In this task, you are given text for US Congressional and California state bills, your task is to generate a summary for this bill.
--------
Question: SECTION 1. RENEWAL COMMUNITY TAX INCENTIVES.

(a) In General.--Subsection (b) of section 1400E of the Internal
Revenue Code of 1986 is amended--
(1) by striking ''December 31, 2009'' in paragraphs (1)(A)
and (3) and inserting ''December 31, 2012''; and
(2) by striking ''January 1, 2010'' in paragraph (3) and
inserting ''January 1, 2013''.
(b) Zero-Percent Capital Gains Rate.--
(1) Acquisition date.--Paragraphs (2)(A)(i), (3)(A),
(4)(A)(i), and (4)(B)(i) of section 1400F(b) of such Code are
each amended by striking ''January 1, 2010'' and inserting
''January 1, 2013''.
(2) Limitation on period of gains.--Paragraph (2) of
section 1400F(c) of such Code is amended--
(A) by striking ''December 31, 2014'' and inserting
''December 31, 2017''; and
(B) by striking ''2014'' in the heading and
inserting ''2017''.
(3) Applicable rules.--Subsection (d) of section 1400F is
amended--
(A) by striking ''December 31, 2014'' the first
place it appears and inserting ''December 31, 2017'',
and
(B) by striking ''December 31, 2014'' the second
place it appears and inserting ''December 31, 2016''.
(c) Commercial Revitalization Deduction.--
(1) Extension.--
(A) In general.--Subsection (g) of section 1400I of
such Code is amended by striking ''December 31, 2009''
and inserting ''December 31, 2012''.
(B) Conforming amendment.--Subparagraph (A) of
section 1400I(d)(2) of such Code is amended by striking
''after 2001 and before 2010'' and inserting ''which
begins after 2001 and before the date referred to in
subsection (g)''.
(2) Carryforward of unallocated state commercial
revitalization expenditure ceiling.--
(A) In general.--Paragraph (1) of section 1400I(d)
of such Code is amended to read as follows:
''(1) In general.--The aggregate commercial revitalization
expenditure amount which a commercial revitalization agency may
allocate for any calendar year is the amount equal to the sum
of--
''(A) the amount of the State commercial
revitalization expenditure ceiling determined under
this paragraph for such calendar year for such agency
(determined without regard to subparagraph (B)), and
''(B) the aggregate of the unused State commercial
revitalization expenditure ceilings determined under
this paragraph for such agency for each of the 2
preceding calendar years.
For purposes of subparagraph (B), amounts of expenditure
ceiling shall be treated as allocated by an agency first from
unused amounts for the second preceding calendar year, then
from unused amounts for the 1st preceding calendar year, and
then from amounts from the current year State allocation.''.
(B) Effective date.--The amendment made by this
subsection shall apply to calendar years beginning
after the date of the enactment of this Act.
(d) Increased Expensing Under Section 179.--Subparagraph (A) of
section 1400J(b)(1) of such Code is amended by striking ''January 1,
2010'' and inserting ''January 1, 2013''.
(e) Treatment of Certain Termination Dates Specified in
Nominations.--In the case of a designation of a renewal community the
nomination for which included a termination date which is
contemporaneous with the date specified in subparagraph (A) of section
1400E(b)(1) of the Internal Revenue Code of 1986 (as in effect before
the enactment of this Act), subparagraph (B) of such section shall not
apply with respect to such designation unless, after the date of the
enactment of this section, the entity which made such nomination
reconfirms such termination date, or amends the nomination to provide
for a new termination date, in such manner as the Secretary of the
Treasury (or the Secretary's designee) may provide.
(f) Effective Dates.--
(1) In general.--Except as otherwise provided in this
subsection, the amendments made by this section shall apply to
periods after December 31, 2009.
(2) Acquisitions.--The amendments made by subsections
(b)(1) and (d) shall apply to acquisitions after December 31,
2009.
(3) Commercial revitalization deduction.--
(A) In general.--The amendment made by subsection
(c)(1) shall apply to buildings placed in service after
December 31, 2009.
(B) Conforming amendment.--The amendment made by
subsection (c)(2) shall apply to calendar years
beginning after December 31, 2009.

Answer: Amends the Internal Revenue Code to extend through December 31, 2012, the designation period of areas as renewal communities and tax incentives for investment in such areas, including: (1) the exclusion from gross income for income tax purposes of gain from the sale or exchange of assets (stock or business property) in such areas, (2) the tax deduction for commercial revitalization expenditures in such areas, and (3) an increased expensing allowance for the acquisition of business and investment assets in such areas.

Question: SECTION 1. SHORT TITLE.

This Act may be cited as the ''Securing American Families
Effectively (SAFE) Act''.

TITLE I--IMMIGRATION

SEC. 101. VISAS.

(a) Student.--No citizens from a country which is one the State
Department's list of governments which have sponsored terrorism or on
the State Department's list of governments which have been less than
fully cooperative in anti-terrorism efforts shall be granted a visa
permitting study in the United States.
(b) Diversity Immigrant Program.--No citizen from a country on the
State Department's list of governments which have sponsored terrorism
or on the State Department's list of governments which have been less
than fully cooperative in anti-terrorism efforts may be issued an
immigrant visa under section 203(c) of the Immigration and Nationality
Act (8 U.S.C. 1153(c)) (governing the diversity immigrant program).

TITLE II--DATA SHARING; INTELLIGENCE GATHERING

SEC. 201. REQUIRING SHARING BY THE FEDERAL BUREAU OF INVESTIGATION OF
CERTAIN CRIMINAL RECORD EXTRACTS WITH OTHER FEDERAL
AGENCIES IN ORDER TO ENHANCE BORDER SECURITY.

(a) In General.--Section 105 of the Immigration and Nationality Act
(8 U.S.C. 1105), is amended--
(1) in the section heading, by adding ''and data exchange''
at the end;
(2) by inserting ''(a) Liaison With Internal Security
Officers.--'' after ''105.'';
(3) by striking ''the internal security of'' and inserting
''the internal and border security of''; and
(4) by adding at the end the following:
''(b) Criminal History Record Information.--The Attorney General
and the Director of the Federal Bureau of Investigation shall provide
the Secretary of State and the Commissioner access to the criminal
history record information contained in the National Crime Information
Center's Interstate Identification Index, Wanted Persons File, and to
any other files maintained by the National Crime Information Center
that may be mutually agreed upon by the Attorney General and the
official to be provided access, for the purpose of determining whether
a visa applicant or applicant for admission has a criminal history
record indexed in any such file. Such access shall be provided by means
of extracts of the records for placement in the Department of State's
automated visa lookout database or other appropriate database, and
shall be provided without any fee or charge. The Director of the
Federal Bureau of Investigation shall provide periodic updates of the
extracts at intervals mutually agreed upon by the Attorney General and
the official provided access. Upon receipt of such updated extracts,
the receiving official shall make corresponding updates to the
official's databases and destroy previously provided extracts. Such
access to any extract shall not be construed to entitle the Secretary
of State to obtain the full content of the corresponding automated
criminal history record. To obtain the full content of a criminal
history record, the Secretary of State shall submit the applicant's
fingerprints and any appropriate fingerprint processing fee authorized
by law to the Criminal Justice Information Services Division of the
Federal Bureau of Investigation.
''(c) Reconsideration.--The provision of the extracts described in
subsection (b) may be reconsidered by the Attorney General and the
receiving official upon the development and deployment of a more cost-
effective and efficient means of sharing the information.
''(d) Regulations.--For purposes of administering this section, the
Secretary of State shall, prior to receiving access to National Crime
Information Center data, promulgate final regulations--
''(1) to implement procedures for the taking of
fingerprints; and
''(2) to establish the conditions for the use of the
information received from the Federal Bureau of Investigation,
in order--
''(A) to limit the redissemination of such
information;
''(B) to ensure that such information is used
solely to determine whether to issue a visa to an
individual;
''(C) to ensure the security, confidentiality, and
destruction of such information; and
''(D) to protect any privacy rights of individuals
who are subjects of such information.''.
(b) Clerical Amendment.--The table of contents of the Immigration
and Nationality Act is amended by amending the item relating to section
105 to read as follows:

''Sec. 105. Liaison with internal security officers and data
exchange.''.
(c) Effective Date and Implementation.--The amendments made by this
section shall take effect on the date of the enactment of this Act and
shall be fully implemented not later than 18 months after such date.
(d) Reporting Requirement.--Not later than 2 years after the date
of the enactment of this Act, the Attorney General and the Secretary of
State, jointly, shall report to the Congress on the implementation of
the amendments made by this section.
(e) Construction.--Nothing in this section, or in any other law,
shall be construed to limit the authority of the Attorney General or
the Director of the Federal Bureau of Investigation to provide access
to the criminal history record information contained in the National
Crime Information Center's Interstate Identification Index, or to any
other information maintained by such center, to any Federal agency or
officer authorized to enforce or administer the immigration laws of the
United States, for the purpose of such enforcement or administration,
upon terms that are consistent with sections 212 through 216 of the
National Crime Prevention and Privacy Compact Act of 1998 (42 U.S.C.
14611 et seq.).

SEC. 202. AUTHORIZED DISCLOSURE.

Section 2510(7) of title 18, United States Code, is amended by
inserting '', and (for purposes only of section 2517 as it relates to
foreign intelligence information) any Federal law enforcement,
intelligence, national security, national defense, protective,
immigration personnel, or the President or Vice President of the United
States'' after ''such offenses''.

SEC. 203. PERIOD OF ORDERS OF ELECTRONIC SURVEILLANCE OF NON-UNITED
STATES PERSONS UNDER FOREIGN INTELLIGENCE SURVEILLANCE.

(a) Including Agents of a Foreign Power.--(1) Section 105(e)(1) of
the Foreign Intelligence Surveillance Act of 1978 (50 U.S.C.
1805(e)(1)) is amended by inserting ''or an agent of a foreign power,
as defined in section 101(b)(1)(A),'' after ''or (3),''.
(2) Section 304(d)(1) of such Act (50 U.S.C. 1824(d)(1)) is amended
by inserting ''or an agent of a foreign power, as defined in section
101(b)(1)(A),'' after ''101(a),''.
(b) Period of Order.--Such section 304(d)(1) is further amended by
striking ''forty-five'' and inserting ''90''.

TITLE III--EXPANSION OF FBI LINGUISTIC CAPACITY

SEC. 301. EMPLOYMENT OF TRANSLATORS BY THE FEDERAL BUREAU OF
INVESTIGATION.

(a) Authority.--The Director of the Federal Bureau of Investigation
is authorized to expedite the employment of personnel as translators to
support counterterrorism investigations and operations without regard
to applicable Federal personnel requirements and limitations.
(b) Security Requirements.--The Director of the Federal Bureau of
Investigation shall establish such security requirements as are
necessary for the personnel employed as translators.
(c) Report.--The Attorney General shall report to the Committees on
the Judiciary of the House of Representatives and the Senate on--
(1) the number of translators employed by the FBI and other
components of the Department of Justice;
(2) any legal or practical impediments to using translators
employed by other Federal State, or local agencies, on a full,
part-time, or shared basis; and
(3) the needs of the FBI for specific translation services
in certain languages, and recommendations for meeting those
needs.

TITLE IV--CRIMINAL JUSTICE

SEC. 401. STATUTE OF LIMITATION FOR PROSECUTING TERRORISM OFFENSES.

(a) In General.--Section 3286 of title 18, United States Code, is
amended to read as follows:
''Sec. 3286. Terrorism offenses
''(a) An indictment may be found or an information instituted at
any time without limitation for any Federal terrorism offense or any of
the following offenses:
''(1) A violation of, or an attempt or conspiracy to
violate, section 32 (relating to destruction of aircraft or
aircraft facilities), 37(a)(1) (relating to violence at
international airports), 175 (relating to biological weapons),
229 (relating to chemical weapons), 351(a)-(d) (relating to
congressional, cabinet, and Supreme Court assassination and
kidnaping), 792 (relating to harboring terrorists), 831
(relating to nuclear materials), 844(f) or (i) when it relates
to bombing (relating to arson and bombing of certain property),
1114(1) (relating to protection of officers and employees of
the United States), 1116, if the offense involves murder
(relating to murder or manslaughter of foreign officials,
official guests, or internationally protected persons), 1203
(relating to hostage taking), 1751(a)-(d) (relating to
Presidential and Presidential staff assassination and
kidnaping), 2332(a)(1) (relating to certain homicides and other
violence against United States nationals occurring outside of
the United States), 2332a (relating to use of weapons of mass
destruction), 2332b (relating to acts of terrorism transcending
national boundaries) of this title.
''(2) Section 236 (relating to sabotage of nuclear
facilities or fuel) of the Atomic Energy Act of 1954 (42 U.S.C.
2284);
''(3) Section 601 (relating to disclosure of identities of
covert agents) of the National Security Act of 1947 (50 U.S.C.
421).
''(4) Section 46502 (relating to aircraft piracy) of title
49.
''(b) An indictment may be found or an information instituted
within 15 years after the offense was committed for any of the
following offenses:
''(1) Section 175b (relating to biological weapons), 842(m)
or (n) (relating to plastic explosives), 930(c) if it involves
murder (relating to possessing a dangerous weapon in a Federal
facility), 956 (relating to conspiracy to injure property of a
foreign government), 1030(a)(1), 1030(a)(5)(A), or 1030(a)(7)
(relating to protection of computers), 1362 (relating to
destruction of communication lines, stations, or systems), 1366
(relating to destruction of an energy facility), 1992 (relating
to trainwrecking), 2152 (relating to injury of fortifications,
harbor defenses, or defensive sea areas), 2155 (relating to
destruction of national defense materials, premises, or
utilities), 2156 (relating to production of defective national
defense materials, premises, or utilities), 2280 (relating to
violence against maritime navigation), 2281 (relating to
violence against maritime fixed platforms), 2339A (relating to
providing material support to terrorists), 2339B (relating to
providing material support to terrorist organizations), or
2340A (relating to torture).
''(2) Any of the following provisions of title 49: the
second sentence of section 46504 (relating to assault on a
flight crew with a dangerous weapon), section 46505(b)(3),
(relating to explosive or incendiary devices, or endangerment
of human life by means of weapons, on aircraft), section 46506
if homicide or attempted homicide is involved, or section
60123(b) (relating to destruction of interstate gas or
hazardous liquid pipeline facility) of title 49.''.
(b) Clerical Amendment.--The table of sections at the beginning of
chapter 213 of title 18, United States Code, is amended by amending the
item relating to section 3286 to read as follows:

''3286. Terrorism offenses.''.
(c) Application.--The amendments made by this section shall apply
to the prosecution of any offense committed before, on, or after the
date of enactment of this section.

SEC. 402. ALTERNATIVE MAXIMUM PENALTIES FOR TERRORISM CRIMES.

Section 3559 of title 18, United States Code, is amended by adding
after subsection (d) the following:
''(e) Authorized Terms of Imprisonment for Terrorism Crimes.--A
person convicted of any Federal terrorism offense may be sentenced to
imprisonment for any term of years or for life, notwithstanding any
maximum term of imprisonment specified in the law describing the
offense. The authorization of imprisonment under this subsection is
supplementary to, and does not limit, the availability of any other
penalty authorized by the law describing the offense, including the
death penalty, and does not limit the applicability of any mandatory
minimum term of imprisonment, including any mandatory life term,
provided by the law describing the offense.''.

SEC. 403. PENALTIES FOR TERRORIST CONSPIRACIES.

Chapter 113B of title 18, United States Code, is amended--
(1) by inserting after section 2332b the following:
''Sec. 2332c. Attempts and conspiracies
''(a) Except as provided in subsection (c), any person who attempts
or conspires to commit any Federal terrorism offense shall be subject
to the same penalties as those prescribed for the offense, the
commission of which was the object of the attempt or conspiracy.
''(b) Except as provided in subsection (c), any person who attempts
or conspires to commit any offense described in section 25(2) shall be
subject to the same penalties as those prescribed for the offense, the
commission of which was the object of the attempt or conspiracy.
''(c) A death penalty may not be imposed by operation of this
section.''; and
(2) in the table of sections at the beginning of the
chapter, by inserting after the item relating to section 2332b
the following new item:

''2332c. Attempts and conspiracies.''.

TITLE V--PROBABLE CAUSE

SEC. 501. PROBABLE CAUSE.

Notwithstanding any other provision of law or regulation probable
cause shall be the maximum standard for authorizing an investigation,
or issuing a search warrant, related to investigations of suspected
terrorists.

Answer: Securing American Families Effectively (SAFE) Act - Prohibits the granting of a visa permitting study in the United States, or the issuance of an immigration visa under the diversity immigrant program, to citizens from a country which is on the State Department's list of governments which have sponsored terrorism or which have been less than fully cooperative in anti-terrorism efforts.Amends the Immigration and Nationality Act to require the Attorney General and the Director of the Federal Bureau of Investigation (FBI) to provide the Secretary of State and the Commissioner of the Immigration and Naturalization Service access to criminal history record information.Increases: (1) the scope of persons authorized to disclose and use intercepted communications relating to foreign intelligence information; and (2) the period of electronic surveillance orders for non-U.S. persons under the Foreign Intelligence Surveillance Act of 1978.Authorizes: (1) the FBI Director to expedite the employment of translators; (2) an indictment at any time without limitation for any Federal terrorism offense; and (3) alternative maximum penalties for terrorism crimes.Provides that any person who attempts or conspires to commit any Federal terrorism offense shall be subject to the same penalties as prescribed for the terrorism offense, with exceptions.Makes probable cause the maximum standard for authorizing an investigation, or issuing a search warrant related to an investigation, of suspected terrorists.

Question: SECTION 1. SHORT TITLE.

This Act may be cited as the ''Value Based Insurance Design for
Better Care Act of 2014'' or the ''VBID for Better Care Act of 2014''.

SEC. 2. FINDINGS.

Congress makes the following findings:
(1) A growing body of evidence demonstrates that increases
in patient-level financial barriers (including deductibles,
copayments, and coinsurance) for high-value medical services
(such as prescription medications, clinician visits, diagnostic
tests, and procedures) systematically reduce their use. Savings
attributable to cost-related decreased utilization of specific
services may lead to an increase in total medical expenditures
due to increased use of other related clinical services, such
as hospitalizations and emergency room visits.
(2) Empirical research studies demonstrate that reductions
in beneficiary out-of-pocket expenses for high-value
prescription medications and clinical services can mitigate the
adverse health and financial consequences attributable to cost-
related decreased utilization of high-value services.
(3) Financial barriers to prescription medications and
clinical services that are deemed to be high value should be
reduced or eliminated to increase their use.
(4) Value-Based Insurance Design is a methodology that
adjusts patient out-of-pocket costs for prescription
medications and clinical services according to the clinical
value--not exclusively the cost. Value-Based Insurance Design
is based on the concept of clinical nuance that recognizes--
(A) prescription medications and clinical services
differ in the clinical benefit provided; and
(B) the clinical benefit derived from a specific
prescription medication or clinical service depends on
the clinical situation, the provider, and where the
care is delivered.
(5) The current ''one-size-fits-all'' copayment or
coinsurance design for prescription medications and clinical
services provided under the Medicare program does not recognize
the well-established value differences in health outcomes
produced by various medical interventions.
(6) The establishment by Medicare of copayment and
coinsurance requirements using Value-Based Insurance Design
methodologies will improve patient-centered health outcomes,
enhance personal responsibility, and afford a more efficient
use of taxpayer dollars.

SEC. 3. DEMONSTRATION PROGRAM.

(a) In General.--The Secretary of Health and Human Services (in
this section referred to as the ''Secretary'') shall establish a 3-year
demonstration program to test the use of value-based insurance design
methodologies (as defined in subsection (c)(1)) under eligible Medicare
Advantage plans offered by Medicare Advantage organizations under part
C of title XVIII of the Social Security Act (42 U.S.C. 1395w-21 et
seq.).
(b) Demonstration Program Design.--
(1) Selection of ma region and eligible medicare advantage
plans.--The Secretary shall--
(A) select at least two MA regions (as defined in
section 1858(a)(2) of the Social Security Act (42
U.S.C. 1395w-27a(a)(2))) with respect to which to
conduct the demonstration program under this section;
and
(B) approve eligible Medicare Advantage plans to
participate in such demonstration program.
(2) Start of demonstration.--The demonstration program
shall begin with respect to the first plan year beginning after
the date on which at least two eligible Medicare Advantage
plans have been approved by the Secretary in at least one MA
region selected under paragraph (1).
(3) Eligible medicare advantage plans.--For purposes of
this section, the term ''eligible Medicare Advantage plan''
means a Medicare Advantage plan under part C of title XVIII of
the Social Security Act (42 U.S.C. 1395w-21 et seq.) that meets
the following requirements:
(A) The plan is an MA regional plan (as defined in
paragraph (4) of section 1859(b) of such Act (42 U.S.C.
1395w-28(b))) or MA local plan (as defined in paragraph
(5) of such section) offered in the MA region selected
under paragraph (1)(A).
(B) The plan has--
(i) a quality rating under section
1853(n)(4) of such Act (42 U.S.C. 1395w-
23(n)(4)) of 4 stars or higher based on the
most recent data available for such year;
(ii) in the case of a specialized MA plan
for special needs individuals, as defined in
subsection (b)(6)(A) of section 1859(b)(6)(A)
of such Act (42 U.S.C. 1395w-28(b)(6)(A)),
received a multi-year approval by the National
Committee for Quality Assurance under
subsection (f)(7) of such section; or
(iii) at least 20 percent of the population
to whom the plan is offered consists of subsidy
eligible individuals (as defined in section
1860D-14(a)(3)(A) of the Social Security Act
(42 U.S.C. 1395w-114(a)(3)(A))).
(c) Value-Based Insurance Design Methodologies.--
(1) Definition.--For purposes of this section, the term
''value-based insurance design methodology'' means a
methodology for identifying specific prescription medications,
and clinical services that are reimbursable under title XVIII
of the Social Security Act, for which copayments, coinsurance,
or both should be reduced or eliminated because of the high
value and effectiveness of such medications and services for
specific chronic clinical conditions (as approved by the
Secretary).
(2) Use of methodologies to reduce copayments and
coinsurance.--A Medicare Advantage organization offering an
eligible Medicare Advantage plan selected to participate under
the demonstration program, for each plan year for which the
plan is so selected and using value-based insurance design
methodologies--
(A) shall identify each prescription medication and
clinical service covered under such plan for which the
amount of the copayment or coinsurance should be
reduced or eliminated, with respect to the management
of specific chronic clinical conditions (as specified
by the Secretary) of MA eligible individuals (as
defined in section 1851(a)(3) of the Social Security
Act (42 U.S.C. 1395w-21(a)(3))) enrolled under such
plans, for such plan year; and
(B) may, for such plan year, reduce or eliminate
copayments, coinsurance, or both for such prescription
medication and clinical services so identified with
respect to the management of such conditions of such
individuals--
(i) if such reduction or elimination is
evidence-based, for the purpose of encouraging
such individuals in such plan to use such
prescription medications and clinical services
(such as preventive care, primary care,
specialty visits, diagnostic tests, procedures,
and durable medical equipment) with respect to
such conditions; and
(ii) for the purpose of encouraging such
individuals in such plan to use health care
providers that such organization has identified
with respect to such plan year.
(3) Prohibition of increases of copayments and
coinsurance.--In no case may any Medicare Advantage plan
participating in the demonstration program increase, for any
plan year for which the plan is so participating, the amount of
copayments or coinsurance for any item or service covered under
such plan for purposes of discouraging the use of such item or
service.
(d) Report on Implementation.--
(1) In general.--Not later than 1 year after the date on
which the demonstration program under this section begins under
subsection (b)(2), the Secretary shall submit to Congress a
report on the status of the implementation of the demonstration
program.
(2) Elements.--The report required by paragraph (1) shall,
with respect to eligible Medicare Advantage plans participating
in the demonstration program for the first plan year of such
program, include the following:
(A) A list of each medication and service
identified pursuant to subsection (c)(2)(A) for such
plan with respect to such plan year.
(B) For each such medication or service so
identified, the amount of the copayment or coinsurance
required under such plan with respect to such plan year
for such medication or service and the amount of the
reduction of such copayment or coinsurance from the
previous plan year.
(C) For each provider identified pursuant to
subsection (c)(2)(B)(ii) for such plan with respect to
such plan year, a statement of the amount of the
copayment or coinsurance required under such plan with
respect to such plan year and the amount of the
reduction of such copayment or coinsurance from the
previous plan year.
(e) Review and Assessment of Utilization of Value-Based Insurance
Design Methodologies.--
(1) In general.--The Secretary shall enter into a contract
or agreement with an independent, non-biased entity having
expertise in value-based insurance design methodologies to
review and assess the implementation of the demonstration
program under this section. The review and assessment shall
include the following:
(A) An assessment of the utilization of value-based
insurance design methodologies by Medicare Advantage
plans participating under such program.
(B) An analysis of whether reducing or eliminating
the copayment or coinsurance for each medication and
clinical service identified pursuant to subsection
(c)(2)(A) resulted in increased adherence to medication
regimens, increased service utilization, improvement in
quality metrics, better health outcomes, and enhanced
beneficiary experience.
(C) An analysis of the extent to which costs to
Medicare Advantage plans under part C of title XVIII of
the Social Security Act participating in the
demonstration program is less than costs to Medicare
Advantage plans under such part that are not
participating in the demonstration program.
(D) An analysis of whether reducing or eliminating
the copayment or coinsurance for providers identified
pursuant to subsection (c)(2)(B)(ii) resulted in
improvement in quality metrics, better health outcomes,
and enhanced beneficiary experience.
(E) An analysis, for each provider so identified,
the extent to which costs to Medicare Advantage plans
under part C of title XVIII of the Social Security Act
participating in the demonstration program is less than
costs to Medicare Advantage plans under such part that
are not participating in the demonstration program.
(F) Such other matters, as the Secretary considers
appropriate.
(2) Report.--The contract or agreement entered into under
paragraph (1) shall require such entity to submit to the
Secretary a report on the review and assessment conducted by
the entity under such paragraph in time for the inclusion of
the results of such report in the report required by paragraph
(3).
(3) Report to congress.--Not later than 3 years after the
date on which the demonstration program begins under subsection
(b)(2), the Secretary shall submit to Congress a report on the
review and assessment of the demonstration program conducted
under this subsection. The report shall include the following:
(A) A description of the results of the review and
assessment included in the report submitted pursuant to
paragraph (2).
(B) Such recommendations as the Secretary considers
appropriate for enhancing the utilization of the
methodologies applied under the demonstration program
to all Medicare Advantage plans under part C of title
XVIII of the Social Security Act so as to reduce
copayments and coinsurance under such plans paid by
Medicare beneficiaries for high-value prescription
medications and clinical services for which coverage is
provided under such plans and to otherwise improve the
quality of health care provided under such plans.
(f) Expansion of Demonstration Program.--The Secretary shall expand
the demonstration program, pursuant to notice and comment rulemaking,
to implement, on a permanent basis, the components of the demonstration
program that are beneficial to Medicare beneficiaries and the Medicare
program, unless the report under subsection (d) or (e)(3) contains an
evaluation that the demonstration program--
(1) increases expenditures under title XVIII with respect
to Medicare beneficiaries participating in the demonstration
program; or
(2) decreases the quality of health care services furnished
to such Medicare beneficiaries participating in the
demonstration program.
(g) Waiver Authority.--The Secretary may waive such provisions of
titles XI and XVIII of the Social Security Act as may be necessary to
carry out the demonstration program under this section.
(h) Implementation Funding.--For purposes of carrying out the
demonstration program under this section, the Secretary shall provide
for the transfer from the Federal Hospital Insurance Trust Fund under
section 1817 of the Social Security Act (42 U.S.C. 1395i) and the
Federal Supplementary Insurance Trust Fund under section 1841 of the
Social Security Act (42 U.S.C. 1395t), including the Medicare
Prescription Drug Account in such Trust Fund, in such proportion as
determined appropriate by the Secretary, of such sums as may be
necessary.

Answer:
Value Based Insurance Design for Better Care Act of 2014 or the VBID for Better Care Act of 2014 - Directs the Secretary of Health and Human Services (HHS) to establish a three-year demonstration program to test the use of value-based insurance design methodologies under the eligible Medicare plans offered by Medicare Advantage organizations under part C (Medicare+Choice) of title XVIII (Medicare) of the Social Security Act. Defines "value-based insurance design methodology" as one for identifying specific prescription medications, and clinical services reimbursable under Medicare, for which copayments, coinsurance, or both should be reduced or eliminated because of the high-value and effectiveness of these medications and services for specific chronic clinical conditions (as approved by the Secretary). Directs the Secretary to expand the demonstration program to implement, on a permanent basis, those components beneficial to Medicare beneficiaries and the Medicare program, unless a required evaluation of the program states that it: (1) increases expenditures under Medicare with respect to participating beneficiaries, or (2) decreases the quality of health care services furnished to such beneficiaries.