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 ``Transportation Finance Innovation 
Demonstration Act of 2010''.

SEC. 2. VEHICLE MILEAGE TAX FOR MOBILE MOUNTED CONCRETE BOOM PUMPS.

    (a) In General.--Chapter 36 of the Internal Revenue Code of 1986 
(relating to certain other excise taxes) is amended by inserting after 
subchapter D the following new subchapter:

                  ``Subchapter E--Vehicle Mileage Tax

``Sec. 4491. Imposition of tax.
``Sec. 4492. Mobile mounted concrete boom pump vehicle defined.
``Sec. 4493. Method of collecting tax.

``SEC. 4491. IMPOSITION OF TAX.

    ``(a) Imposition of Tax.--There is hereby imposed on each mobile 
mounted concrete boom pump vehicle a tax determined at the applicable 
rate per mile for each mile traveled in the United States.
    ``(b) Applicable Rate.--For purposes of subsection (a), the 
applicable rate shall be--
            ``(1) $0.05 per mile for a mobile mounted concrete boom 
        pump vehicle with a gross vehicle weight which does not exceed 
        60,000 pounds, and
            ``(2) $0.07 per mile for a mobile mounted concrete boom 
        pump vehicle with a gross vehicle weight which exceeds 60,000 
        pounds.
    ``(c) By Whom Paid.--The tax imposed by subsection (a) shall be 
paid by the owner of the mobile mounted concrete boom pump vehicle.
    ``(d) Credit Against Tax.--At the election of the taxpayer, there 
shall be allowed as a credit against the tax imposed by subsection (a) 
for any taxable period the amount of tax imposed with respect to such 
vehicle under sections 4053, 4081, and 4481 for such period. The credit 
allowed under the preceding sentence with respect to a quantity of 
liquid shall be in lieu of a payment under section 6427 with respect to 
such quantity.
    ``(e) Special Rules for Determining Mileage.--In determining 
mileage for purposes of this section, the Secretary shall work in close 
coordination with the Secretary of Transportation to develop a system 
for administration and compliance with this section. Such system 
shall--
            ``(1) work in tandem with the engine control modules of the 
        affected vehicles,
            ``(2) minimize the administrative burdens on pump owners 
        and operators,
            ``(3) minimize the administrative burden on the Department 
        of Transportation,
            ``(4) integrate with State and local transportation revenue 
        mechanisms (including demand management systems),
            ``(5) protect the privacy of participating companies and 
        employees, and
            ``(6) allow third party administrators to manage data 
        collection and refund payments to operators.
There is authorized to be appropriated not more than $5,000,000 for 
costs associated with developing and implementing such system, 
including for making grants to private companies where appropriate to 
develop and deploy on-board technologies to track and report road miles 
traveled.

``SEC. 4492. MOBILE MOUNTED CONCRETE BOOM PUMP VEHICLE DEFINED.

    ``For purposes of this subchapter, the term `mobile mounted 
concrete boom pump vehicle' means a vehicle--
            ``(1) which is mobile machinery (as defined in section 
        4053(8)), and
            ``(2) on which the mounted machinery consists of a concrete 
        boom pump and related subordinate parts.

``SEC. 4493. METHOD OF COLLECTING TAX.

    ``(a) Collection by Return.--The taxes imposed by section 4491 
shall be collected on the basis of a return for a calendar quarter. The 
Secretary shall, by regulation, prescribe the time for filing such 
return, the information to be shown in such return, and the time for 
payment of such tax.
    ``(b) Payment Due Date.--Except as otherwise provided in this 
subsection, the last day for payment of such tax shall be the 14th day 
after the last day of the calendar quarter for which the return is 
filed under subsection (a).
    ``(c) Calendar Quarter.--For purposes of this section, the term 
`calendar quarter' means the three-month period ending on March 31, 
June 30, September 30, or December 31.''.
    (b) Highway Mileage Limitation Not Applicable.--Subparagraph (C) of 
section 6421(e)(2) of such Code is amended by adding at the end the 
following new clause:
                            ``(v) Exception to use requirement for 
                        mobile mounted concrete boom pump vehicle.--In 
                        the case of a mobile mounted concrete boom pump 
                        vehicle (as defined in section 4492), clause 
                        (ii) shall be applied without regard to 
                        subclause (II) (relating to the use-based 
                        test).''.
    (c) Nontaxable Use.--Subsection (b) of section 4082 of such Code 
(defining nontaxable use) is amended by inserting ``(other than a use 
by a vehicle described in clause (v) thereof'' after ``section 
6421(e)(2)(C)''.
    (d) Deposit Into Highway Trust Fund.--Paragraph (1) of section 
9503(b) of such Code (relating to transfer to Highway Trust Fund of 
amounts equivalent to certain taxes and penalties) is amended by 
striking ``and'' at the end of subparagraph (D), by striking the period 
at the end of subparagraph (E) and inserting ``, and'', and by 
inserting after paragraph (E) the following new subparagraph:
                    ``(F) section 4491 (relating to vehicle mileage 
                tax).''.
    (e) Clerical Amendment.--The table of subchapters for chapter 36 of 
such Code is amended by inserting after the item relating to subchapter 
D the following new item:

                 ``subchapter e. vehicle mileage tax''.

    (f) Effective Date.--The amendments made by this section shall take 
effect on January 1, 2011.
Example Output: Transportation Finance Innovation Demonstration Act of 2010 - Amends the Internal Revenue Code to impose a vehicle mileage tax on mobile mounted concrete boom pump vehicles. Defines "mobile mounted concrete boom pump vehicle" as a vehicle which is mobile machinery and on which the mounted machinery consists of a concrete boom pump and related subordinate parts.

Example Input: SECTION 1. SHORT TITLE.

    This Act may be cited as the ``United States Fire Administration 
Reauthorization Act of 2008''.

SEC. 2. FINDINGS.

    Congress finds the following:
            (1) The loss of life due to fire has dropped significantly 
        over the last 25 years in the United States. However, the 
        United States still has one of the highest fire death rates in 
        the industrialized world. For 2006, the National Fire 
        Protection Association reported 3,245 civilian fire deaths, 
        17,925 civilian fire injuries, and $11,307,000,000 in direct 
        losses due to fire.
            (2) Every year, over 100 firefighters die in the line of 
        duty. The United States Fire Administration should continue its 
        leadership to help local fire agencies dramatically reduce 
        these fatalities.
            (3) Members of the fire service community should continue 
        to work together to further the promotion of national voluntary 
        consensus standards that increase firefighter safety.
            (4) The United States Fire Administration provides crucial 
        support to the Nation's 30,300 fire departments through 
        training, data collection, fire awareness and education, and 
        other activities for improving fire prevention, control, and 
        suppression technologies.
            (5) The collection of data on fire and other emergency 
        incidents is a vital tool both for policy makers and emergency 
        responders to identify and develop responses to emerging 
        hazards. Improving the United States Fire Administration's data 
        collection capabilities is essential for accurately tracking 
        and responding to the magnitude and nature of the Nation's fire 
        problem.
            (6) The research and development performed by the Federal 
        Government and non-government organizations on fire 
        technologies, techniques, and tools advance the capabilities of 
        the Nation's fire service to prevent and suppress fires.
            (7) The United States Fire Administration is one of the 
        strongest voices representing the Nation's fire service within 
        the Federal Government, and, as such, it should have a 
        prominent place within the Federal Government.

SEC. 3. AUTHORIZATION OF APPROPRIATIONS FOR UNITED STATES FIRE 
              ADMINISTRATION.

    Section 17(g)(1) of the Federal Fire Prevention and Control Act of 
1974 (15 U.S.C. 2216(g)(1)) is amended--
            (1) in subparagraph (C), by striking ``and'' after the 
        semicolon;
            (2) in subparagraph (D), by striking the period at the end 
        and inserting a semicolon; and
            (3) by adding after subparagraph (D) the following new 
        subparagraphs:
                    ``(E) $70,000,000 for fiscal year 2009;
                    ``(F) $72,100,000 for fiscal year 2010;
                    ``(G) $74,263,000 for fiscal year 2011; and
                    ``(H) $76,490,890 for fiscal year 2012.''.

SEC. 4. NATIONAL FIRE ACADEMY TRAINING PROGRAM MODIFICATIONS AND 
              REPORTS.

    (a) Amendments to Fire Academy Training.--Section 7(d)(1) of the 
Federal Fire Prevention and Control Act of 1974 (15 U.S.C. 2206(d)(1)) 
is amended--
            (1) by amending subparagraph (H) to read as follows:
                    ``(H) response, tactics, and strategies for dealing 
                with national catastrophes, including terrorist-caused 
                national catastrophes and incidents that involve 
                weapons of mass destruction;'';
            (2) in subparagraph (K), by striking ``forest'' and 
        inserting ``wildland'';
            (3) in subparagraph (M), by striking ``response tactics 
        and'' and inserting ``response, tactics, and'';
            (4) by redesignating subparagraphs (I) through (N) as 
        subparagraphs (M) through (R), respectively; and
            (5) by inserting after subparagraph (H) the following new 
        subparagraphs:
                    ``(I) response, tactics, and strategies for 
                fighting large-scale fires or multiple fires in a 
                general area that cross jurisdictional boundaries;
                    ``(J) response, tactics, and strategies for 
                fighting fires occurring at the wildland-urban 
                interface;
                    ``(K) response, tactics, and strategies for 
                fighting fires involving hazardous materials;
                    ``(L) advanced emergency medical services 
                training;''.
    (b) Triennial Reports.--Section 7 of such Act (15 U.S.C. 2206) is 
amended by adding at the end the following new subsection:
    ``(m) Triennial Report.--In the first annual report filed pursuant 
to section 16 for which the deadline for filing is after the expiration 
of the 18-month period that begins on the date of the enactment of the 
United States Fire Administration Reauthorization Act of 2008, and in 
every third annual report thereafter, the Administrator shall include 
information about changes made to the Academy curriculum, including--
            ``(1) the basis for such changes, including a review of the 
        incorporation of lessons learned by emergency response 
        personnel after significant emergency events and emergency 
        preparedness exercises performed under the National Exercise 
        Program; and
            ``(2) the desired training outcome of all such changes.''.
    (c) Authorizing the Administrator to Enter Into Contracts to 
Provide On-Site Training Through Certain Accredited Organizations.--
Section 7(f) of such Act (15 U.S.C. 2206(f)) is amended to read as 
follows:
    ``(f) Assistance.--
            ``(1) In general.--The Administrator is authorized to 
        provide assistance to State and local fire service training 
        programs through grants, contracts, or otherwise.
            ``(2) Authorization to enter into contracts to provide on-
        site training through certain accredited organizations.--
                    ``(A) In general.--The Administrator is authorized 
                to enter into a contract with one or more nationally 
                recognized organizations that have established on-site 
                training programs that prepare fire service personnel 
                to meet national voluntary consensus standards for fire 
                service personnel and that facilitate the delivery of 
                the education and training programs outlined in 
                subsection (d)(1) directly to fire service personnel.
                    ``(B) Restrictions.--The Administrator shall not 
                enter into a contract with such organization unless 
                such organization--
                            ``(i) provides training that leads to 
                        certification by a program accredited by a 
                        nationally recognized accreditation 
                        organization; or
                            ``(ii) at the time the Administrator enters 
                        into the contract, provides training under such 
                        a program under a cooperative agreement with a 
                        Federal agency.
            ``(3) Restriction on use of funds.--The amounts expended by 
        the Administrator to carry out this subsection in any fiscal 
        year shall not exceed 4 percent of the amount authorized to be 
        appropriated in such fiscal year pursuant to section 17 of this 
        Act.''.
    (d) Incident Command Training Course for Fires at Ports Required.--
Not later than 2 years after the date of the enactment of this Act, the 
Administrator of the United States Fire Administration, in consultation 
with the Superintendent of the National Academy for Fire Prevention and 
Control, shall consolidate and integrate into the current Academy 
curriculum a course on incident command training for fire service 
personnel for fighting fires at United States ports and in marine 
environments, including fires on the water and aboard vessels. Such 
course shall not relate to border and port security.

SEC. 5. NATIONAL FIRE INCIDENT REPORTING SYSTEM UPGRADES.

    (a) Incident Reporting System Database.--Section 9 of the Federal 
Fire Prevention and Control Act of 1974 (15 U.S.C. 2208) is amended by 
adding at the end the following new subsection:
    ``(d) National Fire Incident Reporting System Update.--Of the 
amounts made available pursuant to subparagraphs (E), (F), and (G) of 
section 17(g)(1), the Administrator shall use no more than an aggregate 
amount of $5,000,000 during the 3-year period consisting of fiscal 
years 2009, 2010, and 2011 to carry out activities necessary to update 
the National Fire Incident Reporting system to an Internet-based, real-
time incident reporting database, including capital investment, 
contractor engagement, and user education.''.
    (b) Technical Correction.--Section 9(b)(2) of such Act (15 U.S.C. 
2208(b)(2)) is amended by striking ``assist State,'' and inserting 
``assist Federal, State,''.

SEC. 6. FIRE TECHNOLOGY ASSISTANCE AND DISSEMINATION.

    (a) Assistance to Fire Services for Fire Prevention and Control in 
Wildland-Urban Interface.--Section 8(d) of the Federal Fire Prevention 
and Control Act of 1974 (15 U.S.C. 2207(d)) is amended--
            (1) by striking ``Rural Assistance'' in the heading and 
        inserting ``Rural and Wildland-Urban Interface Assistance'';
            (2) by striking ``The Administrator'' and inserting ``(1) 
        The Administrator''; and
            (3) by adding at the end the following new paragraph:
    ``(2) The Administrator is authorized to assist the Nation's fire 
services, directly or through contracts, grants, or other forms of 
assistance, for activities and equipment to improve fire prevention and 
control in the wildland-urban interface.''.
    (b) Dissemination.--Section 8 of such Act (15 U.S.C. 2207) is 
amended by adding at the end the following new subsection:
    ``(h) Dissemination.--Beginning 1 year after the date of the 
enactment of the United States Fire Administration Reauthorization Act 
of 2008, the Administrator, in collaboration with the relevant 
departments and agencies of the Federal Government, shall make 
available to the public information regarding United States Fire 
Administration funded activities to advance new knowledge and best 
practices in firefighting, through a regularly updated Internet 
database.''.

SEC. 7. ENCOURAGING ADOPTION OF STANDARDS FOR FIREFIGHTER HEALTH AND 
              SAFETY.

    The Federal Fire Prevention and Control Act of 1974 (15 U.S.C. 2201 
et seq.) is amended by adding at the end the following new sections:

``SEC. 37. ENCOURAGING ADOPTION OF STANDARDS FOR FIREFIGHTER HEALTH AND 
              SAFETY.

    ``The Administrator shall promote adoption by fire services of 
national voluntary consensus standards for firefighter health and 
safety, including such standards for firefighter operations, training, 
staffing, and fitness, by educating fire services about such standards, 
encouraging the adoption at all levels of government of such standards, 
and making recommendations on other ways in which the Federal 
Government can promote the adoption of such standards by fire services.

``SEC. 38. TRAINING AGENCIES ON IMPORTANCE OF CLEARING BIOMASS IN 
              WILDLAND AREAS TO PROMOTE FIREFIGHTER SAFETY.

    ``In collaboration with the relevant departments and agencies of 
the Federal Government, the Administrator shall develop and provide 
information and training to relevant departments and agencies of the 
Federal Government on the importance of clearing biomass in wildland 
areas of Federal lands to promote the safety of firefighters.''.

SEC. 8. COORDINATION REGARDING FIRE SERVICE-BASED EMERGENCY MEDICAL 
              SERVICES.

    (a) In General.--Section 21(e) of the Federal Fire Prevention and 
Control Act of 1974 (15 U.S.C. 2218(e)) is amended to read as follows:
    ``(e) Coordination.--
            ``(1) In general.--To the extent practicable, the 
        Administrator shall utilize existing programs, data, 
        information, and facilities already available in other Federal 
        Government departments and agencies and, where appropriate, 
        existing research organizations, centers, and universities.
            ``(2) Coordination of fire prevention and control 
        programs.--The Administrator shall provide liaison at an 
        appropriate organizational level to assure coordination of the 
        Administrator's activities with State and local government 
        agencies, departments, bureaus, or offices concerned with any 
        matter related to programs of fire prevention and control with 
        private and other Federal organizations and offices so 
        concerned.
            ``(3) Coordination of fire service-based emergency medical 
        services programs.--The Administrator shall provide liaison at 
        an appropriate organizational level to assure coordination of 
        the Administrator's activities with State and local government 
        agencies, departments, bureaus, or offices concerned with 
        programs related to emergency medical services provided by fire 
        service-based systems with private and other Federal 
        organizations and offices so concerned.''.
    (b) Fire Service-Based Emergency Medical Services Best Practices.--
Section 8(c) of such Act (15 U.S.C. 2207(c)) is amended--
            (1) by redesignating paragraphs (2) through (4) as 
        paragraphs (3) through (5), respectively; and
            (2) by inserting after paragraph (1) the following new 
        paragraph:
    ``(2) The Administrator is authorized to conduct, directly or 
through contracts or grants, studies of the operations and management 
aspects of fire service-based emergency medical services and 
coordination between emergency medical services and fire services. Such 
studies may include the optimum protocols for on-scene care, the 
allocation of resources, and the training requirements for fire 
service-based emergency medical services.''.

SEC. 9. DEFINITIONS.

    Section 4 of the Federal Fire Prevention and Control Act of 1974 
(15 U.S.C. 2203) is amended--
            (1) in paragraph (3), by striking ``Administration'' and 
        inserting ``Administration, who is the Assistant Administrator 
        of the Federal Emergency Management Agency'';
            (2) in paragraph (7), by striking ``and'' after the 
        semicolon;
            (3) in paragraph (8), by striking the period at the end and 
        inserting ``; and'';
            (4) by redesignating paragraphs (6), (7), and (8) as 
        paragraphs (7), (8), and (9), respectively;
            (5) by inserting after paragraph (5) the following new 
        paragraph:
            ``(6) `hazardous materials' has the meaning given such term 
        in section 5102(2) of title 49, United States Code;''; and
            (6) by adding at the end the following new paragraph:
            ``(10) `wildland-urban interface' has the meaning given 
        such term in section 101(16) of the Healthy Forests Restoration 
        Act of 2003 (16 U.S.C. 6511(16)).''.

SEC. 10. SUPPORTING THE ADOPTION OF FIRE SPRINKLERS.

    Congress supports the recommendations of the United States Fire 
Administration regarding the adoption of fire sprinklers in commercial 
buildings and educational programs to raise awareness of the importance 
of installing fire sprinklers in residential buildings.

            Passed the House of Representatives April 3, 2008.

            Attest:

                                            LORRAINE C. MILLER,

                                                                 Clerk.
Example Output: United States Fire Administration Reauthorization Act of 2008 - (Sec. 3) Amends the Federal Fire Prevention and Control Act of 1974 to authorize appropriations for the U.S. Fire Administration (USFA) for FY2009-FY2012.

(Sec. 4) Authorizes the Superintendent of the National Academy for Fire Prevention and Control to include within fire service personnel training: (1) response, tactics, and strategies for dealing with non-terrorist-caused national catastrophes and incidents that involve weapons of mass destruction; (2) applying new technology and developing strategies and tactics for fighting wildfires; (3) response, tactics, and strategies for fighting large-scale or multiple fires in a general area that cross jurisdictional boundaries, fires occurring at the wildland-urban interface, and fires involving hazardous materials; and (4) advanced emergency medical services (EMS) training.

Requires the Administrator of USFA to: (1) include in triennial reports information about changes made to the National Fire Academy curriculum; and (2) consolidate and integrate into that curriculum a course on incident command training for fire service personnel for fighting fires at U.S. ports and in marine environments, including fires on the water and aboard vessels. Provides that such course shall not relate to border and port security.

Authorizes the Administrator to contract with one or more nationally recognized organizations that have established on-site training programs that prepare fire service personnel to meet national voluntary consensus standards for fire service personnel and that facilitate delivery of education and training programs, provided that such an organization: (1) provides training that leads to certification by a program accredited by a nationally recognized accreditation organization; or (2) provides training under such a program pursuant to a cooperative agreement with a federal agency. Limits the amounts that may be expended by the Administrator to carry out this provision to 4% of the amount authorized to be appropriated in that fiscal year to facilitate the delivery of education and training programs directly to fire service personnel.

(Sec. 5) Directs the Administrator to use specified funds during FY2009-FY2011 to update the National Fire Incident Reporting system to an Internet-based, real-time incident reporting database.

(Sec. 6) Authorizes the Administrator to assist the nation's fire services for activities and equipment to improve fire prevention and control in the wildland-urban interface. Directs the Administrator to make available to the public information regarding USFA funded activities, to advance new knowledge and best practices in firefighting through a regularly updated Internet database.

(Sec. 7) Requires the Administrator to: (1) promote adoption by fire services of voluntary national consensus standards for firefighter health and safety; and (2) develop and provide information and training to relevant federal departments on the importance of clearing biomass in wildland areas of federal lands to promote firefighter safety.

(Sec. 8) Directs the Administrator to provide liaison to assure coordination of fire service-based EMS programs. Authorizes the Administrator to conduct studies of the operations and management aspects of fire service-based EMS and coordination between EMS and fire services, including the optimum protocols for on-scene care, the allocation of resources, and the training requirements for fire service-based EMS.

(Sec. 10) Expresses support for USFA recommendations regarding the adoption of fire sprinklers in commercial buildings and educational programs to raise awareness of the importance of installing fire sprinklers in residential buildings.

Example Input: SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Medicare Patient Access to 
Preventive and Diagnostic Tests Act of 2003''.

SEC. 2. CODING AND PAYMENT PROCEDURES FOR NEW CLINICAL DIAGNOSTIC 
              LABORATORY TESTS UNDER MEDICARE.

    (a) Determining Payment Basis for New Lab Tests.--Section 1833(h) 
of the Social Security Act (42 U.S.C. 1395l(h)) is amended by adding at 
the end the following:
            ``(9)(A) The Secretary shall establish procedures for 
        determining the basis for, and amount of, payment under this 
        subsection for any clinical diagnostic laboratory test with 
        respect to which a new or substantially revised HCPCS code is 
        assigned on or after January 1, 2004 (hereinafter in this 
        paragraph and paragraph (10) referred to as `new tests'). Such 
        procedures shall provide that--
                    ``(i) the payment amount for such a test will be 
                established only on--
                            ``(I) the basis described in paragraph 
                        (10)(A); or
                            ``(II) the basis described in paragraph 
                        (10)(B); and
                    ``(ii) the Secretary will determine whether the 
                payment amount for such a test is established on the 
                basis described in paragraph (10)(A) or the basis 
                described in paragraph (10)(B) only after the process 
                described in subparagraph (B) has been completed with 
                respect to such test.
            ``(B) Determinations under subparagraph (A)(ii) shall be 
        made only after the Secretary--
                    ``(i) makes available to the public (through an 
                Internet site and other appropriate mechanisms) a list 
                that includes any such test for which establishment of 
                a payment amount under paragraph (10) is being 
                considered for a year;
                    ``(ii) on the same day such list is made available, 
                causes to have published in the Federal Register notice 
                of a meeting to receive comments and recommendations 
                (including the data upon which such recommendations are 
                based) from the public on the appropriate basis under 
                paragraph (10) for establishing payment amounts for the 
                tests on such list;
                    ``(iii) not less than 30 days after publication of 
                such notice, convenes a meeting to receive such 
                comments and recommendations, with such meeting--
                            ``(I) including representatives of all 
                        entities within the Centers for Medicare & 
                        Medicaid Services (hereinafter in this 
                        paragraph referred to as `CMS') that will 
be involved in determining the basis on which payment amounts will be 
established for such tests under paragraph (10) and implementing such 
determinations;
                            ``(II) encouraging the participation of 
                        interested parties, including beneficiaries, 
                        device manufacturers, clinical laboratories, 
                        laboratory professionals, pathologists, and 
                        prescribing physicians, through outreach 
                        activities; and
                            ``(III) affording opportunities for 
                        interactive dialogue between representatives of 
                        CMS and the public; and
                    ``(iv) taking into account the comments and 
                recommendations received at such meeting, develops and 
                makes available to the public (through an Internet site 
                and other appropriate mechanisms) a list of proposed 
                determinations with respect to the appropriate basis 
                for establishing a payment amount under paragraph (10) 
                for each such code, together with an explanation of the 
                reasons for each such determination, and the data on 
                which the determination is based.
        The Secretary may convene such further public meetings to 
        receive public comment on payment amounts for new tests under 
        this subsection as the Secretary determines appropriate.
            ``(C) Under the procedures established pursuant to 
        subparagraph (A), the Secretary shall--
                    ``(i) identify the rules and assumptions to be 
                applied by the Secretary in considering and making 
                determinations of whether the payment amount for a new 
                test should be established on the basis described in 
                paragraph (10)(A) or the basis described in paragraph 
                (10)(B);
                    ``(ii) make available to the public the data (other 
                than proprietary data) considered in making such 
                determinations; and
                    ``(iii) provide for a mechanism under which--
                            ``(I) an interested party may request an 
                        administrative review of an adverse 
                        determination;
                            ``(II) upon the request of an interested 
                        party, an administrative review is conducted 
                        with respect to an adverse determination; and
                            ``(III) such determination is revised, as 
                        necessary, to reflect the results of such 
                        review.
                    ``(D) For purposes of this paragraph and paragraph 
                (10)--
                            ``(i) the term `HCPCS' refers to the 
                        Healthcare Common Procedure Coding System; and
                            ``(ii) a code shall be considered to be 
                        `substantially revised' if there is a 
                        substantive change to the definition of the 
                        test or procedure to which the code applies 
                        (such as a new analyte or a new methodology for 
                        measuring an existing analyte-specific test).
            ``(10)(A) Notwithstanding paragraphs (1), (2), and (4), if 
        a new test is clinically similar to a test for which a fee 
schedule amount has been established under paragraph (5), the Secretary 
shall pay the same fee schedule amount for the new test. In determining 
whether tests are clinically similar for purposes of this paragraph, 
the Secretary may not take into account economic factors.
            ``(B)(i) Notwithstanding paragraphs (1), (2), (4), and (5), 
        if a new test is not clinically similar to a test for which a 
        fee schedule has been established under paragraph (5), payment 
        under this subsection for such test shall be made on the basis 
        of the lesser of--
                    ``(I) the actual charge for the test; or
                    ``(II) an amount equal to 60 percent (or in the 
                case of a test performed by a qualified hospital (as 
                defined in paragraph (1)(D)) for outpatients of such 
                hospital, 62 percent) of the prevailing charge level 
                determined pursuant to the third and fourth sentences 
                of section 1842(b)(3) for the test for a locality or 
                area for the year (determined without regard to the 
                year referred to in paragraph (2)(A)(i), or any 
                national limitation amount under paragraph (4)(B), and 
                adjusted annually by the percentage increase or 
                decrease under paragraph (2)(A)(i));
        until the beginning of the third full calendar year that begins 
        on or after the date on which an HCPCS code is first assigned 
        with respect to such test, or, if later, the beginning of the 
        first calendar year that begins on or after the date on which 
        the Secretary determines that there are sufficient claims data 
to establish a fee schedule amount pursuant to clause (ii).
            ``(ii) Notwithstanding paragraphs (2) and (4), and (5), the 
        fee schedule amount for a clinical diagnostic laboratory test 
        described in clause (i) that is performed--
                    ``(I) during the first calendar year after clause 
                (i) ceases to apply to such test, shall be an amount 
                equal to the national limitation amount that the 
                Secretary determines (consistent with clause (iii)) 
                would have applied to such test under paragraph 
                (4)(B)(viii) during the preceding calendar year, 
                adjusted by the percentage increase or decrease 
                determined under paragraph (2)(A)(i) for such first 
                calendar year; and
                    ``(II) during a subsequent year, is the fee 
                schedule amount determined under this clause for the 
                preceding year, adjusted by the percentage increase or 
                decrease that applies under paragraph (5)(A) for such 
                year.
            ``(iii) For purposes of clause (ii)(I), the national 
        limitation amount for a test shall be set at 100 percent of the 
        median of the payment amounts determined under clause (ii)(I) 
        for all payment localities or areas for the last calendar year 
        for which payment for such test was determined under clause 
        (i).
            ``(iv) Nothing in clause (ii) shall be construed as 
        prohibiting the Secretary from applying (or authorizing the 
        application of) the comparability provisions of the first 
        sentence of such section 1842(b)(3) with respect to amounts 
        determined under such clause.''.
    (b) Establishment of National Fee Schedule Amounts.--
            (1) In general.--Section 1833(h) of the Social Security 
        Act, as amended by subsection (a), is further amended--
                    (A) in paragraph (2), by striking ``paragraph (4)'' 
                and inserting in lieu thereof ``paragraphs (4), (5), 
                and (10)'';
                    (B) in paragraph (4)(B)(viii), by inserting ``and 
                before January 1, 2004,'' after ``December 31, 1997,'';
                    (C) by redesignating paragraphs (5), (6), and (7), 
                as paragraphs (6), (7), and (8), respectively; and
                    (D) by inserting after paragraph (4) the following:
            ``(5) Notwithstanding paragraphs (2) and (4), the Secretary 
        shall set the fee schedule amount for a test (other than a test 
        to which paragraph (10)(B)) applies) at--
                    ``(A) for tests performed during 2004, an amount 
                equal to the national limitation amount for that test 
                for 2003, and adjusted by the percentage increase or 
                decrease determined under paragraph (2)(A)(i) for such 
                year; and
                    ``(B) for tests performed during a year after 2004, 
                the amount determined under this subparagraph for the 
                preceding year, adjusted by the percentage increase or 
                decrease determined under paragraph (2)(A)(i) for such 
                year.''.
            (2) Conforming changes.--Section 1833(a) of the Social 
        Security Act (42 U.S.C. 1395l(a)) is amended--
                    (A) in paragraph (1)(D)(i), by striking ``the 
                limitation amount for that test determined under 
                subsection (h)(4)(B),''; and
                    (B) in paragraph (2)(D)(i), by striking ``the 
                limitation amount for that test determined under 
                subsection (h)(4)(B),''.
    (c) Mechanism for Review of Adequacy of Payment Amounts.--Section 
1833(h) of the Social Security Act, as amended by subsections (a) and 
(b), is further amended by adding at the end the following:
            ``(11) The Secretary shall establish a mechanism under 
        which--
                    ``(A) an interested party may request a timely 
                review of the adequacy of the existing payment amount 
                under this subsection fee for a particular test; and
                    ``(B) upon the receipt of such a request, a timely 
                review is carried out.''.
    (d) Prohibition on Assignment of Certain New Codes.--The Secretary 
may not assign a code for a new clinical diagnostic laboratory test 
that differs from the code recommended by the American Medical 
Association Common Procedure Terminology Editorial Panel and results in 
lower payment than would be made if the Secretary accepted such 
recommendation solely on the basis that the test is a test that may be 
performed by a laboratory with a certificate of waiver under section 
353(d)(2) of the Public Health Service Act (42 U.S.C. 263a(d)(2)).
    (e) Prohibition on Application of Least Costly Alternative to Fee 
Schedule.--Section 1833(h) of the Social Security Act, as amended by 
subsections (a), (b), and (c), is further amended by adding at the end 
the following:
            ``(12) Notwithstanding any other provision of this title, 
        the Secretary may not substitute for the fee schedule amount 
        otherwise established under this subsection for a test a least 
        costly alternative fee schedule amount for the test.''.
    (f) Effective Dates.--
            (1) In general.--The Secretary of Health and Human Services 
        shall establish the procedures required to implement paragraphs 
        (9), (10), and (11) of section 1833(h) of the Social Security 
        Act (42 U.S.C. 1395l(h)), as added by this section, by not 
        later than October 1, 2003.
            (2) Prohibitions.--(A) Subsection (d) shall apply to code 
        assignment determinations made on or after the date of the 
        enactment of this Act.
            (B) The amendment made by subsection (e) shall apply to 
        tests furnished on or after the date of the enactment of this 
        Act without regard to whether a determination to substitute a 
        least costly alternative fee schedule amount for a test was 
        made before, on, or after such date.
Example Output:
Medicare Patient Access to Preventive and Diagnostic Tests Act of 2003 - Amends title XVIII (Medicare) of the Social Security Act to direct the Secretary of Health and Human Services to: (1) establish procedures for determining the basis for, and amount of, Medicare payment for any clinical diagnostic laboratory test with respect to which a new or substantially revised Health Care Financing Administration Common Procedure Coding System (HCPCS) code is assigned on or after January 1, 2004; (2) set the national fee schedule amounts for tests performed; and (3) establish a mechanism for review of the adequacy of payment amounts for a particular test.Prohibits the Secretary from: (1) assigning a code for a new clinical diagnostic laboratory test that differs from the code recommended by the American Medical Association Common Procedure Terminology Editorial Panel and results in lower payment than would be made if the Secretary accepted such recommendation solely on the basis that the test is a test that may be performed by a laboratory with a certificate of waiver under the Public Health Service Act; or (2) substituting for the fee schedule amount otherwise established under the Act for a test a least costly alternative fee schedule amount.