In this task, you are given text for US Congressional and California state bills, your task is to generate a summary for this bill.
One example is below.
Q: SECTION 1. LIABILITY OF BUSINESS ENTITIES PROVIDING USE OF FACILITIES
TO NONPROFIT ORGANIZATIONS.

(a) Definitions.--In this section:
(1) Business entity.--The term ''business entity'' means a
firm, corporation, association, partnership, consortium, joint
venture, or other form of enterprise.
(2) Facility.--The term ''facility'' means any real
property, including any building, improvement, or appurtenance.
(3) Gross negligence.--The term ''gross negligence'' means
voluntary and conscious conduct by a person with knowledge (at
the time of the conduct) that the conduct is likely to be
harmful to the health or well-being of another person.
(4) Intentional misconduct.--The term ''intentional
misconduct'' means conduct by a person with knowledge (at the
time of the conduct) that the conduct is harmful to the health
or well-being of another person.
(5) Nonprofit organization.--The term ''nonprofit
organization'' means--
(A) any organization described in section 501(c)(3)
of the Internal Revenue Code of 1986 and exempt from
tax under section 501(a) of such Code; or
(B) any not-for-profit organization organized and
conducted for public benefit and operated primarily for
charitable, civic, educational, religious, welfare, or
health purposes.
(6) State.--The term ''State'' means each of the several
States, the District of Columbia, the Commonwealth of Puerto
Rico, the Virgin Islands, Guam, American Samoa, the Northern
Mariana Islands, any other territory or possession of the
United States, or any political subdivision of any such State,
territory, or possession.
(b) Limitation on Liability.--
(1) In general.--Subject to subsection (c), a business
entity shall not be subject to civil liability relating to any
injury or death occurring at a facility of the business entity
in connection with a use of such facility by a nonprofit
organization if--
(A) the use occurs outside of the scope of business
of the business entity;
(B) such injury or death occurs during a period
that such facility is used by the nonprofit
organization; and
(C) the business entity authorized the use of such
facility by the nonprofit organization.
(2) Application.--This subsection shall apply--
(A) with respect to civil liability under Federal
and State law; and
(B) regardless of whether a nonprofit organization
pays for the use of a facility.
(c) Exception for Liability.--Subsection (b) shall not apply to an
injury or death that results from an act or omission of a business
entity that constitutes gross negligence or intentional misconduct,
including any misconduct that--
(1) constitutes a crime of violence (as that term is
defined in section 16 of title 18, United States Code) or act
of international terrorism (as that term is defined in section
2331 of title 18) for which the defendant has been convicted in
any court;
(2) constitutes a hate crime (as that term is used in the
Hate Crime Statistics Act (28 U.S.C. 534 note));
(3) involves a sexual offense, as defined by applicable
State law, for which the defendant has been convicted in any
court; or
(4) involves misconduct for which the defendant has been
found to have violated a Federal or State civil rights law.
(d) Superseding Provision.--
(1) In general.--Subject to paragraph (2) and subsection
(e), this Act preempts the laws of any State to the extent that
such laws are inconsistent with this Act, except that this Act
shall not preempt any State law that provides additional
protection from liability for a business entity for an injury
or death with respect to which conditions under subparagraphs
(A) through (C) of subsection (b)(1) apply.
(2) Limitation.--Nothing in this Act shall be construed to
supersede any Federal or State health or safety law.
(e) Election of State Regarding Nonapplicability.--This Act shall
not apply to any civil action in a State court against a business
entity in which all parties are citizens of the State if such State
enacts a statute--
(1) citing the authority of this subsection;
(2) declaring the election of such State that this Act
shall not apply to such civil action in the State; and
(3) containing no other provision.
A: Shields a business entity from civil liability relating to any injury or death occurring at a facility of that entity in connection with a use of such facility by a nonprofit organization if: (1) the use occurs outside the scope of business of the business entity; (2) such injury or death occurs during a period that such facility is used by such organization; and (3) the business entity authorized the use of such facility by the organization.
Makes this Act inapplicable to an injury or death that results from an act or omission of a business entity that constitutes gross negligence or intentional misconduct, including misconduct that: (1) constitutes a hate crime or a crime of violence or act of international terrorism for which the defendant has been convicted in any court; or (2) involves a sexual offense for which the defendant has been convicted in any court or misconduct for which the defendant has been found to have violated a Federal or State civil rights law.
Preempts State laws to the extent that such laws are inconsistent with this Act, except State law that provides additional protection from liability. Specifies that this Act shall not be construed to supersede any Federal or State health or safety law.
Makes this Act inapplicable to any civil action in a State court against a business entity in which all parties are citizens of the State if such State, citing this Act's authority and containing no other provision, enacts a statute declaring the State's election that this Act shall not apply to such action in the State.
Rationale: This Bill focuses on shielding business entities from civil liability relating to an injury or death depending on the conditions of injury, hence the generated summary is correct.
Q: SECTION 1. SHORT TITLE.

This Act may be cited as the ''Healthcare Innovation Zone Program
Act of 2009''.

SEC. 2. HEALTHCARE INNOVATION ZONE DEMONSTRATION PROGRAM.

(a) Establishment.--Not later than 6 months after the date of
enactment of this Act, the Secretary of Health and Human Services shall
establish a Healthcare Innovation Zone pilot program to increase
healthcare provider integration and align healthcare provider
incentives to improve health and to reduce healthcare costs.
(b) Features of Program.--The HIZ pilot program established under
subsection (a) shall consist of the following:
(1) An HIZ planning grant program, as described in section
3.
(2) An HIZ demonstration project, as described in section
4.
(c) Definitions.--In this Act:
(1) Grant program.--The term ''grant program'' means the
HIZ planning grant program as described in section 3.
(2) HIZ.--The term ''HIZ'' means a Healthcare Innovation
Zone, consisting of an integrated healthcare delivery network
that works with local employers, community leaders, and private
and governmental payors in a geographic region, that--
(A) provides a full spectrum of care, including
inpatient, outpatient, post-acute, and preventive care,
to individuals including Medicare beneficiaries;
(B) has an academic medical center that provides
tertiary and quaternary care, has existing capabilities
to conduct health services research, and provides
clinical training for health professionals; and
(C) is able to accept alternative payment
structures beyond fee-for-service and per diem amounts.
(3) Secretary.--The term ''Secretary'' means the Secretary
of Health and Human Services.

SEC. 3. HIZ PLANNING GRANT PROGRAM.

(a) Establishment.--The Secretary shall make grants to eligible
entities for the purposes of researching and preparing an HIZ model
plan, in accordance with subsection (f).
(b) Conditions.--A grant recipient under this section must apply
for the HIZ demonstration project described in section 4. If a grant
recipient under this section is not selected to participate in such
project, then such recipient must return any unused grant funds to the
Secretary.
(c) Eligibility.--The following persons are eligible entities for
purposes of this section:
(1) A healthcare institution or provider licensed and
accredited in the United States.
(2) An academic medical center.
(3) A large multispecialty group practice.
(4) Any other clinical organization.
(5) Any other organization that is able to establish,
through a memorandum of understanding or by other means to be
defined by the Secretary, an intent to collaborate with a
person listed in paragraphs (1) through (4).
(d) Application.--An application for a grant under this section
shall include the following:
(1) A demonstration that the grant applicant is located in
a geographic region that has the necessary breadth of
healthcare providers to support the HIZ.
(2) The support and endorsement of the HIZ concept by the
following persons:
(A) At least one leader of a clinical entity that
provides the full spectrum of care.
(B) At least one private payer.
(3) A demonstration that the grant applicant has the
resources and expertise to implement the features listed in
subsection (f).
(4) A proposed budget setting forth the costs to be
incurred in creating the model HIZ plan.
(e) Criteria for Awarding Grants.--The Secretary shall give
preference to a grant application that demonstrates a likelihood that
the HIZ model plan will meet the requirements of subsection (f).
(f) HIZ Model Plan Requirements.--A recipient of a grant under this
section must submit to the Secretary, within 6 months of receiving such
grant, an HIZ model plan describing the HIZ to be implemented in the
demonstration project under section 4. Such HIZ model plan must contain
the following:
(1) A description of innovative models of care that improve
quality and decrease costs.
(2) A provider network that will provide the full spectrum
of care.
(3) A target population and mechanisms to enroll such
population, supported by evidence that such population is
willing to participate in an HIZ demonstration.
(4) A mechanism to provide for knowledge and information-
sharing across the HIZ participants.
(5) A description of how the HIZ would incorporate the
training of the next generation of physicians, nurses, and
allied health professionals in a new model of cost-effective
quality healthcare.
(6) A description of the governance of the HIZ, and how it
would affect the administration of the model and management of
the organizational and cultural changes necessary for a
successful HIZ.
(7) A description of non-financial barriers to innovation
that must be addressed for the creation of a successful HIZ,
including physician self-referral laws, anti-trust
considerations, State laws, and accreditation or certification
requirements.
(8) A process for data reporting, annual site visits, and
developing community health impact assessments.
(9) A set of indicators to help track performance and
success of the HIZ model plan, including measures to address
cost containment, access to care, and quality improvement, and
how the HIZ model plan would facilitate achievement of these
improvements.
(10) A description of mechanisms to achieve involvement by
the community and external experts as ongoing monitors of the
success of the HIZ model plan.
(11) Payment methodology options that address both funding
mechanisms to the HIZ as well as how the HIZ would distribute
funds to the HIZ participants.
(g) Number and Amount of Planning Grants.--The Secretary shall
award at least 10 but not more than 25 grants under this section in an
amount of at least $250,000 and not more than $1,000,000 per grant.
(h) Funding.--Amounts made available under the heading ''Agency for
Healthcare Research and Quality--Healthcare Research and Quality'' in
title VIII of division I of the American Recovery and Reinvestment Act
of 2009 (Public Law 111-5) may be used by the Secretary to make grants
under this section.

SEC. 4. HEALTHCARE INNOVATION ZONE DEMONSTRATION PROJECT.

(a) Establishment.--The Secretary shall establish an HIZ
demonstration project in order to test the effectiveness of HIZs in
increasing healthcare provider integration, improving healthcare
services, and reducing healthcare costs. Such demonstration project
shall not be subject to current requirements regarding shared savings
under demonstration projects. The Secretary shall select demonstration
project participants from the persons that have received grants under
section 3.
(b) Duration.--The demonstration project shall operate for a period
of at least 3 years, and shall be subject to renewal at the Secretary's
discretion.
(c) Application.--An eligible entity shall submit an application
for participation in the HIZ demonstration project to the Secretary at
such time and manner, and containing such information as the Secretary
may require.
(d) Eligibility.--To be eligible to participate in the
demonstration project established under this section, a person must--
(1) have submitted an HIZ model plan in accordance with
section 3(f) that is approved by the Secretary;
(2) agree to submit the necessary data so that Secretary
can assess the costs, quality of care, and access to care for
the population participating in the HIZ demonstration project;
(3) demonstrate a culture of innovation and commitment to
preventive and public health;
(4) possess structural elements to provide the full range
of care necessary for a successful HIZ;
(5) provide clinical training for healthcare professionals
in a medical environment that emphasizes coordinated,
integrated, high-quality care delivered at a controlled cost;
(6) have the ability to allocate resources within the
members of the HIZ;
(7) have a broad research infrastructure that supports data
gathering, analytics, and synthesis of unrelated population
elements, including quality-related data elements;
(8) have significant investment in health information
technology that extends across the system to include healthcare
providers, physicians, and other clinicians;
(9) possess advance innovations including, but not limited
to, creation of medical homes, pay for performance, and other
cost-effective delivery platforms;
(10) demonstrate long-term economic sustainability;
(11) demonstrate strong hospital and physician leadership
and the willingness to undergo a full portfolio assessment and
reengineering of core patient care and administrative
processes;
(12) possess robust financial infrastructure and
administrative support to assure the HIZ's success; and
(13) demonstrate arrangements that maintain oversight and
accreditation standards.
(e) HIZ Requirements.--An HIZ established under this section
shall--
(1) provide healthcare services to individuals who
voluntarily enroll to receive such services for multi-year
periods from the HIZ; and
(2) provide comprehensive healthcare services, as described
in subsection (f).
(f) Comprehensive Healthcare Services.--The comprehensive
healthcare services referred to in subsection (e)(2) shall consist of
hospital care, physician services, post-acute care, preventive care,
education, tertiary and quaternary care, and palliative care, and shall
include the following:
(1) For a primary care practice, contractual agreements
with practices that deliver both primary and preventive care.
(2) For a teaching hospital or other hospital, arrangements
with teaching and nonteaching hospitals and arrangements with
community hospitals.
(3) For a network of outpatient facilities, arrangements
with outpatient facilities, including Federally Qualified
Health Centers and community health providers.
(4) For a network of post-acute care providers,
arrangements with post-acute care providers for rehabilitation
services, home health services, hospice services, skilled
nursing services, and such other post-acute care services as
the Secretary determines to be appropriate.
(5) For a network of community services, arrangements for
the provision of ambulance services and community outreach
service.
(6) Arrangements for the provision such additional services
as the Secretary may require.
(g) Payment.--The Secretary may determine the payments that are
required to be made for receipt of healthcare services provided under a
model plan implemented with a grant under this section. The Secretary
shall determine those amounts based on the methodology options
submitted through the grant program established under section 3.
(h) Assumption of Financial Risk for Costs Above HIZ Payment
Amounts.--An HIZ established under this section shall assume the full
financial risk for the costs of healthcare services delivered to an
individual receiving services from the HIZ that are in excess of any
payments made to the HIZ and must have sufficient reserves to
accommodate any such additional costs.
(i) Waiver of Rights to Payment Under Private or Public Programs.--
An HIZ established with amounts provided under this section shall waive
any right to additional reimbursement under any Federal healthcare
entitlement program, including under titles XVIII and XIX of the Social
Security Act (42 U.S.C. 1395 et seq.; 42 U.S.C. 1396 et seq.), and
under any group health plan or from any health insurance issuer
offering group or individual health insurance coverage for healthcare
services furnished to an individual receiving healthcare services from
the HIZ and for which payment is made under this subsection for such
services.
(j) Scoring Cost Savings.--The Secretary shall collaborate with the
Government Accountability Office in scoring the healthcare costs and
savings associated with implementing HIZs on a nationwide basis.
(k) Waiver.--Any requirements under titles XI and XVIII of the
Social Security Act (42 U.S.C. 1301 et seq.; 42 U.S.C. 1395 et seq.),
or under any other provision of law that would preclude the
establishment or operation of an HIZ under this section, shall not
apply with respect to such establishment or operation.
(l) Reports.--
(1) HIZ report.--An entity that establishes an HIZ under
this section shall submit to the Secretary a report that
describes and evaluates the activities of the HIZ.
(2) Secretary report.--The Secretary shall submit to
Congress an evaluation of the current status of the
demonstration program within 6 months after the end of the
first year of the demonstration program, and every 6 months
thereafter until the end of the demonstration program.
A:
Healthcare Innovation Zone Program Act of 2009 - Directs the Secretary of Health and Human Services (HHS) to establish a Healthcare Innovation Zone (HIZ) pilot program, consisting of an HIZ planning grant program and an HIZ demonstration project, to increase health care provider integration and align health care provider incentives to improve health and reduce health care costs.

Defines an "HIZ" as an integrated health care delivery network that works with local employers, community leaders, and private and governmental payors in a geographic region and that: (1) provides a full spectrum of care, including inpatient, outpatient, post-acute, and preventive care, to individuals, including Medicare beneficiaries; (2) has an academic medical center that provides tertiary and quaternary care, has existing capabilities to conduct health services research, and provides clinical training for health professionals; and (3) is able to accept alternative payment structures beyond fee-for-service and per diem amounts.

Directs the Secretary to award between 10 and 25 grants of $250,000 to $1 million each to eligible entities for purposes of researching and preparing an HIZ model plan. Lists required contents of a plan, including: (1) a description of innovative models of care that improve quality and decrease costs; (2) a provider network that will provide the full spectrum of care; and (3) a target population and mechanisms to enroll such population.

Directs the Secretary to: (1) establish an HIZ demonstration project to test the effectiveness of HIZs in increasing health care provider integration, improving health care services, and reducing health care costs; and (2) select project participants from HIV model plan grant recipients. Requires the project to operate for at least three years, subject to renewal at the Secretary's discretion.

Requires an HIZ established under this Act to provide comprehensive health care services to individuals who voluntarily enroll to receive such services for multi-year periods from the HIZ.