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 ''National Volcano Early Warning and
Monitoring System Act''.

SEC. 2. DEFINITIONS.

In this Act:
(1) Secretary.--The term ''Secretary'' means the Secretary
of the Interior, acting through the Director of the United
States Geological Survey.
(2) System.--The term ''System'' means the National Volcano
Early Warning and Monitoring System established under section
3(a)(1).

SEC. 3. NATIONAL VOLCANO EARLY WARNING AND MONITORING SYSTEM.

(a) Establishment.--
(1) In general.--The Secretary shall establish within the
United States Geological Survey a system, to be known as the
''National Volcano Early Warning and Monitoring System'', to
monitor, warn, and protect citizens of the United States from
undue and avoidable harm from volcanic activity.
(2) Purposes.--The purposes of the System are--
(A) to organize, modernize, standardize, and
stabilize the monitoring systems of the volcano
observatories in the United States, which include the
Alaska Volcano Observatory, California Volcano
Observatory, Cascades Volcano Observatory, Hawaiian
Volcano Observatory, Yellowstone Volcano Observatory,
and other volcano observatories established under
subsection (d); and
(B) to unify the monitoring systems of volcano
observatories in the United States into a single
interoperative system.
(3) Objective.--The objective of the System is to monitor
all the volcanoes in the United States at a level commensurate
with the threat posed by the volcanoes by--
(A) upgrading existing networks on monitored
volcanoes;
(B) installing new networks on unmonitored
volcanoes; and
(C) employing geodetic and other components when
applicable.
(b) System Components.--
(1) In general.--The System shall include--
(A) a national volcano watch office that is
operational 24 hours a day and 7 days a week;
(B) a national volcano data center; and
(C) an external grants program to support research
in volcano monitoring science and technology.
(2) Modernization activities.--Modernization activities
under the System shall include the comprehensive application of
emerging technologies, including digital broadband
seismometers, real-time continuous Global Positioning System
receivers, satellite and airborne radar interferometry,
acoustic pressure sensors, and spectrometry to measure gas
emissions.
(c) Management.--
(1) Management plan.--
(A) In general.--Not later than 180 days after the
date of enactment of this Act, the Secretary shall
submit to Congress a 5-year management plan for
establishing and operating the System.
(B) Inclusions.--The management plan submitted
under subparagraph (A) shall include--
(i) annual cost estimates for modernization
activities and operation of the System;
(ii) annual milestones, standards, and
performance goals; and
(iii) recommendations for, and progress
towards, establishing new, or enhancing
existing, partnerships to leverage resources.
(2) Advisory committee.--The Secretary shall establish an
advisory committee to assist the Secretary in implementing the
System, to be comprised of representatives of relevant agencies
and members of the scientific community, to be appointed by the
Secretary.
(3) Partnerships.--The Secretary may enter into cooperative
agreements with institutions of higher education and State or
territorial agencies designating the institutions of higher
education and State or territorial agencies as volcano
observatory partners for the System.
(4) Coordination.--The Secretary shall coordinate the
activities under this Act with the heads of relevant Federal
agencies, including--
(A) the Secretary of Transportation;
(B) the Administrator of the Federal Aviation
Administration;
(C) the Administrator of the National Oceanic and
Atmospheric Administration; and
(D) the Director of the Federal Emergency
Management Administration.
(d) Volcano Observatory in Pacific U.S. Territories.--
(1) Feasibility study.--Not later than 180 days after the
date of enactment of this Act, the Secretary shall conduct a
study to assess the feasibility of establishing volcano
observatories in Guam, the Northern Mariana Islands, and
American Samoa to monitor volcanic activity across the western
and southern Pacific Ocean along the Ring of Fire, including
underwater volcanic activity in such region.
(2) Consultation.--The Secretary shall consult with
appropriate territorial and local entities in conducting the
study.
(3) Cooperative agreement.--If the study required by
paragraph (1) determines that such observatories are feasible,
then the Secretary, subject to the availability of
appropriations, may enter into cooperative agreements under
subsection (c)(3) with institutions of higher education or
territorial agencies to establish such volcano observatories as
part of the National Volcano Early Warning and Monitoring
System.
(e) Annual Report.--In each of fiscal years 2018 through 2024, the
Secretary shall submit to Congress a report that describes the
activities carried out under this Act.

SEC. 4. FUNDING.

(a) Authorization of Appropriations.--There is authorized to be
appropriated to the Secretary to carry out this Act $15,000,000 for
each of fiscal years 2018 through 2024.
(b) Effect on Other Sources of Federal Funding.--Amounts made
available under this section shall supplement, and not supplant,
Federal funds made available for other United States Geological Survey
hazards activities and programs.
[EX A]: National Volcano Early Warning and Monitoring System Act (Sec. 3) This bill directs the United States Geological Survey (USGS) to establish the National Volcano Early Warning and Monitoring System to monitor, issue warnings of, and protect U.S. citizens from undue and avoidable harm from, volcanic activity. The purposes of the system are to: (1) organize, modernize, standardize, and stabilize the monitoring systems of U.S. volcano observatories; and (2) unify such systems into a single interoperative system. The objective of the system is to monitor all U.S. volcanoes at a level commensurate with the threat posed by the volcanoes by: (1) upgrading existing networks on monitored volcanoes, (2) installing new networks on unmonitored volcanoes, and (3) employing geodetic and other components when applicable. The system shall include: (1) a national volcano watch office that is operational 24 hours a day and 7 days a week, (2) a national volcano data center, (3) an external grants program to support research in volcano monitoring science and technology, and (4) modernization activities including the comprehensive application of emerging technologies. The USGS must: (1) submit to Congress a five-year management plan for establishing and operating the system, and (2) establish an advisory committee to assist in implementing the system. The USGS may enter into cooperative agreements designating institutions of higher education and state or territorial agencies as volcano observatory partners for the system. The USGS must conduct a study to assess the feasibility of establishing volcano observatories in Guam, the Northern Mariana Islands, and American Samoa to monitor volcanic activity across the western and southern Pacific Ocean along the Ring of Fire. If determined to be feasible, the USGS may enter into cooperative agreements with institutions of higher education or territorial agencies to establish such observatories as part of the National Volcano Early Warning and Monitoring System.

[EX Q]: SECTION 1. SHORT TITLE.

This Act may be cited as the ''Bridges to the Cuban People Act of
2001''.

TITLE I--FACILITATION OF THE EXPORT OF FOOD AND MEDICINES TO CUBA

SEC. 101. EXEMPTION FROM PROHIBITIONS AND RESTRICTIONS ON TRADE WITH
CUBA TO PERMIT THE EXPORT OF FOOD AND MEDICINES TO CUBA.

(a) In General.--Except as provided in subsection (b), any
prohibition or restriction in law or regulation on trade or financial
transactions with Cuba shall not apply with respect to the export of
any agricultural commodity, farm machinery or equipment, medicine, or
medical device, or with respect to travel incident to the sale or
delivery of any agricultural commodity, farm machinery or equipment,
medicine, or medical device, to Cuba.
(b) Exceptions.--Subsection (a) does not apply to--
(1) any prohibition or restriction imposed under the Export
Administration Act of 1979 (50 U.S.C. App. 2401 et seq.) or
successor statute for goods containing parts or components on
which export controls are in effect under that section; or
(2) any prohibition or restriction imposed under section
203 of the International Emergency Economic Powers Act (50
U.S.C. 1702) insofar as the prohibition or restriction is
exercised to deal with a threat to the national security of the
United States by virtue of the technology incorporated in such
machinery or equipment.
(c) Supersedes Existing Law.--Subsection (a) supersedes the Trade
Sanctions Reform and Export Enhancement Act of 2000 (title IX of H.R.
5426 of the One Hundred Sixth Congress, as enacted into law by section
1(a) of Public Law 106-387, and as contained in the appendix of that
Act) or any other provision of law.

SEC. 102. REMOVAL OF CERTAIN PROHIBITIONS ON VESSELS ENTERING UNITED
STATES PORTS.

Section 1706(b) of the Cuban Democracy Act of 1992 (22 U.S.C.
6005(b); prohibiting certain vessels from entering United States ports)
shall not apply with respect to vessels that transport to Cuba any item
the export of which is permitted under section 101 or 404 of this Act.

SEC. 103. STUDY AND REPORT RELATING TO EXPORT PROMOTION AND CREDIT
PROGRAMS FOR CUBA.

(a) Study.--The Secretary of Agriculture shall conduct a study of
United States agricultural export promotion and credit programs in
effect as of the date of enactment of this Act to determine how such
programs may be carried out to promote the consumption of United States
agricultural commodities in Cuba.
(b) Report.--Not later than 90 days after the date of enactment of
this Act, the Secretary of Agriculture shall submit to the Committee on
Agriculture of the House of Representatives and the Committee on
Agriculture, Nutrition, and Forestry of the Senate a report
containing--
(1) the results of the study conducted under subsection
(a); and
(2) recommendations for proposed legislation, if any, to
improve the ability of the Secretary of Agriculture to utilize
United States agricultural export promotion and credit programs
with respect to the consumption of United States agricultural
commodities in Cuba.

SEC. 104. REPORT TO CONGRESS.

Not later than 6 months after the date of enactment of this Act,
the President shall submit to Congress a report that sets forth--
(1) the extent (expressed in volume and dollar amounts) of
sales to Cuba of agricultural commodities, farm machinery and
equipment, medicines, and medical devices, since the date of
enactment of this Act;
(2) a description of the types of the goods so exported;
and
(3) whether there has been any indication that any medicine
or medical device exported to Cuba since the date of enactment
of this Act--
(A) has been used for purposes of torture or other
human rights abuses;
(B) was reexported; or
(C) was used in the production of any bio-
technological product.

SEC. 105. DEFINITIONS.

In this title:
(1) Agricultural commodity.--The term ''agricultural
commodity''--
(A) has the meaning given the term in section 102
of the Agricultural Trade Act of 1978 (7 U.S.C. 5602);
and
(B) includes fertilizer.
(2) Medical device.--The term ''medical device'' has the
meaning given the term ''device'' in section 201 of the Federal
Food, Drug, and Cosmetic Act (21 U.S.C. 321).
(3) Medicine.--The term ''medicine'' has the meaning given
the term ''drug'' in section 201 of the Federal Food, Drug, and
Cosmetic Act (21 U.S.C. 7321).

TITLE II--EASING OF RESTRICTIONS ON TRAVEL BY UNITED STATES NATIONALS
TO CUBA

SEC. 201. TRAVEL TO CUBA.

(a) In General.--
(1) Freedom of travel for united states nationals and
lawful permanent resident aliens.--
(A) In general.--Subject to subsection (b), the
President shall not regulate or prohibit, directly or
indirectly--
(i) travel to, from, or within Cuba by
nationals of the United States or aliens
lawfully admitted for permanent residence in
the United States; or
(ii) any of the transactions incident to
such travel that are set forth in paragraph
(2).
(B) Supersedes existing law.--Subparagraph (A)
supersedes any other provision of law.
(2) Transactions incident to travel.--
(A) In general.--Except as provided in subparagraph
(B), the transactions referred to in paragraph (1)
are--
(i) any transaction ordinarily incident to
travel to or from Cuba, including the
importation into Cuba or the United States of
accompanied baggage for personal use only;
(ii) any transaction ordinarily incident to
travel or maintenance within Cuba, including
the payment of living expenses and the
acquisition of goods or services for personal
use;
(iii) any transaction ordinarily incident
to the arrangement, promotion, or facilitation
of travel to, from, or within Cuba;
(iv) any transaction incident to
nonscheduled air, sea, or land voyages, except
that this clause does not authorize the
carriage of articles into Cuba or the United
States except accompanied baggage; and
(v) any normal banking transaction incident
to any activity described in any of the
preceding clauses, including the issuance,
clearing, processing, or payment of checks,
drafts, travelers checks, credit or debit card
instruments, or similar instruments.
(B) Exclusion of certain goods for personal
consumption.--The transactions described in
subparagraph (A) do not include the importation into
the United States of goods for personal consumption
acquired in Cuba in excess of the amount established by
the Secretary of the Treasury pursuant to section 321
of the Tariff Act of 1930 (19 U.S.C. 1321) or otherwise
authorized by law.
(b) Exceptions.--The prohibition contained in subsection (a)(1)
does not apply in a case in which--
(1) the United States is at war with Cuba;
(2) armed hostilities between the two countries are in
progress or imminent; or
(3) there is a credible threat to the public health or the
physical safety of nationals of the United States who are
traveling to, from, or within Cuba.
(c) Applicability.--This section applies to actions taken by the
President before the date of enactment of this Act that are in effect
on such date, and to actions taken on or after such date.
(d) Repeals.--There are repealed the following provisions of law:
(1) Section 102(h) of Public Law 104-114 (22 U.S.C.
6032(h)).
(2) Section 910 of the Trade Sanctions Reform and Export
Enhancement Act of 2000 (title IX of H.R. 5426 of the One
Hundred Sixth Congress, as enacted into law by section 1(a) of
Public Law 106-387, and as contained in the appendix of that
Act).
(e) Definitions.--In this section:
(1) Lawfully admitted for permanent residence.--The term
''lawfully admitted for permanent residence'' has the meaning
given the term in section 101(a)(20) of the Immigration and
Nationality Act (8 U.S.C. 1101(a)(20)).
(2) National of the united states.--The term ''national of
the United States'' has the meaning given the term in section
101(a)(22) of the Immigration and Nationality Act (8 U.S.C.
1101(a)(22)).

TITLE III--SCHOLARSHIPS FOR CERTAIN CUBAN NATIONALS

SEC. 301. SCHOLARSHIPS FOR GRADUATE STUDY.

(a) Authority.--
(1) In general.--The President is authorized to provide
scholarships under section 102 of the Mutual Educational and
Cultural Exchange Act of 1961 (22 U.S.C. 2452) for nationals of
Cuba who seek to undertake graduate study in public health,
public policy, economics, law, or other field of social
science. In awarding scholarships under this paragraph, the
President shall give preference to individuals not employed by
the Cuban government or actively participating in the communist
party.
(2) Superseding existing law.--The authority of paragraph
(1) shall be exercised without regard to any other provision of
law.
(b) Allocation of Funds.--Of the amounts authorized to be
appropriated to carry out the Mutual Educational and Cultural Exchange
Act of 1961 (22 U.S.C. 2451 et seq.) for fiscal years 2002 through
2006, the following amounts are authorized to be available to carry out
subsection (a):
(1) For fiscal year 2002, $1,400,000 for not to exceed 20
scholarships.
(2) For fiscal year 2003, $1,750,000 for not to exceed 25
scholarships.
(3) For fiscal year 2004, $2,450,000 for not to exceed 35
scholarships.
(4) For fiscal year 2005, $2,450,000 for not to exceed 35
scholarships.
(5) For fiscal year 2006, $2,450,000 for not to exceed 35
scholarships.

TITLE IV--MISCELLANEOUS PROVISIONS

SEC. 401. WAIVER AUTHORITY WITH RESPECT TO THE PUBLIC LAW 104-114.

(a) Waiver of Sanctions and Restrictions on Assistance.--
Notwithstanding any other provision of law, the President may waive any
provision of title I or title II of Public Law 104-114 (22 U.S.C. 6021
et seq.) if the President determines that to do so will promote the
peaceful transition to democracy in Cuba.
(b) Waiver of Grounds of Inadmissibility of Certain Aliens.--
Notwithstanding any other provision of law or regulation, the President
may waive provisions of title IV of Public Law 104-114 (22 U.S.C. 6021
et seq.; relating to the inadmissibility of certain aliens) if the
President determines that to do so will further the national economic
interest of the United States.

SEC. 402. PROHIBITION ON LIMITING ANNUAL REMITTANCES.

(a) In General.--Except as provided in subsection (b), the
Secretary of the Treasury may not limit the amount of remittances to
Cuba that may be made by any person who is subject to the jurisdiction
of the United States, and the Secretary shall rescind all regulations
in effect on the date of enactment of this Act that so limit the amount
of those remittances.
(b) Statutory Construction.--Nothing in subsection (a) may be
construed to prohibit the prosecution or conviction of any person
committing an offense described in section 1956 of title 18, United
States Code (relating to the laundering of monetary instruments) or
section 1957 of such title (relating to engaging in monetary
transactions in property derived from specific unlawful activity).

SEC. 403. IMPORTATION OF DRUGS AND DEVICES.

Any prohibition or restriction in law (including a regulation) on
trade or financial transactions with Cuba shall not apply with respect
to--
(1) a new drug for which an application for investigation
under section 505(i) of the Federal Food, Drug, and Cosmetic
Act (21 U.S.C. 355(i)) has been submitted to the Secretary of
Health and Human Services;
(2) a biological product for which an application for
investigation under section 351(a)(3) of the Public Health
Service Act (42 U.S.C. 262(a)(3)) has been submitted to the
Secretary of Health and Human Services;
(3) a device for which an application for investigation
under section 520(g) of the Federal Food, Drug, and Cosmetic
Act (21 U.S.C. 360j(g)) has been submitted to the Secretary of
Health and Human Services;
(4) a drug that is the subject of an approved application
under section 505 of the Federal Food, Drug, and Cosmetic Act
(21 U.S.C. 355);
(5) a biological product that is the subject of an approved
license under section 351 of the Public Health Service Act (42
U.S.C. 262); or
(6) a device that--
(A) is cleared for marketing under section 510(k)
of the Federal Food, Drug, and Cosmetic Act (21 U.S.C.
360(k));
(B) is the subject of an approved application for
premarket approval under section 515 of the Federal
Food, Drug, and Cosmetic Act (21 U.S.C. 360e); or
(C) is exempted from premarket clearance under
subsection (l) or (m) of section 510 of the Federal
Food, Drug, and Cosmetic Act (21 U.S.C. 360).

SEC. 404. PROHIBITION ON UNILATERAL SANCTIONS ON GOODS OR SERVICES
INTENDED FOR EXCLUSIVE USE OF CHILDREN.

Funds made available under any provision of law may not be used to
administer or enforce any sanction by the United States on exports of
goods or services intended for the exclusive use of children (other
than a sanction imposed pursuant to an agreement with one or more other
countries).
[EX A]: Bridges to the Cuban People Act of 2001 - Exempts from the embargo on trade with Cuba (including prohibitions under the Cuban Democracy Act of 1992 against the unloading at a U.S. port of vessels that previously entered a Cuban port to engage in trade) the export of any agricultural commodity, farm machinery or equipment, medicine, or medical device, or any travel incident to the delivery of such items.Prohibits the President from prohibiting or regulating travel to or from or within Cuba by U.S. nationals or lawful resident aliens, including specified transactions ordinarily incident to such travel, financial or otherwise.Authorizes the President to provide scholarships for Cuban nationals who seek to undertake graduate study in public health, public policy, economics, law, or other field of social science.Authorizes the President to waive certain sanctions against, and restrictions on assistance to, Cuba, including the exclusion from the United States of certain aliens who have confiscated property in Cuba of U.S. nationals or who traffics in such property, if he determines that it will promote the peaceful transition to democracy in Cuba or will further U.S. national economic interests.Prohibits the Secretary of the Treasury from limiting the amount of remittances to Cuba that any U.S. person may make.Exempts from prohibitions or restrictions on trade with Cuba the import of certain drugs, biological products, and medical devices into the United States.Prohibits the use of funds to enforce unilateral sanctions on the export of goods and services intended for the exclusive use of children in Cuba.

[EX Q]: SECTION 1. SHORT TITLE.

This Act may be cited as the ''Medicare's Elderly Receiving
Innovative Treatments (MERIT) Act of 1999''.

SEC. 2. MODIFICATION OF PAYMENT RULES.

Section 1853 of the Social Security Act (42 U.S.C. 1395w-23) is
amended--
(1) in subsection (a)(1)(A), by striking ''subsections (e)
and (f)'' and inserting ''subsections (e) through (i)'';
(2) in subsection (a)(3)(D), by inserting ''and paragraph
(4)'' after ''section 1859(e)(4)''; and
(3) by adding at the end of subsection (a) the following
new paragraph:
''(4) Exemption from risk-adjustment system for frail
elderly beneficiaries enrolled in specialized programs for the
frail elderly.--
''(A) In general.--During the period described in
subparagraph (B), the risk-adjustment described in
paragraph (3) shall not apply to a frail elderly
Medicare+Choice beneficiary (as defined in subsection
(i)(3)) who is enrolled in a Medicare+Choice plan under
a specialized program for the frail elderly (as defined
in subsection (i)(2)).
''(B) Period of application.--The period described
in this subparagraph begins with January 2000 and ends
with the first month for which the Secretary certifies
to Congress that a comprehensive risk adjustment
methodology under paragraph (3)(C) (that takes into
account the types of factors described in subsection
(i)(1)) is being fully implemented.''; and
(4) by adding at the end the following new subsection:
''(i) Special Rules for Frail Elderly Enrolled in Specialized
Programs for the Frail Elderly.--
''(1) Development and implementation of new payment
system.--The Secretary shall develop and implement (as soon as
possible after the date of the enactment of this subsection),
during the period described in subsection (a)(4)(B), a payment
methodology for frail elderly Medicare+Choice beneficiaries
enrolled in a Medicare+Choice plan under a specialized program
for the frail elderly (as defined in paragraph (2)(A)). Such
methodology shall account for the prevalence, mix, and severity
of chronic conditions among such beneficiaries and shall
include medical diagnostic factors from all provider settings
(including hospital and nursing facility settings). It shall
include functional indicators of health status and such other
factors as may be necessary to achieve appropriate payments for
plans serving such beneficiaries.
''(2) Specialized program for the frail elderly
described.--
''(A) In general.--For purposes of this part, the
term 'specialized program for the frail elderly' means
a program which the Secretary determines--
''(i) if offered under this part as a
distinct part of a Medicare+Choice plan;
''(ii) primarily enrolls frail elderly
Medicare+Choice beneficiaries; and
''(iii) has a clinical delivery system that
is specifically designed to serve the special
needs of such beneficiaries and to coordinate
short-term and long-term care for such
beneficiaries through the use of a team
described in subparagraph (B) and through the
provision of primary care services to such
beneficiaries by means of such a team at the
nursing facility involved.
''(B) Specialized team.--A team described in this
subparagraph--
''(i) includes--
''(I) a physician, and
''(II) a nurse practitioner or
geriatric care manager, or both; and
''(ii) has as members individuals who have
special training and specialize in the care and
management of the frail elderly beneficiaries.
''(3) Frail elderly medicare+choice beneficiary
described.--For purposes of this part, the term 'frail elderly
Medicare+Choice beneficiary' means a Medicare+Choice eligible
individual who--
''(A) is residing in a skilled nursing facility or
a nursing facility (as defined for purposes of title
XIX) for an indefinite period and without any intention
of residing outside the facility; and
''(B) has a severity of condition that makes the
individual frail (as determined under guidelines
approved by the Secretary).''.

SEC. 3. CONTINUOUS OPEN ENROLLMENT FOR QUALIFIED INDIVIDUALS.

(a) In General.--Section 1851(e) of the Social Security Act (42
U.S.C. 1395w-21(e)) is amended by adding at the end the following new
paragraph:
''(7) Special rules for frail elderly medicare+choice
beneficiaries enrolling in specialized programs for the frail
elderly.--There shall be a continuous open enrollment period
for any frail elderly Medicare+Choice beneficiary (as defined
in section 1853(i)(3)) who is seeking to enroll in a
Medicare+Choice plan under a specialized program for the frail
elderly (as defined in section 1853(i)(2)).''.
(b) Effective Date.--The amendment made by subsection (a) takes
effect on the date of the enactment of this Act.

SEC. 4. DEVELOPMENT OF QUALITY MEASUREMENT PROGRAM.

(a) In General.--Section 1852(e) of the Social Security Act (42
U.S.C. 1395w-22(e)) is amended by adding at the end the following new
paragraph:
''(5) Quality measurement program for specialized programs
for the frail elderly as part of medicare+choice plans.--The
Secretary shall develop and implement a program to measure the
quality of care provided in specialized programs for the frail
elderly (as defined in section 1853(i)(2)) in order to reflect
the unique health aspects and needs of frail elderly
Medicare+Choice beneficiaries (as defined in section
1853(i)(3)). Such quality measurements may include indicators
of the prevalence of pressure sores, reduction of iatrogenic
disease, use of urinary catheters, use of anti-anxiety
medications, use of advance directives, incidence of pneumonia,
and incidence of congestive heart failure.''.
(b) Effective Date.--The Secretary of Health and Human Services
shall first provide for the implementation of the quality measurement
program for specialized programs for the frail elderly under the
amendment made by subsection (a) by not later than July 1, 2000.
[EX A]:
Medicare's Elderly Receiving Innovative Treatments (MERIT) Act of 1999 - Amends part C (Medicare+Choice) of title XVIII (Medicare) of the Social Security Act with regard to the frail elderly, modifying: (1) payment rules (including requiring the Secretary of Health and Human Services to develop and implement a new payment system); (2) eligibility, election, and enrollment provisions (adding special rules for frail elderly Medicare+Choice beneficiaries enrolling in specialized programs for the frail elderly that establish a continuous open enrollment period for such individuals); and (3) benefits and beneficiary protections provisions (requiring the Secretary to develop and implement a program to measure the quality of care provided in specialized programs for the frail elderly). Exempts Medicare+Choice beneficiaries in a specialized program for the frail elderly from any risk adjustment system until the Secretary certifies to Congress that a comprehensive risk adjustment methodology taking certain factors into account is being fully implemented.