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 ``1995 Franklin Delano Roosevelt 
Commemorative Coin Act''.

SEC. 2. FINDINGS.

    The Congress finds that--
            (1) the people of the United States feel a deep debt of 
        gratitude to Franklin Delano Roosevelt for his leadership in 
        America's struggle for peace, well-being, and human dignity;
            (2) the year 1995 marks the 50th anniversary of the death 
        of President Franklin Delano Roosevelt, who died April 12, 
        1945, in Warm Springs, Georgia;
            (3) Franklin Delano Roosevelt served his country as the 32d 
        President from 1932 until his death in 1945. He is the only 
        United States President elected to four terms in office;
            (4) Franklin Delano Roosevelt served the State of New York 
        as Governor from 1928 through 1932;
            (5) Franklin Delano Roosevelt served his country as the 
        United States Assistant Secretary of the Navy from 1913 through 
        1920;
            (6) Franklin Delano Roosevelt piloted the American people 
        through the economic chaos of the Great Depression;
            (7) Franklin Delano Roosevelt, as our commander in chief, 
        led the American people through the turmoil of World War II;
            (8) Franklin Delano Roosevelt established Social Security, 
        thus providing all Americans with a more abundant and secure 
        life;
            (9) Franklin Delano Roosevelt was the author of ``The Four 
        Freedoms: Freedom of Speech, Freedom of Worship, Freedom from 
        Want, and Freedom from Fear'';
            (10) Franklin Delano Roosevelt was the founder of the 
        National Foundation for Infantile Paralysis, parent 
        organization of the March of Dimes; and
            (11) Franklin Delano Roosevelt was the chief architect of 
        the United Nations.

SEC. 3. COIN SPECIFICATIONS.

    (a) One Dollar Silver Coins.--
            (1) Issuance.--The Secretary shall issue not more than 
        500,000 one dollar coins which shall weigh 26.73 grams, have a 
        diameter of 1.500 inches, and shall contain 90 percent silver 
        and 10 percent copper.
            (2) Design.--The design of the dollar coins shall bear a 
        likeness of Franklin Delano Roosevelt. On each such coin there 
        shall be a designation of the value of the coin, an inscription 
        of the year ``1995'', and inscriptions of the terms 
        ``Liberty'', ``In God We Trust'', ``United States of America'', 
        and ``E Pluribus Unum''.
            (3) Alterations.--Additions or alterations to the design of 
        the coin shall be made only after consultation with, and 
        approval by, the Franklin Delano Roosevelt Memorial Commission.
    (b) Legal Tender.--The coins issued under this Act shall be legal 
tender as provided in section 5103 of title 31, United States Code.
    (c) Numismatic Items.--The coins issued under this Act shall be 
numismatic items for purposes of section 5134 of title 31, United 
States Code.

SEC. 4. SOURCES OF BULLION.

    The Secretary shall obtain silver for the coins minted under this 
Act from stockpiles established under the Strategic and Critical 
Materials Stock Piling Act (50 U.S.C. 98 et seq.).

SEC. 5. SELECTION OF DESIGN.

    The design for each coin authorized by this Act shall be selected 
by the Secretary after consultation with the Franklin Delano Roosevelt 
Memorial Commission.

SEC. 6. SALE OF COINS.

    (a) Sale Price.--Notwithstanding any provision of law, the coins 
issued under this Act shall be sold by the Secretary at a price equal 
to the face value, plus the cost of designing and issuing such coins 
(including labor, materials, dies, use of machinery, overhead expenses, 
marketing, and shipping).
    (b) Prepaid Orders at a Discount.--The Secretary shall accept 
prepaid orders for the coins prior to the issuance of such coins. Sales 
under this subsection shall be at a reasonable discount to reflect the 
benefit of prepayment.
    (c) Surcharge Required.--All sales shall include a surcharge of $10 
per coin.

SEC. 7. ISSUANCE OF THE COINS.

    (a) Period for Issuance.--The coins authorized under this Act shall 
be available for issue not later than January 1, 1995, but shall be 
issued only during the 1-year period beginning on such date.
    (b) Proof and Uncirculated Coins.--The coins authorized under this 
Act shall be issued in uncirculated and proof qualities. Not more than 
1 facility of the Bureau of the Mint may be used to strike any 
particular combination of denomination and quality.

SEC. 8. GENERAL WAIVER OF PROCUREMENT REGULATIONS.

    (a) In General.--Except as provided in subsection (b), no provision 
of law governing procurement or public contracts shall be applicable to 
the procurement of goods or services required to carry out this Act.
    (b) Equal Employment Opportunity.--Subsection (a) shall not relieve 
any person entering into a contract under the authority of this Act 
from complying with any law relating to equal employment opportunity.

SEC. 9. DISTRIBUTION OF SURCHARGES.

    The surcharges received by the Secretary from the sale of the coins 
issued under this Act shall be promptly paid by the Secretary in the 
following manner:
            (1) An amount equal to 50 percent of the total surcharges 
        shall be paid to the National Park Foundation Restricted 
        Account for the Franklin Delano Roosevelt Memorial.
            (2) An amount equal to 50 percent of the total surcharges 
        shall be paid to the National Park Service Restricted 
        Construction Account for the Franklin Delano Roosevelt 
        Memorial.

SEC. 10. AUDITS.

    The Comptroller General of the United States shall have the right 
to examine such books, records, documents, and other data of the 
account referred to in section 9 as may be related to the expenditure 
of amounts paid under such section.

SEC. 11. FINANCIAL ASSURANCES.

    (a) No Net Cost to the Government.--The Secretary shall take such 
actions as may be necessary to ensure that the minting and issuance of 
the coins referred to in section 3 shall not result in any net cost to 
the Federal Government.
    (b) Payment for Issuance of Coins.--No coin shall be issued under 
this Act unless the Secretary has received--
            (1) full payment for such coin;
            (2) security satisfactory to the Secretary to indemnify the 
        United States for full payment; or
            (3) a guarantee of full payment satisfactory to the 
        Secretary from a depository institution whose deposits are 
        insured by the Federal Deposit Insurance Corporation or the 
        National Credit Union Administration.

A: 1995 Franklin Delano Roosevelt Commemorative Coin Act - Directs the Secretary of the Treasury to issue commemorative one-dollar silver coins bearing a likeness of Franklin Delano Roosevelt. 
Requires the Secretary to distribute proceeds from surcharges ($10 per coin) in equal allocations to:  (1) the National Park Foundation Restricted Account for the Franklin Delano Roosevelt Memorial; and (2) the National Park Service Restricted Construction Account for the Franklin Delano Roosevelt Memorial.
****
Q: SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Cat Island National Wildlife Refuge 
Establishment Act''.

SEC. 2. FINDINGS.

    The Congress finds that--
        (1) as the southernmost unleveed portion of the Mississippi 
    River, Cat Island, Louisiana, is one of the last remaining tracts 
    in the lower Mississippi Valley that is still influenced by the 
    natural dynamics of the river;
        (2) Cat Island supports one of the highest densities of virgin 
    bald cypress trees in the entire Mississippi River Valley, 
    including the Nation's champion cypress tree which is 17 feet wide 
    and has a circumference of 53 feet;
        (3) Cat Island is important habitat for several declining 
    species of forest songbirds and supports thousands of wintering 
    waterfowl;
        (4) Cat Island supports high populations of deer, turkey, and 
    furbearers, such as mink and bobcats;
        (5) conservation and enhancement of this area through inclusion 
    in the National Wildlife Refuge System would help meet the habitat 
    conservation goals of the North American Waterfowl Management Plan;
        (6) these forested wetlands represent one of the most valuable 
    and productive wildlife habitat types in the United States, and 
    have extremely high recreational value for hunters, anglers, 
    birdwatchers, nature photographers, and others; and
        (7) the Cat Island area is deserving of inclusion in the 
    National Wildlife Refuge System.

SEC. 3. DEFINITIONS.

    For purposes of this Act--
        (1) the term ``Refuge'' means the Cat Island National Wildlife 
    Refuge; and
        (2) the term ``Secretary'' means the Secretary of the Interior.

SEC. 4. PURPOSES.

    The purposes for which the Refuge is established and shall be 
managed are--
        (1) to conserve, restore, and manage habitats as necessary to 
    contribute to the migratory bird population goals and habitat 
    objective as established through the Lower Mississippi Valley Joint 
    Venture;
        (2) to conserve, restore, and manage the significant aquatic 
    resource values associated with the area's forested wetlands and to 
    achieve the habitat objectives of the ``Mississippi River Aquatic 
    Resources Management Plan'';
        (3) to conserve, enhance, and restore the historic native 
    bottomland community characteristics of the lower Mississippi 
    alluvial valley and its associated fish, wildlife, and plant 
    species;
        (4) to conserve, enhance, and restore habitat to maintain and 
    assist in the recovery of endangered, and threatened plants and 
    animals; and
        (5) to encourage the use of volunteers and facilitate 
    partnerships among the United States Fish and Wildlife Service, 
    local communities, conservation organizations, and other non-
    Federal entities to promote public awareness of the resources of 
    the Refuge and the National Wildlife Refuge System and public 
    participation in the conservation of those resources.

SEC. 5. ESTABLISHMENT OF REFUGE.

    (a) Acquisition Boundary.--The Secretary is authorized to establish 
the Cat Island National Wildlife Refuge, consisting of approximately 
36,500 acres of land and water, as depicted upon a map entitled ``Cat 
Island National Wildlife Refuge-Proposed'', dated February 8, 2000, and 
available for inspection in appropriate offices of the United States 
Fish and Wildlife Service.
    (b) Boundary Revisions.--The Secretary may make such minor 
revisions of the boundary designated under this section as may be 
appropriate to carry out the purposes of the Refuge or to facilitate 
the acquisition of property within the Refuge.
    (c) Acquisition.--The Secretary is authorized to acquire the lands 
and waters, or interests therein, within the acquisition boundary 
described in subsection (a) of this section.
    (d) Establishment.--The Secretary shall establish the Refuge by 
publication of a notice to that effect in the Federal Register and 
publications of local circulation whenever sufficient property has been 
acquired to constitute an area that can be efficiently managed as a 
National Wildlife Refuge.

SEC. 6. ADMINISTRATION.

    (a) In General.--The Secretary shall administer all lands, waters, 
and interests therein acquired under this Act in accordance with the 
National Wildlife Refuge System Administration Act (16 U.S.C. 668dd et 
seq.). The Secretary may use such additional statutory authority as may 
be available for the conservation of fish and wildlife, and the 
provision of fish- and wildlife-oriented recreational opportunities as 
the Secretary considers appropriate to carry out the purposes of this 
Act.
    (b) Priority Uses.--In providing opportunities for compatible fish- 
and wildlife-oriented recreation, the Secretary, in accordance with 
paragraphs (3) and (4) of section 4(a) of the National Wildlife Refuge 
System Administration Act of 1966 (16 U.S.C. 668dd(a)), shall ensure 
that hunting, fishing, wildlife observation and photography, and 
environmental education and interpretation are the priority public uses 
of the Refuge.

SEC. 7. AUTHORIZATION OF APPROPRIATIONS.

    There are authorized to be appropriated to the Department of the 
Interior--
        (1) such funds as may be necessary for the acquisition of lands 
    and waters designated in section 5(c); and
        (2) such funds as may be necessary for the development, 
    operation, and maintenance of the Refuge.

SEC. 8. DESIGNATION OF HERBERT H. BATEMAN EDUCATION AND ADMINISTRATIVE 
              CENTER.

    (a) In General.--A building proposed to be located within the 
boundaries of the Chincoteague National Wildlife Refuge, on Assateague 
Island, Virginia, shall be known and designated as the ``Herbert H. 
Bateman Education and Administrative Center''.
    (b) References.--Any reference in a law, map, regulation, document, 
paper, or other record of the United States to the building referred to 
in subsection (a) shall be deemed to be a reference to the Herbert H. 
Bateman Education and Administrative Center.

SEC. 9. TECHNICAL CORRECTIONS.

    (a) Effective on the day after the date of the enactment of the Act 
entitled, ``An Act to reauthorize the Junior Duck Stamp Conservation 
and Design Program Act of 1994'' (106th Congress), section 6 of the 
Junior Duck Stamp Conservation and Design Program Act of 1994 (16 
U.S.C. 668dd note; Public Law 103-340), relating to an environmental 
education center and refuge, is redesignated as section 7.
    (b) Effective on the day after the date of the enactment of the 
Cahaba River National Wildlife Refuge Establishment Act (106th 
Congress), section 6 of that Act is amended--
        (1) in paragraph (2), by striking ``the Endangered Species Act 
    of 1973 (16 U.S.C. 1331 et seq.)'' and inserting ``the Endangered 
    Species Act of 1973 (16 U.S.C. 1531 et seq.)''; and
        (2) in paragraph (3), by striking ``section 4(a)(3) and (4) of 
    the National Wildlife Refuge System Administration Act of 1966 (16 
    U.S.C. 668ee(a)(3), (4))'' and inserting ``paragraphs (3) and (4) 
    of section 4(a) of the National Wildlife Refuge System 
    Administration Act of 1966 (16 U.S.C. 668dd(a))''.
    (c) Effective on the day after the date of the enactment of the Red 
River National Wildlife Refuge Act (106th Congress), section 4(b)(2)(D) 
of that Act is amended by striking ``section 4(a)(3) and (4) of the 
National Wildlife Refuge System Administration Act of 1966 (16 U.S.C. 
668ee(a)(3), (4))'' and inserting ``paragraphs (3) and (4) of section 
4(a) of the National Wildlife Refuge System Administration Act of 1966 
(16 U.S.C. 668dd(a))''.

                               Speaker of the House of Representatives.

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

A: Directs the Secretary, in providing opportunities for compatible fish- and wildlife-oriented recreation on the Refuge, to ensure that hunting, fishing, wildlife observation and photography, and environmental education and interpretation are the priority public uses of the Refuge.
Authorizes appropriations.
Designates a building proposed to be located within the Chincoteague National Wildlife Refuge on Assateague Island, Virginia, as the Herbert H. Bateman Education And Administrative Center.
****
Q: SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Medicare Value and Quality Act of 
2003''.

SEC. 2. FINDINGS.

    The House makes the following findings:
            (1) The United States Government should reward physicians, 
        hospitals, and other health care providers that provide high-
        quality, cost-effective health care to beneficiaries under the 
        medicare program.
            (2) The Journal of the American Medical Association has 
        published quality indicators in an article entitled ``Quality 
        of Medical Care Delivered to Medicare Beneficiaries: A Profile 
        at State and National Levels''.
            (3) The cost of health care is--
                    (A) reflected in the type and volume of physicians' 
                services and in physician ordering and prescribing 
                behavior; and
                    (B) reflected in the amount of the average payment 
                to hospitals under the medicare program for each 
                medicare beneficiary in each State.
            (4) Physician and hospital practice patterns contribute to 
        the total cost and quality of care for each medicare 
        beneficiary in each State.
            (5) The original medicare fee-for-service program under 
        parts A and B of title XVIII of the Social Security Act does 
        not include a mechanism to pay for interventions designed to 
        improve quality of care.

SEC. 3. TO ENCOURAGE THE PROVISION OF HIGH-QUALITY, COST-EFFECTIVE 
              INPATIENT HOSPITAL SERVICES.

    (a) Purpose.--The purpose under this section is to encourage the 
provision of high-quality, cost-effective health care to beneficiaries 
under the medicare program under title XVIII of the Social Security Act 
(42 U.S.C. 1395 et seq.) by providing incentive payments to hospitals 
located in States in which high-quality and cost-effective services are 
being provided in order to finance further quality improvements.
    (b) Intent.--It is the intent of Congress to provide incentives for 
States to deliver high quality health care and to create incentives 
that assure medicare recognizes value in the products and services that 
the program purchases on behalf of medicare beneficiaries.
    (c) Mechanism.--
            (1) Establishment.--Not later than 6 months after the date 
        of enactment of this Act, the Secretary shall establish a 
        mechanism under which--
                    (A) the Secretary provides economic incentives to 
                providers of inpatient hospital services that deliver 
                high-quality health care at low costs in accordance 
                with the methodology established by the Agency for 
                Healthcare Research and Quality under paragraph (2) 
                with a 5 percent add-on bonus payment to providers of 
                inpatient hospital services within the top ten 
                performing States; and
                    (B) the Secretary necessarily recognizes and 
                includes measurements that factor both the quality of 
                care delivered in a medicare purchasing region or in 
                the event that purchasing regions are not developed, 
                then in a State, to medicare beneficiaries and 
                consumption of resources, including but not limited to 
                labor, technology, capital infrastructure and 
                pharmaceuticals in the delivery of services to medicare 
                beneficiaries under the medicare program under title 
                XVIII of the Social Security Act.
            (2) Value and quality ranking methodology.--
                    (A) In general.--The Agency for Healthcare Research 
                and Quality shall establish a value and quality ranking 
                methodology under which the Secretary awards bonus 
                payments to providers of inpatient hospital services 
                located in those States that demonstrate that such 
                providers in the State are providing high value because 
                of the high-quality, cost-effective health care 
                services being provided to medicare beneficiaries.
                    (B) Basis.--The methodology established under 
                subparagraph (A) shall be based on the rank and 
                performance on medicare quality indicators published 
                annually in the Journal of the American Medical 
                Association (JAMA) that uses Medicare's current quality 
                of care measures. Cost rankings will be based on the 
                Centers for Medicare and Medicaid Services (CMS) annual 
                report ranking States based on average Medicare 
                spending per recipient for each State.
    (d) Definitions.--In this section:
            (1) Provider of inpatient hospital services.--The term 
        ``provider of inpatient hospital services'' means any 
        individual or entity that receives payment under the medicare 
        program under title XVIII of the Social Security Act (42 U.S.C. 
        1395 et seq.) for providing an inpatient hospital service (as 
        defined in section 1861(b) of such Act (42 U.S.C. 1395x(b))).
            (2) Secretary.--The term ``Secretary'' means the Secretary 
        of Health and Human Services.

A:
Medicare Value and Quality Act of 2003 - Directs the Secretary of Health and Human Services to establish a mechanism for providing economic incentives to providers of inpatient hospital services that deliver high-quality health care at low costs to encourage the provision of high-quality cost-effective health care to beneficiaries under the Medicare program under title XVIII of the Social Security Act. Requires the Agency for Healthcare Research and Quality to establish a value and quality ranking methodology for the award of bonus payments to such providers.
****