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 ``Ambulatory Surgical Center Medicare 
Payment Modernization Act of 2005''.

SEC. 2. MEDICARE PAYMENT FOR AMBULATORY SURGICAL CENTER SERVICES.

    (a) In General.--Section 1833(i) of the Social Security Act (42 
U.S.C. 1395l(i)) is amended to read as follows:
    ``(i)(1) Payment shall be made under this part in the amount 
specified under paragraph (2) for facility services furnished to an 
individual in an ambulatory surgical center in connection with any 
outpatient surgical procedure covered under this part as a hospital 
outpatient department service, except for those procedures that the 
Secretary designates, in consultation with appropriate trade and 
professional organizations (including those having direct experience 
with ambulatory surgical centers) as posing a significant safety risk 
or requiring an overnight stay when performed in ambulatory surgical 
centers. Not less frequently than once every two years the Secretary 
shall review and, may, after public comment, make appropriate 
adjustments to this list of procedures excluded from coverage when 
performed in ambulatory surgical centers as the Secretary deems 
necessary.
    ``(2)(A) Subject to subparagraphs (B) and (C), the amount of 
payment to be made under this subsection for facility services 
furnished to an individual in an ambulatory surgical center in 
accordance with paragraph (1) shall be equal to 75 percent of the fee 
schedule amount determined under paragraph (3)(A) of subsection (t) for 
payment of the same service furnished in hospital outpatient 
departments, as adjusted under paragraphs (4)(A), (6), and (15) of such 
subsection, less a 20 percent beneficiary copayment.
    ``(B) For covered ambulatory surgical center services furnished on 
or after January 1, 2008, and before January 1, 2012, for which the 
ambulatory surgical center payment amount payable under this subsection 
in 2007 (in this subsection referred to as the `2007 ASC payment 
amount') is less than 75 percent of the hospital OPD fee schedule 
amount under subsection (t) in 2007 for the same services, the amount 
of payment under this subsection shall be calculated as follows:
            ``(i) For services furnished during 2008, the amount shall 
        be equal to the sum of--
                    ``(I) 80 percent of the 2007 ASC payment amount, as 
                increased by the percentage increase in the consumer 
                price index for all urban consumers (United States city 
                average) as estimated by the Secretary for the 12-month 
                period ending with December 31, 2006; and
                    ``(II) 20 percent of the payment amount under 
                paragraph (2)(A) for 2008.
            ``(ii) For services furnished during 2009, the amount shall 
        be equal to the sum of--
                    ``(I) 60 percent of the 2007 ASC payment amount as 
                increased under clause (i)(I) and as further increased 
                by the percentage increase in the consumer price index 
                for all urban consumers (United States city average) as 
                estimated by the Secretary for the 12-month period 
                ending with December 31, 2007; and
                    ``(II) 40 percent of the payment amount under 
                paragraph (2)(A) for 2009.
            ``(iii) For services furnished during 2010, the amount 
        shall be equal to the sum of--
                    ``(I) 40 percent of the 2007 ASC payment amount as 
                increased under clauses (i)(I) and (ii)(I) and as 
                further increased by the percentage increase in the 
                consumer price index for all urban consumers (United 
                States city average) as estimated by the Secretary for 
                the 12-month period ending with December 31, 2008; and
                    ``(II) 60 percent of the payment amount under 
                paragraph (2)(A) for 2010.
            ``(iv) For services furnished during 2011, the amount shall 
        be equal to the sum of--
                    ``(I) 20 percent of the 2007 ASC payment amount as 
                increased under clauses (i)(I), (ii)(I), and (iii)(I) 
                and as further increased by the percentage increase in 
                the consumer price index for all urban consumers 
                (United States city average) as estimated by the 
                Secretary for the 12-month period ending with December 
                31, 2009; and
                    ``(II) 80 percent of the payment amount under 
                paragraph (2)(A) for 2011.
    ``(C) For covered ambulatory surgical center services for which the 
2007 ASC payment amount is--
            ``(i) greater than 75 percent, but less than 100 percent, 
        of the hospital OPD fee schedule amount under subsection (t) in 
        2007 for the same services, the amount of payment under this 
        subsection shall be the greater of the 2007 ASC payment amount 
        or--
                    ``(I) for services furnished in 2008, the payment 
                amount under subparagraph (B)(i);
                    ``(II) for services furnished in 2009, the payment 
                amount under subparagraph (B)(ii);
                    ``(III) for services furnished in 2010, the payment 
                amount under subparagraph (B)(iii);
                    ``(IV) for services furnished in 2011, the payment 
                amount under subparagraph (B)(iv); or
                    ``(V) in 2012 and subsequent years, the payment 
                amount under subparagraph (A),
        but in no case in excess of the then applicable hospital OPD 
        fee schedule amount; or
            ``(ii) greater than the hospital OPD fee schedule amount 
        under subsection (t) in 2007 for the same services, the amount 
        of payment under this subsection--
                    ``(I) for services furnished during 2008, is equal 
                to the midpoint between the 2007 ASC payment amount and 
                100 percent of such 2007 hospital OPD fee schedule 
                amount; or
                    ``(II) for services furnished in a subsequent year 
                is equal to the greater of the 2007 hospital OPD fee 
                schedule amount or the payment amount specified under 
                subclause (I) through (V) of clause (i) for the year 
                involved, but but in no case in excess of the then 
                applicable hospital OPD fee schedule amount.''.
    (b) Conforming Amendments.--
            (1) Section 1832(a)(2)(F)(i) of such Act (42 U.S.C. 
        1395k(a)(2)(F)(i)) is amended--
                    (A) by striking ``section 1833(i)(1)(A)'' and 
                inserting ``section 1833(i)(1)'';
                    (B) by striking ``the standard overhead amount as 
                determined under section 1833(i)(2)(A)'' and inserting 
                ``the amount determined under section 1833(i)(2)''; and
                    (C) by striking all that follows ``as full payment 
                for such services'' and inserting ``, or''.
            (2) Section 1833(a)(1)(G) of such Act (42 U.S.C. 
        1395l(a)(1)(G)) is amended--
                    (A) by striking ``subsection (i)(1)(A)'' and 
                inserting ``subsection (i)(1)'';
                    (B) by striking ``for services furnished 
                beginning'' and all that follows through ``subsection 
                (i)(2)(D)''; and
                    (C) by striking ``such revised payment system'' and 
                inserting ``under subsection (i)(2)''.
            (3) Section 1833(a)(4) of such Act (42 U.S.C. 1395l(a)(4)) 
        is amended--
                    (A) by striking ``section 1833(i)(1)(A)'' and 
                inserting ``subsection (i)(1)''; and
                    (B) by striking ``paragraph (2) or (3) of 
                subsection (i)'' and inserting ``subsection (i)(1)''.
    (c) Effective Date.--The amendments made by this section shall 
apply to ambulatory surgical center services furnished on or after 
January 1, 2008.

Ex Output:
Ambulatory Surgical Center Medicare Payment Modernization Act of 2005 - Amends title XVIII (Medicare) of the Social Security Act to revise the requirements and the formula for payments for services furnished to individuals in ambulatory surgical centers.


Ex Input:
SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Review EPA's Language on Agriculture 
and Thoroughly Engage with the Farm Act of 2013'' or the ``RELATE with 
the Farm Act of 2013''.

SEC. 2. REGULATORY REVIEW BY THE SECRETARY OF AGRICULTURE.

    (a) Review of Regulatory Agenda.--The Secretary of Agriculture 
shall review publications that may give notice that the Environmental 
Protection Agency is preparing or plans to prepare any guidance, 
policy, memorandum, regulation, or statement of general applicability 
and future effect that may have a significant impact on a substantial 
number of agricultural entities, including--
            (1) any regulatory agenda of the Environmental Protection 
        Agency published pursuant to section 602 of title 5, United 
        States Code;
            (2) any regulatory plan or agenda published by the 
        Environmental Protection Agency or the Office of Management and 
        Budget pursuant to an Executive order, including Executive 
        Order 12866; and
            (3) any other publication issued by the Environmental 
        Protection Agency or the Office of Management and Budget that 
        may reasonably be foreseen to contain notice of plans by the 
        Environmental Protection Agency to prepare any guidance, 
        policy, memorandum, regulation, or statement of general 
        applicability and future effect that may have a significant 
        impact on a substantial number of agricultural entities.
    (b) Information Gathering.--For a publication item reviewed under 
subsection (a) that the Secretary determines may have a significant 
impact on a substantial number of agricultural entities, the Secretary 
shall--
            (1) solicit from the Administrator of the Environmental 
        Protection Agency any information the Administrator may provide 
        to facilitate a review of the publication item;
            (2) utilize the Chief Economist of the Department of 
        Agriculture to produce an economic impact statement for the 
        publication item that contains a detailed estimate of potential 
        costs to agricultural entities;
            (3) identify individuals representative of potentially 
        affected agricultural entities for the purpose of obtaining 
        advice and recommendations from such individuals about the 
        potential impacts of the publication item; and
            (4) convene a review panel for analysis of the publication 
        item that includes the Secretary, any full-time Federal 
        employee of the Department of Agriculture appointed to the 
        panel by the Secretary, and any employee of the Environmental 
        Protection Agency or the Office of Information and Regulatory 
        Affairs within the Office of Management and Budget that accepts 
        an invitation from the Secretary to participate in the panel.
    (c) Duties of the Review Panel.--A review panel convened for a 
publication item under subsection (b)(4) shall--
            (1) review any information or material obtained by the 
        Secretary and prepared in connection with the publication item, 
        including any draft proposed guidance, policy, memorandum, 
        regulation, or statement of general applicability and future 
        effect;
            (2) collect advice and recommendations from agricultural 
        entity representatives identified by the Administrator after 
        consultation with the Secretary;
            (3) compile and analyze such advice and recommendations; 
        and
            (4) make recommendations to the Secretary based on the 
        information gathered by the review panel or provided by 
        agricultural entity representatives.
    (d) Comments.--
            (1) In general.--Not later than 60 days after the date the 
        Secretary convenes a review panel pursuant to subsection 
        (b)(4), the Secretary shall submit to the Administrator 
        comments on the planned or proposed guidance, policy, 
        memorandum, regulation, or statement of general applicability 
        and future effect for consideration and inclusion in any 
        related administrative record, including--
                    (A) a report by the Secretary on the concerns of 
                agricultural entities;
                    (B) the findings of the review panel;
                    (C) the findings of the Secretary, including any 
                adopted findings of the review panel; and
                    (D) recommendations of the Secretary.
            (2) Publication.--The Secretary shall publish the comments 
        in the Federal Register and make the comments available to the 
        public on the public Internet website of the Department of 
        Agriculture.
    (e) Waivers.--The Secretary may waive initiation of the review 
panel under subsection (b)(4) as the Secretary determines appropriate.
    (f) Definition of Agricultural Entity.--In this section, the term 
``agricultural entity'' means any entity involved in or related to 
agricultural enterprise, including enterprises that are engaged in the 
business of production of food and fiber, ranching and raising of 
livestock, aquaculture, and all other farming and agricultural related 
industries.

Ex Output:
Review EPA's Language on Agriculture and Thoroughly Engage with the Farm Act of 2013 or the RELATE with the Farm Act of 2013 - Directs the Secretary of Agriculture (USDA) to review publications that may give notice that the Environmental Protection Agency (EPA) is preparing or plans to prepare any guidance, policy, memorandum, regulation, or statement of general applicability and future effect that may have a significant impact on a substantial number of agricultural entities. Requires the Secretary, for each publication item determined to have a possible significant impact, to: (1) solicit from the EPA Administrator information to facilitate a review of the item, (2) produce an economic impact statement, (3) identify representatives of potentially affected agricultural entities to obtain advice and recommendations about the potential impacts of the item, and (4) convene a review panel that includes the Secretary to analyze the publication item. Provides procedures for submission by the Secretary of comments to the Administrator for inclusion in the administrative record and for waiver of a panel's initiation.


Ex Input:
SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Children's Hospitals Education and 
Research Act of 1999''.

SEC. 2. PROGRAM OF PAYMENTS TO CHILDREN'S HOSPITALS THAT OPERATE 
              GRADUATE MEDICAL EDUCATION PROGRAMS.

    (a) Payments.--
            (1) In general.--The Secretary shall make payments under 
        this section to each children's hospital for each hospital cost 
        reporting period under the medicare program beginning in or 
        after fiscal year 2000 and before fiscal year 2004 for the--
                    (A) direct expenses associated with operating 
                approved medical residency training programs; and
                    (B) indirect expenses associated with the treatment 
                of more severely ill patients and the additional costs 
                related to the teaching of residents.
            (2) Payment amounts.--Subject to paragraph (3), the 
        following amounts shall be payable under this section to a 
        children's hospital for a cost reporting period described in 
        paragraph (1):
                    (A) Direct expenses.--The amount determined under 
                subsection (b) for direct expenses described in 
                paragraph (1)(A).
                    (B) Indirect expenses.--The amount determined under 
                subsection (c) for indirect expenses described in 
                paragraph (1)(B)
            (3) Capped amount.--
                    (A) In general.--The payments to children's 
                hospitals established in this subsection for cost 
                reporting periods ending in any fiscal year shall not 
                exceed the funds appropriated under subsection (e) for 
                that fiscal year.
                    (B) Pro rata reductions of payments for direct 
                expenses.--If the Secretary determines that the amount 
                of funds appropriated under subsection (e)(1) for cost 
                reporting periods ending in any fiscal year is 
                insufficient to provide the total amount of payments 
                otherwise due for such periods, the Secretary shall 
                reduce each of the amounts payable under this section 
                pursuant to paragraph (2)(A) for such period on a pro 
                rata basis to reflect such shortfall.
    (b) Amount of Payment for Direct Medical Education.--
            (1) In general.--The amount determined under this 
        subsection for payments to a children's hospital for direct 
        expenses relating to approved medical residency training 
        programs for a cost reporting period beginning in or after 
        fiscal year 2000 and before fiscal year 2004 is equal to the 
        product of--
                    (A) the updated per resident amount for direct 
                medical education, as determined under paragraph (2), 
                for the cost reporting period; and
                    (B) the number of full-time equivalent residents in 
                the hospital's approved medical residency training 
                programs (as determined under section 1886(h)(4) of the 
                Social Security Act (42 U.S.C. 1395ww(h)(4))) for the 
                cost reporting period.
            (2) Updated per resident amount for direct medical 
        education.--The updated per resident amount for direct medical 
        education for a hospital for a cost reporting period ending in 
        a fiscal year is an amount equal to the per resident amount for 
        cost reporting periods ending during fiscal year 1999 for the 
        hospital involved (as determined by the Secretary using the 
        methodology described in section 1886(h)(2)(E)) of such Act (42 
        U.S.C. 1395ww(h)(2)(E))) increased by the percentage increase 
        in the Consumer Price Index for All Urban Consumers (United 
        States city average) from fiscal year 1999 through the fiscal 
        year involved.
    (c) Amount of Payment for Indirect Medical Education.--
            (1) In general.--The amount determined under this 
        subsection for payments to a children's hospital for indirect 
expenses associated with the treatment of more severely ill patients 
and the additional costs related to the teaching of residents for a 
cost reporting period beginning in or after fiscal year 2000 and before 
fiscal year 2004 is equal to an amount determined appropriate by the 
Secretary.
            (2) Factors.--In determining the amount under paragraph 
        (1), the Secretary shall--
                    (A) take into account variations in case mix among 
                children's hospitals and the number of full-time 
                equivalent residents in the hospitals' approved medical 
                residency training programs for the cost reporting 
                period; and
                    (B) assure that the aggregate of the payments for 
                indirect expenses associated with the treatment of more 
                severely ill patients and the additional costs related 
                to the teaching of residents under this section in a 
                fiscal year are equal to the amount appropriated for 
                such expenses in such year under subsection (e)(2).
    (d) Making of Payments.--
            (1) Interim payments.--The Secretary shall estimate, before 
        the beginning of each cost reporting period for a hospital for 
        which the payments may be made under this section, the amounts 
        of the payments for such period and shall (subject to paragraph 
        (2)) make the payments of such amounts in 26 equal interim 
        installments during such period.
            (2) Withholding.--The Secretary shall withhold up to 25 
        percent from each interim installment paid under paragraph (1).
            (3) Reconciliation.--At the end of each such period, the 
        hospital shall submit to the Secretary such information as the 
        Secretary determines to be necessary to determine the percent 
        (if any) of the total amount withheld under paragraph (2) that 
        is due under this section for the hospital for the period. 
        Based on such determination, the Secretary shall recoup any 
        overpayments made, or pay any balance due. The amount so 
        determined shall be considered a final intermediary 
        determination for purposes of applying section 1878 of the 
        Social Security Act (42 U.S.C. 1395oo) and shall be subject to 
        review under that section in the same manner as the amount of 
        payment under section 1886(d) of such Act (42 U.S.C. 1395ww(d)) 
        is subject to review under such section.
    (e) Limitation on Expenditures.--
            (1) Direct medical education.--
                    (A) In general.--Subject to subparagraph (B), there 
                are hereby appropriated, out of any money in the 
                Treasury not otherwise appropriated, for payments under 
                this section for direct expenses relating to approved 
                medical residency training programs for cost reporting 
                periods beginning in--
                            (i) fiscal year 2000, $35,000,000;
                            (ii) fiscal year 2001, $95,000,000;
                            (iii) fiscal year 2002, $95,000,000; and
                            (iv) fiscal year 2003, $95,000,000.
                    (B) Carryover of excess.--If the amount of payments 
                under this section for cost reporting periods beginning 
                in fiscal year 2000, 2001, or 2002 is less than the 
                amount provided under this paragraph for such payments 
                for such periods, then the amount available under this 
                paragraph for cost reporting periods beginning in the 
                following fiscal year shall be increased by the amount 
                of such difference.
            (2) Indirect medical education.--There are hereby 
        appropriated, out of any money in the Treasury not otherwise 
        appropriated, for payments under this section for indirect 
        expenses associated with the treatment of more severely ill 
        patients and the additional costs related to the teaching of 
        residents for cost reporting periods beginning in--
                    (A) fiscal year 2000, $65,000,000;
                    (B) fiscal year 2001, $190,000,000;
                    (C) fiscal year 2002, $190,000,000; and
                    (D) fiscal year 2003, $190,000,000.
    (f) Relation to Medicare and Medicaid Payments.--Notwithstanding 
any other provision of law, payments under this section to a hospital 
for a cost reporting period--
            (1) are in lieu of any amounts otherwise payable to the 
        hospital under section 1886(h) or 1886(d)(5)(B) of the Social 
        Security Act (42 U.S.C. 1395ww(h); 1395ww(d)(5)B)) to the 
        hospital for such cost reporting period, but
            (2) shall not affect the amounts otherwise payable to such 
        hospitals under a State medicaid plan under title XIX of such 
        Act (42 U.S.C. 1396 et seq.).
    (g) Definitions.--In this section:
            (1) Approved medical residency training program.--The term 
        ``approved medical residency training program'' has the meaning 
        given such term in section 1886(h)(5)(A) of the Social Security 
        Act (42 U.S.C. 1395ww(h)(5)(A)).
            (2) Children's hospital.--The term ``children's hospital'' 
        means a hospital described in section 1886(d)(1)(B)(iii) of the 
        Social Security Act (42 U.S.C. 1395ww(d)(1)(B)(iii)).
            (3) Direct graduate medical education costs.--The term 
        ``direct graduate medical education costs'' has the meaning 
        given such term in section 1886(h)(5)(C) of the Social Security 
        Act (42 U.S.C. 1395ww(h)(5)(C)).
            (4) Secretary.--The term ``Secretary'' means the Secretary 
        of Health and Human Services.

Ex Output:

Children's Hospitals Education and Research Act of 1999 - Directs the Secretary of Health and Human Services to make payment as specified to each children's hospital for each hospital cost reporting period under Medicare (title XVIII of the Social Security Act (SSA)) from FY 2000 through FY 2003 for the direct and indirect expenses associated with operating approved medical residency training programs. 
Provides that such payments are in lieu of certain Medicare payments to hospitals for inpatient hospital services, but shall not affect the amounts otherwise payable to such hospitals under a State Medicaid (SSA title XIX) plan. 
Makes appropriations.