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

SECTION 1. FINDINGS.

Congress finds the following:
(1) It is in the national interest that all citizens,
including active-duty service members, be allowed to vote in
Federal elections.
(2) Since 1977, active-duty service members serving
overseas or on the United States mainland have been excluded
from fully participating and voting in both general and runoff
Federal elections in American Samoa due to several factors,
including local law that requires active duty military members
to register in person, limited air and mail service between the
U.S. mainland and American Samoa, and delays in the preparation
of new ballots in the case of runoff elections.
(3) American Samoa law requiring uniformed service voters
to register to vote in person is contrary to the Uniformed and
Overseas Citizens Absentee Voting Act (42 U.S.C. 1973ff et
seq.).
(4) The Uniformed and Overseas Citizens Absentee Voting Act
has been in effect for over 15 years, and American Samoa has
not addressed this discrepancy between Federal and territorial
law, despite notice that the discrepancy exists.
(5) It is necessary to take additional action to ensure
that the votes of uniformed voters are counted in Federal
elections conducted in American Samoa and that active duty
service members (including reservists called to active duty) do
not need to appear in person to register to vote.
(6) It is necessary to state that the Uniformed and
Overseas Citizens Absentee Voting Act supersedes American Samoa
law and American Samoa must comply with this Federal law.
(7) It is also in the national interest that, to the extent
possible, Members of the United States House of Representatives
and non-voting Delegates be elected in the first week of
November in even-numbered years.
(8) Since 1980, when the first election for the
Congressional Delegate from American Samoa was held, there have
been several general elections at which there was no final
resolution of who was elected as the Delegate for the next
Congress, and run-off elections were required.
(9) When the outcome of the Delegate election is not
resolved until a runoff election is held, a final determination
of who the Delegate will be is not made known until late
November.
(10) A delayed outcome may place a newly elected Delegate
in a more junior position to other Members of Congress elected
on the first Tuesday after the first Monday of November in an
election year.
(11) When more than 2 candidates file to run for election
for the office of Delegate, holding a primary election to
reduce the number of candidates to 2 will greatly increase the
likelihood that the general election will produce a candidate
who receives a majority of the votes cast.

SEC. 2. PRIMARY ELECTION REQUIRED.

Section 2(a) of the Act entitled ''An Act to provide that the
Territory of American Samoa be represented by a nonvoting Delegate to
the United States House of Representatives, and for other purposes'',
approved October 31, 1978 (48 U.S.C. 1732(a)) is amended--
(1) by inserting ''(1)'' after ''(a)''; and
(2) by adding at the end the following new paragraphs:
''(2) In any general election year when 3 or more eligible
individuals file by the first Tuesday of July as candidates for the
office of Delegate, a primary election shall be held on the first
Tuesday of August of that general election year. If the primary
election results in 1 candidate receiving more than 50 percent of the
votes cast, then that candidate shall be the only candidate on the
ballot for the general election for Delegate that year. If the primary
election results in no candidate receiving more than 50 percent of the
votes cast, then the 2 candidates receiving the most votes cast shall
be on the ballot for the general election year. If there is a tie for
the 2 candidates receiving the most votes, the names of the 2
candidates shall be listed on the ballot for that general election
year.
''(3) Candidates for the office of Delegate to the United States
House of Representatives must file their candidacy not later than the
first Tuesday of July each year that a general election referred to in
paragraph (1) is scheduled to be held.''.

SEC. 3. CONFORMING AMENDMENTS.

Section 4 of the Act entitled ''An Act to provide that the
Territory of American Samoa be represented by a nonvoting Delegate to
the United States House of Representatives, and for other purposes'',
approved October 31, 1978 (48 U.S.C. 1734), is amended by inserting
''in a general Federal election'' after ''ties between candidates''.

SEC. 4. EFFECTIVE DATE.

The amendments made by this Act shall take effect on January 1,
2003.
Declares that it is necessary to state that the Uniformed and Overseas Citizens Absentee Voting Act supersedes American Samoa law and American Samoa must comply with it.Requires a primary election to be held in American Samoa on the first Tuesday of August of any general election year when three or more eligible individuals have filed by the first Tuesday of July as candidates for the office of Delegate representing American Samoa in the U.S. House of Representatives.

SECTION 1. SHORT TITLE.

This Act may be cited as the ''Accurate Education for Prenatal
Screenings Act''.

SEC. 2. CELL-FREE DNA PRENATAL SCREENING EDUCATION PROGRAMS.

Part B of title III of the Public Health Service Act is amended by
inserting, after section 317T (42 U.S.C. 247b-22), the following:

''SEC. 317U. CELL-FREE DNA PRENATAL SCREENING EDUCATION PROGRAMS.

''(a) Education Programs.--With respect to cell-free DNA prenatal
screening, the Secretary, acting through the Director of the Centers
for Disease Control and Prevention, shall develop, implement, and
maintain two programs, one for patients and one for health care
providers, to educate patients and health care providers regarding
matters including--
''(1) the purposes and definitions of such screenings;
''(2) the reasons for patients and health care providers to
consider such screenings;
''(3) the conditions such screenings may detect, including
accurate and up-to-date information about such conditions'
clinical features, prognoses, and treatments according to
relevant national disability organizations and medical
professional societies;
''(4) the risks and benefits of, and alternatives to, the
various methods of administering such screenings and prenatal
diagnostic testings, including the option to forego such
screenings and testings, as per guidelines established by
medical professional societies;
''(5) the possible results of such screenings;
''(6) the accuracy of the results of such screenings,
including positive predictive value, negative predictive value,
specificity, sensitivity, the inability of such screenings to
reliably diagnose chromosomal abnormalities, and the fact that
such screenings may yield false-positive and false-negative
results;
''(7) the need for diagnostic testing, and counseling by a
genetics professional, for patients whose screenings yield
positive, abnormal, or indeterminate results; and
''(8) the need for communication of screening results to
patients and appropriate follow up per guidelines established
by medical professional societies.
''(b) Materials.--Each program developed under this section shall
include the provision of materials that--
''(1) contain information that is peer-reviewed, balanced,
accurate, and up-to-date;
''(2) enable the respective target audience to understand
the available options with regards to cell-free DNA prenatal
screenings, other prenatal screenings, and diagnostic tests;
''(3) promote the informed consent, and enhance the
decision-making processes of, the respective target audience
before and after such screenings;
''(4) contain information that appropriately addresses the
diversity of the patient population, including patients
proficient in languages other than English; and
''(5) contain contact information for relevant services and
support organizations for patients.
''(c) Assessment.--In developing, implementing, and maintaining
programs and materials under this section, the Secretary, acting
through the Director of the Centers for Disease Control and Prevention,
shall--
''(1) consult with relevant medical professional,
disability support, patient advocacy, parents, and genetics
professionals organizations;
''(2) consult with companies and laboratories that perform
cell-free DNA prenatal screenings or develop the technologies
for such screenings;
''(3) assess and evaluate existing education activities and
materials for health care providers and patients related to
such screenings; and
''(4) take the results of such consultations, assessment,
and evaluation into account in developing educational programs
and materials under this section.
''(d) Annual Report.--Not later than 16 months after the date of
enactment of this section and annually thereafter, the Secretary shall
submit a progress report to the Congress with respect to--
''(1) the development and implementation of the education
programs established under this section;
''(2) the accessibility of each program to its respective
target audience;
''(3) the adoption of each program by its respective target
audience; and
''(4) the Secretary's efforts to ensure health care
providers and patients receive the materials created pursuant
to this section.
''(e) Deadline.--The Secretary shall develop and implement the
education programs required by section 317U of the Public Health
Service Act (as added by subsection (a)) not later than 1 year after
the date of enactment of this Act''.
Accurate Education for Prenatal Screenings Act Amends the Public Health Service Act to direct the Centers for Disease Control and Prevention (CDC) to develop, implement, and maintain two programs, one to educate patients and one to educate health care providers regarding: the purposes and definitions of cell-free DNA prenatal screenings; the reasons for patients and providers to consider such screenings; the conditions such screenings may detect; the risks and benefits of, and alternatives to, the various methods of administering such screenings and prenatal diagnostic testing; the possible results of such screenings and the accuracy of such results; the need for diagnostic testing, and counseling by a genetics professional, for patients whose screenings yield positive, abnormal, or indeterminate results; and the need for communication of results to patients and appropriate follow-up per guidelines established by medical professional societies. Requires each program to provide materials that: contain information that is peer-reviewed, balanced, accurate, and up-to-date; enable the respective target audience to understand the available options with regard to such screenings, other prenatal screenings, and diagnostic tests; promote the informed consent of, and enhance the decision-making processes of, the respective target audience before and after such screenings; contain information that appropriately addresses the diversity of the patient population; and contain contact information for relevant services and support organizations for patients. Requires CDC to submit annual reports regarding: the development and implementation of such programs; the accessibility of each program to, and the adoption of each program by, its respective target audience; and CDC's efforts to ensure that providers and patients receive the materials created pursuant to this Act.

S.

Section 304 of the Congressional Budget Act of 1974 is amended to
read as follows:

''permissible revisions of budget resolutions

''Sec. 304. At any time after the joint resolution on the budget
for a fiscal year has been enacted pursuant to section 301, and before
the end of such fiscal year, the two Houses and the President may enact
a joint resolution on the budget which revises or reaffirms the joint
resolution on the budget for such fiscal year most recently enacted,
and for purposes of the enforcement of the Congressional Budget Act of
1974, the chairman of the Budget Committee of the House of
Representatives or the Senate, as applicable, may adjust levels as
needed for the enforcement of the budget resolution.''.

SEC. 6. LIMITATION ON THE CONTENT OF BUDGET RESOLUTIONS.

Section 305 of the Congressional Budget Act of 1974 is amended by
adding at the end the following new subsection:
''(e) Limitation on Contents.--(1) It shall not be in order in the
House of Representatives or in the Senate to consider any joint
resolution on the budget or any amendment thereto or conference report
thereon that contains any matter referred to in paragraph (2).
''(2) Any joint resolution on the budget or any amendment thereto
or conference report thereon that contains any matter not permitted in
section 301 (a) or (b) shall not be treated in the House of
Representatives or the Senate as a budget resolution under subsection
(a) or (b) or as a conference report on a budget resolution under
subsection (c) of this section.''.

SEC. 7. DEEMING OF BUDGETARY AGGREGATES, ALLOCATIONS, AND
RECONCILIATION INSTRUCTIONS IN THE HOUSE AND SENATE UPON
VETO OF JOINT RESOLUTION ON THE BUDGET.

(a) In General.--Title III of the Congressional Budget Act of 1974
is amended by adding after section 315 the following new section:

''automatic standing order upon veto of joint resolution on the budget

''Sec. 316. For purposes of congressional enforcement under title
III and IV of this Act and the rules of the House and the Senate, the
joint resolution shall be considered as enforceable upon enactment or
15 days following presentment to the President, whichever occurs
earlier.''.
(b) Conforming Amendment.--The table of contents set forth in
section 1(b) of the Congressional Budget and Impoundment Control Act of
1974 is amended by inserting after the item relating to section 315 the
following new item:

''Sec. 316. Automatic standing order upon veto of joint resolution on
the budget.''.

SEC. 8. ADDITIONAL AMENDMENTS TO THE CONGRESSIONAL BUDGET ACT OF 1974
TO EFFECTUATE JOINT RESOLUTIONS ON THE BUDGET.

(a) Additional Amendments to the Congressional Budget and
Impoundment Control Act of 1974.--(1)(A) Sections 301, 302, 303, 304,
305, 308, 310, 311, 312, 314, 405, and 904 of the Congressional Budget
Act of 1974 (2 U.S.C. 621 et seq.) are amended by striking
''concurrent'' each place it appears and inserting ''joint''.
(B)(i) Sections 302(d), 302(g), 308(a)(1)(A), and 310(d)(1) of the
Congressional Budget Act of 1974 are amended by striking ''most
recently agreed to concurrent resolution on the budget'' each place it
occurs and inserting ''most recently enacted joint resolution on the
budget''.
(ii) The section heading of section 301 of such Act is amended by
striking ''annual adoption of concurrent resolution'' and inserting
''joint resolutions''.
(C) Sections 302, 303, 304, 310, and 311 of the Congressional
Budget Act of 1974 are amended by striking ''agreed to'' each place it
appears and by inserting ''enacted''.
(2) The table of contents set forth in section 1(b) of the
Congressional Budget and Impoundment Control Act of 1974 is amended--
(A) in the item relating to section 301, by striking
''Annual adoption of concurrent resolution'' and inserting
''Joint resolutions''; and
(B) by striking ''concurrent'' and inserting ''joint'' in
the item relating to section 305.
(b) Conforming Amendment.--Any side heading within any section of
title III of the Congressional Budget and Impoundment Control Act of
1974 is amended by striking ''Concurrent'' and inserting ''Joint'' and
any center heading in any section of that title is amended by striking
''concurrent'' and inserting ''joint''.

SEC. 9. AMENDMENTS TO THE RULES OF THE HOUSE OF REPRESENTATIVES TO
EFFECTUATE JOINT BUDGET RESOLUTIONS.

Clauses 1(d)(1), 4(a)(4), 4(b)(2), 4(f)(1)(A), and 4(f)(2) of rule
X, clause 10 of rule XVIII, clause 10 of rule XX, and clauses 7 and 10
of rule XXI of the Rules of the House of Representatives are amended by
striking ''concurrent'' each place it appears and inserting ''joint''.

SEC. 10. CONFORMING AMENDMENTS TO THE BALANCED BUDGET AND EMERGENCY
DEFICIT CONTROL ACT OF 1985.

Section 258C(b)(1) of the Balanced Budget and Emergency Deficit
Control Act of 1985 (2 U.S.C. 907d(b)(1)) is amended by striking
''concurrent'' and inserting ''joint''.
Legally Binding Budget Act of 2013 - Amends the Congressional Budget Act of 1974 (CBA) to require joint budget resolutions signed by the President instead of the concurrent resolutions now required (which do not have to be signed by the President). Revises accordingly the congressional procedures for considering joint budget resolutions. Prohibits the consideration of budget-related legislation before the joint budget resolution becomes law. Requires the joint budget resolution to set forth appropriate levels for the fiscal year beginning on October 1 of such year and for at least each of the four ensuing fiscal years for the public debt limit for display purposes only. Permits revisions of joint budget resolutions already enacted. Makes a conforming amendment to the Congressional Budget and Impoundment Control Act of 1974. Makes it out of order in both chambers to consider any joint budget resolution, amendment, or conference report that contains certain matter prohibited by the CBA, particularly inclusion in the surplus or deficit totals of any outlays and revenue totals of the Old Age, Survivors, and Disability Insurance (OASDI) program under title II of the Social Security Act. Considers the joint budget resolution as enforceable upon enactment or 15 days following presentment to the President, whichever occurs earlier. (Thus creates an automatic standing order upon a presidential veto of a joint budget resolution.) Makes conforming amendments to: (1) the Rules of the House of Representatives, and (2) the Balanced Budget and Emergency Deficit Control Act of 1985 (Gramm-Rudman-Hollings Act).