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 ``Preserving Rehabilitation Innovation 
Centers Act of 2016''.

SEC. 2. FINDINGS.

    Congress makes the following findings:
            (1) In the United States, there are an estimated 1,181 
        inpatient rehabilitation facilities. Among these facilities is 
        a small group of inpatient rehabilitation institutions that are 
        contributing to the future of rehabilitation care medicine, as 
        well as to patient recovery, scientific innovation, and quality 
        of life.
            (2) This unique category of inpatient rehabilitation 
        institutions treats the most complex patient conditions, such 
        as traumatic brain injury, stroke, spinal cord injury, 
        childhood disease, burns, and wartime injuries.
            (3) These leading inpatient rehabilitation institutions are 
        all not-for-profit or Government-owned institutions and serve a 
        high volume of Medicare or Medicaid beneficiaries.
            (4) These leading inpatient rehabilitation institutions 
        have been recognized by the Federal Government for their 
        contributions to cutting-edge research to develop solutions 
        that enhance quality of care, improve patient outcomes, and 
        reduce health care costs.
            (5) These leading inpatient rehabilitation institutions 
        help to improve the practice and standard of rehabilitation 
        medicine across the Nation in urban, suburban, and rural 
        communities by training physicians, medical students, and other 
        clinicians, and providing care to patients from all 50 States.
            (6) It is vital that these leading inpatient rehabilitation 
        institutions are supported so they can continue to lead the 
        Nation's efforts to--
                    (A) advance integrated, multidisciplinary 
                rehabilitation research;
                    (B) provide cutting-edge medical care to the most 
                complex rehabilitation patients;
                    (C) serve as education and training facilities for 
                the physicians, nurses, and other health professionals 
                who serve rehabilitation patients;
                    (D) ensure Medicare and Medicaid beneficiaries 
                receive state-of-the-art, high-quality rehabilitation 
                care by developing and disseminating best practices and 
                advancing the quality of care utilized by post-acute 
                providers in all 50 States; and
                    (E) support other inpatient rehabilitation 
                institutions in rural areas to help ensure access to 
                quality post-acute care for patients living in these 
                communities.

SEC. 3. STUDY AND REPORT RELATING TO THE COSTS INCURRED BY, AND THE 
              MEDICARE PAYMENTS MADE TO, REHABILITATION INNOVATION 
              CENTERS.

    (a) In General.--Section 1886(j) of the Social Security Act (42 
U.S.C. 1395ww(j)) is amended--
            (1) by redesignating paragraph (8) as paragraph (9); and
            (2) by inserting after paragraph (7) the following new 
        paragraph:
            ``(8) Study and report relating to the costs incurred by, 
        and the medicare payments made to, rehabilitation innovation 
        centers.--
                    ``(A) Study.--The Secretary shall conduct a study 
                to assess the costs incurred by rehabilitation 
                innovation centers (as defined in subparagraph (C)) 
                that are beyond the prospective rate for each of the 
                following activities:
                            ``(i) Furnishing items and services to 
                        individuals under this title.
                            ``(ii) Conducting research.
                            ``(iii) Providing medical training.
                    ``(B) Report.--Not later than July 1, 2019, the 
                Secretary shall submit to Congress a report containing 
                the results of the study under subparagraph (A), 
                together with recommendations for such legislation and 
                administrative action as the Secretary determines 
                appropriate.
                    ``(C) Rehabilitation innovation center defined.--
                            ``(i) In general.--In this paragraph, the 
                        term `rehabilitation innovation center' means a 
                        rehabilitation facility that, determined as of 
                        the date of the enactment of this paragraph, is 
                        described in clause (ii) or clause (iii).
                            ``(ii) Not-for-profit.--A rehabilitation 
                        facility described in this clause is a facility 
                        that--
                                    ``(I) is classified as a not-for-
                                profit entity under the IRF Rate 
                                Setting File for the Correction Notice 
                                for the Inpatient Rehabilitation 
                                Facility Prospective Payment System for 
                                Federal Fiscal Year 2012 (78 Fed. Reg. 
                                59256);
                                    ``(II) holds at least one Federal 
                                rehabilitation research and training 
                                designation for research projects on 
                                traumatic brain injury, spinal cord 
                                injury, or stroke rehabilitation 
                                research from the Rehabilitation 
                                Research and Training Centers or the 
                                Rehabilitation Engineering Research 
                                Center at the National Institute on 
                                Disability and Rehabilitation Research 
                                at the Department of Education, based 
                                on such data submitted to the Secretary 
                                by a facility, in a form, manner, and 
                                time frame specified by the Secretary;
                                    ``(III) has a minimum Medicare case 
                                mix index of 1.1144 for fiscal year 
                                2012 according to the IRF Rate Setting 
                                File described in subclause (I); and
                                    ``(IV) had at least 300 Medicare 
                                discharges or at least 200 Medicaid 
                                discharges in a prior year as 
                                determined by the Secretary.
                            ``(iii) Government-owned.--A rehabilitation 
                        facility described in this clause is a facility 
                        that--
                                    ``(I) is classified as a 
                                Government-owned institution under the 
                                IRF Rate Setting File described in 
                                clause (ii)(I);
                                    ``(II) holds at least one Federal 
                                rehabilitation research and training 
                                designation for research projects on 
                                traumatic brain injury, spinal cord 
                                injury, or stroke rehabilitation 
                                research from the Rehabilitation 
                                Research and Training Centers, the 
                                Rehabilitation Engineering Research 
                                Center, or the Model Spinal Cord Injury 
                                Systems at the National Institute on 
                                Disability and Rehabilitation Research 
                                at the Department of Education, based 
                                on such data submitted to the Secretary 
                                by a facility, in a form, manner, and 
                                time frame specified by the Secretary;
                                    ``(III) has a minimum Medicare case 
                                mix index of 1.1144 for 2012 according 
                                to the IRF Rate Setting File described 
                                in clause (ii)(I); and
                                    ``(IV) has a Medicare 
                                disproportionate share hospital (DSH) 
                                percentage of at least 0.6300 according 
                                to the IRF Rate Setting File described 
                                in clause (ii)(I)).''.

            Passed the Senate December 10 (legislative day, December 
      9), 2016.

            Attest:

                                                             Secretary.
114th CONGRESS

  2d Session

                                S. 1168

_______________________________________________________________________

                                 AN ACT

 To amend title XVIII of the Social Security Act to preserve access to 
     rehabilitation innovation centers under the Medicare program.
answer:
Preserving Rehabilitation Innovation Centers Act of 2016 This bill amends title XVIII (Medicare) of the Social Security Act to direct the Department of Health and Human Services to conduct a study to assess the costs incurred by rehabilitation innovation centers that are beyond the prospective rates for each of the following activities: (1) furnishing items and services to individuals under Medicare; (2) conducting research; and (3) providing medical training.


question:
SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Pullman National Historical Park 
Act''.

SEC. 2. FINDINGS.

    Congress finds that--
            (1) in 1970, the Secretary of the Interior designated the 
        Pullman Historic District as a National Historic Landmark 
        District in 1970 because of--
                    (A) the significance of the District to the labor 
                history, social history, architecture, and urban 
                planning of the United States; and
                    (B) the pivotal role of events in the District in 
                creating the first national Labor Day holiday in the 
                world;
            (2) between 1880 and 1884 George M. Pullman, owner of the 
        Pullman Palace Car Company, built the Pullman community, which 
        was envisioned by Pullman as an industrial town that would 
        provide employees with--
                    (A) a model community; and
                    (B) suitable living conditions;
            (3) the town developed by George M. Pullman, which 
        consisted of over 1,000 buildings and homes, was awarded ``The 
        World's Most Perfect Town'' at the International Hygienic and 
        Pharmaceutical Exposition in 1896;
            (4) the Pullman factory site is a true symbol of the 
        historic struggle in the United States to achieve fair labor 
        practices for the working class, with the original factory 
        serving as the catalyst for the first industry-wide strike in 
        the United States;
            (5) in the midst of economic depression in 1894, to protest 
        unsafe conditions and reductions in pay, Pullman factory 
        workers initiated a strike that--
                    (A) when taken up as a cause by the American 
                Railway Union, crippled the entire rail industry;
                    (B) continued even in the face of a Federal 
                injunction and a showdown between laborers and Federal 
                troops that turned violent and deadly; and
                    (C) set a national example for the ability of 
                working people in the United States to change the 
                existing system in favor of more just practices for 
                protecting workers rights and safety;
            (6) following the deaths of a number of workers at the 
        hands of the United States military and United States Marshals 
        during the 1894 strike, Congress unanimously voted to approve 
        rush legislation that created a national Labor Day holiday, 
        which was signed into law by President Grover Cleveland 6 days 
        after the end of the strike;
            (7) the Pullman Palace Car Company also played an important 
        role in African-American and early civil rights history through 
        the legacy of the Pullman porters, many of whom were ex-slaves 
        were employed in a heavily discriminatory environment 
        immediately following the Civil War;
            (8) the Pullman porters, who served diligently between the 
        1870s and the 1960s, have been commended for--
                    (A) the level of service and attention to detail of 
                the Pullman porters; and
                    (B) the contributions of the Pullman porters to the 
                development of the African-American middle class;
            (9) the information, ideas, and commerce the Pullman 
        porters carried across the country while traveling on trains 
        helped to bring education and wealth to African-American 
        communities throughout the United States;
            (10) the positive role of the Pullman porters in the 
        historical image of the first-class service that was made 
        available on Pullman cars is unmistakable;
            (11) the Pullman community was the seminal home to the 
        Brotherhood of Sleeping Car Porters, which--
                    (A) was the first African-American labor union with 
                a collective bargaining agreement;
                    (B) was founded by civil rights pioneer A. Philip 
                Randolph in 1925;
                    (C) fought against discrimination and in support of 
                just labor practices; and
                    (D) helped lay the groundwork for what became the 
                great Civil Rights Movement of the 20th Century;
            (12) the Pullman community is--
                    (A) a paramount illustration of the work of 
                architect Solon Spencer Beman;
                    (B) a well-preserved example of 19th Century 
                community planning, architecture, and landscape design; 
                and
                    (C) comprised of a number of historic structures, 
                including the Administration Clock Tower Building, 
                Hotel Florence, Greenstone Church, Market Square, and 
                hundreds of units of rowhouses built for Pullman 
                workers;
            (13) the preservation of the Pullman site has been 
        threatened by--
                    (A) plans for demolition in 1960; and
                    (B) a fire in 1998, which damaged the iconic clock 
                tower and the rear erecting shops;
            (14) the diligent efforts of community organizations, 
        foundations, nonprofits, residents, the State, and units of 
        local government in the restoration and preservation of the 
        District after the 1998 fire were vital to the protection of 
        the Pullman site;
            (15) due to the historic and architectural significance of 
        the District, the District is designated as--
                    (A) a registered National Historic Landmark 
                District;
                    (B) an Illinois State Landmark; and
                    (C) a City of Chicago Landmark District; and
            (16) the preservation, enhancement, economic, and tourism 
        potential and management of the important historic and 
        architectural resources of the Park requires cooperation and 
        partnerships from among local property owners, the Federal 
        Government, the State, units of local government, the private 
        and nonprofit sectors, and the more than 100 civic 
        organizations who have expressed support for community 
        preservation through the establishment of the Pullman National 
        Historical Park.

SEC. 3. DEFINITIONS.

    In this Act:
            (1) Park.--The term ``Park'' means the Pullman National 
        Historical Park established by section 4(a).
            (2) Secretary.--The term ``Secretary'' means the Secretary 
        of the Interior.
            (3) State.--The term ``State'' means the State of Illinois.

SEC. 4. ESTABLISHMENT OF THE PULLMAN NATIONAL HISTORICAL PARK.

    (a) Establishment and Purpose.--There is established in the State a 
unit of the National Park System, to be known as the ``Pullman National 
Historical Park''--
            (1) to preserve and interpret for the benefit of future 
        generations--
                    (A) the significant labor, industrial, civil 
                rights, and social history of the Park;
                    (B) the significant architectural structures in the 
                Park; and
                    (C) the role of the Pullman community in the 
                creation of the first national Labor Day holiday in the 
                world;
            (2) to coordinate preservation, protection, and 
        interpretation efforts of the Park by the Federal Government, 
        the State, units of local government, and private and nonprofit 
        organizations; and
            (3) to coordinate appropriate management options necessary 
        to ensure the protection, preservation, and interpretation of 
        the many significant aspects of the Park.
    (b) Park Boundary.--The boundary of the Park shall be established 
by the Secretary, but shall not exceed the boundary of the 
approximately 300-acre Pullman Historic District in Chicago, which is 
between 103rd Street on the north, 115th Street on the south, Cottage 
Grove Avenue on the west, and the Norfolk & Western Rail Line on the 
east.
    (c) Inclusion of Historic Sites.--On conveyance by the State to the 
Secretary, the Park shall include--
            (1) the Pullman Factory Complex, including the Clock Tower 
        Building and rear erecting shops; and
            (2) the approximately 13 acres of land on which the 
        structures described in paragraph (1) are located.

SEC. 5. ADMINISTRATION.

    (a) In General.--The Secretary shall administer land within the 
boundary of the Park in accordance with--
            (1) this Act; and
            (2) the laws generally applicable to units of the National 
        Park System, including--
                    (A) the National Park Service Organic Act (16 
                U.S.C. 1 et seq.); and
                    (B) the Act of August 21, 1935 (16 U.S.C. 461 et 
                seq.).
    (b) Cooperative Agreements.--The Secretary may enter into 
cooperative agreements with the State or other public and nonpublic 
entities, under which the Secretary may identify, interpret, and 
provide assistance for the preservation of non-Federal land within the 
boundaries of the Park and at sites in close proximity to the Park but 
located outside the boundaries of the Park, including providing for 
placement of directional and interpretive signage, exhibits, and 
technology-based interpretive devices.
    (c) Acquisition of Land.--The Secretary may acquire for inclusion 
in the Park any land (including interests in land), buildings, or 
structures owned by the State or any other political, private, or 
nonprofit entity by donation, transfer, exchange, or purchase from a 
willing seller.
    (d) Management Plan.--Not later than 3 fiscal years after the date 
on which funds are first made available to carry out this Act, the 
Secretary, in consultation with the State, shall complete a general 
management plan for the Park in accordance with--
            (1) section 12(b) of the National Park System General 
        Authorities Act (16 U.S.C. 1a-7(b)); and
            (2) any other applicable laws.
    (e) Effect.--Nothing in this Act modifies any authority of the 
Federal Government to carry out Federal laws on Federal land located in 
the Park.

SEC. 6. AUTHORIZATION OF APPROPRIATIONS.

    There are authorized to be appropriated such sums as are necessary 
to carry out this Act.
answer:
Pullman National Historical Park Act - Establishes the Pullman National Historical Park in Illinois as a unit of the National Park System to: (1) preserve and interpret for the benefit of future generations the significant labor, industrial, civil rights, and social history of the Park, the significant architectural structures in the Park, and the role of the Pullman community in the creation of the first national Labor Day holiday in the world; (2) coordinate preservation, protection, and interpretation efforts of the Park by the federal government, the state of Illinois, units of local government, and private and nonprofit organizations; and (3) coordinate appropriate management options necessary to ensure the protection, preservation, and interpretation of the many significant aspects of the Park.  Requires the Park to include: (1) the Pullman Factory Complex, including the Clock Tower Building and rear erecting shops; and (2) the approximately 13 acres of land upon which such structures are located.  Requires the Secretary of the Interior to complete a general management plan for the Park. 


question:
SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Maine Coastal Islands Wilderness Act 
of 2011''.

SEC. 2. DEFINITIONS.

    In this Act:
            (1) High-water mark.--The term ``high-water mark'' means 
        the point on the bank or shore up to which the water, by its 
        presence and action or flow, leaves a distinct mark indicated 
        by erosion, destruction of or change in vegetation, or other 
        easily recognizable characteristic.
            (2) Secretary.--The term ``Secretary'' means the Secretary 
        of the Interior.

SEC. 3. ADDITIONS TO THE NATIONAL WILDERNESS PRESERVATION SYSTEM.

    (a) Additions.--In furtherance of the purposes of the Wilderness 
Act (16 U.S.C. 1131 et seq.), and subject to subsection (c), the 
following Federal lands in the State of Maine are hereby designated as 
wilderness and as components of the National Wilderness Preservation 
System:
            (1) Certain lands in the Cross Island National Wildlife 
        Refuge, comprising approximately 1,703 acres, as generally 
        depicted on the map entitled ``Cross Island National Wildlife 
        Refuge: Islands Wilderness Proposal'' and dated May, 2010, 
        which shall be known as the ``Cross Island Wilderness''. Cross 
        Island Wilderness includes six islands in a geographic cluster 
        in Washington County distributed over the following:
                    (A) Cross Island: 1,654 acres.
                    (B) Inner Double Head Shot Island: 8 acres.
                    (C) Outer Double Head Shot Island: 14 acres.
                    (D) Mink Island: 11 acres.
                    (E) Scotch Island: 10 acres.
                    (F) Old Man Island: 6 acres.
            (2) Certain lands in the Petit Manan National Wildlife 
        Refuge, comprising approximately 1,553 acres, as generally 
        depicted on the maps entitled ``Petit Manan National Wildlife 
        Refuge: Islands Wilderness Proposal'' and dated May, 2010, 
        which shall be known as the ``Maine Coastal Islands 
        Wilderness''. Maine Coastal Islands Wilderness includes seven 
        islands distributed over the following:
                    (A) Outer Heron Island (Lincoln County): 66 acres.
                    (B) Outer White Island (Lincoln County): 16 acres.
                    (C) Little Marshall Island (Hancock County): 14 
                acres.
                    (D) John's Island (Hancock County): 43 acres.
                    (E) Bois Bubert Island (Washington County): 1,321 
                acres.
                    (F) Inner Sand Island (Washington County): 18 
                acres.
                    (G) Halifax Island (Washington County): 75 acres.
    (b) Maps and Descriptions.--
            (1) Filing and availability.--As soon as practicable after 
        the date of the enactment of this Act, the Secretary shall file 
        a map and legal description of each wilderness area designated 
        by subsection (a) with the Committee on Natural Resources of 
        the House of Representatives and the Committee on Energy and 
        Natural Resources of the Senate. The maps and legal 
        descriptions filed shall be filed and made available for public 
        inspection by the Secretary in the office of the Director of 
        the United States Fish and Wildlife Service.
            (2) Force and effect.--A map and legal description filed 
        under paragraph (1) shall have the same force and effect as if 
        included in this Act, except that the Secretary may correct 
        errors in the map and legal description.
    (c) Seaward Boundary of Wilderness Areas.--The seaward boundary of 
each wilderness area designated by this section shall be the high-water 
mark.

SEC. 4. ADMINISTRATION.

    (a) Management.--Subject to valid existing rights, lands designated 
as wilderness by this Act shall be managed by the Secretary in 
accordance with the Wilderness Act (16 U.S.C. 1131 et seq.) and this 
Act, except that, with respect to any wilderness areas designated by 
this Act, any reference in the Wilderness Act to the effective date of 
the Wilderness Act is deemed to be a reference to the date of enactment 
of this Act.
    (b) Incorporation of Acquired Land and Interest.--Any land within 
the boundary of the land designated as wilderness by section 3 that is 
acquired by the United States shall--
            (1) become part of the wilderness area; and
            (2) be managed in accordance with this section.
    (c) Fish and Wildlife.--As provided in section 4(d)(7) of the 
Wilderness Act (16 U.S.C. 1133(d)(7)), nothing in this Act shall be 
construed as affecting the jurisdiction or responsibilities of the 
State of Maine with respect to wildlife and fish.
    (d) Buffer Zones.--Congress does not intend for the designation of 
wilderness areas in the State under this section to lead to the 
creation of protective perimeters or buffer zones around any wilderness 
area.
    (e) Activities or Uses up to Boundaries.--The fact that 
nonwilderness activities or uses can be seen or heard from within a 
wilderness designated by this Act shall not, of itself, preclude the 
activities or uses up to the boundary of the wilderness area.
    (f) Navigational Devices.--Consistent with the purpose of the 
Wilderness Act, the Secretary may authorize the installation of 
navigational devices in any wilderness area designated by this Act for 
the purpose of improving public health and safety.
    (g) Landing of Watercraft.--Nothing in this Act shall be construed 
as prohibiting the landing of a watercraft on an island on which is 
located any area designated as a wilderness area by this Act.
answer:

Maine Coastal Islands Wilderness Act of 2011- Designates specified lands in Maine within the Cross Island National Wildlife Refuge, to be known as the Cross Island Wilderness, and within the Petit Manan National Wildlife Refuge, to be known as the Maine Coastal Islands Wilderness, as wilderness and as components of the National Wilderness Preservation System (NWPS).