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 ``Little Shell Tribe of Chippewa 
Indians Restoration Act of 2007''.

SEC. 2. FINDINGS.

    Congress finds that--
            (1) the Little Shell Tribe of Chippewa Indians is a 
        political successor to signatories of the Pembina Treaty of 
        1863, under which a large area of land in the State of North 
        Dakota was ceded to the United States;
            (2) the Turtle Mountain Band of Chippewa of North Dakota 
        and the Chippewa-Cree Tribe of the Rocky Boy's Reservation of 
        Montana, which also are political successors to the signatories 
        of the Pembina Treaty of 1863, have been recognized by the 
        Federal Government as distinct Indian tribes;
            (3) the members of the Little Shell Tribe continue to live 
        in the State of Montana, as their ancestors have for more than 
        100 years since ceding land in the State of North Dakota as 
        described in paragraph (1);
            (4) in the 1930s and 1940s, the Tribe repeatedly petitioned 
        the Federal Government for reorganization under the Act of June 
        18, 1934 (25 U.S.C. 461 et seq.) (commonly known as the 
        ``Indian Reorganization Act'');
            (5) Federal agents who visited the Tribe and Commissioner 
        of Indian Affairs John Collier attested to the responsibility 
        of the Federal Government for the Tribe and members of the 
        Tribe, concluding that members of the Tribe are eligible for, 
        and should be provided with, trust land, making the Tribe 
        eligible for reorganization under the Act of June 18, 1934 (25 
        U.S.C. 461 et seq.) (commonly known as the ``Indian 
        Reorganization Act'');
            (6) due to a lack of Federal appropriations during the 
        Depression, the Bureau of Indian Affairs lacked adequate 
        financial resources to purchase land for the Tribe, and the 
        members of the Tribe were denied the opportunity to reorganize;
            (7) in spite of the failure of the Federal Government to 
        appropriate adequate funding to secure land for the Tribe as 
        required for reorganization under the Act of June 18, 1934 (25 
        U.S.C. 461 et seq.) (commonly known as the ``Indian 
        Reorganization Act''), the Tribe continued to exist as a 
        separate community, with leaders exhibiting clear political 
        authority;
            (8) the Tribe, together with the Turtle Mountain Band of 
        Chippewa of North Dakota and the Chippewa-Cree Tribe of the 
        Rocky Boy's Reservation of Montana, filed 2 law suits under the 
        Act of August 13, 1946 (60 Stat. 1049) (commonly known as the 
        ``Indian Claims Commission Act''), to petition for additional 
        compensation for land ceded to the United States under the 
        Pembina Treaty of 1863 and the McCumber Agreement of 1892;
            (9) in 1971 and 1982, pursuant to Acts of Congress, the 
        tribes received awards for the claims described in paragraph 
        (8);
            (10) in 1978, the Tribe submitted to the Bureau of Indian 
        Affairs a petition for Federal recognition, which is still 
        pending as of the date of enactment of this Act; and
            (11) the Federal Government, the State of Montana, and the 
        other federally recognized Indian tribes of the State have had 
        continuous dealings with the recognized political leaders of 
        the Tribe since the 1930s.

SEC. 3. DEFINITIONS.

    In this Act:
            (1) Member.--The term ``member'' means an individual who is 
        enrolled in the Tribe pursuant to section 7.
            (2) Secretary.--The term ``Secretary'' means the Secretary 
        of the Interior.
            (3) Tribe.--The term ``Tribe'' means the Little Shell Tribe 
        of Chippewa Indians of Montana.

SEC. 4. FEDERAL RECOGNITION.

    (a) In General.--Federal recognition is extended to the Tribe.
    (b) Effect of Federal Laws.--Except as otherwise provided in this 
Act, all Federal laws (including regulations) of general application to 
Indians and Indian tribes, including the Act of June 18, 1934 (25 
U.S.C. 461 et seq.) (commonly known as the ``Indian Reorganization 
Act''), shall apply to the Tribe and members.

SEC. 5. FEDERAL SERVICES AND BENEFITS.

    (a) In General.--Beginning on the date of enactment of this Act, 
the Tribe and each member shall be eligible for all services and 
benefits provided by the United States to Indians and federally 
recognized Indian tribes, without regard to--
            (1) the existence of a reservation for the Tribe; or
            (2) the location of the residence of any member on or near 
        an Indian reservation.
    (b) Service Area.--For purposes of the delivery of services and 
benefits to members, the service area of the Tribe shall be considered 
to be the area comprised of Blaine, Cascade, Glacier, and Hill Counties 
in the State of Montana.

SEC. 6. REAFFIRMATION OF RIGHTS.

    (a) In General.--Nothing in this Act diminishes any right or 
privilege of the Tribe or any member that existed before the date of 
enactment of this Act.
    (b) Claims of Tribe.--Except as otherwise provided in this Act, 
nothing in this Act alters or affects any legal or equitable claim of 
the Tribe to enforce any right or privilege reserved by, or granted to, 
the Tribe that was wrongfully denied to, or taken from, the Tribe 
before the date of enactment of this Act.

SEC. 7. MEMBERSHIP ROLL.

    (a) In General.--As a condition of receiving recognition, services, 
and benefits pursuant to this Act, the Tribe shall submit to the 
Secretary, by not later than 18 months after the date of enactment of 
this Act, a membership roll consisting of the name of each individual 
enrolled as a member of the Tribe.
    (b) Determination of Membership.--The qualifications for inclusion 
on the membership roll of the Tribe shall be determined in accordance 
with sections 1 through 3 of article 5 of the constitution of the Tribe 
dated September 10, 1977 (including amendments to the constitution).
    (c) Maintenance of Roll.--The Tribe shall maintain the membership 
roll under this section.

SEC. 8. TRANSFER OF LAND.

    (a) Homeland.--The Secretary shall acquire, for the benefit of the 
Tribe, trust title to 200 acres of land within the service area of the 
Tribe to be used for a tribal land base.
    (b) Additional Land.--The Secretary may acquire additional land for 
the benefit of the Tribe pursuant to section 5 of the Act of June 18, 
1934 (25 U.S.C. 465) (commonly known as the ``Indian Reorganization 
Act'').
Example Output: Little Shell Tribe of Chippewa Indians Restoration Act of 2007 - Extends federal recognition to the Little Shell Tribe of Chippewa Indians of Montana. Makes the Tribe and each member eligible for all services and benefits provided by the United States to Indians and federally recognized Indian tribes, without regard to the existence of a reservation for the Tribe or the location of the residence of any member on or near an Indian reservation.

Directs the Tribe, as a condition of receiving recognition, services, and benefits pursuant to this Act, to submit to the Secretary of the Interior a membership roll consisting of the name of each individual enrolled as a member of the Tribe. Requires the Tribe to maintain such membership roll.

Directs the Secretary to acquire, for the benefit of the Tribe, trust title to 200 acres of land within the Tribe's service area to be used for a tribal land base.

Example Input: SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Sustainable Revenue for Oregon 
Counties Act of 2009''.

SEC. 2. FINDINGS.

    Congress finds that--
            (1) more than half of the land in the State of Oregon is 
        owned by the Federal Government;
            (2) in many counties of the State, significant portions of 
        the land of the counties (often significantly more than half of 
        the land of the counties) is owned by the Federal Government;
            (3) the land described in paragraph (2) includes Forest 
        Service land and Oregon and California grant land;
            (4) the counties described in paragraph (2) are unable to 
        derive revenue from property taxes on land owned by the Federal 
        Government;
            (5) historically, payments made by the Federal Government 
        based on revenues from harvesting timber (including Oregon and 
        California grant land and Forest Service payments) have 
        provided a revenue substitute for property taxes;
            (6) the Secure Rural Schools and Community Self-
        Determination Act of 2000 (16 U.S.C. 500 note; Public Law 106-
        393) augmented the payments described in paragraph (5) because 
        of a significant decline in timber harvest revenues;
            (7) Congress extended the payments described in paragraph 
        (6) for 1 year in 2007, and for 4 years effective beginning in 
        2008, to provide time to develop a long-term sustainable 
        alternative to the payments described in paragraph (6);
            (8) the prospects for a long-term extension are uncertain 
        because of concerns regarding Federal budget deficits and long-
        term financial assistance to local governments of the State;
            (9) counties of the State that have historically received 
        the payments described in paragraph (5) are in need of a 
        sustainable, long-term revenue source;
            (10) there are opportunities for the conduct of activities 
        in the Federal forest land of the counties of the State that 
        could be structured to be economically and environmentally 
        sustainable, including--
                    (A) the harvesting of timber (including thinning to 
                restore forest health) in a sustainable manner and in 
                sustainable quantities;
                    (B) the removal of biomass material from the forest 
                land for--
                            (i) the generation of electricity; and
                            (ii) the production of cellulosic biofuels;
                    (C) the conduct of activities that could--
                            (i) increase the sequestration by the 
                        forest land of atmospheric carbon; or
                            (ii) provide other ecosystem services for 
                        communities, such as clean water; and
                    (D) the conduct of recreational activities;
            (11) other sources of revenue, including State and local 
        revenue sources, should also be considered in selecting a 
        sustainable, long-term revenue source; and
            (12) payments made by the Federal Government could be 
        continued under a variety of different payment methodologies.

SEC. 3. DEFINITIONS.

    In this Act:
            (1) Secretaries concerned.--The term ``Secretaries 
        concerned'' means--
                    (A) the Secretary of Agriculture; and
                    (B) the Secretary of the Interior.
            (2) State.--The term ``State'' means the State of Oregon.
            (3) Task force.--The term ``Task Force'' means the Oregon 
        Task Force on Sustainable Revenue for Counties established by 
        section 4(a).

SEC. 4. TASK FORCE.

    (a) Establishment.--There is established a task force to be known 
as the ``Oregon Task Force on Sustainable Revenue for Counties''.
    (b) Membership.--
            (1) Composition.--The Task Force shall be composed of 15 
        members, of whom--
                    (A) 4 members shall be appointed by the Secretaries 
                concerned, of whom--
                            (i) each shall represent a county of the 
                        State; and
                            (ii) 2 shall represent counties in which 
                        there is located Oregon and California grant 
                        land;
                    (B) 1 member shall be appointed by the Governor of 
                the State as the representative of the Governor of the 
                State;
                    (C) 1 member shall be appointed by the Secretaries 
                concerned from among persons who are experts in 
                economics (including natural resource economics);
                    (D) 1 member shall be appointed by the Secretaries 
                concerned from among persons who are experts in 
                sustainable forestry practices;
                    (E) 1 member shall be appointed by the Secretaries 
                concerned from among persons who are experts in 
                scientific and economic aspects of biomass energy;
                    (F) 1 member shall be appointed by the Secretaries 
                concerned from among persons who are experts in the 
                scientific aspects of ecosystem services that are 
                provided by temperate forests (including, at a minimum, 
                the scientific aspects of carbon sequestration);
                    (G) 1 member shall be appointed by the Secretaries 
                concerned from among persons who are experts in fields 
                relating to wildlife habitat, endangered species, and 
                biodiversity;
                    (H) 1 member shall be appointed by the Secretaries 
                concerned as a representative of the forest products 
                industry located in the State;
                    (I) 1 member shall be appointed by the Secretaries 
                concerned as a representative of regionally or locally 
                recognized conservation organizations located in the 
                State;
                    (J) 1 member shall be appointed by the Secretaries 
                concerned as a representative of--
                            (i) organized labor; or
                            (ii) nontimber forest product harvester 
                        groups;
                    (K) 1 member shall be appointed by the Secretaries 
                concerned as a representative of persons who 
                participate in or provide recreational activities or 
                are engaged in related activities; and
                    (L) 1 member shall be appointed by the Secretaries 
                concerned as a representative of Indian tribes that are 
                located in the State.
            (2) Date of appointments.--The appointment of a member of 
        the Task Force shall be made not later than 60 days after the 
        date of enactment of this Act.
    (c) Term; Vacancies.--
            (1) Term.--A member shall be appointed for the life of the 
        Task Force.
            (2) Vacancies.--A vacancy on the Task Force--
                    (A) shall not affect the powers of the Task Force; 
                and
                    (B) shall be filled in the same manner as the 
                original appointment was made.
    (d) Initial Meeting.--Not later than 30 days after the date on 
which all members of the Task Force have been appointed, the Task Force 
shall hold the initial meeting of the Task Force.
    (e) Meetings.--
            (1) In general.--The Task Force shall meet at the call of 
        the Chairperson.
            (2) Public access.--Each meeting of the Task Force shall be 
        open to the public.
    (f) Quorum.--A majority of the members of the Task Force shall 
constitute a quorum, but a lesser number of members may hold hearings.
    (g) Chairperson and Vice Chairperson.--The Task Force shall select 
a Chairperson and Vice Chairperson from among the members of the Task 
Force.

SEC. 5. DUTIES.

    (a) Consideration and Review of Revenue Sources.--
            (1) In general.--The Task Force shall consider and review 
        concepts for the establishment of a long-term revenue source 
        for counties located in the State that have historically 
        received Federal funds.
            (2) Revenue sources.--In conducting the consideration and 
        review under paragraph (1), in accordance with paragraph (3), 
        the Task Force shall consider--
                    (A) revenue sources proposed by relevant 
                legislation or administrative actions;
                    (B) payments based on timber harvests (including 
                thinning to restore forest health) carried out at 
                sustainable levels;
                    (C) payments based on revenues that each county of 
                the State could have received through property taxation 
                if the land owned by the Federal Government located in 
                the county was privately held and subject to a property 
                tax;
                    (D) revenue based on--
                            (i) a portion of the proceeds from sales of 
                        material collected from public land located in 
                        the State for the production of biomass 
                        electricity or cellulosic liquid transportation 
                        fuels;
                            (ii) user fees for recreational activities 
                        carried out on public land located in the 
                        State;
                            (iii) payments for increases in carbon 
                        sequestration; and
                            (iv) land exchanges or transfers that could 
                        provide compensation for nontaxable Federal 
                        land located in counties of the State;
                    (E) local sources of revenue that could be used to 
                reduce or eliminate the reliance of counties of the 
                State on Federal funds (including taxes, user fees, or 
                economic development activities that could increase the 
                revenue base of the counties of the State);
                    (F) payments made by the Federal Government to the 
                counties of the State, including--
                            (i) guaranteed payments that are to be 
                        established at a reduced level and not based on 
                        timber harvest revenues; and
                            (ii) guaranteed payments that are to be 
                        established--
                                    (I) at a level similar to the level 
                                of payments reauthorized in 2008;
                                    (II) in part by timber harvest 
                                revenues; and
                                    (III) with the use of additional 
                                Federal funds to the extent that timber 
                                harvest revenues described in subclause 
                                (II) do not meet the guaranteed level 
                                of payment; and
                    (G) any other revenue source that the Task Force 
                determines to be appropriate for consideration and 
                review.
            (3) Factors.--In considering each revenue source under 
        paragraph (2), the Task Force shall take into account--
                    (A) the long-term sustainability of each revenue 
                source considered under paragraph (2);
                    (B) the relative value, long-term sustainability, 
                and any other implication of the relative reliance of 
                the counties of the State on revenues arising from 
                Federal forests located in the counties, as compared to 
                other local revenue sources;
                    (C) the potential long-term effects of each revenue 
                source considered under paragraph (2) on the economies 
                of the counties of the State;
                    (D) revenue sources that are used by other cities 
                or counties of the State;
                    (E) the environmental effects of each revenue 
                source considered under paragraph (2);
                    (F) the effect of each revenue source considered 
                under paragraph (2) on local revenue streams and county 
                services; and
                    (G) comments submitted to the Task Force by a 
                stakeholder relating to any issue or proposal 
                considered by the Task Force.
    (b) Hearings.--
            (1) In general.--The Task Force shall hold such hearings, 
        meet and act at such times and places, take such testimony, and 
        receive such evidence as the Task Force considers advisable to 
        receive the input and determine the opinions of the public and 
        stakeholders with respect to the establishment of a 
        sustainable, long-term revenue source for the counties of the 
        State.
            (2) Incorporation of public and stakeholder input.--In 
        preparing the report required under subsection (c), the Task 
        Force shall incorporate into the recommendations of the Task 
        Force required under subsection (c)(2), to the maximum extent 
        practicable, the public and stakeholder input received under 
        paragraph (1).
    (c) Report.--Not later than 9 months after the date of enactment of 
this Act, the Task Force shall submit to the Committee on Natural 
Resources of the House of Representatives and the Committee on Energy 
and Natural Resources of the Senate a report that contains--
            (1) a detailed statement of the findings and conclusions of 
        the Task Force;
            (2) a description of not less than 2 policy scenarios for 
        providing sustainable revenue to the counties of the State that 
        are recommended by not less than \3/5\ of the members of the 
        Task force for consideration by the Federal Government, the 
        State, and the counties of the State as the Task Force 
        considers appropriate (including such legislation and 
        administrative actions necessary to implement each policy 
        scenario);
            (3) a description of the opinion of each member of the Task 
        Force regarding each policy scenario described in paragraph 
        (2);
            (4) a description of the minority views of each member of 
        the Task Force who does not support any policy scenario 
        described in paragraph (2);
            (5) a description of each revenue source considered but not 
        recommended by the Task Force under paragraph (2), including--
                    (A) an explanation of each reason why the Task 
                Force did not recommend the policy scenario; and
                    (B) a description of the minority views of each 
                member of the Task Force relating to the decision by 
                the Task Force not to recommend the policy scenario; 
                and
            (6) a summary of comments received by the Task Force under 
        subsections (a)(3)(G) and (b)(1).
    (d) Required Hearings.--Not later than 60 days after the date on 
which each committee described in subsection (c) receives the report 
required under that subsection, each committee shall hold a hearing to 
evaluate the recommendations contained in the report.

SEC. 6. POWERS.

    (a) Information From Federal Agencies.--
            (1) In general.--The Task Force may secure directly from a 
        Federal agency such information as the Task Force considers 
        necessary to carry out this Act.
            (2) Provision of information.--On request of the 
        Chairperson of the Task Force, the head of the agency shall 
        provide the information to the Task Force.
    (b) Postal Services.--The Task Force may use the United States 
mails in the same manner and under the same conditions as other 
agencies of the Federal Government.
    (c) Gifts.--The Task Force may accept, use, and dispose of gifts or 
donations of services or property.

SEC. 7. TASK FORCE PERSONNEL MATTERS.

    (a) Compensation of Members.--Each member of the Task Force shall 
serve without compensation.
    (b) Travel Expenses.--A member of the Task Force shall be allowed 
travel expenses, including per diem in lieu of subsistence, at rates 
authorized for an employee of an agency under subchapter I of chapter 
57 of title 5, United States Code, while away from the home or regular 
place of business of the member in the performance of the duties of the 
Task Force.
    (c) Detail of Federal Government Employees.--
            (1) In general.--An employee of the Federal Government may 
        be detailed to the Task Force without reimbursement.
            (2) Civil service status.--The detail of the employee shall 
        be without interruption or loss of civil service status or 
        privilege.
    (d) Procurement of Temporary and Intermittent Services.--The 
Chairperson of the Task Force may procure temporary and intermittent 
services in accordance with section 3109(b) of title 5, United States 
Code, at rates for individuals that do not exceed the daily equivalent 
of the annual rate of basic pay prescribed for level V of the Executive 
Schedule under section 5316 of that title.

SEC. 8. AUTHORIZATION OF APPROPRIATIONS.

    There are authorized to be appropriated such sums as are necessary 
to carry out this Act, to remain available until expended.

SEC. 9. TERMINATION OF TASK FORCE.

    The Task Force shall terminate 120 days after the date on which the 
Task Force submits the report of the Task Force under section 5(c).
Example Output: Sustainable Revenue for Oregon Counties Act of 2009 - Establishes the Oregon Task Force on Sustainable Revenue for Counties to consider and review concepts for the establishment of a long-term revenue source for counties in Oregon that have historically received federal funds.

Directs the Task Force, in conducting the consideration and review, to consider: (1) revenue sources proposed by relevant legislation or administrative actions; (2) payments based on timber harvests, including thinning to restore forest health, carried out at sustainable levels; (3) payments based on the revenues each county could have received through property taxation if the land owned by the federal government was privately held and subject to a property tax; (4) revenue based on a portion of the proceeds from sales of material collected from public land in Oregon for the production of biomass electricity or cellulosic liquid transportation fuels, user fees for recreational activities on such land, payments for increases in carbon sequestration, and land exchanges or transfers that could provide compensation for nontaxable federal land in the counties; (5) local revenue sources that could be used to reduce or eliminate reliance of the counties on federal funds; (6) federal payments made by the government to the counties, including specified guaranteed payments; and (7) any other revenue source appropriate for review.

Requires the Task Force to hold hearings on the establishment of a sustainable, long-term revenue source for the counties.

Example Input: SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Medicare Ambulance Payment Reform 
Act of 2001''.

SEC. 2. AMBULANCE PAYMENT RATES.

    (a) Payment Rates.--
            (1) In general.--Section 1834(l)(3) of the Social Security 
        Act (42 U.S.C. 1395m(l)(3)) is amended to read as follows:
            ``(3) Payment rates.--
                    ``(A) In general.--Subject to any adjustment under 
                subparagraph (B) and paragraph (9) and the full payment 
                of a national mileage rate pursuant to subparagraph 
                (2)(E), in establishing such fee schedule, the 
                following rules shall apply:
                            ``(i) Payment rates in 2002.--
                                    ``(I) Ground ambulance services.--
                                In the case of ground ambulance 
                                services furnished under this part in 
                                2002, the Secretary shall set the 
                                payment rates under the fee schedule 
                                for such services at a rate based on 
                                the average costs (as determined by the 
                                Secretary on the basis of the most 
                                recent and reliable information 
                                available) incurred by full cost 
                                ambulance suppliers in providing 
                                nonemergency basic life support 
                                ambulance services covered under this 
                                title, with adjustments to the rates 
                                for other ground ambulance service 
                                levels to be determined based on the 
                                rule established under paragraph (1). 
                                For the purposes of the preceding 
                                sentence, the term `full cost ambulance 
                                supplier' means a supplier for which 
                                volunteers or other unpaid staff 
                                comprise less than 20 percent of the 
                                supplier's total staff and which 
                                receives less than 20 percent of space 
                                and other capital assets free of 
                                charge.
                                    ``(II) Other ambulance services.--
                                In the case of ambulance services not 
                                described in subclause (I) that are 
                                furnished under this part in 2002, the 
                                Secretary shall set the payment rates 
                                under the fee schedule for such 
                                services based on the rule established 
                                under paragraph (1).
                            ``(ii) Payment rates in subsequent years 
                        for all ambulance services.--In the case of any 
                        ambulance service furnished under this part in 
                        2003 or any subsequent year, the Secretary 
                        shall set the payment rates under the fee 
                        schedule for such service at amounts equal to 
                        the payment rate under the fee schedule for 
                        that service furnished during the previous 
                        year, increased by the percentage increase in 
                        the Consumer Price Index for all urban 
                        consumers (United States city average) for the 
                        12-month period ending with June of the 
                        previous year.
                    ``(B) Adjustment in rural rates.--For years 
                beginning with 2004, the Secretary, after taking into 
                consideration the recommendations contained in the 
                report submitted under section 221(b)(3) the Medicare, 
                Medicaid, and SCHIP Benefits Improvements and 
                Protection Act of 2000, shall adjust the fee schedule 
                payment rates that would otherwise apply under this 
                subsection for ambulance services provided in low 
                density rural areas based on the increased cost (if 
                any) of providing such services in such areas.''.
            (2) Conforming amendment.--Section 221(c) of the Medicare, 
        Medicaid, and SCHIP Benefits Improvement and Protection Act of 
        2000 (114 Stat. 2763A-487), as enacted into law by section 
        1(a)(6) of Public Law 106-554, is repealed.
            (3) Technical amendment.--
                    (A) In general.--Paragraph (8) of section 1834(l) 
                of the Social Security Act (42 U.S.C. 1395m(l)), as 
                added by section 221(a) of the Medicare, Medicaid, and 
                SCHIP Benefits Improvement and Protection Act of 2000 
                (114 Stat. 2763A-487), as enacted into law by section 
                1(a)(6) of Public Law 106-554, is redesignated as 
                paragraph (9).
                    (B) Effective date.--The amendment made by 
                subparagraph (A) shall take effect as if included in 
                the enactment of such section 221(a).
    (b) Use of Medical Conditions for Coding Ambulance Services.--
Section 1834(l)(7) of the Social Security Act (42 U.S.C. 1395m(l)(7)) 
is amended to read as follows:
            ``(7) Coding system.--
                    ``(A) In general.--The Secretary shall, in 
                accordance with section 1173(c)(1)(B), establish a 
                system or systems for the coding of claims for 
                ambulance services for which payment is made under this 
                subsection, including a code set specifying the medical 
                condition of the individual who is transported and the 
                level of service that is appropriate for the 
                transportation of an individual with that medical 
                condition.
                    ``(B) Medical conditions.--The code set established 
                under subparagraph (A) shall--
                            ``(i) take into account the list of medical 
                        conditions developed in the course of the 
                        negotiated rulemaking process conducted under 
                        paragraph (1); and
                            ``(ii) notwithstanding any other provision 
                        of law, be adopted as a standard code set under 
                        section 1173(c).''.

SEC. 3. PRUDENT LAYPERSON STANDARD FOR EMERGENCY AMBULANCE SERVICES 
              UNDER MEDICARE AND MEDICAID.

    (a) Ambulance Services for Medicare Fee-For-Service 
Beneficiaries.--Section 1861(s)(7) of the Social Security Act (42 
U.S.C. 1395x(s)(7)) is amended by inserting before the semicolon at the 
end the following: ``, except that such regulations shall not fail to 
treat ambulance services as medical and other health services solely 
because the ultimate diagnosis of the individual receiving the 
ambulance services results in the conclusion that ambulance services 
were not necessary, as long as the request for ambulance services is 
made after the sudden onset of a medical condition that would be 
classified as an emergency medical condition (as defined in section 
1852(d)(3)(B)).''.
    (b) Ambulance Services for Medicare+Choice Enrollees.--Section 
1852(d)(3)(A) of the Social Security Act (42 U.S.C. 1395w-22(d)(3)(A)) 
is amended by inserting ``(including the services described in section 
1861(s)(7))'' after ``outpatient services'' in the matter preceding 
clause (i).
    (c) Ambulance Services in Medicaid Managed Care Plans.--Section 
1932(b)(2)(B) of the Social Security Act (42 U.S.C. 1396u-2(b)(2)(B)) 
is amended by inserting ``(including the services described in section 
1861(s)(7) (if covered by the State plan))'' after ``outpatient 
services'' in the matter preceding clause (i).
    (d) Effective Date.--The amendments made by this section shall 
apply with respect to services provided on and after the date of 
enactment of the Act.
Example Output:
Medicare Ambulance Payment Reform Act of 2001 - Amends title XVIII (Medicare) of the Social Security Act (SSA) to revise requirements for payment for ambulance services concerning: (1) the establishment of a fee schedule; and (2) the coding system specifying the medical condition of the individual transported by an ambulance and the appropriate level of transportation service.Amends SSA titles XVIII (Medicare) (including part C (Medicare+Choice) of the Medicare program) and XIX (Medicaid) to establish a prudent layperson standard for justification of emergency ambulance services under Medicare and Medicaid.