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

[Q]: SECTION 1. DEVELOPMENT OF BEST PRACTICES FOR THE USE OF PRESCRIPTION
OPIOIDS.

(a) Definitions.--In this section--
(1) the term ''Secretary'' means the Secretary of Health
and Human Services; and
(2) the term ''task force'' means the Pain Management Best
Practices Inter-Agency Task Force convened under subsection
(b).
(b) Inter-Agency Task Force.--Not later than December 14, 2018, the
Secretary, in cooperation with the Secretary of Veterans Affairs, the
Secretary of Defense, and the Administrator of the Drug Enforcement
Administration, shall convene a Pain Management Best Practices Inter-
Agency Task Force to review, modify, and update, as appropriate, best
practices for pain management (including chronic and acute pain) and
prescribing pain medication.
(c) Membership.--The task force shall be comprised of--
(1) representatives of--
(A) the Department of Health and Human Services;
(B) the Department of Veterans Affairs;
(C) the Food and Drug Administration;
(D) the Department of Defense;
(E) the Drug Enforcement Administration;
(F) the Centers for Disease Control and Prevention;
(G) the Health Resources and Services
Administration;
(H) the Indian Health Service;
(I) the National Academy of Medicine;
(J) the National Institutes of Health;
(K) the Office of National Drug Control Policy;
(L) the Substance Abuse and Mental Health Services
Administration; and
(M) the Office of Women's Health;
(2) State medical boards;
(3) subject to subsection (e), physicians, dentists, and
nonphysician prescribers;
(4) hospitals;
(5) subject to subsection (e), pharmacists and pharmacies;
(6) first responders;
(7) experts in the fields of pain research and addiction
research;
(8) experts in the fields of adolescent and young adult
addiction research;
(9) representatives of--
(A) pain management professional organizations;
(B) the mental health treatment community;
(C) the addiction treatment and recovery community;
(D) pain advocacy groups;
(E) veteran service organizations; and
(F) groups with expertise on overdose reversal;
(10) a person in recovery from addiction to medication for
chronic pain;
(11) a person in recovery from addiction to medication for
chronic pain, whose addiction began in adolescence or young
adulthood;
(12) a person with chronic pain;
(13) an expert on active duty military, armed forces
personnel, and veteran health and prescription opioid
addiction;
(14) an expert in the field of minority health; and
(15) other stakeholders, as the Secretary determines
appropriate.
(d) Condition on Participation on Task Force.--An individual
representing a profession or entity described in paragraph (3) or (5)
of subsection (c) may not serve as a member of the task force unless
such individual--
(1) is currently licensed in a State in which such
individual is practicing (as defined by such State) such
profession (or, in the case of an individual representing an
entity, a State in which the entity is engaged in business);
and
(2) is currently practicing (as defined by such State) such
profession (or, in the case of an individual representing an
entity, the entity is in operation).
(e) Duties.--The task force shall--
(1) not later than 180 days after the date on which the
task force is convened under subsection (b), review, modify,
and update, as appropriate, best practices for pain management
(including chronic and acute pain) and prescribing pain
medication, taking into consideration--
(A) existing pain management research;
(B) research on trends in areas and communities in
which the prescription opioid abuse rate and fatality
rate exceed the national average prescription opioid
abuse rate and fatality rate;
(C) recommendations from relevant conferences and
existing relevant evidence-based guidelines;
(D) ongoing efforts at the State and local levels
and by medical professional organizations to develop
improved pain management strategies, including
consideration of differences within and between classes
of opioids, the availability of opioids with abuse
deterrent technology, and pharmacological,
nonpharmacological, medical device alternatives to
opioids to reduce opioid monotherapy in appropriate
cases and the coordination of information collected
from State prescription drug monitoring programs for
the purpose of preventing the diversion of pain
medication;
(E) ongoing efforts at the Federal, State, and
local levels to examine the potential benefits of
electronic prescribing of opioids, including any public
comments collected in the course of those efforts;
(F) the management of high-risk populations, other
than populations who suffer pain, who--
(i) may use or be prescribed
benzodiazepines, alcohol, and diverted opioids;
or
(ii) receive opioids in the course of
medical care;
(G) the distinct needs of adolescents and young
adults with respect to pain management, pain
medication, substance use disorder, and medication-
assisted treatment;
(H) the 2016 Guideline for Prescribing Opioids for
Chronic Pain issued by the Centers for Disease Control
and Prevention;
(I) the practice of co-prescribing naloxone for
both pain patients receiving chronic opioid therapy and
patients being treated for opioid use disorders;
(J) research that has been, or is being, conducted
or supported by the Federal Government on prevention
of, treatment for, and recovery from substance use by
and substance use disorders among adolescents and young
adults relative to any unique circumstances (including
social and biological circumstances) of adolescents and
young adults that may make adolescent-specific and
young adult-specific treatment protocols necessary,
including any effects that substance use and substance
use disorders may have on brain development and the
implications for treatment and recovery;
(K) Federal non-research programs and activities
that address prevention of, treatment for, and recovery
from substance use by and substance use disorders among
adolescents and young adults, including an assessment
of the effectiveness of such programs and activities
in--
(i) preventing substance use by and
substance use disorders among adolescents and
young adults;
(ii) treating such adolescents and young
adults in a way that accounts for any unique
circumstances faced by adolescents and young
adults; and
(iii) supporting long-term recovery among
adolescents and young adults; and
(L) gaps that have been identified by Federal
officials and experts in Federal efforts relating to
prevention of, treatment for, and recovery from
substance use by and substance use disorders among
adolescents and young adults, including gaps in
research, data collection, and measures to evaluate the
effectiveness of Federal efforts, and the reasons for
such gaps;
(2) solicit and take into consideration public comment on
the practices developed under paragraph (1), amending such best
practices if appropriate;
(3) develop a strategy for disseminating information about
the best practices developed under paragraphs (1) and (2) to
prescribers, pharmacists, State medical boards, educational
institutions that educate prescribers and pharmacists, and
other parties, as the Secretary determines appropriate;
(4) review, modify, and update best practices for pain
management and prescribing pain medication, specifically as it
pertains to physician education and consumer education; and
(5) examine and identify--
(A) the extent of the need for the development of
new pharmacological, nonpharmacological, and medical
device alternatives to opioids;
(B) the current status of research efforts to
develop such alternatives; and
(C) the pharmacological, nonpharmacological, and
medical device alternatives to opioids that are
currently available that could be better utilized.
(f) Consideration of Study Results.--In reviewing, modifying, and
updating, best practices for pain management and prescribing pain
medication, the task force shall take into consideration existing
private sector, State, and local government efforts related to pain
management and prescribing pain medication.
(g) Limitation.--The task force shall not have rulemaking
authority.
(h) Report.--Not later than 270 days after the date on which the
task force is convened under subsection (b), the task force shall
submit to Congress a report that includes--
(1) the strategy for disseminating best practices for pain
management (including chronic and acute pain) and prescribing
pain medication, as developed under subsection (e);
(2) the results of a feasibility study on linking the best
practices described in paragraph (1) to receiving and renewing
registrations under section 303(f) of the Controlled Substances
Act (21 U.S.C. 823(f));
(3) recommendations for effectively applying the best
practices described in paragraph (1) to improve prescribing
practices at medical facilities, including medical facilities
of the Veterans Health Administration and Indian Health
Service;
(4) the modified and updated best practices described in
subsection (e)(4); and
(5) the results of the examination and identification
conducted pursuant to subsection (e)(4), and recommendations
regarding--
(A) the development of new pharmacological,
nonpharmacological, and medical device alternatives to
opioids; and
(B) the improved utilization of pharmacological,
nonpharmacological, and medical device alternatives to
opioids that are currently available.

Passed the House of Representatives May 11, 2016.

Attest:

KAREN L. HAAS,

Clerk.
[A]: (Sec. 1) This bill requires the Department of Health and Human Services to convene a Pain Management Best Practices Inter-Agency Task Force to: (1) review, modify, and update best practices for pain management and prescribing pain medication; and (2) examine and identify the need for, development of, and availability of medical alternatives to opioids (drugs with effects similar to opium, such as certain pain medications). The task force must submit a report that includes: (1) the modified and updated best practices; (2) a strategy for disseminating the best practices; (3) the feasibility of linking the best practices to Drug Enforcement Administration registration of manufacturers, distributors, and dispensers of controlled substances; (4) recommendations for effectively applying the best practices at medical facilities; and (5) recommendations regarding medical alternatives to opioids.

[Q]: SECTION 1. ESTABLISHMENT OF NEW FASHION MODEL NONIMMIGRANT
CLASSIFICATION.

(a) In General.--
(1) New classification.--Section 101(a)(15)(P) of the
Immigration and Nationality Act (8 U.S.C. 1101(a)(15)(P)) is
amended--
(A) in clause (iii), by striking ''or'' at the end;
(B) in clause (iv), by striking ''clause (i), (ii),
or (iii)'' and inserting ''clause (i), (ii), (iii), or
(iv)'';
(C) by redesignating clause (iv) as clause (v); and
(D) by inserting after clause (iii) the following:
''(iv) is a fashion model who is of distinguished
merit and ability and who is seeking to enter the
United States temporarily to perform fashion modeling
services that involve events or productions which have
a distinguished reputation or that are performed for an
organization or establishment that has a distinguished
reputation for, or a record of, utilizing prominent
modeling talent; or''.
(2) Authorized period of stay.--Section 214(a)(2)(B) of the
Immigration and Nationality Act (8 U.S.C. 1184(a)(2)(B)) is
amended in the second sentence--
(A) by inserting ''or fashion models'' after
''athletes''; and
(B) by inserting ''or fashion model'' after
''athlete''.
(3) Numerical limitation.--Section 214(c)(4) of the
Immigration and Nationality Act (8 U.S.C. 1184(c)(4)) is
amended by adding at the end the following:
''(I)(i) The total number of aliens who may be issued visas or
otherwise provided nonimmigrant status during any fiscal year under
section 101(a)(15)(P)(iv) may not exceed 1,000.
''(ii) The numerical limitation established by clause (i) shall
only apply to principal aliens and not to the spouses or children of
such aliens.
''(iii) An alien who has already been counted toward the limitation
established by clause (i) shall not be counted again during the same
period of stay or authorized extension under subsection (a)(2)(B),
irrespective of whether there is a change in petitioner under
subparagraph (C).''.
(4) Consultation.--
(A) In general.--Section 214(c)(4)(D) of the
Immigration and Nationality Act (8 U.S.C.
1184(c)(4)(D)) is amended by striking ''clause (i) or
(iii)'' and inserting ''clause (i), (iii), or (iv)''.
(B) Advisory opinion.--Section 214(c)(6)(A)(iii) of
the Immigration and Nationality Act (8 U.S.C.
1184(c)(6)(A)(iii)) is amended--
(i) by striking ''section 101(a)(15)(P)(i)
or 101(a)(15)(P)(iii),'' and inserting ''clause
(i), (iii), or (iv) of section
101(a)(15)(P),''; and
(ii) by striking ''of athletics or
entertainment''.
(C) Expedited procedures.--Section 214(c)(6)(E)(i)
of the Immigration and Nationality Act (8 U.S.C.
1184(c)(6)(E)(i)) is amended by striking ''artists or
entertainers'' and inserting ''artists, entertainers,
or fashion models''.
(b) Elimination of H-1B Classification for Fashion Models.--Section
101(a)(15)(H)(i)(b) of the Immigration and Nationality Act (8 U.S.C.
1101(a)(15)(H)(i)(b)) is amended--
(1) by striking ''or as a fashion model''; and
(2) by striking ''or, in the case of a fashion model, is of
distinguished merit and ability''.
(c) Effective Date and Implementation.--
(1) In general.--The amendments made by this section shall
take effect on the date of the enactment of this Act.
(2) Regulations, guidelines, and precedents.--The
regulations, guidelines and precedents in effect on the date of
the enactment of this Act for the adjudication of petitions for
fashion models under section 101(a)(15)(H)(i)(b) of the
Immigration and Nationality Act (8 U.S.C.
1101(a)(15)(H)(i)(b)), shall be applied to petitions for
fashion models under section 101(a)(15)(P)(iv) of the
Immigration and Nationality Act (8 U.S.C. 1101(a)(15)(P)(iv)),
as added by this Act, except to the extent modified by the
Secretary of Homeland Security through final regulations (not
through interim regulations) promulgated in accordance with
subchapter II of chapter 5, and chapter 7, of title 5, United
States Code (commonly known as the ''Administrative Procedure
Act'').
(3) Construction.--Nothing in this section shall be
construed as preventing an alien who is a fashion model from
obtaining nonimmigrant status under section 101(a)(15)(O)(i) of
the Immigration and Nationality Act (8 U.S.C.
1101(a)(15)(O)(i)) if such alien is otherwise qualified for
such status.
(4) Treatment of pending petitions.--Petitions filed on
behalf of fashion models under section 101(a)(15)(H)(i)(b) of
the Immigration and Nationality Act (8 U.S.C.
1101(a)(15)(H)(i)(b)) that are pending on the date of the
enactment of this Act shall be treated as if they had been
filed under section 101(a)(15)(P)(iv) of the Immigration and
Nationality Act (8 U.S.C. 1101(a)(15)(P)(iv)), as added by this
Act.
[A]: Amends the Immigration and Nationality Act to replace the current nonimmigrant (H-1B) visa category for fashion models with a new (P-4) visa category.

Defines such category as a fashion model who is of distinguished merit and ability and who is seeking to enter the United States temporarily to perform fashion modeling services that involve events or productions which have a distinguished reputation or that are performed for an organization or establishment that has a distinguished reputation for, or a record of, utilizing prominent modeling talent.

Provides that such entrants may not: (1) exceed 1,000 in any fiscal year, not including accompanying spouses or children; and (2) stay in the United States for more than 10 years (initial five-year period with one five-year extension).

Makes an employer petition for such alien models eligible for expedited consultation procedures.

States that applicable H-1B regulations, guidelines, and precedents in effect on the date of the enactment of this Act for the adjudication of fashion model petitions shall be applied to P-4 petitions, except to the extent modified by the Secretary of Homeland Security.

[Q]: SECTION 1. SHORT TITLE.

This Act may be cited as the ''Tribal Gaming Eligibility Act''.

SEC. 2. GAMING ON LAND ACQUIRED AFTER OCTOBER 17, 1988.

Section 20 of the Indian Gaming Regulatory Act (25 U.S.C. 2719) is
amended--
(1) by striking the section designation and heading and all
that follows through ''(a) Except'' and inserting the
following:

''SEC. 20. GAMING ON LAND ACQUIRED AFTER OCTOBER 17, 1988.

''(a) In General.--Except''; and
(2) in subsection (b)--
(A) in paragraph (1)(B), in the matter preceding
clause (i), by inserting ''subject to paragraph (2),''
before ''lands are taken'';
(B) by redesignating paragraphs (2) and (3) as
paragraphs (3) and (4), respectively;
(C) by inserting after paragraph (1) the following:
''(2) Applicability to certain land.--
''(A) In general.--Except as provided in
subparagraph (D), effective beginning on the date of
enactment of the Tribal Gaming Eligibility Act, in
addition to any other requirements under applicable
Federal law, gaming conducted pursuant to an exception
under paragraph (1)(B) shall not be conducted on land
taken into trust after October 17, 1988, by the United
States for the benefit of an Indian tribe unless the
Secretary determines, on the date the land is taken
into trust, that the Indian tribe--
''(i) has received a written determination
by the Secretary that the land is eligible to
be used for gaming under this section; and
''(ii) demonstrates--
''(I) in accordance with
subparagraph (B), a substantial,
direct, modern connection to the land
taken into trust, as of October 17,
1988; and
''(II) in accordance with
subparagraph (C), a substantial,
direct, aboriginal connection to the
land taken into trust.
''(B) Substantial, direct, modern connection.--In
making a determination under subparagraph (A)(ii)(I)
that an Indian tribe demonstrates a substantial,
direct, modern connection to land taken into trust as
of October 17, 1988, the Secretary shall certify that--
''(i) if the Indian tribe has a
reservation--
''(I) the land is located within a
25-mile radius of the tribal
headquarters or other tribal
governmental facilities of the Indian
tribe on the reservation;
''(II) the Indian tribe has
demonstrated a temporal connection to,
or routine presence on, the land during
the period beginning on October 17,
1988, and ending on the date of the
certification; and
''(III) the Indian tribe has not
been recognized or restored to Federal
recognition status during the 5-year
period preceding the date of the
certification; or
''(ii) if the Indian tribe does not have a
reservation--
''(I) the land is located within a
25-mile radius of an area in which a
significant number of members of the
Indian tribe reside;
''(II) the Indian tribe has
demonstrated a temporal connection to,
or routine presence on, the land during
the period beginning on October 17,
1988, and ending on the date of the
certification; and
''(III)(aa) the land was included
in the first-submitted request of the
Indian tribe for newly acquired land
since the date on which the Indian
tribe was recognized or restored to
Federal recognition; or
''(bb)(AA) the application to take
the land into trust was received by the
Secretary during the 5-year period
beginning on the date on which the
Indian tribe was recognized or restored
to Federal recognition; and
''(BB) the Indian tribe is not
conducting any gaming activity on any
other land.
''(C) Substantial, direct, aboriginal connection.--
In making a determination under subparagraph
(A)(ii)(II) that an Indian tribe demonstrates a
substantial, direct, aboriginal connection to land, the
Secretary shall take into consideration some or all of
the following factors:
''(i) The historical presence of the Indian
tribe on the land, including any land to which
the Indian tribe was relocated pursuant to the
forcible removal of tribal members from land as
a result of acts of violence, an Act of
Congress, a Federal or State administrative
action, or a judicial order.
''(ii) Whether the membership of the tribe
can demonstrate lineal descendent or cultural
affiliation, in accordance with section 10.14
of title 43, Code of Federal Regulations (or a
successor regulation).
''(iii) The area in which the unique
language of the Indian tribe has been used.
''(iv) The proximity of the land to
culturally significant sites of the Indian
tribe.
''(v) The forcible removal of tribal
members from land as a result of acts of
violence, an Act of Congress, a Federal or
State administrative action, or a judicial
order.
''(vi) Other factors that demonstrate a
temporal presence of the Indian tribe on the
land prior to the first interactions of the
Indian tribe with nonnative individuals, the
Federal Government, or any other sovereign
entity.
''(D) Exceptions.--
''(i) In general.--Subparagraphs (A)
through (C) shall not apply--
''(I) to any land on which gaming
regulated by this Act will not take
place;
''(II) to any land located within,
or contiguous to, the boundaries of the
reservation of an Indian tribe, as of
October 17, 1988;
''(III) if--
''(aa) the relevant Indian
tribe did not have a
reservation on October 17,
1988; and
''(bb) the land is
located--

''(AA) in the State
of Oklahoma and within
the boundaries of the
former reservation of
the Indian tribe, as
defined by the
Secretary, or
contiguous to other
land held in trust or
restricted status by
the United States for
the Indian tribe in the
State of Oklahoma; or

''(BB) in a State
other than Oklahoma and
within the last
recognized reservation
of the Indian tribe in
any State in which the
Indian tribe is
presently located; or

''(IV) if the relevant Indian tribe
has--
''(aa) taken land into
trust during the period
beginning on October 17, 1988,
and ending on the date of
enactment of the Tribal Gaming
Eligibility Act; and
''(bb) has received a
written determination by the
Secretary that the land is
eligible to be used for gaming
under this section.
''(ii) Certain decisions.--
''(I) In general.--Subject to
subclause (II), subparagraphs (A)
through (C) shall not apply to a final
agency decision issued before the date
of enactment of the Tribal Gaming
Eligibility Act.
''(II) Pending applications.--
Subparagraphs (A) through (C) shall
apply to an application that is
pending, but for which a final agency
decision has not been made, as of the
date of enactment of the Tribal Gaming
Eligibility Act.
''(E) Administration.--An action under this
paragraph shall be considered a final administrative
action for purposes of subchapter II of chapter 5, and
chapter 7, of title 5, United States Code (commonly
known as the 'Administrative Procedure Act').''; and
(D) in paragraph (4) (as redesignated by
subparagraph (B)), by striking ''paragraph (2)(B)'' and
inserting ''paragraph (3)(B),''.
[A]:
Tribal Gaming Eligibility Act - Amends the Indian Gaming Regulatory Act to place restrictions on the conduct of gaming on lands taken into trust for an Indian tribe after October 17, 1988, as part of the settlement of a land claim, initial reservation of a newly recognized tribe, or restoration of lands for a tribe that has its federal recognition restored.

Prohibits gaming on such lands, with specified exceptions, unless the Secretary of the Interior determines that the land is eligible for gaming and the tribe demonstrates: (1) a substantial, direct, modern connection to the land as of October 17, 1988; and (2) a substantial, direct, aboriginal connection to the land. (The Secretary and the state in which the gaming is proposed can still allow gaming on lands acquired for a tribe after October 17, 1988, if they concur that it is in the best interest of the tribe and its members.)