instruction:
In this task, you are given text for US Congressional and California state bills, your task is to generate a summary for this bill.
question:
SECTION 1. SHORT TITLE.

This Act may be cited as the ''Startup Opportunity Accelerator Act
of 2014'' or the ''SOAR Act''.

SEC. 2. FUNDING FOR ORGANIZATIONS THAT SUPPORT STARTUP BUSINESSES.

The Small Business Act (15 U.S.C. 631 et seq.) is amended--
(1) by redesignating section 47 (15 U.S.C. 631 note) as
section 48; and
(2) by inserting after section 46 the following:

''SEC. 47. FUNDING FOR ORGANIZATIONS THAT SUPPORT STARTUP BUSINESSES.

''(a) Definitions.--In this section--
''(1) the term 'eligible entity' means an organization--
''(A) that is located in the United States; and
''(B) the primary purpose of which is to support
new small business concerns;
''(2) the term 'new small business concern' means a small
business concern that has been in operation for not more than 5
years; and
''(3) the term 'State' means any State of the United
States, the District of Columbia, the Commonwealth of Puerto
Rico, and any territory or possession of the United States.
''(b) Funding.--
''(1) In general.--Not later than 1 year after the date of
enactment of this section, the Administrator shall develop and
begin implementing a program to award cash prizes of not more
than $50,000 to eligible entities to support new small business
concerns.
''(2) Use of funds.--A prize under this section--
''(A) may be used for construction costs, space
acquisition, and programmatic purposes; and
''(B) may not be used to provide capital or
professional services to new small business concerns
directly or through the subaward of funds.
''(c) Requirement for Applicants.--An eligible entity desiring a
prize under this section shall demonstrate that the eligible entity
will use the prize to provide assistance to not less than 10 new small
business concerns per year.
''(d) Criteria.--The Administrator shall establish criteria for
prizes under this section that shall give priority to eligible entities
that are providing or plan to provide to new small business concerns--
''(1) office, manufacturing, or warehouse space, including
appropriate operations infrastructure;
''(2) access to capital (either directly from the eligible
entity (using amounts other than the amounts provided under the
prize) or through guidance and contacts for acquiring capital
from outside investors);
''(3) access to professional services (either directly from
the eligible entity (using amounts other than the amounts
provided under the prize) or through guidance and contacts for
acquiring professional services), including accounting and
legal services; or
''(4) a formal structured mentorship or developmental
program that assists new small business concerns with building
business skills and competencies.
''(e) Considerations in Choosing Recipients.--In determining
whether to award a prize under this section to an eligible entity, the
Administrator shall take into account--
''(1) for eligible entities that have in operation a
program to support new small business concerns, the record of
the eligible entity in assisting new small business concerns,
including, for each of the 3 full years before the date on
which the eligible entity applies for a prize under this
section--
''(A) the retention rate of new small business
concerns in the program of the eligible entity;
''(B) the average period of participation by new
small business concerns in the program of the eligible
entity;
''(C) the total, average, and median capital raised
by new small business concerns participating in the
program of the eligible entity; and
''(D) the total, average, and median number of
employees of new small business concerns participating
in the program of the eligible entity;
''(2) for all eligible entities--
''(A) the number of new small business concerns
assisted or anticipated to be assisted by the eligible
entity;
''(B) the number of new small business concerns
applying or anticipated to apply for assistance from
the eligible entity;
''(C) whether the program of the eligible entity
provides or would provide assistance to individuals in
gender, racial, or ethnic groups underrepresented by
existing programs to assist new small business
concerns; and
''(D) other metrics determined appropriate by the
Administrator;
''(3) the need in the geographic area to be served by the
program to be carried out using the prize for additional
assistance for new small business concerns, if the area has
sufficient population density, as determined by the
Administrator;
''(4) the level of experience of the entrepreneurial
leadership of the eligible entity; and
''(5) the ability of the eligible entity to use and
leverage local strengths, including human resources,
infrastructure, and educational institutions.
''(f) Matching Nonpublic Funding Requirement.--
''(1) In general.--An eligible entity receiving a prize
under this section shall obtain funds from a private individual
or entity (including a for profit or nonprofit entity) that
are--
''(A) for the same purposes as a prize may be made
under this section;
''(B) used to carry out the program of the eligible
entity carried out using the prize under this section;
and
''(C) in an amount that is not to be less than 50
percent of the amount of the prize under this section.
''(2) Form of non-federal share.--Not more than 25 percent
of the funds obtained under paragraph (1) may be in the form of
in-kind contributions.
''(g) Consequences of Failure To Abide by Terms and Conditions of
Prize or Requirements of This Section.--The Administrator shall notify
each eligible entity receiving a prize under this section that failure
to abide by the terms and conditions of the prize or the requirements
of this section may, in the discretion of the Administrator and in
addition to any other civil or criminal consequences, result in the
Administrator ordering the eligible entity to return the prize funds.
''(h) Annual Progress Reporting by Recipients of Prize.--Each
eligible entity receiving a prize under this section shall submit to
the Administrator an annual report on the progress of the program
carried out using the amounts received under the prize, including--
''(1) the number of new small business concerns
participating in the program during each of the previous 3
years;
''(2) the number of new small business concerns applying to
participate in the program during each of the previous 3 years;
''(3) the retention rate of new small business concerns in
the program;
''(4) the average period of participation in the program by
new small business concerns;
''(5) the total, average, and median capital raised by new
small business concerns participating in the program;
''(6) the total, average, and median number of employees of
new small business concerns participating in the program; and
''(7) other metrics determined appropriate by the
Administrator.
''(i) Report to Congress.--The Administrator shall submit to
Congress an annual report on the program under this section, which
shall include an assessment of the effectiveness of the program,
including an assessment based on the metrics listed in subsection (h).
''(j) Coordination With Other Small Business Administration
Programs.--The Administrator shall take appropriate action to encourage
eligible entities receiving a prize under this section to use and
incorporate other programs of the Administration, such as small
business development centers, small business investment companies,
loans under section 7(a), and assistance under title V of the Small
Business Investment Act of 1958 (15 U.S.C. 695 et seq.).
''(k) Listing on Website.--The Administrator shall include a list
of eligible entities receiving a prize under this section on the
website of the Administration.
''(l) Authorization of Appropriation.--There are authorized to be
appropriated to carry out this section $5,000,000 for each of the first
5 fiscal years beginning after the date of the enactment of this
section.''.
answer:
Startup Opportunity Accelerator Act of 2014 or the SOAR Act - Amends the Small Business Act to require the Administrator of the Small Business Administration (SBA) to develop a program to award cash prizes of up to $50,000 to organizations in the United States whose primary purpose is to support new small businesses that have been in operation for five years or less. Authorizes the use of a prize for construction costs, space acquisition, and programmatic purposes. Prohibits its use for capital or professional services to new small businesses. Requires a prize recipient to provide assistance to at least 10 new small businesses per year.

question:
SECTION 1. YELLOWSTONE BUFFALO PRESERVATION.

(a) Short Title.--This section may be cited as the ''Yellowstone
Buffalo Preservation Act''.
(b) Findings.--Congress finds the following:
(1) More than any other animal, the American buffalo (Bison
bison) is a wildlife icon of the United States. The American
buffalo is the symbol that represents the Department of the
Interior. The American buffalo is profoundly significant to
Native American cultures and, perhaps more than any other
wildlife species, has influenced our history.
(2) The American buffalo is still under assault, as it was
in the late 19th Century when it was nearly exterminated. At
the end of the great slaughter, in which tens of millions of
buffalo were killed, only a few hundred wild buffalo remained
in the Nation and all were located in Yellowstone National
Park. Due to poaching, their numbers were reduced to 25 by the
year 1900.
(3) The offspring of the 25 survivors comprise the
Yellowstone buffalo herd and are the only wild, free-roaming
American buffalo to continuously occupy their native habitat in
the United States.
(4) The Yellowstone buffalo herd is genetically unique.
Unlike captive ranched buffalo, which are now relatively
common, the Yellowstone buffalo herd has never interbred with
cattle and has retained its wild character.
(5) Because the Park lacks extensive low-elevation winter
habitat that provides bison and elk with access to winter
forage, wildlife migrate from the high elevation plateau of
Yellowstone National Park to lower elevation habitat adjacent
to the Park in winter and spring.
(6) The Yellowstone buffalo herd was exposed to the
bacterium Brucella abortus, which can cause the disease
brucellosis, in 1917. Brucellosis is only transmitted through
animal ingestion of contaminated reproductive products.
Brucellosis can cause abortions in infected animals, but only
infectious females who have the bacteria in their reproductive
system represent any potential threat of transmission. The risk
of transmission between wild buffalo and cattle was deemed low
in a 1992 General Accounting Office report, and again in a 1998
National Research Council study. In fact, there has never been
a confirmed incidence of brucellosis transmission in the wild
from buffalo to cattle. Buffalo with brucellosis and cattle
have grazed together for over 50 years in the Jackson Hole area
south of Yellowstone without any incident of disease
transmission. Despite these facts, the National Park Service,
the United States Forest Service, and the State of Montana
Department of Livestock haze, capture, and kill members of the
Yellowstone buffalo herd in an attempt to keep them unnaturally
confined within Yellowstone National Park. At the same time,
approximately 13,000 Yellowstone elk, some of which also harbor
brucellosis, are allowed unfettered access to Federal land
outside the Park. Since 1984, nearly 3,700 American buffalo
have been killed in Montana as a result of this policy. In the
winter of 2002-2003, 244 buffalo were killed by the Federal and
State agencies, including 231 buffalo which were captured and
slaughtered by the National Park Service.
(7) The key lower elevation habitat needed by American
buffalo is primarily on Gallatin National Forest lands adjacent
to the north and west sides of the Park. On the north side,
taxpayers spent $13,000,000 in 1999 for a private-Federal land
exchange intended to make low elevation habitat adjacent to the
Yellowstone River accessible to the Yellowstone buffalo herd
and other wildlife. The land exchange has not yet been
finalized by Federal agencies and therefore key habitat is not
available to the Yellowstone buffalo herd.
(8) On the west side of the Park, the Horse Butte peninsula
provides prime wildlife habitat for grizzly bears, trumpeter
swans, bald eagles, wolves, and buffalo. The peninsula
comprises approximately 10,000 acres of primarily Gallatin
National Forest Federal lands extending into Hebgen Lake.
(9) National Park Service lands have been set aside for the
conservation of resources and values and for the enjoyment and
use of all citizens. The Federal lands adjacent to the Park
represent some of the most valuable and important wildlife
habitat in the lower forty-eight states. They are integrally
connected to the health of wildlife residing seasonally in our
Nation's oldest national park. Together, the Park and the
adjacent Federal lands provide some of our Nation's richest
opportunities for recreation, wildlife viewing, family camping,
wildlife conservation, fishing, and other recreational and
sporting activities. These Federal lands should be
preferentially managed to sustain this rich and diverse
wildlife resource and to provide the public with enjoyment of
this National treasure.
(c) Purpose.--The purpose of this Act is to provide for the
protection of the Yellowstone buffalo herd by allowing the Yellowstone
buffalo herd to freely roam Federal lands outside of the Park. The
Federal lands that are affected by this Act are those within the Park
and adjacent to it on the north and west boundaries as indicated by
zones 2 and 3 on the Modified Preferred Alternative Map on page 181 of
the 2000 Bison Management Plan for the State of Montana and Yellowstone
National Park Final Environmental Impact Statement.
(d) Definitions.--For the purposes of this section, the following
definitions apply:
(1) Hazing.--The term ''hazing'' means any individual
effort to drive away, obstruct, chase, scare, or deter natural
movements of wildlife, including hazing efforts carried out on
foot or horseback or efforts aided by machinery, aircraft, or
any type of noise-making device.
(2) Individual.--The term ''individual'' means any person
representing a State or Federal Government.
(3) Park.--The term ''Park'' means Yellowstone National
Park.
(4) Secretary.--The term ''Secretary'' means the Secretary
of the Interior.
(5) Yellowstone buffalo herd.--The term ''Yellowstone
buffalo herd'' means the wild, free roaming, unfenced buffalo
living primarily within Yellowstone National Park.
(e) Prohibited Acts; Criminal Penalties.--
(1) Prohibited acts.--No individual may kill, haze, or
capture any buffalo on Federal land or land held under Federal
conservation easements or use any form of bait to lure buffalo
from any Federal land onto private land until the duties under
subsection (f) are carried out.
(2) Penalties.--
(A) Initial violation.--Any individual found to be
in violation of paragraph (1) for the first time shall
be fined not more than $5,000 or imprisoned not more
than 1 year or both.
(B) Subsequent violations.--Any individual found to
be in violation of paragraph (1) after the first such
finding shall be fined not more than $10,000 or
imprisoned not more than 2 years or both.
(C) Reward.--One half of any fine collected under
this subsection or $2,500, whichever is less, shall be
paid to any person or persons giving information which
leads to conviction of a violation of this subsection.
(D) Exception.--This subsection shall not apply to
a person that is found to have been hazing a buffalo if
the person is physically endangered or private property
was damaged by a buffalo.
(f) Duties.--The Secretary and other appropriate Federal agencies
shall ensure that the following is accomplished not later than 3 years
after the date of the enactment of this Act:
(1) The Yellowstone buffalo herd is allowed to freely roam
the Park and the Federal lands adjacent to Yellowstone National
Park on the north and west boundaries as indicated by zones 2
and 3 on the Modified Preferred Alternative Map on page 181 of
the 2000 Bison Management Plan for the State of Montana and
Yellowstone National Park Final Environmental Impact Statement
without being hazed. These lands shall be made available
preferentially for buffalo and wildlife use.
(2) Management authority of the Yellowstone buffalo herd
within the Park is under the sole jurisdiction of the National
Park Service.
(3) The land exchange described in section 1(b)(7) with the
private property owner has been finalized, as set forth in the
agreement executed in 1999, so that the Yellowstone buffalo
herd may freely roam the lands described in paragraph (1).
(4) The National Park Service has disassembled the Stephens
Creek Buffalo Capture Facility.
(5) The Secretary has made every effort practicable to
allow the Yellowstone buffalo herd to freely roam Federal lands
through incentives and cooperative efforts with adjacent
private landowners, including through acquisition, easement,
cattle vaccination, and landowner agreement pertaining to
temporal and spatial separation of livestock from the
Yellowstone buffalo herd.
answer:
Yellowstone Buffalo Preservation Act - Prohibits an individual from killing, hazing, or capturing any buffalo on Federal lands or land held under Federal conservation easements or using any form of bait to lure buffalo from any Federal land onto private land until the Secretary of the Interior and other appropriate Federal agencies carry out specified duties.

Establishes fines and criminal penalties for violations of this Act.

question:
SECTION 1. SHORT TITLE.

This Act may be cited as the ''Healthcare Innovation Zone Program
Act of 2009''.

SEC. 2. HEALTHCARE INNOVATION ZONE DEMONSTRATION PROGRAM.

(a) Establishment.--Not later than 6 months after the date of
enactment of this Act, the Secretary of Health and Human Services shall
establish a Healthcare Innovation Zone pilot program to increase
healthcare provider integration and align healthcare provider
incentives to improve health and to reduce healthcare costs.
(b) Features of Program.--The HIZ pilot program established under
subsection (a) shall consist of the following:
(1) An HIZ planning grant program, as described in section
3.
(2) An HIZ demonstration project, as described in section
4.
(c) Definitions.--In this Act:
(1) Grant program.--The term ''grant program'' means the
HIZ planning grant program as described in section 3.
(2) HIZ.--The term ''HIZ'' means a Healthcare Innovation
Zone, consisting of an integrated healthcare delivery network
that works with local employers, community leaders, and private
and governmental payors in a geographic region, that--
(A) provides a full spectrum of care, including
inpatient, outpatient, post-acute, and preventive care,
to individuals including Medicare beneficiaries;
(B) has an academic medical center that provides
tertiary and quaternary care, has existing capabilities
to conduct health services research, and provides
clinical training for health professionals; and
(C) is able to accept alternative payment
structures beyond fee-for-service and per diem amounts.
(3) Secretary.--The term ''Secretary'' means the Secretary
of Health and Human Services.

SEC. 3. HIZ PLANNING GRANT PROGRAM.

(a) Establishment.--The Secretary shall make grants to eligible
entities for the purposes of researching and preparing an HIZ model
plan, in accordance with subsection (f).
(b) Conditions.--A grant recipient under this section must apply
for the HIZ demonstration project described in section 4. If a grant
recipient under this section is not selected to participate in such
project, then such recipient must return any unused grant funds to the
Secretary.
(c) Eligibility.--The following persons are eligible entities for
purposes of this section:
(1) A healthcare institution or provider licensed and
accredited in the United States.
(2) An academic medical center.
(3) A large multispecialty group practice.
(4) Any other clinical organization.
(5) Any other organization that is able to establish,
through a memorandum of understanding or by other means to be
defined by the Secretary, an intent to collaborate with a
person listed in paragraphs (1) through (4).
(d) Application.--An application for a grant under this section
shall include the following:
(1) A demonstration that the grant applicant is located in
a geographic region that has the necessary breadth of
healthcare providers to support the HIZ.
(2) The support and endorsement of the HIZ concept by the
following persons:
(A) At least one leader of a clinical entity that
provides the full spectrum of care.
(B) At least one private payer.
(3) A demonstration that the grant applicant has the
resources and expertise to implement the features listed in
subsection (f).
(4) A proposed budget setting forth the costs to be
incurred in creating the model HIZ plan.
(e) Criteria for Awarding Grants.--The Secretary shall give
preference to a grant application that demonstrates a likelihood that
the HIZ model plan will meet the requirements of subsection (f).
(f) HIZ Model Plan Requirements.--A recipient of a grant under this
section must submit to the Secretary, within 6 months of receiving such
grant, an HIZ model plan describing the HIZ to be implemented in the
demonstration project under section 4. Such HIZ model plan must contain
the following:
(1) A description of innovative models of care that improve
quality and decrease costs.
(2) A provider network that will provide the full spectrum
of care.
(3) A target population and mechanisms to enroll such
population, supported by evidence that such population is
willing to participate in an HIZ demonstration.
(4) A mechanism to provide for knowledge and information-
sharing across the HIZ participants.
(5) A description of how the HIZ would incorporate the
training of the next generation of physicians, nurses, and
allied health professionals in a new model of cost-effective
quality healthcare.
(6) A description of the governance of the HIZ, and how it
would affect the administration of the model and management of
the organizational and cultural changes necessary for a
successful HIZ.
(7) A description of non-financial barriers to innovation
that must be addressed for the creation of a successful HIZ,
including physician self-referral laws, anti-trust
considerations, State laws, and accreditation or certification
requirements.
(8) A process for data reporting, annual site visits, and
developing community health impact assessments.
(9) A set of indicators to help track performance and
success of the HIZ model plan, including measures to address
cost containment, access to care, and quality improvement, and
how the HIZ model plan would facilitate achievement of these
improvements.
(10) A description of mechanisms to achieve involvement by
the community and external experts as ongoing monitors of the
success of the HIZ model plan.
(11) Payment methodology options that address both funding
mechanisms to the HIZ as well as how the HIZ would distribute
funds to the HIZ participants.
(g) Number and Amount of Planning Grants.--The Secretary shall
award at least 10 but not more than 25 grants under this section in an
amount of at least $250,000 and not more than $1,000,000 per grant.
(h) Funding.--Amounts made available under the heading ''Agency for
Healthcare Research and Quality--Healthcare Research and Quality'' in
title VIII of division I of the American Recovery and Reinvestment Act
of 2009 (Public Law 111-5) may be used by the Secretary to make grants
under this section.

SEC. 4. HEALTHCARE INNOVATION ZONE DEMONSTRATION PROJECT.

(a) Establishment.--The Secretary shall establish an HIZ
demonstration project in order to test the effectiveness of HIZs in
increasing healthcare provider integration, improving healthcare
services, and reducing healthcare costs. Such demonstration project
shall not be subject to current requirements regarding shared savings
under demonstration projects. The Secretary shall select demonstration
project participants from the persons that have received grants under
section 3.
(b) Duration.--The demonstration project shall operate for a period
of at least 3 years, and shall be subject to renewal at the Secretary's
discretion.
(c) Application.--An eligible entity shall submit an application
for participation in the HIZ demonstration project to the Secretary at
such time and manner, and containing such information as the Secretary
may require.
(d) Eligibility.--To be eligible to participate in the
demonstration project established under this section, a person must--
(1) have submitted an HIZ model plan in accordance with
section 3(f) that is approved by the Secretary;
(2) agree to submit the necessary data so that Secretary
can assess the costs, quality of care, and access to care for
the population participating in the HIZ demonstration project;
(3) demonstrate a culture of innovation and commitment to
preventive and public health;
(4) possess structural elements to provide the full range
of care necessary for a successful HIZ;
(5) provide clinical training for healthcare professionals
in a medical environment that emphasizes coordinated,
integrated, high-quality care delivered at a controlled cost;
(6) have the ability to allocate resources within the
members of the HIZ;
(7) have a broad research infrastructure that supports data
gathering, analytics, and synthesis of unrelated population
elements, including quality-related data elements;
(8) have significant investment in health information
technology that extends across the system to include healthcare
providers, physicians, and other clinicians;
(9) possess advance innovations including, but not limited
to, creation of medical homes, pay for performance, and other
cost-effective delivery platforms;
(10) demonstrate long-term economic sustainability;
(11) demonstrate strong hospital and physician leadership
and the willingness to undergo a full portfolio assessment and
reengineering of core patient care and administrative
processes;
(12) possess robust financial infrastructure and
administrative support to assure the HIZ's success; and
(13) demonstrate arrangements that maintain oversight and
accreditation standards.
(e) HIZ Requirements.--An HIZ established under this section
shall--
(1) provide healthcare services to individuals who
voluntarily enroll to receive such services for multi-year
periods from the HIZ; and
(2) provide comprehensive healthcare services, as described
in subsection (f).
(f) Comprehensive Healthcare Services.--The comprehensive
healthcare services referred to in subsection (e)(2) shall consist of
hospital care, physician services, post-acute care, preventive care,
education, tertiary and quaternary care, and palliative care, and shall
include the following:
(1) For a primary care practice, contractual agreements
with practices that deliver both primary and preventive care.
(2) For a teaching hospital or other hospital, arrangements
with teaching and nonteaching hospitals and arrangements with
community hospitals.
(3) For a network of outpatient facilities, arrangements
with outpatient facilities, including Federally Qualified
Health Centers and community health providers.
(4) For a network of post-acute care providers,
arrangements with post-acute care providers for rehabilitation
services, home health services, hospice services, skilled
nursing services, and such other post-acute care services as
the Secretary determines to be appropriate.
(5) For a network of community services, arrangements for
the provision of ambulance services and community outreach
service.
(6) Arrangements for the provision such additional services
as the Secretary may require.
(g) Payment.--The Secretary may determine the payments that are
required to be made for receipt of healthcare services provided under a
model plan implemented with a grant under this section. The Secretary
shall determine those amounts based on the methodology options
submitted through the grant program established under section 3.
(h) Assumption of Financial Risk for Costs Above HIZ Payment
Amounts.--An HIZ established under this section shall assume the full
financial risk for the costs of healthcare services delivered to an
individual receiving services from the HIZ that are in excess of any
payments made to the HIZ and must have sufficient reserves to
accommodate any such additional costs.
(i) Waiver of Rights to Payment Under Private or Public Programs.--
An HIZ established with amounts provided under this section shall waive
any right to additional reimbursement under any Federal healthcare
entitlement program, including under titles XVIII and XIX of the Social
Security Act (42 U.S.C. 1395 et seq.; 42 U.S.C. 1396 et seq.), and
under any group health plan or from any health insurance issuer
offering group or individual health insurance coverage for healthcare
services furnished to an individual receiving healthcare services from
the HIZ and for which payment is made under this subsection for such
services.
(j) Scoring Cost Savings.--The Secretary shall collaborate with the
Government Accountability Office in scoring the healthcare costs and
savings associated with implementing HIZs on a nationwide basis.
(k) Waiver.--Any requirements under titles XI and XVIII of the
Social Security Act (42 U.S.C. 1301 et seq.; 42 U.S.C. 1395 et seq.),
or under any other provision of law that would preclude the
establishment or operation of an HIZ under this section, shall not
apply with respect to such establishment or operation.
(l) Reports.--
(1) HIZ report.--An entity that establishes an HIZ under
this section shall submit to the Secretary a report that
describes and evaluates the activities of the HIZ.
(2) Secretary report.--The Secretary shall submit to
Congress an evaluation of the current status of the
demonstration program within 6 months after the end of the
first year of the demonstration program, and every 6 months
thereafter until the end of the demonstration program.
answer:
Healthcare Innovation Zone Program Act of 2009 - Directs the Secretary of Health and Human Services (HHS) to establish a Healthcare Innovation Zone (HIZ) pilot program, consisting of an HIZ planning grant program and an HIZ demonstration project, to increase health care provider integration and align health care provider incentives to improve health and reduce health care costs.

Defines an "HIZ" as an integrated health care delivery network that works with local employers, community leaders, and private and governmental payors in a geographic region and that: (1) provides a full spectrum of care, including inpatient, outpatient, post-acute, and preventive care, to individuals, including Medicare beneficiaries; (2) has an academic medical center that provides tertiary and quaternary care, has existing capabilities to conduct health services research, and provides clinical training for health professionals; and (3) is able to accept alternative payment structures beyond fee-for-service and per diem amounts.

Directs the Secretary to award between 10 and 25 grants of $250,000 to $1 million each to eligible entities for purposes of researching and preparing an HIZ model plan. Lists required contents of a plan, including: (1) a description of innovative models of care that improve quality and decrease costs; (2) a provider network that will provide the full spectrum of care; and (3) a target population and mechanisms to enroll such population.

Directs the Secretary to: (1) establish an HIZ demonstration project to test the effectiveness of HIZs in increasing health care provider integration, improving health care services, and reducing health care costs; and (2) select project participants from HIV model plan grant recipients. Requires the project to operate for at least three years, subject to renewal at the Secretary's discretion.

Requires an HIZ established under this Act to provide comprehensive health care services to individuals who voluntarily enroll to receive such services for multi-year periods from the HIZ.