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

    This Act may be cited as the ``Assessing Progress in Haiti Act''.

SEC. 2. FINDINGS.

    Congress finds the following:
            (1) On January 12, 2010, an earthquake measuring 7.0 on the 
        Richter magnitude scale struck the country of Haiti.
            (2) According to the United States Geological Survey 
        (USGS)--
                    (A) the earthquake epicenter was located 
                approximately 15 miles southwest of Port-au-Prince, the 
                capital of Haiti; and
                    (B) the earthquake was followed by 59 aftershocks 
                of magnitude 4.5 or greater, the most severe measuring 
                6.0.
            (3) According to the Government of Haiti, more than 316,000 
        people died as a result of the earthquake, including 103 
        citizens of the United States and more than 100 United Nations 
        personnel.
            (4) According to the United Nations and the International 
        Organization for Migration--
                    (A) an estimated 3,000,000 people were directly 
                affected by the disaster, nearly one-third of the 
                country's population; and
                    (B) more than 2,100,000 people were displaced from 
                their homes to settlements.
            (5) Casualty numbers and infrastructure damage, including 
        to roads, ports, hospitals, and residential dwellings, place 
        the earthquake as the worst cataclysm to hit Haiti in over two 
        centuries and, proportionally, one of the world's worst natural 
        disasters in modern times.
            (6) The Post Disaster Needs Assessment (PDNA) conducted by 
        the Government of Haiti, the United Nations, the World Bank, 
        the Inter-American Development Bank, and other experts 
        estimates that damage and economic losses totaled 
        $7,804,000,000, approximately 120 percent of Haiti's gross 
        domestic product in 2009.
            (7) Haiti is the poorest, least developed country in the 
        Western Hemisphere with, prior to the earthquake--
                    (A) more than 70 percent of Haitians living on less 
                than $2 per day; and
                    (B) a ranking of 149 out of 182 countries on the 
                United Nations Human Development Index.
            (8) House Resolution 1021, which was passed on January 21, 
        2010, on a vote of 411 to 1 expressed--
                    (A) the House of Representatives' ``deepest 
                condolences and sympathy for the horrific loss of 
                life'' caused by the earthquake; and
                    (B) bipartisan support for Haiti's recovery and 
                reconstruction.
            (9) The initial emergency response of the men and women of 
        the United States Government, led by the United States Agency 
        for International Development and United States Southern 
        Command, was swift and resolute.
            (10) United States urban search and rescue (USAR) teams 
        were immediately activated after the earthquake and deployed 
        from Fairfax County, Virginia, Los Angeles County, California, 
        Miami-Dade, Florida, the City of Miami, Florida, and Virginia 
        Beach, Virginia, to assist the United States Agency for 
        International Development (USAID) Disaster Assistance Response 
        Team (DART), and New York City's first responders asked the 
        Office of U.S. Foreign Disaster Assistance (OFDA) to activate a 
        New York City urban search and rescue shortly thereafter.
            (11) A month after the earthquake, the House of 
        Representatives unanimously passed House Resolution 1059 which 
        expressed gratitude to these USAR units, and highlighted that 
        the 511 United States rescue workers comprised roughly one-
        third of the entire international USAR effort in Haiti, and 
        more than 130 people were rescued from under the rubble in 
        Haiti by these units.
            (12) Individuals, businesses, and philanthropic 
        organizations across the United States and throughout the 
        international community responded in support of Haiti and its 
        populace during this crisis, sometimes in innovative ways such 
        as fundraising through text messaging.
            (13) The Haitian diaspora in the United States, which was 
        integral to emergency relief efforts--
                    (A) has annually contributed significant monetary 
                support to Haiti through remittances; and
                    (B) continues to seek opportunities to partner with 
                the United States Agency for International Development 
                and other agencies to substantively contribute to the 
                reconstruction of Haiti.
            (14) Significant challenges still remain in Haiti as it 
        works to recover and rebuild.
            (15) According to the International Organization for 
        Migration, approximately 680,000 people remain in spontaneous 
        and organized camps in Haiti.
            (16) According to numerous nongovernmental organizations 
        and United States contractors, the pace of reconstruction has 
        lagged significantly behind the original emergency relief 
        phase.
            (17) The widespread irregularities that occurred in the 
        elections held in Haiti on November 28, 2010, led to outbursts 
        of violence which undermined the recovery efforts.
            (18) On October 21, 2010, an outbreak of cholera was 
        detected in the Lower Artibonite region.
            (19) Initial efforts to contain the epidemic were disrupted 
        by Hurricane Tomas and resulting widespread flooding, which led 
        to the spreading and entrenchment of the disease throughout the 
        country.
            (20) According to the Haitian Ministry of Public Health and 
        Population, as of March 28, 2011--
                    (A) approximately 4,766 people have died from 
                cholera; and
                    (B) approximately 270,991 have been infected from 
                the disease.
            (21) According to the Pan American Health Organization and 
        the Centers for Disease Control and Prevention, cholera could 
        spread to as many as 400,000 people within the first year of 
        the epidemic, potentially causing 7,600 deaths at the current 
        case fatality rate.
            (22) The United States has provided more than $62,523,017 
        worth of assistance to combat the cholera epidemic, including 
        by assisting with stockpiling health commodities, equipping 
        cholera treatments centers, providing public information, and 
        improving water and sanitation systems.
            (23) The efforts to combat the cholera epidemic have helped 
        to drive the mortality rate from cholera down from nearly 7 
        percent to 1.7 percent of all contracted cases as of February 
        25, 2011.
            (24) Throughout the series of crises, the people of Haiti 
        continue to demonstrate unwavering resilience, dignity, and 
        courage.
            (25) On March 20, 2011, presidential and parliamentary 
        elections were held in Haiti without major disruptions or 
        problems.
            (26) At the international donors conference ``Towards a New 
        Future for Haiti'' held on March 31, 2010, 59 donors pledged 
        over $5,000,000,000 to support Haiti.
            (27) The United Nations Office of the Special Envoy for 
        Haiti estimates that nearly $1,900,000,000 has been disbursed, 
        with an additional amount of approximately $2,000,000,000 
        committed.
            (28) Haiti will need the support of the international 
        community in order to confront the ongoing cholera epidemic and 
        to promote reconstruction and development.

SEC. 3. REPORT.

    (a) Report Required.--Not later than six months after the date of 
the enactment of this Act, the President, in consultation with the 
heads of all relevant agencies, including the Department of State, the 
United States Agency for International Development, the Department of 
Defense, the Department of Health and Human Services, and the Centers 
for Disease Control and Prevention shall transmit to Congress a report 
on the status of post-earthquake humanitarian, reconstruction, and 
development efforts in Haiti, including efforts to prevent the spread 
of cholera and treat persons infected with the disease.
    (b) Contents.--The report required by subsection (a) shall include 
a description, analysis, and evaluation of the--
            (1) overall progress of relief, recovery, and 
        reconstruction in Haiti, including--
                    (A) programs and projects of the United States 
                Government;
                    (B) programs and projects to protect vulnerable 
                populations, such as internally displaced persons, 
                children, women and girls, and persons with 
                disabilities; and
                    (C) projects to improve water, sanitation, and 
                health, and plans for improvements in these areas in 
                the long-term;
            (2) extent to which United States and international efforts 
        are in line with the priorities of the Government of Haiti and 
        are actively engaging and working through Haitian ministries 
        and local authorities;
            (3) coordination among United States Government agencies, 
        and coordination between the United States Government and 
        United Nations agencies, international financial institutions, 
        and other bilateral donors;
            (4) mechanisms for communicating the progress of recovery 
        and reconstruction efforts to Haitian citizens, as well as 
        recommendations on how these can be improved;
            (5) mechanisms through which Haitian civil society, 
        including vulnerable populations, is actively participating in 
        all major stages of recovery and reconstruction efforts, and 
        recommendations on how these can be improved;
            (6) mechanisms through which the Haitian diaspora is 
        involved in recovery and reconstruction efforts; and
            (7) suitability of Haiti to receive aliens who are removed, 
        excluded, or deported from the United States pursuant to United 
        States law, and steps Haiti is taking to strengthen its 
        capacity in this regard.
    (c) Use of Previously Appropriated Funds.--Funding for the report 
required under subsection (a) shall derive from existing discretionary 
funds of the departments and agencies specified in such subsection.
answer:
Assessing Progress in Haiti Act - Directs the President to report to Congress on the status of post-earthquake humanitarian, reconstruction, and development efforts in Haiti, including efforts to prevent the spread of cholera and treat persons infected with the disease.

Requires such report to evaluate: (1) the overall progress of relief, recovery, and reconstruction in Haiti, including U.S. government programs, programs to protect vulnerable populations, and projects to improve water, sanitation, and health; (2) the extent to which U.S. and international efforts are in line with the government of Haiti's priorities and are working through Haitian ministries and local authorities; (3) coordination among U.S. government agencies and coordination between the U.S. government and U.N. agencies, international financial institutions, and other bilateral donors; (4) mechanisms for communicating the progress of recovery and reconstruction to Haitian citizens; (5) mechanisms through which Haitian civil society and the Haitian diaspora are participating in recovery and reconstruction; and (6) Haiti's suitability to receive aliens who are removed, excluded, or deported from the United States and steps Haiti is taking to strengthen its capacity in this regard.


question:
SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Prepare, Ready, Equip, and Prevent 
Areas at Risk of Emergency Wildfires Act of 2015'' or the ``PREPARE Act 
of 2015''.

SEC. 2. WILDFIRE MITIGATION.

    Title II of the Robert T. Stafford Disaster Relief and Emergency 
Assistance Act (42 U.S.C. 5131 et seq.) is amended by inserting after 
section 203 the following:

``SEC. 203A. WILDFIRE MITIGATION.

    ``(a) Definitions.--In this section--
            ``(1) the term `Administrator' means the Administrator of 
        the Federal Emergency Management Agency;
            ``(2) the term `community wildfire protection plan' has the 
        meaning given the term in section 101 of the Healthy Forests 
        Restoration Act of 2003 (16 U.S.C. 6511);
            ``(3) the term `eligible recipient' means a State or an 
        Indian tribal government;
            ``(4) the term `local multi-hazard mitigation plan' means a 
        mitigation plan developed by a local government under section 
        322(b) that addresses wildfire mitigation;
            ``(5) the term `State mitigation plan' means a mitigation 
        plan developed by a State under section 322(c) that addresses 
        wildfire mitigation; and
            ``(6) the term `tribal mitigation plan' means a mitigation 
        plan developed by a tribal government under section 322(b) that 
        addresses wildfire mitigation.
    ``(b) Establishment of Wildfire Mitigation Grant Program.--The 
President, acting through the Administrator, shall establish a pilot 
program to make grants to eligible recipients for wildfire mitigation.
    ``(c) Use of Funds.--A grant under this section may be used by an 
eligible recipient--
            ``(1) to reduce the hazardous fuel load by reducing the use 
        of fuels that may contribute to catastrophic wildfires in high-
        risk areas;
            ``(2) to invest in personnel and organizations to conduct 
        wildfire mitigation;
            ``(3) to invest in vehicles and other equipment to conduct 
        wildfire mitigation;
            ``(4) to mitigate against damage from runoff into waterways 
        and floods caused by erosion from wildfires;
            ``(5) to build essential community collaboration and 
        outline the necessary groundwork systems in anticipation of 
        future fires; and
            ``(6) at the discretion of the Governor of a State or the 
        Chief Executive of an Indian tribal government, and in 
        consultation with the Administrator, for any other wildfire 
        mitigation activities in the State or area under the 
        jurisdiction of the Indian tribal government, as applicable, 
        unless otherwise prohibited by law.
    ``(d) Eligibility for Assistance.--
            ``(1) In general.--
                    ``(A) Eligibility.--An eligible recipient shall be 
                eligible for assistance under this section if the 
                section 420 grant ratio for the eligible recipient is 
                equal to or greater than 125 percent of the population 
                ratio of the eligible recipient.
                    ``(B) Ratios.--For purposes of subparagraph (A)--
                            ``(i) the section 420 grant ratio shall be 
                        equal to the quotient of--
                                    ``(I) the number of declarations 
                                for a grant under section 420 received 
                                by the eligible recipient during the 10 
                                years prior to the date on which an 
                                application for assistance is submitted 
                                under this section, divided by
                                    ``(II) the total number of 
                                declarations for a grant under section 
                                420 in the United States during the 10 
                                years prior to the date on which an 
                                application for assistance is submitted 
                                under this section; and
                            ``(ii) the population ratio of the eligible 
                        recipient shall be equal to the quotient of--
                                    ``(I) the population of the State 
                                or the area under the jurisdiction of 
                                the Indian tribal government, as 
                                applicable, based on the most recent 
                                data available from the Bureau of the 
                                Census on the date on which an 
                                application for assistance is submitted 
                                under this section, divided by
                                    ``(II) the population of the United 
                                States, based on the most recent data 
                                available from the Bureau of the Census 
                                on the date on which an application for 
                                assistance is submitted under this 
                                section.
            ``(2) Waiver.--The President may waive the requirement of 
        paragraph (1) if an eligible recipient--
                    ``(A) files a petition for waiver of the 
                requirement of paragraph (1); and
                    ``(B) demonstrates that significant environmental 
                changes or shifts in forest health put the eligible 
                recipient at an elevated risk for catastrophic 
                wildfires, as determined by the President.
            ``(3) Local assistance.--The Governor of a State may award 
        funds received under this section, to be used solely for the 
        purposes set forth under subsection (c), to--
                    ``(A) any county or municipality in that State with 
                a community wildfire protection plan or a local multi-
                hazard mitigation plan;
                    ``(B) any Indian tribal government in that State 
                with a tribal mitigation plan; or
                    ``(C) any other entity that is explicitly 
                referenced in and central to, in the determination of 
                the Governor, the design of a community wildfire 
                protection plan or a local multi-hazard mitigation 
                plan.
    ``(e) Criteria for Assistance.--In determining whether to award a 
grant to an eligible recipient under this section, the President 
shall--
            ``(1) give preference to--
                    ``(A) an eligible recipient with a high level of 
                need for assistance based on the best scientific data 
                available;
                    ``(B) an eligible recipient that previously 
                received a grant under this section and effectively 
                used the Federal funds for wildfire mitigation 
                activities in the State or area under the jurisdiction 
                of the Indian tribal government, as applicable, as 
                determined by the President; and
            ``(2) consider environmental conditions in a State or an 
        area under the jurisdiction of an Indian tribal government, as 
        applicable, including environmental changes, deteriorating 
        forest health, and overall wildfire risk.
    ``(f) Application for Assistance.--
            ``(1) In general.--To request a grant under this section, 
        an eligible recipient shall submit an application to the 
        Administrator in such form, in such manner, and containing such 
        information as the Administrator may reasonably require.
            ``(2) Contents.--In addition to any other requirements that 
        may be specified by the Administrator, an eligible recipient 
        submitting an application for a grant under this section shall 
        demonstrate that--
                    ``(A) in the case of an eligible recipient that is 
                a State--
                            ``(i) the State has a State mitigation 
                        plan;
                            ``(ii) the State shall provide matching 
                        non-Federal funds equal to not less than 25 
                        percent of the amount of Federal funds made 
                        available under this subsection;
                            ``(iii) a county or municipality that may 
                        receive funds from the grant has a community 
                        wildfire protection plan or a local multi-
                        hazard mitigation plan; and
                            ``(iv) an Indian tribal government that may 
                        receive funds from the grant has a tribal 
                        mitigation plan; and
                    ``(B) in the case of an eligible recipient that is 
                an Indian tribal government--
                            ``(i) the Indian tribal government has a 
                        tribal mitigation plan; and
                            ``(ii) the Indian tribal government shall--
                                    ``(I) provide matching non-Federal 
                                funds equal to not less than 25 percent 
                                of the amount of Federal funds made 
                                available under this subsection; or
                                    ``(II) if the Indian tribal 
                                government is a small impoverished 
                                community, as defined in section 
                                203(a), provide non-matching Federal 
                                funds equal to not less than 10 percent 
                                of the amount of Federal funds made 
                                available under this subsection.
    ``(g) Report.--Not later than 1 year after the date of receipt of a 
grant under this section, the recipient shall submit to the 
Administrator a report, which shall be made publically available, on 
the use of funds made available under the grant.
    ``(h) Funding for Assistance.--
            ``(1) Predisaster mitigation fund.--Subject to the 
        availability of funds in the National Predisaster Mitigation 
        Fund established under section 203(i), the Administrator shall 
        use not less than $20,000,000 and not more than $30,000,000 
        from unobligated amounts in the National Predisaster Mitigation 
        Fund for each of fiscal years 2016 through 2021 in carrying out 
        this section.
            ``(2) Rule of construction.--Nothing in this section shall 
        be construed to increase the amount of appropriations 
        authorized for the Department of Homeland Security in any given 
        fiscal year.''.

SEC. 3. WILDFIRE MITIGATION ASSISTANCE.

    (a) In General.--Section 420 of the Robert T. Stafford Disaster 
Relief and Emergency Assistance Act (42 U.S.C. 5187) is amended--
            (1) by redesignating subsection (d) as subsection (e); and
            (2) by inserting after subsection (c) the following:
    ``(d) Hazard Mitigation Assistance.--Whether or not a major 
disaster is declared, the President may provide hazard mitigation 
assistance in accordance with section 404 in any area affected by a 
fire for which assistance was provided under this section.''.
    (b) Conforming Amendments.--The Robert T. Stafford Disaster Relief 
and Emergency Assistance Act (42 U.S.C. 5121 et seq.) is amended--
            (1) in section 404(a) (42 U.S.C. 5170c(a))--
                    (A) by inserting before the first period ``, or any 
                area in which assistance was provided under section 
                420''; and
                    (B) in the third sentence, by inserting ``or event 
                under section 420'' after ``major disaster'' each place 
                that term appears; and
            (2) in section 322 (e)(1) (42 U.S.C. 5165(e)(1)), by 
        inserting ``or event under section 420'' after ``major 
        disaster'' each place that term appears.

SEC. 4. FACTORS TO CONSIDER FOR MAJOR DISASTER DECLARATION.

    Not later than 60 days after the date of enactment of this Act, the 
Administrator of the Federal Emergency Management Agency shall amend 
subsection (a) of section 206.48 of title 44, Code of Federal 
Regulations, to require the Federal Emergency Management Agency to 
consider, in evaluating a Governor's request for major disaster 
assistance under the Public Assistance Program, whether--
            (1) post-fire flooding occurred within 5 years, and as a 
        result, of a single wildfire event in the State; and
            (2) the State received fire management assistance under 
        section 420 of the Robert T. Stafford Disaster Relief and 
        Emergency Assistance Act (42 U.S.C. 5187) related to the major 
        disaster for which the Governor is requesting assistance under 
        the Public Assistance Program.

SEC. 5. POST-FIRE FUNDING GUIDE.

    (a) Creation and Distribution.--Not later than 1 year after the 
date of enactment of this Act, the Administrator of the Federal 
Emergency Management Agency shall create and make publically available 
a post-fire recovery funding and resource guide for local communities.
    (b) Involvement by Local Leaders.--The Administrator of the Federal 
Emergency Management Agency shall create the guide under subsection (a) 
in collaboration with local leaders who have experienced wildfires in 
their communities and who understand the requirements for the use of 
Federal disaster funds.
    (c) Updates.--The Administrator of the Federal Emergency Management 
Agency shall update the guide under subsection (a) as programs and 
resources change.
answer:
Prepare, Ready, Equip, and Prevent Areas at Risk of Emergency Wildfires Act of 2015 or the PREPARE Act of 2015  Amends the Robert T. Stafford Disaster Relief and Emergency Assistance Act to direct the Federal Emergency Management Agency (FEMA) to establish a pilot program to make grants to states or Indian tribal governments for wildfire mitigation. Permits a grant to be used: (1) to reduce the use of fuels that may contribute to catastrophic wildfires in high-risk areas; (2) to invest in personnel, organizations, vehicles, and other equipment to conduct wildfire mitigation; (3) to mitigate against damage from runoff into waterways and floods caused by erosion from wildfires; (4) to build essential community collaboration and outline the necessary groundwork systems in anticipation of future fires; and (5) for other wildlife mitigation activities at the discretion of the governor of a state or the chief executive of an Indian tribal government. Sets forth a grant eligibility requirement based on specified ratios of the relative population of, and the relative number fire management assistance grants received in the previous 10 years by, a prospective recipient. Authorizes the President to waive that requirement if a recipient demonstrates that significant environmental changes or shifts in forest health put the recipient at an elevated risk for catastrophic wildfires. Allows the governor of a state to award grant funds to: (1) any county or municipality with a community wildfire protection plan or a local multi-hazard mitigation plan, (2) any Indian tribal government with a tribal mitigation plan, or (3) any other entity that is explicitly referenced in and central to the design of a community wildfire protection plan or a local multi-hazard mitigation plan. Directs FEMA, in awarding such grants, to: (1) give preference to a recipient that has a high level of need for assistance based on the best scientific data available or that used previous grant funds efficiently and effectively for wildfire mitigation activities, and (2) consider environmental conditions in a state or area. Directs FEMA to use specified unobligated amounts in the National Predisaster Mitigation Fund for each of FY2016-FY2021 in carrying out this Act. Amends the Stafford Act to authorize the President, whether or not a major disaster is declared, to provide hazard mitigation assistance in any area affected by a fire for which assistance was otherwise provided. Directs FEMA to require FEMA, in evaluating a governor's request for major disaster assistance under the Public Assistance Program, to consider whether: (1) post-fire flooding occurred within five years of, and as a result of, a single wildfire event in the state; and (2) the state received fire management assistance related to the major disaster for which the governor is requesting assistance. Directs FEMA to create and make publicly available a post-fire recovery funding and resource guide for local communities.


question:
SECTION 1. SHORT TITLE; TABLE OF CONTENTS.

    (a) Short Title.--This Act may be cited as the ``Medicare+Choice 
Program Improvement Act of 2000''.
    (b) Table of Contents.--The table of contents of this Act is as 
follows:

Sec. 1. Short title; table of contents.
Sec. 2. Increase in national per capita Medicare+Choice growth 
                            percentage in 2001 and 2002.
Sec. 3. Increasing minimum payment amount.
Sec. 4. Allowing movement to 50:50 percent blend in 2002.
Sec. 5. Increased update for payment areas with only one or no 
                            Medicare+Choice contracts.
Sec. 6. Permitting higher negotiated rates in certain Medicare+Choice 
                            payment areas below national average.
Sec. 7. 10-year phase-in of risk adjustment based on data from all 
                            settings.
Sec. 8. Delay from July to November 2000 in deadline for offering and 
                            withdrawing Medicare+Choice plans for 2001.

SEC. 2. INCREASE IN NATIONAL PER CAPITA MEDICARE+CHOICE GROWTH 
              PERCENTAGE IN 2001 AND 2002.

    Section 1853(c)(6)(B) of the Social Security Act (42 U.S.C. 1395w-
23(c)(6)(B)) is amended--
            (1) in clause (iii), by adding ``and'' at the end;
            (2) by striking clauses (iv) and (v);
            (3) by redesignating clause (vi) as clause (iv); and
            (4) in clause (iv), as so redesignated, by striking ``after 
        2002'' and inserting ``after 2000''.

SEC. 3. INCREASING MINIMUM PAYMENT AMOUNT.

    (a) In General.--Section 1853(c)(1)(B)(ii) of the Social Security 
Act (42 U.S.C. 1395w-23(c)(1)(B)(ii)) is amended--
            (1) by striking ``(ii) For a succeeding year'' and 
        inserting ``(ii)(I) Subject to subclause (II), for a succeeding 
        year''; and
            (2) by adding at the end the following new subclause:
                            ``(II) For 2002 for any of the 50 States 
                        and the District of Columbia, $500.''.
    (b) Effective Date.--The amendments made by subsection (a) apply to 
years beginning with 2002.

SEC. 4. ALLOWING MOVEMENT TO 50:50 PERCENT BLEND IN 2002.

    Section 1853(c)(2) of the Social Security Act (42 U.S.C. 1395w-
23(c)(2)) is amended--
            (1) by striking the period at the end of subparagraph (F) 
        and inserting a semicolon; and
            (2) by adding at the end the following flush matter:
        ``except that a Medicare+Choice organization may elect to apply 
        subparagraph (F) (rather than subparagraph (E)) for 2002.''.

SEC. 5. INCREASED UPDATE FOR PAYMENT AREAS WITH ONLY ONE OR NO 
              MEDICARE+CHOICE CONTRACTS.

    (a) In General.--Section 1853(c)(1)(C)(ii) of the Social Security 
Act (42 U.S.C. 1395w-23(c)(1)(C)(ii)) is amended--
            (1) by striking ``(ii) For a subsequent year'' and 
        inserting ``(ii)(I) Subject to subclause (II), for a subsequent 
        year''; and
            (2) by adding at the end the following new subclause:
                            ``(II) During 2002, 2003, 2004, and 2005, 
                        in the case of a Medicare+Choice payment area 
                        in which there is no more than one contract 
                        entered into under this part as of July 1 
                        before the beginning of the year, 102.5 percent 
                        of the annual Medicare+Choice capitation rate 
                        under this paragraph for the area for the 
                        previous year.''.
    (b) Construction.--The amendments made by subsection (a) do not 
affect the payment of a first time bonus under section 1853(i) of the 
Social Security Act (42 U.S.C. 1395w-23(i)).

SEC. 6. PERMITTING HIGHER NEGOTIATED RATES IN CERTAIN MEDICARE+CHOICE 
              PAYMENT AREAS BELOW NATIONAL AVERAGE.

    Section 1853(c)(1) of the Social Security Act (42 U.S.C. 1395w-
23(c)(1)) is amended--
            (1) in the matter preceding subparagraph (A), by striking 
        ``or (C)'' and inserting ``(C), or (D)''; and
            (2) by adding at the end the following new subparagraph:
                    ``(D) Permitting higher rates through 
                negotiation.--
                            ``(i) In general.--For each year beginning 
                        with 2001, in the case of a Medicare+Choice 
                        payment area for which the Medicare+Choice 
                        capitation rate under this paragraph would 
                        otherwise be less than the United States per 
                        capita cost (USPCC), as calculated by the 
                        Secretary, a Medicare+Choice organization may 
                        negotiate with the Secretary an annual per 
                        capita rate that--
                                    ``(I) reflects an annual rate of 
                                increase up to the rate of increase 
                                specified in clause (ii);
                                    ``(II) takes into account audited 
                                current data supplied by the 
                                organization on its adjusted community 
                                rate (as defined in section 
                                1854(f)(3)); and
                                    ``(III) does not exceed the United 
                                States per capita cost, as projected by 
                                the Secretary for the year involved.
                            ``(ii) Maximum rate described.--The rate of 
                        increase specified in this clause for a year is 
                        the rate of inflation in private health 
                        insurance for the year involved, as projected 
                        by the Secretary, and includes such adjustments 
                        as may be necessary--
                                    ``(I) to reflect the demographic 
                                characteristics in the population under 
                                this title; and
                                    ``(II) to eliminate the costs of 
                                prescription drugs.
                            ``(iii) Adjustments for over or under 
                        projections.--If this subparagraph is applied 
                        to an organization and payment area for a year, 
                        in applying this subparagraph for a subsequent 
                        year the provisions of paragraph (6)(C) shall 
                        apply in the same manner as such provisions 
                        apply under this paragraph.
                            ``(iv) Deadline for completion of 
                        negotiations.--The Secretary shall complete 
                        negotiations with a Medicare+Choice 
                        organization under clause (i) for a year by not 
                        later than 90 days after the date the 
                        organization entered into negotiations with the 
                        Secretary.''.

SEC. 7. 10-YEAR PHASE-IN OF RISK ADJUSTMENT BASED ON DATA FROM ALL 
              SETTINGS.

    Section 1853(a)(3)(C)(ii) of the Social Security Act (42 U.S.C. 
1395w-23(c)(1)(C)(ii)) is amended--
            (1) by striking the period at the end of subclause (II) and 
        inserting a semicolon; and
            (2) by adding at the end the following flush matter:
                        ``and, beginning in 2004, insofar as such risk 
                        adjustment is based on data from all settings, 
                        the methodology shall be phased-in in equal 
                        increments over a 10-year period, beginning 
                        with 2004 or (if later) the first year in which 
                        such data is used.''.

SEC. 8. DELAY FROM JULY TO NOVEMBER 2000 IN DEADLINE FOR OFFERING AND 
              WITHDRAWING MEDICARE+CHOICE PLANS FOR 2001.

    Notwithstanding any other provision of law, the deadline for a 
Medicare+Choice organization to withdraw the offering of a 
Medicare+Choice plan under part C of title XVIII of the Social Security 
Act (or otherwise to submit information required for the offering of 
such a plan) for 2001 is delayed from July 1, 2000, to November 1, 
2000, and any such organization that provided notice of withdrawal of 
such a plan during 2000 before the date of enactment of this Act may 
rescind such withdrawal at any time before November 1, 2000.
answer:

Delays from July to November 2000 the deadline for withdrawing the offer, or rescinding the withdrawal, of Medicare+Choice plans for 2001.