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.

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 ''Major Regulation Cost Review Act of
2004''.

SEC. 2. REQUIREMENT FOR PERIODIC REVIEW OF ALL MAJOR RULES.

(a) Requirement.--Chapter 6 of title 5, United States Code, is
amended by inserting after section 610 the following new section:
''Sec. 610a. Periodic review of major rules
''(a) Requirement for Review of Major Rules.--Not later than 180
days after the date of the enactment of the Major Regulation Cost
Review Act of 2004, each agency shall publish in the Federal Register a
plan for the periodic review of all the major rules issued by the
agency. Such plan may be amended by the agency at any time by
publishing the revision in the Federal Register.
''(b) Purpose of Review.--The purpose of the review shall be to
determine whether such rules should be continued without change, or
should be amended or rescinded, consistent with the stated objectives
of applicable statutes.
''(c) Review Within Five Years.--The plan shall provide for the
review of all such agency rules existing on the effective date of the
Major Regulation Cost Review Act of 2004 within five years after that
date and for the review of such rules adopted after such effective date
within five years after the publication of such rules as the final
rule. If the head of the agency determines that completion of the
review of existing rules is not feasible by the established date, the
head of the agency shall so certify in a statement published in the
Federal Register and may extend the completion date by one year at a
time for a total of not more than five years.
''(d) Factors to Consider.--In reviewing major rules in a manner
consistent with the stated objectives of applicable statutes, the
agency shall consider the following factors:
''(1) The continued need for the rule.
''(2) The nature of complaints or comments received
concerning the rule from the public.
''(3) The complexity of the rule.
''(4) The extent to which the rule overlaps, duplicates, or
conflicts with other Federal rules, and, to the extent
feasible, with State and local governmental rules.
''(5) The length of time since the rule has been evaluated
or the degree to which technology, economic conditions, or
other factors have changed in the area affected by the rule.
''(e) Cost-Benefit Analysis.--The review shall include a cost-
benefit analysis of the rule, using the standard cost-benefit
methodology included in Office of Management and Budget Circular A-4
(relating to regulatory analysis and issued September 17, 2003). The
cost-benefit analysis shall include an identification and consideration
of a range of less costly regulatory alternatives.
''(f) Publication of List of Rules to Be Reviewed.--Each year, each
agency shall publish in the Federal Register a list of the major rules
which are to be reviewed pursuant to this section during the succeeding
12 months and which are to be included in the accounting statement and
associated report submitted to Congress by the Director of the Office
of Management and Budget under paragraph (4) of section 624(a) of the
Treasury and General Government Appropriations Act, 2001 (as added by
section 3 of the Major Regulation Cost Review Act of 2004). The list
shall include a brief description of each such major rule and the need
for and legal basis of such rule, and shall invite public comment upon
the rule.
''(g) Major Rule Defined.--In this section, the term 'major rule'
has the meaning provided by section 804 of this title.''.
(b) Clerical Amendment.--The table of sections for chapter 6 of
title 5, United States Code, is amended by inserting after the item
relating to section 610 the following new item:

''610a. Periodic review of major rules.''.

SEC. 3. REQUIREMENTS FOR OMB RELATING TO ANNUAL ACCOUNTING STATEMENT.

(a) Requirement to Include List of Rules to Be Reviewed in Annual
Accounting Statement.--Section 624(a) of the Treasury and General
Government Appropriations Act, 2001 (as enacted into law by Public Law
106-554; 114 Stat. 2763A-161), is amended--
(1) by striking ''and'' at the end of paragraph (2);
(2) by striking the period at the end of paragraph (3) and
inserting ''; and''; and
(3) by adding at the end the following new paragraph:
''(4) a list of the major rules which are to be reviewed by
each agency, during the year following the year in which the
statement and report are submitted, pursuant to section 610a of
title 5, United States Code.''.
(b) Requirement to Use Agency Cost-Benefit Estimates in Annual
Accounting Statement.--Section 624 of the Treasury and General
Government Appropriations Act, 2001 (as enacted into law by Public Law
106-554; 114 Stat. 2763A-161), is amended--
(1) by redesignating subsections (b), (c), and (d) as
subsections (c), (d), and (e), respectively; and
(2) by inserting after subsection (a) the following new
subsection:
''(b) Use of Agency Cost-Benefit Analyses Required.--To carry out
subsection (a), the Director of the Office of Manage

SOLUTION: Major Regulation Cost Review Act of 2004 - Amends Federal civil service law to require each Federal agency to publish in the Federal Register a plan, which may be amended at any time by publishing a revision, for the periodic review of all the major rules issued by the agency. Requires that the plan provide for review within five years after publication as a final rule, with a five year extension permitted.

Directs the agency, in reviewing major rules, to consider: (1) the continued need for the rule; (2) the nature of complaints or comments received from the public concerning the rule; (3) the complexity of the rule; (4) the extent to which the rule overlaps, duplicates, or conflicts with other Federal rules, and with State and local governmental rules; and (5) the length of time since the rule has been evaluated or the degree to which technology, economic conditions, or other factors have changed in the area affected by the rule.

Requires that: (1) the review include a cost-benefit analysis of the rule, including an identification and consideration of a range of less costly regulatory alternatives; and (2) each year each agency publish a list of the major rules which are to be reviewed and which are to be included in the accounting statement and associated report submitted to Congress by the Director of the Office of Management and Budget.

Makes conforming changes to the Treasury and General Government Appropriations Act, 2001.

PROBLEM: SECTION 1. SHORT TITLE.

This Act may be cited as the ''Nutrition Coordinators for Local
Healthy Youth Act''.

SEC. 2. GRANT PROGRAM FOR NUTRITION COORDINATORS.

Section 19 of the Child Nutrition Act of 1966 (42 U.S.C. 1788) is
amended--
(1) by redesignating subsection (l) as subsection (m); and
(2) by inserting after subsection (k) the following new
subsection:
''(l) Grant Program for Nutrition Coordinators.--
''(1) Establishment of grant program.--The Secretary, in
consultation with the Secretary of Education, shall establish a
program to make grants to local educational agencies to appoint
nutrition coordinators to carry out the activities described in
paragraph (4).
''(2) Application.--To be selected to receive a grant under
paragraph (1), a local educational agency, in consultation with
the State agency that administers school lunch programs in the
geographic area served by such local educational agency, shall
submit an application at such time, in such manner, and
containing such information as the Secretary may require.
''(3) Use of funds.--A local educational agency that
receives a grant under this subsection shall use such funds to
appoint a nutrition coordinator to, with respect to the
geographic area served by such agency--
''(A) ensure compliance with local school wellness
policies under section 9A of the Richard B. Russell
National School Lunch Act (42 U.S.C. 1758b);
''(B) coordinate nutrition education programs with
school food service directors for such local
educational agency;
''(C) conduct trainings and facilitate information
sharing of best practices that--
''(i) encourage students to participate in
healthy eating and active living;
''(ii) are consistent with the Dietary
Guidelines for Americans published under
section 301 of the National Nutrition
Monitoring and Related Research Act of 1990 (7
U.S.C. 5341); and
''(iii) are consistent with the Physical
Activity Guidelines for Americans published by
the Office of Disease Prevention and Health
Promotion of the Department of Health and Human
Services;
''(D) work with programs that promote and motivate
students to participate in school wellness activities;
''(E) coordinate and collaborate with other
nutrition education programs, including--
''(i) programs under the Supplemental
Nutrition Assistance Program under the Food and
Nutrition Act of 2008 (7 U.S.C. 2011 et seq.);
''(ii) cooperative extension services (as
such term is defined in section 1404 of the
Food and Agriculture Act of 1977 (7 U.S.C.
3103));
''(iii) nutrition education programs
carried out by community-based organizations;
and
''(iv) other team network nutrition
programs;
''(F) provide community outreach to promote
nutrient-rich foods and farm-to-school activities;
''(G) promote regular physical activity in students
before, during, and after school;
''(H) ensure students receive effective and
consistent messages regarding healthy eating and active
living; and
''(I) to promote nutrition education and team
network nutrition programs in the State in which such
local educational agency is located, coordinate and
collaborate with--
''(i) the team nutrition network
coordinator for the State; and
''(ii) community partners.
''(4) Nutrition coordinator requirements.--A nutrition
coordinator may not be appointed under this subsection unless
the Coordinator has a background in nutrition education,
dietetics, or nutrition program management.
''(5) Nutrition coordinator reports.--Not later than 1 year
after the date on which a nutrition coordinator is appointed
under this subsection, the nutrition coordinator shall submit
to the Secretary a report that includes--
''(A) a plan to implement activities under this
section; and
''(B) a review of, and plan for, coordination and
collaboration with nutrition education programs
described in paragraph (4)(E).
''(6) Evaluation of grant program.--Not later than January
1, 2019, the Secretary shall submit a report to Congress that
includes--
''(A) the results of an evaluation of the grant
program established under this subsection;
''(B) a review of the implementation of this
subsection;
''(C) an assessment of local educational agencies
with respect to activities conducted to ensure students
receive nutrition education consistent with the Dietary
Guidelines for Americans published under section 301 of
the National Nutrition Monitoring and Related Research
Act of 1990 (7 U.S.C. 5341);
''(D) best practices for encouraging students to
participate in healthy eating and active living;
''(E) an assessment of local school wellness
policies under section 9A of the Richard B. Russell
National School Lunch Act (42 U.S.C. 1758b); and
''(F) an assessment of school personnel and their
level of interaction and satisfaction with nutrition
coordinators.''.

SOLUTION:
Nutrition Coordinators for Local Healthy Youth Act This bill amends the Child Nutrition Act of 1966 to establish a Department of Agriculture program to award grants to local educational agencies to appoint nutrition coordinators with a background in nutrition education, dietetics, or nutrition program management. The responsibilities of the coordinators include: ensuring compliance with local school wellness policies under the Richard B. Russell National School Lunch Act, coordinating nutrition education programs with school food service directors, conducting training and facilitating information sharing of best practices, working with programs that promote and motivate students to participate in school wellness activities, coordinating and collaborating with other nutrition education programs, providing community outreach to promote nutrient-rich foods and farm-to-school activities, promoting regular physical activity in students, ensuring students receive effective and consistent messages regarding healthy eating and active living, and promoting nutrition education and team network nutrition programs in the state by coordinating and collaborating with the team nutrition network coordinator and community partners.