instruction:
In this task, you are given text for US Congressional and California state bills, your task is to generate a summary for this bill.
question:
SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Access to Frontline Health Care Act 
of 2011''.

SEC. 2. FRONTLINE PROVIDERS LOAN REPAYMENT PROGRAM.

    Part D of title III of the Public Health Service Act (42 U.S.C. 
254b et seq.) is amended--
            (1) by redesignating the second subpart XI (as added by 
        section 10333 of Public Law 111-148) as subpart XII;
            (2) by redesignating the second section 340H (as added by 
        such section 10333) as section 340I; and
            (3) by adding at the end the following:

             ``Subpart XIII--Frontline Health Care Services

``SEC. 340J. FRONTLINE PROVIDERS LOAN REPAYMENT PROGRAM.

    ``(a) In General.--The Secretary shall establish and carry out a 
Frontline Providers Loan Repayment Program (in this section referred to 
as the `Loan Repayment Program') under which, pursuant to contracts in 
accordance with this section--
            ``(1) the Secretary agrees to make student loan repayments; 
        and
            ``(2) the individual agrees to serve as a health 
        professional for a period of full-time service of not less than 
        2 years at a health care facility serving a frontline care 
        scarcity area.
    ``(b) Eligibility.--To be eligible to participate in the Loan 
Repayment Program, an individual must--
            ``(1) submit an application to participate in the Loan 
        Repayment Program in such form and manner and at such time as 
        specified by the Secretary; and
            ``(2) sign and submit to the Secretary, at the time of 
        submittal of such application, a written contract (described in 
        subsection (d)).
    ``(c) Participation in Program.--
            ``(1) In general.--An individual becomes a participant in 
        the Loan Repayment Program only upon the approval of the 
        Secretary of the individual's application submitted under 
        subsection (b)(1) and the Secretary's acceptance of the 
        contract submitted by the individual under subsection (b)(2).
            ``(2) Preference.--In awarding contracts under this 
        section, the Secretary shall give preference to applicants who 
        have undertaken training or coursework in interdisciplinary 
        studies.
            ``(3) Recruitment for interdisciplinary programs.--The 
        Secretary shall--
                    ``(A) determine the frontline care scarcity areas 
                in which to place contract recipients under this 
                section; and
                    ``(B) in making such determination, give preference 
                to areas with a demonstrated program of 
                interdisciplinary health care, or with demonstrated 
                plans to initiate interdisciplinary approaches to 
                community health care.
            ``(4) Notice.--The Secretary shall provide written notice 
        to an individual promptly upon the Secretary's approving, under 
        paragraph (1), of the individual's participation in the Loan 
        Repayment Program.
    ``(d) Contract.--The contract described in this subsection is a 
written contract between the Secretary and an individual that 
contains--
            ``(1) an agreement that--
                    ``(A) the Secretary agrees to provide the 
                individual with student loan repayment (described in 
                subsection (e)) for a period of time as determined by 
                the Secretary, to pay off debts incurred during the 
                course of the study or program described in subsection 
                (g)(2)(B); and
                    ``(B) the individual agrees--
                            ``(i) to accept provision of such a student 
                        loan repayment to the individual; and
                            ``(ii) to provide frontline care services 
                        for a period of full-time service of not less 
                        than 2 years at a health care facility serving 
                        a frontline care scarcity area;
            ``(2) a provision that any financial obligation of the 
        United States arising out of a contract entered into under this 
        section and any obligation of the individual which is 
        conditioned thereon, is contingent upon funds being 
        appropriated for student loan repayment under this section;
            ``(3) a statement of the damages to which the United States 
        is entitled, under subsection (f), for the individual's breach 
        of the contract; and
            ``(4) such other statements as the Secretary deems 
        appropriate of the rights and liabilities of the Secretary and 
        of the individual, not inconsistent with the provisions of this 
        section.
    ``(e) Student Loan Repayment.--
            ``(1) Amount.--The amount of an annual student loan 
        repayment under this section on behalf of an individual shall 
        be determined by the Secretary, and shall take into 
        consideration the need to pay a sufficient amount to enable 
        recruiting of health care providers into the loan repayment 
        program under this section.
            ``(2) Payments directly to loan provider.--The Secretary 
        may contract with an individual's loan provider, for the 
        payment to the loan provider, on behalf of the individual, of 
        the amounts of a student loan repayment described in paragraph 
        (1).
    ``(f) Breach of Contract.--If an individual breaches a written 
contract under this section by failing to begin such individual's 
service obligation, or to complete such service obligation, the United 
States shall be entitled to recover from the individual an amount that 
is equal to the sum of--
            ``(1) the total amount which has been paid to the 
        individual, or on behalf of the individual, under the contract; 
        and
            ``(2) any amount of interest, as determined by the 
        Secretary.
    ``(g) Definitions.--In this section:
            ``(1) The term `frontline care scarcity area' means an 
        area, population group, or facility that--
                    ``(A) is designated as a health professional 
                shortage area under section 332; or
                    ``(B) is designated by the State in which the area 
                is located as having a shortage of frontline care 
                services.
            ``(2) The term `frontline care services' means health care 
        services--
                    ``(A) in the field of general surgery, optometry, 
                ophthalmology, chiropractic, physical therapy, 
                audiology, speech language pathology, pharmacies, 
                public health, podiatric medicine, dietetics, 
                occupational therapy, general pediatrics, respiratory 
                therapy, medical technology, otolaryngology, or 
                radiologic technology; and
                    ``(B) provided by a general surgeon, optometrist, 
                ophthalmologist, chiropractor, physical therapist, 
                audiologist, speech language pathologist, pharmacist, 
                public health professional, podiatric physician, 
                registered dietician, occupational therapist, 
                pediatrician, respiratory therapist, medical 
                technologist, otolaryngologist, or radiologic 
                technologist who has completed an appropriate course of 
                study or program, offered by an accredited institution 
                of higher education in the United States.
    ``(h) Implementation.--The Secretary shall begin implementation of 
the loan repayment program under this section within 180 days of the 
date of the enactment of this section.''.
answer:
Access to Frontline Health Care Act of 2011 - Amends the Public Health Service Act to direct the Secretary of Health and Human Services (HHS) to establish and carry out a Frontline Providers Loan Repayment Program under which the Secretary agrees to make student loan repayments in exchange for a health professional providing frontline care services for two years in a frontline care scarcity area. Defines "frontline care services" as health care services in the fields of general surgery, optometry, ophthalmology, chiropractic, physical therapy, audiology, speech language pathology, pharmacies, public health, podiatric medicine, dietetics, occupational therapy, general pediatrics, respiratory therapy, medical technology, otolaryngology, or radiologic technology.


question:
SECTION 1. FINDINGS.

    Congress finds the following:
            (1) Twice since 1989, the northwestern coast of Maui, 
        Hawaii, has been plagued with massive blooms of the green alga, 
        Cladorphora sericea. Blooms of the red alga, Hypnea 
        musciformis, have also occurred in the area and in the Kihei 
        area.
            (2) The algal blooms have destroyed corals and other reef-
        building organisms, and have washed up on beaches and severely 
        impeded the recreational use of affected coastal areas.
            (3) The algal blooms are particularly detrimental to the 
        natural ecological balance of the near-shore reef environment.
            (4) Although the specific causes of the algal blooms are 
        uncertain, algal growth is stimulated in a proportional manner 
        by concentrations of chemicals such as fertilizers and 
        insecticides, which enter the ocean through freshwater runoff.
            (5) The Department of Health of the State of Hawaii has 
        indicated that the department does not have the resources at 
        this time to determine the cause of the algal blooms.
            (6) Extensive research will be required to determine the 
        factors that contribute to algal growth.
            (7) Potential sources of nutrients that may contribute to 
        algal growth include the near-shore disposal of sewage in 
        injection wells from the Lahaina Wastewater Treatment Plant, 
        surface runoff from agricultural lands and urban resort areas, 
        and subsurface point sources in the areas.
            (8) The long-term environmental impacts of the algal blooms 
        are unknown, but in the short term, reefs exposed to the algae 
        are being destroyed and the deterioration of the coral has 
        detrimental effects on fish and other wildlife that depend on 
        the reefs for survival.
            (9) The algal blooms are generating negative economic 
        impacts as well as negative biological impacts, as additional 
        reports indicate that the algae are decreasing the intake of 
        fish caught by local fishermen in the affected marine waters.
            (10) The Maui Algae Task Force is comprised of community 
        environmental activists and has been assembled to address the 
        problem of algal blooms.
            (11) The Maui Algae Task Force hopes to work in cooperation 
        with the Department of Health of the State of Hawaii and the 
        Environmental Protection Agency to identify and eradicate the 
        causes of the algal blooms.

SEC. 2. STUDY.

    (a) In General.--The Administrator of the Environmental Protection 
Agency (hereafter in this Act referred to as the ``Administrator'') 
shall conduct a study to--
            (1) determine the causes of recent algal blooms off the 
        northwestern coast of Maui, Hawaii; and
            (2) research alternatives for the improved management of 
        chemicals present in wastewater treatment and fresh water 
        runoff.
    (b) Study Requirements.--In carrying out the study under this 
section, the Administrator shall--
            (1) survey and monitor--
                    (A) seaweed populations and animals for which the 
                seaweed is a food source;
                    (B) surface water runoff sediments in the study 
                area; and
                    (C) inputs into the study area from subsurface 
                point sources, including any such inputs from the 
                Lahaina wastewater treatment plant; and
            (2) study the responses of--
                    (A) the seaweed populations referred to in 
                paragraph (1)(A) to different concentrations of 
                nutrients; and
                    (B) the animals referred to in paragraph (1)(A) to 
                pesticides and other biological toxins.
    (c) Equipment; Grants.--
            (1) Acquisition of equipment.--In carrying out the study 
        under this section, the Administrator is authorized to acquire 
        such monitoring and testing equipment as the Administrator 
        determines necessary.
            (2) Grants.--In carrying out the study under this section, 
        the Administrator is authorized to establish a grant program to 
        provide grants to eligible entities that submit approved 
        applications to the Administrator. The following entities may 
        submit an application to conduct study activities under this 
        section:
                    (A) The Department of Health of the State of 
                Hawaii.
                    (B) The Maui Algae Task Force.
                    (C) Appropriate Federal, State, or county 
                departments or agencies.
                    (D) Any other entity that the Administrator 
                determines to be appropriate.
    (d) Demonstration Projects.--In carrying out the study under this 
section, the Administrator is authorized to establish demonstration 
projects to identify and implement best management practices for the 
control of nonpoint source pollution from erosion and agricultural 
runoff.
    (e) Reports.--
            (1) Interim report.--Not later than 1 year after the date 
        of enactment of this Act, the Administrator shall submit to 
        Congress a report that includes interim results of the study 
        conducted under this section, and such recommendations as the 
        Administrator determines to be appropriate.
            (2) Final report.--Not later than January 31, 1996, the 
        Administrator shall submit to Congress a final report that 
        summarizes the results of the study conducted under this 
        section and includes such recommendations as the Administrator 
        determines to be appropriate.
    (f) Authorization of Appropriations.--There are authorized to be 
appropriated to the Environmental Protection Agency to carry out this 
section $500,000 for each of fiscal years 1994 and 1995.
answer:
Directs the Administrator of the Environmental Protection Agency to study and report to the Congress on the causes of recent algal blooms off the northwestern coast of Maui, Hawaii, and to research alternatives for the improved management of chemicals present in wastewater treatment and fresh water runoff. 
Authorizes the Administrator to establish:  (1) a grant program to enable eligible entities to conduct study activities; and (2) demonstration projects to implement best management practices for the control of nonpoint source pollution from erosion and agricultural runoff. 
Authorizes appropriations.


question:
SECTION 1. EXTENSION AND EXPANSION OF TANF SUPPLEMENTAL GRANTS.

    (a) In General.--Section 403(a)(3) of the Social Security Act (42 
U.S.C. 603(a)(3)) is amended to read as follows:
            ``(3) Supplemental grant for certain states.--
                    ``(A) In general.--Each qualifying State shall, 
                subject to subparagraphs (B) and (F), be entitled to 
                receive from the Secretary for each of fiscal years 
                2009 and 2010 the following:
                            ``(i) Qualifying states that received a 
                        supplemental grant for fiscal year 2008 and 
                        have below average tanf resources per child.--
                        In the case of a qualifying State that is 
                        described in clauses (i) and (ii) of 
                        subparagraph (C), an amount equal to the sum 
                        of--
                                    ``(I) the total amount required to 
                                be paid to the State under this 
                                paragraph (as in effect on October 1, 
                                2007) for fiscal year 2008; and
                                    ``(II) the lesser of--
                                            ``(aa) the amount equal to 
                                        2.5 percent of the total amount 
                                        required to be paid to the 
                                        State under paragraph (1) for 
                                        the fiscal year, and
                                            ``(bb) $2,500,000.
                            ``(ii) Qualifying states that did not 
                        receive a supplemental grant for fiscal year 
                        2009 and have below average tanf resources per 
                        child.--In the case of a qualifying State that 
                        is only described in clause (ii) of 
                        subparagraph (C), an amount equal to the lesser 
                        of--
                                    ``(I) the amount equal to 10 
                                percent of the total amount required to 
                                be paid to the State under paragraph 
                                (1) for the fiscal year, and
                                    ``(II) $10,000,000.
                            ``(iii) Other qualifying states.--In the 
                        case of a qualifying State that is only 
                        described in clause (i) of subparagraph (C), 
                        the total amount required to be paid to the 
                        State under this paragraph (as in effect on 
                        October 1, 2007) for fiscal year 2008.
                    ``(B) Limitation.--The amount to be paid to a State 
                under clause (i)(II) or (ii) of subparagraph (A) for 
                any fiscal year shall be reduced (but not below zero) 
                by the amount that is equal to the excess, if any, of--
                            ``(i) the product obtained by multiplying--
                                    ``(I) the level of welfare spending 
                                per poor child by the State (calculated 
                                without regard to any reduction made 
                                under this subparagraph) for such 
                                fiscal year; by
                                    ``(II) the number of children under 
                                the age of 18, according to the 2006 
                                American Community Survey, who were 
                                residents of the State and who were 
                                members of families whose income was 
                                below the poverty line; over
                            ``(ii) the product obtained by 
                        multiplying--
                                    ``(I) the national average level of 
                                State welfare spending per poor child 
                                for such fiscal year; by
                                    ``(II) the number of children under 
                                the age of 18, according to the 2006 
                                American Community Survey, who were 
                                residents of the State and who were 
                                members of families whose income was 
                                below the poverty line.
                    ``(C) Qualifying state.--For purposes of this 
                paragraph, a State is a qualifying State for a fiscal 
                year if--
                            ``(i) the State was entitled to receive a 
                        grant under this paragraph (as in effect on 
                        October 1, 2007) for fiscal year 2008; or
                            ``(ii) the level of welfare spending per 
                        poor child by the State for fiscal year 2008 is 
                        less than the national average level of State 
                        welfare spending per poor child for such fiscal 
                        year.
                    ``(D) Definitions.--In this paragraph:
                            ``(i) Level of welfare spending per poor 
                        child.--The term `level of welfare spending per 
                        poor child' means, with respect to a State and 
                        a fiscal year--
                                    ``(I) the sum of--
                                            ``(aa) the total amount 
                                        required to be paid to the 
                                        State under paragraph (1) for 
                                        such fiscal year;
                                            ``(bb) the total amount 
                                        required to be paid to the 
                                        State, if any, under this 
                                        paragraph (as in effect on 
                                        October 1, 2007) for such 
                                        fiscal year; and
                                            ``(cc) 80 percent of the 
                                        historic State expenditures (as 
                                        defined in section 
                                        409(a)(7)(B)(iii)); divided by
                                    ``(II) the number of children under 
                                the age of 18, according to the 2006 
                                American Community Survey, who were 
                                residents of the State and who were 
                                members of families whose income was 
                                below the poverty line.
                            ``(ii) National average level of state 
                        welfare spending per poor child.--The term 
                        `national average level of State welfare 
                        spending per poor child' means, with respect to 
                        a fiscal year, an amount equal to--
                                    ``(I) the sum of--
                                            ``(aa) the total amount 
                                        required to be paid to the 
                                        States under paragraph (1) for 
                                        such fiscal year;
                                            ``(bb) the total amount 
                                        required to be paid to the 
                                        States under this paragraph for 
                                        such fiscal year; and
                                            ``(cc) the aggregate amount 
                                        for all States of 80 percent of 
                                        the historic State expenditures 
                                        (as defined in section 
                                        409(a)(7)(B)(iii)) for each 
                                        State; divided by
                                    ``(II) the number of children under 
                                the age of 18, according to the 2006 
                                American Community Survey, who were 
                                residents of any State and who were 
                                members of families whose income was 
                                below the poverty line.
                            ``(iii) State.--The term `State' means each 
                        of the 50 States of the United States and the 
                        District of Columbia.
                    ``(E) Appropriation.--Out of any money in the 
                Treasury of the United States not otherwise 
                appropriated, there are appropriated for each of fiscal 
                years 2009 and 2010 such sums as are necessary for 
                grants under this paragraph, in a total amount not to 
                exceed $470,000,000 for each such fiscal year.
                    ``(F) Grants reduced pro rata if insufficient 
                appropriations.--If the amount appropriated pursuant to 
                subparagraph (E) for a fiscal year is less than the 
                total amount of payments otherwise required to be made 
                under this paragraph for the fiscal year, then the 
                amount otherwise payable to any State for the fiscal 
                year under this paragraph shall be reduced by a 
                percentage equal to the amount so appropriated divided 
                by such total amount.''.
    (b) Effective Date.--The amendments made by this section shall take 
effect on October 1, 2008.
answer:

Amends part A (Temporary Assistance for Needy Families) (TANF) of title IV of the Social Security Act to change the TANF supplemental grant for population increases in certain states into simply a supplemental grant for certain states, for FY2009 and FY2010, including both qualifying states that received and qualifying states that did not receive a supplemental grant for FY2008, if their TANF resources are below average.