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

SECTION 1. SHORT TITLE; FINDINGS.

(a) Short Title.--This Act may be cited as the ''Preserving Access
to Modern Prosthetic Limbs Act of 2016''.
(b) Findings.--Congress finds the following:
(1) The Medicare program includes coverage for prosthetic
limbs under section 1861(s)(9) of the Social Security Act (42
U.S.C. 1395w(s)(9)).
(2) As a result of significant Federal and private
investment in research and development over the past decades,
beneficiaries with lower limb prostheses are able to maintain
optimal function and lead productive and independent lives.
(3) Federal spending for prosthetic devices in the Medicare
program has decreased by 15 percent between 2010 and 2014.
(4) The Secretary of Health and Human Services, through
Medicare contractors known as Durable Medical Equipment
Medicare Administrative Contractors, released on July 16, 2015,
a document entitled ''Local Coverage Determination (LCD): Lower
Limb Prostheses (DL33787)'', which applies to all Medicare
beneficiaries across the United States.
(5) The policies proposed in this document would
comprehensively change the requirements under which a Medicare
beneficiary would qualify for a lower limb prosthetic device
and would seriously restrict access to modern prosthetic care.
(6) If finalized, the changes proposed in this document
would create coverage requirements that are inconsistent with
current clinical practice and would arbitrarily and
unreasonably deny Medicare beneficiaries access to prosthetic
limb technologies considered the current standard of care.
(7) Under these proposed policies, beneficiaries instead
would be eligible for prosthetic devices that are functionally
outdated, less durable, and less safe.
(8) The adverse impact of the Medicare contractors'
proposed policies extend well beyond the Medicare program and
has implications for other Federal health programs, such as
health programs of the Veterans Administration, and commercial
insurers.
(9) Given the far reaching effect of these policies, and
the fact that little or no clinical or scientific evidence
supported the issuance of these proposals, any changes to
prosthetic limb coverage should be made only after a
transparent process in which evidence is offered to justify
coverage modifications, meaningful stakeholder feedback is
solicited, and the Secretary and Medicare contractors receive
and respond to this stakeholder feedback in a public manner.
(10) A moratorium on the implementation and enforcement of
these proposed policies would enable the Secretary and the
Medicare contractors to engage in such a transparent process.

SEC. 2. MORATORIUM ON IMPLEMENTATION OF PROPOSED MEDICARE LOCAL
COVERAGE DETERMINATION ON LOWER LIMB PROSTHESES.

(a) Moratorium.--
(1) In general.--The Secretary of Health and Human Services
and any Medicare Administrative Contractor may not implement
and enforce the policies in the LCD on lower limb prostheses
(as defined in subsection (d)(1)), in whole or in part, during
the period beginning on the date of the enactment of this Act,
and ending on June 30, 2017.
(2) Removal of policy from websites.--The Secretary of
Health and Human Services and its medicare administrative
contractors shall remove the LCD on lower limb prostheses from
the websites of the Centers for Medicare & Medicaid Services
and its medicare administrative contractors during the period
of the moratorium under paragraph (1).
(b) Providing the Secretary With Authority To Oversee the
Development of Local Coverage Determinations.--Section 1862(l)(5) of
the Social Security Act (42 U.S.C. 395y(l)(5)) is amended--
(1) by redesignating subparagraph (C) as subparagraph (D);
and
(2) by inserting after subparagraph (B) the following new
subparagraph:
''(C) Secretary oversight and guidance in
developing local coverage determinations.--The
Secretary shall provide guidance and oversight of any
local coverage determination developed by a medicare
administrative contractor to ensure that the local
coverage determination is consistent with this
title.''.
(c) Construction.--Nothing in this section shall be construed to
prevent the Secretary from enforcing existing statutes, regulations,
and local coverage determinations other than with respect to policies
in the LCD on lower limb prostheses.
(d) Definitions.--In this section:
(1) LCD on lower limb prostheses.--The term ''LCD on lower
limb prostheses'' means the local coverage determination on
lower limb prostheses as proposed by a medicare administrative
contractor in the document (DL33787) released on July 16, 2015,
and any successor to such determination.
(2) Medicare administrative contractor.--The term
''medicare administrative contractor'' has the meaning given
such term in section 1874A(a)(3)(A) of the Social Security Act
(42 U.S.C. 1395kk-1(a)(3)(A)).
Preserving Access to Modern Prosthetic Limbs Act of 2016 This bill amends title XVIII (Medicare) of the Social Security Act to postpone implementation and enforcement ofa local coverage determination (LCD) proposed by a Medicare Administrative Contractor (MAC) on lower limb prostheses. (An LCD is a decision by a MAC, which is a private insurer that processes Medicare claims within a specified geographicjurisdiction, as towhether to cover a service on a MAC-wide basis.) The Centers for Medicare & Medicaid shall provide guidance and oversight related to LCDs, as specified by the bill.

SECTION 1. PHYSICAL EDUCATION FOR PROGRESS.

Title X of the Elementary and Secondary Education Act of 1965 (20
U.S.C. 8001 et seq.) is amended by adding at the end the following:

''PART L--PHYSICAL EDUCATION FOR PROGRESS

''SEC. 10999A. SHORT TITLE.

''This part may be cited as the 'Physical Education for Progress
Act'.

''SEC. 10999B. PURPOSE.

''The purpose of this part is to award grants and contracts to
local educational agencies to enable the local educational agencies to
initiate, expand, and improve physical education programs for all
kindergarten through 12th grade students.

''SEC. 10999C. FINDINGS.

''Congress makes the following findings:
''(1) Physical education is essential to the development of
growing children.
''(2) Physical education helps improve the overall health
of children by improving their cardiovascular endurance,
muscular strength and power, and flexibility, and by enhancing
weight regulation, bone development, posture, skillful moving,
active lifestyle habits, and constructive use of leisure time.
''(3) Physical education helps improve the self esteem,
interpersonal relationships, responsible behavior, and
independence of children.
''(4) Children who participate in high quality daily
physical education programs tend to be more healthy and
physically fit.
''(5) The percentage of young people who are overweight has
more than doubled in the 30 years preceding 1999.
''(6) Low levels of activity contribute to the high
prevalence of obesity among children in the United States.
''(7) Obesity related diseases cost the United States
economy more than $100,000,000,000 every year.
''(8) Inactivity and poor diet cause at least 300,000
deaths a year in the United States.
''(9) Physically fit adults have significantly reduced risk
factors for heart attacks and stroke.
''(10) Children are not as active as they should be and
fewer than 1 in 4 children get 20 minutes of vigorous activity
every day of the week.
''(11) The Surgeon General's 1996 Report on Physical
Activity and Health, and the Centers for Disease Control and
Prevention, recommend daily physical education for all students
in kindergarten through grade 12.
''(12) Twelve years after Congress passed House Concurrent
Resolution 97, 100th Congress, agreed to December 11, 1987,
encouraging State and local governments and local educational
agencies to provide high quality daily physical education
programs for all children in kindergarten through grade 12,
little progress has been made.
''(13) Every student in our Nation's schools, from
kindergarten through grade 12, should have the opportunity to
participate in quality physical education. It is the unique
role of quality physical education programs to develop the
health-related fitness, physical competence, and cognitive
understanding about physical activity for all students so that
the students can adopt healthy and physically active
lifestyles.
''(14) Every student in our Nation's schools should have
the opportunity to achieve the goals established by Healthy
People 2000 and Healthy People 2010.

''SEC. 10999D. PROGRAM AUTHORIZED.

''The Secretary is authorized to award grants to, and enter into
contracts with, local educational agencies to pay the Federal share of
the costs of initiating, expanding, and improving physical education
programs for kindergarten through grade 12 students by--
''(1) providing equipment and support to enable students to
actively participate in physical education activities;
''(2) developing or enhancing physical education curricula
to meet national goals for physical education developed by the
Secretary in consultation with the National Association for
Sport and Physical Education; and
''(3) providing funds for staff and teacher training and
education.

''SEC. 10999E. APPLICATIONS; PROGRAM REQUIREMENTS.

''(a) Applications.--Each local educational agency desiring a grant
or contract under this part shall submit to the Secretary an
application that contains a plan to initiate, expand, or improve
physical education programs in the schools served by the agency in
order to make progress toward meeting--
''(1) the goals described in subsection (b); or
''(2) State standards for physical education.
''(b) Goals.--The goals referred to in subsection (a) are as
follows:
''(1) Physical education programs shall facilitate
achievement of the national goals for physical education
described in section 10999D(2), and the curriculum of the
programs may provide--
''(A) fitness education and assessment to help
children understand, improve, or maintain their
physical well-being;
''(B) instruction in a variety of motor skills and
physical activities designed to enhance the physical,
mental, and social or emotional development of every
child;
''(C) development of cognitive concepts about motor
skill and physical fitness that support a lifelong
healthy lifestyle;
''(D) opportunities to develop positive social and
cooperative skills through physical activity
participation; and
''(E) instruction in healthy eating habits and good
nutrition.
''(2) Teachers of physical education shall be afforded the
opportunity for professional development to stay abreast of the
latest research, issues, and trends in the field of physical
education.
''(c) Special Rule.--For the purpose of this part, extracurricular
activities such as team sports and Reserve Officers' Training Corps
(ROTC) program activities shall not be considered as part of the
curriculum of a physical education program assisted under this part.

''SEC. 10999F. PROPORTIONALITY.

''The Secretary shall ensure that grants awarded and contracts
entered into under this part shall be equitably distributed between
local educational agencies serving urban and rural areas, and between
local educational agencies serving large and small numbers of students.

''SEC. 10999G. PRIVATE SCHOOL STUDENTS AND HOME-SCHOOLED STUDENTS.

''An application for funds under this part, consistent with the
number of home-schooled children or children enrolled in private
elementary schools, middle schools, and secondary schools located in
the school district of a local educational agency, may provide for the
participation of such children and their teachers in the activities
assisted under this part.

''SEC. 10999H. REPORT REQUIRED FOR CONTINUED FUNDING.

''As a condition to continue to receive grant or contract funding
after the first year of a multiyear grant or contract under this part,
the administrator of the grant or contract for the local educational
agency shall submit to the Secretary an annual report that describes
the activities conducted during the preceding year and demonstrates
that progress has been made toward achieving goals described in section
10999E(b) or meeting State standards for physical education.

''SEC. 10999I. REPORT TO CONGRESS.

''The Secretary shall submit a report to Congress not later than
June 1, 2003, that describes the programs assisted under this part,
documents the success of such programs in improving physical fitness,
and makes such recommendations as the Secretary determines appropriate
for the continuation and improvement of the programs assisted under
this part.

''SEC. 10999J. ADMINISTRATIVE COSTS.

''Not more than 5 percent of the grant or contract funds made
available to a local educational agency under this part for any fiscal
year may be used for administrative costs.

''SEC. 10999K. FEDERAL SHARE; SUPPLEMENT NOT SUPPLANT.

''(a) Federal Share.--The Federal share under this part may not
exceed--
''(1) 90 percent of the total cost of a project for the
first year for which the project receives assistance under this
part; and
''(2) 75 percent of such cost for the second and each
subsequent such year.
''(b) Supplement not Supplant.--Funds made available under this
part shall be used to supplement and not supplant other Federal, State,
and local funds available for physical education activities.

''SEC. 10999L. AUTHORIZATION OF APPROPRIATIONS.

''There are authorized to be appropriated $30,000,000 for fiscal
year 2000, $70,000,000 for fiscal year 2001, and $100,000,000 for each
of the fiscal years 2002 through 2004, to carry out this part. Such
funds shall remain available until expended.''.
Requires such grants and contracts to be used for: (1) providing equipment and support to enable students to actively participate in physical education activities; (2) developing or enhancing physical education curricula to meet national goals developed by the Secretary; and (3) providing funds for staff and teacher training and education.
Requires LEA assistance applications for such assistance to contain plans for helping school physical education programs make progress toward meeting State standards for physical education or specified goals. Prohibits extracurricular activities such as team sports and Reserve Officers' Training Corps (ROTC) program activities from consideration as part of the curriculum of a physical education program assisted under this Act.
Authorizes appropriations.

SECTION 1. RESTRICTIONS.

The Secretary of Commerce may not--
(1) discontinue the Survey of Income and Program
Participation,
(2) make any change in the design or content of such
Survey, or
(3) allow any of the foregoing,

unless the discontinuation or change involved has first been approved
in accordance with section 2.

SEC. 2. PROPOSED ACTIONS.

(a) In General.--Whenever in the judgment of the Secretary of
Commerce it becomes necessary to discontinue the Survey of Income and
Program Participation or to make any change in the design or content of
the Survey of Income and Program Participation, he shall prepare a
written proposal under this subsection. Such proposal--
(1) shall include--
(A) a description of the specific actions proposed
to be taken;
(B) the date or schedule for their proposed
implementation; and
(C) the reasons or justification for each proposed
action; and
(2) shall be submitted by the Secretary of Commerce to the
SIPP Commission (established by section 3) in such time, form,
and manner as the Commission may require.
(b) Consideration and Decision.--The SIPP Commission shall promptly
consider any proposal received under subsection (a) and, after
appropriate deliberation, shall transmit its decision to approve or
disapprove such proposal to the Secretary of Commerce in timely
fashion. Any such decision shall be in writing and shall include a
statement of reasons and justification.

SEC. 3. ESTABLISHMENT OF COMMISSION.

(a) In General.--There is established a commission to be known as
the ''Commission on the Survey of Income and Program Participation''
(in this Act referred to as the ''SIPP Commission'' or the
''Commission'').
(b) Composition.--The Commission shall be composed of--
(1) the Director of the Office of Management and Budget,
who shall serve ex officio;
(2) 1 member from the Department of Agriculture, who shall
be appointed by the Secretary of Agriculture;
(3) 1 member from the Department of Labor, who shall be
appointed by the Secretary of Labor;
(4) 1 member from the Department of Energy, who shall be
appointed by the Secretary of Energy;
(5) 1 member from the Department of Health and Human
Services, who shall be appointed by the Secretary of Health and
Human Services;
(6) 1 member from the Social Security Administration, who
shall be appointed by the Commissioner of Social Security;
(7) 1 member from the Bureau of the Census, who shall be
appointed by the Secretary of Commerce in consultation with the
Director of the Census; and
(8) 2 members from the National Academy of Sciences, who
shall be appointed by the Director of the Office of Management
and Budget from among individuals recommended by the Council of
the National Academy of Sciences.
All appointments to the Commission shall be made from among social
scientists and statisticians who have experience analyzing longitudinal
household data on economic well-being and participation in government
programs.
(c) Terms of Appointees.--
(1) In general.--Except as provided in paragraph (2), each
member who is appointed to the Commission shall be appointed
for a term of 2 years.
(2) Vacancies.--
(A) In general.--Any member appointed to fill a
vacancy occurring before the expiration of the term for
which the member's predecessor was appointed shall be
appointed only for the remainder of that term.
(B) Service after term ends.--A member may serve
after the expiration of that member's term until a
successor has taken office.
(C) Manner of appointment.--A vacancy among any of
the appointed members shall be filled in the manner in
which the original appointment was made.
(d) Chairman.--The Director of the Office of Management and Budget
shall serve as Chairman of the Commission.
(e) Functions.--
(1) In general.--It shall be the function of the Commission
to consider and act on any proposal relating to the Survey of
Income and Program Participation (described in section 2(a)) in
accordance with section 2(b).
(2) Nondelegable functions.--The functions of the Director
of the Office of Management and Budget under this Act shall be
nondelegable.
(f) Procedures.--The Commission shall meet at the call of the
Chairman of the Commission. A majority of the members of the Commission
who are eligible to vote shall constitute a quorum. All members except
those under paragraphs (1) and (8), respectively, of subsection (b)
shall be eligible to vote.
(g) Compensation.--Members of the Commission shall serve as such
without pay, but shall be allowed travel expenses, including a per diem
allowance in lieu of subsistence, in the same manner as persons serving
intermittently in Government service are allowed travel expenses under
section 5703 of title 5, United States Code.

SEC. 4. EFFECTIVE DATE.

This Act shall take effect as of the date of the enactment of this
Act or September 30, 2006, whichever is earlier.
Prohibits the Secretary of Commerce from: (1) discontinuing the Survey of Income and Program Participation; (2) making any change in the design or content of such Survey; or (3) allowing any of the foregoing unless the discontinuation or change involved has first been approved in accordance with this Act.

Provides that whenever, in the judgment of the Secretary, it becomes necessary to discontinue the Survey of Income and Program Participation (SIPP), or to make any change in its design or content, the Secretary shall prepare a written proposal.

Establishes the Commission on the Survey of Income and Program Participation (SIPP Commission) to consider and act on any proposal relating to the SIPP in accordance with this Act.

Requires the SIPP Commission to consider promptly any proposal received under this Act and, after appropriate deliberation, transmit its decision of approval or disapproval to the Secretary in a timely fashion.