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

[Q]: SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Silvio O. Conte Disabilities 
Prevention Act''.

SEC. 2. ESTABLISHMENT OF SILVIO O. CONTE DISABILITIES PREVENTION 
              PROGRAM.

    Part B of title III of the Public Health Service Act (42 U.S.C. 243 
et seq.) is amended by inserting after section 314 the following new 
section:

           ``silvio o. conte disabilities prevention program

    ``Sec. 315. (a) In General.--The Secretary, acting through the 
Director of the Centers for Disease Control and Prevention, may make 
grants to and enter into contracts with public and nonprofit private 
entities for the purpose of carrying out programs for the prevention of 
disabilities and the prevention of secondary conditions resulting from 
disabilities.
    ``(b) Certain Authorized Activities.--With respect to the 
prevention of disabilities and conditions described in subsection (a), 
activities for which the Secretary may provide financial assistance 
under such subsection include--
            ``(1) coordinating prevention activities;
            ``(2) conducting demonstrations and interventions;
            ``(3) conducting surveillances and studies;
            ``(4) educating the public; and
            ``(5) educating and training health professionals 
        (including allied health professionals) and conducting 
        activities to improve the clinical skills of such 
        professionals.
    ``(c) Priorities.--The Secretary, in consultation with the National 
Council on Disabilities, shall establish priorities among the 
activities that are to be carried out under subsection (a).
    ``(d) Reports to Secretary.--The Secretary may provide financial 
assistance under subsection (a) only if the applicant involved agrees 
to submit to the Secretary such reports as the Secretary may require 
with respect to such assistance.
    ``(e) Application for Assistance.--The Secretary may provide 
financial assistance under subsection (a) only if an application for 
such assistance is submitted to the Secretary and the application is in 
such form, is made in such manner, and contains such agreements, 
assurances, and information as the Secretary determines to be necessary 
to carry out this section.
    ``(f) Limitation Regarding Education of Health Professionals.--In 
providing financial assistance under subsection (a), the Secretary may 
not, for activities described in subsection (b)(5), obligated more than 
10 percent of the amounts appropriated under subsection (k) for any 
fiscal year.
    ``(g) Technical Assistance.--The Secretary may provide training, 
technical assistance, and consultations with respect to the planning, 
development, and operation of any program for the prevention of 
disabilities or the prevention of secondary conditions resulting from 
disabilities.
    ``(h) Provision of Supplies and Services in Lieu of Funds.--
            ``(1) In general.--Upon the request of a recipient of 
        financial assistance under subsection (a), the Secretary may, 
        subject to paragraph (2), provide supplies, equipment, and 
        services for the purpose of aiding the recipient in carrying 
        out such subsection and, for such purpose, may detail to the 
        recipient any officer or employee of the Department of Health 
        and Human Services.
            ``(2) Corresponding reduction in payments.--With respect to 
        a request by a recipient for purposes of paragraph (1), the 
        Secretary shall reduce the amount of payments under subsection 
        (a) to the recipient by an amount equal to the costs of 
        detailing personnel (including pay, allowances, and travel 
        expenses) and the fair market value of any supplies, equipment, 
        or services provided by the Secretary. The Secretary shall, for 
        the payment of expenses incurred in complying with such 
        request, expend the amounts withheld.
    ``(i) Evaluations and Reports.--
            ``(1) Evaluations.--The Secretary shall, directly or 
        through contracts with public or private entities, provide for 
        evaluations of programs carried out pursuant to subsection (a).
            ``(2) Reports.--Not later than January 31 of 1995 and of 
        every second year thereafter, the Secretary shall submit to the 
        Committee on Energy and Commerce of the House of 
        Representatives, and to the Committee on Labor and Human 
        Resources of the Senate, a report summarizing evaluations 
        carried out pursuant to paragraph (1). The Secretary shall 
        provide a copy of each such report to the National Council on 
        Disability.
    ``(j) Definitions.--For purposes of this section:
            ``(1) The term `financial assistance' means a grant or 
        contract.
            ``(2) The term `prevention' means activities that address 
        the causes of disabilities and secondary conditions resulting 
        from disabilities, and activities that address the functional 
        limitations involved and the exacerbation of such limitations, 
        including activities that--
                    ``(A) eliminate or reduce the factors that cause or 
                predispose an individual to disabilities or that 
                increase the prevalence of disabilities;
                    ``(B) increase the early identification of existing 
                problems to eliminate circumstances that create or 
                increase functional limitations; and
                    ``(C) mitigate against the effects of disabilities 
                throughout the life of the individual.
    ``(k) Authorization of Appropriations.--For the purpose of 
providing financial assistance under this section, there are authorized 
to be appropriated $15,000,000 for fiscal year 1994, $20,000,000 for 
fiscal year 1995, $25,000,000 for fiscal year 1996, and such sums as 
may be necessary for each of the fiscal years 1997 and 1998.''.

            Passed the House of Representatives June 14, 1993.

            Attest:

                                           DONNALD K. ANDERSON,

                                                                 Clerk.
[A]: Silvio O. Conte Disabilities Prevention Act - Amends the Public Health Service Act to authorize grants and contracts for the prevention of disabilities and the prevention of secondary conditions resulting from disabilities, including through demonstrations and interventions, surveillances and studies, public education, and training health professionals.  Authorizes appropriations.


[Q]: SECTION 1. SHORT TITLE.

    This Act may be cited as the ``State Long-Term Care Partnership Act 
of 2005''.

SEC. 2. ALLOWANCE OF ADDITIONAL STATE LONG-TERM CARE PARTNERSHIPS.

    (a) In General.--Section 1917(b) of the Social Security Act (42 
U.S.C. 1396(b)) is amended--
            (1) in paragraph (1)(C)(i), by striking ``shall seek 
        adjustment'' and inserting ``may seek adjustment'';
            (2) in paragraph (1)(C)(ii), by inserting ``Qualified State 
        Long-Term Care Insurance Partnership or under a'' after 
        ``Clause (i) shall not apply in the case of an individual who 
        received medical assistance under a''; and
            (3) in paragraph (4)(B), by striking ``(and shall include, 
        in the case of an individual to whom paragraph (1)(C)(i) 
        applies)''.
    (b) Definition of a Qualified State Long-Term Care Insurance 
Partnership.--Section 1917(e) of the Social Security Act (42 U.S.C. 
1396p(e)) is amended by inserting at the end the following:
            ``(6) The term `Qualified State Long-Term Care Insurance 
        Partnership' means a State plan amendment that provides for the 
        disregard of any assets or resources in an amount equal to the 
        insurance benefits payments that are made under a long-term 
        care insurance policy (including a certificate issued under a 
        group insurance contract), but only if--
                    ``(A) the policy covers an insured who, at the time 
                coverage under the policy first becomes effective, is a 
                resident of such State or of a State that maintains a 
                Qualified Long-Term Care Insurance Partnership;
                    ``(B) the policy is a qualified long-term care 
                insurance contract within the meaning of section 
                7702B(b) of the Internal Revenue Code of 1986;
                    ``(C) the policy provides some level of inflation 
                protection;
                    ``(D) the policy satisfies any requirements of 
                State or other applicable law that apply to a long-term 
                care insurance policy; and
                    ``(E) the issuer of the policy reports--
                            ``(i) to the Secretary, such information or 
                        data as the Secretary may require; and
                            ``(ii) to the State, the information or 
                        data reported to the Secretary (if any), the 
                        information or data required under the minimum 
                        reporting requirements developed under section 
                        2(c)(1) of the State Long-Term Care Partnership 
                        Act of 2005, and such additional information or 
                        data as the State may require.
        For purposes of applying this paragraph, if a long-term care 
        insurance policy is exchanged for another such policy, the date 
        coverage became effective under the first policy shall 
        determine when coverage first becomes effective.''.
    (c) Regulatory Authority.--Not later than 6 months after the date 
of enactment of this Act, the Secretary of Health and Human Services 
(in this subsection and subsection (d) referred to as the 
``Secretary''), in consultation with the National Association of 
Insurance Commissioners, issuers of long-term care insurance policies, 
States with experience with long-term care insurance partnership plans, 
and other States, shall develop the following requirements and 
standards:
            (1) Minimum, consistent reporting requirements.--
                    (A) In general.--Minimum reporting requirements for 
                issuers of long-term care insurance policies under 
                Qualified State Long-Term Care Insurance Partnerships 
                that shall specify the data and information that each 
                such issuer shall report to the State with which it has 
                such a partnership. The requirements developed in 
                accordance with this paragraph shall specify the type 
                and format of the data and information to be reported 
                and the frequency with which such reports are to be 
                made.
                    (B) State required data.--Nothing in subparagraph 
                (A) shall be construed as prohibiting a State from 
                requiring an issuer of a long-term care insurance 
                policy sold in the State (regardless of whether the 
                policy is issued under a Qualified State Long-Term Care 
                Insurance Partnership) to require the issuer to report 
                State information or data to the State that is in 
                addition to the information or data required under the 
                minimum reporting requirements developed under that 
                subparagraph.
            (2) Reciprocity standards.--Standards for ensuring that 
        long-term care insurance policies issued under a Qualified 
        State Long-Term Care Insurance Partnership are portable to 
        other States with such a partnership.
    (d) Consumer Education.--The Secretary shall establish procedures 
for educating consumers regarding Qualified State Long-Term Care 
Insurance Partnerships and long-term care insurance policies issued in 
connection with such partnerships.
    (e) Annual Reports to Congress.--The Secretary shall annually 
report to Congress on the Qualified State Long-Term Care Insurance 
Partnerships established in accordance with subsections (b)(1)(C)(ii) 
and (e)(6) of section 1917 of the Social Security Act (42 U.S.C. 
1396p).
    (f) Effective Date.--The amendments made by subsections (a) and (b) 
take effect on October 1, 2005.
[A]: State Long-Term Care Partnership Act of 2005 - Amends title XIX (Medicaid) of the Social Security Act to provide for establishment of long-term care insurance partnerships between states and insurers (Qualified State Long-Term Care Insurance Partnerships (QSLTCIPs)). Defines a QSLTCIP as a state plan amendment that provides for the disregard of any assets or resources in an amount equal to the insurance benefits payments made under a long-term care insurance policy (including a certificate issued under a group insurance contract), but only if the policy meets certain requirements, including coverage of an insured who, at the time coverage first becomes effective, is a resident of such state or of a state that maintains a QSLTCIP.

Directs the Secretary to establish procedures for educating consumers regarding QSLTCIPs and long-term care insurance policies issued in connection with them.


[Q]: SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Civil Service Long-Term Care 
Insurance Benefit Act''.

SEC. 2. LONG-TERM CARE INSURANCE.

    (a) In General.--Subpart G of part III of title 5, United States 
Code, is amended by adding at the end the following:

                 ``CHAPTER 90--LONG-TERM CARE INSURANCE

``Sec.
``9001. Definitions.
``9002. Availability of insurance.
``9003. Participating carriers.
``9004. Administrative functions.
``9005. Coordination with State laws.
``9006. Commercial items.
``Sec. 9001. Definitions
    ``For purposes of this chapter:
            ``(1) Employee.--The term `employee' has the meaning given 
        such term by section 8901, but does not include an individual 
        employed by the government of the District of Columbia.
            ``(2) Annuitant.--The term `annuitant' means--
                    ``(A) a former employee who, based on the service 
                of that individual, receives an annuity under 
                subchapter III of chapter 83, chapter 84, or another 
                retirement system for employees of the Government 
                (disregarding title XVIII of the Social Security Act 
                and any retirement system established for employees 
                described in section 2105(c)); and
                    ``(B) any individual who receives an annuity under 
                any retirement system referred to in subparagraph (A) 
                (disregarding those described parenthetically) as the 
                surviving spouse of an employee (including an amount 
                under section 8442(b)(1)(A), whether or not an annuity 
                under section 8442(b)(1)(B) is also payable) or of a 
                former employee under subparagraph (A);
        but does not include a former employee of a Government 
        corporation excluded by regulation of the Office of Personnel 
        Management or the spouse of such a former employee.
            ``(3) Eligible relative.--The term `eligible relative', as 
        used with respect to an employee or annuitant, means each of 
        the following:
                    ``(A) The spouse of the employee or annuitant.
                    ``(B) The father or mother of the employee or 
                annuitant, or an ancestor of either.
                    ``(C) A stepfather or stepmother of the employee or 
                annuitant.
                    ``(D) The father-in-law or mother-in-law of the 
                employee or annuitant.
                    ``(E) A son or daughter of the employee or 
                annuitant who is at least 18 years of age.
                    ``(F) A stepson or stepdaughter of the employee or 
                annuitant who is at least 18 years of age.
            ``(4) Government.--The term `Government' means the 
        Government of the United States, including an agency or 
        instrumentality thereof.
            ``(5) Group long-term care insurance.--The term `group 
        long-term care insurance' means group long-term care insurance 
        purchased by the Office of Personnel Management under this 
        chapter.
            ``(6) Individual long-term care insurance.--The term 
        `individual long-term care insurance' means any long-term care 
        insurance offered under this chapter which is not group long-
        term care insurance.
            ``(7) Qualified carrier.--A carrier shall be considered to 
        be a `qualified carrier', with respect to a State, if it is 
        licensed to issue group or individual long-term care insurance 
        (as the case may be) under the laws of such State.
            ``(8) Qualified long-term care insurance contract.--The 
        term `qualified long-term care insurance contract' has the 
        meaning given such term by section 7702B of the Internal 
        Revenue Code of 1986.
            ``(9) State.--The term `State' means a State, the District 
        of Columbia, the Commonwealth of Puerto Rico, the Commonwealth 
        of the Northern Mariana Islands, the Trust Territory of the 
        Pacific Islands, the Virgin Islands, Guam, American Samoa, and 
        any other territory or possession of the United States.
``Sec. 9002. Availability of insurance
    ``(a) In General.--The Office of Personnel Management shall 
establish and administer a program through which employees and 
annuitants may obtain group or individual long-term care insurance for 
themselves, a spouse, or, to the extent permitted under the terms of 
the contract of insurance involved, any other eligible relative.
    ``(b) General Requirements.--Long-term care insurance may not be 
offered under this chapter unless--
            ``(1) the only insurance protection provided is coverage 
        under qualified long-term care insurance contracts; and
            ``(2) the insurance contract under which such coverage is 
        provided is issued by a qualified carrier.
    ``(c) Requirement That Contract Be Fully Insured.--In addition to 
the requirements otherwise applicable under section 9001(8), in order 
to be considered a qualified long-term care insurance contract for 
purposes of this chapter, a contract must be fully insured, whether 
through reinsurance with other companies or otherwise.
    ``(d) Coverage Not Required for Individuals Who Would Be 
Immediately Benefit Eligible.--Nothing in this chapter shall be 
considered to require that long-term care insurance coverage be made 
available in the case of any individual who would be immediately 
benefit eligible.
``Sec. 9003. Participating carriers
    ``(a) Identification of Participating Carriers.--The Office of 
Personnel Management shall, before the start of each year--
            ``(1) identify each carrier through whom any long-term care 
        insurance may be obtained under this chapter during such year; 
        and
            ``(2) prepare a list of the carriers identified under 
        paragraph (1), and a summary description of the insurance 
        obtainable under this chapter from each.
    ``(b) Application Requirements, Etc.--In order to carry out its 
responsibilities under subsection (a), the Office shall annually 
specify the timetable (including any application deadlines) and other 
procedures that must be followed by carriers seeking to be allowed to 
offer long-term care insurance under this chapter during the following 
year.
    ``(c) Information To Permit Informed Decisionmaking.--The Office 
shall in a timely manner before the start of each year--
            ``(1) publish in the Federal Register the list (and summary 
        description) prepared under subsection (a) for such year; and
            ``(2) make available to each individual eligible to obtain 
        long-term care insurance under this chapter such information, 
        in a form acceptable to the Office after consultation with the 
        carrier, as may be necessary to enable the individual to 
        exercise an informed choice among the various options available 
        under this chapter.
    ``(d) Policy or Benefit Certificate.--The Office shall arrange to 
have the appropriate individual or individuals receive a copy of any 
policy of insurance obtained under this chapter or, in the case of 
group long-term care insurance, a certificate setting forth the 
benefits to which an individual is entitled, to whom the benefits are 
payable, and the procedures for obtaining benefits, and summarizing the 
provisions of the policy principally affecting the individual or 
individuals involved. Any such certificate shall be issued instead of 
the certificate which the insurance company would otherwise be required 
to issue.
``Sec. 9004. Administrative functions
    ``(a) In General.--Except as provided in section 9003, the sole 
functions of the Office of Personnel Management under this chapter 
shall be as follows:
            ``(1) Enrollment periods.--To provide reasonable 
        opportunity (consisting of not less than one continuous 30-day 
        period each year) for eligible employees and annuitants to 
        obtain long-term care insurance coverage under this chapter.
            ``(2) Withholdings.--To provide for a means by which the 
        cost of any long-term care insurance coverage obtained under 
        this chapter may be paid for through withholdings from the pay 
        or annuity of the employee or annuitant involved.
            ``(3) Contract authority relating to group long-term care 
        insurance.--To contract for a qualified long-term care 
        insurance contract (in the case of group long-term care 
        insurance) with each qualified carrier that offers such 
        insurance, so long as such carrier submits a timely application 
        under section 9003(b) and complies with such other procedural 
        rules as the Office may prescribe.
    ``(b) Limitations on Authority.--Nothing in this chapter shall be 
considered to permit or require the Office--
            ``(1) to prevent from being offered under this chapter any 
        individual long-term care insurance under a qualified contract 
        therefor; or
            ``(2) to prescribe or negotiate over the benefits to be 
        offered, or any of the terms or conditions under which any such 
        benefits shall be offered, under this chapter.
``Sec. 9005. Coordination with State laws
    ``(a) In General.--The provisions of any contract under this 
chapter for group long-term care insurance may include provisions to 
supersede and preempt any provisions of State or local law described in 
subsection (b), or any regulation issued thereunder.
    ``(b) Description.--This subsection applies with respect to any 
provision of law which in effect carries out the same policy as section 
5 of the long-term care insurance model Act, promulgated by the 
National Association of Insurance Commissioners (as adopted as of 
September 1997).
``Sec. 9006. Commercial items
    ``For purposes of the Office of Federal Procurement Policy Act, a 
long-term care insurance contract under this chapter shall be 
considered a commercial item, as defined by section 4(12) of such 
Act.''.
    (b) Conforming Amendment.--The analysis for part III of title 5, 
United States Code, is amended by adding at the end of subpart G the 
following:

``90. Long-Term Care Insurance.............................     9001''.

SEC. 3. EFFECTIVE DATE.

    The Office of Personnel Management shall take such measures as may 
be necessary to ensure that long-term care insurance coverage under 
title 5, United States Code, as amended by this Act, may be obtained in 
time to take effect beginning on the first day of the first applicable 
pay period beginning on or after January 1, 2000.
[A]:
Civil Service Long-Term Care Insurance Benefit Act - Directs the Office of Personnel Management (OPM) to establish and administer a program through which Federal employees and annuitants may obtain group or individual long-term care insurance for themselves, a spouse, or, to the extent permitted under the insurance contract terms, any other eligible relative. 
Directs OPM to:  (1) annually identify and list participating insurance carriers; (2) provide carrier application requirements; (3) publish in the Federal Register appropriate information concerning such carriers and the availability of such insurance to eligible individuals; (4) arrange to have covered individuals receive a copy of such insurance policy as well as a benefit certificate; and (5) undertake certain administrative functions with respect to employee or annuitant insurance enrollment and pay or annuity withholdings to cover the cost of such insurance.