TASK DEFINITION: In this task, you are given text for US Congressional and California state bills, your task is to generate a summary for this bill.
PROBLEM: SECTION 1. SHORT TITLE; TABLE OF CONTENTS.

(a) Short Title.--This Act may be cited as the ''Working Families
Child Care Act of 1997''.
(b) Table of Contents.--The table of contents for this Act is as
follows:

Sec. 1. Short title; table of contents.
Sec. 2. Findings.
Sec. 3. Assistance for low-income working families.
Sec. 4. Grants for child care supply shortages.
Sec. 5. Report on access to child care by low-income working families.
Sec. 6. Effective date.

SEC. 2. FINDINGS.

Congress makes the following findings:
(1) Availability and affordability of quality child care is
a major obstacle for working parents who struggle to remain
self-sufficient.
(A) Compared to all other income groups, the
working poor are the least likely to receive assistance
with their child care costs.
(B) Low-income families spend 24 percent of their
household income on child care, whereas middle-income
families spend 6 percent of their household income on
child care.
(C) 38 States have waiting lists for child care for
the working poor. Among those States, Georgia has
41,000 individuals on its waiting list, Texas has
36,000 individuals on its waiting list, and Illinois
and Alabama each have 20,000 individuals on their
waiting lists.
(D) One survey of low-income families on a waiting
list for subsidized child care found that of those
families paying for child care out of their own funds,
71 percent faced serious debt or bankruptcy.
(E) Half of the States and the District of
Columbia, even before the enactment of the Personal
Responsibility and Work Opportunity Reconciliation Act
of 1996 (Public Law 104-193, 110 Stat. 2105) during the
104th Congress, increased the proportion of child care
slots or dollars going to families on welfare, rather
than to working poor families.
(2) The Congressional Budget Office estimates that there
will be $1,400,000,000 less expenditures of child care funds
for working poor families as a result of the States
implementing the work requirements imposed under the Personal
Responsibility and Work Opportunity Reconciliation Act of 1996
(Public Law 104-193, 110 Stat. 2105).
(3) Important types of child care are not available in
certain States including infant care, school-age care, care for
children with disabilities and special health care needs, and
child care for parents with unconventional or shifting work
hours.
(A) A 1995 State study by the Comptroller General
of the United States found a shortage of child care for
infants and children with special needs in inner
cities, and a shortage of all types of child care in
rural areas.
(B) Only one-third of the schools in low-income
neighborhoods offer school-age child care, compared
with 52 percent of schools in more affluent areas
offering such care.
(C) Eighth-graders who are left home alone for 11
or more hours a week report significantly greater use
of cigarettes, alcohol, and marijuana than eighth-
graders who are not left home alone.
(D) Existing child care arrangements do not
accommodate the work schedules of many working women.
According to a 1995 statistic published by the
Department of Labor, 14,300,000 workers, nearly 1 in 5
full-time workers work nonstandard hours, and more than
1 in 3 of those workers are women.
(E) Only 10 percent of child care centers and 6
percent of family day care providers offer child care
on weekends. Yet one-third of working mothers with
annual incomes below the poverty level and one-quarter
of mothers with annual incomes above the poverty level
but below $25,000 work on weekends.
(F) Less than 30 percent of Head Start programs
operate on a full-time, full-year basis.

SEC. 3. ASSISTANCE FOR LOW-INCOME WORKING FAMILIES.

Section 658B of the Child Care Development Block Grant Act of 1990
(42 U.S.C. 9858) is amended to read as follows:

''SEC. 658B. FUNDING OF GRANTS.

''(a) Authorization of Appropriations.--Except as provided in
subsection (b), there is authorized to be appropriated to carry out
this subchapter $2,000,000,000 for each of fiscal years 1997 through
2002.
''(b) Appropriation.--The Secretary shall pay, from funds in the
Treasury not otherwise appropriated, $1,400,000,000 for fiscal years
1997 through 2002, through the awarding of grants to States under this
subchapter for the purpose of providing child care services for
families who have left the State program of assistance under part A of
title IV of the Social Security Act because of employment, families
that are at risk of becoming dependent on such assistance program, and
low-income working families described in section 658E(c)(3)(D). Funds
shall be paid under this subsection to the States in the same manner,
and subject to the same requirements and limitations, as funds are paid
to the States under section 418 of the Social Security Act (42 U.S.C.
618).''.

SEC. 4. GRANTS FOR CHILD CARE SUPPLY SHORTAGES.

(a) Grants for Child Care Supply Shortages.--Section 658E(c)(3) of
the Child Care Development Block Grant Act of 1990 (42 U.S.C.
9858c(c)(3)) is amended by adding at the end the following:
''(E) Child care supply shortages.--
''(i) In general.--A State shall ensure
that 100 percent of amounts paid to the State
out of funds appropriated under section
658B(a)(2) with respect to each of the fiscal
years 1997 through 2002 shall be used to carry
out child care activities described in clause
(ii) in geographic areas within the State that
have a shortage, as determined by the State, in
consultation with localities, of child care
services.
''(ii) Child care activities described.--
The child care activities described in this
clause include the following:
''(I) Infant care programs.
''(II) Before- and after-school
child care programs.
''(III) Resource and referral
programs.
''(IV) Nontraditional work hours
child care programs.
''(V) Extending the hours of pre-
kindergarten programs to provide full-
day services.
''(VI) Any other child care
programs that the Secretary determines
are appropriate.''.
(b) Authorization of Appropriations.--Section 658B(a) of the Child
Care Development Block Grant Act of 1990 (42 U.S.C. 9858(a)), as
amended by section 2, is amended--
(1) by striking ''Except as provided in'' and inserting the
following:
''(1) In general.--Except as provided in paragraph (2)
and''; and
(2) by adding at the end the following:
''(2) Child care supply shortages.--There is authorized to
be appropriated to carry out section 658E(c)(3)(E),
$500,000,000 for each of fiscal years 1997 through 2002.''.
(c) Conforming Amendment.--Section 658(c)(3)(A) of the Child Care
Development Block Grant Act of 1990 (42 U.S.C. 9858c(c)(3)(A)) is
amended by striking ''(D)'' and inserting ''(E)''.

SEC. 5. REPORT ON ACCESS TO CHILD CARE BY LOW-INCOME WORKING FAMILIES.

(a) State Reporting Requirement.--Section 658K(a)(2) of the Child
Care Development Block Grant Act of 1990 (42 U.S.C. 9858i(a)(2)) is
amended--
(1) in subparagraph (D), by striking ''and'' at the end;
and
(2) by inserting after subparagraph (E), the following:
''(F) the total number of families described in
section 658B(b) that were eligible for but did not
receive assistance under this subchapter or under
section 418 of the Social Security Act and a
description of the obstacles to providing such
assistance; and
''(G) the total number of families described in
section 658B(b) that received assistance provided under
this subchapter or under section 418 of the Social
Security Act and a description of the manner in which
that assistance was provided;''.
(b) Secretarial Reporting Requirement.--Section 658L of the Child
Care Development Block Grant Act of 1990 (42 U.S.C. 9858j) is amended
by inserting '', with particular emphasis on access of low-income
working families,'' after ''public''.

SEC. 6. EFFECTIVE DATE.

This Act and the amendments made by this Act take effect as if
included in the enactment of the Personal Responsibility and Work
Opportunity Reconciliation Act of 1996 (Public Law 104-193, 110 Stat.
2105).

SOLUTION: Working Families Child Care Act of 1997 - Amends the Child Care Development Block Grant Act of 1990 to extend its authorization of appropriations through FY 2002.
Directs the Secretary of Health and Human Services, from (additional) Treasury funds not otherwise appropriated, to award grants to States to provide child care services for: (1) families who have left the State program of assistance under part A (Temporary Assistance for Needy Families) of title IV of the Social Security Act because of employment; (2) families that are at risk of becoming dependent on such assistance program; and (3) low-income working families meeting specified criteria.
Authorizes appropriations for grants to States for child care activities in areas of the State that have child care supply shortages. Includes among such child care activities programs for: (1) infant care; (2) before- and after-school; (3) resources and referrals; (4) nontraditional work hours; (5) extending the hours of pre-kindergarten programs to provide full-day services; and (6) any other program the Secretary deems appropriate.
Requires State reports to include information on access to child care by low-income working families. Requires reports of the Secretary to place particular emphasis on such access.
(Sec. 6) Makes this Act effective as if included in the enactment of the Personal Responsibility and Work Opportunity Reconciliation Act of 1996 (Public Law 104-193).

PROBLEM: SECTION 1. SHORT TITLE.

This Act may be cited as the ''Medicare Spending Transparency Act
of 2011''.

SEC. 2. PUBLIC AVAILABILITY OF AGGREGATE DATA ON MEDICARE PROVIDERS OF
SERVICES AND SUPPLIERS.

(a) Purpose.--The purpose of this section is to make aggregate
information about providers of services and suppliers under the
Medicare program under title XVIII of the Social Security Act (42
U.S.C. 1395 et seq.) publicly available and to provide a new level of
transparency in such program.
(b) Public Availability.--Section 1128J of the Social Security Act
(42 U.S.C. 1320a-7k) is amended by adding at the end the following new
subsection:
''(f) Public Availability of Certain Medicare Data.--
''(1) In general.--The Secretary shall, to the extent
consistent with applicable information, privacy, security, and
disclosure laws, including the regulations promulgated under
the Health Insurance Portability and Accountability Act of 1996
and section 552a of title 5, United States Code, make available
to the public on the Internet website of the Centers for
Medicare & Medicaid Services the following data with respect to
title XVIII:
''(A) A complete list of the providers of services
and suppliers participating in the program under such
title, including the business address of such providers
of services and suppliers.
''(B) Aggregate information about each such
provider of services and supplier, including--
''(i) the total number of individuals
furnished items or services by the provider of
services or supplier for which payment was made
under such title during the preceding year;
''(ii) the number of unique patient
encounters conducted by the provider of
services or supplier for which payment was made
under such title during the preceding year;
''(iii) the average number of codes billed
under such title by the provider of services of
supplier per patient encounter during the
preceding year;
''(iv) the total amount paid to such
provider of services or supplier under such
title during the preceding year;
''(v) the top 50 billing codes on claims
paid under such title to the provider of
services or supplier during the preceding year,
as determined by volume, including a
description of such codes;
''(vi) the top 50 billing codes on such
claims paid during such year, as determined by
dollar amount, including a description of such
codes; and
''(vii) the top 50 diagnosis and procedure
code pairs on such claims paid during such
year, as determined by volume, including a
description of such codes.
''(2) Implementation.--Not later than 1 year after the date
of enactment of the Medicare Spending Transparency Act of 2011,
the Secretary shall promulgate regulations to carry out this
subsection.''.

SEC. 3. ACCESS TO MEDICARE CLAIMS AND PAYMENT DATA BY QUALIFIED
INDIVIDUALS AND GROUPS.

(a) Purpose.--The purpose of this section is to allow qualified
individuals and groups access to information on claims and payment data
under the Medicare program for purposes of conducting health research
and detecting fraud under such program.
(b) Access to Medicare Claims and Payment Data by Qualified
Individuals and Groups.--Section 1128J of the Social Security Act (42
U.S.C. 1320a-7k), as amended by section 2, is amended by adding at the
end the following new subsection:
''(g) Access to Medicare Claims and Payment Data by Qualified
Individuals and Groups.--
''(1) In general.--For purposes of conducting health
research and detecting fraud under title XVIII, and to the
extent consistent with applicable information, privacy,
security, and disclosure laws, including the regulations
promulgated under the Health Insurance Portability and
Accountability Act of 1996 and section 552a of title 5, United
States Code, and subject to any information systems security
requirements under such laws or otherwise required by the
Secretary, a qualified individual or group shall have access to
claims and payment data of the Department of Health and Human
Services and its contractors related to title XVIII.
Notwithstanding any other provision of law, such data shall
include the identity of individual providers of services and
suppliers under such title.
''(2) Definition of qualified individual or group.--
''(A) In general.--In this subsection, the term
'qualified individual or group' means an individual or
entity that the Secretary has determined, in accordance
with subparagraph (B), has relevant experience,
knowledge, and technical expertise in medicine,
statistics, health care billing, practice patterns,
health care fraud detection, and analysis to use data
provided to the individual or the entity under this
subsection in an appropriate, responsible, and ethical
manner and for the purposes described in paragraph (1).
''(B) Procedures.--The Secretary shall establish
procedures for determining, in a timely manner, whether
an individual or entity is a qualified individual or
group.
''(3) Procedures.--The Secretary shall establish procedures
for the storage and use of data provided to a qualified
individual or group under this subsection. Such procedures
shall ensure that, in the case where the qualified individual
or group publishes an analysis of such data (or any analysis
using such data), the qualified individual or group discloses
the following information (in a form and manner, and at a time,
specified by the Secretary):
''(A) The name of the qualified individual or
group.
''(B) The sources of any funding for the qualified
individual or group.
''(C) Any employer or other relevant affiliations
of the qualified individual or group.
''(D) The data analysis methods used by the
qualified individual or group in the analysis
involved.''.

SOLUTION: Medicare Spending Transparency Act of 2011 - Amends title XI of the Social Security Act (SSA) to direct the Secretary of Health and Human Services (HHS), consistent with applicable information, privacy, security, and disclosure laws, to make public on the Internet website of the Centers for Medicare and Medicaid Services the following data with respect to SSA title XVIII (Medicare): (1) a complete list of service providers and suppliers participating in the Medicare program, including their business addresses; and (2) certain aggregate information about each provider and supplier.

Entitles a qualified individual or group, for health research and fraud detection purposes, to access to Medicare claims and payment data of both HHS and its contractors. Directs the Secretary to establish procedures for the storage and use of data provided to such an individual or group.

PROBLEM: SECTION 1. SHORT TITLE.

This Act may be cited as the ''FSOC Designation Review Act''.

SEC. 2. REEVALUATION AND REAFFIRMATION.

Section 113(d) of the Financial Stability Act of 2010 (12 U.S.C.
5323(d)) is amended to read as follows:
''(d) Reevaluation and Reaffirmation.--
''(1) In general.--The Council shall reevaluate each
determination made under subsections (a) and (b) with respect
to a nonbank financial company supervised by the Board of
Governors on--
''(A) an annual basis; and
''(B) upon the request of such company based upon
the company's representation that there has been a
material change in the company's operations or
activities or a material change in regulatory or market
conditions.
''(2) Reevaluation.--As part of the reevaluation required
by paragraph (1), the Council shall--
''(A) provide the nonbank financial company with a
confidential written analysis of the specific elements
of the company's exposures or activities that would be
relevant to the Council's reevaluation of the
determination for such company;
''(B) provide the nonbank financial company with an
opportunity to submit written materials to the Council
regarding the reevaluation, including, as the company's
option, a plan to obtain rescission of the
determination or other materials relevant to the
assessment described under paragraph (3)(A);
''(C) if the nonbank financial company submits a
plan under subparagraph (B), consider whether the plan,
if implemented, would result in the nonbank financial
company no longer meeting the criteria for a final
determination under subsection (a) or (b);
''(D) make a preliminary written decision regarding
rescinding such determination;
''(E) if the preliminary decision is not to rescind
the determination, provide the nonbank financial
company with--
''(i) a copy of the preliminary decision,
which shall include a confidential written
analysis explaining with specificity whether
and to what extent any plan submitted by the
company under subparagraph (B) addresses the
potential threat posed by the nonbank financial
company to the financial stability of the
United States;
''(ii) an opportunity to meet with
representatives of the Council to discuss the
preliminary decision and analysis provided
under clause (i); and
''(iii) an opportunity to revise and re-
submit such plan or any other written
materials, after discussions with
representatives of the Council; and
''(F) upon the request of the nonbank financial
company, grant such company an oral hearing before the
Council.
''(3) Vulnerability to financial distress.--
''(A) In general.--The written analysis required
under paragraph (2)(A) shall include an assessment
describing with particularity the vulnerability of the
nonbank financial company to financial distress,
including consideration of the company's leverage,
liquidity risk and maturity mismatch, and existing
regulatory scrutiny of the company.
''(B) Effective of failure to include assessment.--
If the Council provides a written analysis under
paragraph (2)(A) that does not contain the assessment
required under subparagraph (A), any determination made
under subsection (a) or (b) with respect to such
company shall be rescinded immediately.
''(C) Definitions.--For purposes of this paragraph
the terms 'vulnerability to financial distress',
'leverage', 'liquidity risk and maturity mismatch', and
'existing regulatory scrutiny of the nonbank financial
company' shall have the same meaning as those terms are
given, respectively, under appendix A to part 1310 of
title 12, Code of Federal Regulations.
''(4) Reaffirmation.--
''(A) In general.--Following a reevaluation under
paragraph (1), the Council shall vote whether to
reaffirm the determination that the nonbank financial
company shall be supervised by the Board of Governors
and shall be subject to prudential standards, pursuant
to subsection (a) or (b), as applicable.
''(B) Vote requirement.--Any reaffirmation under
subparagraph (A) shall require a vote of no fewer than
/3\ of the voting members then serving, including an
affirmative vote by the Chairperson, finding that the
company still meets the standards for designation under
subsection (a) or (b), as applicable. Any such finding
shall include a detailed explanation of the basis for
the Council's determination, including a confidential
written analysis explaining with specificity whether
and to what extent any plan submitted by the nonbank
financial company pursuant to paragraph (2)(B)
addresses the potential threat posed by the company to
the financial stability of the United States.
''(C) Effect of failure to reaffirm.--If the
Council votes under subparagraph (A) with respect to a
nonbank financial company and does not reaffirm the
designation, the determination made with respect to
such company shall be rescinded immediately.
''(5) Views of primary financial regulatory agency.--In
conducting a reevaluation under paragraph (1), the Council
shall consult with the primary financial regulatory agency for
the nonbank financial company, if any, and the primary
financial regulatory agencies of the company's principal
subsidiaries, if any, and the views of such agencies shall be
given special consideration.''.

SEC. 3. JUDICIAL REVIEW.

Section 113(h) of the Financial Stability Act of 2010 (12 U.S.C.
5323(h)) is amended by striking ''subsection (d)(2)'' and inserting
''subsection (d)(4)''.

SOLUTION:
FSOC Designation Review Act This bill amends the Financial Stability Act of 2010 to revise requirements for reevaluation and reaffirmation of determinations by the Financial Stability Oversight Council (FSOC) that the Board of Governors of the Federal Reserve System supervise and regulate U.S. or foreign nonbank financial companies. The FSOC shall reevaluate such a determination not only annually (as under current law) but also upon the request of a nonbank financial company based on its representation that there has been a material change in its operations or activities or a material change in regulatory or market conditions. FSOC must give the company as part of a reevaluation: a confidential written analysis of the specific elements of the company's exposures or activities that would be relevant to the FSOC's reevaluation; and opportunity to submit written materials in response, including a plan to obtain rescission of the determination or other materials relevant to the assessment. The FSOC's written analysis must assess with particularity the company's vulnerability to financial distress, including consideration of its leverage, liquidity risk, and maturity mismatch, and existing regulatory scrutiny of the company. Following a reevaluation the FSOC shall vote whether to reaffirm the determination; but if two-thirds of the voting members do not vote in favor of reaffirmation, the determination in question shall be rescinded immediately, subject at company option to judicial review. (Currently a determination is automatically reaffirmed upon reevaluation unless by a two-thirds vote the FSOC rescinds it.)