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

    This Act may be cited as the ``Ottawa National Wildlife Refuge 
Complex Expansion and Detroit River International Wildlife Refuge 
Expansion Act''.

SEC. 2. FINDINGS.

    Congress finds that--
            (1) the western basin of Lake Erie, as part of the Great 
        Lakes ecosystem--
                    (A) is the largest freshwater ecosystem in the 
                world; and
                    (B) is vitally important to the economic and 
                environmental future of the United States;
            (2) over the 30-year period preceding the date of enactment 
        of this Act, the citizens and governmental institutions of the 
        United States and Canada have devoted increasing attention and 
        resources to the restoration of the water quality and fisheries 
        of the Great Lakes, including the western basin;
            (3) that increased awareness has been accompanied by a 
        gradual shift toward a holistic ecosystem approach that 
        highlights a growing recognition that shoreline areas, commonly 
        referred to as nearshore terrestrial ecosystems, are an 
        integral part of the western basin and the Great Lakes 
        ecosystem;
            (4) the Great Lakes account for more than 90 percent of the 
        surface freshwater in the United States;
            (5) the western basin of Lake Erie receives approximately 
        90 percent of its flow from the Detroit River and only 
        approximately 10 percent from tributaries;
            (6) the western basin is an important ecosystem that 
        includes a number of distinct islands, channels, rivers, and 
        shoals that support dense populations of fish, wildlife, and 
        aquatic plants;
            (7) coastal wetland of Lake Erie supports the largest 
        diversity of plant and wildlife species in the Great Lakes;
            (8) because Lake Erie is located at a more southern 
        latitude than other Great Lakes, the moderate climate of Lake 
        Erie is appropriate for many species that are not found in or 
        along the northern Great Lakes;
            (9) more than 300 species of plants, including 37 
        significant species, have been identified in the aquatic and 
        wetland habitats of the western basin;
            (10) the shallow western basin of Lake Erie, extending from 
        the Lower Detroit River to Sandusky Bay, is home to the 
        greatest concentration of marshes in Lake Erie, including--
                    (A) Mouille, Metzger, and Magee marshes;
                    (B) the Maumee Bay wetland complex;
                    (C) the wetland complexes flanking Locust Point; 
                and
                    (D) the wetland in Sandusky Bay;
            (11) the larger islands of the United States in western 
        Lake Erie have wetland in small embayments;
            (12) the wetland in the western basin comprises some of the 
        most important waterfowl habitat in the Great Lakes;
            (13) waterfowl, wading birds, shore birds, gulls and terns, 
        raptors, and perching birds use the wetland in the western 
        basin for migration, nesting, and feeding;
            (14) hundreds of thousands of diving ducks stop to rest in 
        the Lake Erie area during autumn migration from Canada to 
        points east and south;
            (15) the wetland of the western basin provides a major 
        stopover for sea ducks, such as migrating common goldeneye, 
        common mergansers, and ruddy duck;
            (16) the international importance of Lake Erie is indicated 
        in the United States by congressional designation of the Ottawa 
        and Cedar Point National Wildlife Refuges;
            (17)(A) Lake Erie has an international reputation for 
        walleye, perch, and bass fishing, recreational boating, 
        birding, photography, and duck hunting; and
            (B) on an economic basis, tourism in the Lake Erie area 
        accounts for an estimated $1,500,000,000 in retail sales and 
        more than 50,000 jobs;
            (18)(A) many of the 417,000 boats that are registered in 
        the State of Ohio are used in the western basin, in part to 
        fish for the estimated 10,000,000 walleye that migrate from the 
        lake to spawn; and
            (B) that internationally renowned walleye fishery drives 
        much of the $2,000,000,000 sport fishing industry in the State 
        of Ohio;
            (19) coastal wetland in the western basin has been 
        subjected to intense pressure for 150 years;
            (20) prior to 1850, the western basin was part of an 
        extensive coastal marsh and swamp system consisting of 
        approximately 122,000 hectares that comprised a portion of the 
        Great Black Swamp;
            (21) by 1951, only 12,407 wetland hectares remained in the 
        western basin;
            (22) 50 percent of that acreage was destroyed between 1972 
        and 1987, leaving only approximately 5,000 hectares in 
        existence today;
            (23) along the Michigan shoreline, coastal wetland was 
        reduced by 62 percent between 1916 and the early 1970s;
            (24) the development of the city of Monroe, Michigan, has 
        had a particularly significant impact on the coastal wetland at 
        the mouth of the Raisin River;
            (25) only approximately 100 hectares remain physically 
        unaltered today in an area in which, 70 years ago, marshes were 
        10 times more extensive;
            (26) in addition to the actual loss of coastal wetland 
        acreage along the shores of Lake Erie, the quality of much 
        remaining dike wetland has been degraded by numerous stressors, 
        especially excessive loadings of sediments and nutrients, 
        contaminants, shoreline modification, exotic species, and the 
        diking of wetland; and
            (27) protective peninsula beach systems, such as the former 
        Bay Point and Woodtick, at the border of Ohio and Michigan near 
        the mouth of the Ottawa River and Maumee Bay, have been eroded 
        over the years, exacerbating erosion along the shorelines and 
        negatively affecting breeding and spawning grounds.

SEC. 3. PURPOSE.

    The purpose of this Act is to establish a national wildlife refuge 
complex in the State of Ohio--
            (1)(A) to protect the remaining high-quality fish and 
        wildlife habitats of the western basin before those habitats 
        are lost to further development; and
            (B) to restore and enhance degraded wildlife habitats 
        associated with the western basin;
            (2) in partnership with nongovernmental and private 
        organizations and private individuals dedicated to habitat 
        enhancement, to conserve, enhance, and restore the native 
        aquatic and terrestrial community characteristics of the 
        western basin (including associated fish, wildlife, and plant 
        species);
            (3) to facilitate partnerships among the United States Fish 
        and Wildlife Service, Canadian national and provincial 
        authorities, State and local governments, local communities in 
        the United States and Canada, conservation organizations, and 
        other non-Federal entities to promote public awareness of the 
        resources of the western basin; and
            (4) to advance the collective goals and priorities that--
                    (A) were established in the report entitled ``Great 
                Lakes Strategy 2002--A Plan for the New Millennium'', 
                developed by the United States Policy Committee, 
                comprised of Federal agencies (including the United 
                States Fish and Wildlife Service, the National Oceanic 
                and Atmospheric Administration, the United States 
                Geological Survey, the Forest Service, and the Great 
                Lakes Fishery Commission) and State governments and 
                tribal governments in the Great Lakes basin; and
                    (B) include the goals of cooperating to protect and 
                restore the chemical, physical, and biological 
                integrity of the Great Lakes basin ecosystem.

SEC. 4. DEFINITIONS.

    In this Act:
            (1) Cedar point refuge.--The term ``Cedar Point Refuge'' 
        means the Cedar Point National Wildlife Refuge established by 
        the Secretary in accordance with the Migratory Bird 
        Conservation Act (16 U.S.C. 715 et seq.).
            (2) International refuge.--The term ``International 
        Refuge'' means the Detroit River International Wildlife Refuge 
        established by section 5(a) of the Detroit River International 
        Wildlife Refuge Establishment Act (16 U.S.C. 668dd note; 115 
        Stat. 894).
            (3) Ottawa refuge.--The term ``Ottawa Refuge'' means the 
        Ottawa National Wildlife Refuge, established by the Secretary 
        in accordance with the Migratory Bird Conservation Act (16 
        U.S.C. 715 et seq.).
            (4) Refuge complex.--The term ``Refuge Complex'' means the 
        national wildlife refuge complex established by section 5(a).
            (5) Secretary.--The term ``Secretary'' means the Secretary 
        of the Interior.
            (6) Western basin.--
                    (A) In general.--The term ``western basin'' means 
                the western basin of Lake Erie, consisting of the land 
                and water in the watersheds of Lake Erie extending from 
                the watershed of the Lower Detroit River in the State 
                of Michigan to and including Sandusky Bay and the 
                watershed of Sandusky Bay in the State of Ohio.
                    (B) Inclusion.--The term `western basin' includes 
                the Bass Island archipelago in the State of Ohio.
            (7) West sister island refuge.--The term ``West Sister 
        Island Refuge'' means the West Sister Island National Wildlife 
        Refuge established by Executive Order 7937, dated August 2, 
        1937.

SEC. 5. NATIONAL WILDLIFE REFUGE COMPLEX.

    (a) Establishment.--There is established a national wildlife refuge 
complex in the State of Ohio, consisting of--
            (1) the Ottawa Refuge, as modified by subsection (b);
            (2) the West Sister Island Refuge; and
            (3) the Cedar Point Refuge.
    (b) Expansion of Ottawa National Wildlife Refuge.--
            (1) In general.--The Secretary shall expand the boundaries 
        of the Ottawa Refuge to include surrounding land and water in 
        the State of Ohio extending from the eastern boundary of the 
        Maumee Bay State Park to the eastern boundary of the Darby Unit 
        (including the Bass Island archipelago) as depicted on the map 
        entitled ``Ottawa National Wildlife Refuge Complex Expansion 
        and Detroit River International Wildlife Refuge Expansion 
        Act'', dated September 6, 2002.
            (2) Availability of map.--The map referred to in paragraph 
        (1) shall be available for inspection in appropriate offices of 
        the United States Fish and Wildlife Service.
    (c) Boundary Revisions.--The Secretary may make such revisions of 
the boundaries of the Refuge Complex as the Secretary determines to be 
appropriate--
            (1) to facilitate the acquisition of property within the 
        Refuge Complex; or
            (2) to carry out this Act.
    (d) Acquisition.--
            (1) In general.--Subject to paragraph (2), the Secretary 
        may acquire by donation, purchase with donated or appropriated 
        funds, or exchange the land and water, and interests in land 
        and water (including conservation easements), within the 
        boundaries of the Refuge Complex.
            (2) Consent.--No land, water, or interest in land or water 
        described in paragraph (1) may be acquired by the Secretary 
        without the consent of the owner of the land, water, or 
        interest.
    (e) Transfers From Other Agencies.--Administrative jurisdiction 
over any Federal property that is located within the boundaries of the 
Refuge Complex and under the administrative jurisdiction of an agency 
of the United States other than the Department of the Interior may, 
with the concurrence of the head of the administering agency, be 
transferred without consideration to the Secretary for the purpose of 
this Act.
    (f) Study of Associated Area.--
            (1) In general.--The Secretary, acting through the Director 
        of the United States Fish and Wildlife Service, shall conduct a 
        study of fish and wildlife habitat and aquatic and terrestrial 
        communities in and around the 2 dredge spoil disposal sites 
        that are--
                    (A) referred to by the Toledo-Lucas County Port 
                Authority as ``Port Authority Facility Number Three'' 
                and ``Grassy Island'', respectively; and
                    (B) located within Toledo Harbor near the mouth of 
                the Maumee River.
            (2) Report.--Not later than 18 months after the date of 
        enactment of the Act, the Secretary shall--
                    (A) complete the study under paragraph (1); and
                    (B) submit to Congress a report on the results of 
                the study.

SEC. 6. EXPANSION OF INTERNATIONAL REFUGE BOUNDARIES.

    The Secretary shall expand the southern boundary of the 
International Refuge to include additional land and water in the State 
of Michigan located east of Interstate Route 75, extending from the 
southern boundary of Sterling State Park to the Ohio State line, as 
depicted on the map referred to in section 5(b)(1).

SEC. 7. ADMINISTRATION.

    (a) Refuge Complex.--
            (1) In general.--The Secretary shall administer all 
        federally owned land, water, and interests in land and water 
        that are located within the boundaries of the Refuge Complex in 
        accordance with--
                    (A) the National Wildlife Refuge System 
                Administration Act of 1966 (16 U.S.C. 668dd et seq.); 
                and
                    (B) this Act.
            (2) Additional authority.--The Secretary may use such 
        additional statutory authority available to the Secretary for 
        the conservation of fish and wildlife, and the provision of 
        opportunities for fish- and wildlife-dependent recreation, as 
        the Secretary determines to be appropriate to carry out this 
        Act.
    (b) Priority Uses.--In providing opportunities for compatible fish- 
and wildlife-dependent recreation, the Secretary, in accordance with 
paragraphs (3) and (4) of section 4(a) of the National Wildlife Refuge 
System Administration Act of 1966 (16 U.S.C. 668dd(a)), shall ensure, 
to the maximum extent practicable, that hunting, trapping, fishing, 
wildlife observation and photography, and environmental education and 
interpretation are the priority public uses of the Refuge Complex.
    (c) Cooperative Agreements Regarding Non-Federal Land.--To promote 
public awareness of the resources of the western basin and encourage 
public participation in the conservation of those resources, the 
Secretary may enter into cooperative agreements with the State of Ohio 
or Michigan, any political subdivision of the State, or any person for 
the management, in a manner consistent with this Act, of land that--
            (1) is owned by the State, political subdivision, or 
        person; and
            (2) is located within the boundaries of the Refuge Complex.
    (d) Use of Existing Greenway Authority.--The Secretary shall 
encourage the State of Ohio to use authority under the recreational 
trails program under section 206 of title 23, United States Code, to 
provide funding for acquisition and development of trails within the 
boundaries of the Refuge Complex.

SEC. 8. AUTHORIZATION OF APPROPRIATIONS.

    There are authorized to be appropriated such sums as are 
necessary--
            (1) to acquire land and water within the Refuge Complex 
        under section 5(d);
            (2) to carry out the study under section 5(f); and
            (3) to develop, operate, and maintain the Refuge Complex.

Answer: Ottawa National Wildlife Refuge Complex Expansion and Detroit River International Wildlife Refuge Expansion Act - Establishes a national wildlife refuge complex in Ohio, consisting of the Ottawa, West Sister Island, and Cedar Point National Wildlife Refuges.Requires the Secretary of the Interior to expand the Ottawa Refuge to include specified land and water in Ohio. Permits the Secretary to acquire by donation, purchase, or exchange the land and water and interests in land and water within the boundaries of the Complex.Directs the Secretary, acting through the Director of the United States Fish and Wildlife Service, to study and report to Congress on fish and wildlife habitat and aquatic and terrestrial communities in and around two specified dredge spoil disposal sites in Toledo Harbor.Requires the Secretary to expand the southern boundary of the Detroit River International Wildlife Refuge (the Refuge) to include additional land and water located in the State of Michigan east of Interstate Route 75.Prescribes requirements for administration of the Complex.Directs the Secretary to ensure that hunting, trapping, fishing, wildlife observation and photography, and environmental education and interpretation shall be the priority public uses of the Complex.Requires the Secretary to encourage the State of Ohio to use authority under the Federal recreational trails program to provide funding for the acquisition and development of trails within the boundaries of the Complex.


Question: SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Regulatory Transparency, Patient 
Access, and Effective Drug Enforcement Act of 2014''.

SEC. 2. SCHEDULING OF SUBSTANCES INCLUDED IN NEW FDA-APPROVED DRUGS.

    Section 201 of the Controlled Substances Act (21 U.S.C. 811) is 
amended by inserting after subsection (h) the following:
    ``(i) Within 45 days of receiving a recommendation from the 
Secretary to add a drug or substance that has never been marketed in 
the United States to a schedule under this title, the Attorney General 
shall, without regard to the findings required by subsection (a) of 
this section or section 202(b), issue an interim final rule, under the 
exception for good cause described in subparagraph (B) of section 
553(b) of title 5, United States Code, placing the drug or substance 
into the schedule recommended by the Secretary. The interim final rule 
shall be made immediately effective under section 553(d)(3) of title 5, 
United States Code.''.

SEC. 3. ENHANCING NEW DRUG DEVELOPMENT.

    Section 302 of the Controlled Substances Act (21 U.S.C. 822) is 
amended by inserting after subsection (g) the following:
    ``(h)(1) A person who submits an application for registration to 
manufacture or distribute a controlled substance in accordance with 
this section may indicate on the registration application that the 
substance will be used only in connection with clinical trials of a 
drug in accordance with section 505(i) of the Federal Food, Drug, and 
Cosmetic Act.
    ``(2) When an application for registration to manufacture or 
distribute a controlled substance includes an indication that the 
controlled substance will be used only in connection with clinical 
trials of a drug in accordance with section 505(i) of the Federal Food, 
Drug, and Cosmetic Act, the Attorney General shall--
            ``(A) make a final decision on the application for 
        registration within 180 days; or
            ``(B) provide notice to the applicant in writing of--
                    ``(i) the outstanding issues that must be resolved 
                in order to reach a final decision on the application; 
                and
                    ``(ii) the estimated date on which a final decision 
                on the application will be made.''.

SEC. 4. REGISTRATION PROCESS UNDER CONTROLLED SUBSTANCES ACT.

    (a) Definitions.--
            (1) Factors as may be relevant to and consistent with the 
        public health and safety.--Section 303 of the Controlled 
        Substances Act (21 U.S.C. 823) is amended by adding at the end 
        the following:
    ``(i) In this section, the phrase `factors as may be relevant to 
and consistent with the public health and safety' means factors that 
are relevant to and consistent with the findings contained in section 
101.''.
            (2) Imminent danger to the public health or safety.--
        Section 304(d) of the Controlled Substances Act (21 U.S.C. 
        824(d)) is amended--
                    (A) by striking ``(d) The Attorney General'' and 
                inserting ``(d)(1) The Attorney General''; and
                    (B) by adding at the end the following:
    ``(2) In this subsection, the phrase `imminent danger to the public 
health or safety' means that, in the absence of an immediate suspension 
order, controlled substances will continue to be distributed or 
dispensed by a registrant who knows or should know through fulfilling 
the obligations of the registrant under this Act, or has reason to 
believe that--
            ``(A) the dispensing is outside the usual course of 
        professional practice;
            ``(B) the distribution or dispensing poses a present or 
        foreseeable risk of adverse health consequences or death due to 
        the abuse or misuse of the controlled substances; or
            ``(C) the controlled substances will continue to be 
        diverted outside of legitimate distribution channels.''.
    (b) Opportunity To Submit Corrective Action Plan Prior to 
Revocation or Suspension.--Subsection (c) of section 304 of the 
Controlled Substances Act (21 U.S.C. 824) is amended--
            (1) by striking the last two sentences;
            (2) by striking ``(c) Before'' and inserting ``(c)(1) 
        Before''; and
            (3) by adding at the end the following:
    ``(2) An order to show cause under paragraph (1) shall--
            ``(A) contain a statement of the basis for the denial, 
        revocation, or suspension, including specific citations to any 
        laws or regulations alleged to be violated by the applicant or 
        registrant;
            ``(B) direct the applicant or registrant to appear before 
        the Attorney General at a time and place stated in the order, 
        but not less than 30 days after the date of receipt of the 
        order; and
            ``(C) notify the applicant or registrant of the opportunity 
        to submit a corrective action plan on or before the date of 
        appearance.
    ``(3) Upon review of any corrective action plan submitted by an 
applicant or registrant pursuant to paragraph (2), the Attorney General 
shall determine whether denial, revocation or suspension proceedings 
should be discontinued, or deferred for the purposes of modification, 
amendment, or clarification to such plan.
    ``(4) Proceedings to deny, revoke, or suspend shall be conducted 
pursuant to this section in accordance with subchapter II of chapter 5 
of title 5, United States Code. Such proceedings shall be independent 
of, and not in lieu of, criminal prosecutions or other proceedings 
under this title or any other law of the United States.
    ``(5) The requirements of this subsection shall not apply to the 
issuance of an immediate suspension order under subsection (d).''.

SEC. 5. REPORT TO CONGRESS ON EFFECTS OF LAW ENFORCEMENT ACTIVITIES ON 
              PATIENT ACCESS TO MEDICATIONS.

    (a) In General.--Not later than 1 year after the date of enactment 
of this Act, the Secretary of Health and Human Services, acting through 
the Commissioner of Food and Drugs and the Director of the Centers for 
Disease Control and Prevention, and in consultation with the 
Administrator of the Drug Enforcement Administration and the Director 
of National Drug Control Policy, shall submit a report to the 
Committees on the Judiciary of the House of Representatives, the 
Committee on Energy and Commerce of the House of Representatives, the 
Committee on the Judiciary of the Senate, and the Committee on Health, 
Education, Labor and Pensions of the Senate identifying--
            (1) obstacles to legitimate patient access to controlled 
        substances;
            (2) issues with diversion of controlled substances; and
            (3) how collaboration between Federal, State, local, and 
        tribal law enforcement agencies and the pharmaceutical industry 
        can benefit patients and prevent diversion and abuse of 
        controlled substances.
    (b) Consultation.--The report under subsection (a) shall 
incorporate feedback and recommendations from the following:
            (1) Patient groups.
            (2) Pharmacies.
            (3) Drug manufacturers.
            (4) Common or contract carriers and warehousemen.
            (5) Hospitals, physicians, and other health care providers.
            (6) State attorneys general.
            (7) Federal, State, local, and tribal law enforcement 
        agencies.
            (8) Health insurance providers and entities that provide 
        pharmacy benefit management services on behalf of a health 
        insurance provider.
            (9) Wholesale drug distributors.

Answer: Regulatory Transparency, Patient Access, and Effective Drug Enforcement Act of 2014 - Amends the Controlled Substances Act to direct the Attorney General, within 45 days of receiving a recommendation from the Secretary of Health and Human Services (HHS) to add a drug or substance that has never been marketed in the United States to a schedule of controlled substances, to issue an interim final rule under the exception for good cause, placing it into the schedule recommended, effective immediately. Allows a person who submits an application for registration to manufacture or distribute a controlled substance to indicate on the registration application that the substance will be used only in connection with clinical trials of a drug. Requires the Attorney General to: (1) make a final decision on such application within 180 days, or (2) provide written notice to the applicant of the outstanding issues that must be resolved to reach a final decision and the estimated date on which such decision will be made. Defines: (1) "factors as may be relevant to and consistent with the public health and safety," and (2) "imminent danger to the public health or safety." Requires an order to show cause as to why a registration should not be denied, revoked, or suspended to notify the registrant of the opportunity to submit a corrective action plan on or before the date of appearance before the Attorney General. Requires the Attorney General, upon review of any such plan, to determine whether denial, revocation, or suspension proceedings should be discontinued or deferred for purposes of modification or clarification of such plan. Makes these requirements inapplicable to the issuance of an immediate suspension order. Directs the Secretary, acting through the Commissioner of Food and Drugs (FDA) and the Director of the Centers for Disease Control and Prevention (CDC), to identify: (1) obstacles to legitimate patient access to controlled substances; (2) issues with diversion of controlled substances; and (3) how collaboration between federal, state, local, and tribal law enforcement agencies and the pharmaceutical industry can benefit patients and prevent diversion and abuse of controlled substances.


Question: SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Wounded Warriors Joint Health Care 
Performance Metrics and Transparency Act''.

SEC. 2. ESTABLISHMENT AND MONITORING OF MEDICAL HOLDOVER PERFORMANCE 
              STANDARDS.

    (a) Requirement for Performance Standards for Medical Holdover 
Process.--The Secretary of Defense shall assign the Assistant Secretary 
of Defense for Health Affairs the responsibility for establishing 
performance standards for each step of the medical holdover process, 
including the following:
            (1) Mobilization.
            (2) Medical condition.
            (3) MNO decision.
            (4) Disposition plan.
            (5) Execution plan.
            (6) Final disposition decision of a medical evaluation 
        board or physical evaluation board.
            (7) Transition.
    (b) Quarterly Inspections.--
            (1) Requirement for inspections.--The Secretary of Defense, 
        acting through the Assistant Secretary of Defense for Health 
        Affairs, shall require each military medical installation to 
        perform a quarterly inspection based on the performance 
        standards established under subsection (a) of the following: 
        command and control responsibilities, billeting, staffing, 
        soldier administration, staff training, in and out processing, 
        transition and separation processing, dining facilities and 
        other non-medical patient services, transportation, medical 
        case management, medical care, access and documentation, and 
        medical database and medical records quality. Inspections teams 
        should include representatives from all commands with 
        jurisdiction over medical and administrative services provided 
        to injured and wounded soldiers, and shall include 
        representatives from the Department of Defense and the 
        Inspector General of the Department of Defense.
            (2) Inspection reports.--The Assistant Secretary shall 
        require a report on each inspection carried out under paragraph 
        (1) to be submitted to the Secretary of Defense, the Inspector 
        General of the Department of Defense, each command or agency 
        with jurisdiction, the Secretary of each military department, 
        the chief of staff of each Armed Force, and the inspector 
        general of each military department.
    (c) Additional Specific Standards.--
            (1) Security and medical personnel.--The Assistant 
        Secretary of Defense for Health Affairs shall develop and 
        enforce standards for security personnel and medical personnel 
        to perform daily rounds of each medical inpatient and 
        outpatient facility. The standards shall include a requirement 
        for access to help 24 hours a day for patients with medical 
        emergencies or needs.
            (2) Timeliness.--The Assistant Secretary also shall develop 
        and enforce standards for setting time standards for responding 
        to patient questions and scheduling appointments for medical 
        evaluation board and physical evaluation board evaluations.
            (3) Processing.--The Assistant Secretary also shall develop 
        and enforce in-processing and out-processing standards, patient 
        counseling standards, and information standards to address 
        patient and family members on all aspects of care, including 
        medical and administrative evaluation procedures and 
        requirements.
    (d) Monthly Reports.--
            (1) Requirement.--The Assistant Secretary of Defense for 
        Health Affairs shall submit to the Secretary of Defense and the 
        Inspector General of the Department of Defense a monthly report 
        on military service performance in all categories of medical 
        holdover patient care including, at a minimum, inspections, 
        individual patient information, trends and problems, 
        statistical information on time of patients in medical holdover 
        status, performance of service commands, and other service 
        personnel serving patients and families in medical holder 
        status.
            (2) Additional matters covered.--The report also shall 
        contain--
                    (A) information on all individual patient 
                complaints and action taken to mediate the patient 
                concern;
                    (B) information on all concerns raised by patient 
                advocates to military service installation commanders 
                and report on actions taken; and
                    (C) statistical information on the incidence, 
                treatments, and outcomes of traumatic brain injury 
                patients among the medical holdover patient population.
    (e) Semi-Annual Meetings.--The Assistant Secretary of Defense for 
Health Affairs shall meet semi-annually with the Secretaries of the 
military departments to address medical holdover program execution, 
including all medical and administrative issues, force structure, 
manning, training, and resource requirements.
    (f) Inspector General Responsibilities.--The Inspector General of 
the Department of Defense shall audit and review the medical holdover 
system and the performance standards developed under this section and 
shall submit quarterly reports to the Assistant Secretary of Defense 
for Health Affairs, the Secretaries of the military departments, and 
the following congressional committees:
            (1) The Committees on Armed Services of the Senate and the 
        House of Representatives.
            (2) The Committee on Homeland Security and Governmental 
        Affairs of the Senate.
            (3) The Committee on Oversight and Government Reform of the 
        House of Representatives.
    (g) Medical Holdover Patient.--In this Act, the term ``medical 
holdover patient'' means a member of the Armed Forces, including a 
member of the National Guard or other reserve component, who is 
undergoing medical treatment, recuperation, or therapy, or is otherwise 
in medical hold or holdover status, for an injury, illness, or disease 
incurred or aggravated while on active duty in the Armed Forces.
    (h) Authorization.--There is authorized to be appropriated to carry 
out--
            (1) subsections (a) through (e) of this Act, $1,000,000 for 
        fiscal year 2007; and
            (2) subsection (f) of this Act, $2,000,000 for fiscal year 
        2007 and $3,000,000 for fiscal year 2008.

Answer:
Wounded Warriors Joint Health Care Performance Metrics and Transparency Act - Assigns the Assistant Secretary of Defense for Health Affairs responsibility for establishing performance standards for each step of the medical holdover patient process. Defines "medical holdover patient" as a member of the Armed Forces, including a member of the National Guard or other reserve component, who is undergoing medical treatment, recuperation, or therapy, or who is otherwise in medical hold or holdover status, for an injury, illness, or disease incurred or aggravated while on active duty.

Directs the Secretary of Defense to require each military medical installation to perform a quarterly inspection based on the performance standards established by this Act. Requires the Assistant Secretary to provide reports on such inspections to the Secretary, the Inspector General of the Department of Defense, and other military officials.

Requires the Assistant Secretary to develop and enforce standards for: (1) security and medical personnel to perform daily rounds of each medical inpatient and outpatient facility, including a requirement for 24-hour access for patients with medical emergencies or needs; (2) responding to patient questions and scheduling medical appointments; and (3) in-processing and out-processing, counseling, and information for patients and family members.

Requires the Assistant Secretary to: (1) submit monthly reports to the Secretary and the Inspector General on military service performance in all categories of medical holdover patient care; and (2) meet semi-annually with the Secretaries of the military departments to address medical holdover program execution issues.

Requires the Inspector General to audit and review the medical holdover system and the performance standards developed by this Act.