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

Input: Consider Input: SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Remote Monitoring Access Act of 
2005''.

SEC. 2. COVERAGE OF REMOTE PATIENT MANAGEMENT SERVICES FOR CHRONIC 
              HEALTH CARE CONDITIONS.

    (a) In General.--Section 1861(s)(2) of the Social Security Act (42 
U.S.C. 1395x(s)(2)) is amended--
            (1) in subparagraph (Y), by striking ``and'' at the end;
            (2) in subparagraph (Z), by inserting ``and'' at the end; 
        and
            (3) by inserting after subparagraph (Z) the following new 
        subparagraph:
                    ``(AA) remote patient management services (as 
                defined in subsection (bbb));''.
    (b) Services Described.--Section 1861 of the Social Security Act 
(42 U.S.C. 1395x) is amended by adding at the end the following new 
subsection:

                  ``Remote Patient Management Services

    ``(bbb)(1) The term `remote patient management services' means the 
remote monitoring and management of an individual with a covered 
chronic health condition (as defined in paragraph (2)) through the 
utilization of a system of technology that allows a remote interface to 
collect and transmit clinical data between the individual and the 
responsible physician or supplier for the purposes of clinical review 
or response by the physician or supplier.
    ``(2) For purposes of paragraph (1), the term `covered chronic 
health condition' includes--
            ``(A) heart failure;
            ``(B) diabetes;
            ``(C) cardiac arrhythmia; and
            ``(D) any other chronic condition determined by the 
        Secretary to be appropriate for treatment through remote 
        patient management services.
    ``(3)(A) The Secretary, in consultation with appropriate physician 
groups, may develop guidelines on the frequency of billing for remote 
patient management services. Such guidelines shall be determined based 
on medical necessity and shall be sufficient to ensure appropriate and 
timely monitoring of individuals being furnished such services.
    ``(B) The Secretary, acting through the Agency for Health Care 
Research and Quality, shall do the following:
            ``(i) Not later than 1 year after the date of enactment of 
        the Remote Monitoring Access Act of 2005, develop, in 
        consultation with appropriate physician groups, a standard of 
        care and quality standards for remote patient management 
        services for the covered chronic health conditions specified in 
        subparagraphs (A), (B), and (C) of paragraph (2).
            ``(ii) If the Secretary makes a determination under 
        paragraph (2)(D) with respect to a chronic condition, develop, 
        in consultation with appropriate physician groups, a standard 
        of care and quality standards for remote patient management 
        services for such condition within 1 year of such 
        determination.
            ``(iii) Periodically review and update such standards of 
        care and quality standards under this subparagraph as 
        necessary.''.
    (c) Payment Under the Physician Fee Schedule.--Section 1848 of the 
Social Security Act (42 U.S.C. 1395w-4) is amended--
            (1) in subsection (c)(2)--
                    (A) in subparagraph (B)--
                            (i) in clause (ii)(II), by striking 
                        ``clause (iv)'' and inserting ``clauses (iv) 
                        and (v)''; and
                            (ii) by adding at the end the following new 
                        clause:
                            ``(v) Budgetary treatment of certain 
                        services.--The additional expenditures 
                        attributable to services described in section 
                        1861(s)(2)(AA) shall not be taken into account 
                        in applying clause (ii)(II) for 2006.''; and
                    (B) by adding at the end the following new 
                paragraph:
            ``(7) Treatment of remote patient management services.--In 
        determining relative value units for remote patient management 
        services (as defined in section 1861(bbb)), the Secretary, in 
        consultation with appropriate physician groups, shall take into 
        consideration--
                    ``(A) costs associated with such services, 
                including physician time involved, installation and 
                information transmittal costs, costs of remote patient 
                management technology (including devices and software), 
                and resource costs necessary for patient monitoring and 
                follow-up (but not including costs of any related item 
                or non-physician service otherwise reimbursed under 
                this title); and
                    ``(B) the level of intensity of services provided, 
                based on--
                            ``(i) the frequency of evaluation necessary 
                        to manage the individual being furnished the 
                        services;
                            ``(ii) the amount of time necessary for, 
                        and the complexity of, the evaluation, 
                        including the information that must be 
                        obtained, reviewed, and analyzed; and
                            ``(iii) the number of possible diagnoses 
                        and the number of management options that must 
                        be considered.''; and
            (2) in subsection (j)(3), by inserting ``(2)(AA),'' after 
        ``(2)(W),''.
    (d) Incentive Payments.--Section 1833 of the Social Security Act 
(42 U.S.C. 1395l) is amended by adding at the end the following new 
subsection:
    ``(v) Incentive for Meeting Certain Standards of Care and Quality 
Standards in the Furnishing of Remote Patient Management Services.--In 
the case of remote patient management services (as defined in section 
1861(bbb)) that are furnished by a physician who the Secretary 
determines meets or exceeds the standards of care and quality standards 
developed by the Secretary under paragraph (3)(B) of such section for 
such services, in addition to the amount of payment that would 
otherwise be made for such services under this part, there shall also 
be paid to the physician (or to an employer or facility in cases 
described in clause (A) of section 1842(b)(6)) (on a monthly or 
quarterly basis) from the Federal Supplementary Medical Insurance Trust 
Fund an amount equal to 10 percent of the payment amount for the 
service under this part.''.
    (e) Effective Date.--The amendments made by this section shall 
apply to services furnished on or after January 1, 2006.

Output: Remote Monitoring Access Act of 2005 - Amends title XVIII (Medicare) of the Social Security Act to provide for coverage of remote patient management services for chronic health care conditions.


Input: Consider Input: SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Rural Law Enforcement Assistance Act 
of 1999''.

SEC. 2. FUNDING TO NATIONAL CENTER FOR RURAL LAW ENFORCEMENT.

    (a) Funding Authority.--The Attorney General shall provide funds, 
subject to appropriations, to the National Center for Rural Law 
Enforcement if the Executive Director of the Center certifies, in 
writing, to the Attorney General that the Center--
            (1) is incorporated in accordance with applicable State 
        laws;
            (2) is in compliance with the by-laws of the Center;
            (3) shall use amounts made available under this section in 
        accordance with subsection (b); and
            (4) shall not support any political party or candidate for 
        elected or appointed office.
    (b) Uses of Funds.--
            (1) Required uses of funds.--The Center shall use funds 
        made available under this section to develop an educational 
        program for employees of law enforcement agencies serving rural 
        areas which shall include--
                    (A) the development and delivery of management 
                education and training, technical assistance, practical 
                research and evaluation, and computer and forensic 
                education and training for employees of law enforcement 
                agencies serving rural areas, tribal law enforcement 
                employees and railroad law enforcement employees, 
                including supervisory and executive managers of those 
                agencies;
                    (B) conducting research into the causes and 
                prevention of criminal activity in rural areas, 
                including the causes, assessment, evaluation, analysis, 
                and prevention of criminal activity;
                    (C) the development and dissemination of 
                information designed to assist States and units of 
                local government in rural areas throughout the United 
                States;
                    (D) the establishment and maintenance of a resource 
                and information center for the collection, preparation, 
                and dissemination of information regarding criminal 
                justice and law enforcement in rural areas, including 
                programs for the prevention of crime and recidivism; 
                and
                    (E) the delivery of assistance, in a consulting 
                capacity, to criminal justice agencies in the 
                development, establishment, maintenance, and 
                coordination of programs, facilities and services, 
                training, and research relating to crime in rural 
                areas.
            (2) Permissive uses of funds.--The Center may use funds 
        made available under this section to enhance the educational 
        program developed under paragraph (1), through--
                    (A) educational opportunities for rural law 
                enforcement agencies;
                    (B) the development, promotion, and voluntary 
                adoption of educational and training standards and 
                accreditation certification programs for law 
                enforcement agencies serving rural areas and the 
                employees of those agencies;
                    (C) grants to, and contracts with, State, and local 
                governments, law enforcement agencies, public and 
                private agencies, educational institutions, and other 
                organizations and individuals to carry out this 
                paragraph;
                    (D) the formulation and recommendation of law 
                enforcement policy, goals, and standards in rural areas 
                applicable to criminal justice agencies, organizations, 
                institutions, and personnel; and
                    (E) coordination with institutions of higher 
                education for the purpose of encouraging programs of 
                study for law enforcement in rural areas at such 
                institutions.
    (c) Powers.--In carrying out subsection (b), the Executive Director 
may--
            (1) request the head of any Federal department or agency to 
        detail, on a reimbursable basis, any of the personnel of that 
        department or agency to the Center to assist it in carrying out 
        its duties under this Act;
            (2) request the Administrator of the General Services 
        Administration to provide the Center, on a reimbursable basis, 
        the administrative support services necessary for the Center to 
        carry out its responsibilities under this Act; and
            (3) procure temporary and intermittent services under 
        section 3109(b) of title 5, United States Code, at rates of 
        compensation established by the Board, but not to exceed the 
        daily equivalent of the maximum rate of pay payable for a 
        position at level IV of the Executive Schedule under section 
        5315 of title 5, United States Code.
    (d) Travel Expenses.--For purposes of official travel, expenses 
shall be reimbursed, including per diem in lieu of subsistence, in the 
same manner as such expenses are permitted under sections 5702 and 5703 
of title 5, United States Code.
    (e) Reporting Requirements.--The Center shall submit an annual 
report to the Attorney General that includes--
            (1) a description of the education and training program 
        conducted by the Center;
            (2) the number and demographic representation of 
        individuals who attended programs sponsored by the Center;
            (3) a description of the extent resources of other 
        governmental agencies or private entities were used; and
            (5) a description of the extent contracts with other public 
        and private resources were used.
    (f) Definitions.--For purposes of this Act:
            (1) The term ``Board'' means the members of the Board of 
        the Center as elected according to its bylaws.
            (2) The term ``Center'' means the National Center for Rural 
        Law Enforcement, a nonprofit corporation located in Little 
        Rock, Arkansas.
            (3) The term ``Executive Director'' means the Executive 
        Director of the Center as appointed according to the bylaws of 
        the Center.
            (4) The term ``metropolitan statistical area'' has the same 
        meaning given such term by the Bureau of the Census.
            (5) The term ``rural law enforcement agency'' means a law 
        enforcement agency that serves a city, town, township, borough, 
        or village outside a metropolitan statistical area.
    (g) Authorization of Appropriations.--There are authorized to be 
appropriated to carry out this section--
            (1) $22,000,000 for fiscal year 2000; and
            (2) such sums as may be necessary for each of fiscal years 
        2001 through 2005.

Output: Rural Law Enforcement Assistance Act of 1999 - Directs the Attorney General to provide funds to the National Center for Rural Law Enforcement if the Center's Executive Director certifies in writing that the Center: (1) is incorporated in accordance with applicable State laws; (2) is in compliance with its by-laws; (3) shall use amounts made available in accordance with requirements of this Act; and (4) shall not support any political party or candidate for elected or appointed office. 
Requires the Center to use such funds to develop an educational program for employees of law enforcement agencies serving rural areas for specified purposes, including: (1) the development and delivery of management education and training for employees of law enforcement agencies serving rural areas; and (2) the delivery of assistance (in a consulting capacity) to criminal justice agencies in the development and coordination of programs, training, and research relating to crime in rural areas. 
Permits the Center to use such funds to enhance that educational program through specified means, including: (1) educational opportunities for rural law enforcement agencies; and (2) coordination with institutions of higher education to encourage programs of study for law enforcement in rural areas at such institutions. 
Sets forth reporting requirements.  Authorizes appropriations.


Input: Consider Input: SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Rural Energy Savings Program Act''.

SEC. 2. RURAL ENERGY SAVINGS PROGRAM.

    Subtitle E of title VI of the Farm Security and Rural Investment 
Act of 2002 (Public Law 107-71; 116 Stat. 424) is amended by adding at 
the end the following:

``SEC. 6407. RURAL ENERGY SAVINGS PROGRAM.

    ``(a) Purpose.--The purpose of this section is to create jobs, 
promote rural development, and help rural families and small businesses 
achieve cost savings by providing loans to qualified consumers to 
implement durable cost-effective energy efficiency measures.
    ``(b) Definitions.--In this section:
            ``(1) Eligible entity.--The term `eligible entity' means--
                    ``(A) any public power district, public utility 
                district, or similar entity, or any electric 
                cooperative described in section 501(c)(12) or 
                1381(a)(2) of the Internal Revenue Code of 1986, that 
                borrowed and repaid, prepaid, or is paying an electric 
                loan made or guaranteed by the Rural Utilities Service 
                (or any predecessor agency);
                    ``(B) any entity primarily owned or controlled by 
                one or more entities described in subparagraph (A); or
                    ``(C) any other entity that is an eligible borrower 
                of the Rural Utility Service, as determined under 
                section 1710.101 of title 7, Code of Federal 
                Regulations (or a successor regulation).
            ``(2) Energy efficiency measures.--The term `energy 
        efficiency measures' means, for or at property served by an 
        eligible entity, structural improvements and investments in 
        cost-effective, commercial technologies to increase energy 
        efficiency.
            ``(3) Qualified consumer.--The term `qualified consumer' 
        means a consumer served by an eligible entity that has the 
        ability to repay a loan made under subsection (d), as 
        determined by the eligible entity.
            ``(4) Secretary.--The term `Secretary' means the Secretary 
        of Agriculture, acting through the Administrator of the Rural 
        Utilities Service.
    ``(c) Loans to Eligible Entities.--
            ``(1) In general.--Subject to paragraph (2), the Secretary 
        shall make loans to eligible entities that agree to use the 
        loan funds to make loans to qualified consumers for the purpose 
        of implementing energy efficiency measures.
            ``(2) Requirements.--
                    ``(A) In general.--As a condition of receiving a 
                loan under this subsection, an eligible entity shall--
                            ``(i) establish a list of energy efficiency 
                        measures that is expected to decrease energy 
                        use or costs of qualified consumers;
                            ``(ii) prepare an implementation plan for 
                        use of the loan funds, including use of any 
                        interest to be received pursuant to subsection 
                        (d)(1)(A);
                            ``(iii) provide for appropriate measurement 
                        and verification to ensure--
                                    ``(I) the effectiveness of the 
                                energy efficiency loans made by the 
                                eligible entity; and
                                    ``(II) that there is no conflict of 
                                interest in carrying out this section; 
                                and
                            ``(iv) demonstrate expertise in effective 
                        use of energy efficiency measures at an 
                        appropriate scale.
                    ``(B) Revision of list of energy efficiency 
                measures.--Subject to the approval of the Secretary, an 
                eligible entity may update the list required under 
                subparagraph (A)(i) to account for newly available 
                efficiency technologies.
                    ``(C) Existing energy efficiency programs.--An 
                eligible entity that, at any time before the date that 
                is 60 days after the date of enactment of this section, 
                has established an energy efficiency program for 
                qualified consumers may use an existing list of energy 
                efficiency measures, implementation plan, or 
                measurement and verification system of that program to 
                satisfy the requirements of subparagraph (A) if the 
                Secretary determines the list, plan, or systems are 
                consistent with the purposes of this section.
            ``(3) No interest.--A loan under this subsection shall bear 
        no interest.
            ``(4) Repayment.--With respect to a loan under paragraph 
        (1)--
                    ``(A) the term shall not exceed 20 years from the 
                date on which the loan is closed; and
                    ``(B) except as provided in paragraph (6), the 
                repayment of each advance shall be amortized for a 
                period not to exceed 10 years.
            ``(5) Amount of advances.--Any advance of loan funds to an 
        eligible entity in any single year shall not exceed 50 percent 
        of the approved loan amount.
            ``(6) Special advance for start-up activities.--
                    ``(A) In general.--In order to assist an eligible 
                entity in defraying the appropriate start-up costs (as 
                determined by the Secretary) of establishing new 
                programs or modifying existing programs to carry out 
                subsection (d), the Secretary shall allow an eligible 
                entity to request a special advance.
                    ``(B) Amount.--No eligible entity may receive a 
                special advance under this paragraph for an amount that 
                is greater than 4 percent of the loan amount received 
                by the eligible entity under paragraph (1).
                    ``(C) Repayment.--Repayment of the special 
                advance--
                            ``(i) shall be required during the 10-year 
                        period beginning on the date on which the 
                        special advance is made; and
                            ``(ii) at the election of the eligible 
                        entity, may be deferred to the end of the 10-
                        year period.
            ``(7) Limitation.--All special advances shall be made under 
        a loan described in paragraph (1) during the first 10 years of 
        the term of the loan.
    ``(d) Loans to Qualified Consumers.--
            ``(1) Terms of loans.--Loans made by an eligible entity to 
        qualified consumers using loan funds provided by the Secretary 
        under subsection (c)--
                    ``(A) may bear interest, not to exceed 3 percent, 
                to be used for purposes that include--
                            ``(i) to establish a loan loss reserve; and
                            ``(ii) to offset personnel and program 
                        costs of eligible entities to provide the 
                        loans;
                    ``(B) shall finance energy efficiency measures for 
                the purpose of decreasing energy usage or costs of the 
                qualified consumer by an amount that ensures, to the 
                maximum extent practicable, that a loan term of not 
                more than 10 years will not pose an undue financial 
                burden on the qualified consumer, as determined by the 
                eligible entity;
                    ``(C) shall not be used to fund purchases of, or 
                modifications to, personal property unless the personal 
                property is or becomes attached to real property 
                (including a manufactured home) as a fixture;
                    ``(D) shall be repaid through charges added to the 
                electric bill for the property for, or at which, energy 
                efficiency measures are or will be implemented, on the 
                condition that this requirement does not prohibit--
                            ``(i) the voluntary prepayment of a loan by 
                        the owner of the property; or
                            ``(ii) the use of any additional repayment 
                        mechanisms that are--
                                    ``(I) demonstrated to have 
                                appropriate risk mitigation features, 
                                as determined by the eligible entity; 
                                or
                                    ``(II) required if the qualified 
                                consumer is no longer a customer of the 
                                eligible entity; and
                    ``(E) shall require an energy audit by an eligible 
                entity to determine the impact of proposed energy 
                efficiency measures on the energy costs and consumption 
                of the qualified consumer.
            ``(2) Contractors.--In addition to any other qualified 
        general contractor, eligible entities may serve as general 
        contractors.
    ``(e) Contract for Measurement and Verification, Training, and 
Technical Assistance.--
            ``(1) In general.--Not later than 90 days after the date of 
        enactment of this section, the Secretary--
                    ``(A) shall establish a plan for measurement and 
                verification, training, and technical assistance of the 
                program; and
                    ``(B) may enter into one or more contracts with a 
                qualified entity for the purposes of--
                            ``(i) providing measurement and 
                        verification activities; and
                            ``(ii) developing a program to provide 
                        technical assistance and training to the 
                        employees of eligible entities to carry out 
                        this section.
            ``(2) Use of subcontractors authorized.--A qualified entity 
        that enters into a contract under paragraph (1) may use 
        subcontractors to assist the qualified entity in carrying out 
        the contract.
    ``(f) Fast Start Demonstration Projects.--
            ``(1) In general.--The Secretary shall offer to enter into 
        agreements with eligible entities (or groups of eligible 
        entities) that have energy efficiency programs described in 
        subsection (c)(2)(C) to establish an energy efficiency loan 
        demonstration projects consistent with the purposes of this 
        section.
            ``(2) Evaluation criteria.--In determining which eligible 
        entities to award loans under this section, the Secretary shall 
        take into consideration eligible entities that--
                    ``(A) implement approaches to energy audits and 
                investments in energy efficiency measures that yield 
                measurable and predictable savings;
                    ``(B) use measurement and verification processes to 
                determine the effectiveness of energy efficiency loans 
                made by eligible entities;
                    ``(C) include training for employees of eligible 
                entities, including any contractors of such entities, 
                to implement or oversee the activities described in 
                subparagraphs (A) and (B);
                    ``(D) provide for the participation of a majority 
                of eligible entities in a State;
                    ``(E) reduce the need for generating capacity;
                    ``(F) provide efficiency loans to--
                            ``(i) in the case of a single eligible 
                        entity, not fewer than 20,000 consumers; or
                            ``(ii) in the case of a group of eligible 
                        entities, not fewer than 80,000 consumers; and
                    ``(G) serve areas in which, as determined by the 
                Secretary, a large percentage of consumers reside--
                            ``(i) in manufactured homes; or
                            ``(ii) in housing units that are more than 
                        50 years old.
            ``(3) Deadline for implementation.--To the maximum extent 
        practicable, the Secretary shall enter into agreements 
        described in paragraph (1) by not later than 90 days after the 
        date of enactment of this section.
            ``(4) Effect on availability of loans nationally.--Nothing 
        in this subsection shall delay the availability of loans to 
        eligible entities on a national basis beginning not later than 
        180 days after the date of enactment of this section.
            ``(5) Additional demonstration project authority.--
                    ``(A) In general.--The Secretary may conduct 
                demonstration projects in addition to the project 
                required by paragraph (1).
                    ``(B) Inapplicability of certain criteria.--The 
                additional demonstration projects may be carried out 
                without regard to subparagraphs (D), (F), or (G) of 
                paragraph (2).
    ``(g) Additional Authority.--The authority provided in this section 
is in addition to any other authority of the Secretary to offer loans 
under any other law.
    ``(h) Effective Period.--Subject to the availability of funds and 
except as otherwise provided in this section, the loans and other 
expenditures required to be made under this section shall be available 
until expended, with the Secretary authorized to make new loans as 
loans are repaid.
    ``(i) Regulations.--
            ``(1) In general.--Except as otherwise provided in this 
        subsection, not later than 180 days after the date of enactment 
        of this section, the Secretary shall promulgate such 
        regulations as are necessary to implement this section.
            ``(2) Procedure.--The promulgation of the regulations and 
        administration of this section shall be made without regard 
        to--
                    ``(A) the Statement of Policy of the Secretary of 
                Agriculture effective July 24, 1971 (36 Fed. Reg. 
                13804), relating to notices of proposed rulemaking and 
                public participation in rulemaking; and
                    ``(B) chapter 35 of title 44, United States Code 
                (commonly known as the `Paperwork Reduction Act').
            ``(3) Congressional review of agency rulemaking.--In 
        carrying out this section, the Secretary shall use the 
        authority provided under section 808 of title 5, United States 
        Code.
            ``(4) Interim regulations.--Notwithstanding paragraphs (1) 
        and (2), to the extent regulations are necessary to carry out 
        any provision of this section, the Secretary shall implement 
        such regulations through the promulgation of an interim 
        rule.''.


Output: Rural Energy Savings Program Act - Amends the Farm Security and Rural Investment Act of 2002 to direct the Secretary of Agriculture (USDA), through the Rural Utilities Service, to make interest-free loans to eligible entities (public power districts, public utility districts, or specified electric cooperatives that borrowed and repaid, prepaid, or are paying an electric loan made or guaranteed by the Rural Utilities Service) for loans to consumers to implement energy efficient measures.

Provides a special advance for start-up activities.

Authorizes the Secretary to contract with a qualified entity to provide verification and measurement activities and employee technical assistance and training.

Directs the Secretary to offer to enter into agreements with eligible entities, or groups of eligible entities, that have specified energy efficiency programs to establish energy efficiency loan demonstration projects.