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. SHORT TITLE.

This Act may be cited as the ''Reducing Lead in Drinking Water
Act''.

SEC. 2. REDUCING LEAD IN DRINKING WATER.

(a) Definition of Lead Service Line.--Section 1401 of the Safe
Drinking Water Act (42 U.S.C. 300f) is amended by adding at the end the
following new paragraph:
''(17) Lead service line.--The term 'lead service line'
means a service line that is not lead free (within the meaning
of section 1417).''.
(b) Replacing Lead Service Lines.--Section 1417 of the Safe
Drinking Water Act (42 U.S.C. 300g-6) is amended by adding at the end
the following:
''(f) Replacing Lead Service Lines.--
''(1) Definitions.--In this subsection:
''(A) Eligible entity.--The term 'eligible entity'
means--
''(i) an owner or operator of a public
water system;
''(ii) a qualified nonprofit organization,
as determined by the Administrator; or
''(iii) a municipality or a State,
interstate, or intermunicipal agency.
''(B) Lead pipe replacement program.--The term
'lead pipe replacement program' means a project or
activity the primary purpose of which is to eliminate
lead in water for human consumption by--
''(i) replacing lead service lines;
''(ii) testing, planning, or carrying out
other relevant activities, as determined by the
Administrator, to identify the location and
condition of lead service lines; or
''(iii) providing assistance to low-income
homeowners to replace privately owned lead
service lines.
''(C) Low-income homeowner.--The term 'low-income
homeowner' has such meaning as may be given the term by
the Governor of the applicable State.
''(2) Grant program.--
''(A) Establishment.--Not later than 180 days after
the date of enactment of this subsection, the
Administrator shall establish a grant program to
provide assistance to eligible entities for lead pipe
replacement programs.
''(B) Evaluation.--In determining whether to
provide assistance to an eligible entity under this
subsection, the Administrator shall evaluate whether
the eligible entity has--
''(i) a current inventory of lead service
lines in the applicable public water system;
''(ii) a plan to notify customers of such
public water system of the replacement of any
publicly owned portion of a lead service line;
''(iii) a plan to replace the privately
owned portion of a lead service line at the
cost of replacement;
''(iv) a plan for a program of assistance
to low-income homeowners to replace the
privately owned portion of lead service lines;
or
''(v) a plan of recommended measures to
avoid exposure of the public to short-term
increases in lead levels following a lead
service line replacement.
''(C) Priority application.--In providing
assistance under this subsection, the Administrator
shall give priority to an eligible entity that--
''(i) will carry out a lead pipe
replacement program at a public water system
that has exceeded the lead action level
established by the Administrator at any time
during the 3-year period preceding the date of
submission of the application of the eligible
entity;
''(ii) will address lead levels in water
for human consumption at a school, daycare, or
other facility that primarily serves children
or subpopulations at greater risk as identified
under section 1458(a);
''(iii) will include in the lead pipe
replacement program a program to provide
assistance to low-income homeowners; or
''(iv) addresses such priority criteria as
the Administrator may establish, consistent
with the goal of reducing lead in water for
human consumption.
''(D) Cost sharing.--
''(i) In general.--Subject to clause (ii),
the non-Federal share of the total cost of a
program funded by a grant provided under this
subsection shall be not less than 20 percent.
''(ii) Waiver.--The Administrator may
reduce or eliminate the non-Federal share
required under clause (i) for reasons of
affordability, as the Administrator determines
to be appropriate.
''(E) Low-income homeowner assistance.--
''(i) In general.--Subject to clause (ii),
an eligible entity may use a grant provided
under this subsection to provide assistance to
low-income homeowners to replace privately
owned lead service lines.
''(ii) Limitation.--The amount of
assistance provided to an individual low-income
homeowner under this subparagraph shall not
exceed $10,000.
''(3) Guidance.--Not later than 180 days after the date of
enactment of this subsection, the Administrator shall, in
cooperation with States and qualified nonprofit organizations,
develop guidance for owners and operators of public water
systems to assist such owners and operators in the preparation
of an inventory of lead service lines in their public water
system.
''(4) Authorization of appropriations.--There are
authorized to be appropriated to carry out this subsection
$100,000,000 for each of fiscal years 2017 through 2021.''.
Reducing Lead in Drinking Water Act This bill amends the Safe Drinking Water Act to direct the Environmental Protection Agency to establish a grant program to remove lead service lines from public water systems. Grant recipients may use grant funds to assist low-income homeowners with replacing privately owned lead service lines.

SECTION 1. SHORT TITLE.

This Act may be cited as the ''Health Care Waiver Fairness Act of
2011''.

SEC. 2. PPACA WAIVER PROCESS.

(a) In General.--Title I of the Patient Protection and Affordable
Care Act (Public Law 111-148) is amended by adding at the end the
following new subtitle:

''Subtitle G--Waiver Process

''SEC. 1601. ESTABLISHMENT OF WAIVER PROCESS.

''(a) In General.--The applicable authorities (as defined in
subsection (c)) shall collectively establish a process (in this section
referred to as the 'waiver process') under which the administrator of a
health plan, an employer, an individual, or other entity may seek to
waive the application of a requirement under this title with respect to
such plan, employer, individual, or entity. Among the requirements
under this title, such process shall apply to the following:
''(1) Section 5000A of the Internal Revenue Code of 1986
(relating to requirement to maintain minimum essential
coverage), as inserted by section 1501(b).
''(2) Section 6055 of the Internal Revenue Code of 1986
(relating to reporting of health insurance coverage), as
inserted by section 1502(a).
''(3) Section 18A of the Fair Labor Standards Act of 1938
(42 U.S.C. 218a, relating to automatic enrollment for employees
of large employers), as inserted by section 1511.
''(4) Section 18B of the Fair Labor Standards Act of 1938
(42 U.S.C. 218b, relating to notice to employees), as inserted
by section 1512.
''(5) Section 4980H of the Internal Revenue Code of 1986
(relating to shared responsibility for employers regarding
health coverage), as inserted by section 1513(a).
''(6) Section 6056 of the Internal Revenue Code of 1986
(relating to certain employers required to report on health
insurance coverage), as inserted by section 1514(a).
''(7) Section 10108 (relating to free choice vouchers).
''(8) Regulations regarding the treatment of group health
plans or health insurance coverage as a grandfathered health
plan (as defined in section 1251(e)).
''(9) Section 2718(b) of the Public Health Service Act
(relating to medical loss ratios), as inserted by section 1001.
''(b) Waiver Process.--
''(1) In general.--The applicable authorities shall
establish the waiver process consistent with the following:
''(A) Notice and guidance.--Public notice and
guidance shall be provided regarding the process for
submission of waiver requests.
''(B) Standard.--A waiver request with respect to
the application of a requirement to a plan, employer,
individual, or entity shall be accompanied by a
statement that--
''(i) identifies the specific requirement
(or requirements) to be waived; and
''(ii) describes how the imposition of each
specific requirement for which a waiver is
requested on the plan, employer, individual, or
entity would result in a significant decrease
in access to coverage or a significant increase
in premiums or other costs for such plan,
employer, individual, or entity.
''(C) Deemed approval.--A waiver request filed that
is accompanied by such a statement shall be deemed to
be approved.
''(D) Publication of data.--The applicable
authorities shall regularly publish data regarding the
waiver requests received for the different
requirements.
''(2) Treatment of approved waivers.--In the case of
approval under the waiver process of a waiver request with
respect to a requirement of this title and an entity,
notwithstanding any other provision of law, such requirement
shall not apply to such entity on and after the date of
approval of the request.
''(3) Relation to other exemptions and exceptions.--Nothing
in this section shall be construed as superceding other
provisions of this title insofar as they provide for
exceptions, exemptions, or other special treatment with respect
to requirements under this title.
''(c) Applicable Authority.--In this section, the term 'applicable
authority' means--
''(1) except as otherwise provided in this subsection, the
Secretary of Health and Human Services;
''(2) the Secretary of Labor with respect to the provisions
of this title, including amendments made by this title, that
are administered by such Secretary; and
''(3) the Secretary of the Treasury with respect to the
provisions of this title, including amendments made by this
title, that are administered by such Secretary, including
sections of the Internal Revenue Code of 1986 specified in
subsection (a).
''(d) References to Requirements Under This Title.--In this
section, a reference to a requirement under this title include such a
requirement under an amendment made by this title, including as amended
by title X of this Act or by the provisions of the Health Care and
Education Reconciliation Act of 2010 (Public Law 111-152).
''(e) Public Awareness Campaign.--Of the amounts available in the
Prevention and Public Health Fund established under section 4002,
notwithstanding any other provision of law, $50,000,000 shall be
available to and expended by the Secretary of Health and Human Services
to conduct, in coordination with other applicable authorities, a public
awareness campaign of the waiver process. Amounts made available under
this subsection shall remain available until expended.''.
(b) Clerical Amendment.--The table of contents of such Act is
amended by adding at the end of the items relating to title I the
following:

''Subtitle G--Waiver Process

''Sec. 1601. Establishment of waiver process.''.
Health Care Waiver Fairness Act of 2011 - Amends the Patient Protection and Affordable Care Act (PPACA) to require the Secretary of Health and Human Services (HHS), the Secretary of Labor, and the Secretary of Treasury to establish waiver processes under which the administrator of a health plan, an employer, an individual, or other entity may seek to waive the application of a health insurance coverage requirement under PPACA. Sets forth PPACA requirements that may be waived, including those related to minimum essential coverage and employers offering health care coverage to employees.

Establishes requirements for the waiver process, including requiring submission of a statement describing how the imposition of the PPACA requirement would result in a significant decrease in access to coverage or a significant increase in premiums or other costs for such plan, employer, individual, or entity. Deems to be approved any waiver including such a statement.

Requires the Secretary of HHS to conduct a public awareness campaign of the waiver process with funds made available for the Prevention and Public Health Fund.

SECTION 1. INCENTIVES TO INCREASE USE OF HIV SCREENING TESTS UNDER THE
MEDICAID PROGRAM.

(a) Higher Federal Matching Percentage for Routine HIV Screening
Services.--Section 1903 of the Social Security Act (42 U.S.C. 1396b) is
amended--
(1) in subsection (a)--
(A) by redesignating paragraph (7) as paragraph
(8); and
(B) by inserting after paragraph (6) the following
new paragraph:
''(7) an amount equal to 90 percent of the sums expended
during such quarter which are attributable to the costs of
providing routine HIV screening services (as defined in
subsection (aa)(1)) if the conditions described in subsection
(aa)(2) are met; plus''; and
(2) by adding at the end the following new subsection:
''(aa) Routine HIV Screening Services.--
''(1) In general.--For purposes of this section, the term
'routine HIV screening services' means the following:
''(A) An HIV screening test (and, if such test is
positive, a confirmatory HIV test), including the
interpretation of such tests, that is provided as part
of medical care in any health care setting (other than
an inpatient hospital setting) for an individual who--
''(i) is at least 13, but not more than 64,
years of age;
''(ii) is not known to the health care
provider (directly, through information
provided by the individual, or through access
to an electronic medical record) previously
ever to have had a positive test for HIV or,
subject to paragraph (3), within the previous 6
months to have had any test for HIV; and
''(iii) has been informed that such a test
will be administered and has not objected to
such a test.
''(B) Informing an individual so tested of the
results of the tests at the time of such examination.
''(C) In the case of such an individual who tests
positive for HIV on the screening and confirmatory
tests, post-test counseling concerning HIV at the time,
and as part of, such examination.
''(2) Conditions.--For purposes of subsection (a)(7), the
conditions of this paragraph, with respect to routine HIV
screening services, are that--
''(A) the payment amount for such services under
this title is reasonable and closely approximates the
payment amount for such services under part B of title
XVIII;
''(B) no cost-sharing is imposed under this title
for the provision of such services; and
''(C) in the case of a State for which a political
subdivision is required to contribute towards the non-
Federal share of expenditures for routine HIV screening
services, the increase in the Federal share applicable
under subsection (a)(5) to such services is first
applied to reduce the contribution (but not below zero)
required by such political subdivision.
''(3) Exception.--The limitation under paragraph (1)(A)(ii)
with respect to having a test for HIV within the previous 6
months shall not apply to an individual if the individual
indicates that, because of the individual's possible exposure
to HIV during the intervening period, the individual is at
increased risk of acquiring HIV since such previous test.''.
(b) Conforming Amendments.--
(1) Subparagraphs (E) and (F) of section 1919(h)(2) of such
Act (42 U.S.C. 1396r(h)(2)) are each amended by striking
''1903(a)(7)'' and inserting ''1903(a)(8)''.
(2) Paragraphs (1) and (2) of section 1931(h) of such Act
(42 U.S.C. 1396u-1(h)) are each amended by striking
''1903(a)(7)'' and inserting ''1903(a)(8)''.
(3) Section 1938(d)(4) of such Act (42 U.S.C. 1396u-
8(d)(4)) is amended by striking ''1903(a)(7)'' and inserting
''1903(a)(8)''.
(4) Section 1940(j) of such Act (42 U.S.C. 1396w(j)) is
amended by striking ''paragraph (7)'' and inserting ''paragraph
(8)''.
(c) Effective Date.--The amendments made by subsection (a) shall
apply to services furnished on or after the date of the enactment of
this Act.
(d) Report.--Not later 2 years after the date of the enactment of
this Act, the Secretary of Health and Human Services shall submit a
report to Congress on barriers that exist for Medicaid beneficiaries to
access routine HIV screening services (as defined in section 1903(aa)
of the Social Security Act, as added by subsection (a)(2)). Such report
shall include recommendations on how to reduce such barriers to access
such services.
Amends title XIX (Medicaid) of the Social Security Act to direct the Secretary of Health and Human Services (HHS) to make quarterly payments to states with Medicaid plans for 90% of their expenditures for routine HIV screening services.