is amended to read as follows:

                              ``Sec. 3316. Classification societies.''.

Answer:
Maritime Regulatory Reform Act of 1994 - Amends Federal maritime law to authorize the Secretary of the department in which the Coast Guard operates, in order to implement the International Management Code for the Safe Operation of Ships and for Pollution Prevention adopted by the International Maritime Organization and to establish alternative compliance programs, to:  (1) prescribe regulations governing the U.S. merchant marine, merchant marine personnel, and shore-based management of vessels that affect the safety of vessels and personnel and marine pollution prevention; and (2) establish optional regulatory requirements commensurate with the level of quality control adopted by the shipowner or operator, provided that an equivalent level of safety is maintained. 
(Sec. 3) Authorizes the Secretary to utilize reports, documents, and certificates issued by persons who may be relied upon with regard to marine safety, security, and environmental protection. 
(Sec. 4) Authorizes the Secretary to accept approvals of fire and life safety equipment and materials by foreign governments which utilize design and testing standards that meet the requirements of the International Convention for the Safety of Life at Sea, and its associated International Maritime Organization guidance documents. 
(Sec. 5) Requires each in service small passenger vessel carrying more than 12 passengers on an international voyage to be inspected annually.  Requires any other vessel to be inspected at least once every five years (currently, every two years).  Extends from two to five years the effective validation period of certificates of inspection issued to U.S. vessels that carry oil or hazardous material in bulk. 
(Sec. 6) Requires the owner or individual in charge of a vessel to submit certain inspection related notices to the Secretary at least 30 days (currently, at least 30 days but not more than 60 days) before the current certificate of inspection issued to a vessel expires. 
(Sec. 7) Revises provisions regarding the recognition of U.S. classification societies.