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

This Act may be cited as the ''Tuition Assistance for Families
Act''.

SEC. 2. EXPANSION OF TUITION TAX DEDUCTION.

(a) In General.--Subparagraphs (A) and (B) of section 222(b)(2) of
the Internal Revenue Code of 1986 (relating to dollar limitation) are
amended to read as follows:
''(A) In general.--The applicable dollar limit
shall be equal to--
''(i) in the case of a taxpayer whose
adjusted gross income for the taxable year does
not exceed $65,000 ($130,000 in the case of a
joint return), $12,000,
''(ii) with respect to any taxable year
beginning in 2004 or 2005, in the case of a
taxpayer not described in clause (i) whose
adjusted gross income for the taxable year does
not exceed $80,000 ($160,000 in the case of a
joint return), $2,000, and
''(iii) in the case of any other taxpayer,
zero.
''(B) Inflation adjustment.--
''(i) In general.--In the case of any
taxable year beginning after 2003, each dollar
amount referred to in subparagraph (A)(i) shall
be increased by an amount equal to--
''(I) such dollar amount,
multiplied by
''(II) the cost-of-living
adjustment determined under section
(1)(f)(3) for the calendar year in
which the taxable year begins, by
substituting '2002' for '1992'.
''(ii) Rounding.--If any amount as adjusted
under clause (i) is not a multiple of $100,
such amount shall be rounded to the next lowest
multiple of $100.''.
(b) Permanent Deduction.--Section 222 of the Internal Revenue Code
of 1986 (relating to qualified tuition and related expenses) is amended
by striking subsection (e).
(c) Effective Date.--The amendments made by this section shall
apply to payments made in taxable years beginning after December 31,
2002.

SEC. 3. EXPANSION OF LIFETIME LEARNING CREDIT.

(a) In General.--Section 25A(c)(1) of the Internal Revenue Code of
1986 (relating to per taxpayer credit) is amended--
(1) by striking ''20 percent'' and inserting ''25
percent'', and
(2) by striking ''$10,000 ($5,000 in the case of taxable
years beginning before January 1, 2003)'' and inserting
''$12,000''.
(b) Inflation Adjustment.--Section 25A(h) of the Internal Revenue
Code of 1986 (relating to inflation adjustments) is amended by adding
at the end the following new paragraph:
''(3) Dollar limitation on amount of lifetime learning
credit.--
''(A) In general.--In the case of any taxable year
beginning after 2003, the dollar amount referred to in
subsection (c)(1) shall be increased by an amount equal
to--
''(i) such dollar amount, multiplied by
''(ii) the cost-of-living adjustment
determined under section (1)(f)(3) for the
calendar year in which the taxable year begins,
by substituting '2002' for '1992'.
''(B) Rounding.--If any amount as adjusted under
subparagraph (A) is not a multiple of $100, such amount
shall be rounded to the next lowest multiple of
$100.''.
(c) Effective Date.--The amendments made by this section shall
apply to payments made in taxable years beginning after December 31,
2002.

SEC. 4. INCREASE IN INCOME LIMITS FOR HOPE AND LIFETIME LEARNING
CREDITS.

(a) In General.--Section 25A(d)(2)(A)(ii) of the Internal Revenue
Code of 1986 (relating to limitation based on modified adjusted gross
income) is amended by striking ''$40,000 ($80,000'' and inserting
''$55,000 ($110,000''.
(b) Conforming Amendments.--Section 25A(h)(2)(A) of the Internal
Revenue Code of 1986 is amended--
(1) by striking ''2001'' in the matter preceding clause (i)
and inserting ''2003'',
(2) by striking ''the $40,000 and $80,000 amounts'' in such
matter and inserting ''the $55,000 and $110,000 amounts'', and
(3) by striking ''2000'' in clause (ii) and inserting
''2002''.
(c) Effective Date.--The amendments made by this section shall
apply to payments made in taxable years beginning after December 31,
2002.

SEC. 5. MAXIMUM PELL GRANT AWARDS.

The Department of Education Appropriations Act, 2002 (Public Law
107-116) is amended under the heading ''Student Financial Assistance''
by striking ''$4,000'' and inserting ''$4,500''.

SEC. 6. ACADEMIC ACHIEVEMENT SCHOLARSHIPS.

(a) Scholarships.--The Secretary of Education is authorized to
award a scholarship for academic year 2003-2004 and succeeding academic
years to each student in a State who graduated in the top 5 percent of
such student's graduating class from secondary school in academic year
2002-2003 or a succeeding academic year to enable such student to pay
the cost of attendance at an institution of higher education.
(b) Amount.--Each scholarship awarded under this section shall be
in the amount of $1,000.
(c) Use.--Each student awarded a scholarship under this section
shall use the funds to pay the cost of attendance at an institution of
higher education.
(d) Construction of Needs Provision.--
(1) In general.--Except as provided in paragraph (2),
nothing in this section, or any other Act, shall be construed
to permit the receipt of a scholarship under this section to be
counted for any needs test in connection with the awarding of
any grant or the making of any loan under the Higher Education
Act of 1965 (20 U.S.C. 1001 et seq.) or any other provision of
Federal law relating to educational assistance.
(2) Exception.--In determining the need of a student for
Federal financial assistance, an institution of higher
education may take into consideration the amount of scholarship
assistance received under this section if the total amount of
scholarship assistance received under this section plus the
amount of other financial assistance available to a student
exceeds the student's cost of attendance at the institution.
(e) Regulations.--The Secretary of Education shall promulgate
regulations regarding how scholarships awarded under this section will
be allocated to both public and private school students.
(f) Definitions.--In this section:
(1) Cost of attendance.--The term 'cost of attendance' has
the meaning given the term in section 472 of the Higher
Education Act of 1965 (20 U.S.C. 1087ll).
(2) Institution of higher education.--The term 'institution
of higher education' has the meaning given the term in section
101 of the Higher Education Act of 1965 (20 U.S.C. 1001).

Answer: Tuition Assistance for Families Act - Amends the Internal Revenue Code to expand the tax deduction for qualified higher education tuition and related expenses. Sets such deduction at: (1) $12,000 for those with incomes up to $65,000 single or $130,000 joint; and (2) $2,000 for those whose incomes are above that level, but not more than $80,000 single or $160,000 joint. Provides inflation adjustment. Makes such tuition deduction permanent.Increases the amount of the Lifetime Learning tax credit percentage from 20 to 25 percent. Increases the amount of education expenses subject to such credit from $10,000 to $12,000 (thus making the maximum allowable credit $3,000, rather than the current $2,000). Provides inflation adjustment.Raises annual income limits for the Hope and Lifetime Learning tax credits to $55,000 single and $110,000 joint.Amends the Department of Education Appropriations Act, 2002 (Public Law 107-116) to increase the maximum Pell Grant award from $4,000 to $4,500.Establishes an academic achievement scholarship program. Authorizes the Secretary of Education to award a $1,000 college scholarship to each student in a State who graduates in the top five percent of his or her secondary school's graduating class.

Question: SECTION 1. SHORT TITLE.

This Act may be cited as the ''Space Tourism Promotion Act of
2001''.

SEC. 2. FINDINGS.

The Congress finds that--
(1) humans have long had a yearning to travel in space and
experience conditions beyond Earth's atmosphere;
(2) forty years of human space flight experience have
demonstrated the feasibility of safe travel to and from space
as well as the ability of humans to live and work in space;
(3) the Nation's human space flight program has developed
technologies and operational procedures that the private sector
could make use of to enable American citizens to experience
space travel;
(4) space tourism has the potential to become a significant
industry and a powerful stimulus for advances in space
transportation;
(5) the Federal Government could play an important role in
stimulating the development of space tourism by means of
guaranteed loans, tax credits, expeditious establishment of a
straightforward and predictable regulatory structure, and
research and development in technologies that may enable the
private sector to develop operational passenger-carrying space
transportation systems and on-orbit habitations;
(6) as the agency of the Federal Government primarily
responsible for the development of America's commercial sector,
the Department of Commerce, and in particular its Office of
Space Commercialization, should have the lead role in
encouraging the growth of space tourism;
(7) as the agency of the Federal Government currently
responsible for regulating America's commercial space
transportation industry, the Federal Aviation Administration,
and in particular its Office of Commercial Space
Transportation, should have the lead role in establishing the
regulatory structure necessary to ensure the safety of United
States space tourism;
(8) as the agency of the Federal Government responsible for
carrying out the major share of the Nation's civil space
activities, the National Aeronautics and Space Administration
should continue its traditional role of conducting research and
development related to new space technologies and systems and
facilitating their transfer to the private sector;
(9) it is an appropriate role for the Federal Government to
undertake measures to encourage the development of space
tourism in the United States; and
(10) at the same time, it is an inappropriate role and a
misallocation of taxpayer-provided resources for the Federal
Government to compete with the private sector in the provision
of transportation vehicles or facilities for space tourism.

SEC. 3. DEFINITIONS.

In this Act--
(1) terms that are defined in the Federal Credit Reform Act
of 1990 have the meaning given those terms in that Act; and
(2) the term ''space tourism'' means travel to, from, or
within outer space, or to the surface of a body in space other
than Earth, or habitation in outer space, for the purpose of
recreation.

SEC. 4. LOAN GUARANTEES.

(a) Authority.--
(1) In general.--The Secretary of Commerce may guarantee up
to 85 percent of the value of loans for the purpose of
developing transportation systems, habitation facilities, or
other infrastructure required for space tourism.
(2) Limitation.--The maximum aggregate amount of loan
commitments that may be guaranteed under this section by the
Secretary of Commerce at any one time shall be $2,000,000,000.
(3) Administrative fee.--The Secretary of Commerce is
authorized to collect from any borrower, and to the extent
provided for in advance in appropriations Acts to use, an
amount not to exceed 0.5 percent of the amount borrowed, for
covering the administrative expenses and other annual costs to
the Department of Commerce of the loan guarantee.
(b) Terms and Conditions.--A loan guaranteed under this section
shall be on such terms and conditions as the Secretary of Commerce may
prescribe.
(c) Term of Loans.--Loans guaranteed under this section shall be
for a term of not to exceed 20 years, or 100 percent of the useful life
of the substantial portion of the physical assets to be financed by the
loans, whichever is shorter, as determined by the Secretary of
Commerce.
(d) Lien on Interests in Assets.--Upon providing a loan guarantee
to a borrower under this section, the Secretary of Commerce shall have
liens which shall be superior to all other liens on assets of the
borrower equal to 85 percent of the unpaid balance of the loan subject
to the guarantee.
(e) Protection.--No loan shall be guaranteed under this section
unless the Secretary of Commerce determines that the borrower is
responsible and that adequate provision is made for servicing the loan
on reasonable terms and for protecting the interests of the United
States.
(f) Validity.--A loan guarantee under this section shall be
conclusive evidence that such guarantee has been properly obtained, and
that the underlying loan qualifies for such guarantee. In an action for
fraud or material misrepresentation by the holder of a loan guaranteed
under this section, such guarantee shall be presumed to be valid,
legal, and enforceable.
(g) Forbearance.--The Secretary of Commerce may approve an
agreement, between the parties to a loan guaranteed under this section,
that provides for forbearance for the benefit of the borrower if the
forbearance will result in no cost to the Federal Government.
(h) Administration and Oversight Responsibility.--The Office of
Space Commercialization shall be responsible for the administration and
oversight of this section on behalf of the Department of Commerce.

SEC. 5. CAPITAL GAINS EXCLUSION.

(a) In General.--Part I of subchapter P of chapter 1 of the
Internal Revenue Code of 1986 (relating to items specifically excluded
from gross income) is amended by adding at the end the following new
section:

''SEC. 1203. EXCLUSION OF GAINS FOR QUALIFIED SPACE TOURISM
CORPORATIONS.

''(a) In General.--Gross income shall not include gain on the sale
or exchange of any stock of a qualified space tourism corporation held
for more than one year.
''(b) Qualified Space Tourism Corporation.--For purposes of
subsection (a), the term 'qualified space tourism corporation' means,
with respect to any taxable year, a domestic corporation which is a C
corporation if--
''(1) such corporation is organized exclusively for
providing to unrelated persons any service of space tourism (as
defined in section 3 of the Space Tourism Promotion Act of
2001), and
''(2) such corporation derives at least 75 percent of its
gross receipts from the active conduct of a trade or business
of providing a service described in paragraph (1).
''(c) Certain Purchases by Corporations of Its Own Stock.--For
purposes of this section, rules similar to the rules of section
1202(c)(3) shall apply.
''(d) Related Person.--Persons shall be treated as related to each
other if such persons would be treated as a single employer under the
regulations prescribed under section 52(b). In the case of a
corporation which is a member of an affiliated group of corporations
filing a consolidated return, such corporation shall be treated as
providing services related to space tourism to an unrelated person if
such services are provided to such a person by another member of such
group.
''(e) Termination.--This section shall not apply to sales or
exchanges after December 31, 2011.''.
(b) Clerical Amendment.--The table of sections for part I of
subchapter P of such Code is amended by adding at the end the following
new item:

''Sec. 1203. Exclusion of gains for
qualified space tourism
corporations.''
(c) Effective Date.--The amendments made by this section shall
apply to sales and exchanges in taxable years beginning after December
31, 2001.

SEC. 6. ESTABLISHMENT OF REGULATORY STANDARDS.

(a) In General.--Not later than 2 years after the date of the
enactment of this Act, the Secretary of Transportation shall issue
regulations to govern--
(1) activities necessary to ensure the safe operation of
passenger-carrying launch and reentry vehicles and spacecraft
for space tourism, to the extent to which regulatory procedures
have not previously been established by law; and
(2) activities related to the provision of and safe
operation of habitable facilities in outer space for space
tourism purposes.
(b) Orbital Debris Avoidance.--Not later than 2 years after the
date of the enactment of this Act, the Secretary of Transportation
shall issue regulations to prevent, to the extent practicable, the
growth of orbital debris resulting from activities associated with
space tourism.
(c) Legal Regime.--Activities taking place on space tourism
habitation facilities and passenger-carrying launch and reentry
vehicles and spacecraft for space tourism licensed or otherwise
regulated by the Secretary of Transportation shall be governed by the
laws of the United States.

SEC. 7. USE OF FEDERAL FACILITIES.

(a) Prohibition Against Certain Uses of Federal Facilities.--
(1) In general.--Launch, reentry, and space travel vehicles
owned by the Federal Government shall not be used for the
transport of any individuals other than those engaged in or
supporting the conduct of official business of the United
States or the conduct of scientific or engineering research and
development, except in emergency situations.
(2) International space station.--The United States portion
of the International Space Station shall not be visited or
occupied by any individuals other than those engaged in or
supporting the conduct of official business of the United
States or the conduct of scientific or engineering research and
development, and those authorized by relevant international
agreements, except in emergency situations.
(b) Use of Other Federal Facilities.--The use of other Federal
facilities and infrastructure, such as launch ranges and data relay
satellites, shall be made available to commercial entities engaged in
space tourism on a cost-reimbursable basis to the extent that excess
capacity exists at the time the commercial entity requests the use of
such facilities and infrastructure.

Answer: Space Tourism Promotion Act of 2001 - Authorizes the Secretary of Commerce to guarantee up to 85 percent of the value of loans for developing transportation systems, habitation facilities, or other infrastructure required for space tourism.Amends the Internal Revenue Code of 1986 to exclude from gross income gain on the sale or exchange of any stock of a qualified space tourism corporation held for more than a year.Requires the Secretary of Transportation to issue regulations to: (1) govern activities necessary to ensure the safe operation of passenger-carrying launch and reentry vehicles and spacecraft for space tourism and activities related to the provision and safe operation of habitable facilities in outer space for space tourism; and (2) prevent the growth of orbital debris resulting from activities associated with space tourism.Prohibits: (1) the use of launch, reentry, and space travel vehicles owned by the Government for the transport of any individuals other than those engaged in or supporting the conduct of official business or scientific or engineering research and development (R&D), except in emergencies; and (2) the U.S. portion of the International Space Station from being visited or occupied by any individuals other than those engaged in or supporting the conduct of such business or R&D and those authorized by relevant international agreements, except in emergencies.Requires the use of other Federal facilities and infrastructure, such as launch ranges and data relay satellites, to be made available to commercial entities engaged in space tourism on a cost-reimbursable basis to the extent that excess capacity exists.

Question: SECTION 1. SHORT TITLE.

This Act may be cited as the ''Community Coalitions for Access and
Quality Improvement Act of 2007''.

SEC. 2. PURPOSE.

Is it the purpose of this Act to provide assistance to community
health coalitions (as defined in section (c)(1)) that have a clearly
defined local need to increase access to and improve the quality of
health care services through activities that--
(1) develop or strengthen the coordination of services to
allow all individuals, including uninsured and low-income
individuals, to receive efficient and higher quality care and
to gain entry into and receive services from a comprehensive
system of medical, dental, pharmaceutical, and behavioral
health care;
(2) develop efficient and sustainable infrastructure for a
healthcare delivery system characterized by effective
collaboration, information sharing, and clinical and financial
coordination among all types of providers of care in the
community; and
(3) develop or strengthen activities related to providing
coordinated care for individuals with chronic conditions.

SEC. 3. COMMUNITY COALITIONS FOR ACCESS AND QUALITY IMPROVEMENT.

(a) Grants To Strengthen the Effectiveness, Efficiency, and
Coordination of Services.--The Secretary of Health and Human Services
(referred to in this section as the ''Secretary'') shall award grants
to eligible entities assist in the development of integrated health
care delivery systems to serve defined communities of individuals to--
(1) improve the efficiency of and coordination among the
providers providing services through such systems;
(2) assist local communities in developing programs
targeted toward preventing and managing chronic diseases; and
(3) expand and enhance the services provided through such
systems.
(b) Eligible Entities.--To be eligible to receive a grant under
this section, an entity shall--
(1) represent a balanced consortium--
(A) whose principal purpose is to assure the
sustainable capacity for the provision of a broad range
of coordinated services for all residents within a
community defined in the entity's grant application as
described in paragraph (2); and
(B) that includes at least one of each of the
following providers that serve the community (unless
such provider does not exist within the community,
declines or refuses to participate, or places
unreasonable conditions on their participation)--
(i) a federally qualified health center (as
defined in section 1861(aa) of the Social
Security Act (42 U.S.C. 1395x(aa)));
(ii) rural health clinics and rural health
networks (as defined in section 1861(aa) of the
Social Security Act (42 U.S.C. 1395x(aa)));
(iii) a hospital with a low-income
utilization rate that is greater than 25
percent (as defined in section 1923(b)(3) of
the Social Security Act (42 U.S.C. 1396r-
4(b)(3))), or a Critical Access Hospital (as
defined in section 19(c)(2) of such Act (42
U.S.C. 1395i-4(c)(2)));
(iv) a public health department; and
(v) an interested public or private sector
health care provider or an organization that
has traditionally served the medically
uninsured and low-income individuals; and
(2) submit to the Secretary an application, at such time,
in such manner, and containing such information and the
Secretary may require, including--
(A) a clear description of the community to be
served and access, quality, and efficiency outcomes to
be achieved under the grant;
(B) a description of the providers who will
participate in the community coalition under the grant
and each provider's contribution to the care of
individuals in the community;
(C) a description of the activities that the
applicant and the community coalition propose to
perform under the grant to further the objectives of
this section;
(D) evidence demonstrating that the applicant is an
established coalition with an ability to build on the
current system for serving the community by involving
providers who have traditionally provided a significant
volume of care for uninsured and low-income individuals
for that community;
(E) evidence demonstrating the coalition's ability
to develop coordinated systems of care that either
directly provide or ensure the prompt provision of a
broad range of high quality, accessible services,
including, as appropriate, primary, secondary, and
tertiary services as well as pharmacy, substance abuse,
behavioral health and oral health services, in a manner
that assures continuity of care in the community;
(F) evidence of community involvement, including
the business community, in the development,
implementation, and direction of the system of care
that the coalition proposes to assure;
(G) evidence demonstrating the coalition's ability
to ensure that participating individuals are enrolled
in health care coverage programs, both public and
private, for which the individuals are eligible;
(H) a plan for leveraging other sources of revenue,
which may include State and local sources and private
grant funds, and integrating current and proposed new
funding sources in a manner to assure long-term
sustainability of the system of care;
(I) a plan for the evaluation of the activities
carried out under the grant, including measurement of
progress toward the goals and objectives of the program
and the use of evaluation findings to improve system
performance;
(J) evidence demonstrating fiscal responsibility
through the use of appropriate accounting procedures
and management systems;
(K) evidence demonstrating commitment to serve the
community without regard to the ability of an
individual or family to pay by arranging for or
providing free or reduced charge care for the poor; and
(L) such other information as the Secretary may
require.
(c) Limitations.--The term of an initial grant to an eligible
entity under this section shall be 3 fiscal years. An entity may
receive an extension for 2 additional years if--
(1) the eligible entity submits to the Secretary a request
for a grant for such additional period;
(2) the Secretary determines that current performance
justifies the granting of such an extension; and
(3) the Secretary determines that granting such extension
is necessary to further the objectives described in subsection
(a).
(d) Priorities.--In awarding grants under this section, the
Secretary--
(1) may provide priority to applicants that demonstrate the
greatest extent of unmet need in the community to be served for
a more coordinated system of care; and
(2) shall provide priority to applicants that best promote
the objectives of this section, taking into consideration the
extent to which the applicant--
(A) identifies a community whose geographical area
has a high or increasing percentage of individuals who
are uninsured or low-income;
(B) demonstrates that the applicant has included in
its community coalition providers, support systems, and
programs that have a tradition of serving individuals
and families in the community who are uninsured or earn
below 200 of the Federal poverty level;
(C) demonstrates that the proposed coalition
activities would expand the utilization of preventive
and primary care services for uninsured and
underinsured individuals and families in the community,
including pharmaceuticals, behavioral and mental health
services, oral health services, or substance abuse
services;
(D) proposes approaches that would improve
coordination between health care providers and
appropriate social service providers;
(E) demonstrates collaboration with State and local
governments;
(F) demonstrates that the applicant makes use of
non-Federal contributions to the greatest extent
possible; or
(G) demonstrates the likelihood that the proposed
activities will lead to sustainable integrated delivery
systems as additional efforts of health systems
development evolve.
(e) Use of Funds.--
(1) Use by grantees.--
(A) In general.--Except as provided in paragraphs
(2) and (3), a grantee shall use amounts provided under
this section only for--
(i) direct expenses associated with
achieving the greater integration of a health
care delivery system so that the system either
directly provides or ensures the provision of a
broad range of culturally competent services,
including, as appropriate, primary, secondary,
and tertiary care as well as oral health,
substance abuse, behavioral and mental health,
and pharmaceutical services; and
(ii) direct patient care and service
expansions to fill identified or documented
gaps within an integrated delivery system.
(B) Specific uses.--Upon compliance with
subparagraph (A) a grantees may use amounts provided
under this section for the following:
(i) To provide increases in outreach
activities and to close gaps in health care
service, including referrals to specialty
services and prescription drugs and conducting
ongoing outreach to health disparity
populations.
(ii) To make improvements to care
management and delivery of patient-centered
care, including patient navigation services.
(iii) To make improvements to coordinate
transportation to health care facilities.
(iv) The development of provider networks
and other innovative models to engage
physicians in voluntary efforts to serve the
medically underserved within a community.
(v) Recruitment, training, and compensation
of necessary personnel.
(vi) The acquisition of technology for the
purpose of coordinating care and improving
provider communication, including the
implementation of shared information systems or
shared clinical systems.
(vii) The development of common processes
such as mechanisms for determining eligibility
for the programs provided through the system,
common identification cards, sliding scale
discounts, and the monitoring and tracking of
outcomes.
(viii) The development of specific
prevention and disease management tools and
processes.
(ix) Language access services.
(x) The facilitation of the involvement of
community organizations to provide better
access to high quality health care services to
individuals at risk for, or who have, chronic
diseases or cancer.
(xi) Helping patients overcome barriers
within the health care system to ensure prompt
diagnostic and treatment resolution of an
abnormal finding of cancer or chronic disease.
(2) Direct patient care limitation.--Not to exceed 20
percent of the amounts received under a grant under this
section may be used for providing direct patient care and
services.
(3) Reservation of funds for national program purposes.--
The Secretary may use not to exceed 7 percent of the amount
appropriated to carry out this section each fiscal year to
enter into contracts with an organization that has expertise in
facilitating peer to peer technical assistance among grantees,
to obtain assistance of experts and consultants, to hold
meetings, to develop tools, to disseminate information, to
demonstrate access, quality and efficiency outcomes for
sustainability, and for evaluations.
(f) Requirements.--
(1) Evaluation of effectiveness.--An entity that receive a
grant under this section shall annually submit to the Secretary
a report concerning--
(A) the progress made in meeting the goals and
measurable objectives set forth in the grant
application submitted by the entity under subsection
(b);
(B) the extent to which activities carried out by
the entity under the grant have--
(i) improved the effectiveness, efficiency,
and coordination of services for uninsured and
low-income individuals in the community served
by such entity, using commonly accepted outcome
measures;
(ii) resulted in the provision of better
quality health care for individuals and
families in the community served; and
(iii) resulted in the provision of health
care to such individuals at lower cost than
would have been possible in the absence of the
activities conducted by such entity; and
(C) the findings of an independent financial audit
conducted on all records that relate to the disposition
of funds received under the grant.
(2) Progress.--The Secretary may not renew a grant under
this section unless the Secretary determines that the coalition
has made reasonable and demonstrable progress in meeting the
goals and objectives set forth in the grant application for the
preceding fiscal year.
(g) Maintenance of Effort.--With respect to activities for which a
grant under this section is authorized, the Secretary may award such a
grant only if the applicant and each of the participating providers
agree that the grantee and each such provider will maintain its
expenditures of non-Federal funds for such activities at a level that
is not less then the level of such expenditures during the fiscal year
immediately preceding the fiscal year for which the applicant is
applying to receive such grant.
(h) Technical Assistance.--The Secretary may, either directly or by
grant or contract, provide any entity that receives a grant under this
section with technical and other nonfinancial assistance necessary to
enable the entity to comply with the requirements of this section. The
purposes of this section may be achieved by grant or contract with
State and national not-for-profit organizations with expertise in
building successful community coalitions.
(i) Evaluation of Program.--Not later than September 30, 2012, the
Secretary shall prepare and submit to the appropriate committees of
Congress a report that describes the extent to which projects funded
under this section have been successful in improving the effectiveness,
efficiency, and coordination of services in the communities served by
such projects, including whether the projects resulted in the provision
of better quality health care for such individuals, and whether such
care was provided at lower costs than would have been provided in the
absence of such projects.
(j) Authorization of Appropriations.--There are authorized to be
appropriated to carry out this section--
(1) $75,000,000 for fiscal year 2008;
(2) $100,000,000 for fiscal year 2009;
(3) $125,000,000 for fiscal year 2010;
(4) $150,000,000 for fiscal year 2011; and
(5) $175,000,000 for fiscal year 2012.

Answer:
Community Coalitions for Access and Quality Improvement Act of 2007 - Directs the Secretary of Health and Human Services to award grants to eligible entities to assist in developing integrated health care delivery systems to serve defined communities to: (1) improve efficiency and coordination among providers; (2) assist local communities in developing programs targeted toward preventing and managing chronic diseases; and (3) expand and enhance services provided.

Requires eligible entities to represent a balanced consortium whose principal purpose is to assure sustained capacity for the provision of a broad range of coordinated services for all residents, including at least one of each of the following providers that serve the community (with exceptions): (1) a federally qualified health center; (2) rural health clinics and rural health networks; (3) a hospital with a low-income utilization rate greater than 25% or a critical access hospital; (4) a public health department; and (5) an interested public or private sector health care provider or organization that has traditionally served medically uninsured and low-income individuals.

Authorizes the Secretary, in awarding grants, to provide priority to applicants that demonstrate the greatest unmet need for a more coordinated system of care.

Requires a grantee to use amounts provided only for: (1) direct expenses associated with achieving greater integration of a health care delivery system to directly provide or ensure the provision of a broad range of culturally competent services; and (2) direct patient care and service expansions to fill identified or documented gaps within an integrated delivery system.

Requires entities to report annually to the Secretary. Conditions grant renewal on demonstrable progress in meeting goals.