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 Input:
SECTION 1. CONSERVATION FLEX PROGRAM OPTION.

(a) Establishment of Program.--The Agricultural Act of 1949 is
amended by inserting after section 115 (7 U.S.C. 1445k) the following
new section:
''SEC. 116. CONSERVATION FLEX PROGRAM OPTION.

''(a) Establishment.--The Secretary shall establish a voluntary
conservation flex program option to assist producers of agricultural
commodities in adopting integrated, site-specific farm management plans
through the reduction of farm program barriers to resource stewardship
practices and systems.
''(b) Definitions.--For the purposes of this section:
''(1) The term 'program' means the conservation flex
program option established under this section.
''(2) The term 'plan' means a site-specific farm management
plan prepared by the producer and approved by the Secretary.
''(3) The term 'alternative crops' means experimental and
industrial crops which conserve soil and water.
''(4) The term 'breeding cattle' means bulls, dams, and
heifers held solely for the production of calves, but shall not
include weaned calves being grown for slaughter or dairy
cattle.
''(5) The term 'legume' means any legume, including
alfalfa, clover, lentils, lupine, medic, peas, soybeans, and
vetch grown for use as a forage, green manure, or biomass
feedstock, but not including any pulse crop from which the
seeds are harvested and sold for purposes other than use as
seed for planting.
''(6) The term 'resource-conserving crop' means legumes,
grasses, brassica cover crops and forages, alternative crops,
any interseeded or relay-planted combination of such crops, any
interseeded or relay-planted combination of such crops and
small grains, and such other crops as the Secretary may
designate.
''(7) The term 'resource-conserving crop rotation' means a
crop rotation which includes at least one resource-conserving
crop and that reduces erosion, maintains or improves soil
fertility, tilth and structure, interrupts pest cycles, or
conserves water.
''(8) The term 'rotational grazing' means planting forage,
dividing pastures into paddocks, and using grazing rotations to
increase forage quality and production, improve vegetative
cover, and reduce sediment and nutrient runoff.
''(9) The term 'small grains' means any small grain,
including barley, buckwheat, oats, rye, spelt, and triticale,
but not including wheat, except for wheat grown for nonhuman
consumption.
''(10) The term 'special conservation practices' means
field borders, contour grass strips, grass waterways, filter
strips, grass windbreaks, buffer areas, wildlife habitat
plantings, habitat plantings for beneficial organisms that aid
in the control of pests, and such other practices as the
Secretary may designate.
''(c) Eligible Producers.--To be eligible to participate in the
program, a producer must prepare and submit to the Secretary for
approval a site-specific farm management plan, which may at the
producer's option be integrated with any conservation plan developed
pursuant to section 1212 of the Food Security Act of 1985 (16 U.S.C.
3812) and any other conservation or natural resource plan required for
producer participation in any program within the jurisdiction of the
Secretary.
''(d) Agreements.--Upon the approval of a plan submitted by a
producer under subsection (c), the Secretary shall enter into an
agreement with the producer that specifies the crop acreage bases being
enrolled in the program. The agreement shall be for a period of not
less than one year, nor more than seven years, as determined by the
producer. The agreement may be renewed upon the mutual agreement of the
Secretary and the producer.
''(e) Producer Responsibilities Under Agreement.--Under the terms
of an agreement entered into under subsection (d), a producer shall
agree--
''(1) to actively comply with the terms and conditions of
the applicable plan, as approved by the Secretary;
''(2) to devote to a resource-conserving crop--
''(A) not less than 15 percent of the crop acreage
bases of the producer enrolled under such program; or
''(B) not less than 15 percent of the producer's
total crop acres, if the sum of resource-conserving
crop acres on non-base acres and total crop acreage
bases on the farm does not exceed the county average
base-to-cropland ratio; and
''(3) to keep such records as the Secretary may reasonably
require for purposes of program evaluation.
''(f) Requirements of the Plan.--To be approved by the Secretary, a
plan submitted by a producer must--
''(1) specify the crop acreage bases the producer chooses
to enroll in the program;
''(2) describe the resource-conserving crop rotation,
special conservation practices, rotational grazing, or biomass
production operations and practices to be implemented and
maintained on such acreage during the agreement period which
fulfill the purposes of the program;
''(3) contain a schedule for the implementation,
improvement and maintenance of the resource-conserving crop
rotation, special conservation practices, rotational grazing,
or biomass operations and practices described in the plan; and
''(4) contain such other terms as the Secretary may
require.
''(g) Program Administration, Certification, and Termination.--
''(1) Program administration, technical assistance, and
flexibility.--
''(A) Administration.--The program shall be
administered by the Secretary.
''(B) Technical assistance.--In administering the
program, the Secretary, in consultation with the local
conservation districts and any State or local
authorities deemed appropriate by the Secretary, shall
provide technical assistance to a producer in
developing and implementing a plan, evaluating the
effectiveness of a plan, and assessing the costs and
benefits of farming operations and practices. If
requested by a producer, the Secretary shall provide
technical assistance to help the producer comply with
Federal, State, and local requirements designed to
protect soil, wetlands, wildlife habitat, the quality
of ground water and surface water, or other natural
resources.
''(C) Flexibility.--In administering the program,
the Secretary shall provide sufficient flexibility for
a producer to revise the producer's plan to respond to
changes in market conditions, weather, or technology or
to adjust and modify the farming operation, except that
such revisions must be consistent with the purposes of
the program and approved by the Secretary.
''(2) Certification.--The Secretary shall certify producer
compliance with the terms and conditions of the plan.
''(3) Termination.--The Secretary may terminate an
agreement entered into with a producer under this program if--
''(A) the producer agrees to such termination; or
''(B) the producer violates the terms and
conditions of such agreement.
''(h) Program Rules.--
''(1) Base and yield protection.--Notwithstanding any other
provision of law, the Secretary shall not reduce crop acreage
bases or farm program payment yields as a result of the
planting of a resource-conserving crop.
''(2) Payment acres.--Notwithstanding any other provision
of law, the Secretary shall not reduce any farm program loans,
payments, or benefits of a program participant as a result of
the planting of a resource-conserving crop.
''(3) Payment rate.--Notwithstanding any other provision of
law, the Secretary shall provide deficiency payments on
resource-conserving crop acreage eligible for payments at a
rate not less than the projected deficiency payment rate, as
determined and announced each year by the Secretary prior to
the period during which producers may agree to participate in
the program.
''(4) Payment acre protection.--Notwithstanding any other
provision of law, the Secretary shall not reduce the payment
acres or the established price for a program participant who
has entered into an agreement with the Secretary for a fixed
period of time.
''(5) Resource-conserving crops on normal flex acreage.--
Acreage devoted to resource-conserving crops under this program
may, at the discretion of the producer, be designated as normal
flex acreage.
''(6) Adjustments in production adjustment requirements.--
Notwithstanding any other provision of law, the Secretary shall
make fair and equitable adjustments in acreage limitation
requirements applicable to a producer participating in the
program giving due consideration to crop rotation, special
conservation practices, rotational grazing, biomass production,
and other appropriate factors resulting from the implementation
of a plan. If the Secretary determines that the reduction in
program crop production on a participating farm referred to in
the preceding sentence will equal or exceed any reduction in
crop production which, in the absence of participation in the
program, would occur as a result of acreage limitation
requirements, the Secretary shall waive such acreage limitation
requirements for the farm. If the resource conserving crop
includes a farm program feed grain crop planted on the base
acres of another farm program feed grain crop, the Secretary
shall take into account the established or county average yield
of the two feed grains for the purposes of making the
adjustment or waiver.
''(7) Total base acreage flexibility.--Notwithstanding any
other provision of law, the Secretary shall allow participants
in this program to plant farm program crops and oilseeds in any
proportion on a producer's total acreage of farm program crop
base and historic oilseeds acreage without affecting farm
program payments.
''(8) Crop insurance.--Notwithstanding any other provision
of law, acreage devoted to resource-conserving crops under this
program shall be eligible for crop insurance pursuant to the
Federal Crop Insurance Act (7 U.S.C. 1501 et seq.).
''(9) Haying and grazing restriction.--
''(A) In general.--The Secretary shall not make any
farm program payments to a producer, who is otherwise
eligible to receive such payments, for acreage enrolled
in the program if the producer, during the consecutive
five month period in each State in which haying and
grazing of conserving use acres may be prohibited under
the provisions of this Act, grazes breeding cattle or
nursing calves or harvests and sells hay on payment
acres.
''(B) Transition option.--The restriction in
subparagraph (A) shall not apply in the case of a
producer who agrees to retire all base acreage enrolled
in the program at the end of the agreement period.
''(C) Emergency haying and grazing.--The Secretary
shall release acreage devoted to resource-conserving
crops for emergency haying and grazing as the result of
a natural disaster when the Secretary permits unlimited
haying and grazing on--
''(i) reduced acreage under this Act;
''(ii) acreage devoted to a conservation
use under this Act;
''(iii) acreage diverted from production
under a land diversion program established
under this Act; or
''(iv) acreage enrolled in the conservation
reserve program under the Food Security Act of
1985 (16 U.S.C. 3801 et seq.).''.
(b) Conforming Repeal.--Section 1451 of the Food, Agriculture,
Conservation, and Trade Act of 1990 (7 U.S.C. 5822) is repealed.

Ex Output:
Amends the Agricultural Act of 1949 to direct the Secretary of Agriculture to establish a voluntary conservation flex program which will permit producers to adopt integrated site-specific farm management plans. Includes within such plans resource-conserving crops, crop rotation, and rotational grazing.

Ex Input:
SECTION 1. SHORT TITLE.

This Act may be cited as the ''Coastal Services and Performance
Evaluation Act of 2003''.

SEC. 2. TABLE OF CONTENTS.

The table of contents for this Act is as follows:

Sec. 1. Short title.
Sec. 2. Table of contents.
Sec. 3. Amendment of Coastal Zone Management Act of 1972.
Sec. 4. Policy.
Sec. 5. Coastal Zone Management Fund.
Sec. 6. Coastal services.
Sec. 7. Review of performance.
Sec. 8. Amendments relating to Walter B. Jones Awards for Excellence in
Coastal Zone Management.
Sec. 9. Reports.
Sec. 10. Authorization of appropriations.
Sec. 11. Technical corrections.
Sec. 12. Coastal zone management outcome indicators and monitoring and
performance evaluation system.

SEC. 3. AMENDMENT OF COASTAL ZONE MANAGEMENT ACT OF 1972.

Except as otherwise expressly provided, whenever in this Act an
amendment or repeal is expressed in terms of an amendment to, or repeal
of, a section or other provision, the reference shall be considered to
be made to a section or other provision of the Coastal Zone Management
Act of 1972 (16 U.S.C. 1451 et seq.).

SEC. 4. POLICY.

Section 303 (16 U.S.C. 1452) is amended in paragraph (2)(J) by
striking ''State'' the second place it appears and inserting ''State
and Federal fish''.

SEC. 5. COASTAL ZONE MANAGEMENT FUND.

Section 308 (16 U.S.C. 1456a) is amended--
(1) in subsection (a) by striking paragraph (2) and
inserting the following:
''(2) Loan repayments made pursuant to this subsection--
''(A) shall be retained by the Secretary and
deposited into the Coastal Zone Management Fund
established under subsection (b); and
''(B) subject to amounts provided in appropriation
Acts, shall be available to the Secretary for purposes
of this title and transferred to the Operations,
Research, and Facilities account to offset the costs of
implementing this title.''; and
(2) in subsection (b)--
(A) by striking paragraphs (2) and (3); and
(B) by striking ''(b)(1)'' and inserting ''(b)''.

SEC. 6. COASTAL SERVICES.

Section 310 (16 U.S.C. 1456c) is amended--
(1) by striking so much as precedes subsection (b) and
inserting the following:

''coastal services, training, education, and technical support

''Sec. 310. (a)(1) The Secretary shall conduct a program of
training, education, technical assistance, technology transfer,
management-oriented research, and other services to support--
''(A) State coastal management programs and national
estuarine reserves designated under this title; and
''(B) other Federal agencies, local governments, Indian
tribes, other persons, and international cooperative efforts
relating to the comprehensive planning, conservation, and
management of ocean and coastal resources.
''(2) The Secretary may, in implementing this program, take into
consideration the need to address regional or local concerns, including
the unique needs of island States and territories, in order to provide
effective and efficient support and develop expertise.
''(3) The Secretary shall coordinate the technical assistance,
studies, management-oriented research, and other activities under this
section with any other relevant activities conducted by or subject to
the authority of the Secretary.'';
(2) in subsection (b) by inserting ''Coordination and
Consultation.--'' after ''(b)''; and
(3) by adding at the end the following:
''(c) Assistance From Other Agencies and Persons.--(1) Each
department, agency, and instrumentality of the executive branch of the
Federal Government may assist the Secretary, on a reimbursable basis or
otherwise, in carrying out the purposes of this section, including the
furnishing of information to the extent permitted by law, the transfer
of personnel with their consent and without prejudice to their position
and rating, and the performance of any research, study, and technical
assistance that does not interfere with the performance of the primary
duties of such department, agency, or instrumentality.
''(2) The Secretary may enter into contracts or other arrangements
with other Federal agencies and any other qualified person for the
purposes of carrying out this section.''.

SEC. 7. REVIEW OF PERFORMANCE.

Section 312 (16 U.S.C. 1458) is amended by striking ''Sec. 312.''
and all that follows through subsection (a) and inserting the
following:
''Sec. 312. (a) Review.--No less than every 5 years, the Secretary
shall conduct a review of the performance of a coastal State's
management program. Each review shall include a written evaluation with
an assessment and detailed findings concerning the extent to which the
State has implemented and enforced the program approved by the
Secretary, addressed the coastal management needs identified in section
303(2)(A) through (K), met any outcome indicators established by the
Secretary under section 12 of the Coastal Services and Performance
Evaluation Act of 2003, and adhered to the terms of any grant, loan, or
cooperative agreement funded under this title.''.

SEC. 8. AMENDMENTS RELATING TO WALTER B. JONES AWARDS FOR EXCELLENCE IN
COASTAL ZONE MANAGEMENT.

Section 314 (16 U.S.C. 1460) is amended--
(1) by amending subsection (a) to read as follows:
''(a) Authorization of Program.--(1) The Secretary may implement a
program to promote excellence in coastal zone management by identifying
and making awards acknowledging outstanding accomplishments in the
field of coastal zone management. An award under this section shall be
known as a 'Walter B. Jones Award'.
''(2) Awards under this section may include, subject to the
availability of appropriations--
''(A) cash awards of not more than $5,000 each;
''(B) research grants; and
''(C) public ceremonies to acknowledge accomplishments in
the field of coastal zone management.'';
(2) in subsection (b) in the matter preceding paragraph
(1), by striking ''shall elect annually'' and inserting ''may
select annually for an award under this section''; and
(3) by repealing subsection (e).

SEC. 9. REPORTS.

Section 316(a) (16 U.S.C. 1462(a)) is amended--
(1) in subsection (a)--
(A) by striking ''to the President for
transmittal''; and
(B) in clause (10) by striking ''and an evaluation
of the effectiveness of financial assistance under
section 308 in dealing with such consequences''; and
(2) by amending subsection (c) to read as follows:
''(c) State of the Coast Report.--Not less than 24 months after the
date of the enactment of this subsection, and not less than every 24
months thereafter, the Secretary shall provide a coastal status report
to the Congress that includes the following:
''(1) An assessment of the ecological status and trends of
United States marine resources.
''(2) An identification and analysis of the changes in
those status and trends since the previous report.
''(3) An identification and assessment of Government
performance measures that track the status and trends of United
States marine resources.
''(4) An evaluation of the adequacy of marine resource
monitoring and assessment programs.''.

SEC. 10. AUTHORIZATION OF APPROPRIATIONS.

Section 318(a) (16 U.S.C. 1464(a)) is amended--
(1) in paragraph (1) by striking ''and'' after the
semicolon at the end;
(2) in paragraph (2) by striking the period at the end and
inserting ''; and''; and
(3) by adding at the end the following:
''(3) to carry out section 310 and for awards under section
314--
''(A) $28,000,000 for fiscal year 2004;
''(B) $29,000,000 for fiscal year 2005; and
''(C) $30,000,000 for each of fiscal years 2006
through 2008.''.

SEC. 11. TECHNICAL CORRECTIONS.

The Coastal Zone Management Act of 1972 is amended--
(1) in section 304(5) (16 U.S.C. 1453(5)) by striking the
semicolon and inserting a colon;
(2) in section 306(a), as redesignated by this Act, in
paragraph (10)(A) by inserting a comma after ''development'';
(3) by striking ''coastal state'' each place it appears and
inserting ''coastal State'';
(4) by striking ''coastal states'' each place it appears
and inserting ''coastal States'';
(5) by striking ''coastal state's'' each place it appears
and inserting ''coastal State's'';
(6) by striking the term ''state'' each place it appears in
reference to a State of the United States (other than in the
term ''coastal state'') and inserting ''State'';
(7) by striking the term ''states'' each place it appears
in reference to States of the United States (other than in the
term ''coastal states'') and inserting ''States''; and
(8) by striking the term ''state's'' each place it appears
in reference to a State of the United States (other than in the
term ''coastal state's'') and inserting ''State's''.

SEC. 12. COASTAL ZONE MANAGEMENT OUTCOME INDICATORS AND MONITORING AND
PERFORMANCE EVALUATION SYSTEM.

(a) In General.--
(1) Performance guidelines and evaluation.--The Secretary
of Commerce shall, by not later than 1 year after the date of
enactment of this Act, submit to the Committee on Resources of
the House of Representatives a report identifying a common set
of measurable outcome indicators to evaluate the performance of
State coastal zone management programs in furthering the goals
and objectives identified in the States' approved coastal
management programs, and in the achievement of the national
policy declared in section 303 of the Coastal Zone Management
Act of 1972 (16 U.S.C. 1452).
(2) Assessment of coastal and marine monitoring,
assessment, and other information.--The Secretary shall, by not
later than 2 years after the date of enactment of this Act,
submit to the Committee on Resources of the House of
Representatives a report providing--
(A) an assessment of the adequacy of coastal and
marine monitoring, assessment, and other information
necessary to establish a coastal zone management
outcome monitoring and performance evaluation system;
and
(B) recommendations for improving the availability
of such information, including funding needs.
(3) Outcome monitoring and performance evaluation system.--
The Secretary shall, by not later than 3 years after the date
of the enactment of this Act, establish a national coastal zone
management outcome monitoring and performance evaluation system
that uses the common set of indicators identified in the report
under paragraph (1).
(b) Consultation.--
(1) State consultation.--In preparing each of the reports
under subsection (a), the Secretary shall consult with and
provide a copy of the draft report to each coastal State,
through the Governor of the State or the head of the State
agency designated by such Governor pursuant to section
310(d)(6) of the Coastal Zone Management Act of 1972 (16 U.S.C.
1455(d)(6)).
(2) Public comment and participation.--The Secretary shall
also implement a public process to solicit the views and
comments of Federal agencies, local governments, regional
organizations, port authorities, and other interested public
and private persons regarding such reports, and shall make
available to such persons copies of each draft of such reports
for review and comment.
(3) Response to comments.--The Secretary shall include in
each final report under subsection (a)--
(A) any comments on each draft of the report
received from a Governor or the head of such a
designated State agency, and the Secretary's responses
to such comments; and
(B) a summary of other public comments regarding
the report, and the Secretary's response to those
comments.
(c) Authorization of Appropriations.--To carry out this section,
there are authorized to be appropriated to the Secretary $1,000,000 for
each of the fiscal years 2004, 2005, and 2006.

Ex Output:
Coastal Services and Performance Evaluation Act of 2003 - Amends Federal law to make loan repayments deposited in the Coastal Zone Management Fund available to offset costs of implementing coastal zone management programs.Requires the Secretary of Commerce to provide training, education, and technical assistance for coastal zone management. Authorizes Federal agencies and instrumentalities to assist the Secretary on a reimbursable basis.Revises review requirements for coastal State management programs to change the frequency of review from continuing to every five years.Makes the Walter B. Jones Excellence in Coastal Zone Management Awards program discretionary instead of mandatory.Requires the Secretary to establish a national coastal zone management outcome indicators monitoring and performance evaluation system that provides for public comment and participation and uses a common set of measurable outcome indicators to evaluate the performance of State coastal zone management programs.

Ex Input:
SECTION 1. EXTENDED PHASE-IN OF THE INPATIENT REHABILITATION FACILITY
CLASSIFICATION CRITERIA.

(a) In General.--Section 5005 of the Deficit Reduction Act of 2005
is amended--
(1) in subsection (a), by striking ''apply the applicable
percent specified in subsection (b)'' and inserting ''require a
compliance rate that is no greater than the 60 percent
compliance rate that became effective for cost reporting
periods beginning on or after July 1, 2006''; and
(2) by amending subsection (b) to read as follows:
''(b) Continued Use of Comorbidities.--For cost reporting periods
beginning on or after July 1, 2008, the Secretary shall include
patients with comorbidities as described in section 412.23(b)(2)(i) of
title 42, Code of Federal Regulations (as in effect as of January 1,
2007), in the inpatient population that counts towards the percent
specified in subsection (a).''.
(b) Medical Necessity Criteria for Beneficiaries Served in
Rehabilitation Hospitals and Units.--The Centers for Medicare &
Medicaid Services and Medicare fiscal intermediaries, Medicare
administrative contractors, recovery audit contractors, and other
government agents shall use and apply the criteria established in HCFA
Ruling 85-2, as issued on July 31, 1985 (50 Fed. Reg. 31040), as the
sole standard for determining the medical necessity of services
provided by inpatient rehabilitation hospitals and units to Medicare
beneficiaries under title XVIII of the Social Security Act.

SEC. 2. RECOMMENDATIONS FOR CLASSIFYING INPATIENT REHABILITATION
HOSPITALS AND UNITS.

(a) Report to Congress.--Not later than 12 months after the date of
the enactment of this Act, the Secretary of Health and Human Services,
in consultation with physicians, administrators of inpatient
rehabilitation and acute care hospitals, Medicare beneficiaries, and
trade organizations representing inpatient rehabilitation hospitals and
units, shall submit to the Committee on Ways and Means of the House of
Representatives and the Committee on Finance of the Senate a report
that includes--
(1) an examination of the impact of the 75 percent rule on
the Medicare program and the specific impact of the rule on
Medicare beneficiaries; and
(2) alternatives to the 75 percent rule policy for
determining exclusion criteria for inpatient rehabilitation
hospital and unit designation under the Medicare program,
including determining clinical appropriateness of inpatient
rehabilitation hospital and unit admissions, and including
alternative criteria based solely on a measure of a patient's
functional status which is independent of diagnosis.
For the purposes of this section, the term ''75 percent rule'' means
the requirement of section 412.23(b)(2) of title 42, Code of Federal
Regulations, that 75 percent of the patients of a rehabilitation
hospital or converted rehabilitation unit are in 1 or more of 13 listed
treatment categories.
(b) Considerations.--In developing the report described in
subsection (a), the Secretary shall include the following:
(1) The effect of the 75 percent rule on access to
inpatient hospital rehabilitation care by Medicare
beneficiaries and the effectiveness of care available to such
beneficiaries in other health care settings.
(2) A comparative analysis of the overall Medicare system
costs, including Medicare expenditures to acute care hospitals,
home health agencies, skilled nursing facilities, and long-term
care hospitals, resulting from implementation of the 75 percent
rule.
(3) A analysis that compares the quality, cost, and patient
outcomes of inpatient rehabilitation services among different
post-acute care settings, including whether the Medicare
program and Medicare beneficiaries may incur higher costs of
care for the entire episode of illness because of factors such
as--
(A) readmissions to acute care hospitals that could
have been avoided absent the 75 percent rule; or
(B) extended lengths of stay in post-acute settings
other than a rehabilitation hospital or unit because
beneficiaries were denied access to care in such a
hospital or unit due to the 75 percent rule.

SEC. 3. TECHNICAL CORRECTION FOR INPATIENT REHABILITATION HOSPITALS AND
UNITS NOMENCLATURE.

(a) In General.--Section 1886(j) of the Social Security Act (42
U.S.C. 1395ww(j)) is amended--
(1) in paragraph (1)(A), by striking ''(in this subsection
referred to as a 'rehabilitation facility'), other than a
facility'' and inserting ''other than a hospital or unit'';
(2) by striking ''rehabilitation facility'' and
''facility'' and inserting ''inpatient rehabilitation hospital
or a rehabilitation unit'' and ''hospital or unit'',
respectively, each place it appears;
(3) by striking ''rehabilitation facilities'' and inserting
''inpatient rehabilitation hospitals or rehabilitation units''
each place it appears; and
(4) in paragraph (6), by striking ''rehabilitation
facilities' costs'' and inserting ''costs of inpatient
rehabilitation hospitals or rehabilitation units''.
(b) Use of the Term ''IRH/U''.--The Secretary of Health and Human
Services shall, under regulation and Medicare program guidance, use the
term ''inpatient rehabilitation hospital/unit'' or ''IRH/U'' to refer
to entities receiving payment for inpatient rehabilitation services
under section 1886(j) of the Social Security Act (42 U.S.C. 1395ww(j)).

SEC. 4. EFFECTIVE DATE.

Sections 1 and 3 of this Act shall take effect on July 1, 2007, and
section 2 shall take effect on the date of the enactment of this Act.

Ex Output:
Amends the Deficit Reduction Act of 2005 to revise the classification criterion used to determine whether a hospital or hospital unit is an inpatient rehabilitation facility under title XVIII (Medicare) of the Social Security Act. Eliminates the current schedule of applicable percentages. Directs the Secretary of Health and Human Services, instead, to require in the classification criterion a compliance rate no greater than the 60% compliance rate that became effective for cost reporting periods beginning on or after July 1, 2006.

Requires the Secretary, for cost reporting periods beginning on or after July 1, 2008, to include patients with comorbidity in the inpatient population that counts towards such 60% compliance rate.

Requires the Centers for Medicare & Medicaid Services and Medicare fiscal intermediaries, Medicare administrative contractors, recovery audit contractors, and other government agents to use and apply the criteria established in HCFA Ruling 85-2, as issued on July 31, 1985, as the sole standard for determining the medical necessity of servivces provided by inpatient rehabilitation hospitals and units to Medicare beneficiaries.

Directs the Secretary to report to specified congressional committees: (1) an examination of the impact of the 75% rule on the Medicare program, and specifically on Medicare beneficiaries; and (2) alternatives to the 75% rule policy for determining exclusion criteria for inpatient rehabilitation hospital and unit designation under the Medicare program.