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. TREATMENT OF BONDS ISSUED TO FINANCE RENEWABLE ENERGY 
              RESOURCE FACILITIES AND CONSERVATION AND EFFICIENCY 
              FACILITIES AND OTHER SPECIFIED GREENHOUSE GAS EMISSION 
              TECHNOLOGIES.

    (a) In General.--Section 142(a) of the Internal Revenue Code of 
1986 is amended by striking ``or'' at the end of paragraph (14), by 
striking the period at the end of paragraph (15) and inserting a comma, 
and by inserting after paragraph (15) the following new paragraphs:
            ``(16) renewable energy resource facilities,
            ``(17) conservation and efficiency facilities and projects, 
        or
            ``(18) zero emission vehicles and related facilities or 
        projects.''.
    (b) Renewable Energy Resource Facility.--Section 142 of such Code 
is further amended by adding at the end the following new subsection:
    ``(n) Renewable Energy Resource Facilities.--For purposes of 
subsection (a)(16)--
            ``(1) In general.--The term `renewable energy resource 
        facility' means--
                    ``(A) any facility used to produce electric or 
                thermal energy (including a distributed generation 
                facility) from--
                            ``(i) solar, wind, or geothermal energy,
                            ``(ii) marine and hydrokinetic renewable 
                        energy,
                            ``(iii) incremental hydropower,
                            ``(iv) biomass (as defined in section 
                        203(b) of the Energy Policy Act of 2005 (42 
                        U.S.C. 15852(b))), or
                            ``(v) landfill gas, or
                    ``(B) any facility or project used for the 
                manufacture of facilities referred to in subparagraph 
                (A).
            ``(2) Definitions.--For purposes of paragraph (1)--
                    ``(A) Geothermal energy.--The term `geothermal 
                energy' means energy derived from a geothermal deposit 
                (within the meaning of section 613(e)(2)) or from 
                geothermal heat pumps.
                    ``(B) Marine and hydrokinetic renewable energy.--
                The term `marine and hydrokinetic renewable energy' has 
                the meaning given such term in section 45(c)(10).
                    ``(C) Incremental hydropower.--The term 
                `incremental hydropower' means additional energy 
                generated as a result of efficiency improvements or 
                capacity additions to existing hydropower facilities 
                made on or after the date of enactment of this 
                subsection. The term `incremental hydropower' does not 
                include additional energy generated as a result of 
                operational changes not directly associated with 
                efficiency improvements or capacity additions.''.
    (c) Conservation and Efficiency.--Section 142 of such Code is 
amended by adding at the end the following new subsection:
    ``(o) Conservation and Efficiency Facilities and Projects.--For 
purposes of subsection (a)(17), the term `conservation and efficiency 
facility and project' means--
            ``(1) any facility used for the conservation or the 
        efficient use of energy, including energy efficient 
        retrofitting of existing buildings, or for the efficient 
        storage, transmission, or distribution of energy, including any 
        facility or project designed to implement smart grid 
        technologies (as described in title XIII of the Energy 
        Independence and Security Act of 2007, or individual components 
        of such technologies as listed in section 1301 of such Act),
            ``(2) any facility used for the conservation of or the 
        efficient use of water, including--
                    ``(A) any facility or project designed to--
                            ``(i) reduce the demand for water,
                            ``(ii) improve efficiency in use and reduce 
                        losses and waste of water, and
                            ``(iii) improve land management practices 
                        to conserve water, or
                    ``(B) any individual component of a facility or 
                project referred to in subparagraph (A), or
            ``(3) any facility or project used for the manufacture of 
        facilities referred to in paragraphs (1) and (2).
For purposes of paragraph (2)(A), facilities and projects does not 
include facilities or projects that store water.''.
    (d) Zero Emission Vehicles and Related Facilities or Projects.--
Section 142 of such Code is amended by adding at the end the following 
new subsection:
    ``(p) Zero Emission Vehicles and Related Facilities or Projects.--
            ``(1) Zero emission vehicles.--The term `zero emission 
        vehicles' means vehicles that have no tailpipe emissions, 
        evaporative emissions, or onboard emission-control systems that 
        can deteriorate over time.
            ``(2) Facilities related to zero emission vehicles.--A 
        facility or project is related to a zero emission vehicle if 
        the facility is any real or personal property to be used in the 
        design, technology transfer, manufacture, production, assembly, 
        distribution, or service of zero emission vehicles.''.
    (e) Coordination With Section 45.--Paragraph (3) of section 45(b) 
of such Code is amended by adding at the end the following new 
sentence: ``Clause (ii) of subparagraph (A) shall not apply with 
respect to (I) any qualified facility that is a renewable energy 
resource facility described in section 142(a)(16), (II) any qualified 
facility that is a conservation and efficiency facility described in 
section 142(a)(17), or (III) any qualified facility that is a zero 
emission vehicle and related facility or project described in section 
142(a)(18).''.
    (f) Coordination With Section 45K.--Subparagraph (A) of section 
45K(b)(3) of such Code is amended by adding at the end the following 
flush sentence: ``Clause (i)(II) shall not apply with respect to (aa) 
any qualified facility that is a renewable energy resource facility 
described in section 142(a)(16), (bb) any qualified facility that is a 
conservation and efficiency facility described section 142(a)(17), or 
(cc) any qualified facility that is a zero emission vehicle and related 
facility or project described in section 142(a)(18).''.
    (g) Coordination With Section 146(g)(3).--Section 146(g)(3) is 
amended by striking ``or (15)'' and all that follows through the end of 
the paragraph and inserting ``(15), (16), (17), or (18)''.
    (h) Effective Date.--The amendments made by this section shall 
apply to obligations issued after the date of the enactment of this 
Act.

Ex Output:
Amends the Internal Revenue Code to allow a tax exemption of the interest on bonds issued to finance renewable energy resource facilities, conservation and efficiency facilities and projects, and zero emission vehicles and related facilities or projects.


Ex Input:
SECTION 1. SHORT TITLE.

    This Act may be cited as ``Medicaid/SCHIP Optional Coverage for 
Young Adults Act of 2003''.

SEC. 2. PROVIDING STATE OPTION FOR SCHIP AND MEDICAID COVERAGE OF YOUNG 
              ADULTS UP TO AGE 23.

    (a) In General.--
            (1) Medicaid.--(A) Section 1902(l)(1)(D) of the Social 
        Security Act (42 U.S.C. 1396a(l)(1)(D)) is amended by inserting 
        ``(or, at the option of the State, who have not attained 20, 
        21, or 22 years of age, as the State may elect)'' after ``have 
        not attained 19 years of age''.
            (B) Clause (i) of section 1905(a) of the Social Security 
        Act (42 U.S.C. 1396d(a)) is amended by striking ``under the age 
        of 21, or, at the option of the State, under the age of 20, 19, 
        or 18 as the State may choose'' and inserting ``under the age 
        of 23, or, at the option of the State, under the age of 22, 21, 
        20, 19, or 18 as the State may elect''.
            (2) SCHIP.--Section 2110(c)(1) of such Act (42 U.S.C. 
        1397jj(c)(1)) is amended by inserting after ``19 years of age'' 
        the following: ``(or, at the option of the State and subject to 
        the availability of additional allotments under section 
        2104(d), 20, 21, 22, or 23 years of age)''.
    (b) Availability of Enhanced Matching Funds.--
            (1) Under medicaid.--Section 1905 of the Social Security 
        Act (42 U.S.C. 1396d) is amended--
                    (A) in the fourth sentence of subsection (b), by 
                striking ``or subsection (u)(3)'' and inserting ``, 
                (u)(3), or (u)(4)(A)''; and
                    (B) in subsection (u)--
                            (i) by adding at the end of paragraph (1) 
                        the following new subparagraph:
            ``(C) Only with respect to expenditures described in 
        paragraph (4)(A), if the State is providing for benefits under 
        its State child health plan under title XXI for children under 
        19 years of age exclusively through benefits under its State 
        plan under this title, the State is also providing under such 
        plan the benefits for individuals over 18 years of age who are 
        eligible for such benefits only because of an election referred 
        to in such paragraph.'';
                            (ii) by redesignating paragraph (4) as 
                        paragraph (5); and
                            (iii) by inserting after paragraph (3) the 
                        following new paragraph:
    ``(4) For purposes of the fourth sentence of subsection (b) and 
section 2105(a), the expenditures described in this paragraph are 
expenditures for medical assistance for individuals who are over 18 
(and less than 23) years of age and who are eligible for such medical 
assistance because of an election by the State under section 
1902(l)(1)(D) or clause (i) of section 1905(a).''.
            (2) Additional allotments for providing coverage of 
        optional young adults.--
                    (A) In general.--Section 2104 of such Act (42 
                U.S.C. 1397dd) is amended by inserting after subsection 
                (c) the following:
    ``(d) Additional Allotments for the Provision of Coverage to 
Optional Young Adults.--
            ``(1) Appropriation; total allotment.--For the purpose of 
        providing additional allotments to States under this title, 
        there is appropriated, out of any money in the Treasury not 
        otherwise appropriated, for each of fiscal years 2004 through 
        2007, $200,000,000.
            ``(2) State and territorial allotments.--In addition to the 
        allotments provided under subsections (b) and (c), subject to 
        paragraph (3), of the amount available for the additional 
        allotments under paragraph (1) for a fiscal year, the Secretary 
        shall allot to each State with a State child health plan 
        approved under this title--
                    ``(A) in the case of such a State other than a 
                commonwealth or territory described in subparagraph 
                (B), the same proportion as the proportion of the 
                State's allotment under subsection (b) (determined 
                without regard to subsection (f)) to the total amount 
                of the allotments under subsection (b) for such States 
                eligible for an allotment under this paragraph for such 
                fiscal year; and
                    ``(B) in the case of a commonwealth or territory 
                described in subsection (c)(3), the same proportion as 
                the proportion of the commonwealth's or territory's 
                allotment under subsection (c) (determined without 
                regard to subsection (f)) to the total amount of the 
                allotments under subsection (c) for commonwealths and 
                territories eligible for an allotment under this 
                paragraph for such fiscal year.
            ``(3) Use of additional allotment.--Additional allotments 
        provided under this subsection are not available for amounts 
        expended before October 1, 2003. Such amounts are available for 
        amounts expended on or after such date only for--
                    ``(A) expenditures described in section 
                1905(u)(4)(A); and
                    ``(B) child health assistance for individuals who 
                are targeted low-income children and over 18 years of 
                age and who are low-income children only because of an 
                election by the State under section 2110(c)(1).''.
                    (B) Conforming amendments.--Section 2104 of the 
                Social Security Act (42 U.S.C. 1397dd) is amended--
                            (i) in subsection (a), in the matter 
                        preceding paragraph (1), by inserting ``subject 
                        to subsection (d),'' after ``under this 
                        section,'';
                            (ii) in subsection (b)(1), by inserting 
                        ``and subsection (d)'' after ``Subject to 
                        paragraph (4)''; and
                            (iii) in subsection (c)(1), by inserting 
                        ``subject to subsection (d),'' after ``for a 
                        fiscal year,''.
    (c) Effective Date.--The amendments made by this section apply to 
items and services furnished on or after October 1, 2003, without 
regard to whether regulations implementing such amendments have been 
promulgated.

SEC. 3. GRANTS TO IMPLEMENT MEDICAID AND SCHIP EXPANSIONS.

    (a) In General.--The Secretary of Health and Human Services shall 
provide for grants to small and rural States (as defined by the 
Secretary) in order to enable such States to implement expansions of 
eligibility for children and young adults their State medicaid plans 
under title XIX of the Social Security Act and State child health plans 
under title XXI of such Act. Such grants shall be available for 
planning, implementation, and outreach with respect to such expanded 
eligibility populations.
    (b) Terms and Conditions.--Grants under this section shall be made 
available under such terms and conditions, including the approval of a 
grant application, as the Secretary shall specify.
    (c) Authorization of Appropriations.--There are authorized to be 
appropriated such sums as may be necessary to provide for grants under 
this section.

Ex Output:
Medicaid/SCHIP Optional Coverage for Young Adults Act of 2003 - Amends titles XIX (Medicaid) and XXI (State Children's Health Insurance) (SCHIP) of the Social Security Act to give States the option of providing SCHIP and Medicaid coverage, with an enhanced matching rate, to low-income youth up to age 23.

Directs the Secretary to provide for grants to small and rural States in order to enable them to implement expansions of eligibility for children and young adults under SSA titles XIX and XXI.


Ex Input:
SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Quality Nursing Care Act of 2005''.

SEC. 2. FINDINGS.

    The Congress makes the following findings:
            (1) There are hospitals throughout the United States that 
        have inadequate staffing of registered nurses to protect the 
        well-being and health of the patients.
            (2) Studies show that the health of patients in hospitals 
        is directly proportionate to the number of registered nurses 
        working in the hospital.
            (3) There is a critical shortage of registered nurses in 
        the United States.
            (4) The effect of that shortage is revealed in unsafe 
        staffing levels in hospitals.
            (5) Patient safety is adversely affected by these unsafe 
        staffing levels, creating a public health crisis.
            (6) Registered nurses are being required to perform 
        professional services under conditions that do not support 
        quality health care or a healthful work environment for 
        registered nurses.
            (7) As a payer for inpatient and outpatient hospital 
        services for individuals entitled to benefits under the program 
        established under title XVIII of the Social Security Act, the 
        Federal Government has a compelling interest in promoting the 
        safety of such individuals by requiring any hospital 
        participating in such program to establish minimum safe 
        staffing levels for registered nurses.

SEC. 3. ESTABLISHMENT OF MINIMUM STAFFING RATIOS BY MEDICARE 
              PARTICIPATING HOSPITALS.

    (a) Requirement of Medicare Provider Agreement.--Section 1866(a)(1) 
of the Social Security Act (42 U.S.C. 1395cc(a)(1)) is amended--
            (1) by striking ``and'' at the end of subparagraph (U);
            (2) by striking the period at the end of subparagraph (V) 
        and inserting ``, and''; and
            (3) by inserting after subparagraph (V) and before the end 
        matter the following:
                    ``(W) in the case of a hospital--
                            ``(i) to adopt and implement a staffing 
                        system that meets the requirements of section 
                        1898;
                            ``(ii) to meet the requirements of such 
                        section relating to--
                                    ``(I) records maintenance;
                                    ``(II) data collection; and
                                    ``(III) data submission; and
                            ``(iii) to meet the requirements of such 
                        section relating to non-discrimination and 
                        retaliation.''.
    (b) Requirements.--Title XVIII of the Social Security Act (42 
U.S.C. 1395 et seq.) is amended by adding at the end the following:

      ``staffing requirements for medicare participating hospitals

    ``Sec. 1898. (a) Establishment of Staffing System.--Each 
participating hospital shall adopt and implement a staffing system that 
ensures a number of registered nurses on each shift and in each unit of 
the hospital to ensure appropriate staffing levels for patient care. A 
staffing system adopted and implemented under this section shall--
            ``(1) be developed on the basis of input from the direct 
        care-giving registered nurse staff or, where nurses are 
        represented, with the applicable recognized or certified 
        collective bargaining representatives of the registered nurses;
            ``(2) be based upon the number of patients and the level 
        and variability of intensity of care to be provided, with 
        appropriate consideration given to admissions, discharges and 
        transfers during each shift;
            ``(3) account for contextual issues affecting staffing and 
        the delivery of care, including architecture and geography of 
        the environment and available technology;
            ``(4) reflect the level of preparation and experience of 
        those providing care;
            ``(5) account for staffing level effectiveness or 
        deficiencies in related health care classifications, including 
        but not limited to, certified nurse assistants, licensed 
        vocational nurses, licensed psychiatric technicians, nursing 
        assistants, aides and orderlies;
            ``(6) reflect staffing levels recommended by specialty 
        nursing organizations;
            ``(7) subject to subsection (b), establish upwardly 
        adjustable registered nurse-to-patient ratios based upon 
        registered nurses' assessment of patient acuity and existing 
        conditions;
            ``(8) provide that a registered nurse shall not be assigned 
        to work in a particular unit without first having established 
        the ability to provide professional care in such unit; and
            ``(9) be based on methods that assure validity and 
        reliability.
    ``(b) Limitation.--A staffing system adopted and implemented 
pursuant to subsection (a) may not--
            ``(1) set registered-nurse levels below those required by 
        any Federal or State law or regulation; or
            ``(2) utilize any minimum registered nurse-to-patient ratio 
        established pursuant to subsection (a)(7) as an upper limit on 
        the staffing of the hospital to which such ratio applies.
    ``(c) Reporting, and Release to Public, of Certain Staffing 
Information.--
            ``(1) Requirements for hospitals.--Each participating 
        hospital shall--
                    ``(A) post daily for each shift, in a clearly 
                visible place, a document that specifies in a uniform 
                manner (as prescribed by the Secretary) the current 
                number of licensed and unlicensed nursing staff 
                directly responsible for patient care in each unit of 
                the hospital, identifying specifically the number of 
                registered nurses;
                    ``(B) upon request, make available to the public--
                            ``(i) the nursing staff information 
                        described in subparagraph (A); and
                            ``(ii) a detailed written description of 
                        the staffing system established by the hospital 
                        pursuant to subsection (a); and
                    ``(C) submit to the Secretary in a uniform manner 
                (as prescribed by the Secretary) the nursing staff 
                information described in subparagraph (A) through 
                electronic data submission not less frequently than 
                quarterly.
            ``(2) Secretarial responsibilities.--The Secretary shall--
                    ``(A) make the information submitted pursuant to 
                paragraph (1)(C) publicly available, including by 
                publication of such information on the Internet site of 
                the Department of Health and Human Services; and
                    ``(B) provide for the auditing of such information 
                for accuracy as a part of the process of determining 
                whether an institution is a hospital for purposes of 
                this title.
    ``(d) Record-Keeping; Data Collection; Evaluation.--
            ``(1) Record-keeping.--Each participating hospital shall 
        maintain for a period of at least 3 years (or, if longer, until 
        the conclusion of pending enforcement activities) such records 
        as the Secretary deems necessary to determine to whether the 
        hospital has adopted and implemented a staffing system pursuant 
        to subsection (a).
            ``(2) Data collection on certain outcomes.--The Secretary 
        shall require the collection, maintenance, and submission of 
        data by each participating hospital sufficient to establish the 
        link between the staffing system established pursuant to 
        subsection (a) and--
                    ``(A) patient acuity from maintenance of acuity 
                data through entries on patients' charts;
                    ``(B) patient outcomes that are nursing sensitive, 
                such as patient falls, adverse drug events, injuries to 
                patients, skin breakdown, pneumonia, infection rates, 
                upper gastrointestinal bleeding, shock, cardiac arrest, 
                length of stay, and patient re-admissions;
                    ``(C) operational outcomes, such as work-related 
                injury or illness, vacancy and turnover rates, nursing 
                care hours per patient day, on-call use, overtime 
                rates, and needle-stick injuries; and
                    ``(D) patient complaints related to staffing 
                levels.
            ``(3) Evaluation.--Each participating hospital shall 
        annually evaluate its staffing system and established minimum 
        registered nurse staffing ratios to assure on-going reliability 
        and validity of the system and ratios. The evaluation shall be 
        conducted by a joint management-staff committee comprised of at 
        least 50 percent of registered nurses who provide direct 
        patient care and where nurses are represented, with the 
        involvement of the applicable recognized or certified 
        collective bargaining representatives of the registered nurses.
    ``(e) Enforcement.--
            ``(1) Responsibility.--The Secretary shall enforce the 
        requirements and prohibitions of this section.
            ``(2) Procedures for receiving and investigating 
        complaints.--The Secretary shall establish procedures under 
        which--
                    ``(A) any person may file a complaint that a 
                participating hospital has violated a requirement or a 
                prohibition of this section; and
                    ``(B) such complaints are investigated by the 
                Secretary.
            ``(3) Remedies.--If the Secretary determines that a 
        participating hospital has violated a requirement of this 
        section, the Secretary--
                    ``(A) shall require the facility to establish a 
                corrective action plan to prevent the recurrence of 
                such violation; and
                    ``(B) may impose civil money penalties under 
                paragraph (4).
            ``(4) Civil money penalties.--
                    ``(A) In general.--In addition to any other 
                penalties prescribed by law, the Secretary may impose a 
                civil money penalty of not more than $10,000 for each 
                knowing violation of a requirement of this section, 
                except that the Secretary shall impose a civil money 
                penalty of more than $10,000 for each such violation in 
                the case of a participating hospital that the Secretary 
                determines has a pattern or practice of such violations 
                (with the amount of such additional penalties being 
                determined in accordance with a schedule or methodology 
                specified in regulations).
                    ``(B) Procedures.--The provisions of section 1128A 
                (other than subsections (a) and (b)) shall apply to a 
                civil money penalty under this paragraph in the same 
                manner as such provisions apply to a penalty or 
                proceeding under section 1128A.
                    ``(C) Public notice of violations.--
                            ``(i) Internet site.--The Secretary shall 
                        publish on the Internet site of the Department 
                        of Health and Human Services the names of 
                        participating hospitals on which civil money 
                        penalties have been imposed under this section, 
                        the violation for which the penalty was 
                        imposed, and such additional information as the 
                        Secretary determines appropriate.
                            ``(ii) Change of ownership.--With respect 
                        to a participating hospital that had a change 
                        in ownership, as determined by the Secretary, 
                        penalties imposed on the hospital while under 
                        previous ownership shall no longer be published 
                        by the Secretary of such Internet site after 
                        the 1-year period beginning on the date of 
                        change in ownership.
    ``(f) Whistle-Blower Protections.--
            ``(1) Prohibition of discrimination and retaliation.--A 
        participating hospital shall not discriminate or retaliate in 
        any manner against any patient or employee of the hospital 
        because that patient or employee, or any other person, has 
        presented a grievance or complaint, or has initiated or 
        cooperated in any investigation or proceeding of any kind, 
        relating to the staffing system or other requirements and 
        prohibitions of this section.
            ``(2) Relief for prevailing employees.--An employee of a 
        participating hospital who has been discriminated or retaliated 
        against in employment in violation of this subsection may 
        initiate judicial action in a United States District Court and 
        shall be entitled to reinstatement, reimbursement for lost 
        wages and work benefits caused by the unlawful acts of the 
        employing hospital. Prevailing employees are entitled to 
        reasonable attorney's fees and costs associated with pursuing 
        the case.
            ``(3) Relief for prevailing patients.--A patient who has 
        been discriminated or retaliated against in violation of this 
        subsection may initiate judicial action in a United States 
        District Court. A prevailing patient shall be entitled to 
        liquidated damages of $5,000 for a violation of this statute in 
        addition to any other damages under other applicable statutes, 
        regulations or common law. Prevailing patients are entitled to 
        reasonable attorney's fees and costs associated with pursuing 
        the case.
            ``(4) Limitation on actions.--No action may be brought 
        under paragraph (2) or (3) more than 2 years after the 
        discrimination or retaliation with respect to which the action 
        is brought.
            ``(5) Treatment of adverse employment actions.--For 
        purposes of this subsection--
                    ``(A) an adverse employment action shall be treated 
                as `retaliation or discrimination'; and
                    ``(B) an adverse employment action includes--
                            ``(i) the failure to promote an individual 
                        or provide any other employment-related benefit 
                        for which the individual would otherwise be 
                        eligible;
                            ``(ii) an adverse evaluation or decision 
                        made in relation to accreditation, 
                        certification, credentialing, or licensing of 
                        the individual; and
                            ``(iii) a personnel action that is adverse 
                        to the individual concerned.
    ``(g) Rules of Construction.--
            ``(1) Relationship to state laws.--Nothing in this section 
        shall be construed as exempting or relieving any person from 
        any liability, duty, penalty, or punishment provided by any 
        present or future law of any State or political subdivision of 
        a State, other than any such law which purports to require or 
        permit the doing of any act which would be an unlawful practice 
        under this title.
            ``(2) Relationship to conduct prohibited under the national 
        labor relations act.--Nothing in this section shall be 
        construed as permitting conduct prohibited under the National 
        Labor Relations Act or under any other federal, State, or local 
        collective bargaining law.
    ``(h) Regulations.--The Secretary shall promulgate such regulations 
as are appropriate and necessary to implement this Act.
    ``(i) Definitions.--For purposes of this section--
            ``(1) the term `participating hospital' means a hospital 
        that has entered into a provider agreement under section 1866;
            ``(2) the term `registered nurse' means an individual who 
        has been granted a license to practice as a registered nurse in 
        at least one State;
            ``(3) the term `unit' of a hospital is an organizational 
        department or separate geographic area of a hospital, such as a 
        burn unit, a labor and delivery room, a post-anesthesia service 
        area, an emergency department, an operating room, a pediatric 
        unit, a step-down or intermediate care unit, a specialty care 
        unit, a telemetry unit, a general medical care unit, a subacute 
        care unit, and a transitional inpatient care unit;
            ``(4) a `shift' is a scheduled set of hours or duty period 
        to be worked at a participating hospital; and
            ``(5) a `person' includes one or more individuals, 
        associations, corporations, unincorporated organizations or 
        labor unions.''.
    (c) Effective Date.--The amendments made by this section shall 
become effective on January 1, 2006.

Ex Output:

Quality Nursing Care Act of 2005 - Amends part D (Voluntary Prescription Drug Benefit Program) of title XVIII (Medicare) of the Social Security Act to require that each participating hospital adopt and implement a staffing system that ensures a number of registered nurses on each shift and in each unit of the hospital to ensure appropriate staffing levels for patient care. Outlines whistle-blower protections.