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. SHORT TITLE.

This Act may be cited as the ''Bucket Drowning Prevention Act of
1993.''

SEC. 2. LABELING STANDARD REQUIREMENTS.

On October 1, 1994, or 240 days after the date of the enactment of
this title, whichever first occurs, there is established and effective
a consumer product safety standard under section 9 of the Consumer
Product Safety Act (15 U.S.C. 2058), to eliminate or reduce the risk of
injury or death resulting from infants falling into 4-gallon to 6-
gallon buckets containing liquid. Such standard, when established,
shall require straight sided or slightly tapered, open head containers
with a capacity of more than 4 gallons and less than 6 gallons
(referred to in this Act as a ''bucket''), to bear one warning label in
English and Spanish. The label shall meet the following requirements:
(1) The label shall be permanent so that such label cannot
be removed, torn or defaced without the aid of tools or
solvents.
(2) The label shall be at least 7 inches in height, and
3/2\ inches in width, or any larger size as the labeler may
choose.
(3) The label shall be centered on one side of the bucket
just below the point where the handle is inserted.
(4) The label shall have a border or other form of contrast
around its edges to delineate it from any other information on
the bucket.
(5) The label shall bear (A) the signal word ''WARNING'' in
both English and Spanish, in bold uppercase lettering, and (B)
in upper and lower case lettering the words ''Children Can Fall
Into Bucket and Drown. Keep Children Away From Buckets With
Even a Small Amount of Liquid.'', with an equivalent Spanish
translation in at least the same type size as English. The
signal word panel shall be preceded by a safety alert symbol
consisting of an exclamation mark in a triangle.
(6) The label shall be clear and conspicuous and in
contrasting colors.
(7) The label shall include a picture of a child falling
into a bucket containing liquid. An encircled slash symbol
shall be superimposed over, and surround the pictorial. The
picture shall be positioned between the signal word panel and
the message panel.

SEC. 3. CERTAIN BUCKETS NOT AFFECTED.

The standard established by section 2 applies only to buckets
manufactured or imported on or after the effective date of such
standard, and buckets manufactured or imported before such effective
date may be sold without the warning label required by section 2 even
though such sales occur after that date. The Consumer Product Safety
Commission, by rule, shall prohibit a manufacturer, filler,
distributor, and retailer from stockpiling buckets to which consumer
product safety standards established by section 2 of this title would
have applied but for the preceding sentence. For purposes of this
section, the term ''stockpiling'' shall have the same meaning as that
provided by section 9(g)(2) of the Consumer Product Safety Act.

SEC. 4. PROHIBITED ACTS.

(a) Removal of Label.--Once placed on a bucket pursuant to the
standard provided by section 2, it shall be a prohibited act under
section 19 of the Consumer Product Safety Act for any person in the
chain of distribution of the bucket to intentionally cover, obstruct,
tear, deface or remove the label.
(b) Consumer Product Safety Standard.--The standard established by
section 2 of this title shall be considered a consumer product safety
standard established under the Consumer Product Safety Act.

SEC. 5. EXISTING LABELS.

Notwithstanding section 2, any bucket label in use on September 1,
1993, may, if such label is substantially in conformance with the
requirements of paragraphs (3), (4), (5), and (6) of section 2,
continue to be placed on buckets until 12 months after the date of the
enactment of this title. Notwithstanding the preceding sentence,
buckets subject to the provisions of this section must bear both an
English and Spanish language label on and after the effective date of
the standard established by section 2.

SEC. 6. AMENDMENTS.

Section 553 of title 5, United States Code, shall apply with
respect to the Consumer Product Safety Commission's issuance of any
amendments or changes to the bucket labeling standard established by
section 2 of this title. Sections 7 and 9 of the Consumer Product
Safety Act shall not apply to such amendments or changes.

SEC. 7. RESPONSIBILITY FOR LABELING.

(a) Labeling.--The standard established by section 2 requires the
labeling of buckets covered by such standard to be the responsibility
of the manufacturer of any such buckets, unless otherwise specified by
contract between the manufacturer, and either the filler, distributor,
or retailer of such buckets. Under no circumstances shall any such
bucket enter the stream of commerce without such label.
(b) Time for Placing Labels.--The required label must be on the
bucket at the time it is sold or delivered to the end user of the
bucket or its contents or, in the case of a bucket intended to be sold
to the public in an empty state, at the time it is shipped to a
retailer for sale to the public.

SEC. 8. PERFORMANCE STANDARD.

(a) Performance Standard.--Within 30 days following the date of
enactment of this title, the Consumer Product Safety Commission shall
commence a proceeding under the Consumer Product Safety Act for the
issuance of a performance standard for buckets to address the drowning
hazard associated with this product. Section 553 of title 5, United
States Code, shall apply with respect to the issuance of such standard.
Sections 7 and 9 of the Consumer Product Safety Act shall not apply to
the issuance of such standard. Such standard shall take effect at such
time as may be prescribed by the Consumer Product Safety Commission,
but in no event later than 15 months following the date of the
enactment of this title. The Consumer Product Safety Commission shall
consider any American Society for Testing and Materials voluntary
performance standard in existence prior to such date of enactment.
(b) Labeling Requirements.--The labeling requirements under section
2 shall not apply to buckets certified by the Consumer Product Safety
Commission as meeting the performance standard in subsection (a).

SEC. 9. CONSULTATION.

To avoid duplicative and conflicting labeling, the Consumer Product
Safety Commission shall complete a consultation with relevant Federal
agencies within 30 days following the date of enactment of this Act.

SEC. 10. REQUIREMENT FOR CPSC STUDY.

(a) The Consumer Product Safety Commission shall conduct a study to
determine:
(1) consumer use patterns of new and used 4- to 6- gallon
steel and metal buckets; and
(2) the prevalence of incidents of death or injury to
children associated with the use of such containers.
The study also shall be designed to identify use patterns that may
signify that such containers are being used by consumers in and around
a household, residence, school or otherwise. The study shall be
completed within 12 months of the date of enactment. The study shall be
repeated for two consecutive years following completion of the initial
study. The study shall be repeated if necessary to track any changes in
use patterns or to identify incidents of death or injury.
(b) During the pendency of this study and in the absence of any
regulation of 4- to 6-gallon containers by the Commission thereafter,
metal containers which would otherwise be required to comply with the
labeling requirements of section 3 are exempt from such requirements.
For the purposes of section 26 of the Consumer Product Safety Act, such
exemption shall be considered a consumer product safety standard. Upon
review of the results of the study, the CPSC shall decide whether to
continue this exemption, to require compliance by metal containers, or
to consider further study in the future.

Ex Output:
Bucket Drowning Prevention Act of 1993 - Establishes a consumer product safety standard requiring four- to six-gallon buckets to bear a warning label that includes a picture of a child falling into a bucket and the words, in English and Spanish: "WARNING. Children Can Fall into Bucket and Drown. Keep Children Away From Buckets With Even a Small Amount of Liquid."
Exempts buckets manufactured or imported before the effective date of this labeling standard. Requires the Consumer Product Safety Commission to prohibit a manufacturer, filler, distributor, and retailer from stockpiling such buckets.
Requires the Commission to conduct a study to determine: (1) consumer use patterns of new and used four- to six-gallon steel and metal buckets; and (2) the prevalence of incidents of death or injury to children associated with their use. Exempts metal containers from the labeling requirements of this Act during the pendency of the study and in the absence of any regulation of four- to six-gallon containers by the Commission thereafter. Requires the Commission, upon the review of the results of the study, to decide whether to continue this exemption, to require compliance by metal containers, or to consider a further study.

Ex Input:
OF CONFLICTS.

To the extent permitted by law, disagreements or conflicts between
or among agency heads or between OMB and any agency that cannot be
resolved by the Administrator of OIRA shall be resolved by the
President or a designee of the President.

SEC. 8. PUBLICATION.

Except to the extent required by law, an agency shall not publish
in the Federal Register or otherwise issue to the public any regulatory
action that is subject to review under section 6 until--
(1) the Administrator of OIRA notifies the agency that OIRA
has waived its review of the action or has completed its review
without any requests for further consideration, or
(2) the applicable time period in section 6(b)(2) expires
without OIRA having notified the agency that it is returning
the regulatory action for further consideration under section
6(b)(3),
whichever occurs first. If the terms of the preceding sentence have not
been satisfied and an agency wants to publish or otherwise issue a
regulatory action, the head of that agency may request Presidential
consideration through the Administrator of OIRA, as provided under
section 8. Upon receipt of this request, the Administrator of OIRA
shall notify the Advisers. The guidelines and time period set forth in
section 8 shall apply to the publication of regulatory actions for
which Presidential consideration has been sought.

SEC. 9. AGENCY AUTHORITY.

Nothing in this Act shall be construed as displacing the agencies'
authority or responsibilities, as authorized by law.

SEC. 10. JUDICIAL REVIEW.

Nothing in this Act shall affect any otherwise available judicial
review of agency action. This Act is intended only to improve the
internal management of the Federal Government and does not create any
right or benefit, substantive or procedural, enforceable at law or
equity by a party against the United States, its agencies or
instrumentalities, its officers or employees, or any other person.

SEC. 11. DEFINITIONS.

For purposes of this Act:
(1) The term ''Advisers'' refers to such regulatory policy
advisers to the President as the President and the
Administrator of OIRA may from time to time consult, including,
among others--
(A) the Director of OMB;
(B) the Chair (or another member) of the Council of
Economic Advisers;
(C) the Assistant to the President for Economic
Policy;
(D) the Assistant to the President for Domestic
Policy;
(E) the Assistant to the President for National
Security Affairs;
(F) the Assistant to the President for Science and
Technology;
(G) the Assistant to the President for
Intergovernmental Affairs;
(H) the Assistant to the President and Staff
Secretary;
(I) the Assistant to the President and Chief of
Staff to the Administrator of OIRA;
(J) the Assistant to the President and Counsel to
the President; and
(K) the Deputy Assistant to the President and
Director of the White House Office on Environmental
Policy.
(2) Except as provided in section 4(f), the term ''agency''
means any authority of the United States that is an ''agency''
under section 3502(1) of title 44, United States Code, other
than those considered to be independent regulatory agencies, as
defined in section 3502(10) of title 44, United States Code.
(3) The term ''Director'' means the Director of OMB.
(4) The term ''regulation'' or ''rule'' means an agency
statement of general applicability and future effect, which the
agency intends to have the force and effect of law, that is
designed to implement, interpret, or prescribe law or policy or
to describe the procedure or practice requirements of an
agency. It does not, however, include--
(A) regulations or rules issued in accordance with
the formal rulemaking provisions of sections 556 and
557 of title 5, United States Code;
(B) regulations or rules that pertain to a military
or foreign affairs function of the United States, other
than procurement regulations and regulations involving
the import or export of non-defense articles and
services;
(C) regulations or rules that are limited to agency
organization, management, or personnel matters; or
(D) any other category of regulations exempted by
the Administrator of OIRA.
(5) The term ''regulatory action'' means any substantive
action by an agency (normally published in the Federal
Register) that promulgates or is expected to lead to the
promulgation of a final rule or regulation, including notices
of inquiry, advance notices of proposed rulemaking, and notices
of proposed rulemaking.
(6) The term ''significant regulatory action'' means any
regulatory action that is likely to result in a rule that may--
(A) have an annual effect on the economy of $100
million or more or adversely affect in a material way
the economy, a sector of the economy, productivity,
competition, jobs, the environment, public health or
safety, or State, local, or tribal governments or
communities;
(B) create a serious inconsistency or otherwise
interfere with an action taken or planned by another
agency;
(C) materially alter the budgetary impact of
entitlements, grants, user fees, or loan programs or
the rights and obligations of recipients thereof; or
(D) raise novel legal or policy issues arising out
of legal mandates, the President's priorities, or the
principles set forth in this Act.

Ex Output:
Government Regulatory Improvement and Performance Act of 1998 - Declares that: (1) Federal agencies should promulgate only such regulations as are required by law, necessary to interpret the law, or necessary to protect and promote or improve the health and safety of the public, the environment, or the well-being of the American people; and (2) in deciding whether and how to regulate, agencies should assess all costs and benefits of available regulatory alternatives, including the alternative of not regulating.
Sets forth principles of regulation to ensure that the agencies' regulatory programs are consistent with such philosophy, including that each agency: (1) identify the problem that it intends to address by regulation, assess its significance, and if possible conduct a risk analysis; (2) identify and assess available alternatives to direct regulation; (3) wherever feasible, seek views of appropriate State, local, and tribal officials before imposing requirements that might significantly or uniquely affect those governmental entities.
(Sec. 3) Directs the Office of Management and Budget to carry out coordinated review of agency rulemaking. Designates its Office of Information and Regulatory Affairs (OIRA) as the repository of expertise concerning regulatory issues.
(Sec. 4) Directs the OIRA Administrator, early in each year's planning cycle, to convene a meeting of the regulatory policy advisers to the President and agency heads to seek a common understanding of priorities and to coordinate regulatory efforts for the upcoming year.
Requires each agency to prepare: (1) a unified regulatory agenda of all regulations under development or review; and (2) a regulatory plan of the most important significant regulatory actions that the agency reasonably expects to issue in that fiscal year or thereafter.
Directs the Administrator to: (1) convene and chair a regulatory working group, which shall meet at least quarterly, to assist agencies in identifying and analyzing important regulatory issues; (2) meet quarterly, along with agency heads, with representatives of State, local, and tribal governments to identify exiting and proposed regulations that may uniquely or significantly affect those governmental entities; and (3) convene periodic conferences with representatives of businesses, nongovernmental organizations, and the public to discuss regulatory issues.
(Sec. 5) Requires that: (1) each agency submit to OIRA a program under which the agency will periodically review its existing significant regulations; and (2) any significant regulations selected for review be included in the agency's annual plan, and the agency identify any legislative mandates that require the agency to promulgate or continue to impose unnecessary or outdated regulations.
(Sec. 5) Requires each agency to: (1) submit to the OIRA a program under which the agency will periodically review its existing significant regulations for possible modification or elimination; (2) provide the public with meaningful participation in the regulatory process and a meaningful opportunity to comment on any proposed regulation, generally including a comment period of not less than 60 days; and (2) explore and, where appropriate, use consensual mechanisms for developing regulations, including negotiated rulemaking.
Directs: (1) each agency head to designate a Regulatory Policy Office; (2) each agency to develop its regulatory actions in a timely fashion and adhere to specified procedures; (3) each agency to provide the OIRA with a list of its planned regulatory actions, including significant regulatory actions; and (4) the Administrator to provide meaningful guidance and oversight.
(Sec. 8) Prohibits an agency from publishing a regulation until the Administrator has waived review of the action, completed such review, or the review period has passed, whichever occurs first.

Ex Input:
SECTION 1. SHORT TITLE; TABLE OF CONTENTS.

(a) Short Title.--This Act may be cited as the ''Strengthening
Medicare And Repaying Taxpayers Act of 2011''.
(b) Table of Contents.--The table of contents of this Act is as
follows:

Sec. 1. Short title; table of contents.
Sec. 2. Expediting Secretarial determination of reimbursement amount to
improve program efficiency.
Sec. 3. Fiscal efficiency and revenue neutrality.
Sec. 4. Reporting requirement safe harbors.
Sec. 5. Use of social security numbers and other identifying
information in reporting.
Sec. 6. Statute of limitations.

SEC. 2. EXPEDITING SECRETARIAL DETERMINATION OF REIMBURSEMENT AMOUNT TO
IMPROVE PROGRAM EFFICIENCY.

Section 1862(b)(2)(B) of the Social Security Act (42 U.S.C.
1395y(b)(2)(B)) is amended by adding at the end the following new
clause:
''(vii) Timely notice of conditional
payment reimbursement.--
''(I) Request for conditional
payment statement.--In the case of a
payment made by the Secretary pursuant
to clause (i) for items and services
provided to the claimant, the claimant
or applicable plan (as defined in
paragraph (8)(F)) may at any time
beginning 120 days before the
reasonably expected date of a
settlement, judgment, award, or other
payment, notify the Secretary that a
payment is reasonably expected, and
request from the Secretary, in
accordance with regulations, a
statement of the conditional payment
reimbursement amount (in this clause
referred to as a 'statement of
reimbursement amount') for any payments
subject to reimbursement required under
clause (ii). A claimant or applicable
plan may request a statement under this
subclause only once with respect to
such settlement, judgment, award, or
other payment.
''(II) Secretarial response.--
''(aa) In general.--Not
later than 65 days after the
date of receipt of a request
under subclause (I), the
Secretary shall respond to such
request with a statement of
reimbursement amount, which
shall constitute the
conditional payment subject to
recovery under clause (ii)
related to such settlement,
judgment, award or other
payment.
''(bb) Case of secretarial
failure.--Subject to subclause
(III), if the Secretary fails
to provide such a statement of
reimbursement amount for items
or services subject to
reimbursement required under
clause (ii) in accordance with
this subclause, the claimant,
applicable plan, or an entity
that receives payment from an
applicable plan shall provide
an additional notice to the
Secretary of such failure. If
the Secretary fails to provide
a statement of reimbursement
amount within 30 days of the
date of such additional notice,
the claimant, applicable plan,
and an entity that receives
payment from an applicable plan
shall not be liable for and
shall not be obligated to make
payment subject to this section
for any item or service related
to the request unless the
Secretary demonstrates (in
accordance with regulations)
that the failure was justified
due to exceptional
circumstances (as defined in
such regulations). Such
regulations shall define
exceptional circumstances in a
manner so that not more than 1
percent of the repayment
obligations under this
subclause would qualify as
exceptional circumstances.
''(III) Notice to secretary.--In
the event that a settlement, judgment,
award, or other payment does not occur
(or is no longer reasonably expected to
occur) within 120 days of the date of
an original request under subclause (I)
with respect to a settlement, judgment,
award, or other payment, the claimant
or the applicable plan shall timely
notify the Secretary, and the Secretary
shall be exempt from any obligation
under subclause (II) with respect to a
statement of reimbursement amount
relating to such settlement, judgment,
award, or other payment related to the
notice.
''(IV) Effective date.--The
Secretary shall promulgate final
regulations to carry out this clause
not later than 9 months after the date
of the enactment of this clause. Such
regulations shall require the
disclosure from a claimant or
applicable plan of no more than the
minimum amount of information necessary
for the Secretary to determine the
amount of conditional payment subject
to recovery under clause (ii) related
to such settlement, judgment, award, or
other payment, and may require partial
disclosure (but may not require full
disclosure) of social security numbers
or health identification claim numbers.
''(viii) Right of appeal.--The Secretary
shall promulgate regulations establishing a
right of appeal and appeals process, with
respect to any determination under this
subsection for a payment made under this title
for an item or service under a primary plan,
under which the applicable plan involved, or an
attorney, agent, or third party administrator
on behalf of such applicable plan, may appeal
such determination. Such right of appeal
shall--
''(I) include review through an
administrative law judge and
administrative review board, and access
to judicial review in the district
court of the United States for the
judicial district in which the
appellant is located (or, in the case
of an action brought jointly by more
than one applicant, the judicial
district in which the greatest number
of applicants are located) or in the
District Court for the District of
Columbia; and
''(II) be carried out in a manner
similar to the appeals procedure under
regulations for hearing procedures
respecting notices of determinations of
nonconformance of group health plans
under this subsection.''.

SEC. 3. FISCAL EFFICIENCY AND REVENUE NEUTRALITY.

(a) In General.--Section 1862(b) of the Social Security Act (42
U.S.C. 1395y(b)) is amended--
(1) in paragraph (2)(B)(ii), by striking ''A primary plan''
and inserting ''Subject to paragraph (9), a primary plan''; and
(2) by adding at the end the following new paragraph:
''(9) Exception.--
''(A) In general.--Clause (ii) of paragraph (2)(B)
and any reporting required by paragraph (8) shall not
apply with respect to any settlement, judgment, award,
or other payment by an applicable plan constituting a
total payment obligation to a claimant of not more than
the single threshold amount calculated by the Chief
Actuary of the Centers for Medicare & Medicaid Services
under subparagraph (B) for the year involved.
''(B) Annual computation of thresholds.--Not later
than November 15 before each year, the Chief Actuary of
the Centers for Medicare & Medicaid Services shall
calculate and publish a single threshold amount for
settlements, judgments, awards or other payments for
conditional payment obligations arising from each of
liability insurance (including self-insurance),
workers' compensation laws or plans, and no fault
insurance subject to this section for that year. Each
such annual single threshold amount for a year shall be
set such that the expected average amount to be
credited to the Medicare trust funds of collections of
conditional payments from such settlements, judgments,
awards, or other payments for each of liability
insurance (including self-insurance), workers'
compensation laws or plans, and no fault insurance
subject to this section shall equal the expected
average cost of collection incurred by the United
States (including payments made to contractors) for a
conditional payment from each of liability insurance
(including self-insurance), workers' compensation laws
or plans, and no fault insurance subject to this
section for the year. The Chief Actuary shall include,
as part of such publication for a year--
''(i) the expected average cost of
collection incurred by the United States
(including payments made to contractors) for a
conditional payment arising from each of
liability insurance (including self-insurance),
no fault insurance, and workers' compensation
laws or plans; and
''(ii) a summary of the methodology and
data used by such Chief Actuary in computing
the threshold amount and such average cost of
collection.
''(C) Treatment of ongoing expenses.--For purposes
of this paragraph and with respect to a settlement,
judgment, award, or other payment not otherwise
addressed in clause (ii) of paragraph (2)(B) involving
the ongoing responsibility for medical payments, such
payment shall include only the cumulative value of the
medical payments made and the purchase price of any
annuity or similar instrument.''.
(b) Effective Date.--The amendments made by subsection (a) shall
apply to years beginning more than 4/2\ months after the date of the
enactment of this Act.

SEC. 4. REPORTING REQUIREMENT SAFE HARBORS.

Section 1862(b)(8) of the Social Security Act (42 U.S.C.
1395y(b)(8)) is amended--
(1) in the first sentence of subparagraph (E)(i), by
striking ''shall be subject'' and all that follows through the
end of the sentence and inserting the following: ''may be
subject to a civil money penalty of up to $1,000 for each day
of noncompliance. The severity of each such penalty shall be
based on the knowing, willful, and repeated nature of the
violation.''; and
(2) by adding at the end the following new subparagraph:
''(I) Establishment of safe
harbors.--Not later than 60 days after
the date of the enactment of this
subparagraph, the Secretary shall
publish a notice in the Federal
Register soliciting proposals, which
will be accepted during a 60-day
period, for the specification of
practices for which sanctions will not
be imposed under subparagraph (E),
including for good faith efforts to
identify a beneficiary pursuant to this
paragraph under an applicable entity
responsible for reporting information,
under which this paragraph will be
deemed to have complied with the
reporting requirements under this
paragraph and will not be subject to
such sanctions. After considering the
proposals so submitted, the Secretary,
in consultation with the Attorney
General, shall publish in the Federal
Register, including a 60-day period for
comment, proposed specified practices
for which such sanctions will not be
imposed. After considering any public
comments received during such period,
the Secretary shall issue final rules
specifying such practices.''.

SEC. 5. USE OF SOCIAL SECURITY NUMBERS AND OTHER IDENTIFYING
INFORMATION IN REPORTING.

Section 1862(b)(8)(B) of the Social Security Act (42 U.S.C.
1395y(b)(8)(B)) is amended by adding at the end (after and below clause
(ii)) the following: ''Not later than 1 year after the date of
enactment of this sentence, the Secretary shall modify the reporting
requirements under this paragraph so that an applicable plan in
complying with such requirements is permitted but not required to
access or report to the Secretary beneficiary social security account
numbers or health identification claim numbers.''.

SEC. 6. STATUTE OF LIMITATIONS.

(a) In General.--Section 1862(b) of the Social Security Act (42
U.S.C. 1395y(b)) is amended--
(1) in paragraph (2)(B)(iii), by adding at the end the
following new sentence: ''An action may not be brought by the
United States under this clause with respect to payment owed
unless the complaint is filed not later than 3 years after the
date of the receipt of notice of a settlement, judgment, award,
or other payment made pursuant to paragraph (8) relating to
such payment owed.''; and
(2) in paragraph (8)(E)(i), by adding at the end the
following new sentence: ''A civil money penalty may not be
imposed under this clause with respect to failure to submit
required information unless service of notice of intention to
impose the penalty is provided not later than 3 years after the
date by which the information was required to be submitted.''.
(b) Effective Date.--The amendments made by subsection (a) shall
apply with respect to actions brought and penalties sought on or after
6 months after the date of the enactment of this Act.

Ex Output:
Strengthening Medicare And Repaying Taxpayers Act of 2011- Amends title XVIII (Medicare) of the Social Security Act with respect to any settlement, judgment, award, or other payment between a Medicare claimant and an applicable plan involving a payment made for items and services by the Secretary of Health and Human Services (HHS).

Declares that, in the case of a payment to the claimant by the Secretary, and beginning 120 days before the reasonably expected date of a settlement, judgment, award, or other payment, the claimant or applicable plan may at any time but only once: (1) notify the Secretary that a payment is reasonably expected, and (2) request a statement of the conditional payment reimbursement amount for any payments subject to the required reimbursement.

Requires the Secretary to respond to such a request, within 65 days after receiving it, with a statement of reimbursement amount.

Prescribes procedures for the claimant, an applicable plan, or specified related entities to follow if the Secretary fails to provide such a statement.

Specifies circumstances: (1) in which the claimant, an applicable plan, or specified related entities are shielded from liability for certain payments; and (2) in which the Secretary shall be exempt from any obligation for a statement of reimbursement.

Directs the Secretary to promulgate regulations establishing a right of appeal and appeals process, with respect to any determination for a payment made under such title for an item or service under a primary plan, under which the applicable plan involved, or an attorney, agent, or third party administrator on behalf of such applicable play, may appeal such determination.

Exempts a primary plan, and an entity receiving payment from a primary plan, from any obligation to reimburse the appropriate Trust Fund for a Medicare payment by the Secretary with respect to any settlement, judgment, award, or other payment by an applicable plan constituting a total payment obligation to a claimant of not more than the single threshold amount calculated by the Chief Actuary of the Centers for Medicare & Medicaid Services (CMS). Requires the Chief Actuary to calculate and publish the single threshold amount annually.

Makes discretionary rather than mandatory the current civil money penalty for an applicable plan's noncompliance with requirements to submit insurance information about a claimant. Requires the severity of each penalty to be based on the knowing, willful, and repeated nature of the violation.

Prescribes requirements for the specification of practices for which sanctions will not be imposed on a plan (safe harbors).

Directs the Secretary to modify insurance information reporting requirements so that a plan, in complying with them, is permitted but not required to access or report beneficiary Social Security account numbers or health identification claim numbers.

Sets a three-year statute of limitations on a Medicare secondary payer claim by the Secretary for reimbursement against an applicable plan that becomes a Medicare primary payer pursuant to a settlement, judgment, award, or other judicial action.