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. DENIAL OF CASH BENEFITS TO DRUG ADDICTS AND ALCOHOLICS.

    (a) Amendments Relating to Title II Disability Benefits.--
            (1) In general.--Section 225(c) of the Social Security Act 
        (42 U.S.C. 425(c)) is amended--
                    (A) by striking ``(c)(1)(A)'' and inserting 
                ``(2)(A)'';
                    (B) by striking paragraph (7) and by redesignating 
                paragraphs (2) through (6) as paragraphs (3) through 
                (7), respectively; and
                    (C) by inserting before paragraph (2) as 
                redesignated by subparagraph (A) the following new 
                paragraph:
    ``(c)(1) No cash benefits shall be payable under this title to any 
individual who is otherwise entitled to benefits under this title based 
on disability, if such individual's alcoholism or drug addiction is a 
contributing factor material to the Commissioner's determination that 
such individual is disabled.''.
            (2) Treatment Requirements.--
                    (A) Section 225(c)(2)(A) of such Act (42 U.S.C. 
                425(c)(2)(A)), as redesignated by paragraph (1), is 
                amended to read as follows:
    ``(2)(A)(i) Any individual who would be entitled to cash benefits 
under this title but for the application of paragraph (1) may elect to 
comply with the provisions of this subsection.
            ``(ii) Any individual who is entitled to cash benefits 
        under this title by reason of disability (or whose entitlement 
        to such benefits is suspended), and who was entitled to such 
        benefits by reason of disability, for which such individual's 
        alcoholism or drug addiction was a contributing factor material 
        to the Commissioner's determination that such individual was 
        disabled, for the month preceding the month in which this 
        paragraph takes effect, shall be required to comply with the 
        provisions of this subsection.
                    (B) Section 225(c)(2)(B) of such Act (42 U.S.C. 
                425(c)(2)(B)), as so redesignated, is amended--
                            (i) by striking ``who is required under 
                        subparagraph (A)'' and inserting ``described in 
                        clause (ii) of subparagraph (A) who is 
                        required''; and
                            (ii) by striking ``paragraph (3)'' and 
                        inserting ``paragraph (4)''.
                    (C) Section 225(c)(3)(A) of such Act (42 U.S.C. 
                425(c)(3)(A)), as so redesignated, is amended--
                            (i) by striking ``paragraph (1)'' and 
                        inserting ``paragraph (2)(A)''; and
                            (ii) by striking ``paragraph (5)'' and 
                        inserting ``paragraph (6)''.
                    (D) Section 225(c)(3)(B) of such Act (42 U.S.C. 
                425(c)(3)(B)), as so redesignated, is amended by 
                striking ``paragraph (1)'' and inserting ``paragraph 
                (2)(A)''.
                    (E) Section 225(c)(5) of such Act (42 U.S.C. 
                425(c)(5)), as so redesignated, is amended by striking 
                ``paragraph (2)'' and inserting ``paragraph (3)''.
                    (F) Section 225(c)(6)(A) of such Act (42 U.S.C. 
                425(c)(6)(A), as so redesignated, is amended--
                            (i) by striking ``who are receiving 
                        benefits under this title and who as a 
                        condition of payment of such benefits'' and 
                        inserting ``described in paragraph (2)(A)(i) 
                        who elect to undergo treatment; and the 
                        monitoring and testing of all individuals 
                        described in paragraph (2)(A)(ii) who'';
                            (ii) by striking ``under paragraph (1)''; 
                        and
                            (iii) by striking ``paragraph (2)(A)'' and 
                        inserting ``paragraph (3)(A)''.
                    (G) Section 225(c)(6)(C)(ii)(I) of such Act (42 
                U.S.C. 425(c)(6)(C)(ii)(I)), as so redesignated, is 
                amended--
                            (i) by striking ``residing in the State'' 
                        and all that follows through ``they are 
                        disabled'' and inserting ``described in 
                        paragraph (2)(A) residing in the State''; and
                            (ii) by striking ``paragraph (2)(A)'' and 
                        inserting ``paragraph (3)(A)''.
                    (H) Section 225(c)(6)(C)(ii)(III) of such Act (42 
                U.S.C. 425(c)(6)(C)(ii)(III)), as so redesignated, is 
                amended by striking ``paragraph (2)(A)'' and inserting 
                ``paragraph (3)(A)''.
                    (I) Section 225(c)(6)(C) of such Act (42 U.S.C. 
                425(c)(6)(C)), as so redesignated, is amended by adding 
                at the end the following:
    ``(iii) The monitoring requirements of clause (ii) shall not apply 
in the case of any individual described in paragraph (2)(A)(i) who 
fails to comply with the requirements of paragraph (2).''.
                    (J) Section 225(c)(7) of such Act (42 U.S.C. 
                425(c)(7)), as so redesignated, is amended--
                            (i) in subparagraph (A), by striking ``who 
                        is entitled'' and all that follows through ``is 
                        under a disability'' and inserting ``described 
                        in paragraph (2)(A)''; and
                            (ii) in subparagraph (D), by striking ``(4) 
                        or (7)'' and inserting ``(5)''.
                    (K) Section 225(c)(8) of such Act (42 U.S.C. 
                425(c)(8)) is amended by striking ``(1), (4) or (7)'' 
                and inserting ``(2) or (5)''.
                    (L) Section 225(c) of such Act (42 U.S.C. 425(c)) 
                is amended by adding at the end the following new 
                paragraphs:
    ``(10) The Commissioner shall provide appropriate notification to 
each individual subject to the limitation on cash benefits contained in 
paragraph (1) and the treatment provisions contained in paragraph (2).
    ``(11) The requirements of paragraph (2) shall cease to apply to 
any individual if the Commissioner determines that such individual no 
longer needs treatment.''.
            (3) Representative payee requirements.--
                    (A) Section 205(j)(1)(B) of such Act (42 U.S.C. 
                405(j)(1)(B)) is amended to read as follows:
    ``(B) In the case of an individual entitled to benefits based on 
disability, the payment of such benefits shall be made to a 
representative payee if the Commissioner of Social Security determines 
that such payment would serve the interest of the individual because 
the individual also has an alcoholism or drug addiction condition (as 
determined by the Commissioner) and the individual is incapable of 
managing such benefits.''.
                    (B) Section 205(j)(2)(C)(v) of such Act (42 U.S.C. 
                405(j)(2)(C)(v)) is amended by striking ``entitled to 
                benefits'' and all that follows through ``under a 
                disability'' and inserting ``described in paragraph 
                (1)(B)''.
                    (C) Section 205(j)(2)(D)(ii)(II) of such Act (42 
                U.S.C. 405(j)(2)(D)(ii)(II)) is amended by striking all 
                that follows ``15 years, or'' and inserting ``described 
                in paragraph (1)(B).''.
                    (D) Section 205(j)(4)(A)(i)(II) of such Act (42 
                U.S.C. 405(j)(4)(A)(ii)(II)) is amended by striking 
                ``entitled to benefits'' and all that follows through 
                ``under a disability'' and inserting ``described in 
                paragraph (1)(B)''.
    (b) Amendments Relating to SSI Benefits.--
            (1) In general.--Section 1611(e)(3) of the Social Security 
        Act (42 U.S.C. 1382(e)(3)) is amended--
                    (A) by striking ``(B)'' and inserting ``(C)'';
                    (B) by striking ``(3)(A)'' and inserting ``(B)''; 
                and
                    (C) by inserting before subparagraph (B) as 
                redesignated by paragraph (2) the following new 
                subparagraph:
    ``(3)(A) No cash benefits shall be payable under this title to any 
individual who is otherwise eligible for benefits under this title by 
reason of disability, if such individual's alcoholism or drug addiction 
is a contributing factor material to the Commissioner's determination 
that such individual is disabled.''.
            (2) Treatment requirements.--
                    (A) Section 1611(e)(3)(B)(i)(I) of such Act (42 
                U.S.C. 1382(e)(3)(B)(i)(I)), as redesignated by 
                paragraph (1), is amended to read as follows:
    ``(B)(i)(I)(aa) Any individual who would be eligible for cash 
benefits under this title but for the application of subparagraph (A) 
may elect to comply with the provisions of this subparagraph.
            ``(bb) Any individual who is eligible for cash benefits 
        under this title by reason of disability (or whose eligibility 
        for such benefits is suspended) or is eligible for benefits 
        pursuant to section 1619(b), and who was eligible for such 
        benefits by reason of disability, for which such individual's 
        alcoholism or drug addiction was a contributing factor material 
        to the Commissioner's determination that such individual was 
        disabled, for the month preceding the month in which this 
        subparagraph takes effect, shall be required to comply with the 
        provisions of this subparagraph.''.
                    (B) Section 1611(e)(3)(B)(i)(II) of such Act (42 
                U.S.C. 1382(e)(3)(B)(i)(II)), as so redesignated, is 
                amended by striking ``who is required under subclause 
                (I)'' and inserting ``described in division (bb) of 
                subclause (I) who is required''.
                    (C) Subclauses (I) and (II) of section 
                1611(e)(3)(B)(ii) of such Act (42 U.S.C. 
                1382(e)(3)(B)(ii)), as so redesignated, are each 
                amended by striking ``clause (i)'' and inserting 
                ``clause (i)(I)''.
                    (D) Section 1611(e)(3)(B) of such Act (42 U.S.C. 
                1382(e)(3)(B)), as so redesignated, is amended by 
                striking clause (v) and by redesignating clause (vi) as 
                clause (v).
                    (E) Section 1611(e)(3)(B)(v) of such Act (42 U.S.C. 
                1382(e)(3)(B)(v)), as redesignated by subparagraph (D), 
                is amended--
                            (i) in subclause (I), by striking ``who is 
                        eligible'' and all that follows through ``is 
                        disabled'' and inserting ``described in clause 
                        (i)(I)''; and
                            (ii) in subclause (V), by striking ``or 
                        (v)''.
                    (F) Section 1611(e)(3)(C)(i) of such Act (42 U.S.C. 
                1382(e)(3)(C)(i)), as redesignated by paragraph (1), is 
                amended by striking ``who are receiving benefits under 
                this title and who as a condition of such benefits'' 
                and inserting ``described in subparagraph (B)(i)(I)(aa) 
                who elect to undergo treatment; and the monitoring and 
                testing of all individuals described in subparagraph 
                (B)(i)(I)(bb) who''.
                    (G) Section 1611(e)(3)(C)(iii)(II)(aa) of such Act 
                (42 U.S.C. 1382(e)(3)(C)(iii)(II)(aa)), as so 
                redesignated, is amended by striking ``residing in the 
                State'' and all that follows through ``they are 
                disabled'' and inserting ``described in subparagraph 
                (B)(i)(I) residing in the State''.
                    (H) Section 1611(e)(3)(C)(iii) of such Act (42 
                U.S.C. 1382(e)(3)(C)(iii)), as so redesignated, is 
                amended by adding at the end the following:
    ``(III) The monitoring requirements of subclause (II) shall not 
apply in the case of any individual described in subparagraph 
(B)(i)(I)(aa) who fails to comply with the requirements of subparagraph 
(B).''.
                    (I) Section 1611(e)(3) of such Act (42 U.S.C. 
                1382(e)(3)), as amended by paragraph (1), is amended by 
                adding at the end the following new subparagraphs:
    ``(D) The Commissioner shall provide appropriate notification to 
each individual subject to the limitation on cash benefits contained in 
subparagraph (A) and the treatment provisions contained in subparagraph 
(B).
    ``(E) The requirements of subparagraph (B) shall cease to apply to 
any individual if the Commissioner determines that such individual no 
longer needs treatment.''.
            (3) Representative payee requirements.--
                    (A) Section 1631(a)(2)(A)(ii)(II) of such Act (42 
                U.S.C. 1383(a)(2)(A)(ii)(II)) is amended to read as 
                follows:
    ``(II) In the case of an individual eligible for benefits under 
this title by reason of disability, the payment of such benefits shall 
be made to a representative payee if the Commissioner of Social 
Security determines that such payment would serve the interest of the 
individual because the individual also has an alcoholism or drug 
addiction condition (as determined by the Commissioner) and the 
individual is incapable of managing such benefits.''.
                    (B) Section 1631(a)(2)(B)(vii) of such Act (42 
                U.S.C. 1383(a)(2)(B)(vii)) is amended by striking 
                ``eligible for benefits'' and all that follows through 
                ``is disabled'' and inserting ``described in 
                subparagraph (A)(ii)(II)''.
                    (C) Section 1631(a)(2)(B)(ix)(II) of such Act (42 
                U.S.C. 1383(a)(2)(B)(ix)(II)) is amended by striking 
                all that follows ``15 years, or'' and inserting 
                ``described in subparagraph (A)(ii)(II).''.
                    (D) Section 1631(a)(2)(D)(i)(II) of such Act (42 
                U.S.C. 1383(a)(2)(D)(i)(II)) is amended by striking 
                ``eligible for benefits'' and all that follows through 
                ``is disabled'' and inserting ``described in 
                subparagraph (A)(ii)(II)''.
            (4) Preservation of medicaid eligibility.--Section 1634(e) 
        of such Act (42 U.S.C. 1382(e)) is amended--
                    (A) by striking ``clause (i) or (v) of section 
                1611(e)(3)(A)'' and inserting ``subparagraph (A) or 
                subparagraph (B)(i)(II) of section 1611(e)(3)''; and
                    (B) by adding at the end the following: ``This 
                subsection shall cease to apply to any such person if 
                the Commissioner determines that such person no longer 
                needs treatment.''.
            (5) Conforming amendment.--Section 201(c) of the Social 
        Security Independence and Program Improvements Act of 1994 (42 
        U.S.C. 425 note) is repealed.
    (c) Effective Dates.--
            (1) In general.--Except as provided in paragraph (2), the 
        amendments made by this section shall apply to applicants for 
        benefits under title II or title XVI of the Social Security Act 
        for months beginning on or after the date of the enactment of 
        this Act, without regard to whether regulations have been 
        issued to implement such amendments.
            (2) Application to current recipients.--Notwithstanding any 
        other provision of law, in the case of an individual who is 
        receiving benefits under title II of the Social Security Act or 
        supplemental security income benefits under title XVI of such 
        Act as of the date of the enactment of this Act and whose 
        entitlement or eligibility for such benefits would terminate by 
        reason of the amendments made by this section, such amendments 
        shall apply with respect to the benefits of such individual for 
        months beginning on or after January 1, 1997, and the 
        Commissioner of Social Security shall so notify the individual 
        not later than 90 days after the date of the enactment of this 
        Act.
            (3) Benefits under title xvi.--For purposes of this 
        subsection, the term ``benefits under title XVI of the Social 
        Security Act'' includes supplementary payments pursuant to an 
        agreement for Federal administration under section 1616(a) of 
        the Social Security Act, and payments pursuant to an agreement 
        entered into under section 212(b) of Public Law 93-66.

A: Denies monthly cash disability benefits under titles II (Old Age, Survivors and Disability Insurance) (OASDI) and XVI (Supplemental Security Income) (SSI), respectively, of the Social Security Act for drug addicts and alcoholics whose substance abuse is a contributing factor material to their disability.  Allows such individuals, instead, to elect to undergo treatment for their substance abuse. (Currently, such recipients are required to undergo treatment only at approved facilities or institutions.) 
Revises OASDI and SSI program representative payee requirements to require the payment of program benefits through a representative payee if it is in the interest of an otherwise disabled individual with an alcohol or drug addiction condition who is incapable of managing such benefits. 
Preserves the Medicaid eligibility of SSI recipients denied cash disability benefits because of the connection between their drug addiction or alcoholism and their disability.
****
Q: SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Reducing Duplication Overseas Act of 
2012''.

SEC. 2. PURPOSE.

    The purpose of this Act is to promote high-quality, cost-efficient, 
and effective administrative support services to agencies overseas.

SEC. 3. DEFINITIONS.

    In this Act:
            (1) Agency.--The term ``agency'' means a department, 
        agency, or independent establishment in the executive branch 
        performing any foreign affairs functions.
            (2) Appropriate congressional committees.--The term 
        ``appropriate congressional committees'' means--
                    (A) the Committee on Foreign Relations of the 
                Senate;
                    (B) the Committee on Homeland Security and 
                Governmental Affairs of the Senate;
                    (C) the Committee on Appropriations of the Senate;
                    (D) the Committee on Foreign Affairs of the House 
                of Representatives;
                    (E) the Committee on Oversight and Government 
                Reform of the House of Representatives; and
                    (F) the Committee on Appropriations of the House of 
                Representatives.
            (3) International cooperative administrative support 
        services system.--The term ``International Cooperative 
        Administrative Support Services system'' means the mechanism 
        established pursuant to section 23 of the State Department 
        Basic Authorities Act of 1956 (22 U.S.C. 2695) by which the 
        United States Government manages and funds administrative 
        support services at overseas posts.
            (4) International cooperative administrative support 
        services customer agencies.--The term ``International 
        Cooperative Administrative Support Services customer agencies'' 
        means agencies participating in the International Cooperative 
        Administrative Support Services system.
            (5) International cooperative administrative support 
        services executive board.--The term ``International Cooperative 
        Administrative Support Services Executive Board'' means the 
        highest-level International Cooperative Administrative Support 
        Services policy-making body comprised of senior representatives 
        of agencies participating in the International Cooperative 
        Administrative Support Services system.

SEC. 4. PARTICIPATION IN INTERNATIONAL COOPERATIVE ADMINISTRATIVE 
              SUPPORT SERVICES SYSTEM.

    (a) In General.--Not later than 2 years after the date of the 
enactment of this Act, each agency with operations overseas under the 
authority of the Chief of Mission pursuant to section 207 of the 
Foreign Service Act of 1980 (22 U.S.C. 3927) shall participate in the 
International Cooperative Administrative Support Services system for 
purposes of obtaining household furniture, furnishings, and appliance 
pools services, motor pool services, and management services unless--
            (1) the agency provides a detailed explanation for 
        evaluation and decision by the International Cooperative 
        Administrative Support Services Executive Board that 
        describes--
                    (A) how the agency will provide the service outside 
                of the International Cooperative Administrative Support 
                Services system;
                    (B) the cost to the agency of the service; and
                    (C) how providing the service outside the 
                International Cooperative Administrative Support 
                Services system will not increase overall costs to the 
                United States Government; or
            (2) the agency submits a detailed explanation for 
        evaluation and decision by the International Cooperative 
        Administrative Support Services Executive Board certifying that 
        the mission of the agency cannot be achieved by such 
        participation in the International Cooperative Administrative 
        Support Services system.
    (b) Rule of Construction.--The motor pool services requirement 
under subsection (a) applies to administrative services, and shall not 
be construed as superseding, removing, or limiting any statutory or 
programmatic requirements related to agency use or procurement of 
vehicles.

SEC. 5. USE OF ALTERNATE SERVICE PROVIDERS.

    The International Cooperative Administrative Support Services 
Executive Board shall allow an agency to act as an alternate service 
provider for administrative services at an overseas post in place of 
the existing International Cooperative Administrative Support Services 
provider for purposes of reducing overall costs to the United States 
Government if the agency--
            (1) demonstrates through a business case that it can 
        provide the administrative service more efficiently; and
            (2) agrees to provide the administrative service to all 
        other International Cooperative Administrative Support Services 
        customer agencies at the overseas post.

SEC. 6. REPORTING REQUIREMENTS.

    (a) Biennial Report.--
            (1) In general.--Not later than 1 year after the date of 
        the enactment of this Act, and every 2 years thereafter, the 
        Secretary of State, in consultation with the International 
        Cooperative Administrative Support Services Executive Board, 
        shall submit to the appropriate congressional committees a 
        report on the International Cooperative Administrative Support 
        Services system.
            (2) Content.--The report required under paragraph (1) 
        shall--
                    (A) establish performance goals to define the level 
                of performance to be achieved in providing efficient, 
                effective, and equitable administrative services to 
                International Cooperative Administrative Support 
                Services customer agencies;
                    (B) establish a balanced set of performance 
                indicators to be used in measuring or assessing 
                progress toward each performance goal;
                    (C) describe how the International Cooperative 
                Administrative Support Services system ensures the 
                accuracy and reliability of the data used to measure 
                progress; and
                    (D) identify strategies and the resources required 
                to achieve performance goals.
    (b) Comptroller General Review.--
            (1) In general.--Not later than 2 years after the date of 
        the enactment of this Act, the Comptroller General of the 
        United States shall submit to the appropriate congressional 
        committees a review of the International Cooperative 
        Administrative Support Services system.
            (2) Content.--The review required under paragraph (1) shall 
        include--
                    (A) an evaluation of whether requiring agencies to 
                participate in the International Cooperative 
                Administrative Support Services system for household 
                furniture, furnishings, and appliance pools services 
                and motor pools services has increased cost-efficiency 
                and reduced administrative redundancies;
                    (B) recommendations, if warranted, for further 
                consolidation of services in the International 
                Cooperative Administrative Support Services system;
                    (C) an evaluation of how implementation of this Act 
                is affecting the performance of International 
                Cooperative Administrative Support Services customer 
                agencies; and
                    (D) recommendations, if warranted, for improving 
                the International Cooperative Administrative Support 
                Services system and implementing this Act.

A: Reducing Duplication Overseas Act of 2012 - Requires a federal agency that performs any foreign affairs functions and operates overseas to participate in the International Cooperative Administrative Support Services system for purposes of obtaining household furniture, furnishings, and appliance pools services, motor pool services, and management services unless such agency provides a detailed explanation that describes: (1) how such agency will provide the service outside the system, (2) the cost of the service, and (3) how providing the service outside the system will not increase overall costs. Requires such an agency to provide a detailed explanation certifying that the mission of the agency cannot be achieved by participation in the system.

Requires the International Cooperative Administrative Support Services Executive Board to allow an agency to act as an alternative provider for administrative services at an overseas post in place of the system if the agency: (1) demonstratives that it can provide the administrative service more efficiently, and (2) agrees to provide the administrative service to all other International Cooperative Administrative Support Services customer agencies at the overseas post.

Requires the Comptroller General (GAO) to submit a review of the system to specified congressional committees
****
Q: SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Managing Our Medicare and Medicaid 
Services and Protecting Our Parents Act'' .

SEC. 2. LOAN REPAYMENT PROGRAM FOR NURSE PRACTITIONERS AND PHYSICIANS 
              ASSISTANTS SERVING IN UNDERSERVED NURSING HOMES.

    Title IV of the Public Health Service Act (42 U.S.C. 281 et seq.) 
is amended--
            (1) by redesignating the second section 487F as section 
        487G; and
            (2) by inserting after section 487G (as so redesignated) 
        the following:

``SEC. 487H. LOAN REPAYMENT PROGRAM FOR NURSE PRACTITIONERS AND 
              PHYSICIAN ASSISTANTS SERVING IN UNDERSERVED NURSING 
              HOMES.

    ``(a) Establishment.--To the extent and in the amounts provided in 
advance in appropriations Acts, the Secretary, acting through the 
Administrator of the Health Resources and Services Administration, 
shall establish a program to enter into contracts with individuals 
under which the individual involved agrees to serve for a period of not 
less than 3 years as a nurse practitioner or a physician assistant at 
an underserved nursing home, in consideration of the Federal Government 
agreeing to make payments, for not more than 5 years of such service, 
on the principal and interest of the educational loans of the 
individual.
    ``(b) Amount of Payments.--The amount of a payment by the Secretary 
under this section for a year of service by an individual as a nurse 
practitioner or physician assistant at an underserved nursing home 
shall not exceed the lesser of the remaining outstanding obligation on 
the individual's educational loans or--
            ``(1) $2,000 at the completion of the first year of such 
        service;
            ``(2) $2,500 at the completion of the second year of such 
        service;
            ``(3) $3,500 at the completion of the third year of such 
        service;
            ``(4) $4,500 at the completion of the fourth year of such 
        service; and
            ``(5) $5,000 at the completion of the fifth year of such 
        service.
    ``(c) Application of Provisions.--Except as inconsistent with this 
section, the provisions of sections 338B, 338C, and 338E shall apply to 
the program established under this section to the same extent and in 
the same manner as such provisions apply to the National Health Service 
Corps Loan Repayment Program established in subpart III of part D of 
title III.
    ``(d) Definitions.--For purposes of this section:
            ``(1) The term `medicaid recipient' means, with respect to 
        a resident of a nursing home, a resident of the home who is 
        provided medical assistance under title XIX of the Social 
        Security Act for nursing home services.
            ``(2) The term `medicare recipient' means, with respect to 
        a resident of a skilled nursing home, a resident who is being 
        provided benefits under part A of title XVIII of the Social 
        Security Act with respect to extended care services in the 
        home.
            ``(3) The term `nursing home' means any institution or 
        facility defined as such for licensing purposes under State 
        law, or, if State law does not employ the term nursing home, 
        the equivalent term or terms as determined by the Secretary, 
        but does not include a religious nonmedical health care 
        institution (as defined in section 1861(ss)(1) of the Social 
        Security Act).
            ``(4) The term `underserved nursing home' means a nursing 
        home in which at least 85 percent of the number of residents of 
        the home are medicaid recipients, not more than 8 percent of 
        such residents are medicare recipients, and not more than 10 
        percent of such residents are neither medicaid nor medicare 
        recipients.
    ``(e) Funding.--
            ``(1) Authorization of appropriations.--For the purpose of 
        carrying out this section, there are authorized to be 
        appropriated such sums as may be necessary for each fiscal 
        year.
            ``(2) Availability.--Amounts appropriated for carrying out 
        this section shall remain available until the expiration of the 
        second fiscal year beginning after the fiscal year for which 
        the amounts were made available.''.

SEC. 3. TRAINING PROGRAM FOR NURSING HOME ADMINISTRATORS.

    (a) In General.--The Secretary of Health and Human Services, acting 
through the Director of the Centers for Medicare & Medicaid Services, 
shall provide grants to States to implement nursing home administrator 
mentor programs described in subsection (b).
    (b) Mentor Program Described.--A mentor program described in this 
subsection is a program to improve the training of nursing home 
administrators and to strengthen their commitment to serve as leaders 
in their States. Such a program shall provide for the following:
            (1) Identification of individuals who are nursing home 
        administrators and have exceptional potential to serve as 
        mentors to other nursing home administrators.
            (2) Training of such individuals to serve as mentors for 
        other nursing home administrators who are employed in 
        underserved nursing homes (as defined in section 487H(e)(3) of 
        the Public Health Service Act).
    (c) Applications.--A State seeking a grant under this section shall 
submit an application to the Secretary at such time, in such manner, 
and containing such information as the Secretary may require.
    (d) Authorization of Appropriations.--There are authorized to be 
appropriated $25,000,000 to carry out this section.
    (e) Definitions.--For purposes of this section:
            (1) Nursing home.--The term ``nursing home'' means any 
        institution or facility defined as such for licensing purposes 
        under State law, or, if State law does not employ the term 
        nursing home, the equivalent term or terms as determined by the 
        Secretary, but does not include a religious nonmedical health 
        care institution (as defined in section 1861(ss)(1) of the 
        Social Security Act (42 U.S.C. 1395x(ss)(1)).
            (2) Nursing home administrator.--The term ``nursing home 
        administrator''means any individual who is charged with the 
        general administration of a nursing home whether or not such 
        individual has an ownership interest in such home and whether 
        or not the individual's functions and duties are shared with 
        one or more other individuals.
            (3) State.--The term ``State'' has the meaning given such 
        term for purposes of title XIX of the Social Security Act.

SEC. 4. HIGH FAMILY INVOLVEMENT IN NURSING HOMES.

    The Director of the Centers for Medicare & Medicaid Services shall 
provide, in implementing the Nursing Home Quality Initiative, the 
degree of family involvement (as defined by the Director) among the 
quality indicators for the evaluation of the quality of nursing homes, 

SEC. 5. REINSTITUTION OF BOREN AMENDMENT MEDICAID PAYMENT METHODOLOGY.

    (a) In General.--Section 1902(a)(13) of the Social Security Act (42 
U.S.C. 1396a(a)(13)) is amended to read as follows:
            ``(13) provide for payment of services through the use of 
        rates determined pursuant to the criteria under this paragraph 
        as in effect on August 1, 1997;''.
    (b) Establishment of Safe Harbor Rates.--Section 1902 of such Act 
(42 U.S.C. 1396a) is amended by adding at the end the following: ``The 
Secretary may, by regulation, promulgate standards or methodologies for 
determining rates that comply with paragraph (13), and a State that 
pays rates that meet such standards or methodologies is deemed to be in 
compliance with paragraph (13).''.
    (c) Effective Date.--The amendments made by this section shall 
apply to services furnished on or after the date that is one year after 
the date of the enactment of this Act.

SEC. 6. INCREASE OF MEDICAID FMAP.

    Section 1905(b) of the Social Security Act (42 U.S.C. 1396d(b)) is 
amended by adding at the end the following: ``Notwithstanding the first 
sentence of this subsection, only for purposes of this title (and not 
with respect to the determination of the enhanced FMAP) and with 
respect to calendar quarters beginning after October 1, 2004, in the 
case of a State in which the Federal medical assistance percentage 
otherwise determined under the first sentence is less than 60 percent, 
such percentage shall be increased by 2 percentage points, and in the 
case of a State in which such percentage is otherwise so determined to 
be 60 percent or greater, such percentage shall be increased by 1 
percentage point.''.

A:
Managing Our Medicare and Medicaid Services and Protecting Our Parents Act - Amends the Public Health Services Act to direct the Secretary of Health and Human Services to establish a loan repayment program for nurse practitioners and physician assistants serving in underserved nursing homes.

Directs the Secretary to establish a mentoring program for training nursing home administrators.

Requires the Director of the Centers for Medicare & Medicaid Services to provide, in implementing the Nursing Home Quality Initiative, the degree of family involvement among the quality indicators for the evaluation of the quality of nursing homes.

Amends title XIX (Medicaid) of the Social Security Act to reinstitute certain payment levels for health institutions (Boren Amendment Medicaid payment methodology) and to increase the Federal medical assistance percentage (FMAP).
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