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

Input: Consider Input: SECTION 1. SHORT TITLE.

This Act may be cited as the ''Preserving Rehabilitation Innovation
Centers Act of 2016''.

SEC. 2. FINDINGS.

Congress makes the following findings:
(1) In the United States, there are an estimated 1,181
inpatient rehabilitation facilities. Among these facilities is
a small group of inpatient rehabilitation institutions that are
contributing to the future of rehabilitation care medicine, as
well as to patient recovery, scientific innovation, and quality
of life.
(2) This unique category of inpatient rehabilitation
institutions treats the most complex patient conditions, such
as traumatic brain injury, stroke, spinal cord injury,
childhood disease, burns, and wartime injuries.
(3) These leading inpatient rehabilitation institutions are
all not-for-profit or Government-owned institutions and serve a
high volume of Medicare or Medicaid beneficiaries.
(4) These leading inpatient rehabilitation institutions
have been recognized by the Federal Government for their
contributions to cutting-edge research to develop solutions
that enhance quality of care, improve patient outcomes, and
reduce health care costs.
(5) These leading inpatient rehabilitation institutions
help to improve the practice and standard of rehabilitation
medicine across the Nation in urban, suburban, and rural
communities by training physicians, medical students, and other
clinicians, and providing care to patients from all 50 States.
(6) It is vital that these leading inpatient rehabilitation
institutions are supported so they can continue to lead the
Nation's efforts to--
(A) advance integrated, multidisciplinary
rehabilitation research;
(B) provide cutting-edge medical care to the most
complex rehabilitation patients;
(C) serve as education and training facilities for
the physicians, nurses, and other health professionals
who serve rehabilitation patients;
(D) ensure Medicare and Medicaid beneficiaries
receive state-of-the-art, high-quality rehabilitation
care by developing and disseminating best practices and
advancing the quality of care utilized by post-acute
providers in all 50 States; and
(E) support other inpatient rehabilitation
institutions in rural areas to help ensure access to
quality post-acute care for patients living in these
communities.

SEC. 3. STUDY AND REPORT RELATING TO THE COSTS INCURRED BY, AND THE
MEDICARE PAYMENTS MADE TO, REHABILITATION INNOVATION
CENTERS.

(a) In General.--Section 1886(j) of the Social Security Act (42
U.S.C. 1395ww(j)) is amended--
(1) by redesignating paragraph (8) as paragraph (9); and
(2) by inserting after paragraph (7) the following new
paragraph:
''(8) Study and report relating to the costs incurred by,
and the medicare payments made to, rehabilitation innovation
centers.--
''(A) Study.--The Secretary shall conduct a study
to assess the costs incurred by rehabilitation
innovation centers (as defined in subparagraph (C))
that are beyond the prospective rate for each of the
following activities:
''(i) Furnishing items and services to
individuals under this title.
''(ii) Conducting research.
''(iii) Providing medical training.
''(B) Report.--Not later than July 1, 2019, the
Secretary shall submit to Congress a report containing
the results of the study under subparagraph (A),
together with recommendations for such legislation and
administrative action as the Secretary determines
appropriate.
''(C) Rehabilitation innovation center defined.--
''(i) In general.--In this paragraph, the
term 'rehabilitation innovation center' means a
rehabilitation facility that, determined as of
the date of the enactment of this paragraph, is
described in clause (ii) or clause (iii).
''(ii) Not-for-profit.--A rehabilitation
facility described in this clause is a facility
that--
''(I) is classified as a not-for-
profit entity under the IRF Rate
Setting File for the Correction Notice
for the Inpatient Rehabilitation
Facility Prospective Payment System for
Federal Fiscal Year 2012 (78 Fed. Reg.
59256);
''(II) holds at least one Federal
rehabilitation research and training
designation for research projects on
traumatic brain injury, spinal cord
injury, or stroke rehabilitation
research from the Rehabilitation
Research and Training Centers or the
Rehabilitation Engineering Research
Center at the National Institute on
Disability and Rehabilitation Research
at the Department of Education, based
on such data submitted to the Secretary
by a facility, in a form, manner, and
time frame specified by the Secretary;
''(III) has a minimum Medicare case
mix index of 1.1144 for fiscal year
2012 according to the IRF Rate Setting
File described in subclause (I); and
''(IV) had at least 300 Medicare
discharges or at least 200 Medicaid
discharges in a prior year as
determined by the Secretary.
''(iii) Government-owned.--A rehabilitation
facility described in this clause is a facility
that--
''(I) is classified as a
Government-owned institution under the
IRF Rate Setting File described in
clause (ii)(I);
''(II) holds at least one Federal
rehabilitation research and training
designation for research projects on
traumatic brain injury, spinal cord
injury, or stroke rehabilitation
research from the Rehabilitation
Research and Training Centers, the
Rehabilitation Engineering Research
Center, or the Model Spinal Cord Injury
Systems at the National Institute on
Disability and Rehabilitation Research
at the Department of Education, based
on such data submitted to the Secretary
by a facility, in a form, manner, and
time frame specified by the Secretary;
''(III) has a minimum Medicare case
mix index of 1.1144 for 2012 according
to the IRF Rate Setting File described
in clause (ii)(I); and
''(IV) has a Medicare
disproportionate share hospital (DSH)
percentage of at least 0.6300 according
to the IRF Rate Setting File described
in clause (ii)(I)).''.

Passed the Senate December 10 (legislative day, December
9), 2016.

Attest:

Secretary.
114th CONGRESS

2d Session

S. 1168

_______________________________________________________________________

AN ACT

To amend title XVIII of the Social Security Act to preserve access to
rehabilitation innovation centers under the Medicare program.

Output: Preserving Rehabilitation Innovation Centers Act of 2016 This bill amends title XVIII (Medicare) of the Social Security Act to direct the Department of Health and Human Services to conduct a study to assess the costs incurred by rehabilitation innovation centers that are beyond the prospective rates for each of the following activities: (1) furnishing items and services to individuals under Medicare; (2) conducting research; and (3) providing medical training.

Input: Consider Input: SECTION 1. SHORT TITLE.

This Act may be cited as the ''More Border Patrol Agents Now Act of
2006''.

SEC. 2. BORDER PATROL AGENT ENHANCEMENT.

(a) Plan.--In order to address the recruitment and retention
challenges faced by the United States Border Patrol, the Secretary of
Homeland Security shall, not later than six months after the date of
the enactment of this Act, submit to the Committee on Homeland Security
and the Committee on Government Reform of the House of Representatives
and the Committee on Homeland Security and Governmental Affairs of the
Senate a plan to determine how the Border Patrol can better recruit and
retain Border Patrol agents with the appropriate skills and training to
effectively carry out its mission and responsibilities.
(b) Contents.--The plan shall include, at a minimum, the following
components:
(1) A strategy for the utilization of the recruitment
authority provided in subsection (a) of section 9702 of title
5, United States Code (as added by section 3), as well as any
other strategies the Secretary determines to be important in
recruiting well-qualified Border Patrol agents.
(2) A strategy for the utilization of the retention
authority provided in subsection (b) of section 9702 of title
5, United States Code (as added by section 3), as well as any
other strategies the Secretary determines to be important in
retaining well-qualified Border Patrol agents.
(3) An assessment of the impact that current pay levels for
Border Patrol agents has on the Department's ability to recruit
and retain Border Patrol agents, especially in high cost-of-
living areas.
(4) An assessment of whether increased opportunities for
Border Patrol agents to transfer between duty stations would
improve employee morale and enhance the Department's ability to
recruit and retain well-qualified Border Patrol agents.

SEC. 3. RECRUITMENT AND RETENTION BONUSES FOR BORDER PATROL AGENT
ENHANCEMENT.

(a) In General.--Chapter 97 of title 5, United States Code, is
amended by adding at the end the following new section:
''Sec. 9702. Border Patrol agent enhancement
''(a) Recruitment Bonuses for Border Patrol Agents.--
''(1) In general.--In order to carry out the plan described
in section 2(a) of the More Border Patrol Agents Now Act of
2006, the Secretary of Homeland Security may pay a bonus to an
individual to recruit a sufficient number of Border Patrol
agents.
''(2) Bonus amount.--
''(A) In general.--The amount of a bonus under this
subsection shall be determined by the Secretary, but
may not exceed 25 percent of the annual rate of basic
pay of the position involved as of the beginning of the
period of service referred to in paragraph (3)(A).
''(B) Lump-sum.--A bonus under this subsection
shall be paid in the form of a lump-sum payment and
shall not be considered to be part of basic pay.
''(3) Service agreements.--Payment of a bonus under this
section shall be contingent upon the individual entering into a
written service agreement with the United States Border Patrol.
The agreement shall include--
''(A) the period of service the individual shall be
required to complete in return for the bonus; and
''(B) the conditions under which the agreement may
be terminated before the agreed-upon service period has
been completed, and the effect of such termination.
''(4) Limitation on eligibility.--A bonus under this
section may not be paid to recruit an individual for--
''(A) a position to which an individual is
appointed by the President, by and with the advice and
consent of the Senate;
''(B) a position in the Senior Executive Service as
a noncareer appointee (as defined in section 3132(a));
or
''(C) a position which has been excepted from the
competitive service by reason of its confidential,
policy-determining, policy-making, or policy-advocating
character.
''(5) Termination.--The authority to pay bonuses under this
subsection shall terminate five years after the date of the
enactment of this section.
''(b) Retention Bonuses for Border Patrol Agents.--
''(1) In general.--In order to carry out the plan described
in section 2(a) of the More Border Patrol Agents Now Act of
2006, the Secretary of Homeland Security may pay a retention
bonus to a Border Patrol agent.
''(2) Service agreement.--Payment of a bonus under this
subsection is contingent upon the employee entering into a
written service agreement with the United States Border Patrol
to complete a period of service with the Border Patrol. Such
agreement shall include--
''(A) the period of service the employee shall be
required to complete in return for the bonus; and
''(B) the conditions under which the agreement may
be terminated before the agreed-upon service period has
been completed, and the effect of such termination.
''(3) Bonus amount.--
''(A) In general.--The amount of a bonus under this
subsection shall be determined by the Secretary, but
may not exceed 25 percent of the annual rate of basic
pay of the position involved as of the beginning of the
period of service referred to in paragraph (2)(A).
''(B) Lump-sum.--A bonus under this subsection
shall be paid in the form of a lump-sum payment and
shall not be considered to be part of basic pay.
''(4) Limitation.--A bonus under this subsection may not be
based on any period of service which is the basis for a
recruitment bonus under subsection (a).
''(5) Termination of authority.--The authority to grant
bonuses under this subsection shall expire five years after the
date of the enactment of this section.
''(c) Waiver Authority Relating to Reemployed Annuitants.--
''(1) In general.--In order to help address the challenges
faced by the United States Border Patrol, the Secretary of
Homeland Security may appoint annuitants to positions within
the United States Border Patrol in accordance with succeeding
provisions of this subsection.
''(2) Exclusion from offset.--An annuitant serving in a
position within the United States Border Patrol pursuant to an
appointment made under paragraph (1)--
''(A) shall not be subject to the provisions of
section 8344 or 8468, as the case may be; and
''(B) shall not, for purposes of subchapter III of
chapter 83 or chapter 84, be considered an employee.
''(3) Limitations.--
''(A) Appointments.--The authority to make any
appointments under paragraph (1) shall terminate five
years after the date of the enactment of this
subsection.
''(B) Exclusion.--The provisions of paragraph (2)
shall not, in the case of any annuitant appointed under
paragraph (1), remain in effect--
''(i) with respect to more than five years
of service (in the aggregate); nor
''(ii) with respect to any service
performed after the end of the ten-year period
beginning on the date of the enactment of this
subsection.
''(4) No displacement.--No appointment under this
subsection may be made if such appointment would result in the
displacement of any Border Patrol employee.
''(5) Definition.--For purposes of this subsection, the
term 'annuitant' has the meaning given such term by section
8331 or 8401, as the case may be.''.
(b) Conforming Amendment.--The table of contents for chapter 97 of
title 5, United States Code, is amended by adding at the end the
following:

''9702. Border Patrol agent enhancement.''.

Passed the House of Representatives September 26, 2006.

Attest:

KAREN L. HAAS,

Clerk.

Output: More Border Patrol Agents Now Act of 2006 - Directs the Secretary of Homeland Security to submit to the House Committees on Homeland Security and Government Reform and the Senate Committee on Homeland Security and Governmental Affairs a plan to determine how the Border Patrol can better recruit and retain agents with the appropriate skills and training.

Requires such plan to include: (1) recruitment and retention strategies; and (2) assessments of the impact of pay levels and duty station transfer opportunities upon recruitment and retention.

Amends federal law to authorize the Secretary (for five years) to pay a: (1) bonus to an individual to recruit Border Patrol agents; and (2) retention bonus to Border Patrol agents.

States that such bonuses shall: (1) not exceed 25% of the annual rate of basic pay of the position involved; (2) be paid in a lump-sum and not be considered part of basic pay; and (3) be contingent upon the individual entering into a written service agreement with the Border Patrol.

Authorizes the Secretary (for five years) to appoint annuitants to Border Patrol positions. Excludes such positions from specified offsets. Prohibits appointments that would displace any Border Patrol employee.

Input: Consider Input: SECTION 1. SHORT TITLE.

This Act may be cited as the ''Indian Juvenile Justice and
Delinquency Prevention Improvement Act''.

SEC. 2. AMENDMENTS TO THE JUVENILE JUSTICE AND DELINQUENCY PREVENTION
ACT OF 1974.

(a) Definitions.--Section 103 of the Juvenile Justice and
Delinquency Prevention Act of 1974 (42 U.S.C. 5603) is amended--
(1) in paragraph (8), by striking ''an Indian tribe which
performs law enforcement functions as determined by the
Secretary of the Interior,'';
(2) in paragraph (9)--
(A) by striking ''States or units of general local
government'' and inserting ''States, units of general
local government, or Indian tribes''; and
(B) by striking ''States or units'' and inserting
''States, units, or Indian tribes'';
(3) in paragraph (11), by striking ''any State, unit of
local government, combination of such States or units'' and
inserting ''any State, unit of general local government, Indian
tribe, combination of 1 or more States, units of general local
government, or Indian tribes'';
(4) by striking paragraph (18) and inserting the following:
''(18) the term 'Indian tribe' means any Indian tribe,
band, nation, or other organized group or community, including
any Alaska Native village or regional or village corporation as
defined in or established pursuant to the Alaska Native Claims
Settlement Act (43 U.S.C. 1601 et seq.), that is recognized as
eligible for the special programs and services provided by the
United States to Indians because of their status as Indians;'';
and
(5) in paragraph (22), by inserting ''Indian tribe,'' after
''unit of local government,''.
(b) Technical Amendment.--Part B of title II of the Juvenile
Justice and Delinquency Prevention Act of 1974 (42 U.S.C. 5611 et seq.)
is amended by striking the heading and inserting the following:

''Part B--Federal Assistance for State and Local Programs and Programs
for Indian Tribes

''Subpart I--Federal Assistance for State and Local Programs''.

(c) Elimination of Pass-Through for Indian Tribes.--Section 223(a)
of the Juvenile Justice and Delinquency Prevention Act of 1974 (42
U.S.C. 5633(a)) is amended--
(1) in paragraph (4), by inserting ''and Indian tribes''
after ''units of general local government'';
(2) in paragraph (5)--
(A) in subparagraph (A), by striking the semicolon
at the end and inserting '', except that with respect
to any cooperative program conducted with an Indian
tribe, the participation of the Indian tribe shall be
funded from the amounts made available under subpart II
of this part; and'';
(B) in subparagraph (B), by striking ''and'' at the
end; and
(C) by striking subparagraph (C);
(3) in paragraph (6)--
(A) by inserting ''(A)'' before ''provide that'';
(B) by striking ''programs funded under this part''
and inserting ''programs funded under this subpart'';
(C) by striking the semicolon at the end and
inserting ''; and''; and
(D) by adding at the end the following:
''(B) with respect to any case in which an Indian tribe
participates in a cooperative program under paragraph (5)(A),
provide that the appropriate official of the governing body of
an Indian tribe assign responsibility for the preparation and
administration of the Indian tribe's part of the applicable
State plan, or for the supervision of the preparation and
administration of the Indian tribe's part of the State plan;'';
(4) in paragraph (24), by striking ''and'' at the end;
(5) in paragraph (25), by striking the period at the end
and inserting a semicolon; and
(6) by adding at the end the following:
''(26) provide assurance that, in carrying out the plan
under this section, the State will take appropriate action to
improve--
''(A) communication between the State and units of
general local government and Indian tribes;
''(B) cooperation between the State and units of
general local government and Indian tribes; and
''(C) intergovernmental relationships between the
State and units of general local government and Indian
tribes; and
''(27) provide, as appropriate, a description and analysis
of any disproportionate representation in the juvenile justice
system of Native Americans (as that term is defined in section
16(10) of the National Museum of the American Indian Act (20
U.S.C. 80q-14(10))) including, if appropriate,
any disproportionate representation of Alaska Natives (within the
meaning of the Alaska Native Claims Settlement Act (43 U.S.C. 1601 et
seq.) from--
''(A) urban populations; and
''(B) populations that are not, as of the date of
development of the plan, recognized as eligible for the
special programs and services provided by the United
States to Indians because of their status as
Indians.''.
(d) Federal Assistance for Programs for Indian Tribes.--Part B of
title II of the Juvenile Justice and Delinquency Prevention Act of 1974
(42 U.S.C. 5611 et seq.) is amended by adding at the end the following:

''Subpart II--Federal Assistance for Programs for Indian Tribes

''SEC. 221. ESTABLISHMENT OF PROGRAM.

''(a) In General.--The Administrator shall, by regulation,
establish a program to provide direct grants to Indian tribes in
accordance with this section. Each grant made under this section to an
Indian tribe shall be used by the governing body of the Indian tribe--
''(1) for planning, establishing, operating, coordinating,
and evaluating projects for achieving compliance with the
requirements specified in paragraphs (12)(A), (13), and (14) of
section 223, and otherwise meeting any applicable requirements
of this Act; and
''(2) for otherwise conducting activities to promote the
improvement of the juvenile justice system of that Indian
tribe.
''(b) Plans.--As part of an application for a grant under this
section, an Indian tribe shall submit a plan for conducting activities
described in subsection (a). The plan shall--
''(1) provide evidence that the Indian tribe performs law
enforcement functions (as determined by the Secretary of the
Interior);
''(2) identify the juvenile justice and delinquency
problems and juvenile delinquency prevention needs to be
addressed by activities conducted by the Indian tribe in the
area under the jurisdiction of the Indian tribe with assistance
provided by the grant;
''(3) provide for fiscal control and accounting procedures
that--
''(A) are necessary to ensure the prudent use,
proper disbursement, and accounting of funds received
under this subchapter; and
''(B) are consistent with the requirements of
section 232; and
''(4) contain such other information, and be subject to
such additional requirements, as the Administrator may
reasonably prescribe to ensure the effectiveness of the grant
program under this subpart.
''(c) Factors for Consideration.--In awarding grants under this
section, the Administrator shall consider--
''(1) the resources that are available to each applicant
that will assist, and be coordinated with, the overall juvenile
justice system of the Indian tribe; and
''(2) for each Indian tribe that receives assistance under
such a grant--
''(A) the relative population of individuals under
the age of 18; and
''(B) who will be served by the assistance provided
by the grant.
''(d) Grant Awards.--
''(1) In general.--
''(A) Competitive awards.--Except as provided in
paragraph (2), the Administrator shall annually award
grants under this section on a competitive basis. The
Administrator shall enter into a grant agreement with
each grant recipient under this section that specifies
the terms and conditions of the grant.
''(B) Period of grant.--The period of a grant
awarded under this section shall be 1 year.
''(2) Exception.--In any case in which the Administrator
determines that a grant recipient under this section has
performed satisfactorily during the preceding year in
accordance with an applicable grant agreement, the
Administrator may--
''(A) waive the requirement that the recipient be
subject to the competitive award process described in
paragraph (1); and
''(B) renew the grant for an additional grant
period (as specified in paragraph (1)(B)).
''(3) Modifications of processes.--The Administrator may
prescribe requirements to provide for appropriate modifications
to the plan preparation and application process specified in
this section for an application for a renewal grant under this
subsection.

''SEC. 232. REPORTING REQUIREMENT.

''Each Indian tribe that receives a grant under section 231 is
subject to the fiscal accountability provisions of section 5(f)(1) of
the Indian Self-Determination and Education Assistance Act (25 U.S.C.
450c(f)(1)), relating to the submission of a single-agency audit report
required by chapter 75 of title 31, United States Code.

''SEC. 233. TECHNICAL ASSISTANCE.

''The Administrator shall establish a program to provide technical
assistance to assist Indian tribes in carrying out the activities
described in section 231(a).

''SEC. 234. COORDINATION WITH STATE ADVISORY GROUPS.

''In carrying out the programs under this subpart, the
Administrator shall, not later than 180 days after the end of the
fiscal year during which the Indian Juvenile Justice and Delinquency
Prevention Improvement Act is enacted, and annually thereafter, issue a
report to each advisory group established under a State plan under
section 223(a)(3) that includes information relating to each grant
awarded under section 231, including the amount of the grant.

''SEC. 235. RULE OF CONSTRUCTION.

''Nothing in this subpart may be construed to affect in any manner
the jurisdiction of an Indian tribe with respect to land or persons in
Alaska.

''SEC. 236. AUTHORIZATION OF APPROPRIATIONS.

''There are authorized to be appropriated to the Department of
Justice to carry out this subpart, $10,000,000 for each of fiscal years
1998 through 2001.''.
Output: Indian Juvenile Justice and Delinquency Prevention Improvement Act - Amends the Juvenile Justice and Delinquency Prevention Act of 1974 to eliminate the pass-through of Federal assistance to Indian tribes that perform law enforcement functions (as determined by the Secretary of the Interior) and that agree to certain requirements applicable to the detention and confinement of juveniles. Requires that, with respect to any cooperative program conducted with an Indian tribe, the participation of the Indian tribe shall be funded from amounts made available under the program established by this Act to provide direct grants to Indian tribes.
Directs the Administrator of the Office of Juvenile Justice and Delinquency Prevention, by regulation, to establish a program to provide direct grants to Indian tribes in accordance with this Act. Requires each grant made to an Indian tribe to be used by the governing body of the Indian tribe for: (1) establishing, operating, and evaluating projects for achieving compliance with certain requirements relating to juvenile detention, and otherwise meeting any applicable requirements of this Act; and (2) otherwise conducting activities to promote the improvement of the juvenile justice system of that Indian tribe. Requires an Indian tribe, as part of an application for a grant, to submit a specified plan for conducting activities described in the preceding.
Directs the Administrator to: (1) annually award grants on a competitive basis; and (2) enter into a grant agreement with each grant recipient that specifies the terms and conditions of the grant. States that the period of a grant awarded shall be one year. Permits the Administrator, in any case in which the Administrator determines that a grant recipient has performed satisfactorily during the preceding year in accordance with an applicable grant agreement, to: (1) waive the requirement that the recipient be subject to the competitive award process described; and (2) renew the grant for an additional grant period.
Makes each Indian tribe that receives a grant subject to a specified reporting requirement.
Directs the Administrator to: (1) establish a program to provide technical assistance to assist Indian tribes in carrying out the activities described; and (2) after the end of the fiscal year during which this Act is enacted, and annually thereafter, issue a report to each advisory group established under a State plan that includes information relating to each grant awarded, including the amount of the grant.
Authorizes appropriations.