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 Q]: SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Stop Westward Aquatic Threats Act''.

SEC. 2. AMENDMENT OF NONINDIGENOUS AQUATIC NUISANCE PREVENTION AND 
              CONTROL ACT OF 1990.

    Except as otherwise expressly provided, whenever in this Act an 
amendment or repeal is expressed in terms of an amendment to, or repeal 
of, a section or other provision, the reference shall be considered to 
be made to a section or other provision of Nonindigenous Aquatic 
Nuisance Prevention and Control Act of 1990 (16 U.S.C. 4701 et seq.).

SEC. 3. 100TH MERIDIAN AND WESTWARD PROGRAM.

    Subtitle C (16 U.S.C. 4721 et seq.) is amended by adding at the end 
the following:

``SEC. 1210. 100TH MERIDIAN AND WESTWARD PROGRAM.

    ``(a) Public Information and Education.--The Secretary shall 
coordinate with the States to provide the public with information and 
education on the threat of zebra mussels and other aquatic nuisance 
species and how to prevent their westward advance.
    ``(b) Source States Action Plan.--The Secretary, in consultation 
with the Task Force, shall work with States that contain aquatic 
nuisance species, including zebra mussels, that threaten western States 
to develop and implement a prevention action plan that includes 
inspections of vessels at boat launches and elsewhere.
    ``(c) Movement Across the 100th Meridian.--
            ``(1) Early detection and rapid response.--The Secretary, 
        in consultation with the Task Force, shall seek to prevent 
        westward movement of aquatic nuisance species by monitoring and 
        preventing westward movement of zebra mussels and other aquatic 
        nuisance species across and beyond the 100th meridian, 
        monitoring water bodies, educating boaters leaving waters 
        infected by aquatic nuisance species, and providing rapid 
        response capacity in North Dakota, South Dakota, Nebraska, 
        Kansas, Oklahoma, and Texas.
            ``(2) Check stations.--Under this subsection, the 
        Secretary, in collaboration with the Secretary of 
        Transportation and the States, shall--
                    ``(A) work with States to establish check stations 
                on highways and waterways that cross the 100th 
                meridian, and require that all commercial vessels 
                moving westward across the meridian stop and be checked 
                for zebra mussels and aquatic weeds at such check 
                stations;
                    ``(B) require that contaminated vessels identified 
                at such check stations be cleaned in accordance with 
                protocols developed by the Task Force before being 
                moved across the 100th meridian;
                    ``(C) assess and collect from persons who violate 
                such requirement more than one time a civil penalty of 
                $150 for each violation after the first violation;
                    ``(D) identify and record all vessels that stop at 
                such check stations and the water body most recently 
                visited by each such vessel;
                    ``(E) focus prevention resources on States having 
                the greatest number of contaminated vessels; and
                    ``(F) coordinate implementation of this subsection 
                with appropriate Canadian authorities.
    ``(d) Vector Action Plans.--The Secretary and the Task Force, in 
collaboration with the States and within 18 months after the date of 
the enactment of this subsection, shall--
            ``(1) assess the relative risk of vectors and pathways of 
        westward movement of zebra mussels and other aquatic nuisance 
        species across the 100th meridian and throughout the western 
        States and develop adequate action plans to control each 
        pathway, ranked by priority; and
            ``(2) provide to the Task Force, for distribution to the 
        States, data developed through such assessment.
    ``(e) Lewis and Clark Bicentennial Expedition.--
            ``(1) In general.--The Secretary of the Interior shall 
        ensure that the United States Fish and Wildlife Service and the 
        National Park Service coordinate efforts to implement an action 
        plan to prevent the spread of aquatic nuisance species by 
        vessels and other potential vectors involved in the Lewis and 
        Clark Bicentennial Expedition, including efforts to educate 
        participants in such Expedition by no later than January 1, 
        2003.
            ``(2) Authorization of appropriations.--There are 
        authorized to be appropriated to the Secretary of the Interior 
        to carry out this subsection $100,000 for each of fiscal years 
        2002 through 2005.
    ``(f) Application in Other States.--If the Secretary determines 
that any State (other than those listed in subsection (c)) that is 
located west of the 100th meridian needs to be involved in 
implementation of this section for this section to be effective, the 
Secretary may apply this section in such State.
    ``(g) Evaluation of Effectiveness.--The Secretary shall enter into 
an arrangement with an independent entity under which the entity shall, 
by January 1, 2005, evaluate the effectiveness of the 100th meridian 
and westward program under this section in stopping the westward 
movement of zebra mussels and other aquatic nuisance species across and 
beyond the 100th meridian.
    ``(h) Authorization of Appropriations.--There are authorized to be 
appropriated to the Secretary to carry out this section $5,000,000 for 
each of fiscal years 2003 through 2007.''.

SEC. 4. STATE MANAGEMENT PLANS.

    (a) Grants to States for Development of Management Plans.--Section 
1204(b) (16 U.S.C. 4724(b)) is amended--
            (1) in paragraph (1) by inserting ``make grants to States 
        to develop management plans under this section, including for 
        hiring personnel for such development, and'' after ``at the 
        recommendation of the Task Force,'';
            (2) in paragraph (3)(A) by striking ``each comprehensive 
        management plan implemented with Federal assistance'' and 
        inserting ``implementation of each comprehensive management 
        plan''; and
            (3) in paragraph (3)(B) by striking ``each public facility 
        management plan implemented with Federal assistance'' and 
        inserting ``implementation of each public facility management 
        plan''.
    (b) Authorization of Appropriations.--Section 1301 (16 U.S.C. 4724) 
is amended--
            (1) in subsection (c) by striking ``There are authorized'' 
        and all that follows through ``of which'' and inserting ``For 
        grants to States under section 1204(b) there are authorized to 
        be appropriated to the Director $10,000,000 for each of fiscal 
        years 2003 through 2007, of which up to 20 percent may be 
        available for plan development and of which''; and
            (2) by adding at the end the following:
    ``(f) Funding for Capacity Building by Western Regional Panel.--To 
build capacity and foster the development and implementation of 
comprehensive management plans under section 1204 for States located on 
or west of the 100th meridian there are authorized to be appropriated 
to the Western Regional panel established under section 1203(b) 
$600,000 for each of fiscal years 2003 through 2007.''.
[EX A]: Stop Westward Aquatic Threats Act - Amends the Nonindigenous Aquatic Nuisance Prevention and Control Act of 1990 to direct the Secretary of the Interior to: (1) provide the public with information and education on the threat of zebra mussels and other aquatic nuisance species and how to prevent their westward advance; (2) work with States that contain aquatic nuisance species (including zebra mussels) that threaten western States to develop and implement a prevention action plan that includes inspections of vessels at boat launches and elsewhere (including vessels involved in the Lewis and Clark Bicentennial Expedition); and (3) prevent westward movement of aquatic nuisance species by monitoring and preventing westward movement of zebra mussels and other aquatic nuisance species beyond the 100th meridian, monitoring water bodies, educating boaters leaving waters infected by aquatic nuisance species, and providing rapid response capacity in North Dakota, South Dakota, Nebraska, Kansas, Oklahoma, and Texas.Authorizes the Director of the of the Aquatic Nuisance Species Task Force to make grants to States to develop management plans which identify those areas or activities within the State for which assistance is needed to eliminate or reduce the environmental, public health, and safety risks associated with aquatic nuisance species, particularly the zebra mussel.

[EX Q]: SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Urban Medicare-Dependent Hospitals 
Preservation Act of 2011''.

SEC. 2. CRITERIA AND PAYMENT FOR CERTAIN URBAN MEDICARE-DEPENDENT 
              HOSPITALS.

    (a) In General.--Section 1886(d)(5) of the Social Security Act (42 
U.S.C. 1395ww(d)(5)) is amended by adding at the end the following new 
subparagraph:
                    ``(M)(i) For cost reporting periods beginning on or 
                after October 1, 2011, and before October 1, 2014, in 
                the case of a subsection (d) hospital which is an urban 
                Medicare-dependent hospital, payment under paragraph 
                (1)(A) shall be equal to the sum of the amount 
                determined under clause (ii) and the amount determined 
                under paragraph (1)(A)(iii).
                    ``(ii) The amount determined under this clause is, 
                for discharges occurring during a cost reporting period 
                that begins on or after October 1, 2011, and before 
                October 1, 2014, 50 percent of the amount by which the 
                hospital's target amount for the cost reporting period 
                (as defined in subsection (b)(3)(L)) exceeds the amount 
                determined under paragraph (1)(A)(iii).
                    ``(iii) For purposes of this subparagraph, the term 
                `urban Medicare-dependent hospital' means, with respect 
                to any cost reporting period to which clause (i) 
                applies, any hospital--
                            ``(I) located in an urban area or 
                        reclassified to an urban area for wage index 
                        purposes;
                            ``(II) that does not receive payment--
                                    ``(aa) under subparagraph (C) as a 
                                rural referral center;
                                    ``(bb) under subparagraph (D) as a 
                                sole community hospital;
                                    ``(cc) under subparagraph (B) or 
                                under subsection (h); or
                                    ``(dd) under subparagraph (F);
                            ``(III) that is not a physician-owned 
                        hospital, as defined in section 489.3 of title 
                        42, Code of Federal Regulations (as in effect 
                        as of the date of the enactment of this 
                        subparagraph); and
                            ``(IV) for which not less than 60 percent 
                        of its inpatient days or discharges during the 
                        cost reporting period beginning in fiscal year 
                        2006, or two of the three most recently audited 
                        cost reporting periods for which the Secretary 
                        has a settled cost report, were attributable to 
                        inpatients entitled to benefits under part A 
                        and not enrolled in a Medicare Advantage plan 
                        under part C.''.
    (b) Target Payment Amount.--Section 1886(b)(3) of the Social 
Security Act (42 U.S.C. 1395ww(b)(3)) is amended--
            (1) in subparagraph (B)(iv), by striking ``and (D)'' and 
        inserting ``, (D), and (M)''; and
            (2) by adding at the end the following new subparagraph:
                    ``(M) For cost reporting periods occurring on or 
                after October 1, 2011, and before October 1, 2014, in 
                the case of a hospital that is an urban Medicare-
                dependent hospital (as defined in subsection 
                (d)(5)(M)), the term `target amount' means--
                            ``(i) with respect to the first 12-month 
                        cost reporting period in which this 
                        subparagraph is applied to the hospital, the 
                        allowable operating costs of inpatient hospital 
                        services (as defined in subsection (a)(4)) 
                        recognized under this title for the hospital 
                        for the 12-month cost reporting period 
                        beginning during fiscal year 2002 or 2006 
                        (whichever results in a higher target amount), 
                        increased by the applicable percentage increase 
                        under subparagraph (B)(iv) for each of fiscal 
                        years 2003 through 2011 or 2007 through 2011, 
                        respectively; and
                            ``(ii) with respect to discharges occurring 
                        after the first 12-month cost reporting period 
                        in which this subparagraph is applied to the 
                        hospital, the target amount for the preceding 
                        year increased by the applicable percentage 
                        increase under subparagraph (B)(iv).''.
[EX A]: Urban Medicare-Dependent Hospitals Preservation Act of 2011 - Amends title XVIII (Medicare) of the Social Security Act, with respect to cost reporting periods beginning on or after October 1, 2011, and before October 1, 2014, to revise the criteria and payment formula for "subsection (d) hospitals" which are urban Medicare-dependent hospitals.

(Generally a subsection (d) hospital is an acute care hospital particularly one that receives payments under Medicare's inpatient prospective payment system when providing covered inpatient services to eligible beneficiaries.)

[EX Q]: SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Equitable Federal Medical Assistance 
Percentage Act of 1999''.

SEC. 2. EQUITABLE DETERMINATION OF FEDERAL MEDICAL ASSISTANCE 
              PERCENTAGE.

    (a) In General.--Section 1905 of the Social Security Act (42 U.S.C. 
1396d) is amended by adding at the end the following:
    ``(v) Determination of Equitable Federal Medical Assistance 
Percentage.--
            ``(1) In general.--Except as provided in paragraph (4), the 
        equitable Federal medical assistance percentage determined 
        under this subsection is, for any State for a fiscal year, 100 
        percent reduced by the product of 0.45 and the ratio of--
                    ``(A) the State's share of cost-adjusted total 
                taxable resources determined under paragraph (2); to
                    ``(B) the State's share of program need determined 
                under paragraph (3).
            ``(2) Determination of state's share of cost-adjusted total 
        taxable resources.--
                    ``(A) In general.--For purposes of paragraph 
                (1)(A), with respect to a State, the State's share of 
                cost-adjusted total taxable resources is the ratio of--
                            ``(i)(I) an amount equal to the most recent 
                        3-year average of the total taxable resources 
                        (TTR) of the State, as determined by the 
                        Secretary of the Treasury; divided by
                            ``(II) the most recent 3-year average of 
                        the State's geographic health care cost index 
                        (as determined under subparagraph (B)); to
                            ``(ii) an amount equal to the sum of the 
                        amounts determined under clause (i) for all 
                        States.
                    ``(B) State's geographic health care cost index.--
                            ``(i) In general.--For purposes of 
                        subparagraph (A)(i)(II), the geographic health 
                        care cost index for a State for a fiscal year 
                        is the sum of--
                                    ``(I) 0.10;
                                    ``(II) 0.75 multiplied by the ratio 
                                of--
                                            ``(aa) the most recent 3-
                                        year average annual wages for 
                                        hospital employees in the State 
                                        or the District of Columbia (as 
                                        determined under clause (ii)); 
                                        to
                                            ``(bb) the most recent 3-
                                        year average annual wages for 
                                        hospital employees in the 50 
                                        States and the District of 
                                        Columbia (as determined under 
                                        that clause); and
                                    ``(III) 0.15 multiplied by the 
                                State's fair market rent index (as 
                                determined under clause (iii)).
                            ``(ii) Determination of average annual 
                        wages of hospital employees.--The Secretary 
                        shall provide for the determination of the most 
                        recent 3-year average annual wages for hospital 
                        employees in a State or the District of 
                        Columbia and, collectively, in the 50 States 
                        and the District of Columbia, based on the area 
                        wage data applicable to hospitals under section 
                        1886(d)(3)(E) (or, if such data no longer 
                        exists, comparable data of hospital wages) for 
                        discharges occurring during the fiscal years 
                        involved.
                            ``(iii) Determination of fair market rent 
                        index.--For purposes of clause (i)(III), a 
                        State's fair market rent index is the ratio 
                        of--
                                    ``(I) the average annual fair 
                                market rent for 2-bedroom housing units 
                                in the State or the District of 
                                Columbia, to be determined by the 
                                Secretary of Housing and Urban 
                                Development for the most recent 3 
                                fiscal years for which data are 
                                available; to
                                    ``(II) the average annual fair 
                                market rent for such housing units for 
                                all States for such 3 fiscal years, as 
                                so determined.
            ``(3) Determination of state's share of program need.--
                    ``(A) In general.--For purposes of paragraph 
                (1)(B), with respect to a State, the State's share of 
                program need is the ratio of--
                            ``(i) the State's program need determined 
                        under subparagraph (B); to
                            ``(ii) the sum of the amounts determined 
                        under clause (i) for all States.
                    ``(B) Determination of state program need.--
                            ``(i) In general.--For purposes of 
                        subparagraph (A)(i), a State's program need is 
                        equal to the average (determined for the most 
                        recent 5 fiscal years for which data are 
                        available) of the sum of the products 
                        determined under clause (iv) for each such 
                        fiscal year (based on the number of State 
                        residents whose income is below the State's 
cost-of-living adjusted poverty income level (as determined under 
clauses (ii) and (iii)).
                            ``(ii) Determination of number of state 
                        residents with incomes below the State's cost-
                        of-living adjusted poverty level.--
                                    ``(I) In general.--For purposes of 
                                clause (iv), with respect to each State 
                                and the District of Columbia, the 
                                number of residents whose income for a 
                                fiscal year is below the State's cost-
                                of-living adjusted poverty income level 
                                applicable to a family of the size 
                                involved (as determined under clause 
                                (iii)) shall be determined.
                                    ``(II) Census data.--The 
                                determination of the number of 
                                residents under subclause (I) shall be 
                                based on data made generally available 
                                by the Bureau of the Census from the 
                                Current Population Survey.
                            ``(iii) Determination of state's cost-of-
                        living adjusted poverty income level.--
                                    ``(I) In general.--For purposes of 
                                clause (ii)(I), a State's cost-of-
                                living adjusted poverty income level is 
                                the product of--
                                            ``(aa) the United States 
                                        poverty income threshold for 
                                        the fiscal year involved (as 
                                        defined by the Office of 
                                        Management and Budget for 
                                        general statistical purposes); 
                                        and
                                            ``(bb) the State's cost-of-
                                        living index (as determined 
                                        under subclause (II)).
                                    ``(II) Determination of state's 
                                cost-of-living index.--Subject to 
                                subclause (III), a State's cost-of-
                                living index is the sum of--
                                            ``(aa) 0.56; and
                                            ``(bb) the product of 0.44 
                                        and the State's fair market 
                                        rent index determined under 
                                        paragraph (2)(B)(iii).
                                    ``(III) Alternate methodology.--The 
                                Commissioner of Labor Statistics may 
                                use an alternate methodology to the 
                                formula set forth under subclause (II) 
                                to determine a State's cost-of-living 
                                index for purposes of subclause (I)(bb) 
                                if the Commissioner determines that the 
                                alternate methodology results in a more 
                                accurate determination of that index.
                            ``(iv) Weighting of age categories of 
                        residents in poverty to account for higher cost 
                        populations.--For purposes of clause (i), the 
                        products determined under this clause for a 
                        fiscal year are the following:
                                    ``(I) Weighting of elderly 
                                residents in poverty.--The number of 
                                residents determined under clause (ii) 
                                of the State or the District of 
                                Columbia for the fiscal year who have 
                                attained age 65 multiplied by 3.65.
                                    ``(II) Weighting of adult residents 
                                in poverty.--The number of residents 
                                determined under clause (ii) of the 
                                State or the District of Columbia for 
                                the fiscal year who have attained age 
                                21 but have not attained age 65 
                                multiplied by 1.0.
                                    ``(III) Weighting of children in 
                                poverty.--The number of residents 
                                determined under clause (ii) of the 
                                State or the District of Columbia for 
                                the fiscal year who have not attained 
                                age 21 multiplied by 0.5.
            ``(4) Special rules.--For purposes of this subsection and 
        subsection (b), the equitable Federal medical assistance 
        percentage is--
                    ``(A) in the case of the District of Columbia, the 
                percentage determined under this subsection for the 
                District of Columbia (without regard to this paragraph) 
                multiplied by 1.4.; and
                    ``(B) in the case of Alaska, 59.8 percent.''.
    (b) Conforming Amendments.--Section 1905(b) of the Social Security 
Act (42 U.S.C. 1396d(b)) is amended--
            (1) in the matter preceding paragraph (1), by striking 
        ``100 per centum'' and all that follows through ``Hawaii'' and 
        inserting ``the equitable Federal medical assistance percentage 
        determined under subsection (v)'';
            (2) in paragraph (1), by striking ``50 per centum or more 
        than 83 per centum,,'' and inserting ``50 percent or more than 
        83 percent, and''; and
            (3) in paragraph (2), by striking ``50 per centum'' and all 
        that follows through the period at the end of paragraph (3) and 
        inserting ``50 percent.''.
    (c) Effective Date.--The amendments made by this Act take effect on 
October 1, 1999.
[EX A]:
Equitable Federal Medical Assistance Percentage Act of 1999 - Amends title XIX (Medicaid) of the Social Security Act to provide for the stated purpose of determining an equitable Federal medical assistance percentage for use under Medicaid.