In this task, you are given text for US Congressional and California state bills, your task is to generate a summary for this bill.
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Question: SECTION 1. ENERGY EFFICIENCY RETROFIT PILOT PROGRAM.

    (a) Definitions.--In this section:
            (1) Applicant.--The term ``applicant'' means a nonprofit 
        organization that applies for a grant under this section.
            (2) Energy-efficiency improvement.--
                    (A) In general.--The term ``energy-efficiency 
                improvement'' means an installed measure (including a 
                product, equipment, system, service, or practice) that 
                results in a reduction in use by a nonprofit 
                organization for energy or fuel supplied from outside 
                the nonprofit building.
                    (B) Inclusions.--The term ``energy-efficiency 
                improvement'' includes an installed measure described 
                in subparagraph (A) involving--
                            (i) repairing, replacing, or installing--
                                    (I) a roof or lighting system, or 
                                component of a roof or lighting system;
                                    (II) a window;
                                    (III) a door, including a security 
                                door; or
                                    (IV) a heating, ventilation, or air 
                                conditioning system or component of the 
                                system (including insulation and wiring 
                                and plumbing improvements needed to 
                                serve a more efficient system);
                            (ii) a renewable energy generation or 
                        heating system, including a solar, 
                        photovoltaic, wind, geothermal, or biomass 
                        (including wood pellet) system or component of 
                        the system; and
                            (iii) any other measure taken to modernize, 
                        renovate, or repair a nonprofit building to 
                        make the nonprofit building more energy 
                        efficient.
            (3) Nonprofit building.--
                    (A) In general.--The term ``nonprofit building'' 
                means a building operated and owned by a nonprofit 
                organization.
                    (B) Inclusions.--The term ``nonprofit building'' 
                includes a building described in subparagraph (A) that 
                is--
                            (i) a hospital;
                            (ii) a youth center;
                            (iii) a school;
                            (iv) a social-welfare program facility;
                            (v) a faith-based organization; and
                            (vi) any other nonresidential and 
                        noncommercial structure.
            (4) Secretary.--The term ``Secretary'' means the Secretary 
        of Energy.
    (b) Establishment.--Not later than 1 year after the date of 
enactment of this Act, the Secretary shall establish a pilot program to 
award grants for the purpose of retrofitting nonprofit buildings with 
energy-efficiency improvements.
    (c) Grants.--
            (1) In general.--The Secretary may award grants under the 
        program established under subsection (b).
            (2) Application.--The Secretary may award a grant under 
        this section if an applicant submits to the Secretary an 
        application at such time, in such form, and containing such 
        information as the Secretary may prescribe.
            (3) Criteria for grant.--In determining whether to award a 
        grant under this section, the Secretary shall apply 
        performance-based criteria, which shall give priority to 
        applications based on--
                    (A) the energy savings achieved;
                    (B) the cost-effectiveness of the energy-efficiency 
                improvement;
                    (C) an effective plan for evaluation, measurement, 
                and verification of energy savings;
                    (D) the financial need of the applicant; and
                    (E) the percentage of the matching contribution by 
                the applicant.
            (4) Limitation on individual grant amount.--Each grant 
        awarded under this section shall not exceed--
                    (A) an amount equal to 50 percent of the energy-
                efficiency improvement; and
                    (B) $200,000.
            (5) Cost sharing.--
                    (A) In general.--A grant awarded under this section 
                shall be subject to a minimum non-Federal cost-sharing 
                requirement of 50 percent.
                    (B) In-kind contributions.--The non-Federal share 
                may be provided in the form of in-kind contributions of 
                materials or services.
    (d) Authorization of Appropriations.--There is authorized to be 
appropriated to carry out this section $10,000,000 for each of fiscal 
years 2016 through 2020, to remain available until expended.
    (e) Offset.--Section 422(f) of the Energy Independence and Security 
Act of 2007 (42 U.S.C. 17082(f)) is amended--
            (1) in paragraph (3), by striking ``and'' at the end;
            (2) in paragraph (4), by striking ``through 2018.'' and 
        inserting ``and 2014;''; and
            (3) by adding at the end the following:
            ``(5) $150,000,000 for fiscal year 2015; and
            ``(6) $200,000,000 for each of fiscal years 2016 through 
        2018.''.

Answer: This bill directs the Department of Energy to establish a pilot program to award matching grants for nonprofit organizations to retrofit their buildings with energy-efficiency improvements. This bill amends the Energy Independence and Security Act of 2007 to decrease the amount of appropriations authorized in FY2015 for the Zero Net Energy Commercial Buildings Initiative.


Question: SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Air and Health Quality Empowerment 
Zone Designation Act of 2008''.

SEC. 2. PURPOSE.

    The purpose of this Act is to establish criteria through the use of 
which specific geographical areas--
            (1) shall be designated as air and health quality 
        empowerment zones; and
            (2) may apply for grants authorized for the purpose of 
        replacing or retrofitting polluting vehicles or engines (or 
        both vehicles and engines) in order to improve the health of 
        the population living in the zones.

SEC. 3. FINDINGS.

    Congress finds that--
            (1) the San Joaquin Valley faces serious air quality 
        challenges that impact the development, health, and economy of 
        the Valley;
            (2) the Valley emits approximately 624 tons of nitrogen 
        oxides per day, and attainment of the federally mandated 8-hour 
        ozone standard under the Clean Air Act requires emissions of 
        not more than 160 tons of oxides of nitrogen per day;
            (3) the Valley does not attain the federally mandated 
        standard for PM&lt;INF&gt;2.5&lt;/INF&gt;;
            (4) the children of the Valley miss 188,000 school days per 
        year, which translates to 1 in 4 of those children experiencing 
        a day of absence each year due to elevated ozone levels;
            (5) approximately 460 residents of the Valley die earlier 
        than they otherwise would due to elevated ozone levels, and 
        Valley residents experience 23,300 asthma attacks per year, a 
        rate that equals 3 times the State average and 5 times the 
        national average;
            (6) 1 in 5 children residing in the Valley have been 
        diagnosed with asthma;
            (7) nonattainment of Federal air quality standards costs 
        the Valley $3,200,000,000 annually;
            (8) the Valley experiences chronic double-digit 
        unemployment rates; and
            (9) the Federal Government must partner with the Valley and 
        the State to address air quality, health, and economic 
        development for the residents of the Valley through the 
        designation of the Valley as air quality empowerment zone that 
        is eligible for Federal grants and technical assistance.

SEC. 4. DEFINITIONS.

    In this Act:
            (1) Administrator.--The term ``Administrator'' means the 
        Administrator of the Environmental Protection Agency.
            (2) Agency.--The term ``Agency'' means the Environmental 
        Protection Agency.
            (3) Clean air act.--The term ``Clean Air Act'' means the 
        Clean Air Act (42 U.S.C. 7401 et seq.).
            (4) PM&lt;INF&gt;2.5&lt;/INF&gt;.--The term ``PM&lt;INF&gt;2.5&lt;/INF&gt;'' means 
        particulate matter with a diameter that does not exceed 2.5 
        micrometers.
            (5) Strategic plan.--The term ``strategic plan'' means, 
        with respect to an area, the plan contained in the application 
        for designation of the area under section 5.
            (6) Valley.--The term ``Valley'' means the San Joaquin 
        Valley, California.

SEC. 5. AIR QUALITY EMPOWERMENT ZONE DESIGNATION PROCEDURES.

    (a) In General.--From among the areas nominated for designation 
under this section, the Administrator may designate 1 or more areas as 
air and health quality empowerment zones.
    (b) Period for Which Designation Is in Effect.--
            (1) In general.--Any designation under this section shall 
        remain in effect during the period beginning on the date of the 
        designation and ending on the earlier of--
                    (A) the last day of the tenth calendar year 
                beginning on the date of the designation; or
                    (B) the date on which the Administrator revokes the 
                designation.
            (2) Revocation of designation.--The Administrator may 
        revoke the designation under this section of an area if the 
        Administrator determines that the local air pollution control 
        district in which the designated area is located--
                    (A) has been designated as being in attainment with 
                the national ambient air quality standard for 
                PM&lt;INF&gt;2.5&lt;/INF&gt; and ozone promulgated under the Clean 
                Air Act; or
                    (B) is not complying substantially with, or fails 
                to make progress in achieving the goals of, the 
                strategic plan.
    (c) Limitations on Designations.--No area may be designated under 
subsection (a) unless--
            (1) the area is nominated for designation by the air 
        pollution control district with jurisdiction over the area;
            (2) the air pollution control district provides written 
        assurances satisfactory to the Administrator that the strategic 
        plan will be implemented; and
            (3) the Administrator determines that any information 
        provided is reasonably accurate.
    (d) Application.--No area may be designated under subsection (a) 
unless the application for the designation--
            (1) demonstrates that the nominated area satisfies the 
        eligibility criteria described in section 6; and
            (2) includes a strategic plan for accomplishing the 
        purposes of this Act that--
                    (A) describes--
                            (i) the process by which the nominated area 
                        is a full partner in the process of developing 
                        and implementing the plan; and
                            (ii) the extent to which local institutions 
                        and organizations have contributed to the 
                        planning process;
                    (B) identifies--
                            (i) the amount of State, local, and private 
                        resources that will be available for the 
                        nominated area; and
                            (ii) the private/public partnerships to be 
                        used (which may include participation by, and 
                        cooperation with, institutions of higher 
                        education, medical centers, and other private 
                        and public entities);
                    (C) identifies the funding requested under any 
                Federal program in support of the purposes of this Act;
                    (D) identifies baselines, methods, and benchmarks 
                for measuring the success of carrying out the strategic 
                plan; and
                    (E) includes such other information as may be 
                required by the Administrator.

SEC. 6. ELIGIBILITY CRITERIA.

    (a) In General.--A nominated area shall be eligible for designation 
under section 5(a) only if the area meets all of the following 
criteria:
            (1) Nonattainment.--The nominated area has been designated 
        as being--
                    (A) in extreme nonattainment of the 8-hour ozone 
                national ambient air quality standard promulgated by 
                the Administrator under the Clean Air Act; and
                    (B) in nonattainment of national ambient air 
                quality standard for PM&lt;INF&gt;2.5&lt;/INF&gt; promulgated by 
                the Administrator under that Act.
            (2) Agricultural sources.--The nominated area has--
                    (A) emissions of oxides of nitrogen from farm 
                equipment of at least 30 tons per day in calendar year 
                2010; or
                    (B) emissions of volatile organic compounds from 
                farming operations of at least 40 tons per day in 
                calendar year 2010.
            (3) Air-related health effects.--As of the date of 
        nomination, the nominated area--
                    (A) meets or exceeds the national average per 
                capita incidence of asthma; and
                    (B) meets or exceeds the national average of school 
                days missed due to the health impact of elevated ozone 
                levels.
            (4) Economic impact.--As of the date of nomination, the 
        nominated area experiences unemployment rates higher than the 
        national average.
            (5) State matching funds.--The nominated area is located 
        within a State and local area that will match at least \1/2\ of 
        the funds provided by the Federal Government under this Act.

SEC. 7. ELIGIBLE GRANT APPLICANTS.

    Any air pollution control district or other local governmental 
entity authorized to regulate air quality in a State under the Clean 
Air Act may apply for a grant under this Act.

SEC. 8. AUTHORIZATION OF AIR AND HEALTH EMPOWERMENT GRANTS.

    (a) Eligibility.--
            (1) In general.--Each area designated as an air and health 
        quality empowerment zone under section 5(a) shall be eligible 
        to receive 1 or more grants under this section.
            (2) Amount of grants.--The amount of each grant awarded to 
        a designated air and health quality empowerment zone shall be 
        determined by the Administrator based upon a review of--
                    (A) the information contained in the applications 
                required by section 5(d); and
                    (B) the needs set forth in the applications by 
                those designated as beneficiaries.
            (3) Timing of grants.--With respect to each designated air 
        and health quality empowerment zone, the Administrator shall 
        make--
                    (A) a grant under this section to each such zone on 
                the date of designation of the zone under section 5(a); 
                and
                    (B) the grant under this section to each such zone 
                available on the first day of the first fiscal year 
                that begins after the date of designation of the zone.
            (4) Oversight of grants.--The air pollution control 
        district or other local government entity authorized to 
        regulate air quality in an area designated as an air and health 
        safety empowerment zone under section 5(a) shall oversee the 
        use of any grant funds provided to the zone under this section.
    (b) Use of Grants.--Each air and health safety empowerment zone 
that receives a grant under this section shall use the grant solely--
            (1) to carry out activities that achieve the purposes 
        described in section 2;
            (2) in accordance with the strategic plan for the zone; and
            (3) for activities that benefit the residents of the zone 
        for which the grant is made through improved air quality and 
        health.
    (c) Authorization of Appropriations.--There is authorized to be 
appropriated to the Administrator to provide grants under this section 
$20,000,000 for each of fiscal years 2009 through 2013.

Answer: Air and Health Quality Empowerment Zone Designation Act of 2008 - Authorizes the Administrator of the Environmental Protection Agency (EPA) to designate areas nominated by local air pollution control districts as air and health quality empowerment zones, which shall be eligible for grants for replacing or retrofitting polluting vehicles and/or engines in order to improve the health of the population living in the zones.

Sets forth area eligibility requirements, including: (1) being in nonattainment of specified national ambient air quality standards for ozone or PM2.5 (particulate matter with a diameter that does not exceed 2.5 micrometers); (2) having specified emission levels from agricultural sources; (3) meeting or exceeding national averages for asthma, school days missed for ozone levels, and unemployment; and (4) being eligible for state or local matching funds.

Prohibits an area from being designated unless the relevant district provides satisfactory assurances that the strategic plan (to be contained in its application) will be implemented. Authorizes the Administrator to revoke the designation if the relevant district: (1) has been designated as being in attainment with the air quality standards; or (2) is failing to comply with, or make progress in achieving the goals of, its strategic plan.


Question: SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Expanding the Availability of 
Medicare Data Act''.

SEC. 2. EXPANDING AVAILABILITY OF MEDICARE DATA.

    (a) Expanding Uses of Medicare Data by Qualified Entities.--
            (1) Additional analyses.--
                    (A) In general.--Subject to subparagraph (B), to 
                the extent consistent with applicable information, 
                privacy, security, and disclosure laws (including 
                paragraph (3)), notwithstanding paragraph (4)(B) of 
                section 1874(e) of the Social Security Act (42 U.S.C. 
                1395kk(e)) and the second sentence of paragraph (4)(D) 
                of such section, beginning July 1, 2015, a qualified 
                entity may use the combined data described in paragraph 
                (4)(B)(iii) of such section received by such entity 
                under such section, and information derived from the 
                evaluation described in such paragraph (4)(D), to 
                conduct additional non-public analyses (as determined 
                appropriate by the Secretary) and provide or sell such 
                analyses to authorized users for non-public use 
                (including for the purposes of assisting providers of 
                services and suppliers to develop and participate in 
                quality and patient care improvement activities, 
                including developing new models of care).
                    (B) Limitations with respect to analyses.--
                            (i) Employers.--Any analyses provided or 
                        sold under subparagraph (A) to an employer 
                        described in paragraph (9)(A)(iii) may only be 
                        used by such employer for purposes of providing 
                        health insurance to employees and retirees of 
                        the employer.
                            (ii) Health insurance issuers.--A qualified 
                        entity may not provide or sell an analysis to a 
                        health insurance issuer described in paragraph 
                        (9)(A)(iv) unless the issuer is providing the 
                        qualified entity with data under section 
                        1874(e)(4)(B)(iii) of the Social Security Act 
                        (42 U.S.C. 1395kk(e)(4)(B)(iii)).
            (2) Access to certain data.--
                    (A) Access.--To the extent consistent with 
                applicable information, privacy, security, and 
                disclosure laws (including paragraph (3)), 
                notwithstanding paragraph (4)(B) of section 1874(e) of 
                the Social Security Act (42 U.S.C. 1395kk(e)) and the 
                second sentence of paragraph (4)(D) of such section, 
                beginning July 1, 2015, a qualified entity may--
                            (i) provide or sell the combined data 
                        described in paragraph (4)(B)(iii) of such 
                        section to authorized users described in 
                        clauses (i), (ii), and (v) of paragraph (9)(A) 
                        for non-public use, including for the purposes 
                        described in subparagraph (B); or
                            (ii) subject to subparagraph (C), provide 
                        Medicare claims data to authorized users 
                        described in clauses (i), (ii), and (v), of 
                        paragraph (9)(A) for non-public use, including 
                        for the purposes described in subparagraph (B).
                    (B) Purposes described.--The purposes described in 
                this subparagraph are assisting providers of services 
                and suppliers in developing and participating in 
                quality and patient care improvement activities, 
                including developing new models of care.
                    (C) Medicare claims data must be provided at no 
                cost.--A qualified entity may not charge a fee for 
                providing the data under subparagraph (A)(ii).
            (3) Protection of information.--
                    (A) In general.--Except as provided in subparagraph 
                (B), an analysis or data that is provided or sold under 
                paragraph (1) or (2) shall not contain information that 
                individually identifies a patient.
                    (B) Information on patients of the provider of 
                services or supplier.--To the extent consistent with 
                applicable information, privacy, security, and 
                disclosure laws, an analysis or data that is provided 
                or sold to a provider of services or supplier under 
                paragraph (1) or (2) may contain information that 
                individually identifies a patient of such provider or 
                supplier, including with respect to items and services 
                furnished to the patient by other providers of services 
                or suppliers.
                    (C) Prohibition on using analyses or data for 
                marketing purposes.--An authorized user shall not use 
                an analysis or data provided or sold under paragraph 
                (1) or (2) for marketing purposes.
            (4) Data use agreement.--A qualified entity and an 
        authorized user described in clauses (i), (ii), and (v) of 
        paragraph (9)(A) shall enter into an agreement regarding the 
        use of any data that the qualified entity is providing or 
        selling to the authorized user under paragraph (2). Such 
        agreement shall describe the requirements for privacy and 
        security of the data and, as determined appropriate by the 
        Secretary, any prohibitions on using such data to link to other 
        individually identifiable sources of information. If the 
        authorized user is not a covered entity under the rules 
        promulgated pursuant to the Health Insurance Portability and 
        Accountability Act of 1996, the agreement shall identify the 
        relevant regulations, as determined by the Secretary, that the 
        user shall comply with as if it were acting in the capacity of 
        such a covered entity.
            (5) No redisclosure of analyses or data.--
                    (A) In general.--Except as provided in subparagraph 
                (B), an authorized user that is provided or sold an 
                analysis or data under paragraph (1) or (2) shall not 
                redisclose or make public such analysis or data or any 
                analysis using such data.
                    (B) Permitted redisclosure.--A provider of services 
                or supplier that is provided or sold an analysis or 
                data under paragraph (1) or (2) may, as determined by 
                the Secretary, redisclose such analysis or data for the 
                purposes of performance improvement and care 
                coordination activities but shall not make public such 
                analysis or data or any analysis using such data.
            (6) Opportunity for providers of services and suppliers to 
        review.--Prior to a qualified entity providing or selling an 
        analysis to an authorized user under paragraph (1), to the 
        extent that such analysis would individually identify a 
        provider of services or supplier who is not being provided or 
        sold such analysis, such qualified entity shall provide such 
        provider or supplier with the opportunity to appeal and correct 
        errors in the manner described in section 1874(e)(4)(C)(ii) of 
        the Social Security Act (42 U.S.C. 1395kk(e)(4)(C)(ii)).
            (7) Assessment for a breach.--
                    (A) In general.--In the case of a breach of a data 
                use agreement under this section or section 1874(e) of 
                the Social Security Act (42 U.S.C. 1395kk(e)), the 
                Secretary shall impose an assessment on the qualified 
                entity both in the case of--
                            (i) an agreement between the Secretary and 
                        a qualified entity; and
                            (ii) an agreement between a qualified 
                        entity and an authorized user.
                    (B) Assessment.--The assessment under subparagraph 
                (A) shall be an amount up to $100 for each individual 
                entitled to, or enrolled for, benefits under part A of 
                title XVIII of the Social Security Act or enrolled for 
                benefits under part B of such title--
                            (i) in the case of an agreement described 
                        in subparagraph (A)(i), for whom the Secretary 
                        provided data on to the qualified entity under 
                        paragraph (2); and
                            (ii) in the case of an agreement described 
                        in subparagraph (A)(ii), for whom the qualified 
                        entity provided data on to the authorized user 
                        under paragraph (2).
                    (C) Deposit of amounts collected.--Any amounts 
                collected pursuant to this paragraph shall be deposited 
                in Federal Supplementary Medical Insurance Trust Fund 
                under section 1841 of the Social Security Act (42 
                U.S.C. 1395t).
            (8) Annual reports.--Any qualified entity that provides or 
        sells an analysis or data under paragraph (1) or (2) shall 
        annually submit to the Secretary a report that includes--
                    (A) a summary of the analyses provided or sold, 
                including the number of such analyses, the number of 
                purchasers of such analyses, and the total amount of 
                fees received for such analyses;
                    (B) a description of the topics and purposes of 
                such analyses;
                    (C) information on the entities who received the 
                data under paragraph (2), the uses of the data, and the 
                total amount of fees received for providing, selling, 
                or sharing the data; and
                    (D) other information determined appropriate by the 
                Secretary.
            (9) Definitions.--In this subsection and subsection (b):
                    (A) Authorized user.--The term ``authorized user'' 
                means the following:
                            (i) A provider of services.
                            (ii) A supplier.
                            (iii) An employer (as defined in section 
                        3(5) of the Employee Retirement Insurance 
                        Security Act of 1974).
                            (iv) A health insurance issuer (as defined 
                        in section 2791 of the Public Health Service 
                        Act).
                            (v) A medical society or hospital 
                        association.
                            (vi) Any entity not described in clauses 
                        (i) through (v) that is approved by the 
                        Secretary (other than an employer or health 
                        insurance issuer not described in clauses (iii) 
                        and (iv), respectively, as determined by the 
                        Secretary).
                    (B) Provider of services.--The term ``provider of 
                services'' has the meaning given such term in section 
                1861(u) of the Social Security Act (42 U.S.C. 
                1395x(u)).
                    (C) Qualified entity.--The term ``qualified 
                entity'' has the meaning given such term in section 
                1874(e)(2) of the Social Security Act (42 U.S.C. 
                1395kk(e)).
                    (D) Secretary.--The term ``Secretary'' means the 
                Secretary of Health and Human Services.
                    (E) Supplier.--The term ``supplier'' has the 
                meaning given such term in section 1861(d) of the 
                Social Security Act (42 U.S.C. 1395x(d)).
    (b) Access to Medicare Data by Qualified Clinical Data Registries 
To Facilitate Quality Improvement.--
            (1) Access.--
                    (A) In general.--To the extent consistent with 
                applicable information, privacy, security, and 
                disclosure laws, beginning July 1, 2015, the Secretary 
                shall, at the request of a qualified clinical data 
                registry under section 1848(m)(3)(E) of the Social 
                Security Act (42 U.S.C. 1395w-4(m)(3)(E)), provide the 
                data described in subparagraph (B) (in a form and 
                manner determined to be appropriate) to such qualified 
                clinical data registry for purposes of linking such 
                data with clinical outcomes data and performing risk-
                adjusted, scientifically valid analyses and research to 
                support quality improvement or patient safety, provided 
                that any public reporting of such analyses or research 
                that identifies a provider of services or supplier 
                shall only be conducted with the opportunity of such 
                provider or supplier to appeal and correct errors in 
                the manner described in subsection (a)(6).
                    (B) Data described.--The data described in this 
                subparagraph is--
                            (i) claims data under the Medicare program 
                        under title XVIII of the Social Security Act; 
                        and
                            (ii) if the Secretary determines 
                        appropriate, claims data under the Medicaid 
                        program under title XIX of such Act and the 
                        State Children's Health Insurance Program under 
                        title XXI of such Act.
            (2) Fee.--Data described in paragraph (1)(B) shall be 
        provided to a qualified clinical data registry under paragraph 
        (1) at a fee equal to the cost of providing such data. Any fee 
        collected pursuant to the preceding sentence shall be deposited 
        in the Centers for Medicare & Medicaid Services Program 
        Management Account.
    (c) Expansion of Data Available to Qualified Entities.--Section 
1874(e) of the Social Security Act (42 U.S.C. 1395kk(e)) is amended--
            (1) in the subsection heading, by striking ``Medicare''; 
        and
            (2) in paragraph (3)--
                    (A) by inserting after the first sentence the 
                following new sentence: ``Beginning July 1, 2015, if 
                the Secretary determines appropriate, the data 
                described in this paragraph may also include 
                standardized extracts (as determined by the Secretary) 
                of claims data under titles XIX and XXI for assistance 
                provided under such titles for one or more specified 
                geographic areas and time periods requested by a 
                qualified entity.''; and
                    (B) in the last sentence, by inserting ``or under 
                titles XIX or XXI'' before the period at the end.
    (d) Revision of Placement of Fees.--Section 1874(e)(4)(A) of the 
Social Security Act (42 U.S.C. 1395kk(e)(4)(A)) is amended, in the 
second sentence--
            (1) by inserting ``, for periods prior to July 1, 2015,'' 
        after ``deposited''; and
            (2) by inserting the following before the period at the 
        end: ``, and, beginning July 1, 2015, into the Centers for 
        Medicare & Medicaid Services Program Management Account''.

Answer:
Expanding the Availability of Medicare Data Act  Expands the kinds of uses of Medicare data available to qualified entities for quality and patient care improvement activities. (A "qualified entity" is a public or private entity that: [1] is qualified to use claims data to evaluate the performance of service providers and suppliers on measures of quality, efficiency, effectiveness, and resource use; and [2] agrees to meet specified requirements, such as ensuring data security.) Authorizes a qualified entity to use claims data combined with non-claims data the entity has received, as well as information derived from evaluation of service provider and supplier performance, to conduct additional non-public analyses and provide or sell them to authorized users for non-public use (including to assist service providers and suppliers to develop and participate in quality and patient care improvement activities, including new models of care). Defines "authorized users" as service providers, suppliers, employers, health insurance issuers, medical societies or hospital associations, or any other entities approved by the Secretary of Health and Human Services. Prohibits a qualified entity from charging a fee to provide Medicare claims data. Requires a qualified entity and an authorized user to enter into a data use agreement, and prohibits the use of data or analyses for marketing purposes or, except in certain circumstances, its redisclosure. Directs the Secretary to provide Medicare data to qualified clinical data registries for purposes of linking it with clinical outcomes data and performing risk-adjusted, scientifically valid analyses and research to support quality improvement or patient safety. Requires charging a fee to a registry for such data. Amends title XVIII (Medicare) of the Social Security Act (SSAct) to include among standardized extracts of Medicare claims data that may be made available to qualified entities, if the Secretary determines appropriate, also claims data under SSAct titles XIX (Medicaid) and XXI (State Children's Health Insurance) (CHIP). Requires any fees charged for making standardized extracts available to qualified entities to be deposited into the Centers for Medicare &amp; Medicaid Services Program Management Account (currently, into the Federal Supplementary Medical Insurance Trust Fund).