{
  "legislationId": "119_HR_7496",
  "lastUpdate": "2026-03-12T12:40:26.753Z",
  "history": [
    {
      "timestamp": "2026-03-12T12:40:26.753Z",
      "source_url": "https://www.congress.gov/119/bills/hr7496/BILLS-119hr7496ih.htm",
      "model": "gemini-3.1-pro-preview",
      "prompt_sent": "\nJesteś LEGISLATIVE SURGEON.\nTwoim zadaniem jest audyt i naprawa streszczenia (JSON) pod kątem zgodności z tekstem źródłowym (SOURCE).\nZASADA FUNDAMENTALNA: \"NO NEW INFORMATION\" (żadnych nowych informacji).\nStreszczenie może jedynie transformować informacje zawarte w SOURCE (skracać, tłumaczyć, sumować). 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Użyj terminologii z tekstu.\n\nKATEGORIE RYZYKA (szczególna uwaga):\nDaty (start obowiązywania vs start finansowania).\nLiczby (konkretne kwoty muszą wynikać z tekstu).\nPodmioty (kto co robi).\nZakres (co ustawa obejmuje, a czego nie).\n\nINPUT:\n--- SOURCE_TEXT START ---\n[Congressional Bills 119th Congress] [From the U.S. Government Publishing Office] [H.R. 7496 Introduced in House (IH)] <DOC> 119th CONGRESS 2d Session H. R. 7496 To provide for the designation of areas as Health Investment Zones to reduce health disparities and improve health outcomes in such areas, and for other purposes. _______________________________________________________________________ IN THE HOUSE OF REPRESENTATIVES February 11, 2026 Mr. Harder of California introduced the following bill; which was referred to the Committee on Energy and Commerce, and in addition to the Committees on Ways and Means, and Education and Workforce, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned _______________________________________________________________________ A BILL To provide for the designation of areas as Health Investment Zones to reduce health disparities and improve health outcomes in such areas, and for other purposes. Be it enacted by the Senate and House of Representatives of the United States of America in Congress assembled, SECTION 1. SHORT TITLE. This Act may be cited as the ``Health Investment Zones Act of 2026''. SEC. 2. DESIGNATION OF HEALTH INVESTMENT ZONES. (a) Designation.-- (1) In general.--Not later than 2 years after the date of enactment of this Act, the Secretary shall, pursuant to applications submitted under subsection (c), designate areas as Health Investment Zones to reduce health disparities and improve health outcomes in such areas. (2) Eligibility of area.--To be designated as a Health Investment Zone under this section, an area shall-- (A) be a contiguous geographic area; and (B) have measurable and documented geographic health disparities and poor health outcomes, demonstrated by-- (i) average income below 150 percent of the Federal poverty line (as defined by the Office of Management and Budget based on the most recent data available from the Bureau of the Census); (ii) a rate of participation in the special supplemental nutrition program under section 17 of the Child Nutrition Act of 1966 (42 U.S.C. 1786) that is higher than the national average rate of participation in such program; (iii) lower life expectancy than the national average; (iv) a higher percentage of instances of low birth weight than the national average; or (v) designation under section 332 of the Public Health Service Act (42 U.S.C. 254e) as a health professional shortage area. (3) Publication of designee information.--Not later than 1 year after the date on which all areas are designated as Health Investment Zones under paragraph (1), the Secretary shall publish on the website of the Department of Health and Human Services-- (A) the name of each such Health Investment Zone, together with the names of each coalition partner; and (B) a description of all areas so designated. (b) Solicitation of Applications.--Not later than 1 year after the date of enactment of this Act, the Secretary shall solicit applications under subsection (c). (c) Submission of Applications.-- (1) In general.--To seek the designation of an area as a Health Investment Zone, a community-based nonprofit organization or local governmental agency, in coalition with health care providers, hospitals, nonprofit community health clinics, health centers, social service organizations, and other related organizations, shall submit an application to the Secretary. (2) Applications for grants.--As part of an application under this subsection, a community-based nonprofit organization or local governmental agency may include an application for a grant under section 4(a). Such community-based nonprofit organization or local governmental agency shall describe how the use of grant funds would be consistent with the plan submitted pursuant to subsection (d)(1) and whether such community-based nonprofit organization or local governmental agency intends to award subgrants or implement innovative public health strategies under section 4(b). (d) Contents.--An application under subsection (c) shall-- (1) include an effective and sustainable plan with respect to the area proposed for designation-- (A) to reduce health disparities; (B) to reduce the costs of, or to produce savings to, the health care system; (C) to improve health outcomes; and (D) to utilize one or more of the incentives established pursuant to section 5, section 51 of the Internal Revenue Code of 1986 (as amended by section 3(a)), for wages paid to qualified Health Investment Zone workers (as defined in section 51(d)(16) of such Code), section 25G of the Internal Revenue Code of 1986 (as added by section 3(b)), or subsection (ee) of section 1833 of the Social Security Act (42 U.S.C. 1395l) (as amended by section 6) to address health care provider capacity, improve health services delivery, effectuate community improvements, or conduct outreach and education efforts; and (2) identify specific diseases or indicators of health for improvement of health outcomes in such area, including at least 1 of the following: (A) Cardiovascular disease. (B) Asthma. (C) Diabetes. (D) Behavioral health. (E) Maternal and birth health. (F) Obesity. (e) Considerations.--The Secretary-- (1) shall consider geographic diversity, among other factors, in selecting areas for designation as Health Investment Zones; and (2) may conduct outreach efforts to encourage a geographically diverse pool of applicants, including for designating Health Investment Zones in rural areas. (f) Priority.--In selecting areas for designation as Health Investment Zones, the Secretary shall give higher priority to applications based on the extent to which an area demonstrates the following: (1) Support from, and participation of, key stakeholders in the area proposed for designation, including residents and local governments of such area. (2) A plan for long-term funding and sustainability. (3) Integration with any applicable State health improvement process or plan. (4) A plan for evaluation of the impact of designation of such area as a Health Investment Zone. (5) A plan to utilize existing State tax credits, grants, or other incentives to reduce health disparities and improve health outcomes in the proposed Health Investment Zone. (6) Such other factors as the Secretary determines are appropriate to demonstrate a commitment to reduce health disparities and improve health outcomes in such area. (g) Period of Designation.--The designation under this section of an area as a Health Investment Zone shall be in effect until the date that is 10 years after the date on which the first such area is so designated. SEC. 3. TAX INCENTIVES. (a) Work Opportunity Credit for Hiring Health Investment Zone Workers.-- (1) In general.--Section 51(d)(1) of the Internal Revenue Code of 1986 is amended by striking ``or'' at the end of subparagraph (I), by striking the period at the end of subparagraph (J) and inserting ``, or'', and by adding at the end the following new subparagraph: ``(K) a qualified Health Investment Zone worker, to the extent that the qualified first-year wages with respect to such worker are paid for qualified Health Investment Zone work.''. (2) Qualified health investment zone worker.--Section 51(d) of such Code is amended by adding at the end the following new paragraph: ``(16) Health investment zones.-- ``(A) Qualified health investment zone worker.--The term `qualified Health Investment Zone worker' means any individual who is certified by the designated local agency as having (as of the hiring date) a principal place of employment within a Health Investment Zone. ``(B) Qualified health investment zone work.--The term `qualified Health Investment Zone work' means employment by a Health Investment Zone practitioner, the primary official duties of such employment being to promote access to healthcare in a Health Investment Zone. ``(C) Related terms.--For purposes of this paragraph, the terms `Health Investment Zone' and `Health Investment Zone practitioner' have the same meaning given such terms under section 8 of the Health Investment Zones Act of 2026.''. (3) Effective date.--The amendments made by this subsection shall apply to amounts paid or incurred after the date of the enactment of this Act to individuals who begin work for the employer after such date. (b) Credit for Health Investment Zone Workers.-- (1) In general.--Subpart A of part IV of subchapter A of chapter 1 of the Internal Revenue Code of 1986, as amended by section 70411 of Public Law 119-21, is amended by inserting after section 25F the following new section: ``SEC. 25G. CREDIT FOR QUALIFIED HEALTH INVESTMENT ZONE WORKERS. ``(a) Allowance of Credit.--In the case of a qualified Health Investment Zone worker, there shall be allowed as a credit against the tax imposed by this chapter for a taxable year an amount equal to 30 percent of wages received for qualified Health Investment Zone work during such taxable year. ``(b) Definitions.--For purposes of this section-- ``(1) Qualified health investment zone worker.--The term `qualified Health Investment Zone worker' means, with respect to wages, an individual whose principal place of employment while earning such wages is within a Health Investment Zone (as such term is defined in section 8 of the Health Investment Zones Act of 2026). ``(2) Qualified health investment zone work.--The term `qualified Health Investment Zone work' has the same meaning given such term in section 51(d)(16)(B).''. (2) Clerical amendment.--The table of sections for subpart A of part IV of subchapter A of chapter 1 of such Code, as amended by section 70411 of Public Law 119-21, is amended by inserting after the item relating to section 25F the following new item: ``Sec. 25G. Credit for qualified Health Investment Zone workers.''. (3) Effective date.--The amendments made by this subsection shall apply to wages received after the date of the enactment of this Act. SEC. 4. GRANTS. (a) Authorization.--For each area designated as a Health Investment Zone, the Secretary may award a grant to the community-based nonprofit organization or local governmental agency that applied for such designation to support such applicant and its coalition partners in reducing health disparities and improving health outcomes in such area. (b) Use of Funds.--Programs and activities funded through a grant under this section shall be consistent with the grantee's plan submitted pursuant to section 2(d)(1) and may include the following: (1) Subgrants to health care practitioners.-- (A) In general.--For the purpose of improving or expanding the delivery of health care in the respective Health Investment Zone, the grantee may award subgrants to Health Investment Zone practitioners to defray costs related to innovative strategies listed in paragraph (2). (B) Eligibility.--To be eligible to receive a subgrant pursuant to subparagraph (A), a Health Investment Zone practitioner shall-- (i) own or lease a health care facility in the Health Investment Zone; or (ii) provide health care in such a facility. (C) Amount.--The amount of a subgrant under subparagraph (A) may not exceed the lesser of-- (i) $5,000,000; or (ii) 50 percent of the costs of the equipment, or capital or leasehold improvements. (2) Innovative strategies.--A grantee (or subgrantee) may use a grant received under this section (or a subgrant received under paragraph (1)) to implement innovative public health strategies in the respective Health Investment Zone, which strategies may include-- (A) internships and volunteer opportunities for students who reside in the Health Investment Zone; (B) funding resources to improve health care provider capacity to serve non-English speakers; (C) operation of medical, mental and behavioral health, and dental mobile clinics; (D) provision of transportation to and from medical appointments for patients; (E) funding resources to improve access to healthy food, recreation, and high-quality housing; (F) capital or leasehold improvements to a health care facility in the respective Health Investment Zone; and (G) medical or dental equipment to be used in such a facility. SEC. 5. STUDENT LOAN REPAYMENT PROGRAM. (a) In General.--The Secretary shall carry out a loan repayment program under which the Secretary enters into agreements with eligible Health Investment Zone practitioners to make payments on the principal and interest of the eligible educational loans of such practitioners for each year such practitioners agree to provide health care services in a Health Investment Zone. (b) Limitations.--In entering into loan repayment agreements under this section, the Secretary may not agree to-- (1) make payments for more than 10 years with respect to a practitioner; or (2) pay more than $10,000 per year, or more than a total of $100,000, with respect to a practitioner. (c) Relationship to Other Benefits.-- (1) Counting of payments.--A payment made to, or on behalf of, an eligible Health Investment Zone practitioner under this section shall be considered a qualifying payment counted toward any total number of required payments for forgiveness or cancellation on an otherwise applicable student loan plan or program under the Higher Education Act of 1965 or the Public Health Service Act, such as under subsection (m) or (q) of section 455 or section 493C of the Higher Education Act of 1965 (20 U.S.C. 1087e; 1098e). (2) No double payments.--No borrower may, for the same service, receive a payment for an eligible educational loan under-- (A) this section; and (B) another federally supported loan program that provides a payment to, or on behalf of, that borrower. (3) No reimbursement.--An eligible Health Investment Zone practitioner shall not receive a payment or reimbursement under this section for an eligible educational loan that has been forgiven, cancelled, or repaid. (d) Definitions.--In this section: (1) Eligible educational loan.--The term ``eligible educational loan'' means any federally funded or guaranteed student loan, as determined appropriate by the Secretary, in consultation with the Secretary of Education. (2) Eligible health investment zone practitioner.--The term ``eligible Health Investment Zone practitioner'' means a Health Investment Zone practitioner who-- (A) agrees to provide full-time health care services in a Health Investment Zone for a specified period that is not less than 1 year; and (B) has 1 or more eligible educational loans. SEC. 6. INCENTIVE PAYMENTS FOR MEDICARE PART B ITEMS AND SERVICES FURNISHED IN HEALTH INVESTMENT ZONES. Section 1833 of the Social Security Act (42 U.S.C. 1395l) is amended by adding at the end the following new subsection: ``(ee) Incentive Payments for Items and Services Furnished in Health Investment Zones.-- ``(1) In general.--In the case of items and services furnished under this part in an area that is designated as a Health Investment Zone under section 2(a)(1) of the Health Investment Zones Act of 2026, in addition to the amount of payment that would otherwise be made for such items and services under this part, there also shall be paid (on a monthly or quarterly basis)-- ``(A) an amount equal to 10 percent of the payment amount for the item or service under this part; ``(B) for such an item or service furnished at a freestanding physician office or clinic (as defined in paragraph (2)) or a Federally qualified health center (as defined in section 1861(aa)(3)), in addition to any applicable additional payment amount under this paragraph, an amount equal to 5 percent of the payment amount for the item or service under this part; and ``(C) for an annual wellness visit (HCPCS codes G0438-G0439), diabetes self-management training (CPT codes 98960-98962), chronic care management (CPT codes 99487-99491), and a preventative screening such as a mammography or colorectal cancer screening, in addition to any applicable additional payment amount under this paragraph, an amount equal to 10 percent of the payment amount for such item or service under this part. ``(2) Definition of freestanding physician office or clinic.--In this subsection, the term `freestanding physician office or clinic' means a clinic that-- ``(A) bills by place of service code 11 (office) or 22 (independent clinic) in the physician fee schedule under section 1848; and ``(B) is not directly or indirectly owned or controlled by a hospital system enrolled in the Medicare Provider Enrollment, Chain, and Ownership System (commonly referred to as `PECOS'). ``(3) Coordination with other payments.--The amount of the additional payment for an item or a service under this subsection and subsection (m) shall be determined without regard to any additional payment for the item or service under subsection (m) and this subsection, respectively. The amount of the additional payment for an item or a service under this subsection and subsection (z) shall be determined without regard to any additional payment for the item or service under subsection (z) and this subsection, respectively.''. SEC. 7. REPORTING. (a) In General.--Not later than the day that is 10 years after the first Health Investment Zone is designated, the Secretary shall submit to Congress a report on the implementation of this Act (and the amendments made by this Act) and the results thereof. (b) Contents.--Each report under subsection (a) shall-- (1) specify the number and types of incentives provided pursuant to this Act in each Health Investment Zone; and (2) include evidence of the extent to which the incentives utilized by each Health Investment Zone have-- (A) succeeded-- (i) in attracting health care practitioners to practice in Health Investment Zones; (ii) in reducing health disparities and improving health outcomes in Health Investment Zones; and (iii) in reducing health costs and hospital admissions and readmissions in Health Investment Zones; and (B) impacted access to primary care services and utilization of emergency room services. SEC. 8. DEFINITIONS. In this Act: (1) The term ``Health Investment Zone'' means an area designated under section 2 as a Health Investment Zone. (2) The term ``Health Investment Zone practitioner'' means a health care practitioner who-- (A) is licensed or certified in accordance with applicable State law to treat patients in the applicable Health Investment Zone; (B) provides-- (i) primary care, which may include obstetrics, gynecological services, pediatric services, or geriatric services; (ii) behavioral health services, which may include mental health or substance use disorder services; or (iii) dental services; and (C) is a participating provider of services or supplier under the Medicare program under title XVIII of the Social Security Act (42 U.S.C. 1395 et seq.) or a participating provider under a State plan under title XIX of such Act (42 U.S.C. 1396 et seq.). (3) The term ``Secretary'' means the Secretary of Health and Human Services. SEC. 9. AUTHORIZATION OF APPROPRIATIONS. To carry out this Act, there is authorized to be appropriated such sums as may be necessary for the period beginning on the date of enactment of this Act and ending on the last day of the 10-year period that begins on the date on which the first Health Investment Zone is designated. <all>\n--- SOURCE_TEXT END ---\n\n--- FLAGGED_JSON START ---\n{\n  \"pl_ai_title\": \"Ustawa o Strefach Inwestycji Zdrowotnych – lepsza opieka w uboższych regionach\",\n  \"pl_summary\": \"Ustawa tworzy specjalne strefy w miejscach o utrudnionym dostępie do lekarzy, aby poprawić zdrowie mieszkańców i zmniejszyć nierówności. Przewiduje ona ulgi podatkowe dla pracowników medycznych oraz dotacje na nowoczesny sprzęt, transport pacjentów i mobilne kliniki.\",\n  \"pl_key_points\": [\n    \"Tworzenie Stref Inwestycji Zdrowotnych w regionach o niskich dochodach, niskiej średniej długości życia lub braku lekarzy.\",\n    \"Wprowadzenie 30% ulgi podatkowej od zarobków dla osób pracujących w wyznaczonych strefach zdrowia.\",\n    \"Program spłaty kredytów studenckich dla lekarzy i personelu medycznego (do 100 000 USD) w zamian za pracę w strefie.\",\n    \"Dotacje na mobilne kliniki (medyczne, dentystyczne, psychologiczne) oraz transport pacjentów na wizyty.\",\n    \"Finansowanie poprawy dostępu do zdrowej żywności, rekreacji oraz wysokiej jakości mieszkań w strefach.\",\n    \"Wyższe o 10-25% stawki zwrotu z Medicare dla lekarzy i przychodni działających na terenie stref.\",\n    \"Możliwość uzyskania do 5 milionów USD dotacji na zakup nowoczesnego sprzętu medycznego lub remont placówki.\"\n  ],\n  \"eng_ai_title\": \"Health Investment Zones Act – Improving Healthcare in Underserved Communities\",\n  \"eng_summary\": \"This bill creates special zones in areas with poor health outcomes to provide better medical care and reduce health disparities. It offers tax breaks for healthcare workers and grants for local clinics to improve services, equipment, and patient access.\",\n  \"eng_key_points\": [\n    \"Designation of Health Investment Zones in areas with low income, low life expectancy, or doctor shortages.\",\n    \"A 30% tax credit on wages for individuals whose primary place of employment is within a designated zone.\",\n    \"Student loan repayment assistance up to $100,000 for healthcare providers who commit to working in these zones.\",\n    \"Grants for mobile medical, dental, and mental health clinics to reach residents in need.\",\n    \"Funding for patient transportation to appointments and improved access to healthy food and housing.\",\n    \"Increased Medicare payments (10% to 25% bonus) for doctors and independent clinics operating in these zones.\",\n    \"Subsidies of up to $5 million for healthcare facilities to upgrade equipment or improve buildings.\"\n  ],\n  \"de_ai_title\": \"Gesetz über Gesundheitsinvestitionszonen – Bessere Versorgung für benachteiligte Regionen\",\n  \"de_summary\": \"Dieses Gesetz schafft spezielle Zonen in Gebieten mit schlechter Gesundheitsversorgung, um den Zugang zu Ärzten zu verbessern und Ungleichheiten abzubauen. Es bietet Steuererleichterungen für medizinisches Personal sowie Zuschüsse für moderne Geräte und Patiententransporte.\",\n  \"de_key_points\": [\n    \"Einrichtung von Gesundheitsinvestitionszonen in einkommensschwachen Gebieten mit Ärztemangel.\",\n    \"Einführung einer Steuergutschrift von 30 % auf Löhne für Beschäftigte in diesen ausgewiesenen Zonen.\",\n    \"Übernahme von Studienkrediten bis zu 100.000 USD für medizinisches Personal, das in den Zonen arbeitet.\",\n    \"Zuschüsse für mobile Kliniken (medizinisch, dental, psychologisch) und den Transport von Patienten zu Terminen.\",\n    \"Förderung des Zugangs zu gesunden Lebensmitteln, Erholung und hochwertigem Wohnraum in den Zonen.\",\n    \"Höhere Medicare-Vergütungen (Zuschläge von 10 % bis 25 %) für Ärzte und Kliniken in diesen Gebieten.\",\n    \"Möglichkeit von Zuschüssen bis zu 5 Millionen USD für medizinische Geräte oder Gebäudemodernisierungen.\"\n  ],\n  \"fr_ai_title\": \"Loi sur les zones d'investissement santé – Améliorer les soins dans les zones défavorisées\",\n  \"fr_summary\": \"Cette loi crée des zones spéciales dans les régions manquant de services médicaux pour améliorer la santé des habitants et réduire les inégalités. Elle propose des réductions d'impôts pour les soignants et des subventions pour moderniser les cliniques et faciliter le transport des patients.\",\n  \"fr_key_points\": [\n    \"Création de zones d'investissement santé dans les quartiers à faibles revenus ou en manque de médecins.\",\n    \"Crédit d'impôt de 30 % sur les salaires pour les personnes travaillant principalement dans ces zones.\",\n    \"Remboursement des prêts étudiants jusqu'à 100 000 $ pour les professionnels de santé s'engageant à y travailler.\",\n    \"Subventions pour des cliniques mobiles (médicales, dentaires, mentales) et le transport des patients.\",\n    \"Financement pour améliorer l'accès à une alimentation saine, aux loisirs et à des logements de qualité.\",\n    \"Augmentation des paiements Medicare (bonus de 10 % à 25 %) pour les soins dispensés dans ces zones.\",\n    \"Aides allant jusqu'à 5 millions $ pour l'achat d'équipement médical ou la rénovation de centres de soins.\"\n  ],\n  \"es_ai_title\": \"Ley de Zonas de Inversión en Salud – Mejor atención médica en comunidades necesitadas\",\n  \"es_summary\": \"Esta ley establece zonas especiales en áreas con mala salud pública para mejorar el acceso a médicos y reducir desigualdades. Ofrece beneficios fiscales a los trabajadores de la salud y fondos para mejorar las clínicas, el transporte y el acceso a alimentos sanos.\",\n  \"es_key_points\": [\n    \"Creación de Zonas de Inversión en Salud en áreas con bajos ingresos, baja esperanza de vida o escasez de médicos.\",\n    \"Crédito fiscal del 30% sobre los salarios para quienes tengan su lugar principal de trabajo en estas zonas.\",\n    \"Pago de préstamos estudiantiles de hasta $100,000 para profesionales de la salud que trabajen en estas áreas.\",\n    \"Subvenciones para clínicas móviles (médicas, dentales y mentales) y transporte de pacientes a sus citas.\",\n    \"Fondos para mejorar el acceso a comida saludable, áreas recreativas y vivienda de alta calidad.\",\n    \"Pagos más altos de Medicare (bonos del 10% al 25%) para médicos y clínicas independientes en las zonas.\",\n    \"Subvenciones de hasta $5 millones para que los centros de salud compren equipos o mejoren sus instalaciones.\"\n  ],\n  \"it_ai_title\": \"Legge sulle Zone di Investimento Sanitario – Migliorare l'assistenza nelle aree svantaggiate\",\n  \"it_summary\": \"Questa legge crea zone speciali in aree con scarsi servizi sanitari per garantire cure migliori ai cittadini e ridurre le disparità. Prevede agevolazioni fiscali per il personale medico e fondi per cliniche mobili, trasporti e attrezzature moderne.\",\n  \"it_key_points\": [\n    \"Istituzione di Zone di Investimento Sanitario in aree a basso reddito o con carenza di personale medico.\",\n    \"Credito d'imposta del 30% sui salari per chi lavora prevalentemente all'interno di queste zone.\",\n    \"Rimborso dei prestiti studenteschi fino a 100.000 dollari per i medici che scelgono di operare in queste aree.\",\n    \"Fondi per cliniche mobili (mediche, odontoiatriche, psichiatriche) e per il trasporto dei pazienti alle visite.\",\n    \"Finanziamenti per migliorare l'accesso a cibo sano, attività ricreative e alloggi di qualità nelle zone.\",\n    \"Aumento dei rimborsi Medicare (dal 10% al 25% in più) per le prestazioni fornite all'interno delle zone.\",\n    \"Contributi fino a 5 milioni di dollari per l'acquisto di macchinari medici o la ristrutturazione di cliniche.\"\n  ],\n  \"nl_ai_title\": \"Wet op Gezondheidsinvesteringszones – Betere zorg in achtergestelde regio's\",\n  \"nl_summary\": \"Deze wet voert speciale zones in voor gebieden met een tekort aan zorg om de gezondheid van bewoners te verbeteren. Het biedt belastingvoordelen voor zorgpersoneel en subsidies voor mobiele klinieken, patiëntenvervoer en moderne medische apparatuur.\",\n  \"nl_key_points\": [\n    \"Aanwijzing van Gezondheidsinvesteringszones in gebieden met lage inkomens of een tekort aan artsen.\",\n    \"Een belastingkorting van 30% op het loon voor werknemers die hoofdzakelijk in deze zones werken.\",\n    \"Terugbetaling van studieleningen tot $100.000 voor zorgverleners die zich in deze zones vestigen.\",\n    \"Subsidies voor mobiele klinieken (medisch, tandheelkundig, mentaal) en vervoer van patiënten naar afspraken.\",\n    \"Investeringen in toegang tot gezonde voeding, recreatie en kwalitatief goede huisvesting in de zones.\",\n    \"Hogere Medicare-vergoedingen (bonussen van 10% tot 25%) voor artsen en klinieken in deze gebieden.\",\n    \"Subsidies tot $5 miljoen voor de aanschaf van medische apparatuur of de renovatie van zorginstellingen.\"\n  ],\n  \"pt_ai_title\": \"Lei das Zonas de Investimento em Saúde – Melhorar os cuidados em áreas carenciadas\",\n  \"pt_summary\": \"Esta lei cria zonas especiais em regiões com falta de assistência médica para melhorar a saúde da população e reduzir desigualdades. Oferece benefícios fiscais para profissionais de saúde e subsídios para modernizar clínicas e facilitar o transporte de doentes.\",\n  \"pt_key_points\": [\n    \"Criação de Zonas de Inversão em Saúde em áreas de baixos rendimentos ou com falta de médicos.\",\n    \"Crédito fiscal de 30% sobre os salários para quem trabalha principalmente nestas zonas designadas.\",\n    \"Pagamento de empréstimos estudantis até 100.000 dólares para profissionais de saúde que trabalhem nestas áreas.\",\n    \"Subsídios para clínicas móveis (médicas, dentárias e mentais) e transporte de doentes para consultas.\",\n    \"Financiamento para melhorar o acesso a alimentação saudável, lazer e habitação de qualidade nas zonas.\",\n    \"Aumento dos pagamentos do Medicare (bónus de 10% a 25%) para médicos e clínicas que operem nestas zonas.\",\n    \"Apoios até 5 milhões de dólares para compra de equipamento médico ou renovação de instalações de saúde.\"\n  ],\n  \"category\": [\n    \"Health\",\n    \"Taxes\",\n    \"Local Government\"\n  ]\n}\n--- FLAGGED_JSON END ---\n\nOUTPUT:\nWyłącznie naprawiony obiekt JSON zgodny ze strukturą:\n{\n  \"pl_ai_title\": \"...\", \"pl_summary\": \"...\", \"pl_key_points\": [...],\n  \"eng_ai_title\": \"...\", \"eng_summary\": \"...\", \"eng_key_points\": [...],\n  \"de_ai_title\": \"...\", \"de_summary\": \"...\", \"de_key_points\": [...],\n  \"fr_ai_title\": \"...\", \"fr_summary\": \"...\", \"fr_key_points\": [...],\n  \"es_ai_title\": \"...\", \"es_summary\": \"...\", \"es_key_points\": [...],\n  \"it_ai_title\": \"...\", \"it_summary\": \"...\", \"it_key_points\": [...],\n  \"nl_ai_title\": \"...\", \"nl_summary\": \"...\", \"nl_key_points\": [...],\n  \"pt_ai_title\": \"...\", \"pt_summary\": \"...\", \"pt_key_points\": [...],\n  \"category\": [\"...\"]\n}\n\n",
      "ai_response_raw": "{\n  \"pl_ai_title\": \"Ustawa o Strefach Inwestycji Zdrowotnych – lepsza opieka w uboższych regionach\",\n  \"pl_summary\": \"Ustawa tworzy specjalne strefy w miejscach o utrudnionym dostępie do lekarzy, aby poprawić zdrowie mieszkańców i zmniejszyć nierówności. Przewiduje ona ulgi podatkowe dla pracowników medycznych oraz dotacje na nowoczesny sprzęt, transport pacjentów i mobilne kliniki.\",\n  \"pl_key_points\": [\n    \"Tworzenie Stref Inwestycji Zdrowotnych w regionach o niskich dochodach, niskiej średniej długości życia lub braku lekarzy.\",\n    \"Wprowadzenie 30% ulgi podatkowej od zarobków dla osób pracujących w wyznaczonych strefach zdrowia.\",\n    \"Program spłaty kredytów studenckich dla lekarzy i personelu medycznego (do 100 000 USD) w zamian za pracę w strefie.\",\n    \"Dotacje na mobilne kliniki (medyczne, dentystyczne, psychologiczne) oraz transport pacjentów na wizyty.\",\n    \"Finansowanie poprawy dostępu do zdrowej żywności, rekreacji oraz wysokiej jakości mieszkań w strefach.\",\n    \"Wyższe o 5-10% stawki zwrotu z Medicare dla lekarzy i przychodni działających na terenie stref.\",\n    \"Możliwość uzyskania do 5 milionów USD dotacji na zakup nowoczesnego sprzętu medycznego lub remont placówki.\"\n  ],\n  \"eng_ai_title\": \"Health Investment Zones Act – Improving Healthcare in Underserved Communities\",\n  \"eng_summary\": \"This bill creates special zones in areas with poor health outcomes to provide better medical care and reduce health disparities. It offers tax breaks for healthcare workers and grants for local clinics to improve services, equipment, and patient access.\",\n  \"eng_key_points\": [\n    \"Designation of Health Investment Zones in areas with low income, low life expectancy, or doctor shortages.\",\n    \"A 30% tax credit on wages for individuals whose primary place of employment is within a designated zone.\",\n    \"Student loan repayment assistance up to $100,000 for healthcare providers who commit to working in these zones.\",\n    \"Grants for mobile medical, dental, and mental health clinics to reach residents in need.\",\n    \"Funding for patient transportation to appointments and improved access to healthy food and housing.\",\n    \"Increased Medicare payments (5% to 10% bonus) for doctors and independent clinics operating in these zones.\",\n    \"Subsidies of up to $5 million for healthcare facilities to upgrade equipment or improve buildings.\"\n  ],\n  \"de_ai_title\": \"Gesetz über Gesundheitsinvestitionszonen – Bessere Versorgung für benachteiligte Regionen\",\n  \"de_summary\": \"Dieses Gesetz schafft spezielle Zonen in Gebieten mit schlechter Gesundheitsversorgung, um den Zugang zu Ärzten zu verbessern und Ungleichheiten abzubauen. Es bietet Steuererleichterungen für medizinisches Personal sowie Zuschüsse für moderne Geräte und Patiententransporte.\",\n  \"de_key_points\": [\n    \"Einrichtung von Gesundheitsinvestitionszonen in einkommensschwachen Gebieten mit Ärztemangel.\",\n    \"Einführung einer Steuergutschrift von 30 % auf Löhne für Beschäftigte in diesen ausgewiesenen Zonen.\",\n    \"Übernahme von Studienkrediten bis zu 100.000 USD für medizinisches Personal, das in den Zonen arbeitet.\",\n    \"Zuschüsse für mobile Kliniken (medizinisch, dental, psychologisch) und den Transport von Patienten zu Terminen.\",\n    \"Förderung des Zugangs zu gesunden Lebensmitteln, Erholung und hochwertigem Wohnraum in den Zonen.\",\n    \"Höhere Medicare-Vergütungen (Zuschläge von 5 % bis 10 %) für Ärzte und Kliniken in diesen Gebieten.\",\n    \"Möglichkeit von Zuschüssen bis zu 5 Millionen USD für medizinische Geräte oder Gebäudemodernisierungen.\"\n  ],\n  \"fr_ai_title\": \"Loi sur les zones d'investissement santé – Améliorer les soins dans les zones défavorisées\",\n  \"fr_summary\": \"Cette loi crée des zones spéciales dans les régions manquant de services médicaux pour améliorer la santé des habitants et réduire les inégalités. Elle propose des réductions d'impôts pour les soignants et des subventions pour moderniser les cliniques et faciliter le transport des patients.\",\n  \"fr_key_points\": [\n    \"Création de zones d'investissement santé dans les quartiers à faibles revenus ou en manque de médecins.\",\n    \"Crédit d'impôt de 30 % sur les salaires pour les personnes travaillant principalement dans ces zones.\",\n    \"Remboursement des prêts étudiants jusqu'à 100 000 $ pour les professionnels de santé s'engageant à y travailler.\",\n    \"Subventions pour des cliniques mobiles (médicales, dentaires, mentales) et le transport des patients.\",\n    \"Financement pour améliorer l'accès à une alimentation saine, aux loisirs et à des logements de qualité.\",\n    \"Augmentation des paiements Medicare (bonus de 5 % à 10 %) pour les soins dispensés dans ces zones.\",\n    \"Aides allant jusqu'à 5 millions $ pour l'achat d'équipement médical ou la rénovation de centres de soins.\"\n  ],\n  \"es_ai_title\": \"Ley de Zonas de Inversión en Salud – Mejor atención médica en comunidades necesitadas\",\n  \"es_summary\": \"Esta ley establece zonas especiales en áreas con mala salud pública para mejorar el acceso a médicos y reducir desigualdades. Ofrece beneficios fiscales a los trabajadores de la salud y fondos para mejorar las clínicas, el transporte y el acceso a alimentos sanos.\",\n  \"es_key_points\": [\n    \"Creación de Zonas de Inversión en Salud en áreas con bajos ingresos, baja esperanza de vida o escasez de médicos.\",\n    \"Crédito fiscal del 30% sobre los salarios para quienes tengan su lugar principal de trabajo en estas zonas.\",\n    \"Pago de préstamos estudiantiles de hasta $100,000 para profesionales de la salud que trabajen en estas áreas.\",\n    \"Subvenciones para clínicas móviles (médicas, dentales y mentales) y transporte de pacientes a sus citas.\",\n    \"Fondos para mejorar el acceso a comida saludable, áreas recreativas y vivienda de alta calidad.\",\n    \"Pagos más altos de Medicare (bonos del 5% al 10%) para médicos y clínicas independientes en las zonas.\",\n    \"Subvenciones de hasta $5 millones para que los centros de salud compren equipos o mejoren sus instalaciones.\"\n  ],\n  \"it_ai_title\": \"Legge sulle Zone di Investimento Sanitario – Migliorare l'assistenza nelle aree svantaggiate\",\n  \"it_summary\": \"Questa legge crea zone speciali in aree con scarsi servizi sanitari per garantire cure migliori ai cittadini e ridurre le disparità. Prevede agevolazioni fiscali per il personale medico e fondi per cliniche mobili, trasporti e attrezzature moderne.\",\n  \"it_key_points\": [\n    \"Istituzione di Zone di Investimento Sanitario in aree a basso reddito o con carenza di personale medico.\",\n    \"Credito d'imposta del 30% sui salari per chi lavora prevalentemente all'interno di queste zone.\",\n    \"Rimborso dei prestiti studenteschi fino a 100.000 dollari per i medici che scelgono di operare in queste aree.\",\n    \"Fondi per cliniche mobili (mediche, odontoiatriche, psichiatriche) e per il trasporto dei pazienti alle visite.\",\n    \"Finanziamenti per migliorare l'accesso a cibo sano, attività ricreative e alloggi di qualità nelle zone.\",\n    \"Aumento dei rimborsi Medicare (dal 5% al 10% in più) per le prestazioni fornite all'interno delle zone.\",\n    \"Contributi fino a 5 milioni di dollari per l'acquisto di macchinari medici o la ristrutturazione di cliniche.\"\n  ],\n  \"nl_ai_title\": \"Wet op Gezondheidsinvesteringszones – Betere zorg in achtergestelde regio's\",\n  \"nl_summary\": \"Deze wet voert speciale zones in voor gebieden met een tekort aan zorg om de gezondheid van bewoners te verbeteren. Het biedt belastingvoordelen voor zorgpersoneel en subsidies voor mobiele klinieken, patiëntenvervoer en moderne medische apparatuur.\",\n  \"nl_key_points\": [\n    \"Aanwijzing van Gezondheidsinvesteringszones in gebieden met lage inkomens of een tekort aan artsen.\",\n    \"Een belastingkorting van 30% op het loon voor werknemers die hoofdzakelijk in deze zones werken.\",\n    \"Terugbetaling van studieleningen tot $100.000 voor zorgverleners die zich in deze zones vestigen.\",\n    \"Subsidies voor mobiele klinieken (medisch, tandheelkundig, mentaal) en vervoer van patiënten naar afspraken.\",\n    \"Investeringen in toegang tot gezonde voeding, recreatie en kwalitatief goede huisvesting in de zones.\",\n    \"Hogere Medicare-vergoedingen (bonussen van 5% tot 10%) voor artsen en klinieken in deze gebieden.\",\n    \"Subsidies tot $5 miljoen voor de aanschaf van medische apparatuur of de renovatie van zorginstellingen.\"\n  ],\n  \"pt_ai_title\": \"Lei das Zonas de Investimento em Saúde – Melhorar os cuidados em áreas carenciadas\",\n  \"pt_summary\": \"Esta lei cria zonas especiais em regiões com falta de assistência médica para melhorar a saúde da população e reduzir desigualdades. Oferece benefícios fiscais para profissionais de saúde e subsídios para modernizar clínicas e facilitar o transporte de doentes.\",\n  \"pt_key_points\": [\n    \"Criação de Zonas de Inversão em Saúde em áreas de baixos rendimentos ou com falta de médicos.\",\n    \"Crédito fiscal de 30% sobre os salários para quem trabalha principalmente nestas zonas designadas.\",\n    \"Pagamento de empréstimos estudantis até 100.000 dólares para profissionais de saúde que trabalhem nestas áreas.\",\n    \"Subsídios para clínicas móveis (médicas, dentárias e mentais) e transporte de doentes para consultas.\",\n    \"Financiamento para melhorar o acesso a alimentação saudável, lazer e habitação de qualidade nas zonas.\",\n    \"Aumento dos pagamentos do Medicare (bónus de 5% a 10%) para médicos e clínicas que operem nestas zonas.\",\n    \"Apoios até 5 milhões de dólares para compra de equipamento médico ou renovação de instalações de saúde.\"\n  ],\n  \"category\": [\n    \"Health\",\n    \"Taxes\",\n    \"Local Government\"\n  ]\n}"
    },
    {
      "timestamp": "2026-03-12T12:28:20.694Z",
      "source_url": "https://www.congress.gov/119/bills/hr7496/BILLS-119hr7496ih.htm",
      "model": "gemini-flash-lite-latest",
      "prompt_sent": "\nROLE: Fact Checker.\nZADANIE: Porównaj SOURCE (oryginał) i SUMMARY (streszczenie przygotowane przez inne AI).\n\nTwoim celem jest wykrycie \"ZMYŚLONYCH KONKRETÓW\" (Fabricated Entities) w SUMMARY.\n\nSOURCE:\n[Congressional Bills 119th Congress] [From the U.S. Government Publishing Office] [H.R. 7496 Introduced in House (IH)] <DOC> 119th CONGRESS 2d Session H. R. 7496 To provide for the designation of areas as Health Investment Zones to reduce health disparities and improve health outcomes in such areas, and for other purposes. _______________________________________________________________________ IN THE HOUSE OF REPRESENTATIVES February 11, 2026 Mr. Harder of California introduced the following bill; which was referred to the Committee on Energy and Commerce, and in addition to the Committees on Ways and Means, and Education and Workforce, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned _______________________________________________________________________ A BILL To provide for the designation of areas as Health Investment Zones to reduce health disparities and improve health outcomes in such areas, and for other purposes. Be it enacted by the Senate and House of Representatives of the United States of America in Congress assembled, SECTION 1. SHORT TITLE. This Act may be cited as the ``Health Investment Zones Act of 2026''. SEC. 2. DESIGNATION OF HEALTH INVESTMENT ZONES. (a) Designation.-- (1) In general.--Not later than 2 years after the date of enactment of this Act, the Secretary shall, pursuant to applications submitted under subsection (c), designate areas as Health Investment Zones to reduce health disparities and improve health outcomes in such areas. (2) Eligibility of area.--To be designated as a Health Investment Zone under this section, an area shall-- (A) be a contiguous geographic area; and (B) have measurable and documented geographic health disparities and poor health outcomes, demonstrated by-- (i) average income below 150 percent of the Federal poverty line (as defined by the Office of Management and Budget based on the most recent data available from the Bureau of the Census); (ii) a rate of participation in the special supplemental nutrition program under section 17 of the Child Nutrition Act of 1966 (42 U.S.C. 1786) that is higher than the national average rate of participation in such program; (iii) lower life expectancy than the national average; (iv) a higher percentage of instances of low birth weight than the national average; or (v) designation under section 332 of the Public Health Service Act (42 U.S.C. 254e) as a health professional shortage area. (3) Publication of designee information.--Not later than 1 year after the date on which all areas are designated as Health Investment Zones under paragraph (1), the Secretary shall publish on the website of the Department of Health and Human Services-- (A) the name of each such Health Investment Zone, together with the names of each coalition partner; and (B) a description of all areas so designated. (b) Solicitation of Applications.--Not later than 1 year after the date of enactment of this Act, the Secretary shall solicit applications under subsection (c). (c) Submission of Applications.-- (1) In general.--To seek the designation of an area as a Health Investment Zone, a community-based nonprofit organization or local governmental agency, in coalition with health care providers, hospitals, nonprofit community health clinics, health centers, social service organizations, and other related organizations, shall submit an application to the Secretary. (2) Applications for grants.--As part of an application under this subsection, a community-based nonprofit organization or local governmental agency may include an application for a grant under section 4(a). Such community-based nonprofit organization or local governmental agency shall describe how the use of grant funds would be consistent with the plan submitted pursuant to subsection (d)(1) and whether such community-based nonprofit organization or local governmental agency intends to award subgrants or implement innovative public health strategies under section 4(b). (d) Contents.--An application under subsection (c) shall-- (1) include an effective and sustainable plan with respect to the area proposed for designation-- (A) to reduce health disparities; (B) to reduce the costs of, or to produce savings to, the health care system; (C) to improve health outcomes; and (D) to utilize one or more of the incentives established pursuant to section 5, section 51 of the Internal Revenue Code of 1986 (as amended by section 3(a)), for wages paid to qualified Health Investment Zone workers (as defined in section 51(d)(16) of such Code), section 25G of the Internal Revenue Code of 1986 (as added by section 3(b)), or subsection (ee) of section 1833 of the Social Security Act (42 U.S.C. 1395l) (as amended by section 6) to address health care provider capacity, improve health services delivery, effectuate community improvements, or conduct outreach and education efforts; and (2) identify specific diseases or indicators of health for improvement of health outcomes in such area, including at least 1 of the following: (A) Cardiovascular disease. (B) Asthma. (C) Diabetes. (D) Behavioral health. (E) Maternal and birth health. (F) Obesity. (e) Considerations.--The Secretary-- (1) shall consider geographic diversity, among other factors, in selecting areas for designation as Health Investment Zones; and (2) may conduct outreach efforts to encourage a geographically diverse pool of applicants, including for designating Health Investment Zones in rural areas. (f) Priority.--In selecting areas for designation as Health Investment Zones, the Secretary shall give higher priority to applications based on the extent to which an area demonstrates the following: (1) Support from, and participation of, key stakeholders in the area proposed for designation, including residents and local governments of such area. (2) A plan for long-term funding and sustainability. (3) Integration with any applicable State health improvement process or plan. (4) A plan for evaluation of the impact of designation of such area as a Health Investment Zone. (5) A plan to utilize existing State tax credits, grants, or other incentives to reduce health disparities and improve health outcomes in the proposed Health Investment Zone. (6) Such other factors as the Secretary determines are appropriate to demonstrate a commitment to reduce health disparities and improve health outcomes in such area. (g) Period of Designation.--The designation under this section of an area as a Health Investment Zone shall be in effect until the date that is 10 years after the date on which the first such area is so designated. SEC. 3. TAX INCENTIVES. (a) Work Opportunity Credit for Hiring Health Investment Zone Workers.-- (1) In general.--Section 51(d)(1) of the Internal Revenue Code of 1986 is amended by striking ``or'' at the end of subparagraph (I), by striking the period at the end of subparagraph (J) and inserting ``, or'', and by adding at the end the following new subparagraph: ``(K) a qualified Health Investment Zone worker, to the extent that the qualified first-year wages with respect to such worker are paid for qualified Health Investment Zone work.''. (2) Qualified health investment zone worker.--Section 51(d) of such Code is amended by adding at the end the following new paragraph: ``(16) Health investment zones.-- ``(A) Qualified health investment zone worker.--The term `qualified Health Investment Zone worker' means any individual who is certified by the designated local agency as having (as of the hiring date) a principal place of employment within a Health Investment Zone. ``(B) Qualified health investment zone work.--The term `qualified Health Investment Zone work' means employment by a Health Investment Zone practitioner, the primary official duties of such employment being to promote access to healthcare in a Health Investment Zone. ``(C) Related terms.--For purposes of this paragraph, the terms `Health Investment Zone' and `Health Investment Zone practitioner' have the same meaning given such terms under section 8 of the Health Investment Zones Act of 2026.''. (3) Effective date.--The amendments made by this subsection shall apply to amounts paid or incurred after the date of the enactment of this Act to individuals who begin work for the employer after such date. (b) Credit for Health Investment Zone Workers.-- (1) In general.--Subpart A of part IV of subchapter A of chapter 1 of the Internal Revenue Code of 1986, as amended by section 70411 of Public Law 119-21, is amended by inserting after section 25F the following new section: ``SEC. 25G. CREDIT FOR QUALIFIED HEALTH INVESTMENT ZONE WORKERS. ``(a) Allowance of Credit.--In the case of a qualified Health Investment Zone worker, there shall be allowed as a credit against the tax imposed by this chapter for a taxable year an amount equal to 30 percent of wages received for qualified Health Investment Zone work during such taxable year. ``(b) Definitions.--For purposes of this section-- ``(1) Qualified health investment zone worker.--The term `qualified Health Investment Zone worker' means, with respect to wages, an individual whose principal place of employment while earning such wages is within a Health Investment Zone (as such term is defined in section 8 of the Health Investment Zones Act of 2026). ``(2) Qualified health investment zone work.--The term `qualified Health Investment Zone work' has the same meaning given such term in section 51(d)(16)(B).''. (2) Clerical amendment.--The table of sections for subpart A of part IV of subchapter A of chapter 1 of such Code, as amended by section 70411 of Public Law 119-21, is amended by inserting after the item relating to section 25F the following new item: ``Sec. 25G. Credit for qualified Health Investment Zone workers.''. (3) Effective date.--The amendments made by this subsection shall apply to wages received after the date of the enactment of this Act. SEC. 4. GRANTS. (a) Authorization.--For each area designated as a Health Investment Zone, the Secretary may award a grant to the community-based nonprofit organization or local governmental agency that applied for such designation to support such applicant and its coalition partners in reducing health disparities and improving health outcomes in such area. (b) Use of Funds.--Programs and activities funded through a grant under this section shall be consistent with the grantee's plan submitted pursuant to section 2(d)(1) and may include the following: (1) Subgrants to health care practitioners.-- (A) In general.--For the purpose of improving or expanding the delivery of health care in the respective Health Investment Zone, the grantee may award subgrants to Health Investment Zone practitioners to defray costs related to innovative strategies listed in paragraph (2). (B) Eligibility.--To be eligible to receive a subgrant pursuant to subparagraph (A), a Health Investment Zone practitioner shall-- (i) own or lease a health care facility in the Health Investment Zone; or (ii) provide health care in such a facility. (C) Amount.--The amount of a subgrant under subparagraph (A) may not exceed the lesser of-- (i) $5,000,000; or (ii) 50 percent of the costs of the equipment, or capital or leasehold improvements. (2) Innovative strategies.--A grantee (or subgrantee) may use a grant received under this section (or a subgrant received under paragraph (1)) to implement innovative public health strategies in the respective Health Investment Zone, which strategies may include-- (A) internships and volunteer opportunities for students who reside in the Health Investment Zone; (B) funding resources to improve health care provider capacity to serve non-English speakers; (C) operation of medical, mental and behavioral health, and dental mobile clinics; (D) provision of transportation to and from medical appointments for patients; (E) funding resources to improve access to healthy food, recreation, and high-quality housing; (F) capital or leasehold improvements to a health care facility in the respective Health Investment Zone; and (G) medical or dental equipment to be used in such a facility. SEC. 5. STUDENT LOAN REPAYMENT PROGRAM. (a) In General.--The Secretary shall carry out a loan repayment program under which the Secretary enters into agreements with eligible Health Investment Zone practitioners to make payments on the principal and interest of the eligible educational loans of such practitioners for each year such practitioners agree to provide health care services in a Health Investment Zone. (b) Limitations.--In entering into loan repayment agreements under this section, the Secretary may not agree to-- (1) make payments for more than 10 years with respect to a practitioner; or (2) pay more than $10,000 per year, or more than a total of $100,000, with respect to a practitioner. (c) Relationship to Other Benefits.-- (1) Counting of payments.--A payment made to, or on behalf of, an eligible Health Investment Zone practitioner under this section shall be considered a qualifying payment counted toward any total number of required payments for forgiveness or cancellation on an otherwise applicable student loan plan or program under the Higher Education Act of 1965 or the Public Health Service Act, such as under subsection (m) or (q) of section 455 or section 493C of the Higher Education Act of 1965 (20 U.S.C. 1087e; 1098e). (2) No double payments.--No borrower may, for the same service, receive a payment for an eligible educational loan under-- (A) this section; and (B) another federally supported loan program that provides a payment to, or on behalf of, that borrower. (3) No reimbursement.--An eligible Health Investment Zone practitioner shall not receive a payment or reimbursement under this section for an eligible educational loan that has been forgiven, cancelled, or repaid. (d) Definitions.--In this section: (1) Eligible educational loan.--The term ``eligible educational loan'' means any federally funded or guaranteed student loan, as determined appropriate by the Secretary, in consultation with the Secretary of Education. (2) Eligible health investment zone practitioner.--The term ``eligible Health Investment Zone practitioner'' means a Health Investment Zone practitioner who-- (A) agrees to provide full-time health care services in a Health Investment Zone for a specified period that is not less than 1 year; and (B) has 1 or more eligible educational loans. SEC. 6. INCENTIVE PAYMENTS FOR MEDICARE PART B ITEMS AND SERVICES FURNISHED IN HEALTH INVESTMENT ZONES. Section 1833 of the Social Security Act (42 U.S.C. 1395l) is amended by adding at the end the following new subsection: ``(ee) Incentive Payments for Items and Services Furnished in Health Investment Zones.-- ``(1) In general.--In the case of items and services furnished under this part in an area that is designated as a Health Investment Zone under section 2(a)(1) of the Health Investment Zones Act of 2026, in addition to the amount of payment that would otherwise be made for such items and services under this part, there also shall be paid (on a monthly or quarterly basis)-- ``(A) an amount equal to 10 percent of the payment amount for the item or service under this part; ``(B) for such an item or service furnished at a freestanding physician office or clinic (as defined in paragraph (2)) or a Federally qualified health center (as defined in section 1861(aa)(3)), in addition to any applicable additional payment amount under this paragraph, an amount equal to 5 percent of the payment amount for the item or service under this part; and ``(C) for an annual wellness visit (HCPCS codes G0438-G0439), diabetes self-management training (CPT codes 98960-98962), chronic care management (CPT codes 99487-99491), and a preventative screening such as a mammography or colorectal cancer screening, in addition to any applicable additional payment amount under this paragraph, an amount equal to 10 percent of the payment amount for such item or service under this part. ``(2) Definition of freestanding physician office or clinic.--In this subsection, the term `freestanding physician office or clinic' means a clinic that-- ``(A) bills by place of service code 11 (office) or 22 (independent clinic) in the physician fee schedule under section 1848; and ``(B) is not directly or indirectly owned or controlled by a hospital system enrolled in the Medicare Provider Enrollment, Chain, and Ownership System (commonly referred to as `PECOS'). ``(3) Coordination with other payments.--The amount of the additional payment for an item or a service under this subsection and subsection (m) shall be determined without regard to any additional payment for the item or service under subsection (m) and this subsection, respectively. The amount of the additional payment for an item or a service under this subsection and subsection (z) shall be determined without regard to any additional payment for the item or service under subsection (z) and this subsection, respectively.''. SEC. 7. REPORTING. (a) In General.--Not later than the day that is 10 years after the first Health Investment Zone is designated, the Secretary shall submit to Congress a report on the implementation of this Act (and the amendments made by this Act) and the results thereof. (b) Contents.--Each report under subsection (a) shall-- (1) specify the number and types of incentives provided pursuant to this Act in each Health Investment Zone; and (2) include evidence of the extent to which the incentives utilized by each Health Investment Zone have-- (A) succeeded-- (i) in attracting health care practitioners to practice in Health Investment Zones; (ii) in reducing health disparities and improving health outcomes in Health Investment Zones; and (iii) in reducing health costs and hospital admissions and readmissions in Health Investment Zones; and (B) impacted access to primary care services and utilization of emergency room services. SEC. 8. DEFINITIONS. In this Act: (1) The term ``Health Investment Zone'' means an area designated under section 2 as a Health Investment Zone. (2) The term ``Health Investment Zone practitioner'' means a health care practitioner who-- (A) is licensed or certified in accordance with applicable State law to treat patients in the applicable Health Investment Zone; (B) provides-- (i) primary care, which may include obstetrics, gynecological services, pediatric services, or geriatric services; (ii) behavioral health services, which may include mental health or substance use disorder services; or (iii) dental services; and (C) is a participating provider of services or supplier under the Medicare program under title XVIII of the Social Security Act (42 U.S.C. 1395 et seq.) or a participating provider under a State plan under title XIX of such Act (42 U.S.C. 1396 et seq.). (3) The term ``Secretary'' means the Secretary of Health and Human Services. SEC. 9. AUTHORIZATION OF APPROPRIATIONS. To carry out this Act, there is authorized to be appropriated such sums as may be necessary for the period beginning on the date of enactment of this Act and ending on the last day of the 10-year period that begins on the date on which the first Health Investment Zone is designated. <all>\n\nSUMMARY TO EVALUATE:\nTitle: Health Investment Zones Act – Improving Healthcare in Underserved Communities\nSummary: This bill creates special zones in areas with poor health outcomes to provide better medical care and reduce health disparities. It offers tax breaks for healthcare workers and grants for local clinics to improve services, equipment, and patient access.\nKey Points: Designation of Health Investment Zones in areas with low income, low life expectancy, or doctor shortages., A 30% tax credit on wages for individuals whose primary place of employment is within a designated zone., Student loan repayment assistance up to $100,000 for healthcare providers who commit to working in these zones., Grants for mobile medical, dental, and mental health clinics to reach residents in need., Funding for patient transportation to appointments and improved access to healthy food and housing., Increased Medicare payments (10% to 25% bonus) for doctors and independent clinics operating in these zones., Subsidies of up to $5 million for healthcare facilities to upgrade equipment or improve buildings.\n\nZASADY OCENY:\n1. Sprawdź wszystkie LICZBY, DATY i KWOTY w SUMMARY. Jeśli którejś brakuje w SOURCE -> is_valid: false.\n2. Sprawdź wszystkie NAZWISKA, ORGANIZACJE i MIEJSCA w SUMMARY. Jeśli którejś brakuje w SOURCE -> is_valid: false.\n3. Sprawdź wszystkie konkretne DZIAŁANIA PRAWNE . Jeśli tego mechanizmu nie ma w SOURCE -> is_valid: false.\n\nWAŻNE: Abstrakcyjne pojęcia (np. \"transparentność\", \"zaufanie\") są dozwolone jako wnioski.\n\nOUTPUT (JSON):\n{\n  \"is_valid\": true/false,\n  \"issue\": \"fabricated_entity\" / \"contradiction\" / \"none\"\n}\n\nWYMAGANIA FORMATOWANIA:\n1. Odpowiedz WYŁĄCZNIE surowym obiektem JSON.\n2. NIE używaj bloków kodu Markdown.\n3. NIE dodawaj żadnych wstępów ani wyjaśnień przed ani po JSONie.\n4. JSON musi być poprawny i gotowy do parsowania.\n\n",
      "ai_response_raw": "{\n  \"is_valid\": false,\n  \"issue\": \"fabricated_entity\"\n}"
    },
    {
      "timestamp": "2026-03-12T12:15:55.301Z",
      "source_url": "https://www.congress.gov/119/bills/hr7496/BILLS-119hr7496ih.htm",
      "model": "gemini-flash-latest",
      "prompt_sent": "\nJesteś ekspertem od prawa Stanów Zjednoczonych, który ma za zadanie analizować dokumenty ustaw, uchwał oraz innych dokumentów legislacyjnych, a następnie przygotowywać z nich informacje w przystępny sposób dla obywateli. Twoim celem jest przedstawienie informacji tak, aby obywatele mogli sami ocenić wpływ legislacji na ich życie, nawet bez posiadania specjalistycznej wiedzy legislacyjnej. Skup się na faktach i obiektywnych skutkach wprowadzanych zmian, unikając wartościowania i osobistych opinii. Wszelki żargon prawny jest zabroniony. Prezentuj informacje w jasny, zwięzły i angażujący sposób, tak aby były zrozumiałe dla osoby bez wykształcenia prawniczego. Unikaj długich, złożonych zdań. Zamiast pisać \"projekt ma na celu nowelizację kodeksu podatkowego...\", napisz \"Zmiany w podatkach: nowe ulgi i obowiązki dla...\". Kontynuuj swoją pracę, dopóki nie rozwiążesz swojego zadania. Jeśli nie masz pewności co do generowanej treści, przeanalizuj dokument ponownie – nie zgaduj. Rozplanuj dobrze swoje zadanie przed przystąpieniem do niego. W podsumowaniu i kluczowych punktach, jeśli to możliwe i uzasadnione, podkreśl, jakie konkretne korzyści lub skutki (pozytywne lub negatywne) wprowadza ustawa dla życia codziennego obywateli, ich praw i obowiązków, finansów osobistych, bezpieczeństwa i innych ważnych kwestii (np. kategorycznych zakazów i nakazów czy najważniejszych konkretnych alokacji finansowych i terytorialnych).\n\nTwoja odpowiedź MUSI być w formacie JSON - i zawierać następujące klucze.\nZanim zwrócisz odpowiedź, dokładnie zweryfikuj, czy cała struktura JSON jest w 100% poprawna, włącznie ze wszystkimi przecinkami, nawiasami klamrowymi, kwadratowymi oraz cudzysłowami. Błędny JSON jest nieakceptowalny i uniemożliwi przetworzenie Twojej pracy.\n\nPrzeanalizuj dokładnie poniższy tekst dokumentu prawnego. To jest treść, na podstawie której masz wygenerować podsumowanie i kluczowe punkty:\n--- POCZĄTEK DOKUMENTU ---\n[Congressional Bills 119th Congress] [From the U.S. Government Publishing Office] [H.R. 7496 Introduced in House (IH)] <DOC> 119th CONGRESS 2d Session H. R. 7496 To provide for the designation of areas as Health Investment Zones to reduce health disparities and improve health outcomes in such areas, and for other purposes. _______________________________________________________________________ IN THE HOUSE OF REPRESENTATIVES February 11, 2026 Mr. Harder of California introduced the following bill; which was referred to the Committee on Energy and Commerce, and in addition to the Committees on Ways and Means, and Education and Workforce, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned _______________________________________________________________________ A BILL To provide for the designation of areas as Health Investment Zones to reduce health disparities and improve health outcomes in such areas, and for other purposes. Be it enacted by the Senate and House of Representatives of the United States of America in Congress assembled, SECTION 1. SHORT TITLE. This Act may be cited as the ``Health Investment Zones Act of 2026''. SEC. 2. DESIGNATION OF HEALTH INVESTMENT ZONES. (a) Designation.-- (1) In general.--Not later than 2 years after the date of enactment of this Act, the Secretary shall, pursuant to applications submitted under subsection (c), designate areas as Health Investment Zones to reduce health disparities and improve health outcomes in such areas. (2) Eligibility of area.--To be designated as a Health Investment Zone under this section, an area shall-- (A) be a contiguous geographic area; and (B) have measurable and documented geographic health disparities and poor health outcomes, demonstrated by-- (i) average income below 150 percent of the Federal poverty line (as defined by the Office of Management and Budget based on the most recent data available from the Bureau of the Census); (ii) a rate of participation in the special supplemental nutrition program under section 17 of the Child Nutrition Act of 1966 (42 U.S.C. 1786) that is higher than the national average rate of participation in such program; (iii) lower life expectancy than the national average; (iv) a higher percentage of instances of low birth weight than the national average; or (v) designation under section 332 of the Public Health Service Act (42 U.S.C. 254e) as a health professional shortage area. (3) Publication of designee information.--Not later than 1 year after the date on which all areas are designated as Health Investment Zones under paragraph (1), the Secretary shall publish on the website of the Department of Health and Human Services-- (A) the name of each such Health Investment Zone, together with the names of each coalition partner; and (B) a description of all areas so designated. (b) Solicitation of Applications.--Not later than 1 year after the date of enactment of this Act, the Secretary shall solicit applications under subsection (c). (c) Submission of Applications.-- (1) In general.--To seek the designation of an area as a Health Investment Zone, a community-based nonprofit organization or local governmental agency, in coalition with health care providers, hospitals, nonprofit community health clinics, health centers, social service organizations, and other related organizations, shall submit an application to the Secretary. (2) Applications for grants.--As part of an application under this subsection, a community-based nonprofit organization or local governmental agency may include an application for a grant under section 4(a). Such community-based nonprofit organization or local governmental agency shall describe how the use of grant funds would be consistent with the plan submitted pursuant to subsection (d)(1) and whether such community-based nonprofit organization or local governmental agency intends to award subgrants or implement innovative public health strategies under section 4(b). (d) Contents.--An application under subsection (c) shall-- (1) include an effective and sustainable plan with respect to the area proposed for designation-- (A) to reduce health disparities; (B) to reduce the costs of, or to produce savings to, the health care system; (C) to improve health outcomes; and (D) to utilize one or more of the incentives established pursuant to section 5, section 51 of the Internal Revenue Code of 1986 (as amended by section 3(a)), for wages paid to qualified Health Investment Zone workers (as defined in section 51(d)(16) of such Code), section 25G of the Internal Revenue Code of 1986 (as added by section 3(b)), or subsection (ee) of section 1833 of the Social Security Act (42 U.S.C. 1395l) (as amended by section 6) to address health care provider capacity, improve health services delivery, effectuate community improvements, or conduct outreach and education efforts; and (2) identify specific diseases or indicators of health for improvement of health outcomes in such area, including at least 1 of the following: (A) Cardiovascular disease. (B) Asthma. (C) Diabetes. (D) Behavioral health. (E) Maternal and birth health. (F) Obesity. (e) Considerations.--The Secretary-- (1) shall consider geographic diversity, among other factors, in selecting areas for designation as Health Investment Zones; and (2) may conduct outreach efforts to encourage a geographically diverse pool of applicants, including for designating Health Investment Zones in rural areas. (f) Priority.--In selecting areas for designation as Health Investment Zones, the Secretary shall give higher priority to applications based on the extent to which an area demonstrates the following: (1) Support from, and participation of, key stakeholders in the area proposed for designation, including residents and local governments of such area. (2) A plan for long-term funding and sustainability. (3) Integration with any applicable State health improvement process or plan. (4) A plan for evaluation of the impact of designation of such area as a Health Investment Zone. (5) A plan to utilize existing State tax credits, grants, or other incentives to reduce health disparities and improve health outcomes in the proposed Health Investment Zone. (6) Such other factors as the Secretary determines are appropriate to demonstrate a commitment to reduce health disparities and improve health outcomes in such area. (g) Period of Designation.--The designation under this section of an area as a Health Investment Zone shall be in effect until the date that is 10 years after the date on which the first such area is so designated. SEC. 3. TAX INCENTIVES. (a) Work Opportunity Credit for Hiring Health Investment Zone Workers.-- (1) In general.--Section 51(d)(1) of the Internal Revenue Code of 1986 is amended by striking ``or'' at the end of subparagraph (I), by striking the period at the end of subparagraph (J) and inserting ``, or'', and by adding at the end the following new subparagraph: ``(K) a qualified Health Investment Zone worker, to the extent that the qualified first-year wages with respect to such worker are paid for qualified Health Investment Zone work.''. (2) Qualified health investment zone worker.--Section 51(d) of such Code is amended by adding at the end the following new paragraph: ``(16) Health investment zones.-- ``(A) Qualified health investment zone worker.--The term `qualified Health Investment Zone worker' means any individual who is certified by the designated local agency as having (as of the hiring date) a principal place of employment within a Health Investment Zone. ``(B) Qualified health investment zone work.--The term `qualified Health Investment Zone work' means employment by a Health Investment Zone practitioner, the primary official duties of such employment being to promote access to healthcare in a Health Investment Zone. ``(C) Related terms.--For purposes of this paragraph, the terms `Health Investment Zone' and `Health Investment Zone practitioner' have the same meaning given such terms under section 8 of the Health Investment Zones Act of 2026.''. (3) Effective date.--The amendments made by this subsection shall apply to amounts paid or incurred after the date of the enactment of this Act to individuals who begin work for the employer after such date. (b) Credit for Health Investment Zone Workers.-- (1) In general.--Subpart A of part IV of subchapter A of chapter 1 of the Internal Revenue Code of 1986, as amended by section 70411 of Public Law 119-21, is amended by inserting after section 25F the following new section: ``SEC. 25G. CREDIT FOR QUALIFIED HEALTH INVESTMENT ZONE WORKERS. ``(a) Allowance of Credit.--In the case of a qualified Health Investment Zone worker, there shall be allowed as a credit against the tax imposed by this chapter for a taxable year an amount equal to 30 percent of wages received for qualified Health Investment Zone work during such taxable year. ``(b) Definitions.--For purposes of this section-- ``(1) Qualified health investment zone worker.--The term `qualified Health Investment Zone worker' means, with respect to wages, an individual whose principal place of employment while earning such wages is within a Health Investment Zone (as such term is defined in section 8 of the Health Investment Zones Act of 2026). ``(2) Qualified health investment zone work.--The term `qualified Health Investment Zone work' has the same meaning given such term in section 51(d)(16)(B).''. (2) Clerical amendment.--The table of sections for subpart A of part IV of subchapter A of chapter 1 of such Code, as amended by section 70411 of Public Law 119-21, is amended by inserting after the item relating to section 25F the following new item: ``Sec. 25G. Credit for qualified Health Investment Zone workers.''. (3) Effective date.--The amendments made by this subsection shall apply to wages received after the date of the enactment of this Act. SEC. 4. GRANTS. (a) Authorization.--For each area designated as a Health Investment Zone, the Secretary may award a grant to the community-based nonprofit organization or local governmental agency that applied for such designation to support such applicant and its coalition partners in reducing health disparities and improving health outcomes in such area. (b) Use of Funds.--Programs and activities funded through a grant under this section shall be consistent with the grantee's plan submitted pursuant to section 2(d)(1) and may include the following: (1) Subgrants to health care practitioners.-- (A) In general.--For the purpose of improving or expanding the delivery of health care in the respective Health Investment Zone, the grantee may award subgrants to Health Investment Zone practitioners to defray costs related to innovative strategies listed in paragraph (2). (B) Eligibility.--To be eligible to receive a subgrant pursuant to subparagraph (A), a Health Investment Zone practitioner shall-- (i) own or lease a health care facility in the Health Investment Zone; or (ii) provide health care in such a facility. (C) Amount.--The amount of a subgrant under subparagraph (A) may not exceed the lesser of-- (i) $5,000,000; or (ii) 50 percent of the costs of the equipment, or capital or leasehold improvements. (2) Innovative strategies.--A grantee (or subgrantee) may use a grant received under this section (or a subgrant received under paragraph (1)) to implement innovative public health strategies in the respective Health Investment Zone, which strategies may include-- (A) internships and volunteer opportunities for students who reside in the Health Investment Zone; (B) funding resources to improve health care provider capacity to serve non-English speakers; (C) operation of medical, mental and behavioral health, and dental mobile clinics; (D) provision of transportation to and from medical appointments for patients; (E) funding resources to improve access to healthy food, recreation, and high-quality housing; (F) capital or leasehold improvements to a health care facility in the respective Health Investment Zone; and (G) medical or dental equipment to be used in such a facility. SEC. 5. STUDENT LOAN REPAYMENT PROGRAM. (a) In General.--The Secretary shall carry out a loan repayment program under which the Secretary enters into agreements with eligible Health Investment Zone practitioners to make payments on the principal and interest of the eligible educational loans of such practitioners for each year such practitioners agree to provide health care services in a Health Investment Zone. (b) Limitations.--In entering into loan repayment agreements under this section, the Secretary may not agree to-- (1) make payments for more than 10 years with respect to a practitioner; or (2) pay more than $10,000 per year, or more than a total of $100,000, with respect to a practitioner. (c) Relationship to Other Benefits.-- (1) Counting of payments.--A payment made to, or on behalf of, an eligible Health Investment Zone practitioner under this section shall be considered a qualifying payment counted toward any total number of required payments for forgiveness or cancellation on an otherwise applicable student loan plan or program under the Higher Education Act of 1965 or the Public Health Service Act, such as under subsection (m) or (q) of section 455 or section 493C of the Higher Education Act of 1965 (20 U.S.C. 1087e; 1098e). (2) No double payments.--No borrower may, for the same service, receive a payment for an eligible educational loan under-- (A) this section; and (B) another federally supported loan program that provides a payment to, or on behalf of, that borrower. (3) No reimbursement.--An eligible Health Investment Zone practitioner shall not receive a payment or reimbursement under this section for an eligible educational loan that has been forgiven, cancelled, or repaid. (d) Definitions.--In this section: (1) Eligible educational loan.--The term ``eligible educational loan'' means any federally funded or guaranteed student loan, as determined appropriate by the Secretary, in consultation with the Secretary of Education. (2) Eligible health investment zone practitioner.--The term ``eligible Health Investment Zone practitioner'' means a Health Investment Zone practitioner who-- (A) agrees to provide full-time health care services in a Health Investment Zone for a specified period that is not less than 1 year; and (B) has 1 or more eligible educational loans. SEC. 6. INCENTIVE PAYMENTS FOR MEDICARE PART B ITEMS AND SERVICES FURNISHED IN HEALTH INVESTMENT ZONES. Section 1833 of the Social Security Act (42 U.S.C. 1395l) is amended by adding at the end the following new subsection: ``(ee) Incentive Payments for Items and Services Furnished in Health Investment Zones.-- ``(1) In general.--In the case of items and services furnished under this part in an area that is designated as a Health Investment Zone under section 2(a)(1) of the Health Investment Zones Act of 2026, in addition to the amount of payment that would otherwise be made for such items and services under this part, there also shall be paid (on a monthly or quarterly basis)-- ``(A) an amount equal to 10 percent of the payment amount for the item or service under this part; ``(B) for such an item or service furnished at a freestanding physician office or clinic (as defined in paragraph (2)) or a Federally qualified health center (as defined in section 1861(aa)(3)), in addition to any applicable additional payment amount under this paragraph, an amount equal to 5 percent of the payment amount for the item or service under this part; and ``(C) for an annual wellness visit (HCPCS codes G0438-G0439), diabetes self-management training (CPT codes 98960-98962), chronic care management (CPT codes 99487-99491), and a preventative screening such as a mammography or colorectal cancer screening, in addition to any applicable additional payment amount under this paragraph, an amount equal to 10 percent of the payment amount for such item or service under this part. ``(2) Definition of freestanding physician office or clinic.--In this subsection, the term `freestanding physician office or clinic' means a clinic that-- ``(A) bills by place of service code 11 (office) or 22 (independent clinic) in the physician fee schedule under section 1848; and ``(B) is not directly or indirectly owned or controlled by a hospital system enrolled in the Medicare Provider Enrollment, Chain, and Ownership System (commonly referred to as `PECOS'). ``(3) Coordination with other payments.--The amount of the additional payment for an item or a service under this subsection and subsection (m) shall be determined without regard to any additional payment for the item or service under subsection (m) and this subsection, respectively. The amount of the additional payment for an item or a service under this subsection and subsection (z) shall be determined without regard to any additional payment for the item or service under subsection (z) and this subsection, respectively.''. SEC. 7. REPORTING. (a) In General.--Not later than the day that is 10 years after the first Health Investment Zone is designated, the Secretary shall submit to Congress a report on the implementation of this Act (and the amendments made by this Act) and the results thereof. (b) Contents.--Each report under subsection (a) shall-- (1) specify the number and types of incentives provided pursuant to this Act in each Health Investment Zone; and (2) include evidence of the extent to which the incentives utilized by each Health Investment Zone have-- (A) succeeded-- (i) in attracting health care practitioners to practice in Health Investment Zones; (ii) in reducing health disparities and improving health outcomes in Health Investment Zones; and (iii) in reducing health costs and hospital admissions and readmissions in Health Investment Zones; and (B) impacted access to primary care services and utilization of emergency room services. SEC. 8. DEFINITIONS. In this Act: (1) The term ``Health Investment Zone'' means an area designated under section 2 as a Health Investment Zone. (2) The term ``Health Investment Zone practitioner'' means a health care practitioner who-- (A) is licensed or certified in accordance with applicable State law to treat patients in the applicable Health Investment Zone; (B) provides-- (i) primary care, which may include obstetrics, gynecological services, pediatric services, or geriatric services; (ii) behavioral health services, which may include mental health or substance use disorder services; or (iii) dental services; and (C) is a participating provider of services or supplier under the Medicare program under title XVIII of the Social Security Act (42 U.S.C. 1395 et seq.) or a participating provider under a State plan under title XIX of such Act (42 U.S.C. 1396 et seq.). (3) The term ``Secretary'' means the Secretary of Health and Human Services. SEC. 9. AUTHORIZATION OF APPROPRIATIONS. To carry out this Act, there is authorized to be appropriated such sums as may be necessary for the period beginning on the date of enactment of this Act and ending on the last day of the 10-year period that begins on the date on which the first Health Investment Zone is designated. <all>\n--- KONIEC DOKUMENTU ---\n\nPAMIĘTAJ: Twoja odpowiedź MUSI być wyłącznie poprawnym obiektem JSON. Nie dodawaj żadnych dodatkowych znaków, komentarzy ani tekstu przed znacznikiem '{' ani po znaczniku '}'. Cała odpowiedź musi być parsowalna jako JSON.\nNa podstawie POWYŻSZEGO dokumentu, wypełnij poniższą strukturę JSON:\nOto struktura JSON, której oczekuję (wypełnij ją treścią):\n{\n  \"pl_ai_title\": \"Nowy, krótki tytuł dla aktu prawnego po polsku, oddający sedno wprowadzanych zmian (np. maksymalnie 10-12 słów).\",\n  \"pl_summary\": \"2-3 zdania zwięzłego podsumowania treści aktu prawnego po polsku, napisane z perspektywy wpływu na życie codzienne obywateli.\",\n  \"pl_key_points\": [\n    \"Pierwszy krótki punkt po polsku dotyczący najważniejszych wprowadzanych rozwiązań lub zmian.\",\n    \"Drugi krótki punkt po polsku...\"\n  ],\n  \"eng_ai_title\": \"A new, short title for the legal act in English, capturing the essence of the changes (e.g., max 10-12 words).\",\n  \"eng_summary\": \"2-3 sentences summarizing the legal act in English, from the perspective of its impact on citizens' daily lives.\",\n  \"eng_key_points\": [\n    \"First short bullet point in English regarding the most important solutions or changes being introduced.\",\n    \"Second short bullet point in English...\"\n  ],\n  \"de_ai_title\": \"Ein neuer, kurzer Titel für das Rechtsdokument auf Deutsch, der den Kern der Änderungen erfasst (z.B. max. 10-12 Wörter).\",\n  \"de_summary\": \"2-3 Sätze Zusammenfassung des Rechtsdokuments auf Deutsch, aus der Perspektive seiner Auswirkungen auf das tägliche Leben der Bürger.\",\n  \"de_key_points\": [\n    \"Erster kurzer Stichpunkt auf Deutsch zu den wichtigsten eingeführten Lösungen oder Änderungen.\",\n    \"Zweiter kurzer Stichpunkt auf Deutsch...\"\n  ],\n  \"fr_ai_title\": \"Un nouveau titre court pour l'acte juridique en français, saisissant l'essence des changements (par exemple, 10-12 mots maximum).\",\n  \"fr_summary\": \"Résumé de 2-3 phrases de l'acte juridique en français, du point de vue de son impact sur la vie quotidienne des citoyens.\",\n  \"fr_key_points\": [\n    \"Premier court point en français concernant les solutions ou changements les plus importants introduits.\",\n    \"Deuxième court point en français...\"\n  ],\n  \"es_ai_title\": \"Un nuevo título breve para el acto jurídico en español, que recoja la esencia de los cambios (por ejemplo, máximo 10-12 palabras).\",\n  \"es_summary\": \"Resumen de 2-3 frases del acto jurídico en español, desde la perspectiva de su impacto en la vida cotidiana de los ciudadanos.\",\n  \"es_key_points\": [\n    \"Primer punto breve en español sobre las soluciones o cambios más importantes que se introducen.\",\n    \"Segundo punto breve en español...\"\n  ],\n  \"it_ai_title\": \"Un nuovo titolo breve per l'atto giuridico in italiano, che colga l'essenza delle modifiche (ad es. massimo 10-12 parole).\",\n  \"it_summary\": \"Riepilogo di 2-3 frasi dell'atto giuridico in italiano, dal punto di vista del suo impatto sulla vita quotidiana dei cittadini.\",\n  \"it_key_points\": [\n    \"Primo breve punto in italiano riguardante le soluzioni o le modifiche più importanti introdotte.\",\n    \"Secondo breve punto in italiano...\"\n  ],\n  \"nl_ai_title\": \"Een nieuwe, korte titel voor de rechtshandeling in het Nederlands, die de essentie van de wijzigingen weergeeft (bijv. max. 10-12 woorden).\",\n  \"nl_summary\": \"Samenvatting van 2-3 zinnen van de rechtshandeling in het Nederlands, vanuit het perspectief van de impact op het dagelijks leven van burgers.\",\n  \"nl_key_points\": [\n    \"Eerste korte punt in het Nederlands betreffende de belangrijkste geïntroduceerde oplossingen of wijzigingen.\",\n    \"Tweede korte punt in het Nederlands...\"\n  ],\n  \"pt_ai_title\": \"Um novo título curto para o ato jurídico em português, capturando a essência das mudanças (por exemplo, máx. 10-12 palavras).\",\n  \"pt_summary\": \"Resumo de 2-3 frases do ato jurídico em português, na perspetiva do seu impacto na vida quotidiana dos cidadãos.\",\n  \"pt_key_points\": [\n    \"Primeiro ponto curto em português sobre as soluções ou alterações mais importantes introduzidas.\",\n    \"Segundo ponto curto em português...\"\n  ],\n  \"category\": [\"Categorize the document into one category by default, based on the field it primarily concerns. Choose up to 3 if the document also touches upon SIGNIFICANT issues from other categories. You MUST select categories ONLY from the following list: Health, Education, Family, Taxes, Labor, Security, Environment, Courts and Law, Transport, Benefits, Real Estate, Media and Culture, Local Government, Migration, Agriculture, Public Investments, Informatization, Economy. If the document does not definitively fit any of these, you MUST use \"Other\". If you use \"Other\", it should be the ONLY category selected. Do NOT invent new categories. The response must be an array of strings, e.g., [\"Taxes\", \"Family\"].\"]\n}\n\n",
      "ai_response_raw": "{\n  \"pl_ai_title\": \"Ustawa o Strefach Inwestycji Zdrowotnych – lepsza opieka w uboższych regionach\",\n  \"pl_summary\": \"Ustawa tworzy specjalne strefy w miejscach o utrudnionym dostępie do lekarzy, aby poprawić zdrowie mieszkańców i zmniejszyć nierówności. Przewiduje ona ulgi podatkowe dla pracowników medycznych oraz dotacje na nowoczesny sprzęt, transport pacjentów i mobilne kliniki.\",\n  \"pl_key_points\": [\n    \"Tworzenie Stref Inwestycji Zdrowotnych w regionach o niskich dochodach, niskiej średniej długości życia lub braku lekarzy.\",\n    \"Wprowadzenie 30% ulgi podatkowej od zarobków dla osób pracujących w wyznaczonych strefach zdrowia.\",\n    \"Program spłaty kredytów studenckich dla lekarzy i personelu medycznego (do 100 000 USD) w zamian za pracę w strefie.\",\n    \"Dotacje na mobilne kliniki (medyczne, dentystyczne, psychologiczne) oraz transport pacjentów na wizyty.\",\n    \"Finansowanie poprawy dostępu do zdrowej żywności, rekreacji oraz wysokiej jakości mieszkań w strefach.\",\n    \"Wyższe o 10-25% stawki zwrotu z Medicare dla lekarzy i przychodni działających na terenie stref.\",\n    \"Możliwość uzyskania do 5 milionów USD dotacji na zakup nowoczesnego sprzętu medycznego lub remont placówki.\"\n  ],\n  \"eng_ai_title\": \"Health Investment Zones Act – Improving Healthcare in Underserved Communities\",\n  \"eng_summary\": \"This bill creates special zones in areas with poor health outcomes to provide better medical care and reduce health disparities. It offers tax breaks for healthcare workers and grants for local clinics to improve services, equipment, and patient access.\",\n  \"eng_key_points\": [\n    \"Designation of Health Investment Zones in areas with low income, low life expectancy, or doctor shortages.\",\n    \"A 30% tax credit on wages for individuals whose primary place of employment is within a designated zone.\",\n    \"Student loan repayment assistance up to $100,000 for healthcare providers who commit to working in these zones.\",\n    \"Grants for mobile medical, dental, and mental health clinics to reach residents in need.\",\n    \"Funding for patient transportation to appointments and improved access to healthy food and housing.\",\n    \"Increased Medicare payments (10% to 25% bonus) for doctors and independent clinics operating in these zones.\",\n    \"Subsidies of up to $5 million for healthcare facilities to upgrade equipment or improve buildings.\"\n  ],\n  \"de_ai_title\": \"Gesetz über Gesundheitsinvestitionszonen – Bessere Versorgung für benachteiligte Regionen\",\n  \"de_summary\": \"Dieses Gesetz schafft spezielle Zonen in Gebieten mit schlechter Gesundheitsversorgung, um den Zugang zu Ärzten zu verbessern und Ungleichheiten abzubauen. Es bietet Steuererleichterungen für medizinisches Personal sowie Zuschüsse für moderne Geräte und Patiententransporte.\",\n  \"de_key_points\": [\n    \"Einrichtung von Gesundheitsinvestitionszonen in einkommensschwachen Gebieten mit Ärztemangel.\",\n    \"Einführung einer Steuergutschrift von 30 % auf Löhne für Beschäftigte in diesen ausgewiesenen Zonen.\",\n    \"Übernahme von Studienkrediten bis zu 100.000 USD für medizinisches Personal, das in den Zonen arbeitet.\",\n    \"Zuschüsse für mobile Kliniken (medizinisch, dental, psychologisch) und den Transport von Patienten zu Terminen.\",\n    \"Förderung des Zugangs zu gesunden Lebensmitteln, Erholung und hochwertigem Wohnraum in den Zonen.\",\n    \"Höhere Medicare-Vergütungen (Zuschläge von 10 % bis 25 %) für Ärzte und Kliniken in diesen Gebieten.\",\n    \"Möglichkeit von Zuschüssen bis zu 5 Millionen USD für medizinische Geräte oder Gebäudemodernisierungen.\"\n  ],\n  \"fr_ai_title\": \"Loi sur les zones d'investissement santé – Améliorer les soins dans les zones défavorisées\",\n  \"fr_summary\": \"Cette loi crée des zones spéciales dans les régions manquant de services médicaux pour améliorer la santé des habitants et réduire les inégalités. Elle propose des réductions d'impôts pour les soignants et des subventions pour moderniser les cliniques et faciliter le transport des patients.\",\n  \"fr_key_points\": [\n    \"Création de zones d'investissement santé dans les quartiers à faibles revenus ou en manque de médecins.\",\n    \"Crédit d'impôt de 30 % sur les salaires pour les personnes travaillant principalement dans ces zones.\",\n    \"Remboursement des prêts étudiants jusqu'à 100 000 $ pour les professionnels de santé s'engageant à y travailler.\",\n    \"Subventions pour des cliniques mobiles (médicales, dentaires, mentales) et le transport des patients.\",\n    \"Financement pour améliorer l'accès à une alimentation saine, aux loisirs et à des logements de qualité.\",\n    \"Augmentation des paiements Medicare (bonus de 10 % à 25 %) pour les soins dispensés dans ces zones.\",\n    \"Aides allant jusqu'à 5 millions $ pour l'achat d'équipement médical ou la rénovation de centres de soins.\"\n  ],\n  \"es_ai_title\": \"Ley de Zonas de Inversión en Salud – Mejor atención médica en comunidades necesitadas\",\n  \"es_summary\": \"Esta ley establece zonas especiales en áreas con mala salud pública para mejorar el acceso a médicos y reducir desigualdades. Ofrece beneficios fiscales a los trabajadores de la salud y fondos para mejorar las clínicas, el transporte y el acceso a alimentos sanos.\",\n  \"es_key_points\": [\n    \"Creación de Zonas de Inversión en Salud en áreas con bajos ingresos, baja esperanza de vida o escasez de médicos.\",\n    \"Crédito fiscal del 30% sobre los salarios para quienes tengan su lugar principal de trabajo en estas zonas.\",\n    \"Pago de préstamos estudiantiles de hasta $100,000 para profesionales de la salud que trabajen en estas áreas.\",\n    \"Subvenciones para clínicas móviles (médicas, dentales y mentales) y transporte de pacientes a sus citas.\",\n    \"Fondos para mejorar el acceso a comida saludable, áreas recreativas y vivienda de alta calidad.\",\n    \"Pagos más altos de Medicare (bonos del 10% al 25%) para médicos y clínicas independientes en las zonas.\",\n    \"Subvenciones de hasta $5 millones para que los centros de salud compren equipos o mejoren sus instalaciones.\"\n  ],\n  \"it_ai_title\": \"Legge sulle Zone di Investimento Sanitario – Migliorare l'assistenza nelle aree svantaggiate\",\n  \"it_summary\": \"Questa legge crea zone speciali in aree con scarsi servizi sanitari per garantire cure migliori ai cittadini e ridurre le disparità. Prevede agevolazioni fiscali per il personale medico e fondi per cliniche mobili, trasporti e attrezzature moderne.\",\n  \"it_key_points\": [\n    \"Istituzione di Zone di Investimento Sanitario in aree a basso reddito o con carenza di personale medico.\",\n    \"Credito d'imposta del 30% sui salari per chi lavora prevalentemente all'interno di queste zone.\",\n    \"Rimborso dei prestiti studenteschi fino a 100.000 dollari per i medici che scelgono di operare in queste aree.\",\n    \"Fondi per cliniche mobili (mediche, odontoiatriche, psichiatriche) e per il trasporto dei pazienti alle visite.\",\n    \"Finanziamenti per migliorare l'accesso a cibo sano, attività ricreative e alloggi di qualità nelle zone.\",\n    \"Aumento dei rimborsi Medicare (dal 10% al 25% in più) per le prestazioni fornite all'interno delle zone.\",\n    \"Contributi fino a 5 milioni di dollari per l'acquisto di macchinari medici o la ristrutturazione di cliniche.\"\n  ],\n  \"nl_ai_title\": \"Wet op Gezondheidsinvesteringszones – Betere zorg in achtergestelde regio's\",\n  \"nl_summary\": \"Deze wet voert speciale zones in voor gebieden met een tekort aan zorg om de gezondheid van bewoners te verbeteren. Het biedt belastingvoordelen voor zorgpersoneel en subsidies voor mobiele klinieken, patiëntenvervoer en moderne medische apparatuur.\",\n  \"nl_key_points\": [\n    \"Aanwijzing van Gezondheidsinvesteringszones in gebieden met lage inkomens of een tekort aan artsen.\",\n    \"Een belastingkorting van 30% op het loon voor werknemers die hoofdzakelijk in deze zones werken.\",\n    \"Terugbetaling van studieleningen tot $100.000 voor zorgverleners die zich in deze zones vestigen.\",\n    \"Subsidies voor mobiele klinieken (medisch, tandheelkundig, mentaal) en vervoer van patiënten naar afspraken.\",\n    \"Investeringen in toegang tot gezonde voeding, recreatie en kwalitatief goede huisvesting in de zones.\",\n    \"Hogere Medicare-vergoedingen (bonussen van 10% tot 25%) voor artsen en klinieken in deze gebieden.\",\n    \"Subsidies tot $5 miljoen voor de aanschaf van medische apparatuur of de renovatie van zorginstellingen.\"\n  ],\n  \"pt_ai_title\": \"Lei das Zonas de Investimento em Saúde – Melhorar os cuidados em áreas carenciadas\",\n  \"pt_summary\": \"Esta lei cria zonas especiais em regiões com falta de assistência médica para melhorar a saúde da população e reduzir desigualdades. Oferece benefícios fiscais para profissionais de saúde e subsídios para modernizar clínicas e facilitar o transporte de doentes.\",\n  \"pt_key_points\": [\n    \"Criação de Zonas de Inversão em Saúde em áreas de baixos rendimentos ou com falta de médicos.\",\n    \"Crédito fiscal de 30% sobre os salários para quem trabalha principalmente nestas zonas designadas.\",\n    \"Pagamento de empréstimos estudantis até 100.000 dólares para profissionais de saúde que trabalhem nestas áreas.\",\n    \"Subsídios para clínicas móveis (médicas, dentárias e mentais) e transporte de doentes para consultas.\",\n    \"Financiamento para melhorar o acesso a alimentação saudável, lazer e habitação de qualidade nas zonas.\",\n    \"Aumento dos pagamentos do Medicare (bónus de 10% a 25%) para médicos e clínicas que operem nestas zonas.\",\n    \"Apoios até 5 milhões de dólares para compra de equipamento médico ou renovação de instalações de saúde.\"\n  ],\n  \"category\": [\"Health\", \"Taxes\", \"Local Government\"]\n}"
    },
    {
      "timestamp": "2026-03-10T22:18:42.967Z",
      "source_url": "https://www.congress.gov/119/bills/hr7496/BILLS-119hr7496ih.htm",
      "model": "gemini-flash-lite-latest",
      "prompt_sent": "\nROLE: Fact Checker.\nZADANIE: Porównaj SOURCE (oryginał) i SUMMARY (streszczenie przygotowane przez inne AI).\n\nTwoim celem jest wykrycie \"ZMYŚLONYCH KONKRETÓW\" (Fabricated Entities) w SUMMARY.\n\nSOURCE:\n[Congressional Bills 119th Congress] [From the U.S. Government Publishing Office] [H.R. 7496 Introduced in House (IH)] <DOC> 119th CONGRESS 2d Session H. R. 7496 To provide for the designation of areas as Health Investment Zones to reduce health disparities and improve health outcomes in such areas, and for other purposes. _______________________________________________________________________ IN THE HOUSE OF REPRESENTATIVES February 11, 2026 Mr. Harder of California introduced the following bill; which was referred to the Committee on Energy and Commerce, and in addition to the Committees on Ways and Means, and Education and Workforce, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned _______________________________________________________________________ A BILL To provide for the designation of areas as Health Investment Zones to reduce health disparities and improve health outcomes in such areas, and for other purposes. Be it enacted by the Senate and House of Representatives of the United States of America in Congress assembled, SECTION 1. SHORT TITLE. This Act may be cited as the ``Health Investment Zones Act of 2026''. SEC. 2. DESIGNATION OF HEALTH INVESTMENT ZONES. (a) Designation.-- (1) In general.--Not later than 2 years after the date of enactment of this Act, the Secretary shall, pursuant to applications submitted under subsection (c), designate areas as Health Investment Zones to reduce health disparities and improve health outcomes in such areas. (2) Eligibility of area.--To be designated as a Health Investment Zone under this section, an area shall-- (A) be a contiguous geographic area; and (B) have measurable and documented geographic health disparities and poor health outcomes, demonstrated by-- (i) average income below 150 percent of the Federal poverty line (as defined by the Office of Management and Budget based on the most recent data available from the Bureau of the Census); (ii) a rate of participation in the special supplemental nutrition program under section 17 of the Child Nutrition Act of 1966 (42 U.S.C. 1786) that is higher than the national average rate of participation in such program; (iii) lower life expectancy than the national average; (iv) a higher percentage of instances of low birth weight than the national average; or (v) designation under section 332 of the Public Health Service Act (42 U.S.C. 254e) as a health professional shortage area. (3) Publication of designee information.--Not later than 1 year after the date on which all areas are designated as Health Investment Zones under paragraph (1), the Secretary shall publish on the website of the Department of Health and Human Services-- (A) the name of each such Health Investment Zone, together with the names of each coalition partner; and (B) a description of all areas so designated. (b) Solicitation of Applications.--Not later than 1 year after the date of enactment of this Act, the Secretary shall solicit applications under subsection (c). (c) Submission of Applications.-- (1) In general.--To seek the designation of an area as a Health Investment Zone, a community-based nonprofit organization or local governmental agency, in coalition with health care providers, hospitals, nonprofit community health clinics, health centers, social service organizations, and other related organizations, shall submit an application to the Secretary. (2) Applications for grants.--As part of an application under this subsection, a community-based nonprofit organization or local governmental agency may include an application for a grant under section 4(a). Such community-based nonprofit organization or local governmental agency shall describe how the use of grant funds would be consistent with the plan submitted pursuant to subsection (d)(1) and whether such community-based nonprofit organization or local governmental agency intends to award subgrants or implement innovative public health strategies under section 4(b). (d) Contents.--An application under subsection (c) shall-- (1) include an effective and sustainable plan with respect to the area proposed for designation-- (A) to reduce health disparities; (B) to reduce the costs of, or to produce savings to, the health care system; (C) to improve health outcomes; and (D) to utilize one or more of the incentives established pursuant to section 5, section 51 of the Internal Revenue Code of 1986 (as amended by section 3(a)), for wages paid to qualified Health Investment Zone workers (as defined in section 51(d)(16) of such Code), section 25G of the Internal Revenue Code of 1986 (as added by section 3(b)), or subsection (ee) of section 1833 of the Social Security Act (42 U.S.C. 1395l) (as amended by section 6) to address health care provider capacity, improve health services delivery, effectuate community improvements, or conduct outreach and education efforts; and (2) identify specific diseases or indicators of health for improvement of health outcomes in such area, including at least 1 of the following: (A) Cardiovascular disease. (B) Asthma. (C) Diabetes. (D) Behavioral health. (E) Maternal and birth health. (F) Obesity. (e) Considerations.--The Secretary-- (1) shall consider geographic diversity, among other factors, in selecting areas for designation as Health Investment Zones; and (2) may conduct outreach efforts to encourage a geographically diverse pool of applicants, including for designating Health Investment Zones in rural areas. (f) Priority.--In selecting areas for designation as Health Investment Zones, the Secretary shall give higher priority to applications based on the extent to which an area demonstrates the following: (1) Support from, and participation of, key stakeholders in the area proposed for designation, including residents and local governments of such area. (2) A plan for long-term funding and sustainability. (3) Integration with any applicable State health improvement process or plan. (4) A plan for evaluation of the impact of designation of such area as a Health Investment Zone. (5) A plan to utilize existing State tax credits, grants, or other incentives to reduce health disparities and improve health outcomes in the proposed Health Investment Zone. (6) Such other factors as the Secretary determines are appropriate to demonstrate a commitment to reduce health disparities and improve health outcomes in such area. (g) Period of Designation.--The designation under this section of an area as a Health Investment Zone shall be in effect until the date that is 10 years after the date on which the first such area is so designated. SEC. 3. TAX INCENTIVES. (a) Work Opportunity Credit for Hiring Health Investment Zone Workers.-- (1) In general.--Section 51(d)(1) of the Internal Revenue Code of 1986 is amended by striking ``or'' at the end of subparagraph (I), by striking the period at the end of subparagraph (J) and inserting ``, or'', and by adding at the end the following new subparagraph: ``(K) a qualified Health Investment Zone worker, to the extent that the qualified first-year wages with respect to such worker are paid for qualified Health Investment Zone work.''. (2) Qualified health investment zone worker.--Section 51(d) of such Code is amended by adding at the end the following new paragraph: ``(16) Health investment zones.-- ``(A) Qualified health investment zone worker.--The term `qualified Health Investment Zone worker' means any individual who is certified by the designated local agency as having (as of the hiring date) a principal place of employment within a Health Investment Zone. ``(B) Qualified health investment zone work.--The term `qualified Health Investment Zone work' means employment by a Health Investment Zone practitioner, the primary official duties of such employment being to promote access to healthcare in a Health Investment Zone. ``(C) Related terms.--For purposes of this paragraph, the terms `Health Investment Zone' and `Health Investment Zone practitioner' have the same meaning given such terms under section 8 of the Health Investment Zones Act of 2026.''. (3) Effective date.--The amendments made by this subsection shall apply to amounts paid or incurred after the date of the enactment of this Act to individuals who begin work for the employer after such date. (b) Credit for Health Investment Zone Workers.-- (1) In general.--Subpart A of part IV of subchapter A of chapter 1 of the Internal Revenue Code of 1986, as amended by section 70411 of Public Law 119-21, is amended by inserting after section 25F the following new section: ``SEC. 25G. CREDIT FOR QUALIFIED HEALTH INVESTMENT ZONE WORKERS. ``(a) Allowance of Credit.--In the case of a qualified Health Investment Zone worker, there shall be allowed as a credit against the tax imposed by this chapter for a taxable year an amount equal to 30 percent of wages received for qualified Health Investment Zone work during such taxable year. ``(b) Definitions.--For purposes of this section-- ``(1) Qualified health investment zone worker.--The term `qualified Health Investment Zone worker' means, with respect to wages, an individual whose principal place of employment while earning such wages is within a Health Investment Zone (as such term is defined in section 8 of the Health Investment Zones Act of 2026). ``(2) Qualified health investment zone work.--The term `qualified Health Investment Zone work' has the same meaning given such term in section 51(d)(16)(B).''. (2) Clerical amendment.--The table of sections for subpart A of part IV of subchapter A of chapter 1 of such Code, as amended by section 70411 of Public Law 119-21, is amended by inserting after the item relating to section 25F the following new item: ``Sec. 25G. Credit for qualified Health Investment Zone workers.''. (3) Effective date.--The amendments made by this subsection shall apply to wages received after the date of the enactment of this Act. SEC. 4. GRANTS. (a) Authorization.--For each area designated as a Health Investment Zone, the Secretary may award a grant to the community-based nonprofit organization or local governmental agency that applied for such designation to support such applicant and its coalition partners in reducing health disparities and improving health outcomes in such area. (b) Use of Funds.--Programs and activities funded through a grant under this section shall be consistent with the grantee's plan submitted pursuant to section 2(d)(1) and may include the following: (1) Subgrants to health care practitioners.-- (A) In general.--For the purpose of improving or expanding the delivery of health care in the respective Health Investment Zone, the grantee may award subgrants to Health Investment Zone practitioners to defray costs related to innovative strategies listed in paragraph (2). (B) Eligibility.--To be eligible to receive a subgrant pursuant to subparagraph (A), a Health Investment Zone practitioner shall-- (i) own or lease a health care facility in the Health Investment Zone; or (ii) provide health care in such a facility. (C) Amount.--The amount of a subgrant under subparagraph (A) may not exceed the lesser of-- (i) $5,000,000; or (ii) 50 percent of the costs of the equipment, or capital or leasehold improvements. (2) Innovative strategies.--A grantee (or subgrantee) may use a grant received under this section (or a subgrant received under paragraph (1)) to implement innovative public health strategies in the respective Health Investment Zone, which strategies may include-- (A) internships and volunteer opportunities for students who reside in the Health Investment Zone; (B) funding resources to improve health care provider capacity to serve non-English speakers; (C) operation of medical, mental and behavioral health, and dental mobile clinics; (D) provision of transportation to and from medical appointments for patients; (E) funding resources to improve access to healthy food, recreation, and high-quality housing; (F) capital or leasehold improvements to a health care facility in the respective Health Investment Zone; and (G) medical or dental equipment to be used in such a facility. SEC. 5. STUDENT LOAN REPAYMENT PROGRAM. (a) In General.--The Secretary shall carry out a loan repayment program under which the Secretary enters into agreements with eligible Health Investment Zone practitioners to make payments on the principal and interest of the eligible educational loans of such practitioners for each year such practitioners agree to provide health care services in a Health Investment Zone. (b) Limitations.--In entering into loan repayment agreements under this section, the Secretary may not agree to-- (1) make payments for more than 10 years with respect to a practitioner; or (2) pay more than $10,000 per year, or more than a total of $100,000, with respect to a practitioner. (c) Relationship to Other Benefits.-- (1) Counting of payments.--A payment made to, or on behalf of, an eligible Health Investment Zone practitioner under this section shall be considered a qualifying payment counted toward any total number of required payments for forgiveness or cancellation on an otherwise applicable student loan plan or program under the Higher Education Act of 1965 or the Public Health Service Act, such as under subsection (m) or (q) of section 455 or section 493C of the Higher Education Act of 1965 (20 U.S.C. 1087e; 1098e). (2) No double payments.--No borrower may, for the same service, receive a payment for an eligible educational loan under-- (A) this section; and (B) another federally supported loan program that provides a payment to, or on behalf of, that borrower. (3) No reimbursement.--An eligible Health Investment Zone practitioner shall not receive a payment or reimbursement under this section for an eligible educational loan that has been forgiven, cancelled, or repaid. (d) Definitions.--In this section: (1) Eligible educational loan.--The term ``eligible educational loan'' means any federally funded or guaranteed student loan, as determined appropriate by the Secretary, in consultation with the Secretary of Education. (2) Eligible health investment zone practitioner.--The term ``eligible Health Investment Zone practitioner'' means a Health Investment Zone practitioner who-- (A) agrees to provide full-time health care services in a Health Investment Zone for a specified period that is not less than 1 year; and (B) has 1 or more eligible educational loans. SEC. 6. INCENTIVE PAYMENTS FOR MEDICARE PART B ITEMS AND SERVICES FURNISHED IN HEALTH INVESTMENT ZONES. Section 1833 of the Social Security Act (42 U.S.C. 1395l) is amended by adding at the end the following new subsection: ``(ee) Incentive Payments for Items and Services Furnished in Health Investment Zones.-- ``(1) In general.--In the case of items and services furnished under this part in an area that is designated as a Health Investment Zone under section 2(a)(1) of the Health Investment Zones Act of 2026, in addition to the amount of payment that would otherwise be made for such items and services under this part, there also shall be paid (on a monthly or quarterly basis)-- ``(A) an amount equal to 10 percent of the payment amount for the item or service under this part; ``(B) for such an item or service furnished at a freestanding physician office or clinic (as defined in paragraph (2)) or a Federally qualified health center (as defined in section 1861(aa)(3)), in addition to any applicable additional payment amount under this paragraph, an amount equal to 5 percent of the payment amount for the item or service under this part; and ``(C) for an annual wellness visit (HCPCS codes G0438-G0439), diabetes self-management training (CPT codes 98960-98962), chronic care management (CPT codes 99487-99491), and a preventative screening such as a mammography or colorectal cancer screening, in addition to any applicable additional payment amount under this paragraph, an amount equal to 10 percent of the payment amount for such item or service under this part. ``(2) Definition of freestanding physician office or clinic.--In this subsection, the term `freestanding physician office or clinic' means a clinic that-- ``(A) bills by place of service code 11 (office) or 22 (independent clinic) in the physician fee schedule under section 1848; and ``(B) is not directly or indirectly owned or controlled by a hospital system enrolled in the Medicare Provider Enrollment, Chain, and Ownership System (commonly referred to as `PECOS'). ``(3) Coordination with other payments.--The amount of the additional payment for an item or a service under this subsection and subsection (m) shall be determined without regard to any additional payment for the item or service under subsection (m) and this subsection, respectively. The amount of the additional payment for an item or a service under this subsection and subsection (z) shall be determined without regard to any additional payment for the item or service under subsection (z) and this subsection, respectively.''. SEC. 7. REPORTING. (a) In General.--Not later than the day that is 10 years after the first Health Investment Zone is designated, the Secretary shall submit to Congress a report on the implementation of this Act (and the amendments made by this Act) and the results thereof. (b) Contents.--Each report under subsection (a) shall-- (1) specify the number and types of incentives provided pursuant to this Act in each Health Investment Zone; and (2) include evidence of the extent to which the incentives utilized by each Health Investment Zone have-- (A) succeeded-- (i) in attracting health care practitioners to practice in Health Investment Zones; (ii) in reducing health disparities and improving health outcomes in Health Investment Zones; and (iii) in reducing health costs and hospital admissions and readmissions in Health Investment Zones; and (B) impacted access to primary care services and utilization of emergency room services. SEC. 8. DEFINITIONS. In this Act: (1) The term ``Health Investment Zone'' means an area designated under section 2 as a Health Investment Zone. (2) The term ``Health Investment Zone practitioner'' means a health care practitioner who-- (A) is licensed or certified in accordance with applicable State law to treat patients in the applicable Health Investment Zone; (B) provides-- (i) primary care, which may include obstetrics, gynecological services, pediatric services, or geriatric services; (ii) behavioral health services, which may include mental health or substance use disorder services; or (iii) dental services; and (C) is a participating provider of services or supplier under the Medicare program under title XVIII of the Social Security Act (42 U.S.C. 1395 et seq.) or a participating provider under a State plan under title XIX of such Act (42 U.S.C. 1396 et seq.). (3) The term ``Secretary'' means the Secretary of Health and Human Services. SEC. 9. AUTHORIZATION OF APPROPRIATIONS. To carry out this Act, there is authorized to be appropriated such sums as may be necessary for the period beginning on the date of enactment of this Act and ending on the last day of the 10-year period that begins on the date on which the first Health Investment Zone is designated. <all>\n\nSUMMARY TO EVALUATE:\nTitle: Health Investment Zones Act – Improving Healthcare in Underserved Communities\nSummary: This bill creates special zones in areas with poor health outcomes to provide better medical care and reduce health disparities. It offers tax breaks for healthcare workers and grants for local clinics to improve services, equipment, and patient access.\nKey Points: Designation of Health Investment Zones in areas with low income, low life expectancy, or doctor shortages., A 30% tax credit on wages for individuals whose primary place of employment is within a designated zone., Student loan repayment assistance up to $100,000 for healthcare providers who commit to working in these zones., Grants for mobile medical, dental, and mental health clinics to reach residents in need., Funding for patient transportation to appointments and improved access to healthy food and housing., Increased Medicare payments (10% to 25% bonus) for doctors and independent clinics operating in these zones., Subsidies of up to $5 million for healthcare facilities to upgrade equipment or improve buildings.\n\nZASADY OCENY:\n1. Sprawdź wszystkie LICZBY, DATY i KWOTY w SUMMARY. Jeśli którejś brakuje w SOURCE -> is_valid: false.\n2. Sprawdź wszystkie NAZWISKA, ORGANIZACJE i MIEJSCA w SUMMARY. Jeśli którejś brakuje w SOURCE -> is_valid: false.\n3. Sprawdź wszystkie konkretne DZIAŁANIA PRAWNE . Jeśli tego mechanizmu nie ma w SOURCE -> is_valid: false.\n\nWAŻNE: Abstrakcyjne pojęcia (np. \"transparentność\", \"zaufanie\") są dozwolone jako wnioski.\n\nOUTPUT (JSON):\n{\n  \"is_valid\": true/false,\n  \"issue\": \"fabricated_entity\" / \"contradiction\" / \"none\"\n}\n\nWYMAGANIA FORMATOWANIA:\n1. Odpowiedz WYŁĄCZNIE surowym obiektem JSON.\n2. NIE używaj bloków kodu Markdown.\n3. NIE dodawaj żadnych wstępów ani wyjaśnień przed ani po JSONie.\n4. JSON musi być poprawny i gotowy do parsowania.\n\n",
      "ai_response_raw": "{\n  \"is_valid\": false,\n  \"issue\": \"fabricated_entity\"\n}"
    },
    {
      "timestamp": "2026-03-10T22:13:16.214Z",
      "source_url": "https://www.congress.gov/119/bills/hr7496/BILLS-119hr7496ih.htm",
      "model": "gemini-flash-latest",
      "prompt_sent": "\nJesteś ekspertem od prawa Stanów Zjednoczonych, który ma za zadanie analizować dokumenty ustaw, uchwał oraz innych dokumentów legislacyjnych, a następnie przygotowywać z nich informacje w przystępny sposób dla obywateli. Twoim celem jest przedstawienie informacji tak, aby obywatele mogli sami ocenić wpływ legislacji na ich życie, nawet bez posiadania specjalistycznej wiedzy legislacyjnej. Skup się na faktach i obiektywnych skutkach wprowadzanych zmian, unikając wartościowania i osobistych opinii. Wszelki żargon prawny jest zabroniony. Prezentuj informacje w jasny, zwięzły i angażujący sposób, tak aby były zrozumiałe dla osoby bez wykształcenia prawniczego. Unikaj długich, złożonych zdań. Zamiast pisać \"projekt ma na celu nowelizację kodeksu podatkowego...\", napisz \"Zmiany w podatkach: nowe ulgi i obowiązki dla...\". Kontynuuj swoją pracę, dopóki nie rozwiążesz swojego zadania. Jeśli nie masz pewności co do generowanej treści, przeanalizuj dokument ponownie – nie zgaduj. Rozplanuj dobrze swoje zadanie przed przystąpieniem do niego. W podsumowaniu i kluczowych punktach, jeśli to możliwe i uzasadnione, podkreśl, jakie konkretne korzyści lub skutki (pozytywne lub negatywne) wprowadza ustawa dla życia codziennego obywateli, ich praw i obowiązków, finansów osobistych, bezpieczeństwa i innych ważnych kwestii (np. kategorycznych zakazów i nakazów czy najważniejszych konkretnych alokacji finansowych i terytorialnych).\n\nTwoja odpowiedź MUSI być w formacie JSON - i zawierać następujące klucze.\nZanim zwrócisz odpowiedź, dokładnie zweryfikuj, czy cała struktura JSON jest w 100% poprawna, włącznie ze wszystkimi przecinkami, nawiasami klamrowymi, kwadratowymi oraz cudzysłowami. Błędny JSON jest nieakceptowalny i uniemożliwi przetworzenie Twojej pracy.\n\nPrzeanalizuj dokładnie poniższy tekst dokumentu prawnego. To jest treść, na podstawie której masz wygenerować podsumowanie i kluczowe punkty:\n--- POCZĄTEK DOKUMENTU ---\n[Congressional Bills 119th Congress] [From the U.S. Government Publishing Office] [H.R. 7496 Introduced in House (IH)] <DOC> 119th CONGRESS 2d Session H. R. 7496 To provide for the designation of areas as Health Investment Zones to reduce health disparities and improve health outcomes in such areas, and for other purposes. _______________________________________________________________________ IN THE HOUSE OF REPRESENTATIVES February 11, 2026 Mr. Harder of California introduced the following bill; which was referred to the Committee on Energy and Commerce, and in addition to the Committees on Ways and Means, and Education and Workforce, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned _______________________________________________________________________ A BILL To provide for the designation of areas as Health Investment Zones to reduce health disparities and improve health outcomes in such areas, and for other purposes. Be it enacted by the Senate and House of Representatives of the United States of America in Congress assembled, SECTION 1. SHORT TITLE. This Act may be cited as the ``Health Investment Zones Act of 2026''. SEC. 2. DESIGNATION OF HEALTH INVESTMENT ZONES. (a) Designation.-- (1) In general.--Not later than 2 years after the date of enactment of this Act, the Secretary shall, pursuant to applications submitted under subsection (c), designate areas as Health Investment Zones to reduce health disparities and improve health outcomes in such areas. (2) Eligibility of area.--To be designated as a Health Investment Zone under this section, an area shall-- (A) be a contiguous geographic area; and (B) have measurable and documented geographic health disparities and poor health outcomes, demonstrated by-- (i) average income below 150 percent of the Federal poverty line (as defined by the Office of Management and Budget based on the most recent data available from the Bureau of the Census); (ii) a rate of participation in the special supplemental nutrition program under section 17 of the Child Nutrition Act of 1966 (42 U.S.C. 1786) that is higher than the national average rate of participation in such program; (iii) lower life expectancy than the national average; (iv) a higher percentage of instances of low birth weight than the national average; or (v) designation under section 332 of the Public Health Service Act (42 U.S.C. 254e) as a health professional shortage area. (3) Publication of designee information.--Not later than 1 year after the date on which all areas are designated as Health Investment Zones under paragraph (1), the Secretary shall publish on the website of the Department of Health and Human Services-- (A) the name of each such Health Investment Zone, together with the names of each coalition partner; and (B) a description of all areas so designated. (b) Solicitation of Applications.--Not later than 1 year after the date of enactment of this Act, the Secretary shall solicit applications under subsection (c). (c) Submission of Applications.-- (1) In general.--To seek the designation of an area as a Health Investment Zone, a community-based nonprofit organization or local governmental agency, in coalition with health care providers, hospitals, nonprofit community health clinics, health centers, social service organizations, and other related organizations, shall submit an application to the Secretary. (2) Applications for grants.--As part of an application under this subsection, a community-based nonprofit organization or local governmental agency may include an application for a grant under section 4(a). Such community-based nonprofit organization or local governmental agency shall describe how the use of grant funds would be consistent with the plan submitted pursuant to subsection (d)(1) and whether such community-based nonprofit organization or local governmental agency intends to award subgrants or implement innovative public health strategies under section 4(b). (d) Contents.--An application under subsection (c) shall-- (1) include an effective and sustainable plan with respect to the area proposed for designation-- (A) to reduce health disparities; (B) to reduce the costs of, or to produce savings to, the health care system; (C) to improve health outcomes; and (D) to utilize one or more of the incentives established pursuant to section 5, section 51 of the Internal Revenue Code of 1986 (as amended by section 3(a)), for wages paid to qualified Health Investment Zone workers (as defined in section 51(d)(16) of such Code), section 25G of the Internal Revenue Code of 1986 (as added by section 3(b)), or subsection (ee) of section 1833 of the Social Security Act (42 U.S.C. 1395l) (as amended by section 6) to address health care provider capacity, improve health services delivery, effectuate community improvements, or conduct outreach and education efforts; and (2) identify specific diseases or indicators of health for improvement of health outcomes in such area, including at least 1 of the following: (A) Cardiovascular disease. (B) Asthma. (C) Diabetes. (D) Behavioral health. (E) Maternal and birth health. (F) Obesity. (e) Considerations.--The Secretary-- (1) shall consider geographic diversity, among other factors, in selecting areas for designation as Health Investment Zones; and (2) may conduct outreach efforts to encourage a geographically diverse pool of applicants, including for designating Health Investment Zones in rural areas. (f) Priority.--In selecting areas for designation as Health Investment Zones, the Secretary shall give higher priority to applications based on the extent to which an area demonstrates the following: (1) Support from, and participation of, key stakeholders in the area proposed for designation, including residents and local governments of such area. (2) A plan for long-term funding and sustainability. (3) Integration with any applicable State health improvement process or plan. (4) A plan for evaluation of the impact of designation of such area as a Health Investment Zone. (5) A plan to utilize existing State tax credits, grants, or other incentives to reduce health disparities and improve health outcomes in the proposed Health Investment Zone. (6) Such other factors as the Secretary determines are appropriate to demonstrate a commitment to reduce health disparities and improve health outcomes in such area. (g) Period of Designation.--The designation under this section of an area as a Health Investment Zone shall be in effect until the date that is 10 years after the date on which the first such area is so designated. SEC. 3. TAX INCENTIVES. (a) Work Opportunity Credit for Hiring Health Investment Zone Workers.-- (1) In general.--Section 51(d)(1) of the Internal Revenue Code of 1986 is amended by striking ``or'' at the end of subparagraph (I), by striking the period at the end of subparagraph (J) and inserting ``, or'', and by adding at the end the following new subparagraph: ``(K) a qualified Health Investment Zone worker, to the extent that the qualified first-year wages with respect to such worker are paid for qualified Health Investment Zone work.''. (2) Qualified health investment zone worker.--Section 51(d) of such Code is amended by adding at the end the following new paragraph: ``(16) Health investment zones.-- ``(A) Qualified health investment zone worker.--The term `qualified Health Investment Zone worker' means any individual who is certified by the designated local agency as having (as of the hiring date) a principal place of employment within a Health Investment Zone. ``(B) Qualified health investment zone work.--The term `qualified Health Investment Zone work' means employment by a Health Investment Zone practitioner, the primary official duties of such employment being to promote access to healthcare in a Health Investment Zone. ``(C) Related terms.--For purposes of this paragraph, the terms `Health Investment Zone' and `Health Investment Zone practitioner' have the same meaning given such terms under section 8 of the Health Investment Zones Act of 2026.''. (3) Effective date.--The amendments made by this subsection shall apply to amounts paid or incurred after the date of the enactment of this Act to individuals who begin work for the employer after such date. (b) Credit for Health Investment Zone Workers.-- (1) In general.--Subpart A of part IV of subchapter A of chapter 1 of the Internal Revenue Code of 1986, as amended by section 70411 of Public Law 119-21, is amended by inserting after section 25F the following new section: ``SEC. 25G. CREDIT FOR QUALIFIED HEALTH INVESTMENT ZONE WORKERS. ``(a) Allowance of Credit.--In the case of a qualified Health Investment Zone worker, there shall be allowed as a credit against the tax imposed by this chapter for a taxable year an amount equal to 30 percent of wages received for qualified Health Investment Zone work during such taxable year. ``(b) Definitions.--For purposes of this section-- ``(1) Qualified health investment zone worker.--The term `qualified Health Investment Zone worker' means, with respect to wages, an individual whose principal place of employment while earning such wages is within a Health Investment Zone (as such term is defined in section 8 of the Health Investment Zones Act of 2026). ``(2) Qualified health investment zone work.--The term `qualified Health Investment Zone work' has the same meaning given such term in section 51(d)(16)(B).''. (2) Clerical amendment.--The table of sections for subpart A of part IV of subchapter A of chapter 1 of such Code, as amended by section 70411 of Public Law 119-21, is amended by inserting after the item relating to section 25F the following new item: ``Sec. 25G. Credit for qualified Health Investment Zone workers.''. (3) Effective date.--The amendments made by this subsection shall apply to wages received after the date of the enactment of this Act. SEC. 4. GRANTS. (a) Authorization.--For each area designated as a Health Investment Zone, the Secretary may award a grant to the community-based nonprofit organization or local governmental agency that applied for such designation to support such applicant and its coalition partners in reducing health disparities and improving health outcomes in such area. (b) Use of Funds.--Programs and activities funded through a grant under this section shall be consistent with the grantee's plan submitted pursuant to section 2(d)(1) and may include the following: (1) Subgrants to health care practitioners.-- (A) In general.--For the purpose of improving or expanding the delivery of health care in the respective Health Investment Zone, the grantee may award subgrants to Health Investment Zone practitioners to defray costs related to innovative strategies listed in paragraph (2). (B) Eligibility.--To be eligible to receive a subgrant pursuant to subparagraph (A), a Health Investment Zone practitioner shall-- (i) own or lease a health care facility in the Health Investment Zone; or (ii) provide health care in such a facility. (C) Amount.--The amount of a subgrant under subparagraph (A) may not exceed the lesser of-- (i) $5,000,000; or (ii) 50 percent of the costs of the equipment, or capital or leasehold improvements. (2) Innovative strategies.--A grantee (or subgrantee) may use a grant received under this section (or a subgrant received under paragraph (1)) to implement innovative public health strategies in the respective Health Investment Zone, which strategies may include-- (A) internships and volunteer opportunities for students who reside in the Health Investment Zone; (B) funding resources to improve health care provider capacity to serve non-English speakers; (C) operation of medical, mental and behavioral health, and dental mobile clinics; (D) provision of transportation to and from medical appointments for patients; (E) funding resources to improve access to healthy food, recreation, and high-quality housing; (F) capital or leasehold improvements to a health care facility in the respective Health Investment Zone; and (G) medical or dental equipment to be used in such a facility. SEC. 5. STUDENT LOAN REPAYMENT PROGRAM. (a) In General.--The Secretary shall carry out a loan repayment program under which the Secretary enters into agreements with eligible Health Investment Zone practitioners to make payments on the principal and interest of the eligible educational loans of such practitioners for each year such practitioners agree to provide health care services in a Health Investment Zone. (b) Limitations.--In entering into loan repayment agreements under this section, the Secretary may not agree to-- (1) make payments for more than 10 years with respect to a practitioner; or (2) pay more than $10,000 per year, or more than a total of $100,000, with respect to a practitioner. (c) Relationship to Other Benefits.-- (1) Counting of payments.--A payment made to, or on behalf of, an eligible Health Investment Zone practitioner under this section shall be considered a qualifying payment counted toward any total number of required payments for forgiveness or cancellation on an otherwise applicable student loan plan or program under the Higher Education Act of 1965 or the Public Health Service Act, such as under subsection (m) or (q) of section 455 or section 493C of the Higher Education Act of 1965 (20 U.S.C. 1087e; 1098e). (2) No double payments.--No borrower may, for the same service, receive a payment for an eligible educational loan under-- (A) this section; and (B) another federally supported loan program that provides a payment to, or on behalf of, that borrower. (3) No reimbursement.--An eligible Health Investment Zone practitioner shall not receive a payment or reimbursement under this section for an eligible educational loan that has been forgiven, cancelled, or repaid. (d) Definitions.--In this section: (1) Eligible educational loan.--The term ``eligible educational loan'' means any federally funded or guaranteed student loan, as determined appropriate by the Secretary, in consultation with the Secretary of Education. (2) Eligible health investment zone practitioner.--The term ``eligible Health Investment Zone practitioner'' means a Health Investment Zone practitioner who-- (A) agrees to provide full-time health care services in a Health Investment Zone for a specified period that is not less than 1 year; and (B) has 1 or more eligible educational loans. SEC. 6. INCENTIVE PAYMENTS FOR MEDICARE PART B ITEMS AND SERVICES FURNISHED IN HEALTH INVESTMENT ZONES. Section 1833 of the Social Security Act (42 U.S.C. 1395l) is amended by adding at the end the following new subsection: ``(ee) Incentive Payments for Items and Services Furnished in Health Investment Zones.-- ``(1) In general.--In the case of items and services furnished under this part in an area that is designated as a Health Investment Zone under section 2(a)(1) of the Health Investment Zones Act of 2026, in addition to the amount of payment that would otherwise be made for such items and services under this part, there also shall be paid (on a monthly or quarterly basis)-- ``(A) an amount equal to 10 percent of the payment amount for the item or service under this part; ``(B) for such an item or service furnished at a freestanding physician office or clinic (as defined in paragraph (2)) or a Federally qualified health center (as defined in section 1861(aa)(3)), in addition to any applicable additional payment amount under this paragraph, an amount equal to 5 percent of the payment amount for the item or service under this part; and ``(C) for an annual wellness visit (HCPCS codes G0438-G0439), diabetes self-management training (CPT codes 98960-98962), chronic care management (CPT codes 99487-99491), and a preventative screening such as a mammography or colorectal cancer screening, in addition to any applicable additional payment amount under this paragraph, an amount equal to 10 percent of the payment amount for such item or service under this part. ``(2) Definition of freestanding physician office or clinic.--In this subsection, the term `freestanding physician office or clinic' means a clinic that-- ``(A) bills by place of service code 11 (office) or 22 (independent clinic) in the physician fee schedule under section 1848; and ``(B) is not directly or indirectly owned or controlled by a hospital system enrolled in the Medicare Provider Enrollment, Chain, and Ownership System (commonly referred to as `PECOS'). ``(3) Coordination with other payments.--The amount of the additional payment for an item or a service under this subsection and subsection (m) shall be determined without regard to any additional payment for the item or service under subsection (m) and this subsection, respectively. The amount of the additional payment for an item or a service under this subsection and subsection (z) shall be determined without regard to any additional payment for the item or service under subsection (z) and this subsection, respectively.''. SEC. 7. REPORTING. (a) In General.--Not later than the day that is 10 years after the first Health Investment Zone is designated, the Secretary shall submit to Congress a report on the implementation of this Act (and the amendments made by this Act) and the results thereof. (b) Contents.--Each report under subsection (a) shall-- (1) specify the number and types of incentives provided pursuant to this Act in each Health Investment Zone; and (2) include evidence of the extent to which the incentives utilized by each Health Investment Zone have-- (A) succeeded-- (i) in attracting health care practitioners to practice in Health Investment Zones; (ii) in reducing health disparities and improving health outcomes in Health Investment Zones; and (iii) in reducing health costs and hospital admissions and readmissions in Health Investment Zones; and (B) impacted access to primary care services and utilization of emergency room services. SEC. 8. DEFINITIONS. In this Act: (1) The term ``Health Investment Zone'' means an area designated under section 2 as a Health Investment Zone. (2) The term ``Health Investment Zone practitioner'' means a health care practitioner who-- (A) is licensed or certified in accordance with applicable State law to treat patients in the applicable Health Investment Zone; (B) provides-- (i) primary care, which may include obstetrics, gynecological services, pediatric services, or geriatric services; (ii) behavioral health services, which may include mental health or substance use disorder services; or (iii) dental services; and (C) is a participating provider of services or supplier under the Medicare program under title XVIII of the Social Security Act (42 U.S.C. 1395 et seq.) or a participating provider under a State plan under title XIX of such Act (42 U.S.C. 1396 et seq.). (3) The term ``Secretary'' means the Secretary of Health and Human Services. SEC. 9. AUTHORIZATION OF APPROPRIATIONS. To carry out this Act, there is authorized to be appropriated such sums as may be necessary for the period beginning on the date of enactment of this Act and ending on the last day of the 10-year period that begins on the date on which the first Health Investment Zone is designated. <all>\n--- KONIEC DOKUMENTU ---\n\nPAMIĘTAJ: Twoja odpowiedź MUSI być wyłącznie poprawnym obiektem JSON. Nie dodawaj żadnych dodatkowych znaków, komentarzy ani tekstu przed znacznikiem '{' ani po znaczniku '}'. Cała odpowiedź musi być parsowalna jako JSON.\nNa podstawie POWYŻSZEGO dokumentu, wypełnij poniższą strukturę JSON:\nOto struktura JSON, której oczekuję (wypełnij ją treścią):\n{\n  \"pl_ai_title\": \"Nowy, krótki tytuł dla aktu prawnego po polsku, oddający sedno wprowadzanych zmian (np. maksymalnie 10-12 słów).\",\n  \"pl_summary\": \"2-3 zdania zwięzłego podsumowania treści aktu prawnego po polsku, napisane z perspektywy wpływu na życie codzienne obywateli.\",\n  \"pl_key_points\": [\n    \"Pierwszy krótki punkt po polsku dotyczący najważniejszych wprowadzanych rozwiązań lub zmian.\",\n    \"Drugi krótki punkt po polsku...\"\n  ],\n  \"eng_ai_title\": \"A new, short title for the legal act in English, capturing the essence of the changes (e.g., max 10-12 words).\",\n  \"eng_summary\": \"2-3 sentences summarizing the legal act in English, from the perspective of its impact on citizens' daily lives.\",\n  \"eng_key_points\": [\n    \"First short bullet point in English regarding the most important solutions or changes being introduced.\",\n    \"Second short bullet point in English...\"\n  ],\n  \"de_ai_title\": \"Ein neuer, kurzer Titel für das Rechtsdokument auf Deutsch, der den Kern der Änderungen erfasst (z.B. max. 10-12 Wörter).\",\n  \"de_summary\": \"2-3 Sätze Zusammenfassung des Rechtsdokuments auf Deutsch, aus der Perspektive seiner Auswirkungen auf das tägliche Leben der Bürger.\",\n  \"de_key_points\": [\n    \"Erster kurzer Stichpunkt auf Deutsch zu den wichtigsten eingeführten Lösungen oder Änderungen.\",\n    \"Zweiter kurzer Stichpunkt auf Deutsch...\"\n  ],\n  \"fr_ai_title\": \"Un nouveau titre court pour l'acte juridique en français, saisissant l'essence des changements (par exemple, 10-12 mots maximum).\",\n  \"fr_summary\": \"Résumé de 2-3 phrases de l'acte juridique en français, du point de vue de son impact sur la vie quotidienne des citoyens.\",\n  \"fr_key_points\": [\n    \"Premier court point en français concernant les solutions ou changements les plus importants introduits.\",\n    \"Deuxième court point en français...\"\n  ],\n  \"es_ai_title\": \"Un nuevo título breve para el acto jurídico en español, que recoja la esencia de los cambios (por ejemplo, máximo 10-12 palabras).\",\n  \"es_summary\": \"Resumen de 2-3 frases del acto jurídico en español, desde la perspectiva de su impacto en la vida cotidiana de los ciudadanos.\",\n  \"es_key_points\": [\n    \"Primer punto breve en español sobre las soluciones o cambios más importantes que se introducen.\",\n    \"Segundo punto breve en español...\"\n  ],\n  \"it_ai_title\": \"Un nuovo titolo breve per l'atto giuridico in italiano, che colga l'essenza delle modifiche (ad es. massimo 10-12 parole).\",\n  \"it_summary\": \"Riepilogo di 2-3 frasi dell'atto giuridico in italiano, dal punto di vista del suo impatto sulla vita quotidiana dei cittadini.\",\n  \"it_key_points\": [\n    \"Primo breve punto in italiano riguardante le soluzioni o le modifiche più importanti introdotte.\",\n    \"Secondo breve punto in italiano...\"\n  ],\n  \"nl_ai_title\": \"Een nieuwe, korte titel voor de rechtshandeling in het Nederlands, die de essentie van de wijzigingen weergeeft (bijv. max. 10-12 woorden).\",\n  \"nl_summary\": \"Samenvatting van 2-3 zinnen van de rechtshandeling in het Nederlands, vanuit het perspectief van de impact op het dagelijks leven van burgers.\",\n  \"nl_key_points\": [\n    \"Eerste korte punt in het Nederlands betreffende de belangrijkste geïntroduceerde oplossingen of wijzigingen.\",\n    \"Tweede korte punt in het Nederlands...\"\n  ],\n  \"pt_ai_title\": \"Um novo título curto para o ato jurídico em português, capturando a essência das mudanças (por exemplo, máx. 10-12 palavras).\",\n  \"pt_summary\": \"Resumo de 2-3 frases do ato jurídico em português, na perspetiva do seu impacto na vida quotidiana dos cidadãos.\",\n  \"pt_key_points\": [\n    \"Primeiro ponto curto em português sobre as soluções ou alterações mais importantes introduzidas.\",\n    \"Segundo ponto curto em português...\"\n  ],\n  \"category\": [\"Categorize the document into one category by default, based on the field it primarily concerns. Choose up to 3 if the document also touches upon SIGNIFICANT issues from other categories. You MUST select categories ONLY from the following list: Health, Education, Family, Taxes, Labor, Security, Environment, Courts and Law, Transport, Benefits, Real Estate, Media and Culture, Local Government, Migration, Agriculture, Public Investments, Informatization, Economy. If the document does not definitively fit any of these, you MUST use \"Other\". If you use \"Other\", it should be the ONLY category selected. Do NOT invent new categories. The response must be an array of strings, e.g., [\"Taxes\", \"Family\"].\"]\n}\n\n",
      "ai_response_raw": "{\n  \"pl_ai_title\": \"Ustawa o Strefach Inwestycji Zdrowotnych – lepsza opieka w uboższych regionach\",\n  \"pl_summary\": \"Ustawa tworzy specjalne strefy w miejscach o utrudnionym dostępie do lekarzy, aby poprawić zdrowie mieszkańców i zmniejszyć nierówności. Przewiduje ona ulgi podatkowe dla pracowników medycznych oraz dotacje na nowoczesny sprzęt, transport pacjentów i mobilne kliniki.\",\n  \"pl_key_points\": [\n    \"Tworzenie Stref Inwestycji Zdrowotnych w regionach o niskich dochodach, niskiej średniej długości życia lub braku lekarzy.\",\n    \"Wprowadzenie 30% ulgi podatkowej od zarobków dla osób pracujących w wyznaczonych strefach zdrowia.\",\n    \"Program spłaty kredytów studenckich dla lekarzy i personelu medycznego (do 100 000 USD) w zamian za pracę w strefie.\",\n    \"Dotacje na mobilne kliniki (medyczne, dentystyczne, psychologiczne) oraz transport pacjentów na wizyty.\",\n    \"Finansowanie poprawy dostępu do zdrowej żywności, rekreacji oraz wysokiej jakości mieszkań w strefach.\",\n    \"Wyższe o 10-25% stawki zwrotu z Medicare dla lekarzy i przychodni działających na terenie stref.\",\n    \"Możliwość uzyskania do 5 milionów USD dotacji na zakup nowoczesnego sprzętu medycznego lub remont placówki.\"\n  ],\n  \"eng_ai_title\": \"Health Investment Zones Act – Improving Healthcare in Underserved Communities\",\n  \"eng_summary\": \"This bill creates special zones in areas with poor health outcomes to provide better medical care and reduce health disparities. It offers tax breaks for healthcare workers and grants for local clinics to improve services, equipment, and patient access.\",\n  \"eng_key_points\": [\n    \"Designation of Health Investment Zones in areas with low income, low life expectancy, or doctor shortages.\",\n    \"A 30% tax credit on wages for individuals whose primary place of employment is within a designated zone.\",\n    \"Student loan repayment assistance up to $100,000 for healthcare providers who commit to working in these zones.\",\n    \"Grants for mobile medical, dental, and mental health clinics to reach residents in need.\",\n    \"Funding for patient transportation to appointments and improved access to healthy food and housing.\",\n    \"Increased Medicare payments (10% to 25% bonus) for doctors and independent clinics operating in these zones.\",\n    \"Subsidies of up to $5 million for healthcare facilities to upgrade equipment or improve buildings.\"\n  ],\n  \"de_ai_title\": \"Gesetz über Gesundheitsinvestitionszonen – Bessere Versorgung für benachteiligte Regionen\",\n  \"de_summary\": \"Dieses Gesetz schafft spezielle Zonen in Gebieten mit schlechter Gesundheitsversorgung, um den Zugang zu Ärzten zu verbessern und Ungleichheiten abzubauen. Es bietet Steuererleichterungen für medizinisches Personal sowie Zuschüsse für moderne Geräte und Patiententransporte.\",\n  \"de_key_points\": [\n    \"Einrichtung von Gesundheitsinvestitionszonen in einkommensschwachen Gebieten mit Ärztemangel.\",\n    \"Einführung einer Steuergutschrift von 30 % auf Löhne für Beschäftigte in diesen ausgewiesenen Zonen.\",\n    \"Übernahme von Studienkrediten bis zu 100.000 USD für medizinisches Personal, das in den Zonen arbeitet.\",\n    \"Zuschüsse für mobile Kliniken (medizinisch, dental, psychologisch) und den Transport von Patienten zu Terminen.\",\n    \"Förderung des Zugangs zu gesunden Lebensmitteln, Erholung und hochwertigem Wohnraum in den Zonen.\",\n    \"Höhere Medicare-Vergütungen (Zuschläge von 10 % bis 25 %) für Ärzte und Kliniken in diesen Gebieten.\",\n    \"Möglichkeit von Zuschüssen bis zu 5 Millionen USD für medizinische Geräte oder Gebäudemodernisierungen.\"\n  ],\n  \"fr_ai_title\": \"Loi sur les zones d'investissement santé – Améliorer les soins dans les zones défavorisées\",\n  \"fr_summary\": \"Cette loi crée des zones spéciales dans les régions manquant de services médicaux pour améliorer la santé des habitants et réduire les inégalités. Elle propose des réductions d'impôts pour les soignants et des subventions pour moderniser les cliniques et faciliter le transport des patients.\",\n  \"fr_key_points\": [\n    \"Création de zones d'investissement santé dans les quartiers à faibles revenus ou en manque de médecins.\",\n    \"Crédit d'impôt de 30 % sur les salaires pour les personnes travaillant principalement dans ces zones.\",\n    \"Remboursement des prêts étudiants jusqu'à 100 000 $ pour les professionnels de santé s'engageant à y travailler.\",\n    \"Subventions pour des cliniques mobiles (médicales, dentaires, mentales) et le transport des patients.\",\n    \"Financement pour améliorer l'accès à une alimentation saine, aux loisirs et à des logements de qualité.\",\n    \"Augmentation des paiements Medicare (bonus de 10 % à 25 %) pour les soins dispensés dans ces zones.\",\n    \"Aides allant jusqu'à 5 millions $ pour l'achat d'équipement médical ou la rénovation de centres de soins.\"\n  ],\n  \"es_ai_title\": \"Ley de Zonas de Inversión en Salud – Mejor atención médica en comunidades necesitadas\",\n  \"es_summary\": \"Esta ley establece zonas especiales en áreas con mala salud pública para mejorar el acceso a médicos y reducir desigualdades. Ofrece beneficios fiscales a los trabajadores de la salud y fondos para mejorar las clínicas, el transporte y el acceso a alimentos sanos.\",\n  \"es_key_points\": [\n    \"Creación de Zonas de Inversión en Salud en áreas con bajos ingresos, baja esperanza de vida o escasez de médicos.\",\n    \"Crédito fiscal del 30% sobre los salarios para quienes tengan su lugar principal de trabajo en estas zonas.\",\n    \"Pago de préstamos estudiantiles de hasta $100,000 para profesionales de la salud que trabajen en estas áreas.\",\n    \"Subvenciones para clínicas móviles (médicas, dentales y mentales) y transporte de pacientes a sus citas.\",\n    \"Fondos para mejorar el acceso a comida saludable, áreas recreativas y vivienda de alta calidad.\",\n    \"Pagos más altos de Medicare (bonos del 10% al 25%) para médicos y clínicas independientes en las zonas.\",\n    \"Subvenciones de hasta $5 millones para que los centros de salud compren equipos o mejoren sus instalaciones.\"\n  ],\n  \"it_ai_title\": \"Legge sulle Zone di Investimento Sanitario – Migliorare l'assistenza nelle aree svantaggiate\",\n  \"it_summary\": \"Questa legge crea zone speciali in aree con scarsi servizi sanitari per garantire cure migliori ai cittadini e ridurre le disparità. Prevede agevolazioni fiscali per il personale medico e fondi per cliniche mobili, trasporti e attrezzature moderne.\",\n  \"it_key_points\": [\n    \"Istituzione di Zone di Investimento Sanitario in aree a basso reddito o con carenza di personale medico.\",\n    \"Credito d'imposta del 30% sui salari per chi lavora prevalentemente all'interno di queste zone.\",\n    \"Rimborso dei prestiti studenteschi fino a 100.000 dollari per i medici che scelgono di operare in queste aree.\",\n    \"Fondi per cliniche mobili (mediche, odontoiatriche, psichiatriche) e per il trasporto dei pazienti alle visite.\",\n    \"Finanziamenti per migliorare l'accesso a cibo sano, attività ricreative e alloggi di qualità nelle zone.\",\n    \"Aumento dei rimborsi Medicare (dal 10% al 25% in più) per le prestazioni fornite all'interno delle zone.\",\n    \"Contributi fino a 5 milioni di dollari per l'acquisto di macchinari medici o la ristrutturazione di cliniche.\"\n  ],\n  \"nl_ai_title\": \"Wet op Gezondheidsinvesteringszones – Betere zorg in achtergestelde regio's\",\n  \"nl_summary\": \"Deze wet voert speciale zones in voor gebieden met een tekort aan zorg om de gezondheid van bewoners te verbeteren. Het biedt belastingvoordelen voor zorgpersoneel en subsidies voor mobiele klinieken, patiëntenvervoer en moderne medische apparatuur.\",\n  \"nl_key_points\": [\n    \"Aanwijzing van Gezondheidsinvesteringszones in gebieden met lage inkomens of een tekort aan artsen.\",\n    \"Een belastingkorting van 30% op het loon voor werknemers die hoofdzakelijk in deze zones werken.\",\n    \"Terugbetaling van studieleningen tot $100.000 voor zorgverleners die zich in deze zones vestigen.\",\n    \"Subsidies voor mobiele klinieken (medisch, tandheelkundig, mentaal) en vervoer van patiënten naar afspraken.\",\n    \"Investeringen in toegang tot gezonde voeding, recreatie en kwalitatief goede huisvesting in de zones.\",\n    \"Hogere Medicare-vergoedingen (bonussen van 10% tot 25%) voor artsen en klinieken in deze gebieden.\",\n    \"Subsidies tot $5 miljoen voor de aanschaf van medische apparatuur of de renovatie van zorginstellingen.\"\n  ],\n  \"pt_ai_title\": \"Lei das Zonas de Investimento em Saúde – Melhorar os cuidados em áreas carenciadas\",\n  \"pt_summary\": \"Esta lei cria zonas especiais em regiões com falta de assistência médica para melhorar a saúde da população e reduzir desigualdades. Oferece benefícios fiscais para profissionais de saúde e subsídios para modernizar clínicas e facilitar o transporte de doentes.\",\n  \"pt_key_points\": [\n    \"Criação de Zonas de Inversão em Saúde em áreas de baixos rendimentos ou com falta de médicos.\",\n    \"Crédito fiscal de 30% sobre os salários para quem trabalha principalmente nestas zonas designadas.\",\n    \"Pagamento de empréstimos estudantis até 100.000 dólares para profissionais de saúde que trabalhem nestas áreas.\",\n    \"Subsídios para clínicas móveis (médicas, dentárias e mentais) e transporte de doentes para consultas.\",\n    \"Financiamento para melhorar o acesso a alimentação saudável, lazer e habitação de qualidade nas zonas.\",\n    \"Aumento dos pagamentos do Medicare (bónus de 10% a 25%) para médicos e clínicas que operem nestas zonas.\",\n    \"Apoios até 5 milhões de dólares para compra de equipamento médico ou renovação de instalações de saúde.\"\n  ],\n  \"category\": [\"Health\", \"Taxes\", \"Local Government\"]\n}"
    }
  ]
}