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

Ex Input:
SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Rural Emergency Acute Care Hospital 
Act''.

SEC. 2. FINDINGS.

    Congress finds the following:
            (1) According to the University of North Carolina's Center 
        for Health Services Research, 55 rural hospitals have closed in 
        the Unites States since January 2010.
            (2) In 2014, iVantage conducted a study for the National 
        Rural Health Association and found 283 hospitals at risk of 
        closure based upon performance indicators that matched those 
        facilities already forced to close in this decade.
            (3) Researchers at the University of North Carolina 
        identified inpatient volume as a substantial contributing 
        factor to the financial performance of rural hospitals, with 
        many of the at-risk hospitals having an average daily bed 
        census of less than 2.
            (4) Adverse impacts to the local economy and the loss of 
        timely access to emergency medical care are 2 major effects of 
        rural hospital closures.
            (5) According to the National Center for Rural Health 
        Works, the typical rural hospital creates over 140 jobs and 
        generates $6,800,000 in compensation while serving an average 
        population of 14,600.
            (6) The 2014 iVantage study estimates that the 283 at-risk 
        hospitals could result in the loss of 36,000 health care jobs, 
        50,000 community jobs, and $10,600,000,000 in gross domestic 
        product.
            (7) Time is the most critical factor for achieving 
        successful outcomes in emergency medicine, and emergency 
        medical clinicians refer to the time-sensitive period during 
        which successful outcomes may be best achieved as the ``golden 
        hour''.
            (8) The National Conference of State Legislatures states 
        that 60 percent of trauma deaths in the United States occur in 
        rural areas, where only 15 percent of the population is 
        represented.
            (9) The disproportionate percentage of trauma deaths in 
        rural areas is likely attributable in large part to a 
        combination of response time to the scene and distance to the 
        nearest emergency room to stabilize trauma victims.
            (10) The percentage of trauma deaths occurring in rural 
        areas could continue to increase as more rural hospitals close, 
        further limiting access to emergency services and requiring 
        patients to travel longer distances to receive emergency 
        medical care.
            (11) The creation of a rural emergency hospital designation 
        under the Medicare program will allow facilities in rural areas 
        to provide emergency medical services without having to 
        maintain inpatient beds.
            (12) In addition to providing emergency care, rural 
        emergency hospitals could convert the space previously used for 
        inpatient services to provide other medical services including, 
        but not limited to, observation care, skilled nursing facility 
        care, infusion services, hemodialysis, home health, hospice, 
        nursing home care, population health, and telemedicine 
        services.

SEC. 3. RURAL EMERGENCY HOSPITAL PROGRAM.

    (a) In General.--
            (1) Rural emergency hospital and services defined.--Section 
        1861 of the Social Security Act (42 U.S.C. 1395x) is amended--
                    (A) in subsection (e), in the last sentence of the 
                matter following paragraph (9), by inserting ``or a 
                rural emergency hospital (as defined in section 
                1861(iii)(1))'' before the period at the end; and
                    (B) by adding at the end the following subsection:

    ``Rural Emergency Hospital; Rural Emergency Hospital Outpatient 
                                Services

    ``(iii)(1) The term `rural emergency hospital' means a facility 
that--
            ``(A)(i) as of December 31, 2014--
                            ``(I) was a critical access hospital; or
                            ``(II) was a hospital with not more than 50 
                        beds located in a county (or equivalent unit of 
                        local government) in a rural area (as defined 
                        in section 1886(d)(2)(D)), or was a hospital 
                        with not more than 50 beds that was treated as 
                        being located in a rural area pursuant to 
                        section 1886(d)(8)(E); or
                    ``(ii) was a critical access hospital described in 
                clause (i)(I) or a hospital described in clause (i)(II) 
                that ceased operations during the period beginning on 
                the date that is 5 years prior to the date of the 
                enactment of this subsection and ending on December 30, 
                2014;
            ``(B) provides 24-hour emergency medical care and 
        observation care that does not exceed an annual per patient 
        average of 24 hours or more than 1 midnight;
            ``(C) does not provide any acute care inpatient beds and 
        has protocols in place for the timely transfer of patients who 
        require acute care inpatient services or other inpatient 
        services;
            ``(D) has elected to be designated as a rural emergency 
        hospital;
            ``(E) has received approval to operate as a rural emergency 
        hospital from the State under section 1834(r)(3)(A); and
            ``(F) is certified by the Secretary under section 
        1834(r)(3)(B).
    ``(2) The term `rural emergency hospital outpatient services' means 
medical and other health services furnished by a rural emergency 
hospital on an outpatient basis.
    ``(3) Nothing in this subsection or section 1834(r)(3) shall be 
construed to prohibit a rural emergency hospital from providing 
extended care services.''.
            (2) Payment for rural emergency hospital services.--
                    (A) In general.--Section 1833(a) of the Social 
                Security Act (42 U.S.C. 1395l(a)) is amended--
                            (i) in paragraph (8), by striking ``and'' 
                        at the end;
                            (ii) in paragraph (9), by striking the 
                        period at the end and inserting ``; and''; and
                            (iii) by inserting after paragraph (9) the 
                        following new paragraph:
            ``(10) in the case of rural emergency hospital emergency 
        services and services provided by a rural emergency hospital or 
        other provider of ambulance services to transport patients who 
        require acute care inpatient services or other inpatient 
        services from such rural emergency hospital to a hospital or 
        critical access hospital, the amounts described in section 
        1834(r).''.
                    (B) Payment amount.--Section 1834 of the Social 
                Security Act (42 U.S.C. 1395m) is amended by adding at 
                the end the following subsection:
    ``(r) Payment Rules Relating to Rural Emergency Hospitals.--
            ``(1) Payment for rural emergency hospital outpatient 
        services.--
                    ``(A) In general.--The amount of payment for rural 
                emergency hospital outpatient services of a rural 
                emergency hospital is equal to 110 percent of the 
                reasonable costs of providing such services.
                    ``(B) Telehealth services.--For purposes of this 
                paragraph, in determining the reasonable costs of 
                providing rural emergency hospital outpatient services, 
                costs associated with having a backup physician 
                available via a telecommunications system shall be 
                considered reasonable costs.
            ``(2) Payment for transportation services.--The amount of 
        payment for services provided by a rural emergency hospital or 
        other provider of ambulance services to transport patients who 
        require acute care inpatient services or other inpatient 
        services from such rural emergency hospital to a hospital or 
        critical access hospital is equal to 110 percent of the 
        reasonable costs of providing such services.
            ``(3) Requirements for rural emergency hospitals.--
                    ``(A) State approval to operate as a rural 
                emergency hospital.--No payment shall be made under 
                this subsection to a facility, or to a provider of 
                ambulance services providing transportation services 
                from such facility, unless the State in which the 
                facility is located has approved the facility's 
                designation as a rural emergency hospital.
                    ``(B) Certification of rural emergency hospital.--
                            ``(i) In general.--No payment shall be made 
                        under this subsection to a facility, or to a 
                        provider of ambulance services providing 
                        transportation services from such facility, 
                        unless the facility has been certified by the 
                        Secretary as a rural emergency hospital.
                            ``(ii) Certification requirements.--The 
                        Secretary shall certify a facility as a rural 
                        emergency hospital if the facility--
                                    ``(I) meets the criteria for rural 
                                emergency hospitals described in 
                                subparagraphs (A) through (E) of 
                                section 1861(iii)(1);
                                    ``(II) either--
                                            ``(aa) is verified by the 
                                        American College of Surgeons as 
                                        having the resources required 
                                        of a level IV trauma center or 
                                        higher; or
                                            ``(bb) employs healthcare 
                                        professionals that successfully 
                                        completed the Advanced Trauma 
                                        Life Support Course offered by 
                                        the American College of 
                                        Surgeons within the preceding 4 
                                        years;
                                    ``(III) has in effect a transfer 
                                agreement with a level I or level II 
                                trauma center; and
                                    ``(IV) meets such staff training 
                                and certification requirements as the 
                                Secretary may require.
            ``(4) Coinsurance.--
                    ``(A) In general.--The amount of payment for rural 
                emergency hospital services or transportation services 
                made to a rural emergency hospital or other provider of 
                ambulance services under this subsection shall be 
                reduced by the coinsurance amount described in 
                subparagraph (B).
                    ``(B) Coinsurance amount.--The coinsurance amount 
                described in this subparagraph, with respect to an item 
                or service provided by a rural emergency hospital or 
                provider of ambulance services, shall be calculated in 
                the same manner as the coinsurance amount for an 
                outpatient critical access hospital service is 
                calculated under section 1866(a)(2).''.
    (b) Waiver of Distance Requirement for Replacement CAHs; Subsequent 
Redesignation of Rural Emergency Hospitals as CAHs.--Section 1820(c)(2) 
of the Social Security Act (42 U.S.C. 1395i-4(c)(2)) is amended--
            (1) in subparagraph (B)(i)(I), by inserting ``subject to 
        subparagraph (F),'' before ``is located''; and
            (2) by adding at the end the following new subparagraphs:
                    ``(F) Option to waive distance requirement.--
                Beginning on the date of the enactment of this 
                subparagraph, for every critical access hospital 
                located in a State that is certified as a rural 
                emergency hospital under section 1834(r)(3)(B), the 
                State shall have the option of waiving the distance 
                requirement described in subparagraph (B)(i)(I) with 
                respect to another facility located in the State that 
                is seeking designation as a critical access hospital 
                under this paragraph.
                    ``(G) Redesignation of a rural emergency hospital 
                as a critical access hospital.--A rural emergency 
                hospital that was previously designated as a critical 
                access hospital under this paragraph may elect to be 
                redesignated as a critical access hospital (in the same 
                manner that the hospital was originally designated as a 
                critical access hospital) at any time, subject to such 
                conditions as the Secretary may establish.''.
    (c) Studies and Reports.--
            (1) Studies.--The Secretary of Health & Human Services 
        shall conduct 3 studies to evaluate the impact of rural 
        emergency hospitals on the availability of health care and 
        health outcomes in rural areas (as defined in section 
        1886(d)(2)(D) of the Social Security Act (42 U.S.C. 1395ww)). 
        The Secretary shall conduct a study--
                    (A) 2 years after the date of the enactment of this 
                Act;
                    (B) 5 years after the date of the enactment of this 
                Act; and
                    (C) 10 years after the date of the enactment of 
                this Act.
            (2) Reports.--Not later than 6 months after each date that 
        the Secretary of Health & Human Services is required to conduct 
        a study under paragraph (1), the Secretary shall submit a 
        report to Congress containing the results of each such study.
    (d) Effective Date.--The amendments made by this section shall 
apply to items and services furnished on or after the date that is 1 
year after the date of the enactment of this Act.

SEC. 4. INCLUSION OF EMERGENCY MEDICINE AS HEALTH SERVICES UNDER THE 
              NATIONAL HEALTH SERVICE CORPS.

    Section 331(a)(3)(D) of the Public Health Service Act (42 U.S.C. 
254d(a)(3)(D)) is amended by inserting ``, and includes emergency 
medicine provided by physicians in a rural emergency hospital (as 
defined in section 1861(iii) of the Social Security Act)'' before the 
period.

SEC. 5. PERMITTING HOSPITALS WITH APPROVED RESIDENCY PROGRAMS IN 
              EMERGENCY MEDICINE TO INCLUDE TIME SPENT BY INTERNS AND 
              RESIDENTS IN THE EMERGENCY DEPARTMENT OF A RURAL HOSPITAL 
              IN FULL-TIME EQUIVALENT COUNT.

    (a) Indirect Medical Education.--Section 1886(d)(5)(B)(iv) of the 
Social Security Act (42 U.S.C. 1395ww(d)(5)(B)(iv)) is amended by 
adding at the end the following new subclause:
            ``(III) Effective for discharges occurring on or after 
        October 1, 2015, all of the time spent in patient care 
        activities in the emergency department of a rural hospital by 
        interns and residents in emergency medicine from a hospital 
        with an approved medical residency training program (as defined 
        in subsection (h)(5)(A)) in such specialty shall be included in 
        determining the number of full-time equivalent interns and 
        residents in such program if the hospital with such program 
        incurs the costs of the stipends and fringe benefits of the 
        interns or residents during the time the interns or residents 
        spend in that rural hospital in accordance with subclause (II). 
        In this subclause, the term `rural hospital' means a hospital 
        that is located in a rural area (as defined for purposes of 
        paragraph (2)(D)).''.
    (b) Direct Medical Education.--Section 1886(h)(4)(E) of the Social 
Security Act (42 U.S.C. 1395(h)(4)) is amended--
            (1) in clause (ii), by striking the period at the end and 
        inserting ``; and'';
            (2) by inserting after clause (ii) the following new 
        clause:
                            ``(iii) effective for cost reporting 
                        periods beginning on or after July 1, 2015, all 
                        of the time so spent in the emergency 
                        department of a rural hospital by residents in 
                        emergency medicine from a hospital with an 
                        approved medical residency training program in 
                        such specialty shall be counted towards the 
                        determination of full-time equivalency in such 
                        program if the hospital with such program bears 
                        all, or substantially all, of the costs of 
                        training such residents in the rural hospital. 
                        In this subparagraph, the term `rural hospital' 
                        means a hospital that is located in a rural 
                        area (as defined for purposes of subsection 
                        (d)(2)(D)).''; and
            (3) by adding at the end the following new sentence: ``For 
        purposes of this subparagraph, the emergency department of a 
        rural hospital described in clause (iii) is a nonprovider 
        setting.''.

Ex Output:
Rural Emergency Acute Care Hospital Act  This bill amends title XVIII (Medicare) of the Social Security Act to designate as a rural emergency hospital any facility that as of December 31, 2014, was:   a critical access hospital (CAH) or a hospital with at most 50 beds located in a county in a rural area or treated as located in a rural area, or one of such hospitals that ceased operations during the period beginning five years before enactment of this Act and ending on December 30, 2014.  A rural emergency hospital:  must provide 24-hour emergency medical care and observation care not exceeding an annual per patient average of 24 hours or more than 1 midnight, does not provide any acute care inpatient beds and has protocols in place for the timely transfer of patients who require acute care inpatient services or other inpatient services, has elected to be designated as a rural emergency hospital, has received approval to operate as one from the state, and is certified by the Department of Health and Human Services (HHS).  Medicare part B (Supplementary Medical Insurance Benefits) shall cover rural emergency hospital emergency services as well as ambulance services provided by a rural emergency hospital or other provider to transport patients who require acute care inpatient services or other inpatient services from the rural emergency hospital to a hospital or a CAH. Payment for rural emergency hospital outpatient services of a rural emergency hospital, including telehealth and ambulance services, shall be 110% percent of their reasonable costs. Rural emergency hospitals must be approved by the state and certified by HHS. States shall have the option of waiving a specified distance requirement between a CAH certified as a rural emergency hospital and another facility located in the state that is seeking designation as a CAH. Primary health services which the National Health Service Corps may provide under the Public Health Service Act shall include emergency medicine provided by physicians in a rural emergency hospital. Hospitals with approved residency programs in emergency medicine shall include time spent by interns and residents in the emergency department of a rural hospital in the full-time equivalent count with respect to reimbursement for the indirect (stipend, fringe benefit) and direct (all or substantially all training) costs of medical education in subsection (d) hospitals. (Generally, a subsection [d] hospital is an acute care hospital, particularly one that receives payments under Medicare's inpatient prospective payment system [IPPS] when providing covered inpatient services to eligible beneficiaries.)


Ex Input:
SECTION 1. SHORT TITLE.

    This Act may be cited as the ``One Dollar Coin and Community 
Development Act of 1994''.

SEC. 2. ONE DOLLAR COINS.

    (a) Color and Content.--Section 5112(b) of title 31, United States 
Code, is amended--
            (1) in the 1st sentence, by striking ``dollar,''; and
            (2) by inserting after the 4th sentence, the following new 
        sentence: ``The dollar coin shall be golden in color, have an 
        unreeded edge, have tactile and visual features that make the 
        denomination of the coin readily discernible, be minted and 
        fabricated in the United States, and have such metallic, 
        anticounterfeiting properties as United States clad coinage in 
        circulation on the date of the enactment of the One Dollar Coin 
        and Community Development Act of 1994.''.
    (b) Design of Dollar Coin.--Section 5112(d)(1) of title 31, United 
States Code, is amended by striking the 5th and 6th sentences and 
inserting the following new sentence: ``The Secretary of the Treasury 
shall select an appropriate design for the obverse side of the 
dollar.''.
    (c) Effective Date.--Not later than 18 months after the date of 
enactment of this Act, the Secretary of the Treasury shall place into 
circulation 1 dollar coins authorized under subsection (a)(1) of 
section 5112 of title 31, United States Code, which comply with the 
design requirements of subsections (b) and (d)(1) of such section, as 
amended by subsections (a) and (b) of this section. The Secretary may 
include such coins in any numismatic set produced by the United States 
Mint before the date the coins are placed in circulation.

SEC. 3. CEASING ISSUANCE OF ONE DOLLAR NOTES.

    (a) In General.--After the date that coins described in section 
2(c) are first placed in circulation, no Federal reserve bank may order 
or place into circulation any $1 Federal reserve note.
    (b) Redemption of $1 Notes.--
            (1) In general.--Section 5119(b)(1) of title 31, United 
        States Code, is amended by adding at the end the following new 
        subparagraph:
                    ``(F) Federal reserve notes in the denomination of 
                $1.''.
            (2) Effective date.--
                    (A) In general.--The amendment made by paragraph 
                (1) shall take effect on the date on which coins minted 
                pursuant to the amendments made by section 2 are first 
                placed in circulation.
                    (B) Notice of effective date.--The Secretary of the 
                Treasury shall publish a notice in the Federal Register 
                of the date on which the amendment made by paragraph 
                (1) takes effect in accordance with subparagraph (A) of 
                this paragraph.
    (c) Exception.--The Secretary of the Treasury shall produce only 
such Federal reserve notes of 1 dollar denomination as are required 
from time to time to meet the needs of collectors of this series. Such 
notes shall be produced in sheets and sold by the Secretary, in whole, 
or in part, at a price that exceeds the face value of the currency by 
an amount that, at a minimum, reimburses the Secretary for the cost of 
production.

SEC. 4. RESERVE FUND FOR CIRCULATING COINAGE.

    (a) Establishment.--Section 5111(b) of title 31, United States 
Code, is amended to read as follows:
    ``(b) Coinage Funds.--
            ``(1) Coinage metal fund.--The Secretary of the Treasury--
                    ``(A) shall maintain a coinage metal fund in the 
                Department of the Treasury; and
                    ``(B) may use the fund to buy metal to mint coins.
            ``(2) Circulating coinage reserve fund.--
                    ``(A) Establishment.--The Secretary of the Treasury 
                shall maintain a circulating coinage reserve fund in 
                the Department of the Treasury.
                    ``(B) Credits and debits.--The Secretary shall--
                            ``(i) credit the coinage reserve fund with 
                        the amount by which the nominal value of the 
                        coins minted and placed into circulation under 
                        this subchapter (other than numismatic items) 
                        exceeds the cost of the metal; and
                            ``(ii) charge the account with--
                                    ``(I) the waste incurred in minting 
                                the coins referred to in clause (i); 
                                and
                                    ``(II) the cost of distributing the 
                                coins, including the cost of coin bags 
                                and pallets.
                    ``(C) Availability of funds for community 
                development.--
                            ``(i) In general.--Effective for any fiscal 
                        year only to the extent and in such amounts as 
                        are provided in advance in appropriation Acts, 
                        the Secretary may lend excess amounts in the 
                        circulating coinage reserve fund to the 
                        Community Development Institutions Fund for the 
                        provision of financial assistance by such Fund 
                        through deposits, credit union shares, and 
                        loans in accordance with section 108 of the 
                        Community Development Banking and Financial 
                        Institutions Act of 1994.
                            ``(ii) Terms and conditions.--Any loan by 
                        the Secretary to the Community Development 
                        Institutions Fund in accordance with clause (i) 
                        shall bear such rate of interest and be subject 
                        to such other terms and conditions as the 
                        Secretary determines to be appropriate.
                    ``(D) Investment of balance in account.--Subject to 
                subparagraph (C), the Secretary of the Treasury shall 
                invest excess amounts in the circulating coinage 
                reserve fund in--
                            ``(i) instruments issued by the Secretary 
                        under chapter 31; and
                            ``(ii) other instruments to the extent, and 
                        in such amounts, as may be authorized by law.
                    ``(E) Payment to general fund.--Interest, 
                dividends, and other earnings on investments of the 
                circulating coinage reserve fund, including interest on 
                loans to the Community Development Financial 
                Institutions Fund, shall be paid into the general fund 
                of the Treasury to assist in reducing the deficit.''.
    (b) Termination of Coinage Profit Fund.--The coinage profit fund is 
hereby abolished and any balance in the account as of such termination 
shall be transferred by the Secretary to the circulating coinage 
reserve fund established pursuant to the amendment made by subsection 
(a) as soon as practicable after the date of the enactment of this Act.

Ex Output:
One Dollar Coin and Community Development Act of 1994 - Amends Federal monetary law to prescribe specifications for and design of dollar coins, including a golden color. 
Proscribes any issuance of one dollar notes after the date that dollar coins are first placed in circulation.  Prescribes guidelines for the redemption of one dollar notes. 
Directs the Secretary of the Treasury to establish:  (1) a coinage metal fund; and (2) a circulating coinage reserve fund. 
Authorizes the Secretary to lend excess amounts in the circulating coinage reserve fund to the Community Development Institutions Fund to enable it to provide financial assistance.  Mandates that earnings on investments of the circulating coinage reserve fund be paid into the general fund of the Treasury. 
Abolishes the coinage profit fund.  Transfers the balance of its account to the circulating coinage reserve fund.


Ex Input:
SECTION 1. LOAN FORGIVENESS FOR HEAD START TEACHERS.

    (a) Short Title.--This section may be cited as the ``Loan 
Forgiveness for Head Start Teachers Act of 2007''.
    (b) Head Start Teachers.--Section 428J of the Higher Education Act 
of 1965 (20 U.S.C 1078-10) is amended--
            (1) in subsection (b), by striking paragraph (1) and 
        inserting the following:
            ``(1)(A) has been employed--
                    ``(i) as a full-time teacher for 5 consecutive 
                complete school years in a school that qualifies under 
                section 465(a)(2)(A) for loan cancellation for Perkins 
                loan recipients who teach in such a school; or
                    ``(ii) as a Head Start teacher for 5 consecutive 
                complete program years under the Head Start Act; and
            ``(B)(i) if employed as an elementary school or secondary 
        school teacher, is highly qualified as defined in section 9101 
        of the Elementary and Secondary Education Act of 1965, or meets 
        the requirements of subsection (g)(3); and
            ``(ii) if employed as a Head Start teacher, has 
        demonstrated knowledge and teaching skills in reading, writing, 
        early childhood development, and other areas of a preschool 
        curriculum, with a focus on cognitive learning; and'';
            (2) in subsection (g), by adding at the end the following:
            ``(4) Head start.--An individual shall be eligible for loan 
        forgiveness under this section for service described in clause 
        (ii) of subsection (b)(1)(A) only if such individual received a 
        baccalaureate or graduate degree on or after the date of 
        enactment of the Loan Forgiveness for Head Start Teachers Act 
        of 2007.''; and
            (3) by adding at the end the following:
    ``(i) Authorization of Appropriations.--There are authorized to be 
appropriated such sums as may be necessary for fiscal year 2011 and 
succeeding fiscal years to carry out loan repayment under this section 
for service described in clause (ii) of subsection (b)(1)(A).''.
    (c) Direct Student Loan Forgiveness.--
            (1) In general.--Section 460 of the Higher Education Act of 
        1965 (20 U.S.C. 1087j) is amended--
                    (A) in subsection (b)(1), by striking subparagraph 
                (A) and inserting the following:
                    ``(A)(i) has been employed--
                            ``(I) as a full-time teacher for 5 
                        consecutive complete school years in a school 
                        that qualifies under section 465(a)(2)(A) for 
                        loan cancellation for Perkins loan recipients 
                        who teach in such a school; or
                            ``(II) as a Head Start teacher for 5 
                        consecutive complete program years under the 
                        Head Start Act; and
                    ``(ii)(I) if employed as an elementary school or 
                secondary school teacher, is highly qualified as 
                defined in section 9101 of the Elementary and Secondary 
                Education Act of 1965, or meets the requirements of 
                subsection (g)(3); and
                    ``(II) if employed as a Head Start teacher, has 
                demonstrated knowledge and teaching skills in reading, 
                writing, early childhood development, and other areas 
                of a preschool curriculum, with a focus on cognitive 
                learning; and'';
                    (B) in subsection (g), by adding at the end the 
                following:
            ``(4) Head start.--An individual shall be eligible for loan 
        forgiveness under this section for service described in 
        subclause (II) of subsection (b)(l)(A)(i) only if such 
        individual received a baccalaureate or graduate degree on or 
        after the date of enactment of the Loan Forgiveness for Head 
        Start Teachers Act of 2007.''; and
                    (C) by adding at the end the following:
    ``(i) Authorization of Appropriations.--There are authorized to be 
appropriated such sums as may be necessary for fiscal year 2011 and 
succeeding fiscal years to carry out loan repayment under this section 
for service described in subclause (II) of subsection (b)(1)(A)(i).''.
    (d) Conforming Amendments.--
            (1) FFEL program.--Section 428J of the Higher Education Act 
        of 1965 (20 U.S.C. 1078-10) is amended--
                    (A) in subsection (c)(1), by inserting ``or fifth 
                complete program year'' after ``fifth complete school 
                year of teaching'';
                    (B) in subsection (f), by striking ``subsection 
                (b)'' and inserting ``subsection (b)(1)(A)(i)'';
                    (C) in subsection (g)(1)(A), by striking 
                ``subsection (b)(1)(A)'' and inserting ``subsection 
                (b)(1)(A)(i)''; and
                    (D) in subsection (h), by inserting ``except as 
                part of the term `program year','' before ``where''.
            (2) Direct loan program.--Section 460 of the Higher 
        Education Act of 1965 (20 U.S.C. 1087j) is amended--
                    (A) in subsection (c)(1), by inserting ``or fifth 
                complete program year'' after ``fifth complete school 
                year of teaching'';
                    (B) in subsection (f), by striking ``subsection 
                (b)'' and inserting ``subsection (b)(1)(A)(i)(I)'';
                    (C) in subsection (g)(1)(A), by striking 
                ``subsection (b)(1)(A)'' and inserting ``subsection 
                (b)(1)(A)(i)(I)''; and
                    (D) in subsection (h), by inserting ``except as 
                part of the term `program year','' before ``where''.

Ex Output:

Loan Forgiveness for Head Start Teachers Act of 2007 - Amends the Higher Education Act of 1965 to require the Secretary of Education to assume or cancel loans made under the Federal Family Education Loan or the Direct Loan programs to individuals who have been employed as Head Start teachers for five consecutive complete program years, if they have demonstrated knowledge and teaching skills in reading, writing, early childhood development, and other areas of a preschool curriculum, with a focus on cognitive learning.

Limits the benefits of this Act to individuals who earn a baccalaureate or graduate degree on or after the date of this Act's enactment.