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. INCENTIVES TO INCREASE USE OF HIV SCREENING TESTS UNDER THE 
              MEDICAID PROGRAM.

    (a) Higher Federal Matching Percentage for Routine HIV Screening 
Services.--Section 1903 of the Social Security Act (42 U.S.C. 1396b) is 
amended--
            (1) in subsection (a)--
                    (A) by redesignating paragraph (7) as paragraph 
                (8); and
                    (B) by inserting after paragraph (6) the following 
                new paragraph:
            ``(7) an amount equal to 90 percent of the sums expended 
        during such quarter which are attributable to the costs of 
        providing routine HIV screening services (as defined in 
        subsection (aa)(1)) if the conditions described in subsection 
        (aa)(2) are met; plus''; and
            (2) by adding at the end the following new subsection:
    ``(aa) Routine HIV Screening Services.--
            ``(1) In general.--For purposes of this section, the term 
        `routine HIV screening services' means the following:
                    ``(A) An HIV screening test (and, if such test is 
                positive, a confirmatory HIV test), including the 
                interpretation of such tests, that is provided as part 
                of medical care in any health care setting (other than 
                an inpatient hospital setting) for an individual who--
                            ``(i) is at least 13, but not more than 64, 
                        years of age;
                            ``(ii) is not known to the health care 
                        provider (directly, through information 
                        provided by the individual, or through access 
                        to an electronic medical record) previously 
                        ever to have had a positive test for HIV or, 
                        subject to paragraph (3), within the previous 6 
                        months to have had any test for HIV; and
                            ``(iii) has been informed that such a test 
                        will be administered and has not objected to 
                        such a test.
                    ``(B) Informing an individual so tested of the 
                results of the tests at the time of such examination.
                    ``(C) In the case of such an individual who tests 
                positive for HIV on the screening and confirmatory 
                tests, post-test counseling concerning HIV at the time, 
                and as part of, such examination.
            ``(2) Conditions.--For purposes of subsection (a)(7), the 
        conditions of this paragraph, with respect to routine HIV 
        screening services, are that--
                    ``(A) the payment amount for such services under 
                this title is reasonable and closely approximates the 
                payment amount for such services under part B of title 
                XVIII;
                    ``(B) no cost-sharing is imposed under this title 
                for the provision of such services; and
                    ``(C) in the case of a State for which a political 
                subdivision is required to contribute towards the non-
                Federal share of expenditures for routine HIV screening 
                services, the increase in the Federal share applicable 
                under subsection (a)(5) to such services is first 
                applied to reduce the contribution (but not below zero) 
                required by such political subdivision.
            ``(3) Exception.--The limitation under paragraph (1)(A)(ii) 
        with respect to having a test for HIV within the previous 6 
        months shall not apply to an individual if the individual 
        indicates that, because of the individual's possible exposure 
        to HIV during the intervening period, the individual is at 
        increased risk of acquiring HIV since such previous test.''.
    (b) Conforming Amendments.--
            (1) Subparagraphs (E) and (F) of section 1919(h)(2) of such 
        Act (42 U.S.C. 1396r(h)(2)) are each amended by striking 
        ``1903(a)(7)'' and inserting ``1903(a)(8)''.
            (2) Paragraphs (1) and (2) of section 1931(h) of such Act 
        (42 U.S.C. 1396u-1(h)) are each amended by striking 
        ``1903(a)(7)'' and inserting ``1903(a)(8)''.
            (3) Section 1938(d)(4) of such Act (42 U.S.C. 1396u-
        8(d)(4)) is amended by striking ``1903(a)(7)'' and inserting 
        ``1903(a)(8)''.
            (4) Section 1940(j) of such Act (42 U.S.C. 1396w(j)) is 
        amended by striking ``paragraph (7)'' and inserting ``paragraph 
        (8)''.
    (c) Effective Date.--The amendments made by subsection (a) shall 
apply to services furnished on or after the date of the enactment of 
this Act.
    (d) Report.--Not later 2 years after the date of the enactment of 
this Act, the Secretary of Health and Human Services shall submit a 
report to Congress on barriers that exist for Medicaid beneficiaries to 
access routine HIV screening services (as defined in section 1903(aa) 
of the Social Security Act, as added by subsection (a)(2)). Such report 
shall include recommendations on how to reduce such barriers to access 
such services.
[A]: Amends title XIX (Medicaid) of the Social Security Act to direct the Secretary of Health and Human Services (HHS) to make quarterly payments to states with Medicaid plans for 90% of their expenditures for routine HIV screening services.


[Q]: SECTION 1. AMENDMENT OF VOTING ACCESSIBILITY FOR THE ELDERLY AND 
              HANDICAPPED ACT.

    (a) Purpose.--Section 2 of the Voting Accessibility for the Elderly 
and Handicapped Act (42 U.S.C. 1973ee) is amended by--
            (1) striking ``It'' and inserting ``(a) It''; and
            (2) adding at the end the following:
    ``(b) It is the intention of Congress in enacting this Act to 
ensure that--
            ``(1) no individual may be denied the right to vote in a 
        Federal election on the basis of being disabled; and
            ``(2) every voter has the right to vote independently in a 
        Federal election.''.
    (b) Accessibility of Polling Places.--Section 3 of the Voting 
Accessibility for the Elderly and Handicapped Act (42 U.S.C. 1973ee-1) 
is amended--
            (1) in subsection (a), by striking ``each political 
        subdivision'' and all that follows through ``conducting 
        elections'' and inserting ``the chief election officer of the 
        State'';
            (2) by striking subsection (b) and inserting the following:
    ``(b) Subsection (a) shall not apply to a polling place in the case 
of any unforeseeable natural disaster such as a fire, storm, 
earthquake, or flood.''; and
            (3) by striking subsection (c) and inserting the following:
    ``(c) The chief election officer of a State shall ensure that all 
polling methods selected and used for Federal elections are accessible 
to disabled and elderly voters, including--
            ``(1) the provision of ballots in a variety of accessible 
        media;
            ``(2) the provision of instructions that are printed in 
        large type, conspicuously displayed at each polling place;
            ``(3) the provision of printed information that is 
        generally available to other voters using a variety of 
        accessible media; and
            ``(4) ensuring that all polling methods used enable 
        disabled and elderly voters to cast votes at polling places 
        during times and under conditions of privacy available to other 
        voters.''.
    (c) Accessibility of Registration Facilities and Services.--Section 
5(a) of the Voting Accessibility for the Elderly and Handicapped Act 
(42 U.S.C. 1973ee-3(a)) is amended--
            (1) in paragraph (1), by striking ``and'' at the end; and
            (2) by striking paragraph (2) and inserting the following:
            ``(2) registration information by telecommunications 
        devices for the deaf and in a variety of accessible media; and
            ``(3) accessible registration procedures to allow each 
        eligible voter to register at the residence of the voter, by 
        mail, or by other means.''.
    (d) Enforcement.--Section 6 of the Voting Accessibility for the 
Elderly and Handicapped Act (42 U.S.C. 1973ee-4) is amended--
            (1) in subsection (b), by striking ``45'' and inserting 
        ``21''; and
            (2) by striking subsection (c) and inserting the following:
    ``(c) In an action brought under subsection (a), the State or 
political subdivision shall be fined an amount--
            ``(1) not to exceed $5,000 for the first violation of such 
        section; and
            ``(2) not to exceed $10,000 for each subsequent 
        violation.''.
    (e) Relationship With Other Laws.--Section 7 of the Voting 
Accessibility for the Elderly and Handicapped Act (42 U.S.C. 1973ee-5) 
is amended--
            (1) in the heading, by striking ``voting rights act of 
        1965'' and inserting ``other laws;
            (2) by striking ``This'' and inserting ``(a) This''; and
            (3) by adding at the end the following:
    ``(b) Nothing in this Act shall be construed to invalidate or limit 
the laws of any State or political subdivision that provide greater or 
equal access to registration or polling for disabled and elderly 
voters.''.
    (f) Definitions.--Section 8 of the Voting Accessibility for the 
Elderly and Handicapped Act (42 U.S.C. 1973ee-6) is amended--
            (1) in paragraph (1), by striking ``chief election'' 
        through ``involved'' and inserting ``Access Board'';
            (2) in paragraph (4), by striking ``permanent physical 
        disability; and'' and inserting ``permanent disability;'';
            (3) in paragraph (5), by striking the period and inserting 
        a semicolon; and
            (4) by adding at the end the following:
            ``(6) `Access Board' means the Architectural and 
        Transportation Barriers Compliance Board established under 
        section 502 of the Rehabilitation Act of 1973 (29 U.S.C. 792);
            ``(7) `chief election officer' means the State officer or 
        entity, designated by State law or established by practice, 
        responsible for elections within the State;
            ``(8) `independently' means without the assistance of 
        another individual; and
            ``(9) `media' includes formats using large type, braille, 
        sound recording, or digital text.''.
    (g) References.--
            (1) In general.--The Voting Accessibility for the Elderly 
        and Handicapped Act (42 U.S.C. 1973ee et seq.) is amended by 
        striking ``handicapped'' each place it appears and inserting 
        ``disabled''.
            (2) References in other laws.--Except where inappropriate, 
        any reference to ``handicapped'' in relation to the Voting 
        Accessibility for the Elderly and Handicapped Act (42 U.S.C. 
        1973ee et seq.) in any law, Executive Order, rule, or other 
        document shall include a reference to ``disabled''.
    (h) Conforming Amendment.--Section 502(b)(3) of the Rehabilitation 
Act of 1973 (29 U.S.C. 792(b)(3)) is amended by inserting before the 
semicolon ``and section 3 of the Voting Accessibility for the Elderly 
and Handicapped Act (42 U.S.C. 1973ee-1)''.

SEC. 2. REGULATIONS.

    (a) In General.--Not later than 1 year after the date of enactment 
of this Act, the Attorney General shall promulgate regulations 
implementing this Act. Such regulations shall be consistent with the 
minimum guidelines established by the Access Board.
    (b) Access Board Guidelines.--Not later than 9 months after the 
date of enactment of this Act, the Access Board shall issue minimum 
guidelines relating to the requirements in the amendments made by 
section 1(b) of this Act.
    (c) Definition.--In this section, the term ``Access Board'' means 
the Architectural and Transportation Barriers Compliance Board.

SEC. 3. TRANSITION PLAN.

    (a) In General.--Not later than 3 months after the date on which 
regulations are promulgated under section 2(a), the chief election 
officer of each State shall develop a transition plan to ensure that 
polling places in the State are in compliance with the requirements of 
the Voting Accessibility for the Elderly and Handicapped Act (42 U.S.C. 
1973ee et seq.), as amended by this Act.
    (b) Coordination With Local Election Officials.--The plan under 
subsection (a) shall be developed in coordination with--
            (1) local election officials; and
            (2) individuals with disabilities or organizations 
        representing individuals with disabilities.
    (c) Contents and Availability of Plan.--The plan under subsection 
(a) shall--
            (1) include specific recommendations necessary to comply 
        with the requirements of the Voting Accessibility for the 
        Elderly and Handicapped Act; and
            (2) be available for public inspection in such manner as 
        the chief election officer determines appropriate.

SEC. 4. EFFECTIVE DATE.

    The amendments made by section 1 of this Act shall apply beginning 
on the earliest of--
            (1) the date that is 6 months after the date on which 
        regulations are promulgated under section 2(a); or
            (2) the date of the first Federal election taking place in 
        the State after December 31, 2000.
[A]: Makes amendments to such Act regarding the accessibility of polling places and registration facilities and services, enforcement, and the relationship of such Act with other laws (providing that nothing in this Act shall be construed to invalidate or limit the laws of any State or political subdivision that provide greater or equal access to registration or polling for disabled and elderly voters). Includes among such amendments providing for ensuring that all polling methods selected and used for Federal elections are accessible to disabled and elderly voters and that accessible registration procedures allow eligible voters to register at home, by mail, or by other means are in place.
Revises definitions, including adding the term "Access Board," the Architectural and Transportation Barriers Compliance Board established under the Rehabilitation Act of 1973. Directs such Board to issue minimum guidelines relating to requirements pertaining to the accessibility of polling places.
Replaces all references in such Act to "handicapped" with "disabled" and with regard to such references in other laws, Executive Orders, or rules,  in relation to such Act except where inappropriate.


[Q]: SECTION 1. SHORT TITLE.

    This Act may be cited as the ``EPA Science Advisory Board Reform 
Act of 2015''.

SEC. 2. SCIENCE ADVISORY BOARD.

    (a) Independent Advice.--Section 8(a) of the Environmental 
Research, Development, and Demonstration Authorization Act of 1978 (42 
U.S.C. 4365(a)) is amended by inserting ``independently'' after 
``Advisory Board which shall''.
    (b) Membership.--Section 8(b) of the Environmental Research, 
Development, and Demonstration Authorization Act of 1978 (42 U.S.C. 
4365(b)) is amended to read as follows:
    ``(b)(1) The Board shall be composed of at least nine members, one 
of whom shall be designated Chairman, and shall meet at such times and 
places as may be designated by the Chairman.
    ``(2) Each member of the Board shall be qualified by education, 
training, and experience to evaluate scientific and technical 
information on matters referred to the Board under this section. The 
Administrator shall ensure that--
            ``(A) the scientific and technical points of view 
        represented on and the functions to be performed by the Board 
        are fairly balanced among the members of the Board;
            ``(B) at least ten percent of the membership of the Board 
        are from State, local, or tribal governments;
            ``(C) persons with substantial and relevant expertise are 
        not excluded from the Board due to affiliation with or 
        representation of entities that may have a potential interest 
        in the Board's advisory activities, so long as that interest is 
        fully disclosed to the Administrator and the public and 
        appointment to the Board complies with section 208 of title 18, 
        United States Code;
            ``(D) in the case of a Board advisory activity on a 
        particular matter involving, or for which the Board has 
        evidence that it may involve, a specific party, no Board member 
        having an interest in the specific party shall participate in 
        that activity;
            ``(E) Board members may not participate in advisory 
        activities that directly or indirectly involve review or 
        evaluation of their own work, unless fully disclosed to the 
        public and the work has been externally peer-reviewed;
            ``(F) Board members shall be designated as special 
        Government employees;
            ``(G) no registered lobbyist is appointed to the Board; and
            ``(H) a Board member shall have no current grants or 
        contracts from the Environmental Protection Agency and shall 
        not apply for a grant or contract for 3 years following the end 
        of that member's service on the Board.
    ``(3) The Administrator shall--
            ``(A) solicit public nominations for the Board by 
        publishing a notification in the Federal Register;
            ``(B) solicit nominations from relevant Federal agencies, 
        including the Departments of Agriculture, Defense, Energy, the 
        Interior, and Health and Human Services;
            ``(C) solicit nominations from--
                    ``(i) institutions of higher education (as defined 
                in section 101(a) of the Higher Education Act of 1965 
                (20 U.S.C. 1001(a))); and
                    ``(ii) scientific and research institutions based 
                in work relevant to that of the Board;
            ``(D) make public the list of nominees, including the 
        identity of the entities that nominated each, and shall accept 
        public comment on the nominees;
            ``(E) require that, upon their provisional nomination, 
        nominees shall file a written report disclosing financial 
        relationships and interests, including Environmental Protection 
        Agency grants, contracts, cooperative agreements, or other 
        financial assistance, that are relevant to the Board's advisory 
        activities for the three-year period prior to the date of their 
        nomination, and relevant professional activities and public 
        statements for the five-year period prior to the date of their 
        nomination; and
            ``(F) make such reports public, with the exception of 
        specific dollar amounts, for each member of the Board upon such 
        member's selection.
    ``(4) Disclosure of relevant professional activities under 
paragraph (3)(E) shall include all representational work, expert 
testimony, and contract work as well as identifying the party for which 
the work was done.
    ``(5) Except when specifically prohibited by law, the Agency shall 
make all conflict of interest waivers granted to members of the Board, 
member committees, or investigative panels publicly available.
    ``(6) Any recusal agreement made by a member of the Board, a member 
committee, or an investigative panel, or any recusal known to the 
Agency that occurs during the course of a meeting or other work of the 
Board, member committee, or investigative panel shall promptly be made 
public by the Administrator.
    ``(7) The terms of the members of the Board shall be three years 
and shall be staggered so that the terms of no more than one-third of 
the total membership of the Board shall expire within a single fiscal 
year. No member shall serve more than two terms over a ten-year 
period.''.
    (c) Record.--Section 8(c) of such Act (42 U.S.C. 4365(c)) is 
amended--
            (1) in paragraph (1)--
                    (A) by inserting ``or draft risk or hazard 
                assessment,'' after ``at the time any proposed'';
                    (B) by striking ``formal''; and
                    (C) by inserting ``or draft risk or hazard 
                assessment,'' after ``to the Board such proposed''; and
            (2) in paragraph (2)--
                    (A) by inserting ``or draft risk or hazard 
                assessment,'' after ``the scientific and technical 
                basis of the proposed''; and
                    (B) by adding at the end the following: ``The 
                Board's advice and comments, including dissenting views 
                of Board members, and the response of the Administrator 
                shall be included in the record with respect to any 
                proposed risk or hazard assessment, criteria document, 
                standard, limitation, or regulation and published in 
                the Federal Register.''.
    (d) Member Committees and Investigative Panels.--Section 8(e)(1)(A) 
of such Act (42 U.S.C. 4365(e)(1)(A)) is amended by adding at the end 
the following: ``These member committees and investigative panels--
                            ``(i) shall be constituted and operate in 
                        accordance with the provisions set forth in 
                        paragraphs (2) and (3) of subsection (b), in 
                        subsection (h), and in subsection (i);
                            ``(ii) do not have authority to make 
                        decisions on behalf of the Board; and
                            ``(iii) may not report directly to the 
                        Environmental Protection Agency.''.
    (e) Public Participation.--Section 8 of such Act (42 U.S.C. 4365) 
is amended by amending subsection (h) to read as follows:
    ``(h)(1) To facilitate public participation in the advisory 
activities of the Board, the Administrator and the Board shall make 
public all reports and relevant scientific information and shall 
provide materials to the public at the same time as received by members 
of the Board.
    ``(2) Prior to conducting major advisory activities, the Board 
shall hold a public information-gathering session to discuss the state 
of the science related to the advisory activity.
    ``(3) Prior to convening a member committee or investigative panel 
under subsection (e) or requesting scientific advice from the Board, 
the Administrator shall accept, consider, and address public comments 
on questions to be asked of the Board. The Board, member committees, 
and investigative panels shall accept, consider, and address public 
comments on such questions and shall not accept a question that unduly 
narrows the scope of an advisory activity.
    ``(4) The Administrator and the Board shall encourage public 
comments, including oral comments and discussion during the 
proceedings, that shall not be limited by an insufficient or arbitrary 
time restriction. Public comments shall be provided to the Board when 
received. The Board's reports shall include written responses to 
significant comments offered by members of the public to the Board.
    ``(5) Following Board meetings, the public shall be given 15 
calendar days to provide additional comments for consideration by the 
Board.''.
    (f) Operations.--Section 8 of such Act (42 U.S.C. 4365) is further 
amended by amending subsection (i) to read as follows:
    ``(i)(1) In carrying out its advisory activities, the Board shall 
strive to avoid making policy determinations or recommendations, and, 
in the event the Board feels compelled to offer policy advice, shall 
explicitly distinguish between scientific determinations and policy 
advice.
    ``(2) The Board shall clearly communicate uncertainties associated 
with the scientific advice provided to the Administrator or Congress.
    ``(3) The Board shall ensure that advice and comments reflect the 
views of the members and shall encourage dissenting members to make 
their views known to the public, the Administrator, and Congress.
    ``(4) The Board shall conduct periodic reviews to ensure that its 
advisory activities are addressing the most important scientific issues 
affecting the Environmental Protection Agency.
    ``(5) The Board shall be fully and timely responsive to 
Congress.''.

SEC. 3. RELATION TO THE FEDERAL ADVISORY COMMITTEE ACT.

    Nothing in this Act or the amendments made by this Act shall be 
construed as supplanting the requirements of the Federal Advisory 
Committee Act (5 U.S.C. App.).

SEC. 4. RELATION TO THE ETHICS IN GOVERNMENT ACT OF 1978.

    Nothing in this Act or the amendments made by this Act shall be 
construed as supplanting the requirements of the Ethics in Government 
Act of 1978 (5 U.S.C. App.).

            Passed the House of Representatives March 17, 2015.

            Attest:

                                                 KAREN L. HAAS,

                                                                 Clerk.
[A]:
EPA Science Advisory Board Reform Act of 2015  (Sec. 2) This bill amends the Environmental Research, Development, and Demonstration Authorization Act of 1978 to revise the process of selecting members of the Science Advisory Board, guidelines for participation in Board advisory activities, and terms of office. The Board provides scientific advice to the Environmental Protection Agency (EPA). This bill requires the Board to independently provide that advice. Among the revisions to requirements concerning the Board's membership are the following:  a requirement to balance scientific and technical points of view; a set minimum level of representation from state, local, or tribal governments; allowance of affiliation with or representation of entities that may have a potential interest in the Board's advisory activities; conflict of interest restrictions; restrictions on participation in advisory activities involving review of a member's work;  restrictions on appointment of registered lobbyists; and prohibitions on member receipt of current EPA grants or contracts.  The EPA must make public a list of nominees to the Board and accept public comments on the nominees. Reports filed upon the provisional nomination of a member disclosing financial relationships and interests must also be made public. The EPA must provide draft risk or hazard assessments in its regulatory proposals and documents to the Board. The Board's advice and comments must be included in the record regarding any such proposal and published in the Federal Register. The Board's member committees and investigative panels must operate in accordance with the membership, participation, and policy requirements contained in this Act, including new requirements for public participation in advisory activities of the Board. The member committees and investigative panels do not have the authority to make decisions on behalf of the Board and may not report directly to the EPA. The bill imposes additional public participation requirements:  The EPA and the Board must make public all reports and relevant scientific information at the same time they are received by the Board.  The Board must hold public information-gathering sessions to discuss the state of the science related to a major advisory activity.  Prior to convening a member committee or investigative panel, the EPA must accept and address public comments on questions asked of the Board.  The Board, member committees, and investigative panels may not accept a question that unduly narrows the scope of an advisory activity.    The Board must strive to avoid making policy determinations or recommendations, communicate uncertainties, encourage dissenting members to make their views known, conduct periodic reviews to ensure that its activities address the most important scientific issues affecting the EPA, and respond to Congress fully and in a timely manner.