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

Example Input: SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Stonewall National Historic Site 
Establishment Act''.

SEC. 2. FINDINGS AND PURPOSE.

    (a) Findings.--The Congress finds that--
            (1) the Stonewall National Historic Landmark in New York 
        City, designated in 2000, commemorates the site of the citizen 
        uprising of June 28-July 3, 1969, that inspired the modern 
        Lesbian, Gay, Bisexual, and Transgender (LGBT) civil rights 
        movement in America;
            (2) the Stonewall uprising became the major catalyst for 
        change in the self-awareness of the LGBT community, as well as 
        in the perception and acceptance of LGBT individuals within the 
        United States, and now represents to the Nation and the world 
        the struggle for LGBT civil rights; and
            (3) the Stonewall National Historic Landmark, within the 
        Greenwich Village Historic District, consists of the former 
        Stonewall Inn at 51-53 Christopher Street, that was raided by 
        police on June 28, 1969, as well as Christopher Park, 
        Christopher Street, Grove Street, Gay Street, Waverly Place, 
        Greenwich Avenue, Sixth Avenue, and West 10th Street between 
        Sixth Avenue and Seventh Avenue South, which are all associated 
        with the uprising.
    (b) Purpose.--The purposes of this Act are--
            (1) to help preserve, protect, and interpret the site of 
        the Stonewall uprising for the benefit of present and future 
        generations; and
            (2) to enhance understanding of the discrimination against 
        LGBT individuals that led to the Stonewall uprising and of the 
        ongoing struggle to achieve civil rights.

SEC. 3. DEFINITIONS.

    In this Act:
            (1) National historic site.--The term ``National Historic 
        Site'' means the Stonewall National Historic Site in New York 
        City, New York, authorized to be established as a unit of the 
        National Park System under section 4(a) of this Act.
            (2) Map.--The term ``Map'' means the map entitled 
        ``Stonewall National Historic Site, Proposed Boundary'', 
        numbered 668/129,921, and dated September 2015.
            (3) City of new york.--The term ``City'' means the 
        government of the City of New York in the State of New York.
            (4) Secretary.--The term ``Secretary'' means the Secretary 
        of the Interior.
            (5) State.--The term ``State'' means the State of New York.

SEC. 4. STONEWALL NATIONAL HISTORIC SITE.

    (a) Establishment.--
            (1) In general.--Subject to paragraph (2), there is 
        established in the State a unit of the National Park System to 
        be known as the ``Stonewall National Historic Site''.
            (2) Conditions for establishment.--The National Historic 
        Site shall not be established as a unit of the National Park 
        System until the date on which the Secretary has determined 
        that--
                    (A) the Secretary has acquired sufficient land or 
                an interest in land within the boundary of the National 
                Historic Site to constitute a manageable unit, as 
                determined by the Secretary; and
                    (B) the Secretary has entered into a written 
                agreement with the City, as authorized and described in 
                subsection (c).
    (b) Boundary.--
            (1) In general.--The boundary of the National Historic Site 
        shall be identical to the boundary of the Stonewall National 
        Historic Landmark, as generally depicted on the Map.
            (2) Availability of map.--The Map shall be available for 
        public inspection in the appropriate offices of the National 
        Park Service, Department of the Interior.
    (c) Agreement.--The Secretary is authorized to enter into an 
agreement with the City that delineates the respective roles and 
responsibilities of the National Park Service and the City in the 
operation, maintenance, and interpretation of the National Historic 
Site.
    (d) Publication of Notice.--Not later than 60 days after the date 
on which the conditions in subsection (a)(2) are satisfied, the 
Secretary shall publish in the Federal Register notice of the 
establishment of the National Historic Site as a unit of the National 
Park System.
    (e) Land Acquisition.--The Secretary is authorized to acquire by 
donation, purchase with donated or appropriated funds from a willing 
seller, or exchange--
            (1) lands or interests in land within the boundary of the 
        National Historic Site; and
            (2) lands or interests in land in the vicinity of the 
        National Historic Site for the purpose of providing park 
        administration and visitor service facilities, as determined by 
        the Secretary.
    (f) Administration.--
            (1) In general.--The Secretary shall administer the 
        National Historic Site in accordance with this Act and with the 
        laws generally applicable to units of the National Park System, 
        including--
                    (A) the National Park Service Organic Act (section 
                100101(a), chapter 1003, and sections 100751(a), 
                100752, 100753 and 102101 of title 54, United States 
                Code); and
                    (B) chapter 3201 of title 54, United States Code.
            (2) Cooperative agreements.--
                    (A) In general.--The Secretary may enter into 
                cooperative agreements with the State, City, units of 
                local government, organizations, or individuals to 
                further the purposes of this Act.
                    (B) Cost-sharing requirement.--
                            (i) Federal share.--The Federal share of 
                        the total cost of any activity carried out 
                        under this paragraph shall not exceed 50 
                        percent.
                            (ii) Form of non-federal share.--The non-
                        Federal share of the cost of carrying out an 
                        activity under this paragraph may be in the 
                        form of in-kind contributions or goods or 
                        services, fairly valued.
    (g) General Management Plan.--Not later than 3 years after the date 
on which funds are made available to carry out this section, the 
Secretary, in consultation with the City, shall prepare a general 
management plan for the National Historic Site in accordance with 
section 100502 of title 54, United States Code.
Example Output: Stonewall National Historic Site Establishment Act This bill establishes the Stonewall National Historic Site in New York as a unit of the National Park System.  The boundary of the Historic Site shall be identical to that of the Stonewall National Historic Landmark.  The Department of the Interior may enter into an agreement with New York City, New York, delineating the respective roles and responsibilities of the National Park Service and New York City in operating, maintaining, and interpreting the Historic Site.  Interior shall prepare a general management plan for the Historic Site. 

Example Input: SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Adult Day Center Enhancement Act''.

SEC. 2. FINDINGS.

    The Congress finds the following:
            (1) One in 6 people in the United States lives with a 
        neurological disease or condition that can often result in 
        disability, and which may require the individual to seek 
        assistance in carrying out the activities of daily living. 
        Neurological diseases or conditions such as multiple sclerosis 
        (MS), early-onset Parkinson's disease, and traumatic brain 
        injury (TBI) can also typically affect younger adults in the 
        middle of their lives.
            (2) Multiple sclerosis is a chronic, often disabling 
        disease that attacks the central nervous system with symptoms 
        ranging from numbness in limbs to paralysis and loss of vision. 
        Most people with MS are diagnosed between the ages of 20 and 50 
        years of age. MS is a leading cause of disability in young 
        adults. Persons living with MS who experience more severe forms 
        of the disease are likely to require either home care or 
        nursing home placement, though the vast majority would prefer 
        to remain at home to receive the care they need. Where home 
        care is concerned, approximately 80 percent of such care is 
        provided by unpaid caregivers who are generally family members.
            (3) Parkinson's disease is a chronic, progressive 
        neurological disease. The four primary symptoms of Parkinson's 
        disease are tremor, or trembling in hands, arms, legs, jaw, and 
        face; rigidity, or stiffness of the limbs and trunk; 
        bradykinesia, or slowness of movement; and postural 
        instability, or impaired balance and coordination. Other 
        symptoms may include cognitive changes; difficulty in 
        swallowing, chewing, and speaking; urinary problems or 
        constipation; skin problems; and sleep disruptions. As these 
        symptoms become more pronounced, patients may have difficulty 
        walking, talking, or completing other simple tasks. It is 
        estimated that nearly 500,000 to 1,500,000 people live with 
        Parkinson's and of those 5 to 10 percent are diagnosed younger 
        than 60 and deemed ``early-onset''.
            (4) Traumatic brain injury is a neurological condition that 
        typically results from a blow or jolt to the head or a 
        penetrating head injury and that can impact one or more parts 
        of the brain, thereby temporarily or permanently disrupting 
        normal brain function. The Centers for Disease Control and 
        Prevention estimates that 1,700,000 TBIs occur annually, 
        resulting in disabilities affecting up to 90,000 people among a 
        broad range of age groups. Traumatic brain injury is also a 
        serious issue that affects military servicemembers. Estimates 
        in prior military conflicts indicate that TBI was present in 
        14-20 percent of surviving casualties.
            (5) Family caregivers are a crucial source of support and 
        assistance for individuals suffering with disabilities. Family 
        caregivers, the majority of whom are women, provide an 
        estimated $470,000,000,000 in ``free'' services annually. The 
        supply of family caregivers is unlikely to keep pace with 
        future demand. The caregiver support ratio of potential 
        caregivers aged 45 to 64 for each person aged 80 and older, for 
        instance, is 7 to 1 in 2010, 4 to 1 in 2030, and 3 to 1 in 
        2050.
            (6) The majority of family caregivers (or 53 percent) are 
        caring for someone ages 18 to 74. Forty-seven percent of family 
        caregivers are caring for someone 75 or older.
            (7) Adult day programs can offer services, including 
        medical care, rehabilitation therapies, dignified assistance 
        with the activities of daily living, nutrition therapy, health 
        monitoring, social interaction, stimulating activities, and 
        transportation to seniors, people with disabilities, and 
        younger adults with chronic diseases.
            (8) Adult day programs geared toward people living with 
        neurological diseases or conditions such as MS, Parkinson's 
        disease, TBI, or other similar diseases or conditions provide 
        an important response to the needs of people living with these 
        conditions and their family caregivers. Adult day programs can 
        help to ameliorate symptoms, reduce dependency, provide 
        important socialization opportunities, and maintain quality of 
        life.
            (9) Adult day programs have been shown to provide a range 
        of documented benefits including improvements in functional 
        status, social support, and reductions in fatigue, depression 
        and pain. Adult day programs also reduce ongoing medical care 
        and hospital costs and decrease admissions to nursing home 
        facilities, which can be costly for many families, by allowing 
        individuals to receive health and social services while 
        continuing to live at home.
            (10) There are currently few adult day programs focused on 
        younger adult populations in the United States. Although young 
        people living with neurological diseases or conditions may be 
        able to access existing adult day programs, such programs are 
        not typically intended for younger adults living with chronic 
        diseases or conditions, and may not provide the appropriate 
        services to meet the age-related or disability status of these 
        individuals.

SEC. 3. ESTABLISHMENT OF ADULT DAY PROGRAMS.

    (a) Survey of Existing Adult Day Programs.--
            (1) In general.--Not later than 90 days after the date of 
        the enactment of this section, the Assistant Secretary for 
        Aging shall initiate a comprehensive survey of current adult 
        day programs that provide care and support to individuals 
        including young adults living with neurological diseases or 
        conditions such as multiple sclerosis, Parkinson's disease, 
        traumatic brain injury, or any similar disease or condition.
            (2) Survey elements.--In carrying out the survey under 
        paragraph (1), the Assistant Secretary for Aging may utilize 
        existing publicly available research on adult day programs, and 
        shall--
                    (A) identify ongoing successful adult day programs, 
                including by providing a brief description of how such 
                programs were initially established and funded;
                    (B) identify which adult day programs are serving 
                young adults living with neurological diseases or 
                conditions;
                    (C) develop a set of best practices to help guide 
                the establishment and replication of additional 
                successful adult day programs, including--
                            (i) program guidelines;
                            (ii) recommendations on the scope of 
                        services that should be provided to individuals 
                        with neurological diseases or conditions 
                        including young adults (which may include 
                        rehabilitation therapy, psychosocial support, 
                        social stimulation and interaction, and 
                        spiritual, educational, or other such 
                        services); and
                            (iii) performance goals and indicators to 
                        measure and analyze the outcomes generated by 
                        the services provided and to evaluate the 
                        overall success of the program; and
                    (D) evaluate the extent to which the Administration 
                for Community Living supports adult day programs, 
                either directly or indirectly, through current Federal 
                grant programs.
            (3) Report.--Not later than 180 days after initiating the 
        survey under paragraph (1), the Assistant Secretary for Aging 
        shall produce and make publicly available a summary report on 
        the results of the survey. Such report shall include each of 
        the elements described in paragraph (2).
    (b) Establishment of Grant Program.--
            (1) In general.--Not later than 90 days after producing the 
        report required by subsection (a)(3), the Assistant Secretary 
        for Aging shall establish within the Administration for 
        Community Living a competitive grant program for awarding 
        grants annually to eligible entities, based on the best 
        practices developed under subsection (a), to fund adult day 
        programs serving younger people with neurological diseases or 
        conditions.
            (2) Eligible entities.--In order to be eligible for a grant 
        under this subsection, an entity shall demonstrate the 
        following:
                    (A) Understanding of the special needs of younger 
                people living with neurological diseases or conditions 
                such as multiple sclerosis, Parkinson's disease, 
                traumatic brain injury, or other similar diseases or 
                conditions, including their functional abilities and 
                the potential complications across all types of cases 
                and stages of such diseases or conditions.
                    (B) Understanding of the issues experienced by 
                family caregivers who assist a family member with 
                neurological diseases or conditions such as multiple 
                sclerosis, Parkinson's disease, traumatic brain injury, 
                or other similar diseases or conditions.
                    (C) A capacity to provide the services recommended 
                by the best practices developed under subsection (a).
            (3) Additional selection requirement.--The Assistant 
        Secretary for Aging shall not award a grant to an entity under 
        this subsection if the amount of the award would constitute 
        more than 40 percent of the operating budget of the entity in 
        the fiscal year for which funds for the grant are authorized to 
        be expended. For purposes of this subsection, the fair market 
        value of annual in-kind contributions of equipment or services 
        shall be considered as part of the operating budget of the 
        entity.
            (4) Selection of grant recipients.--Not later than 90 days 
        after establishing the grant program under this subsection, the 
        Assistant Secretary for Aging shall award the first annual 
        series of grants under the program. In awarding grants under 
        this subsection, the Assistant Secretary should ensure, to the 
        extent practicable, a diverse geographic representation among 
        grant recipients and that, subject to the availability of 
        appropriations--
                    (A) a minimum of 5 entities are selected as grant 
                recipients for the first fiscal year for which such 
                grants are awarded;
                    (B) a minimum of 10 entities are selected as grant 
                recipients for the second such fiscal year;
                    (C) a minimum of 12 entities are selected as grant 
                recipients for the third such fiscal year; and
                    (D) a minimum of 15 entities are selected as grant 
                recipients for the fourth such fiscal year.
            (5) Report.--No later than 1 year after the initial award 
        of grants under this subsection, and annually thereafter, the 
        Assistant Secretary for Aging shall produce and make publicly 
        available a brief summary report on the grant program under 
        this section. Each such report shall include the following:
                    (A) A description of the adult day programs 
                receiving funding under this section, including the 
                amount of Federal funding awarded and the expected 
                outcomes of each program.
                    (B) A description of performance goals and 
                indicators to monitor the progress of grant recipients 
                in--
                            (i) responding to the needs of younger 
                        individuals living with neurological diseases 
                        or conditions such as multiple sclerosis, 
                        Parkinson's disease, traumatic brain injury, or 
                        other similar diseases or conditions; and
                            (ii) assisting the family caregivers of 
                        such individuals.
                    (C) Any plans for improving oversight and 
                management of the grant program.
    (c) Definitions.--In this Act:
            (1) The term ``adult day program'' means a program that 
        provides comprehensive and effective care and support services 
        to individuals living with neurological diseases or conditions 
        such as multiple sclerosis, Parkinson's disease, traumatic 
        brain injury, or other similar diseases or conditions that may 
        result in a functional or degenerative disability and to their 
        family caregivers and that may assist participants in ways 
        that--
                    (A) maintain or improve their functional abilities, 
                or otherwise help them adjust to their changing 
                functional abilities;
                    (B) prevent the onset of complications associated 
                with severe forms of the disease or condition;
                    (C) promote alternatives to placement in nursing 
                homes;
                    (D) reduce the strain on family caregivers taking 
                care of a family member living with such diseases or 
                conditions;
                    (E) focus on supporting the emotional, social, and 
                intellectual needs of a younger adult population; or
                    (F) address the needs of veterans living with such 
                diseases or conditions.
            (2) The term ``family caregiver'' means a family member or 
        foster parent who provides unpaid assistance (which may include 
        in-home monitoring, management, supervision, care and 
        treatment, or other similar assistance) to another adult family 
        member with a special need.
    (d) Authorization of Appropriations.--To carry out this section, in 
addition to amounts otherwise made available for such purpose, there 
are authorized to be appropriated, and to remain available until 
expended, the following:
            (1) $1,000,000 for fiscal year 2017.
            (2) $3,000,000 for fiscal year 2018.
            (3) $6,000,000 for fiscal year 2019.
            (4) $8,000,000 for fiscal year 2020.
            (5) $10,000,000 for fiscal year 2021.
Example Output: Adult Day Center Enhancement Act This bill requires the Administration on Aging (AOA) to initiate a comprehensive survey of current adult day programs that provide care and support to individuals with neurological diseases or conditions such as multiple sclerosis, Parkinson's disease, or traumatic brain injury. The AOA must identify ongoing successful adult day programs and which of these serve young adults with neurological conditions and develop best practices to guide the establishment of additional successful adult day programs. The AOA must award grants for adult day programs that serve younger people with neurological conditions. An &quot;adult day program&quot; is defined as a program that provides comprehensive care and support services to individuals with neurological conditions and to their family caregivers and that may assist participants in ways that:  maintain or improve their functional abilities or otherwise help them adjust to their changing functional abilities; prevent the onset of complications associated with severe forms of the condition; promote alternatives to placement in nursing homes; reduce the strain on family caregivers of individuals with neurological conditions; focus on supporting the emotional, social, and intellectual needs of a younger adult population; or address the needs of veterans with neurological conditions. 

Example Input: SECTION 1. SHORT TITLE.

    This Act may be cited as the ``South Dakota Tribal Nursing 
Facilities Act of 2002''.

SEC. 2. FINDINGS AND PURPOSES.

    (a) Findings.--Congress makes the following findings:
            (1) The highest rate of poverty in South Dakota occurs on 
        Indian reservations.
            (2) According to the 2000 United States Census, nine 
        counties that encompass Indian reservations are among the 100 
        poorest counties in the United States.
            (3) There are no nursing facilities on the Indian 
        reservations in South Dakota.
            (4) The lack of nursing facilities on the larger Indian 
        reservations is a barrier that prevents Indian elders from 
        accessing long-term health care.
            (5) The elderly poor constitute a growing portion of the 
        membership of the Indian tribes and tribal organizations of 
        South Dakota.
            (6) The great distances between Indian reservations and 
        off-reservation nursing facilities--
                    (A) deter the Indian elderly from using such 
                facilities; and
                    (B) if the Indian elderly do use such facilities, 
                prevent visitation from family and relatives that is 
                essential to the well-being of the Indian elderly.
            (7) There is a critical need for nursing facilities on the 
        Indian reservations located in South Dakota to meet the elderly 
        and assisted-living needs of tribal members.
            (8) A South Dakota law imposes a moratorium on the 
        licensing of new nursing facilities in the State.
            (9) The medicaid program requires State licensure of 
        nursing facilities to qualify such facility for reimbursement 
        for care provided to individuals eligible for medical 
        assistance under such program.
            (10) The impact of the South Dakota moratorium on nursing 
        facility licensure and the requirements of the medicaid program 
        prevent Indian tribes and tribal organizations in South Dakota 
        from developing and operating these badly needed facilities on 
        Indian reservations.
            (11) It is the responsibility and goal of the United 
        States, in the fulfillment of its responsibility to provide and 
        facilitate adequate health care for elderly and needy members 
        of Indian tribes and tribal organizations, to protect the right 
        of Indian tribes and tribal organizations to provide nursing 
        facilities for those members.
    (b) Purposes.--The purposes of this Act are, notwithstanding any 
impediment imposed by State law--
            (1) to facilitate the development and operation of nursing 
        facilities that are owned or operated by an Indian tribe or 
        tribal organization on Indian reservations that are located in 
        the State of South Dakota; and
            (2) to protect the right of members of Indian tribes and 
        tribal organizations to access health care provided by nursing 
        facilities in the exercise of those members' entitlement to 
        medical assistance under the medicaid program.

SEC. 3. ELIGIBILITY OF CERTAIN NURSING FACILITIES FOR REIMBURSEMENT 
              UNDER THE MEDICAID PROGRAM.

    (a) In General.--Notwithstanding any provision of title XIX of the 
Social Security Act (42 U.S.C. 1396 et seq.), an applicable nursing 
facility shall be eligible for reimbursement for medical assistance 
provided under such title and shall be deemed to be a facility of the 
Indian Health Service for purposes of the third sentence of section 
1905(b) of such Act (42 U.S.C. 1396d(b)) if and for so long as--
            (1) the facility meets all of the conditions and 
        requirements which are applicable generally to such facilities 
        under such title (other than any State requirement relating to 
        the operation of such a facility under such title); and
            (2) has in effect a plan approved under subsection (b)(2).
    (b) Submission and Approval of Plans.--
            (1) Submission.--An Indian tribe or tribal organization 
        that desires an applicable nursing facility to be reimbursed 
        through the operation of this section shall submit a plan to 
        the Secretary at such time, in such manner, and containing such 
        information as the Secretary may specify, including evidence 
        that--
                    (A) such facility is licensed by the Indian tribe 
                or tribal organization; and
                    (B) the State, the Indian tribe, or the tribal 
                organization has agreed to perform the functions of the 
                State under section 1919 of the Social Security Act (42 
                U.S.C. 1396r).
            (2) Approval.--Not later than the date that is 90 days 
        after the date on which a plan is submitted under paragraph 
        (1), the Secretary shall approve or disapprove such plan or 
        shall notify the facility of the additional information needed 
        for approval or disapproval.
    (c) Definitions.--In this section:
            (1) Applicable nursing facility.--The term ``applicable 
        nursing facility'' means an existing or planned nursing 
        facility (as defined in section 1919(a) of the Social Security 
        Act (42 U.S.C. 1396r(a))) that--
                    (A) is owned or operated by an Indian tribe or 
                tribal organization;
                    (B) is located (or will be located) in the State of 
                South Dakota; and
                    (C) is not able to obtain a State license only as a 
                result of a State imposed moratorium on the issuance of 
                such licenses.
            (2) Indian tribe and tribal organization.--The terms 
        ``Indian tribe'' and ``tribal organization'' have the meanings 
        given such terms under section 4 of the Indian Health Care 
        Improvement Act.
            (3) Secretary.--The term ``Secretary'' means the Secretary 
        of Health and Human Services.
Example Output:
South Dakota Tribal Nursing Facilities Act of 2002 - Makes a nursing facility in South Dakota that is owned or operated by an Indian tribe or tribal organization, and is unable to obtain a State license only because of a State-imposed moratorium on the issuance of such licenses, eligible for reimbursement for medical assistance provided under title XIX (Medicaid) of the Social Security Act. Deems such a facility to be an Indian Health Service (IHS) facility with the Federal medical assistance percentage set at 100 percent if it meets all applicable conditions and requirements and has a plan approved by the Secretary of Health and Human Services that indicates that the facility is licensed by the Indian tribe or tribal organization.