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

Input: Consider Input: SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Veterans Health Care Access Received 
Closer to Home Act of 2014''.

SEC. 2. SENSE OF CONGRESS.

    It is the sense of Congress that--
            (1) veterans who are authorized by the Secretary of 
        Veterans Affairs to receive health care in the community must 
        not lose the high quality, safety, care coordination, and other 
        veteran-centric elements that the health care system of the 
        Department of Veterans Affairs provides;
            (2) many veterans receive health care from both the 
        Department and community providers but the lack of care 
        coordination among the Department and community providers when 
        veterans receive purchased care places veterans at risk for 
        poor health outcomes and results in inefficient use of finite 
        health care resources;
            (3) veteran-centric care coordination is associated with 
        improved patient outcomes, as Department and non-Department 
        health care teams coordinate and collaborate to provide the 
        best care for veterans; and
            (4) if the Secretary purchases care for veterans from the 
        private sector, such care must be secured in a cost-effective 
        manner, in a way that complements the larger health care system 
        of the Department by using industry standards for care and 
        costs.

SEC. 3. REAUTHORIZATION AND MODIFICATION OF PILOT PROGRAM OF ENHANCED 
              CONTRACT CARE AUTHORITY FOR HEALTH CARE NEEDS OF 
              VETERANS.

    Section 403 of the Veterans' Mental Health and Other Care 
Improvements Act of 2008 (Public Law 110-387; 38 U.S.C. 1703 note) is 
amended--
            (1) in subsection (a)--
                    (A) in paragraph (2), by striking ``120 days after 
                the date of the enactment of this Act'' and inserting 
                ``90 days after the date of the enactment of the 
                Veterans Health Care Access Received Closer to Home Act 
                of 2014''; and
                    (B) by amending paragraph (4) to read as follows:
            ``(4) Program locations.--The Secretary shall carry out the 
        pilot program at locations in the following Veterans Integrated 
        Service Networks (and such other locations as the Secretary 
        considers appropriate):
                    ``(A) Veterans Integrated Service Network 1.
                    ``(B) Veterans Integrated Service Network 6.
                    ``(C) Veterans Integrated Service Network 15.
                    ``(D) Veterans Integrated Service Network 18.
                    ``(E) Veterans Integrated Service Network 19.'';
            (2) by amending subsection (b) to read as follows:
    ``(b) Covered Veterans.--For purposes of the pilot program under 
this section, a covered veteran is any rural or highly rural veteran 
who--
            ``(1) is--
                    ``(A) enrolled in the system of patient enrollment 
                established under section 1705(a) of title 38, United 
                States Code;
                    ``(B) eligible for health care under the laws 
                administered by the Secretary and enrolls in such 
                system of patient enrollment not later than 30 days 
                after the veteran begins receiving covered health 
                services under the pilot program; or
                    ``(C) eligible for health care under section 
                1710(e)(3) of such title; and
            ``(2) resides in a location that is--
                    ``(A) more than 60 minutes driving distance from 
                the nearest Department health care facility providing 
                primary care services, if the veteran is seeking such 
                services;
                    ``(B) more than 120 minutes driving distance from 
                the nearest Department health care facility providing 
                acute hospital care, if the veteran is seeking such 
                care; or
                    ``(C) more than 240 minutes driving distance from 
                the nearest Department health care facility providing 
                tertiary care, if the veteran is seeking such care.'';
            (3) by redesignating subsection (h) as subsection (j);
            (4) by inserting after subsection (g) the following new 
        subsections:
    ``(h) Appointments.--In carrying out the pilot program under this 
section, the Secretary shall ensure that medical appointments for 
veterans occur during the 30-day period beginning on the date that is 
15 days after the date on which the appointment is requested.
    ``(i) Outreach.--The Secretary shall ensure that a veteran eligible 
for the pilot program under this section is informed of such 
program.''; and
            (5) in paragraph (2)(B) of subsection (j), as redesignated 
        by paragraph (3) of this section, by striking the semicolon at 
        the end and inserting ``; and''.

Output: Veterans Health Care Access Received Closer to Home Act of 2014 - Expresses the sense of Congress in support of veteran-centric health care coordination between the Department of Veterans Affairs (VA) and community providers, as well as cost-effective VA purchase of veterans' care from the private sector. Amends the Veterans' Mental Health and Other Care Improvements Act of 2008 to reauthorize a VA pilot program of contract care authority within specified Veterans Integrated Service Networks for the health care needs of veterans in highly rural areas who are enrolled in the VA annual patient enrollment system. Requires: (1) that medical appointments for veterans, under the pilot program, occur during the 30-day period beginning on the date that is 15 days after the appointment is requested, and (2) the Secretary of Veterans Affairs to ensure that eligible veterans are informed of the program.


Input: Consider Input: SECTION 1. DEVELOPMENT OF BEST PRACTICES FOR THE USE OF PRESCRIPTION 
              OPIOIDS.

    (a) Definitions.--In this section--
            (1) the term ``Secretary'' means the Secretary of Health 
        and Human Services; and
            (2) the term ``task force'' means the Pain Management Best 
        Practices Inter-Agency Task Force convened under subsection 
        (b).
    (b) Inter-Agency Task Force.--Not later than December 14, 2018, the 
Secretary, in cooperation with the Secretary of Veterans Affairs, the 
Secretary of Defense, and the Administrator of the Drug Enforcement 
Administration, shall convene a Pain Management Best Practices Inter-
Agency Task Force to review, modify, and update, as appropriate, best 
practices for pain management (including chronic and acute pain) and 
prescribing pain medication.
    (c) Membership.--The task force shall be comprised of--
            (1) representatives of--
                    (A) the Department of Health and Human Services;
                    (B) the Department of Veterans Affairs;
                    (C) the Food and Drug Administration;
                    (D) the Department of Defense;
                    (E) the Drug Enforcement Administration;
                    (F) the Centers for Disease Control and Prevention;
                    (G) the Health Resources and Services 
                Administration;
                    (H) the Indian Health Service;
                    (I) the National Academy of Medicine;
                    (J) the National Institutes of Health;
                    (K) the Office of National Drug Control Policy;
                    (L) the Substance Abuse and Mental Health Services 
                Administration; and
                    (M) the Office of Women's Health;
            (2) State medical boards;
            (3) subject to subsection (e), physicians, dentists, and 
        nonphysician prescribers;
            (4) hospitals;
            (5) subject to subsection (e), pharmacists and pharmacies;
            (6) first responders;
            (7) experts in the fields of pain research and addiction 
        research;
            (8) experts in the fields of adolescent and young adult 
        addiction research;
            (9) representatives of--
                    (A) pain management professional organizations;
                    (B) the mental health treatment community;
                    (C) the addiction treatment and recovery community;
                    (D) pain advocacy groups;
                    (E) veteran service organizations; and
                    (F) groups with expertise on overdose reversal;
            (10) a person in recovery from addiction to medication for 
        chronic pain;
            (11) a person in recovery from addiction to medication for 
        chronic pain, whose addiction began in adolescence or young 
        adulthood;
            (12) a person with chronic pain;
            (13) an expert on active duty military, armed forces 
        personnel, and veteran health and prescription opioid 
        addiction;
            (14) an expert in the field of minority health; and
            (15) other stakeholders, as the Secretary determines 
        appropriate.
    (d) Condition on Participation on Task Force.--An individual 
representing a profession or entity described in paragraph (3) or (5) 
of subsection (c) may not serve as a member of the task force unless 
such individual--
            (1) is currently licensed in a State in which such 
        individual is practicing (as defined by such State) such 
        profession (or, in the case of an individual representing an 
        entity, a State in which the entity is engaged in business); 
        and
            (2) is currently practicing (as defined by such State) such 
        profession (or, in the case of an individual representing an 
        entity, the entity is in operation).
    (e) Duties.--The task force shall--
            (1) not later than 180 days after the date on which the 
        task force is convened under subsection (b), review, modify, 
        and update, as appropriate, best practices for pain management 
        (including chronic and acute pain) and prescribing pain 
        medication, taking into consideration--
                    (A) existing pain management research;
                    (B) research on trends in areas and communities in 
                which the prescription opioid abuse rate and fatality 
                rate exceed the national average prescription opioid 
                abuse rate and fatality rate;
                    (C) recommendations from relevant conferences and 
                existing relevant evidence-based guidelines;
                    (D) ongoing efforts at the State and local levels 
                and by medical professional organizations to develop 
                improved pain management strategies, including 
                consideration of differences within and between classes 
                of opioids, the availability of opioids with abuse 
                deterrent technology, and pharmacological, 
                nonpharmacological, medical device alternatives to 
                opioids to reduce opioid monotherapy in appropriate 
                cases and the coordination of information collected 
                from State prescription drug monitoring programs for 
                the purpose of preventing the diversion of pain 
                medication;
                    (E) ongoing efforts at the Federal, State, and 
                local levels to examine the potential benefits of 
                electronic prescribing of opioids, including any public 
                comments collected in the course of those efforts;
                    (F) the management of high-risk populations, other 
                than populations who suffer pain, who--
                            (i) may use or be prescribed 
                        benzodiazepines, alcohol, and diverted opioids; 
                        or
                            (ii) receive opioids in the course of 
                        medical care;
                    (G) the distinct needs of adolescents and young 
                adults with respect to pain management, pain 
                medication, substance use disorder, and medication-
                assisted treatment;
                    (H) the 2016 Guideline for Prescribing Opioids for 
                Chronic Pain issued by the Centers for Disease Control 
                and Prevention;
                    (I) the practice of co-prescribing naloxone for 
                both pain patients receiving chronic opioid therapy and 
                patients being treated for opioid use disorders;
                    (J) research that has been, or is being, conducted 
                or supported by the Federal Government on prevention 
                of, treatment for, and recovery from substance use by 
                and substance use disorders among adolescents and young 
                adults relative to any unique circumstances (including 
                social and biological circumstances) of adolescents and 
                young adults that may make adolescent-specific and 
                young adult-specific treatment protocols necessary, 
                including any effects that substance use and substance 
                use disorders may have on brain development and the 
                implications for treatment and recovery;
                    (K) Federal non-research programs and activities 
                that address prevention of, treatment for, and recovery 
                from substance use by and substance use disorders among 
                adolescents and young adults, including an assessment 
                of the effectiveness of such programs and activities 
                in--
                            (i) preventing substance use by and 
                        substance use disorders among adolescents and 
                        young adults;
                            (ii) treating such adolescents and young 
                        adults in a way that accounts for any unique 
                        circumstances faced by adolescents and young 
                        adults; and
                            (iii) supporting long-term recovery among 
                        adolescents and young adults; and
                    (L) gaps that have been identified by Federal 
                officials and experts in Federal efforts relating to 
                prevention of, treatment for, and recovery from 
                substance use by and substance use disorders among 
                adolescents and young adults, including gaps in 
                research, data collection, and measures to evaluate the 
                effectiveness of Federal efforts, and the reasons for 
                such gaps;
            (2) solicit and take into consideration public comment on 
        the practices developed under paragraph (1), amending such best 
        practices if appropriate;
            (3) develop a strategy for disseminating information about 
        the best practices developed under paragraphs (1) and (2) to 
        prescribers, pharmacists, State medical boards, educational 
        institutions that educate prescribers and pharmacists, and 
        other parties, as the Secretary determines appropriate;
            (4) review, modify, and update best practices for pain 
        management and prescribing pain medication, specifically as it 
        pertains to physician education and consumer education; and
            (5) examine and identify--
                    (A) the extent of the need for the development of 
                new pharmacological, nonpharmacological, and medical 
                device alternatives to opioids;
                    (B) the current status of research efforts to 
                develop such alternatives; and
                    (C) the pharmacological, nonpharmacological, and 
                medical device alternatives to opioids that are 
                currently available that could be better utilized.
    (f) Consideration of Study Results.--In reviewing, modifying, and 
updating, best practices for pain management and prescribing pain 
medication, the task force shall take into consideration existing 
private sector, State, and local government efforts related to pain 
management and prescribing pain medication.
    (g) Limitation.--The task force shall not have rulemaking 
authority.
    (h) Report.--Not later than 270 days after the date on which the 
task force is convened under subsection (b), the task force shall 
submit to Congress a report that includes--
            (1) the strategy for disseminating best practices for pain 
        management (including chronic and acute pain) and prescribing 
        pain medication, as developed under subsection (e);
            (2) the results of a feasibility study on linking the best 
        practices described in paragraph (1) to receiving and renewing 
        registrations under section 303(f) of the Controlled Substances 
        Act (21 U.S.C. 823(f));
            (3) recommendations for effectively applying the best 
        practices described in paragraph (1) to improve prescribing 
        practices at medical facilities, including medical facilities 
        of the Veterans Health Administration and Indian Health 
        Service;
            (4) the modified and updated best practices described in 
        subsection (e)(4); and
            (5) the results of the examination and identification 
        conducted pursuant to subsection (e)(4), and recommendations 
        regarding--
                    (A) the development of new pharmacological, 
                nonpharmacological, and medical device alternatives to 
                opioids; and
                    (B) the improved utilization of pharmacological, 
                nonpharmacological, and medical device alternatives to 
                opioids that are currently available.

            Passed the House of Representatives May 11, 2016.

            Attest:

                                                 KAREN L. HAAS,

                                                                 Clerk.

Output: (Sec. 1) This bill requires the Department of Health and Human Services to convene a Pain Management Best Practices Inter-Agency Task Force to: (1) review, modify, and update best practices for pain management and prescribing pain medication; and (2) examine and identify the need for, development of, and availability of medical alternatives to opioids (drugs with effects similar to opium, such as certain pain medications). The task force must submit a report that includes: (1) the modified and updated best practices; (2) a strategy for disseminating the best practices; (3) the feasibility of linking the best practices to Drug Enforcement Administration registration of manufacturers, distributors, and dispensers of controlled substances; (4) recommendations for effectively applying the best practices at medical facilities; and (5) recommendations regarding medical alternatives to opioids.


Input: Consider Input: SECTION 1. SHORT TITLE.

    This Act may be cited as the ``United States Primary and Preventive 
Health Care Corps Act of 2009''.

SEC. 2. PRIMARY AND PUBLIC HEALTH SCHOLARSHIP PROGRAM.

    Part E of title VII of the Public Health Service Act (42 U.S.C. 
294n et seq.) is amended by adding at the end the following:

       ``Subpart 3--Primary and Public Health Scholarship Program

``SEC. 775. SCHOLARSHIP PROGRAM.

    ``(a) In General.--The Secretary shall establish and carry out the 
Primary and Public Health Scholarship Program (in this section referred 
to as the `Scholarship Program') under which the Secretary shall enter 
into contracts with all eligible individuals in accordance with this 
section.
    ``(b) Eligibility.--To be eligible to participate in the 
Scholarship Program, an individual must--
            ``(1) be accepted for enrollment, or be enrolled, as a 
        full-time student--
                    ``(A) in an accredited (as determined by the 
                Secretary) institution of higher education that is a 
                public graduate medical school in a State that is 
                funded by such State; and
                    ``(B) in a course of study or program, offered by 
                such institution and approved by the Secretary, leading 
                to a degree in medicine, osteopathic medicine, 
                dentistry, or other health profession, or an 
                appropriate degree from a graduate program of 
                behavioral and mental health;
            ``(2) submit an application to participate in the 
        Scholarship Program in such form and manner and at such time as 
        specified by the Secretary; and
            ``(3) sign and submit to the Secretary, at the time of 
        submittal of such application, a written contract (described in 
        subsection (d)) to accept payment of a scholarship and to serve 
        (in accordance with this section) for a period of not less than 
        4 years at a health care facility that serves a designated 
        primary care or public health shortage area located in the 
        State in which the institution is located.
    ``(c) Participation in Program.--
            ``(1) In general.--An individual becomes a participant in 
        the Scholarship Program only upon the approval of the Secretary 
        of the individual's application submitted under subsection 
        (b)(2) and the Secretary's acceptance of the contract submitted 
        by the individual under subsection (b)(3).
            ``(2) Notice.--The Secretary shall provide written notice 
        to an individual promptly upon the Secretary's approving, under 
        paragraph (1), of the individual's participation in the 
        Scholarship Program.
    ``(d) Contract.--The contract described in this subsection is a 
written contract between the Secretary and an individual that 
contains--
            ``(1) an agreement that--
                    ``(A) subject to paragraph (2), the Secretary 
                agrees to provide the individual with a scholarship 
                (described in subsection (e)) for each such school year 
                during the period of years (not to exceed four school 
                years), during which the individual is pursuing a 
                course of study described in subsection (b)(1)(B); and
                    ``(B) subject to paragraph (2), the individual 
                agrees--
                            ``(i) to accept provision of such a 
                        scholarship to the individual;
                            ``(ii) to maintain enrollment in a course 
                        of study described in subsection (b)(1)(B) 
                        until the individual completes the course of 
                        study;
                            ``(iii) while enrolled in such course of 
                        study, to maintain an acceptable level of 
                        academic standing (as determined under 
                        regulations of the Secretary by the educational 
                        institution offering such course of study); and
                            ``(iv) to serve as a health professional 
                        for a period of full-time service of not less 
                        than 4 years at a health care facility serving 
                        an area--
                                    ``(I) that is located in the State 
                                in which the individual attended the 
                                institution of higher education 
                                described in subsection (b)(1)(A); and
                                    ``(II) that is designated by the 
                                Secretary, in consultation with the 
                                Governor of such State, as being a 
                                primary care or public health shortage 
                                area;
            ``(2) a provision that any financial obligation of the 
        United States arising out of a contract entered into under this 
        section and any obligation of the individual which is 
        conditioned thereon, is contingent upon funds being 
        appropriated for scholarships under this section;
            ``(3) a statement of the damages to which the United States 
        is entitled, under subsection (f) for the individual's breach 
        of the contract; and
            ``(4) such other statements of the rights and liabilities 
        of the Secretary and of the individual, not inconsistent with 
        the provisions of this title.
    ``(e) Scholarships.--
            ``(1) In general.--Subject to subparagraph (3), a 
        scholarship provided to a student for a school year under a 
        written contract under the Scholarship Program shall consist of 
        payment to, or (in accordance with paragraph (2)) on behalf of, 
        the student of the amount of the tuition of the student in such 
        school year.
            ``(2) Payments to schools.--The Secretary may contract with 
        an institution of higher education described in subsection 
        (b)(1)(A), in which a participant in the Scholarship Program is 
        enrolled, for the payment to the educational institution of the 
        amounts of tuition and other reasonable educational expenses 
        described in paragraph (1). Payment to such an educational 
        institution may be made without regard to section 3648 of the 
        Revised Statutes (31 U.S.C. 529).
            ``(3) Limitation on revenue increase.--In no case shall the 
        Secretary provide a scholarship under this section with respect 
        to a student for a school year for an institution of higher 
        education described in subsection (b)(1)(A) if the percentage 
        of revenues of the institution that such institution receives 
        from tuition for the year (taking into account the provision of 
        this section) would increase by more than 3 percentage points 
        from the year prior to the date of the enactment of this 
        section.
    ``(f) Breach of Scholarship.--
            ``(1) Failure to complete course of study.--An individual 
        who has entered into a written contract with the Secretary 
        under this section and who--
                    ``(A) fails to maintain an acceptable level of 
                academic standing in the institution of higher 
                education described in subsection (b)(1)(A) in which he 
                is enrolled (such level determined by the institution 
                under regulations of the Secretary);
                    ``(B) is dismissed from such institution for 
                disciplinary reasons; or
                    ``(C) voluntarily terminates the training in such 
                an institution for which he is provided a scholarship 
                under such contract, before the completion of such 
                training,
        in lieu of any service obligation arising under such contract, 
        shall be liable to the United States for the amount that is 
        equal to the sum of the total amount which has been paid to the 
        individual, or on the behalf of the individual, under the 
        contract plus any amount of interest, as determined by the 
        Secretary.
            ``(2) Failure to complete service obligation.--If an 
        individual breaches his written contract by failing to begin 
        such individual's service obligation under this section, or to 
        complete such service obligation, the United States shall be 
        entitled to recover from the individual an amount that is equal 
        to the sum of--
                    ``(A) the total amount which has been paid to the 
                individual, or on his behalf of the individual, under 
                the contract;
                    ``(B) any amount of interest, as determined by the 
                Secretary; and
                    ``(C) the amount that is equal to 10 percent of the 
                amount described in subparagraph (A).
    ``(g) Designated Primary Care or Public Health Shortage Area.--For 
purposes of this section, the term `designated primary care or public 
health shortage area' means, with respect to a State, an area 
designated by the Secretary, in consultation with the Governor of the 
State, as being without sufficient practicing primary care physicians 
to ensure access to primary care, public health care services, and 
preventive care.
    ``(h) Applicability of Certain Provisions.--The provisions of 
subpart III of part D of title III shall, except as inconsistent with 
this section, apply to the program established under this section in 
the same manner and to the same extent as such provisions apply to the 
National Health Service Corps Scholarship Program established under 
such subpart.''.


Output: United States Primary and Preventive Health Care Corps Act of 2009 - Amends the Public Health Service Act to require the Secretary of Health and Human Services to establish the Primary and Public Health Scholarship Program to provide scholarships to students pursuing a health professional degree, including dentistry and behavior and mental health, in exchange for service as a health professional for not less than four years at a health care facility that serves a designated primary care or public health shortage area located in the state in which the institution of higher education is located.