In this task, you are given text for US Congressional and California state bills, your task is to generate a summary for this bill.
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Question: SECTION 1. SHORT TITLE.

This Act may be cited as the ''Health Care Waiver Fairness Act of
2011''.

SEC. 2. PPACA WAIVER PROCESS.

(a) In General.--Title I of the Patient Protection and Affordable
Care Act (Public Law 111-148) is amended by adding at the end the
following new subtitle:

''Subtitle G--Waiver Process

''SEC. 1601. ESTABLISHMENT OF WAIVER PROCESS.

''(a) In General.--The applicable authorities (as defined in
subsection (c)) shall collectively establish a process (in this section
referred to as the 'waiver process') under which the administrator of a
health plan, an employer, an individual, or other entity may seek to
waive the application of a requirement under this title with respect to
such plan, employer, individual, or entity. Among the requirements
under this title, such process shall apply to the following:
''(1) Section 5000A of the Internal Revenue Code of 1986
(relating to requirement to maintain minimum essential
coverage), as inserted by section 1501(b).
''(2) Section 6055 of the Internal Revenue Code of 1986
(relating to reporting of health insurance coverage), as
inserted by section 1502(a).
''(3) Section 18A of the Fair Labor Standards Act of 1938
(42 U.S.C. 218a, relating to automatic enrollment for employees
of large employers), as inserted by section 1511.
''(4) Section 18B of the Fair Labor Standards Act of 1938
(42 U.S.C. 218b, relating to notice to employees), as inserted
by section 1512.
''(5) Section 4980H of the Internal Revenue Code of 1986
(relating to shared responsibility for employers regarding
health coverage), as inserted by section 1513(a).
''(6) Section 6056 of the Internal Revenue Code of 1986
(relating to certain employers required to report on health
insurance coverage), as inserted by section 1514(a).
''(7) Section 10108 (relating to free choice vouchers).
''(8) Regulations regarding the treatment of group health
plans or health insurance coverage as a grandfathered health
plan (as defined in section 1251(e)).
''(9) Section 2718(b) of the Public Health Service Act
(relating to medical loss ratios), as inserted by section 1001.
''(b) Waiver Process.--
''(1) In general.--The applicable authorities shall
establish the waiver process consistent with the following:
''(A) Notice and guidance.--Public notice and
guidance shall be provided regarding the process for
submission of waiver requests.
''(B) Standard.--A waiver request with respect to
the application of a requirement to a plan, employer,
individual, or entity shall be accompanied by a
statement that--
''(i) identifies the specific requirement
(or requirements) to be waived; and
''(ii) describes how the imposition of each
specific requirement for which a waiver is
requested on the plan, employer, individual, or
entity would result in a significant decrease
in access to coverage or a significant increase
in premiums or other costs for such plan,
employer, individual, or entity.
''(C) Deemed approval.--A waiver request filed that
is accompanied by such a statement shall be deemed to
be approved.
''(D) Publication of data.--The applicable
authorities shall regularly publish data regarding the
waiver requests received for the different
requirements.
''(2) Treatment of approved waivers.--In the case of
approval under the waiver process of a waiver request with
respect to a requirement of this title and an entity,
notwithstanding any other provision of law, such requirement
shall not apply to such entity on and after the date of
approval of the request.
''(3) Relation to other exemptions and exceptions.--Nothing
in this section shall be construed as superceding other
provisions of this title insofar as they provide for
exceptions, exemptions, or other special treatment with respect
to requirements under this title.
''(c) Applicable Authority.--In this section, the term 'applicable
authority' means--
''(1) except as otherwise provided in this subsection, the
Secretary of Health and Human Services;
''(2) the Secretary of Labor with respect to the provisions
of this title, including amendments made by this title, that
are administered by such Secretary; and
''(3) the Secretary of the Treasury with respect to the
provisions of this title, including amendments made by this
title, that are administered by such Secretary, including
sections of the Internal Revenue Code of 1986 specified in
subsection (a).
''(d) References to Requirements Under This Title.--In this
section, a reference to a requirement under this title include such a
requirement under an amendment made by this title, including as amended
by title X of this Act or by the provisions of the Health Care and
Education Reconciliation Act of 2010 (Public Law 111-152).
''(e) Public Awareness Campaign.--Of the amounts available in the
Prevention and Public Health Fund established under section 4002,
notwithstanding any other provision of law, $50,000,000 shall be
available to and expended by the Secretary of Health and Human Services
to conduct, in coordination with other applicable authorities, a public
awareness campaign of the waiver process. Amounts made available under
this subsection shall remain available until expended.''.
(b) Clerical Amendment.--The table of contents of such Act is
amended by adding at the end of the items relating to title I the
following:

''Subtitle G--Waiver Process

''Sec. 1601. Establishment of waiver process.''.

Answer: Health Care Waiver Fairness Act of 2011 - Amends the Patient Protection and Affordable Care Act (PPACA) to require the Secretary of Health and Human Services (HHS), the Secretary of Labor, and the Secretary of Treasury to establish waiver processes under which the administrator of a health plan, an employer, an individual, or other entity may seek to waive the application of a health insurance coverage requirement under PPACA. Sets forth PPACA requirements that may be waived, including those related to minimum essential coverage and employers offering health care coverage to employees.

Establishes requirements for the waiver process, including requiring submission of a statement describing how the imposition of the PPACA requirement would result in a significant decrease in access to coverage or a significant increase in premiums or other costs for such plan, employer, individual, or entity. Deems to be approved any waiver including such a statement.

Requires the Secretary of HHS to conduct a public awareness campaign of the waiver process with funds made available for the Prevention and Public Health Fund.

Question: SECTION 1. SHORT TITLE.

This Act may be cited as the ''Helping Those Who Serve Act''.

SEC. 2. FINDINGS.

Congress finds the following:
(1) Increasing numbers of members of the Armed Forces
serving in Afghanistan and Iraq are suffering from the
significant injuries of the current conflict: post traumatic
stress disorder and traumatic brain injury (hereafter in this
Act referred to as ''PTSD'' and ''TBI'', respectively) .
(2) A recent report by the RAND Corporation estimated that
of the 1.64 million individuals who have been deployed to
Afghanistan and Iraq, approximately 300,000 individuals
currently suffer from PTSD or major depression and that 320,000
report having a probable TBI during deployment.
(3) The need for mental health services is likely to
increase because deployment lengths have increased in the last
year, the number of troops who have served in multiple
deployments is increasing, and the breaks between deployments
have been infrequent.
(4) Several experts have noted the difficulties faced by
members of the Armed Forces in getting screened, diagnosed, and
treated for PTSD and TBI. The RAND report found that, of those
who met diagnostic criteria for PTSD or major depression, only
53 percent had seen a physician or mental health provider to
seek help for a mental health problem in the past 12 months.
(5) Stigma remains a critical barrier to members of the
Armed Forces who may be in need of psychological care,
especially fears that seeking mental health care will lower the
confidence of others in their abilities, threaten career
advancement and security clearances, and possibly cause removal
from their unit.
(6) Stigma may be greatest among those individuals with the
greatest need for mental health services.
(7) To combat stigma, the Mental Health Task Force of the
Department of Defense and others have noted the need for the
Department to reexamine its policies, including those policies
related to command notification or self-disclosure of
psychological health issues that contribute to fears that
seeking mental health care will negatively affect career
opportunities or advancement.
(8) The Mental Health Task Force stated that this
''widespread perception that seeking psychological health
services is costly to an individual's career . . . must be
challenged through thoughtful refinements in command
notification policies, including redefining the balance between
the need to encourage those in need to seek help and the need
for commanders to know in order to maintain force readiness''.
(9) Congress recognizes that much change is under way to
implement numerous recommendations to address concerns that
soldiers in need of mental health services for PTSD and other
conditions are not receiving, including efforts led by the
Department of Defense and the Department of Veterans Affairs.
(10) However, without addressing stigma at all levels,
including structurally, these laudable efforts may not
accomplish their goals.
(11) In its July 2007 report, the Mental Health Task Force
called for ending overly conservative policies that have the
unintentional consequence of fueling erroneous beliefs that
seeking psychological health care invariably results in
permanent damage to one's military career. For example, the
Task Force called for allowing, in the case of alcohol use by a
member of the Armed Forces, for the member to receive
appropriate and non-prejudicial education and preventive
services, without a requirement for command notification, when,
in a clinician's judgment, the alcohol use does not warrant a
diagnosis of substance abuse or dependency or does not require
entry into a formal treatment program.
(12) In May, responding to some of these concerns,
Secretary of Defense Robert Gates reportedly approved a change
in the Department's security clearance process to help remove
the stigma associated with seeking mental health care. Under
the change, members of the Armed Forces and employees of the
Department of Defense who have received mental health care will
no longer have to acknowledge that when they fill out standard
security clearance forms, unless the treatment was court-
ordered or involved violence.
(13) Congress encourages the Department to explore further
changes to notification and other policies to further reduce
stigma among members of the Armed Forces, especially as it
relates to career opportunities.

SEC. 3. MENTAL HEALTH SERVICES ACCESS DEMONSTRATION PROJECT.

(a) Demonstration Project Required.--The Secretary of Defense shall
conduct a demonstration project designed to develop and test options
for the following:
(1) Increasing access of members of the Armed Forces
returning from deployment abroad, and family members of such
members, to accessible, safe, and confidential mental health
counseling.
(2) Reducing stigma and perceived career repercussions
associated with such members seeking such services.
(3) Making high quality mental health services more user
friendly and accessible for members of the Armed Forces and
their family members, including making services available
outside standard working hours.
(b) Purpose.--The purpose of the demonstration project is to
provide high-quality treatment, using (to the extent practicable)
evidence-based treatment, for a broad range of mental health
conditions, including post-traumatic stress disorder and depression,
with the goal of early intervention to promote effective coping and
resilience.
(c) Duration of Project.--The demonstration project authorized by
this section shall be implemented for a period of three years beginning
not later than one year after the date of the enactment of this Act.

SEC. 4. SPECIAL WORKING GROUP ON CONFIDENTIALITY.

(a) Establishment.--The Secretary of Defense, acting through the
Assistant Secretary of Defense for Health Affairs, shall establish a
Special Working Group, which shall be composed of mental health
professionals from each of the Armed Forces, officials from the Surgeon
General Offices at each Armed Force, members of the Armed Forces who
have been deployed in support of Operation Enduring Freedom or
Operation Iraqi Freedom, and other members as determined appropriated
by the Assistant Secretary.
(b) Appointment.--The Secretary shall make every effort to appoint
members of the working group not later than 60 days after the date of
the enactment of this Act.
(c) Purpose.--The Special Working Group shall develop guidelines
and make recommendations about regulations to ensure that
confidentiality is protected to the maximum extent possible for members
of the Armed Forces participating in the demonstration project.
(d) Specific Duties.--In addition to such other duties as the
Secretary may assign to the Working Group, the duties of the Working
Group shall include the following:
(1) Review of requirements for documentation of health care
visits.--The review of current policies, questionnaires, and
other relevant documents that require official documentation of
health care visits by a member of the Armed Forces seeking
mental health services, including when access to such services
must be documented in the personnel record of a member.
(2) Criteria for changes to command notification.--The
development of guidelines and criteria for the demonstration
project to address any needed changes to military command
notification requirements to ensure that a visit to an off-base
treatment site by a member of the Armed Forces for mental
health services is not recorded on any military medical or
other record of the member, except in accordance with
guidelines developed under paragraph (3).
(3) Guidelines for breach of confidentiality.--The
development of guidelines for the demonstration project to
address the circumstances under which the confidentiality
protections afforded to a member of the Armed Forces
participating in the demonstration project may be breached and
notification to military commanders and documentation in
personnel records may be made. Such guidelines shall provide,
in general, that confidentiality may be broken only if a mental
health professional determines that the member is a threat to
the member or to another person.
(4) Criteria to limit access to treatment records.--The
development of criteria for the demonstration project for
limiting access to the treatment records of members of the
Armed Forces treated at the demonstration locations, including
when to allow, if appropriate, appropriate access and
notification to military commanders consistent with guidelines
developed under paragraph (3).
(5) Criteria for fitness for duty.--The development of
criteria for determining fitness for duty and deployment for a
member of the Armed Forces that does not depend solely on the
number of visits to mental health providers by the member.
(6) Guidelines for payment.--The development of guidelines
for ensuring that demonstration sites under the demonstration
project receive payment from the Department of Defense for
treating members of the Armed Forces notwithstanding any
requirements of the Department that prohibit such payments
without certain commander notification or personnel
documentation requirements.
(7) Changes related to disclosure of services received
under project.--The provision of changes as necessary to ensure
that those receiving care at demonstration locations are not
required to reveal any services they receive at these locations
on any military form or questionnaire, except to comply with
any guidelines developed under paragraph (3).
(8) Standards to assess effectiveness of project.--The
development of evaluation standards and criteria to use to
assess the effectiveness of the demonstration project in
increasing access to care, decreasing stigma, and improving
high quality mental health care provided to members of the
Armed Forces. As appropriate, the evaluation should be
structured to include both pre- and post-demonstration
assessments of changes in--
(A) access and utilization of care;
(B) costs of care;
(C) outcomes of care;
(D) member satisfaction with access to and quality
of care; and
(E) impact on the ability of military commanders to
determine member fitness for duty and deployability.
(e) Submission of Plan and Deadline.--
(1) Plan.--The Special Working Group shall submit to the
Secretary of Defense a plan with details on the implementation
and evaluation of the demonstration project. After approval of
the plan by the Secretary, the Special Working Group shall
submit to Congress the plan.
(2) Deadline.--All duties of the Special Working group,
including submission of the plan under paragraph (1), shall be
completed before selection of any site of the demonstration
project under section 3 but in no case shall the date of
completion of such duties be later than one year after the date
of the enactment of this Act.
(f) Application of Guidelines and Recommendations.--The guidelines
and other recommendations, including changes and standards, developed
by the Special Working Group under this section shall be applicable
only to the demonstration project unless the Secretary of Defense
determines otherwise.

SEC. 5. ADVISORY GROUP FOR OVERSIGHT OF DEMONSTRATION PROGRAM.

(a) Establishment.--The Secretary of Defense shall establish an
advisory group of qualified individuals to oversee implementation of
the demonstration project.
(b) Duties.--The advisory group shall--
(1) ensure that the demonstration project adheres to the
guidelines developed by the Special Working Group under section
4;
(2) ensure that plans for implementing the demonstration at
selected sites are developed and include--
(A) outreach strategies to ensure that participants
in the project are informed about the availability of
the programs being provided under the project; and
(B) a plan for training and certifying mental
health providers as well as the development of
strategies and settings, including settings that are
not located at military treatment facilities, where
care can be offered;
(3) ensure that the demonstration project has detailed
evaluation plans, using the criteria and standards developed by
the Special Working Group; and
(4) ensure that independent evaluations of the
demonstration project are conducted in accordance with the
guidelines developed by the Special Working Group, and that the
results of those evaluations are provided to the Secretary of
Defense.

SEC. 6. REPORTS ON DEMONSTRATION PROJECT.

(a) Reports Required.--
(1) In general.--The Secretary of Defense shall submit to
the Committees on Armed Services of the Senate and the House of
Representatives two reports on the demonstration project.
(2) First report.--The first report shall examine and
assess the plan developed by the Special Working Group under
section 4(e)(1) for implementation and evaluation of the
demonstration project.
(3) Second report.--The second report shall include the
following:
(A) The results of the demonstration project,
evaluated in accordance with the guidelines and other
criteria, changes, and standards developed by the
Special Working Group.
(B) Recommendations on whether any of the policy
changes tested in the demonstration project should be
adopted throughout the Department of Defense.
(C) A plan to ensure that each member of the Armed
Forces participating in the demonstration project
continues to have access to mental health services and
providers after the conclusion of the demonstration
project.
(b) Deadlines.--The first report under this section shall be
submitted not later than one year after the date the demonstration
project begins to be implemented. The second report shall be submitted
at the completion of the demonstration project.

SEC. 7. STUDY AND REPORT ON RETENTION OF MILITARY MENTAL HEALTH
PROFESSIONALS.

(a) Study.--The Secretary of Defense, in consultation with the
Surgeon General of each branch of the Armed Forces, shall conduct a
study to determine the reasons for attrition among military mental
health professionals and to make recommendations to increase
recruitment and retention of military mental health professionals, such
as through scholarships, loan forgiveness, or updates in current
recruiting bonuses.
(b) Report.--Not later than six months after the date of the
enactment of this Act, the Secretary of Defense shall submit to
Congress a report on the study conducted and recommendations made under
subsection (a), including--
(1) the estimated cost of implementing each such
recommendation;
(2) with respect to each branch of the Armed Forces, an
estimate of the existing number of military mental health
professionals and the estimated number of such professionals
required to meet demand, including for future years, for mental
health services; and
(3) any recommendations for legislative changes necessary
to implement the recommendations made under such study.
(c) Military Mental Health Professional Defined.--For purposes of
this section, the term ''military mental health professional'' means a
mental health professional who provides mental health services to
members of the Armed Forces, whether such professional is a member of
the Armed Forces, an employee of the Department of Defense, or a
contractor of the Department of Defense.

Answer: Helping Those Who Serve Act - Directs the Secretary of Defense to conduct a demonstration project (project) designed to: (1) increase access of members of the Armed Forces (members) returning from deployment abroad, and their families, to accessible, safe, and confidential mental health counseling; (2) reduce the stigma and career repercussions associated with seeking such services; and (3) make high-quality mental health services more user-friendly to such members and their families.

Requires the Secretary to: (1) establish a Special Working Group to develop guidelines and recommendations to ensure the protection of confidentiality for members participating in the project; (2) establish an advisory group to oversee project implementation; (3) submit project reports to the congressional defense committees; and (4) conduct a study of reasons for attrition among military mental health professionals, and make recommendations to increase the recruitment and retention of such individuals.

Question: SECTION 1. SHORT TITLE.

This Act may be cited as the ''Support for Vulnerable and Displaced
Iraqis Act of 2008''.

SEC. 2. FINDINGS.

Congress makes the following findings:
(1) Since the beginning of the 2003 war in Iraq, according
to countries hosting Iraqi refugees, up to 2,000,000 Iraqis
have fled their homes for neighboring countries to avoid
sectarian and other violence.
(2) According to the Office of the United Nations High
Commissioner for Refugees (UNHCR), there are over 2,700,000
internally displaced persons (IDPs) in Iraq, and many other
vulnerable Iraqis have been unable to flee, many lacking
adequate food, shelter, and other basic services.
(3) The massive flow of Iraqi refugees into neighboring
host countries has overwhelmed existing social, economic, and
security capacities of such countries. Few Iraqis currently
consider return to Iraq an option.
(4) Increasing poverty and despair among displaced
populations may provide fertile ground for possible recruitment
by extremist groups.
(5) The humanitarian crisis in Iraq and its neighbors
threatens to undermine stability in the broader region.
(6) The United States has yet to disclose a long-term
comprehensive strategy to address the humanitarian situation of
vulnerable Iraqis, especially mass displacement of Iraqis
inside Iraq and as refugees into neighboring countries.

SEC. 3. SENSE OF CONGRESS.

It is the sense of Congress that--
(1) refugees from Iraq and vulnerable Iraqis in Iraq,
especially internally displaced persons, will have an impact on
the stability of Iraq and the region, and the short- and long-
term effects and needs of their situation must be considered
within the overall Iraq policy of the United States and be
addressed at the highest levels of government;
(2) United States leadership is essential to sustain and
expand the response of the international community, including
the Government of Iraq, to the humanitarian crisis in Iraq and
faced by Iraqi refugees;
(3) it is critical for the United States to provide strong
leadership on funding assistance requests from the UNHCR and
other international organizations and nongovernmental
organizations providing humanitarian assistance to vulnerable
populations in Iraq, including internally displaced persons,
and to Iraqi refugees in neighboring countries;
(4) the United States should develop a long-term,
comprehensive humanitarian strategy in coordination with the
Government of Iraq, host countries, and other countries in the
region, donor governments, inter-governmental organizations,
international organizations, and nongovernmental organizations
to meet the humanitarian needs of vulnerable Iraqis, especially
Iraqi refugees and internally displaced persons, through
assistance and resettlement;
(5) internally displaced Iraqis and Iraqi refugees should
only return when they are able to do so safely, voluntarily,
and sustainably; and
(6) the United States should rely on assessments of the
UNHCR, which has the mandate from the international community
for displaced people, nongovernmental organizations, and
displaced Iraqis themselves, in developing a long-term,
comprehensive humanitarian strategy to address the crisis
facing refugees from Iraq and internally displaced persons in
Iraq.

SEC. 4. DEVELOPMENT OF REGIONAL STRATEGY.

(a) In General.--The Secretary of State, in consultation with the
Administrator of the United States Agency for International
Development, the Secretary of Defense, and the heads of other Federal
agencies as appropriate, shall develop a comprehensive regional
strategy to address the mass displacement of Iraqis inside Iraq and as
refugees into neighboring countries.
(b) Content.--The strategy required under subsection (a) shall--
(1) address the serious challenges facing refugees from
Iraq, including--
(A) the lack of legal status recognized by host
governments and the inability of refugees to work
legally;
(B) inadequate UNHCR resources to register more
refugees from Iraq, assist them in Iraq and host
countries, and refer them for resettlement;
(C) inadequate UNHCR resources for nongovernmental
organizations to assist refugees from Iraq;
(D) limited access to education and healthcare;
(E) critical food shortages; and
(F) inadequate shelter, drinking water, sanitation,
and protection;
(2) address the responsibility of the Government of Iraq to
help meet the urgent humanitarian needs of its citizens in Iraq
and the region and steps the United States can take to provide
support in this area;
(3) include an assessment of the needs of vulnerable Iraqis
in Iraq, especially internally displaced persons and Iraqi
refugees in the region, and an estimate of assistance required
in order for the United States to help meet these needs,
including bilateral assistance and contributions to the Office
of the United Nations High Commissioner for Refugees (UNHCR),
other international organizations, and nongovernmental
organizations providing humanitarian assistance to vulnerable
populations in Iraq, including internally displaced persons,
and to Iraqi refugees in neighboring countries;
(4) include the number of refugees from Iraq that the
United States plans to admit to and resettle in the United
States in order to maintain the traditional United States share
of world-wide refugee admissions and resettlement, participate
in burden sharing with host countries, and provide a robust
response to the protection needs of refugees from Iraq, and
provide an explanation and justification for the number;
(5) include an assessment of what conditions are necessary
for the voluntary, safe, sustainable return of displaced
Iraqis, relying on the evaluations of the United States High
Commissioner for Refugees, nongovernmental organizations, and
displaced Iraqis themselves;
(6) include a description of the steps that the United
States Government has taken and will take to engage the
international community, including the Government of Iraq, to
implement the strategy and the response of the international
community to these efforts; and
(7) include plans to assess the impact of the strategy.

SEC. 5. REPORTS.

(a) Recommendations.--Not later than April 15, 2009, the
Comptroller General of the United States shall submit to the
appropriate congressional committees detailed recommendations on steps
the United States can take to address the humanitarian situation for
vulnerable Iraqis, especially the mass displacement of Iraqis inside
Iraq and as refugees into neighboring countries.
(b) Comprehensive Regional Strategy.--Not later than June 1, 2009,
the Secretary of State shall submit to the appropriate congressional
committees a detailed description of the comprehensive regional
strategy required under section 4, as well as proposed timelines and
budgets for implementing the strategy.
(c) Annual Report.--Not later than December 31, 2009, and annually
thereafter until December 31, 2013, the Secretary of State shall submit
a report to Congress on the needs of vulnerable Iraqis, the
implementation of the comprehensive regional strategy, and the impact
of the regional strategy.

SEC. 6. APPROPRIATE CONGRESSIONAL COMMITTEES DEFINED.

In this Act, the term ''appropriate congressional committees''
means--
(1) the Committee on Foreign Relations and the Committee on
Appropriations of the Senate; and
(2) the Committee on Foreign Affairs and the Committee on
Appropriations of the House of Representatives.

Answer:
Support for Vulnerable and Displaced Iraqis Act of 2008 - Directs the Secretary of State to develop a comprehensive regional strategy to address the mass displacement of Iraqis inside Iraq and as refugees into neighboring countries.

Requires that such strategy: (1) address the challenges facing Iraqi refugees; (2) address the government of Iraq's responsibility to help meet the humanitarian needs of its citizens in Iraq and the region and related U.S. support; (3) assess the needs of vulnerable Iraqis in Iraq, especially internally displaced persons and Iraqi refugees in the region; (4) include the number of refugees from Iraq that the United States plans to resettle in the United States; (5) describe U.S. government steps to engage the international community and the government of Iraq in implementing such strategy; and (6) include plans to assess the strategy's impact.