Detailed Instructions: In this task, you are given text for US Congressional and California state bills, your task is to generate a summary for this bill.
See one example below:
Problem: 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.
Solution: 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.
Explanation: 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.

Problem: SECTION 1. SHORT TITLE.

This Act may be cited as the ''Medicare Home Health Access
Restoration Act of 1999''.

SEC. 2. ADJUSTMENT TO PER BENEFICIARY LIMITS.

(a) Increase in Payment Amount to Agencies With Limits Under the
National Average.--Section 1861(v)(1)(L) of the Social Security Act (42
U.S.C. 1395x(v)(1)(L)), as amended by section 5101(a) of the Tax and
Trade Relief Extension Act of 1998 (Public Law 105-277), is amended--
(1) in clause (v)(I), by inserting '', clause (ix)'' after
''subject to clause (viii)(I)'';
(2) in clause (viii)(I), by striking ''during or after
fiscal year 1999'' and inserting ''during fiscal year 1999'';
(3) by redesignating clause (ix) as clause (xii); and
(4) by inserting after clause (viii) the following new
clause:
''(ix) In the case of a provider with a 12-month cost reporting
period ending in fiscal year 1994, if the limit imposed under clause
(v) (determined without regard to this subclause) for a cost reporting
period beginning after fiscal year 1999 is less than the median
described in clause (vi)(I) (but determined as if any reference in
clause (v) to '98 percent' were a reference to '100 percent'), the
payment limit for such provider and period shall be equal to--
''(I) for cost reporting periods beginning during fiscal
year 2000, 90 percent of such median;
''(II) for cost reporting periods beginning during fiscal
year 2001, 95 percent of such median; and
''(III) for cost reporting periods beginning during or
after fiscal year 2002, such median.
Each of the amounts specified in subclauses (I) through (III) are such
amounts as adjusted under clause (iii) to reflect variations in wages
among different areas.''.
(b) Establishment of Per Beneficiary Cap; Waiver.--
(1) In general.--Section 1861(v)(1)(L) of such Act (42
U.S.C. 1395x(v)(1)(L)), as amended in subsection (a), is
further amended--
(A) in clause (v)(I), by inserting '', and clause
(x)'' after ''clause (ix)''; and
(B) by inserting after clause (ix), the following
new clause:
''(x) In the case of a provider with a 12-month cost reporting
period ending in fiscal year 1994, if the limit imposed under clause
(v) (determined without regard to this subclause) for a cost reporting
period beginning after fiscal year 1999 exceeds the median described in
clause (vi)(I) (but determined as if any reference in clause (v) to '98
percent' were a reference to '100 percent'), the payment limit for such
provider and period may not exceed--
''(I) for cost reporting periods beginning during fiscal
year 2000, an amount equal to 250 percent of such median;
''(II) for cost reporting periods beginning during fiscal
year 2001, an amount equal to 225 percent of such median; and
''(III) for cost reporting periods beginning during or
after fiscal year 2002, an amount equal to 200 percent of such
median.
Notwithstanding the previous sentence, in the case of such a provider
that demonstrates to the Secretary (in such form and using such data as
the Secretary requires) that, for a cost reporting period, the
provider, or a unit of the provider, specializes in the treatment of
individuals who, because of age, diagnosis, or other criteria specified
by the Secretary are substantially more costly-than-average to treat,
the amount of payment to that provider or unit for such an individual
for that period is the limitation determined under clause (v).''.
(2) Consultation.--The Secretary of Health and Human
Services shall consult with appropriate organizations,
including such organizations representing providers of home
health services, physicians, and patients in determining the
criteria required for special payment provisions under the
second sentence of clause (x) and under clause (xi) of section
1861(v)(1)(L) of the Social Security Act (42 U.S.C.
1395x(v)(1)(L)), including descriptions of the type of patient,
patient condition, unusual variations, and home health service
that qualifies for such payment.
(c) Waiver of Per Beneficiary Limit for Outliers.--
(1) In general.--Section 1861(v)(1)(L) of such Act (42
U.S.C. 1395x(v)(1)(L)), as amended in subsections (a) and (b),
is further amended by inserting after clause (x), the following
new clause:
''(xi)(I) Notwithstanding the applicable limit under clause (v),
(vi), (viii), (ix), or (x), in the case of a provider that demonstrates
to the Secretary that with respect to an individual to whom the
provider furnishes home health services that are appropriate to the
individual's condition (as determined by the Secretary) at a reasonable
cost (as determined by the Secretary), and that such reasonable cost
significantly exceeded such applicable limit because of unusual
variations in the type or amount of medically necessary care (outliers)
required to treat the individual, the Secretary, upon application by
the provider, shall pay to such provider for such individual such
reasonable cost.
''(II) The Secretary shall establish such criteria as is required
for payment under this clause, including a description of the type of
patient, patient condition, unusual variations, and home health service
that qualifies for such payment.
''(III) In making determinations under subclause (I), the Secretary
shall use data from the cost report, or from other data collected by
the Secretary, of the provider for such year.
''(IV) A provider may make an application for payment under this
clause for a fiscal year no earlier than the end of the provider's cost
reporting period beginning in such fiscal year.
''(V) In the case of an application for payment under this clause
that is approved by the Secretary, a provider may elect to receive
payment on a quarterly basis.''.
(2) Effective date.--The amendment made by subsection (a)
takes effect six months after the date of the enactment of this
Act, and applies with respect to applications by home health
agencies for payment of reasonable costs for outliers for cost
reporting periods ending on or after such date.
(d) Reports to Congress.--
(1) Initial report.--Not later than one year after the date
of the enactment of this Act, the Secretary of Health and Human
Services shall submit to Congress a report describing the
effect of the special payment provisions provided for under the
second sentence of clause (x) and under clause (xi) of section
1861(v)(1)(L) of the Social Security Act (42 U.S.C.
1395x(v)(1)(L)). Such report shall include information with
respect to the number of home health agencies that requested
payment under such provisions and the number of such agencies
that received payment under such provisions.
(2) Final report.--Not later than three years after the
date of the enactment of this Act, the Secretary shall submit
to Congress a report that updates the report submitted under
paragraph (1), including additional information with respect to
the illnesses, and the characteristics of such illnesses, of
the patients for whom payment under such special provisions was
requested, and the characteristics of the home health agencies
furnishing home health services to such patients for such
illnesses.

SEC. 3. REVISION OF PER VISIT LIMITS.

Section 1861(v)(1)(L)(i) of the Social Security Act (42 U.S.C.
1395x(v)(1)(L)(i)), as amended by section 5101(b) of the Tax and Trade
Relief Extension Act of 1998 (Public Law 105-277), is amended--
(1) in subclause (IV), by striking ''or'';
(2) in subclause (V)--
(A) by inserting ''and before October 1, 1999,''
after ''October 1, 1998,''; and
(B) by striking the period at the end and inserting
'', or''; and
(3) by adding at the end the following new subclause:
''(V) October 1, 1999, 110 percent of such median.''.

SEC. 4. ELIMINATION OF CONTINGENT 15 PERCENT REDUCTION IN PAYMENT
LIMITS UNDER THE INTERIM PAYMENT SYSTEM.

Section 4603 of the Balanced Budget Act of 1997 (Public Law 105-
33), as amended by section 5101(c)(3) of the Tax and Trade Relief
Extension Act of 1998 (Public Law 105-277) (111 Stat. 471), is amended
by striking subsection (e).

SEC. 5. INFORMATIONAL MATERIALS FOR MEDICARE BENEFICIARIES WITH RESPECT
TO HOME HEALTH SERVICES.

(a) In General.--The Secretary shall prepare a notice of the rights
of individuals entitled to benefits under the medicare program (under
title XVIII of the Social Security Act) to appeal a coverage
determination with respect to items and services furnished to such
individual under the program. In the case of such items and services
consisting of home health services furnished by a home health agency,
the home health agency shall furnish such notice to such an individual
upon discharge by the agency of such individual from such services.
(b) Information for Physicians.--The Secretary shall provide
guidance for physicians contacted by affected individuals to assist
such individuals, including specific guidance in the case of such
individuals for whom home health services are discontinued before the
recommended treatment is complete, but on behalf of whom payment under
the limits established under section 1861(v)(1)(L) of the Social
Security Act (42 U.S.C. 1395x(v)(1)(L)) has been made in full by the
Secretary to the home health agency. The materials shall include
telephone numbers and such other information to enable the physician to
seek further assistance or clarification from individuals within the
Health Care Financing Administration with appropriate expertise.
(c) Requests for Additional Resources.--The Secretary may submit to
Congress an estimate of additional resources required by the Health
Care Financing Administration to comply with the provisions of the
section. Any such estimate shall be included in the report required
under paragraph (1) of section 2(d).
(d) Effective Date.--By not later than six months after the date of
the enactment of this Act, the Secretary shall begin distributing to
home health agencies furnishing home health services under the medicare
program (under title XVIII of the Social Security Act), and to
physicians furnishing services under such program, the information
prepared under this section.

SEC. 6. COMPTROLLER GENERAL STUDY ON MEDICARE HOME HEALTH BENEFIT.

(a) Study.--
(1) Cost of services.--The Comptroller General of the
United States shall conduct a study on the relationship between
the costs to the medicare program (under title XVIII of the
Social Security Act) for home health services furnished by home
health agencies under the program, and the costs to State and
Federal government programs (including the medicare program and
the medicaid program (under title XIX of such Act)) for
services furnished by rehabilitation agencies, public health
agencies, clinics, comprehensive outpatient rehabilitation
facilities, skilled nursing facilities under the medicare
program, and for long-term care services furnished under the
medicaid program (under title XIX of such Act).
(2) Determination of saving overall to medicare program.--
The Comptroller General shall also determine whether providing
home health services as a benefit under the medicare program
has resulted in lower costs overall to the Federal government.
(b) Report.--Not later than 18 months after the date of the
enactment of this Act, the Comptroller General shall submit to Congress
a report describing the results of the study conducted under subsection
(a).
Solution:
Amends the Balanced Budget Act of 1997 to eliminate the 15 percent contingent reduction in payment amounts under the interim prospective payment system (PPS) for home health services.
Directs: (1) the Secretary to prepare specified informational materials for assisting Medicare beneficiaries with regard to home health services; and (2) the Comptroller General to study and report to Congress on certain aspects of the Medicare home health benefit, including whether it has resulted in overall lower costs to the Federal Government.