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

Q: S.

Section 304 of the Congressional Budget Act of 1974 is amended to
read as follows:

''permissible revisions of budget resolutions

''Sec. 304. At any time after the joint resolution on the budget
for a fiscal year has been enacted pursuant to section 301, and before
the end of such fiscal year, the two Houses and the President may enact
a joint resolution on the budget which revises or reaffirms the joint
resolution on the budget for such fiscal year most recently enacted,
and for purposes of the enforcement of the Congressional Budget Act of
1974, the chairman of the Budget Committee of the House of
Representatives or the Senate, as applicable, may adjust levels as
needed for the enforcement of the budget resolution.''.

SEC. 6. LIMITATION ON THE CONTENT OF BUDGET RESOLUTIONS.

Section 305 of the Congressional Budget Act of 1974 is amended by
adding at the end the following new subsection:
''(e) Limitation on Contents.--(1) It shall not be in order in the
House of Representatives or in the Senate to consider any joint
resolution on the budget or any amendment thereto or conference report
thereon that contains any matter referred to in paragraph (2).
''(2) Any joint resolution on the budget or any amendment thereto
or conference report thereon that contains any matter not permitted in
section 301 (a) or (b) shall not be treated in the House of
Representatives or the Senate as a budget resolution under subsection
(a) or (b) or as a conference report on a budget resolution under
subsection (c) of this section.''.

SEC. 7. DEEMING OF BUDGETARY AGGREGATES, ALLOCATIONS, AND
RECONCILIATION INSTRUCTIONS IN THE HOUSE AND SENATE UPON
VETO OF JOINT RESOLUTION ON THE BUDGET.

(a) In General.--Title III of the Congressional Budget Act of 1974
is amended by adding after section 315 the following new section:

''automatic standing order upon veto of joint resolution on the budget

''Sec. 316. For purposes of congressional enforcement under title
III and IV of this Act and the rules of the House and the Senate, the
joint resolution shall be considered as enforceable upon enactment or
15 days following presentment to the President, whichever occurs
earlier.''.
(b) Conforming Amendment.--The table of contents set forth in
section 1(b) of the Congressional Budget and Impoundment Control Act of
1974 is amended by inserting after the item relating to section 315 the
following new item:

''Sec. 316. Automatic standing order upon veto of joint resolution on
the budget.''.

SEC. 8. ADDITIONAL AMENDMENTS TO THE CONGRESSIONAL BUDGET ACT OF 1974
TO EFFECTUATE JOINT RESOLUTIONS ON THE BUDGET.

(a) Additional Amendments to the Congressional Budget and
Impoundment Control Act of 1974.--(1)(A) Sections 301, 302, 303, 304,
305, 308, 310, 311, 312, 314, 405, and 904 of the Congressional Budget
Act of 1974 (2 U.S.C. 621 et seq.) are amended by striking
''concurrent'' each place it appears and inserting ''joint''.
(B)(i) Sections 302(d), 302(g), 308(a)(1)(A), and 310(d)(1) of the
Congressional Budget Act of 1974 are amended by striking ''most
recently agreed to concurrent resolution on the budget'' each place it
occurs and inserting ''most recently enacted joint resolution on the
budget''.
(ii) The section heading of section 301 of such Act is amended by
striking ''annual adoption of concurrent resolution'' and inserting
''joint resolutions''.
(C) Sections 302, 303, 304, 310, and 311 of the Congressional
Budget Act of 1974 are amended by striking ''agreed to'' each place it
appears and by inserting ''enacted''.
(2) The table of contents set forth in section 1(b) of the
Congressional Budget and Impoundment Control Act of 1974 is amended--
(A) in the item relating to section 301, by striking
''Annual adoption of concurrent resolution'' and inserting
''Joint resolutions''; and
(B) by striking ''concurrent'' and inserting ''joint'' in
the item relating to section 305.
(b) Conforming Amendment.--Any side heading within any section of
title III of the Congressional Budget and Impoundment Control Act of
1974 is amended by striking ''Concurrent'' and inserting ''Joint'' and
any center heading in any section of that title is amended by striking
''concurrent'' and inserting ''joint''.

SEC. 9. AMENDMENTS TO THE RULES OF THE HOUSE OF REPRESENTATIVES TO
EFFECTUATE JOINT BUDGET RESOLUTIONS.

Clauses 1(d)(1), 4(a)(4), 4(b)(2), 4(f)(1)(A), and 4(f)(2) of rule
X, clause 10 of rule XVIII, clause 10 of rule XX, and clauses 7 and 10
of rule XXI of the Rules of the House of Representatives are amended by
striking ''concurrent'' each place it appears and inserting ''joint''.

SEC. 10. CONFORMING AMENDMENTS TO THE BALANCED BUDGET AND EMERGENCY
DEFICIT CONTROL ACT OF 1985.

Section 258C(b)(1) of the Balanced Budget and Emergency Deficit
Control Act of 1985 (2 U.S.C. 907d(b)(1)) is amended by striking
''concurrent'' and inserting ''joint''.

A: Legally Binding Budget Act of 2013 - Amends the Congressional Budget Act of 1974 (CBA) to require joint budget resolutions signed by the President instead of the concurrent resolutions now required (which do not have to be signed by the President). Revises accordingly the congressional procedures for considering joint budget resolutions. Prohibits the consideration of budget-related legislation before the joint budget resolution becomes law. Requires the joint budget resolution to set forth appropriate levels for the fiscal year beginning on October 1 of such year and for at least each of the four ensuing fiscal years for the public debt limit for display purposes only. Permits revisions of joint budget resolutions already enacted. Makes a conforming amendment to the Congressional Budget and Impoundment Control Act of 1974. Makes it out of order in both chambers to consider any joint budget resolution, amendment, or conference report that contains certain matter prohibited by the CBA, particularly inclusion in the surplus or deficit totals of any outlays and revenue totals of the Old Age, Survivors, and Disability Insurance (OASDI) program under title II of the Social Security Act. Considers the joint budget resolution as enforceable upon enactment or 15 days following presentment to the President, whichever occurs earlier. (Thus creates an automatic standing order upon a presidential veto of a joint budget resolution.) Makes conforming amendments to: (1) the Rules of the House of Representatives, and (2) the Balanced Budget and Emergency Deficit Control Act of 1985 (Gramm-Rudman-Hollings Act).
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Q: SECTION 1. SHORT TITLE.

This Act may be cited as the ''Community-Based Health Care
Retraining Act''.

SEC. 2. HEALTH PROFESSIONS TRAINING DEMONSTRATION PROJECT.

Section 171 of the Workforce Investment Act of 1998 (29 U.S.C.
2916) is amended by adding at the end the following:
''(e) Health Professions Training Demonstration Project.--
''(1) Definitions.--In this subsection:
''(A) Covered community.--The term 'covered
community' means a community or region that--
''(i) has experienced a significant
percentage decline in positions in the
manufacturing or service sectors; and
''(ii) is determined by the Secretary of
Health and Human Services (in consultation with
the medical community) to be an area with a
shortage of health care professionals described
in clause (i) or (ii) of subparagraph (C).
''(B) Covered worker.--The term 'covered worker'
means an individual who--
''(i)(I) has been terminated or laid off,
or who has received a notice of termination or
layoff, from employment in a manufacturing or
service sector;
''(II)(aa) is eligible for or has exhausted
entitlement to unemployment compensation; or
''(bb) has been employed for a duration
sufficient to demonstrate, to the appropriate
entity at a one-stop center referred to in
section 134(c), attachment to the workforce,
but is not eligible for unemployment
compensation due to insufficient earnings or
having performed services for an employer that
were not covered under a State unemployment
compensation law; and
''(III) is unlikely to return to a previous
industry or occupation; or
''(ii)(I) has been terminated or laid off,
or has received a notice of termination or
layoff, from employment in a manufacturing or
service sector as a result of any permanent
closure of, or any substantial layoff at, a
plant, facility, or enterprise; or
''(II) is employed in a manufacturing or
service sector at a facility at which the
employer has made a general announcement that
such facility will close within 180 days.
''(C) Health care professional.--The term 'health
care professional'--
''(i) means an individual who is involved
with--
''(I) the delivery of health care
services, or related services,
pertaining to--
''(aa) the identification,
evaluation, and prevention of
diseases, disorders, or
injuries; or
''(bb) home-based or
community-based long-term care;
''(II) the delivery of dietary and
nutrition services; or
''(III) rehabilitation and health
systems management; and
''(ii) with respect to a covered community
to be served through a grant made under
paragraph (3), includes individuals in health
care professions and jobs for which there is a
shortage in the community, as determined by the
Secretary of Health and Human Services (in
consultation with the medical community),
giving consideration to the amount of training
time required to retrain the covered workers
for the health care professions and jobs.
''(D) Tribal college or university.--The term
'tribal college or university' means--
''(i) a tribally controlled college or
university, as defined in section 2 of the
Tribally Controlled College or University
Assistance Act of 1978 (25 U.S.C. 1801);
''(ii) Dine College, authorized in the
Navajo Community College Act (25 U.S.C. 640a et
seq.); and
''(iii) any of the 1994 Institutions, as
defined in section 532 of the Equity in
Educational Land-Grant Status Act of 1994 (7
U.S.C. 301 note).
''(2) Establishment of project.--In accordance with
subsection (b), the Secretary shall establish and carry out a
health professions training demonstration project.
''(3) Grants.--In carrying out the project, the Secretary,
after consultation with the Secretary of Health and Human
Services, shall make grants to eligible entities to enable the
entities to carry out programs in covered communities to train
covered workers for employment as health care professionals.
The Secretary shall make each grant in an amount of not less
than $100,000 and not more than $500,000.
''(4) Eligible entities.--Notwithstanding subsection
(b)(2)(B), to be eligible to receive a grant under this
subsection to carry out a program in a covered community, an
entity shall be a partnership that is--
''(A) under the direction of a local workforce
investment board established under section 117 that is
serving the covered community; and
''(B) composed of members serving the covered
community, such as--
''(i) an institution of higher education
that provides a 4-year program of instruction;
''(ii) an accredited community college;
''(iii) an accredited vocational or
technical school;
''(iv) a tribal college or university;
''(v) a health clinic or hospital;
''(vi) a home-based or community-based
long-term care facility or program; or
''(vii) a health care facility administered
by the Secretary of Veterans Affairs.
''(5) Applications.--To be eligible to receive a grant
under this subsection, an entity shall submit an application to
the Secretary at such time, in such manner, and containing such
information as the Secretary may require, including, at a
minimum--
''(A) a proposal to use the grant funds to
establish or expand a training program in order to
train covered workers for employment as health care
professionals (including paraprofessionals);
''(B) information demonstrating the need for the
training and support services to be provided through
the program;
''(C) information describing the manner in which
the entity will expend the grant funds, and the
activities to be carried out with the funds;
''(D) information demonstrating that the entity
meets the requirements of paragraph (4); and
''(E) with respect to training programs carried out
by the applicant, information--
''(i) on the graduation rates of the
programs involved;
''(ii) on the retention measures carried
out by the applicant;
''(iii) on the length of time necessary to
complete the training programs of the
applicant; and
''(iv) on the number of qualified covered
workers that are refused admittance into the
training programs because of lack of capacity.
''(6) Selection.--In making grants under paragraph (3), the
Secretary, after consultation with the Secretary of Health and
Human Services, shall--
''(A) consider the information submitted by the
eligible entities under paragraph (5)(E); and
''(B) select--
''(i) eligible entities submitting
applications that meet such criteria as the
Secretary of Labor determines to be
appropriate; and
''(ii) among such entities, the eligible
entities serving the covered communities with
the greatest need for the grants and the
greatest potential to benefit from the grants.
''(7) Use of funds.--
''(A) In general.--An entity that receives a grant
under this subsection shall use the funds made
available through the grant for training and support
services that meet the needs described in the
application submitted under paragraph (5), which may
include--
''(i) increasing capacity, subject to
subparagraph (B), at an educational institution
or training center to train individuals for
employment as health professionals, such as
by--
''(I) expanding a facility, subject
to subparagraph (B);
''(II) expanding course offerings;
''(III) hiring faculty;
''(IV) providing a student loan
repayment program for the faculty;
''(V) establishing or expanding
clinical education opportunities;
''(VI) purchasing equipment, such
as computers, books, clinical supplies,
or a patient simulator; or
''(VII) conducting recruitment; or
''(ii) providing support services for
covered workers participating in the training,
such as--
''(I) providing tuition assistance;
''(II) establishing or expanding
distance education programs;
''(III) providing transportation
assistance; or
''(IV) providing child care.
''(B) Limitation.--To be eligible to use the funds
to expand a facility, the eligible entity shall
demonstrate to the Secretary in an application
submitted under paragraph (5) that the entity can
increase the capacity described in subparagraph (A)(i)
of such facility only by expanding the facility.
''(8) Funding.--Of the amounts appropriated to, and
available at the discretion of, the Secretary or the Secretary
of Health and Human Services for programmatic and
administrative expenditures, a total of $25,000,000 shall be
used to establish and carry out the demonstration project
described in paragraph (2) in accordance with this
subsection.''.

A: Community-Based Health Care Retraining Act - Amends the Workforce Investment Act of 1998 to require the Secretary of Labor to establish and carry out a health professions training demonstration project that awards grants to eligible entities to train certain unemployed workers from the manufacturing or service sector for employment as health care professionals in communities with manufacturing and service sector job loss and health care professional shortages.
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Q: SECTION 1. SHORT TITLE.

This Act may be cited as the ''Functional Gastrointestinal and
Motility Disorders Research Enhancement Act of 2011''.

SEC. 2. FINDINGS.

Congress finds the following:
(1) Functional gastrointestinal and motility disorders
(FGIMDs) are chronic conditions associated with increased
sensitivity of the GI tract, abnormal motor functioning, and
brain-gut dysfunction.
(2) FGIMDs are characterized by symptoms in the GI tract
including pain or discomfort, nausea, vomiting, diarrhea,
constipation, incontinence, problems in the passage of food or
feces, or a combination of these symptoms.
(3) FGIMDs include conditions such as dysphagia,
gastroesophageal reflux disease, dyspepsia, cyclic vomiting
syndrome, gastroparesis, irritable bowel syndrome (IBS),
Hirschsprung's disease, chronic intestinal pseudo-obstruction,
bowel incontinence, and many others, which affect the
esophagus, stomach, gallbladder, small and large intestine, and
anorectal areas of the body.
(4) The severity of FGIMDs ranges from mildly uncomfortable
to debilitating and in some cases life-threatening.
(5) Effective treatments for the multiple symptoms of
FGIMDs are lacking, and while sufferers frequently use a
variety of medications and therapies for symptoms, few patients
report satisfaction with available treatments.
(6) Patients with FGIMDs frequently suffer for years before
receiving an accurate diagnosis, exposing them to unnecessary
and costly tests and procedures including surgeries, as well as
needless suffering and expense.
(7) The economic impact of FGIMDs is high. The annual cost
in the United States for IBS alone is estimated to be between
$1.7 billion and $10 billion in direct medical costs (excluding
prescription and over-the-counter medications) and $20 billion
in indirect medical costs.
(8) FGIMDs frequently take a toll on the workplace, as
reflected in work absenteeism, lost productivity, and lost
opportunities for the individual and society.
(9) Gastrointestinal symptoms consistent with functional
gastrointestinal disorders such as IBS and functional dyspepsia
have been recognized as a serious and disabling issue for
military veterans, particularly those who have been deployed.
(10) FGIMDs affect individuals of all ages including
children, and pediatric FGIMDs can be particularly serious,
leading to a lifetime of painful symptoms and medical expenses
associated with management of chronic illness or death.
(11) The National Institutes of Health's National
Commission on Digestive Diseases identified comprehensive
research goals related to FGIMDs in its April 2009 report to
Congress and the American public entitled ''Opportunities and
Challenges in Digestive Diseases Research: Recommendations of
the National Commission on Digestive Diseases''.

SEC. 3. FUNCTIONAL GASTROINTESTINAL AND MOTILITY DISORDERS RESEARCH
ENHANCEMENT.

Part B of title IV of the Public Health Service Act (42 U.S.C. 284
et seq.) is amended by adding at the end the following:

''SEC. 409K. FUNCTIONAL GASTROINTESTINAL AND MOTILITY DISORDERS.

''The Director of NIH may expand, intensify, and coordinate the
activities of the National Institutes of Health with respect to
functional gastrointestinal and motility disorders (in this section
referred to as 'FGIMDs') by--
''(1) expanding basic and clinical research into FGIMDs by
implementing the research recommendations of the National
Commission on Digestive Diseases relating to FGIMDs;
''(2) providing support for the establishment of up to five
centers of excellence on FGIMDs at leading academic medical
centers throughout the country to carry out innovative basic,
translational, and clinical research focused on FGIMDs;
''(3) exploring collaborative research opportunities among
the National Institute of Diabetes and Digestive and Kidney
Diseases, the Office of Research on Women's Health, the Office
of Rare Disease Research, and other Institutes and Centers of
the National Institutes of Health;
''(4) directing the National Institute of Diabetes and
Digestive and Kidney Diseases to provide the necessary funding
for continued expansion and advancement of the FGIMDs research
portfolio through intramural and extramural research;
''(5) directing the National Institute of Diabetes and
Digestive and Kidney Diseases and the Eunice Kennedy Shriver
National Institute of Child Health and Human Development to
expand research into FGIMDs that impact children, such as
Hirschsprung's disease and cyclic vomiting syndrome, and
maternal health, such as fecal incontinence; and
''(6) exploring opportunities to partner with the
Department of Defense and the Department of Veterans Affairs to
increase research and improve patient care regarding FGIMDs
that commonly impact veterans and active duty military
personnel, such as IBS and dyspepsia.''.

SEC. 4. PROMOTING PUBLIC AWARENESS OF FUNCTIONAL GASTROINTESTINAL AND
MOTILITY DISORDERS.

Part B of title III of the Public Health Service Act (42 U.S.C. 243
et seq.) is amended by adding at the end the following:

''SEC. 320B. PUBLIC AWARENESS OF FUNCTIONAL GASTROINTESTINAL AND
MOTILITY DISORDERS.

''The Secretary may engage in public awareness and education
activities to increase understanding and recognition of functional
gastrointestinal and motility disorders (in this section referred to as
'FGIMDs'). Such activities may include the distribution of print, film,
and web-based materials targeting health care providers and the public
and prepared and disseminated in conjunction with patient organizations
that treat FGIMDs. The information expressed through such activites
should emphasize--
''(1) basic information on FGIMDs, their symptoms,
prevalence, and frequently co-occurring conditions; and
''(2) the importance of early diagnosis, and prompt and
accurate treatment of FGIMDs.''.

SEC. 5. SENSE OF CONGRESS ON THE DEVELOPMENT AND OVERSIGHT OF
INNOVATIVE TREATMENT OPTIONS FOR FUNCTIONAL
GASTROINTESTINAL AND MOTILITY DISORDERS.

It is the sense of Congress that, considering the current lack of
effective treatment options for the global symptoms of functional
gastrointestinal and motility disorders (in this section referred to as
''FGIMDs'') and the inherent challenges of developing and bringing such
treatments to market, the Commissioner of Food and Drugs should
continue and accelerate important efforts to improve the development
and oversight of treatment options for FGIMDs by--
(1) enhancing the commitment to emerging efforts like the
Patient Reported Outcomes Consortium to expedite medical device
and drug development, study appropriate balances between risk
and patient benefit, and identify proper endpoints for
conditions without clear, biological indicators;
(2) enhancing the commitment to broad efforts like the
Critical Path Initiative focused on ensuring that scientific
breakthroughs are quickly translated into safe and beneficial
treatment options; and
(3) continuing collaboration with patient organizations
that treat FGIMDs so that the patient perspective is considered
when determining the need for innovative treatments.

A:
Functional Gastrointestinal and Motility Disorders Research Enhancement Act of 2011 - Amends the Public Health Service Act to require the Director of the National Institutes of Health (NIH) to expand, intensify, and coordinate NIH activities with respect to functional gastrointestinal and motility disorders (FGIMDs), including by: (1) expanding basic and clinical research into FGIMDs by implementing the research recommendations of the National Commission on Digestive Diseases, (2) providing support for the establishment of centers of excellence on FGIMDs, (3) directing the National Institute of Diabetes and Digestive and Kidney Diseases to provide the necessary funding for the continued expansion and advancement of the FGIMDs research portfolio through intramural and extramural research, and (4) directing such Institute and the Eunice Kennedy Shriver National Institute of Child Health and Human Development to expand research into FGIMDs that impact children.

Authorizes the Secretary of Health and Human Services (HHS) to engage in public awareness and education activities to increase understanding and recognition of FGIMDs.
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