instruction:
In this task, you are given text for US Congressional and California state bills, your task is to generate a summary for this bill.
question:
SECTION 1. SHORT TITLE.

This Act may be cited as the ''Adult Day Center Enhancement Act''.

SEC. 2. FINDINGS.

The Congress finds the following:
(1) One in 6 people in the United States lives with a
neurological disease or condition that can often result in
disability, and which may require the individual to seek
assistance in carrying out the activities of daily living.
Neurological diseases or conditions such as multiple sclerosis
(MS), early-onset Parkinson's disease, and traumatic brain
injury (TBI) can also typically affect younger adults in the
middle of their lives.
(2) Multiple sclerosis is a chronic, often disabling
disease that attacks the central nervous system with symptoms
ranging from numbness in limbs to paralysis and loss of vision.
Most people with MS are diagnosed between the ages of 20 and 50
years of age. MS is a leading cause of disability in young
adults. Persons living with MS who experience more severe forms
of the disease are likely to require either home care or
nursing home placement, though the vast majority would prefer
to remain at home to receive the care they need. Where home
care is concerned, approximately 80 percent of such care is
provided by unpaid caregivers who are generally family members.
(3) Parkinson's disease is a chronic, progressive
neurological disease. The four primary symptoms of Parkinson's
disease are tremor, or trembling in hands, arms, legs, jaw, and
face; rigidity, or stiffness of the limbs and trunk;
bradykinesia, or slowness of movement; and postural
instability, or impaired balance and coordination. Other
symptoms may include cognitive changes; difficulty in
swallowing, chewing, and speaking; urinary problems or
constipation; skin problems; and sleep disruptions. As these
symptoms become more pronounced, patients may have difficulty
walking, talking, or completing other simple tasks. It is
estimated that nearly 500,000 to 1,500,000 people live with
Parkinson's and of those 5 to 10 percent are diagnosed younger
than 60 and deemed ''early-onset''.
(4) Traumatic brain injury is a neurological condition that
typically results from a blow or jolt to the head or a
penetrating head injury and that can impact one or more parts
of the brain, thereby temporarily or permanently disrupting
normal brain function. The Centers for Disease Control and
Prevention estimates that 1,700,000 TBIs occur annually,
resulting in disabilities affecting up to 90,000 people among a
broad range of age groups. Traumatic brain injury is also a
serious issue that affects military servicemembers. Estimates
in prior military conflicts indicate that TBI was present in
14-20 percent of surviving casualties.
(5) Family caregivers are a crucial source of support and
assistance for individuals suffering with disabilities. Family
caregivers, the majority of whom are women, provide an
estimated $470,000,000,000 in ''free'' services annually. The
supply of family caregivers is unlikely to keep pace with
future demand. The caregiver support ratio of potential
caregivers aged 45 to 64 for each person aged 80 and older, for
instance, is 7 to 1 in 2010, 4 to 1 in 2030, and 3 to 1 in
2050.
(6) The majority of family caregivers (or 53 percent) are
caring for someone ages 18 to 74. Forty-seven percent of family
caregivers are caring for someone 75 or older.
(7) Adult day programs can offer services, including
medical care, rehabilitation therapies, dignified assistance
with the activities of daily living, nutrition therapy, health
monitoring, social interaction, stimulating activities, and
transportation to seniors, people with disabilities, and
younger adults with chronic diseases.
(8) Adult day programs geared toward people living with
neurological diseases or conditions such as MS, Parkinson's
disease, TBI, or other similar diseases or conditions provide
an important response to the needs of people living with these
conditions and their family caregivers. Adult day programs can
help to ameliorate symptoms, reduce dependency, provide
important socialization opportunities, and maintain quality of
life.
(9) Adult day programs have been shown to provide a range
of documented benefits including improvements in functional
status, social support, and reductions in fatigue, depression
and pain. Adult day programs also reduce ongoing medical care
and hospital costs and decrease admissions to nursing home
facilities, which can be costly for many families, by allowing
individuals to receive health and social services while
continuing to live at home.
(10) There are currently few adult day programs focused on
younger adult populations in the United States. Although young
people living with neurological diseases or conditions may be
able to access existing adult day programs, such programs are
not typically intended for younger adults living with chronic
diseases or conditions, and may not provide the appropriate
services to meet the age-related or disability status of these
individuals.

SEC. 3. ESTABLISHMENT OF ADULT DAY PROGRAMS.

(a) Survey of Existing Adult Day Programs.--
(1) In general.--Not later than 90 days after the date of
the enactment of this section, the Assistant Secretary for
Aging shall initiate a comprehensive survey of current adult
day programs that provide care and support to individuals
including young adults living with neurological diseases or
conditions such as multiple sclerosis, Parkinson's disease,
traumatic brain injury, or any similar disease or condition.
(2) Survey elements.--In carrying out the survey under
paragraph (1), the Assistant Secretary for Aging may utilize
existing publicly available research on adult day programs, and
shall--
(A) identify ongoing successful adult day programs,
including by providing a brief description of how such
programs were initially established and funded;
(B) identify which adult day programs are serving
young adults living with neurological diseases or
conditions;
(C) develop a set of best practices to help guide
the establishment and replication of additional
successful adult day programs, including--
(i) program guidelines;
(ii) recommendations on the scope of
services that should be provided to individuals
with neurological diseases or conditions
including young adults (which may include
rehabilitation therapy, psychosocial support,
social stimulation and interaction, and
spiritual, educational, or other such
services); and
(iii) performance goals and indicators to
measure and analyze the outcomes generated by
the services provided and to evaluate the
overall success of the program; and
(D) evaluate the extent to which the Administration
for Community Living supports adult day programs,
either directly or indirectly, through current Federal
grant programs.
(3) Report.--Not later than 180 days after initiating the
survey under paragraph (1), the Assistant Secretary for Aging
shall produce and make publicly available a summary report on
the results of the survey. Such report shall include each of
the elements described in paragraph (2).
(b) Establishment of Grant Program.--
(1) In general.--Not later than 90 days after producing the
report required by subsection (a)(3), the Assistant Secretary
for Aging shall establish within the Administration for
Community Living a competitive grant program for awarding
grants annually to eligible entities, based on the best
practices developed under subsection (a), to fund adult day
programs serving younger people with neurological diseases or
conditions.
(2) Eligible entities.--In order to be eligible for a grant
under this subsection, an entity shall demonstrate the
following:
(A) Understanding of the special needs of younger
people living with neurological diseases or conditions
such as multiple sclerosis, Parkinson's disease,
traumatic brain injury, or other similar diseases or
conditions, including their functional abilities and
the potential complications across all types of cases
and stages of such diseases or conditions.
(B) Understanding of the issues experienced by
family caregivers who assist a family member with
neurological diseases or conditions such as multiple
sclerosis, Parkinson's disease, traumatic brain injury,
or other similar diseases or conditions.
(C) A capacity to provide the services recommended
by the best practices developed under subsection (a).
(3) Additional selection requirement.--The Assistant
Secretary for Aging shall not award a grant to an entity under
this subsection if the amount of the award would constitute
more than 40 percent of the operating budget of the entity in
the fiscal year for which funds for the grant are authorized to
be expended. For purposes of this subsection, the fair market
value of annual in-kind contributions of equipment or services
shall be considered as part of the operating budget of the
entity.
(4) Selection of grant recipients.--Not later than 90 days
after establishing the grant program under this subsection, the
Assistant Secretary for Aging shall award the first annual
series of grants under the program. In awarding grants under
this subsection, the Assistant Secretary should ensure, to the
extent practicable, a diverse geographic representation among
grant recipients and that, subject to the availability of
appropriations--
(A) a minimum of 5 entities are selected as grant
recipients for the first fiscal year for which such
grants are awarded;
(B) a minimum of 10 entities are selected as grant
recipients for the second such fiscal year;
(C) a minimum of 12 entities are selected as grant
recipients for the third such fiscal year; and
(D) a minimum of 15 entities are selected as grant
recipients for the fourth such fiscal year.
(5) Report.--No later than 1 year after the initial award
of grants under this subsection, and annually thereafter, the
Assistant Secretary for Aging shall produce and make publicly
available a brief summary report on the grant program under
this section. Each such report shall include the following:
(A) A description of the adult day programs
receiving funding under this section, including the
amount of Federal funding awarded and the expected
outcomes of each program.
(B) A description of performance goals and
indicators to monitor the progress of grant recipients
in--
(i) responding to the needs of younger
individuals living with neurological diseases
or conditions such as multiple sclerosis,
Parkinson's disease, traumatic brain injury, or
other similar diseases or conditions; and
(ii) assisting the family caregivers of
such individuals.
(C) Any plans for improving oversight and
management of the grant program.
(c) Definitions.--In this Act:
(1) The term ''adult day program'' means a program that
provides comprehensive and effective care and support services
to individuals living with neurological diseases or conditions
such as multiple sclerosis, Parkinson's disease, traumatic
brain injury, or other similar diseases or conditions that may
result in a functional or degenerative disability and to their
family caregivers and that may assist participants in ways
that--
(A) maintain or improve their functional abilities,
or otherwise help them adjust to their changing
functional abilities;
(B) prevent the onset of complications associated
with severe forms of the disease or condition;
(C) promote alternatives to placement in nursing
homes;
(D) reduce the strain on family caregivers taking
care of a family member living with such diseases or
conditions;
(E) focus on supporting the emotional, social, and
intellectual needs of a younger adult population; or
(F) address the needs of veterans living with such
diseases or conditions.
(2) The term ''family caregiver'' means a family member or
foster parent who provides unpaid assistance (which may include
in-home monitoring, management, supervision, care and
treatment, or other similar assistance) to another adult family
member with a special need.
(d) Authorization of Appropriations.--To carry out this section, in
addition to amounts otherwise made available for such purpose, there
are authorized to be appropriated, and to remain available until
expended, the following:
(1) $1,000,000 for fiscal year 2017.
(2) $3,000,000 for fiscal year 2018.
(3) $6,000,000 for fiscal year 2019.
(4) $8,000,000 for fiscal year 2020.
(5) $10,000,000 for fiscal year 2021.
answer:
Adult Day Center Enhancement Act This bill requires the Administration on Aging (AOA) to initiate a comprehensive survey of current adult day programs that provide care and support to individuals with neurological diseases or conditions such as multiple sclerosis, Parkinson's disease, or traumatic brain injury. The AOA must identify ongoing successful adult day programs and which of these serve young adults with neurological conditions and develop best practices to guide the establishment of additional successful adult day programs. The AOA must award grants for adult day programs that serve younger people with neurological conditions. An "adult day program" is defined as a program that provides comprehensive care and support services to individuals with neurological conditions and to their family caregivers and that may assist participants in ways that: maintain or improve their functional abilities or otherwise help them adjust to their changing functional abilities; prevent the onset of complications associated with severe forms of the condition; promote alternatives to placement in nursing homes; reduce the strain on family caregivers of individuals with neurological conditions; focus on supporting the emotional, social, and intellectual needs of a younger adult population; or address the needs of veterans with neurological conditions.

question:
SECTION 1. SHORT TITLE.

This Act may be cited as the ''Native American Education
Opportunity Act''.

SEC. 2. NATIVE AMERICAN EDUCATION OPPORTUNITY PROGRAM.

(a) In General.--Part B of title XI of the Education Amendments of
1978 (25 U.S.C. 2000 et seq.) is amended--
(1) by redesignating section 1141 as section 1142; and
(2) by inserting after section 1140 the following:

''SEC. 1141. BUREAU FUNDING OF TRIBAL-BASED EDUCATION SAVINGS ACCOUNT
PROGRAMS.

''(a) Program Authorized.--
''(1) Bureau disbursements.--At the request of Tribes, the
Secretary of the Interior shall, for the 2018-2019 school year
and each subsequent school year, disburse not more than 90
percent of the amounts made available under sections 1127 and
1130 for the school year to such Tribes that administer
education savings account programs to enable the Tribes to
award grants to education savings accounts for ESA eligible
students for such school year, in accordance with subsection
(b).
''(2) Applicability.--This section shall apply with respect
to ESA eligible students who have submitted their application
for participation under this section to the Tribe of which the
student is an enrolled member on or after January 1, 2018.
''(3) Account administration.--
''(A) In general.--A Tribe may enter into an
agreement with a nonprofit entity for the
administration of the accounts created through the
Tribe's education savings account program.
''(B) Nonprofit entity defined.--In this paragraph,
the term 'nonprofit entity' means an entity that is
described in section 501(c)(3) of the Internal Revenue
Code of 1986 and is exempt from taxation under section
501(a) of such Code.
''(4) Use of funds.--Funds disbursed to a Tribe under this
section may be used for--
''(A) private school tuition and fees;
''(B) textbooks, curriculum, and instructional
materials;
''(C) academic, Native language, or cultural
tutoring;
''(D) educational services and therapies for
students with special needs;
''(E) tuition and fees for a non-public online
learning program;
''(F) educational technology;
''(G) examination fees; or
''(H) transportation to and from a school not to
exceed $2,000 per year, per ESA eligible student.
''(b) Disbursements.--
''(1) Amount.--The amount disbursed by the Secretary of the
Interior under subsection (a) to a Tribe shall be, with respect
to each ESA eligible student for which the Tribe awards a grant
under this section for a school year, the lesser of--
''(A) the amount of the grant provided by the Tribe
to the education savings account of the ESA eligible
student for the applicable school year; and
''(B) 90 percent of the amount that the Secretary
would provide to a Bureau-funded school on behalf of
such student for the applicable school year under
sections 1127 and 1130.
''(2) Quarterly disbursements.--A Tribe that receives a
disbursement amount under subsection (a) shall make quarterly
grant distributions of such amount to education savings
accounts for ESA eligible students.
''(3) Limitation.--A Tribe shall allocate not more than 15
percent of the amount received per pupil under this section to
the administration of the education savings account programs of
the Tribe.
''(4) Roll over and remaining funds in an account.--Not
more than 50 percent of an ESA eligible student's total grant
amount for a school year made under this section may roll over
for use to the following school year.
''(c) Effect on Allotments.--For purposes of any calculation
regarding the total number of eligible Indian students under section
1127, the Secretary shall include all ESA eligible students who
participate in an education savings account program under this section.
''(d) Rule of Construction.--A grant awarded to an ESA eligible
student under this section shall be considered assistance to the
student and shall not be considered assistance to a school that enrolls
the ESA eligible student or any other educational service provider from
which the ESA eligible student receives services.
''(e) Definitions.--In this section:
''(1) ESA eligible student.--
''(A) In general.--The term 'ESA eligible student'
means an individual who--
''(i) is--
''(I) an elementary school or
secondary school student who attended a
Bureau-funded school in the semester
preceding the date on which the student
first applies for participation in an
education savings account program; or
''(II) a child who will be eligible
to attend a Bureau-funded school for
kindergarten or any other elementary
school grade in the next semester that
will start after the date on which the
student first applies for participation
in an education savings account
program;
''(ii) will not be attending a Bureau-
funded school, receiving an education savings
account from another Tribe, or attending a
public elementary school or secondary school,
while the student is participating in an
education savings account program of a Tribe;
and
''(iii) meets any eligibility requirements
of the education savings account program of the
Tribe in which the student applies to
participate.
''(B) Period of eligibility.--A student who meets
the requirements of clauses (i) and (iii) of
subparagraph (A) for a school year and who was an
enrolled member of the Tribe to which the student
submitted an application for participation in the
education savings account program of the Tribe at the
time of submitting the application to the Tribe shall
be deemed to meet the requirements of such clauses
until the date on which the student graduates high
school or reaches the age of 21 years, whichever occurs
first.
''(2) Education savings account program.--The term
'education savings account program' means a program
administered by a Tribe in which the Tribe awards a grant to an
account controlled by a parent of an elementary school or
secondary school student from which the parent may purchase
goods and services needed for the education of the student.
''(3) Parent.--The term 'parent' means a parent, guardian,
custodian, or other person with the authority to act on behalf
of an ESA eligible student.
''(4) Tribe.--The term 'Tribe' means any recognized Indian
tribe included on the current list published by the Secretary
of the Interior under section 104 of the Federally Recognized
Indian Tribe Act of 1994 (25 U.S.C. 5131).''.
(b) Conforming Amendment.--Section 1126(c) of the Education
Amendments of 1978 (25 U.S.C. 2006(c)) is amended by striking ''section
1141(12)'' and inserting ''section 1142(12)''.
(c) GAO Study.--Not later than 3 years after the date of enactment
of this Act, the Comptroller General of the United States shall--
(1) conduct a review of the implementation of the
amendments made by this Act during the preceding 3-year period,
including any factors impacting increased participation in
education savings account programs established pursuant to the
amendments made by this Act;
(2) submit a report describing the results of the review
under paragraph (1) to--
(A) the Committee on Indian Affairs of the Senate;
and
(B) the Subcommittee on Indian, Insular and Alaska
Native Affairs of the Committee on Natural Resources of
the House of Representatives; and
(3) publish the report under paragraph (2).
answer:
Native American Education Opportunity Act This bill amends the Education Amendments of 1978 to require the Bureau of Indian Affairs (BIA), at the request of a federally recognized Indian tribe, to provide funds for tribal education savings account programs to make grants to education savings accounts for students who: (1)attended or will be eligible to attend a BIA-funded school; (2) will not be attending a BIA-funded school, receiving an education savings account from another tribe, or attending public elementary or secondary school while participating in the program; and (3) meet program eligibility requirements. Funds may be used for: private school tuition and fees; textbooks, curriculum, and instructional materials; academic, Native language, or cultural tutoring; educational services and therapies for students with special needs; tuition and fees for a private online learning program; educational technology; examination fees; or transportation to and from school. Three years after this bill's enactment, the Government Accountability Office must review the implementation of the bill, including any factors impacting increased participation in education savings account programs.

question:
SECTION 1. SHORT TITLE.

This Act may be cited as the ''NICS Reporting Improvement Act of
2013''.

SEC. 2. DEFINITIONS RELATING TO MENTAL HEALTH.

(a) Title 18 Definitions.--Chapter 44 of title 18, United States
Code, is amended--
(1) in section 921(a), by adding at the end the following:
''(36)(A) Subject to subparagraph (B), the term 'has been
adjudicated mentally incompetent or has been committed to a psychiatric
hospital', with respect to a person--
''(i) means the person is the subject of an order or
finding by a judicial officer, court, board, commission, or
other adjudicative body--
''(I) that was issued after a hearing--
''(aa) of which the person received actual
notice; and
''(bb) at which the person had an
opportunity to participate with counsel; and
''(II) that found that the person, as a result of
marked subnormal intelligence, mental impairment, or
mental illness--
''(aa) was an imminent danger to himself or
to others;
''(bb) was guilty but mentally ill in a
criminal case;
''(cc) was not guilty in a criminal case by
reason of insanity or mental disease or defect;
''(dd) was incompetent to stand trial in a
criminal case;
''(ee) was not guilty only by reason of
lack of mental responsibility under section
850a of title 10 (article 50a of the Uniform
Code of Military Justice);
''(ff) required involuntary inpatient
treatment by a psychiatric hospital;
''(gg) required involuntary outpatient
treatment by a psychiatric hospital based on a
finding that the person is an imminent danger
to himself or to others; or
''(hh) required involuntary commitment to a
psychiatric hospital for any reason, including
drug use; and
''(ii) does not include--
''(I) a person who is in a psychiatric hospital for
observation; or
''(II) a voluntary admission to a psychiatric
hospital.
''(B) In this paragraph, the term 'order or finding' does not
include--
''(i) an order or finding that--
''(I) has expired or has been set aside or
expunged; or
''(II) requires treatment, supervision, or
monitoring of a person, from which treatment,
supervision, or monitoring the person has been fully
released or discharged;
''(ii) an order or finding that is no longer applicable
because a judicial officer, court, board, commission, or other
adjudicative body has found that the person who is the subject
of the order or finding--
''(I) does not present a danger to himself or to
others;
''(II) has been restored to sanity or cured of
mental disease or defect;
''(III) has been restored to competency; or
''(IV) no longer requires involuntary inpatient or
outpatient treatment by, or involuntary commitment to,
a psychiatric hospital; or
''(iii) an order or finding with respect to which the
person who is subject to the order or finding has been found to
be rehabilitated or has been granted relief from disabilities
through any procedure available under the law of the
jurisdiction in which the order or finding was issued.
''(37) The term 'psychiatric hospital' includes a mental health
facility, a mental hospital, a sanitarium, a psychiatric facility, and
any other facility that provides diagnoses by licensed professionals of
mental retardation or mental illness, including a psychiatric ward in a
general hospital.''; and
(2) in section 922--
(A) in subsection (d)(4)--
(i) by striking ''as a mental defective''
and inserting ''mentally incompetent''; and
(ii) by striking ''any mental institution''
and inserting ''a psychiatric hospital''; and
(B) in subsection (g)(4)--
(i) by striking ''as a mental defective or
who has'' and inserting ''mentally incompetent
or has''; and
(ii) by striking ''mental institution'' and
inserting ''psychiatric hospital''.
(b) Technical and Conforming Amendment.--The NICS Improvement
Amendments Act of 2007 (18 U.S.C. 922 note) is amended--
(1) by striking ''as a mental defective'' each place that
term appears and inserting ''mentally incompetent'';
(2) by striking ''mental institution'' each place that term
appears and inserting ''psychiatric hospital''; and
(3) in section 102(c)(3)--
(A) in the paragraph heading, by striking ''as a
mental defective or committed to a mental institution''
and inserting ''mentally incompetent or committed to a
psychiatric hospital''; and
(B) by striking ''mental institutions'' and
inserting ''psychiatric hospitals''.
answer:
NICS Reporting Improvement Act of 2013 - Amends federal firearms provisions to define a person who has been adjudicated mentally incompetent or who has been committed to a psychiatric hospital as a person who is the subject of an order or finding issued by a court, board, commission, or other adjudicative body (after a hearing of which the person received actual notice and at which the person had an opportunity to participate with counsel) that found that the person, as a result of marked subnormal intelligence, mental impairment, or mental illness: (1) was an imminent danger to himself or others, (2) was guilty but mentally ill in a criminal case, (3) was not guilty in a criminal case by reason of insanity or mental disease or defect, (4) was incompetent to stand trial in a criminal case, (5) was not guilty only by reason of lack of mental responsibility under the Uniform Code of Military Justice, (6) required involuntary inpatient treatment by a psychiatric hospital, (7) required involuntary outpatient treatment by a psychiatric hospital based on a finding that the person was an imminent danger to himself or others, or (8) required involuntary commitment to a psychiatric hospital for any reason, including drug use. Excludes: (1) a person who is in a psychiatric hospital for observation or due to a voluntary admission, and (2) an order or finding that has expired, that has been set aside or expunged, or that is no longer applicable. Defines "psychiatric hospital" to include a mental health facility, mental hospital, sanitarium, psychiatric facility, and any other facility that provides diagnoses by licensed professionals of mental retardation or mental illness, including a psychiatric ward in a general hospital. Prohibits: (1) the sale or other disposition of a firearm or ammunition to any person knowing or having reasonable cause to believe that such person has been adjudicated mentally incompetent (currently, mental defective) or has been committed to a psychiatric hospital (currently, to any mental institution); and (2) the shipment, transport, or possession in interstate or foreign commerce of a firearm or ammunition by, or the receipt of a firearm or ammunition which has been shipped or transported in such commerce by, any such person. Makes conforming amendments to the NICS Improvement Amendments Act of 2007.