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 ''Urban Medicare-Dependent Hospitals
Preservation Act of 2011''.

SEC. 2. CRITERIA AND PAYMENT FOR CERTAIN URBAN MEDICARE-DEPENDENT
HOSPITALS.

(a) In General.--Section 1886(d)(5) of the Social Security Act (42
U.S.C. 1395ww(d)(5)) is amended by adding at the end the following new
subparagraph:
''(M)(i) For cost reporting periods beginning on or
after October 1, 2011, and before October 1, 2014, in
the case of a subsection (d) hospital which is an urban
Medicare-dependent hospital, payment under paragraph
(1)(A) shall be equal to the sum of the amount
determined under clause (ii) and the amount determined
under paragraph (1)(A)(iii).
''(ii) The amount determined under this clause is,
for discharges occurring during a cost reporting period
that begins on or after October 1, 2011, and before
October 1, 2014, 50 percent of the amount by which the
hospital's target amount for the cost reporting period
(as defined in subsection (b)(3)(L)) exceeds the amount
determined under paragraph (1)(A)(iii).
''(iii) For purposes of this subparagraph, the term
'urban Medicare-dependent hospital' means, with respect
to any cost reporting period to which clause (i)
applies, any hospital--
''(I) located in an urban area or
reclassified to an urban area for wage index
purposes;
''(II) that does not receive payment--
''(aa) under subparagraph (C) as a
rural referral center;
''(bb) under subparagraph (D) as a
sole community hospital;
''(cc) under subparagraph (B) or
under subsection (h); or
''(dd) under subparagraph (F);
''(III) that is not a physician-owned
hospital, as defined in section 489.3 of title
42, Code of Federal Regulations (as in effect
as of the date of the enactment of this
subparagraph); and
''(IV) for which not less than 60 percent
of its inpatient days or discharges during the
cost reporting period beginning in fiscal year
2006, or two of the three most recently audited
cost reporting periods for which the Secretary
has a settled cost report, were attributable to
inpatients entitled to benefits under part A
and not enrolled in a Medicare Advantage plan
under part C.''.
(b) Target Payment Amount.--Section 1886(b)(3) of the Social
Security Act (42 U.S.C. 1395ww(b)(3)) is amended--
(1) in subparagraph (B)(iv), by striking ''and (D)'' and
inserting '', (D), and (M)''; and
(2) by adding at the end the following new subparagraph:
''(M) For cost reporting periods occurring on or
after October 1, 2011, and before October 1, 2014, in
the case of a hospital that is an urban Medicare-
dependent hospital (as defined in subsection
(d)(5)(M)), the term 'target amount' means--
''(i) with respect to the first 12-month
cost reporting period in which this
subparagraph is applied to the hospital, the
allowable operating costs of inpatient hospital
services (as defined in subsection (a)(4))
recognized under this title for the hospital
for the 12-month cost reporting period
beginning during fiscal year 2002 or 2006
(whichever results in a higher target amount),
increased by the applicable percentage increase
under subparagraph (B)(iv) for each of fiscal
years 2003 through 2011 or 2007 through 2011,
respectively; and
''(ii) with respect to discharges occurring
after the first 12-month cost reporting period
in which this subparagraph is applied to the
hospital, the target amount for the preceding
year increased by the applicable percentage
increase under subparagraph (B)(iv).''.
Example Output: Urban Medicare-Dependent Hospitals Preservation Act of 2011 - Amends title XVIII (Medicare) of the Social Security Act, with respect to cost reporting periods beginning on or after October 1, 2011, and before October 1, 2014, to revise the criteria and payment formula for "subsection (d) hospitals" which are urban Medicare-dependent hospitals.

(Generally a subsection (d) hospital is an acute care hospital particularly one that receives payments under Medicare's inpatient prospective payment system when providing covered inpatient services to eligible beneficiaries.)

Example Input: SECTION 1. TEACHER RECRUITMENT, RETENTION, AND TRAINING.

(a) In General.--Title II of the Elementary and Secondary Education
Act of 1965 (20 U.S.C. 6601 et seq.) is amended--
(1) by redesignating part E as part F;
(2) by redesignating sections 2401 and 2402 as sections
2501 and 2502, respectively; and
(3) by inserting after part D the following:

''PART E--TEACHER RECRUITMENT, RETENTION, AND TRAINING

''SEC. 2401. PROGRAM AUTHORIZED.

''(a) In General.--The Secretary is authorized to make grants to
local educational agencies to permit such agencies to recruit, retain,
and train high-quality teachers by carrying out one or more of the
activities described in subsection (b).
''(b) Uses of Funds.--
''(1) Recruitment, retention, and training activities.--A
local educational agency that receives a grant under this part
may use the grant funds for any of the following recruitment,
retention, and training activities:
''(A) Providing signing bonuses for teachers.
''(B) Carrying out merit pay programs.
''(C) Providing performance bonuses to teachers.
''(D) Providing scholarships to teachers to pursue
advanced course work.
''(E) Providing mentoring programs for teachers.
''(F) Coordinating with institutions of higher
education to provide professional development for
teachers.
''(G) Any other activity that the local educational
agency believes to be effective in recruiting,
retaining, or training high-quality teachers.

''SEC. 2402. AUTHORIZATION OF APPROPRIATIONS.

There are authorized to be appropriated to carry out this part such
sums as may be necessary for each of fiscal years 2002 through 2004.''.
(b) Conforming Amendments.--Section 2003 of the Elementary and
Secondary Education Act of 1965 (20 U.S.C. 6603) is amended--
(1) in subsection (a), by striking ''part C)'' and
inserting ''parts C and E)''; and
(2) in subsection (b), by inserting ''(other than parts C
and E)'' after ''title''.

SEC. 2. LOAN FORGIVENESS FOR TEACHERS.

(a) Elimination of New Borrower Restrictions.--
(1) FFEL program.--Section 428J(b) of the Higher Education
Act of 1965 (20 U.S.C. 1078-10(b)) is amended by striking ''for
any new borrower on or after October 1, 1998, who'' and
inserting ''for any borrower who''.
(2) Federal direct loan program.--Section 460(b)(1) of such
Act (20 U.S.C. 1087j(b)(1)) is amended by striking ''for any
new borrower on or after October 1, 1998, who'' and inserting
''for any borrower who''.
(b) Expansion of Eligible Teaching Locations and Subjects;
Eliminating Delay in Service Benefit.--
(1) FFEL program.--Section 428J(b)(1) of such Act is
amended by striking everything preceding subparagraph (B) and
inserting the following:
''(1) has been employed as a full-time teacher--
''(A)(i) in a school that qualifies under section
465(a)(2)(A) for loan cancellation for Perkins loan
recipients who teach in such schools;
''(ii) as a full-time special education teacher, as
described in section 465(a)(2)(C); or
''(iii) as a full-time teacher in any field of
expertise where the State educational agency determines
there is a shortage of qualified teachers;''.
(2) Federal direct loan program.--Section 460(b)(1)(A) of
such Act (20 U.S.C. 1087j(b)(1)(A)) is amended by striking
everything preceding clause (ii) and inserting the following:
''(A) has been employed as a full-time teacher--
''(i)(I) in a school that qualifies under
section 465(a)(2)(A) for loan cancellation for
Perkins loan recipients who teach in such
schools;
''(II) as a full-time special education
teacher, as described in section 465(a)(2)(C);
or
''(III) as a full-time teacher in any field
of expertise where the State educational agency
determines there is a shortage of qualified
teachers;''.
(c) Amounts Subject to Forgiveness.--
(1) FFEL program.--Section 428J(c) of the Higher Education
Act of 1965 (20 U.S.C. 1078-10(c)) is amended by striking
paragraph (1) and inserting the following:
''(1) Amount and rate of repayment.--The Secretary shall
repay an amount that is not more than $20,000 in the aggregate
of the loan obligation on a loan made under section 428 or 428H
that is outstanding after the completion of the first complete
school year of teaching described in subsection (b)(1) for
which the borrower seeks repayment under this section. Such
amount shall be repaid at the rate of 15 percent for the first
or second year of such service, 20 percent for the third or
fourth year of such service, and 30 percent for the fifth year
of such service. No borrower may receive a reduction of loan
obligations under both this section and section 460.''.
(2) Federal direct loan program.--Section 460(c) of such
Act (20 U.S.C. 1087j(c)) is amended by striking paragraph (1)
and inserting the following:
''(1) Amount and rate of repayment.--The Secretary shall
cancel an amount that is not more than $20,000 in the aggregate
of the loan obligation on a loan made under section 428 or 428H
that is outstanding after the completion of the first complete
school year of teaching described in subsection (b)(1)(A). Such
amount shall be canceled at the rate of 15 percent for the
first or second year of such service, 20 percent for the third
or fourth year of such service, and 30 percent for the fifth
year of such service.''.
Example Output: Amends the Elementary and Secondary Education Act of 1965 to establish a new program for teacher recruitment, retention, and training. Authorizes the Secretary of Education to award grants to local educational agencies to recruit, retain, and train high-quality teachers through one or more specified types of activities.Amends the Higher Education Act of 1965 to revise student loan forgiveness for teachers under the Federal Family Education Loan and Federal Direct Loan programs. Expands forgiveness eligibility by: (1) eliminating requirements allowing only certain new borrowers to participate; and (2) increasing the types of eligible teaching locations and subjects. Eliminates a service requirement that an individual teach at least five consecutive complete school years before being eligible for program benefits. Increases to $20,000 the aggregate amount of an individual teacher's student loan obligation which may be forgiven, and revises the rate of repayment.

Example Input: SECTION 1. SHORT TITLE.

This Act may be cited as the ''Child Health Care Quality Research
Improvement Act''.

SEC. 2. FINDINGS.

Congress finds the following:
(1) There is increased emphasis on using evidence of
improved health care outcomes and cost effectiveness to justify
changes in our health care system.
(2) There is a growing movement to use health care quality
measures to ensure that health care services provided are
appropriate and likely to improve health.
(3) Few health care quality measures exist for children,
especially for the treatment of acute and chronic conditions.
(4) A significant number of children in the United States
have health problems, and the percentage of children with
special health care needs is increasing.
(5) Children in the health care marketplace have unique
health attributes, including a child's developmental
vulnerability, differential morbidity, and dependency on
adults, families, and communities.
(6) Children account for less than 15 percent of the
national health care spending, and do not command a large
amount of influence in the health care marketplace.
(7) The Federal government is the major payer of children's
health care in the United States.
(8) Numerous scientifically sound measures exist for
assessing quality of health care for adults, and similar
measures should be developed for assessing the quality of
health care for children.
(9) The delivery structures and systems that provide care
for children are necessarily different than systems caring for
adults, and therefore require appropriate types of quality
measurements and improvement systems.
(10) Improving quality measurement and monitoring will--
(A) assist health care providers in identifying
ways to improve health outcomes for common and rare
childhood health conditions;
(B) assist consumers and purchasers of health care
in determining the value of the health care products
and services they are receiving or buying; and
(C) assist providers in selecting effective
treatments and priorities for service delivery.
(11) Because of the prevalence and patterns of children's
medical conditions, research on improving care for relatively
rare or specific conditions must be conducted across multiple
institutions and practice settings in order to guarantee the
validity and generalizability of research results.

SEC. 3. DEFINITIONS.

In this Act:
(1) High priority areas.--the term ''high priority areas''
means areas of research that are of compelling scientific or
public policy significance, that include high priority areas of
research identified by the Conference on Improving Quality of
Health Care for Children: An Agenda for Research (May, 1997),
and that--
(A) are consistent with areas of research as
defined in paragraphs (1)(A) and (2) of section 1142(a)
of the Social Security Act;
(B) are relevant to all children or to specific
subgroups of children; or
(C) are consistent with such other criteria as the
Secretary may require.
(2) Local community.--The term ''local community'' means
city, county, and regional governments, and research institutes
in conjunction with such cities, counties, or regional
governments.
(3) Pediatric quality of care and outcomes research.--The
term ''pediatric quality of care and outcomes research'' means
research involving the process of health care delivery and the
outcomes of that delivery in order to improve the care
available for children, including health promotion and disease
prevention, diagnosis, treatment, and rehabilitation services,
including research to--
(A) develop and use better measures of health and
functional status in order to determine more precisely
baseline health status and health outcomes;
(B) evaluate the results of the health care process
in real-life settings, including variations in medical
practices and patterns, as well as functional status,
clinical status, and patient satisfaction;
(C) develop quality improvement tools and evaluate
their implementation in order to establish benchmarks
for care for specific childhood diseases, conditions,
impairments, or populations groups;
(D) develop specific measures of the quality of
care to determine whether a specific health service has
been provided in a technically appropriate and
effective manner, that is responsive to the clinical
needs of the patient, and that is evaluated in terms of
the clinical and functional status of the patient as
well as the patient's satisfaction with the care; or
(E) assess policies, procedures, and methods that
can be used to improve the process and outcomes of the
delivery of care.
(4) Provider-based research networks.--The term ''provider-
based research network'' refers to 1 of the following which
exist for the purpose of conducting research:
(A) A hospital-based research network that is
comprised of a sufficient number of children's
hospitals or pediatric departments of academic health
centers.
(B) A physician practice-based research network
that is comprised of a sufficient number of groups of
physicians practices.
(C) A managed care-based research network that is
comprised of a sufficient number of pediatric programs
of State-licensed health maintenance organizations or
other State certified managed care plans.
(D) A combination provider-based research network
that is comprised of all or part of a hospital-based
research network, a physician practice-based research
network, and a managed care-based research network.
(5) Secretary.--The term ''Secretary'' means the Secretary
of Health and Human Services.

SEC. 4. EXPANSION OF THE HEALTH SERVICES RESEARCH WORKFORCE.

(a) Grants.--The Secretary shall annually award not less than 10
grants to eligible entities at geographically diverse locations
throughout the United States to enable such entities to carry out
research training programs that are dedicated to child health services
research training initiatives at the doctoral, post-doctoral, and
junior faculty levels.
(b) Eligibility.--To be eligible to receive a grant under
subsection (a), an entity shall--
(1) be a public or nonprofit private entity; and
(2) prepare and submit to the Secretary an application, at
such time, in such manner, and containing such information as
the Secretary may require.
(c) Limitation.--A grant awarded under this section shall be for an
amount that does not exceed $500,000.
(d) Authorization of Appropriations.--There are authorized to be
appropriated to carry out this section, $5,000,000 for each of the
fiscal years 1999 through 2003.

SEC. 5. DEVELOPMENT OF CHILD HEALTH IMPROVEMENT RESEARCH CENTERS AND
PROVIDER-BASED RESEARCH NETWORKS.

(a) Grants.--In order to address the full continuum of pediatric
quality of care and outcomes research, to link research to practice
improvement, and to speed the dissemination of research findings to
community practice settings, the Secretary shall award grants to
eligible entities for the establishment of--
(1) not less that 10 national centers for excellence in
child health improvement research at geographically diverse
locations throughout the United States; and
(2) not less than 5 national child health provider quality
improvement research networks at geographically diverse
locations throughout the United States, including at least 1 of
each type of network as described in section 3(4).
(b) Eligibility.--To be eligible to receive a grant under
subsection (a), an entity shall--
(1) for purposes of--
(A) subsection (a)(1), be a public or nonprofit
entity, or group of entities, including universities,
and where applicable their schools of Public Health,
research institutions, or children's hospitals, with
multi-disciplinary expertise including pediatric
quality of care and outcomes research and primary care
research; or
(B) subsection (a)(2), be a public or nonprofit
institution that represents children's hospitals,
pediatric departments of academic health centers,
physician practices, or managed care plans; and
(2) prepare and submit to the Secretary an application, at
such time, in such manner, and containing such information as
the Secretary may require, including--
(A) in the case of an application for a grant under
subsection (a)(1), a demonstration that a research
center will conduct 2 or more research projects
involving pediatric quality of care and outcomes
research in high priority areas; or
(B) in the case of an application for a grant under
subsection (a)(2)--
(i) a demonstration that the applicant and
its network will conduct 2 or more projects
involving pediatric quality of care and
outcomes research in high priority areas;
(ii) a demonstration of an effective and
cost-efficient data collection infrastructure;
(iii) a demonstration of matching funds
equal to the amount of the grant; and
(iv) a plan for sustaining the financing of
the operation of a provider-based network after
the expiration of the 5-year term of the grant.
(c) Limitations.--A grant awarded under subsection (a)(1) shall not
exceed $1,000,000 per year and be for a term of more that 5 years and a
grant awarded under subsection (a)(2) shall not exceed $750,000 per
year and be for a term of more than 5 years.
(d) Authorization of Appropriations.--There are authorized to be
appropriated--
(1) to carry out subsection (a)(1), $10,000,000 for each of
the fiscal years 1999 through 2003; and
(2) to carry out subsection (a)(2), $3,750,000 for each of
the fiscal years 1999 through 2003.

SEC. 6. RESEARCH IN SPECIFIC HIGH PRIORITY AREAS.

(a) Additional Funds for Grants.--From amounts appropriated under
subsection (c), the Secretary shall provide support, through grant
programs authorized on the date of enactment of this Act, to entities
determined to have expertise in pediatric quality of care and outcomes
research. Such additional funds shall be used to improve the quality of
children's health, especially in high priority areas, and shall be
subject to the same conditions and requirements that apply to funds
provided under the existing grant program through which such additional
funds are provided.
(b) Advisory Committee.--
(1) In general.--To evaluate progress made in pediatric
quality of care and outcomes research in high priority areas,
and to identify new high priority areas, the Secretary shall
establish an advisory committee which shall report annually to
the Secretary.
(2) Membership.--The Secretary shall ensure that the
advisory committee established under paragraph (1) includes
individuals who are--
(A) health care consumers;
(B) health care providers;
(C) purchasers of health care;
(D) representative of health plans involved in
children's health care services; and
(E) representatives of Federal agencies including--
(i) the Agency for Health Care Policy and
Research;
(ii) the Centers for Disease Control and
Prevention;
(iii) the Health Care Financing
Administration;
(iv) the Maternal and Child Health Bureau;
(v) the National Institutes of Health; and
(vi) the Substance Abuse and Mental Health
Services Administration.
(3) Evaluation of research.--The advisory committee
established under paragraph (1) shall evaluate research in high
priority areas using criteria that include--
(1) the generation of research that includes both
short and long term studies;
(2) the ability to foster public and private
partnerships; and
(3) the likelihood that findings will be
transmitted rapidly into practice.
(c) Authorization of Appropriations.--There are authorized to be
appropriated to carry out this section, $12,000,000 for each of the
fiscal years 1999 through 2003.

SEC. 7. IMPROVING CHILD HEALTH DATA AND DEVELOPING BETTER DATA
COLLECTION SYSTEMS.

(a) Survey.--The Secretary shall provide assistance to enable the
appropriate Federal agencies to--
(1) conduct ongoing biennial supplements and initiate and
maintain a longitudinal study on children's health that is
linked to the appropriate existing national surveys (including
the National Health Interview Survey and the Medical
Expenditure Panel Survey) to--
(A) provide for reliable national estimates of
health care expenditures, cost, use, access, and
satisfaction for children, including uninsured
children, poor and near-poor children, and children
with special health care needs;
(B) enhance the understanding of the determinants
of health outcomes and functional status among children
with special health care needs, as well as an
understanding of these changes over time and their
relationship to health care access and use; and
(C) monitor the overall national impact of Federal
and State policy changes on children's health care; and
(2) develop an ongoing 50-State survey to generate reliable
State estimates of health care expenditures, cost, use, access,
satisfaction, and quality for children, including uninsured
children, poor and near-poor children, and children with
special health care needs.
(b) Grants.--The Secretary shall award grants to public and
nonprofit entities to enable such entities to develop the capacity of
local communities to improve child health monitoring at the community
level.
(c) Eligibility.--To be eligible to receive a grant under
subsection (b), an entity shall--
(1) be a public or nonprofit entity; and
(2) prepare and submit to the Secretary an application, at
such time, in such manner, and containing such information as
the Secretary may require.
(d) Authorization of Appropriations.--There are authorized to be
appropriated to carry out this section, $14,000,000 for each of the
fiscal years 1999 through 2003, of which--
(1) $6,000,000 shall be made available in each fiscal year
for grants under subsection (a)(1);
(2) $4,000,000 shall be made available in each fiscal year
for grants under subsection (a)(2); and
(3) $4,000,000 shall be made available in each fiscal year
for grants under subsection (b).

SEC. 8. OVERSIGHT.

Not later than ________ after the date of enactment of this Act,
The Secretary shall prepare and submit a report to Congress on progress
made in pediatric quality of care and outcomes research, including the
extent of ongoing research, programs, and technical needs, and the
Department of Health and Human Services' priorities for funding
pediatric quality of care and outcomes research.
Example Output:
Child Health Care Quality Research Improvement Act - Directs the Secretary of Health and Human Services to award at least ten grants annually to eligible public or nonprofit private entities at geographically diverse locations throughout the United States for research training programs dedicated to child health services research training initiatives at the doctoral, post-doctoral, and junior faculty levels. Authorizes appropriations for FY 1999 through 2003.
Requires the Secretary to award grants to eligible public or nonprofit entities for the establishment of at least ten national centers for excellence in child health improvement research and five national child health provider quality improvement research networks at geographically diverse locations throughout the United States. Describes eligibility requirements. Authorizes appropriations for FY 1999 through 2003.
Requires the Secretary to: (1) provide support to entities with expertise in pediatric quality of care and outcomes research for improving the quality of children's health, especially in high priority areas (areas of compelling scientific or public policy significance); and (2) establish an advisory committee to evaluate progress in such activities and to identify new high priority areas. Authorizes appropriations for FY 1999 through 2003.
Directs the Secretary to provide assistance to enable Federal agencies to: (1) conduct ongoing biennial supplements and initiate and maintain a longitudinal study on children's health linked to existing national surveys to provide for reliable national estimates of health care expenditures, cost, use, access, and satisfaction for children and for other related purposes; and (2) develop an ongoing 50-State survey to generate such estimates.
Requires the Secretary to award grants to eligible public and nonprofit entities for developing the capacity of local communities to improve child health monitoring. Authorizes appropriations for FY 1999 through 2003.
Directs the Secretary to report to the Congress on progress made in pediatric quality of care and outcomes research.