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 ``Nutrition Coordinators for Local 
Healthy Youth Act''.

SEC. 2. GRANT PROGRAM FOR NUTRITION COORDINATORS.

    Section 19 of the Child Nutrition Act of 1966 (42 U.S.C. 1788) is 
amended--
            (1) by redesignating subsection (l) as subsection (m); and
            (2) by inserting after subsection (k) the following new 
        subsection:
    ``(l) Grant Program for Nutrition Coordinators.--
            ``(1) Establishment of grant program.--The Secretary, in 
        consultation with the Secretary of Education, shall establish a 
        program to make grants to local educational agencies to appoint 
        nutrition coordinators to carry out the activities described in 
        paragraph (4).
            ``(2) Application.--To be selected to receive a grant under 
        paragraph (1), a local educational agency, in consultation with 
        the State agency that administers school lunch programs in the 
        geographic area served by such local educational agency, shall 
        submit an application at such time, in such manner, and 
        containing such information as the Secretary may require.
            ``(3) Use of funds.--A local educational agency that 
        receives a grant under this subsection shall use such funds to 
        appoint a nutrition coordinator to, with respect to the 
        geographic area served by such agency--
                    ``(A) ensure compliance with local school wellness 
                policies under section 9A of the Richard B. Russell 
                National School Lunch Act (42 U.S.C. 1758b);
                    ``(B) coordinate nutrition education programs with 
                school food service directors for such local 
                educational agency;
                    ``(C) conduct trainings and facilitate information 
                sharing of best practices that--
                            ``(i) encourage students to participate in 
                        healthy eating and active living;
                            ``(ii) are consistent with the Dietary 
                        Guidelines for Americans published under 
                        section 301 of the National Nutrition 
                        Monitoring and Related Research Act of 1990 (7 
                        U.S.C. 5341); and
                            ``(iii) are consistent with the Physical 
                        Activity Guidelines for Americans published by 
                        the Office of Disease Prevention and Health 
                        Promotion of the Department of Health and Human 
                        Services;
                    ``(D) work with programs that promote and motivate 
                students to participate in school wellness activities;
                    ``(E) coordinate and collaborate with other 
                nutrition education programs, including--
                            ``(i) programs under the Supplemental 
                        Nutrition Assistance Program under the Food and 
                        Nutrition Act of 2008 (7 U.S.C. 2011 et seq.);
                            ``(ii) cooperative extension services (as 
                        such term is defined in section 1404 of the 
                        Food and Agriculture Act of 1977 (7 U.S.C. 
                        3103));
                            ``(iii) nutrition education programs 
                        carried out by community-based organizations; 
                        and
                            ``(iv) other team network nutrition 
                        programs;
                    ``(F) provide community outreach to promote 
                nutrient-rich foods and farm-to-school activities;
                    ``(G) promote regular physical activity in students 
                before, during, and after school;
                    ``(H) ensure students receive effective and 
                consistent messages regarding healthy eating and active 
                living; and
                    ``(I) to promote nutrition education and team 
                network nutrition programs in the State in which such 
                local educational agency is located, coordinate and 
                collaborate with--
                            ``(i) the team nutrition network 
                        coordinator for the State; and
                            ``(ii) community partners.
            ``(4) Nutrition coordinator requirements.--A nutrition 
        coordinator may not be appointed under this subsection unless 
        the Coordinator has a background in nutrition education, 
        dietetics, or nutrition program management.
            ``(5) Nutrition coordinator reports.--Not later than 1 year 
        after the date on which a nutrition coordinator is appointed 
        under this subsection, the nutrition coordinator shall submit 
        to the Secretary a report that includes--
                    ``(A) a plan to implement activities under this 
                section; and
                    ``(B) a review of, and plan for, coordination and 
                collaboration with nutrition education programs 
                described in paragraph (4)(E).
            ``(6) Evaluation of grant program.--Not later than January 
        1, 2019, the Secretary shall submit a report to Congress that 
        includes--
                    ``(A) the results of an evaluation of the grant 
                program established under this subsection;
                    ``(B) a review of the implementation of this 
                subsection;
                    ``(C) an assessment of local educational agencies 
                with respect to activities conducted to ensure students 
                receive nutrition education consistent with the Dietary 
                Guidelines for Americans published under section 301 of 
                the National Nutrition Monitoring and Related Research 
                Act of 1990 (7 U.S.C. 5341);
                    ``(D) best practices for encouraging students to 
                participate in healthy eating and active living;
                    ``(E) an assessment of local school wellness 
                policies under section 9A of the Richard B. Russell 
                National School Lunch Act (42 U.S.C. 1758b); and
                    ``(F) an assessment of school personnel and their 
                level of interaction and satisfaction with nutrition 
                coordinators.''.

A: Nutrition Coordinators for Local Healthy Youth Act  This bill amends the Child Nutrition Act of 1966 to establish a Department of Agriculture program to award grants to local educational agencies to appoint nutrition coordinators with a background in nutrition education, dietetics, or nutrition program management.  The responsibilities of the coordinators include:    ensuring compliance with local school wellness policies under the Richard B. Russell National School Lunch Act,   coordinating nutrition education programs with school food service directors,   conducting training and facilitating information sharing of best practices,   working with programs that promote and motivate students to participate in school wellness activities,   coordinating and collaborating with other nutrition education programs,   providing community outreach to promote nutrient-rich foods and farm-to-school activities,   promoting regular physical activity in students,   ensuring students receive effective and consistent messages regarding healthy eating and active living, and   promoting nutrition education and team network nutrition programs in the state by coordinating and collaborating with the team nutrition network coordinator and community partners.  
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Q: SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Immigration Services and 
Infrastructure Improvements Act of 2000''.

SEC. 2. CONGRESSIONAL FINDINGS AND PURPOSES.

    (a) Findings.--Congress makes the following findings:
            (1) Applications for naturalization have increased 
        dramatically in recent years, outpacing the Immigration and 
        Naturalization Service's ability to process them.
            (2) The dramatic increase in applications for 
        naturalization and the inability of the Immigration and 
        Naturalization Service to deal with them adequately has 
        resulted in an unacceptably large backlog in naturalization 
        adjudications.
            (3) The processing times in the Immigration and 
        Naturalization Service's other immigration benefits have been 
        unacceptably long. Applicants for family- and employment-based 
        visas are waiting as long as 3 to 4 years to obtain a visa or 
        an adjustment to lawful permanent resident status.
            (4) In California, the delays in processing adjustment of 
        status applications have averaged 52 months. In Texas, the 
        delays have averaged 69 months. Residents of New York have had 
        to wait up to 28 months; in Florida, 26 months; in Illinois, 37 
        months; in Oregon, 31 months; and in Arizona, 49 months. Most 
        other States have experienced unacceptably long processing and 
        adjudication delays.
            (5) Applicants pay fees to have their applications 
        adjudicated in a timely manner. These fees have increased 
        dramatically in recent years without a commensurate increase in 
        the capability of that Immigration and Naturalization Service 
        to process and adjudicate these cases in an efficient manner.
            (6) Processing these applications in a timely fashion is 
        critical. Each 12-month delay in adjudicating an adjustment of 
        status application requires the alien to file applications to 
        extend employment authorization to work and advance parole 
        documents to travel.
            (7) The enormous delays in processing applications for 
        families and businesses have had a negative impact on the 
        reunification of spouses and minor children and the ability of 
        law-abiding and contributing members of our communities to 
        participate fully in the civic life of the United States.
            (8) United States employers have also experienced 
        debilitating delays in hiring employees who contribute to the 
        economic growth of the United States. These delays have forced 
        employers to send highly skilled and valued employees out of 
        the United States because their immigrant petitions were not 
        approved in a timely fashion. Such disruptions seriously 
        threaten the competitive edge of the United States in the 
        global marketplace.
    (b) Purpose.--The purpose of this Act is to--
            (1) provide the Immigration and Naturalization Service with 
        the mechanisms it needs to eliminate the current backlog in the 
        processing of immigration benefit applications within 1 year 
        after enactment of this Act and to maintain the elimination of 
        the backlog in future years; and
            (2) provide for regular congressional oversight of the 
        performance of the Immigration and Naturalization Service in 
        eliminating the backlog and processing delays in immigration 
        benefits adjudications.
    (c) Policy.--It is the sense of Congress that the processing of an 
immigration benefit application should be completed not later than 180 
days after the initial filing of the application, except that a 
petition for a nonimmigrant visa under section 214(c) of the 
Immigration and Nationality Act should be processed not later than 30 
days after the filing of the petition.

SEC. 3. DEFINITIONS.

    In this Act:
            (1) Backlog.--The term ``backlog'' means, with respect to 
        an immigration benefit application, the period of time in 
        excess of 180 days that such application has been pending 
        before the Immigration and Naturalization Service.
            (2) Immigration benefit application.--The term 
        ``immigration benefit application'' means any application or 
        petition to confer, certify, change, adjust, or extend any 
        status granted under the Immigration and Nationality Act.

SEC. 4. IMMIGRATION SERVICES AND INFRASTRUCTURE IMPROVEMENT ACCOUNT.

    (a) Authority of the Attorney General.--The Attorney General shall 
take such measures as may be necessary to--
            (1) reduce the backlog in the processing of immigration 
        benefit applications, with the objective of the total 
        elimination of the backlog not later than one year after the 
        date of enactment of this Act;
            (2) make such other improvements in the processing of 
        immigration benefit applications as may be necessary to ensure 
        that a backlog does not develop after such date; and
            (3) make such improvements in infrastructure as may be 
        necessary to effectively provide immigration services.
    (b) Authorization of Appropriations.--
            (1) In general.--There is authorized to be appropriated to 
        the Department of Justice from time to time such sums as may be 
        necessary for the Attorney General to carry out subsection (a).
            (2) Designation of account in treasury.--Amounts 
        appropriated pursuant to paragraph (1) may be referred to as 
        the ``Immigration Services and Infrastructure Improvements 
        Account''.
            (3) Availability of funds.--Amounts appropriated pursuant 
        to paragraph (1) are authorized to remain available until 
        expended.
            (4) Limitation on expenditures.--None of the funds 
        appropriated pursuant to paragraph (1) may be expended until 
        the report described in section 5(a) has been submitted to 
        Congress.

SEC. 5. REPORTS TO CONGRESS.

    (a) Backlog Elimination Plan.--
            (1) Report required.--Not later than 90 days after the date 
        of enactment of this Act, the Attorney General shall submit a 
        report to the Committees on the Judiciary and Appropriations of 
        the Senate and the House of Representatives concerning--
                    (A) the backlogs in immigration benefit 
                applications in existence as of the date of enactment 
                of this Act; and
                    (B) the Attorney General's plan for eliminating 
                such backlogs.
            (2) Report elements.--The report shall include--
                    (A) an assessment of the data systems used in 
                adjudicating and reporting on the status of immigration 
                benefit applications, including--
                            (i) a description of the adequacy of 
                        existing computer hardware, computer software, 
                        and other mechanisms to comply with the 
                        adjudications and reporting requirements of 
                        this Act; and
                            (ii) a plan for implementing improvements 
                        to existing data systems to accomplish the 
                        purpose of this Act, as described in section 
                        2(b);
                    (B) a description of the quality controls to be put 
                into force to ensure timely, fair, accurate, and 
                complete processing and adjudication of such 
                applications;
                    (C) the elements specified in subsection (b)(2);
                    (D) an estimate of the amount of appropriated funds 
                that would be necessary in order to eliminate the 
                backlogs in each category of immigration benefit 
                applications described in subsection (b)(2); and
                    (E) a detailed plan on how the Attorney General 
                will use any funds in the Immigration Services and 
                Infrastructure Improvements Account to comply with the 
                purposes of this Act.
    (b) Annual Reports.--
            (1) In general.--Beginning 90 days after the end of the 
        first fiscal year for which any appropriation authorized by 
        section 4(b) is made, and 90 days after the end of each fiscal 
        year thereafter, the Attorney General shall submit a report to 
        the Committees on the Judiciary and Appropriations of the 
        Senate and the House of Representatives concerning the status 
        of--
                    (A) the Immigration Services and Infrastructure 
                Improvements Account including any unobligated balances 
                of appropriations in the Account; and
                    (B) the Attorney General's efforts to eliminate 
                backlogs in any immigration benefit application 
                described in paragraph (2).
            (2) Report elements.--The report shall include--
                    (A) State-by-State data on--
                            (i) the number of naturalization cases 
                        adjudicated in each quarter of each fiscal 
                        year;
                            (ii) the average processing time for 
                        naturalization applications;
                            (iii) the number of naturalization 
                        applications pending for up to 6 months, 12 
                        months, 18 months, 24 months, 36 months, and 48 
                        months or more;
                            (iv) estimated processing times 
                        adjudicating newly submitted naturalization 
                        applications;
                            (v) an analysis of the appropriate 
                        processing times for naturalization 
                        applications; and
                            (vi) the additional resources and process 
                        changes needed to eliminate the backlog for 
                        naturalization adjudications;
                    (B) the status of applications or, where 
                applicable, petitions described in subparagraph (C), by 
                Immigration and Naturalization Service district, 
                including--
                            (i) the number of cases adjudicated in each 
                        quarter of each fiscal year;
                            (ii) the average processing time for such 
                        applications or petitions;
                            (iii) the number of applications or 
                        petitions pending for up to 6 months, 12 
                        months, 18 months, 24 months, 36 months, and 48 
                        months or more;
                            (iv) the estimated processing times 
                        adjudicating newly submitted applications or 
                        petitions;
                            (v) an analysis of the appropriate 
                        processing times for applications or petitions; 
                        and
                            (vi) a description of the additional 
                        resources and process changes needed to 
                        eliminate the backlog for such processing and 
                        adjudications; and
                    (C) a status report on--
                            (i) applications for adjustments of status 
                        to that of an alien lawfully admitted for 
                        permanent residence;
                            (ii) petitions for nonimmigrant visas under 
                        section 214 of the Immigration and Nationality 
                        Act;
                            (iii) petitions filed under section 204 of 
                        such Act to classify aliens as immediate 
                        relatives or preference immigrants under 
                        section 203 of such Act;
                            (iv) applications for asylum under section 
                        208 of such Act;
                            (v) registrations for Temporary Protected 
                        Status under section 244 of such Act; and
                            (vi) a description of the additional 
                        resources and process changes needed to 
                        eliminate the backlog for such processing and 
                        adjudications.
            (3) Absence of appropriated funds.--In the event that no 
        funds are appropriated subject to section 4(b) in the fiscal 
        year in which this Act is enacted, the Attorney General shall 
        submit a report to Congress not later than 90 days after the 
        end of such fiscal year, and each fiscal year thereafter, 
        containing the elements described in paragraph (2).

A: Authorizes appropriations which shall be designated in the Treasury as the Immigration Services and Infrastructure Improvements Account.
Directs the Attorney General to make specified backlog elimination reports.
****
Q: SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Medicare Adult Day Services 
Alternative Act of 2001''.

SEC. 2. FINDINGS.

    Congress finds that--
            (1) adult day care offers services, including medical care, 
        rehabilitation therapies, dignified assistance with activities 
        of daily living, social interaction, and stimulating 
        activities, to seniors who are frail, physically challenged, or 
        cognitively impaired;
            (2) access to adult day care services provides seniors and 
        their familial caregivers support that is critical to keeping 
        the senior in the family home;
            (3) more than 22,000,000 families in the United States 
        serve as caregivers for aging or ailing seniors, nearly 1 in 4 
        American families, providing close to 80 percent of the care to 
        individuals requiring long-term care;
            (4) nearly 75 percent of those actively providing such care 
        are women who also maintain other responsibilities, such as 
        working outside of the home and raising young children;
            (5) the average loss of income to these caregivers has been 
        shown to be $659,130 in wages, pension, and Social Security 
        benefits;
            (6) the loss in productivity in United States businesses 
        ranges from $11,000,000,000 to $29,000,000,000 annually;
            (7) the services offered in adult day care facilities 
        provide continuity of care and an important sense of community 
        for both the senior and the caregiver;
            (8) there are adult day care centers in every State in the 
        United States and the District of Columbia;
            (9) these centers generally offer transportation, meals, 
        personal care, and counseling in addition to the medical 
        services and socialization benefits offered; and
            (10) with the need for quality options in how to best care 
        for our senior population about to dramatically increase with 
        the aging of the baby boomer generation, the time to address 
        these issues is now.

SEC. 3. COVERAGE OF SUBSTITUTE ADULT DAY CARE SERVICES UNDER MEDICARE.

    (a) Substitute Adult Day Care Services Benefit.--
            (1) In general.--Section 1861(m) of the Social Security Act 
        (42 U.S.C. 1395x(m)) is amended--
                    (A) in the matter preceding paragraph (1), by 
                inserting ``or (8)'' after ``paragraph (7)'';
                    (B) in paragraph (6), by striking ``and'' at the 
                end;
                    (C) in paragraph (7), by adding ``and'' at the end; 
                and
                    (D) by inserting after paragraph (7), the following 
                new paragraph:
            ``(8) substitute adult day care services (as defined in 
        subsection (ww));''.
            (2) Substitute adult day care services defined.--Section 
        1861 of the Social Security Act (42 U.S.C. 1395x) is amended by 
        adding at the end the following new subsection:

     ``Substitute Adult Day Care Services; Adult Day Care Facility

    ``(ww)(1)(A) The term `substitute adult day care services' means 
the items and services described in subparagraph (B) that are furnished 
to an individual by an adult day care facility as a part of a plan 
under subsection (m) that substitutes such services for a portion of 
the items and services described in subparagraph (B)(i) furnished by a 
home health agency under the plan, as determined by the physician 
establishing the plan.
    ``(B) The items and services described in this subparagraph are the 
following items and services:
            ``(i) Items and services described in paragraphs (1) 
        through (7) of subsection (m).
            ``(ii) Meals.
            ``(iii) A program of supervised activities designed to 
        promote physical and mental health and furnished to the 
individual by the adult day care facility in a group setting for a 
period of not fewer than 4 and not greater than 12 hours per day.
            ``(iv) A medication management program (as defined in 
        subparagraph (C)).
    ``(C) For purposes of subparagraph (B)(iv), the term `medication 
management program' means a program of services, including medicine 
screening and patient and health care provider education programs, that 
provides services to minimize--
            ``(i) unnecessary or inappropriate use of prescription 
        drugs; and
            ``(ii) adverse events due to unintended prescription drug-
        to-drug interactions.
    ``(2)(A) Except as provided in subparagraphs (B) and (C), the term 
`adult day care facility' means a public agency or private 
organization, or a subdivision of such an agency or organization, 
that--
            ``(i) is engaged in providing skilled nursing services and 
        other therapeutic services directly or under arrangement with a 
        home health agency;
            ``(ii) meets such standards established by the Secretary to 
        ensure quality of care and such other requirements as the 
        Secretary finds necessary in the interest of the health and 
        safety of individuals who are furnished services in the 
        facility;
            ``(iii) provides the items and services described in 
        paragraph (1)(B); and
            ``(iv) meets the requirements of paragraphs (2) through (8) 
        of subsection (o).
    ``(B) Notwithstanding subparagraph (A), the term `adult day care 
facility' shall include a home health agency in which the items and 
services described in clauses (ii) through (iv) of paragraph (1)(B) are 
provided--
            ``(i) by an adult day-care program that is licensed or 
        certified by a State, or accredited, to furnish such items and 
        services in the State; and
            ``(ii) under arrangements with that program made by such 
        agency.
    ``(C) The Secretary may waive the requirement of a surety bond 
under paragraph (7) of subsection (o) in the case of an agency or 
organization that provides a comparable surety bond under State law.
    ``(D) For purposes of payment for home health services consisting 
of substitute adult day care services furnished under this title, any 
reference to a home health agency is deemed to be a reference to an 
adult day care facility.''.
    (b) Payment for Substitute Adult Day Care Services.--Section 1895 
of the Social Security Act (42 U.S.C. 1395fff) is amended by adding at 
the end the following new subsection:
    ``(f) Payment Rate for Substitute Adult Day Care Services.--In the 
case of home health services consisting of substitute adult day care 
services (as defined in section 1861(ww)), the following rules apply:
            ``(1) The Secretary shall estimate the amount that would 
        otherwise be payable under this section for all home health 
        services under that plan of care other than substitute adult 
        day care services for a period specified by the Secretary.
            ``(2) The total amount payable for home health services 
        consisting of substitute adult day care services under such 
        plan may not exceed 95 percent of the amount estimated to be 
        payable under paragraph (1) furnished under the plan by a home 
        health agency.''.
    (c) Adjustment in Case of Overutilization of Substitute Adult Day 
Care Services.--
            (1) Monitoring expenditures.--Beginning with fiscal year 
        2003, the Secretary of Health and Human Services shall monitor 
        the expenditures made under the Medicare Program under title 
        XVIII of the Social Security Act (42 U.S.C. 1395 et seq.) for 
        home health services (as defined in section 1861(m) of such Act 
        (42 U.S.C. 1395x(m))) for the fiscal year, including substitute 
        adult day care services under paragraph (8) of such section (as 
        added by subsection (a)), and shall compare such expenditures 
        to expenditures that the Secretary estimates would have been 
        made for home health services for that fiscal year if 
        subsection (a) had not been enacted.
            (2) Required reduction in payment rate.--If the Secretary 
        determines, after making the comparison under paragraph (1) and 
        making such adjustments for changes in demographics and age of 
        the Medicare beneficiary population as the Secretary determines 
        appropriate, that expenditures for home health services under 
        the Medicare Program, including such substitute adult day care 
        services, exceed expenditures that would have been made under 
        such program for home health services for a year if subsection 
        (a) had not been enacted, then the Secretary shall adjust the 
        rate of payment to adult day care facilities so that total 
        expenditures for home health services under such program in a 
        fiscal year does not exceed the Secretary's estimate of such 
        expenditures if subsection (a) had not been enacted.
    (d) Effective Date.--The amendments made by this section shall 
apply to items and services furnished on or after January 1, 2002.

A:
Medicare Adult Day Services Alternative Act of 2001 - Amends title XVIII (Medicare) of the Social Security Act (SSA) to provide for Medicare coverage of substitute adult day care services.
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