In this task, you are given text for US Congressional and California state bills, your task is to generate a summary for this bill.

Input: Consider Input: SECTION 1. SHORT TITLE.

This Act may be cited as the ''Urban Medicare-Dependent Hospitals
Preservation Act of 2011''.

SEC. 2. CRITERIA AND PAYMENT FOR CERTAIN URBAN MEDICARE-DEPENDENT
HOSPITALS.

(a) In General.--Section 1886(d)(5) of the Social Security Act (42
U.S.C. 1395ww(d)(5)) is amended by adding at the end the following new
subparagraph:
''(M)(i) For cost reporting periods beginning on or
after October 1, 2011, and before October 1, 2014, in
the case of a subsection (d) hospital which is an urban
Medicare-dependent hospital, payment under paragraph
(1)(A) shall be equal to the sum of the amount
determined under clause (ii) and the amount determined
under paragraph (1)(A)(iii).
''(ii) The amount determined under this clause is,
for discharges occurring during a cost reporting period
that begins on or after October 1, 2011, and before
October 1, 2014, 50 percent of the amount by which the
hospital's target amount for the cost reporting period
(as defined in subsection (b)(3)(L)) exceeds the amount
determined under paragraph (1)(A)(iii).
''(iii) For purposes of this subparagraph, the term
'urban Medicare-dependent hospital' means, with respect
to any cost reporting period to which clause (i)
applies, any hospital--
''(I) located in an urban area or
reclassified to an urban area for wage index
purposes;
''(II) that does not receive payment--
''(aa) under subparagraph (C) as a
rural referral center;
''(bb) under subparagraph (D) as a
sole community hospital;
''(cc) under subparagraph (B) or
under subsection (h); or
''(dd) under subparagraph (F);
''(III) that is not a physician-owned
hospital, as defined in section 489.3 of title
42, Code of Federal Regulations (as in effect
as of the date of the enactment of this
subparagraph); and
''(IV) for which not less than 60 percent
of its inpatient days or discharges during the
cost reporting period beginning in fiscal year
2006, or two of the three most recently audited
cost reporting periods for which the Secretary
has a settled cost report, were attributable to
inpatients entitled to benefits under part A
and not enrolled in a Medicare Advantage plan
under part C.''.
(b) Target Payment Amount.--Section 1886(b)(3) of the Social
Security Act (42 U.S.C. 1395ww(b)(3)) is amended--
(1) in subparagraph (B)(iv), by striking ''and (D)'' and
inserting '', (D), and (M)''; and
(2) by adding at the end the following new subparagraph:
''(M) For cost reporting periods occurring on or
after October 1, 2011, and before October 1, 2014, in
the case of a hospital that is an urban Medicare-
dependent hospital (as defined in subsection
(d)(5)(M)), the term 'target amount' means--
''(i) with respect to the first 12-month
cost reporting period in which this
subparagraph is applied to the hospital, the
allowable operating costs of inpatient hospital
services (as defined in subsection (a)(4))
recognized under this title for the hospital
for the 12-month cost reporting period
beginning during fiscal year 2002 or 2006
(whichever results in a higher target amount),
increased by the applicable percentage increase
under subparagraph (B)(iv) for each of fiscal
years 2003 through 2011 or 2007 through 2011,
respectively; and
''(ii) with respect to discharges occurring
after the first 12-month cost reporting period
in which this subparagraph is applied to the
hospital, the target amount for the preceding
year increased by the applicable percentage
increase under subparagraph (B)(iv).''.

Output: Urban Medicare-Dependent Hospitals Preservation Act of 2011 - Amends title XVIII (Medicare) of the Social Security Act, with respect to cost reporting periods beginning on or after October 1, 2011, and before October 1, 2014, to revise the criteria and payment formula for "subsection (d) hospitals" which are urban Medicare-dependent hospitals.

(Generally a subsection (d) hospital is an acute care hospital particularly one that receives payments under Medicare's inpatient prospective payment system when providing covered inpatient services to eligible beneficiaries.)

Input: Consider Input: SECTION 1. SHORT TITLE; FINDINGS.

(a) Short Title.--This Act may be cited as the ''Preserving Access
to Modern Prosthetic Limbs Act of 2016''.
(b) Findings.--Congress finds the following:
(1) The Medicare program includes coverage for prosthetic
limbs under section 1861(s)(9) of the Social Security Act (42
U.S.C. 1395w(s)(9)).
(2) As a result of significant Federal and private
investment in research and development over the past decades,
beneficiaries with lower limb prostheses are able to maintain
optimal function and lead productive and independent lives.
(3) Federal spending for prosthetic devices in the Medicare
program has decreased by 15 percent between 2010 and 2014.
(4) The Secretary of Health and Human Services, through
Medicare contractors known as Durable Medical Equipment
Medicare Administrative Contractors, released on July 16, 2015,
a document entitled ''Local Coverage Determination (LCD): Lower
Limb Prostheses (DL33787)'', which applies to all Medicare
beneficiaries across the United States.
(5) The policies proposed in this document would
comprehensively change the requirements under which a Medicare
beneficiary would qualify for a lower limb prosthetic device
and would seriously restrict access to modern prosthetic care.
(6) If finalized, the changes proposed in this document
would create coverage requirements that are inconsistent with
current clinical practice and would arbitrarily and
unreasonably deny Medicare beneficiaries access to prosthetic
limb technologies considered the current standard of care.
(7) Under these proposed policies, beneficiaries instead
would be eligible for prosthetic devices that are functionally
outdated, less durable, and less safe.
(8) The adverse impact of the Medicare contractors'
proposed policies extend well beyond the Medicare program and
has implications for other Federal health programs, such as
health programs of the Veterans Administration, and commercial
insurers.
(9) Given the far reaching effect of these policies, and
the fact that little or no clinical or scientific evidence
supported the issuance of these proposals, any changes to
prosthetic limb coverage should be made only after a
transparent process in which evidence is offered to justify
coverage modifications, meaningful stakeholder feedback is
solicited, and the Secretary and Medicare contractors receive
and respond to this stakeholder feedback in a public manner.
(10) A moratorium on the implementation and enforcement of
these proposed policies would enable the Secretary and the
Medicare contractors to engage in such a transparent process.

SEC. 2. MORATORIUM ON IMPLEMENTATION OF PROPOSED MEDICARE LOCAL
COVERAGE DETERMINATION ON LOWER LIMB PROSTHESES.

(a) Moratorium.--
(1) In general.--The Secretary of Health and Human Services
and any Medicare Administrative Contractor may not implement
and enforce the policies in the LCD on lower limb prostheses
(as defined in subsection (d)(1)), in whole or in part, during
the period beginning on the date of the enactment of this Act,
and ending on June 30, 2017.
(2) Removal of policy from websites.--The Secretary of
Health and Human Services and its medicare administrative
contractors shall remove the LCD on lower limb prostheses from
the websites of the Centers for Medicare & Medicaid Services
and its medicare administrative contractors during the period
of the moratorium under paragraph (1).
(b) Providing the Secretary With Authority To Oversee the
Development of Local Coverage Determinations.--Section 1862(l)(5) of
the Social Security Act (42 U.S.C. 395y(l)(5)) is amended--
(1) by redesignating subparagraph (C) as subparagraph (D);
and
(2) by inserting after subparagraph (B) the following new
subparagraph:
''(C) Secretary oversight and guidance in
developing local coverage determinations.--The
Secretary shall provide guidance and oversight of any
local coverage determination developed by a medicare
administrative contractor to ensure that the local
coverage determination is consistent with this
title.''.
(c) Construction.--Nothing in this section shall be construed to
prevent the Secretary from enforcing existing statutes, regulations,
and local coverage determinations other than with respect to policies
in the LCD on lower limb prostheses.
(d) Definitions.--In this section:
(1) LCD on lower limb prostheses.--The term ''LCD on lower
limb prostheses'' means the local coverage determination on
lower limb prostheses as proposed by a medicare administrative
contractor in the document (DL33787) released on July 16, 2015,
and any successor to such determination.
(2) Medicare administrative contractor.--The term
''medicare administrative contractor'' has the meaning given
such term in section 1874A(a)(3)(A) of the Social Security Act
(42 U.S.C. 1395kk-1(a)(3)(A)).

Output: Preserving Access to Modern Prosthetic Limbs Act of 2016 This bill amends title XVIII (Medicare) of the Social Security Act to postpone implementation and enforcement ofa local coverage determination (LCD) proposed by a Medicare Administrative Contractor (MAC) on lower limb prostheses. (An LCD is a decision by a MAC, which is a private insurer that processes Medicare claims within a specified geographicjurisdiction, as towhether to cover a service on a MAC-wide basis.) The Centers for Medicare & Medicaid shall provide guidance and oversight related to LCDs, as specified by the bill.

Input: Consider Input: SECTION 1. SHORT TITLE.

This Act may be cited as the ''Commercial Spectrum Enhancement
Act''.

SEC. 2. RELOCATION OF ELIGIBLE FEDERAL ENTITIES FOR THE REALLOCATION OF
SPECTRUM FOR COMMERCIAL PURPOSES.

Subsection (g) of section 113 of the National Telecommunications
and Information Administration Organization Act (47 U.S.C. 923(g)) is
amended to read as follows:
''(g) Relocation of Eligible Federal Entities for the Reallocation
of Spectrum for Commercial Purposes.--
''(1) Eligible federal entities.--Any Federal entity that
operates a Federal Government station assigned to a band of
frequencies specified in paragraph (2) and that incurs
relocation costs because of the reallocation of frequencies
from Federal use to non-Federal use is eligible for payment for
such costs from the Spectrum Relocation Fund, in accordance
with section 118 of this Act. For purposes of this paragraph,
Federal power agencies exempted under subsection (c)(4) that
choose to relocate from the frequencies identified for
reallocation pursuant to subsection (a), are eligible to
receive payment under this paragraph.
''(2) Eligible frequencies.--The bands of eligible
frequencies for purposes of this section are as follows:
''(A) the 216-220 megahertz band, 1432-1435
megahertz band, 1710-1755 megahertz band, and 2385-2390
megahertz band of frequencies; and
''(B) any other band of frequencies reallocated
from Federal use to non-Federal use after January 1,
2002.
''(3) Definition of relocation costs.--For purposes of this
subsection, the term 'relocation costs' means the costs
incurred by a Federal entity to achieve comparable capability
of systems, regardless of whether that capability is achieved
by relocating to a new frequency assignment or by utilizing an
alternative technology. Such costs include--
''(A) the costs of any modification or replacement
of equipment, software, facilities, operating manuals,
training costs, or regulations that are attributable to
relocation;
''(B) the costs of all engineering, equipment,
software, site acquisition and construction costs, as
well as any legitimate and prudent transaction expense,
including outside consultants, and reasonable
additional costs incurred by the Federal entity that
are attributable to relocation, including increased
recurring costs associated with the replacement
facilities;
''(C) the costs of engineering studies, economic
analyses, or other expenses reasonably incurred in
calculating the estimated relocation costs that are
provided to the Commission pursuant to paragraph (4) of
this subsection;
''(D) the one-time costs of any modification of
equipment reasonably necessary to accommodate
commercial use of such frequencies prior to the
termination of the Federal entity's primary allocation
or protected status, when the eligible frequencies as
defined in paragraph (2) of this subsection are made
available for private sector uses by competitive
bidding and a Federal entity retains primary allocation
or protected status in those frequencies for a period
of time after the completion of the competitive bidding
process; and
''(E) the costs associated with the accelerated
replacement of systems and equipment if such
acceleration is necessary to ensure the timely
relocation of systems to a new frequency assignment.''.
''(4) Notice to commission of estimated relocation costs.--
''(A) The Commission shall notify the NTIA at least
9 months prior to the commencement of any auction of
eligible frequencies defined in paragraph (2). At least
6 months prior to the commencement of any such auction,
the NTIA, on behalf of the Federal entities and after
review by the Office of Management and Budget, shall
notify the Commission of estimated relocation costs and
timelines for such relocation.
''(B) Upon timely request of a Federal entity, the
NTIA shall provide such entity with information
regarding an alternative frequency assignment or
assignments to which their radiocommunications
operations could be relocated for purposes of
calculating the estimated relocation costs and
timelines to be submitted to the Commission pursuant to
subparagraph (A).
''(C) To the extent practicable and consistent with
national security considerations, the NTIA shall
provide the information required by subparagraphs (A)
and (B) by the geographic location of the Federal
entities' facilities or systems and the frequency bands
used by such facilities or systems.
''(5) Implementation of procedures.--The NTIA shall take
such actions as necessary to ensure the timely relocation of
Federal entities' spectrum-related operations from frequencies
defined in paragraph (2) to frequencies or facilities of
comparable capability. Upon a finding by the NTIA that a
Federal entity has achieved comparable capability of systems by
relocating to a new frequency assignment or by utilizing an
alternative technology, the NTIA shall terminate the entity's
authorization and notify the Commission that the entity's
relocation has been completed. The NTIA shall also terminate
such entity's authorization if the NTIA determines that the
entity has unreasonably failed to comply with the timeline for
relocation submitted by the Director of the Office of
Management and Budget under section 118(d)(2)(B).''.

SEC. 3. MINIMUM AUCTION RECEIPTS AND DISPOSITION OF PROCEEDS.

(a) Auction Design.--Section 309(j)(3) of the Communications Act of
1934 (47 U.S.C. 309(j)(3)) is amended--
(1) by striking ''and'' at the end of subparagraph (D);
(2) by striking the period at the end of subparagraph (E)
and inserting ''; and''; and
(3) by adding at the end the following new subparagraph:
''(F) for any auction of eligible frequencies
described in section 113(g)(2) of the National
Telecommunications and Information Administration
Organization Act (47 U.S.C. 923(g)(2)), the recovery of
110 percent of estimated relocation costs as provided
to the Commission pursuant to section 113(g)(4) of such
Act.''.
(b) Special Auction Provisions for Eligible Frequencies.--Section
309(j) of such Act is further amended by adding at the end the
following new paragraph:
''(15) Special auction provisions for eligible
frequencies.--
''(A) Special regulations.--The Commission shall
revise the regulations prescribed under paragraph
(4)(F) of this subsection to prescribe methods by which
the total cash proceeds from any auction of eligible
frequencies described in section 113(g)(2) of the
National Telecommunications and Information
Administration Organization Act (47 U.S.C. 923(g)(2))
shall at least equal 110 percent of the total estimated
relocation costs provided to the Commission pursuant to
section 113(g)(4) of such Act.
''(B) Conclusion of auctions contingent on minimum
proceeds.--The Commission shall not conclude any
auction of eligible frequencies described in section
113(g)(2) of such Act if the total cash proceeds
attributable to such spectrum are less than 110 percent
of the total estimated relocation costs provided to the
Commission pursuant to section 113(g)(4) of such Act.
If the Commission is unable to conclude an auction for
the foregoing reason, the Commission shall cancel the
auction, return within 45 days from the auction
cancellation date any deposits from participating
bidders held in escrow, and absolve such bidders from
any obligation to bid in any subsequent reauction of
such spectrum.
''(C) Authority to issue prior to
deauthorization.--In any auction conducted under the
regulations required by subparagraph (A), the
Commission may grant a license assigned for the use of
eligible frequencies prior to the termination of an
eligible Federal entity's authorization. However, the
Commission shall condition such license by requiring
that the licensee cannot cause harmful interference to
such Federal entity until such entity's authorization
has been terminated by the National Telecommunications
and Information Administration.''.
(c) Deposit of Proceeds.--Paragraph (8) of section 309(j) of the
Communications Act of 1934 (47 U.S.C. 309(j)) is amended--
(1) in subparagraph (A), by inserting ''or subparagraph
(D)'' after ''subparagraph (B); and
(2) by adding at the end the following new subparagraph:
''(D) Disposition of cash proceeds.--Cash proceeds
attributable to the auction of any eligible frequencies
described in section 113(g)(2) of the National
Telecommunications and Information Administration
Organization Act (47 U.S.C. 923(g)(2)) shall be
deposited in the Spectrum Relocation Fund established
under section 118 of such Act, and shall be available
in accordance with that section.''.

SEC. 4. ESTABLISHMENT OF FUND AND PROCEDURES.

Part B of the National Telecommunications and Information
Administration Organization Act is amended by adding after section 117
(47 U.S.C. 927) the following new section:

''SEC. 118. SPECTRUM RELOCATION FUND.

''(a) Establishment of Spectrum Relocation Fund.--There is
established on the books of the Treasury a separate fund to be known as
the 'Spectrum Relocation Fund' (in this section referred to as the
'Fund'), which shall be administered by the Office of Management and
Budget (in this section referred to as 'OMB'), in consultation with the
NTIA.
''(b) Crediting of Receipts.--The Fund shall be credited with the
amounts specified in section 309(j)(8)(D) of the Communications Act of
1934 (47 U.S.C. 309(j)(8)(D)). The proceeds attributable to each
auction of any eligible frequencies described in section 113(g)(2) of
this Act shall be deposited in a separate account in the Fund.
''(c) Used To Pay Relocation Costs.--The amounts in an account in
the Fund from an auction of eligible frequencies are authorized to be
used to pay relocation costs, as defined in section 113(g)(3) of this
Act, of an eligible Federal entity incurring such costs with respect to
relocation from those frequencies.
''(d) Fund Availability.--
''(1) Appropriation.--There are hereby appropriated from
the Fund such sums as are required to pay the relocation costs
specified in subsection (c).
''(2) Transfer conditions.--None of the funds provided
under this subsection may be transferred to any eligible
Federal entity--
''(A) unless the Director of OMB has determined, in
consultation with the NTIA, the appropriateness of such
costs and the timeline for relocation; and
''(B) until 30 days after the Director of the
Office of Management and Budget has submitted to the
House and Senate Committees on Appropriations, the
House Committee on Energy and Commerce, and the Senate
Committee on Commerce, Science, and Transportation a
detailed plan describing how the sums transferred from
the Fund will be used to pay relocation costs in
accordance with such subsection and the timeline for
such relocation.
''(3) Reversion of unused funds.--Any unexpended balances
of an account in the Fund that are remaining after the payment
of the relocation costs that are payable from such account
shall revert to and be deposited in the general fund of the
Treasury. Such reversion and deposit shall be made not later
than the end of the fiscal year in which the NTIA has notified
the Commission that all of the entities whose relocation costs
are payable from such account have either--
''(A) completed their relocation; or
''(B) been determined by NTIA to have unreasonably
failed to complete such relocation in accordance with
the timeline required by paragraph (2)(A).
''(e) Transfer to Eligible Federal Entities.--
''(1) Transfer.--Amounts made available pursuant to
subsection (d) shall be transferred to eligible Federal
entities, as defined in section 113(g)(1) of this Act. An
eligible Federal entity may, subject to subsection (d)(2) of
this section and the availability of funds in the relevant
account, receive more than one such transfer, but all such
transfers are subject to prior approval by the Director of OMB.
Such transferred amounts shall be credited to the account of
the eligible Federal entity which has incurred, or will incur,
such costs, and shall remain available until the NTIA has
notified the Commission that the Federal entity has completed
the relocation, or the NTIA has determined that such entity has
unreasonably failed to complete such relocation in accordance
with the timeline required by paragraph (2)(A).
''(2) Retransfer to fund.--An eligible Federal entity that
has received such amounts shall report its expenditures to OMB
and shall transfer any amounts in excess of actual relocation
costs back to the account in the Fund from which it was
transferred immediately after the NTIA has notified the
Commission that the entity's relocation is complete, or has
determined that such entity has unreasonably failed to complete
such relocation in accordance with the timeline required by
paragraph (2)(A).''.

SEC. 5. CONSTRUCTION.

Nothing in this Act is intended to modify section 1062(b) of the
National Defense Authorization Act for Fiscal Year 2000 (Public Law
106-65).

SEC. 6. EXEMPTION FROM SEQUESTRATION.

The Spectrum Relocation Fund shall be exempt from reduction under
any order issued under section 254 of the Balanced Budget and Emergency
Deficit Control Act of 1985, as amended.

SEC. 7. REPORT.

The National Telecommunications and Information Administration
shall submit an annual report to the Committees on Appropriations and
Energy and Commerce of the House of Representatives and the Committees
on Appropriations and Commerce, Science, and Transportation of the
Senate on--
(1) the progress made in adhering to the timelines
applicable to relocation from eligible frequencies required
under section 118(d)(2)(A) of the National Telecommunications
and Information Administration Organization Act, separately
stated on a communication system-by-system basis and on an
auction-by-auction basis; and
(2) with respect to each relocated communication system and
auction, a statement of the estimate of relocation costs
required under section 113(g)(4) of such Act, the actual
relocations costs incurred, and the amount of such costs paid
from the Spectrum Relocation Fund.
Output: Commercial Spectrum Enhancement Act - Amends the National Telecommunications and Information Administration Organization Act to revise provisions concerning the reallocation of spectrum from governmental to commercial users.Makes any Federal entity that operates a Government station assigned within a specified band of frequencies and that incurs relocation costs due to reallocation to non-Federal use eligible for reimbursement from the Spectrum Relocation Fund established in this Act. Requires the National Telecommunications and Information Administration to notify the Federal Communications Commission (FCC) of estimated relocation costs at least six months prior to the commencement of any auction of eligible frequencies.Amends the Communications Act of 1934 to require the FCC: (1) in designing competitive bidding under such auctions, to have as an objective the recovery of 110 percent of the estimated relocation costs; (2) prescribe methods by which the total cash proceeds from any auction equals at least 110 percent of such costs; and (3) prohibit the FCC from concluding any auction under which such goal is not reached. Authorizes the FCC to grant a license for the advance use of eligible frequencies pending an auction, on the condition that the licensee cannot cause harmful interference to the Federal entity until the entity's authorization has been terminated.Establishes the Fund. Exempts the Fund from sequestration under the Balanced Budget and Emergency Deficit Control Act of 1985.