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

SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Bankruptcy Amendments of 1993''.

SEC. 2. AMENDMENTS.

    (a) Who May Be a Debtor Under Chapter 13.--Section 109(e) of title 
11, United States Code, is amended--
            (1) by striking ``, unsecured debts of less than $100,000 
        and noncontingent, liquidated, secured debts of less than 
        $350,000'' and inserting ``debts of less than $1,000,000'', and
            (2) by striking ``, unsecured debts that aggregate less 
        than $100,000 and noncontingent, liquidated, secured debts of 
        less than $350,000'' and inserting ``debts of less than 
        $1,000,000''.
    (b) Automatic Stay.--The last sentence of section 362(e) of title 
11, United States Code, is amended--
            (1) by striking ``commenced'' and inserting ``concluded'', 
        and
            (2) by inserting before the period at the end the 
        following:
``unless the 30-day period is extended with the consent of the parties 
in interest or for a specific time that the court finds is required by 
compelling circumstances''.
    (c) Exemptions.--(1) Section 522(a) of title 11, United States 
Code, is amended--
            (A) in paragraph (1) by striking ``and'' at the end,
            (B) by redesignating paragraph (2) as paragraph (3), and
            (C) by inserting after paragraph (1) the following:
            ``(2) `household goods' means furnishings, appliances, 
        linens, china, cookery, kitchenware, and personal effects, but 
        does not include--
                    ``(A) works of art;
                    ``(B) electronic entertainment equipment other than 
                one television and one radio;
                    ``(C) jewelry (other than wedding and engagement 
                rings); and
                    ``(D) antiques purchased by the debtor; and''.
    (2) Section 522(d)(3) of title 11, United States Code, is amended--
            (A) by striking ``household furnishings,'', and
            (B) by striking ``appliances,''.
    (3) Section 522(f)(2) of title 11, United States Code, is amended--
            (A) by striking ``household furnishings,'', and
            (B) by striking ``appliances,''.
    (d) Exceptions to Discharge.--Section 523(a) of title 11, United 
States Code, is amended--
            (1) in paragraph (2)--
                    (A) by amending subparagraph (A) to read as 
                follows:
                    ``(A) actual fraud, use of a credit card or other 
                access device to a revolving line of credit without the 
                intent to repay, or false pretenses or false 
                representations made or published with reckless 
                disregard for their truth or accuracy;''
                    (B) in subparagraph (B)(iv) by striking ``intent to 
                deceive'' and inserting ``reckless disregard for its 
                truth or accuracy'', and
                    (C) in subparagraph (C)--
                            (i) by striking ``$500'' and inserting 
                        ``$100'', and
                            (ii) by striking ``forty days'' and 
                        inserting ``60 days'', and
            (2) by amending paragraph (6) to read as follows:
            ``(6) for injury to another entity or property of another 
        entity resulting from the debtor's reckless disregard of such 
        entity's right or property interests;''.
    (e) Effect of Discharge.--The third sentence of section 524(d) of 
title 11, United States Code, is amended in the matter preceding 
paragraph (1) by inserting ``and was not represented by an attorney 
during the course of negotiating such agreement'' after ``this 
section''.
    (f) Preferences.--Section 547(c)(3)(B) of title 11, United States 
Code, is amended by striking ``10'' and inserting ``20''.
    (g) Contents of Plan.--Section 1322(b)(2) of title 11, United 
States Code, is amended to read as follows:
            ``(2) modify the rights of the holders of secured claims, 
        but the plan may not modify a claim pursuant to section 506 of 
        a person holding a senior or a junior security interest in real 
        property that is the debtor's principal residence, except that 
        the plan may modify the claim of a person holding such a junior 
        security interest that was undersecured at the time the 
        interest attached to the extent that the interest remains 
        undersecured;''.
    (h) Contents of Plan.--(1) Section 1322(c) of title 11, United 
States Code, is amended to read as follows:
    ``(c) The plan may not provide for payments over a period that is 
longer than 5 years.''.
    (2) Section 1325(b)(1)(B) of title 11, United States Code, is 
amended by striking ``three-year'' and inserting ``5-year''.
    (3) Section 1329(c) of title 11, United States Code, is amended to 
read as follows:
    ``(c) A plan modified under this section may not provide for 
payments over a period that expires more than 5 years after the date 
that the first payment under the original confirmed plan was due.''.
    (i) Confirmation Hearing.--Section 1324 of title 11, United States 
Code, is amended--
            (1) by striking ``After'' and inserting ``(a) Except as 
        provided in subsection (b) and after'', and
            (2) by adding at the end the following:
    ``(b) If a creditor objects not later than 5 days after receiving 
notice of a hearing on confirmation of the plan, the hearing on 
confirmation of the plan may be held only after the expiration of the 
10-day period beginning on the date of the first meeting of creditors 
under section 341(a).''.
    (j) Payments.--Section 1326(c) of title 11, United States Code, is 
amended by inserting ``timely'' after ``payments''.

SEC. 3. ANNUAL COMPILATION OF STATISTICAL INFORMATION REGARDING 
              BANKRUPTCY CASES.

    Not later than June 30 of each year, the Administrative Office of 
the United States Courts shall compile and make available to the public 
statistical information with respect to cases in which a discharge is 
entered under title 11 of the United States Code in the preceding 
calendar year. Such information shall include--
            (1) the liabilities and value of assets of the debtors in 
        such cases as of the order for relief,
            (2) the monthly income and living expenses of such debtors, 
        as estimated by such debtors,
            (3) the aggregate amount of debts discharged, and the 
        aggregate payments made to creditors, as of the date of 
        discharge, and
            (4) the time elapsed between the filing of such cases and 
        the date of the first payment to a creditor under a plan 
        confirmed in such cases.

SEC. 4. EFFECTIVE DATE; APPLICATION OF AMENDMENTS.

    (a) Effective Date.--Except as provided in subsection (b), this Act 
and the amendments made by this Act shall take effect on the date of 
the enactment of this Act.
    (b) Application of Amendments.--The amendments made by this Act 
shall not apply with respect to cases commenced under title 11 of the 
United States Code before the date of the enactment of this Act.
Bankruptcy Amendments of 1993 - Amends Federal bankruptcy law to raise to $1 million the ceiling on debts for eligibility to file as a chapter 13 debtor (bankrupt consumer repayment of debt under court supervision).  (Currently the ceiling is $100,000 for unsecured debts, or $350,000 for certain secured debts.)  Modifies the guidelines for:  (1) chapter 13 bankruptcies; (2) automatic stays; (3) exemptions; (4) discharges; and (5) preferences. 
Directs the Administrative Office of the United States Courts to compile and make available to the public statistical information regarding bankruptcy cases.

SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Improving Physician Access in 
Teaching Hospitals (PATH) Act of 2011''.

SEC. 2. DISTRIBUTION OF ADDITIONAL RESIDENCY SLOTS.

    Section 1886(h) of the Social Security Act (42 U.S.C. 1395ww(h)) is 
amended--
            (1) in paragraph (7)(E), by inserting ``paragraph (9),'' 
        after ``paragraph (8),''; and
            (2) by adding at the end the following:
            ``(9) Distribution of additional residency positions.--
                    ``(A) Reductions in limit based on unused 
                positions.--
                            ``(i) In general.--Except as provided in 
                        clause (ii), if a hospital's resident level (as 
                        defined in paragraph (7)(C)(i)) for each of the 
                        5 most recent cost reporting periods (ending 
                        before the date of the enactment of this 
                        paragraph) of the hospital for which a cost 
                        report has been settled (or, if not, submitted 
                        subject to audit) as determined by the 
                        Secretary is less than the otherwise applicable 
                        resident limit (as defined in paragraph 
                        (8)(H)(iii)), effective for portions of cost 
                        reporting periods occurring on or after the 
                        paragraph (9) effective date (as defined in 
                        subparagraph (E)), the otherwise applicable 
                        resident limit shall be reduced by the 
                        difference between such otherwise applicable 
                        resident limit and the highest such reference 
                        resident level for any of such 5 cost reporting 
                        periods.
                            ``(ii) Exception.--Clause (i) shall not 
                        apply to--
                                    ``(I) a hospital located in a rural 
                                area with fewer than 250 beds; or
                                    ``(II) a hospital that has had in 
                                effect a voluntary residency reduction 
                                plan under paragraph (6) or pursuant to 
                                section 402 of Public Law 90-248.
                    ``(B) Requirements for additional residency 
                slots.--
                            ``(i) In general.--The Secretary shall 
                        increase the otherwise applicable resident 
                        limit for hospitals that submit an application 
                        under this subparagraph by such number as the 
                        Secretary may approve for portions of cost 
                        reporting periods occurring on or after the 
                        paragraph (9) effective date. The aggregate 
                        number of increases in the otherwise applicable 
                        resident limit under this subparagraph shall be 
                        equal to the sum of--
                                    ``(I) the aggregate reduction in 
                                such limits attributable to 
                                subparagraph (A) (as estimated by the 
                                Secretary); and
                                    ``(II) 1,000 for portions of cost 
                                reporting periods occurring during the 
                                12-month period beginning on the 
                                paragraph (9) effective date, 1,000 
                                additional positions for portions of 
                                cost reporting periods occurring during 
                                the 12-month period beginning 1 year 
                                after such effective date, 1,000 
                                additional positions for portion of 
                                cost reporting period occurring during 
                                the 12-month period beginning 2 years 
                                after such effective date, and such 
                                number of additional positions for 
                                portions of the 2 subsequent cost 
                                reporting periods as the Secretary may 
                                determine necessary to support 
                                residency training programs in 
                                specialities that exceed 3 years.
                            ``(ii) Consideration in redistribution.--In 
                        determining for which hospitals the increase in 
                        the otherwise applicable resident limit is 
                        provided under this subparagraph, the Secretary 
                        shall take into account--
                                    ``(I) data provided by the Health 
                                Resources and Services Administration 
                                as a national standard to exhibit a 
                                specific demand in the health care 
                                workforce, as well as the 
                                Administration's projected demand and 
                                supply for physicians in the specialty 
                                of medicine involved; and
                                    ``(II) the demonstrated likelihood 
                                of the hospital filling positions made 
                                available under this paragraph within 
                                the first 3 cost reporting periods 
                                beginning on or after the paragraph (9) 
                                effective date.
                        The Secretary shall give special consideration 
                        for up to 25 additional positions in the case 
                        of a hospital that demonstrates the likelihood 
                        of filing such positions during the first cost 
                        reporting period beginning on or after such 
                        effective date.
                            ``(iii) Limitation.--In no case shall the 
                        number of additional positions made available 
                        to a hospital under this paragraph exceed 25 in 
                        the first cost reporting period or 75 for all 
                        cost reporting periods.
                    ``(C) Priority for additional positions resulting 
                from hospital closures.--With respect to additional 
                positions described in subparagraph (B)(i)(I) which are 
                derived from a reduction in limits under subparagraph 
                (A) for a hospital that closed (in this subparagraph 
                referred to as a `closed hospital'), the Secretary 
                shall distribute the increase to hospitals in the 
                following priority order:
                            ``(i) First, to other hospitals for the 
                        program or programs under which the hospital 
                        had a cooperative arrangement with the closed 
                        hospital under which residents in the graduate 
                        medical education program of the closed 
                        hospital also rotated through the other 
                        hospital.
                            ``(ii) Second, to other hospitals that are 
                        members of the same affiliated group of 
                        hospitals as the closed hospital.
                            ``(iii) Third, to other hospitals that are 
                        located in the same or contiguous core-based 
                        statistical area as the closed hospital.
                    ``(D) Preference.--After applying subparagraph (C) 
                and the special consideration under subparagraph (B), 
                in determining for which hospitals the increase in the 
                otherwise applicable resident limit is provided under 
                subparagraph (B), the Secretary shall give preference 
                to hospitals--
                            ``(i) that submit an application for new 
                        residents in primary care and geriatric 
                        medicine and in other specialties as determined 
                        to be in demand under subparagraph (B)(ii)(I); 
                        and
                            ``(ii) that emphasize training in community 
                        health centers and other community-based or 
                        hospital-sponsored clinics, and private 
                        physicians' offices, including physician 
                        groups.
                    ``(E) Paragraph (9) effective date defined.--In 
                this paragraph, the term `paragraph (9) effective date' 
                means July 1 of the year that begins after the date of 
                the enactment of this paragraph.
                    ``(F) Affiliation.--The provisions of this 
                paragraph shall be applied to hospitals which are 
                members of the same affiliated group (as defined by the 
                Secretary under paragraph (4)(H)(ii)) and the reference 
                resident level for each such hospital with respect to 
                the cost reporting period that results in the smallest 
                difference between the reference resident level and the 
                otherwise applicable resident limit.''.

SEC. 3. EXPANDING PRIMARY CARE BONUS TO CERTAIN UNDERSERVED 
              SPECIALTIES.

    (a) In General.--Section 1833(x)(2)(A) of the Social Security Act 
(42 U.S.C. 1395l(x)(2)(A)) is amended--
            (1) in clause (i)--
                    (A) by striking ``or'' at the end of subclause (I);
                    (B) by striking ``and'' at the end of subclause 
                (II) and inserting ``or''; and
                    (C) by adding at the end the following new 
                subclause:
                                    ``(III) is a physician (as 
                                described in section 1861(r)(1)) who is 
                                in an underserved specialty, such as 
                                psychiatry or neurology, as specified 
                                by the Secretary, or other specialty 
                                identified by the Secretary to be in 
                                demand; and''; and
            (2) in clause (ii), by inserting after ``(ii)'' the 
        following: ``in the case of an individual described in 
        subclause (I) or (II) of clause (i),''.
    (b) Effective Date.--The amendments made by subsection (a) shall 
apply to payments for items and services furnished on or after January 
1, 2012.

SEC. 4. SMALL PHYSICIAN PRACTICE RESIDENCY CREDIT.

    (a) In General.--Subpart D of part IV of subchapter A of chapter 1 
of the Internal Revenue Code of 1986 (relating to business related 
credits) is amended by adding at the end the following new section:

``SEC. 45S. SMALL PHYSICIAN PRACTICE RESIDENCY CREDIT.

    ``(a) In General.--For purposes of section 38, the amount of the 
small physician practice residency credit determined under this section 
for any taxable year with respect to a qualified small physician 
practice is the sum of the following:
            ``(1) Overall amount.--The per resident dollar amount 
        multiplied by the number of qualified teaching hospital 
        residents who provide services to, and are trained by, such 
        practice during the taxable year and who are in their first, 
        second, or third post-graduate year of medical residency.
            ``(2) Bonus.--The sum of--
                    ``(A) 50 percent of the per resident dollar amount 
                multiplied by the number of such residents who are in 
                their first post-graduate year of medical residency 
                during the taxable year; and
                    ``(B) 25 percent of the per resident dollar amount 
                multiplied by the average number of such residents who 
                are not counted under subparagraph (A) and are in their 
                second post-graduate year during the taxable year.
    ``(b) Qualified Small Physician Practice.--For purposes of this 
section, the term `qualified small physician practice' means any trade 
or business of providing physicians' services (as defined in section 
1861(q) of the Social Security Act), which may be a community health 
center, that is owned and operated by a doctor of medicine or 
osteopathy if fewer than 50 individuals are employed in such trade or 
business (including new training sites) and the trade or business 
includes as part of the practice the training of doctors of medicine or 
osteopathy in a rotation covering at least 6 months in the taxable 
year. All persons treated as a single employer under subsection (a) or 
(b) or section 52 or subsection (m) or (o) of section 414 shall be 
treated as a single trade or business for purposes of the preceding 
sentence.
    ``(c) Qualified Teaching Hospital Residents.--For purposes of this 
section, the term `qualified teaching hospital resident' means any 
resident (within the meaning of subparagraph (I) of section 1886(h)(5) 
of the Social Security Act) in an approved medical residency training 
program (as defined in subparagraph (A) of such section) which provides 
services to the qualified small physician practice (while utilizing the 
technologies and supplies of such practice) for a period not less 
than--
            ``(1) 4 weeks in the case of a primary care resident (as 
        defined in subparagraph (H) of such section); or
            ``(2) 2 weeks in the case of any other resident.
    ``(d) Per Resident Dollar Amount.--For purposes of this section, 
the term `per resident dollar amount' means, in the case of a qualified 
small physician practice that includes as part of the practice the 
training of doctors of medicine or osteopathy in a rotation covering--
            ``(1) at least 6 months but less than 9 months in the 
        taxable year, $2,500; or
            ``(2) at least 9 months in the taxable year, $3,000.
    ``(e) Residents Not Taken Into Account More Than Once.--A qualified 
teaching hospital resident shall be taken into account under subsection 
(a) for the taxable in which the period described in subsection (c) 
ends and shall not be so taken into account for any other taxable 
year.''.
    (b) Credit Allowed as Part of General Business Credit.--Section 
38(b) of such Code (defining current year business credit) is amended 
by striking ``plus'' at the end of paragraph (35), by striking the 
period at the end of paragraph (36) and inserting ``, plus'', and by 
adding at the end the following new paragraph:
            ``(37) the small physician practice residency credit 
        determined under section 45S(a).''.
    (c) Conforming Amendment.--The table of sections for subpart D of 
part IV of subchapter A of chapter 1 of such Code is amended by adding 
at the end the following new item:

``Sec. 45S. Small physician practice residency credit.''.
    (d) Effective Date.--The amendments made by this section shall 
apply to taxable years beginning after the date of the enactment of 
this Act.
Improving Physician Access in Teaching Hospitals (PATH) Act of 2011 - Amends title XVIII (Medicare) of the Social Security Act with respect to distribution of additional resident positions as they affect calculation of payments for direct graduate medical education (DME) costs.

States that, if a hospital's resident level for each of the five most recent cost reporting periods is less than the otherwise applicable resident limit, then the otherwise applicable resident limit shall be reduced by the difference between it and the highest reference resident level for any of those five cost reporting periods. Excepts from this reduction requirement a hospital: (1) located in a rural area with fewer than 250 beds, or (2) that has had in effect a voluntary residency reduction plan.

Requires the Secretary of Health and Human Services (HHS) to increase the otherwise applicable resident limit (create additional residency slots) for applicant hospitals according to a specified formula that takes into account the aggregate reduction in limits attributable to this Act.

Expands the primary care bonus to certain underserved specialties, such as psychiatry or neurology.

Amends the Internal Revenue Code to allow a small physician practice residency credit.

SECTION 1. FINANCIAL LITERACY SERVICES.

    Part A of title XI of the Social Security Act (42 U.S.C. 1301 et 
seq.) is amended by adding at the end the following new section:

                     ``financial literacy services

    ``Sec. 1150A.  (a) Definitions.--In this section:
            ``(1) Area agency on aging.--The term `area agency on 
        aging' has the meaning given that term in section 102 of the 
        Older Americans Act of 1965 (42 U.S.C. 3002).
            ``(2) Financial literacy services.--The term `financial 
        literacy services' means the services described in subsection 
        (b)(1).
            ``(3) Older individual.--The term `older individual' has 
        the meaning given that term in such section 102.
    ``(b) Grants for Services.--
            ``(1) In general.--The Secretary shall make grants to 
        eligible entities and other entities determined appropriate by 
        the Secretary to enable the entities to provide services to 
        improve financial literacy among older individuals, including 
        older individuals who are women, and the family members and 
        legal representatives of such individuals. The Secretary shall 
        make the grants on a competitive basis, and nationwide.
            ``(2) Eligible entities.--To be eligible to receive a grant 
        under this subsection, an entity shall be an area agency on 
        aging or another entity that meets such requirements as the 
        Secretary may specify.
            ``(3) Application.--To be eligible to receive a grant under 
        this subsection, an entity shall submit an application to the 
        Secretary at such time, in such manner, and containing such 
        information as the Secretary may require. In the case of an 
        entity who intends to provide the financial literacy services 
        jointly with other services as described in paragraph (4)(C), 
        the application shall include information demonstrating that 
        the entity has the capacity to provide the services jointly.
            ``(4) Use of funds.--
                    ``(A) In general.--An entity that receives a grant 
                under this subsection shall use the funds made 
                available through the grant to provide financial 
                literacy services, such as financial literacy 
                education, training, and assistance.
                    ``(B) Provision through contracts.--The entity may 
                provide the services directly or by entering into a 
                contract with an organization that provides counseling, 
                advice, or representation to older individuals and the 
                family members and legal representatives of such 
                individuals in a community served by the entity.
                    ``(C) Provision with other services.--The entity 
                may provide the services alone or jointly with other 
                services provided by or funded by the eligible entity, 
                such as--
                            ``(i) services provided through State 
                        Health Insurance Assistance Programs;
                            ``(ii) services provided through a Long-
                        Term Care Ombudsman program under section 
                        307(a)(9) or 712 of the Older Americans Act of 
                        1965 (42 U.S.C. 3027, 3058g);
                            ``(iii) information and assistance services 
                        provided under the Older Americans Act of 1965 
                        (42 U.S.C. 3001 et seq.);
                            ``(iv) legal assistance services provided 
                        under the Older Americans Act of 1965 (42 
                        U.S.C. 3001 et seq.);
                            ``(v) services provided through Senior 
                        Medicare Patrol Projects conducted by the 
                        Administration on Aging;
                            ``(vi) case management services; and
                            ``(vii) services provided through Aging and 
                        Disability Resource Centers.
            ``(5) Report.--The Secretary shall submit to Congress an 
        annual report on the activities carried out by entities under a 
        grant under this subsection.
    ``(c) National Support Center for Financial Literacy Grant.--
            ``(1) In general.--The Secretary may make a grant to an 
        eligible center to coordinate the services provided through, 
        and support the grant recipients under, the grant program 
        carried out under subsection (b).
            ``(2) Eligible center.--To be eligible to receive a grant 
        under this subsection, a center shall--
                    ``(A) be an entity that is housed within an 
                organization described in section 501(c) of the 
                Internal Revenue Code of 1986 that is exempt from 
                taxation under section 501(a) of such Code;
                    ``(B) have a minimum of 10 years experience 
                operating a national program and support center with a 
                focus on financial literacy; and
                    ``(C) be primarily engaged in outreach and training 
                activities designed to provide financial education and 
                retirement planning for low- and moderate-income 
                individuals, particularly with respect to women; and
                    ``(D) have a demonstrated record of collaboration 
                with organizations that focus on the needs of low- and 
                moderate-income individuals and with national 
                organizations serving the elderly, including those 
                working with area agencies on aging and women, as well 
                as organizations with expertise in financial services 
                and related fields.
            ``(3) Use of funds.--A center that receives a grant under 
        this subsection shall use the funds made available through the 
        grant to--
                    ``(A) design and conduct training (which may 
                include providing training for trainers) related to 
                financial literacy services;
                    ``(B) provide curricula for financial literacy 
                services;
                    ``(C) develop and disseminate relevant information 
                about financial literacy services;
                    ``(D) conduct outreach to national, State, and 
                community organizations through a series of strategic 
                partnerships in order to improve financial literacy 
                among older individuals and the family members and 
                legal representatives of such individuals;
                    ``(E) provide technical assistance to the grant 
                recipients under subsection (b) with respect to the 
                program; and
                    ``(F) collect data from such grant recipients about 
                the services provided under this section, and the 
                impact of those services.
            ``(4) Addressing challenges to women in securing adequate 
        retirement income.--In addition to the activities described in 
        paragraph (3), a center that receives a grant under this 
        subsection shall use the funds made available through the grant 
        to conduct activities that are focused on addressing the 
        challenges faced by older women, women of color, single women, 
        and women who are heads of households to securing an adequate 
        retirement income.
    ``(d) Coordination.--The Secretary shall ensure that the activities 
carried out under the grant program under subsection (b) and under a 
grant made under subsection (c) are coordinated with the activities 
carried out by--
            ``(1) the Office of Financial Education of the Department 
        of the Treasury; and
            ``(2) the Financial Literacy and Education Commission 
        established under section 513 of the Financial Literacy and 
        Education Improvement Act (20 U.S.C. 9702).
    ``(e) Funding.--The Secretary of the Treasury shall transfer to the 
Secretary of Health and Human Services from the Federal Old-Age and 
Survivors Insurance Trust Fund and Federal Disability Insurance Trust 
Fund established under section 201 such funds as are necessary for 
making grants under this section.''.

Amends part A (General Provisions) of title XI of the Social Security Act to direct the Secretary of Health and Human Services to make grants to enable eligible entities to provide services to improve financial literacy among older individuals, including family members and legal representatives of such individuals.

Authorizes the Secretary to make such a grant to a national support center to: (1) coordinate services provided through the grant program; and (2) support grant recipients.