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

Ex Input:
SECTION 1. SHORT TITLE; FINDINGS.

    (a) Short Title.--This Act may be cited as the ``Preserving Access 
to Modern Prosthetic Limbs Act of 2016''.
    (b) Findings.--Congress finds the following:
            (1) The Medicare program includes coverage for prosthetic 
        limbs under section 1861(s)(9) of the Social Security Act (42 
        U.S.C. 1395w(s)(9)).
            (2) As a result of significant Federal and private 
        investment in research and development over the past decades, 
        beneficiaries with lower limb prostheses are able to maintain 
        optimal function and lead productive and independent lives.
            (3) Federal spending for prosthetic devices in the Medicare 
        program has decreased by 15 percent between 2010 and 2014.
            (4) The Secretary of Health and Human Services, through 
        Medicare contractors known as Durable Medical Equipment 
        Medicare Administrative Contractors, released on July 16, 2015, 
        a document entitled ``Local Coverage Determination (LCD): Lower 
        Limb Prostheses (DL33787)'', which applies to all Medicare 
        beneficiaries across the United States.
            (5) The policies proposed in this document would 
        comprehensively change the requirements under which a Medicare 
        beneficiary would qualify for a lower limb prosthetic device 
        and would seriously restrict access to modern prosthetic care.
            (6) If finalized, the changes proposed in this document 
        would create coverage requirements that are inconsistent with 
        current clinical practice and would arbitrarily and 
        unreasonably deny Medicare beneficiaries access to prosthetic 
        limb technologies considered the current standard of care.
            (7) Under these proposed policies, beneficiaries instead 
        would be eligible for prosthetic devices that are functionally 
        outdated, less durable, and less safe.
            (8) The adverse impact of the Medicare contractors' 
        proposed policies extend well beyond the Medicare program and 
        has implications for other Federal health programs, such as 
        health programs of the Veterans Administration, and commercial 
        insurers.
            (9) Given the far reaching effect of these policies, and 
        the fact that little or no clinical or scientific evidence 
        supported the issuance of these proposals, any changes to 
        prosthetic limb coverage should be made only after a 
        transparent process in which evidence is offered to justify 
        coverage modifications, meaningful stakeholder feedback is 
        solicited, and the Secretary and Medicare contractors receive 
        and respond to this stakeholder feedback in a public manner.
            (10) A moratorium on the implementation and enforcement of 
        these proposed policies would enable the Secretary and the 
        Medicare contractors to engage in such a transparent process.

SEC. 2. MORATORIUM ON IMPLEMENTATION OF PROPOSED MEDICARE LOCAL 
              COVERAGE DETERMINATION ON LOWER LIMB PROSTHESES.

    (a) Moratorium.--
            (1) In general.--The Secretary of Health and Human Services 
        and any Medicare Administrative Contractor may not implement 
        and enforce the policies in the LCD on lower limb prostheses 
        (as defined in subsection (d)(1)), in whole or in part, during 
        the period beginning on the date of the enactment of this Act, 
        and ending on June 30, 2017.
            (2) Removal of policy from websites.--The Secretary of 
        Health and Human Services and its medicare administrative 
        contractors shall remove the LCD on lower limb prostheses from 
        the websites of the Centers for Medicare & Medicaid Services 
        and its medicare administrative contractors during the period 
        of the moratorium under paragraph (1).
    (b) Providing the Secretary With Authority To Oversee the 
Development of Local Coverage Determinations.--Section 1862(l)(5) of 
the Social Security Act (42 U.S.C. 395y(l)(5)) is amended--
            (1) by redesignating subparagraph (C) as subparagraph (D); 
        and
            (2) by inserting after subparagraph (B) the following new 
        subparagraph:
                    ``(C) Secretary oversight and guidance in 
                developing local coverage determinations.--The 
                Secretary shall provide guidance and oversight of any 
                local coverage determination developed by a medicare 
                administrative contractor to ensure that the local 
                coverage determination is consistent with this 
                title.''.
    (c) Construction.--Nothing in this section shall be construed to 
prevent the Secretary from enforcing existing statutes, regulations, 
and local coverage determinations other than with respect to policies 
in the LCD on lower limb prostheses.
    (d) Definitions.--In this section:
            (1) LCD on lower limb prostheses.--The term ``LCD on lower 
        limb prostheses'' means the local coverage determination on 
        lower limb prostheses as proposed by a medicare administrative 
        contractor in the document (DL33787) released on July 16, 2015, 
        and any successor to such determination.
            (2) Medicare administrative contractor.--The term 
        ``medicare administrative contractor'' has the meaning given 
        such term in section 1874A(a)(3)(A) of the Social Security Act 
        (42 U.S.C. 1395kk-1(a)(3)(A)).

Ex Output:
Preserving Access to Modern Prosthetic Limbs Act of 2016 This bill amends title XVIII (Medicare) of the Social Security Act to postpone implementation and enforcement of&nbsp;a local coverage determination (LCD) proposed by a Medicare Administrative Contractor (MAC) on lower limb prostheses. (An LCD is a decision by a MAC, which is a private insurer that processes Medicare claims within a specified geographic&nbsp;jurisdiction, as to&nbsp;whether to cover a service on a MAC-wide basis.) The Centers for Medicare &amp; Medicaid shall provide guidance and oversight related to LCDs, as specified by the bill.


Ex Input:
SECTION 1. AMENDMENTS TO UNITED STATES INSULAR POSSESSION PROGRAM.

    (a) Production Certificates.--The additional U.S. Note 5(h) to 
chapter 91 of the Harmonized Tariff Schedule of the United States is 
amended--
            (1) by amending subparagraphs (i) and (ii) to read as 
        follows:
``(i) In the case of each calendar quarter beginning after January 1, 
        2002, and before January 1, 2016, the Secretaries jointly, 
        shall:
        ``(A) verify for the preceding calendar quarter both the wages 
                paid by each producer to permanent residents of the 
                insular possessions (including the value of any fringe 
                benefits) and the total quantity and value of watches 
                produced in the insular possessions and imported into 
                the customs territory of the United States; and
        ``(B) issue to each producer (not later than 30 days after the 
                end of the calendar quarter) a certificate for the 
                applicable amount.
``(ii) For purposes of subparagraph (i), except as provided in 
        subparagraphs (iii) and (iv), the term `applicable amount' 
        means an amount equal to the sum of:
        ``(A) 90 percent of the producer's creditable wages (including 
                the value of any fringe benefits) on watch assembly 
                during the preceding calendar quarter (but only the 
                first 300,000 units per calendar year); plus
        ``(B) the applicable graduated declining percentage (determined 
                each year by the Secretaries) of the producer's 
                creditable wages (including the value of any fringe 
                benefits) on the assembly during the preceding calendar 
                quarter for units in excess of 300,000 that calendar 
                year, but not in excess of 750,000 that calendar year; 
                plus
        ``(C) the difference between the duties that would have been 
                due on the producer's watches (excluding digital 
                watches) imported into the customs territory of the 
                United States during the preceding quarter if they had 
                been imported from a country eligible for normal trade 
                relations subject to duty at the rates set forth in 
                column 1 under this chapter that were in effect on 
                January 1, 2001, and the duties that would have been 
                due on those watches if they had been imported from the 
                same country under the tariffs in effect for the 
                preceding calendar quarter.''; and
            (2) by amending subparagraph (v) to read as follows:
``(v)(A) Any certificate issued under subparagraph (i) shall entitle 
        the certificate holder to secure the refund of duties equal to 
        the face value of the certificate on watches, watch movements 
        and, with the exception of discrete cases, parts therefor 
        imported into the customs territory of the United States by the 
        certificate holder. Such refunds shall be made under 
        regulations issued by the Treasury Department. Not more than 5 
        percent of such refunds may be retained as a reimbursement to 
        the Customs Service for the administrative costs of making the 
        refunds. If the Secretary of the Treasury determines that there 
        is an insufficient level of duties from watch and watch-related 
        tariffs, the Secretary may authorize refunds of duties 
        collected on jewelry under chapter 71 or any other duties that 
        the Secretary determines are appropriate.
``(B) At the election of the certificate holder and upon making the 
        certification described in this clause, the Secretary of the 
        Treasury shall pay to the holder the face value of the 
        certificate, less the value of (1) any duty refund claimed by 
        the holder under the certificate, plus (2) a discount of not 
        more than 2 percent of the face value of the certificate, as 
        determined by the Secretary of the Treasury. A certificate 
        holder shall not be eligible for direct payment under this 
        clause unless the certificate holder certifies to the 
        Secretaries that the funds received will be reinvested or 
        utilized to support and continue employment in the Virgin 
        Islands.
``(C) The Secretary of the Treasury is authorized to make the payments 
        provided for in clause (B) from duties collected on watches, 
        watch movements and, with the exception of discrete cases, 
        parts therefor. If such duties are insufficient, the Secretary 
        of the Treasury is authorized to make those payments from 
        duties collected on jewelry under chapter 71 or any other 
        duties that the Secretary determines are appropriate.''.
    (b) Jewelry.--Additional U.S. Note to chapter 71 of the Harmonized 
Tariff Schedule of the United States is amended--
            (1) by redesignating paragraphs (b), (c), (d), and (e) as 
        paragraphs (c), (d), (e), and (f), respectively;
            (2) by inserting after paragraph (a) the following new 
        paragraph:
``(b) The 750,000 unit limitation in additional U.S. Note 5(h)(ii)(B) 
        to chapter 91 shall not apply to articles of jewelry subject to 
        this note.''; and
            (3) by striking paragraph (f), as so redesignated, and 
        inserting the following:
``(f) Notwithstanding any other provision of law, prior to February 9, 
        2004, any article of jewelry provided for in heading 7113 that 
        is assembled in the Virgin Islands, Guam, or American Samoa 
        shall be treated as a product of the Virgin Islands, Guam, or 
        American Samoa for purposes of this note and General Note 
        3(a)(iv) of this Schedule.''.

SEC. 2. EFFECTIVE DATE.

    The amendments made by this Act shall take effect on April 1, 2002, 
with respect to goods imported into the customs territory of the United 
States on or after January 1, 2002.

Ex Output:
Amends the Harmonized Tariff Schedule of the United States to revise clock and watch provisions to require the Secretary of Commerce and the Secretary of the Interior, jointly, for each calendar quarter beginning after January 1, 2002, and before January 1, 2016, to: (1) verify for the preceding calendar quarter both the wages paid by each producer to permanent residents of the insular possessions (including the value of any fringe benefits) and the total quantity and value of watches produced there and imported into the U.S. customs territory; and (2) issue to each producer a certificate for the applicable amount.Directs the Secretary of the Treasury, at the election of the certificate holder, to pay to the holder the face value of the certificate, less the value of any duty refund claimed by the holder under the certificate, plus a discount of not more than two percent of the face value of the certificate as determined by the Secretary of the Treasury.


Ex Input:
SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Internet Tax Freedom Act Amendments 
Act of 2007''.

SEC. 2. MORATORIUM.

    The Internet Tax Freedom Act (47 U.S.C. 151 note) is amended--
        (1) in section 1101(a) by striking ``2007'' and inserting 
    ``2014'', and
        (2) in section 1104(a)(2)(A) by striking ``2007'' and inserting 
    ``2014''.

SEC. 3. GRANDFATHERING OF STATES THAT TAX INTERNET ACCESS.

    Section 1104 of the Internet Tax Freedom Act (47 U.S.C. 151 note) 
is amended by adding at the end the following:
    ``(c) Application of Definition.--
        ``(1) In general.--Effective as of November 1, 2003--
            ``(A) for purposes of subsection (a), the term `Internet 
        access' shall have the meaning given such term by section 
        1104(5) of this Act, as enacted on October 21, 1998; and
            ``(B) for purposes of subsection (b), the term `Internet 
        access' shall have the meaning given such term by section 
        1104(5) of this Act as enacted on October 21, 1998, and amended 
        by section 2(c) of the Internet Tax Nondiscrimination Act 
        (Public Law 108-435).
        ``(2) Exceptions.--Paragraph (1) shall not apply until June 30, 
    2008, to a tax on Internet access that is--
            ``(A) generally imposed and actually enforced on 
        telecommunications service purchased, used, or sold by a 
        provider of Internet access, but only if the appropriate 
        administrative agency of a State or political subdivision 
        thereof issued a public ruling prior to July 1, 2007, that 
        applied such tax to such service in a manner that is 
        inconsistent with paragraph (1); or
            ``(B) the subject of litigation instituted in a judicial 
        court of competent jurisdiction prior to July 1, 2007, in which 
        a State or political subdivision is seeking to enforce, in a 
        manner that is inconsistent with paragraph (1), such tax on 
        telecommunications service purchased, used, or sold by a 
        provider of Internet access.
        ``(3) No inference.--No inference of legislative construction 
    shall be drawn from this subsection or the amendments to section 
    1105(5) made by the Internet Tax Freedom Act Amendments Act of 2007 
    for any period prior to June 30, 2008, with respect to any tax 
    subject to the exceptions described in subparagraphs (A) and (B) of 
    paragraph (2).''.

SEC. 4. DEFINITIONS.

    Section 1105 of the Internet Tax Freedom Act (47 U.S.C. 151 note) 
is amended--
        (1) in paragraph (1) by striking ``services'',
        (2) by amending paragraph (5) to read as follows:
        ``(5) Internet access.--The term `Internet access'--
            ``(A) means a service that enables users to connect to the 
        Internet to access content, information, or other services 
        offered over the Internet;
            ``(B) includes the purchase, use or sale of 
        telecommunications by a provider of a service described in 
        subparagraph (A) to the extent such telecommunications are 
        purchased, used or sold--
                ``(i) to provide such service; or
                ``(ii) to otherwise enable users to access content, 
            information or other services offered over the Internet;
            ``(C) includes services that are incidental to the 
        provision of the service described in subparagraph (A) when 
        furnished to users as part of such service, such as a home 
        page, electronic mail and instant messaging (including voice- 
        and video-capable electronic mail and instant messaging), video 
        clips, and personal electronic storage capacity;
            ``(D) does not include voice, audio or video programming, 
        or other products and services (except services described in 
        subparagraph (A), (B), (C), or (E)) that utilize Internet 
        protocol or any successor protocol and for which there is a 
        charge, regardless of whether such charge is separately stated 
        or aggregated with the charge for services described in 
        subparagraph (A), (B), (C), or (E); and
            ``(E) includes a homepage, electronic mail and instant 
        messaging (including voice- and video-capable electronic mail 
        and instant messaging), video clips, and personal electronic 
        storage capacity, that are provided independently or not 
        packaged with Internet access.'';
        (3) by amending paragraph (9) to read as follows:
        ``(9) Telecommunications.--The term `telecommunications' means 
    `telecommunications' as such term is defined in section 3(43) of 
    the Communications Act of 1934 (47 U.S.C. 153(43)) and 
    `telecommunications service' as such term is defined in section 
    3(46) of such Act (47 U.S.C. 153(46)), and includes communications 
    services (as defined in section 4251 of the Internal Revenue Code 
    of 1986 (26 U.S.C. 4251)).'', and
        (4) in paragraph (10) by adding at the end the following:
            ``(C) Specific exception.--
                ``(i) Specified taxes.--Effective November 1, 2007, the 
            term `tax on Internet access' also does not include a State 
            tax expressly levied on commercial activity, modified gross 
            receipts, taxable margin, or gross income of the business, 
            by a State law specifically using one of the foregoing 
            terms, that--

                    ``(I) was enacted after June 20, 2005, and before 
                November 1, 2007 (or, in the case of a State business 
                and occupation tax, was enacted after January 1, 1932, 
                and before January 1, 1936);
                    ``(II) replaced, in whole or in part, a modified 
                value-added tax or a tax levied upon or measured by net 
                income, capital stock, or net worth (or, is a State 
                business and occupation tax that was enacted after 
                January 1, 1932 and before January 1, 1936);
                    ``(III) is imposed on a broad range of business 
                activity; and
                    ``(IV) is not discriminatory in its application to 
                providers of communication services, Internet access, 
                or telecommunications.

                ``(ii) Modifications.--Nothing in this subparagraph 
            shall be construed as a limitation on a State's ability to 
            make modifications to a tax covered by clause (i) of this 
            subparagraph after November 1, 2007, as long as the 
            modifications do not substantially narrow the range of 
            business activities on which the tax is imposed or 
            otherwise disqualify the tax under clause (i).
                ``(iii) No inference.--No inference of legislative 
            construction shall be drawn from this subparagraph 
            regarding the application of subparagraph (A) or (B) to any 
            tax described in clause (i) for periods prior to November 
            1, 2007.''.

SEC. 5. CONFORMING AMENDMENTS.

    (a) Accounting Rule.--Section 1106 of the Internet Tax Freedom Act 
(47 U.S.C. 151 note) is amended--
        (1) by striking ``telecommunications services'' each place it 
    appears and inserting ``telecommunications'', and
        (2) in subsection (b)(2)--
            (A) in the heading by striking ``services'',
            (B) by striking ``such services'' and inserting ``such 
        telecommunications'', and
            (C) by inserting before the period at the end the 
        following: ``or to otherwise enable users to access content, 
        information or other services offered over the Internet''.
    (b) Voice Services.--The Internet Tax Freedom Act (47 U.S.C. 151 
note) is amended by striking section 1108.

SEC. 6. SUNSET OF GRANDFATHER PROVISIONS.

    Section 1104(a) of the Internet Tax Freedom Act is amended by 
adding at the end thereof the following:
        ``(3) Exception.--Paragraphs (1) and (2) shall not apply to any 
    State that has, more than 24 months prior to the date of enactment 
    of this paragraph, enacted legislation to repeal the State's taxes 
    on Internet access or issued a rule or other proclamation made by 
    the appropriate agency of the State that such State agency has 
    decided to no longer apply such tax to Internet access.''.

SEC. 7. EFFECTIVE DATE.

    This Act, and the amendments made by this Act, shall take effect on 
November 1, 2007, and shall apply with respect to taxes in effect as of 
such date or thereafter enacted, except as provided in section 1104 of 
the Internet Tax Freedom Act (47 U.S.C. 151 note).

                               Speaker of the House of Representatives.

                            Vice President of the United States and    
                                               President of the Senate.

Ex Output:

Internet Tax Freedom Act Amendments Act of 2007 - Amends the Internet Tax Freedom Act to extend until November 1, 2014, the moratorium on state and local taxation of Internet access and electronic commerce (moratorium) and the exemption from such moratorium for states with previously enacted Internet tax laws (grandfathering provisions).

Redefines, effective November 1, 2003, "Internet access" to prevent certain states from claiming an expanded exemption under the Internet Tax Nondiscrimination Act from the moratorium. Delays the application of such redefinition until June 30, 2008, for a state or local tax on Internet access that is: (1) generally imposed and actually enforced on telecommunication services; or (2) the subject of litigation instituted in a state court prior to July 1, 2007.

Expands the term "Internet access" to include related communication services (e.g., emails and instant messaging). Redefines "telecommunications" to include unregulated non-utility telecommunications (e.g., cable services).

Provides for a specific exception to the moratorium for certain state business taxes enacted between June 20, 2005, and before November 1, 2007, that do not discriminate against providers of communication services, Internet access, or telecommunications.

Renders inapplicable the grandfather provisions of the Internet Tax Freedom Act for states that repealed or nullified their tax laws on Internet access more than 24 months prior to the enactment of this Act.

Makes the amendments made by this Act effective November 1, 2007.