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 ''Sand Creek Massacre National
Historic Site Trust Act of 2005''.

SEC. 2. DEFINITIONS.

In this Act:
(1) Facility.--The term ''facility'' means any structure,
utility, road, or sign constructed on the trust property on or
after the date of enactment of this Act.
(2) Improvement.--The term ''improvement'' means--
(A) a 1,625 square foot 1-story ranch house, built in 1952,
located in the SW quarter of sec. 30, T. 17 S., R. 45 W., sixth
principal meridian;
(B) a 3,600 square foot metal-constructed shop building,
built in 1975, located in the SW quarter of sec. 30, T. 17 S.,
R. 45 W., sixth principal meridian;
(C) a livestock corral and shelter; and
(D) a water system and wastewater system with all
associated utility connections.
(3) Secretary.--The term ''Secretary'' means the Secretary of
the Interior.
(4) Tribe.--The term ''Tribe'' means the Cheyenne and Arapaho
Tribes of Oklahoma, a federally recognized Indian tribe.
(5) Trust property.--The term ''trust property'' means the real
property, including rights to all minerals, and excluding the
improvements, formerly known as the ''Dawson Ranch'', consisting of
approximately 1,465 total acres presently under the jurisdiction of
the Tribe, situated within Kiowa County, Colorado, and more
particularly described as follows:
(A) The portion of sec. 24, T. 17 S., R. 46 W., sixth
principal meridian, that is the Eastern half of the NW quarter,
the SW quarter of the NE quarter, the NW quarter of the SE
quarter, sixth principal meridian.
(B) All of sec. 25, T. 17 S., R. 46 W., sixth principal
meridian.
(C) All of sec. 30, T. 17 S., R. 45 W., sixth principal
meridian.

SEC. 3. CONVEYANCE OF LAND TO BE HELD IN TRUST FOR THE CHEYENNE AND
ARAPAHO TRIBES OF OKLAHOMA.

(a) Land Held in Trust for the Cheyenne and Arapaho Tribes of
Oklahoma.--On conveyance of title to the trust property by the Tribe to
the United States, without any further action by the Secretary, the
trust property shall be held in trust for the benefit of the Tribe.
(b) Trust.--All right, title, and interest of the United States in
and to the trust property, except any facilities constructed under
section 4(b), are declared to be held by the United States in trust for
the Tribe.

SEC. 4. IMPROVEMENTS AND FACILITIES.

(a) Improvements.--The Secretary may acquire by donation the
improvements in fee.
(b) Facilities.--
(1) In general.--The Secretary may construct a facility on the
trust property only after consulting with, soliciting advice from,
and obtaining the agreement of, the Tribe, the Northern Cheyenne
Tribe, and the Northern Arapaho Tribe.
(2) Ownership.--Facilities constructed with Federal funds or
funds donated to the United States shall be owned in fee by the
United States.
(c) Federal Funds.--For the purposes of the construction,
maintenance, or demolition of improvements or facilities, Federal funds
shall be expended only on improvements or facilities that are owned in
fee by the United States.

SEC. 5. SURVEY OF BOUNDARY LINE; PUBLICATION OF DESCRIPTION.

(a) Survey of Boundary Line.--To accurately establish the boundary
of the trust property, not later than 180 days after the date of
enactment of this Act, the Secretary shall cause a survey to be
conducted by the Office of Cadastral Survey of the Bureau of Land
Management of the boundary lines described in section 2(5).
(b) Publication of Land Description.--
(1) In general.--On completion of the survey under subsection
(a), and acceptance of the survey by the representatives of the
Tribe, the Secretary shall cause the full metes and bounds
description of the lines, with a full and accurate description of
the trust property, to be published in the Federal Register.
(2) Effect.--The description shall, on publication, constitute
the official description of the trust property.

SEC. 6. ADMINISTRATION OF TRUST PROPERTY.

(a) In General.--The trust property shall be administered in
perpetuity by the Secretary as part of the Sand Creek Massacre National
Historic Site, only for historical, traditional, cultural, and other
uses in accordance with the Sand Creek Massacre National Historic Site
Establishment Act of 2000 (16 U.S.C. 461 note; Public Law 106-465).
(b) Access for Administration.--For purposes of administration, the
Secretary shall have access to the trust property, improvements, and
facilities as necessary for management of the Sand Creek Massacre
National Historic Site in accordance with the Sand Creek Massacre
National Historic Site Establishment Act of 2000 (16 U.S.C. 461 note;
Public Law 106-465).
(c) Duty of the Secretary.--The Secretary shall take such action as
is necessary to ensure that the trust property is used only in
accordance with this section.
(d) Savings Provision.--Nothing in this Act supersedes the laws and
policies governing units of the National Park System.

SEC. 7. ACQUISITION OF PROPERTY.

Section 6(a)(2) of the Sand Creek Massacre National Historic Site
Establishment Act of 2000 (16 U.S.C. 461 note; Public Law 106-465) is
amended by inserting ''or exchange'' after ''only by donation''.

Speaker of the House of Representatives.

Vice President of the United States and
President of the Senate.
answer:
Sand Creek Massacre National Historic Site Trust Act of 2005 - Authorizes the United States to take into trust specified real property formerly known as Dawson Ranch, including rights to all minerals and excluding improvements, in Kiowa County, Colorado, owned by the Cheyenne and Arapaho Indian Tribes of Oklahoma.

Directs the Tribes to convey title to the Dawson Ranch to the United States.

Declares that all right, title, and interest of the United States in and to the Ranch except any facilities constructed pursuant to this Act, are to be held in trust by the United States for the Tribes.

Authorizes the Secretary of the Interior to acquire by donation the improvements in fee. Permits the Secretary to construct a facility on the Ranch only after consulting with, soliciting advice from, and obtaining the agreement of, the Tribe, the Northern Cheyenne Tribe, and the Northern Arapaho Tribe. States that: (1) facilities constructed with federal funds or funds donated to the United States shall be owned in fee by the United States; and (2) for purposes of the construction, maintenance, or demolition of improvements or facilities, federal funds shall be expended only on improvements or facilities that are owned in fee by the United States.

Requires the Ranch to be administered in perpetuity by the Secretary as part of the Site only for historical, traditional, cultural, and other uses in accordance with the Sand Creek Massacre National Historic Site Establishment Act of 2000. Requires that, for purposes of administration, the Secretary shall have access to the Ranch, improvements, and facilities as necessary for the management of the Site in accordance with the Act. Instructs the Secretary to take such action as is necessary to ensure that the Ranch is used only in accordance with all such requirements for the administration of the Ranch.

Amends the Act to allow the Secretary to acquire land and interests in land within the boundaries of the Site which are owned by the state of Colorado (including a political subdivision of that state) only by donation or exchange (currently, only by donation).

question:
SECTION 1. EXTENDED PHASE-IN OF THE INPATIENT REHABILITATION FACILITY
CLASSIFICATION CRITERIA.

(a) In General.--Section 5005 of the Deficit Reduction Act of 2005
is amended--
(1) in subsection (a), by striking ''apply the applicable
percent specified in subsection (b)'' and inserting ''require a
compliance rate that is no greater than the 60 percent
compliance rate that became effective for cost reporting
periods beginning on or after July 1, 2006''; and
(2) by amending subsection (b) to read as follows:
''(b) Continued Use of Comorbidities.--For cost reporting periods
beginning on or after July 1, 2008, the Secretary shall include
patients with comorbidities as described in section 412.23(b)(2)(i) of
title 42, Code of Federal Regulations (as in effect as of January 1,
2007), in the inpatient population that counts towards the percent
specified in subsection (a).''.
(b) Medical Necessity Criteria for Beneficiaries Served in
Rehabilitation Hospitals and Units.--The Centers for Medicare &
Medicaid Services and Medicare fiscal intermediaries, Medicare
administrative contractors, recovery audit contractors, and other
government agents shall use and apply the criteria established in HCFA
Ruling 85-2, as issued on July 31, 1985 (50 Fed. Reg. 31040), as the
sole standard for determining the medical necessity of services
provided by inpatient rehabilitation hospitals and units to Medicare
beneficiaries under title XVIII of the Social Security Act.

SEC. 2. RECOMMENDATIONS FOR CLASSIFYING INPATIENT REHABILITATION
HOSPITALS AND UNITS.

(a) Report to Congress.--Not later than 12 months after the date of
the enactment of this Act, the Secretary of Health and Human Services,
in consultation with physicians, administrators of inpatient
rehabilitation and acute care hospitals, Medicare beneficiaries, and
trade organizations representing inpatient rehabilitation hospitals and
units, shall submit to the Committee on Ways and Means of the House of
Representatives and the Committee on Finance of the Senate a report
that includes--
(1) an examination of the impact of the 75 percent rule on
the Medicare program and the specific impact of the rule on
Medicare beneficiaries; and
(2) alternatives to the 75 percent rule policy for
determining exclusion criteria for inpatient rehabilitation
hospital and unit designation under the Medicare program,
including determining clinical appropriateness of inpatient
rehabilitation hospital and unit admissions, and including
alternative criteria based solely on a measure of a patient's
functional status which is independent of diagnosis.
For the purposes of this section, the term ''75 percent rule'' means
the requirement of section 412.23(b)(2) of title 42, Code of Federal
Regulations, that 75 percent of the patients of a rehabilitation
hospital or converted rehabilitation unit are in 1 or more of 13 listed
treatment categories.
(b) Considerations.--In developing the report described in
subsection (a), the Secretary shall include the following:
(1) The effect of the 75 percent rule on access to
inpatient hospital rehabilitation care by Medicare
beneficiaries and the effectiveness of care available to such
beneficiaries in other health care settings.
(2) A comparative analysis of the overall Medicare system
costs, including Medicare expenditures to acute care hospitals,
home health agencies, skilled nursing facilities, and long-term
care hospitals, resulting from implementation of the 75 percent
rule.
(3) A analysis that compares the quality, cost, and patient
outcomes of inpatient rehabilitation services among different
post-acute care settings, including whether the Medicare
program and Medicare beneficiaries may incur higher costs of
care for the entire episode of illness because of factors such
as--
(A) readmissions to acute care hospitals that could
have been avoided absent the 75 percent rule; or
(B) extended lengths of stay in post-acute settings
other than a rehabilitation hospital or unit because
beneficiaries were denied access to care in such a
hospital or unit due to the 75 percent rule.

SEC. 3. TECHNICAL CORRECTION FOR INPATIENT REHABILITATION HOSPITALS AND
UNITS NOMENCLATURE.

(a) In General.--Section 1886(j) of the Social Security Act (42
U.S.C. 1395ww(j)) is amended--
(1) in paragraph (1)(A), by striking ''(in this subsection
referred to as a 'rehabilitation facility'), other than a
facility'' and inserting ''other than a hospital or unit'';
(2) by striking ''rehabilitation facility'' and
''facility'' and inserting ''inpatient rehabilitation hospital
or a rehabilitation unit'' and ''hospital or unit'',
respectively, each place it appears;
(3) by striking ''rehabilitation facilities'' and inserting
''inpatient rehabilitation hospitals or rehabilitation units''
each place it appears; and
(4) in paragraph (6), by striking ''rehabilitation
facilities' costs'' and inserting ''costs of inpatient
rehabilitation hospitals or rehabilitation units''.
(b) Use of the Term ''IRH/U''.--The Secretary of Health and Human
Services shall, under regulation and Medicare program guidance, use the
term ''inpatient rehabilitation hospital/unit'' or ''IRH/U'' to refer
to entities receiving payment for inpatient rehabilitation services
under section 1886(j) of the Social Security Act (42 U.S.C. 1395ww(j)).

SEC. 4. EFFECTIVE DATE.

Sections 1 and 3 of this Act shall take effect on July 1, 2007, and
section 2 shall take effect on the date of the enactment of this Act.
answer:
Amends the Deficit Reduction Act of 2005 to revise the classification criterion used to determine whether a hospital or hospital unit is an inpatient rehabilitation facility under title XVIII (Medicare) of the Social Security Act. Eliminates the current schedule of applicable percentages. Directs the Secretary of Health and Human Services, instead, to require in the classification criterion a compliance rate no greater than the 60% compliance rate that became effective for cost reporting periods beginning on or after July 1, 2006.

Requires the Secretary, for cost reporting periods beginning on or after July 1, 2008, to include patients with comorbidity in the inpatient population that counts towards such 60% compliance rate.

Requires the Centers for Medicare & Medicaid Services and Medicare fiscal intermediaries, Medicare administrative contractors, recovery audit contractors, and other government agents to use and apply the criteria established in HCFA Ruling 85-2, as issued on July 31, 1985, as the sole standard for determining the medical necessity of servivces provided by inpatient rehabilitation hospitals and units to Medicare beneficiaries.

Directs the Secretary to report to specified congressional committees: (1) an examination of the impact of the 75% rule on the Medicare program, and specifically on Medicare beneficiaries; and (2) alternatives to the 75% rule policy for determining exclusion criteria for inpatient rehabilitation hospital and unit designation under the Medicare program.

question:
SECTION 1. SHORT TITLE.

This Act may be cited as the ''Enhancing the Strength and Capacity
of America's Primary Evacuation Routes Act'' or the ''ESCAPE Act''.

SEC. 2. EVACUATION ROUTE PROGRAM.

(a) Definitions.--In this section:
(1) Evacuation route.--
(A) In general.--The term ''evacuation route''
means a route that--
(i) is owned, operated, or maintained by a
Federal, State, or local government or a
private entity;
(ii) is used--
(I) to transport the public away
from emergency events (as defined in
section 667.3 of title 23, Code of
Federal Regulations (or successor
regulations)); or
(II) to transport emergency
responders and recovery resources; and
(iii) is designated by the State in which
the route is located for the purposes described
in clause (ii).
(B) Inclusion.--The term ''evacuation route''
includes an eligible project under subsection (d).
(2) Program.--The term ''program'' means the competitive
grant program established under subsection (b)(1).
(3) Resilience project.--The term ''resilience project''
means a project--
(A) with the ability to anticipate, prepare for,
and adapt to changing conditions and withstand, respond
to, and recover rapidly from disruptions; and
(B) designed and built to address current and
future vulnerabilities to an evacuation route due to--
(i) future occurrence or recurrence of
emergency events (as defined in section 667.3
of title 23, Code of Federal Regulations (or
successor regulations)) that are likely to
occur in the geographic area in which the
evacuation route is located; or
(ii) projected changes in development
patterns, demographics, or extreme weather
events based on the best available evidence and
analysis.
(4) Secretary.--The term ''Secretary'' means the Secretary
of Transportation.
(b) Establishment of Program.--
(1) In general.--The Secretary (in consultation with the
Administrator of the Federal Emergency Management Agency for
the purposes described in paragraph (3)) shall establish a
competitive grant program to provide grants for resilience
projects that strengthen and protect evacuation routes that are
essential for providing and supporting mass evacuations caused
by emergency events (as defined in section 667.3 of title 23,
Code of Federal Regulations (or successor regulations)).
(2) Requirements.--A grant awarded under the program shall
address--
(A) current and future vulnerabilities to an
evacuation route due to future occurrence or recurrence
of emergency events (as defined in section 667.3 of
title 23, Code of Federal Regulations (or successor
regulations)) that are likely to occur in the
geographic area in which the evacuation route is
located; and
(B) projected changes in development patterns,
demographics, or climate change and extreme weather
events based on the best available evidence and
analysis.
(3) Consultation.--In carrying out the program, the
Administrator of the Federal Emergency Management Agency shall
consult with the Secretary to provide technical assistance to
the Secretary and to applicants.
(c) Eligible Resilience Projects.--The Secretary shall provide
grants under this section to resilience projects--
(1) that are eligible projects under subsection (d); and
(2) that--
(A) ensure the ability of the evacuation route to
provide safe passage during a mass evacuation and
reduce the risk of damage to evacuation routes as a
result of future emergency events (as defined in
section 667.3 of title 23, Code of Federal Regulations
(or successor regulations)), including--
(i) restoring or replacing existing mass
evacuation routes that are structurally
deficient or functionally obsolete;
(ii) protecting, elevating, or relocating
assets that are located in a base floodplain;
(iii) protecting assets vulnerable to high
winds;
(iv) installing mitigation measures that
prevent the intrusion of floodwaters into
transportation systems;
(v) strengthening systems that remove
rainwater from transportation facilities or
services; or
(vi) other resilience projects that address
identified vulnerabilities;
(B) if the Secretary determines that existing
evacuation routes are not sufficient to adequately
facilitate mass evacuations, expand the capacity of
evacuation routes to swiftly and safely accommodate
mass evacuations, including installation of--
(i) communications and intelligent
transportation system equipment and
infrastructure;
(ii) counterflow measures; or
(iii) shoulders;
(C) are for the construction of--
(i) new or redundant evacuation routes, if
the Secretary determines that existing
evacuation routes are not sufficient to
adequately facilitate mass evacuations; or
(ii) sheltering facilities; or
(D) involve planning and acquisition, including--
(i) mass evacuation planning and
preparation, such as--
(I) coordination with agencies and
departments within the State, first
responders, and other States;
(II) identification of evacuation
routes;
(III) evacuation route education
and awareness campaigns;
(IV) traffic analysis and
monitoring; or
(V) data sharing;
(ii) acquisition of evacuation route and
traffic incident management equipment and
vehicles;
(iii) evacuation route risk assessment;
(iv) development of enhanced mass
evacuation response capabilities;
(v) evacuation route signage; or
(vi) equipment for pedestrian movement.
(d) Eligible Projects.--The Secretary may make a grant under this
section only for a project that is--
(1) a project eligible for assistance under title 23,
United States Code;
(2) a public transportation facility or service eligible
for assistance under chapter 53 of title 49, United States
Code;
(3) a facility or service for intercity rail passenger
transportation (as defined in section 24102 of title 49, United
States Code);
(4) a port facility, including a facility that--
(A) connects a port to other modes of
transportation;
(B) improves the efficiency of mass evacuations and
disaster relief; or
(C) aids transportation;
(5) a public-use airport (as defined in section 47102 of
title 49, United States Code) that is included in the national
plan of integrated airport systems developed by the Federal
Aviation Administration under section 47103 of title 49, United
States Code; or
(6) a route owned, operated, or maintained by the Corps of
Engineers.
(e) Eligible Entities.--The Secretary may award a grant under this
section to any of the following:
(1) A State.
(2) A metropolitan planning organization that serves an
urbanized area (as defined by the Bureau of the Census) with a
population of more than 200,000 individuals.
(3) A unit of local government.
(4) A political subdivision of a State or local government.
(5) A special purpose district or public authority with a
transportation function, including a port authority.
(6) A Federal land management agency that applies jointly
with a State or group of States.
(7) A Tribal government or a consortium of Tribal
governments.
(8) A multistate or multijurisdictional group of entities
described in paragraphs (1) through (7).
(f) Applications.--To be eligible to receive a grant under this
section, an eligible entity shall submit to the Secretary an
application in such form, at such time, and containing such information
as the Secretary determines to be necessary.
(g) Criteria.--In selecting resilience projects to receive grants
under the program, the Secretary shall consider--
(1) the cost of the project compared to the risk of
recurring damage and the cost of future repairs, taking into
account current and future emergency events (as defined in
section 667.3 of title 23, Code of Federal Regulations (or
successor regulations)) and extreme weather events, to the
maximum extent practicable;
(2) the extent to which the project reduces the financial
risk to the Federal Government; and
(3) such other criteria as the Secretary determines to be
appropriate.
(h) Administration of Projects.--Responsibility for oversight and
administration of a project that receives a grant under this section--
(1) may be transferred within the Department of
Transportation; and
(2) shall be administered in accordance with--
(A) title 23 and title 49, United States Code, as
applicable;
(B) title VI of the Civil Rights Act of 1964 (42
U.S.C. 2000d et seq.);
(C) the National Environmental Policy Act of 1969
(42 U.S.C. 4321 et seq.); and
(D) the Uniform Relocation Assistance and Real
Property Acquisition Policies Act of 1970 (42 U.S.C.
4601 et seq.).
(i) Federal Cost Share.--
(1) In general.--The Federal share of the cost of a project
carried out under the program shall not exceed 80 percent of
the total project cost.
(2) Non-federal share.--The eligible entity may use funds
provided from other Federal sources to meet the non-Federal
cost share requirement for a project under the program.
(j) Authorization of Appropriations.--There is authorized to be
appropriated to carry out this section for each fiscal year
$1,000,000,000, to remain available until expended.
answer:
Enhancing the Strength and Capacity of America's Primary Evacuation Routes Act or the ESCAPE Act This bill directs the Department of Transportation to establish a competitive grant program to provide grants for resilience projects that strengthen and protect evacuation routes that are essential for providing and supporting mass evacuations caused by emergency events. The bill defines "resilience project" to mean a project: (1) with the ability to anticipate, prepare for, and adapt to changing conditions and withstand, respond to, and recover rapidly from disruptions; and (2) designed and built to address current and future vulnerabilities to an evacuation route.