In this task, you are given a summary for US Congressional and California state bill, your task is to generate a Title for this bill. The preferred titles are under forty words and mention the purpose of the bill.

Ex Input:
Preserving Access to Healthcare (PATH) Act of 2008 - Declares that between October 1, 2008, and March 31, 2009, specified regulations regarding the formula for determining the federal rate for inpatient hospital capital-related costs under the Medicare prospective payment system (PPS) shall apply without the mandatory phase out of the indirect medical education adjustment factor.

Directs the Secretary of Health and Human Services to delay for six months following enactment of this Act any implementation of the Medicaid outpatient hospital services regulation proposed on September 28, 2007.

Prohibits the Secretary from phasing out or eliminating the Medicare hospice wage index budget neutrality adjustment factor before April 1, 2009.

Directs the Secretary, acting through the Administrator of the Centers for Medicare and Medicaid Services and upon the request of the state of California, to extend approval, and full federal financial participation, of the state's Medicaid family planning demonstration project until June 30, 2009, under the eligibility requirements and processes that were in place before the project's first extension period.

Directs the Secretary to delay until April 1, 2009, implementation of a proposed rule published on June 27, 2008 (or any similar rule), relating to: (1) decertification of rural health clinics under the Medicare program that are no longer in nonurbanized areas; and (2) changes in the Medicare payment methodology for rural health clinics and federally qualified health centers.

Amends title XIX (Medicaid) of the Social Security Act, with regard to mechanized claims processing and information retrieval systems, to require states to incorporate compatible methodologies of the National Correct Coding Initiative for claims filed after October 1, 2009. Directs the Secretary to identify such methodologies.

Amends title XVIII (Medicare) of the Social Security Act to increase funding for the Medicare Improvement Fund.

Ex Output:
A bill to preserve access to healthcare under the Medicare and Medicaid programs.

Ex Input:
225th Anniversary of the American Revolution Commemoration Act - Directs the Secretary of the Interior to establish a program to be known as the 225th Anniversary of the American Revolution Commemoration Program. Requires the Secretary, in carrying out such Program, to: (1) produce and distribute to the public educational materials relating to the American Revolution, such as handbooks, maps, and interpretive guides; (2) enter into appropriate cooperative agreements and memoranda of understanding to provide technical assistance as specified below to other Federal agencies, States, local governments, private entities, and the governments of the United Kingdom, France, the Netherlands, Spain, and Canada; (3) assist in the protection of resources associated with the American Revolution; (4) enhance communications, connections, and collaboration among the National Park Service (NPS) units and programs relating to the American Revolution; (5) expand the research base for interpretation of and education on the American Revolution; and (6) create and adopt an official symbol or device for the theme "Lighting Freedom's Flame: American Revolution, 225th Anniversary" and promulgate regulations for its use.

Requires that such Program include: (1) all NPS units and programs relevant to the American Revolution; (2) other governmental and nongovernmental sites, facilities that are documented to be directly related to the American Revolution, and educational, research, and interpretive programs relating to the American Revolution; and (3) the participation of the governments of the United Kingdom, France, the Netherlands, Spain, and Canada. Authorizes the Secretary to enter into cooperative agreements and memoranda of understanding to provide technical assistance to the entities specified above, and in cooperation with the Secretary of State, to the governments of the United Kingdom, France, the Netherlands, Spain, and Canada, to achieve the purposes of this Act and to ensure the effective coordination of the Federal and non-Federal components of the Program with NPS units and programs. Authorizes appropriations.

Ex Output:
A bill to establish within the National Park Service the 225th Anniversary of the American Revolution Commemorative Program, and for other purposes.

Ex Input:
Clarifying Commercial Real Estate Loans This bill amends the Federal Deposit Insurance Act to specify that a federal banking agency may not subject a depository institution to higher capital standards with respect to a high-volatility commercial real-estate (HVCRE) exposure unless the exposure is an HVCRE acquisition, development, or construction (ADC) loan. An HVCRE ADC loan is aone that: (1) issecured by land or improved real property; (2) has the purpose of providing financing to acquire, develop, or improve the real property such that the property becomes income-producing; and (3) is dependent upon future income or sales proceeds from, or refinancing of, the real property for the repayment of the loan. An HVCRE ADC loan does not include financing for aone- to four-family residential property, agricultural land, real property that would qualify as an investment in community development,existing income-producing real property secured by a mortgage, or certain commercial real-property projects.Furthermore, such a loan does not include any loan made prior to January 1, 2015. A depository institution may reclassify a loan as a non-HVCRE ADC loan if the depository institution is satisfied that: (1) the acquisition, development, orimprovement of real property being financed by the loan is complete; and (2) the cash flow being generated by the real property is sufficient to support the debt service and expenses of the real property.

Ex Output:
Clarifying Commercial Real Estate Loans