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

Example Input: SECTION 1. SHORT TITLE.

This Act may be cited as the ''Medical Nutrition Equity Act of
2017''.

SEC. 2. FINDINGS.

Congress finds the following:
(1) Specialized food is often medically necessary for the
safe and effective management of many digestive and inherited
metabolic disorders that impact digestion, absorption, and
metabolism of nutrients.
(2) Although medically necessary food is essential for
patients, it is often expensive and not uniformly reimbursed by
health insurance, leaving many families with an insurmountable
financial burden.
(3) As a result, many patients who cannot afford medically
necessary food may experience adverse health consequences from
suboptimal disease management, including hospitalization,
intellectual impairment, behavioral dysfunction, inadequate
growth, nutrient deficiencies, and even death.

SEC. 3. COVERAGE OF MEDICALLY NECESSARY FOOD AND VITAMINS FOR DIGESTIVE
AND INHERITED METABOLIC DISORDERS UNDER FEDERAL HEALTH
PROGRAMS AND PRIVATE HEALTH INSURANCE.

(a) Coverage Under the Medicare Program.--
(1) Medically necessary food.--
(A) In general.--Section 1861(s)(2) of the Social
Security Act (42 U.S.C. 1395x(s)(2)) is amended--
(i) in subparagraph (FF), by striking
''and'' at the end;
(ii) in subparagraph (GG), by inserting
''and'' at the end; and
(iii) by adding at the end the following
new subparagraph:
''(HH) medically necessary food (as defined in subsection
(jjj)) and the medical equipment and supplies necessary to
administer such food (other than medical equipment and supplies
described in subsection (n));''.
(B) Definition.--Section 1861 of the Social
Security Act (42 U.S.C. 1395x) is amended by adding at
the end the following new subsection:

''Medically Necessary Food

''(jjj)(1) Subject to paragraph (2), the term 'medically necessary
food' means food, including a low protein modified food product and an
amino acid preparation product, that is--
''(A) furnished pursuant to the prescription, order, or
recommendation (as applicable) of a physician or other health
care professional qualified to make such prescription, order,
or recommendation, for the dietary management of a covered
disease or condition;
''(B) a specially formulated and processed product (as
opposed to a naturally occurring foodstuff used in its natural
state) for the partial or exclusive feeding of an individual by
means of oral intake or enteral feeding by tube;
''(C) intended for the dietary management of an individual
who, because of therapeutic or chronic medical needs, has
limited or impaired capacity to ingest, digest, absorb, or
metabolize ordinary foodstuffs or certain nutrients, or who has
other special medically determined nutrient requirements, the
dietary management of which cannot be achieved by the
modification of the normal diet alone;
''(D) intended to be used under medical supervision, which
may include in a home setting; and
''(E) intended only for an individual receiving active and
ongoing medical supervision wherein the individual requires
medical care on a recurring basis for, among other things,
instructions on the use of the food.
''(2) For purposes of paragraph (1), the term 'medically necessary
food' does not include the following:
''(A) Foods taken as part of an overall diet designed to
reduce the risk of a disease or medical condition or as weight
loss products, even if they are recommended by a physician or
other health professional.
''(B) Foods marketed as gluten-free for the management of
celiac disease or non-celiac gluten sensitivity.
''(C) Foods marketed for the management of diabetes.
''(D) Other products determined appropriate by the
Secretary.
''(3) In this subsection, the term 'covered disease or condition'
means the following diseases or conditions:
''(A) Inherited metabolic disorders, including the
following:
''(i) Disorders classified as metabolic disorders
on the Recommended Uniform Screening Panel Core
Conditions list of the Secretary of Health and Human
Services' Advisory Committee on Heritable Disorders in
Newborns and Children.
''(ii) N-acetyl glutamate synthase deficiency.
''(iii) Ornithine transcarbamlyase deficiency.
''(iv) Carbamoyl phosphate synthestase deficiency.
''(v) Inherited disorders of mitochondrial
functioning.
''(B) Medical and surgical conditions of malabsorption,
including the following:
''(i) Impaired absorption of nutrients caused by
disorders affecting the absorptive surface, functional
length, and motility of the gastrointestinal tract,
including short bowel syndrome and chronic intestinal
pseudo-obstruction.
''(ii) Malabsorption due to liver or pancreatic
disease.
''(C) Immunoglobulin E and non-Immunoglobulin E-mediated
allergies to food proteins, including the following:
''(i) Immunoglobulin E and non-Immunoglobulin E-
mediated allergies to food proteins.
''(ii) Food protein-induced enterocolitis syndrome.
''(iii) Eosinophilic disorders, including
eosinophilic esophagitis, eosinophilic gastroenteritis,
eosinophilic colitis, and post-transplant eosinophilic
disorders.
''(D) Inflammatory or immune mediated conditions of the
alimentary tract, including the following:
''(i) Inflammatory bowel disease, including Crohn's
disease, ulcerative colitis, and indeterminate colitis.
''(ii) Gastroesophageal reflux disease that is
nonresponsive to standard medical therapies.
''(E) Any other disease or condition determined appropriate
by the Secretary.
''(4) In this subsection, the term ' low protein modified food
product' means a product formulated to have less than one gram of
protein per serving.''.
(C) Payment.--Section 1833(a)(1) of the Social
Security Act (42 U.S.C. 1395l(a)(1)) is amended--
(i) by striking ''and'' before ''(BB)'';
and
(ii) by inserting before the semicolon at
the end the following: '', and (CC) with
respect to medically necessary food (as defined
in section 1861(jjj)), the amount paid shall be
an amount equal to 80 percent of the lesser of
the actual charge for the services or the
amount determined under a fee schedule
established by the Secretary for purposes of
this subparagraph.''.
(D) Effective date.--The amendments made by this
subsection shall apply to items and services furnished
on or after the date that is 1 year after the date of
the enactment of this Act.
(2) Inclusion of medically necessary vitamins as a covered
part d drug.--
(A) In general.--Section 1860D-2(e)(1) of the
Social Security Act (42 U.S.C. 1395w-102(e)(1)) is
amended--
(i) in subparagraph (A), by striking ''or''
at the end;
(ii) in subparagraph (B), by striking the
comma at the end and inserting ''; or''; and
(iii) by inserting after subparagraph (B)
the following new subparagraph:
''(C) medically necessary vitamins used for the
management of a covered disease or condition (as
defined in section 1861(jjj)(3)) pursuant to the
prescription, order, or recommendation (as applicable)
of a physician or other health care professional
qualified to make such prescription, order, or
recommendation,''.
(B) Effective date.--The amendments made by
subparagraph (A) shall apply to plan years beginning on
or after the date that is 1 year after the date of the
enactment of this Act.
(b) Coverage Under the Medicaid Program.--
(1) In general.--Section 1905(a) of the Social Security Act
(42 U.S.C. 1396d(a)) is amended--
(A) in paragraph (28), by striking ''and'' at the
end;
(B) by redesignating paragraph (29) as paragraph
(31); and
(C) by inserting after paragraph (28) the following
new paragraphs:
''(29) medically necessary food (as defined in section
1861(jjj)) and the medical equipment and supplies necessary to
administer such food;
''(30) medically necessary vitamins used for the management
of a covered disease or condition (as defined in section
1861(jjj)(3)) pursuant to the prescription, order, or
recommendation (as applicable) of a physician or other health
care professional qualified to make such prescription, order,
or recommendation; and''.
(2) Conforming amendments.--
(A) Mandatory benefits.--Section 1902(a)(10)(A) of
the Social Security Act (42 U.S.C. 1396a(a)(10)(A)) is
amended, in the matter preceding clause (i), by
striking ''and (28)'' and inserting ''(28), (29), and
(30)''.
(B) Exception to coverage restriction.--Section
1927(d)(2)(E) of the Social Security Act (42 U.S.C.
1396r-8(d)(2)(E)) is amended by inserting ''and except
for medically necessary vitamins described in section
1905(a)(30)'' before the period at the end.
(3) Effective date.--
(A) In general.--Subject to subparagraph (B), the
amendments made by this subsection shall take effect on
the date that is 1 year after the date of the enactment
of this Act.
(B) Exception to effective date if state
legislation required.--In the case of a State plan for
medical assistance under title XIX of the Social
Security Act which the Secretary of Health and Human
Services determines requires State legislation (other
than legislation appropriating funds) in order for the
plan to meet the additional requirements imposed by the
amendments made by this subsection, the State plan
shall not be regarded as failing to comply with the
requirements of such title solely on the basis of its
failure to meet this additional requirement before the
first day of the first calendar quarter beginning after
the close of the first regular session of the State
legislature that begins after the date of the enactment
of this Act. For purposes of the previous sentence, in
the case of a State that has a 2-year legislative
session, each year of such session shall be deemed to
be a separate regular session of the State legislature.
(c) Coverage Under CHIP.--
(1) In general.--Section 2103(c) of the Social Security Act
(42 U.S.C. 1397cc(c)) is amended by adding at the end the
following:
''(9) Medically necessary food.--The child health
assistance provided to a targeted low-income child under the
plan shall include coverage of medically necessary food (as
defined in section 1861(jjj)) and the medical equipment and
supplies necessary to administer such food.
''(10) Certain vitamins.--The child health assistance
provided to a targeted low-income child under the plan shall
include coverage of medically necessary vitamins used for the
management of a covered disease or condition (as defined in
section 1861(jjj)(3)) pursuant to the prescription, order, or
recommendation (as applicable) of a physician or other health
care professional qualified to make such prescription, order,
or recommendation.''.
(2) Conforming amendment.--Section 2103(a) of the Social
Security Act (42 U.S.C. 1397cc(a)) is amended, in the matter
preceding paragraph (1), by striking ''and (7)'' and inserting
''(7), (9), and (10)''.
(3) Effective date.--
(A) In general.--Subject to subparagraph (B), the
amendments made by this subsection shall take effect on
the date that is 1 year after the date of the enactment
of this Act.
(B) Exception to effective date if state
legislation required.--In the case of a State child
health plan for child health assistance under title XXI
of the Social Security Act which the Secretary of
Health and Human Services determines requires State
legislation (other than legislation appropriating
funds) in order for the plan to meet the additional
requirements imposed by the amendments made by this
subsection, the State child health plan shall not be
regarded as failing to comply with the requirements of
such title solely on the basis of its failure to meet
this additional requirement before the first day of the
first calendar quarter beginning after the close of the
first regular session of the State legislature that
begins after the date of the enactment of this Act. For
purposes of the previous sentence, in the case of a
State that has a 2-year legislative session, each year
of such session shall be deemed to be a separate
regular session of the State legislature.
(d) Modification of Diseases and Conditions Covered Under TRICARE
Program.--Section 1077(h)(3) of title 10, United States Code, is
amended--
(1) in subparagraph (D), by striking ''and'';
(2) by redesignating subparagraph (E) as subparagraph (F);
and
(3) by inserting after subparagraph (D) the following:
''(E) Immunoglobulin E or non-Immunoglobulin E mediated
allergies to food proteins.''.
(e) Coverage Under FEHBP.--
(1) In general.--Section 8902 of title 5, United States
Code, is amended by adding at the end the following:
''(p) A contract for a plan under this chapter shall require the
carrier to provide coverage for--
''(1) medically necessary food (as defined in section
1861(jjj) of the Social Security Act) and the medical equipment
and supplies necessary to administer such food; and
''(2) medically necessary vitamins in the same manner
provided for under section 1860D-2(e)(1)(C) of the Social
Security Act.''.
(2) Effective date.--The amendment made by paragraph (1)
shall apply with respect to contract years beginning on or
after the date that is 1 year after the date of enactment of
this Act.
(f) Coverage Under Private Health Insurance.--
(1) In general.--Subpart II of part A of title XXVII of the
Public Health Service Act (42 U.S.C. 300gg-11 et seq.) is
amended by adding at the end the following:

''SEC. 2729. COVERAGE OF MEDICALLY NECESSARY FOOD AND VITAMINS.

''A health insurance issuer offering group or individual health
insurance coverage shall provide coverage for--
''(1) medically necessary food (as defined in section
1861(jjj) of the Social Security Act) and the medical equipment
and supplies necessary to administer such food; and
''(2) medically necessary vitamins in the same manner
provided for under section 1860D-2(e)(1)(C) of the Social
Security Act.''.
(2) Effective date.--The amendment made by paragraph (1)
shall apply to plan years beginning on or after the date that
is 1 year after the date of the enactment of this Act.
Example Output: Medical Nutrition Equity Act of 2017 This bill provides for coverage, under Medicare, Medicaid, other specified federal health-care programs, and private health insurance,of foods and vitamins that are medically necessary for the management ofcertain digestive and metabolic disordersand conditions.

Example Input: SECTION 1. SHORT TITLE.

This Act may be referred to as the ''Gallatin Range Consolidation
and Protection Act of 1993''.

SEC. 2. FINDINGS.

Congress finds that--
(1) the lands north of Yellowstone National Park possess
outstanding natural characteristics and wildlife habitats that give
the lands high value as lands added to the National Forest System;
and
(2) it is in the interest of the United States for the
Secretary, acting through the Forest Service, to enter into an
option agreement with Big Sky Lumber Company and Louisiana Pacific
Corporation to fulfill the purposes of this Act.

SEC. 3. BIG SKY LUMBER LAND EXCHANGE--GALLATIN AREA.

(a) In General.--Notwithstanding any other provision of law, the
Secretary of Agriculture (referred to in this Act as the ''Secretary'',
unless the context otherwise requires) shall acquire by exchange certain
lands and interests in lands of the Big Sky Lumber Company (referred to
in this Act as the ''Company''), in and adjacent to the Hyalite-
Porcupine-Buffalo Horn Wilderness Study Area, the Scapegoat Wilderness
Area, and other lands in the Gallatin National Forest in accordance with
this section.
(b) Description of Lands.--
(1) Offer and acceptance of land.--If the Company offers to the
United States acceptable fee title, including mineral interests, to
approximately 37,752 acres of land owned by the Company and
available for exchange, as depicted on two maps entitled ''Proposed
BSL Land Acquisitions'', East Half and West Half Gallatin National
Forest, dated February 1993 the Secretary shall accept a warranty
deed to the land.
(2) Exchange.--In exchange for the lands described in paragraph
(1) and subject to valid existing rights, the Secretary of the
Interior shall convey, by patent, the fee title to approximately
16,278 acres of National Forest System lands available for exchange
as depicted on the maps referred to in paragraph (1), and the five
maps entitled ''H.R. 873, the Gallatin Range Consolidation and
Protection Act of 1993'', Lolo and Flathead National Forest, subject
to--
(A) the reservation of ditches and canals required by the
first section of the Act entitled ''An Act making appropriations
for sundry civil expenses of the Government for the fiscal year
ending June thirtieth, eighteen hundred and ninety-one, and for
other purposes'', approved August 30, 1890 (26 Stat. 371,
chapter 837; 43 U.S.C. 945);
(B) the reservation of rights under Federal Oil and Gas
Lease numbers 49739, 55610, 40389, 53670, 40215, 33385, 53736,
and 38684; and
(C) such other terms, conditions, reservations, and
exceptions as may be agreed upon by the Secretary and the
Company.
(3) Termination of leases.--
(A) Vesting of rights and interests.--Upon termination or
relinquishment of the leases referred to in paragraph (2)(B),
all the rights and interests in such leases reserved under
paragraph (2)(B) shall immediately vest in the Company and its
successors and assigns.
(B) Notice.--The Secretary shall provide notice of the
termination or relinquishment of the leases referred to in
paragraph (2)(B) by a document suitable for recording in the
county in which the leased lands are located.
(c) Easements.--
(1) In general.--Reciprocal easements in accordance with this
subsection shall be conveyed at the time of the exchange authorized
by this section.
(2) Conveyance by the secretary.--The Secretary shall, in
consideration of the easements conveyed by the Company under
paragraph (3), and under the authority of section 2 of Public Law
88-257 (commonly known as the ''National Forest Roads and Trails
Act'') (16 U.S.C. 533), or the Federal Lands Policy and Management
Act of 1976 (43 U.S.C. 1701 et seq.), execute and deliver to the
Company such easements or other rights-of-way over federally owned
lands as may be agreed to by the Secretary and the Company.
(3) Conveyance by the company.--The Company shall, in
consideration of the easements conveyed by the Secretary under
paragraph (2), execute and deliver to the United States such
easements or other rights-of-way across Company-owned lands included
in this exchange as may be agreed to by the Secretary and the
Company.
(d) North Bridger Range.--
(1) Covenants and other restrictions.--As a condition of the
exchange, with respect to such lands depicted on the map entitled
''North Bridger Range'', dated May 1993, the Company shall agree
that--
(A) the holders, or their successors or assigns, of grazing
leases on such lands on the date of enactment of this Act shall
be permitted to continue to use such lands for grazing under
terms acceptable to the Company and the permittees for so long
as the Company owns such lands and for two years after the
Company has sold or disposed of such lands; and
(B) the timber harvest practices used on such lands shall be
conducted in accordance with Montana Forestry Best Management
Practices, the Montana Streamside Zone Management Law (Mont.
Code Ann. sec. 77-5-301 et seq.), and all other applicable laws
of the State of Montana.
(2) Future acquisition.--The Secretary shall consider the
desirability of possible acquisition, through exchange under
existing law, of any of the lands described in paragraph (1), and
shall, not later than one year after the date of enactment of this
Act, report to the Committee on Energy and Natural Resources of the
Senate and the Committee on Natural Resources of the House of
Representatives concerning the desirability of an exchange.
(e) Timing of Transaction.--
(1) Determination.--The Secretary shall review the title for the
non-Federal lands described in subsection (b), and the appraisal and
titles for the non-Federal lands described in sections 4 and 5, and,
within sixty days after receipt of all applicable appraisal and
title documents from the Company, determine whether--
(A) the applicable title standards for Federal land
acquisition have been satisfied or the quality of title is
otherwise acceptable to the Secretary;
(B) all draft conveyances and closing documents have been
received and approved;
(C) a current title commitment verifying compliance with
applicable title standards has been issued to the Secretary;
(D) the appraisals comply with applicable Forest Service
standards; and
(E) except as provided in section (8)(b), the title includes
both the surface and subsurface estates without reservation or
exception (except by the United States or the State of Montana,
by patent), including--
(i) minerals or mineral rights;
(ii) timber or timber rights; and
(iii) any other interest in the property.
(2) Conveyance of title.--In the event the appraisal and/or
quality of title do not meet Federal standards or are otherwise
determined unacceptable to the Secretary, the Secretary shall advise
the Company regarding corrective actions necessary to make an
affirmative determination under paragraph (1). The Secretary, acting
through the Chief of the Forest Service, shall effect the conveyance
of lands described in subsection (b)(2) not later than sixty days
after the Secretary has made an affirmative determination under
paragraph (1).
(f) Compliance With Option.--Notwithstanding section (3)(e)(2), the
Secretary shall not consummate the conveyance of lands described in
subsection (b)(2) until the Secretary has determined that title to the
lands described in sections 4 and 5 have been escrowed as required by
the document entitled ''Option Agreement for the Exchange and/or
Purchase of Real Property Pursuant to the Gallatin Range Consolidation
and Protection Act of 1993'' (referred to in this Act as ''the
Option''), executed by the Company, as seller.
(g) References.--References in this Act to the Company shall include
references to the successors and assigns of the Company.

SEC. 4. LAND CONSOLIDATION--PORCUPINE AREA.

(a) Acquisition of Porcupine Property.--The Secretary is authorized
and directed to acquire, by purchase or exchange, lands and interests in
lands listed as ''Exhibit A, Porcupine Area'', in the Option, in
accordance with the terms and conditions of the Option for the fair
market value of such lands and interests, determined at the time of
acquisition, in accordance with the appraisal standards specified in the
Option.
(b) Reports to Congress.--The Secretary shall report annually to the
Committee on Energy and Natural Resources of the Senate and the
Committee on Natural Resources of the House of Representatives, on the
status of the acquisition authorized by this section.

SEC. 5. LAND CONSOLIDATION--TAYLOR FORK AREA.

(a) Acquisition of Taylor Fork Property.--The Secretary is
authorized and directed to acquire, by purchase or exchange, lands and
interests in lands as listed as ''Exhibit A, Taylor Fork Area'', in the
Option, in accordance with the terms and conditions of the Option for
the fair market value of such lands and interests, determined at the
time of acquisition, in accordance with the appraisal standards
specified in the Option.
(b) Reports to Congress.--The Secretary shall report annually to the
Committee on Energy and Natural Resources of the Senate and the
Committee on Natural Resources of the House of Representatives, on the
status of the pending acquisition authorized by this section.

SEC. 6. LAND CONSOLIDATION--GALLATIN ROADED AREA.

(a) Acquisition of Gallatin Roaded Property.--The Secretary is
authorized and directed to acquire, by purchase or exchange, lands and
interests in lands as listed as ''Exhibit A, Gallatin Roaded'', in the
Option, in accordance with the terms and conditions of the Option not
otherwise acquired, purchased, or exchanged under section 3, 4, or 5.
(b) Reports to Congress.--The Secretary shall report annually to the
Committee on Energy and Natural Resources of the Senate and the
Committee on Natural Resources of the House of Representatives, on the
status of the acquisition authorized by this section.

SEC. 7. SEVERED MINERAL EXCHANGE.

(a) Findings.--Congress finds that--
(1) underlying certain areas in Montana described in subsection
(b) are mineral rights owned by subsidiaries of Burlington
Resources, Incorporated and its successors and assigns (referred to
in this Act as ''Burlington'');
(2) there are federally owned minerals underlying lands of
Burlington lying outside those areas;
(3) Burlington has agreed in principle with the Secretary to an
exchange of mineral rights to consolidate surface and subsurface
ownerships and to avoid potential conflicts with the surface
management of the areas; and
(4) it is desirable that an exchange of lands be completed not
later than two years after the date of enactment of this Act.
(b) Mineral Interests.--
(1) Acquisition.--Pursuant to an exchange agreement between the
Secretary and Burlington, the Secretary may acquire mineral
interests owned by Burlington or an affiliate of Burlington
underlying surface lands owned by the United States located in the
areas depicted on the maps entitled ''Severed Minerals Exchange,
Clearwater-Monture Area'', dated September 1988, and ''Severed
Mineral Exchanges, Gallatin Area'', dated September 1988, or in
fractional sections adjacent to the areas depicted on the maps.
(2) Exchange.--In exchange for the mineral interests conveyed to
the Secretary pursuant to paragraph (1), the Secretary of the
Interior shall convey, subject to valid existing rights, such
federally owned mineral interests as the Secretary and Burlington
may agree upon.
(c) Equal Value.--
(1) In general.--The value of the mineral interests exchanged
under subsection (b) shall be approximately equal in value based
upon available information.
(2) Appraisal.--To ensure that the wilderness or other natural
values of the area are not affected by the exchange, a formal
appraisal based upon drilling or other surface disturbing activities
shall not be required for any mineral interest proposed for
exchange, except that the Secretary and Burlington shall fully share
all available information on the quality and quantity of mineral
interests proposed for exchange.
(3) Inadequate information.--In the absence of adequate
information regarding values of minerals proposed for exchange, the
Secretary and Burlington may agree to an exchange on the basis of
mineral interests of similar development potential, geologic
character, and similar factors.
(d) Identification of Federally Owned Mineral Interests.--
(1) In general.--Subject to paragraph (2), mineral interests
conveyed by the United States pursuant to this section shall
underlie lands the surface of which are owned by Burlington.
(2) Other interests.--If there are not sufficient federally
owned mineral interests of approximately equal value underlying
lands owned by Burlington, the Secretary and the Secretary of the
Interior may identify for exchange other federally owned mineral
interests in lands in the State of Montana of which the surface
estate is in private ownership.
(e) Consultation With the Department of the Interior.--
(1) In general.--The Secretary shall consult with the Secretary
of the Interior in the negotiation of the exchange agreement
authorized by subsection (b), particularly with respect to the
inclusion in the agreement of a provision authorizing the exchange
of federally owned mineral interests lying outside the boundaries of
units of the National Forest System.
(2) Conveyance.--Notwithstanding any other law, the Secretary of
the Interior shall convey the federally owned mineral interests
identified in a final exchange agreement between the Secretary of
Agriculture and Burlington and affiliates of Burlington.
(f) Mineral Interest Defined.--For purposes of this section, the
term ''mineral interests'' includes all locatable and leasable minerals,
including oil and gas, geothermal resources, and other subsurface
rights.

SEC. 8. GENERAL PROVISIONS.

(a) Maps.--The maps referred to in sections 3, 4, 5, 6, and 7 are
subject to such minor corrections as may be agreed upon by the Secretary
and the Company. The Secretary shall notify the Committee on Energy and
Natural Resources of the United States Senate and the Committee on
Natural Resources of the United States House of Representatives of any
corrections made pursuant to the subsection. The maps shall be on file
and available for public inspection in the office of Chief, Forest
Service, USDA.
(b) Title of Lands Conveyed to the United States.--
(1) Quality of title and rights.--Subject to paragraph (2), the
rights, title, and interests to lands conveyed to the United States
under sections 4, 5, and 6 shall, at a minimum, consist of the
surface estate and the subsurface rights owned by the Company or
Burlington where applicable.
(2) Exception.--The Secretary may accept title subject to
outstanding or reserved oil and gas and geothermal rights, except
that there shall be no surface occupancy permitted on the lands
acquired by the United States under sections 4, 5, and 6 for access
to reserved or outstanding rights or exploration or development of
such lands.
(3) Access.--No portion of lands acquired by the United States
under this Act shall be available for access to, or exploration or
development of, any reserved or outstanding oil, gas, geothermal, or
other non-Federal property interest.
(c) National Forest Lands.--
(1) In general.--All lands conveyed to the United States under
this Act shall be added to and administered as part of the Gallatin
National Forest of the National Forest System by the Secretary in
accordance with the laws and regulations pertaining to the National
Forest System.
(2) Hyalite-porcupine-buffalo horn wilderness study area.--Lands
acquired within the Hyalite-Porcupine-Buffalo Horn Wilderness Study
Area shall be managed to maintain their presently existing
wilderness character and potential for inclusion in the National
Wilderness Preservation System in accordance with the Montana
Wilderness Study Act of 1977 (16 U.S.C. 1132 note).

SEC. 9. AUTHORIZATION OF APPROPRIATIONS.

There are authorized to be appropriated such sums as are necessary
to carry out this Act.

Speaker of the House of Representatives.

Vice President of the United States and
President of the Senate.
Example Output: Gallatin Range Consolidation and Protection Act of 1993 - Directs the Secretary of Agriculture to acquire: (1) by exchange from the Big Sky Lumber Company, specified lands and interests north of Yellowstone National Park, including land in and adjacent to the Hyalite-Porcupine-Buffalo Horn Wilderness Study Area, the Scapegoat Wilderness Area, and other lands in the Gallatin National Forest; and (2) by purchase or exchange from the Company, lands and interests in the Porcupine Area, the Taylor Fork Area, and the Gallatin Area. Requires the Secretary of the Interior to convey National Forest System lands as part of such exchange. Sets forth conditions for such exchange with respect to leases and easements. Provides for the continuation of grazing on the North Bridger Range lands and requires timber harvest practices on such lands to be in accordance with the laws of the State of Montana. Authorizes the Secretary of Agriculture, pursuant to an agreement with Burlington Resources, Incorporated, to acquire mineral interests owned by Burlington underlying surface lands owned by the United States and located within the Clearwater-Monture Area and the Gallatin Area. Requires such acquisition to be made through exchange to Burlington of other federally owned mining interests that the parties may agree to. Requires consultation with the Secretary of the Interior in the negotiation of such exchange. Requires all lands conveyed to the United States under this Act to be added to and administered as part of the Gallatin National Forest. Authorizes appropriations.

Example Input: SECTION 1. SHORT TITLE.

This Act may be cited as the ''Rural Telemedicine Act of 1995''.

SEC. 2. ESTABLISHMENT OF PROJECT.

(a) In General.--The Secretary of Health and Human Services
(hereafter referred to as the ''Secretary'') shall establish not more
than 10 pilot projects not later than 9 months after the date of
enactment of this Act to investigate over a 3-year period the
effectiveness of the use of rural health care provider telemedicine
networks to provide coverage of physician consultative services under
part B of the medicare program to individuals residing in rural areas.
(b) Networks Defined.--In this Act, the term ''rural health care
provider telemedicine network'' (hereafter referred to as a
''network'') means a network of providers that meets the following
requirements:
(1) The network serves physicians, clinics, and other
nontertiary care providers in a rural area who have entered
into agreements with a multispecialty tertiary care provider
(without regard to whether or not such tertiary care provider
is in the rural area) regarding patient referral and transfer,
the use of joint communications systems, and the provision of
emergency and nonemergency transportation among the network
members.
(2) The area in which the network operates is a rural area
designated as a health professional shortage area (under
section 332(a) of the Public Health Service Act) or is an
underserved rural area in accordance with such other criteria
as the Secretary may specify.

SEC. 3. MEDICARE PAYMENT FOR PARTICIPANTS.

(a) In General.--Under the projects established under this Act, the
Secretary shall make payments from the Federal Supplementary Medical
Insurance Trust Fund under part B of title XVIII of the Social Security
Act in accordance with the methodology described in subsection (b) for
physicians' services consisting of a professional consultation with an
individual or entity furnishing a service for which payment may be made
under such part to a medicare beneficiary in a rural area,
notwithstanding that the individual providing the professional
consultation is not at the same location as the individual furnishing
the service to the medicine beneficiary.
(b) Methodology for Determining Amount of Payments.--Taking into
account the amount of funds available for payments under the project,
the Secretary shall establish a methodology for determining the amount
of payments made under subsection (a), and shall include in the
methodology a method for making payment for reasonable costs incurred
in the usage of signal transmission facilities suitable for the conduct
of physician consultative services.
(c) Payment for Nonphysician Providers.--Payments may be made under
subsection (a) for any service described in such paragraph, without
regard to whether or not the individual furnishing such service is a
physician.

SEC. 4. ELIGIBILITY OF NETWORKS.

(a) In General.--A network is eligible to participate in a pilot
project under this Act if--
(1) the network submits to the Secretary (at such time and
in such form as the Secretary may require) an application
containing such information and assurances as the Secretary may
require; and
(2) the network agrees to submit to the Secretary such
information as the Secretary may require to determine the
amount of payments described in section 3(b), to prepare
reports under section 6, and to otherwise carry out the
project.
(b) Rural Area Defined.--In this Act, the term ''rural area'' has
the meaning given such term in section 1886(d)(2)(D) of the Social
Security Act.

SEC. 5. CRITERIA FOR SELECTING PARTICIPANTS.

(a) Technology Applied.--In selecting among eligible networks for
participation in pilot projects under this Act, the Secretary shall
give priority to networks that provide for consultations between
patients and medical specialists involving transmission of detailed
data on the patient in a manner that serves as a reasonable substitute
for inperson interaction between the patients and the specialists.
(b) Permitting Existing Networks To Participate.--Nothing in this
Act may be construed to prohibit the Secretary from selecting a network
operating at the time of the establishment of the pilot projects from
participating in the project.

SEC. 6. REPORTS.

(a) Interim Report on Participating Sites.--Not later than 24
months after the Secretary first makes payment under subsection (b) for
services under a pilot project, the Secretary shall submit a report to
Congress describing the projects and the networks participating in the
projects under this section, including a description of the amounts
expended and the number of patients served under the projects.
(b) Final.--Not later than 1 year after the termination of the
projects, the Secretary shall submit a final report to Congress
describing the operation of the projects and containing--
(1) the Secretary's analysis of the projects' cost-
effectiveness and success in promoting the access of providers
of health care services in rural areas to consultation services
of specialist physicians;
(2) the Secretary's analysis of the impact of the projects
on the ability of patients to obtain a higher quality and
greater range of care; and
(3) such recommendations as the Secretary considers
appropriate for changes in the medicare program relating to
telemedicine, including estimates of the costs associated with
any such changes.

SEC. 7. AUTHORIZATION OF APPROPRIATIONS.

There are authorized to be appropriated from the Federal
Supplementary Medical Insurance Trust Fund under section 1841 of the
Social Security Act a total of $51,000,000 for carrying out the
demonstration project under this Act. Of such amount, not more than
$1,000,000 may be used for administrative purposes, including preparing
and submitting reports under section 6.
Example Output:
Rural Telemedicine Act of 1995 - Directs the Secretary of Health and Human Services to establish up to ten pilot projects to investigate, over a three-year period, the effectiveness of the use of rural health care provider telemedicine networks to provide coverage of physician consultative services to individuals in rural areas under part B (Supplementary Medical Insurance Benefits for the Aged and Disabled) of title XVIII (Medicare) of the Social Security Act.
Defines a rural health care provider telemedicine network as a network of providers that serves physicians, clinics, and other nontertiary care providers in a health professional shortage or underserved rural area who have entered into agreements with a multispecialty tertiary care provider regarding patient referral and transfer, the use of joint communications systems, and the provision of emergency and nonemergency transportation among the network members.
Requires the Secretary to make payments from the Federal Supplementary Medical Insurance Trust Fund, according to a specified methodology, for physicians' services consisting of a professional consultation with an individual or entity furnishing a service for which payment may be made to a Medicare beneficiary in a rural area, notwithstanding that the consulting individual is not at the same location as the individual furnishing the service to the beneficiary.
Sets forth criteria for selecting project participants.
Authorizes appropriations.