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 ``Student Loan Fairness Consolidation 
Act of 2003''.

SEC. 2. AUTHORITY TO REFINANCE EXISTING CONSOLIDATION LOANS.

    (a) FFEL Consolidation Loans.--Section 428C(a)(3)(B) of the Higher 
Education Act of 1965 (20 U.S.C. 1078-3(a)(3)(B)) is amended by adding 
at the end the following new clause:
            ``(ii) Notwithstanding clause (i) of this subparagraph, a 
        borrower of a consolidation loan on which the interest is 
        established at a fixed rate under section 427A, 428C(c), or 455 
        may obtain a subsequent consolidation loan for the purposes of 
        refinancing such earlier consolidation loan at a variable rate 
        of interest under section 427A(m) or 455(b)(8), except that the 
        authority to refinance a consolidation loan under this clause 
        shall not apply to a consolidation loan that was used 
        exclusively to repay loans made under section 428B or Federal 
        Direct PLUS Loans (or both such loans).''.
    (b) Parallel Terms for Federal Direct Consolidation Loans.--Section 
455(a) of the Higher Education Act of 1965 (20 U.S.C. 1087e(a)) is 
amended--
            (1) in paragraph (1), by inserting ``428C,'' after 
        ``428B,''; and
            (2) in paragraph (2)--
                    (A) by striking ``and'' at the end of subparagraph 
                (B);
                    (B) by redesignating subparagraph (C) as 
                subparagraph (D); and
                    (C) by inserting after subparagraph (B) the 
                following:
                    ``(C) section 428C shall be known as `Federal 
                Direct Consolidation Loans'.''.

SEC. 3. AVAILABILITY OF VARIABLE INTEREST RATE CONSOLIDATION LOANS.

    (a) FFEL Consolidation Loans.--Section 427A of the Higher Education 
Act of 1965 (20 U.S.C. 1077a) is amended--
            (1) by redesignating subsection (m) and (n) as subsections 
        (n) and (o), respectively; and
            (2) by inserting after subsection (l) the following:
    ``(m) Variable Interest Rate Consolidation Loans.--
            ``(1) Variable rate.--Notwithstanding subsections (h), (k), 
        and (l), with respect to any loan made pursuant to section 428C 
        for which the first disbursement is made on or after the date 
        of enactment of the Student Loan Fairness Consolidation Act of 
        2003, the applicable rate of interest shall, during any 12-
        month period beginning on July 1 and ending on June 30, be 
        determined on the preceding June 1 and be equal to--
                    ``(A) the bond equivalent rate of 91-day Treasury 
                bills auctioned at the final auction held prior to such 
                June 1; plus
                    ``(B) 2.3 percent,
        except that such rate shall not exceed 8.25 percent.
            ``(2) Recovery of excess interest.--If, with respect to a 
        consolidation loan on which the applicable interest rate is 
        determined under this subsection, the applicable interest rate 
        for any 3-month period exceeds the special allowance rate 
        applicable to such loan under section 438(b)(2)(I) for such 
        period, then an adjustment shall be made--
                    ``(A) by calculating the excess interest in the 
                amount computed under paragraph (3) of this subsection; 
                and
                    ``(B) by crediting the excess interest to the 
                Government.
            ``(3) Amount of adjustment.--The amount of any adjustment 
        of interest on a loan to be made under this subsection for any 
        quarter shall be equal to--
                    ``(A) the applicable interest rate minus the 
                special allowance rate determined under section 
                438(a)(2)(I); multiplied by
                    ``(B) the average daily principal balance of the 
                loan (not including unearned interest added to 
                principal) during such calendar quarter; divided by
                    ``(C) four.
            ``(4) Inapplicability to consolidation loans used to repay 
        plus loans.--The provisions of paragraph (1) of this subsection 
        shall not apply to a consolidation loan that was used 
        exclusively to repay loans made under section 428B or Federal 
        Direct PLUS Loans (or both such loans).''.
    (b) Federal Direct Consolidation Loans.--Section 455(b) of the 
Higher Education Act of 1965 (20 U.S.C. 1087e(b)) is amended--
            (1) by redesignating paragraphs (8) and (9) as paragraphs 
        (9) and (10), respectively; and
            (2) by inserting after paragraph (7) the following:
            ``(8) Variable interest rate consolidation loans.--
                    ``(A) Variable rate.--Notwithstanding the preceding 
                paragraphs of this subsection, with respect to any 
                Federal Direct Consolidation Loan for which the first 
                disbursement is made on or after the date of enactment 
                of the Student Loan Fairness Consolidation Act of 2003, 
                the applicable rate of interest shall, during any 12-
                month period beginning on July 1 and ending on June 30, 
                be determined on the preceding June 1 and be equal to--
                            ``(i) the bond equivalent rate of 91-day 
                        Treasury bills auctioned at the final auction 
                        held prior to such June 1; plus
                            ``(ii) 2.3 percent,
                except that such rate shall not exceed 8.25 percent.
                    ``(B) Inapplicability to consolidation loans used 
                to repay plus loans.--The provisions of this subsection 
                shall not apply to a consolidation loan that was used 
                exclusively to repay loans made under section 428B or 
                Federal Direct PLUS Loans (or both such loans).''.
    (c) Conforming Amendment.--Section 438(b)(2)(I) is amended by 
striking ``section 427A(k)(4) or (l)(3)'' each place it appears in 
clauses (iv) and (vi) and inserting ``section 427A(k)(4), (l)(3), or 
(m)''.
[A]: Student Loan Fairness Consolidation Act of 2003 - Amends the Higher Education Act of 1965 to revise student aid requirements for Federal consolidation loans under the Federal Family Education Loan program, and establish parallel requirements under a Federal Direct Consolidation Loan program, to: (1) allow borrowers to refinance existing consolidation loans; and (2) make available variable interest rate consolidation loans. Excludes consolidation loans for repaying Federal PLUS loans (taken out by parents of students) from such provisions for refinancing and variable interest rates.


[Q]: SECTION 1. SHORT TITLE.

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

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

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

                  ``Remote Patient Management Services

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


[Q]: SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Health Impact Assessments Act of 
2008'' or the ``HIA Act of 2008''.

SEC. 2. STUDIES BY THE GOVERNMENT ACCOUNTABILITY OFFICE TO IDENTIFY 
              BEST PRACTICES OF ASSESSING THE PLANNING AND IMPACT OF 
              LAND USE, BUILDING DESIGN, AND SOCIAL POLICY ON COMMUNITY 
              HEALTH.

    (a) Study Regarding Health Impact Assessments.--
            (1) In general.--The Comptroller General of the United 
        States shall conduct a study to determine the best practices, 
        standardized tools, and models for using health impact 
        assessments as a method to promote health and reduce health 
        disparities through social policy, land use, the built 
        environment, and other public policies and projects which have 
        an impact on the public health. Such study shall specifically 
        examine the potential use of health impact assessments to link 
        social determinants of health to land use policies and social 
        policies.
            (2) Submission of report.--Not later than 1 year after the 
        date of enactment of this Act, the Comptroller General of the 
        United States shall submit to Congress a report that describes 
        the results of the study conducted under paragraph (1).
    (b) Review of Federal Policies and Programs.--
            (1) In general.--The Comptroller General of the United 
        States shall conduct a study to review the positive and 
        negative health consequences of Federal policies and programs, 
        and how to consider health impact assessments for any Federal, 
        State or local project that involves Federal funding or work 
        performed by the Federal Government. In conducting such study, 
        the Comptroller General shall examine, and may use as a model, 
        the environmental impact statements process required by the 
        National Environmental Policy Act of 1969 (42 U.S.C. 4321 et 
        seq.).
            (2) Submission of report.--Not later than 1 year after the 
        date of enactment of this Act, the Comptroller General of the 
        United States shall submit to Congress a report that describes 
        the results of the study conducted under paragraph (1).

SEC. 3. NATIONAL DEMONSTRATION PROGRAM.

    (a) Center.--
            (1) In general.--The Secretary, acting through the Director 
        of the Centers for Disease Control and Prevention, shall award 
        a grant to an institution of higher education to--
                    (A) provide technical assistance and grants for 
                States and localities to provide to States or local 
                health departments or metropolitan planning 
                organizations or local planning departments expertise 
                on health impact assessments;
                    (B) collect and disseminate best practices and 
                provide technical assistance and training about the 
                scope and uses of heath impact assessments related to 
                community planning and policy making;
                    (C) develop necessary data and evidence to inform 
                health impact assessments and land use and community 
                design and other broad policy decisions; and
                    (D) administer the demonstration grant program 
                described in subsection (b).
            (2) Consultation.--In carrying out the grant under 
        paragraph (1), the Center awarded such grant shall consult with 
        national organizations with advice and experience regarding 
        health impact assessments.
    (b) Demonstration Program.--
            (1) In general.--The Center awarded the grant under 
        subsection (a) shall award grants to eligible entities to carry 
        out a demonstration project to establish and implement 
        effective processes and models for designing and administering 
        health impact assessments.
            (2) Eligible entity.--For purposes of this subsection, the 
        term ``eligible entity'' means--
                    (A) a State government, a State health department, 
                or a State planning department; or
                    (B) a local government, a local health department, 
                or a local planning department.
            (3) Consultation among state entities and among local 
        entities.--An eligible entity described in subparagraph (A) or 
        (B) of paragraph (2) that receives a grant under this 
        subsection shall consult with the other eligible entities 
        described under such subparagraph (A) or (B), respectively, in 
        carrying out the activities under the grant.
    (c) Authorization of Appropriations.--There are authorized to be 
appropriated--
            (1) to carry out subsection (a), $1,000,000 for fiscal year 
        2009, and such sums as may be necessary for each of fiscal 
        years 2010 through 2013; and
            (2) to carry out subsection (b), $4,000,000 for fiscal year 
        2009, and such sums as may be necessary for each of fiscal 
        years 2010 and 2011.

SEC. 4. EXPANSION OF ACTIVITIES AT THE CENTERS FOR DISEASE CONTROL AND 
              PREVENTION.

    (a) In General.--The Director of the Centers for Disease Control 
and Prevention shall expand the capacity of such Centers to promote the 
health impact assessment processes to improve public health and health 
equity and reduce health disparities in land use, the physical 
environment, social policies, and exposure to health risks. Such 
expansion shall include developing guidance for assessing the public 
participation and potential health effects of land use and design, 
housing and transportation policy and plans, and other social policy 
decisions as appropriate, the expansion of training efforts, and the 
development and dissemination of training tools.
    (b) Authorization of Appropriations.--There are authorized to be 
appropriated to carry out this section $1,000,000 for fiscal year 2009, 
and such sums as may be necessary for each of fiscal years 2010 through 
2013.

SEC. 5. DEFINITIONS.

    In this Act:
            (1) Built environment.--The term ``built environment'' 
        means an environment consisting of all buildings, spaces, and 
        products that are created or modified by individuals, 
        including--
                    (A) homes, schools, workplaces, parks and 
                recreation areas, greenways, business areas, and 
                transportation systems;
                    (B) electric transmission lines;
                    (C) waste disposal sites; and
                    (D) land-use planning and policies that impact 
                urban, rural, and suburban communities.
            (2) Health impact assessment.--The term ``health impact 
        assessment'' means any combination of procedures, methods, 
        tools, and means used to analyze the actual or potential 
        effects of a policy, program, or project on the health of a 
        population (including the distribution of those effects within 
        the population), and that identifies appropriate actions to 
        manage those effects. Such term may include assessments that 
        can objectively evaluate the potential health effects of a 
        project or policy and provide recommendations to improve health 
        outcomes through collaboration, public transparency, and 
        accountability in policy making about the societal dimensions 
        of health.
            (3) Secretary.--The term ``Secretary'' means the Secretary 
        of Health and Human Services.
[A]:
Health Impact Assessments Act of 2008 or the HIA Act of 2008 - Directs the Comptroller General to conduct a study to determine the best practices, standardized tools, and models for using health impact assessments as a method to promote health and reduce health disparities through social policy, land use, the built environment, and other public policies and projects.

Requires the Comptroller General to review: (1) the positive and negative health consequences of federal policies and programs; and (2) how to consider health impact assessments for any federal, state, local project that involves federal funding or work performed by the federal government.

Requires the Secretary of Health and Human Services, acting through the Director of the Centers for Disease Control and Prevention (CDC), to award a grant to an institution of higher education to: (1) provide for expertise on health impact assessment to states, local health departments, metropolitan planning organizations, and local planning departments; (2) collect and disseminate best practices and provide technical assistance and training about the scope and uses of health impact assessments related to community planning and policy making; (3) develop necessary data and evidence to inform health impact assessments and land use and community design and other broad policy decisions; and (4) carry out a demonstration project to establish and implement effective processes and models for designing and administering health impact assessments.

Requires the Director to expand CDC's capacity to promote the health impact assessment processes, including by developing guidance for assessing the public participation and potential health effects of social policy decisions.