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 ``Citizen Petition Fairness and 
Accuracy Act of 2006''.

SEC. 2. CITIZEN PETITIONS AND PETITIONS FOR STAY OF AGENCY ACTION.

    Section 505(j)(5) of the Federal Food, Drug, and Cosmetic Act (21 
U.S.C. 355(j)(5)) is amended by adding at the end the following:
    ``(G)(i) Notwithstanding any other provision of law, any petition 
submitted under section 10.30 or section 10.35 of title 21, Code of 
Federal Regulations (or any successor regulation), shall include a 
statement that to the petitioner's best knowledge and belief, the 
petition--
            ``(I) includes all information and views on which the 
        petitioner relies, including all representative data and 
        information known to the petitioner that is favorable or 
        unfavorable to the petition;
            ``(II) is well grounded in fact and is warranted by law;
            ``(III) is not submitted for an improper purpose, such as 
        to harass or cause unnecessary delay (including unnecessary 
        delay of competition or agency action); and
            ``(IV) does not contain a materially false, misleading, or 
        fraudulent statement.
    ``(ii) The Secretary shall investigate, on receipt of a complaint, 
a request under clause (vi), or on its own initiative, any petition 
submitted under such section 10.30 or section 10.35 (or any successor 
regulation), that--
            ``(I) does not comply with the requirements of clause (i);
            ``(II) may have been submitted for an improper purpose as 
        described in clause (i)(III); or
            ``(III) may contain a materially false, misleading, or 
        fraudulent statement as described in clause (i)(IV).
    ``(iii) If the Secretary finds that the petitioner has knowingly 
and willingly submitted the petition for an improper purpose as 
described in clause (i)(III), or which contains a materially false, 
misleading, or fraudulent statement as described in clause (i)(IV), the 
Secretary may--
            ``(I) impose a civil penalty of not more than $1,000,000, 
        plus attorneys fees and costs of reviewing the petition and any 
        related proceedings;
            ``(II) suspend the authority of the petitioner to submit a 
        petition under such section 10.30 or section 10.35 (or any 
        successor regulation), for a period of not more than 10 years;
            ``(III) revoke permanently the authority of the petitioner 
        to submit a petition under such section 10.30 or section 10.35 
        (or any successor regulation); or
            ``(IV) dismiss the petition at issue in its entirety.
    ``(iv) If the Secretary takes an enforcement action described in 
subclause (I), (II), (III), or (IV) of clause (iii) with respect to a 
petition, the Secretary shall refer that petition to the Federal Trade 
Commission for further action as the Federal Trade Commission finds 
appropriate.
    ``(v) In determining whether to take an enforcement action 
described in subclause (I), (II), (III), or (IV) of clause (iii) with 
respect to a petition, and in determining the amount of any civil 
penalty or the length of any suspension imposed under that clause, the 
Secretary shall consider the specific circumstances of the situation, 
such as the gravity and seriousness of the violation involved, the 
amount of resources expended in reviewing the petition at issue, the 
effect on marketing of competing drugs of the pendency of the 
improperly submitted petition, including whether the timing of the 
submission of the petition appears to have been calculated to cause 
delay in the marketing of any drug awaiting approval, and whether the 
petitioner has a history of submitting petitions in violation of this 
subparagraph.
    ``(vi)(I) Any person aggrieved by a petition filed under such 
section 10.30 or section 10.35 (or any successor regulation), including 
a person filing an application under subsection (b)(2) or (j) of this 
section to which such petition relates, may request that the Secretary 
initiate an investigation described under clause (ii) for an 
enforcement action described under clause (iii).
    ``(II) The aggrieved person shall specify the basis for its belief 
that the petition at issue is false, misleading, fraudulent, or 
submitted for an improper purpose. The aggrieved person shall certify 
that the request is submitted in good faith, is well grounded in fact, 
and not submitted for any improper purpose. Any aggrieved person who 
knowingly and intentionally violates the preceding sentence shall be 
subject to the civil penalty described under clause (iii)(I).
    ``(vii) The Secretary shall take final agency action with respect 
to a petition filed under such section 10.30 or section 10.35 (or any 
successor regulation) within 6 months of receipt of such petition. The 
Secretary shall not extend such 6-month review period, even with 
consent of the petitioner, for any reason, including based upon the 
submission of comments relating to a petition or supplemental 
information supplied by the petitioner. If the Secretary has not taken 
final agency action on a petition by the date that is 6 months after 
the date of receipt of the petition, such petition shall be deemed to 
have been denied on such date.
    ``(viii) The Secretary may promulgate regulations to carry out this 
subparagraph, including to determine whether petitions filed under such 
section 10.30 or section 10.35 (or any successor regulation) merit 
enforcement action by the Secretary under this subparagraph.''.

A: Citizen Petition Fairness and Accuracy Act of 2006 - Amends the Federal Food, Drug, and Cosmetic Act to require that any citizen petition or request for stay of action related to an abbreviated new drug application include a statement that the petition: (1) includes all information and views on which the petitioner relies; (2) is well grounded in fact and warranted by law; (3) is not submitted for an improper purpose; and (4) does not contain a materially false, misleading, or fraudulent statement. Requires the Secretary of Health and Human Services to investigate any petition that does not comply.

Allows the Secretary to impose penalties for knowingly and willfully submitting a petition for an improper purpose or that contains a materially false, misleading, or fraudulent statement. Provides that such penalties may include: (1) civil penalty; (2) suspension or revocation of the authority to submit a petition; and (3) dismissal of the petition. Requires the Secretary to refer such a violative petition to the Federal Trade Commission (FTC) for further action. Sets forth the factors that the Secretary shall consider in taking an enforcement action or determining the penalty.

Permits any person aggrieved by a petition that may contain violations to request the Secretary to investigate. Subjects knowing and intentional violative requests to civil penalties.

Requires the Secretary to take final agency action on such a petition within six months.
****
Q: SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Stop Westward Aquatic Threats Act''.

SEC. 2. AMENDMENT OF NONINDIGENOUS AQUATIC NUISANCE PREVENTION AND 
              CONTROL ACT OF 1990.

    Except as otherwise expressly provided, whenever in this Act an 
amendment or repeal is expressed in terms of an amendment to, or repeal 
of, a section or other provision, the reference shall be considered to 
be made to a section or other provision of Nonindigenous Aquatic 
Nuisance Prevention and Control Act of 1990 (16 U.S.C. 4701 et seq.).

SEC. 3. 100TH MERIDIAN AND WESTWARD PROGRAM.

    Subtitle C (16 U.S.C. 4721 et seq.) is amended by adding at the end 
the following:

``SEC. 1210. 100TH MERIDIAN AND WESTWARD PROGRAM.

    ``(a) Public Information and Education.--The Secretary shall 
coordinate with the States to provide the public with information and 
education on the threat of zebra mussels and other aquatic nuisance 
species and how to prevent their westward advance.
    ``(b) Source States Action Plan.--The Secretary, in consultation 
with the Task Force, shall work with States that contain aquatic 
nuisance species, including zebra mussels, that threaten western States 
to develop and implement a prevention action plan that includes 
inspections of vessels at boat launches and elsewhere.
    ``(c) Movement Across the 100th Meridian.--
            ``(1) Early detection and rapid response.--The Secretary, 
        in consultation with the Task Force, shall seek to prevent 
        westward movement of aquatic nuisance species by monitoring and 
        preventing westward movement of zebra mussels and other aquatic 
        nuisance species across and beyond the 100th meridian, 
        monitoring water bodies, educating boaters leaving waters 
        infected by aquatic nuisance species, and providing rapid 
        response capacity in North Dakota, South Dakota, Nebraska, 
        Kansas, Oklahoma, and Texas.
            ``(2) Check stations.--Under this subsection, the 
        Secretary, in collaboration with the Secretary of 
        Transportation and the States, shall--
                    ``(A) work with States to establish check stations 
                on highways and waterways that cross the 100th 
                meridian, and require that all commercial vessels 
                moving westward across the meridian stop and be checked 
                for zebra mussels and aquatic weeds at such check 
                stations;
                    ``(B) require that contaminated vessels identified 
                at such check stations be cleaned in accordance with 
                protocols developed by the Task Force before being 
                moved across the 100th meridian;
                    ``(C) assess and collect from persons who violate 
                such requirement more than one time a civil penalty of 
                $150 for each violation after the first violation;
                    ``(D) identify and record all vessels that stop at 
                such check stations and the water body most recently 
                visited by each such vessel;
                    ``(E) focus prevention resources on States having 
                the greatest number of contaminated vessels; and
                    ``(F) coordinate implementation of this subsection 
                with appropriate Canadian authorities.
    ``(d) Vector Action Plans.--The Secretary and the Task Force, in 
collaboration with the States and within 18 months after the date of 
the enactment of this subsection, shall--
            ``(1) assess the relative risk of vectors and pathways of 
        westward movement of zebra mussels and other aquatic nuisance 
        species across the 100th meridian and throughout the western 
        States and develop adequate action plans to control each 
        pathway, ranked by priority; and
            ``(2) provide to the Task Force, for distribution to the 
        States, data developed through such assessment.
    ``(e) Lewis and Clark Bicentennial Expedition.--
            ``(1) In general.--The Secretary of the Interior shall 
        ensure that the United States Fish and Wildlife Service and the 
        National Park Service coordinate efforts to implement an action 
        plan to prevent the spread of aquatic nuisance species by 
        vessels and other potential vectors involved in the Lewis and 
        Clark Bicentennial Expedition, including efforts to educate 
        participants in such Expedition by no later than January 1, 
        2003.
            ``(2) Authorization of appropriations.--There are 
        authorized to be appropriated to the Secretary of the Interior 
        to carry out this subsection $100,000 for each of fiscal years 
        2002 through 2005.
    ``(f) Application in Other States.--If the Secretary determines 
that any State (other than those listed in subsection (c)) that is 
located west of the 100th meridian needs to be involved in 
implementation of this section for this section to be effective, the 
Secretary may apply this section in such State.
    ``(g) Evaluation of Effectiveness.--The Secretary shall enter into 
an arrangement with an independent entity under which the entity shall, 
by January 1, 2005, evaluate the effectiveness of the 100th meridian 
and westward program under this section in stopping the westward 
movement of zebra mussels and other aquatic nuisance species across and 
beyond the 100th meridian.
    ``(h) Authorization of Appropriations.--There are authorized to be 
appropriated to the Secretary to carry out this section $5,000,000 for 
each of fiscal years 2003 through 2007.''.

SEC. 4. STATE MANAGEMENT PLANS.

    (a) Grants to States for Development of Management Plans.--Section 
1204(b) (16 U.S.C. 4724(b)) is amended--
            (1) in paragraph (1) by inserting ``make grants to States 
        to develop management plans under this section, including for 
        hiring personnel for such development, and'' after ``at the 
        recommendation of the Task Force,'';
            (2) in paragraph (3)(A) by striking ``each comprehensive 
        management plan implemented with Federal assistance'' and 
        inserting ``implementation of each comprehensive management 
        plan''; and
            (3) in paragraph (3)(B) by striking ``each public facility 
        management plan implemented with Federal assistance'' and 
        inserting ``implementation of each public facility management 
        plan''.
    (b) Authorization of Appropriations.--Section 1301 (16 U.S.C. 4724) 
is amended--
            (1) in subsection (c) by striking ``There are authorized'' 
        and all that follows through ``of which'' and inserting ``For 
        grants to States under section 1204(b) there are authorized to 
        be appropriated to the Director $10,000,000 for each of fiscal 
        years 2003 through 2007, of which up to 20 percent may be 
        available for plan development and of which''; and
            (2) by adding at the end the following:
    ``(f) Funding for Capacity Building by Western Regional Panel.--To 
build capacity and foster the development and implementation of 
comprehensive management plans under section 1204 for States located on 
or west of the 100th meridian there are authorized to be appropriated 
to the Western Regional panel established under section 1203(b) 
$600,000 for each of fiscal years 2003 through 2007.''.

A: Stop Westward Aquatic Threats Act - Amends the Nonindigenous Aquatic Nuisance Prevention and Control Act of 1990 to direct the Secretary of the Interior to: (1) provide the public with information and education on the threat of zebra mussels and other aquatic nuisance species and how to prevent their westward advance; (2) work with States that contain aquatic nuisance species (including zebra mussels) that threaten western States to develop and implement a prevention action plan that includes inspections of vessels at boat launches and elsewhere (including vessels involved in the Lewis and Clark Bicentennial Expedition); and (3) prevent westward movement of aquatic nuisance species by monitoring and preventing westward movement of zebra mussels and other aquatic nuisance species beyond the 100th meridian, monitoring water bodies, educating boaters leaving waters infected by aquatic nuisance species, and providing rapid response capacity in North Dakota, South Dakota, Nebraska, Kansas, Oklahoma, and Texas.Authorizes the Director of the of the Aquatic Nuisance Species Task Force to make grants to States to develop management plans which identify those areas or activities within the State for which assistance is needed to eliminate or reduce the environmental, public health, and safety risks associated with aquatic nuisance species, particularly the zebra mussel.
****
Q: SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Healthcare Innovation Zone Program 
Act of 2009''.

SEC. 2. HEALTHCARE INNOVATION ZONE DEMONSTRATION PROGRAM.

    (a) Establishment.--Not later than 6 months after the date of 
enactment of this Act, the Secretary of Health and Human Services shall 
establish a Healthcare Innovation Zone pilot program to increase 
healthcare provider integration and align healthcare provider 
incentives to improve health and to reduce healthcare costs.
    (b) Features of Program.--The HIZ pilot program established under 
subsection (a) shall consist of the following:
            (1) An HIZ planning grant program, as described in section 
        3.
            (2) An HIZ demonstration project, as described in section 
        4.
    (c) Definitions.--In this Act:
            (1) Grant program.--The term ``grant program'' means the 
        HIZ planning grant program as described in section 3.
            (2) HIZ.--The term ``HIZ'' means a Healthcare Innovation 
        Zone, consisting of an integrated healthcare delivery network 
        that works with local employers, community leaders, and private 
        and governmental payors in a geographic region, that--
                    (A) provides a full spectrum of care, including 
                inpatient, outpatient, post-acute, and preventive care, 
                to individuals including Medicare beneficiaries;
                    (B) has an academic medical center that provides 
                tertiary and quaternary care, has existing capabilities 
                to conduct health services research, and provides 
                clinical training for health professionals; and
                    (C) is able to accept alternative payment 
                structures beyond fee-for-service and per diem amounts.
            (3) Secretary.--The term ``Secretary'' means the Secretary 
        of Health and Human Services.

SEC. 3. HIZ PLANNING GRANT PROGRAM.

    (a) Establishment.--The Secretary shall make grants to eligible 
entities for the purposes of researching and preparing an HIZ model 
plan, in accordance with subsection (f).
    (b) Conditions.--A grant recipient under this section must apply 
for the HIZ demonstration project described in section 4. If a grant 
recipient under this section is not selected to participate in such 
project, then such recipient must return any unused grant funds to the 
Secretary.
    (c) Eligibility.--The following persons are eligible entities for 
purposes of this section:
            (1) A healthcare institution or provider licensed and 
        accredited in the United States.
            (2) An academic medical center.
            (3) A large multispecialty group practice.
            (4) Any other clinical organization.
            (5) Any other organization that is able to establish, 
        through a memorandum of understanding or by other means to be 
        defined by the Secretary, an intent to collaborate with a 
        person listed in paragraphs (1) through (4).
    (d) Application.--An application for a grant under this section 
shall include the following:
            (1) A demonstration that the grant applicant is located in 
        a geographic region that has the necessary breadth of 
        healthcare providers to support the HIZ.
            (2) The support and endorsement of the HIZ concept by the 
        following persons:
                    (A) At least one leader of a clinical entity that 
                provides the full spectrum of care.
                    (B) At least one private payer.
            (3) A demonstration that the grant applicant has the 
        resources and expertise to implement the features listed in 
        subsection (f).
            (4) A proposed budget setting forth the costs to be 
        incurred in creating the model HIZ plan.
    (e) Criteria for Awarding Grants.--The Secretary shall give 
preference to a grant application that demonstrates a likelihood that 
the HIZ model plan will meet the requirements of subsection (f).
    (f) HIZ Model Plan Requirements.--A recipient of a grant under this 
section must submit to the Secretary, within 6 months of receiving such 
grant, an HIZ model plan describing the HIZ to be implemented in the 
demonstration project under section 4. Such HIZ model plan must contain 
the following:
            (1) A description of innovative models of care that improve 
        quality and decrease costs.
            (2) A provider network that will provide the full spectrum 
        of care.
            (3) A target population and mechanisms to enroll such 
        population, supported by evidence that such population is 
        willing to participate in an HIZ demonstration.
            (4) A mechanism to provide for knowledge and information-
        sharing across the HIZ participants.
            (5) A description of how the HIZ would incorporate the 
        training of the next generation of physicians, nurses, and 
        allied health professionals in a new model of cost-effective 
        quality healthcare.
            (6) A description of the governance of the HIZ, and how it 
        would affect the administration of the model and management of 
        the organizational and cultural changes necessary for a 
        successful HIZ.
            (7) A description of non-financial barriers to innovation 
        that must be addressed for the creation of a successful HIZ, 
        including physician self-referral laws, anti-trust 
        considerations, State laws, and accreditation or certification 
        requirements.
            (8) A process for data reporting, annual site visits, and 
        developing community health impact assessments.
            (9) A set of indicators to help track performance and 
        success of the HIZ model plan, including measures to address 
        cost containment, access to care, and quality improvement, and 
        how the HIZ model plan would facilitate achievement of these 
        improvements.
            (10) A description of mechanisms to achieve involvement by 
        the community and external experts as ongoing monitors of the 
        success of the HIZ model plan.
            (11) Payment methodology options that address both funding 
        mechanisms to the HIZ as well as how the HIZ would distribute 
        funds to the HIZ participants.
    (g) Number and Amount of Planning Grants.--The Secretary shall 
award at least 10 but not more than 25 grants under this section in an 
amount of at least $250,000 and not more than $1,000,000 per grant.
    (h) Funding.--Amounts made available under the heading ``Agency for 
Healthcare Research and Quality--Healthcare Research and Quality'' in 
title VIII of division I of the American Recovery and Reinvestment Act 
of 2009 (Public Law 111-5) may be used by the Secretary to make grants 
under this section.

SEC. 4. HEALTHCARE INNOVATION ZONE DEMONSTRATION PROJECT.

    (a) Establishment.--The Secretary shall establish an HIZ 
demonstration project in order to test the effectiveness of HIZs in 
increasing healthcare provider integration, improving healthcare 
services, and reducing healthcare costs. Such demonstration project 
shall not be subject to current requirements regarding shared savings 
under demonstration projects. The Secretary shall select demonstration 
project participants from the persons that have received grants under 
section 3.
    (b) Duration.--The demonstration project shall operate for a period 
of at least 3 years, and shall be subject to renewal at the Secretary's 
discretion.
    (c) Application.--An eligible entity shall submit an application 
for participation in the HIZ demonstration project to the Secretary at 
such time and manner, and containing such information as the Secretary 
may require.
    (d) Eligibility.--To be eligible to participate in the 
demonstration project established under this section, a person must--
            (1) have submitted an HIZ model plan in accordance with 
        section 3(f) that is approved by the Secretary;
            (2) agree to submit the necessary data so that Secretary 
        can assess the costs, quality of care, and access to care for 
        the population participating in the HIZ demonstration project;
            (3) demonstrate a culture of innovation and commitment to 
        preventive and public health;
            (4) possess structural elements to provide the full range 
        of care necessary for a successful HIZ;
            (5) provide clinical training for healthcare professionals 
        in a medical environment that emphasizes coordinated, 
        integrated, high-quality care delivered at a controlled cost;
            (6) have the ability to allocate resources within the 
        members of the HIZ;
            (7) have a broad research infrastructure that supports data 
        gathering, analytics, and synthesis of unrelated population 
        elements, including quality-related data elements;
            (8) have significant investment in health information 
        technology that extends across the system to include healthcare 
        providers, physicians, and other clinicians;
            (9) possess advance innovations including, but not limited 
        to, creation of medical homes, pay for performance, and other 
        cost-effective delivery platforms;
            (10) demonstrate long-term economic sustainability;
            (11) demonstrate strong hospital and physician leadership 
        and the willingness to undergo a full portfolio assessment and 
        reengineering of core patient care and administrative 
        processes;
            (12) possess robust financial infrastructure and 
        administrative support to assure the HIZ's success; and
            (13) demonstrate arrangements that maintain oversight and 
        accreditation standards.
    (e) HIZ Requirements.--An HIZ established under this section 
shall--
            (1) provide healthcare services to individuals who 
        voluntarily enroll to receive such services for multi-year 
        periods from the HIZ; and
            (2) provide comprehensive healthcare services, as described 
        in subsection (f).
    (f) Comprehensive Healthcare Services.--The comprehensive 
healthcare services referred to in subsection (e)(2) shall consist of 
hospital care, physician services, post-acute care, preventive care, 
education, tertiary and quaternary care, and palliative care, and shall 
include the following:
            (1) For a primary care practice, contractual agreements 
        with practices that deliver both primary and preventive care.
            (2) For a teaching hospital or other hospital, arrangements 
        with teaching and nonteaching hospitals and arrangements with 
        community hospitals.
            (3) For a network of outpatient facilities, arrangements 
        with outpatient facilities, including Federally Qualified 
        Health Centers and community health providers.
            (4) For a network of post-acute care providers, 
        arrangements with post-acute care providers for rehabilitation 
        services, home health services, hospice services, skilled 
        nursing services, and such other post-acute care services as 
        the Secretary determines to be appropriate.
            (5) For a network of community services, arrangements for 
        the provision of ambulance services and community outreach 
        service.
            (6) Arrangements for the provision such additional services 
        as the Secretary may require.
    (g) Payment.--The Secretary may determine the payments that are 
required to be made for receipt of healthcare services provided under a 
model plan implemented with a grant under this section. The Secretary 
shall determine those amounts based on the methodology options 
submitted through the grant program established under section 3.
    (h) Assumption of Financial Risk for Costs Above HIZ Payment 
Amounts.--An HIZ established under this section shall assume the full 
financial risk for the costs of healthcare services delivered to an 
individual receiving services from the HIZ that are in excess of any 
payments made to the HIZ and must have sufficient reserves to 
accommodate any such additional costs.
    (i) Waiver of Rights to Payment Under Private or Public Programs.--
An HIZ established with amounts provided under this section shall waive 
any right to additional reimbursement under any Federal healthcare 
entitlement program, including under titles XVIII and XIX of the Social 
Security Act (42 U.S.C. 1395 et seq.; 42 U.S.C. 1396 et seq.), and 
under any group health plan or from any health insurance issuer 
offering group or individual health insurance coverage for healthcare 
services furnished to an individual receiving healthcare services from 
the HIZ and for which payment is made under this subsection for such 
services.
    (j) Scoring Cost Savings.--The Secretary shall collaborate with the 
Government Accountability Office in scoring the healthcare costs and 
savings associated with implementing HIZs on a nationwide basis.
    (k) Waiver.--Any requirements under titles XI and XVIII of the 
Social Security Act (42 U.S.C. 1301 et seq.; 42 U.S.C. 1395 et seq.), 
or under any other provision of law that would preclude the 
establishment or operation of an HIZ under this section, shall not 
apply with respect to such establishment or operation.
    (l) Reports.--
            (1) HIZ report.--An entity that establishes an HIZ under 
        this section shall submit to the Secretary a report that 
        describes and evaluates the activities of the HIZ.
            (2) Secretary report.--The Secretary shall submit to 
        Congress an evaluation of the current status of the 
        demonstration program within 6 months after the end of the 
        first year of the demonstration program, and every 6 months 
        thereafter until the end of the demonstration program.

A:
Healthcare Innovation Zone Program Act of 2009 - Directs the Secretary of Health and Human Services (HHS) to establish a Healthcare Innovation Zone (HIZ) pilot program, consisting of an HIZ planning grant program and an HIZ demonstration project, to increase health care provider integration and align health care provider incentives to improve health and reduce health care costs.

Defines an "HIZ" as an integrated health care delivery network that works with local employers, community leaders, and private and governmental payors in a geographic region and that: (1) provides a full spectrum of care, including inpatient, outpatient, post-acute, and preventive care, to individuals, including Medicare beneficiaries; (2) has an academic medical center that provides tertiary and quaternary care, has existing capabilities to conduct health services research, and provides clinical training for health professionals; and (3) is able to accept alternative payment structures beyond fee-for-service and per diem amounts.

Directs the Secretary to award between 10 and 25 grants of $250,000 to $1 million each to eligible entities for purposes of researching and preparing an HIZ model plan. Lists required contents of a plan, including: (1) a description of innovative models of care that improve quality and decrease costs; (2) a provider network that will provide the full spectrum of care; and (3) a target population and mechanisms to enroll such population.

Directs the Secretary to: (1) establish an HIZ demonstration project to test the effectiveness of HIZs in increasing health care provider integration, improving health care services, and reducing health care costs; and (2) select project participants from HIV model plan grant recipients. Requires the project to operate for at least three years, subject to renewal at the Secretary's discretion.

Requires an HIZ established under this Act to provide comprehensive health care services to individuals who voluntarily enroll to receive such services for multi-year periods from the HIZ.
****