In this task, you are given text for US Congressional and California state bills, your task is to generate a summary for this bill.
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Question: SECTION 1. SHORT TITLE.

This Act may be cited as the ''Improving Physician Access in
Teaching Hospitals (PATH) Act of 2011''.

SEC. 2. DISTRIBUTION OF ADDITIONAL RESIDENCY SLOTS.

Section 1886(h) of the Social Security Act (42 U.S.C. 1395ww(h)) is
amended--
(1) in paragraph (7)(E), by inserting ''paragraph (9),''
after ''paragraph (8),''; and
(2) by adding at the end the following:
''(9) Distribution of additional residency positions.--
''(A) Reductions in limit based on unused
positions.--
''(i) In general.--Except as provided in
clause (ii), if a hospital's resident level (as
defined in paragraph (7)(C)(i)) for each of the
5 most recent cost reporting periods (ending
before the date of the enactment of this
paragraph) of the hospital for which a cost
report has been settled (or, if not, submitted
subject to audit) as determined by the
Secretary is less than the otherwise applicable
resident limit (as defined in paragraph
(8)(H)(iii)), effective for portions of cost
reporting periods occurring on or after the
paragraph (9) effective date (as defined in
subparagraph (E)), the otherwise applicable
resident limit shall be reduced by the
difference between such otherwise applicable
resident limit and the highest such reference
resident level for any of such 5 cost reporting
periods.
''(ii) Exception.--Clause (i) shall not
apply to--
''(I) a hospital located in a rural
area with fewer than 250 beds; or
''(II) a hospital that has had in
effect a voluntary residency reduction
plan under paragraph (6) or pursuant to
section 402 of Public Law 90-248.
''(B) Requirements for additional residency
slots.--
''(i) In general.--The Secretary shall
increase the otherwise applicable resident
limit for hospitals that submit an application
under this subparagraph by such number as the
Secretary may approve for portions of cost
reporting periods occurring on or after the
paragraph (9) effective date. The aggregate
number of increases in the otherwise applicable
resident limit under this subparagraph shall be
equal to the sum of--
''(I) the aggregate reduction in
such limits attributable to
subparagraph (A) (as estimated by the
Secretary); and
''(II) 1,000 for portions of cost
reporting periods occurring during the
12-month period beginning on the
paragraph (9) effective date, 1,000
additional positions for portions of
cost reporting periods occurring during
the 12-month period beginning 1 year
after such effective date, 1,000
additional positions for portion of
cost reporting period occurring during
the 12-month period beginning 2 years
after such effective date, and such
number of additional positions for
portions of the 2 subsequent cost
reporting periods as the Secretary may
determine necessary to support
residency training programs in
specialities that exceed 3 years.
''(ii) Consideration in redistribution.--In
determining for which hospitals the increase in
the otherwise applicable resident limit is
provided under this subparagraph, the Secretary
shall take into account--
''(I) data provided by the Health
Resources and Services Administration
as a national standard to exhibit a
specific demand in the health care
workforce, as well as the
Administration's projected demand and
supply for physicians in the specialty
of medicine involved; and
''(II) the demonstrated likelihood
of the hospital filling positions made
available under this paragraph within
the first 3 cost reporting periods
beginning on or after the paragraph (9)
effective date.
The Secretary shall give special consideration
for up to 25 additional positions in the case
of a hospital that demonstrates the likelihood
of filing such positions during the first cost
reporting period beginning on or after such
effective date.
''(iii) Limitation.--In no case shall the
number of additional positions made available
to a hospital under this paragraph exceed 25 in
the first cost reporting period or 75 for all
cost reporting periods.
''(C) Priority for additional positions resulting
from hospital closures.--With respect to additional
positions described in subparagraph (B)(i)(I) which are
derived from a reduction in limits under subparagraph
(A) for a hospital that closed (in this subparagraph
referred to as a 'closed hospital'), the Secretary
shall distribute the increase to hospitals in the
following priority order:
''(i) First, to other hospitals for the
program or programs under which the hospital
had a cooperative arrangement with the closed
hospital under which residents in the graduate
medical education program of the closed
hospital also rotated through the other
hospital.
''(ii) Second, to other hospitals that are
members of the same affiliated group of
hospitals as the closed hospital.
''(iii) Third, to other hospitals that are
located in the same or contiguous core-based
statistical area as the closed hospital.
''(D) Preference.--After applying subparagraph (C)
and the special consideration under subparagraph (B),
in determining for which hospitals the increase in the
otherwise applicable resident limit is provided under
subparagraph (B), the Secretary shall give preference
to hospitals--
''(i) that submit an application for new
residents in primary care and geriatric
medicine and in other specialties as determined
to be in demand under subparagraph (B)(ii)(I);
and
''(ii) that emphasize training in community
health centers and other community-based or
hospital-sponsored clinics, and private
physicians' offices, including physician
groups.
''(E) Paragraph (9) effective date defined.--In
this paragraph, the term 'paragraph (9) effective date'
means July 1 of the year that begins after the date of
the enactment of this paragraph.
''(F) Affiliation.--The provisions of this
paragraph shall be applied to hospitals which are
members of the same affiliated group (as defined by the
Secretary under paragraph (4)(H)(ii)) and the reference
resident level for each such hospital with respect to
the cost reporting period that results in the smallest
difference between the reference resident level and the
otherwise applicable resident limit.''.

SEC. 3. EXPANDING PRIMARY CARE BONUS TO CERTAIN UNDERSERVED
SPECIALTIES.

(a) In General.--Section 1833(x)(2)(A) of the Social Security Act
(42 U.S.C. 1395l(x)(2)(A)) is amended--
(1) in clause (i)--
(A) by striking ''or'' at the end of subclause (I);
(B) by striking ''and'' at the end of subclause
(II) and inserting ''or''; and
(C) by adding at the end the following new
subclause:
''(III) is a physician (as
described in section 1861(r)(1)) who is
in an underserved specialty, such as
psychiatry or neurology, as specified
by the Secretary, or other specialty
identified by the Secretary to be in
demand; and''; and
(2) in clause (ii), by inserting after ''(ii)'' the
following: ''in the case of an individual described in
subclause (I) or (II) of clause (i),''.
(b) Effective Date.--The amendments made by subsection (a) shall
apply to payments for items and services furnished on or after January
1, 2012.

SEC. 4. SMALL PHYSICIAN PRACTICE RESIDENCY CREDIT.

(a) In General.--Subpart D of part IV of subchapter A of chapter 1
of the Internal Revenue Code of 1986 (relating to business related
credits) is amended by adding at the end the following new section:

''SEC. 45S. SMALL PHYSICIAN PRACTICE RESIDENCY CREDIT.

''(a) In General.--For purposes of section 38, the amount of the
small physician practice residency credit determined under this section
for any taxable year with respect to a qualified small physician
practice is the sum of the following:
''(1) Overall amount.--The per resident dollar amount
multiplied by the number of qualified teaching hospital
residents who provide services to, and are trained by, such
practice during the taxable year and who are in their first,
second, or third post-graduate year of medical residency.
''(2) Bonus.--The sum of--
''(A) 50 percent of the per resident dollar amount
multiplied by the number of such residents who are in
their first post-graduate year of medical residency
during the taxable year; and
''(B) 25 percent of the per resident dollar amount
multiplied by the average number of such residents who
are not counted under subparagraph (A) and are in their
second post-graduate year during the taxable year.
''(b) Qualified Small Physician Practice.--For purposes of this
section, the term 'qualified small physician practice' means any trade
or business of providing physicians' services (as defined in section
1861(q) of the Social Security Act), which may be a community health
center, that is owned and operated by a doctor of medicine or
osteopathy if fewer than 50 individuals are employed in such trade or
business (including new training sites) and the trade or business
includes as part of the practice the training of doctors of medicine or
osteopathy in a rotation covering at least 6 months in the taxable
year. All persons treated as a single employer under subsection (a) or
(b) or section 52 or subsection (m) or (o) of section 414 shall be
treated as a single trade or business for purposes of the preceding
sentence.
''(c) Qualified Teaching Hospital Residents.--For purposes of this
section, the term 'qualified teaching hospital resident' means any
resident (within the meaning of subparagraph (I) of section 1886(h)(5)
of the Social Security Act) in an approved medical residency training
program (as defined in subparagraph (A) of such section) which provides
services to the qualified small physician practice (while utilizing the
technologies and supplies of such practice) for a period not less
than--
''(1) 4 weeks in the case of a primary care resident (as
defined in subparagraph (H) of such section); or
''(2) 2 weeks in the case of any other resident.
''(d) Per Resident Dollar Amount.--For purposes of this section,
the term 'per resident dollar amount' means, in the case of a qualified
small physician practice that includes as part of the practice the
training of doctors of medicine or osteopathy in a rotation covering--
''(1) at least 6 months but less than 9 months in the
taxable year, $2,500; or
''(2) at least 9 months in the taxable year, $3,000.
''(e) Residents Not Taken Into Account More Than Once.--A qualified
teaching hospital resident shall be taken into account under subsection
(a) for the taxable in which the period described in subsection (c)
ends and shall not be so taken into account for any other taxable
year.''.
(b) Credit Allowed as Part of General Business Credit.--Section
38(b) of such Code (defining current year business credit) is amended
by striking ''plus'' at the end of paragraph (35), by striking the
period at the end of paragraph (36) and inserting '', plus'', and by
adding at the end the following new paragraph:
''(37) the small physician practice residency credit
determined under section 45S(a).''.
(c) Conforming Amendment.--The table of sections for subpart D of
part IV of subchapter A of chapter 1 of such Code is amended by adding
at the end the following new item:

''Sec. 45S. Small physician practice residency credit.''.
(d) Effective Date.--The amendments made by this section shall
apply to taxable years beginning after the date of the enactment of
this Act.

Answer: Improving Physician Access in Teaching Hospitals (PATH) Act of 2011 - Amends title XVIII (Medicare) of the Social Security Act with respect to distribution of additional resident positions as they affect calculation of payments for direct graduate medical education (DME) costs.

States that, if a hospital's resident level for each of the five most recent cost reporting periods is less than the otherwise applicable resident limit, then the otherwise applicable resident limit shall be reduced by the difference between it and the highest reference resident level for any of those five cost reporting periods. Excepts from this reduction requirement a hospital: (1) located in a rural area with fewer than 250 beds, or (2) that has had in effect a voluntary residency reduction plan.

Requires the Secretary of Health and Human Services (HHS) to increase the otherwise applicable resident limit (create additional residency slots) for applicant hospitals according to a specified formula that takes into account the aggregate reduction in limits attributable to this Act.

Expands the primary care bonus to certain underserved specialties, such as psychiatry or neurology.

Amends the Internal Revenue Code to allow a small physician practice residency credit.

Question: SECTION 1. SHORT TITLE.

This Act may be cited as the ''Child Abuse Reform and Enforcement
Act of 2005'' or ''CARE Act of 2005''.

TITLE I--WITHHOLDING AND REDISTRIBUTION OF CERTAIN STATE CHILD
PROTECTION FUNDS

SEC. 101. WITHHOLDING AND REDISTRIBUTION OF STATE FUNDS.

(a) Child Abuse Prevention and Treatment Act.--Beginning 1 year
after the date of the enactment of this Act, the Secretary of Health
and Human Services shall reduce, by 25 percent, the allocation to a
State for a fiscal year under title I of the Child Abuse Prevention and
Treatment Act that does not meet each of the requirements of title II
of this Act.
(b) National Child Protection Act of 1993.--Beginning 1 year after
the date of the enactment of this Act, the Attorney General shall
reduce, by 25 percent, amounts under a grant under section 4(b) of the
National Child Protection Act of 1993 to a State for a fiscal year that
does not meet each of the requirements of title II of this Act.
(c) Redistribution of Funds.--The Attorney General shall, using
funds withheld under this section and amounts appropriated pursuant to
the authorization of appropriations under section 102, provide grants
to States that meet the requirements of title II of this Act. A grant
made under this subsection shall be used--
(1) for the computerization of data and criminal history
files for purposes of title II of this Act;
(2) for the improvement of existing data and computerized
criminal history files for purposes of title II of this Act;
and
(3) to assist the State in the transmittal of data and
criminal records to, or the indexing of data and criminal
history records in, the national data and criminal history
systems for purposes of title II of this Act.

SEC. 102. AUTHORIZATION OF APPROPRIATIONS FOR ADDITIONAL FUNDING GRANTS
FOR THE IMPROVEMENT OF CHILD ABUSE CRIME INFORMATION.

There are authorized to be appropriated for additional grants under
section 101(c) $50,000,000 for each of the fiscal years 2006 through
2009.

TITLE II--CHILD SEXUAL ABUSE PROTECTION AND SENTENCING REFORM

SEC. 201. REQUIREMENT TO EQUALIZE SENTENCING REQUIREMENTS FOR
INTRAFAMILIAL AND EXTRAFAMILIAL CHILD SEXUAL ABUSE.

(a) State Study of Laws Regarding Intrafamilial and Extrafamilial
Child Sexual Abuse.--A State meets the requirements of this subsection
if, not later than 1 year after the date of enactment of this Act, the
State--
(1) has studied the laws in the State that apply to
intrafamilial and extrafamilial sexual abuse of children; and
(2) has examined, at a minimum--
(A) issues concerning differences in laws
applicable to intrafamilial and extrafamilial child
sexual abuse;
(B) issues concerning disparities in charging and
sentencing perpetrators of child sexual abuse,
resulting from differences in applicable laws; and
(C) issues concerning legislative actions necessary
to equalize charging and sentencing of perpetrators of
sexual abuse without regard to familial relationship of
perpetrator to child victim.
(b) Report to the Attorney General.--A State meets the requirements
of this subsection if the State submits to the Attorney General a
report that contains the results of the study conducted under
subsection (a).
(c) Legislative Actions to Equalize Sentencing Requirements.--
(1) In general.--Except as provided in paragraph (2), a
State meets the requirements of this subsection if, not later
than 1 year after the date of enactment of this Act, the State
has implemented legislative actions necessary to equalize
charging and sentencing of perpetrators of sexual abuse without
regard to familial relationship of perpetrator to child victim.
(2) Exception.--The Attorney General may provide for an
extension of the 1-year time requirement in paragraph (1) for
any State if the Attorney General determines that State
legislation (other than legislation appropriating funds) is
required to meet the additional requirements imposed by this
Act.

SEC. 202. REQUIREMENT TO GATHER INFORMATION ON SEXUAL ABUSE OF
CHILDREN.

A State meets the requirements of this section if the State--
(1) compiles and analyzes data relating to intrafamilial
and extrafamilial sexual abuse of children;
(2) promotes regulations requiring the gathering of such
data by State courts and State agencies for compilation and
analysis purposes;
(3) provides, on an annual basis, to the Attorney General,
the Secretary of Health and Human Services, and the Bureau of
Justice Statistics a report containing the data referred to in
paragraph (1) and a description of the regulations referred to
in paragraph (2).

Answer: Child Abuse Reform and Enforcement Act of 2005 - CARE Act of 2005 - Directs the Secretary of Health and Human Services and the Attorney General to reduce by 25 percent certain fiscal year allocations and grant amounts, under the Child Abuse Prevention and Treatment Act and the National Child Protection Act of 1993, respectively, to any state that is not in compliance with requirements of this Act.

Directs the Attorney General to use such withheld amounts and authorized funds under this Act for additional grants to states in compliance to computerize, improve, transmit, and index their own data and criminal history files in the national data and criminal history systems for child sexual abuse protection and sentencing reform.

Requires a state, to be eligible for funding under this Act, to: (1) study its laws pertaining to intrafamilial and extrafamilial sexual abuse of children, and examine issues concerning their differences; (2) examine disparities in charging and sentencing perpetrators of child sexual abuse; (3) examine, and implement, legislative actions necessary to equalize charging and sentencing without regard to familial relationship of perpetrator to child victim; (4) compile, analyze, and report relevant data; and (5) promote regulations requiring its courts and agencies to compile such data.

Question: SECTION 1. SHORT TITLE.

This Act may be cited as the ''Veterans Treatment Court Improvement
Act of 2018''.

SEC. 2. HIRING BY DEPARTMENT OF VETERANS AFFAIRS OF ADDITIONAL VETERANS
JUSTICE OUTREACH SPECIALISTS.

(a) Hiring of Additional Veterans Justice Outreach Specialists.--
(1) In general.--Not later than one year after the date of
the enactment of this Act, the Secretary of Veterans Affairs
shall hire not fewer than 50 Veterans Justice Outreach
Specialists and place each such Veterans Justice Outreach
Specialist at an eligible Department of Veterans Affairs
medical center in accordance with this section.
(2) Requirements.--The Secretary shall ensure that each
Veterans Justice Outreach Specialist employed under paragraph
(1)--
(A) serves, either exclusively or in addition to
other duties, as part of a justice team in a veterans
treatment court or other veteran-focused court; and
(B) otherwise meets Department hiring guidelines
for Veterans Justice Outreach Specialists.
(3) Supplement not supplant.--The Secretary shall ensure
that the total number of Veterans Justice Outreach Specialists
employed by the Department is not less than the sum of--
(A) the total number of Veterans Justice Outreach
Specialists that were employed by the Department on the
day before the date of the enactment of this Act; and
(B) the number of Veterans Justice Outreach
Specialists set forth in paragraph (1).
(b) Eligible Department of Veterans Affairs Medical Centers.--For
purposes of this section, an eligible Department of Veterans Affairs
medical center is any Department of Veterans Affairs medical center
that--
(1) complies with all Department guidelines and regulations
for placement of a Veterans Justice Outreach Specialist;
(2) works within a local criminal justice system with
justice-involved veterans;
(3) maintains an affiliation with one or more veterans
treatment courts or other veteran-focused courts; and
(4) either--
(A) routinely provides Veterans Justice Outreach
Specialists to serve as part of a justice team in a
veterans treatment court or other veteran-focused
court; or
(B) establishes a plan that is approved by the
Secretary to provide Veterans Justice Outreach
Specialists employed under subsection (a)(1) to serve
as part of a justice team in a veterans treatment court
or other veteran-focused court.
(c) Placement Priority.--The Secretary shall prioritize the
placement of Veterans Justice Outreach Specialists employed under
subsection (a)(1) at eligible Department of Veterans Affairs medical
centers that have or intend to establish an affiliation, for the
purpose of carrying out the Veterans Justice Outreach Program, with a
veterans treatment court, or other veteran-focused court, that--
(1) was established on or after the date of the enactment
of this Act; or
(2)(A) was established before the date of the enactment of
this Act; and
(B) is not fully staffed with Veterans Justice Outreach
Specialists.
(d) Reports.--
(1) Periodic reports by secretary of veterans affairs.--
(A) In general.--Not later than one year after the
date of the enactment of this Act and not less
frequently than once every year thereafter, the
Secretary of Veterans Affairs shall submit to Congress
a report on the implementation of this section and its
effect on the Veterans Justice Outreach Program.
(B) Contents.--Each report submitted under
paragraph (1) shall include the following:
(i) The status of the efforts of the
Secretary to hire Veterans Justice Outreach
Specialists pursuant to subsection (a)(1),
including the total number of Veterans Justice
Outreach Specialists hired by the Secretary
pursuant to such subsection and the number that
the Secretary expects to hire pursuant to such
subsection.
(ii) The total number of Veterans Justice
Outreach Specialists assigned to each
Department of Veterans Affairs medical center
that participates in the Veterans Justice
Outreach Program, including the number of
Veterans Justice Outreach Specialists hired
under subsection (a)(1) disaggregated by
Department of Veterans Affairs medical center.
(iii) The total number of eligible
Department of Veterans Affairs medical centers
that sought placement of a Veterans Justice
Outreach Specialist under subsection (a)(1),
how many Veterans Justice Outreach Specialists
each such center sought, and how many of such
medical centers received no placement of a
Veterans Justice Outreach Specialist under
subsection (a)(1).
(iv) The total number of justice-involved
veterans who were served or are expected to be
served by a Veterans Justice Outreach
Specialist hired under subsection (a)(1).
(2) Report by comptroller general of the united states.--
(A) In general.--Not later than two years after the
date of the enactment of this Act, the Comptroller
General of the United States shall submit to Congress a
report on the implementation of this section and the
effectiveness of the Veterans Justice Outreach Program.
(B) Contents.--The report required by subparagraph
(A) shall include the following:
(i) An assessment of whether the Secretary
has fulfilled the Secretary's obligations under
this section.
(ii) The number of veterans who are served
by Veterans Justice Outreach Specialists hired
under subsection (a)(1), disaggregated by
demographics (including discharge status).
(iii) An identification of any subgroups of
veterans who underutilize services provided
under laws administered by the Secretary and to
which they are referred by a Veterans Justice
Outreach Specialist.
(iv) Such recommendations as the
Comptroller General may have for the Secretary
to improve the effectiveness of the Veterans
Justice Outreach Program.
(e) Authorization of Appropriations.--
(1) In general.--There is authorized to be appropriated to
the Secretary of Veterans Affairs to carry out subsection (a)
$5,500,000 for each of fiscal years 2018 through 2028.
(2) Identification of offsets.--The Secretary shall submit
to Congress a report that identifies such legislative or
administrative actions as the Secretary determines will result
in a reduction in expenditures by the Department of Veterans
Affairs that is equal to or greater than the amounts authorized
to be appropriated by paragraph (1).
(f) Definitions.--In this section:
(1) Justice team.--The term ''justice team'' means the
group of individuals, which may include a judge, court
coordinator, prosecutor, public defender, treatment provider,
probation or other law enforcement officer, program mentor, and
Veterans Justice Outreach Specialist, who assist justice-
involved veterans in a veterans treatment court or other
veteran-focused court.
(2) Justice-involved veteran.--The term ''justice-involved
veteran'' means a veteran with active, ongoing, or recent
contact with some component of a local criminal justice system.
(3) Local criminal justice system.--The term ''local
criminal justice system'' means law enforcement, jails,
prisons, and Federal, State, and local courts.
(4) Veterans justice outreach program.--The term ''Veterans
Justice Outreach Program'' means the program through which the
Department of Veterans Affairs identifies justice-involved
veterans and provides such veterans with access to Department
services.
(5) Veterans justice outreach specialist.--The term
''Veterans Justice Outreach Specialist'' means an employee of
the Department of Veterans Affairs who serves as a liaison
between the Department and the local criminal justice system on
behalf of a justice-involved veteran.
(6) Veterans treatment court.--The term ''veterans
treatment court'' means a Federal, State, or local court that
is participating in the veterans treatment court program (as
defined in section 2991(i)(1) of the Omnibus Crime Control and
Safe Streets Act of 1968 (42 U.S.C. 3797aa(i)(1))).

Passed the Senate February 15, 2018.

Attest:

JULIE E. ADAMS,

Secretary.

Answer:
Veterans Treatment Court Improvement Act of 2017 This bill requires the Department of Veterans Affairs (VA) to hire at least 50 Veterans Justice Outreach Specialists, place each one at an eligible VA medical center, and ensure that each one serves as part of a justice team in a veterans treatment court or other veteran-focused court. An eligible VA medical center is one that: complies with all VA guidelines and regulations for placement of a specialist; works with a veteran with active, ongoing, or recent contact with some component of a local criminal justice system; maintains an affiliation with one or more veterans treatment courts or other veteran-focused courts; and either routinely provides specialists, or establishes a VA-approved plan to provide specialists, to serve as part of a justice team in such a court. The VA shall prioritize the placement of specialists at eligible VA medical centers that have an affiliation with such a court that: (1) was established after the date of this bill's enactment, or (2) was established before such date and is not fully staffed with specialists.