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. BAN ON DISCLOSURE OF MEDICAL QUALITY ASSURANCE INFORMATION.

    Subsection (a) of section 5705 of title 38, United States Code, is 
amended--
            (1) by inserting ``(1)'' after ``(a)''; and
            (2) by adding at the end the following:
    ``(2)(A) Except as provided in subsection (b), no part of any 
medical quality assurance record or document described in subsection 
(a)(1) may be subject to discovery or admitted into evidence in any 
judicial or administrative proceeding.
    ``(B) An individual who reviews or creates medical quality 
assurance records or documents for the Department or who participates 
in any proceeding that reviews or creates such records or documents may 
not be permitted or required to testify in any judicial or 
administrative proceeding with respect to such records or documents or 
with respect to any finding, recommendation, evaluation, opinion, or 
action taken by such person in connection with such records or 
documents except as provided in this section.''.

SEC. 2. DISCLOSURE AUTHORITY.

    (a) Clarification of Coverage.--Subsection (b)(1) of section 5705 
of title 38, United States Code, is amended by striking out ``or 
document'' in the matter above subparagraph (A) and inserting in lieu 
thereof ``, document, or testimony''.
    (b) Disclosure for Professional Use.--Such subsection is further 
amended by adding at the end the following:
            ``(E) In an administrative or judicial proceeding commenced 
        by a criminal or civil law enforcement agency or 
        instrumentality referred to in subparagraph (C), but only 
        concerning the subject of such proceeding.
            ``(F) To a governmental board or agency or to a 
        professional health care society or organization, if such 
        record or document is needed by the board, agency, society, or 
        organization to issue a professional license or credential to 
        or to monitor the compliance with professional standards of any 
        health care provider who is or was an employee of the 
        Department.
            ``(G) To a hospital, medical center, or other institution 
        that provides health care services, if such record or document 
        is needed by the institution to assess the professional 
        qualifications of any health care provider who is or was an 
        employee of the Department and who has applied for or been 
        granted authority or employment to provide health care services 
        in or on behalf of such institution.
            ``(H) To an administrative or judicial proceeding commenced 
        by a present or former Department health care provider 
        concerning the termination, suspension or limitation of the 
        clinical privileges of such health care provider, or concerning 
        any adverse action involving such health care provider, but 
        only to the extent that such records or documents relate to the 
        clinical conduct or performance of the individual who has 
        commenced the action.''.
    (c) Removal of Identities.--Subsection (b)(2) of such section is 
amended by striking out ``if disclosure'' and all that follows through 
``personal privacy'' and inserting in lieu thereof ``subparagraphs 
(1)(A) and (1)(B) of this subsection''.

SEC. 3. LIMITATION ON DISCLOSURE.

    Paragraph (3) of section 5705(b) of title 38, United States Code, 
is amended to read as follows:
    ``(3) A person or entity having possession of, or access to, 
information, records, or documents, or testimony relating thereto, that 
is subject to the provisions of this section may not disclose such 
information, records, or documents, or any testimony relating thereto, 
in any manner or for any purpose except for a purpose as provided in 
this subsection. No person or entity to whom a record or document has 
been disclosed under this subsection shall make further disclosure of 
such record or document except for a purpose provided in this 
subsection.''.

SEC. 4. ACCESS TO RECORDS.

    Subsection (b) of section 5705 of title 38, United States Code, is 
amended by adding at the end the following:
    ``(7) Medical quality assurance records and documents described in 
subsection (a) which are subject to section 552a of title 5 may not be 
disclosed in accordance with that section except to the extent that 
such disclosure is also authorized under this section.
    ``(8) Medical quality assurance records or documents described in 
subsection (a) which are also subject to section 552a of title 5--
            ``(A) shall not be subject to the access provisions of such 
        section 552a to the extent that such access would reveal the 
        identities of participants in the quality assurance process 
        which generated the records or documents; and
            ``(B) are not subject to the amendment provisions of such 
        section 552a.
    ``(9) Medical quality assurance records and documents described in 
subsection (a) may not be made available to any person under section 
552 of title 5.''.

SEC. 5. REGULATIONS.

    Subsection (d)(2) of section 5705 of title 38, United States Code, 
is amended by striking out ``specified in'' and inserting in lieu 
thereof ``accomplished in accordance with''.

A: Prohibits Department of Veterans Affairs medical quality assurance records from being subject to discovery or admitted into evidence in any judicial or administrative proceeding.  Prohibits an individual who participates in the production of such records from being required to testify at such a proceeding. 
Allows testimony concerning such records (currently, only the records or documents themselves) to be disclosed to Federal agencies for certain limited purposes (licensing, accreditation).  Specifies additional uses for which such information may be disclosed. 
Includes information and testimony related to such records within certain disclosure limitation provisions. 
Prohibits the disclosure of such records by the Department as public information to the extent that such disclosure would reveal the identities of the participants in the quality assurance process which generated the records or documents.
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Q: SECTION 1. CLASS SIZE DEMONSTRATION GRANTS.

    Subpart 3 of part D of title V of the Higher Education Act of 1965 
(20 U.S.C. 1109 et seq.) is amended to read as follows:

              ``Subpart 3--Class Size Demonstration Grants

``SEC. 561. PURPOSE.

    ``It is the purpose of this subpart to provide grants to State 
educational agencies to enable such agencies to determine the benefits, 
in various school settings, of reducing class size on the educational 
performance of students and on classroom management and organization.

``SEC. 562. PROGRAM AUTHORIZED.

    ``(a) Program Authorized.--
            ``(1) In general.--The Secretary shall award grants, on a 
        competitive basis, to State educational agencies to pay the 
        Federal share of the costs of conducting demonstration projects 
        that demonstrate methods of reducing class size that may 
        provide information meaningful to other State educational 
        agencies and local educational agencies.
            ``(2) Federal share.--The Federal share shall be 50 
        percent.
    ``(b) Reservation.--The Secretary may reserve not more than 5 
percent of the amount appropriated under section 565A for each fiscal 
year to carry out the activities described in section 565.
    ``(c) Selection Criteria.--The Secretary shall make grants to State 
educational agencies on the basis of--
            ``(1) the need and the ability of a State educational 
        agency to reduce the class size of an elementary school or 
        secondary school served by such agency;
            ``(2) the ability of a State educational agency to furnish 
        the non-Federal share of the costs of the demonstration project 
        for which assistance is sought;
            ``(3) the ability of a State educational agency to continue 
        the project for which assistance is sought after the 
        termination of Federal financial assistance under this subpart; 
        and
            ``(4) the degree to which a State educational agency 
        demonstrates in the application submitted pursuant to section 
        564 consultation in program implementation and design with 
        parents, teachers, school administrators, and local teacher 
        organizations, where applicable.
    ``(d) Priority.--In awarding grants under this subpart, the 
Secretary shall give priority to demonstration projects that involve 
at-risk students in the earliest grades, including educationally or 
economically disadvantaged students, students with disabilities, and 
limited English proficient students.
    ``(e) Grants Must Supplement Other Funds.--A State educational 
agency shall use the Federal funds received under this subpart to 
supplement and not supplant other Federal, State, and local funds 
available to the State educational agency to carry out the purpose of 
this subpart.

``SEC. 563. PROGRAM REQUIREMENTS.

    ``(a) Annual Competition.--In each fiscal year, the Secretary shall 
announce the factors to be examined in a demonstration project assisted 
under this subpart. Such factors may include--
            ``(1) the magnitude of the reduction in class size to be 
        achieved;
            ``(2) the level of education in which the demonstration 
        projects shall occur;
            ``(3) the form of the instructional strategy to be 
        demonstrated; and
            ``(4) the duration of the project.
    ``(b) Random Techniques and Appropriate Comparison Groups.--
Demonstration projects assisted under this subpart shall be designed to 
utilize randomized techniques or appropriate comparison groups.

``SEC. 564. APPLICATION.

    ``(a) In General.--In order to receive a grant under this subpart, 
a State educational agency shall submit an application to the Secretary 
that is responsive to the announcement described in section 563(a), at 
such time, in such manner, and containing or accompanied by such 
information as the Secretary may reasonably require.
    ``(b) Duration.--The Secretary shall encourage State educational 
agencies to submit applications under this subpart for a period of 5 
years.
    ``(c) Contents.--Each application submitted under subsection (a) 
shall include--
            ``(1) a description of the objectives to be attained with 
        the grant funds and the manner in which the grant funds will be 
        used to reduce class size;
            ``(2) a description of the steps to be taken to achieve 
        target class sizes, including, where applicable, the 
        acquisition of additional teaching personnel and classroom 
        space;
            ``(3) a statement of the methods for the collection of data 
        necessary for the evaluation of the impact of class size 
        reduction programs on student achievement;
            ``(4) an assurance that the State educational agency will 
        pay, from non-Federal sources, the non-Federal share of the 
        costs of the demonstration project for which assistance is 
        sought; and
            ``(5) such additional assurances as the Secretary may 
        reasonably require.
    ``(d) Sufficient Size and Scope Required.--The Secretary shall 
award grants under this subpart only to State educational agencies 
submitting applications which described projects of sufficient size and 
scope to contribute to carrying out the purpose of this subpart.

``SEC. 565. EVALUATION AND DISSEMINATION.

    ``(a) National Evaluation.--The Secretary shall conduct a national 
evaluation of the demonstration projects assisted under this subpart to 
determine the costs incurred in achieving the reduction in class size 
and the effects of the reductions on results, such as student 
performance in the affected subjects or grades, attendance, discipline, 
classroom organization, management, and teacher satisfaction and 
retention.
    ``(b) Cooperation.--Each State educational agency receiving a grant 
under this subpart shall cooperate in the national evaluation described 
in subsection (a) and shall provide such information to the Secretary 
as the Secretary may reasonably require.
    ``(c) Reports.--The Secretary shall report to Congress on the 
results of the evaluation conducted under subsection (a).
    ``(d) Dissemination.--The Secretary shall widely disseminate 
information about the results of the class size demonstration projects 
assisted under this subpart.

``SEC. 565A. AUTHORIZATION OF APPROPRIATIONS.

    ``There are authorized to be appropriated to carry out this subpart 
$15,000,000 for fiscal year 1999 and each of the 4 succeeding fiscal 
years.''.

SEC. 2. PRIVATE SECTOR FUNDING FOR RESEARCH AND DEVELOPMENT BY NASA 
              RELATING TO AIRCRAFT PERFORMANCE.

    The Administrator of the National Aeronautics and Space 
Administration may not carry out research and development activities 
relating to the performance of aircraft (including supersonic aircraft 
and subsonic aircraft) unless the Administrator receives payment in 
full for such activities from the private sector.

A: Amends the Higher Education Act of 1965 to establish a competitive Class Size Demonstration Grants program. 
Directs the Secretary of Education to award such grants to State educational agencies (SEAs) to pay half of the costs of conducting projects that demonstrate methods of reducing class size that may provide information meaningful to other SEAs and local educational agencies (LEAs).  Authorizes the Secretary to reserve up to five percent of funds for this Act for each fiscal year to carry out national evaluation and dissemination activities. 
Sets forth program requirements for:  (1) grant selection criteria; (2) priority for projects that involve at-risk students in the earliest grades, including educationally or economically disadvantaged students, students with disabilities, and limited English proficient students; (3) annual competitions; (4) random techniques and appropriate comparison groups; (5) applications; and (6) sufficient size and scope of projects. 
Directs the Secretary to:  (1) conduct, and report to the Congress on, a national evaluation of such projects to determine the costs incurred in achieving the reduction in class size and the effects of the reductions on results; and (2) widely disseminate information about the results of such projects. 
Authorizes appropriations. 
(Sec. 2) Prohibits the Administrator of the National Aeronautics and Space Administration from carrying out research and development activities relating to the performance of aircraft (including supersonic aircraft and subsonic aircraft) unless the Administrator receives payment in full for such activities from the private sector.
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Q: SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Helping Ensure Life- and Limb-Saving 
Access to Podiatric Physicians Act'' or the ``HELLPP Act''.

SEC. 2. INCLUDING PODIATRISTS AS PHYSICIANS UNDER THE MEDICAID PROGRAM.

    (a) In General.--Section 1905(a)(5)(A) of the Social Security Act 
(42 U.S.C. 1396d(a)(5)(A)) is amended by striking ``section 
1861(r)(1)'' and inserting ``paragraphs (1) and (3) of section 
1861(r)''.
    (b) Effective Date.--
            (1) In general.--Except as provided in paragraph (2), the 
        amendment made by subsection (a) shall apply to services 
        furnished on or after January 1, 2014.
            (2) Extension of effective date for state law amendment.--
        In the case of a State plan under title XIX of the Social 
        Security Act (42 U.S.C. 1396 et seq.) which the Secretary of 
        Health and Human Services determines requires State legislation 
        in order for the plan to meet the additional requirement 
        imposed by the amendment made by subsection (a), the State plan 
        shall not be regarded as failing to comply with the 
        requirements of such title solely on the basis of its failure 
        to meet these additional requirements before the first day of 
        the first calendar quarter beginning after the close of the 
        first regular session of the State legislature that begins 
        after the date of enactment of this Act. For purposes of the 
        previous sentence, in the case of a State that has a 2-year 
        legislative session, each year of the session is considered to 
        be a separate regular session of the State legislature.

SEC. 3. MODIFICATIONS TO REQUIREMENTS FOR DIABETIC SHOES TO BE INCLUDED 
              UNDER MEDICAL AND OTHER HEALTH SERVICES UNDER MEDICARE.

    (a) In General.--Section 1861(s)(12) of the Social Security Act (42 
U.S.C. 1395x(s)(12)) is amended to read as follows:
            ``(12) subject to section 4072(e) of the Omnibus Budget 
        Reconciliation Act of 1987, extra-depth shoes with inserts or 
        custom molded shoes (in this paragraph referred to as 
        `therapeutic shoes') with inserts for an individual with 
        diabetes, if--
                    ``(A) the physician who is managing the 
                individual's diabetic condition--
                            ``(i) documents that the individual has 
                        diabetes;
                            ``(ii) certifies that the individual is 
                        under a comprehensive plan of care related to 
                        the individual's diabetic condition; and
                            ``(iii) documents agreement with the 
                        prescribing podiatrist or other qualified 
                        physician (as established by the Secretary) 
                        that it is medically necessary for the 
                        individual to have such extra-depth shoes with 
                        inserts of custom molded shoes with inserts;
                    ``(B) the therapeutic shoes are prescribed by a 
                podiatrist or other qualified physician (as established 
                by the Secretary) who--
                            ``(i) examines the individual and 
                        determines the medical necessity for the 
                        individual to receive the therapeutic shoes; 
                        and
                            ``(ii) communicates in writing the medical 
                        necessity to a certifying doctor of medicine or 
                        osteopathy for the individual to have 
                        therapeutic shoes along with findings that the 
                        individual has peripheral neuropathy with 
                        evidence of callus formation, a history of pre-
                        ulcerative calluses, a history of previous 
                        ulceration, foot deformity, previous 
                        amputation, or poor circulation; and
                    ``(C) the therapeutic shoes are fitted and 
                furnished by a podiatrist or other qualified supplier 
                individual (as established by the Secretary), such as a 
                pedorthist or orthotist, who is not the physician 
                described in subparagraph (A) (unless the Secretary 
                finds that the physician is the only such qualified 
                individual in the area);''.
    (b) Effective Date.--The amendment made by subsection (a) shall 
apply with respect to items and services furnished on or after January 
1, 2014.

SEC. 4. BUDGET SAVINGS: STRENGTHENING MEDICAID PROGRAM INTEGRITY 
              THROUGH CONTINUOUS LEVY ON PAYMENTS TO MEDICAID PROVIDERS 
              AND SUPPLIERS.

    (a) In General.--Section 6331(h)(2) of the Internal Revenue Code of 
1986 (defining specified payment) is amended by striking ``and'' at the 
end of subparagraph (B), by striking the period at the end of 
subparagraph (C) and inserting ``, and'', and by adding at the end the 
following new subparagraph:
                    ``(D) any payment to any Medicaid provider or 
                supplier under a State plan under title XIX of the 
                Social Security Act.''.
    (b) Effective Date.--The amendments made by this section shall 
apply to levies issued after the date of the enactment of this Act.

A:
Helping Ensure Life- and Limb-Saving Access to Podiatric Physicians Act or HELLPP Act - Amends title XIX (Medicaid) of the Social Security Act (SSA) to include podiatrists as physicians in order to cover their services under the Medicaid program.  Amends SSA title XVIII (Medicare) to revise requirements for coverage of therapeutic shoes for individuals with diabetes regarding the processes of: (1) documentation by a physician of, and certification of a comprehensive plan of care related to, the diabetic condition; (2) prescription by a podiatrist or other qualified physician upon a finding of the medical necessity for the therapeutic shoes, including findings communicated to a certifying doctor of medicine or osteopathy of certain related foot conditions; and (3) fitting and supplying the shoes. Amends the Internal Revenue Code to subject to the continuing levy upon property and property rights, for collection of unpaid taxes, any payments made to a Medicaid provider or supplier.
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