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 Input:
SECTION 1. SHORT TITLE.

This Act may be cited as the ''Medicare Spending Transparency Act
of 2011''.

SEC. 2. PUBLIC AVAILABILITY OF AGGREGATE DATA ON MEDICARE PROVIDERS OF
SERVICES AND SUPPLIERS.

(a) Purpose.--The purpose of this section is to make aggregate
information about providers of services and suppliers under the
Medicare program under title XVIII of the Social Security Act (42
U.S.C. 1395 et seq.) publicly available and to provide a new level of
transparency in such program.
(b) Public Availability.--Section 1128J of the Social Security Act
(42 U.S.C. 1320a-7k) is amended by adding at the end the following new
subsection:
''(f) Public Availability of Certain Medicare Data.--
''(1) In general.--The Secretary shall, to the extent
consistent with applicable information, privacy, security, and
disclosure laws, including the regulations promulgated under
the Health Insurance Portability and Accountability Act of 1996
and section 552a of title 5, United States Code, make available
to the public on the Internet website of the Centers for
Medicare & Medicaid Services the following data with respect to
title XVIII:
''(A) A complete list of the providers of services
and suppliers participating in the program under such
title, including the business address of such providers
of services and suppliers.
''(B) Aggregate information about each such
provider of services and supplier, including--
''(i) the total number of individuals
furnished items or services by the provider of
services or supplier for which payment was made
under such title during the preceding year;
''(ii) the number of unique patient
encounters conducted by the provider of
services or supplier for which payment was made
under such title during the preceding year;
''(iii) the average number of codes billed
under such title by the provider of services of
supplier per patient encounter during the
preceding year;
''(iv) the total amount paid to such
provider of services or supplier under such
title during the preceding year;
''(v) the top 50 billing codes on claims
paid under such title to the provider of
services or supplier during the preceding year,
as determined by volume, including a
description of such codes;
''(vi) the top 50 billing codes on such
claims paid during such year, as determined by
dollar amount, including a description of such
codes; and
''(vii) the top 50 diagnosis and procedure
code pairs on such claims paid during such
year, as determined by volume, including a
description of such codes.
''(2) Implementation.--Not later than 1 year after the date
of enactment of the Medicare Spending Transparency Act of 2011,
the Secretary shall promulgate regulations to carry out this
subsection.''.

SEC. 3. ACCESS TO MEDICARE CLAIMS AND PAYMENT DATA BY QUALIFIED
INDIVIDUALS AND GROUPS.

(a) Purpose.--The purpose of this section is to allow qualified
individuals and groups access to information on claims and payment data
under the Medicare program for purposes of conducting health research
and detecting fraud under such program.
(b) Access to Medicare Claims and Payment Data by Qualified
Individuals and Groups.--Section 1128J of the Social Security Act (42
U.S.C. 1320a-7k), as amended by section 2, is amended by adding at the
end the following new subsection:
''(g) Access to Medicare Claims and Payment Data by Qualified
Individuals and Groups.--
''(1) In general.--For purposes of conducting health
research and detecting fraud under title XVIII, and to the
extent consistent with applicable information, privacy,
security, and disclosure laws, including the regulations
promulgated under the Health Insurance Portability and
Accountability Act of 1996 and section 552a of title 5, United
States Code, and subject to any information systems security
requirements under such laws or otherwise required by the
Secretary, a qualified individual or group shall have access to
claims and payment data of the Department of Health and Human
Services and its contractors related to title XVIII.
Notwithstanding any other provision of law, such data shall
include the identity of individual providers of services and
suppliers under such title.
''(2) Definition of qualified individual or group.--
''(A) In general.--In this subsection, the term
'qualified individual or group' means an individual or
entity that the Secretary has determined, in accordance
with subparagraph (B), has relevant experience,
knowledge, and technical expertise in medicine,
statistics, health care billing, practice patterns,
health care fraud detection, and analysis to use data
provided to the individual or the entity under this
subsection in an appropriate, responsible, and ethical
manner and for the purposes described in paragraph (1).
''(B) Procedures.--The Secretary shall establish
procedures for determining, in a timely manner, whether
an individual or entity is a qualified individual or
group.
''(3) Procedures.--The Secretary shall establish procedures
for the storage and use of data provided to a qualified
individual or group under this subsection. Such procedures
shall ensure that, in the case where the qualified individual
or group publishes an analysis of such data (or any analysis
using such data), the qualified individual or group discloses
the following information (in a form and manner, and at a time,
specified by the Secretary):
''(A) The name of the qualified individual or
group.
''(B) The sources of any funding for the qualified
individual or group.
''(C) Any employer or other relevant affiliations
of the qualified individual or group.
''(D) The data analysis methods used by the
qualified individual or group in the analysis
involved.''.

Ex Output:
Medicare Spending Transparency Act of 2011 - Amends title XI of the Social Security Act (SSA) to direct the Secretary of Health and Human Services (HHS), consistent with applicable information, privacy, security, and disclosure laws, to make public on the Internet website of the Centers for Medicare and Medicaid Services the following data with respect to SSA title XVIII (Medicare): (1) a complete list of service providers and suppliers participating in the Medicare program, including their business addresses; and (2) certain aggregate information about each provider and supplier.

Entitles a qualified individual or group, for health research and fraud detection purposes, to access to Medicare claims and payment data of both HHS and its contractors. Directs the Secretary to establish procedures for the storage and use of data provided to such an individual or group.

Ex Input:
SECTION 1. EXPENSES FOR HOUSEHOLD AND ELDER CARE SERVICES NECESSARY FOR
GAINFUL EMPLOYMENT.

(a) In General.--Subpart A of part IV of subchapter A of chapter 1
of the Internal Revenue Code of 1986 is amended by adding at the end
the following new section:

''SEC. 25E. EXPENSES FOR HOUSEHOLD AND ELDER CARE SERVICES NECESSARY
FOR GAINFUL EMPLOYMENT.

''(a) Allowance of Credit.--
''(1) In general.--In the case of an individual for which
there are 1 or more qualifying individuals (as defined in
subsection (b)(1)) with respect to such individual, there shall
be allowed as a credit against the tax imposed by this chapter
for the taxable year an amount equal to the applicable
percentage of the employment-related expenses (as defined in
subsection (b)(2)) paid by such individual during the taxable
year.
''(2) Applicable percentage defined.--For purposes of
paragraph (1), the term 'applicable percentage' means 35
percent reduced (but not below 20 percent) by 1 percentage
point for each $2,000 (or fraction thereof) by which the
taxpayer's adjusted gross income for the taxable year exceeds
$15,000.
''(b) Definitions of Qualifying Individual and Employment-Related
Expenses.--For purposes of this section--
''(1) Qualifying individual.--The term 'qualifying
individual' means an individual who--
''(A) has attained age 50, and
''(B) is one of the following:
''(i) An individual who bears a
relationship to the taxpayer described in
subparagraph (C) or (D) of section 152(d)(2)
(relating to fathers, mothers, and ancestors).
''(ii) An individual would be a dependent
of the taxpayer (as defined in section 152,
determined without regard to subsections (b)(1)
and (b)(2)) as a qualifying relative described
in section 152(d)(1) if--
''(I) in lieu of subparagraphs (B)
and (C) thereof the following applied
with respect to the individual:
''(aa) the taxpayer has
provided over one-half of the
individual's support for the
calendar year in which such
taxable year begins and each of
the preceding 4 taxable years,
and
''(bb) the individual's
modified adjusted gross income
for the calendar year in which
such taxable year begins is
less than the exemption amount
(as defined in section 151(d)),
''(II) the individual is physically
or mentally incapable of caring for
himself or herself, and
''(III) who has the same principal
place of abode as the taxpayer for more
than one-half of such taxable year.
''(iii) The spouse of the taxpayer who is
physically or mentally incapable of caring for
himself or herself.
''(2) Modified adjusted gross income.--The term 'modified
adjusted gross income' means adjusted gross income determined
without regard to section 86.
''(3) Employment-related expenses.--
''(A) In general.--The term 'employment-related
expenses' means amounts paid for the following
expenses, but only if such expenses are incurred to
enable the taxpayer to be gainfully employed for any
period for which there are 1 or more qualifying
individuals with respect to the taxpayer:
''(i) expenses for household services, and
''(ii) expenses for the care of a
qualifying individual, including expenses for
respite care and hospice care.
''(B) Exception.--Employment-related expenses
described in subparagraph (A) which are incurred for
services outside the taxpayer's household shall be
taken into account only if incurred for the care of--
''(i) a qualifying individual described in
paragraph (1)(A), or
''(ii) a qualifying individual (not
described in paragraph (1)(A)) who regularly
spends at least 8 hours each day in the
taxpayer's household.
''(C) Dependent care centers.--Employment-related
expenses described in subparagraph (A) which are
incurred for services provided outside the taxpayer's
household by a dependent care center (as defined in
subparagraph (D)) shall be taken into account only if--
''(i) such center complies with all
applicable laws and regulations of a State or
unit of local government, and
''(ii) the requirements of subparagraph (B)
are met.
''(D) Dependent care center defined.--For purposes
of this paragraph, the term 'dependent care center'
means any facility which--
''(i) provides care for more than six
individuals (other than individuals who reside
at the facility), and
''(ii) receives a fee, payment, or grant
for providing services for any of the
individuals (regardless of whether such
facility is operated for profit).
''(c) Dollar Limit on Amount Creditable.--The amount of the
employment-related expenses incurred during any taxable year which may
be taken into account under subsection (a) shall not exceed--
''(1) $3,000 if there is 1 qualifying individual with
respect to the taxpayer for such taxable year, or
''(2) $6,000 if there are 2 or more qualifying individuals
with respect to the taxpayer for such taxable year.
The amount determined under paragraph (1) or (2) (whichever is
applicable) shall be reduced by the aggregate amount excludable from
gross income under section 129 for the taxable year.
''(d) Earned Income Limitation.--Except as otherwise provided in
this subsection, the amount of the employment-related expenses incurred
during any taxable year which may be taken into account under
subsection (a) shall not exceed--
''(1) in the case of an individual who is not married at
the close of such year, such individual's earned income for
such year, or
''(2) in the case of an individual who is married at the
close of such year, the lesser of such individual's earned
income or the earned income of his spouse for such year.
''(e) Special Rules.--For purposes of this section--
''(1) Place of abode.--An individual shall not be treated
as having the same principal place of abode of the taxpayer if
at any time during the taxable year of the taxpayer the
relationship between the individual and the taxpayer is in
violation of local law.
''(2) Married couples must file joint return.--If the
taxpayer is married at the close of the taxable year, the
credit shall be allowed under subsection (a) only if the
taxpayer and his spouse file a joint return for the taxable
year.
''(3) Marital status.--An individual legally separated from
his spouse under a decree of divorce or of separate maintenance
shall not be considered as married.
''(4) Certain married individuals living apart.--If--
''(A) an individual who is married and who files a
separate return--
''(i) maintains as his home a household
which constitutes for more than one-half of the
taxable year the principal place of abode of a
qualifying individual, and
''(ii) furnishes over half of the cost of
maintaining such household during the taxable
year, and
''(B) during the last 6 months of such taxable year
such individual's spouse is not a member of such
household, such individual shall not be considered as
married.
''(5) Payments to related individuals.--No credit shall be
allowed under subsection (a) for any amount paid by the
taxpayer to an individual--
''(A) with respect to whom, for the taxable year, a
deduction under section 151(c) (relating to deduction
for personal exemptions for dependents) is allowable
either to the taxpayer or his spouse, or
''(B) who is a child of the taxpayer (within the
meaning of section 152(f)(1)) who has not attained the
age of 19 at the close of the taxable year. For
purposes of this paragraph, the term 'taxable year'
means the taxable year of the taxpayer in which the
service is performed.
''(6) Identifying information required with respect to
service provider.--No credit shall be allowed under subsection
(a) for any amount paid to any person unless--
''(A) the name, address, and taxpayer
identification number of such person are included on
the return claiming the credit, or
''(B) if such person is an organization described
in section 501(c)(3) and exempt from tax under section
501(a), the name and address of such person are
included on the return claiming the credit.
In the case of a failure to provide the information required
under the preceding sentence, the preceding sentence shall not
apply if it is shown that the taxpayer exercised due diligence
in attempting to provide the information so required.
''(7) Identifying information required with respect to
qualifying individuals.--No credit shall be allowed under this
section with respect to any qualifying individual unless the
TIN of such individual is included on the return claiming the
credit.
''(f) Regulations.--The Secretary shall prescribe such regulations
as may be necessary to carry out the purposes of this section.''.
(b) Clerical Amendment.--The table of sections for subpart A of
part IV of subchapter A of chapter 1 of the Internal Revenue Code of
1986 is amended by adding at the end the following new item:

''Sec. 25E. Expenses for household and elder care services necessary
for gainful employment.''.
(c) Effective Date.--The amendments made by this section shall
apply to taxable years beginning after the date of the enactment of
this Act.

Ex Output:
Amends the Internal Revenue Code to allow a new tax credit for employment-related expenses necessary to care for a dependent of a taxpayer who has attained age 50, including expenses for household services and for the care of the dependent, including respite care and hospice care. Limits the amount of such credit to $3,000 for the care of one dependent and $6,000 for the care of two or more dependents of the taxpayer in a taxable year.

Ex Input:
SECTION 1. FINDINGS.

The Congress finds the following:
(1) According to the United Nations, economic and social
factors contribute to the spread of HIV/AIDS, which now infects
an average of 16,000 people every day.
(2) Due to the debt crisis in the majority of impoverished
countries, substantially more money is spent on debt repayment
each year than on HIV/AIDS prevention and treatment programs.
(3) Structural adjustment programs in the developing world,
in an attempt to enable the impoverished nations to repay their
debt, have required governments to impose failed and often
harmful policies including charging user fees for the use of
medical clinics. These user fees can create an obstacle to
effective prevention and treatment programs.
(4) In Kenya, when user fees were imposed at Nairobi's
Sexually Transmitted Disease clinics, attendance decreased 35-
60 percent.
(5) User fees have also been shown to decrease the use of
health clinics in Mozambique, the Congo, Ghana, and Zimbabwe.
(6) Cuts in health clinic budgets, required by structural
adjustment programs, may also contribute to the spread of HIV/
AIDS.
(7) Structural adjustment programs have also contributed to
internal and international labor migration. Labor migration is
associated with increase in HIV transmission rates in Senegal,
Ghana, Benin, Nigeria, and Kenya.
(8) The HIV/AIDS pandemic will result in tens of millions
of orphaned children worldwide, creating an unprecedented
strain on the world's economic resources and relief efforts.
(9) Secretary General of the United Nations, Kofi Annan,
stated in 1999 that ''the impact of AIDS is no less destructive
than that of warfare itself, and by some measures, far worse''.
(10) Many of the same nations in Sub-Saharan Africa which
are crushed beneath the weight of foreign debt are experiencing
catastrophic loss of life and negative economic growth due
largely to the HIV/AIDS pandemic.
(11) The decision of the G-8 countries at the Cologne
Summit in 1999 to reduce by $100,000,000,000 the debt of the
countries listed by the World Bank and the International
Monetary Fund (IMF) as Heavily Indebted Poor Countries (HIPCs)
(which combined owe approximately $220,000,000,000 in debt) is
a measure for which only 22 have qualified. These countries
have seen their annual debt service reduced by an average of 26
percent, a level of reduction which is neither allowing these
countries a sustainable exit from debt, nor freeing up
substantial resources to combat poverty and the AIDS pandemic.
(12) Per capita government expenditure on health care in
most African countries is below $10, and the per capita share
of debt service to foreign creditors is up to 5 times as high
as public health expenditure.
(13) The Congress enacted section 596 of the Foreign
Operations, Export Financing, and Related Programs
Appropriations Act, 2001. This demonstrated the political
commitment to eliminate user fees for primary health care and
education.
(14) A large-scale program of multilateral and bilateral
debt cancellation explicitly linked to HIV/AIDS control would
have minimal impact on creditor country taxpayers and budgets.
(15) The active participation of all stakeholders in the
epidemic, in the process of negotiating debt cancellation for
HIV/AIDS prevention and care, is a precondition for the
implementation of effective programs.
(16) The United States has shown good faith by providing
$435,000,000 in fiscal year 2001 for bilateral debt
cancellation and multilateral debt reduction. This action
should encourage international financial institutions to match
the debt cancellation efforts of the G-8 countries to ensure
burden sharing.

SEC. 2. MULTILATERAL DEBT CANCELLATION EFFORTS FOR COUNTRIES ELIGIBLE
TO BE CONSIDERED FOR ASSISTANCE UNDER THE HEAVILY
INDEBTED POOR COUNTRIES (HIPC) INITIATIVE OR HEAVILY
AFFECTED BY HIV/AIDS.

The Secretary of the Treasury shall instruct the United States
Executive Directors at the International Bank for Reconstruction and
Development and the International Monetary Fund to use the voice, vote,
and influence of the United States to call for a vote in their
respective institutions on (and call for the publication of the outcome
of any such vote)--
(1) negotiating a strategy for cancelling the debts owed to
the institution by any country that is eligible to be
considered for assistance under the Heavily Indebted Poor
Countries (HIPC) Initiative or is heavily affected by HIV/AIDS,
which should ensure that the savings from debt cancellation
are used for poverty reduction in a process that is fair and
transparent, and that includes the participation of national
governments, including parliamentary bodies, nongovernmental
organizations, and civil society;
(2) in the interim, accepting an immediate moratorium on
debt service payments and accrual of interest on such debt owed
by any such country;
(3) encouraging each such country and civil society
stakeholders to ensure that--
(A) the national HIV/AIDS strategic plan is fully
funded, and that a significant proportion of the
savings from debt cancellation is used for the HIV/AIDS
response and other health priorities, as determined
locally; and
(B) HIV/AIDS and infectious disease control
strategies are based upon best practices, including
prevention, care, treatment, orphan response, and
accessibility to affordable drugs and social and health
infrastructure; and
(4) using the reserve accounts or net income of the
institution to offset the costs of any such debt cancellation.

SEC. 3. OPPOSITION TO USER FEES FOR PRIMARY EDUCATION OR PRIMARY HEALTH
CARE.

The Secretary of the Treasury shall instruct the United States
Executive Directors at at the International Bank for Reconstruction and
Development and the International Monetary Fund to oppose and vote
against any program of these institutions that would include user fees
or service charges for primary education or primary health care,
including prevention and treatment efforts for HIV/AIDS, malaria,
tuberculosis, and infant, child, and maternal well-being.

SEC. 4. ANTICORRUPTION STRATEGIES.

The Secretary of the Treasury, in consultation with appropriate
governmental agencies, nongovernmental organizations, and civil
society, shall develop strategies to counter corruption in the
countries described in section 2.

SEC. 5. REPORTS.

Not later than 1 year after the date of the enactment of this Act,
the Secretary of the Treasury shall submit to the Committees on
Financial Services and on International Relations of the House of
Representatives and the Committees on Banking, Housing, and Urban
Affairs and on Foreign Relations of the Senate a written report on all
progress in debt cancellation efforts undertaken pursuant to this Act
and on the effects of the debt cancellation provided pursuant to this
Act on funding for HIV/AIDS programs, projects, activities (including
any vaccination approaches, health care delivery system infrastructure
development, HIV prevention education), and the effectiveness of such
programs, projects, and activities in reducing the worldwide spread of
HIV/AIDS. The report should include recommendations for measures to
ensure accountability in the use of the savings from such debt
cancellation.

SEC. 6. DEFINITIONS.

In this Act:
(1) G-8 countries.--The term ''G-8 countries'' means the
group consisting of France, Germany, Japan, the United Kingdom,
the United States, Canada, Italy, and Russia established to
facilitate economic cooperation among the 8 major economic
powers.
(2) Heavily affected by hiv/aids.--The term ''heavily
affected by HIV/AIDS'' means, with respect to a country, that
the country has an HIV/AIDS incidence of at least 3 percent or
the country has declared a national health emergency related to
HIV/AIDS.
(3) Heavily indebted poor countries (hipc) initiative.--The
term ''Heavily Indebted Poor Countries (HIPC) Initiative''
means countries that are eligible for consideration for highly
concessional assistance from the International Development
Association, and from the Poverty Reduction and Growth Facility
of the International Monetary Fund.
(4) HIV/AIDS.--The term ''HIV/AIDS'' means infection with
the human immunodeficiency virus. Such term includes the
acquired immune deficiency syndrome.

Ex Output:
Directs the Secretary of the Treasury to instruct the U.S. Executive Directors at the International Bank for Reconstruction and Development (World Bank) and the International Monetary Fund (IMF) to use the U.S. voice, vote, and influence to call for a vote by such institutions on: (1) negotiating a strategy to cancel debts owed them by any country eligible for assistance under the Heavily Indebted Poor Countries (HIPC) Initiative or heavily affected by HIV/AIDS, which should ensure that the savings from such cancellation are used for fair and transparent poverty reduction; (2) accepting an immediate moratorium on debt service payments and accrual of interest on the debt owed by such country; (3) encouraging each country to ensure that the national HIV/AIDS strategic plan is fully funded, with a significant proportion of the savings from the debt cancellation to be used for HIV/AIDS response and other health priorities, and HIV/AIDS and infectious disease control strategies are based upon best practices, including prevention, care, treatment, orphan response, and accessibility to affordable drugs and social and health infrastructure; and (4) using their reserve accounts or net income to offset debt cancellation costs.Directs the Secretary to instruct the U.S. Executive Directors at the World Bank and the IMF to oppose any of their programs that would include user fees for primary education or primary health care, including prevention and treatment efforts for HIV/AIDS, malaria, tuberculosis, and infant, child, and maternal well-being.Directs the Secretary to develop strategies to counter corruption in beneficiary countries under this Act.