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

Example Input: SECTION 1. SHORT TITLE.

This Act may be cited as the ''Cancer Screening and Prevention
Act''.

SEC. 2. MEDICARE COVERAGE OF COLORECTAL SCREENING.

(a) In General.--Section 1834 of the Social Security Act (42 U.S.C.
1395m) is amended by inserting after subsection (c) the following new
subsection:
''(d) Frequency and Payment Limits for Screening Fecal-Occult Blood
Tests, Screening Flexible Sigmoidoscopies, and Screening Colonoscopy.--
''(1) Screening fecal-occult blood tests.--
''(A) Payment limit.--In establishing fee schedules
under section 1833(h) with respect to screening fecal-
occult blood tests provided for the purpose of early
detection of colon cancer, except as provided by the
Secretary under paragraph (3)(A), the payment amount
established for tests performed--
''(i) in 1996 shall not exceed $5; and
''(ii) in a subsequent year, shall not
exceed the limit on the payment amount
established under this subsection for such
tests for the preceding year, adjusted by the
applicable adjustment under section 1833(h) for
tests performed in such year.
''(B) Frequency limit.--Subject to revision by the
Secretary under paragraph (3)(B), no payment may be
made under this part for a screening fecal-occult blood
test provided to an individual for the purpose of early
detection of colon cancer--
''(i) if the individual is under 50 years
of age; or
''(ii) if the test is performed within the
11 months after a previous screening fecal-
occult blood test.
''(2) Screening flexible sigmoid- oscopies.--
''(A) Payment amount.--The Secretary shall
establish a payment amount under section 1848 with
respect to screening flexible sigmoidoscopies provided
for the purpose of early detection of colon cancer that
is consistent with payment amounts under such section
for similar or related services, except that such
payment amount shall be established without regard to
subsection (a)(2)(A) of such section.
''(B) Frequency limit.--Subject to revision by the
Secretary under paragraph (4)(B), no payment may be
made under this part for a screening flexible
sigmoidoscopy provided to an individual for the purpose
of early detection of colon cancer--
''(i) if the individual is under 50 years
of age; or
''(ii) if the procedure is performed within
the 47 months after a previous screening
flexible sigmoidoscopy.
''(3) Screening colonoscopy for individuals at high risk
for colorectal cancer.--
''(A) Payment amount.--The Secretary shall
establish a payment amount under section 1848 with
respect to screening colonoscopy for individuals at
high risk for colorectal cancer (as defined in
subparagraph (C)) provided for the purpose of early
detection of colon cancer that is consistent with
payment amounts under such section for similar or
related services, except that such payment amount shall
be established without regard to subsection (a)(2)(A)
of such section.
''(B) Frequency limit.--Subject to revision by the
Secretary under paragraph (4)(B), no payment may be
made under this part for a screening colonoscopy for
individuals at high
risk for colorectal cancer provided to an individual
for the purpose of early detection of colon cancer if the procedure is
performed within the 23 months after a previous screening colonoscopy.
''(C) Individual at high risk defined.--In this
subsection, an 'individual at high risk for colorectal
cancer' is an individual who, because of family
history, prior experience of cancer or precursor
neoplastic polyps, a history of chronic digestive
disease condition (including inflammatory bowel
disease, Crohn's Disease, or ulcerative colitis), the
presence of any appropriate recognized gene markers for
colorectal cancer, or other predisposing factors, faces
a high risk for colorectal cancer.
''(4) Reductions in payment limit and revision of
frequency.--
''(A) Reductions in payment limit.--The Secretary
shall review from time to time the appropriateness of
the amount of the payment limit established for
screening fecal-occult blood tests under paragraph
(1)(A). The Secretary may, with respect to tests
performed in a year after 1998, reduce the amount of
such
limit as it applies nationally or in any area to the
amount that the Secretary estimates is required to assure that such
tests of an appropriate quality are readily and conveniently available
during the year.
''(B) Revision of frequency.--
''(i) Review.--The Secretary shall review
periodically the appropriate frequency for
performing screening fecal-occult blood tests,
screening flexible sigmoidoscopies, and
screening colonoscopy based on age and such
other factors as the Secretary believes to be
pertinent.
''(ii) Revision of frequency.--The
Secretary, taking into consideration the review
made under clause (i), may revise from time to
time the frequency with which such tests and
procedures may be paid for under this
subsection, but no such revision shall apply to
tests or procedures performed before January 1,
1999.
''(5) Limiting charges of nonparticipating physicians.--
''(A) In general.--In the case of a screening
flexible sigmoidoscopy provided to an individual for
the purpose of early detection of colon cancer or a
screening colonoscopy provided to an individual at high
risk for colorectal cancer for the purpose of early
detection of colon cancer for which payment may be made
under this part, if a nonparticipating physician
provides the procedure to an individual enrolled under
this part, the physician may not charge the individual
more than the limiting charge (as defined in section
1848(g)(2)).
''(B) Enforcement.--If a physician or supplier
knowing and willfully imposes a charge in violation of
subparagraph (A), the Secretary may apply sanctions
against such physician or supplier in accordance with
section 1842(j)(2).''.
(b) Conforming Amendments.--(1) Paragraphs (1)(D) and (2)(D) of
section 1833(a) of such Act (42 U.S.C. 1395l(a)) are each amended by
striking ''subsection (h)(1),'' and inserting ''subsection (h)(1) or
section 1834(d)(1),''.
(2) Section 1833(h)(1)(A) of such Act (42 U.S.C. 1395l(h)(1)(A)) is
amended by striking ''The Secretary'' and inserting ''Subject to
paragraphs (1) and (3)(A) of section 1834(d), the Secretary''.
(3) Clauses (i) and (ii) of section 1848(a)(2)(A) of such Act (42
U.S.C. 1395w-4(a)(2)(A)) are each amended by striking ''a service'' and
inserting ''a service (other than a screening flexible sigmoidoscopy
provided to an individual for the purpose of early detection of colon
cancer or a screening colonoscopy provided to an individual at high
risk for colorectal cancer for the purpose of early detection of colon
cancer)''.
(4) Section 1862(a) of such Act (42 U.S.C. 1395y(a)) is amended--
(A) in paragraph (1)--
(i) in subparagraph (E), by striking ''and'' at the
end,
(ii) in subparagraph (F), by striking the semicolon
at the end and inserting '', and'', and
(iii) by adding at the end the following new
subparagraph:
''(G) in the case of screening fecal-occult blood tests,
screening flexible sigmoidoscopies, and screening colonoscopy
provided for the purpose of early detection of colon cancer,
which are performed more frequently than is covered under
section 1834(d);''; and
(B) in paragraph (7), by striking ''paragraph (1)(B) or
under paragraph (1)(F)'' and inserting ''subparagraphs (B),
(F), or (G) of paragraph (1)''.

SEC. 3. EFFECTIVE DATE.

The amendments made by section 2 shall apply to screening fecal-
occult blood tests, screening flexible sigmoidoscopies, and screening
colonoscopy performed on or after January 1, 1996.
Example Output: Cancer Screening and Prevention Act - Amends title XVIII (Medicare) of the Social Security Act to provide for coverage of various specified colon and colorectal screening tests and corresponding payment and frequency limits.

Example Input: SECTION 1. SHORT TITLE.

This Act may be cited as the ''Federal Student Loan Refinancing
Act''.

SEC. 2. STUDENT LOAN CONSOLIDATION.

Section 459B of the Higher Education Act of 1965 (20 U.S.C. 1087i-
2) is amended--
(1) in subsection (a)(3), by striking ''section'' and
inserting ''subsection'';
(2) in subsection (b), by striking ''this section'' and
inserting ''subsection (a)'' each place the term appears; and
(3) by inserting at the end the following:
''(c) Temporary Loan Consolidation Authority for Certain Loans Made
After July 1, 2006.--
''(1) Loan consolidation authority.--
''(A) In general.--A borrower who has 1 or more
loans in a category described in subparagraph (B) may
consolidate all of the loans of the borrower that are
described in subparagraph (B) into a Federal Direct
Consolidation Loan during the period described in
subparagraph (C).
''(B) Categories of loans that may be
consolidated.--The categories of loans that may be
consolidated under subparagraph (A) are loans made on
or after July 1, 2006, that are--
''(i) loans made under this part;
''(ii) loans purchased by the Secretary
pursuant to section 459A; and
''(iii) loans made under part B that are
held by an eligible lender, as such term is
defined in section 435(d).
''(C) Time period in which loans may be
consolidated.--
''(i) Federal direct loans.--In the case of
a borrower who has 1 or more loans described
under subparagraph (B)(i), the Secretary
shall--
''(I) consolidate the loans
described under subparagraph (B)(i) not
later than 90 days after the date of
enactment of the Federal Student Loan
Refinancing Act; and
''(II) notify the borrower, in
writing, prior to such consolidation
that--
''(aa) the borrower's loans
under this part have been
consolidated at a lower
interest rate; and
''(bb) the borrower's
repayment plan and the other
terms and conditions of the
borrower's loan remain
unchanged.
''(ii) Other loans.--In the case of a
borrower who has 1 or more loans described
under clause (ii) or (iii) of subparagraph (B),
the Secretary shall--
''(I) initiate the loan
consolidation process for the loans
described under clause (ii) or (iii) of
subparagraph (B), not later than 90
days after the date of enactment of the
Federal Student Loan Refinancing Act,
by sending a completed loan
consolidation application to the
borrower;
''(II) notify the borrower, as part
of such application, that a fee will be
assessed and that the interest rate of
the Federal Direct Consolidation Loan
will be set in accordance with
paragraph (2); and
''(III) notify the borrower, as
part of such application, that if the
borrower wishes to consolidate in
accordance with the completed
application, the borrower must endorse
the application and submit the
application to the Secretary not more
than 6 months after receipt of the
application.
''(2) Terms of loans.--The following terms and conditions
shall apply to a Federal Direct Consolidation Loan made under
this subsection:
''(A) The applicable rate of interest on a Federal
Direct Consolidation Loan made under this subsection
shall be--
''(i) 4 percent; or
''(ii) in a case in which the weighted
average of the interest rates on the
outstanding loans of a borrower that will be
consolidated is less than 4 percent, the lesser
of--
''(I) the weighted average of the
interest rates on the outstanding loans
of a borrower that will be
consolidated; or
''(II) a rate of interest equal
to--
''(aa) 4 percent; minus
''(bb) 0.4 percent of the
principal balance of the
consolidation loan, at the time
of consolidation.
''(B) In the case of a loan consolidated under
paragraph (1)(C)(ii), an origination fee equal to 0.4
percent of the principal balance of the consolidation
loan, at the time of consolidation, will be added to
the principal balance of the loan, and the Secretary
shall use the fee to cover the cost of making and
servicing the loan.
''(C) If 1 or more of the loans being consolidated
is a loan described under paragraph (1)(B)(iii), the
interest rate on the Federal Direct Consolidation Loan
under this subsection shall be reduced by 0.25 percent.
''(D) Any benefit a borrower is receiving or
earning at the time a Federal Direct Consolidation Loan
is issued under this subsection shall not be affected
by consolidation under this section, including benefits
such as a deferment or forbearance, accumulation of
monthly payments as part of the public service loan
forgiveness program under section 455(m), accumulation
of monthly payments toward a loan discharge under the
income-based repayment plan under section 493C,
participation in a particular repayment plan, and other
benefits to the borrower.''.

SEC. 3. EXEMPTIONS FROM OTHER LAWS.

(a) Exemption From the Paperwork Reduction Act.--Chapter 35 of
title 44, United States Code, shall not apply to this Act.
(b) Inapplicability of Rulemaking Requirements.--Sections 482(c)
and 492 of the Higher Education Act of 1965 (20 U.S.C. 1089(c), 1098a)
and section 553 of title 5, United States Code, shall not apply to the
amendments made by this Act, or to any regulations promulgated under
such amendments.
Example Output: Federal Student Loan Refinancing Act This bill amends title IV (Student Assistance) of the Higher Education Act of 1965 to allow borrowers that received loans under the William D. Ford Federal Direct Loan (DL) or Federal Family Education Loan (FFEL) program on or after July 1, 2006, to consolidate those loans as Federal Direct Consolidation Loans. It directs the Department of Education (ED) to consolidate DLs, and send a completed loan consolidation application to FFEL borrowers, within 90 days of this bill's enactment. It gives FFEL borrowers six months after their receipt of such application to endorse it and submit it to ED if they wish to consolidate their loans. The bill sets the interest rate on Federal Direct Consolidation Loans at 4% or, if the weighted average of the interest rates of the loans being consolidated is less than 4%, the lesser of: (1) that weighted average, or (2) an interest rate equal to 0.4% of the principal balance of the consolidation loan at the time of consolidation. It adds an origination fee equal to 0.4% of the principal balance of the consolidation loan at the time of consolidation if an FFEL is being consolidated. It reduces the interest rate on a Federal Direct Consolidation Loan by 0.25% if one or more of the loans being consolidated is an FFEL held by an eligible lender. The bill prohibits any benefit a borrower is receiving or earning when issued a Federal Direct Consolidation Loan from being affected by the consolidation.

Example Input: SECTION 1. SHORT TITLE.

This Act may be cited as the ''Department of Veterans Affairs
Mammography Quality Standards Act''.

SEC. 2. MAMMOGRAPHY QUALITY STANDARDS.

(a) In General.--(1) Subchapter II of chapter 73 is amended by
adding at the end the following new section:
''Sec. 7319. Mammography quality standards
''(a) A mammogram may not be performed at a Department facility
unless that facility is accredited for that purpose by a private
nonprofit organization designated by the Secretary. An organization
designated by the Secretary under this subsection shall meet the
standards for accrediting bodies established under section 354(e) of
the Public Health Service Act (42 U.S.C. 263b(e)).
''(b) The Secretary, in consultation with the Secretary of Health
and Human Services, shall prescribe quality assurance and quality
control standards relating to the performance and interpretation of
mammograms and use of mammogram equipment and facilities of the
Department of Veterans Affairs consistent with the requirements of
section 354(f)(1) of the Public Health Service Act. Such standards
shall be no less stringent than the standards prescribed by the
Secretary of Health and Human Services under section 354(f) of the
Public Health Service Act.
''(c)(1) The Secretary, to ensure compliance with the standards
prescribed under subsection (b), shall provide for an annual inspection
of the equipment and facilities used by and in Department health care
facilities for the performance of mammograms. Such inspections shall be
carried out in a manner consistent with the inspection of certified
facilities by the Secretary of Health and Human Services under section
354(g) of the Public Health Service Act.
''(2) The Secretary may not provide for an inspection under
paragraph (1) to be performed by a State agency.
''(d) The Secretary shall ensure that mammograms performed for the
Department under contract with any non-Department facility or provider
conform to the quality standards prescribed by the Secretary of Health
and Human Services under section 354 of the Public Health Service Act.
''(e) For the purposes of this section, the term 'mammogram' has
the meaning given such term in paragraph (5) of section 354(a) of the
Public Health Service Act (42 U.S.C. 263b(a)).''.
(2) The table of sections at the beginning of such chapter is
amended by inserting after the item relating to section 7318 the
following new item:

''7319. Mammography quality standards.''.
(b) Deadline for Prescribing Standards.--The Secretary of Veterans
Affairs shall prescribe standards under subsection (b) of section 7319
of title 38, United States Code, as added by subsection (a), not later
than the end of the 120-day period beginning on the later of--
(1) the date on which the Secretary of Health and Human
Services prescribes quality standards under section 354(f) of
the Public Health Service Act (42 U.S.C. 263b(f)); or
(2) the date of the enactment of this Act.
(c) Transition.--(1) Subsection (a) of section 7319 of title 38,
United States Code, as added by subsection (a), shall take effect on
the date on which standards are prescribed by the Secretary of Veterans
Affairs under subsection (b) of that section.
(2) During the transition period, the Secretary of Veterans Affairs
may waive the requirement of subsection (a) of section 7319 of title
38, United States Code, as added by subsection (a), to any facility of
the Department. The Secretary may provide such a waiver in the case of
any facility only if the Secretary determines, based upon the
recommendation of the Under Secretary for Health of the Department of
Veterans Affairs, that during the period such a waiver is in effect for
such facility (including any extension of the waiver under paragraph
(3)) the facility will be operated in accordance with standards
prescribed by the Secretary under subsection (b) of such section to
assure the safety and accuracy of mammography services provided.
(3) The transition period for purposes of this section is the six-
month period beginning on the date specified in paragraph (1). The
Secretary may extend such period for a period not to exceed 90 days in
the case of any Department facility. Any such extension may be made
only if the Under Secretary for Health determines that--
(A) without the extension access of veterans to mammography
services in the geographic area served by the facility would be
significantly reduced; and
(B) appropriate steps will be taken before the end of the
transition period (as extended) to obtain accreditation of the
facility as required by subsection (a) of section 7319 of title
38, United States Code, as added by subsection (a).
(d) Implementation Report.--The Secretary of Veterans Affairs shall
submit to the Committees on Veterans' Affairs of the Senate and House
of Representatives a report on the Secretary's implementation of
section 7319 of title 38, United States Code, as added by subsection
(a). The report shall be submitted not later than 180 days after the
date on which the Secretary prescribes the quality standards required
under subsection (b) of that section.
Example Output:
Department of Veterans Affairs Mammography Quality Standards Act - Prohibits a mammogram from being performed at a Department of Veterans Affairs facility unless the facility is accredited for such purpose by a private nonprofit organization designated by the Secretary of Veterans Affairs. Requires any such organization to meet the standards for accrediting bodies established under the Public Health Service Act (the Act).
Directs the Secretary to prescribe quality assurance and control standards relating to performance and interpretation of mammograms and the use of Department mammogram equipment and facilities consistent with requirements of the Act. Requires the Secretary to provide for an annual inspection of Department mammogram equipment and facilities. Requires any Department mammograms contracted to a non-Department facility or provider to conform to the standards of the Act. Provides for: (1) a deadline for the prescribing of standards; (2) transition provisions covering mammograms performed prior to the enactment of this Act; and (3) an implementation report from the Secretary to specified congressional committees.