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

[EX Q]: SECTION 1. SHORT TITLE.

This Act may be cited as the ''American Family Act of 2017''.

SEC. 2. ESTABLISHMENT OF FULLY REFUNDABLE CHILD TAX CREDIT.

(a) Elimination of Existing Child Tax Credit.--Subpart A of part IV
of subchapter A of chapter 1 of subtitle A of the Internal Revenue Code
of 1986 is amended by striking section 24.
(b) Establishment of Fully Refundable Child Tax Credit.--Subpart C
of part IV of subchapter A of chapter 1 of subtitle A of such Code is
amended by inserting after section 36B the following new section:

''SEC. 36C. CHILD TAX CREDIT.

''(a) Allowance of Credit.--There shall be allowed as a credit
against the tax imposed by this chapter for the taxable year an amount
equal to the sum of--
''(1) with respect to each qualifying child of the taxpayer
who has attained 6 years of age before the close of such
taxable year and for which the taxpayer is allowed a deduction
under section 151, an amount equal to $3,000, and
''(2) with respect to each qualifying child of the taxpayer
who has not attained 6 years of age before the close of such
taxable year and for which the taxpayer is allowed a deduction
under section 151, an amount equal to 120 percent of the dollar
amount in paragraph (1).
''(b) Limitation.--
''(1) In general.--The amount of the credit allowable under
subsection (a) shall be reduced (but not below zero) by the
applicable amount for each $1,000 (or fraction thereof) by
which the taxpayer's modified adjusted gross income exceeds the
threshold amount. For purposes of the preceding sentence, the
term 'modified adjusted gross income' means adjusted gross
income increased by any amount excluded from gross income under
section 911, 931, or 933.
''(2) Threshold amount.--
''(A) In general.--For purposes of paragraph (1),
the term 'threshold amount' means--
''(i) $110,000 in the case of a joint
return,
''(ii) $75,000 in the case of an individual
who is not married, and
''(iii) $55,000 in the case of a married
individual filing a separate return.
''(B) Marital status.--For purposes of this
paragraph, marital status shall be determined under
section 7703.
''(3) Applicable amount.--For purposes of paragraph (1),
the term 'applicable amount' means an amount equal to the
quotient of--
''(A) the amount of the credit allowable under
subsection (a), as determined without regard to this
subsection, divided by
''(B) an amount equal to the product of--
''(i) $20, multiplied by
''(ii) the total number of qualifying
children of the taxpayer.
''(c) Qualifying Child.--
''(1) In general.--In this section, the term 'qualifying
child' means a qualifying child of the taxpayer (as defined in
section 152(c)) who has not attained 19 years of age.
''(2) Exception for certain non-citizens.--The term
'qualifying child' shall not include any individual who would
not be a dependent if subparagraph (A) of section 152(b)(3)
were applied without regard to all that follows 'resident of
the United States'.
''(d) Inflation Adjustment.--
''(1) In general.--In the case of any taxable year
beginning after 2017, the $3,000 amount in subsection (a)(1)
shall be increased by an amount equal to--
''(A) such dollar amount, multiplied by
''(B) the cost of living adjustment determined
under section 1(f)(3) for the calendar year in which
the taxable year begins determined by substituting
'calendar year 2016' for 'calendar year 1992' in
subparagraph (B) thereof.
''(2) Rounding.--If any increase determined under paragraph
(1) is not a multiple of $50, such increase shall be rounded to
the nearest multiple of $50.
''(e) Identification Requirements.--
''(1) Qualifying child identification requirement.--No
credit shall be allowed under this section to a taxpayer with
respect to any qualifying child unless the taxpayer includes
the name and taxpayer identification number of such qualifying
child on the return of tax for the taxable year and such
taxpayer identification number was issued on or before the due
date for filing such return.
''(2) Taxpayer identification requirement.--No credit shall
be allowed under this section if the identifying number of the
taxpayer was issued after the due date for filing the return
for the taxable year.
''(f) Taxable Year Must Be Full Taxable Year.--Except in the case
of a taxable year closed by reason of the death of the taxpayer, no
credit shall be allowable under this section in the case of a taxable
year covering a period of less than 12 months.
''(g) Restrictions on Taxpayers Who Improperly Claimed Credit in
Prior Year.--
''(1) Taxpayers making prior fraudulent or reckless
claims.--
''(A) In general.--No credit shall be allowed under
this section for any taxable year in the disallowance
period.
''(B) Disallowance period.--For purposes of
subparagraph (A), the disallowance period is--
''(i) the period of 10 taxable years after
the most recent taxable year for which there
was a final determination that the taxpayer's
claim of credit under this section was due to
fraud, and
''(ii) the period of 2 taxable years after
the most recent taxable year for which there
was a final determination that the taxpayer's
claim of credit under this section was due to
reckless or intentional disregard of rules and
regulations (but not due to fraud).
''(2) Taxpayers making improper prior claims.--In the case
of a taxpayer who is denied credit under this section for any
taxable year as a result of the deficiency procedures under
subchapter B of chapter 63, no credit shall be allowed under
this section for any subsequent taxable year unless the
taxpayer provides such information as the Secretary may require
to demonstrate eligibility for such credit.
''(h) Reconciliation of Credit and Advance Credit.--
''(1) In general.--The amount of the credit allowed under
this section for any taxable year shall be reduced (but not
below zero) by the aggregate amount of any advance payments of
such credit under section 7527A for such taxable year.
''(2) Excess advance payments.--If the aggregate amount of
advance payments under section 7527A for the taxable year
exceed the amount of the credit allowed under this section for
such taxable year (determined without regard to paragraph (1)),
the tax imposed by this chapter for such taxable year shall be
increased by the amount of such excess''.
(c) Advance Payment of Credit.--Chapter 77 of the Internal Revenue
Code of 1986 is amended by inserting after section 7527 the following
new section:

''SEC. 7527A. ADVANCE PAYMENT OF CHILD TAX CREDIT.

''(a) In General.--As soon as practicable and not later than 1 year
after the date of the enactment of this section, the Secretary shall
establish a program for making advance payments of the credit allowed
under section 36C on a monthly basis (determined without regard to
subsection (h)(1) of such section), or as frequently as the Secretary
determines to be administratively feasible, to taxpayers allowed such
credit.
''(b) Limitation.--
''(1) In general.--The Secretary may make payments under
subsection (a) only to the extent that the total amount of such
payments made to any taxpayer during the taxable year does not
exceed an amount equal to the excess, if any, of--
''(A) subject to paragraph (2), the amount
determined under subsection (a) of section 36C with
respect to such taxpayer (determined without regard to
subsection (h) of such section) for such taxable year,
over
''(B) the estimated tax imposed by subtitle A, as
reduced by the credits allowable under subparts A and C
(with the exception of section 36C) of such part IV,
with respect to such taxpayer for such taxable year, as
determined in such manner as the Secretary deems
appropriate.
''(2) Application of threshold amount limitation.--The
program described in subsection (a) shall make reasonable
efforts to apply the limitation of section 36C(b) with respect
to payments made under such program.''.
(d) Conforming Amendments.--
(1) The table of sections for subpart A of part IV of
subchapter A of chapter 1 of subtitle A of the Internal Revenue
Code of 1986 is amended by striking the item relating to
section 24.
(2) The table of sections for subpart C of part IV of
subchapter A of chapter 1 of subtitle A of such Code is amended
by inserting after the item relating to section 36B the
following:

''Sec. 36C. Child tax credit.''.
(3) The table of sections for chapter 77 of such Code is
amended by inserting after the item relating to section 7527
the following new item:

''Sec. 7527A. Advance payment of child tax credit.''.
(4) Subparagraph (B) of section 45R(f)(3) of such Code is
amended to read as follows:
''(B) Special rule.--Any amounts paid pursuant to
an agreement under section 3121(l) (relating to
agreements entered into by American employers with
respect to foreign affiliates) which are equivalent to
the taxes referred to in subparagraph (A) shall be
treated as taxes referred to in such subparagraph.''.
(5) Section 152(f)(6)(B)(ii) of such Code is amended by
striking ''section 24'' and inserting ''section 36C''.
(6) Paragraph (26) of section 501(c) of such Code is
amended in the flush matter at the end by striking ''section
24(c))'' and inserting ''section 36C(c)) who has not attained
17 years of age''.
(7) Section 6211(b)(4)(A) of such Code is amended--
(A) by striking ''24(d),'', and
(B) by inserting ''36C,'' after ''36B,''.
(8) Section 6213(g)(2) of such Code is amended--
(A) in subparagraph (I), by striking ''section
24(e)'' and inserting ''section 36C(e)'', and
(B) in subparagraph (L), by striking ''24, or 32''
and inserting ''32, or 36C''.
(9) Paragraph (2) of section 1324(b) of title 31, United
States Code, is amended by inserting ''36C,'' after ''36B,''.
(e) Effective Date.--The amendments made by this section shall
apply to taxable years beginning after December 31, 2016.
[EX A]: American Family Act of 2017 This bill amends the Internal Revenue Code, with respect to the child tax credit, to: (1) make the credit fully refundable, (2) increase the amount of the credit and allow an additional credit for children who are under six years of age, (3) require the amount of the credit to be adjusted annually for inflation after 2017, and (4) require the Department of the Treasury to establish a program for making advance payments of the credit on a monthly basis.

[EX Q]: SECTION 1. SHORT TITLE; AMENDMENT OF 1986 CODE.

(a) Short Title.--This Act may be cited as the ''Individual
Retirement Account Equity and Enhancement Act of 1994''.
(b) Amendment of 1986 Code.--Except as otherwise expressly
provided, whenever in this Act an amendment or repeal is expressed in
terms of an amendment to, or repeal of, a section or other provision,
the reference shall be considered to be made to a section or other
provision of the Internal Revenue Code of 1986.

SEC. 2. HOMEMAKERS ELIGIBLE FOR FULL IRA DEDUCTION.

(a) Spousal IRA Computed on Basis of Compensation of Both
Spouses.--Subsection (c) of section 219 (relating to special rules for
certain married individuals) is amended to read as follows:
''(c) Special Rules for Certain Married Individuals.--
''(1) In general.--In the case of an individual to whom
this paragraph applies for the taxable year, the limitation of
paragraph (1) of subsection (b) shall be equal to the lesser
of--
''(A) $2,000, or
''(B) the sum of--
''(i) the compensation includible in such
individual's gross income for the taxable year,
plus
''(ii) the compensation includible in the
gross income of such individual's spouse for
the taxable year reduced by the amount
allowable as a deduction under subsection (a)
to such spouse for such taxable year.
''(2) Individuals to whom paragraph (1) applies.--Paragraph
(1) shall apply to any individual if--
''(A) such individual files a joint return for the
taxable year, and
''(B) the amount of compensation (if any)
includible in such individual's gross income for the
taxable year is less than the compensation includible
in the gross income of such individual's spouse for the
taxable year.''
(b) Conforming Amendments.--
(1) Paragraph (2) of section 219(f) (relating to other
definitions and special rules) is amended by striking
''subsections (b) and (c)'' and inserting ''subsection (b)''.
(2) Section 408(d)(5) is amended by striking ''$2,250'' and
inserting ''$2,000''.
(c) Effective Date.--The amendments made by this section shall
apply to taxable years beginning after December 31, 1994.

SEC. 3. DISTRIBUTIONS FROM CERTAIN PLANS MAY BE USED WITHOUT PENALTY TO
PURCHASE FIRST HOMES, TO PAY HIGHER EDUCATION OR
QUALIFIED LONG-TERM CARE EXPENSES, OR BY THE LONG-TERM
UNEMPLOYED.

(a) In General.--Paragraph (2) of section 72(t) (relating to
exceptions to 10-percent additional tax on early distributions from
qualified retirement plans) is amended by adding at the end the
following new subparagraph:
''(D) Distributions from certain plans for first home
purchases or educational or long-term care expenses.--
Distributions to an individual from an individual retirement
plan, or from amounts attributable to employer contributions
made pursuant to elective deferrals described in subparagraph
(A) or (C) of section 402(g)(3) or section 501(c)(18)(D)(iii)--
''(i) which are qualified first-time homebuyer
distributions (as defined in paragraph (6)), or
''(ii) to the extent such distributions do not
exceed the sum of the qualified higher education
expenses (as defined in paragraph (7)) and the
qualified long-term care expenses (as defined in
paragraph (8)) of the taxpayer for the taxable year.''
(b) Definitions.--Section 72(t) is amended by adding at the end the
following new paragraphs:
''(6) Qualified first-time homebuyer distributions.--For
purposes of paragraph (2)(D)(i)--
''(A) In general.--The term 'qualified first-time
homebuyer distribution' means any payment or
distribution received by an individual to the extent
such payment or distribution is used by the individual
before the close of the 60th day after the day on which
such payment or distribution is received to pay
qualified acquisition costs with respect to a principal
residence of a first-time homebuyer who is such
individual, the spouse of such individual, or the child
or grandchild of such individual or the individual's
spouse.
''(B) Qualified acquisition costs.--For purposes of
this paragraph, the term 'qualified acquisition costs'
means the costs of acquiring, constructing, or
reconstructing a residence. Such term includes any
usual or reasonable settlement, financing, or other
closing costs.
''(C) First-time homebuyer; other definitions.--For
purposes of this paragraph--
''(i) First-time homebuyer.--The term
'first-time homebuyer' means any individual
if--
''(I) such individual (and if
married, such individual's spouse) had
no present ownership interest in a
principal residence during the 3-year
period ending on the date of
acquisition of the principal residence
to which this paragraph applies, and
''(II) subsection (a)(6), (h), or
(k) of section 1034 did not suspend the
running of any period of time specified
in section 1034 with respect to such
individual on the day before the date
the distribution is applied pursuant to
subparagraph (A)(ii).
''(ii) Principal residence.--The term
'principal residence' has the same meaning as
when used in section 1034.
''(iii) Date of acquisition.--The term
'date of acquisition' means the date--
''(I) on which a binding contract
to acquire the principal residence to
which subparagraph (A) applies is
entered into, or
''(II) on which construction or
reconstruction of such a principal
residence is commenced.
''(D) Special rule where delay in acquisition.--If
any distribution from any individual retirement plan
fails to meet the requirements of subparagraph (A)
solely by reason of a delay or cancellation of the
purchase or construction of the residence, the amount
of the distribution may be contributed to an individual
retirement plan as provided in section 408(d)(3)(A)(i)
(determined by substituting '120 days' for '60 days' in
such section), except that--
''(i) section 408(d)(3)(B) shall not be
applied to such contribution, and
''(ii) such amount shall not be taken into
account in determining whether section
408(d)(3)(A)(i) applies to any other amount.
''(7) Qualified higher education expenses.--For purposes of
paragraph (2)(D)(ii)--
''(A) In general.--The term 'qualified higher
education expenses' means tuition, fees, books,
supplies, and equipment required for the enrollment or
attendance of--
''(i) the taxpayer,
''(ii) the taxpayer's spouse, or
''(iii) the child (as defined in section
151(c)(3)) or grandchild of the taxpayer or the
taxpayer's spouse,
at an eligible educational institution (as defined in
section 135(c)(3)).
''(B) Coordination with savings bond provisions.--
The amount of qualified higher education expenses for
any taxable year shall be reduced by any amount
excludable from gross income under section 135.
''(8) Qualified long-term care expenses.--For purposes of
paragraph (2)(D)(ii)--
''(A) In general.--The term 'qualified long-term
care expenses' means amounts paid or incurred for
qualified long-term care services, including amounts
for insurance covering such services.
''(B) Qualified long-term care services.--For
purposes of subparagraph (A)--
''(i) In general.--The term 'qualified
long-term care services' means necessary
diagnostic, preventive, therapeutic,
rehabilitative, and maintenance (including
personal care) services--
''(I) which are required by an
individual during any period during
which such individual is a functionally
impaired individual,
''(II) which have as their primary
purpose the provision of needed
assistance with 1 or more activities of
daily living which a functionally
impaired individual is certified as
being unable to perform under clause
(ii)(I), and
''(III) which are provided pursuant
to a continuing plan of care prescribed
by a licensed health care practitioner
(other than a relative of such
individual).
''(ii) Functionally impaired individual.--
''(I) In general.--The term
'functionally impaired individual'
means any individual who is certified
by a licensed health care practitioner
(other than a relative of such
individual) as being unable to perform,
without substantial assistance from
another individual (including
assistance involving verbal reminding,
physical cueing, or substantial
supervision), at least 3 activities of
daily living described in clause (iii).
''(II) Special rule for home health
care services.--In the case of services
which are provided during any period
during which an individual is residing
within the individual's home (whether
or not the services are provided within
the home), subclause (I) shall be
applied by substituting '2' for '3'.
For purposes of this subclause, a
nursing home or similar facility shall
not be treated as a home.
''(iii) Activities of daily living.--Each
of the following is an activity of daily
living:
''(I) Eating.
''(II) Transferring.
''(III) Toileting.
''(IV) Dressing.
''(V) Bathing.
''(C) Licensed health care practitioner.--For
purposes of subparagraph (B)--
''(i) In general.--The term 'licensed
health care practitioner' means--
''(I) a physician or registered
professional nurse,
''(II) a qualified community care
case manager (as defined in clause
(ii)), or
''(III) any other individual who
meets such requirements as may be
prescribed by the Secretary after
consultation with the Secretary of
Health and Human Services.
''(ii) Qualified community care case
manager.--The term 'qualified community care
case manager' means an individual or entity
which--
''(I) has experience or has been
trained in providing case management
services and in preparing individual
care plans;
''(II) has experience in assessing
individuals to determine their
functional and cognitive impairment;
''(III) is not a relative of the
individual receiving case management
services; and
''(IV) meets such requirements as
may be prescribed by the Secretary
after consultation with the Secretary
of Health and Human Services.
''(D) Relative.--For purposes of this paragraph,
the term 'relative' means an individual bearing a
relationship to another individual which is described
in paragraphs (1) through (8) of section 152(a).''
(c) Penalty-Free Distributions for Certain Unemployed
Individuals.--Paragraph (2) of section 72(t) is amended by adding at
the end the following new subparagraph:
''(E) Distributions to unemployed individuals.--A
distribution from an individual retirement plan to an
individual after separation from employment, if--
''(i) such individual has received
unemployment compensation for 12 consecutive
weeks under any Federal or State unemployment
compensation law by reason of such separation,
and
''(ii) such distributions are made during
any taxable year during which such unemployment
compensation is paid or the succeeding taxable
year.''
(d) Conforming Amendments.--
(1) Section 401(k)(2)(B)(i) is amended by striking ''or''
at the end of subclause (III), by striking ''and'' at the end
of subclause (IV) and inserting ''or'', and by inserting after
subclause (IV) the following new subclause:
''(V) the date on which qualified
first-time homebuyer distributions (as
defined in section 72(t)(6)), or
distributions for qualified higher
education expenses (as defined in
section 72(t)(7)), or for qualified
long-term care expenses (as defined in
section 72(t)(18)), are made, and''.
(2) Section 403(b)(11) is amended by striking ''or'' at the
end of subparagraph (A), by striking the period at the end of
subparagraph (B) and inserting '', or'', and by inserting after
subparagraph (B) the following new subparagraph:
''(C) for qualified first-time homebuyer
distributions (as defined in section 72(t)(6)) or for
the payment of qualified higher education expenses (as
defined in section 72(t)(7)) or qualified long-term
care expenses (as defined in section 72(t)(8)).''
(e) Effective Date.--The amendments made by this section shall
apply to payments and distributions after the date of the enactment of
this Act.
[EX A]: Individual Retirement Account Equity and Enhancement Act of 1994 - Amends the Internal Revenue Code to allow certain spouses a deduction for contributions to an individual retirement account.
Allows distribution from certain retirement plans without penalty to purchase first homes, pay higher education expenses and qualified long-term care expenses, and assist certain unemployed individuals.

[EX Q]: SECTION 1. SHORT TITLE.

This Act may be cited as the ''Medical Checklist Act of 2010''.

SEC. 2. RESEARCH INTO MEDICAL CHECKLIST DEVELOPMENT AND EFFICACY.

(a) Study.--The Director of the Agency for Healthcare Research and
Quality, acting through the Center for Quality Improvement and Patient
Safety, shall conduct research and a study, in accordance with the
requirements of this section, regarding the development and efficacy of
medical checklists.
(b) Contents.--In carrying out subsection (a), the Director shall
conduct research and a study regarding the following:
(1) Testing of different models of medical checklists to
measure the effect of checklist format, length, and design for
different clinical tasks on--
(A) adoption of checklists by health care
professionals;
(B) time spent by health care professionals on the
clinical task of interest; and
(C) reliable completion of medical procedures.
(2) Examination of checklist development and use in other
industries, such as commercial aviation and nuclear power, and
the feasibility of applying and adapting methodology developed
in those industries to the health care industry in a way that
would result in health care quality improvement.
(3) Identification of organizational characteristics needed
to effectively implement the use of medical checklists in
health care settings.
(4) Measurement of the effects of the use of medical
checklists on patient safety and health outcomes.
(5) Identification of medical procedures for which the
development and use of medical checklists would be beneficial.
(6) Investigation of the development, implementation, and
use of available medical checklists, including checklists for
safe surgery and central line insertion and maintenance, to
inform further medical checklist development.
(c) Scope.--The Director shall ensure that each aspect of the
research and study conducted under subsection (a) is examined across a
variety of health care provider characteristics, medical procedures,
patient populations, and other factors that could affect the use of
medical checklists.
(d) Dissemination.--The Director shall make available to the public
the results of the study conducted under subsection (a) and shall
disseminate such results to patient safety organizations listed
pursuant to section 924(d) of the Public Health Service Act (42 U.S.C.
299b-24(d)).
(e) Authorization of Appropriations.--There are authorized to be
appropriated to carry out this section such sums as may be necessary
for each of fiscal years 2011 through 2014.

SEC. 3. COORDINATING MEDICAL CHECKLISTS AND HEALTH INFORMATION
TECHNOLOGY SYSTEMS.

(a) In General.--The HIT Policy Committee in the Office of the
National Coordinator for Health Information Technology (as established
in section 3002 of the Public Health Service Act (42 U.S.C. 300jj-12)
shall develop policy recommendations regarding--
(1) the extent to which the use of medical checklists
should be incorporated into health information technology
systems; and
(2) measures to determine the effectiveness of such use.
(b) Areas of Consideration.--In making recommendations under
subsection (a), the HIT Policy Committee may consider the following
areas:
(1) The ease with which medical checklists in electronic
formats can be used by health care professionals.
(2) The effect of the availability of medical checklists in
electronic formats on the adoption and use of medical
checklists by health care professionals.
(3) The effect of the use of medical checklists in
electronic formats on the time spent by health care
professionals on medical procedures.
(4) The ability of the health information technology system
to collect data on patient safety and health outcomes that
could be analyzed to aid in the design and update of medical
checklists.
(5) The ease with which medical checklists in electronic
formats can be updated on an ongoing basis based on evidence
from medical research and local experience.
(6) The capability of health information technology systems
to collect data, where applicable, regarding the use of medical
checklists by health care providers, and any relation between
that use and patient safety and health outcomes.

SEC. 4. INSTITUTE OF MEDICINE STUDY ON FURTHER MEDICAL CHECKLIST
RESEARCH.

(a) In General.--The Secretary of Health and Human Services shall
enter into an agreement with the Institute of Medicine and the National
Academy of Engineering of the National Academies to conduct a study in
accordance with this section.
(b) Study.--The Secretary shall ensure that the study conducted
under this section--
(1) reviews available medical checklists and similar
quality improvement techniques, data on the adoption and use of
such techniques by health care professionals, and evidence of
the efficacy of such techniques in relation to patient safety
and health outcomes;
(2) identifies areas of research needed to improve medical
checklists in order to increase the adoption and efficacy of
medical checklists;
(3) analyzes organizational impediments to the adoption and
use of medical checklists;
(4) reviews the degree to which there is sufficient
evidence with which to develop new medical checklists and, if
such evidence is insufficient, identifies areas requiring
further study in order to develop such evidence; and
(5) determines whether the availability of an increased
number of medical checklists would improve patient safety and
health outcomes and, if so, identifies methods for using recent
medical research to develop new medical checklists.
(c) Methodology of Study.--
(1) Scope.--The Secretary shall ensure that the agreement
entered into under subsection (a) provides that the study
conducted under such subsection will consider the perspectives
of--
(A) various types of health care professionals in
various types of health care settings;
(B) individuals conducting academic research in
health care quality; and
(C) patients.
(2) Consultation with relevant organizations.--The
Secretary shall ensure that the agreement entered into under
subsection (a) provides that relevant agencies and
organizations with expertise on medical checklists will be
consulted during the study conducted under such subsection,
including the following:
(A) The Agency for Healthcare Research and Quality.
(B) The American Nurses Association.
(C) The Institute for Healthcare Improvement.
(D) The American Hospital Association.
(E) The American Medical Association.
(F) The World Health Organization.
(G) The National Committee for Quality Assurance.
(H) The Joint Commission.
(I) The American Academy of Physician Assistants.
(d) Report.--The Secretary shall ensure that the agreement entered
into under subsection (a) provides that not later than 18 months after
the date of the enactment of this Act, a report providing the findings
and recommendations made in the study conducted under such subsection
will be submitted to the Secretary, the Committee on Energy and
Commerce of the House of Representatives, and the Committee on Health,
Education, Labor, and Pensions of the Senate.

SEC. 5. DEFINITIONS.

In this Act, the following definitions apply:
(1) Health care professional.--The term ''health care
professional'' means an individual who provides health care
services, including a physician, physician assistant, nurse
practitioner, clinical nurse specialist (as those terms are
defined in section 1861 of the Social Security Act (42 U.S.C.
1395x)), and such other individuals as the Secretary of Health
and Human Services determines appropriate.
(2) Health care setting.--The term ''health care setting''
means a facility at which health care services are provided,
including a hospital providing inpatient hospital services (as
that term is defined in section 1861 of the Social Security Act
(42 U.S.C. 1395x)), an ambulatory surgical center (meeting the
standards specified under section 1832(a)(2)(F)(i) of the
Social Security Act (42 U.S.C. 1395k)), and such other
facilities as the Secretary of Health and Human Services
determines appropriate.
(3) Health care provider.--The term ''health care
provider'' means a health care professional or a health care
setting.
(4) Medical checklist.--The term ''medical checklist''
means a predetermined, evidence-based, well-defined set of
steps that should be completed during a designated medical
clinical encounter or medical procedure, as further defined by
the Director of the Agency for Healthcare Research and Quality
in consultation with the Institute of Medicine and the National
Academy of Engineering of the National Academies.
[EX A]:
Medical Checklist Act of 2010 - Requires the Director of the Agency for Healthcare Research and Quality, acting through the Center for Quality Improvement and Patient Safety, to conduct research and a study regarding the development and efficacy of medical checklists, including regarding: (1) the testing of different models of medical checklists; (2) an examination of checklist development and use in other industries; and (3) a measurement of the effects of the use of medical checklists on patient safety and health outcomes. Requires dissemination of the results of such study to patient safety organizations. Defines "medical checklist" as a predetermined, evidence-based, well-defined set of steps that should be completed during a designated medical clinical encounter or medical procedure.

Requires the HIT Policy Committee to develop policy recommendations regarding: (1) the extent to which the use of medical checklists should be incorporated into health information technology systems; and (2) measures to determine the effectiveness of such use.

Requires the Secretary to enter into an agreement with the Institute of Medicine and the National Academy of Engineering of the National Academies to conduct a study on medical checklists that includes: (1) a review of available medical checklists and similar quality improvement techniques; (2) an identification of areas of research needed to improve medical checklists; (3) an analysis of organizational impediments to the adoption and use of medical checklists; and (4) a determination of whether the availability of an increased number of medical checklists would improve patient safety and health outcomes.