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; FINDINGS.

    (a) Short Title.--This Act may be cited as the ``Preserving Access 
to Modern Prosthetic Limbs Act of 2016''.
    (b) Findings.--Congress finds the following:
            (1) The Medicare program includes coverage for prosthetic 
        limbs under section 1861(s)(9) of the Social Security Act (42 
        U.S.C. 1395w(s)(9)).
            (2) As a result of significant Federal and private 
        investment in research and development over the past decades, 
        beneficiaries with lower limb prostheses are able to maintain 
        optimal function and lead productive and independent lives.
            (3) Federal spending for prosthetic devices in the Medicare 
        program has decreased by 15 percent between 2010 and 2014.
            (4) The Secretary of Health and Human Services, through 
        Medicare contractors known as Durable Medical Equipment 
        Medicare Administrative Contractors, released on July 16, 2015, 
        a document entitled ``Local Coverage Determination (LCD): Lower 
        Limb Prostheses (DL33787)'', which applies to all Medicare 
        beneficiaries across the United States.
            (5) The policies proposed in this document would 
        comprehensively change the requirements under which a Medicare 
        beneficiary would qualify for a lower limb prosthetic device 
        and would seriously restrict access to modern prosthetic care.
            (6) If finalized, the changes proposed in this document 
        would create coverage requirements that are inconsistent with 
        current clinical practice and would arbitrarily and 
        unreasonably deny Medicare beneficiaries access to prosthetic 
        limb technologies considered the current standard of care.
            (7) Under these proposed policies, beneficiaries instead 
        would be eligible for prosthetic devices that are functionally 
        outdated, less durable, and less safe.
            (8) The adverse impact of the Medicare contractors' 
        proposed policies extend well beyond the Medicare program and 
        has implications for other Federal health programs, such as 
        health programs of the Veterans Administration, and commercial 
        insurers.
            (9) Given the far reaching effect of these policies, and 
        the fact that little or no clinical or scientific evidence 
        supported the issuance of these proposals, any changes to 
        prosthetic limb coverage should be made only after a 
        transparent process in which evidence is offered to justify 
        coverage modifications, meaningful stakeholder feedback is 
        solicited, and the Secretary and Medicare contractors receive 
        and respond to this stakeholder feedback in a public manner.
            (10) A moratorium on the implementation and enforcement of 
        these proposed policies would enable the Secretary and the 
        Medicare contractors to engage in such a transparent process.

SEC. 2. MORATORIUM ON IMPLEMENTATION OF PROPOSED MEDICARE LOCAL 
              COVERAGE DETERMINATION ON LOWER LIMB PROSTHESES.

    (a) Moratorium.--
            (1) In general.--The Secretary of Health and Human Services 
        and any Medicare Administrative Contractor may not implement 
        and enforce the policies in the LCD on lower limb prostheses 
        (as defined in subsection (d)(1)), in whole or in part, during 
        the period beginning on the date of the enactment of this Act, 
        and ending on June 30, 2017.
            (2) Removal of policy from websites.--The Secretary of 
        Health and Human Services and its medicare administrative 
        contractors shall remove the LCD on lower limb prostheses from 
        the websites of the Centers for Medicare & Medicaid Services 
        and its medicare administrative contractors during the period 
        of the moratorium under paragraph (1).
    (b) Providing the Secretary With Authority To Oversee the 
Development of Local Coverage Determinations.--Section 1862(l)(5) of 
the Social Security Act (42 U.S.C. 395y(l)(5)) is amended--
            (1) by redesignating subparagraph (C) as subparagraph (D); 
        and
            (2) by inserting after subparagraph (B) the following new 
        subparagraph:
                    ``(C) Secretary oversight and guidance in 
                developing local coverage determinations.--The 
                Secretary shall provide guidance and oversight of any 
                local coverage determination developed by a medicare 
                administrative contractor to ensure that the local 
                coverage determination is consistent with this 
                title.''.
    (c) Construction.--Nothing in this section shall be construed to 
prevent the Secretary from enforcing existing statutes, regulations, 
and local coverage determinations other than with respect to policies 
in the LCD on lower limb prostheses.
    (d) Definitions.--In this section:
            (1) LCD on lower limb prostheses.--The term ``LCD on lower 
        limb prostheses'' means the local coverage determination on 
        lower limb prostheses as proposed by a medicare administrative 
        contractor in the document (DL33787) released on July 16, 2015, 
        and any successor to such determination.
            (2) Medicare administrative contractor.--The term 
        ``medicare administrative contractor'' has the meaning given 
        such term in section 1874A(a)(3)(A) of the Social Security Act 
        (42 U.S.C. 1395kk-1(a)(3)(A)).
answer:
Preserving Access to Modern Prosthetic Limbs Act of 2016 This bill amends title XVIII (Medicare) of the Social Security Act to postpone implementation and enforcement of&nbsp;a local coverage determination (LCD) proposed by a Medicare Administrative Contractor (MAC) on lower limb prostheses. (An LCD is a decision by a MAC, which is a private insurer that processes Medicare claims within a specified geographic&nbsp;jurisdiction, as to&nbsp;whether to cover a service on a MAC-wide basis.) The Centers for Medicare &amp; Medicaid shall provide guidance and oversight related to LCDs, as specified by the bill.


question:
SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Federal Workforce Reduction Act of 
2010''.

SEC. 2. REDUCING THE NUMBER OF FEDERAL EMPLOYEES.

    Section 3101 of title 5, United States Code, is amended--
            (1) by striking ``Each Executive agency'' and inserting 
        ``(a) In General.--Subject to subsection (b), each Executive 
        agency''; and
            (2) by adding at the end the following new subsection:
    ``(b) Reduction in Number of Employees.--
            ``(1) Hiring freeze.--Except as provided in paragraph (2), 
        during fiscal year 2011 and each succeeding fiscal year for 
        which the Director of the Office of Management and Budget (in 
        such manner as the Director determines to be appropriate) 
        projects a Federal budget deficit, the head of an Executive 
        agency may not appoint any individual to a position in the 
        agency.
            ``(2) Permitting appointments from federal workforce hiring 
        pool.--
                    ``(A) Establishment of pool.--The President shall 
                establish a Federal workforce hiring pool consisting of 
                positions which may be allocated among all Executive 
                agencies.
                    ``(B) Procedures.--The head of an Executive agency 
                may appoint an individual to a position in the agency 
                if--
                            ``(i) there is a position available in the 
                        Federal workforce hiring pool;
                            ``(ii) the head of the Executive agency 
                        submits a request to the President for the 
                        allocation of a position in the Federal 
                        workforce hiring pool to the agency for 
                        purposes of making an appointment; and
                            ``(iii) the President approves the request.
                    ``(C) Process and criteria for approving 
                requests.--The President shall promulgate regulations--
                            ``(i) setting forth the process by which 
                        the head of an Executive agency may make a 
                        request under this subsection; and
                            ``(ii) setting forth the criteria by which 
                        the President shall determine on a competitive 
                        basis whether to approve a request by the head 
                        of an Executive agency under this subsection.
                    ``(D) Number of positions in pool.--
                            ``(i) Initial number.--As of the first day 
                        of fiscal year 2011, the number of positions in 
                        the Federal workforce hiring pool shall equal 
                        zero.
                            ``(ii) Changes to initial number.--After 
                        the first day of fiscal year 2011, the number 
                        of positions in the Federal workforce hiring 
                        pool--
                                    ``(I) shall increase by .50 for 
                                each full-time-equivalent position in 
                                any Executive agency which subsequently 
                                becomes vacant; and
                                    ``(II) shall decrease by 1.0 for 
                                each request for a full-time equivalent 
                                position which is approved by the 
                                President under this subsection.
            ``(3) Waiver in case of emergency or need to protect 
        national security.--The President may waive this subsection 
        with respect to the hiring of an employee for a position upon a 
        determination by the President that--
                    ``(A) the existence of a state of war or other 
                national security concern so requires; or
                    ``(B) the existence of an extraordinary emergency 
                threatening life, health, safety, or property so 
                requires.
            ``(4) Action through opm.--The President shall carry out 
        this subsection through the Director of the Office of Personnel 
        Management, who shall consult with the Director of the Office 
        of Management and Budget.
            ``(5) Reports to congress.--
                    ``(A) In general.--Not later than 90 days after the 
                end of each quarter of a fiscal year, the President 
                shall provide Congress with a report containing a list 
                of each appointment approved by the President under 
                this subsection during the quarter, broken down by 
                executive agency.
                    ``(B) Information included.--The list contained in 
                a report provided to Congress under subparagraph (A) 
                shall include a description of the position associated 
                with each approved appointment, but shall not provide 
                any information that may be used to identify the 
                individual appointed to the position.
                    ``(C) Public dissemination.--The President shall 
                make each report provided to Congress under 
                subparagraph (A) available to the public by posting the 
                report on the official public website of the Executive 
                Office of the President in a searchable, sortable, and 
                downloadable manner.
            ``(6) Exclusion of certain executive agencies.--This 
        subsection does not apply to--
                    ``(A) the Department of Defense;
                    ``(B) the Department of Homeland Security; or
                    ``(C) the Department of Veterans' Affairs.''.
answer:
Federal Workforce Reduction Act of 2010 - Prohibits the head of an executive agency from appointing any individual to a position in the agency in any fiscal year for which the Director of the Office of Management and Budget (OMB) projects a federal budget deficit. Makes an exception if: (1) there is a position available in the federal workforce hiring pool (to be established by the President); and (2) the President approves an agency head's request for the allocation of a position in the pool to the agency.

Sets the number of positions in the hiring pool at zero as of the first day of FY2011, after which the number shall: (1) increase by .50 for each full time-equivalent position in any agency which subsequently becomes vacant; and (2) decrease by 1.0 for each request for a full time-equivalent position that is approved by the President. Authorizes the President to waive this limitation upon determining that such waiver is required by the existence of a state of war, other national security concern, or an extraordinary emergency threatening life, health, safety, or property.

 Exempts the Department of Defense (DOD), the Department of Homeland Security (DHS), and the Department of Veterans Affairs (VA).


question:
SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Quadrennial Foreign Affairs Review 
Act''.

SEC. 2. QUADRENNIAL FOREIGN AFFAIRS REVIEW.

    (a) Findings.--Congress finds the following:
            (1) The Department of State, established in 1789, is 
        responsible for representing the worldwide interests of the 
        United States and for advancing the policies of the United 
        States.
            (2) The Department operates over 250 posts in more than 180 
        countries throughout the world and has approximately 30,000 
        personnel.
            (3) There have been dramatic changes in the world in which 
        the Department must function, including changes in technology, 
        changes in religious, ethnic, and regional conflicts, and 
        changes in economic, political, and military relationships. 
        Moreover, the world has witnessed the spread of weapons of mass 
        destruction and the spread of terrorism. Yet, there has been 
        little change in the diplomatic strategy and structure of the 
        Department or of its posts throughout the world.
            (4) The Department and all United States diplomatic efforts 
        should be the subject of a quadrennial review to determine how 
        the Department can best fulfill its mission and meet the 
        challenges of a changing world.
    (b) Quadrennial Review.--Not later than September 30 of 2010 and 
every four years thereafter, the Secretary of State shall submit to the 
Committee on Foreign Affairs of the House of Representatives and to the 
Committee on Foreign Relations of the Senate a comprehensive 
examination of the diplomatic strategy and structure, foreign 
assistance programs, budget plans, personnel decisions, and public 
diplomacy plans of the Department of State and its related agencies to 
determine the foreign affairs strategy of the United States to best 
meet the challenges of a changing world, together with the response 
report required under subsection (c)(2). Such comprehensive examination 
shall be referred to as a ``quadrennial review''.
    (c) Involvement of National Foreign Affairs Panel.--
            (1) Submission of review to panel.--Not later than July 30 
        of the year in which a quadrennial review is conducted, the 
        Secretary of State shall submit to a National Foreign Affairs 
        Panel (in this Act referred to as the ``Panel''), established 
        in accordance with section 3, a copy of such quadrennial 
        review.
            (2) Response report.--Not later than August 30 of the year 
        in which a quadrennial review is submitted to a Panel under 
        paragraph (1), such Panel shall submit to the Secretary a 
        report responding to the findings, conclusions, and 
        recommendations of such quadrennial review.
    (d) Contents of Quadrennial Review.--The quadrennial review shall 
include the following information:
            (1) A review of the current structures of the Department of 
        State and its related agencies, including the organization, 
        staffing, and operation of United States embassies and 
        consulates abroad, to determine how best to efficiently and 
        effectively represent the interests of the United States 
        throughout the world and advance the policies of the United 
        States.
            (2) A review of the level of cooperation and degree of 
        integration of the Department of State with other Federal 
        departments and agencies, including the Department of Defense, 
        the Department of Homeland Security, the Department of the 
        Treasury, the Department of Commerce, the Office of the United 
        States Trade Representative, the Agency for International 
        Development, the Drug Enforcement Agency, and the elements of 
        the intelligence community.
            (3) Recommendations related to how best to meet the 
        anticipated roles and missions of such departments and agencies 
        in the future.
            (4) A review of the efforts of the Department of State with 
        respect to public diplomacy and any recommendations for changes 
        or modifications in public diplomacy initiatives or programs in 
        order to improve performance.
            (5) An examination of the assumptions used in the 
        quadrennial review by the Secretary, including assumptions 
        relating to cooperation between the Department and other 
        Federal departments and agencies, communication with allies, 
        levels of risk, real-time situational awareness, and immediate 
        communication within the Department.
            (6) An examination of the forward presence and pre-
        positioning necessary for the Department to engage in 
        negotiation and conflict deterrence in response to anticipated 
        threats and conflicts.
            (7) An examination of the process of how the Department 
        develops scenarios that may require a Department response, and 
        recommendations for improving this process to incorporate 
        nontraditional threat planning scenarios and input from other 
        Federal departments and agencies and nongovernmental 
        organizations.

SEC. 3. NATIONAL FOREIGN AFFAIRS PANEL.

    (a) Establishment.--Not later than December 1 of the year 
immediately preceding the year in which a quadrennial review is 
conducted, the Secretary of State shall establish a nonpartisan, 
independent panel to be known as a National Foreign Affairs Panel.
    (b) Membership.--
            (1) In general.--A Panel shall be composed of a chairperson 
        and eight other individuals appointed by the Secretary, in 
        consultation with the chairman and ranking member of the 
        Committee on Foreign Affairs of the House of Representatives 
        and the chairman and ranking member of the Committee on Foreign 
        Relations of the Senate, from among individuals in the private 
        sector who are recognized experts in matters relating to the 
        foreign affairs and diplomacy interests of the United States.
            (2) Quorum.--Five members of a Panel shall constitute a 
        quorum.
    (c) Duties.--A Panel shall submit to the Secretary the response 
report required under section 2(c)(2).
    (d) Information From Federal Agencies.--A Panel may secure from the 
Department of State and its related agencies and from any other Federal 
department or agency such information as such Panel considers necessary 
to carry out its duties under this Act. The head of the department or 
agency concerned shall ensure that information requested by such Panel 
under this subsection is promptly provided to such Panel.
    (e) Personnel Matters.--
            (1) Compensation of members.--Each member of a Panel shall 
        be compensated at a rate equal to the daily equivalent of the 
        annual rate of basic pay prescribed for level IV of the 
        Executive Schedule under section 5315 of title 5, United States 
        Code, for each day (including travel time) during which such 
        member is engaged in the performance of the duties of such 
        Panel.
            (2) Travel expenses.--Members of a Panel shall be allowed 
        travel expenses, including per diem in lieu of subsistence, at 
        rates authorized for employees of agencies under subchapter I 
        of chapter 57 of title 5, United States Code, while away from 
        their homes or regular places of business in the performance of 
        services for such Panel.
            (3) Executive director and staff.--Without regard to the 
        civil service laws and regulations, the chairperson of a Panel 
        may appoint and terminate an Executive Director and a staff of 
        not more than four additional individuals, none of whom may be 
        current employees of the Department of State or members of the 
        Foreign Service, if such Panel determines that an executive 
        director and staff are necessary in order for such Panel to 
        perform its duties effectively. The employment of an Executive 
        Director shall be subject to confirmation by a majority of 
        members of such Panel.
            (4) Compensation of executive director.--The chairperson 
        may fix the compensation of the Executive Director, if one is 
        appointed pursuant to paragraph (3), without regard to the 
        provisions of chapter 51 and subchapter III of chapter 53 of 
        title 5, United States Code, relating to classification of 
        positions and General Schedule pay rates, except that the rate 
        of pay for the Executive Director may not exceed the rate 
        payable for level V of the Executive Schedule under section 
        5316 of such title.
            (5) Detail of government employees.--An employee of the 
        Federal Government may be detailed to a Panel without 
        reimbursement, and such detail shall be without interruption or 
        loss of civil or foreign service status or privilege with 
        respect to such employee. The Secretary shall ensure that a 
        sufficient number of employees are detailed to a Panel to 
        enable such Panel to carry out its duties effectively.
            (6) Travel conditions.--To the maximum extent practicable, 
        the members and employees of a Panel shall travel on Government 
        aircraft, ships, vehicles, or other conveyances when travel is 
        necessary in the performance of the duties of such Panel, 
        except that no such aircraft, ship, vehicle, or other 
        conveyance may be scheduled primarily for the transportation of 
        any such member or employee when the cost of commercial 
        transportation is less expensive.
    (f) Administrative Provisions.--
            (1) Use of the mails.--A Panel may use the United States 
        mails and obtain printing and binding services in the same 
        manner and under the same conditions as other departments and 
        agencies of the Federal Government.
            (2) Administrative and support services.--The Secretary of 
        State shall furnish a Panel with any administrative and support 
        services requested by such Panel.
            (3) Gifts and donations.--A Panel may accept, use, and 
        dispose of gifts or donations of services or property.
    (g) Payment of Panel Expenses.--The compensation, travel expenses, 
and per diem allowances of members and employees of a Panel shall be 
paid out of funds made available to the Department of State for the 
payment of compensation, travel allowances, and per diem allowances, 
respectively, of civilian employees of the Department. Any other 
expenses of a Panel shall be paid out of funds made available to the 
Department for the payment of similar expenses incurred by the 
Department.
    (h) Sunset Provision.--A Panel shall terminate 30 days after the 
submission of the response report required under section 2(c)(2).
answer:

Quadrennial Foreign Affairs Review Act - Directs: (1) the Secretary of State to submit every four years to the House Committee on Foreign Affairs and the Senate Committee on Foreign Relations a quadrennial foreign affairs and Department of State review; and (2) the Foreign Affairs Panel to submit to the Secretary a report responding to such review.

Directs the Secretary to establish every four years a nonpartisan independent National Foreign Affairs Panel, which shall terminate 30 days after submission of its report.