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

[Q]: SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Silvio O. Conte Disabilities 
Prevention Act''.

SEC. 2. ESTABLISHMENT OF SILVIO O. CONTE DISABILITIES PREVENTION 
              PROGRAM.

    Part B of title III of the Public Health Service Act (42 U.S.C. 243 
et seq.) is amended by inserting after section 314 the following new 
section:

           ``silvio o. conte disabilities prevention program

    ``Sec. 315. (a) In General.--The Secretary, acting through the 
Director of the Centers for Disease Control and Prevention, may make 
grants to and enter into contracts with public and nonprofit private 
entities for the purpose of carrying out programs for the prevention of 
disabilities and the prevention of secondary conditions resulting from 
disabilities.
    ``(b) Certain Authorized Activities.--With respect to the 
prevention of disabilities and conditions described in subsection (a), 
activities for which the Secretary may provide financial assistance 
under such subsection include--
            ``(1) coordinating prevention activities;
            ``(2) conducting demonstrations and interventions;
            ``(3) conducting surveillances and studies;
            ``(4) educating the public; and
            ``(5) educating and training health professionals 
        (including allied health professionals) and conducting 
        activities to improve the clinical skills of such 
        professionals.
    ``(c) Priorities.--The Secretary, in consultation with the National 
Council on Disabilities, shall establish priorities among the 
activities that are to be carried out under subsection (a).
    ``(d) Reports to Secretary.--The Secretary may provide financial 
assistance under subsection (a) only if the applicant involved agrees 
to submit to the Secretary such reports as the Secretary may require 
with respect to such assistance.
    ``(e) Application for Assistance.--The Secretary may provide 
financial assistance under subsection (a) only if an application for 
such assistance is submitted to the Secretary and the application is in 
such form, is made in such manner, and contains such agreements, 
assurances, and information as the Secretary determines to be necessary 
to carry out this section.
    ``(f) Limitation Regarding Education of Health Professionals.--In 
providing financial assistance under subsection (a), the Secretary may 
not, for activities described in subsection (b)(5), obligated more than 
10 percent of the amounts appropriated under subsection (k) for any 
fiscal year.
    ``(g) Technical Assistance.--The Secretary may provide training, 
technical assistance, and consultations with respect to the planning, 
development, and operation of any program for the prevention of 
disabilities or the prevention of secondary conditions resulting from 
disabilities.
    ``(h) Provision of Supplies and Services in Lieu of Funds.--
            ``(1) In general.--Upon the request of a recipient of 
        financial assistance under subsection (a), the Secretary may, 
        subject to paragraph (2), provide supplies, equipment, and 
        services for the purpose of aiding the recipient in carrying 
        out such subsection and, for such purpose, may detail to the 
        recipient any officer or employee of the Department of Health 
        and Human Services.
            ``(2) Corresponding reduction in payments.--With respect to 
        a request by a recipient for purposes of paragraph (1), the 
        Secretary shall reduce the amount of payments under subsection 
        (a) to the recipient by an amount equal to the costs of 
        detailing personnel (including pay, allowances, and travel 
        expenses) and the fair market value of any supplies, equipment, 
        or services provided by the Secretary. The Secretary shall, for 
        the payment of expenses incurred in complying with such 
        request, expend the amounts withheld.
    ``(i) Evaluations and Reports.--
            ``(1) Evaluations.--The Secretary shall, directly or 
        through contracts with public or private entities, provide for 
        evaluations of programs carried out pursuant to subsection (a).
            ``(2) Reports.--Not later than January 31 of 1995 and of 
        every second year thereafter, the Secretary shall submit to the 
        Committee on Energy and Commerce of the House of 
        Representatives, and to the Committee on Labor and Human 
        Resources of the Senate, a report summarizing evaluations 
        carried out pursuant to paragraph (1). The Secretary shall 
        provide a copy of each such report to the National Council on 
        Disability.
    ``(j) Definitions.--For purposes of this section:
            ``(1) The term `financial assistance' means a grant or 
        contract.
            ``(2) The term `prevention' means activities that address 
        the causes of disabilities and secondary conditions resulting 
        from disabilities, and activities that address the functional 
        limitations involved and the exacerbation of such limitations, 
        including activities that--
                    ``(A) eliminate or reduce the factors that cause or 
                predispose an individual to disabilities or that 
                increase the prevalence of disabilities;
                    ``(B) increase the early identification of existing 
                problems to eliminate circumstances that create or 
                increase functional limitations; and
                    ``(C) mitigate against the effects of disabilities 
                throughout the life of the individual.
    ``(k) Authorization of Appropriations.--For the purpose of 
providing financial assistance under this section, there are authorized 
to be appropriated $15,000,000 for fiscal year 1994, $20,000,000 for 
fiscal year 1995, $25,000,000 for fiscal year 1996, and such sums as 
may be necessary for each of the fiscal years 1997 and 1998.''.

            Passed the House of Representatives June 14, 1993.

            Attest:

                                           DONNALD K. ANDERSON,

                                                                 Clerk.
[A]: Silvio O. Conte Disabilities Prevention Act - Amends the Public Health Service Act to authorize grants and contracts for the prevention of disabilities and the prevention of secondary conditions resulting from disabilities, including through demonstrations and interventions, surveillances and studies, public education, and training health professionals.  Authorizes appropriations.


[Q]: SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Adult Day Achievement Center 
Enhancement Act''.

SEC. 2. FINDINGS.

    Congress finds the following:
            (1) One in 6 people in the United States lives with a 
        neurological disease or condition that can often result in 
        disability, and which may require the individual to seek 
        assistance in carrying out the activities of daily living. 
        Neurological diseases or conditions such as multiple sclerosis 
        (MS), early-onset Parkinson's disease, and traumatic brain 
        injury (TBI) often affect younger adults in the middle of their 
        lives.
            (2) Multiple sclerosis is a chronic, often disabling 
        disease that attacks the central nervous system with symptoms 
        ranging from numbness in limbs to paralysis and loss of vision. 
        Most individuals with MS are diagnosed between the ages of 20 
        and 50. It is estimated that more than 400,000 individuals in 
        the United States are living with MS. Individuals living with 
        MS who experience more severe forms of the disease are likely 
        to require either home care or nursing home placement, though 
        the vast majority would prefer to remain at home to receive the 
        care they need. Where home care is concerned, approximately 80 
        percent of such care is provided by informal, unpaid, 
        caregivers who are generally family members.
            (3) Parkinson's disease is a chronic, progressive 
        neurological disease. The 4 primary symptoms of Parkinson's 
        disease are tremor, or trembling in hands, arms, legs, jaw, and 
        face; rigidity, or stiffness of the limbs and trunk; 
        bradykinesia, or slowness of movement; and postural 
        instability, or impaired balance and coordination. It is 
        estimated that nearly 1,000,000 individuals live with 
        Parkinson's disease and, of those individuals, 5 to 10 percent 
        are diagnosed with the disease before age 60 and deemed 
        ``early-onset''.
            (4) Traumatic brain injury is a neurological condition that 
        typically results from a blow or jolt to the head or a 
        penetrating head injury and that can impact one or more parts 
        of the brain, thereby temporarily or permanently disrupting 
        normal brain function. The Centers for Disease Control and 
        Prevention estimates that 1,400,000 new cases of TBI occur 
        annually, resulting in disabilities affecting up to 90,000 
        individuals among a broad range of age groups. Traumatic brain 
        injury is a serious issue that affects military service 
        members. Estimates in prior military conflicts, indicate that 
        TBI was present in 14 to 20 percent of surviving casualties.
            (5) Family caregivers are a crucial source of support and 
        assistance for individuals suffering with disabilities. Family 
        caregivers, the majority of whom are women, provide an 
        estimated $306,000,000,000 in unpaid services annually. The 
        current pool of potential family caregivers is dwindling, from 
        11 potential caregivers for each individual needing care today 
        to a projected ratio of 4 potential caregivers for each such 
        individual by 2050.
            (6) Recent studies indicate that the total estimated cost 
        to employers for full-time employees with intensive caregiving 
        responsibilities is $17,100,000,000 annually. The total 
        estimated cost to employers for all full-time, employed 
        caregivers is $33,600,000,000 annually.
            (7) Adult day programs can offer services, including 
        medical care, rehabilitation therapies, dignified assistance 
        with the activities of daily living, nutrition therapy, health 
        monitoring, social interaction, stimulating activities, and 
        transportation to seniors, individuals with disabilities, and 
        younger adults with chronic diseases.
            (8) Adult day programs geared toward individuals living 
        with neurological diseases or conditions such as MS, 
        Parkinson's disease, TBI, or other similar diseases or 
        conditions, provide an important response to the needs of 
        individuals living with these conditions and the caregivers of 
        such individuals. Adult day programs can help to ameliorate 
        symptoms, reduce dependency, provide important socialization 
        opportunities, and maintain quality of life.
            (9) Adult day programs have been shown to provide a range 
        of documented benefits, including improvements in functional 
        status, social support, and reductions in fatigue, depression, 
        and pain. Adult day programs also reduce ongoing medical care 
        and hospital costs and decrease admissions to nursing home 
        facilities, which can be costly for many families, by allowing 
        individuals to receive health and social services while 
        continuing to live at home.
            (10) There are currently few adult day programs focused on 
        younger adult populations in the United States. As a result, 
        the majority of individuals living with neurological diseases 
        are unable to access this important opportunity for maximizing 
        their health and wellness. Although individuals living with 
        neurological diseases or conditions may be able to access other 
        existing adult day programs, such programs are not typically 
        intended for younger adults living with chronic diseases or 
        conditions, and may not provide the appropriate services to 
        meet the age-related or disability status of these individuals.

SEC. 3. ESTABLISHMENT OF ADULT DAY PROGRAMS.

    (a) Survey of Existing Adult Day Programs.--
            (1) In general.--Not later than 90 days after the date of 
        the enactment of this section, the Assistant Secretary for 
        Aging shall initiate a comprehensive survey of current adult 
        day programs that provide care and support to individuals 
        living with neurological diseases or conditions, including 
        multiple sclerosis, Parkinson's disease, traumatic brain 
        injury, and any other similar disease or condition.
            (2) Survey elements.--In carrying out the survey under 
        paragraph (1), the Assistant Secretary for Aging may utilize 
        existing publicly available research on adult day programs, and 
        shall--
                    (A) identify ongoing successful adult day programs, 
                including by providing a brief description of how such 
                programs were initially established and funded;
                    (B) develop a set of best practices to help guide 
                the establishment and replication of additional 
                successful adult day programs, including--
                            (i) program guidelines;
                            (ii) recommendations on the scope of 
                        services that should be provided (which may 
                        include rehabilitation therapy, psychosocial 
                        support, social stimulation and interaction, 
                        and spiritual, educational, or other such 
                        services); and
                            (iii) performance goals and indicators to 
                        measure and analyze the outcomes generated by 
                        the services provided and to evaluate the 
                        overall success of the program; and
                    (C) evaluate the extent to which the Administration 
                on Aging supports adult day programs, either directly 
                or indirectly, through current Federal grant programs.
            (3) Report.--Not later than 180 days after initiating the 
        survey under paragraph (1), the Assistant Secretary for Aging 
        shall prepare and make publicly available a summary report on 
        the results of the survey. Such report shall include each of 
        the elements described in paragraph (2).
    (b) Establishment of Grant Program.--
            (1) In general.--Not later than 90 days after producing the 
        report required by subsection (a)(3), the Assistant Secretary 
        for Aging shall establish within the Administration on Aging a 
        competitive grant program for awarding grants annually to 
        eligible entities, based on the best practices developed under 
        subsection (a), to fund adult day programs.
            (2) Eligible entities.--In order to be eligible for a grant 
        under this subsection, an entity shall demonstrate the 
        following:
                    (A) Understanding of the special needs of 
                individuals living with neurological diseases or 
                conditions such as multiple sclerosis, Parkinson's 
                disease, traumatic brain injury, or other similar 
                diseases or conditions, including the functional 
                abilities of such individuals and the potential 
                complications across all types of cases and stages of 
                such diseases or conditions.
                    (B) Understanding of the issues experienced by 
                family caregivers who assist a family member with a 
                neurological disease or condition such as multiple 
                sclerosis, Parkinson's disease, traumatic brain injury, 
                or other similar disease or condition.
                    (C) A capacity to provide the services recommended 
                by the best practices developed under subsection (a).
            (3) Additional selection requirement.--The Assistant 
        Secretary for Aging shall not award a grant to an entity under 
        this subsection if the amount of the award would constitute 
        more than 40 percent of the operating budget of the entity in 
        the fiscal year for which funds for the grant are authorized to 
        be expended. For purposes of this subsection, the fair market 
        value of annual in-kind contributions of equipment or services 
        shall be considered as part of the operating budget of the 
        entity.
            (4) Selection of grant recipients.--Not later than 90 days 
        after establishing the grant program under this subsection, the 
        Assistant Secretary for Aging shall award the first annual 
        series of grants under the program. In awarding grants under 
        this subsection, the Assistant Secretary shall ensure, to the 
        extent practicable, a diverse geographic representation among 
        grant recipients and that, subject to the availability of 
        appropriations--
                    (A) a minimum of 5 entities are selected as grant 
                recipients for the first fiscal year for which such 
                grants are awarded;
                    (B) a minimum of 10 entities are selected as grant 
                recipients for the second such fiscal year;
                    (C) a minimum of 12 entities are selected as grant 
                recipients for the third such fiscal year; and
                    (D) a minimum of 15 entities are selected as grant 
                recipients for the fourth such fiscal year.
            (5) Report.--No later than 1 year after the initial award 
        of grants under this subsection, and annually thereafter, the 
        Assistant Secretary for Aging shall prepare and make publicly 
        available a brief summary report on the grant program under 
        this section. Each such report shall include the following:
                    (A) A description of the adult day programs 
                receiving funding under this section, including the 
                amount of Federal funding awarded and the expected 
                outcomes of each program.
                    (B) A description of performance goals and 
                indicators to monitor the progress of grant recipients 
                in--
                            (i) responding to the needs of individuals 
                        living with neurological diseases or conditions 
                        such as multiple sclerosis, Parkinson's 
                        disease, traumatic brain injury, and other 
                        similar diseases or conditions; and
                            (ii) assisting the family caregivers of 
                        such individuals.
                    (C) Any plans for improving oversight and 
                management of the grant program.
    (c) Definitions.--In this Act:
            (1) The term ``adult day program'' means a program that 
        provides comprehensive and effective care and support services 
        to individuals living with neurological diseases or conditions 
        such as multiple sclerosis, Parkinson's disease, traumatic 
        brain injury, or other similar diseases or conditions that may 
        result in a functional or degenerative disability and to the 
        family caregivers of such individuals, and that may assist such 
        individuals and family caregivers in ways that--
                    (A) maintain or improve the functional abilities of 
                such individuals, or otherwise help such individuals 
                adjust to changing functional abilities;
                    (B) prevent the onset of complications associated 
                with severe forms of the disease or condition;
                    (C) promote alternatives to placement in nursing 
                homes;
                    (D) reduce the strain on family caregivers taking 
                care of a family member living with such a disease or 
                condition;
                    (E) focus on supporting the emotional, social, and 
                intellectual needs of a younger adult population; or
                    (F) address the needs of veterans living with such 
                a disease or condition.
            (2) The term ``family caregiver'' means a family member or 
        foster parent who provides unpaid assistance (which may include 
        in-home monitoring, management, supervision, care and 
        treatment, or other similar assistance) to another adult family 
        member with a special need.
    (d) Authorization of Appropriations.--There are authorized to be 
appropriated, in addition to amounts otherwise made available for such 
purpose, such sums as may be necessary to carry out this section.
[A]: Adult Day Achievement Center Enhancement Act - Requires the Assistant Secretary for Aging to initiate a comprehensive survey of current adult day programs that provide care and support to individuals living with neurological diseases or conditions, including multiple sclerosis, Parkinson's disease, or traumatic brain injury. Requires the Assistant Secretary to identify ongoing successful adult day programs and develop a set of best practices to help guide the establishment and replication of additional successful adult day programs.

Directs the Assistant Secretary to establish a competitive grant program for awarding grants annually to fund adult day programs. Defines an "adult day program" as a program that provides comprehensive and effective care and support services to individuals living with neurological diseases or conditions and to their family caregivers and that may assist them in ways that: (1) maintain or improve their functional abilities or otherwise help them adjust to their changing functional abilities; (2) prevent the onset of complications associated with severe forms of the disease or condition; (3) promote alternatives to placement in nursing homes; (4) reduce the strain on family caregivers taking care of a family member living with such a disease or condition; (5) focus on supporting the emotional, social, and intellectual needs of a younger adult population; or (6) address the needs of veterans living with such a disease or condition.


[Q]: SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Medicare Information Act of 2011''.

SEC. 2. ANNUAL MEDICARE BENEFICIARY PART A CONTRIBUTIONS AND BENEFITS 
              STATEMENTS.

    (a) In General.--Part A of title XI of the Social Security Act is 
amended by inserting after section 1143 (42 U.S.C. 1320b-13) the 
following new section:

    ``annual medicare beneficiary part a contributions and benefits 
                               statements

    ``Sec. 1143A.  (a) Provision.--
            ``(1) In general.--Beginning not later than 2 years after 
        the date of the enactment of this section, the Secretary, in 
        coordination with the Commissioner of Social Security, shall 
        provide a statement described in subsection (b) (in this 
        section referred to as an `annual Medicare part A information 
        statement') on an annual basis to each eligible individual (as 
        defined in subsection (d)) for whom a current mailing address 
        can be determined through such methods as the Secretary 
        determines to be appropriate.
            ``(2) Coordination in single mailing with social security 
        account statements.--In order to avoid sending separate 
        statements under this section and section 1143 in the case of 
        an individual for whom a social security account statement is 
        provided under section 1143 and a separate annual Medicare part 
        A information statement would otherwise be provided under this 
        section, the Secretary shall coordinate with the Commissioner 
        of Social Security, whether through transmittal of data or 
        otherwise, in a manner so that the annual Medicare part A 
        information statement is included and sent with such social 
        security account statement.
            ``(3) Methodology.--
                    ``(A) In general.--The Secretary, in consultation 
                with the Commissioner of Social Security and the 
                Secretary of the Treasury, shall specify the 
                methodology to be used in estimating lifetime 
                contributions and lifetime benefits with respect to 
                annual Medicare part A information statements. Such 
                methodology for computing the lifespan of an individual 
                shall be the same methodology used for purposes of the 
                social security account statement under section 1143.
                    ``(B) Inclusion of description in statement.--The 
                Secretary shall include a brief description of the key 
                assumptions used in such methodology in the annual 
                Medicare part A information statements.
            ``(4) Summary of medicare part a program.--Each annual 
        Medicare part A information statement shall include a summary 
        of part A of the Medicare program. Such summary shall also 
        include a summary description of benefits and enrollment 
        options under parts B, C, and D of title XVIII, but shall 
        indicate that the information described in subsection (b) does 
        not include information related to contributions and benefits 
        under those parts.
    ``(b) Medicare Part A Information Statement Described.--In addition 
to the information described in paragraphs (3)(B) and (4) of subsection 
(a), each annual Medicare part A information statement for an eligible 
individual shall contain the following:
            ``(1) HI employee contributions.--The total contributions 
        described in section 1143(a)(2)(C) for the individual--
                    ``(A) for the most recent year for which data are 
                available;
                    ``(B) to the extent feasible, for previous periods 
                through the end of such year; and
                    ``(C) as projected for the individual during the 
                individual's lifetime.
        To the extent feasible, of such total contributions the portion 
        that is attributable to employer, employee, and self-employment 
        contributions.
            ``(2) Medicare part a benefits.--In the case of an eligible 
        individual--
                    ``(A) who, for such most recent year, was entitled 
                to benefits under part A of title XVIII, the total 
                value of such benefits provided to the individual under 
                such part as of the end of such year and, to the extent 
                feasible, the total value of such benefits for such 
                individual for previous periods through the end of such 
                year; and
                    ``(B) an estimate of the actuarial value of the 
                expected benefits under such part for the individual 
                during the individual's lifetime, including (but stated 
                separately) any benefits described in subparagraph (A).
            ``(3) Comparison.--An appropriate comparison of such 
        contributions with such benefits.
    ``(c) Records Retention.--The Secretary shall provide for the 
indefinite retention of information that--
            ``(1) is described in subsection (b), including benefits 
        described in subsection (b)(2); and
            ``(2) the Secretary has not discarded as of the date of the 
        enactment of this section.
    ``(d) Eligible Individual Defined.--In this section, the term 
`eligible individual' means an individual--
            ``(1) who has a social security account number;
            ``(2) who has attained age 25 or over; and
            ``(3) who is entitled to benefits under part A of title 
        XVIII or who, as of the end of the most recent year referred to 
        in subsection (b)(1)(A), has had any contributions described in 
        subsection (b)(1) made with respect to the individual during 
        such year or a previous year.''.
    (b) Inclusion of Social Security Account Statement for Those 
Receiving Annual Medicare Part A Information Statement.--Section 
1143(a)(3) of such Act (42 U.S.C. 1320b-13(a)(3)) is amended by adding 
at the end the following:
``Such term includes an individual not described in the previous 
sentence who is an eligible individual (as defined in subsection (d) of 
section 1143A) for whom an annual Medicare part A information statement 
is provided under such section.''.
[A]:
Medicare Information Act of 2011 - Amends part A of title XI of the Social Security Act to direct the Secretary of Health and Human Services (HHS) to provide to each eligible individual annually a statement of Medicare part A (Hospital Insurance) contributions and benefits in coordination with the annual mailing of Social Security account statements.