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. SHORT TITLE.

    This Act may be cited as the ``Federal Law Enforcement Officers Pay 
Equity and Reform Act''.

SEC. 2. LIMITATION ON PREMIUM PAY.

    (a) In General.--Section 5547 of title 5, United States Code, is 
amended--
            (1) in subsection (a), by striking ``5545a,'';
            (2) in subsection (c), by striking ``or 5545a''; and
            (3) in subsection (d), by striking the period and inserting 
        ``or a criminal investigator who is paid availability pay under 
        section 5545a.''.
    (b) Effective Date.--The amendments made by this section shall take 
effect as if included in the enactment of section 1114 of the National 
Defense Authorization Act for Fiscal Year 2002 (Public Law 107-107; 115 
Stat. 1239).

SEC. 3. SPECIAL PAY ADJUSTMENTS FOR FEDERAL LAW ENFORCEMENT OFFICERS IN 
              CERTAIN AREAS.

    (a) In General.--Section 404(b)(1) of the Federal Law Enforcement 
Pay Reform Act of 1990 (5 U.S.C. 5305 note) is amended by striking the 
matter after the semicolon and inserting the following:

          ``Area                                           Differential
        Boston-Lawrence-Salem, MA-NH Consolidated                24.4% 
            Metropolitan Statistical Area.
        Chicago-Gary-Lake County, IL-IN-WI Consolidated          24.5% 
            Metropolitan Statistical Area.
        Detroit-Ann Arbor-Flint, MI........................      18.5% 
        Hartford, CT.......................................      20.3% 
        Los Angeles-Anaheim-Riverside, CA Consolidated           27.1% 
            Metropolitan Statistical Area.
        New York-Northern New Jersey-Long Island, NY-NJ-CT       26.1% 
            Consolidated Metropolitan Statistical Area.
        Philadelphia-Wilmington-Trenton PA-NJ-DE-MD              20.3% 
            Consolidated Metropolitan Statistical Area.
        Portland-Salem, OR-WA..............................      18.5% 
        Sacramento-Yolo, CA................................        21% 
        San Diego, CA Metropolitan Statistical Area........      27.1% 
        San Francisco-Oakland-San Jose, CA Consolidated         32.03% 
            Metropolitan Statistical Area.
        Seattle-Tacoma-Bremerton, WA.......................      27.5% 
        Washington-Baltimore, DC-MD-VA-WV Consolidated         24.3%''.
            Metropolitan Statistical Area.
    (b) Effective Date.--The amendment made by this section shall apply 
with respect to pay for service performed in pay periods beginning on 
or after the date of the enactment of this Act.

SEC. 4. SEPARATE PAY, EVALUATION, AND PROMOTION SYSTEM FOR FEDERAL LAW 
              ENFORCEMENT OFFICERS.

    (a) Study.--Not later than 6 months after the date of the enactment 
of this Act, the Office of Personnel Management shall study and submit 
to Congress a report which shall contain its findings and 
recommendations regarding the need for, and the potential benefits to 
be derived from, the establishment of a separate pay, evaluation, and 
promotion system for Federal law enforcement officers. In carrying out 
this subsection, the Office of Personnel Management shall take into 
account the findings and recommendations contained in the September 
1993 report of the Office entitled ``A Plan to Establish a New Pay and 
Job Evaluation System for Federal Law Enforcement Officers''.
    (b) Demonstration Project.--
            (1) In general.--If, after completing its report under 
        subsection (a), the Office of Personnel Management considers it 
        to be appropriate, the Office shall implement, within 12 months 
        after the date of the enactment of this Act, a demonstration 
        project to determine whether a separate system for Federal law 
        enforcement officers (as described in subsection (a)) would 
        result in improved Federal personnel management.
            (2) Applicable provisions.--Any demonstration project under 
        this subsection shall be conducted in accordance with the 
        provisions of chapter 47 of title 5, United States Code, except 
        that a project under this subsection shall not be taken into 
        account for purposes of the numerical limitation under section 
        4703(d)(2) of such title.
            (3) Permanent changes.--Not later than 6 months before the 
        demonstration project's scheduled termination date, the Office 
        of Personnel Management shall submit to Congress--
                    (A) its evaluation of the system tested under the 
                demonstration project; and
                    (B) recommendations as to whether or not that 
                system (or any aspects of that system) should be 
                continued or extended to other Federal law enforcement 
                officers.
    (c) Federal Law Enforcement Officer Defined.--For purposes of this 
section, the term ``Federal law enforcement officer'' means a law 
enforcement officer as defined by section 8331 or 8401 of title 5, 
United States Code, and, subsection (b)(2) notwithstanding, includes 
any such officer serving in or under the Federal Bureau of 
Investigation.

Ex Output:
Federal Law Enforcement Officers Pay Equity and Reform Act - Excludes availability pay for Federal criminal investigators from premium pay limitations.Amends the Federal Law Enforcement Pay Reform Act of 1990 to increase the Federal special pay differential for Federal law enforcement officers employed in specified metropolitan statistical areas.Requires a study by the Office of Personnel Management (OPM) regarding the need for, and potential benefits of, the establishment of a separate pay, evaluation, and promotion system for Federal law enforcement officers (including officers serving in or under the Federal Bureau of Investigation). Authorizes OPM to implement a demonstration project for such a system.


Ex Input:
SECTION 1. SHORT TITLE.

    This Act may be cited as the ``SSI Disability Reform Act of 1993''.

SEC. 2. REPRESENTATIVE PAYEE REFORMS.

    (a) Authority of Government Agencies to Become Paid Representative 
Payees.--Section 1631(a)(2)(D)(ii) of the Social Security Act (42 
U.S.C. 1383(a)(2)(D)(ii)) is amended by adding at the end the 
following: ``The term `qualified organization' also includes any 
government agency that meets the requirements of items (aa) and (bb) of 
subclause (II).''.
    (b) Maximum Fee Payable to Representative Payees.--Section 
1631(a)(2)(D)(i) of such Act (42 U.S.C. 1383(a)(2)(D)(i)) is amended by 
striking ``the lesser of--'' and all that follows and inserting ``10 
percent of the monthly benefit involved.''.

SEC. 3. REFORM OF SSI DISABILITY BENEFITS BASED ON SUBSTANCE ABUSE.

    (a) In General.--Section 1611(e)(3) of the Social Security Act (42 
U.S.C. 1382(e)(3)) is amended--
            (1) by striking all that precedes subparagraph (B) and 
        inserting the following:
    ``(3)(A) Notwithstanding paragraphs (1) and (2), a person who (but 
for this subparagraph) would be an eligible individual or eligible 
spouse for purposes of this title solely by reason of disability and 
who is medically determined to be a drug addict or an alcoholic shall 
not be such an eligible individual or eligible spouse until--
            ``(i) the person, through an outpatient rehabilitation 
        program, has undergone treatment appropriate for such condition 
        for 3 months at an institution or facility approved by the 
        Secretary for purposes of this paragraph, and has complied with 
        the terms, conditions, and requirements of such treatment and 
        with the requirements imposed under subparagraph (D); and
            ``(ii) the State in which the person resides determines 
        that--
                    ``(I) the person has made progress towards 
                recovery, or has recovered; or
                    ``(II) if the person has not made progress towards 
                recovery, the person meets such requirements 
                established in regulations as the Secretary deems 
                appropriate to effectuate the purposes of this 
                title.'';
            (2) by redesignating subparagraph (B) as subparagraph (D);
            (3) by inserting after the matter added by paragraph (1) of 
        this subsection the following:
    ``(B) If, after the 3-month treatment period referred to in 
subparagraph (A)(i), the State determines that the person has not 
recovered from the condition treated, then, as a condition of receiving 
benefits under this title by reason of disability, the person must 
continue to comply with the terms, conditions, and requirements of such 
treatment and with the requirements imposed under subparagraph (D), 
until recovery.
    ``(C)(i) A person who fails to continue treatment as required by 
subparagraph (B) shall not be an eligible individual or an eligible 
spouse for purposes of this title by reason of disability, until the 
person has completed 2 weeks of such treatment.
    ``(ii) A person who has become an eligible individual or an 
eligible spouse for purposes of this title by reason of disability 
after clause (i) has been applied to the person, and who fails to 
continue treatment as required by subparagraph (B), shall not be an 
eligible individual or an eligible spouse for purposes of this title by 
reason of disability, until the person has completed 2 months of such 
treatment.
    ``(iii) A person who has become an eligible individual or an 
eligible spouse for purposes of this title by reason of disability 
after clause (ii) has been applied to the person, and who fails to 
continue treatment as required by subparagraph (B), shall not again 
become an eligible individual or an eligible spouse for purposes of 
this title by reason of disability.''; and
            (4) by adding at the end the following:
    ``(E) The Secretary, in consultation with drug and alcohol 
treatment professionals, shall develop standards for drug and alcohol 
treatment programs, and in consultation with States, shall develop 
guidelines to be used to review and evaluate the progress of 
participants in such programs.''.
    (b) Preservation of Medicaid Benefits.--Section 1634 of such title 
(42 U.S.C. 1383c) is amended by adding at the end the following:
    ``(e) For purposes of title XIX, each person who is not an eligible 
individual or an eligible spouse solely by reason of section 1611(e)(3) 
shall be treated as receiving benefits under this title for so long as 
such person would be eligible for such benefits in the absence of such 
section.''.

SEC. 4. MANDATORY MEDICAID COVERAGE OF SUBSTANCE ABUSE TREATMENT 
              PROGRAMS FOR DISABLED SSI BENEFICIARIES.

    (a) In General.--Section 1905 of the Social Security Act (42 U.S.C. 
1396d) is amended--
            (1) in subsection (a)--
                    (A) by striking ``and'' at the end of paragraph 
                (21),
                    (B) by striking the comma at the end of paragraph 
                (24) and inserting a semicolon,
                    (C) by redesignating paragraphs (22), (23), and 
                (24) as paragraphs (25), (22), and (23), respectively, 
                and by transferring and inserting paragraph (25) after 
                paragraph (23), as so redesignated, and
                    (D) by inserting after paragraph (23) the following 
                new paragraph:
            ``(24) approved substance abuse treatment services for 
        certain disabled beneficiaries (as described in subsection 
        (t)(1)); and''; and
            (2) by adding at the end the following new subsection:
    ``(t)(1) For purposes of subsection (a)(24), approved substance 
abuse treatment services for certain disabled beneficiaries are 
services provided to an individual described in section 1611(e)(3)(A) 
through a program approved by the Secretary to provide substance abuse 
treatment services for purposes of enabling such individuals to meet 
the requirements of clause (i) of such section.
    ``(2) No payment shall be made under section 1903(a) to a State for 
medical assistance for approved substance abuse treatment services for 
certain disabled beneficiaries provided to any individual after the 3-
month period that begins on the date the individual first receives such 
services.''.
    (b) 100 Percent Federal Matching Rate.--The first sentence of 
section 1905(b) of such Act (42 U.S.C. 1396d(b)) is amended--
            (1) by inserting ``subject to clause (3),'' after ``except 
        that (1)'',
            (2) by striking ``and (2)'' and inserting ``(2)'', and
            (3) by inserting before the period at the end the 
        following: ``, and (3) subject to clause (2), the Federal 
        medical assistance percentage shall be 100 percent with respect 
        to expenditures as medical assistance for approved substance 
        abuse treatment services for certain disabled beneficiaries (as 
        described in section 1905(t)(1))''.
    (c) Conforming Amendments.--
            (1) Section 1902 of such Act (42 U.S.C. 1396a) is amended--
                    (A) in subsection (a)(10)(A) in the matter 
                preceding clause (i), by striking ``(17) and (21)'' and 
                inserting ``(17), (21), and (24)'';
                    (B) in subsection (a)(10)(C)(iv), by striking 
                ``through (21)'' and inserting ``through (24)''; and
                    (C) in subsection (j), by striking ``through (22)'' 
                and inserting ``through (25)''.
            (2) Section 1903(i) of such Act (42 U.S.C. 1396b(i)), as 
        amended by section 2(b)(2) of the Medicaid Voluntary 
        Contribution and Provider-Specific Tax Amendments of 1991, is 
        amended--
                    (A) in paragraph (10), by striking all that follows 
                ``1927(g)'' and inserting a semicolon;
                    (B) by redesignating the paragraph (12) inserted by 
                section 4752(a)(2) of the Omnibus Budget Reconciliation 
                Act of 1990 as paragraph (11), by transferring and 
                inserting it after paragraph (10), and by striking the 
                period at the end and inserting a semicolon;
                    (C) by redesignating the paragraph (14) inserted by 
                section 4752(e) of the Omnibus Budget Reconciliation 
                Act of 1990 as paragraph (12), by transferring and 
                inserting it after paragraph (11), and by striking the 
                period at the end and inserting a semicolon;
                    (D) by redesignating the paragraph (11) inserted by 
                section 4801(e)(16)(A) of the Omnibus Budget 
                Reconciliation Act of 1990 as paragraph (13), by 
                transferring and inserting it after paragraph (12), and 
                by striking the period at the end and inserting ``; 
                or''; and
                    (E) by inserting after paragraph (13), as so 
                redesignated, the following new paragraph:
            ``(14) with respect to any amount expended for medical 
        assistance for approved substance abuse treatment services for 
        certain disabled beneficiaries (as described in section 
        1905(t)(1)) which are provided in violation of paragraph (2) of 
        section 1905(t).''.
    (d) Effective Date.--The amendments made by this section apply to 
payments under title XIX of the Social Security Act for calendar 
quarters beginning on or after the first day of the second calendar 
quarter that begins on or after the date of the enactment of this Act, 
without regard to whether or not final regulations to carry out such 
amendments have been promulgated by such date.

SEC. 5. EFFECTIVE DATE.

    Except as provided in section 4(d), the amendments made by this Act 
shall apply to benefits payable for months beginning 90 or more days 
after the date of the enactment of this Act.

Ex Output:
SSI Disability Reform Act of 1993 - Amends title XVI (Supplemental Security Income) (SSI) of the Social Security Act (SSA) to:  (1) allow government agencies to serve as paid representative payees; (2) set the maximum fee payable to representative payees at ten percent of the monthly benefit involved; and (3) revise the provision of SSI benefits to the disabled based on substance abuse. 
Amends SSA title XIX (Medicaid) to provide for mandatory Medicaid coverage of approved substance abuse treatment programs for certain disabled SSI beneficiaries.


Ex Input:
SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Save Medicare Act of 2008''.

SEC. 2. INCREASE IN MEDICARE PHYSICIAN PAYMENT UPDATE.

    Section 1848(d) of the Social Security Act (42 U.S.C. 1395w-4(d)), 
as amended by section 101 of the Medicare, Medicaid, and SCHIP 
Extension Act of 2007 (Public Law 110-173), is amended--
            (1) in paragraph (8)--
                    (A) in the heading, by striking ``a portion of'';
                    (B) in subparagraph (A)--
                            (i) by striking ``(A) In general.--Subject 
                        to'' and inserting ``Notwithstanding''; and
                            (ii) by striking ``for the period beginning 
                        on January 1, 2008, and ending on June 30, 
                        2008,'';
                    (C) by striking subparagraph (B); and
            (2) by adding at the end the following new paragraph:
            ``(9) Update for 2009.--In lieu of the update to the single 
        conversion factor established in paragraph (1)(C) that would 
        otherwise apply for 2009, the update to the single conversion 
        factor shall be 1.8 percent.''.

SEC. 3. EXTENSION OF THE PHYSICIAN QUALITY REPORTING SYSTEM.

    (a) System.--Section 1848(k)(2)(B) of the Social Security Act (42 
U.S.C. 1395w-4(k)(2)(B)), as amended by section 101 of the Medicare, 
Medicaid, and SCHIP Extension Act of 2007 (Public Law 110-173), is 
amended--
            (1) in the heading, by striking ``and 2009'' and inserting 
        ``, 2009, and 2010'';
            (2) in clause (i), by striking ``and 2009'' and inserting 
        ``, 2009, and 2010''; and
            (3) in each of clauses (ii) and (iii)--
                    (A) by striking ``and 2008'' and inserting ``, 
                2008, and 2009''; and
                    (B) by striking ``or 2009'' and inserting ``, 2009, 
                or 2010''.
    (b) Reporting.--Section 101(c) of division B of the Tax Relief and 
Health Care Act of 2006 (42 U.S.C. 1395w-4 note), as amended by section 
101 of the Medicare, Medicaid, and SCHIP Extension Act of 2007 (Public 
Law 110-173), is amended--
            (1) in the heading, by striking ``and 2008'' and inserting 
        ``, 2008, and 2009''; and
            (2) in paragraph (6)(C)--
                    (A) in clause (i), by striking ``and'' at the end;
                    (B) in clause (ii), by striking the period at the 
                end and inserting ``; and''; and
                    (C) by adding at the end the following new clause:
                            ``(iii) for 2009, all of 2009.''.

SEC. 4. EXTENSION OF MEDICARE INCENTIVE PAYMENT PROGRAM FOR PHYSICIAN 
              SCARCITY AREAS.

    Section 1833(u) of the Social Security Act (42 U.S.C. 1395l(u)), as 
amended by section 102 of the Medicare, Medicaid, and SCHIP Extension 
Act of 2007 (Public Law 110-173), is amended--
            (1) in paragraph (1), by striking ``July 1, 2008'' and 
        inserting ``January 1, 2010''; and
            (2) in subparagraph (4)(D), by striking ``July 1, 2008'' 
        and inserting ``January 1, 2010''.

SEC. 5. EXTENSION OF FLOOR ON MEDICARE WORK GEOGRAPHIC ADJUSTMENT UNDER 
              THE MEDICARE PHYSICIAN FEE SCHEDULE.

    Section 1848(e)(1) of the Social Security Act (42 U.S.C. 1395w-
4(e)(1)), as amended by section 103 of the Medicare, Medicaid, and 
SCHIP Extension Act of 2007 (Public Law 110-173), is amended--
            (1) in subparagraph (A), in the matter preceding clause 
        (i), by striking ``subparagraphs (B)'' through ``the 
        Secretary'' and inserting ``the succeeding provisions of this 
        paragraph, the Secretary''; and
            (2) in subparagraph (E), by striking ``July 1, 2008'' and 
        inserting ``January 1, 2010''.

SEC. 6. EXTENSION OF ACCOMMODATION OF PHYSICIANS ORDERED TO ACTIVE DUTY 
              IN THE ARMED SERVICES.

    Section 1842(b)(6)(D)(iii) of the Social Security Act (42 U.S.C. 
1395u(b)(6)(D)(iii)), as amended by section 116 of the Medicare, 
Medicaid, and SCHIP Extension Act of 2007 (Public Law 110-173), is 
amended by striking ``July 1, 2008'' and inserting ``January 1, 2010''.

SEC. 7. SENSE OF CONGRESS REGARDING FISCAL RESPONSIBILITY.

    It is the sense of Congress that--
            (1) the provisions of, and amendments made by, this Act 
        should be deficit neutral over the 5-year period beginning on 
        October 1, 2008; and
            (2) Congress should address the challenges facing the 
        Medicare program in a fiscally responsible manner.

SEC. 8. SENSE OF CONGRESS REGARDING QUALITY.

    It is the sense of Congress that--
            (1) the Medicare program should provide payments to 
        physicians and other health professionals that serve as 
        positive incentives for participation in voluntary initiatives 
        to improve health care quality;
            (2) such initiatives should include pay-for-reporting 
        programs, programs to facilitate coordination of care, the use 
        of clinical appropriateness criteria developed by organizations 
        representing physicians and other health care professionals, 
        grants for developing and pilot testing data registry systems, 
        grants for participation in such data registries, and other 
        appropriate initiatives; and
            (3) financing for such initiatives should be non-punitive 
        and exempt from the Medicare physician fee schedule budget 
        neutrality requirements.

Ex Output:

Save Medicare Act of 2008 - Amends title XVIII (Medicare) of the Social Security Act, as amended by the Medicare, Medicaid, and SCHIP Extension Act of 2007, to: (1) increase the Medicare physician payment update for 2009; and (2) extend the physician quality reporting system, the incentive payment program for physician scarcity areas, the floor on the work geographic adjustment to the physician fee schedule, and the accommodation for physicians ordered to active duty in the armed services.

Expresses the sense of Congress that: (1) the provisions of, and amendments made by, this Act should be deficit neutral over the five year period beginning on October 1, 2008; and (2) Congress should address the challenges facing the Medicare program in a fiscally responsible manner.

Expresses the sense of Congress that: (1) the Medicare program should provide payments to physicians and other health professionals that serve as positive incentives for participation in voluntary initiatives to improve health care quality; and (2) financing for such initiatives should be non-punitive and exempt from the Medicare physician fee schedule budget neutrality requirements.