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

    This Act may be cited as the ``Cancer Screening and Prevention 
Act''.

SEC. 2. MEDICARE COVERAGE OF COLORECTAL SCREENING.

    (a) In General.--Section 1834 of the Social Security Act (42 U.S.C. 
1395m) is amended by inserting after subsection (c) the following new 
subsection:
    ``(d) Frequency and Payment Limits for Screening Fecal-Occult Blood 
Tests, Screening Flexible Sigmoidoscopies, and Screening Colonoscopy.--
            ``(1) Screening fecal-occult blood tests.--
                    ``(A) Payment limit.--In establishing fee schedules 
                under section 1833(h) with respect to screening fecal-
                occult blood tests provided for the purpose of early 
                detection of colon cancer, except as provided by the 
                Secretary under paragraph (3)(A), the payment amount 
                established for tests performed--
                            ``(i) in 1996 shall not exceed $5; and
                            ``(ii) in a subsequent year, shall not 
                        exceed the limit on the payment amount 
                        established under this subsection for such 
                        tests for the preceding year, adjusted by the 
                        applicable adjustment under section 1833(h) for 
                        tests performed in such year.
                    ``(B) Frequency limit.--Subject to revision by the 
                Secretary under paragraph (3)(B), no payment may be 
                made under this part for a screening fecal-occult blood 
                test provided to an individual for the purpose of early 
                detection of colon cancer--
                            ``(i) if the individual is under 50 years 
                        of age; or
                            ``(ii) if the test is performed within the 
                        11 months after a previous screening fecal-
                        occult blood test.
            ``(2) Screening flexible sigmoid- oscopies.--
                    ``(A) Payment amount.--The Secretary shall 
                establish a payment amount under section 1848 with 
                respect to screening flexible sigmoidoscopies provided 
                for the purpose of early detection of colon cancer that 
                is consistent with payment amounts under such section 
                for similar or related services, except that such 
                payment amount shall be established without regard to 
                subsection (a)(2)(A) of such section.
                    ``(B) Frequency limit.--Subject to revision by the 
                Secretary under paragraph (4)(B), no payment may be 
                made under this part for a screening flexible 
                sigmoidoscopy provided to an individual for the purpose 
                of early detection of colon cancer--
                            ``(i) if the individual is under 50 years 
                        of age; or
                            ``(ii) if the procedure is performed within 
                        the 47 months after a previous screening 
                        flexible sigmoidoscopy.
            ``(3) Screening colonoscopy for individuals at high risk 
        for colorectal cancer.--
                    ``(A) Payment amount.--The Secretary shall 
                establish a payment amount under section 1848 with 
                respect to screening colonoscopy for individuals at 
                high risk for colorectal cancer (as defined in 
                subparagraph (C)) provided for the purpose of early 
                detection of colon cancer that is consistent with 
                payment amounts under such section for similar or 
                related services, except that such payment amount shall 
                be established without regard to subsection (a)(2)(A) 
                of such section.
                    ``(B) Frequency limit.--Subject to revision by the 
                Secretary under paragraph (4)(B), no payment may be 
                made under this part for a screening colonoscopy for 
                individuals at high
                 risk for colorectal cancer provided to an individual 
for the purpose of early detection of colon cancer if the procedure is 
performed within the 23 months after a previous screening colonoscopy.
                    ``(C) Individual at high risk defined.--In this 
                subsection, an `individual at high risk for colorectal 
                cancer' is an individual who, because of family 
                history, prior experience of cancer or precursor 
                neoplastic polyps, a history of chronic digestive 
                disease condition (including inflammatory bowel 
                disease, Crohn's Disease, or ulcerative colitis), the 
                presence of any appropriate recognized gene markers for 
                colorectal cancer, or other predisposing factors, faces 
                a high risk for colorectal cancer.
            ``(4) Reductions in payment limit and revision of 
        frequency.--
                    ``(A) Reductions in payment limit.--The Secretary 
                shall review from time to time the appropriateness of 
                the amount of the payment limit established for 
                screening fecal-occult blood tests under paragraph 
                (1)(A). The Secretary may, with respect to tests 
                performed in a year after 1998, reduce the amount of 
                such
                 limit as it applies nationally or in any area to the 
amount that the Secretary estimates is required to assure that such 
tests of an appropriate quality are readily and conveniently available 
during the year.
                    ``(B) Revision of frequency.--
                            ``(i) Review.--The Secretary shall review 
                        periodically the appropriate frequency for 
                        performing screening fecal-occult blood tests, 
                        screening flexible sigmoidoscopies, and 
                        screening colonoscopy based on age and such 
                        other factors as the Secretary believes to be 
                        pertinent.
                            ``(ii) Revision of frequency.--The 
                        Secretary, taking into consideration the review 
                        made under clause (i), may revise from time to 
                        time the frequency with which such tests and 
                        procedures may be paid for under this 
                        subsection, but no such revision shall apply to 
                        tests or procedures performed before January 1, 
                        1999.
            ``(5) Limiting charges of nonparticipating physicians.--
                    ``(A) In general.--In the case of a screening 
                flexible sigmoidoscopy provided to an individual for 
                the purpose of early detection of colon cancer or a 
                screening colonoscopy provided to an individual at high 
                risk for colorectal cancer for the purpose of early 
                detection of colon cancer for which payment may be made 
                under this part, if a nonparticipating physician 
                provides the procedure to an individual enrolled under 
                this part, the physician may not charge the individual 
                more than the limiting charge (as defined in section 
                1848(g)(2)).
                    ``(B) Enforcement.--If a physician or supplier 
                knowing and willfully imposes a charge in violation of 
                subparagraph (A), the Secretary may apply sanctions 
                against such physician or supplier in accordance with 
                section 1842(j)(2).''.
    (b) Conforming Amendments.--(1) Paragraphs (1)(D) and (2)(D) of 
section 1833(a) of such Act (42 U.S.C. 1395l(a)) are each amended by 
striking ``subsection (h)(1),'' and inserting ``subsection (h)(1) or 
section 1834(d)(1),''.
    (2) Section 1833(h)(1)(A) of such Act (42 U.S.C. 1395l(h)(1)(A)) is 
amended by striking ``The Secretary'' and inserting ``Subject to 
paragraphs (1) and (3)(A) of section 1834(d), the Secretary''.
    (3) Clauses (i) and (ii) of section 1848(a)(2)(A) of such Act (42 
U.S.C. 1395w-4(a)(2)(A)) are each amended by striking ``a service'' and 
inserting ``a service (other than a screening flexible sigmoidoscopy 
provided to an individual for the purpose of early detection of colon 
cancer or a screening colonoscopy provided to an individual at high 
risk for colorectal cancer for the purpose of early detection of colon 
cancer)''.
    (4) Section 1862(a) of such Act (42 U.S.C. 1395y(a)) is amended--
            (A) in paragraph (1)--
                    (i) in subparagraph (E), by striking ``and'' at the 
                end,
                    (ii) in subparagraph (F), by striking the semicolon 
                at the end and inserting ``, and'', and
                    (iii) by adding at the end the following new 
                subparagraph:
            ``(G) in the case of screening fecal-occult blood tests, 
        screening flexible sigmoidoscopies, and screening colonoscopy 
        provided for the purpose of early detection of colon cancer, 
        which are performed more frequently than is covered under 
        section 1834(d);''; and
            (B) in paragraph (7), by striking ``paragraph (1)(B) or 
        under paragraph (1)(F)'' and inserting ``subparagraphs (B), 
        (F), or (G) of paragraph (1)''.

SEC. 3. EFFECTIVE DATE.

    The amendments made by section 2 shall apply to screening fecal-
occult blood tests, screening flexible sigmoidoscopies, and screening 
colonoscopy performed on or after January 1, 1996.

Answer: Cancer Screening and Prevention Act - Amends title XVIII (Medicare) of the Social Security Act to provide for coverage of various specified colon and colorectal screening tests and corresponding payment and frequency limits.


Question: SECTION 1. SHORT TITLE.

    This Act may be cited as the ``SSI Reform Act of 1993''.

SEC. 2. INCREASE IN INCOME AND RESOURCE ELIGIBILITY STANDARDS AND 
              BENEFITS; ELIMINATION OF CERTAIN RESOURCE EXCLUSIONS.

    (a) Increase in Income and Resource Eligibility Standards.--
            (1) In general.--Section 1611 of the Social Security Act 
        (42 U.S.C. 1382) is amended--
                    (A) in subsection (a)--
                            (i) in paragraph (1)(A)--
                                    (I) by striking ``$1,752'' and 
                                inserting ``the adjusted poverty 
                                line''; and
                                    (II) by striking ``1974'' and 
                                inserting ``1994'';
                            (ii) in paragraph (2)(A)--
                                    (I) by striking ``$2,628'' and 
                                inserting ``150 percent of the adjusted 
                                poverty line''; and
                                    (II) by striking ``1974'' and 
                                inserting ``1994''; and
                            (iii) in paragraph (3)--
                                    (I) in subparagraph (A), by 
                                striking ``and to $3,000 on January 1, 
                                1989'' and inserting ``to $3,000 on 
                                January 1, 1989, and to $10,500 on 
                                January 1, 1994''; and
                                    (II) in subparagraph (B), by 
                                striking ``and to $3,000 on January 1, 
                                1989'' and inserting ``to $3,000 on 
                                January 1, 1989, and to $7,000 on 
                                January 1, 1994''; and
                    (B) in subsection (b)--
                            (i) in paragraph (1)--
                                    (I) by striking ``$1,752'' and 
                                inserting ``the adjusted poverty 
                                line''; and
                                    (II) by striking ``1974'' and 
                                inserting ``1994''; and
                            (ii) in paragraph (2)--
                                    (I) by striking ``$2,628'' and 
                                inserting ``150 percent of the adjusted 
                                poverty line''; and
                                    (II) by striking ``1974'' and 
                                inserting ``1994''.
            (2) Adjusted poverty line.--Subsection (a) of such section 
        (42 U.S.C. 1382(a)) is amended by adding at the end the 
        following:
    ``(4)(A) For purposes of this subsection and subsection (b), the 
term `adjusted poverty line' means, with respect to a family--
            ``(i) 80 percent of the poverty line for calendar year 
        1994;
            ``(ii) 90 percent of the poverty line for calendar year 
        1995;
            ``(iii) 100 percent of the poverty line for calendar year 
        1996;
            ``(iv) 110 percent of the poverty line for calendar year 
        1997; and
            ``(v) 120 percent of the poverty line for calendar year 
        1998 and each calendar year thereafter.
    ``(B) As used in subparagraph (A), the term `poverty line' means, 
with respect to a family, the official poverty line (as defined by the 
Office of Management and Budget, and revised annually in accordance 
with section 673(2) of the Omnibus Budget Reconciliation Act of 1981) 
applicable to a family of the size involved.''.
            (3) No reduction in benefits.--The amendments made by this 
        subsection shall not apply to any individual or couple whose 
        supplemental security income benefits under title XVI of the 
        Social Security Act would be reduced by reason of such 
        application.
    (b) Elimination of Certain Resource Exclusions.--Section 1613 of 
such Act (42 U.S.C. 1382b) is amended--
            (1) in the 1st sentence of subsection (a)--
                    (A) in paragraph (2)--
                            (i) by striking ``(A)''; and
                            (ii) by striking subparagraph (B);
                    (B) in paragraph (4), by adding ``and'' at the end;
                    (C) by striking all that follows paragraph (6);
                    (D) in paragraph (6), by striking the semicolon and 
                inserting a period; and
                    (E) by striking paragraph (5) and redesignating 
                paragraph (6) as paragraph (5); and
            (2) by striking subsection (d).

SEC. 3. IN-KIND SUPPORT AND MAINTENANCE DISREGARDED IN DETERMINING 
              INCOME.

    Section 1612(a)(2) of the Social Security Act (42 U.S.C. 
1382a(a)(2)) is amended--
            (1) by inserting ``(other than support or maintenance 
        furnished in kind)'' after ``all other income'';
            (2) in subparagraph (A)--
                    (A) by striking ``or kind'';
                    (B) by striking clause (i) and redesignating 
                clauses (ii) and (iii) as clauses (i) and (ii), 
                respectively; and
                    (C) in clause (ii) (as so redesignated), by 
                striking ``and the provisions of clause (i) shall not 
                be applicable''.

SEC. 4. WORK INCENTIVE.

    Section 1612(b)(4) of the Social Security Act (42 U.S.C. 
1382a(b)(4)) is amended--
            (1) by striking ``$780'' each place such term appears and 
        inserting ``$2,400''; and
            (2) by striking ``one-half'' each place such term appears 
        and inserting ``\2/3\''.

SEC. 5. PHASED-IN EXPANSION OF ELIGIBILITY BY REASON OF AGE.

    (a) Age 64 for Calendar Year 1994.--
            (1) In general.--Section 1614(a)(1)(A) of the Social 
        Security Act (42 U.S.C. 1382c(a)(1)(A)) is amended by striking 
        ``65'' and inserting ``64''.
            (2) Conforming amendments.--
                    (A) Section 1615(a)(1) of such Act (42 U.S.C. 
                1382d(a)(1)) is amended by striking ``65'' and 
                inserting ``64''.
                    (B) Section 1612(b)(4) of such Act (42 U.S.C. 
                1382a(b)) is amended by striking ``65'' each place such 
                term appears and inserting ``64''.
            (3) Effective date.--The amendments made by this subsection 
        shall take effect on January 1, 1994.
    (b) Age 63 for Calendar Year 1995.--
            (1) In general.--Section 1614(a)(1)(A) of such Act (42 
        U.S.C. 1382c(a)(1)(A)), as amended by subsection (a)(1) of this 
        section, is amended by striking ``64'' and inserting ``63''.
            (2) Conforming amendments.--
                    (A) Section 1615(a)(1) of such Act (42 U.S.C. 
                1382d(a)(1)), as amended by subsection (a)(2)(A) of 
                this section, is amended by striking ``64'' and 
                inserting ``63''.
                    (B) Section 1612(b)(4) of such Act (42 U.S.C. 
                1382a(b)), as amended by subsection (a)(2)(B) of this 
                section, is amended by striking ``64'' each place such 
                term appears and inserting ``63''.
            (3) Effective date.--The amendments made by this subsection 
        shall take effect on January 1, 1995.
    (c) Age 62 Thereafter.--
            (1) In general.--Section 1614(a)(1)(A) of such Act (42 
        U.S.C. 1382c(a)(1)(A)), as amended by paragraph (2)(A) of this 
        subsection, is amended by striking ``63'' and inserting ``62''.
            (2) Conforming amendments.--
                    (A) Section 1615(a)(1) of such Act (42 U.S.C. 
                1382d(a)(1)), as amended by subsections (a)(2)(A) and 
                (b)(2)(A) of this section, is amended by striking 
                ``63'' and inserting ``62''.
                    (B) Section 1612(b)(4) of such Act (42 U.S.C. 
                1382a(b)), as amended by subsections (a)(2)(B) and 
                (b)(2)(B) of this section, is amended by striking 
                ``63'' each place such term appears and inserting 
                ``62''.
            (3) Effective date.--The amendments made by this subsection 
        shall take effect on January 1, 1996.

Answer: SSI Reform Act of 1993 - Amends title XVI (Supplemental Security Income) (SSI) of the Social Security Act to:  (1) increase the limit on the amount of income and resources needed to qualify for SSI; (2) increase the amount of SSI benefits payable; (3) eliminate certain resource exclusions and increase certain earned income exclusions; (4) disregard in-kind support and maintenance in determining income; and (5) phase-in an expansion of eligibility based on age.


Question: SECTION 1. ESTABLISHMENT OF INITIATIVES FOR PREDOMINANTLY MUSLIM 
              COUNTRIES.

    (a) Findings.--The Congress makes the following findings:
            (1) Surveys indicate that, in countries of predominantly 
        Muslim population, opinions of the United States and American 
        foreign policy among the general public and select audiences 
        are significantly distorted by highly negative and hostile 
        beliefs and images and that many of these beliefs and images 
        are the result of misinformation and propaganda by individuals 
        and organizations hostile to the United States.
            (2) These negative opinions and images are highly 
        prejudicial to the interests of the United States and to its 
        foreign policy.
            (3) As part of a broad and long-term effort to enhance a 
        positive image of the United States in the Muslim world, a key 
        element should be the establishment of programs to promote a 
        greater familiarity with American society and values among the 
        general public and select audiences in countries of 
        predominantly Muslim population.
    (b) Establishment of Initiatives.--The Secretary of State shall 
establish the following programs with countries with predominantly 
Muslim populations as part of the educational and cultural exchange 
programs of the Department of State:
            (1) Journalism program.--A program for foreign journalists 
        and postsecondary students of journalism which, in cooperation 
        with private sector sponsors to include universities, shall 
        sponsor workshops and professional training in techniques, 
        standards, and practices in the field of journalism to assist 
        the participants to achieve the highest standards of 
        professionalism.
            (2) Libraries.--The Secretary of State shall develop and 
        implement a demonstration program to assist foreign governments 
        to establish or upgrade their public library systems to improve 
        literacy, support public education, and provide youth 
        recreation centers. The program shall provide training in the 
        library sciences, including exchange opportunities for 
        postsecondary study in the United States. The purpose of the 
        program shall be to advance American values and society, 
        particularly the importance of freedom and democracy.
            (3) English language teaching.--The Secretary shall 
        establish a program to provide grants to United States citizens 
        to work in middle and secondary schools as English language 
        teaching assistants for not less than an academic year. If 
        feasible, the host government or local educational agency shall 
        share the salary costs of the assistants.
            (4) Sister city partnerships.--The Secretary shall expand 
        and enhance sister-city partnerships between United States and 
        foreign municipalities in an effort to increase global 
        cooperation at the community level. Such partnerships shall 
        encourage economic development, municipal cooperation, health 
        care initiatives, youth and educational programs, disability 
        advocacy, emergency preparedness, and humanitarian assistance.
            (5) Youth ambassadors.--The Secretary shall establish a 
        program for visits by middle and secondary school students to 
        the United States during school holidays in their home country 
        for periods not to exceed 4 weeks. Participating students shall 
        reflect the economic and geographic diversity of their 
        countries. Activities shall include cultural and educational 
        activities designed to familiarize participating students with 
        American society and values. To the extent practicable, such 
        visits shall be coordinated with middle and secondary schools 
        in the United States to provide for school-based activities and 
        interactions. The Secretary shall encourage the establishment 
        of direct school-to-school linkages under the program.
            (6) Fulbright exchange program.--The Secretary shall seek 
        to substantially increase the number of awards under the J. 
        William Fulbright Educational Exchange Program to graduate 
        students, scholars, professionals, teachers, and administrators 
        from the United States who are applying for such awards to 
        study, teach, conduct research, or pursue scholarship in 
        predominantly Muslim countries. Part of such increase shall 
        include awards for scholars and teachers who plan to teach 
        subjects relating to American studies.
            (7) Hubert h. humphrey fellowships.--The Secretary shall 
        seek to substantially increase the number of Hubert H. Humphrey 
        Fellowships awarded to candidates from predominantly Muslim 
        countries.
    (c) General Provision.--Programs established under this section 
shall be carried out under the provisions of the United States 
Information and Educational Exchange Act of 1948 and the Mutual 
Educational and Cultural Exchange Act of 1961.

SEC. 2. DATABASE OF ALUMNI OF AMERICAN AND FOREIGN PARTICIPANTS IN 
              EXCHANGE PROGRAMS.

    The Secretary, in coordination with the heads of other agencies 
that conduct international exchange and training programs, shall 
establish and maintain a database listing all American and foreign 
alumni of such programs in order to encourage networking, interaction, 
and communication with alumni.

SEC. 3. REPORT ON INCLUSION OF FREEDOM AND DEMOCRACY ADVOCATES IN 
              EDUCATIONAL AND CULTURAL EXCHANGE PROGRAMS.

    Not later than 90 days after the date of the enactment of this Act, 
the Secretary of State shall submit to the Congress a report concerning 
the implementation of section 102 of the Human Rights, Refugee, and 
Other Foreign Relations Provisions Act of 1996 (22 U.S.C. 2452 note). 
The report shall include information concerning the number of grants to 
conduct exchange programs to countries described in such section that 
have been submitted for competitive bidding, what measures have been 
taken to ensure that willingness to include supporters of freedom and 
democracy in such programs is given appropriate weight in the selection 
of grantees, and an evaluation of whether United States exchange 
programs in the countries described in such section are fully open to 
supporters of freedom and democracy, and, if not, what obstacles remain 
and what measures are being taken to implement such policy.

SEC. 4. STATUTORY CONSTRUCTION.

    Nothing in this Act may be construed to authorize the issuance of 
any visa to, or the admission to the United States of, any alien who is 
inadmissible to the United States.

SEC. 5. AUTHORIZATION OF APPROPRIATIONS.

    There is authorized to be appropriated for the Department of State 
$35,000,000 for each of the fiscal years 2003 and 2004 to carry out 
this Act.

SEC. 6. SECRETARY DEFINED.

    In this Act, the term ``Secretary'' means the Secretary of State.

Answer:
Directs the Secretary of State to establish certain journalism, library, English language teaching, sister city partnership, youth ambassador, J. William Fulbright Education Exchange Program, and Hubert H. Humphrey Fellowship initiatives with countries with predominantly Muslim populations as part of the Department of State's educational and cultural exchange programs.Directs the Secretary of State to establish and maintain a database listing all American and foreign alumni of such program initiatives in order to encourage networking, interaction, and communication with alumni.Directs the Secretary to report to Congress on implementation of certain provisions of the Human Rights, Refugee, and Other Foreign Relations Provisions Act of 1996 directing the Director of the U.S. Information Agency to take appropriate steps to provide opportunities for participation of human rights and democracy leaders in educational and cultural exchange programs in countries whose people do not fully enjoy freedom and democracy (including but not limited to China, Vietnam, Cambodia, Tibet, and Burma).