In this task, you are given text for US Congressional and California state bills, your task is to generate a summary for this bill.
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Question: SECTION 1. SHORT TITLE.

This Act may be cited as the ''Preserving Rehabilitation Innovation
Centers Act of 2016''.

SEC. 2. FINDINGS.

Congress makes the following findings:
(1) In the United States, there are an estimated 1,181
inpatient rehabilitation facilities. Among these facilities is
a small group of inpatient rehabilitation institutions that are
contributing to the future of rehabilitation care medicine, as
well as to patient recovery, scientific innovation, and quality
of life.
(2) This unique category of inpatient rehabilitation
institutions treats the most complex patient conditions, such
as traumatic brain injury, stroke, spinal cord injury,
childhood disease, burns, and wartime injuries.
(3) These leading inpatient rehabilitation institutions are
all not-for-profit or Government-owned institutions and serve a
high volume of Medicare or Medicaid beneficiaries.
(4) These leading inpatient rehabilitation institutions
have been recognized by the Federal Government for their
contributions to cutting-edge research to develop solutions
that enhance quality of care, improve patient outcomes, and
reduce health care costs.
(5) These leading inpatient rehabilitation institutions
help to improve the practice and standard of rehabilitation
medicine across the Nation in urban, suburban, and rural
communities by training physicians, medical students, and other
clinicians, and providing care to patients from all 50 States.
(6) It is vital that these leading inpatient rehabilitation
institutions are supported so they can continue to lead the
Nation's efforts to--
(A) advance integrated, multidisciplinary
rehabilitation research;
(B) provide cutting-edge medical care to the most
complex rehabilitation patients;
(C) serve as education and training facilities for
the physicians, nurses, and other health professionals
who serve rehabilitation patients;
(D) ensure Medicare and Medicaid beneficiaries
receive state-of-the-art, high-quality rehabilitation
care by developing and disseminating best practices and
advancing the quality of care utilized by post-acute
providers in all 50 States; and
(E) support other inpatient rehabilitation
institutions in rural areas to help ensure access to
quality post-acute care for patients living in these
communities.

SEC. 3. STUDY AND REPORT RELATING TO THE COSTS INCURRED BY, AND THE
MEDICARE PAYMENTS MADE TO, REHABILITATION INNOVATION
CENTERS.

(a) In General.--Section 1886(j) of the Social Security Act (42
U.S.C. 1395ww(j)) is amended--
(1) by redesignating paragraph (8) as paragraph (9); and
(2) by inserting after paragraph (7) the following new
paragraph:
''(8) Study and report relating to the costs incurred by,
and the medicare payments made to, rehabilitation innovation
centers.--
''(A) Study.--The Secretary shall conduct a study
to assess the costs incurred by rehabilitation
innovation centers (as defined in subparagraph (C))
that are beyond the prospective rate for each of the
following activities:
''(i) Furnishing items and services to
individuals under this title.
''(ii) Conducting research.
''(iii) Providing medical training.
''(B) Report.--Not later than July 1, 2019, the
Secretary shall submit to Congress a report containing
the results of the study under subparagraph (A),
together with recommendations for such legislation and
administrative action as the Secretary determines
appropriate.
''(C) Rehabilitation innovation center defined.--
''(i) In general.--In this paragraph, the
term 'rehabilitation innovation center' means a
rehabilitation facility that, determined as of
the date of the enactment of this paragraph, is
described in clause (ii) or clause (iii).
''(ii) Not-for-profit.--A rehabilitation
facility described in this clause is a facility
that--
''(I) is classified as a not-for-
profit entity under the IRF Rate
Setting File for the Correction Notice
for the Inpatient Rehabilitation
Facility Prospective Payment System for
Federal Fiscal Year 2012 (78 Fed. Reg.
59256);
''(II) holds at least one Federal
rehabilitation research and training
designation for research projects on
traumatic brain injury, spinal cord
injury, or stroke rehabilitation
research from the Rehabilitation
Research and Training Centers or the
Rehabilitation Engineering Research
Center at the National Institute on
Disability and Rehabilitation Research
at the Department of Education, based
on such data submitted to the Secretary
by a facility, in a form, manner, and
time frame specified by the Secretary;
''(III) has a minimum Medicare case
mix index of 1.1144 for fiscal year
2012 according to the IRF Rate Setting
File described in subclause (I); and
''(IV) had at least 300 Medicare
discharges or at least 200 Medicaid
discharges in a prior year as
determined by the Secretary.
''(iii) Government-owned.--A rehabilitation
facility described in this clause is a facility
that--
''(I) is classified as a
Government-owned institution under the
IRF Rate Setting File described in
clause (ii)(I);
''(II) holds at least one Federal
rehabilitation research and training
designation for research projects on
traumatic brain injury, spinal cord
injury, or stroke rehabilitation
research from the Rehabilitation
Research and Training Centers, the
Rehabilitation Engineering Research
Center, or the Model Spinal Cord Injury
Systems at the National Institute on
Disability and Rehabilitation Research
at the Department of Education, based
on such data submitted to the Secretary
by a facility, in a form, manner, and
time frame specified by the Secretary;
''(III) has a minimum Medicare case
mix index of 1.1144 for 2012 according
to the IRF Rate Setting File described
in clause (ii)(I); and
''(IV) has a Medicare
disproportionate share hospital (DSH)
percentage of at least 0.6300 according
to the IRF Rate Setting File described
in clause (ii)(I)).''.

Passed the Senate December 10 (legislative day, December
9), 2016.

Attest:

Secretary.
114th CONGRESS

2d Session

S. 1168

_______________________________________________________________________

AN ACT

To amend title XVIII of the Social Security Act to preserve access to
rehabilitation innovation centers under the Medicare program.

Answer: Preserving Rehabilitation Innovation Centers Act of 2016 This bill amends title XVIII (Medicare) of the Social Security Act to direct the Department of Health and Human Services to conduct a study to assess the costs incurred by rehabilitation innovation centers that are beyond the prospective rates for each of the following activities: (1) furnishing items and services to individuals under Medicare; (2) conducting research; and (3) providing medical training.

Question: SECTION 1. SHORT TITLE.

This Act may be cited as the ''National Forest Foundation
Conservation Act''.

SEC. 2. AMENDMENTS TO NATIONAL FOREST FOUNDATION ACT.

(a) Provision of Administrative Support.--Subsection (c) of section
405 of the National Forest Foundation Act (16 U.S.C. 583j-3) is amended
to read as follows:
''(c) Administrative Assistance.--(1) Subject to such limitations,
terms, and conditions as the Secretary may establish, the Secretary
may--
''(A) detail personnel of the Department of Agriculture to
assist the Foundation; and
''(B) provide the Foundation with Department of Agriculture
facilities, equipment, supplies, and other administrative
services (including Government-contracted transportation and
travel services).
''(2) Assistance under paragraph (1) may be provided for partial or
no reimbursement, as the Secretary considers appropriate.''.
(b) Matching Funds.--
(1) Extension and expansion of authority; source of
funds.--Section 410 of the National Forest Foundation Act (16
U.S.C. 583j-8) is amended to read as follows:

''SEC. 410. AVAILABILITY OF FUNDS TO MATCH FOUNDATION CONTRIBUTIONS.

''For the purposes of section 405 of this title, during the five-
year period beginning on October 1, 1997, the Secretary may make
available to the Foundation from benefiting Forest Service
appropriations up to $5,000,000 each fiscal year to match, on a one-
for-one basis, private contributions made to the Foundation.''.
(2) Conforming amendments.--Section 405 of the National
Forest Foundation Act (16 U.S.C. 583j-3) is amended--
(A) by striking subsection (a);
(B) in subsection (b)--
(i) by striking ''In addition to the
startup funds provided under subsection (a) of
this section, for'' and inserting ''For'';
(ii) by striking ''October 1, 1992,'' and
inserting ''October 1, 1997,''; and
(iii) by striking ''section 410(b)'' and
inserting ''section 410''; and
(C) by redesignating subsections (b) and (c) as
subsections (a) and (b), respectively.
(3) Effect of amendments.--The amendments made by this
subsection shall not affect the availability or use of funds
made available for fiscal year 1997 under sections 405(b) and
410(b) of the National Forest Foundation Act, as in effect on
the day before the date of the enactment of this Act.
(c) Use of Interest and Other Investment Income.--Section 404 of
the National Forest Foundation Act (16 U.S.C. 583j-2) is amended by
adding at the end the following new subsection:
''(f) Use of Interest and Other Investment Income.--Interest and
other investment income earned (before, on, or after the date of the
enactment of this subsection) by the Foundation and its subgrantees on
Federal funds received from the Secretary under section 405, but not
immediately disbursed, may be used by the Foundation to carry out the
purposes of the Foundation under section 402(b).''.
(d) Exception From Audit Reporting and Compliance Requirements.--
Section 407(a) of the National Forest Foundation Act (16 U.S.C. 583j-
5(a)) is amended by adding at the end the following new sentence: ''A
subgrantee of the Foundation shall be exempt from the audit reporting
and compliance requirements of Office of Management and Budget Circular
A-133 (or any successor administrative regulation or policy) in the
case of grants of $250,000 or less.''.
(e) Licensing Use of Symbols; Violations.--Section 404 of the
National Forest Foundation Act (16 U.S.C. 583j-2) is amended--
(1) in subsection (d)(3), by inserting ''license,'' after
''lease,''; and
(2) by inserting after subsection (f), as added by
subsection (c) of this section, the following new subsections:
''(g) Licensing Use of Symbols.--(1) To further the purposes of the
Foundation under section 402(b), the Foundation shall have exclusive
authority to license or authorize persons to use trademarks,
tradenames, signs, symbols, emblems, insignia, logos, likenesses, or
slogans to represent, promote, or advertise that an individual,
company, or particular good or service is an official sponsor or
supporter of the Forest Service, the National Forest System, or any
unit thereof. Any license or authorization provided by the Foundation
under this paragraph shall be subject to the prior written approval of
the Secretary, who may not delegate this authority.
''(2) All net income derived from licenses and authorizations
provided under paragraph (1) shall be expended by the Foundation in
accordance with policies and priorities of the Forest Service on
programs, projects, or activities that benefit the National Forest
System or the Forest Service, as identified by the Secretary in
consultation with the Foundation.
''(3) Nothing in this subsection shall affect the authority of the
Secretary under Public Law 93-318 (16 U.S.C. 580p et seq.) relating to
the name and character of 'Smokey Bear', and the name and character of
'Woodsy Owl'.
''(4) The authority provided to the Foundation by paragraph (1)
shall expire on September 30, 2003.
''(h) Violation of Licensing Requirements.--Except as provided in
subsection (g), no person may use for commercial purposes any
trademark, tradename, sign, symbol, emblem, insignia, slogan, or
related artistic design belonging to the Forest Service. Whoever,
without the authorization of the Foundation under subsection (g), uses
for purposes of trade, to induce the sale of any good or service, to
promote any commercial activity, or for other commercial purpose, the
name of the Foundation or any trademark, tradename, sign, symbol,
emblem, insignia, logo, likeness, or slogan referred to in subsection
(g), or any facsimile or simulation thereof tending to cause confusion,
to cause mistake, to deceive, or to suggest falsely that an individual,
company, or particular good or service is an official sponsor or
official supporter of the National Forest System or the Forest Service,
shall be subject to suit in a civil action by the Foundation for the
remedies provided in title VI of the Act of July 5, 1946 (commonly
referred to as the Trademark Act of 1946; 15 U.S.C. 1114 et seq.).''.
(f) Reporting Requirements.--Section 407 of the National Forest
Foundation Act (16 U.S.C. 583j-5) is amended by adding at the end the
following new subsection:
''(c) Report on Licensing Activities.--Not later than 5 years after
the date of the enactment of this subsection, the Secretary shall
submit to the Committee on Resources of the House of Representatives
and the Committee on Energy and Natural Resources of the Senate a
report assessing the cost, effectiveness, and effects of the licensing
and authorization program established pursuant to section 404(g). The
report shall include a recommendation regarding the desirability of
extending the authority provided in such section beyond the expiration
date specified in paragraph (4) of such section and assessments of the
effect of such program on--
''(1) visitation levels in the National Forest System;
''(2) the image of the National Forest System;
''(3) achievement of the needs and priorities of the Forest
Service;
''(4) appropriations for the National Forest System; and
''(5) the costs of the Foundation and the Secretary to
administer the program.''.

Answer: National Forest Foundation Conservation Act - Amends the National Forest Foundation Act to extend matching fund authority for the National Forest Foundation.
Authorizes the Foundation to license the use of symbols, trademarks, or logos.

Question: SECTION 1. SHORT TITLE.

This Act may be cited as the ''Respect for Rights of Conscience Act
of 2010''.

SEC. 2. FINDINGS AND PURPOSES.

(a) Findings.--Congress finds the following:
(1) As Thomas Jefferson declared to New London Methodists
in 1809, ''[n]o provision in our Constitution ought to be
dearer to man than that which protects the rights of conscience
against the enterprises of the civil authority''.
(2) Jefferson's statement expresses a conviction on respect
for conscience that is deeply embedded in the history and
traditions of our Nation and codified in numerous State and
Federal laws, including laws on health care.
(3) Until enactment of the Patient Protection and
Affordable Care Act (Public Law 111-148, in this section
referred to as ''PPACA''), the Federal Government has not
sought to impose specific coverage or care requirements that
infringe on the rights of conscience of insurers, purchasers of
insurance, plan sponsors, beneficiaries, and other
stakeholders, such as individual or institutional health care
providers.
(4) PPACA creates a new nationwide requirement for health
plans to cover ''essential health benefits'' and ''preventive
services'' (including a distinct set of ''preventive services
for women''), delegating to the Department of Health and Human
Services the authority to provide a list of detailed services
under each category, and imposes other new requirements with
respect to the provision of health care services.
(5) While PPACA provides an exemption for some religious
groups that object to participation in Government health
programs generally, it does not allow purchasers, plan
sponsors, and other stakeholders with religious or moral
objections to specific items or services to decline providing
or obtaining coverage of such items or services, or allow
health care providers with such objections to decline to
provide them.
(6) By creating new barriers to health insurance and
causing the loss of existing insurance arrangements, these
inflexible mandates in PPACA jeopardize the ability of
individuals to exercise their rights of conscience and their
ability to freely participate in the health insurance and
health care marketplace.
(b) Purposes.--The purposes of this Act are--
(1) to ensure that health care stakeholders retain the
right to provide, purchase, or enroll in health coverage that
is consistent with their religious beliefs and moral
convictions, without fear of being penalized or discriminated
against under PPACA; and
(2) to ensure that no requirement in PPACA creates new
pressures to exclude those exercising such conscientious
objection from health plans or other programs under PPACA.

SEC. 3. RESPECT FOR RIGHTS OF CONSCIENCE.

(a) In General.--Section 1302(b) of the Patient Protection and
Affordable Care Act (Public Law 111-148; 42 U.S.C. 18022(b)) is amended
by adding at the end the following new paragraph:
''(6) Respecting rights of conscience with regard to
specific items or services.--
''(A) For health plans.--A health plan shall not be
considered to have failed to provide the essential
health benefits package described in subsection (a) (or
preventive health services described in section 2713 of
the Public Health Service Act), to fail to be a
qualified health plan, or to fail to fulfill any other
requirement under this title on the basis that it
declines to provide coverage of specific items or
services because--
''(i) providing coverage (or, in the case
of a sponsor of a group health plan, paying for
coverage) of such specific items or services is
contrary to the religious beliefs or moral
convictions of the sponsor, issuer, or other
entity offering the plan; or
''(ii) such coverage (in the case of
individual coverage) is contrary to the
religious beliefs or moral convictions of the
purchaser or beneficiary of the coverage.
''(B) For health care providers.--Nothing in this
title (or any amendment made by this title) shall be
construed to require an individual or institutional
health care provider, or authorize a health plan to
require a provider, to provide, participate in, or
refer for a specific item or service contrary to the
provider's religious beliefs or moral convictions.
Notwithstanding any other provision of this title, a
health plan shall not be considered to have failed to
provide timely or other access to items or services
under this title (or any amendment made by this title)
or to fulfill any other requirement under this title
because it has respected the rights of conscience of
such a provider pursuant to this paragraph.
''(C) Nondiscrimination in exercising rights of
conscience.--No Exchange or other official or entity
acting in a governmental capacity in the course of
implementing this title (or any amendment made by this
title) shall discriminate against a health plan, plan
sponsor, health care provider, or other person because
of such plan's, sponsor's, provider's, or person's
unwillingness to provide coverage of, participate in,
or refer for, specific items or services pursuant to
this paragraph.
''(D) Construction.--Nothing in subparagraph (A) or
(B) shall be construed to permit a health plan or
provider to discriminate in a manner inconsistent with
subparagraphs (B) and (D) of paragraph (4).
''(E) Private rights of action.--The various
protections of conscience in this paragraph constitute
the protection of individual rights and create a
private cause of action for those persons or entities
protected. Any person or entity may assert a violation
of this paragraph as a claim or defense in a judicial
proceeding.
''(F) Remedies.--
''(i) Federal jurisdiction.--The Federal
courts shall have jurisdiction to prevent and
redress actual or threatened violations of this
paragraph by granting all forms of legal or
equitable relief, including, but not limited
to, injunctive relief, declaratory relief,
damages, costs, and attorney fees.
''(ii) Initiating party.--An action under
this paragraph may be instituted by the
Attorney General of the United States, or by
any person or entity having standing to
complain of a threatened or actual violation of
this paragraph, including, but not limited to,
any actual or prospective plan sponsor, issuer,
or other entity offering a plan, any actual or
prospective purchaser or beneficiary of a plan,
and any individual or institutional health care
provider.
''(iii) Interim relief.--Pending final
determination of any action under this
paragraph, the court may at any time enter such
restraining order or prohibitions, or take such
other actions, as it deems necessary.
''(G) Administration.--The Office for Civil Rights
of the Department of Health and Human Services is
designated to receive complaints of discrimination
based on this paragraph and coordinate the
investigation of such complaints.
''(H) Actuarial equivalence.--Nothing in this
paragraph shall prohibit the Secretary from issuing
regulations or other guidance to ensure that health
plans excluding specific items or services under this
paragraph shall have an aggregate actuarial value at
least equivalent to that of plans at the same level of
coverage that do not exclude such items or services.''.
(b) Effective Date.--The amendment made by subsection (a) shall be
effective as if included in the enactment of Public Law 111-148.

Answer:
Respect for Rights of Conscience Act of 2010 - Amends the Patient Protection and Affordable Care Act (PPACA) to permit a health plan to decline coverage of specific items and services that are contrary to the religious beliefs of the sponsor, issuer, or other entity offering the plan or the purchaser or beneficiary (in the case of individual coverage) without penalty. Declares that such plans are still considered to: (1)be providing the essential health benefits package or preventive health services, (2) be a qualified health plan, and (3) have fulfilled other requirements under PPACA.

Declares that nothing in PPACA shall be construed to authorize a health plan to require a provider to provide, participate in, or refer for a specific item or service contrary to the provider's religious beliefs or moral convictions.Prohibits a health plan from being considered to have failed to provide timely or other access to items or services or to fulfill any other requirement under PPACA because it has respected the rights of conscience of such a provider. Prohibits an American Health Benefit Exchange or other official or entity acting in a governmental capacity in the course of implementing PPACA from discriminating against a health plan, plan sponsor, health care provider, or other person because of an unwillingness to provide coverage of, participate in, or refer for, specific items or services. Creates a private cause of action for the protection of individual rights created under this Act.Authorizes any person or entity to assert a violation of this Act as a claim or defense in a judicial proceeding. Designates the Office for Civil Rights of the Department of Health and Human Services (HHS) to receive and investigate complaints of discrimination based on this Act. Makes this Act effective as if it were included in PPACA.