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 ''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should be amended or rescinded, consistent with the stated objectives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 ''Early Education Employee Benefit Act
of 2002''.

SEC. 2. AUTHORITY TO MAKE GRANTS.

The Secretary of Health and Human Services may make grants on a
competitive basis, and payable during a period of not less than 2 years
and not more than 5 years, to eligible States and political
subdivisions of States--
(1) to establish innovative partnerships with private
partners to reduce the cost incurred by employees and union
members to obtain early education (including child care,
preschool, and other early childhood programs), or
(2) to assist private partners to pay part of the cost of
acquiring, building, and renovating physical premises to be
used as new early education facilities.

SEC. 3. ELIGIBILITY OF STATES AND POLITICAL SUBDIVISIONS OF STATES TO
RECEIVE GRANTS.

To be eligible to receive a grant under section 2, a State or a
political subdivision of a State shall submit to the Secretary an
application at such time, in such form, and containing such information
as the Secretary may require by rule, including--
(1) the agency designated by the State, or the political
subdivision of a State, to serve as the lead agency that will
administer such grant,
(2) a description of the program such applicant intends to
carry out with such grant,
(3) a description of the source, and increasing annual
amount, of the funds such applicant will use to pay the non-
Federal share of the cost to carry out such program during a
period not less than 2 years and not more than 5 years, and
(4) an agreement that such State or such political
subdivision--
(A) will contribute (from non-Federal funds) to
carry out such program, an amount equal to 50 percent
of the amount of such grant,
(B) will not require a private partner to offer on-
site early education as a condition for participation
in an Early Education Benefit Agreement, and
(C) will use such grant to supplement, not
supplant, spending by such State, such political
subdivision, and private partners to improve access to
and enhance the quality of early education.

SEC. 4. SELECTION OF APPLICANTS TO RECEIVE GRANTS.

In making grants under this Act, the Secretary shall give priority
to eligible applicants that--
(1) are, in the judgment of the Secretary, most likely to
increase the number of employees and members who receive an
Early Education Benefit through their employers and unions,
(2) propose innovative public-private partnerships that
will carry out early education programs that are likely to be
replicated,
(3) are likely to be sustainable beyond the period during
which such grant is expended,
(4) are developed in consultation with child care resource
and referral agencies and networks, and with employers and
unions,
(5) demonstrate the intention and ability to provide--
(A) with funds to be expended for the use described
in section 5(1), Early Education Benefits through Early
Education Benefit Agreements to a significant number of
employees of private employers with fewer than 50
employees, or
(B) with funds to be expended for the use described
in section 5(2), Early Education Start-up Grants to
private employers with fewer than 50 employees, and
(6) have experience working on early childhood
issues and working in partnership with the business
community, or have an agreement to implement the
program funded by a grant made under section 2 through
a nonprofit entity with such experience.

SEC. 5. USES OF FUNDS.

A recipient of a grant made under section 2 shall use such grant--
(1) to enter into Early Education Benefit Agreements to
provide Early Education Benefits, or
(2) to provide funds to private partners to establish new
early education facilities,
except that not more than 5 percent of such grant may be used to pay
administrative costs incurred by such recipient to carry out this Act,
including providing outreach to private partners.

SEC. 6. EARLY EDUCATION BENEFIT AGREEMENTS.

(a) Eligibility.--To be eligible to receive funds to be used for
the purpose specified in section 5(1) from a grant made under section
2, a private partner, or consortia of private partners, shall enter
into an Early Education Benefit Agreement with the recipient of such
grant that includes the following:
(1) An assurance that such private partner, or such
consortia, will pay not less than--
(A) /3\ of the cost of such Early Education
Benefit, or
(B) /5\ of such cost if such private partner, or
such consortia, creates a new early education facility
that--
(i) serves children less than 2 years of
age or children with disabilities, or
(ii) is available during nontraditional
work hours.
(2) An assurance that such private partner, or such
consortia, shall offer such Early Education Benefit on a
priority basis to such employees or such members who have lower
incomes if such Early Education Benefit is not offered to all
such employees or all such members.
(3) An assurance that if such private partner, or such
consortia, requires that such Early Education Benefit received
by an employee or member be expended at a limited number of
sites where early education (including child care, preschool,
and other early childhood programs) is provided, then
there shall be at least 1 provider of early education (including child
care, preschool, and other early childhood programs) for which such
Early Education Benefit may be expended, that is--
(A) located at or near the residence or place of
employment of such employee or such member, and
(B) accredited by the National Association for the
Education of Young Children or the National Association
for Family Child Care, or taking steps to obtain such
accreditation.
(4) An assurance that early education paid for in whole or
in part by such Early Education Benefit will be provided by a
provider that is licensed or regulated by the State.
(5) A detailed description of--
(i) the nature of the Early Education Benefit to be
provided,
(ii) the respective financial contributions of such
private partner, or such consortia, and such grant
recipient, and the procedures by which such
contributions will be made,
(iii) the number of employees or members expected
to receive the Early Education Benefit provided under
such Agreement, and
(iv) the estimated total cost of such Benefit to
such private partner (or such consortia), such grant
recipient, and such employees or such members.
(b) Selection of Private Partners To Enter Into Early Education
Benefit Agreements.--In selecting private partners with which to enter
into Early Education Benefit Agreements, a recipient of a grant made
under section 2 shall give priority to--
(1) private partners that will make larger financial
contributions to the Early Education Benefit,
(2) private partners with fewer employees or members,
(3) private partners that will make an Early Education
Benefit available to employees and members on a sliding scale
inversely proportional to their level of earned income, and
(4) private partners that have a history of personnel
policies and practices that enable their employees or their
members to balance work commitments with family obligations.

SEC. 7. EARLY EDUCATION START-UP GRANTS.

(a) Eligibility To Receive Funds.--To be eligible to receive funds
for the use specified in section 5(2) from a grant made under section
2, a private partner shall agree--
(1) to subsidize attendance at the proposed new early
education facility for children of lower-paid employees or
members, and
(2) to pay not less than /3\ of the cost of acquiring,
building, and renovating physical premises to be used as such
facility.
(b) Selection of Private Partners To Receive Funds.--In providing
funds to private partners from a grant received for the use specified
in section 5(2), a recipient of a grant made under section 2 shall give
priority to--
(1) private partners that will create a facility to provide
early education that--
(A) serves children less than 2 years of age or
children with disabilities, or
(B) is available during nontraditional hours during
which their parents are employed,
(2) private partners that will operate such a facility that
is accredited, has a low ratio of children to adults, or
demonstrates other facts that show such facility offers an
early education program of high quality,
(3) private partners that will pay with nongovernmental
funds a larger share of the cost of the use for which the Early
Education Start-up Grant funds will be expended,
(4) private partners that have fewer employees or members,
and
(5) private partners that have a history of personnel
policies and practices that enable their employees or members
to balance work commitments with family obligations.

SEC. 8. REPORTS.

(a) Reports by Grantees.--The Secretary shall issue rules that
require each recipient of a grant made under section 2 to submit
annually to the Secretary a report that includes the following
information for the fiscal year for which such report is submitted:
(1) The number of Early Education Benefit Agreements
participated in and Start-Up Grants made.
(2) Information about the private partners, including the
industry of which they are a part and their size.
(3) Information about the number of employees who are both
offered and are receiving Early Education Benefits as a result
of such grant,including the number and average incomes of
employees who are receiving Early Education Benefits and the
number of employees who were offered and declined Early
Education Benefits.
(4) Information about the amount of private spending on
Early Education Benefits and on the investment in new early
education facilities leveraged by the grants.
(5) If appropriate and available, information about whether
and at what level private partners have continued to provide
Early Education Benefits after the conclusion of the grantee's
participation in an Early Education Benefit Agreement.
(b) Reports by the Secretary.--The Secretary shall submit to the
Congress biennially a report that includes the following information
for the period of 2 fiscal years for which such report is submitted:
(1) Summaries of the reports received under subsection (a)
by the Secretary for such period.
(2) A description of the implementation of this Act, and
its impact on employees' access to early education programs for
their children, during such period.

SEC. 9. DEFINITIONS.

For purposes of this Act:
(1) Child.--The term ''child'' means an individual who is
less that 6 years of age.
(2) Early Education Benefit.--The term ''Early Education
Benefit'' means assistance, in cash or in kind, to pay any part
of the cost incurred by employees and union members to obtain
early education (including child care, preschool, and other
early childhood programs) for their children.
(3) Early Education Benefit Agreement.--The term ''Early
Education Benefit Agreement'' means a contract under which a
recipient of a grant under section 2 and a private partner that
receives from such recipient funds provided for the use
described in section 5(1) agree to provide jointly an Early
Education Benefit for children of the members or employees of
such private partner.
(4) Private Partner.--The term ''private partner'' means a
private employer, labor union, and consortia of employers or
labor unions.
(5) Secretary.--The term ''Secretary'' means the Secretary
of Health and Human Services.

SEC. 10. AUTHORIZATION OF APPROPRIATIONS.

There are authorized to be appropriated to carry out this Act such
sums as may be necessary for fiscal years 2003 through 2007.

SOLUTION: Early Education Employee Benefit Act of 2002 - Authorizes the Secretary of Health and Human Services (HHS) to make competitive matching grants to States and local governments to: (1) enter Early Education Benefit Agreements with private partners to provide part of the cost of Early Education Benefits, which reduce costs incurred by employees and union members to obtain early education (including child care, preschool, and other early childhood programs); or (2) make Early Education Start-Up Grants to assist private partners to pay part of the cost of acquiring, building, and renovating physical premises to be used as new early education facilities, if such partners subsidize attendance at those facilities for children of lower-paid employees or union members.

PROBLEM: SECTION 1. SHORT TITLE.

This Act may be cited as the ''Accelerating Action in Maternal and
Child Health Act of 2014''.

SEC. 2. PURPOSE.

The purpose of this Act is to provide tools for the United States
Government to use to accelerate the reduction of preventable maternal,
newborn, and child deaths in 24 United States Agency for International
Development (USAID) focus countries by 2020, saving 15,000,000 children
and 600,000 mothers.

SEC. 3. FINDINGS.

Congress makes the following findings:
(1) Over the past 2 decades, child mortality has reduced by
nearly 50 percent and maternal mortality has reduced by 40
percent, thanks in large part to United States Government
action and intervention.
(2) In the last 3 years, 24 priority countries--of which 16
are in Africa--have achieved an 8 percent reduction in under-5
mortality, saving 500,000 lives.
(3) The report ''Acting on the Call: Ending Preventable
Child and Maternal Deaths'' developed by USAID provides a
critical foundation of evidence, knowledge, modeling, and
policy development on ending maternal, newborn, and child
deaths worldwide.
(4) To achieve Millennium Development Goal 4--to reduce
child mortality by /3\ between 1990 and 2015--on time, the
global annual rate of reduction in under-5 mortality would need
to rise to 15.6 percent from 2012 through 2015, much faster
than the 3.9 percent achieved from 2005 through 2012.
(5) According to the World Health Organization (WHO), every
year 6,600,000 children under the age of 5--primarily infants--
die from preventable or treatable causes, and more than 800
women die every day from complications during pregnancy and
childbirth.
(6) The vast majority of these deaths occur in the
developing world and countries in Africa have the highest
burden.
(7) The highest rates of child mortality are still in sub-
Saharan Africa, with an under-5 mortality rate of 98 deaths per
1,000 live births--more than 15 times the average for developed
regions.
(8) Investing in women and children reduces poverty,
stimulates economic growth, and most importantly, saves lives.
(9) Health products, such as vaccines and treatments, have
contributed significantly to recent successes in child and
maternal survival globally. New approaches and technologies are
critically needed to accelerate progress toward ending
preventable maternal and child deaths.
(10) The WHO identifies the following leading causes of
maternal, newborn, and child mortality:
(A) Leading causes of maternal mortality in low-
income countries include post-partum bleeding,
infection, and hypertension.
(B) Newborn deaths account for approximately 44
percent of deaths among children under age 5 and are
predominantly caused by infections, premature birth,
and asphyxia.
(C) Most deaths of children under the age of 5 are
a result of preventable causes, such as respiratory
infections (commonly from pneumonia), diarrhea, and
malaria.
(D) Malnutrition is the underlying contributing
factor in about 45 percent of all child deaths, making
children more vulnerable to severe diseases.

SEC. 4. STATEMENT OF POLICY.

It is the policy of the United States, in partnership with host
governments, international financial institutions, nongovernmental
organizations, faith-based organizations, and the private sector, to
establish a comprehensive, coordinated, integrated strategy to combat
the leading causes of maternal, newborn, and child mortality globally
by--
(1) building on progress and success to date;
(2) scaling up the most effective evidence-based
interventions with a focus on country ownership;
(3) focusing on USAID's 24 priority countries;
(4) streamlining existing resources and scaling up
increased targeted resources;
(5) increasing transparency and accountability; and
(6) creating innovative new public-private financing
mechanisms.

SEC. 5. STRATEGY.

(a) In General.--The President shall establish a strategy to
accelerate action in each of the 24 priority countries set forth in
section 7, building on the evidence outlined in USAID's ''Acting on the
Call: Ending Preventable Child and Maternal Deaths''. The strategy will
use the current modeling and data that outlines the most proven
effective interventions. The strategy shall further strengthen the
capability of the United States to be an effective leader in maternal,
newborn, and child health, particularly in Africa, and will be a first
step toward a broader, concerted effort to end maternal, newborn, and
child deaths worldwide.
(b) Elements.--The strategy established under subsection (a)
shall--
(1) include specific objectives, multisectoral approaches,
and specific strategies to address the leading causes of death
among mothers during pregnancy, childbirth, and post-delivery;
newborns in their first 28 days; and children under the age of
5;
(2) clarify the responsibilities of the country, the
implementing organization, and the United States in the
achievement of such objectives;
(3) include regular benchmarks to measure, where
appropriate, progress toward achieving such objectives;
(4) utilize data and modeling to implement the most
effective interventions for saving 15,000,000 children and
600,000 mothers;
(5) illustrate the result of coordination among relevant
executive branch agencies, foreign governments, and
international organizations;
(6) provide projected levels of resources needed to achieve
the stated objectives;
(7) expand public-private partnerships for research and
innovation and for leveraging resources in new and innovative
ways; and
(8) use open, fair, and competitive procedures wherever
appropriate and possible in the administration, execution, and
evaluation of the program.
(c) Targeted Services.--The strategy established under subsection
(a) should focus on the following evidence-based categories of
intervention:
(1) Safe motherhood and newborn survival, including--
(A) prenatal and postnatal care for mothers and
newborns;
(B) quality care during labor and delivery,
including in emergencies; and
(C) education on healthy timing and spacing of
pregnancies.
(2) Healthy households and schools, including Water,
Sanitation, and Hygiene (WASH).
(3) Nutrition, including--
(A) maternal and child nutrition during the first
1,000 days; and
(B) prevention of maternal malnutrition.
(4) Healthy childhood, including--
(A) vaccines for the leading causes of maternal,
newborn, and child deaths;
(B) prevention and treatment for pneumonia and
diarrhea;
(C) prevention of mother-to-child transmission of
HIV (PMTCT);
(D) prevention and treatment of malaria; and
(E) capacity-building of health professionals.

SEC. 6. ESTABLISHMENT OF AN INNOVATIVE PUBLIC-PRIVATE FINANCING
MECHANISM.

The United States Government shall establish a pilot program for
innovative financing mechanisms for delivering maternal, newborn, and
child health interventions in the 24 priority countries set forth in
section 7 based on the specific recommendations outlined by the
convening of high-level global experts at the 2014 United Nations
General Assembly. The innovative financing framework will establish a
method to mobilize capital for health utilizing tools, including loans
and loan guarantees, volume guarantees, development impact bonds, or
partner government taxes, levies, fees, and funds.

SEC. 7. PRIORITY COUNTRIES.

(a) In General.--Based on the global target list developed by
USAID, the priority countries for receiving maternal and child health
programming under this Act are the following:
(1) Afghanistan.
(2) Bangladesh.
(3) The Democratic Republic of the Congo (DRC).
(4) Ethiopia.
(5) Ghana.
(6) Haiti.
(7) India.
(8) Indonesia.
(9) Kenya.
(10) Liberia.
(11) Madagascar.
(12) Malawi.
(13) Mali.
(14) Mozambique.
(15) Nepal.
(16) Nigeria.
(17) Pakistan.
(18) Rwanda.
(19) Senegal.
(20) South Sudan.
(21) Tanzania.
(22) Uganda.
(23) Yemen.
(24) Zambia.
(b) Eligibility Criteria.--The United States Government should give
preference to applying mechanisms under this Act to the countries
listed under subsection (a) that have reached or made progress towards
2001 Abuja Declaration commitments involving pledges to increase
government funding for health to at least 15 percent within the next 5
years. A candidate country should be also considered to be an eligible
country by demonstrating a commitment to--
(1) peaceful and democratic governance;
(2) civil society engagement;
(3) economic freedom; and
(4) investments in the people of such country, particularly
in maternal, newborn, and child health.

SEC. 8. PROGRESS REPORT.

Beginning 2 years after the date of the enactment of this Act, the
President shall provide an annual progress report to Congress on
activities under this Act, including--
(1) data on mechanisms implemented under this Act,
including a description of how they are designed, managed, and
monitored and evaluated;
(2) how many mechanisms are implemented and where; and
(3) the results of implementation of such mechanisms, and
recommendations for improving these mechanisms to ensure future
growth and success.

SEC. 9. AUTHORIZATION OF APPROPRIATIONS.

There are authorized to be appropriated to carry out this Act such
sums as may be necessary for each of fiscal years 2015 through 2019, to
remain available until expended.

SOLUTION:
Accelerating Action in Maternal and Child Health Act of 2014 - Directs the President to establish a strategy to: accelerate action in each of the priority countries listed in this Act to combat the leading causes of maternal, newborn, and child mortality; and strengthen the capability of the United States to be an effective leader in maternal, newborn, and child health, particularly in Africa, and in a broader effort to end maternal, newborn, and child deaths worldwide. Requires the United States to establish a pilot program for innovative financing mechanisms to deliver maternal, newborn, and child health interventions in such countries.