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. FINDINGS.

    Congress finds the following:
            (1) Twice since 1989, the northwestern coast of Maui, 
        Hawaii, has been plagued with massive blooms of the green alga, 
        Cladorphora sericea. Blooms of the red alga, Hypnea 
        musciformis, have also occurred in the area and in the Kihei 
        area.
            (2) The algal blooms have destroyed corals and other reef-
        building organisms, and have washed up on beaches and severely 
        impeded the recreational use of affected coastal areas.
            (3) The algal blooms are particularly detrimental to the 
        natural ecological balance of the near-shore reef environment.
            (4) Although the specific causes of the algal blooms are 
        uncertain, algal growth is stimulated in a proportional manner 
        by concentrations of chemicals such as fertilizers and 
        insecticides, which enter the ocean through freshwater runoff.
            (5) The Department of Health of the State of Hawaii has 
        indicated that the department does not have the resources at 
        this time to determine the cause of the algal blooms.
            (6) Extensive research will be required to determine the 
        factors that contribute to algal growth.
            (7) Potential sources of nutrients that may contribute to 
        algal growth include the near-shore disposal of sewage in 
        injection wells from the Lahaina Wastewater Treatment Plant, 
        surface runoff from agricultural lands and urban resort areas, 
        and subsurface point sources in the areas.
            (8) The long-term environmental impacts of the algal blooms 
        are unknown, but in the short term, reefs exposed to the algae 
        are being destroyed and the deterioration of the coral has 
        detrimental effects on fish and other wildlife that depend on 
        the reefs for survival.
            (9) The algal blooms are generating negative economic 
        impacts as well as negative biological impacts, as additional 
        reports indicate that the algae are decreasing the intake of 
        fish caught by local fishermen in the affected marine waters.
            (10) The Maui Algae Task Force is comprised of community 
        environmental activists and has been assembled to address the 
        problem of algal blooms.
            (11) The Maui Algae Task Force hopes to work in cooperation 
        with the Department of Health of the State of Hawaii and the 
        Environmental Protection Agency to identify and eradicate the 
        causes of the algal blooms.

SEC. 2. STUDY.

    (a) In General.--The Administrator of the Environmental Protection 
Agency (hereafter in this Act referred to as the ``Administrator'') 
shall conduct a study to--
            (1) determine the causes of recent algal blooms off the 
        northwestern coast of Maui, Hawaii; and
            (2) research alternatives for the improved management of 
        chemicals present in wastewater treatment and fresh water 
        runoff.
    (b) Study Requirements.--In carrying out the study under this 
section, the Administrator shall--
            (1) survey and monitor--
                    (A) seaweed populations and animals for which the 
                seaweed is a food source;
                    (B) surface water runoff sediments in the study 
                area; and
                    (C) inputs into the study area from subsurface 
                point sources, including any such inputs from the 
                Lahaina wastewater treatment plant; and
            (2) study the responses of--
                    (A) the seaweed populations referred to in 
                paragraph (1)(A) to different concentrations of 
                nutrients; and
                    (B) the animals referred to in paragraph (1)(A) to 
                pesticides and other biological toxins.
    (c) Equipment; Grants.--
            (1) Acquisition of equipment.--In carrying out the study 
        under this section, the Administrator is authorized to acquire 
        such monitoring and testing equipment as the Administrator 
        determines necessary.
            (2) Grants.--In carrying out the study under this section, 
        the Administrator is authorized to establish a grant program to 
        provide grants to eligible entities that submit approved 
        applications to the Administrator. The following entities may 
        submit an application to conduct study activities under this 
        section:
                    (A) The Department of Health of the State of 
                Hawaii.
                    (B) The Maui Algae Task Force.
                    (C) Appropriate Federal, State, or county 
                departments or agencies.
                    (D) Any other entity that the Administrator 
                determines to be appropriate.
    (d) Demonstration Projects.--In carrying out the study under this 
section, the Administrator is authorized to establish demonstration 
projects to identify and implement best management practices for the 
control of nonpoint source pollution from erosion and agricultural 
runoff.
    (e) Reports.--
            (1) Interim report.--Not later than 1 year after the date 
        of enactment of this Act, the Administrator shall submit to 
        Congress a report that includes interim results of the study 
        conducted under this section, and such recommendations as the 
        Administrator determines to be appropriate.
            (2) Final report.--Not later than January 31, 1996, the 
        Administrator shall submit to Congress a final report that 
        summarizes the results of the study conducted under this 
        section and includes such recommendations as the Administrator 
        determines to be appropriate.
    (f) Authorization of Appropriations.--There are authorized to be 
appropriated to the Environmental Protection Agency to carry out this 
section $500,000 for each of fiscal years 1994 and 1995.
[A]: Directs the Administrator of the Environmental Protection Agency to study and report to the Congress on the causes of recent algal blooms off the northwestern coast of Maui, Hawaii, and to research alternatives for the improved management of chemicals present in wastewater treatment and fresh water runoff. 
Authorizes the Administrator to establish:  (1) a grant program to enable eligible entities to conduct study activities; and (2) demonstration projects to implement best management practices for the control of nonpoint source pollution from erosion and agricultural runoff. 
Authorizes appropriations.


[Q]: 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.
[A]: 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.


[Q]: SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Americas Free Trade Act''.

SEC. 2. FINDINGS.

    Congress makes the following findings:
            (1) The countries of the Western Hemisphere have enjoyed 
        more success in the twentieth century in the peaceful conduct 
        of their relations among themselves than have the countries in 
        the rest of the world.
            (2) The economic prosperity of the United States and its 
        trading partners in the Western Hemisphere is increased by the 
        reduction of trade barriers.
            (3) Trade protection endangers economic prosperity in the 
        United States and throughout the Western Hemisphere and 
        undermines civil liberty and constitutionally limited 
        government.
            (4) The successful establishment of a North American Free 
        Trade Area sets the pattern for the reduction of trade barriers 
        throughout the Western Hemisphere, enhancing prosperity in 
        place of the cycle of increasing trade barriers and deepening 
        poverty that results from a resort to protectionism and trade 
        retaliation.
            (5) The reduction of government interference in the foreign 
        and domestic sectors of a nation's economy and the concomitant 
        promotion of economic opportunity and freedoms promote civil 
        liberty and constitutionally limited government.
            (6) Countries that observe a consistent policy of free 
        trade, the promotion of free enterprise and other economic 
        freedoms (including effective protection of private property 
        rights), and the removal of barriers to foreign direct 
        investment, in the context of constitutionally limited 
        government and minimal interference in the economy, will follow 
        the surest and most effective prescription to alleviate poverty 
        and provide for economic, social, and political development.

SEC. 3. FREE TRADE AREA FOR THE WESTERN HEMISPHERE.

    
    (a) In General.--The President shall take action to initiate 
negotiations to obtain trade agreements with the sovereign countries 
located in the Western Hemisphere, the terms of which provide for the 
reduction and ultimate elimination of tariffs and other nontariff 
barriers to trade, for the purpose of promoting the eventual 
establishment of a free trade area for the entire Western Hemisphere.
    (b) Reciprocal Basis.--An agreement entered into under subsection 
(a) shall be reciprocal and provide mutual reductions in trade barriers 
to promote trade, economic growth, and employment.
    (c) Bilateral or Multilateral Basis.--Agreements may be entered 
into under subsection (a) on a bilateral basis with any foreign country 
described in that subsection or on a multilateral basis with all of 
such countries or any group of such countries.

SEC. 4. FREE TRADE WITH FREE CUBA.

    (a) Restrictions Prior to Restoration of Freedom in Cuba.--The 
provisions of this Act shall not apply to Cuba unless the President 
certifies to Congress that--
            (1) freedom has been restored in Cuba; and
            (2) the claims of United States citizens for compensation 
        for expropriated property have been appropriately addressed.
    (b) Standards for the Restoration of Freedom in Cuba.--The 
President shall not make the certification that freedom has been 
restored in Cuba, for purpose of subsection (a), unless the President 
determines that--
            (1) a constitutionally guaranteed democratic government has 
        been established in Cuba with leaders chosen through free and 
        fair elections;
            (2) the rights of individuals to private property have been 
        restored and are effectively protected and broadly exercised in 
        Cuba;
            (3) Cuba has a currency that is fully convertible 
        domestically and internationally;
            (4) all political prisoners have been released in Cuba; and
            (5) the rights of free speech and freedom of the press in 
        Cuba are effectively guaranteed.
    (c) Priority for Free Trade With Free Cuba.--Upon making the 
certification described in subsection (a), the President shall give 
priority to the negotiation of a free trade agreement with Cuba.

SEC. 5. INTRODUCTION AND FAST-TRACK CONSIDERATION OF IMPLEMENTING 
              BILLS.

    (a) Introduction in House and Senate.--When the President submits 
to Congress a bill to implement a trade agreement described in section 
3, the bill shall be introduced (by request) in the House and the 
Senate as described in section 151(c) of the Trade Act of 1974 (19 
U.S.C. 2191(c)).
    (b) Restrictions on Content.--A bill to implement a trade agreement 
described in section 3--
            (1) shall contain only provisions that are necessary to 
        implement the trade agreement; and
            (2) may not contain any provision that establishes (or 
        requires or authorizes the establishment of) a labor or 
        environmental protection standard or amends (or requires or 
        authorizes an amendment of) any labor or environmental 
        protection standard set forth in law or regulation.
    (c) Point of Order in Senate.--
            (1) Applicability to all legislative forms of implementing 
        bill.--For the purposes of this subsection, the term 
        ``implementing bill'' means the following:
                    (A) The bill.--A bill described in subsection (a), 
                without regard to whether that bill originated in the 
                Senate or the House of Representatives.
                    (B) Amendment.--An amendment to a bill referred to 
                in subparagraph (A).
                    (C) Conference report.--A conference report on a 
                bill referred to in subparagraph (A).
                    (D) Amendment between houses.--An amendment between 
                the Houses of Congress in relation to a bill referred 
                to in subparagraph (A).
                    (E) Motion.--A motion in relation to an item 
                referred to in subparagraph (A), (B), (C), or (D).
            (2) Making of point of order.--
                    (A) Against single item.--When the Senate is 
                considering an implementing bill, a Senator may make a 
                point of order against any part of the implementing 
                bill that contains material in violation of a 
                restriction under subsection (b).
                    (B) Against several items.--Notwithstanding any 
                other provision of law or rule of the Senate, when the 
                Senate is considering an implementing bill, it shall be 
                in order for a Senator to raise a single point of order 
                that several provisions of the implementing bill 
                violate subsection (b). The Presiding Officer may 
                sustain the point of order as to some or all of the 
                provisions against which the Senator raised the point 
                of order.
            (3) Effect of sustainment of point of order.--
                    (A) Against single item.--If a point of order made 
                against a part of an implementing bill under paragraph 
                (2)(A) is sustained by the Presiding Officer, the part 
                of the implementing bill against which the point of 
                order is sustained shall be deemed stricken.
                    (B) Against several items.--In the case of a point 
                of order made under paragraph (2)(B) against several 
                provisions of an implementing bill, only those 
                provisions against which the Presiding Officer sustains 
                the point of order shall be deemed stricken.
                    (C) Stricken matter not in order as amendment.--
                Matter stricken from an implementing bill under this 
                paragraph may not be offered as an amendment to the 
                implementing bill (in any of its forms described in 
                paragraph (1)) from the floor.
            (4) Waivers and appeals.--
                    (A) Waivers.--Before the Presiding Officer rules on 
                a point of order under this subsection, any Senator may 
                move to waive the point of order as it applies to some 
                or all of the provisions against which the point of 
                order is raised. Such a motion to waive is amendable in 
                accordance with the rules and precedents of the Senate.
                    (B) Appeals.--After the Presiding Officer rules on 
                a point of order under this subsection, any Senator may 
                appeal the ruling of the Presiding Officer on the point 
                of order as it applies to some or all of the provisions 
                on which the Presiding Officer ruled.
                    (C) Three-fifths majority required.--
                            (i) Waivers.--A point of order under this 
                        subsection is waived only by the affirmative 
                        vote of at least the requisite majority.
                            (ii) Appeals.--A ruling of the Presiding 
                        Officer on a point of order under this 
                        subsection is sustained unless at least the 
                        requisite majority votes not to sustain the 
                        ruling.
                            (iii) Requisite majority.--For purposes of 
                        clauses (i) and (ii), the requisite majority is 
                        three-fifths of the Members of the Senate, duly 
                        chosen and sworn.
    (d) Applicability of Fast Track Procedures.--Section 151 of the 
Trade Act of 1974 (19 U.S.C. 2191) is amended--
            (1) in subsection (b)(1)--
                    (A) by inserting ``section 5 of the Americas Free 
                Trade Act,'' after ``the Omnibus Trade and 
                Competitiveness Act of 1988,''; and
                    (B) by amending subparagraph (C) to read as 
                follows:
                    ``(C) if changes in existing laws or new statutory 
                authority is required to implement such trade agreement 
                or agreements or such extension, provisions, necessary 
                to implement such trade agreement or such extension, 
                either repealing or amending existing laws or providing 
                new statutory authority.''; and
            (2) in subsection (c)(1), by inserting ``or under section 5 
        of the Americas Free Trade Act,'' after ``the Uruguay Round 
        Agreements Act,''.
[A]:
Americas Free Trade Act - Requires the President to initiate trade agreement negotiations with Western Hemisphere countries for the reduction and elimination of tariffs and nontariff trade barriers and the establishment of a Western Hemisphere free trade area.Declares that this Act shall not apply to Cuba unless the President certifies to the Congress that: (1) freedom has been restored in Cuba; and (2) the claims of U.S. citizens for compensation for expropriated property have been appropriately addressed.Sets forth determinations the President must make about Cuba before certifying that freedom has been restored. Requires that, once such certification is made, priority be given to negotiation of a free trade agreement with Cuba.Applies congressional fast track procedures (no amendments) to implementing bills for trade agreements entered under this Act.