Part 1. Definition
In this task, you are given text for US Congressional and California state bills, your task is to generate a summary for this bill.
Part 2. Example
SECTION 1. LIABILITY OF BUSINESS ENTITIES PROVIDING USE OF FACILITIES
TO NONPROFIT ORGANIZATIONS.

(a) Definitions.--In this section:
(1) Business entity.--The term ''business entity'' means a
firm, corporation, association, partnership, consortium, joint
venture, or other form of enterprise.
(2) Facility.--The term ''facility'' means any real
property, including any building, improvement, or appurtenance.
(3) Gross negligence.--The term ''gross negligence'' means
voluntary and conscious conduct by a person with knowledge (at
the time of the conduct) that the conduct is likely to be
harmful to the health or well-being of another person.
(4) Intentional misconduct.--The term ''intentional
misconduct'' means conduct by a person with knowledge (at the
time of the conduct) that the conduct is harmful to the health
or well-being of another person.
(5) Nonprofit organization.--The term ''nonprofit
organization'' means--
(A) any organization described in section 501(c)(3)
of the Internal Revenue Code of 1986 and exempt from
tax under section 501(a) of such Code; or
(B) any not-for-profit organization organized and
conducted for public benefit and operated primarily for
charitable, civic, educational, religious, welfare, or
health purposes.
(6) State.--The term ''State'' means each of the several
States, the District of Columbia, the Commonwealth of Puerto
Rico, the Virgin Islands, Guam, American Samoa, the Northern
Mariana Islands, any other territory or possession of the
United States, or any political subdivision of any such State,
territory, or possession.
(b) Limitation on Liability.--
(1) In general.--Subject to subsection (c), a business
entity shall not be subject to civil liability relating to any
injury or death occurring at a facility of the business entity
in connection with a use of such facility by a nonprofit
organization if--
(A) the use occurs outside of the scope of business
of the business entity;
(B) such injury or death occurs during a period
that such facility is used by the nonprofit
organization; and
(C) the business entity authorized the use of such
facility by the nonprofit organization.
(2) Application.--This subsection shall apply--
(A) with respect to civil liability under Federal
and State law; and
(B) regardless of whether a nonprofit organization
pays for the use of a facility.
(c) Exception for Liability.--Subsection (b) shall not apply to an
injury or death that results from an act or omission of a business
entity that constitutes gross negligence or intentional misconduct,
including any misconduct that--
(1) constitutes a crime of violence (as that term is
defined in section 16 of title 18, United States Code) or act
of international terrorism (as that term is defined in section
2331 of title 18) for which the defendant has been convicted in
any court;
(2) constitutes a hate crime (as that term is used in the
Hate Crime Statistics Act (28 U.S.C. 534 note));
(3) involves a sexual offense, as defined by applicable
State law, for which the defendant has been convicted in any
court; or
(4) involves misconduct for which the defendant has been
found to have violated a Federal or State civil rights law.
(d) Superseding Provision.--
(1) In general.--Subject to paragraph (2) and subsection
(e), this Act preempts the laws of any State to the extent that
such laws are inconsistent with this Act, except that this Act
shall not preempt any State law that provides additional
protection from liability for a business entity for an injury
or death with respect to which conditions under subparagraphs
(A) through (C) of subsection (b)(1) apply.
(2) Limitation.--Nothing in this Act shall be construed to
supersede any Federal or State health or safety law.
(e) Election of State Regarding Nonapplicability.--This Act shall
not apply to any civil action in a State court against a business
entity in which all parties are citizens of the State if such State
enacts a statute--
(1) citing the authority of this subsection;
(2) declaring the election of such State that this Act
shall not apply to such civil action in the State; and
(3) containing no other provision.
Answer: Shields a business entity from civil liability relating to any injury or death occurring at a facility of that entity in connection with a use of such facility by a nonprofit organization if: (1) the use occurs outside the scope of business of the business entity; (2) such injury or death occurs during a period that such facility is used by such organization; and (3) the business entity authorized the use of such facility by the organization.
Makes this Act inapplicable to an injury or death that results from an act or omission of a business entity that constitutes gross negligence or intentional misconduct, including misconduct that: (1) constitutes a hate crime or a crime of violence or act of international terrorism for which the defendant has been convicted in any court; or (2) involves a sexual offense for which the defendant has been convicted in any court or misconduct for which the defendant has been found to have violated a Federal or State civil rights law.
Preempts State laws to the extent that such laws are inconsistent with this Act, except State law that provides additional protection from liability. Specifies that this Act shall not be construed to supersede any Federal or State health or safety law.
Makes this Act inapplicable to any civil action in a State court against a business entity in which all parties are citizens of the State if such State, citing this Act's authority and containing no other provision, enacts a statute declaring the State's election that this Act shall not apply to such action in the State.
Explanation: This Bill focuses on shielding business entities from civil liability relating to an injury or death depending on the conditions of injury, hence the generated summary is correct.
Part 3. Exercise
SECTION 1. SHORT TITLE.

This Act may be cited as the ''Community Coalitions for Access and
Quality Improvement Act of 2007''.

SEC. 2. PURPOSE.

Is it the purpose of this Act to provide assistance to community
health coalitions (as defined in section (c)(1)) that have a clearly
defined local need to increase access to and improve the quality of
health care services through activities that--
(1) develop or strengthen the coordination of services to
allow all individuals, including uninsured and low-income
individuals, to receive efficient and higher quality care and
to gain entry into and receive services from a comprehensive
system of medical, dental, pharmaceutical, and behavioral
health care;
(2) develop efficient and sustainable infrastructure for a
healthcare delivery system characterized by effective
collaboration, information sharing, and clinical and financial
coordination among all types of providers of care in the
community; and
(3) develop or strengthen activities related to providing
coordinated care for individuals with chronic conditions.

SEC. 3. COMMUNITY COALITIONS FOR ACCESS AND QUALITY IMPROVEMENT.

(a) Grants To Strengthen the Effectiveness, Efficiency, and
Coordination of Services.--The Secretary of Health and Human Services
(referred to in this section as the ''Secretary'') shall award grants
to eligible entities assist in the development of integrated health
care delivery systems to serve defined communities of individuals to--
(1) improve the efficiency of and coordination among the
providers providing services through such systems;
(2) assist local communities in developing programs
targeted toward preventing and managing chronic diseases; and
(3) expand and enhance the services provided through such
systems.
(b) Eligible Entities.--To be eligible to receive a grant under
this section, an entity shall--
(1) represent a balanced consortium--
(A) whose principal purpose is to assure the
sustainable capacity for the provision of a broad range
of coordinated services for all residents within a
community defined in the entity's grant application as
described in paragraph (2); and
(B) that includes at least one of each of the
following providers that serve the community (unless
such provider does not exist within the community,
declines or refuses to participate, or places
unreasonable conditions on their participation)--
(i) a federally qualified health center (as
defined in section 1861(aa) of the Social
Security Act (42 U.S.C. 1395x(aa)));
(ii) rural health clinics and rural health
networks (as defined in section 1861(aa) of the
Social Security Act (42 U.S.C. 1395x(aa)));
(iii) a hospital with a low-income
utilization rate that is greater than 25
percent (as defined in section 1923(b)(3) of
the Social Security Act (42 U.S.C. 1396r-
4(b)(3))), or a Critical Access Hospital (as
defined in section 19(c)(2) of such Act (42
U.S.C. 1395i-4(c)(2)));
(iv) a public health department; and
(v) an interested public or private sector
health care provider or an organization that
has traditionally served the medically
uninsured and low-income individuals; and
(2) submit to the Secretary an application, at such time,
in such manner, and containing such information and the
Secretary may require, including--
(A) a clear description of the community to be
served and access, quality, and efficiency outcomes to
be achieved under the grant;
(B) a description of the providers who will
participate in the community coalition under the grant
and each provider's contribution to the care of
individuals in the community;
(C) a description of the activities that the
applicant and the community coalition propose to
perform under the grant to further the objectives of
this section;
(D) evidence demonstrating that the applicant is an
established coalition with an ability to build on the
current system for serving the community by involving
providers who have traditionally provided a significant
volume of care for uninsured and low-income individuals
for that community;
(E) evidence demonstrating the coalition's ability
to develop coordinated systems of care that either
directly provide or ensure the prompt provision of a
broad range of high quality, accessible services,
including, as appropriate, primary, secondary, and
tertiary services as well as pharmacy, substance abuse,
behavioral health and oral health services, in a manner
that assures continuity of care in the community;
(F) evidence of community involvement, including
the business community, in the development,
implementation, and direction of the system of care
that the coalition proposes to assure;
(G) evidence demonstrating the coalition's ability
to ensure that participating individuals are enrolled
in health care coverage programs, both public and
private, for which the individuals are eligible;
(H) a plan for leveraging other sources of revenue,
which may include State and local sources and private
grant funds, and integrating current and proposed new
funding sources in a manner to assure long-term
sustainability of the system of care;
(I) a plan for the evaluation of the activities
carried out under the grant, including measurement of
progress toward the goals and objectives of the program
and the use of evaluation findings to improve system
performance;
(J) evidence demonstrating fiscal responsibility
through the use of appropriate accounting procedures
and management systems;
(K) evidence demonstrating commitment to serve the
community without regard to the ability of an
individual or family to pay by arranging for or
providing free or reduced charge care for the poor; and
(L) such other information as the Secretary may
require.
(c) Limitations.--The term of an initial grant to an eligible
entity under this section shall be 3 fiscal years. An entity may
receive an extension for 2 additional years if--
(1) the eligible entity submits to the Secretary a request
for a grant for such additional period;
(2) the Secretary determines that current performance
justifies the granting of such an extension; and
(3) the Secretary determines that granting such extension
is necessary to further the objectives described in subsection
(a).
(d) Priorities.--In awarding grants under this section, the
Secretary--
(1) may provide priority to applicants that demonstrate the
greatest extent of unmet need in the community to be served for
a more coordinated system of care; and
(2) shall provide priority to applicants that best promote
the objectives of this section, taking into consideration the
extent to which the applicant--
(A) identifies a community whose geographical area
has a high or increasing percentage of individuals who
are uninsured or low-income;
(B) demonstrates that the applicant has included in
its community coalition providers, support systems, and
programs that have a tradition of serving individuals
and families in the community who are uninsured or earn
below 200 of the Federal poverty level;
(C) demonstrates that the proposed coalition
activities would expand the utilization of preventive
and primary care services for uninsured and
underinsured individuals and families in the community,
including pharmaceuticals, behavioral and mental health
services, oral health services, or substance abuse
services;
(D) proposes approaches that would improve
coordination between health care providers and
appropriate social service providers;
(E) demonstrates collaboration with State and local
governments;
(F) demonstrates that the applicant makes use of
non-Federal contributions to the greatest extent
possible; or
(G) demonstrates the likelihood that the proposed
activities will lead to sustainable integrated delivery
systems as additional efforts of health systems
development evolve.
(e) Use of Funds.--
(1) Use by grantees.--
(A) In general.--Except as provided in paragraphs
(2) and (3), a grantee shall use amounts provided under
this section only for--
(i) direct expenses associated with
achieving the greater integration of a health
care delivery system so that the system either
directly provides or ensures the provision of a
broad range of culturally competent services,
including, as appropriate, primary, secondary,
and tertiary care as well as oral health,
substance abuse, behavioral and mental health,
and pharmaceutical services; and
(ii) direct patient care and service
expansions to fill identified or documented
gaps within an integrated delivery system.
(B) Specific uses.--Upon compliance with
subparagraph (A) a grantees may use amounts provided
under this section for the following:
(i) To provide increases in outreach
activities and to close gaps in health care
service, including referrals to specialty
services and prescription drugs and conducting
ongoing outreach to health disparity
populations.
(ii) To make improvements to care
management and delivery of patient-centered
care, including patient navigation services.
(iii) To make improvements to coordinate
transportation to health care facilities.
(iv) The development of provider networks
and other innovative models to engage
physicians in voluntary efforts to serve the
medically underserved within a community.
(v) Recruitment, training, and compensation
of necessary personnel.
(vi) The acquisition of technology for the
purpose of coordinating care and improving
provider communication, including the
implementation of shared information systems or
shared clinical systems.
(vii) The development of common processes
such as mechanisms for determining eligibility
for the programs provided through the system,
common identification cards, sliding scale
discounts, and the monitoring and tracking of
outcomes.
(viii) The development of specific
prevention and disease management tools and
processes.
(ix) Language access services.
(x) The facilitation of the involvement of
community organizations to provide better
access to high quality health care services to
individuals at risk for, or who have, chronic
diseases or cancer.
(xi) Helping patients overcome barriers
within the health care system to ensure prompt
diagnostic and treatment resolution of an
abnormal finding of cancer or chronic disease.
(2) Direct patient care limitation.--Not to exceed 20
percent of the amounts received under a grant under this
section may be used for providing direct patient care and
services.
(3) Reservation of funds for national program purposes.--
The Secretary may use not to exceed 7 percent of the amount
appropriated to carry out this section each fiscal year to
enter into contracts with an organization that has expertise in
facilitating peer to peer technical assistance among grantees,
to obtain assistance of experts and consultants, to hold
meetings, to develop tools, to disseminate information, to
demonstrate access, quality and efficiency outcomes for
sustainability, and for evaluations.
(f) Requirements.--
(1) Evaluation of effectiveness.--An entity that receive a
grant under this section shall annually submit to the Secretary
a report concerning--
(A) the progress made in meeting the goals and
measurable objectives set forth in the grant
application submitted by the entity under subsection
(b);
(B) the extent to which activities carried out by
the entity under the grant have--
(i) improved the effectiveness, efficiency,
and coordination of services for uninsured and
low-income individuals in the community served
by such entity, using commonly accepted outcome
measures;
(ii) resulted in the provision of better
quality health care for individuals and
families in the community served; and
(iii) resulted in the provision of health
care to such individuals at lower cost than
would have been possible in the absence of the
activities conducted by such entity; and
(C) the findings of an independent financial audit
conducted on all records that relate to the disposition
of funds received under the grant.
(2) Progress.--The Secretary may not renew a grant under
this section unless the Secretary determines that the coalition
has made reasonable and demonstrable progress in meeting the
goals and objectives set forth in the grant application for the
preceding fiscal year.
(g) Maintenance of Effort.--With respect to activities for which a
grant under this section is authorized, the Secretary may award such a
grant only if the applicant and each of the participating providers
agree that the grantee and each such provider will maintain its
expenditures of non-Federal funds for such activities at a level that
is not less then the level of such expenditures during the fiscal year
immediately preceding the fiscal year for which the applicant is
applying to receive such grant.
(h) Technical Assistance.--The Secretary may, either directly or by
grant or contract, provide any entity that receives a grant under this
section with technical and other nonfinancial assistance necessary to
enable the entity to comply with the requirements of this section. The
purposes of this section may be achieved by grant or contract with
State and national not-for-profit organizations with expertise in
building successful community coalitions.
(i) Evaluation of Program.--Not later than September 30, 2012, the
Secretary shall prepare and submit to the appropriate committees of
Congress a report that describes the extent to which projects funded
under this section have been successful in improving the effectiveness,
efficiency, and coordination of services in the communities served by
such projects, including whether the projects resulted in the provision
of better quality health care for such individuals, and whether such
care was provided at lower costs than would have been provided in the
absence of such projects.
(j) Authorization of Appropriations.--There are authorized to be
appropriated to carry out this section--
(1) $75,000,000 for fiscal year 2008;
(2) $100,000,000 for fiscal year 2009;
(3) $125,000,000 for fiscal year 2010;
(4) $150,000,000 for fiscal year 2011; and
(5) $175,000,000 for fiscal year 2012.
Answer:
Community Coalitions for Access and Quality Improvement Act of 2007 - Directs the Secretary of Health and Human Services to award grants to eligible entities to assist in developing integrated health care delivery systems to serve defined communities to: (1) improve efficiency and coordination among providers; (2) assist local communities in developing programs targeted toward preventing and managing chronic diseases; and (3) expand and enhance services provided.

Requires eligible entities to represent a balanced consortium whose principal purpose is to assure sustained capacity for the provision of a broad range of coordinated services for all residents, including at least one of each of the following providers that serve the community (with exceptions): (1) a federally qualified health center; (2) rural health clinics and rural health networks; (3) a hospital with a low-income utilization rate greater than 25% or a critical access hospital; (4) a public health department; and (5) an interested public or private sector health care provider or organization that has traditionally served medically uninsured and low-income individuals.

Authorizes the Secretary, in awarding grants, to provide priority to applicants that demonstrate the greatest unmet need for a more coordinated system of care.

Requires a grantee to use amounts provided only for: (1) direct expenses associated with achieving greater integration of a health care delivery system to directly provide or ensure the provision of a broad range of culturally competent services; and (2) direct patient care and service expansions to fill identified or documented gaps within an integrated delivery system.

Requires entities to report annually to the Secretary. Conditions grant renewal on demonstrable progress in meeting goals.