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

    This Act may be cited as the ``Breast Cancer and Environmental 
Research Act of 2005''.

SEC. 2. FINDINGS.

    The Congress finds as follows:
            (1) Breast cancer is the second leading cause of cancer 
        deaths among American women.
            (2) More women in the United States are living with breast 
        cancer than any other cancer (excluding skin cancer). 
        Approximately 3,000,000 women in the United States are living 
        with breast cancer, about 2,000,000 of which have been 
        diagnosed and an estimated 1,000,000 who do not yet know that 
        they have the disease.
            (3) Breast cancer is the most commonly diagnosed cancer 
        among women in the United States and worldwide (excluding skin 
        cancer). In 2005, it is estimated that 269,730 new cases of 
        breast cancer will be diagnosed among women in the United 
        States, 211,240 invasive breast cancers and 58,490 cases of 
        ductal carcinoma in situ (DCIS).
            (4) Approximately 40,410 women in the United States will 
        die from the disease in 2005. Breast cancer is the leading 
        cause of cancer death for women in the United States between 
        the ages of 20 and 59, and the leading cause of cancer death 
        for women worldwide.
            (5) A woman who lives into her 80s in the United States has 
        a 1 in 7 chance of developing invasive breast cancer in her 
        lifetime. This risk was 1 in 11 in 1975. In 2005, a new case of 
        breast cancer will be diagnosed every 2 minutes and a woman 
        will die from breast cancer every 13 minutes.
            (6) All women are at risk for breast cancer. About 90 
        percent of women who develop breast cancer do not have a family 
        history of the disease.
            (7) The National Action Plan on Breast Cancer, a public 
        private partnership, has recognized the importance of expanding 
        the scope and breadth of biomedical, epidemiological, and 
        behavioral research activities related to the etiology of 
        breast cancer and the role of the environment.
            (8) To date, there has been only a limited research 
        investment to expand the scope or coordinate efforts across 
        disciplines or work with the community to study the role of the 
        environment in the development of breast cancer.
            (9) In 2003, the National Institute of Environmental Health 
        Sciences awarded grants to four research centers to begin to 
        study the prenatal-to-adult environmental exposures that may 
        predispose a woman to breast cancer. The currently funded 
        research is examining the mammary tissue in animals and young 
        girls and study the subjects' life exposures to environmental, 
        nutritional, and social factors that impact menarche. Early 
        menarche, beginning menstruation before the age of 12, has been 
        shown to increase breast cancer risk later in life.
            (10) The National Cancer Institute and the National 
        Institute of Environmental Health Sciences have paired together 
        to make those four centers possible. The two institutes work 
        well together, combining their respective areas of expertise to 
        the best advantage of the research.
            (11) In order to take full advantage of the tremendous 
        potential for avenues of prevention, the Federal investment in 
        the role of the environment and the development of breast 
        cancer should be expanded. The research conducted at the four 
        centers, while critically important, is one small facet of the 
        many issues that must be addressed in order to gauge the link 
        between environmental factors and breast cancer.
            (12) In order to understand the effect of chemicals and 
        radiation on the development of cancer, multi-generational, 
        prospective studies are probably required.

SEC. 3. NATIONAL INSTITUTE OF ENVIRONMENTAL HEALTH SCIENCES; AWARDS FOR 
              DEVELOPMENT AND OPERATION OF RESEARCH CENTERS REGARDING 
              ENVIRONMENTAL FACTORS RELATED TO BREAST CANCER.

    Subpart 12 of part C of title IV of the Public Health Service Act 
(42 U.S.C. 285l et seq.) is amended by adding at the end the following 
section:

``SEC. 463C. RESEARCH CENTERS REGARDING ENVIRONMENTAL FACTORS RELATED 
              TO BREAST CANCER.

    ``(a) In General.--The Director of the Institute, based on 
recommendations from the Breast Cancer and Environmental Research Panel 
established under subsection (b) (referred to in this section as the 
`Panel'), shall make grants, after a process of peer review and 
programmatic review, to public or nonprofit private entities for the 
development and operation of not more than 8 centers for the purpose of 
conducting multidisciplinary and multi-institutional research on 
environmental factors that may be related to the etiology of breast 
cancer. Each such center shall be known as a Breast Cancer and 
Environmental Research Center of Excellence.
    ``(b) Breast Cancer and Environmental Research Panel.--
            ``(1) Establishment.--The Secretary shall establish in the 
        Institute of Environmental Health Sciences a Breast Cancer and 
        Environmental Research Panel.
            ``(2) Composition.--The Panel shall be composed of--
                    ``(A) 9 members to be appointed by the Secretary, 
                of which--
                            ``(i) six members shall be appointed from 
                        among physicians, and other health 
                        professionals, who--
                                    ``(I) are not officers or employees 
                                of the United States;
                                    ``(II) represent multiple 
                                disciplines, including clinical, basic, 
                                and public health sciences;
                                    ``(III) represent different 
                                geographical regions of the United 
                                States;
                                    ``(IV) are from practice settings 
                                or academia or other research settings; 
                                and
                                    ``(V) are experienced in biomedical 
                                review; and
                            ``(ii) three members shall be appointed 
                        from the general public who are representatives 
                        of individuals who have had breast cancer and 
                        who represent a constituency; and
                    ``(B) such nonvoting, ex officio members as the 
                Secretary determines to be appropriate.
            ``(3) Chairperson.--The members of the Panel appointed 
        under paragraph (2)(A) shall select a chairperson from among 
        such members.
            ``(4) Meetings.--The Panel shall meet at the call of the 
        chairperson or upon the request of the Director, but in no case 
        less often than once each year.
            ``(5) Duties.--The Panel shall--
                    ``(A) oversee the peer review process for the 
                awarding of grants under subsection (a) and conduct the 
                programmatic review under such subsection;
                    ``(B) make recommendations with respect to the 
                funding criteria and mechanisms under which amounts 
                will be allocated under this section; and
                    ``(C) make final programmatic recommendations with 
                respect to grants under this section.
    ``(c) Collaboration With Community.--Each center under subsection 
(a) shall establish and maintain ongoing collaborations with community 
organizations in the geographic area served by the center, including 
those that represent women with breast cancer.
    ``(d) Coordination of Centers; Reports.--The Director of the 
Institute shall, as appropriate, provide for the coordination of 
information among centers under subsection (a) and ensure regular 
communication between such centers, and may require the periodic 
preparation of reports on the activities of the centers and the 
submission of the reports to the Director.
    ``(e) Required Consortium.--Each center under subsection (a) shall 
be formed from a consortium of cooperating institutions, meeting such 
requirements as may be prescribed by the Director of the Institute. 
Each center shall require collaboration among highly accomplished 
scientists, other health professionals and advocates of diverse 
backgrounds from various areas of expertise.
    ``(f) Duration of Support.--Support of a center under subsection 
(a) may be for a period not exceeding 5 years. Such period may be 
extended for one or more additional periods not exceeding 5 years if 
the operations of such center have been reviewed by an appropriate 
technical and scientific peer review group established by the Director 
of the Institute and if such group has recommended to the Director that 
such period should be extended.
    ``(g) Geographic Distribution of Centers.--The Director of the 
Institute shall, to the extent practicable, provide for an equitable 
geographical distribution of centers under this section.
    ``(h) Innovative Approaches.--Each center under subsection (a) 
shall use innovative approaches to study unexplored or under-explored 
areas of the environment and breast cancer.
    ``(i) Authorization of Appropriations.--For the purpose of carrying 
out this section, there is authorized to be appropriated $30,000,000 
for each of the fiscal years 2006 through 2011. Such authorization is 
in addition to any other authorization of appropriations that is 
available for such purpose.''.

SOLUTION: Breast Cancer and Environmental Research Act of 2005 - Amends the Public Health Service Act to require the Director of the National Institute of Environmental Health Sciences to make grants to public or nonprofit private entities for the development and operation of not more than eight centers to conduct multidisciplinary and multi-institutional research on environmental factors that may be related to the etiology of breast cancer. Requires each such center to: (1) be known as a Breast Cancer and Environmental Research Center of Excellence; (2) establish ongoing collaborations with community organizations; (3) be formed from a consortium of cooperating institutions; (4) be supported under this Act for a period of not more than five years with additional periods allowed after review and recommendation; and (5) use innovative approaches to study unexplored areas of the environment and breast cancer.

Requires the Secretary of Health and Human Services to establish a Breast Cancer and Environmental Research Panel to make recommendations for and to review grants awarded under this Act.

PROBLEM: SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Congressional Pay for Performance 
Act''.

SEC. 2. DEFINITIONS.

    For the purpose of this Act--
            (1) the term ``Federal deficit'' or ``deficit'' means, with 
        respect to any fiscal year, the amount by which total budget 
        outlays of the Government for such fiscal year exceed total 
        revenues of the Government for such fiscal year;
            (2) the term ``Member of Congress'' means an individual 
        serving in a position referred to in section 601(a)(1) of the 
        Legislative Reorganization Act of 1946 (2 U.S.C. 31(1)); and
            (3) the term ``year'' means a calendar year.

SEC. 3. TEMPORARY SUSPENSION OF USUAL PAY ADJUSTMENT PROCEDURES.

    Subject to section 5, rates of basic pay for Members of Congress 
shall not be adjusted except in accordance with section 4.

SEC. 4. TEMPORARY ALTERNATIVE PROCEDURES.

    (a) In General.--Effective as of the first day of the first 
applicable pay period beginning on or after January 1st of each year, 
the rate of basic pay for each Member of Congress shall be reduced by 
the percentage derived by multiplying the applicable factor under 
subsection (b) for such year by the applicable factor under subsection 
(c) for such year.
    (b) Factor Reflecting Magnitude of the Deficit.--The applicable 
factor under this subsection for any year is the number of hundreds of 
billions of dollars to which the Federal deficit is equal, as 
determined under subsection (d) with respect to such year.
    (c) Factor Reflecting Degree of Success in Reducing or Eliminating 
the Deficit.--The applicable factor under this subsection for any year 
shall be determined in accordance with the following:
            (1) For the first year beginning on or after the effective 
        date of this Act, the applicable factor under this subsection 
        is 2 percent.
            (2) For each year thereafter, the applicable factor under 
        this subsection is--
                    (A) the same percentage as was applicable under 
                this subsection in the previous year, if the deficit 
                for the year in question is at least $100,000,000,000 
                less than--
                            (i) the size of the deficit for the year 
                        referred to in paragraph (1), or
                            (ii) the lowest level attained in the 
                        deficit for any year after the year referred to 
                        in paragraph (1),
                whichever is less; or
                    (B) 2 times the percentage which was applicable 
                under this subsection in the previous year, if 
                subparagraph (A) does not apply.
    (d) Determining the Size of the Deficit.--For the purpose of any 
determination under this Act, the size or level of the Federal deficit 
for any year--
            (1) shall be equal to the size or level of the deficit for 
        the fiscal year ending on the September 30th immediately 
        preceding the start of such year; and
            (2) shall be rounded to the nearest multiple of 
        $100,000,000,000 (or, if midway between multiples of 
        $100,000,000,000, to the next higher multiple of 
        $100,000,000,000).
    (e) Limitation.--Nothing in this Act shall have the effect of 
reducing any rate of basic pay below $1.
    (f) Suspension in Time of War.--
            (1) In general.--Subject to paragraph (2), upon the 
        enactment of a declaration of war--
                    (A) subsections (a) through (d) shall be suspended; 
                and
                    (B) any subsequent reduction in rates of basic pay 
                for Members of Congress under such subsections shall be 
                precluded.
            (2) Restoration.--In the event of a suspension of 
        subsections (a) through (d) due to a declaration of war, then, 
        effective with the first year that begins in the session after 
        the state of war is concluded by Senate ratification of the 
        necessary treaties--
                    (A) the provisions of subsections (a) through (d) 
                shall be restored to full force and effect, and any 
                adjustment scheduled to take effect on or after the 
                first day of such year shall be implemented in 
                accordance with such provisions; and
                    (B) the initial rate of basic pay for a Member of 
                Congress (before the implementation of any adjustment 
                referred to in subparagraph (A)) shall be equal to the 
                rate of basic pay in effect for such a Member as of the 
                day before the effective date of this Act.

SEC. 5. EFFECT OF ELIMINATING THE DEFICIT.

    (a) In General.--Effective as of the first day of the first 
applicable pay period beginning on or after January 1st of the first 
year with respect to which the deficit is determined to have been 
eliminated--
            (1) the provisions of law suspended by section 2 
        (disregarding subsection (f) thereof) shall be restored to full 
        force and effect, and any adjustment scheduled to take effect 
        on or after such first day under such provisions shall be 
        implemented in accordance with such provisions;
            (2) the initial rate of basic pay for a Member of Congress 
        (before the implementation of any adjustment referred to in 
        paragraph (1)) shall be equal to 2 times the rate of basic pay 
        in effect for such a Member as of the effective date of this 
        Act.
            (3) the provisions of section 4 shall cease to be 
        effective.
    (b) Rule Relating to Determining When the Deficit Has Been 
Eliminated.--
            (1) In general.--For the purpose of this Act, the deficit 
        shall be considered to have been eliminated as of the start of 
        the first year for which the applicable factor under section 
        4(b) would be less than 1.
            (2) No tax increase.--The condition under paragraph (1) 
        shall be considered unmet if there is enacted, after the 
        effective date of this Act, any legislation that reduces the 
        Federal deficit by changing the Internal Revenue Code of 1986.

SEC. 6. EFFECTIVE DATE.

    (a) In General.--This Act shall take effect on January 1st of the 
first year beginning after the first election of Representatives 
following the date of the enactment of this Act.
    (b) Definition.--For the purpose of subsection (a), the term 
``election of Representatives'' has the meaning given such term by 
225(i)(4)(B) of the Federal Salary Act of 1967 (2 U.S.C. 359(4)(B)).

SOLUTION: Congressional Pay for Performance Act - Suspends basic pay adjustments for Members of Congress, and requires pay reductions, until the deficit is reduced to below $50,000,000,000 without the enactment of any change in the Internal Revenue Code. 
Requires an annual reduction in pay by a percentage equal to:  (1) two percent times the number of hundreds of billions of dollars of the deficit in the first year after enactment; or (2) twice that percentage for any year following a year for which the deficit is not at least $100,000,000,000 less than the lowest level attained after enactment of this Act. 
Suspends pay reductions upon enactment of a declaration of war and reinstates them when the state of war is concluded. 
Restores pay adjustment procedures suspended by this Act, and provides for a rate of basic pay of twice the rate in effect as of the effective date of this Act, for the first year with respect to which the deficit is less than $50,000,000,000.

PROBLEM: SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Medical Laboratory Personnel 
Shortage Act of 2003''.

SEC. 2. RESPONSE TO SHORTAGE OF MEDICAL LABORATORY PERSONNEL; PROGRAMS 
              OF HEALTH RESOURCES AND SERVICES ADMINISTRATION.

    (a) Scholarship and Loan Repayment Programs.--Section 737 of the 
Public Health Service Act (42 U.S.C. 293a)) is amended by adding at the 
end the following subsection:
    ``(e) Scholarship and Loan Repayment Program for Medical 
Technologists, Medical Laboratory Technicians, and Other Medical 
Laboratory Personnel.--
            ``(1) In general.--The Secretary shall establish a program 
        of scholarships and loan repayment for the purpose of 
        alleviating the shortage of medical laboratory personnel. The 
        scholarship and loan repayment program shall include a period 
        of obligated service for recipients in a designated health 
        professional shortage area, or other area where there is a 
        shortage of medical laboratory personnel. The Secretary may 
        model the program after the scholarship and loan repayment 
        programs under sections 338A and 338B.
            ``(2) Eligible entities.--Schools of allied health, and 
        health care institution-based programs training medical 
        laboratory personnel, are eligible to receive awards under 
        paragraph (1).
            ``(3) Authorization of appropriations.--For the purpose of 
        carrying out this subsection, there are authorized to be 
        appropriated $11,193,000 in fiscal year 2004, and such sums as 
        may be necessary for each of the fiscal years 2005 through 
        2008. Such authorization is in addition to other authorizations 
        of appropriations that are available for such purpose.''.
    (b) Other Programs Under Title VII.--
            (1) Allied health and other disciplines.--
                    (A) Preference in making awards; public service 
                announcements.--Section 755 of the Public Health 
                Service Act (42 U.S.C. 294e)) is amended by adding at 
                the end the following subsections:
    ``(c) Preference in Making Awards.--In making awards of grants and 
contracts under subsection (a), the Secretary shall give preference to 
making awards to assist entities in meeting the costs associated with 
expanding or establishing programs that will increase the number of 
individuals trained as medical laboratory personnel.
    ``(d) Public Service Announcements.--The Secretary shall develop 
and issue public service announcements that advertise and promote 
medical laboratory personnel careers, highlight the advantages and 
rewards of medical laboratory personnel careers, and encourage 
individuals to enter medical laboratory personnel careers.''.
                    (B) Authorization of appropriations.--Section 757 
                of the Public Health Service Act (42 U.S.C. 294g(a)) is 
                amended by adding at the end the following subsection:
    ``(d) Allied Health and Other Disciplines.--For the purpose of 
carrying out section 755, there are authorized to be appropriated 
$100,000,000 for fiscal year 2004, and such sums as may be necessary 
for each of the fiscal years 2005 through 2008. Such authorization is 
in addition to the authorizations of appropriations under subsection 
(a) that are available for such purpose.''.
            (2) Other title vii programs.--Section 740 of the Public 
        Health Service Act (42 U.S.C. 293d) is amended--
                    (A) by redesignating subsection (d) as subsection 
                (e); and
                    (B) by inserting after subsection (c) the following 
                subsection:
    ``(d) Medical Laboratory Personnel.--For the purpose of increasing 
the number of individuals trained as medical laboratory personnel 
through making awards of grants or contracts under sections 737 through 
739 for appropriate schools of allied health, there are authorized to 
be appropriated, in addition to authorizations of appropriations under 
subsections (a) through (c) that are available for such purpose, the 
following:
            ``(1) For awards under section 738 to serve as members of 
        the faculty of such schools, $332,500 for fiscal year 2004, and 
        such sums as may be necessary for each of the fiscal years 2005 
        through 2008.
            ``(2) For awards under section 739 to such schools, 
        $8,200,000 for fiscal year 2004, and such sums as may be 
        necessary for each of the fiscal years 2005 through 2008.''.
            (3) Definition of medical laboratory personnel.--Section 
        799B of the Public Health Service Act (42 U.S.C. 295p) is 
        amended by adding at the end the following:
            ``(12) The term `medical laboratory personnel' means allied 
        health professionals (as defined in paragraph (5)) who are 
        medical technologists, cytotechnologists, histotechnologists, 
        phlebotomists, or medical laboratory technicians, or who are in 
        other fields that, within the meaning of section 353(a) 
        (relating to the certification of clinical laboratories), 
        examine materials derived from the human body for the purpose 
        of providing information for the diagnosis, prevention, or 
        treatment of any disease or impairment of, or the assessment of 
        the health of, human beings.''.

SEC. 3. RESPONSE TO SHORTAGE OF MEDICAL LABORATORY PERSONNEL; PROGRAMS 
              OF CENTERS FOR DISEASE CONTROL AND PREVENTION.

    Title XV of the Public Health Service Act (42 U.S.C. 300k et seq.) 
is amended by inserting after section 1509 the following section:

``SEC. 1509A. SHORTAGE OF TECHNOLOGISTS FOR LABORATORY ANALYSIS 
              REGARDING SCREENING FOR CERVICAL CANCER.

    ``(a) In General.--The Secretary, acting through the Administrator 
of the Health Resources and Services Administration and in 
collaboration with the Director of the Centers for Disease Control and 
Prevention, shall make grants to appropriate public and nonprofit 
private entities to provide training to increase the number of 
cytotechnologists who are available with respect to screening women for 
cervical cancer.
    ``(b) Funding.--
            ``(1) In general.--Subject to paragraph (2), for the 
        purpose of carrying out this section, there are authorized to 
        be appropriated $10,000,000 for fiscal year 2004, and such sums 
        as may be necessary for each of the fiscal years 2005 through 
        2008.
            ``(2) Limitation.--The authorization of appropriations 
        established in paragraph (1) is not effective for a fiscal year 
        unless the amount appropriated under section 1510(a) for the 
        fiscal year is equal to or greater than $173,928,000.''.

SEC. 4. RESPONSE TO SHORTAGE OF MEDICAL LABORATORY PERSONNEL; PROGRAMS 
              OF NATIONAL HEART, LUNG, AND BLOOD INSTITUTE.

    Section 422(c)(3)(C) of the Public Health Service Act (42 U.S.C. 
285b-4(c)(3)(C)) is amended by inserting after ``allied health 
professionals'' the following: ``, with emphasis given in the training 
of such professionals to the training of medical laboratory personnel 
(as defined in section 799B) in medical laboratory disciplines with 
respect to which there are needs for increased numbers of personnel''.

SOLUTION:
Medical Laboratory Personnel Shortage Act of 2003 - Amends the Public Health Service Act to require the Secretary of Health and Human Services (HHS), through scholarships and loans for health professional training that may be modeled after the National Health Service Corps' scholarship and loan repayment programs, to alleviate the shortage of medical laboratory personnel where needed. Allows schools of allied health, as well as health care institution-based programs training medical laboratory personnel, to receive such awards.Requires the Secretary to give preference, in making awards of grants and contracts to increase the number of individuals trained in allied health professions, to entities with programs training medical laboratory personnel. Directs the Secretary to develop and issue public service announcements advertising medical laboratory personnel careers and encouraging individuals to enter the medical laboratory field.Directs the Secretary to make grants for training to increase the number of cytotechnologists available for screening women for cervical cancer.