Part 1. Definition
In this task, you are given text for US Congressional and California state bills, your task is to generate a summary for this bill.
Part 2. Example
SECTION 1. LIABILITY OF BUSINESS ENTITIES PROVIDING USE OF FACILITIES
TO NONPROFIT ORGANIZATIONS.

(a) Definitions.--In this section:
(1) Business entity.--The term ''business entity'' means a
firm, corporation, association, partnership, consortium, joint
venture, or other form of enterprise.
(2) Facility.--The term ''facility'' means any real
property, including any building, improvement, or appurtenance.
(3) Gross negligence.--The term ''gross negligence'' means
voluntary and conscious conduct by a person with knowledge (at
the time of the conduct) that the conduct is likely to be
harmful to the health or well-being of another person.
(4) Intentional misconduct.--The term ''intentional
misconduct'' means conduct by a person with knowledge (at the
time of the conduct) that the conduct is harmful to the health
or well-being of another person.
(5) Nonprofit organization.--The term ''nonprofit
organization'' means--
(A) any organization described in section 501(c)(3)
of the Internal Revenue Code of 1986 and exempt from
tax under section 501(a) of such Code; or
(B) any not-for-profit organization organized and
conducted for public benefit and operated primarily for
charitable, civic, educational, religious, welfare, or
health purposes.
(6) State.--The term ''State'' means each of the several
States, the District of Columbia, the Commonwealth of Puerto
Rico, the Virgin Islands, Guam, American Samoa, the Northern
Mariana Islands, any other territory or possession of the
United States, or any political subdivision of any such State,
territory, or possession.
(b) Limitation on Liability.--
(1) In general.--Subject to subsection (c), a business
entity shall not be subject to civil liability relating to any
injury or death occurring at a facility of the business entity
in connection with a use of such facility by a nonprofit
organization if--
(A) the use occurs outside of the scope of business
of the business entity;
(B) such injury or death occurs during a period
that such facility is used by the nonprofit
organization; and
(C) the business entity authorized the use of such
facility by the nonprofit organization.
(2) Application.--This subsection shall apply--
(A) with respect to civil liability under Federal
and State law; and
(B) regardless of whether a nonprofit organization
pays for the use of a facility.
(c) Exception for Liability.--Subsection (b) shall not apply to an
injury or death that results from an act or omission of a business
entity that constitutes gross negligence or intentional misconduct,
including any misconduct that--
(1) constitutes a crime of violence (as that term is
defined in section 16 of title 18, United States Code) or act
of international terrorism (as that term is defined in section
2331 of title 18) for which the defendant has been convicted in
any court;
(2) constitutes a hate crime (as that term is used in the
Hate Crime Statistics Act (28 U.S.C. 534 note));
(3) involves a sexual offense, as defined by applicable
State law, for which the defendant has been convicted in any
court; or
(4) involves misconduct for which the defendant has been
found to have violated a Federal or State civil rights law.
(d) Superseding Provision.--
(1) In general.--Subject to paragraph (2) and subsection
(e), this Act preempts the laws of any State to the extent that
such laws are inconsistent with this Act, except that this Act
shall not preempt any State law that provides additional
protection from liability for a business entity for an injury
or death with respect to which conditions under subparagraphs
(A) through (C) of subsection (b)(1) apply.
(2) Limitation.--Nothing in this Act shall be construed to
supersede any Federal or State health or safety law.
(e) Election of State Regarding Nonapplicability.--This Act shall
not apply to any civil action in a State court against a business
entity in which all parties are citizens of the State if such State
enacts a statute--
(1) citing the authority of this subsection;
(2) declaring the election of such State that this Act
shall not apply to such civil action in the State; and
(3) containing no other provision.
Answer: Shields a business entity from civil liability relating to any injury or death occurring at a facility of that entity in connection with a use of such facility by a nonprofit organization if: (1) the use occurs outside the scope of business of the business entity; (2) such injury or death occurs during a period that such facility is used by such organization; and (3) the business entity authorized the use of such facility by the organization.
Makes this Act inapplicable to an injury or death that results from an act or omission of a business entity that constitutes gross negligence or intentional misconduct, including misconduct that: (1) constitutes a hate crime or a crime of violence or act of international terrorism for which the defendant has been convicted in any court; or (2) involves a sexual offense for which the defendant has been convicted in any court or misconduct for which the defendant has been found to have violated a Federal or State civil rights law.
Preempts State laws to the extent that such laws are inconsistent with this Act, except State law that provides additional protection from liability. Specifies that this Act shall not be construed to supersede any Federal or State health or safety law.
Makes this Act inapplicable to any civil action in a State court against a business entity in which all parties are citizens of the State if such State, citing this Act's authority and containing no other provision, enacts a statute declaring the State's election that this Act shall not apply to such action in the State.
Explanation: This Bill focuses on shielding business entities from civil liability relating to an injury or death depending on the conditions of injury, hence the generated summary is correct.
Part 3. Exercise
SECTION 1. SHORT TITLE.

This Act may be cited as the ''Rural Hospital Relief Act of 1999''.

SEC. 2. ELIMINATING UNINTENDED REDUCTION IN CONVERSION FACTOR FOR
MEDICARE OPD PPS.

(a) Calculation of Base Amounts.--Section 1833(t)(3)(A)(ii) of the
Social Security Act (42 U.S.C. 1395l(t)(3)(A)(ii)) is amended--
(1) by striking ''copayments estimated to be paid under
this subsection'' and inserting ''coinsurance that would be
paid under this part'';and
(2) by striking ''1999,'' and inserting ''1999 if this
subsection did not apply and''.
(b) Effective Date.--The amendment made by subsection (a) shall
take effect as if included in the provision of the Balanced Budget Act
of 1997 to which the amendment relates at the time such provision
became law.

SEC. 3. LIMITING REDUCTIONS IN FEDERAL PAYMENTS UNDER OPD PPS.

(a) In General.--Section 4523 of the Balanced Budget Act of 1997 is
amended by adding at the end the following:
''(e) Temporary Limit on Reductions in Federal Payments.--
''(1) In general.--Notwithstanding section 1833(t) of the
Social Security Act (42 U.S.C. 1395l(t)), as added by
subsection (a), the amount that is paid from the Federal
Supplementary Medical Insurance Trust Fund for covered OPD
Services furnished by a hospital in a rural area during a
calendar year (or portion thereof) specified in paragraph
(2)(A) may not be less than the applicable percentage of the
case mix adjusted average amount that would have been payable
to such hospital for such services (including cost-sharing) if
the prospective payment system established under such section
did not apply. Such average amount may be determined on a
prospective basis using the Secretary's best estimate of the
reasonable costs incurred in furnishing covered OPD services or
on a retrospective basis using cost reports submitted by such a
hospital.
''(2) Definitions.--For purposes of paragraph (1)--
''(A) subject to paragraph (3), the term
'applicable percentage' means--
''(i) with respect to covered OPD services
furnished during the first full calendar year
(and any portion of the immediately preceding
calendar year) for which the prospective
payment system established under section
1833(t) of such Act is in effect--
''(I) 100 percent for hospitals in
rural areas with less than 50 beds; and
''(II) 95 percent for hospitals not
described in subclause (I);
''(ii) with respect to the second full
calendar year for which such system is in
effect--
''(I) 98 percent for hospitals in
rural areas with less than 50 beds; and
''(II) 90 percent for hospitals not
described in subclause (I);
''(iii) with respect to the third full
calendar year for which such system is in
effect--
''(I) 95 percent for hospitals in
rural areas with less than 50 beds; and
''(II) 85 percent for hospitals not
described in subclause (I); and
''(B) the term 'covered OPD services' has the
meaning given that term in section 1833(t)(1)(B) of
such Act.
''(3) Application to certain hospitals.--In the case of
hospitals described in section 1833(t)(8) of such Act, the
'applicable percentage' for a calendar year (or portion
thereof) shall be the same applicable percentage that applies
to covered OPD services furnished by hospitals that are not
described in such section during such calendar year (or portion
thereof).
''(4) Rule of construction.--Nothing in this subsection
shall be construed as affecting the amount of cost-sharing paid
by individuals enrolled under part B of title XVIII of the
Social Security Act for covered OPD services.''.
(b) Conforming Amendment.--Section 1833(t)(1)(A) of the Social
Security Act (42 U.S.C. 1395l(t)(1)(A)) is amended by inserting
''except as provided in section 4523(e) of the Balanced Budget Act of
1997,'' after ''1999,''.
(c) Effective Date.--The amendments made by this section shall
become effective as if included in the enactment of the Balanced Budget
Act of 1997.

SEC. 4. EXCLUDING CERTAIN AMBULANCE SERVICES FROM SNF PPS.

(a) In General.--Section 1888(e)(2)(A)(ii) of the Social Security
Act (42 U.S.C. 1395yy(e)(2)(A)(ii)) is amended by inserting ''ambulance
and transport services furnished to patients requiring outpatient
dialysis services,'' after ''section 1861(s)(2),''.
(b) Effective Date.--The amendment made by subsection (a) shall
apply to services furnished on or after January 1, 2000.

SEC. 5. STANDARDS FOR, AND TREATMENT OF, CRITICAL ACCESS HOSPITALS.

(a) In General.--
(1) Limitations on beds and los.--Section
1820(c)(2)(B)(iii) of the Social Security Act (42 U.S.C. 1395i-
4(c)(2)(B)(iii)) is amended by striking ''to exceed 96 hours''
and inserting ''to exceed, on average, 96 hours per patient''.
(2) Payment.--
(A) Part a.--Section 1814(l) of the Social Security
Act (42 U.S.C. 1395f(l) is amended by adding at the end
the following: ''In the case of a critical access
hospital that is located in a health professional
shortage area, the amount otherwise payable under the
preceding sentence shall be increased by 5 percentage
points.''.
(B) Part b.--Section 1834(g) of the Social Security
Act (42 U.S.C. 1395m(g)) is amended by adding at the
end the following: ''In the case of a critical access
hospital that is located in a health professional
shortage area, the amount otherwise payable under the
preceding sentence shall be increased by 5 percentage
points.''.
(3) Permitting maintenance of distinct part geriatric
psychiatric unit.--Section 1820(f) of the Social Security Act
(42 U.S.C. 1395i-4(f)) is amended--
(A) by inserting ''and certain distinct part
units'' after ''swing beds'';
(B) by inserting ''(1)'' after ''beds.--'', and
(C) by adding at the end the following:
''(2) Nothing in this section shall be construed to prohibit a
State from designating or the Secretary from certifying a facility as a
critical access hospital solely because the facility maintains a
distinct part psychiatric unit for geriatric patients.''.
(b) Criteria for Designation.--Section 1820(c)(2)(B)(i) of the
Social Security Act (42 U.S.C. 1395i-4(c)(2)(B)(i)) is amended by
striking ''is a'' and all that follows through ''hospital and''.
(c) Effective Date.--The amendments made by this section shall
apply to services furnished on or after October 1, 1999.

SEC. 6. EXCLUSION OF SWING-BED DAYS FROM SNF PPS.

(a) Exclusion From SNF PPS.--Section 1888(e)(7) of the Social
Security Act (42 U.S.C. 1395yy(e)(7)) is amended to read as follows:
''(7) Exclusion.--The prospective payment system
established under this subsection shall not apply to services
provided by a hospital under an agreement described in section
1883.''.
(b) Effective Date.--The amendments made by this section shall
apply to services furnished on or after October 1, 1999.

SEC. 7. RESTORATION OF MEDICARE PAYMENTS FOR BAD DEBT.

(a) In General.--Section 1861(v)(1)(T)(iii) of the Social Security
Act (42 U.S.C. 1395x(v)(1)(T)(iii)) is amended by striking ''45'' and
inserting ''10''.
(b) Effective Date.--The amendment made by subsection (a) shall
take effect as if included in the provision of the Balanced Budget Act
of 1997 to which the amendment relates at the time such provision
became law.

SEC. 8. TEMPORARY EXEMPTION OF RURAL HEALTH CLINICS FROM PRODUCTIVITY
STANDARDS.

(a) In General.--Section 1833(f) of the Social Security Act (42
U.S.C. 1395l(f)) is amended--
(1) by redesignating paragraphs (1) and (2) as
subparagraphs (A) and (B), respectively;
(2) by inserting ''(1)'' after ''(f)''; and
(3) by adding at the end the following:
''(2) The Secretary may not apply productivity guidelines in
determining the reasonable costs of rural health clinics for services
furnished in calendar year 1998, 1999, 2000, or 2001.''.

SEC. 9. INFLATION UPDATES FOR RURAL PROVIDERS.

(a) Hospitals.--
(1) PPS.--Subclauses (XV) and (XVI) of section
1886(b)(3)(B)(i) of the Social Security Act (42 U.S.C.
1395ww(b)(3)(B)(i)) are each amended by striking ''all areas''
and inserting ''urban areas, and the market basket percentage
increase for hospitals in rural areas''.
(2) PPS-exempt.--Section 1886(b)(3)
(B)(ii)(VII) of the Social Security Act (42 U.S.C.
1395ww(b)(3)(B)(ii)(VlI)) is amended to read as follows:
''(VII) for fiscal years 1999 through 2002, is the market
basket percentage increase for hospitals in rural areas, and
the applicable update factor specified under clause (vi) for
the fiscal year for hospitals in urban areas; and''.
(b) Skilled Nursing Facilities.--Subclauses (I) and (II) of section
1888(e)(4)(E)(ii) of the Social Security Act (42 U.S.C.
1395yy(e)(4)(E)(ii)) are each amended by inserting ''for skilled
nursing facilities in urban areas, and by the skilled nursing facility
market basket percentage change for such year for skilled nursing
facilities in rural areas'' after ''point''.

SEC. 10. EMERGENCY REQUIREMENT.

The entire amount necessary to carry out this Act and the
amendments made by this Act shall be available only to the extent that
an official budget request for the entire amount, that includes
designation of the entire amount of the request as an emergency
requirement as defined in the Balanced Budget and Emergency Deficit
Control Act of 1985, as amended, is transmitted by the President to the
Congress: Provided, That the entire amount is designated by the
Congress as an emergency requirement pursuant to section 251(b)(2)(A)
of such Act.
Answer:
Amends the Balanced Budget Act of 1997 to establish a temporary limit on reductions in Federal payments for covered OPD services furnished by a hospital in a rural area during a calendar year.
Provides that the entire amount necessary to carry out this Act and the amendments made by it shall be available only to the extent that an official budget request for the entire amount, that includes designation of the entire amount of the request as an emergency requirement under the Balanced Budget and Emergency Deficit Control Act of 1985 (Gramm- Rudman-Hollings Act), as amended, is transmitted by the President to Congress, if that entire amount is designated by Congress as an emergency requirement.