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

SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Expanding Access to Medical Records 
Act''.

SEC. 2. FULL ACCESS TO MEDICARE INFORMATION BY THE AUTHORIZED 
              REPRESENTATIVE OF A DECEASED BENEFICIARY.

    (a) In General.--Title XVIII of the Social Security Act (42 U.S.C. 
1395 et seq.) is amended by adding at the end the following new 
section:

``full access to medicare information by the authorized representative 
                       of a deceased beneficiary

    ``Sec. 1899.  (a) In General.--In the case of the death of an 
individual entitled to, or enrolled for, benefits under part A or 
enrolled for benefits under part B, the Secretary shall--
            ``(1) make available to the authorized representative of 
        the individual all information concerning the individual's 
        benefits under this title, including--
                    ``(A) the coverage and status of such benefits (as 
                of the day before the individual's death); and
                    ``(B) billing, claims, and payment information 
                regarding items and services furnished to the 
                individual under this title (on or before such day); 
                and
            ``(2) provide such authorized representative access to any 
        source of information maintained by the Federal government with 
        respect to such benefits, including online databases, that the 
        individual had access to during his or her lifetime.
    ``(b) Definition of Authorized Representative; Special Rules.--
            ``(1) In general.--In this section, the term `authorized 
        representative' means an executor, administrator, or other 
        individual who has authority to act on the deceased 
        individual's behalf (as determined by the Secretary under 
        paragraph (2)).
            ``(2) Determination of authorized representative.--
                    ``(A) In general.--The Secretary shall establish 
                procedures under which the Secretary determines whether 
                an individual is an authorized representative of the 
                deceased individual. Under such procedures, the 
                individual seeking such determination shall provide 
                evidence (in such form and such manner as specified by 
                the Secretary) of the individual's legal authority to 
                act on behalf of the deceased individual.
                    ``(B) Timeline for determination.--The Secretary 
                shall make a determination under subparagraph (A) not 
                later than 30 days after receipt of the evidence 
                described in such subparagraph.
            ``(3) Notification and access to information.--After making 
        a determination under paragraph (2) with respect to an 
        individual, the Secretary shall--
                    ``(A) notify the individual of the determination 
                not later than 7 days after the date on which the 
                determination is made; and
                    ``(B) in the case where such individual is so 
                determined to be the authorized representative of the 
                deceased individual, as soon as practicable--
                            ``(i) make available to the authorized 
                        representative the information described in 
                        paragraph (1) of subsection (a); and
                            ``(ii) provide the authorized 
                        representative access to the sources described 
                        in paragraph (2) of such subsection.''.
    (b) Effective Date.--The amendment made by this section shall take 
effect on the date that is 60 days after the date of enactment of this 
Act.

SEC. 3. FULL ACCESS TO MEDICAID INFORMATION BY THE AUTHORIZED 
              REPRESENTATIVE OF A DECEASED BENEFICIARY.

    (a) In General.--Title XIX of the Social Security Act (42 U.S.C. 
1396 et seq.) is amended by adding at the end the following new 
section:

``full access to medicaid information by the authorized representative 
                       of a deceased beneficiary

    ``Sec. 1943.  (a) In General.--In the case of the death of an 
individual enrolled under the State plan for medical assistance or 
under a waiver of such plan, the State Medicaid agency shall--
            ``(1) make available to the authorized representative of 
        the individual all information concerning the individual's 
        benefits under this title, including--
                    ``(A) the coverage and status of such benefits (as 
                of the day before the individual's death); and
                    ``(B) billing, claims, and payment information 
                regarding items and services furnished to the 
                individual under this title (on or before such day); 
                and
            ``(2) provide such authorized representative access to any 
        source of information maintained by the State with respect to 
        such benefits, including online databases, that the individual 
        had access to during his or her lifetime.
    ``(b) Definition of Authorized Representative; Special Rules.--
            ``(1) In this section, the term `authorized representative' 
        means an executor, administrator, or other individual who has 
        authority to act on the deceased individual's behalf (as 
        determined by the State Medicaid agency under paragraph (2)).
            ``(2) Determination of authorized representative.--
                    ``(A) In general.--The State Medicaid agency shall 
                establish procedures under which such agency determines 
                whether an individual qualifies as an authorized 
                representative of the deceased individual. Under such 
                procedures, the individual seeking such a determination 
                shall provide evidence (in such form and such manner as 
                specified by the State Medicaid Agency) of the 
                individual's legal authority to act on behalf of the 
                deceased individual.
                    ``(B) Timeline for determination.--The State 
                Medicaid agency shall make a determination under 
                subparagraph (A) not later than 30 days after receipt 
                of the evidence described in such subparagraph.
            ``(3) Notification and access to information.--After making 
        a determination under paragraph (2) with respect to an 
        individual, the State Medicaid Agency shall--
                    ``(A) notify the individual of the determination 
                not later than 7 days after the date on which the 
                determination is made; and
                    ``(B) in the case where such individual is so 
                determined to be the authorized representative of the 
                deceased individual, as soon as practicable--
                            ``(i) make available to the authorized 
                        representative the information described in 
                        paragraph (1) of subsection (a); and
                            ``(ii) provide the authorized 
                        representative access to the sources described 
                        in paragraph (2) of such subsection.
    ``(c) Definition of State Medicaid Agency.--The term `State 
Medicaid agency' means the State agency responsible for administering 
the State plan established under this title or any waiver of such 
plan.''.
    (b) Effective Date.--
            (1) In general.--Except as provided in paragraph (2), the 
        amendment made by this section shall take effect on the date 
        that is 60 days after the date of enactment of this Act.
            (2) Extension of effective date for state law amendment.--
        In the case of a State plan under this title which the 
        Secretary of Health and Human Services determines requires 
        State legislation in order for the plan to meet the additional 
        requirements imposed by the amendment made by subsection (a), 
        the State plan shall not be regarded as failing to comply with 
        the requirements of such title solely on the basis of its 
        failure to meet these additional requirements before the first 
        day of the first calendar quarter beginning after the close of 
        the first regular session of the State legislature that begins 
        after the date of the enactment of this Act. For purposes of 
        the previous sentence, in the case of a State that has a 2-year 
        legislative session, each year of the session is considered to 
        be a separate regular session of the State legislature.
Expanding Access to Medical Records Act - Amends titles XVIII (Medicare) and XIX (Medicaid) of the Social Security Act to require the Secretary of Health and Human Services (HHS) grant the authorized representative of a deceased beneficiary full access to information with respect to the deceased beneficiary's benefits under the Medicare and Medicaid programs.

SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Preserving Rehabilitation Innovation 
Centers Act of 2016''.

SEC. 2. FINDINGS.

    Congress makes the following findings:
            (1) In the United States, there are an estimated 1,181 
        inpatient rehabilitation facilities. Among these facilities is 
        a small group of inpatient rehabilitation institutions that are 
        contributing to the future of rehabilitation care medicine, as 
        well as to patient recovery, scientific innovation, and quality 
        of life.
            (2) This unique category of inpatient rehabilitation 
        institutions treats the most complex patient conditions, such 
        as traumatic brain injury, stroke, spinal cord injury, 
        childhood disease, burns, and wartime injuries.
            (3) These leading inpatient rehabilitation institutions are 
        all not-for-profit or Government-owned institutions and serve a 
        high volume of Medicare or Medicaid beneficiaries.
            (4) These leading inpatient rehabilitation institutions 
        have been recognized by the Federal Government for their 
        contributions to cutting-edge research to develop solutions 
        that enhance quality of care, improve patient outcomes, and 
        reduce health care costs.
            (5) These leading inpatient rehabilitation institutions 
        help to improve the practice and standard of rehabilitation 
        medicine across the Nation in urban, suburban, and rural 
        communities by training physicians, medical students, and other 
        clinicians, and providing care to patients from all 50 States.
            (6) It is vital that these leading inpatient rehabilitation 
        institutions are supported so they can continue to lead the 
        Nation's efforts to--
                    (A) advance integrated, multidisciplinary 
                rehabilitation research;
                    (B) provide cutting-edge medical care to the most 
                complex rehabilitation patients;
                    (C) serve as education and training facilities for 
                the physicians, nurses, and other health professionals 
                who serve rehabilitation patients;
                    (D) ensure Medicare and Medicaid beneficiaries 
                receive state-of-the-art, high-quality rehabilitation 
                care by developing and disseminating best practices and 
                advancing the quality of care utilized by post-acute 
                providers in all 50 States; and
                    (E) support other inpatient rehabilitation 
                institutions in rural areas to help ensure access to 
                quality post-acute care for patients living in these 
                communities.

SEC. 3. STUDY AND REPORT RELATING TO THE COSTS INCURRED BY, AND THE 
              MEDICARE PAYMENTS MADE TO, REHABILITATION INNOVATION 
              CENTERS.

    (a) In General.--Section 1886(j) of the Social Security Act (42 
U.S.C. 1395ww(j)) is amended--
            (1) by redesignating paragraph (8) as paragraph (9); and
            (2) by inserting after paragraph (7) the following new 
        paragraph:
            ``(8) Study and report relating to the costs incurred by, 
        and the medicare payments made to, rehabilitation innovation 
        centers.--
                    ``(A) Study.--The Secretary shall conduct a study 
                to assess the costs incurred by rehabilitation 
                innovation centers (as defined in subparagraph (C)) 
                that are beyond the prospective rate for each of the 
                following activities:
                            ``(i) Furnishing items and services to 
                        individuals under this title.
                            ``(ii) Conducting research.
                            ``(iii) Providing medical training.
                    ``(B) Report.--Not later than July 1, 2019, the 
                Secretary shall submit to Congress a report containing 
                the results of the study under subparagraph (A), 
                together with recommendations for such legislation and 
                administrative action as the Secretary determines 
                appropriate.
                    ``(C) Rehabilitation innovation center defined.--
                            ``(i) In general.--In this paragraph, the 
                        term `rehabilitation innovation center' means a 
                        rehabilitation facility that, determined as of 
                        the date of the enactment of this paragraph, is 
                        described in clause (ii) or clause (iii).
                            ``(ii) Not-for-profit.--A rehabilitation 
                        facility described in this clause is a facility 
                        that--
                                    ``(I) is classified as a not-for-
                                profit entity under the IRF Rate 
                                Setting File for the Correction Notice 
                                for the Inpatient Rehabilitation 
                                Facility Prospective Payment System for 
                                Federal Fiscal Year 2012 (78 Fed. Reg. 
                                59256);
                                    ``(II) holds at least one Federal 
                                rehabilitation research and training 
                                designation for research projects on 
                                traumatic brain injury, spinal cord 
                                injury, or stroke rehabilitation 
                                research from the Rehabilitation 
                                Research and Training Centers or the 
                                Rehabilitation Engineering Research 
                                Center at the National Institute on 
                                Disability and Rehabilitation Research 
                                at the Department of Education, based 
                                on such data submitted to the Secretary 
                                by a facility, in a form, manner, and 
                                time frame specified by the Secretary;
                                    ``(III) has a minimum Medicare case 
                                mix index of 1.1144 for fiscal year 
                                2012 according to the IRF Rate Setting 
                                File described in subclause (I); and
                                    ``(IV) had at least 300 Medicare 
                                discharges or at least 200 Medicaid 
                                discharges in a prior year as 
                                determined by the Secretary.
                            ``(iii) Government-owned.--A rehabilitation 
                        facility described in this clause is a facility 
                        that--
                                    ``(I) is classified as a 
                                Government-owned institution under the 
                                IRF Rate Setting File described in 
                                clause (ii)(I);
                                    ``(II) holds at least one Federal 
                                rehabilitation research and training 
                                designation for research projects on 
                                traumatic brain injury, spinal cord 
                                injury, or stroke rehabilitation 
                                research from the Rehabilitation 
                                Research and Training Centers, the 
                                Rehabilitation Engineering Research 
                                Center, or the Model Spinal Cord Injury 
                                Systems at the National Institute on 
                                Disability and Rehabilitation Research 
                                at the Department of Education, based 
                                on such data submitted to the Secretary 
                                by a facility, in a form, manner, and 
                                time frame specified by the Secretary;
                                    ``(III) has a minimum Medicare case 
                                mix index of 1.1144 for 2012 according 
                                to the IRF Rate Setting File described 
                                in clause (ii)(I); and
                                    ``(IV) has a Medicare 
                                disproportionate share hospital (DSH) 
                                percentage of at least 0.6300 according 
                                to the IRF Rate Setting File described 
                                in clause (ii)(I)).''.

            Passed the Senate December 10 (legislative day, December 
      9), 2016.

            Attest:

                                                             Secretary.
114th CONGRESS

  2d Session

                                S. 1168

_______________________________________________________________________

                                 AN ACT

 To amend title XVIII of the Social Security Act to preserve access to 
     rehabilitation innovation centers under the Medicare program.
Preserving Rehabilitation Innovation Centers Act of 2016 This bill amends title XVIII (Medicare) of the Social Security Act to direct the Department of Health and Human Services to conduct a study to assess the costs incurred by rehabilitation innovation centers that are beyond the prospective rates for each of the following activities: (1) furnishing items and services to individuals under Medicare; (2) conducting research; and (3) providing medical training.

SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Pioneer National Historic Trails 
Studies Act''.

SEC. 2. REVISION OF FEASIBILITY AND SUITABILITY STUDIES OF EXISTING 
              NATIONAL HISTORIC TRAILS.

     The National Trails System Act is amended by inserting after 
section 5 (16 U.S.C. 1244) the following new section:

``SEC. 5A. REVISION OF FEASIBILITY AND SUITABILITY STUDIES OF EXISTING 
              TRAILS FOR POSSIBLE TRAIL EXPANSION.

    ``(a) Definitions.--In this section:
            ``(1) The term `route' includes a trail segment commonly 
        known as a cutoff.
            ``(2) The term `shared route' means a route that was a 
        segment of more than one historic trail, including a route 
        shared with an existing national historic trail.
    ``(b) General Rules.--
            ``(1) Study requirements and objectives.--The study 
        requirements and objectives specified in section 5(b) shall 
        apply to a study required by this section.
            ``(2) Completion and submission of study.--Not later than 
        three complete fiscal years after the date of the enactment of 
        this section, the Secretary shall complete and submit to 
        Congress the studies required by subsections (c) through (g). 
        In the case of a study added to this section after that date, 
        the study shall be completed and submitted to Congress not 
        later than three complete fiscal years after the date of the 
        enactment of the law adding the study to this section.
    ``(c) Oregon National Historic Trail.--The Secretary of the 
Interior shall undertake a study of certain routes of the Oregon Trail, 
as generally depicted on the map entitled `Western Emigrant Trails 
1830/1870' and dated 1991/1993, and such other routes of the Oregon 
Trail that the Secretary considers appropriate, to determine the 
feasibility and suitability of designation of one or more of the routes 
as components of the Oregon National Historic Trail. The routes to be 
studied under this subsection include the following:
            ``(1) Whitman Mission route.
            ``(2) Upper Columbia River.
            ``(3) Cowlitz River route.
            ``(4) Meek cutoff.
            ``(5) Free Emigrant Road.
            ``(6) North Alternate Oregon Trail.
            ``(7) Goodale's cutoff.
            ``(8) North Side alternate route.
            ``(9) Cutoff to Barlow Road.
            ``(10) Naches Pass Trail.
    ``(d) Pony Express National Historic Trail.--The Secretary of the 
Interior shall undertake a study of the approximately 20-mile southern 
alternative route of the Pony Express Trail from Wathena, Kansas, to 
Troy, Kansas, and such other routes of the Pony Express Trail that the 
Secretary considers appropriate, to determine the feasibility and 
suitability of designation of one or more of the routes as components 
of the Pony Express National Historic Trail.
    ``(e) California National Historic Trail.--The Secretary of the 
Interior shall undertake a study of certain Missouri Valley, central, 
and western routes of the California Trail, as generally depicted on 
the map entitled `Western Emigrant Trails 1830/1870' and dated 1991/
1993, and such other and shared Missouri Valley, central, and western 
routes that the Secretary considers appropriate, to determine the 
feasibility and suitability of designation of one or more of the routes 
as components of the California National Historic Trail. The routes to 
be studied under this subsection include the following:
            ``(1) Missouri valley routes.--
                    ``(A) Blue Mills-Independence Road.
                    ``(B) Westport Landing Road.
                    ``(C) Westport-Lawrence Road.
                    ``(D) Fort Leavenworth-Blue River route.
                    ``(E) Road to Amazonia.
                    ``(F) Union Ferry Route.
                    ``(G) Old Wyoming-Nebraska City cutoff.
                    ``(H) Lower Plattsmouth Route.
                    ``(I) Lower Bellevue Route.
                    ``(J) Woodbury cutoff.
                    ``(K) Blue Ridge cutoff.
                    ``(L) Westport Road.
                    ``(M) Gum Springs-Fort Leavenworth route.
                    ``(N) Atchison/Independence Creek routes.
                    ``(O) Fort Leavenworth-Kansas River route.
                    ``(P) Nebraska City cutoff routes.
                    ``(Q) Minersville-Nebraska City Road.
                    ``(R) Upper Plattsmouth route.
                    ``(S) Upper Bellevue route.
            ``(2) Central routes.--
                    ``(A) Cherokee Trail, including splits.
                    ``(B) Weber Canyon route of Hastings cutoff.
                    ``(C) Bishop Creek cutoff.
                    ``(D) McAuley cutoff.
                    ``(E) Diamond Springs cutoff.
                    ``(F) Secret Pass.
                    ``(G) Greenhorn cutoff.
                    ``(H) Central Overland Trail.
            ``(3) Western routes.--
                    ``(A) Bidwell-Bartleson route.
                    ``(B) Georgetown/Dagget Pass Trail.
                    ``(C) Big Trees Road.
                    ``(D) Grizzly Flat cutoff.
                    ``(E) Nevada City Road.
                    ``(F) Yreka Trail.
                    ``(G) Henness Pass route.
                    ``(H) Johnson cutoff.
                    ``(I) Luther Pass Trail.
                    ``(J) Volcano Road.
                    ``(K) Sacramento-Coloma Wagon Road.
                    ``(L) Burnett cutoff.
                    ``(M) Placer County Road to Auburn.
    ``(f) Mormon Pioneer National Historic Trail.--The Secretary of the 
Interior shall undertake a study of certain routes of the Mormon 
Pioneer Trail, as generally depicted on the map entitled `Western 
Emigrant Trails 1830/1870' and dated 1991/1993, and such other routes 
of the Mormon Pioneer Trail that the Secretary considers appropriate, 
to determine the feasibility and suitability of designation of one or 
more of the routes as components of the Mormon Pioneer National 
Historic Trail. The routes to be studied under this subsection include 
the following:
            ``(1) 1846 Subsequent routes A and B (Lucas and Clarke 
        Counties, Iowa).
            ``(2) 1856-57 Handcart route (Iowa City to Council Bluffs).
            ``(3) Keokuk route (Iowa).
            ``(4) 1847 Alternative Elkhorn and Loup River Crossings in 
        Nebraska.
            ``(5) Fort Leavenworth Road, including the Ox Bow route and 
        alternates in Kansas and Missouri (Oregon and California Trail 
        routes used by Mormon emigrants).
            ``(6) 1850 Golden Pass Road in Utah.
    ``(g) Shared California and Oregon Trail Routes.--The Secretary of 
the Interior shall undertake a study of certain shared routes of the 
California Trail and Oregon Trail, as generally depicted on the map 
entitled `Western Emigrant Trails 1830/1870' and dated 1991/1993, and 
such other shared routes that the Secretary considers appropriate, to 
determine the feasibility and suitability of designation of one or more 
of the routes as shared components of the California National Historic 
Trail and the Oregon National Historic Trail. The routes to be studied 
under this subsection include the following:
            ``(1) St. Joe Road.
            ``(2) Council Bluffs Road.
            ``(3) Sublette cutoff.
            ``(4) Applegate route.
            ``(5) Old Fort Kearny Road (Oxbow Trail).
            ``(6) Childs cutoff.
            ``(7) Raft River to Applegate.''.

Pioneer National Historic Trails Studies Act - Amends the National Trails System Act to require specified revisions of feasibility and suitability studies of certain existing National Historic Trails.Directs the Secretary to study the feasibility of designating certain routes and cutoffs for inclusion within the Oregon, Pony Express, California, and Mormon Pioneer National Historic Trails.