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

Example Input: SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Section Commission to Advise on 
Reforming Elections Act''.

SEC. 2. ESTABLISHMENT OF SELECT COMMISSION TO ADVISE ON REFORMING 
              ELECTIONS.

    There is established a commission to be known as the ``Select 
Commission to Advise on Reforming Elections'' (referred to in this Act 
as the ``Commission''). The purposes of the Commission are to study the 
laws relating to the financing of campaigns for elections for Federal 
office and to report and recommend legislation to reform those laws.

SEC. 3. MEMBERSHIP OF COMMISSION.

    (a) Appointment.--The Commission shall be composed of 12 members 
appointed not later than 60 days after the date of the enactment of 
this Act by the President, of whom--
            (1) Three members shall be appointed from among a list of 
        nominees submitted by the majority leader of the House of 
        Representatives;
            (2) Three members shall be appointed from among a list of 
        nominees submitted by the majority leader of the Senate;
            (3) Two members shall be appointed from among a list of 
        nominees submitted by the minority leader of the House of 
        Representatives;
            (4) Two members shall be appointed from among a list of 
        nominees submitted by the minority leader of the Senate; and
            (5) Two members shall be appointed from individuals meeting 
        such criteria as the President may apply.
    (b) Chair.--The members of the Commission shall select two members 
to serve as co-chairs of the Commission.
    (c) Terms.--The members of the Commission shall serve for the life 
of the Commission.
    (d) Vacancies.--A vacancy in the Commission shall be filled in the 
manner in which the original appointment was made.

SEC. 4. POWERS OF COMMISSION.

    (a) Hearings.--The Commission may, for the purpose of carrying out 
this Act, hold hearings, sit and act at times and places, take 
testimony, and receive evidence as the Commission considers 
appropriate.
    (b) Quorum.--Five members of the Commission shall constitute a 
quorum, but a lesser number may hold hearings.

SEC. 5. ADMINISTRATIVE PROVISIONS.

    (a) Pay and Travel Expenses of Members.--(1) Each member of the 
Commission, other than the co-chairs, shall be paid at a rate equal to 
the daily equivalent of the annual rate of basic pay payable for level 
IV of the Executive Schedule under section 5315 of title 5, United 
States Code, for each day (including travel time) during which the 
member is engaged in the actual performance of duties vested in the 
Commission. Each co-chair shall be paid for each day referred to in the 
preceding sentence at a rate equal to the daily equivalent of the 
annual rate of basic pay payable for level III of the Executive 
Schedule under section 5314 of title 5, United States Code.
    (2) Members of the Commission shall receive travel expenses, 
including per diem in lieu of subsistence, in accordance with sections 
5702 and 5703 of title 5, United States Code.
    (b) Staff Director.--The Commission shall, without regard to 
section 5311(b) of title 5, United States Code, appoint a staff 
director, who shall be paid at the rate of basic pay payable for level 
IV of the Executive Schedule under section 5315 of title 5, United 
States Code.
    (c) Staff of Commission; Services.--
            (1) In general.--Subject to such rules as may be adopted by 
        the Commission, the staff director of the Commission, without 
        regard to the provisions of title 5, United States Code, 
        governing appointments in the competitive service and without 
        regard to the provisions of chapter 51 and subchapter III of 
        chapter 53 of that title relating to classifications and 
        General Schedule pay rates, and subject to the approval of the 
Commission, may appoint such personnel as the staff director considers 
necessary, except that an individual so appointed may not receive pay 
in excess of the maximum annual rate of basic pay payable for grade GS-
15 of the General Schedule under section 5332 of title 5, United States 
Code.
            (2) Temporary and intermittent services.--Subject to the 
        approval of the Commission, the staff director of the 
        Commission may procure temporary and intermittent services to 
        the same extent as is authorized by section 3109(b) of title 5, 
        United States Code.

SEC. 6. REPORT AND RECOMMENDATIONS FOR CHANGES IN LAW.

    (a) Report.--Not later than 180 days after the appointment of its 
members, the Commission shall submit to the President, the Speaker and 
minority leader of the House of Representatives, and the majority and 
minority leaders of the Senate a report of the activities of the 
Commission.
    (b) Recommendations for Changes in Campaign Finance Laws.--
            (1) In general.--Subject to paragraph (2), the Commission 
        shall submit to the President, the Speaker and minority leader 
        of the House of Representatives, and the majority and minority 
        leaders of the Senate any recommendations for changes in the 
        laws (including regulations) governing the conducting and 
        financing of Federal campaigns (including any changes in the 
        rules of the Senate or the House of Representatives) to which 
        seven or more members of the Commission may agree--
                    (A) by including such recommendations in the report 
                submitted under subsection (a); or
                    (B) with the approval of a majority of its members, 
                by submitting a supplemental report containing such 
                recommendations not later than 180 days after 
                submitting the report under subsection (a).
            (2) Final deadline.--The Commission may not submit 
        recommendations under this subsection after July 15, 1998.
    (c) Dissenting Views.--The Commission shall include in the report 
submitted under subsection (a) and in any recommendations submitted 
under subsection (b) any dissenting or minority views of its members, 
including recommendations for changes in law which were proposed by any 
member and to which seven or more members did not agree.

SEC. 7. EXPEDITED CONGRESSIONAL CONSIDERATION OF LEGISLATION 
              IMPLEMENTING RECOMMENDATIONS.

    (a) Preparation of Legislation.--If the Commission submits any 
recommendation for changes in the laws under section 6(b), those 
members concurring in the recommendation shall include with the 
recommendation legislation to implement the recommendation.
    (b) Expedited Congressional Consideration of Legislation.--
            (1) In general.--If any legislation is introduced the 
        substance of which implements a recommendation of the 
        Commission submitted under section 6(b), subject to paragraph 
        (2), the provisions of section 2908 (other than subsection (a)) 
        of the Defense Base Closure and Realignment Act of 1990 shall 
        apply to the consideration of the legislation in the same 
        manner as such provisions apply to a joint resolution described 
        in section 2908(a) of such Act.
            (2) Special rules.--For purposes of applying paragraph (1) 
        with respect to such provisions, the following rules shall 
        apply:
                    (A) Any reference to the Committee on Armed 
                Services of the House of Representatives shall be 
                deemed a reference to the Committee on House Oversight 
                of the House of Representatives and any reference to 
                the Committee on Armed Services of the Senate shall be 
                deemed a reference to the Committee on Rules and 
                Administration of the Senate.
                    (B) Any reference to the date on which the 
                President transmits a report shall be deemed a 
                reference to the date on which the recommendation 
                involved is submitted under section 6(b).

SEC. 8. TERMINATION.

    The Commission shall cease to exist 90 days after the later of--
            (1) the date of the submission of its report under section 
        6(a); or
            (2) the date of the submission of its recommendations under 
        section 6(b).
Example Output: Select Commission to Advise on Reforming Elections Act - Establishes the Select Commission to Advise on Reforming Elections to study the laws relating to the financing of campaigns for Federal elections and to report and recommend legislation to reform those laws. 
(Sec. 6) Requires the Commission to submit a report to the President, the Speaker and minority leader of the House of Representatives, and the majority and minority leaders of the Senate on its activities.  Directs the Commission, as specified, to submit to the President, the Speaker and minority leader of the House of Representatives, and the majority and minority leaders of the Senate, any recommendations for changes in campaign finance laws to which seven or more Commission members may agree.  Prohibits the submission of recommendations by the Commission after July 15, 1998. 
(Sec. 7) Requires that when the Commission submits any recommendation for changes in campaign finance laws, those Commission members concurring in the recommendation shall include legislation to implement the recommendation.  Provides for expedited congressional consideration of any legislation introduced which implements a recommendation of the Commission. 
(Sec. 8) Terminates the Commission after the later of:  (1) the submission of its report; or (2) the submission of its recommendations.

Example Input: SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Secret Service Protective Privilege 
Act of 1999''.

SEC. 2. FINDINGS AND PURPOSES.

    (a) Findings.--Congress makes the following findings:
            (1) The physical safety of the Nation's top elected 
        officials is a public good of transcendent importance.
            (2) By virtue of the critical importance of the Office of 
        the President, the President and those in direct line of the 
        Presidency are subject to unique and mortal jeopardy--jeopardy 
        that in turn threatens profound disruption to our system of 
        representative government and to the security and future of the 
        Nation.
            (3) The physical safety of visiting heads of foreign states 
        and foreign governments is also a matter of paramount 
        importance. The assassination of such a person while on 
        American soil could have calamitous consequences for our 
        foreign relations and national security.
            (4) Given these grave concerns, Congress has provided for 
        the Secret Service to protect the President and those in direct 
        line of the Presidency, and has directed that these officials 
        may not waive such protection. Congress has also provided for 
        the Secret Service to protect visiting heads of foreign states 
        and foreign governments.
            (5) The protective strategy of the Secret Service depends 
        critically on the ability of its personnel to maintain close 
        and unremitting physical proximity to the protectee.
            (6) Secret Service personnel must remain at the side of the 
        protectee on occasions of confidential conversations and, as a 
        result, may overhear top secret discussions, diplomatic 
        exchanges, sensitive conversations, and matters of personal 
        privacy.
            (7) The necessary level of proximity can be maintained only 
        in an atmosphere of complete trust and confidence between the 
        protectee and his or her protectors.
            (8) If a protectee has reason to doubt the confidentiality 
        of actions or conversations taken in sight or hearing of Secret 
        Service personnel, the protectee may seek to push the 
        protective envelope away or undermine it to the point at which 
        it could no longer be fully effective.
            (9) The possibility that Secret Service personnel might be 
        compelled to testify against their protectees could induce 
        foreign nations to refuse Secret Service protection in future 
        state visits, making it impossible for the Secret Service to 
        fulfill its important statutory mission of protecting the life 
        and safety of foreign dignitaries.
            (10) A privilege protecting information acquired by Secret 
        Service personnel while performing their protective function in 
        physical proximity to a protectee will preserve the security of 
        the protectee by lessening the incentive of the protectee to 
        distance Secret Service personnel in situations in which there 
        is some risk to the safety of the protectee.
            (11) Recognition of a protective function privilege for the 
        President and those in direct line of the Presidency, and for 
        visiting heads of foreign states and foreign governments, will 
        promote sufficiently important interests to outweigh the need 
        for probative evidence.
            (12) Because Secret Service personnel retain law 
        enforcement responsibility even while engaged in their 
        protective function, the privilege must be subject to a crime/
        treason exception.
    (b) Purposes.--The purposes of this Act are--
            (1) to facilitate the relationship of trust and confidence 
        between Secret Service personnel and certain protected 
        officials that is essential to the ability of the Secret 
        Service to protect these officials, and the Nation, from the 
        risk of assassination; and
            (2) to ensure that Secret Service personnel are not 
        precluded from testifying in a criminal investigation or 
        prosecution about unlawful activity committed within their view 
        or hearing.

SEC. 3. ESTABLISHMENT OF PROTECTIVE FUNCTION PRIVILEGE.

    (a) Admissibility of Information Acquired by Secret Service 
Personnel While Performing Their Protective Function.--Chapter 203 of 
title 18, United States Code, is amended by inserting after section 
3056 the following:
``Sec. 3056A. Testimony by Secret Service personnel; protective 
              function privilege
    ``(a) Definitions.--In this section:
            ``(1) Protectee.--The term `protectee' means--
                    ``(A) the President;
                    ``(B) the Vice President (or other officer next in 
                the order of succession to the Office of President);
                    ``(C) the President-elect;
                    ``(D) the Vice President-elect; and
                    ``(E) visiting heads of foreign states or foreign 
                governments who, at the time and place concerned, are 
                being provided protection by the United States Secret 
                Service.
            ``(2) Secret service personnel.--The term `Secret Service 
        personnel' means any officer or agent of the United States 
        Secret Service.
    ``(b) General Rule of Privilege.--Subject to subsection (c), 
testimony by Secret Service personnel or former Secret Service 
personnel regarding information affecting a protectee that was acquired 
during the performance of a protective function in physical proximity 
to the protectee shall not be received in evidence or otherwise 
disclosed in any trial, hearing, or other proceeding in or before any 
court, grand jury, department, officer, agency, regulatory body, or 
other authority of the United States, a State, or a political 
subdivision thereof.
    ``(c) Exceptions.--There is no privilege under this section--
            ``(1) with respect to information that, at the time the 
        information was acquired by Secret Service personnel, was 
        sufficient to provide reasonable grounds to believe that a 
        crime had been, was being, or would be committed; or
            ``(2) if the privilege is waived by the protectee or the 
        legal representative of a protectee or deceased protectee.
    ``(d) Concurrent Privileges.--The proximity of Secret Service 
personnel to a protectee engaged in a privileged communication with 
another shall not, by itself, defeat an otherwise valid claim of 
privilege.''.
    (b) Technical and Conforming Amendment.--The analysis for chapter 
203 of title 18, United States Code, is amended by inserting after the 
item relating to section 3056 the following:

``3056A. Testimony by Secret Service personnel; protective function 
                            privilege.''.

SEC. 4. APPLICATION.

    This Act and the amendments made by this Act shall apply to any 
proceeding commenced on or after the date of enactment of this Act.
Example Output: Secret Service Protective Privilege Act of 1999 - Amends the Federal criminal code to prohibit testimony by Secret Service personnel or former personnel regarding information affecting a protectee (defined as the President, Vice President, and specified other officials) that was acquired during the performance of a protective function in physical proximity to the protectee from being received in evidence or otherwise disclosed in any proceeding in or before any court, grand jury, department, officer, agency, regulatory body, or other authority of the United States, a State, or a political subdivision thereof. 
Makes exceptions: (1) with respect to information that, at the time it was acquired by Secret Service personnel, was sufficient to provide reasonable grounds to believe that a crime had been, was being, or would be committed; or (2) if the privilege is waived by the protectee or the legal representative of a protectee or deceased protectee. 
Specifies that the proximity of Secret Service personnel to a protectee engaged in a privileged communication with another shall not, by itself, defeat an otherwise valid claim of privilege.

Example Input: SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Ensuring Access to Primary Care for 
Women & Children Act''.

SEC. 2. FINDINGS.

    Congress finds as follows:
            (1) Medicaid plays a key role in providing coverage for 
        millions of working families.
            (2) Medicaid enrollees include families, pregnant women, 
        children, individuals with disabilities, and other low-income 
        individuals. Without Medicaid coverage, many enrollees would be 
        uninsured or lack coverage for services they need.
            (3) In 2013, the Medicaid program covered 62,000,000 
        individuals, or 1 in every 5 Americans. This number will 
        continue to grow, particularly since the Affordable Care Act 
        significantly expanded eligibility to millions of uninsured 
        adults. Enrollment in Medicaid and the Children's Health 
        Insurance Program is projected to increase by 12,800,000 by 
        2016.
            (4) If all States expand their Medicaid programs, an 
        estimated 7,000,000 women ages 18 to 64 would gain coverage 
        under Medicaid.
            (5) In 47 States and in the District of Columbia, Medicaid 
        pays up to 67 percent less than Medicare for the same primary 
        care services.
            (6) Multiple studies have concluded that higher Medicaid 
        payment rates would increase the probability of primary care 
        providers accepting new Medicaid patients, and would further 
        support current Medicaid providers.
            (7) Congress has recognized that low provider participation 
        in Medicaid decreases access to health care. To address this 
        problem, Congress acted to increase Medicaid payments for 
        certain primary care services to be not less than the Medicare 
        payment rates for 2013 and 2014.
            (8) As more Americans become insured and empowered 
        participants in their own health care, demand for primary care 
        services is expected to increase over the next few years.
            (9) Six in 10 women ages 18 to 44 (58 percent) report they 
        see an obstetrics and gynecology (OB/GYN) physician on a 
        regular basis. They are more likely to see their OB/GYN 
        physician on a regular basis than any other type of provider. 
        Given that women comprise the majority of Medicaid enrollees, 
        it is critical that primary care providers, including OB/GYN 
        physicians, receive sufficient reimbursement to participate in 
        Medicaid.
            (10) Nurse practitioners and other mid-level health 
        professionals deliver many primary care services. Applying 
        Medicare's rates for nurse practitioners and mid-level health 
        professionals encourages greater participation in Medicaid, 
        thereby increasing access to primary care, particularly in 
        underserved areas.
            (11) The enhanced Medicaid reimbursement rate ensures 
        providers have the financial capability to serve their 
        patients' primary care needs. Furthermore, adding nurse 
        practitioners, physician assistants, certified nurse-midwives, 
        and OB/GYN physicians serving in primary care settings 
        increases access to critical health care services for women and 
        children nationwide.

SEC. 3. EXTENSION OF APPLICATION OF MEDICARE PAYMENT RATE FLOOR TO 
              PRIMARY CARE SERVICES FURNISHED UNDER MEDICAID AND 
              APPLICATION TO ADDITIONAL PROVIDERS.

    (a) In General.--Section 1902(a)(13) of the Social Security Act (42 
U.S.C. 1396a(a)(13)) is amended by striking subparagraph (C) and 
inserting the following:
                    ``(C) payment for primary care services (as defined 
                in subsection (jj)) at a rate that is not less than 100 
                percent of the payment rate that applies to such 
                services and physician under part B of title XVIII (or, 
                if greater, the payment rate that would be applicable 
                under such part if the conversion factor under section 
                1848(d) for the year involved were the conversion 
                factor under such section for 2009), and that is not 
                less than the rate that would otherwise apply to such 
                services under this title if the rate were determined 
                without regard to this subparagraph, and that are--
                            ``(i) furnished in 2013 and 2014, by a 
                        physician with a primary specialty designation 
                        of family medicine, general internal medicine, 
                        or pediatric medicine; or
                            ``(ii) furnished in 2015 and 2016--
                                    ``(I) by a physician with a primary 
                                specialty designation of family 
                                medicine, general internal medicine, or 
                                pediatric medicine, but only if the 
                                physician self-attests that--
                                            ``(aa) the physician is 
                                        Board certified in family 
                                        medicine, general internal 
                                        medicine, or pediatric 
                                        medicine; or
                                            ``(bb) with respect to the 
                                        most recently completed 
                                        calendar year (or in the case 
                                        of a newly eligible physician, 
                                        the preceding month), 60 
                                        percent of all services the 
                                        physician billed for under the 
                                        State plan or a waiver under 
                                        this title, or provided through 
                                        a medicaid managed care 
                                        organization (as defined in 
                                        section 1903(m)(1)(A)), were 
                                        for services described in 
                                        subparagraph (A) or (B) of 
                                        subsection (jj)(1);
                                    ``(II) by a physician with a 
                                primary specialty designation of 
                                obstetrics and gynecology, but only if 
                                the physician self-attests that--
                                            ``(aa) the physician is 
                                        Board certified in obstetrics 
                                        and gynecology; and
                                            ``(bb) with respect to the 
                                        most recently completed 
                                        calendar year (or in the case 
                                        of a newly eligible physician, 
                                        the preceding month), 60 
                                        percent of all services the 
                                        physician billed for under the 
                                        State plan or a waiver under 
                                        this title, or provided through 
                                        a medicaid managed care 
                                        organization (as defined in 
                                        section 1903(m)(1)(A)), were 
                                        for services described in 
                                        subparagraph (A) or (B) of 
                                        subsection (jj)(1);
                                    ``(III) by an advanced practice 
                                clinician, as defined by the Secretary, 
                                that works under the supervision of--
                                            ``(aa) a physician that 
                                        satisfies the criteria 
                                        specified in subclause (I) or 
                                        (II); or
                                            ``(bb) a nurse practitioner 
                                        or a physician assistant (as 
                                        such terms are defined in 
                                        section 1861(aa)(5)(A)) who is 
                                        working in accordance with 
                                        State law, or a certified 
                                        nurse-midwife (as defined in 
                                        section 1861(gg)) who is 
                                        working in accordance with 
                                        State law, but only if the 
                                        nurse practitioner, physician 
                                        assistant, or certified nurse-
                                        midwife self-attests that, with 
                                        respect to the most recently 
                                        completed calendar year (or in 
                                        the case of a newly eligible 
                                        nurse practitioner, physician 
                                        assistant, or certified nurse-
                                        midwife, the preceding month), 
                                        60 percent of all services the 
                                        nurse practitioner, physician 
                                        assistant, or certified nurse-
                                        midwife billed for under the 
                                        State plan or a waiver under 
                                        this title, or provided through 
                                        a medicaid managed care 
                                        organization (as defined in 
                                        section 1903(m)(1)(A)), were 
                                        for services described in 
                                        subparagraph (A) or (B) of 
                                        subsection (jj)(1);
                                    ``(IV) by a rural health clinic, 
                                Federally-qualified health center, or 
                                other health clinic that receives 
                                reimbursement on a fee schedule 
                                applicable to a physician, a nurse 
                                practitioner or a physician assistant 
                                (as such terms are defined in section 
                                1861(aa)(5)(A)) who is working in 
                                accordance with State law, or a 
                                certified nurse-midwife (as defined in 
                                section 1861(gg)) who is working in 
                                accordance with State law, for services 
                                furnished by a physician, nurse 
                                practitioner, physician assistant, or 
                                certified nurse-midwife, or services 
                                furnished by an advanced practice 
                                clinician supervised by a physician 
                                described in subclause (I)(aa) or 
                                (II)(aa), another advanced practice 
                                clinician, or a certified nurse-
                                midwife, but only if the rural health 
                                clinic or Federally-qualified health 
                                center self-attests that 60 percent of 
                                all services billed for under the State 
                                plan or a waiver under this title, or 
                                provided through a medicaid managed 
                                care organization (as defined in 
                                section 1903(m)(1)(A)), were for 
                                services described in subparagraph (A) 
                                or (B) of subsection (jj)(1); or
                                    ``(V) by a nurse practitioner or a 
                                physician assistant (as such terms are 
                                defined in section 1861(aa)(5)(A)) who 
                                is working in accordance with State 
                                law, or a certified nurse-midwife (as 
                                defined in section 1861(gg)) who is 
                                working in accordance with State law, 
                                in accordance with procedures that 
                                ensure that the portion of the payment 
                                for such services that the nurse 
                                practitioner, physician assistant, or 
                                certified nurse-midwife is paid is not 
                                less than the amount that the nurse 
                                practitioner, physician assistant, or 
                                certified nurse-midwife would be paid 
                                if the services were provided under 
                                part B of title XVIII, but only if the 
                                nurse practitioner, physician 
                                assistant, or certified nurse-midwife 
                                self-attests that, with respect to the 
                                most recently completed calendar year 
                                (or in the case of a newly eligible 
                                nurse practitioner, physician 
                                assistant, or certified nurse-midwife, 
                                the preceding month), 60 percent of all 
                                services the nurse practitioner, 
                                physician assistant, or certified 
                                nurse-midwife billed for under the 
                                State plan or a waiver under this 
                                title, or provided through a medicaid 
                                managed care organization (as defined 
                                in section 1903(m)(1)(A)), were for 
                                services described in subparagraph (A) 
                                or (B) of subsection (jj)(1);''.
    (b) Improved Targeting of Primary Care.--Section 1902(jj) of the 
Social Security Act (42 U.S.C. 1396a(jj)) is amended--
            (1) by redesignating paragraphs (1) and (2) as 
        subparagraphs (A) and (B), respectively and realigning the left 
        margins accordingly;
            (2) by striking ``For purposes of'' and inserting the 
        following:
            ``(1) In general.--For purposes of''; and
            (3) by adding at the end the following:
            ``(2) Exclusions.--Such term does not include any services 
        described in subparagraph (A) or (B) of paragraph (1) if such 
        services are provided in an emergency department of a 
        hospital.''.
    (c) Conforming Amendment.--Section 1905(dd) of the Social Security 
Act (42 U.S.C. 1396d(dd)) is amended by striking ``January 1, 2015'' 
and inserting ``January 1, 2017''.
    (d) Effective Date.--The amendments made by this section take 
effect on January 1, 2015.
Example Output:
Ensuring Access to Primary Care for Women and Children Act - Amends title XIX (Medicaid) of the Social Security Act to require that the primary care services furnished in 2015 and 2016 by a physician with a primary specialty designation of family medicine, general internal medicine, or pediatric medicine be paid at a rate that is not less than 100% of the payment rate that applies to such services and physician under Medicare part B (Supplementary Medical Insurance). Extends this 100% of Medicare payment floor under certain conditions to the following providers, who are self-attested as Board-certified and at least 60% of whose services billed for under Medicaid must be for primary care services: (1) physicians with a primary specialty designation of obstetrics and gynecology; (2) advanced practice clinicians; (3) rural health clinics, federally-qualified health centers, or other specified health clinics; and (4) nurse practitioners, physician assistants, or certified nurse-midwives.  Excludes from coverage of primary care services any such services provided in an emergency department of a hospital.