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

[Q]: SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Helping Those Who Serve Act''.

SEC. 2. FINDINGS.

    Congress finds the following:
            (1) Increasing numbers of members of the Armed Forces 
        serving in Afghanistan and Iraq are suffering from the 
        significant injuries of the current conflict: post traumatic 
        stress disorder and traumatic brain injury (hereafter in this 
        Act referred to as ``PTSD'' and ``TBI'', respectively) .
            (2) A recent report by the RAND Corporation estimated that 
        of the 1.64 million individuals who have been deployed to 
        Afghanistan and Iraq, approximately 300,000 individuals 
        currently suffer from PTSD or major depression and that 320,000 
        report having a probable TBI during deployment.
            (3) The need for mental health services is likely to 
        increase because deployment lengths have increased in the last 
        year, the number of troops who have served in multiple 
        deployments is increasing, and the breaks between deployments 
        have been infrequent.
            (4) Several experts have noted the difficulties faced by 
        members of the Armed Forces in getting screened, diagnosed, and 
        treated for PTSD and TBI. The RAND report found that, of those 
        who met diagnostic criteria for PTSD or major depression, only 
        53 percent had seen a physician or mental health provider to 
        seek help for a mental health problem in the past 12 months.
            (5) Stigma remains a critical barrier to members of the 
        Armed Forces who may be in need of psychological care, 
        especially fears that seeking mental health care will lower the 
        confidence of others in their abilities, threaten career 
        advancement and security clearances, and possibly cause removal 
        from their unit.
            (6) Stigma may be greatest among those individuals with the 
        greatest need for mental health services.
            (7) To combat stigma, the Mental Health Task Force of the 
        Department of Defense and others have noted the need for the 
        Department to reexamine its policies, including those policies 
        related to command notification or self-disclosure of 
        psychological health issues that contribute to fears that 
        seeking mental health care will negatively affect career 
        opportunities or advancement.
            (8) The Mental Health Task Force stated that this 
        ``widespread perception that seeking psychological health 
        services is costly to an individual's career . . . must be 
        challenged through thoughtful refinements in command 
        notification policies, including redefining the balance between 
        the need to encourage those in need to seek help and the need 
        for commanders to know in order to maintain force readiness''.
            (9) Congress recognizes that much change is under way to 
        implement numerous recommendations to address concerns that 
        soldiers in need of mental health services for PTSD and other 
        conditions are not receiving, including efforts led by the 
        Department of Defense and the Department of Veterans Affairs.
            (10) However, without addressing stigma at all levels, 
        including structurally, these laudable efforts may not 
        accomplish their goals.
            (11) In its July 2007 report, the Mental Health Task Force 
        called for ending overly conservative policies that have the 
        unintentional consequence of fueling erroneous beliefs that 
        seeking psychological health care invariably results in 
        permanent damage to one's military career. For example, the 
        Task Force called for allowing, in the case of alcohol use by a 
        member of the Armed Forces, for the member to receive 
        appropriate and non-prejudicial education and preventive 
        services, without a requirement for command notification, when, 
        in a clinician's judgment, the alcohol use does not warrant a 
        diagnosis of substance abuse or dependency or does not require 
        entry into a formal treatment program.
            (12) In May, responding to some of these concerns, 
        Secretary of Defense Robert Gates reportedly approved a change 
        in the Department's security clearance process to help remove 
        the stigma associated with seeking mental health care. Under 
        the change, members of the Armed Forces and employees of the 
        Department of Defense who have received mental health care will 
        no longer have to acknowledge that when they fill out standard 
        security clearance forms, unless the treatment was court-
        ordered or involved violence.
            (13) Congress encourages the Department to explore further 
        changes to notification and other policies to further reduce 
        stigma among members of the Armed Forces, especially as it 
        relates to career opportunities.

SEC. 3. MENTAL HEALTH SERVICES ACCESS DEMONSTRATION PROJECT.

    (a) Demonstration Project Required.--The Secretary of Defense shall 
conduct a demonstration project designed to develop and test options 
for the following:
            (1) Increasing access of members of the Armed Forces 
        returning from deployment abroad, and family members of such 
        members, to accessible, safe, and confidential mental health 
        counseling.
            (2) Reducing stigma and perceived career repercussions 
        associated with such members seeking such services.
            (3) Making high quality mental health services more user 
        friendly and accessible for members of the Armed Forces and 
        their family members, including making services available 
        outside standard working hours.
    (b) Purpose.--The purpose of the demonstration project is to 
provide high-quality treatment, using (to the extent practicable) 
evidence-based treatment, for a broad range of mental health 
conditions, including post-traumatic stress disorder and depression, 
with the goal of early intervention to promote effective coping and 
resilience.
    (c) Duration of Project.--The demonstration project authorized by 
this section shall be implemented for a period of three years beginning 
not later than one year after the date of the enactment of this Act.

SEC. 4. SPECIAL WORKING GROUP ON CONFIDENTIALITY.

    (a) Establishment.--The Secretary of Defense, acting through the 
Assistant Secretary of Defense for Health Affairs, shall establish a 
Special Working Group, which shall be composed of mental health 
professionals from each of the Armed Forces, officials from the Surgeon 
General Offices at each Armed Force, members of the Armed Forces who 
have been deployed in support of Operation Enduring Freedom or 
Operation Iraqi Freedom, and other members as determined appropriated 
by the Assistant Secretary.
    (b) Appointment.--The Secretary shall make every effort to appoint 
members of the working group not later than 60 days after the date of 
the enactment of this Act.
    (c) Purpose.--The Special Working Group shall develop guidelines 
and make recommendations about regulations to ensure that 
confidentiality is protected to the maximum extent possible for members 
of the Armed Forces participating in the demonstration project.
    (d) Specific Duties.--In addition to such other duties as the 
Secretary may assign to the Working Group, the duties of the Working 
Group shall include the following:
            (1) Review of requirements for documentation of health care 
        visits.--The review of current policies, questionnaires, and 
        other relevant documents that require official documentation of 
        health care visits by a member of the Armed Forces seeking 
        mental health services, including when access to such services 
        must be documented in the personnel record of a member.
            (2) Criteria for changes to command notification.--The 
        development of guidelines and criteria for the demonstration 
        project to address any needed changes to military command 
        notification requirements to ensure that a visit to an off-base 
        treatment site by a member of the Armed Forces for mental 
        health services is not recorded on any military medical or 
        other record of the member, except in accordance with 
        guidelines developed under paragraph (3).
            (3) Guidelines for breach of confidentiality.--The 
        development of guidelines for the demonstration project to 
        address the circumstances under which the confidentiality 
        protections afforded to a member of the Armed Forces 
        participating in the demonstration project may be breached and 
        notification to military commanders and documentation in 
        personnel records may be made. Such guidelines shall provide, 
        in general, that confidentiality may be broken only if a mental 
        health professional determines that the member is a threat to 
        the member or to another person.
            (4) Criteria to limit access to treatment records.--The 
        development of criteria for the demonstration project for 
        limiting access to the treatment records of members of the 
        Armed Forces treated at the demonstration locations, including 
        when to allow, if appropriate, appropriate access and 
        notification to military commanders consistent with guidelines 
        developed under paragraph (3).
            (5) Criteria for fitness for duty.--The development of 
        criteria for determining fitness for duty and deployment for a 
        member of the Armed Forces that does not depend solely on the 
        number of visits to mental health providers by the member.
            (6) Guidelines for payment.--The development of guidelines 
        for ensuring that demonstration sites under the demonstration 
        project receive payment from the Department of Defense for 
        treating members of the Armed Forces notwithstanding any 
        requirements of the Department that prohibit such payments 
        without certain commander notification or personnel 
        documentation requirements.
            (7) Changes related to disclosure of services received 
        under project.--The provision of changes as necessary to ensure 
        that those receiving care at demonstration locations are not 
        required to reveal any services they receive at these locations 
        on any military form or questionnaire, except to comply with 
        any guidelines developed under paragraph (3).
            (8) Standards to assess effectiveness of project.--The 
        development of evaluation standards and criteria to use to 
        assess the effectiveness of the demonstration project in 
        increasing access to care, decreasing stigma, and improving 
        high quality mental health care provided to members of the 
        Armed Forces. As appropriate, the evaluation should be 
        structured to include both pre- and post-demonstration 
        assessments of changes in--
                    (A) access and utilization of care;
                    (B) costs of care;
                    (C) outcomes of care;
                    (D) member satisfaction with access to and quality 
                of care; and
                    (E) impact on the ability of military commanders to 
                determine member fitness for duty and deployability.
    (e) Submission of Plan and Deadline.--
            (1) Plan.--The Special Working Group shall submit to the 
        Secretary of Defense a plan with details on the implementation 
        and evaluation of the demonstration project. After approval of 
        the plan by the Secretary, the Special Working Group shall 
        submit to Congress the plan.
            (2) Deadline.--All duties of the Special Working group, 
        including submission of the plan under paragraph (1), shall be 
        completed before selection of any site of the demonstration 
        project under section 3 but in no case shall the date of 
        completion of such duties be later than one year after the date 
        of the enactment of this Act.
    (f) Application of Guidelines and Recommendations.--The guidelines 
and other recommendations, including changes and standards, developed 
by the Special Working Group under this section shall be applicable 
only to the demonstration project unless the Secretary of Defense 
determines otherwise.

SEC. 5. ADVISORY GROUP FOR OVERSIGHT OF DEMONSTRATION PROGRAM.

    (a) Establishment.--The Secretary of Defense shall establish an 
advisory group of qualified individuals to oversee implementation of 
the demonstration project.
    (b) Duties.--The advisory group shall--
            (1) ensure that the demonstration project adheres to the 
        guidelines developed by the Special Working Group under section 
        4;
            (2) ensure that plans for implementing the demonstration at 
        selected sites are developed and include--
                    (A) outreach strategies to ensure that participants 
                in the project are informed about the availability of 
                the programs being provided under the project; and
                    (B) a plan for training and certifying mental 
                health providers as well as the development of 
                strategies and settings, including settings that are 
                not located at military treatment facilities, where 
                care can be offered;
            (3) ensure that the demonstration project has detailed 
        evaluation plans, using the criteria and standards developed by 
        the Special Working Group; and
            (4) ensure that independent evaluations of the 
        demonstration project are conducted in accordance with the 
        guidelines developed by the Special Working Group, and that the 
        results of those evaluations are provided to the Secretary of 
        Defense.

SEC. 6. REPORTS ON DEMONSTRATION PROJECT.

    (a) Reports Required.--
            (1) In general.--The Secretary of Defense shall submit to 
        the Committees on Armed Services of the Senate and the House of 
        Representatives two reports on the demonstration project.
            (2) First report.--The first report shall examine and 
        assess the plan developed by the Special Working Group under 
        section 4(e)(1) for implementation and evaluation of the 
        demonstration project.
            (3) Second report.--The second report shall include the 
        following:
                    (A) The results of the demonstration project, 
                evaluated in accordance with the guidelines and other 
                criteria, changes, and standards developed by the 
                Special Working Group.
                    (B) Recommendations on whether any of the policy 
                changes tested in the demonstration project should be 
                adopted throughout the Department of Defense.
                    (C) A plan to ensure that each member of the Armed 
                Forces participating in the demonstration project 
                continues to have access to mental health services and 
                providers after the conclusion of the demonstration 
                project.
    (b) Deadlines.--The first report under this section shall be 
submitted not later than one year after the date the demonstration 
project begins to be implemented. The second report shall be submitted 
at the completion of the demonstration project.

SEC. 7. STUDY AND REPORT ON RETENTION OF MILITARY MENTAL HEALTH 
              PROFESSIONALS.

    (a) Study.--The Secretary of Defense, in consultation with the 
Surgeon General of each branch of the Armed Forces, shall conduct a 
study to determine the reasons for attrition among military mental 
health professionals and to make recommendations to increase 
recruitment and retention of military mental health professionals, such 
as through scholarships, loan forgiveness, or updates in current 
recruiting bonuses.
    (b) Report.--Not later than six months after the date of the 
enactment of this Act, the Secretary of Defense shall submit to 
Congress a report on the study conducted and recommendations made under 
subsection (a), including--
            (1) the estimated cost of implementing each such 
        recommendation;
            (2) with respect to each branch of the Armed Forces, an 
        estimate of the existing number of military mental health 
        professionals and the estimated number of such professionals 
        required to meet demand, including for future years, for mental 
        health services; and
            (3) any recommendations for legislative changes necessary 
        to implement the recommendations made under such study.
    (c) Military Mental Health Professional Defined.--For purposes of 
this section, the term ``military mental health professional'' means a 
mental health professional who provides mental health services to 
members of the Armed Forces, whether such professional is a member of 
the Armed Forces, an employee of the Department of Defense, or a 
contractor of the Department of Defense.
[A]: Helping Those Who Serve Act - Directs the Secretary of Defense to conduct a demonstration project (project) designed to: (1) increase access of members of the Armed Forces (members) returning from deployment abroad, and their families, to accessible, safe, and confidential mental health counseling; (2) reduce the stigma and career repercussions associated with seeking such services; and (3) make high-quality mental health services more user-friendly to such members and their families.

Requires the Secretary to: (1) establish a Special Working Group to develop guidelines and recommendations to ensure the protection of confidentiality for members participating in the project; (2) establish an advisory group to oversee project implementation; (3) submit project reports to the congressional defense committees; and (4) conduct a study of reasons for attrition among military mental health professionals, and make recommendations to increase the recruitment and retention of such individuals.


[Q]: SECTION 1. SHORT TITLE.

    This Act may be cited as the ``El Camino Real de los Tejas National 
Historic Trail Act of 2003''.

SEC. 2. AUTHORIZATION AND ADMINISTRATION.

    Section 5(a) of the National Trails System Act (16 U.S.C. 1244(a)) 
is amended by adding at the end the following:
            ``(23) El camino real de los tejas.--
                    ``(A) In general.--Subject to subparagraph (B), El 
                Camino Real de los Tejas (The Royal Road of historic 
                Tejas) National Historic Trail, a combination of 
                historic routes totaling 2,580 miles in length from the 
                Rio Grande near Eagle Pass and Laredo, Texas, to 
                Natchitoches, Louisiana, and including the Old San 
                Antonio Road, as generally depicted on the maps 
                entitled `El Camino Real de los Tejas', contained in 
                the report prepared pursuant to subsection (b) entitled 
                `National Historic Trail Feasibility Study and 
                Environmental Assessment: El Camino Real de los Tejas, 
                Texas-Louisiana', dated July 1998. The National Park 
                Service is authorized to administer designated portions 
                of this trail system as a national historic trail as 
                set forth in this paragraph.
                    ``(B) Establishment.--
                            ``(i) Publicly owned lands.--Congress 
                        authorizes the establishment of El Camino Real 
                        de los Tejas national historic trail and the 
                        respective administration on those portions of 
                        the historic trail routes and related historic 
                        sites within publicly owned lands when such 
                        trail related resources meet the purposes of 
                        this Act or certification criteria set by the 
                        Secretary of the Interior per section 3(a)(3) 
                        of this Act.
                            ``(ii) Privately owned lands.--Congress 
                        authorizes the establishment of El Camino Real 
                        de los Tejas national historic trail and the 
                        respective administration on those portions of 
                        the historic trail routes and related historic 
                        sites within privately owned lands only through 
                        the voluntary and expressed consent of the 
                        owner and when such trails and sites qualify 
                        for certification as officially established 
                        components of the national historic trail. The 
                        owner's approval of a certification agreement 
                        satisfies the consent requirement. 
                        Certification agreements are not legally 
                        binding and may be terminated at any time. 
                        Should land ownership change at a certified 
                        site, the certification will cease to be valid 
                        unless the new owner consents to a new 
                        agreement.
                    ``(C) Private property rights protection.--Nothing 
                in this Act or in the establishment of any portion of 
                the national historic trail authorizes any person to 
                enter private property without the consent of the 
                owner. Nothing in this Act or in the establishment of 
                any portion of the national historic trail will 
                authorize the Federal Government to restrict private 
                property owner's use or enjoyment of their property 
                subject to other laws or regulations. Authorization of 
                El Camino Real de los Tejas National Historic Trail 
                under this Act does not itself confer any additional 
                authority to apply other Federal laws and regulations 
                on non-Federal lands along the trail. Laws or 
                regulations requiring public entities and agencies to 
                take into consideration a national historic trail shall 
                continue to apply notwithstanding the foregoing. 
                Notwithstanding section 7(g) of this Act, the United 
                States is authorized to acquire privately owned real 
                property or an interest in such property for purposes 
                of the national historic trail only with the consent of 
                the owner of such property and shall have no authority 
                to condemn or otherwise appropriate privately owned 
                real property or an interest in such property for the 
                purposes of El Camino Real de los Tejas National 
                Historic Trail.
                    ``(D) Coordination of activities.--The Secretary of 
                the Interior may coordinate with United States and 
                Mexican public and nongovernmental organizations, 
                academic institutions, and, in consultation with the 
                Secretary of State, the Government of Mexico and its 
                political subdivisions, for the purpose of exchanging 
                trail information and research, fostering trail 
                preservation and educational programs, providing 
                technical assistance, and working to establish an 
                international historic trail with complementary 
                preservation and education programs in each nation.''.
[A]: El Camino Real de los Tejas National Historic Trail Act of 2003 - Amends the National Trails System Act to designate El Camino Real de los Tejas as a National Historic Trail. Authorizes establishment of such trail on portions of the trail on: (1) publicly owned lands; and (2) privately owned lands only with the consent of the owner.


[Q]: SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Federal Prisoner Health Care 
Copayment Act of 2000''.
SEC. 2. HEALTH CARE FEES FOR PRISONERS IN FEDERAL INSTITUTIONS.
    (a) In General.--Chapter 303 of title 18, United States Code, is 
amended by adding at the end the following:

``Sec. 4048. Fees for health care services for prisoners

    ``(a) Definitions.--In this section--
        ``(1) the term `account' means the trust fund account (or 
    institutional equivalent) of a prisoner;
        ``(2) the term `Director' means the Director of the Bureau of 
    Prisons;
        ``(3) the term `health care provider' means any person who is--
            ``(A) authorized by the Director to provide health care 
        services; and
            ``(B) operating within the scope of such authorization;
        ``(4) the term `health care visit'--
            ``(A) means a visit, as determined by the Director, by a 
        prisoner to an institutional or noninstitutional health care 
        provider; and
            ``(B) does not include a visit initiated by a prisoner--
                ``(i) pursuant to a staff referral; or
                ``(ii) to obtain staff-approved follow-up treatment for 
            a chronic condition; and
        ``(5) the term `prisoner' means--
            ``(A) any individual who is incarcerated in an institution 
        under the jurisdiction of the Bureau of Prisons; or
            ``(B) any other individual, as designated by the Director, 
        who has been charged with or convicted of an offense against 
        the United States.
    ``(b) Fees for Health Care Services.--
        ``(1) In general.--The Director, in accordance with this 
    section and with such regulations as the Director shall promulgate 
    to carry out this section, may assess and collect a fee for health 
    care services provided in connection with each health care visit 
    requested by a prisoner.
        ``(2) Exclusion.--The Director may not assess or collect a fee 
    under this section for preventative health care services, emergency 
    services, prenatal care, diagnosis or treatment of chronic 
    infectious diseases, mental health care, or substance abuse 
    treatment, as determined by the Director.
    ``(c) Persons Subject to Fee.--Each fee assessed under this section 
shall be collected by the Director from the account of--
        ``(1) the prisoner receiving health care services in connection 
    with a health care visit described in subsection (b)(1); or
        ``(2) in the case of health care services provided in 
    connection with a health care visit described in subsection (b)(1) 
    that results from an injury inflicted on a prisoner by another 
    prisoner, the prisoner who inflicted the injury, as determined by 
    the Director.
    ``(d) Amount of Fee.--Any fee assessed and collected under this 
section shall be in an amount of not less than $1.
    ``(e) No Consent Required.--Notwithstanding any other provision of 
law, the consent of a prisoner shall not be required for the collection 
of a fee from the account of the prisoner under this section. However, 
each such prisoner shall be given a reasonable opportunity to dispute 
the amount of the fee or whether the prisoner qualifies under an 
exclusion under this section.
    ``(f) No Refusal of Treatment For Financial Reasons.--Nothing in 
this section may be construed to permit any refusal of treatment to a 
prisoner on the basis that--
        ``(1) the account of the prisoner is insolvent; or
        ``(2) the prisoner is otherwise unable to pay a fee assessed 
    under this section.
    ``(g) Use of Amounts.--
        ``(1) Restitution of specific victims.--Amounts collected by 
    the Director under this section from a prisoner subject to an order 
    of restitution issued pursuant to section 3663 or 3663A shall be 
    paid to victims in accordance with the order of restitution.
        ``(2) Allocation of other amounts.--Of amounts collected by the 
    Director under this section from prisoners not subject to an order 
    of restitution issued pursuant to section 3663 or 3663A--
            ``(A) 75 percent shall be deposited in the Crime Victims 
        Fund established under section 1402 of the Victims of Crime Act 
        of 1984 (42 U.S.C. 10601); and
            ``(B) 25 percent shall be available to the Attorney General 
        for administrative expenses incurred in carrying out this 
        section.
    ``(h) Notice to Prisoners of Law.--Each person who is or becomes a 
prisoner shall be provided with written and oral notices of the 
provisions of this section and the applicability of this section to the 
prisoner. Notwithstanding any other provision of this section, a fee 
under this section may not be assessed against, or collected from, such 
person--
        ``(1) until the expiration of the 30-day period beginning on 
    the date on which each prisoner in the prison system is provided 
    with such notices; and
        ``(2) for services provided before the expiration of such 
    period.
    ``(i) Notice to Prisoners of Regulations.--The regulations 
promulgated by the Director under subsection (b)(1), and any amendments 
to those regulations, shall not take effect until the expiration of the 
30-day period beginning on the date on which each prisoner in the 
prison system is provided with written and oral notices of the 
provisions of those regulations (or amendments, as the case may be). A 
fee under this section may not be assessed against, or collected from, 
a prisoner pursuant to such regulations (or amendments, as the case may 
be) for services provided before the expiration of such period.
    ``(j) Notice Before Public Comment Period.--Before the beginning of 
any period a proposed regulation under this section is open to public 
comment, the Director shall provide written and oral notice of the 
provisions of that proposed regulation to groups that advocate on 
behalf of Federal prisoners and to each prisoner subject to such 
proposed regulation.
    ``(k) Reports to Congress.--Not later than 1 year after the date of 
the enactment of the Federal Prisoner Health Care Copayment Act of 
2000, and annually thereafter, the Director shall transmit to Congress 
a report, which shall include--
        ``(1) a description of the amounts collected under this section 
    during the preceding 12-month period;
        ``(2) an analysis of the effects of the implementation of this 
    section, if any, on the nature and extent of heath care visits by 
    prisoners;
        ``(3) an itemization of the cost of implementing and 
    administering the program;
        ``(4) a description of current inmate health status indicators 
    as compared to the year prior to enactment; and
        ``(5) a description of the quality of health care services 
    provided to inmates during the preceding 12-month period, as 
    compared with the quality of those services provided during the 12-
    month period ending on the date of the enactment of such Act.
    ``(l) Comprehensive HIV/AIDS Services Required.--The Bureau of 
Prisons shall provide comprehensive coverage for services relating to 
human immunodeficiency virus (HIV) and acquired immune deficiency 
syndrome (AIDS) to each Federal prisoner in the custody of the Bureau 
of Prisons when medically appropriate. The Bureau of Prisons may not 
assess or collect a fee under this section for providing such 
coverage.''.
    (b) Clerical Amendment.--The analysis for chapter 303 of title 18, 
United States Code, is amended by adding at the end the following:
``4048. Fees for health care services for prisoners.''.
SEC. 3. HEALTH CARE FEES FOR FEDERAL PRISONERS IN NON-FEDERAL 
INSTITUTIONS.
    Section 4013 of title 18, United States Code, is amended by adding 
at the end the following:
    ``(c) Health Care Fees For Federal Prisoners in Non-Federal 
Institutions.--
        ``(1) In general.--Notwithstanding amounts paid under 
    subsection (a)(3), a State or local government may assess and 
    collect a reasonable fee from the trust fund account (or 
    institutional equivalent) of a Federal prisoner for health care 
    services, if--
            ``(A) the prisoner is confined in a non-Federal institution 
        pursuant to an agreement between the Federal Government and the 
        State or local government;
            ``(B) the fee--
                ``(i) is authorized under State law; and
                ``(ii) does not exceed the amount collected from State 
            or local prisoners for the same services; and
            ``(C) the services--
                ``(i) are provided within or outside of the institution 
            by a person who is licensed or certified under State law to 
            provide health care services and who is operating within 
            the scope of such license;
                ``(ii) constitute a health care visit within the 
            meaning of section 4048(a)(4) of this title; and
                ``(iii) are not preventative health care services, 
            emergency services, prenatal care, diagnosis or treatment 
            of chronic infectious diseases, mental health care, or 
            substance abuse treatment.
        ``(2) No refusal of treatment for financial reasons.--Nothing 
    in this subsection may be construed to permit any refusal of 
    treatment to a prisoner on the basis that--
            ``(A) the account of the prisoner is insolvent; or
            ``(B) the prisoner is otherwise unable to pay a fee 
        assessed under this subsection.
        ``(3) Notice to prisoners of law.--Each person who is or 
    becomes a prisoner shall be provided with written and oral notices 
    of the provisions of this subsection and the applicability of this 
    subsection to the prisoner. Notwithstanding any other provision of 
    this subsection, a fee under this section may not be assessed 
    against, or collected from, such person--
            ``(A) until the expiration of the 30-day period beginning 
        on the date on which each prisoner in the prison system is 
        provided with such notices; and
            ``(B) for services provided before the expiration of such 
        period.
        ``(4) Notice to prisoners of state or local implementation.--
    The implementation of this subsection by the State or local 
    government, and any amendment to that implementation, shall not 
    take effect until the expiration of the 30-day period beginning on 
    the date on which each prisoner in the prison system is provided 
    with written and oral notices of the provisions of that 
    implementation (or amendment, as the case may be). A fee under this 
    subsection may not be assessed against, or collected from, a 
    prisoner pursuant to such implementation (or amendments, as the 
    case may be) for services provided before the expiration of such 
    period.
        ``(5) Notice before public comment period.--Before the 
    beginning of any period a proposed implementation under this 
    subsection is open to public comment, written and oral notice of 
    the provisions of that proposed implementation shall be provided to 
    groups that advocate on behalf of Federal prisoners and to each 
    prisoner subject to such proposed implementation.
        ``(6) Comprehensive hiv/aids services required.--Any State or 
    local government assessing or collecting a fee under this 
    subsection shall provide comprehensive coverage for services 
    relating to human immunodeficiency virus (HIV) and acquired immune 
    deficiency syndrome (AIDS) to each Federal prisoner in the custody 
    of such State or local government when medically appropriate. The 
    State or local government may not assess or collect a fee under 
    this subsection for providing such coverage.''.

                               Speaker of the House of Representatives.

                            Vice President of the United States and    
                                               President of the Senate.
[A]:
Federal Prisoner Health Care Copayment Act of 1999 - Amends the Federal criminal code to authorize the Director of the Bureau of Prisons to assess and collect a fee for health care services provided in connection with each health care visit requested by a prisoner, except for preventative health care services, emergency services, prenatal care, diagnosis or treatment of contagious diseases, mental health care, or substance abuse treatment.  Defines "health care visit" to exclude a visit initiated by a prisoner: (1) pursuant to a staff referral; or (2) to obtain staff-approved followup treatment for a chronic condition. 
Requires that each fee assessed be collected by the Director: (1) from the account of the prisoner receiving health care services; or (2) where such services are provided because of an injury inflicted by another prisoner, from the account of the prisoner who inflicted the injury.  Sets a minimum fee of two dollars. Specifies that the prisoner's consent shall not be required for the collection of the fee. 
Specifies that nothing herein may be construed to permit refusal of treatment to a prisoner on the basis that: (1) the prisoner's account is insolvent; or (2) the prisoner is otherwise unable to pay. 
Requires that sums collected under this Act: (1) be used for restitution of the victims where the prisoner is subject to a restitution order; and (2) be deposited in the Crime Victims Fund (75 percent) and be available to the Attorney General for administrative expenses incurred in carrying out this Act (25 percent) where the prisoner is not subject to such an order. 
Sets forth requirements for reporting by the Director. 
(Sec. 3) Amends the code to authorize a State or local government to assess and collect a reasonable fee from a Federal prisoner's trust fund account (or institution equivalent) for health care services if the prisoner is confined in a non-Federal institution, under specified circumstances.  Specifies that nothing herein may be construed to permit any refusal of treatment to a prisoner on the basis that the account of the prisoner is insolvent, or that the prisoner is otherwise unable to pay a fee assessed under this section.