instruction:
In this task, you are given text for US Congressional and California state bills, your task is to generate a summary for this bill.
question:
SECTION 1. EXTENDED PHASE-IN OF THE INPATIENT REHABILITATION FACILITY
CLASSIFICATION CRITERIA.

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

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

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

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

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

SEC. 4. EFFECTIVE DATE.

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

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

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

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

question:
SECTION 1. FINDINGS.

Congress finds the following:
(1) The United States must have adequate infrastructure and
policies in place under the Department of Homeland Security to
protect against potential terrorists attempting to enter the
United States along the Southwest Border.
(2) According to top government officials, several Al Qaeda
leaders believe operatives can pay their way into the country
through Mexico and also believe illegal entry is more
advantageous than legal entry for operational security reasons.
(3) Official border patrol records reveal a disturbing
trend on the southern border indicating a growth in other than
Mexicans (OTMs), many from countries of interest, crossing into
the United States--between 2003 and 2004 the increase was at
least 35 percent.
(4) Because of budget constraints, the U.S. Immigration and
Customs Enforcement Office of Detention and Removal does not
have sufficient bed space to detain all illegal immigrants from
special interest countries therefore releasing them on personal
recognizance.
(5) The Department of Homeland Security estimates that up
to 90 percent of these immigrants do not appear for their
immigration hearings.
(6) The Department of Homeland Security needs more
personnel at the borders with the necessary security clearances
and equipment to adequately screen and detain immigrants coming
to the United States.
(7) The Secretary of Homeland Security should provide
appropriate training for inspectors, and associated support
staff, on an ongoing basis to utilize new technologies and to
ensure that the proficiency levels of such personnel are
acceptable to protect the borders of the United States.

SEC. 2. IMPROVEMENT IN SECURITY CLEARANCE PROCESS ALONG THE UNITED
STATES-MEXICO BORDER AND INCREASE IN DETENTION BEDS.

(a) Improvement in Security Clearance Process.--The Secretary of
Homeland Security shall--
(1) expeditiously implement policies ensuring that
personnel of the Department of Homeland Security along the
United States-Mexico border have the security clearances
required to access information necessary to adequately screen
immigrants entering the United States at such border, including
IDENT and IAFIS databases and databases used by the
Department's inspectors in secondary inspections;
(2) develop the interagency agreements and information
technology infrastructure necessary for border agents to
adequately screen immigrants entering the United States at such
border; and
(3) explore information sharing programs with countries of
interest to adequately screen immigrants entering our borders.
(b) Increase in Detention Beds.--Subject to the availability of
appropriations, the Secretary of Homeland Security shall increase by
the amount necessary the number of detention beds needed to detain all
immigrants apprehended by U.S. Customs and Border Protection.
(c) Sense of Congress.--It is the sense of the Congress that the
Office of Detention and Removal Operation should be placed under the
operational control of the Commissioner of U.S. Customs and Border
Protection, since the largest client of such office is the Border
Patrol.

SEC. 3. STUDY OF PERSONNEL LEVELS.

(a) In General.--The Secretary of Homeland Security shall contract
with an independent entity to undertake a study to determine the
necessary level and allocation of personnel, including support staff,
at United States ports of entry and border patrol sectors.
(b) Items to Be Included.--Such study shall take into account at
least the following:
(1) The overall mission of U.S. Customs and Border
Protection.
(2) Threat and vulnerability information pertaining to the
Nation's borders and ports of entry
(3) The impact of new border security programs, policies
and technologies, and the level of cross-training received by
all staff.
(c) Report.--Not later than 1 year after the date of the enactment
of this Act, the Secretary shall submit to the appropriate
congressional committees, as defined in section 2(2) of the Homeland
Security Act of 2002 (6 U.S.C. 101(2)), a report on the study conducted
under this section.

SEC. 4. ONGOING TRAINING OF BORDER SECURITY PERSONNEL.

The Secretary of Homeland Security shall provide appropriate
training for all border security personnel, and associated support
staff on an ongoing basis to utilize new technologies and to ensure
that the proficiency levels of such personnel are acceptable to protect
the borders of the United States.

SEC. 5. PROMPT AND PROPER ENFORCEMENT.

(a) Sense of Congress.--It is the sense of the Congress that--
(1) prosecutors and immigration judges are critical for the
prompt and proper enforcement of our immigration laws, and are
an important part of a comprehensive strategy; and
(2) an insufficient number of prosecutors and immigration
judges currently exists to enforce the immigration laws of the
United States.
(b) Authorization.--There are hereby authorized to be appropriated
amounts necessary to provide for appropriate staff increases for
judicial and prosecutorial offices, commensurate with other personnel
increases directed in this Act.

SEC. 6. REPORT ON DETENTION AND REMOVAL OPERATIONS.

(a) In General.--The Secretary of Homeland Security shall submit to
the appropriate congressional committees (as defined in section 2(2) of
the Homeland Security Act of 2002 (6 U.S.C. 101(2))) a report on
detention and removal operations, detailing the amount of additional
detention space and resources required to detain all persons presenting
a possible threat to homeland security.
(b) Information to Be Included.--The report shall include
information on--
(1) alternatives to detention, including electronic
monitoring, telephone, and voice recognition programs for those
on bond, and conducting deportation proceedings prior to
prisoners' release from Federal, State, and local prisons; and
(2) countries to which removal is problematic.

SEC. 7. COMPREHENSIVE BORDER SECURITY STRATEGY.

The Secretary of Homeland Security, in consultation with the heads
of all other Federal agencies with border-related functions or with
facilities or lands on or along the border, shall submit to the
appropriate congressional committees (as defined in section 2 of the
Homeland Security Act of 2002 (6 U.S.C. 101)) unclassified and
classified versions of a unified, comprehensive strategy to secure the
land borders of the United States. Such strategy shall be submitted not
later than 6 months after the date of the enactment of this Act and
shall include a description of the actions already taken to implement
the strategy.
answer:
Requires the Secretary of Homeland Security to: (1) ensure that Department of Homeland Security personnel along the U.S.-Mexico border have the security clearances required to access information to adequately screen entering immigrants; (2) develop the interagency agreements and information technology infrastructure necessary for such screening; (3) explore information sharing programs with countries of interest; and (4) increase by the amount necessary the number of detention beds needed to detain all immigrants apprehended by U.S. Customs and Border Protection (CBP).

Expresses the sense of Congress that the Office of Detention and Removal Operations should be placed under the operational control of the Commissioner of CBP (currently, under U.S. Immigration and Customs Enforcement).

Requires the Secretary to: (1) contract with an independent entity to study the necessary level and allocation of personnel at U.S. ports of entry and border patrol sectors; (2) provide ongoing training for all border security personnel; and (3) submit a report on detention and removal operations and a unified, comprehensive border security strategy to appropriate congressional committees.

Expresses the sense of Congress that: (1) prosecutors and immigration judges are critical for the prompt and proper enforcement of immigration laws and are an important part of a comprehensive strategy; and (2) there is an insufficient number of prosecutors and immigration judges for immigration enforcement. Authorizes appropriations for staff increases.

question:
SECTION 1. PURPOSE.

It is the purpose of this Act to promote the retention of members
of the Armed Forces in critical specialties by establishing a bonus
savings plan that provides significant resources for meeting the
expenses encountered by the members in providing for the education of
the members of their families and other contingencies.

SEC. 2. EDUCATION SAVINGS PLAN FOR REENLISTMENTS AND EXTENSIONS OF
SERVICE IN CRITICAL SPECIALTIES.

(a) Establishment of Savings Plan.--(1) Chapter 5 of title 37,
United States Code, is amended by adding at the end the following new
section:
''Sec. 323. Incentive bonus: savings plan for education expenses and
other contingencies
''(a) Benefit and Eligibility.--The Secretary concerned shall
purchase United States savings bonds under this section for a member of
the armed forces who is eligible as follows:
''(1) A member who, before completing three years of
service on active duty, enters into a commitment to perform
qualifying service.
''(2) A member who, after completing three years of service
on active duty but not more than nine years of service on
active duty, enters into a commitment to perform qualifying
service.
''(3) A member who, after completing nine years of service
on active duty, enters into a commitment to perform qualifying
service.
''(b) Qualifying Service.--For the purposes of this section,
qualifying service is service on active duty in a specialty designated
by the Secretary concerned as critical to meet requirements (whether
such specialty is designated as critical to meet wartime or peacetime
requirements) for a period that--
''(1) is not less than six years; and
''(2) does not include any part of a period for which the
member is obligated to serve on active duty under an enlistment
or other agreement for which a benefit has previously been paid
under this section.
''(c) Forms of Commitment to Additional Service.--For the purposes
of this section, a commitment means--
''(1) in the case of an enlisted member, a reenlistment;
and
''(2) in the case of a commissioned officer, an agreement
entered into with the Secretary concerned.
''(d) Amounts of Bonds.--The total of the face amounts of the
United States savings bonds purchased for a member under this section
for a commitment shall be as follows:
''(1) In the case of a purchase for a member under
paragraph (1) of subsection (a), $5,000.
''(2) In the case of a purchase for a member under
paragraph (2) of subsection (a), the amount equal to the excess
of $15,000 over the total of the face amounts of any United
States savings bonds previously purchased for the member under
this section.
''(3) In the case of a purchase for a member under
paragraph (3) of subsection (a), the amount equal to the excess
of $30,000 over the total of the face amounts of any United
States savings bonds previously purchased for the member under
this section.
''(e) Total Amount of Benefit.--The total amount of the benefit
payable for a member when United States savings bonds are purchased for
the member under this section by reason of a commitment by that member
shall be the sum of--
''(1) the purchase price of the United States savings
bonds; and
''(2) the amounts that would be deducted and withheld for
the payment of individual income taxes if the total amount
computed under this subsection for that commitment were paid to
the member as a bonus.
''(f) Amount Withheld for Taxes.--The total amount payable for a
member under subsection (e)(2) for a commitment by that member shall be
withheld, credited, and otherwise treated in the same manner as amounts
deducted and withheld from the basic pay of the member.
''(g) Repayment for Failure To Complete Obligated Service.--(1) If
a person fails to complete the qualifying service for which the person
is obligated under a commitment for which a benefit has been paid under
this section, the person shall refund to the United States the amount
that bears the same ratio to the total amount paid for the person (as
computed under subsection (e)) for that particular commitment as the
uncompleted part of the period of qualifying service bears to the total
period of the qualifying service for which obligated.
''(2) Subject to paragraph (3), an obligation to reimburse the
United States imposed under paragraph (1) is for all purposes a debt
owed to the United States.
''(3) The Secretary concerned may waive, in whole or in part, a
refund required under paragraph (1) if the Secretary concerned
determines that recovery would be against equity and good conscience or
would be contrary to the best interests of the United States.
''(4) A discharge in bankruptcy under title 11 that is entered less
than five years after the termination of an enlistment or other
agreement under this section does not discharge the person signing such
reenlistment or other agreement from a debt arising under the
reenlistment or agreement, respectively, or this subsection.
''(h) Relationship to Other Special Pays.--The benefit provided
under this section is in addition to any other bonus or incentive or
special pay that is paid or payable to a member under any other
provision of this chapter for any portion of the same qualifying
service.
''(i) Regulations.--This section shall be administered under
regulations prescribed by the Secretary of Defense for the armed forces
under his jurisdiction and by the Secretary of Transportation for the
Coast Guard when the Coast Guard is not operating as a service in the
Navy.''.
(2) The table of sections at the beginning of such chapter is
amended by adding at the end the following new item:

''323. Incentive bonus: savings plan for education and other
contingencies.''.
(b) Effective Date.--Section 323 of title 37, United States Code
(as added by subsection (a)), shall take effect on October 1, 2001, and
shall apply with respect to reenlistments and other agreements for
qualifying service (described in that section) that are entered into on
or after that date.
answer:
Directs the Secretary of the military department concerned to purchase U.S. savings bonds for military personnel who have completed certain periods of active duty and who enter into a commitment to perform at least six years of additional active-duty service in a specialty designated as critical by such Secretary. Makes such bond amounts: (1) $5,000, for members who enter into the agreement before completing three years of active duty; (2) the excess of $15,000 over the face amount of any bonds previously purchased for such members who have completed at least three years of active service but less than nine years; and (3) the excess of $30,000 over such face amount for members who have completed nine years of active service. Requires the pro rata repayment of such bond amounts for the non-completion of the required additional service, with a waiver when repayment is considered to be against equity and good conscience or contrary to the best interests of the United States.