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

[EX Q]: SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Health Empowerment Zone Act of 
2009''.

SEC. 2. TABLE OF CONTENTS.

    The table of contents for this Act is as follows:

Sec. 1. Short title.
Sec. 2. Table of contents.
Sec. 3. Findings.
Sec. 4. Designation of health empowerment zones.
Sec. 5. Assistance to those seeking designation.
Sec. 6. Benefits of designation.
Sec. 7. Definition.
Sec. 8. Authorization of appropriations.

SEC. 3. FINDINGS.

    (a) Findings.--The Congress finds the following:
            (1) Numerous studies and reports, including the National 
        Healthcare Disparities Report and Unequal Treatment, the 2002 
        Institute of Medicine Report, document the extensiveness to 
        which health disparities exist across the country.
            (2) These studies have found that, on average, racial and 
        ethnic minorities are disproportionately afflicted with chronic 
        and acute conditions--such as cancer, diabetes, and 
        hypertension--and suffer worse health outcomes, worse health 
        status, and higher mortality rates than their White 
        counterparts.
            (3) Several recent studies also show that health 
        disparities are a function of not only access to health care, 
        but also the social determinants of health--including the 
        environment, the physical structure of communities, nutrition 
        and food options, educational attainment, employment, race, 
        ethnicity, geography, and language preference--that directly 
        and indirectly affect the health, health care, and wellness of 
        individuals and communities.
            (4) Integrally involving and fully supporting the 
        communities most affected by health inequities in the 
        assessment, planning, launch, and evaluation of health 
        disparity elimination efforts is among the leading 
        recommendations made to adequately address and ultimately 
        reduce health disparities.
            (5) Recommendations also include supporting the efforts of 
        community stakeholders from a broad cross section--including, 
        but not limited to local businesses, local departments of 
        commerce, education, labor, urban planning, and transportation, 
        and community-based and other nonprofit organizations--to find 
        areas of common ground around health disparity elimination and 
        collaborate to improve the overall health and wellness of a 
        community and its residents.

SEC. 4. DESIGNATION OF HEALTH EMPOWERMENT ZONES.

    (a) In General.--At the request of an eligible community 
partnership, the Secretary may designate an eligible area as a health 
empowerment zone.
    (b) Eligibility Criteria.--
            (1) Eligible community partnership.--A community 
        partnership is eligible to submit a request under this section 
        if the partnership--
                    (A) demonstrates widespread public support from key 
                individuals and entities in the eligible area, 
                including State and local governments, nonprofit 
                organizations, and community and industry leaders, for 
                designation of the eligible area as a health 
                empowerment zone; and
                    (B) includes representatives of--
                            (i) a broad cross section of stakeholders 
                        and residents from communities in the eligible 
                        area experiencing disproportionate disparities 
                        in health status and health care; and
                            (ii) organizations, facilities, and 
                        institutions that have a history of working 
                        within and serving such communities.
            (2) Eligible area.--An area is eligible to be designated as 
        a health empowerment zone under this section if one or more 
        communities in the area experience disproportionate disparities 
        in health status and health care. In determining whether a 
        community experiences such disparities, the Secretary shall 
        consider the data collected by the Department of Health and 
        Human Services focusing on the following areas:
                    (A) Access to high-quality health services.
                    (B) Arthritis, osteoporosis, and chronic back 
                conditions.
                    (C) Cancer.
                    (D) Chronic kidney disease.
                    (E) Diabetes.
                    (F) Injury and violence prevention.
                    (G) Maternal, infant, and child health.
                    (H) Medical product safety.
                    (I) Mental health and mental disorders.
                    (J) Nutrition and overweight.
                    (K) Disability and secondary conditions.
                    (L) Educational and community-based health 
                programs.
                    (M) Environmental health.
                    (N) Family planning.
                    (O) Food safety.
                    (P) Health communication.
                    (Q) Health disease and stroke.
                    (R) HIV/AIDS.
                    (S) Immunization and infectious diseases.
                    (T) Occupational safety and health.
                    (U) Oral health.
                    (V) Physical activity and fitness.
                    (W) Public health infrastructure.
                    (X) Respiratory diseases.
                    (Y) Sexually transmitted diseases.
                    (Z) Substance abuse.
                    (AA) Tobacco use.
                    (BB) Vision and hearing.
    (c) Procedure.--
            (1) Request.--A request under subsection (a) shall--
                    (A) describe the bounds of the area to be 
                designated as a health empowerment zone and the process 
                used to select those bounds;
                    (B) demonstrate that the partnership submitting the 
                request is an eligible community partnership described 
                in subsection (b)(1);
                    (C) demonstrate that the area is an eligible area 
                described in subsection (b)(2);
                    (D) include a comprehensive assessment of 
                disparities in health status and health care experience 
                by one or more communities in the area;
                    (E) set forth--
                            (i) a vision and a set of values for the 
                        area; and
                            (ii) a comprehensive and holistic set of 
                        goals to be achieved in the area through 
                        designation as a health empowerment zone; and
                    (F) include a strategic plan for achieving the 
                goals described in subparagraph (E)(ii).
            (2) Approval.--Not later than 60 days after the receipt of 
        a request for designation of an area as a health empowerment 
        zone under this section, the Secretary shall approve or 
        disapprove the request.
    (d) Minimum Number.--The Secretary--
            (1) shall designate not more than 110 health empowerment 
        zones under this section; and
            (2) shall designate at least one health empowerment zone in 
        each of the several States, the District of Columbia, and each 
        territory or possession of the United States.

SEC. 5. ASSISTANCE TO THOSE SEEKING DESIGNATION.

    At the request of any organization or entity seeking to submit a 
request under section 4(a), the Secretary shall provide technical 
assistance, and may award a grant, to assist such organization or 
entity--
            (1) to form an eligible community partnership described in 
        subsection (b)(1);
            (2) to complete a health assessment, including an 
        assessment of health disparities under subsection (c)(1)(D); or
            (3) to prepare and submit a request, including a strategic 
        plan, in accordance with section 4.

SEC. 6. BENEFITS OF DESIGNATION.

    (a) Priority.--In awarding any competitive grant, a Federal 
official shall give priority to any applicant that--
            (1) meets the eligibility criteria for the grant;
            (2) proposes to use the grant for activities in a health 
        empowerment zone; and
            (3) demonstrates that such activities will directly and 
        significantly further the goals of the strategic plan approved 
        for such zone under section 4.
    (b) Grants for Initial Implementation of Strategic Plan.--
            (1) In general.--Upon designating an eligible area as a 
        health empowerment zone at the request of an eligible community 
        partnership, the Secretary shall, subject to the availability 
        of appropriations, make a grant to the community partnership 
        for implementation of the strategic plan for such zone.
            (2) Grant period.--A grant under paragraph (1) for a health 
        empowerment zone shall be for a period of 2 years and may be 
        renewed, except that the total period of grants under paragraph 
        (1) for such zone may not exceed 10 years.
            (3) Limitation.--In awarding grants under this subsection, 
        the Secretary shall not give less priority to an applicant or 
        reduce the amount of a grant because the Secretary rendered 
        technical assistance or made a grant to the same applicant 
        under section 5.
            (4) Reporting.--The Secretary shall require each recipient 
        of a grant under this subsection to report to the Secretary not 
        less than every 6 months on the progress in implementing the 
        strategic plan for the health empowerment zone.

SEC. 7. DEFINITION.

    In this Act, the term ``Secretary'' means the Secretary of Health 
and Human Services, acting through the Administrator of the Health 
Resources and Services Administration and the Director of the Office of 
Minority Health, and in cooperation with the Director of the Office of 
Community Services and the Director of the National Center for Minority 
Health and Health Disparities.

SEC. 8. AUTHORIZATION OF APPROPRIATIONS.

    To carry out this Act, there is authorized to be appropriated 
$100,000,000 for fiscal year 2010.
[EX A]: Health Empowerment Zone Act of 2009 - Authorizes the Secretary of Health and Human Services (HHS), at the request of a broad-based community partnership, to designate a community that experiences disproportionate disparities in health status and health care as a health empowerment zone. Requires federal officials to give priority in awarding competitive grants to grants used in or benefiting a health empowerment zone.

Directs the Secretary to provide: (1) technical assistance (or grants) to entities seeking to form a community partnership or obtain a health empowerment zone designation for a community; and (2) grants to community partnerships for implementation of the strategic plan for a health empowerment zone.

[EX Q]: SECTION 1. SHORT TITLE; FINDINGS.

    (a) Short Title.--This Act may be cited as the ``Preserving Access 
to Modern Prosthetic Limbs Act of 2016''.
    (b) Findings.--Congress finds the following:
            (1) The Medicare program includes coverage for prosthetic 
        limbs under section 1861(s)(9) of the Social Security Act (42 
        U.S.C. 1395w(s)(9)).
            (2) As a result of significant Federal and private 
        investment in research and development over the past decades, 
        beneficiaries with lower limb prostheses are able to maintain 
        optimal function and lead productive and independent lives.
            (3) Federal spending for prosthetic devices in the Medicare 
        program has decreased by 15 percent between 2010 and 2014.
            (4) The Secretary of Health and Human Services, through 
        Medicare contractors known as Durable Medical Equipment 
        Medicare Administrative Contractors, released on July 16, 2015, 
        a document entitled ``Local Coverage Determination (LCD): Lower 
        Limb Prostheses (DL33787)'', which applies to all Medicare 
        beneficiaries across the United States.
            (5) The policies proposed in this document would 
        comprehensively change the requirements under which a Medicare 
        beneficiary would qualify for a lower limb prosthetic device 
        and would seriously restrict access to modern prosthetic care.
            (6) If finalized, the changes proposed in this document 
        would create coverage requirements that are inconsistent with 
        current clinical practice and would arbitrarily and 
        unreasonably deny Medicare beneficiaries access to prosthetic 
        limb technologies considered the current standard of care.
            (7) Under these proposed policies, beneficiaries instead 
        would be eligible for prosthetic devices that are functionally 
        outdated, less durable, and less safe.
            (8) The adverse impact of the Medicare contractors' 
        proposed policies extend well beyond the Medicare program and 
        has implications for other Federal health programs, such as 
        health programs of the Veterans Administration, and commercial 
        insurers.
            (9) Given the far reaching effect of these policies, and 
        the fact that little or no clinical or scientific evidence 
        supported the issuance of these proposals, any changes to 
        prosthetic limb coverage should be made only after a 
        transparent process in which evidence is offered to justify 
        coverage modifications, meaningful stakeholder feedback is 
        solicited, and the Secretary and Medicare contractors receive 
        and respond to this stakeholder feedback in a public manner.
            (10) A moratorium on the implementation and enforcement of 
        these proposed policies would enable the Secretary and the 
        Medicare contractors to engage in such a transparent process.

SEC. 2. MORATORIUM ON IMPLEMENTATION OF PROPOSED MEDICARE LOCAL 
              COVERAGE DETERMINATION ON LOWER LIMB PROSTHESES.

    (a) Moratorium.--
            (1) In general.--The Secretary of Health and Human Services 
        and any Medicare Administrative Contractor may not implement 
        and enforce the policies in the LCD on lower limb prostheses 
        (as defined in subsection (d)(1)), in whole or in part, during 
        the period beginning on the date of the enactment of this Act, 
        and ending on June 30, 2017.
            (2) Removal of policy from websites.--The Secretary of 
        Health and Human Services and its medicare administrative 
        contractors shall remove the LCD on lower limb prostheses from 
        the websites of the Centers for Medicare & Medicaid Services 
        and its medicare administrative contractors during the period 
        of the moratorium under paragraph (1).
    (b) Providing the Secretary With Authority To Oversee the 
Development of Local Coverage Determinations.--Section 1862(l)(5) of 
the Social Security Act (42 U.S.C. 395y(l)(5)) is amended--
            (1) by redesignating subparagraph (C) as subparagraph (D); 
        and
            (2) by inserting after subparagraph (B) the following new 
        subparagraph:
                    ``(C) Secretary oversight and guidance in 
                developing local coverage determinations.--The 
                Secretary shall provide guidance and oversight of any 
                local coverage determination developed by a medicare 
                administrative contractor to ensure that the local 
                coverage determination is consistent with this 
                title.''.
    (c) Construction.--Nothing in this section shall be construed to 
prevent the Secretary from enforcing existing statutes, regulations, 
and local coverage determinations other than with respect to policies 
in the LCD on lower limb prostheses.
    (d) Definitions.--In this section:
            (1) LCD on lower limb prostheses.--The term ``LCD on lower 
        limb prostheses'' means the local coverage determination on 
        lower limb prostheses as proposed by a medicare administrative 
        contractor in the document (DL33787) released on July 16, 2015, 
        and any successor to such determination.
            (2) Medicare administrative contractor.--The term 
        ``medicare administrative contractor'' has the meaning given 
        such term in section 1874A(a)(3)(A) of the Social Security Act 
        (42 U.S.C. 1395kk-1(a)(3)(A)).
[EX A]: Preserving Access to Modern Prosthetic Limbs Act of 2016 This bill amends title XVIII (Medicare) of the Social Security Act to postpone implementation and enforcement of&nbsp;a local coverage determination (LCD) proposed by a Medicare Administrative Contractor (MAC) on lower limb prostheses. (An LCD is a decision by a MAC, which is a private insurer that processes Medicare claims within a specified geographic&nbsp;jurisdiction, as to&nbsp;whether to cover a service on a MAC-wide basis.) The Centers for Medicare &amp; Medicaid shall provide guidance and oversight related to LCDs, as specified by the bill.

[EX Q]: SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Tapoco Project Licensing Act of 
2004''.

SEC. 2. DEFINITIONS.

    In this Act:
        (1) APGI.--The term ``APGI'' means Alcoa Power Generating Inc. 
    (including its successors and assigns).
        (2) Commission.--The term ``Commission'' means the Federal 
    Energy Regulatory Commission.
        (3) Map.--The term ``map'' means the map entitled ``Tapoco 
    Hydroelectric Project, P-2169, Settlement Agreement, Appendix B, 
    Proposed Land Swap Areas, National Park Service and APGI'', 
    numbered TP514, Issue No. 9, and dated June 8, 2004.
        (4) Park.--The term ``Park'' means Great Smoky Mountains 
    National Park.
        (5) Project.--The term ``Project'' means the Tapoco 
    Hydroelectric Project, FERC Project No. 2169, including the 
    Chilhowee Dam and Reservoir in the State of Tennessee.
        (6) Secretary.--The term ``Secretary'' means the Secretary of 
    the Interior.

SEC. 3. LAND EXCHANGE.

    (a) Authorization.--
        (1) In general.--Upon the conveyance by APGI of title 
    acceptable to the Secretary of the land identified in paragraph 
    (2), the Secretary shall simultaneously convey to APGI title to the 
    land identified in paragraph (3).
        (2) Description of land to be conveyed by apgi.--The land to be 
    conveyed by APGI to the Secretary is the approximately 186 acres of 
    land, subject to any encumbrances existing before February 21, 
    2003--
            (A) within the authorized boundary of the Park, located 
        northeast of United States Highway 129 and adjacent to the APGI 
        power line; and
            (B) as generally depicted on the map as ``Proposed Property 
        Transfer from APGI to National Park Service''.
        (3) Description of land to be conveyed by the secretary.--The 
    land to be conveyed by the Secretary to APGI are the approximately 
    110 acres of land within the Park that are--
            (A) adjacent to or flooded by the Chilhowee Reservoir;
            (B) within the boundary of the Project as of February 21, 
        2003; and
            (C) as generally depicted on the map as ``Proposed Property 
        Transfer from National Park Service to APGI''.
    (b) Minor Adjustments to Conveyed Land.--The Secretary and APGI may 
mutually agree to make minor boundary or acreage adjustments to the 
land identified in paragraphs (2) and (3) of subsection (a).
    (c) Opportunity To Mitigate.--If the Secretary determines that all 
or part of the land to be conveyed to the Park under subsection (a) is 
unsuitable for inclusion in the Park, APGI shall have the opportunity 
to make the land suitable for inclusion in the Park.
    (d) Conservation Easement.--The Secretary shall reserve a 
conservation easement over any land transferred to APGI under 
subsection (a)(3) that, subject to any terms and conditions imposed by 
the Commission in any license that the Commission may issue for the 
Project, shall--
        (1) specifically prohibit any development of the land by APGI, 
    other than any development that is necessary for the continued 
    operation and maintenance of the Chilhowee Reservoir;
        (2) authorize public access to the easement area, subject to 
    National Park Service regulations; and
        (3) authorize the National Park Service to enforce Park 
    regulations on the land and in and on the waters of Chilhowee 
    Reservoir lying on the land, to the extent not inconsistent with 
    any license condition considered necessary by the Commission.
    (e) Applicability of Certain Laws.--Section 5(b) of Public Law 90-
401 (16 U.S.C. 460l-22(b)), shall not apply to the land exchange 
authorized under this section.
    (f) Reversion.--
        (1) In general.--The deed from the Secretary to APGI shall 
    contain a provision that requires the land described in subsection 
    (a)(3) to revert to the United States if--
            (A) the Chilhowee Reservoir ceases to exist; or
            (B) the Commission issues a final order decommissioning the 
        Project from which no further appeal may be taken.
        (2) Applicable law.--A reversion under this subsection shall 
    not eliminate APGI's responsibility to comply with all applicable 
    provisions of the Federal Power Act (16 U.S.C. 791a et seq.), 
    including regulations.
    (g) Boundary Adjustment.--
        (1) In general.--On completion of the land exchange authorized 
    under this section, the Secretary shall--
            (A) adjust the boundary of the Park to include the land 
        described in subsection (a)(2); and
            (B) administer any acquired land as part of the Park in 
        accordance with applicable law (including regulations).
        (2) National park service land.--Notwithstanding the exchange 
    of land under this section, the land described in subsection (a)(3) 
    shall remain in the boundary of the Park.
        (3) Public notice.--The Secretary shall publish in the Federal 
    Register notice of any boundary revised under paragraph (1).

SEC. 4. PROJECT LICENSING.

    Notwithstanding the continued inclusion of the land described in 
section 3(a)(3) in the boundary of the Park (including any modification 
made pursuant to section 3(b)) on completion of the land exchange, the 
Commission shall have jurisdiction to license the Project.

SEC. 5. LAND ACQUISITION.

    (a) In General.--The Secretary or the Secretary of Agriculture may 
acquire, by purchase, donation, or exchange, any land or interest in 
land that--
        (1) may be transferred by APGI to any non-governmental 
    organization; and
        (2) is identified as ``Permanent Easement'' or ``Term 
    Easement'' on the map entitled ``Tapoco Hydroelectric Project,
    P-2169, Settlement Agreement, Appendix B, Proposed Land Conveyances 
    in Tennessee'', numbered TP616, Issue No. 15, and dated March 11, 
    2004.
    (b) Land Acquired by the Secretary of the Interior.--The Secretary 
shall--
        (1) adjust the boundary of the Park to include any land or 
    interest in land acquired by the Secretary under subsection (a);
        (2) administer any acquired land or interest in land as part of 
    the Park in accordance with applicable law (including regulations); 
    and
        (3) publish notice of the adjustment in the Federal Register.
    (c) Land Acquired by the Secretary of Agriculture.--
        (1) Boundary adjustment.--The Secretary of Agriculture shall--
            (A) adjust the boundary of the Cherokee National Forest to 
        include any land acquired under subsection (a);
            (B) administer any acquired land or interest in land as 
        part of the Cherokee National Forest in accordance with 
        applicable law (including regulations); and
            (C) publish notice of the adjustment in the Federal 
        Register.
        (2) Management.--The Secretary of Agriculture shall evaluate 
    the feasibility of managing any land acquired by the Secretary of 
    Agriculture under subsection (a) in a manner that retains the 
    primitive, back-country character of the land.

SEC. 6. AUTHORIZATION OF APPROPRIATIONS.

    There are authorized to be appropriated such sums as are necessary 
to carry out this Act.

                               Speaker of the House of Representatives.

                            Vice President of the United States and    
                                               President of the Senate.
[EX A]:
Tapoco Project Licensing Act of 2004 - (Sec. 3) Instructs the Secretary of the Interior to engage in a simultaneous land exchange with Alcoa Power Generating Inc. (APGI) upon conveyance by APGI of acceptable title to certain land adjacent to the APGI power line within the Great Smoky Mountains National Park, generally depicted on the map as "proposed Property Transfer from APGI to National Park Service."

Identifies the land to be conveyed by the Secretary as approximately 110 acres within the Park: (1) adjacent to or flooded by the Chilhowee Reservoir; and (2) within the boundary of the Tapoco Hydroelectric Project as of February 21, 2003.

Prescribes procedural requirements, including reservation of a conservation easement over any land transferred to APGI that: (1) specifically prohibits development of the land by APGI which is not necessary for the continued operation and maintenance of the Chilhowee Reservoir; (2) authorizes public access to the easement area, subject to National Park Service regulations; and (3) authorizes the National Park Service to enforce Park regulations on the land and in and on the waters of Chilhowee Reservoir lying on the land.

Requires the deed to require reversion of the title to the United States if the Chilhowee Reservoir ceases to exist, or the Federal Energy Regulatory Commission (FERC) issues a final order decommissioning the Tapoco Project from which no further appeal may be taken.

(Sec. 4) Grants FERC jurisdiction to license the Tapoco Project upon completion of the land exchange.

(Sec. 5) Authorizes the Secretary of the Interior or the Secretary of Agriculture to acquire for the United States any land or interest in land identified as specified easements that may be transferred by APGI to a nongovernmental organization pursuant to a specified Settlement Agreement.

Prescribes implementation requirements for land acquired by the Secretary of the Interior and the Secretary of Agriculture, respectively.

(Sec. 6) Authorizes appropriations.