instruction:
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 ``Accurate Education for Prenatal 
Screenings Act''.

SEC. 2. CELL-FREE DNA PRENATAL SCREENING EDUCATION PROGRAMS.

    Part B of title III of the Public Health Service Act is amended by 
inserting, after section 317T (42 U.S.C. 247b-22), the following:

``SEC. 317U. CELL-FREE DNA PRENATAL SCREENING EDUCATION PROGRAMS.

    ``(a) Education Programs.--With respect to cell-free DNA prenatal 
screening, the Secretary, acting through the Director of the Centers 
for Disease Control and Prevention, shall develop, implement, and 
maintain two programs, one for patients and one for health care 
providers, to educate patients and health care providers regarding 
matters including--
            ``(1) the purposes and definitions of such screenings;
            ``(2) the reasons for patients and health care providers to 
        consider such screenings;
            ``(3) the conditions such screenings may detect, including 
        accurate and up-to-date information about such conditions' 
        clinical features, prognoses, and treatments according to 
        relevant national disability organizations and medical 
        professional societies;
            ``(4) the risks and benefits of, and alternatives to, the 
        various methods of administering such screenings and prenatal 
        diagnostic testings, including the option to forego such 
        screenings and testings, as per guidelines established by 
        medical professional societies;
            ``(5) the possible results of such screenings;
            ``(6) the accuracy of the results of such screenings, 
        including positive predictive value, negative predictive value, 
        specificity, sensitivity, the inability of such screenings to 
        reliably diagnose chromosomal abnormalities, and the fact that 
        such screenings may yield false-positive and false-negative 
        results;
            ``(7) the need for diagnostic testing, and counseling by a 
        genetics professional, for patients whose screenings yield 
        positive, abnormal, or indeterminate results; and
            ``(8) the need for communication of screening results to 
        patients and appropriate follow up per guidelines established 
        by medical professional societies.
    ``(b) Materials.--Each program developed under this section shall 
include the provision of materials that--
            ``(1) contain information that is peer-reviewed, balanced, 
        accurate, and up-to-date;
            ``(2) enable the respective target audience to understand 
        the available options with regards to cell-free DNA prenatal 
        screenings, other prenatal screenings, and diagnostic tests;
            ``(3) promote the informed consent, and enhance the 
        decision-making processes of, the respective target audience 
        before and after such screenings;
            ``(4) contain information that appropriately addresses the 
        diversity of the patient population, including patients 
        proficient in languages other than English; and
            ``(5) contain contact information for relevant services and 
        support organizations for patients.
    ``(c) Assessment.--In developing, implementing, and maintaining 
programs and materials under this section, the Secretary, acting 
through the Director of the Centers for Disease Control and Prevention, 
shall--
            ``(1) consult with relevant medical professional, 
        disability support, patient advocacy, parents, and genetics 
        professionals organizations;
            ``(2) consult with companies and laboratories that perform 
        cell-free DNA prenatal screenings or develop the technologies 
        for such screenings;
            ``(3) assess and evaluate existing education activities and 
        materials for health care providers and patients related to 
        such screenings; and
            ``(4) take the results of such consultations, assessment, 
        and evaluation into account in developing educational programs 
        and materials under this section.
    ``(d) Annual Report.--Not later than 16 months after the date of 
enactment of this section and annually thereafter, the Secretary shall 
submit a progress report to the Congress with respect to--
            ``(1) the development and implementation of the education 
        programs established under this section;
            ``(2) the accessibility of each program to its respective 
        target audience;
            ``(3) the adoption of each program by its respective target 
        audience; and
            ``(4) the Secretary's efforts to ensure health care 
        providers and patients receive the materials created pursuant 
        to this section.
    ``(e) Deadline.--The Secretary shall develop and implement the 
education programs required by section 317U of the Public Health 
Service Act (as added by subsection (a)) not later than 1 year after 
the date of enactment of this Act''.
answer:
Accurate Education for Prenatal Screenings Act Amends the Public Health Service Act to direct the Centers for Disease Control and Prevention (CDC) to develop, implement, and maintain two programs, one to educate patients and one to educate health care providers regarding:   the purposes and definitions of cell-free DNA prenatal screenings;   the reasons for patients and providers to consider such screenings;  the conditions such screenings may detect;  the risks and benefits of, and alternatives to, the various methods of administering such screenings and prenatal diagnostic testing;  the possible results of such screenings and the accuracy of such results;   the need for diagnostic testing, and counseling by a genetics professional, for patients whose screenings yield positive, abnormal, or indeterminate results; and   the need for communication of results to patients and appropriate follow-up per guidelines established by medical professional societies.  Requires each program to provide materials that:   contain information that is peer-reviewed, balanced, accurate, and up-to-date;   enable the respective target audience to understand the available options with regard to such screenings, other prenatal screenings, and diagnostic tests;   promote the informed consent of, and enhance the decision-making processes of, the respective target audience before and after such screenings;   contain information that appropriately addresses the diversity of the patient population; and   contain contact information for relevant services and support organizations for patients.    Requires CDC to submit annual reports regarding:  the development and implementation of such programs;   the accessibility of each program to, and the adoption of each program by, its respective target audience; and   CDC's efforts to ensure that providers and patients receive the materials created pursuant to this Act. 


question:
SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Saver's Bonus Act of 2007''.

SEC. 2. FINDINGS.

    Congress finds the following:
            (1) According to the Department of Commerce, Americans are 
        currently saving less than 1 percent of their disposable 
        income.
            (2) According to the Federal Reserve's 2004 Survey of 
        Consumer Finances, 17 percent of all households have zero or 
        negative net worth, while 30 percent have net worth of less 
        than $10,000.
            (3) According to the Federal Reserve's 2004 Survey of 
        Consumer Finances, 11 percent of households do not have a 
        checking account and 9 percent do not have a transaction 
        account of any kind.
            (4) According to the Retirement Security Project, in 2004 
        more than half of all households had zero savings in an 
        employer-based 401(k)-type plan or tax-preferred savings plan 
        account.
            (5) It is in the economic interests of the United States to 
        promote savings among all members of society, regardless of 
        income.

SEC. 3. SAVER'S BONUS.

    (a) In General.--The Secretary of the Treasury shall develop a 
program to match deposits made by qualifying low-income individuals 
into designated savings products.
    (b) Qualifying Low-Income Individuals.--For purposes of this Act, 
the term ``qualifying low-income individual'' means any individual 
determined by the Secretary of the Treasury to be eligible for the 
saver's bonus under this Act.
    (c) Designated Savings Products.--For purposes of this Act, the 
term ``designated savings product'' means any savings product, 
including--
            (1) qualified retirement plans (as defined in section 
        4974(c)) of such Code,
            (2) qualified tuition programs under section 529 of such 
        Code,
            (3) Coverdell education savings accounts under section 530 
        of such Code,
            (4) United States savings bonds,
            (5) certificates of deposits with durations of at least 6 
        months, and
            (6) other types of savings products considered appropriate 
        by the Secretary of the Treasury for the purposes of this Act.
    (d) Saver's Bonus Program.--The program established under 
subsection (a) shall provide that--
            (1) qualifying low-income individuals who direct their 
        Federal income tax refund (in its entirety or a portion 
        thereof) be deposited into any designated savings product shall 
        be eligible for a dollar-for-dollar match or saver's bonus to 
        be deposited directly in any designated savings product,
            (2) qualifying low-income individuals who claim (when 
        filing a Federal income tax return) to have deposited funds 
        into any designated savings product during the course of the 
        tax year shall be eligible for a saver's bonus to be deposited 
        directly into any designated savings product, and
            (3) the saver's bonus--
                    (A) shall equal $500 for qualifying low-income 
                individuals who are eligible for the earned income 
                credit under section 32 of such Code and shall be 
                phased out (but not below zero) for such individuals 
                whose earned income exceeds 120 percent of the earned 
                income threshold at which such eligibility ceases,
                    (B) shall be indexed for inflation every 5 years, 
                and
                    (C) shall be considered a refundable credit for 
                purposes of the Internal Revenue Code of 1986.
    (e) Conforming Amendment Regarding Funding of Saver's Bonus.--
Section 1324(b)(2) of title 31, United States Code, is amended by 
inserting ``or enacted by the Saver's Bonus Act of 2007,''.
    (f) Effective Date.--The program under, and amendment made by, this 
section shall be effective with respect to Federal income tax returns 
for taxable years beginning after December 31, 2008.

SEC. 4. OPENING OF ACCOUNTS ON FEDERAL INCOME TAX RETURNS TO FACILITATE 
              SAVINGS.

    (a) Notification of Option.--
            (1) In general.--The Commissioner of Internal Revenue shall 
        notify qualifying low-income individuals who qualify for a 
        Federal income tax refund but fail to provide an ACH direct 
        deposit number on their Federal income tax return that they 
        have the option of an electronic direct deposit and that they 
        may be eligible for the saver's bonus program under section 3 
        if they deposit a refund or a portion of their refund in any 
        designated savings product.
            (2) Method of notification.--The notification under 
        paragraph (1) shall be made through--
                    (A) a public awareness program undertaken by the 
                Secretary of the Treasury, in concert with the 
                Commissioner of the Internal Revenue and others as 
                necessary, at least 6 months before January 2009, and
                    (B) the inclusion of such a notice in the 
                instruction material for any Federal income tax return.
    (b) Establishment of Designated Account Program.--The Secretary of 
the Treasury shall develop, in consultation with the Federal Management 
System, a program to minimize the delivery of non-electronic Federal 
income tax refunds by depositing refunds electronically to an account 
held by a depository institution. This program shall include--
            (1) provisions for such tax refunds to be deposited into a 
        designated account,
            (2) establishment of account parameters with respect to 
        minimum balance requirements and limitations on overdrafts, 
        overdraft fees, and other requirements,
            (3) establishment of means for the taxpayer to access the 
        account electronically or through a payment card, and
            (4) provisions to allow taxpayers to open an account with 
        their Federal income tax refunds through financial service 
        providers, so long such account is held at a depository 
        institution that is insured under the Federal Deposit Insurance 
        Act (12 U.S.C. 1811 et seq.).
    (c) Effective Date.--The notification under subsection (a) and the 
program under subsection (b) shall be effective with respect to Federal 
income tax returns for taxable years beginning after December 31, 2008.

SEC. 5. PURCHASE OF SAVINGS BONDS ON FEDERAL INCOME TAX RETURNS.

    (a) Notification of Option.--The Commissioner of Internal Revenue 
shall notify individual taxpayers that they have the option of 
purchasing United States savings bonds when they file their Federal 
income tax returns and that they may be eligible for the saver's bonus 
program under section 3. Such notification shall be included in the 
instruction material for any Federal income tax return.
    (b) Establishment of Savings Bond Purchase Program.--The Secretary 
of the Treasury shall develop, in consultation with a task force, a 
program for the purchase by individual taxpayers of United States 
savings bonds on their Federal income tax returns.
    (c) Effective Date.--The notification under subsection (a) and the 
program under subsection (b) shall be effective with respect to Federal 
income tax returns for taxable years beginning after December 31, 2008.
answer:
Saver's Bonus Act of 2007 [sic] - Directs the Secretary of the Treasury to develop programs to: (1) match deposits made by low-income individuals into certain savings accounts (saver's bonus); (2) deposit tax refunds electronically into savings accounts; and (3) allow individual taxpayers to purchase U.S. savings bonds on their federal income tax returns.

Requires the Commissioner of the Internal Revenue Service (IRS) to notify low-income taxpayers of their eligibility for the saver's bonus and of their options under this Act.


question:
SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Community Coalitions for Access and 
Quality Improvement Act of 2007''.

SEC. 2. PURPOSE.

    Is it the purpose of this Act to provide assistance to community 
health coalitions (as defined in section (c)(1)) that have a clearly 
defined local need to increase access to and improve the quality of 
health care services through activities that--
            (1) develop or strengthen the coordination of services to 
        allow all individuals, including uninsured and low-income 
        individuals, to receive efficient and higher quality care and 
        to gain entry into and receive services from a comprehensive 
        system of medical, dental, pharmaceutical, and behavioral 
        health care;
            (2) develop efficient and sustainable infrastructure for a 
        healthcare delivery system characterized by effective 
        collaboration, information sharing, and clinical and financial 
        coordination among all types of providers of care in the 
        community; and
            (3) develop or strengthen activities related to providing 
        coordinated care for individuals with chronic conditions.

SEC. 3. COMMUNITY COALITIONS FOR ACCESS AND QUALITY IMPROVEMENT.

    (a) Grants To Strengthen the Effectiveness, Efficiency, and 
Coordination of Services.--The Secretary of Health and Human Services 
(referred to in this section as the ``Secretary'') shall award grants 
to eligible entities assist in the development of integrated health 
care delivery systems to serve defined communities of individuals to--
            (1) improve the efficiency of and coordination among the 
        providers providing services through such systems;
            (2) assist local communities in developing programs 
        targeted toward preventing and managing chronic diseases; and
            (3) expand and enhance the services provided through such 
        systems.
    (b) Eligible Entities.--To be eligible to receive a grant under 
this section, an entity shall--
            (1) represent a balanced consortium--
                    (A) whose principal purpose is to assure the 
                sustainable capacity for the provision of a broad range 
                of coordinated services for all residents within a 
                community defined in the entity's grant application as 
                described in paragraph (2); and
                    (B) that includes at least one of each of the 
                following providers that serve the community (unless 
                such provider does not exist within the community, 
                declines or refuses to participate, or places 
                unreasonable conditions on their participation)--
                            (i) a federally qualified health center (as 
                        defined in section 1861(aa) of the Social 
                        Security Act (42 U.S.C. 1395x(aa)));
                            (ii) rural health clinics and rural health 
                        networks (as defined in section 1861(aa) of the 
                        Social Security Act (42 U.S.C. 1395x(aa)));
                            (iii) a hospital with a low-income 
                        utilization rate that is greater than 25 
                        percent (as defined in section 1923(b)(3) of 
                        the Social Security Act (42 U.S.C. 1396r-
                        4(b)(3))), or a Critical Access Hospital (as 
                        defined in section 19(c)(2) of such Act (42 
                        U.S.C. 1395i-4(c)(2)));
                            (iv) a public health department; and
                            (v) an interested public or private sector 
                        health care provider or an organization that 
                        has traditionally served the medically 
                        uninsured and low-income individuals; and
            (2) submit to the Secretary an application, at such time, 
        in such manner, and containing such information and the 
        Secretary may require, including--
                    (A) a clear description of the community to be 
                served and access, quality, and efficiency outcomes to 
                be achieved under the grant;
                    (B) a description of the providers who will 
                participate in the community coalition under the grant 
                and each provider's contribution to the care of 
                individuals in the community;
                    (C) a description of the activities that the 
                applicant and the community coalition propose to 
                perform under the grant to further the objectives of 
                this section;
                    (D) evidence demonstrating that the applicant is an 
                established coalition with an ability to build on the 
                current system for serving the community by involving 
                providers who have traditionally provided a significant 
                volume of care for uninsured and low-income individuals 
                for that community;
                    (E) evidence demonstrating the coalition's ability 
                to develop coordinated systems of care that either 
                directly provide or ensure the prompt provision of a 
                broad range of high quality, accessible services, 
                including, as appropriate, primary, secondary, and 
                tertiary services as well as pharmacy, substance abuse, 
                behavioral health and oral health services, in a manner 
                that assures continuity of care in the community;
                    (F) evidence of community involvement, including 
                the business community, in the development, 
                implementation, and direction of the system of care 
                that the coalition proposes to assure;
                    (G) evidence demonstrating the coalition's ability 
                to ensure that participating individuals are enrolled 
                in health care coverage programs, both public and 
                private, for which the individuals are eligible;
                    (H) a plan for leveraging other sources of revenue, 
                which may include State and local sources and private 
                grant funds, and integrating current and proposed new 
                funding sources in a manner to assure long-term 
                sustainability of the system of care;
                    (I) a plan for the evaluation of the activities 
                carried out under the grant, including measurement of 
                progress toward the goals and objectives of the program 
                and the use of evaluation findings to improve system 
                performance;
                    (J) evidence demonstrating fiscal responsibility 
                through the use of appropriate accounting procedures 
                and management systems;
                    (K) evidence demonstrating commitment to serve the 
                community without regard to the ability of an 
                individual or family to pay by arranging for or 
                providing free or reduced charge care for the poor; and
                    (L) such other information as the Secretary may 
                require.
    (c) Limitations.--The term of an initial grant to an eligible 
entity under this section shall be 3 fiscal years. An entity may 
receive an extension for 2 additional years if--
            (1) the eligible entity submits to the Secretary a request 
        for a grant for such additional period;
            (2) the Secretary determines that current performance 
        justifies the granting of such an extension; and
            (3) the Secretary determines that granting such extension 
        is necessary to further the objectives described in subsection 
        (a).
    (d) Priorities.--In awarding grants under this section, the 
Secretary--
            (1) may provide priority to applicants that demonstrate the 
        greatest extent of unmet need in the community to be served for 
        a more coordinated system of care; and
            (2) shall provide priority to applicants that best promote 
        the objectives of this section, taking into consideration the 
        extent to which the applicant--
                    (A) identifies a community whose geographical area 
                has a high or increasing percentage of individuals who 
                are uninsured or low-income;
                    (B) demonstrates that the applicant has included in 
                its community coalition providers, support systems, and 
                programs that have a tradition of serving individuals 
                and families in the community who are uninsured or earn 
                below 200 of the Federal poverty level;
                    (C) demonstrates that the proposed coalition 
                activities would expand the utilization of preventive 
                and primary care services for uninsured and 
                underinsured individuals and families in the community, 
                including pharmaceuticals, behavioral and mental health 
                services, oral health services, or substance abuse 
                services;
                    (D) proposes approaches that would improve 
                coordination between health care providers and 
                appropriate social service providers;
                    (E) demonstrates collaboration with State and local 
                governments;
                    (F) demonstrates that the applicant makes use of 
                non-Federal contributions to the greatest extent 
                possible; or
                    (G) demonstrates the likelihood that the proposed 
                activities will lead to sustainable integrated delivery 
                systems as additional efforts of health systems 
                development evolve.
    (e) Use of Funds.--
            (1) Use by grantees.--
                    (A) In general.--Except as provided in paragraphs 
                (2) and (3), a grantee shall use amounts provided under 
                this section only for--
                            (i) direct expenses associated with 
                        achieving the greater integration of a health 
                        care delivery system so that the system either 
                        directly provides or ensures the provision of a 
                        broad range of culturally competent services, 
                        including, as appropriate, primary, secondary, 
                        and tertiary care as well as oral health, 
                        substance abuse, behavioral and mental health, 
                        and pharmaceutical services; and
                            (ii) direct patient care and service 
                        expansions to fill identified or documented 
                        gaps within an integrated delivery system.
                    (B) Specific uses.--Upon compliance with 
                subparagraph (A) a grantees may use amounts provided 
                under this section for the following:
                            (i) To provide increases in outreach 
                        activities and to close gaps in health care 
                        service, including referrals to specialty 
                        services and prescription drugs and conducting 
                        ongoing outreach to health disparity 
                        populations.
                            (ii) To make improvements to care 
                        management and delivery of patient-centered 
                        care, including patient navigation services.
                            (iii) To make improvements to coordinate 
                        transportation to health care facilities.
                            (iv) The development of provider networks 
                        and other innovative models to engage 
                        physicians in voluntary efforts to serve the 
                        medically underserved within a community.
                            (v) Recruitment, training, and compensation 
                        of necessary personnel.
                            (vi) The acquisition of technology for the 
                        purpose of coordinating care and improving 
                        provider communication, including the 
                        implementation of shared information systems or 
                        shared clinical systems.
                            (vii) The development of common processes 
                        such as mechanisms for determining eligibility 
                        for the programs provided through the system, 
                        common identification cards, sliding scale 
                        discounts, and the monitoring and tracking of 
                        outcomes.
                            (viii) The development of specific 
                        prevention and disease management tools and 
                        processes.
                            (ix) Language access services.
                            (x) The facilitation of the involvement of 
                        community organizations to provide better 
                        access to high quality health care services to 
                        individuals at risk for, or who have, chronic 
                        diseases or cancer.
                            (xi) Helping patients overcome barriers 
                        within the health care system to ensure prompt 
                        diagnostic and treatment resolution of an 
                        abnormal finding of cancer or chronic disease.
            (2) Direct patient care limitation.--Not to exceed 20 
        percent of the amounts received under a grant under this 
        section may be used for providing direct patient care and 
        services.
            (3) Reservation of funds for national program purposes.--
        The Secretary may use not to exceed 7 percent of the amount 
        appropriated to carry out this section each fiscal year to 
        enter into contracts with an organization that has expertise in 
        facilitating peer to peer technical assistance among grantees, 
        to obtain assistance of experts and consultants, to hold 
        meetings, to develop tools, to disseminate information, to 
        demonstrate access, quality and efficiency outcomes for 
        sustainability, and for evaluations.
    (f) Requirements.--
            (1) Evaluation of effectiveness.--An entity that receive a 
        grant under this section shall annually submit to the Secretary 
        a report concerning--
                    (A) the progress made in meeting the goals and 
                measurable objectives set forth in the grant 
                application submitted by the entity under subsection 
                (b);
                    (B) the extent to which activities carried out by 
                the entity under the grant have--
                            (i) improved the effectiveness, efficiency, 
                        and coordination of services for uninsured and 
                        low-income individuals in the community served 
                        by such entity, using commonly accepted outcome 
                        measures;
                            (ii) resulted in the provision of better 
                        quality health care for individuals and 
                        families in the community served; and
                            (iii) resulted in the provision of health 
                        care to such individuals at lower cost than 
                        would have been possible in the absence of the 
                        activities conducted by such entity; and
                    (C) the findings of an independent financial audit 
                conducted on all records that relate to the disposition 
                of funds received under the grant.
            (2) Progress.--The Secretary may not renew a grant under 
        this section unless the Secretary determines that the coalition 
        has made reasonable and demonstrable progress in meeting the 
        goals and objectives set forth in the grant application for the 
        preceding fiscal year.
    (g) Maintenance of Effort.--With respect to activities for which a 
grant under this section is authorized, the Secretary may award such a 
grant only if the applicant and each of the participating providers 
agree that the grantee and each such provider will maintain its 
expenditures of non-Federal funds for such activities at a level that 
is not less then the level of such expenditures during the fiscal year 
immediately preceding the fiscal year for which the applicant is 
applying to receive such grant.
    (h) Technical Assistance.--The Secretary may, either directly or by 
grant or contract, provide any entity that receives a grant under this 
section with technical and other nonfinancial assistance necessary to 
enable the entity to comply with the requirements of this section. The 
purposes of this section may be achieved by grant or contract with 
State and national not-for-profit organizations with expertise in 
building successful community coalitions.
    (i) Evaluation of Program.--Not later than September 30, 2012, the 
Secretary shall prepare and submit to the appropriate committees of 
Congress a report that describes the extent to which projects funded 
under this section have been successful in improving the effectiveness, 
efficiency, and coordination of services in the communities served by 
such projects, including whether the projects resulted in the provision 
of better quality health care for such individuals, and whether such 
care was provided at lower costs than would have been provided in the 
absence of such projects.
    (j) Authorization of Appropriations.--There are authorized to be 
appropriated to carry out this section--
            (1) $75,000,000 for fiscal year 2008;
            (2) $100,000,000 for fiscal year 2009;
            (3) $125,000,000 for fiscal year 2010;
            (4) $150,000,000 for fiscal year 2011; and
            (5) $175,000,000 for fiscal year 2012.
answer:

Community Coalitions for Access and Quality Improvement Act of 2007 - Directs the Secretary of Health and Human Services to award grants to eligible entities to assist in developing integrated health care delivery systems to serve defined communities to: (1) improve efficiency and coordination among providers; (2) assist local communities in developing programs targeted toward preventing and managing chronic diseases; and (3) expand and enhance services provided.

Requires eligible entities to represent a balanced consortium whose principal purpose is to assure sustained capacity for the provision of a broad range of coordinated services for all residents, including at least one of each of the following providers that serve the community (with exceptions): (1) a federally qualified health center; (2) rural health clinics and rural health networks; (3) a hospital with a low-income utilization rate greater than 25% or a critical access hospital; (4) a public health department; and (5) an interested public or private sector health care provider or organization that has traditionally served medically uninsured and low-income individuals.

Authorizes the Secretary, in awarding grants, to provide priority to applicants that demonstrate the greatest unmet need for a more coordinated system of care.

Requires a grantee to use amounts provided only for: (1) direct expenses associated with achieving greater integration of a health care delivery system to directly provide or ensure the provision of a broad range of culturally competent services; and (2) direct patient care and service expansions to fill identified or documented gaps within an integrated delivery system.

Requires entities to report annually to the Secretary. Conditions grant renewal on demonstrable progress in meeting goals.