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.
Problem:SECTION 1. SHORT TITLE.

This Act may be cited as the ''Managing Our Medicare and Medicaid
Services and Protecting Our Parents Act'' .

SEC. 2. LOAN REPAYMENT PROGRAM FOR NURSE PRACTITIONERS AND PHYSICIANS
ASSISTANTS SERVING IN UNDERSERVED NURSING HOMES.

Title IV of the Public Health Service Act (42 U.S.C. 281 et seq.)
is amended--
(1) by redesignating the second section 487F as section
487G; and
(2) by inserting after section 487G (as so redesignated)
the following:

''SEC. 487H. LOAN REPAYMENT PROGRAM FOR NURSE PRACTITIONERS AND
PHYSICIAN ASSISTANTS SERVING IN UNDERSERVED NURSING
HOMES.

''(a) Establishment.--To the extent and in the amounts provided in
advance in appropriations Acts, the Secretary, acting through the
Administrator of the Health Resources and Services Administration,
shall establish a program to enter into contracts with individuals
under which the individual involved agrees to serve for a period of not
less than 3 years as a nurse practitioner or a physician assistant at
an underserved nursing home, in consideration of the Federal Government
agreeing to make payments, for not more than 5 years of such service,
on the principal and interest of the educational loans of the
individual.
''(b) Amount of Payments.--The amount of a payment by the Secretary
under this section for a year of service by an individual as a nurse
practitioner or physician assistant at an underserved nursing home
shall not exceed the lesser of the remaining outstanding obligation on
the individual's educational loans or--
''(1) $2,000 at the completion of the first year of such
service;
''(2) $2,500 at the completion of the second year of such
service;
''(3) $3,500 at the completion of the third year of such
service;
''(4) $4,500 at the completion of the fourth year of such
service; and
''(5) $5,000 at the completion of the fifth year of such
service.
''(c) Application of Provisions.--Except as inconsistent with this
section, the provisions of sections 338B, 338C, and 338E shall apply to
the program established under this section to the same extent and in
the same manner as such provisions apply to the National Health Service
Corps Loan Repayment Program established in subpart III of part D of
title III.
''(d) Definitions.--For purposes of this section:
''(1) The term 'medicaid recipient' means, with respect to
a resident of a nursing home, a resident of the home who is
provided medical assistance under title XIX of the Social
Security Act for nursing home services.
''(2) The term 'medicare recipient' means, with respect to
a resident of a skilled nursing home, a resident who is being
provided benefits under part A of title XVIII of the Social
Security Act with respect to extended care services in the
home.
''(3) The term 'nursing home' means any institution or
facility defined as such for licensing purposes under State
law, or, if State law does not employ the term nursing home,
the equivalent term or terms as determined by the Secretary,
but does not include a religious nonmedical health care
institution (as defined in section 1861(ss)(1) of the Social
Security Act).
''(4) The term 'underserved nursing home' means a nursing
home in which at least 85 percent of the number of residents of
the home are medicaid recipients, not more than 8 percent of
such residents are medicare recipients, and not more than 10
percent of such residents are neither medicaid nor medicare
recipients.
''(e) Funding.--
''(1) Authorization of appropriations.--For the purpose of
carrying out this section, there are authorized to be
appropriated such sums as may be necessary for each fiscal
year.
''(2) Availability.--Amounts appropriated for carrying out
this section shall remain available until the expiration of the
second fiscal year beginning after the fiscal year for which
the amounts were made available.''.

SEC. 3. TRAINING PROGRAM FOR NURSING HOME ADMINISTRATORS.

(a) In General.--The Secretary of Health and Human Services, acting
through the Director of the Centers for Medicare & Medicaid Services,
shall provide grants to States to implement nursing home administrator
mentor programs described in subsection (b).
(b) Mentor Program Described.--A mentor program described in this
subsection is a program to improve the training of nursing home
administrators and to strengthen their commitment to serve as leaders
in their States. Such a program shall provide for the following:
(1) Identification of individuals who are nursing home
administrators and have exceptional potential to serve as
mentors to other nursing home administrators.
(2) Training of such individuals to serve as mentors for
other nursing home administrators who are employed in
underserved nursing homes (as defined in section 487H(e)(3) of
the Public Health Service Act).
(c) Applications.--A State seeking a grant under this section shall
submit an application to the Secretary at such time, in such manner,
and containing such information as the Secretary may require.
(d) Authorization of Appropriations.--There are authorized to be
appropriated $25,000,000 to carry out this section.
(e) Definitions.--For purposes of this section:
(1) Nursing home.--The term ''nursing home'' means any
institution or facility defined as such for licensing purposes
under State law, or, if State law does not employ the term
nursing home, the equivalent term or terms as determined by the
Secretary, but does not include a religious nonmedical health
care institution (as defined in section 1861(ss)(1) of the
Social Security Act (42 U.S.C. 1395x(ss)(1)).
(2) Nursing home administrator.--The term ''nursing home
administrator''means any individual who is charged with the
general administration of a nursing home whether or not such
individual has an ownership interest in such home and whether
or not the individual's functions and duties are shared with
one or more other individuals.
(3) State.--The term ''State'' has the meaning given such
term for purposes of title XIX of the Social Security Act.

SEC. 4. HIGH FAMILY INVOLVEMENT IN NURSING HOMES.

The Director of the Centers for Medicare & Medicaid Services shall
provide, in implementing the Nursing Home Quality Initiative, the
degree of family involvement (as defined by the Director) among the
quality indicators for the evaluation of the quality of nursing homes,

SEC. 5. REINSTITUTION OF BOREN AMENDMENT MEDICAID PAYMENT METHODOLOGY.

(a) In General.--Section 1902(a)(13) of the Social Security Act (42
U.S.C. 1396a(a)(13)) is amended to read as follows:
''(13) provide for payment of services through the use of
rates determined pursuant to the criteria under this paragraph
as in effect on August 1, 1997;''.
(b) Establishment of Safe Harbor Rates.--Section 1902 of such Act
(42 U.S.C. 1396a) is amended by adding at the end the following: ''The
Secretary may, by regulation, promulgate standards or methodologies for
determining rates that comply with paragraph (13), and a State that
pays rates that meet such standards or methodologies is deemed to be in
compliance with paragraph (13).''.
(c) Effective Date.--The amendments made by this section shall
apply to services furnished on or after the date that is one year after
the date of the enactment of this Act.

SEC. 6. INCREASE OF MEDICAID FMAP.

Section 1905(b) of the Social Security Act (42 U.S.C. 1396d(b)) is
amended by adding at the end the following: ''Notwithstanding the first
sentence of this subsection, only for purposes of this title (and not
with respect to the determination of the enhanced FMAP) and with
respect to calendar quarters beginning after October 1, 2004, in the
case of a State in which the Federal medical assistance percentage
otherwise determined under the first sentence is less than 60 percent,
such percentage shall be increased by 2 percentage points, and in the
case of a State in which such percentage is otherwise so determined to
be 60 percent or greater, such percentage shall be increased by 1
percentage point.''.
Solution:
Managing Our Medicare and Medicaid Services and Protecting Our Parents Act - Amends the Public Health Services Act to direct the Secretary of Health and Human Services to establish a loan repayment program for nurse practitioners and physician assistants serving in underserved nursing homes.

Directs the Secretary to establish a mentoring program for training nursing home administrators.

Requires the Director of the Centers for Medicare & Medicaid Services to provide, in implementing the Nursing Home Quality Initiative, the degree of family involvement among the quality indicators for the evaluation of the quality of nursing homes.

Amends title XIX (Medicaid) of the Social Security Act to reinstitute certain payment levels for health institutions (Boren Amendment Medicaid payment methodology) and to increase the Federal medical assistance percentage (FMAP).