Nationalized Healthcare—H.R. 3200 by Sections
NOTE: I received two comments recently. One was a comment that the reader had just begun reading the posts and enjoyed them. Thank you. The other was a comment that I definitely intent to respond to soon. However, not until I post more on “Global Warming” and “Cap and Trade” which will probably conclude with the Senate’s recess on August 10th.
“‘Healthcare Reform’: Of course, what is about to be considered in the House is NOT reform. It is a proposal for the federal government to TAKE CONTROL of healthcare in this nation—either immediately or ultimately.”
I had computer problems Saturday night and couldn’t post. I’m trying again tonight. Posts this week will be early morning according to my present plans.
I had planned on listing the record high temperatures for August in Peoria tonight. Instead, one more post on “Nationalized Healthcare” before switching. After I posted last night, I looked for the vote on an amendment to H.R. 3200 which is the House’s version of “Nationalized Healthcare.” I couldn’t find what I wanted but I did find the following: A breakdown of House Bill 3200 by sections. This should provide the necessary links to get you to any particular section of the proposed bill. (I believe before amendments.) Notice, the bill itself is 1017 pages long and just listing the Sections of the bill is 22 pages long on Word. I’ve never tried this before. I hope it works. Actually, I’ve never tried to post 26 pages on one post before. I hope it works! The information links below are just as I copied and pasted them from the website. Just reading the sections should scare any voter—what a bureaucratic nightmare this would be!
BeginningJuly 14, 2009
SECTION 1. SHORT TITLE; TABLE OF DIVISIONS, TITLES, AND SUBTITLES.
DIVISION A--AFFORDABLE HEALTH CARE CHOICES
Sec. 100. Purpose; table of contents of division; general definitions.
TITLE I--PROTECTIONS AND STANDARDS FOR QUALIFIED HEALTH BENEFITS PLANS
Subtitle A--General Standards
SEC. 101. REQUIREMENTS REFORMING HEALTH INSURANCE MARKETPLACE.
SEC. 102. PROTECTING THE CHOICE TO KEEP CURRENT COVERAGE.
Subtitle B--Standards Guaranteeing Access to Affordable Coverage
SEC. 111. PROHIBITING PRE-EXISTING CONDITION EXCLUSIONS.
SEC. 112. GUARANTEED ISSUE AND RENEWAL FOR INSURED PLANS.
SEC. 113. INSURANCE RATING RULES.
SEC. 114. NONDISCRIMINATION IN BENEFITS; PARITY IN MENTAL HEALTH AND SUBSTANCE ABUSE DISORDER BENEFITS.
SEC. 115. ENSURING ADEQUACY OF PROVIDER NETWORKS.
SEC. 116. ENSURING VALUE AND LOWER PREMIUMS.
Subtitle C--Standards Guaranteeing Access to Essential Benefits
SEC. 121. COVERAGE OF ESSENTIAL BENEFITS PACKAGE.
SEC. 122. ESSENTIAL BENEFITS PACKAGE DEFINED.
SEC. 123. HEALTH BENEFITS ADVISORY COMMITTEE.
SEC. 124. PROCESS FOR ADOPTION OF RECOMMENDATIONS; ADOPTION OF BENEFIT STANDARDS.
Subtitle D--Additional Consumer Protections
SEC. 131. REQUIRING FAIR MARKETING PRACTICES BY HEALTH INSURERS.
SEC. 132. REQUIRING FAIR GRIEVANCE AND APPEALS MECHANISMS.
SEC. 133. REQUIRING INFORMATION TRANSPARENCY AND PLAN DISCLOSURE.
SEC. 134. APPLICATION TO QUALIFIED HEALTH BENEFITS PLANS NOT OFFERED THROUGH THE HEALTH INSURANCE EXCHANGE.
SEC. 135. TIMELY PAYMENT OF CLAIMS.
SEC. 136. STANDARDIZED RULES FOR COORDINATION AND SUBROGATION OF BENEFITS.
SEC. 137. APPLICATION OF ADMINISTRATIVE SIMPLIFICATION.
Subtitle E--Governance
SEC. 141. HEALTH CHOICES ADMINISTRATION; HEALTH CHOICES COMMISSIONER.
SEC. 142. DUTIES AND AUTHORITY OF COMMISSIONER.
SEC. 143. CONSULTATION AND COORDINATION.
SEC. 144. HEALTH INSURANCE OMBUDSMAN.
Subtitle F--Relation to Other Requirements; Miscellaneous
SEC. 151. RELATION TO OTHER REQUIREMENTS.
SEC. 152. PROHIBITING DISCRIMINATION IN HEALTH CARE.
SEC. 153. WHISTLEBLOWER PROTECTION.
SEC. 154. CONSTRUCTION REGARDING COLLECTIVE BARGAINING.
SEC. 155. SEVERABILITY.
Subtitle G--Early Investments
SEC. 161. ENSURING VALUE AND LOWER PREMIUMS.
`SEC. 2714. ENSURING VALUE AND LOWER PREMIUMS.
`SEC. 2754. ENSURING VALUE AND LOWER PREMIUMS.
SEC. 162. ENDING HEALTH INSURANCE RESCISSION ABUSE.
`SEC. 2746. OPPORTUNITY FOR INDEPENDENT, EXTERNAL THIRD PARTY REVIEW IN CASES OF RESCISSION.
SEC. 163. ADMINISTRATIVE SIMPLIFICATION.
`SEC. 1173A. STANDARDIZE ELECTRONIC ADMINISTRATIVE TRANSACTIONS.
SEC. 164. REINSURANCE PROGRAM FOR RETIREES.
TITLE II--HEALTH INSURANCE EXCHANGE AND RELATED PROVISIONSSubtitle A--Health Insurance Exchange
SEC. 201. ESTABLISHMENT OF HEALTH INSURANCE EXCHANGE; OUTLINE OF DUTIES; DEFINITIONS.
SEC. 202. EXCHANGE-ELIGIBLE INDIVIDUALS AND EMPLOYERS.
SEC. 203. BENEFITS PACKAGE LEVELS.
SEC. 204. CONTRACTS FOR THE OFFERING OF EXCHANGE-PARTICIPATING HEALTH BENEFITS PLANS.
SEC. 206. OTHER FUNCTIONS.
SEC. 207. HEALTH INSURANCE EXCHANGE TRUST FUND.
SEC. 208. OPTIONAL OPERATION OF STATE-BASED HEALTH INSURANCE EXCHANGES.
Subtitle B--Public Health Insurance Option
SEC. 221. ESTABLISHMENT AND ADMINISTRATION OF A PUBLIC HEALTH INSURANCE OPTION AS AN EXCHANGE-QUALIFIED HEALTH BENEFITS PLAN.
SEC. 222. PREMIUMS AND FINANCING.
SEC. 223. PAYMENT RATES FOR ITEMS AND SERVICES.
SEC. 224. MODERNIZED PAYMENT INITIATIVES AND DELIVERY SYSTEM REFORM.
SEC. 225. PROVIDER PARTICIPATION.
SEC. 226. APPLICATION OF FRAUD AND ABUSE PROVISIONS.
Subtitle C--Individual Affordability Credits
SEC. 241. AVAILABILITY THROUGH HEALTH INSURANCE EXCHANGE.
SEC. 242. AFFORDABLE CREDIT ELIGIBLE INDIVIDUAL.
SEC. 243. AFFORDABLE PREMIUM CREDIT.
SEC. 244. AFFORDABILITY COST-SHARING CREDIT.
SEC. 245. INCOME DETERMINATIONS.
SEC. 246. NO FEDERAL PAYMENT FOR UNDOCUMENTED ALIENS.
TITLE III--SHARED RESPONSIBILITYSubtitle A--Individual Responsibility
SEC. 301. INDIVIDUAL RESPONSIBILITY.
Subtitle B--Employer Responsibility
PART 1--HEALTH COVERAGE PARTICIPATION REQUIREMENTS
SEC. 311. HEALTH COVERAGE PARTICIPATION REQUIREMENTS.
SEC. 312. EMPLOYER RESPONSIBILITY TO CONTRIBUTE TOWARDS EMPLOYEE AND DEPENDENT COVERAGE.
SEC. 313. EMPLOYER CONTRIBUTIONS IN LIEU OF COVERAGE.
SEC. 314. AUTHORITY RELATED TO IMPROPER STEERING.
PART 2--SATISFACTION OF HEALTH COVERAGE PARTICIPATION REQUIREMENTS
`SEC. 801. ELECTION OF EMPLOYER TO BE SUBJECT TO NATIONAL HEALTH COVERAGE PARTICIPATION REQUIREMENTS.
`SEC. 802. TREATMENT OF COVERAGE RESULTING FROM ELECTION.
`SEC. 803. HEALTH COVERAGE PARTICIPATION REQUIREMENTS.
`SEC. 804. RULES FOR APPLYING REQUIREMENTS.
`SEC. 805. TERMINATION OF ELECTION IN CASES OF SUBSTANTIAL NONCOMPLIANCE.
`SEC. 806. REGULATIONS.
`Part 8--National Health Coverage Participation Requirements
SEC. 322. SATISFACTION OF HEALTH COVERAGE PARTICIPATION REQUIREMENTS UNDER THE INTERNAL REVENUE CODE OF 1986.
SEC. 323. SATISFACTION OF HEALTH COVERAGE PARTICIPATION REQUIREMENTS UNDER THE PUBLIC HEALTH SERVICE ACT.
`SEC. 2793. NATIONAL HEALTH COVERAGE PARTICIPATION REQUIREMENTS.
SEC. 324. ADDITIONAL RULES RELATING TO HEALTH COVERAGE PARTICIPATION REQUIREMENTS.
TITLE IV--AMENDMENTS TO INTERNAL REVENUE CODE OF 1986Subtitle A--Shared ResponsibilityPART 1--INDIVIDUAL RESPONSIBILITY
SEC. 401. TAX ON INDIVIDUALS WITHOUT ACCEPTABLE HEALTH CARE COVERAGE.
`PART VIII--HEALTH CARE RELATED TAXES`subpart a. tax on individuals without acceptable health care coverage.
`Subpart A--Tax on Individuals Without Acceptable Health Care Coverage
`SEC. 59B. TAX ON INDIVIDUALS WITHOUT ACCEPTABLE HEALTH CARE COVERAGE.
`SEC. 6050X. RETURNS RELATING TO HEALTH INSURANCE COVERAGE.
`Part VIII. Health Care Related Taxes.
'.PART 2--EMPLOYER RESPONSIBILITY
SEC. 411. ELECTION TO SATISFY HEALTH COVERAGE PARTICIPATION REQUIREMENTS.
`SEC. 4980H. ELECTION WITH RESPECT TO HEALTH COVERAGE PARTICIPATION REQUIREMENTS.
SEC. 412. RESPONSIBILITIES OF NONELECTING EMPLOYERS.
Subtitle B--Credit for Small Business Employee Health Coverage Expenses
SEC. 421. CREDIT FOR SMALL BUSINESS EMPLOYEE HEALTH COVERAGE EXPENSES.
`SEC. 45R. SMALL BUSINESS EMPLOYEE HEALTH COVERAGE CREDIT.
Subtitle C--Disclosures To Carry Out Health Insurance Exchange Subsidies
SEC. 431. DISCLOSURES TO CARRY OUT HEALTH INSURANCE EXCHANGE SUBSIDIES.
Subtitle D--Other Revenue ProvisionsPART 1--GENERAL PROVISIONS
SEC. 441. SURCHARGE ON HIGH INCOME INDIVIDUALS.
`Subpart B--Surcharge on High Income Individuals
`SEC. 59C. SURCHARGE ON HIGH INCOME INDIVIDUALS.
`subpart b. surcharge on high income individuals.'.
SEC. 442. DELAY IN APPLICATION OF WORLDWIDE ALLOCATION OF INTEREST.
PART 2--PREVENTION OF TAX AVOIDANCE
SEC. 451. LIMITATION ON TREATY BENEFITS FOR CERTAIN DEDUCTIBLE PAYMENTS.
SEC. 452. CODIFICATION OF ECONOMIC SUBSTANCE DOCTRINE.
SEC. 453. PENALTIES FOR UNDERPAYMENTS.
DIVISION B--MEDICARE AND MEDICAID IMPROVEMENTS
Sec. 1001. Table of contents of division.
Sec. 1702. Requirements and special rules for certain Medicaid eligible individuals.
Sec. 1757. Medicaid and CHIP exclusion from participation relating to certain ownership, control, and management affiliations.
Sec. 1758. Requirement to report expanded set of data elements under MMIS to detect fraud and abuse.
TITLE I--IMPROVING HEALTH CARE VALUESubtitle A--Provisions Related to Medicare Part APART 1--MARKET BASKET UPDATES
SEC. 1101. SKILLED NURSING FACILITY PAYMENT UPDATE.
SEC. 1102. INPATIENT REHABILITATION FACILITY PAYMENT UPDATE.
SEC. 1103. INCORPORATING PRODUCTIVITY IMPROVEMENTS INTO MARKET BASKET UPDATES THAT DO NOT ALREADY INCORPORATE SUCH IMPROVEMENTS.
PART 2--OTHER MEDICARE PART A PROVISIONS
SEC. 1111. PAYMENTS TO SKILLED NURSING FACILITIES.
SEC. 1112. MEDICARE DSH REPORT AND PAYMENT ADJUSTMENTS IN RESPONSE TO COVERAGE EXPANSION.
Subtitle B--Provisions Related to Part BPART 1--PHYSICIANS' SERVICES
SEC. 1121. SUSTAINABLE GROWTH RATE REFORM.
SEC. 1122. MISVALUED CODES UNDER THE PHYSICIAN FEE SCHEDULE.
SEC. 1123. PAYMENTS FOR EFFICIENT AREAS.
SEC. 1124. MODIFICATIONS TO THE PHYSICIAN QUALITY REPORTING INITIATIVE (PQRI).
SEC. 1125. ADJUSTMENT TO MEDICARE PAYMENT LOCALITIES.
PART 2--MARKET BASKET UPDATES
SEC. 1131. INCORPORATING PRODUCTIVITY IMPROVEMENTS INTO MARKET BASKET UPDATES THAT DO NOT ALREADY INCORPORATE SUCH IMPROVEMENTS.
PART 3--OTHER PROVISIONS
SEC. 1141. RENTAL AND PURCHASE OF POWER-DRIVEN WHEELCHAIRS.
SEC. 1142. EXTENSION OF PAYMENT RULE FOR BRACHYTHERAPY.
SEC. 1143. HOME INFUSION THERAPY REPORT TO CONGRESS.
SEC. 1144. REQUIRE AMBULATORY SURGICAL CENTERS (ASCS) TO SUBMIT COST DATA AND OTHER DATA.
SEC. 1145. TREATMENT OF CERTAIN CANCER HOSPITALS.
SEC. 1146. MEDICARE IMPROVEMENT FUND.
SEC. 1147. PAYMENT FOR IMAGING SERVICES.
SEC. 1148. DURABLE MEDICAL EQUIPMENT PROGRAM IMPROVEMENTS.
SEC. 1149. MEDPAC STUDY AND REPORT ON BONE MASS MEASUREMENT.
Subtitle C--Provisions Related to Medicare Parts A and B
SEC. 1151. REDUCING POTENTIALLY PREVENTABLE HOSPITAL READMISSIONS.
SEC. 1152. POST ACUTE CARE SERVICES PAYMENT REFORM PLAN AND BUNDLING PILOT PROGRAM.
`SEC. 1866D. CONVERSION OF ACUTE CARE EPISODE DEMONSTRATION TO PILOT PROGRAM AND EXPANSION TO INCLUDE POST ACUTE SERVICES.
SEC. 1153. HOME HEALTH PAYMENT UPDATE FOR 2010.
SEC. 1154. PAYMENT ADJUSTMENTS FOR HOME HEALTH CARE.
SEC. 1155. INCORPORATING PRODUCTIVITY IMPROVEMENTS INTO MARKET BASKET UPDATE FOR HOME HEALTH SERVICES.
SEC. 1156. LIMITATION ON MEDICARE EXCEPTIONS TO THE PROHIBITION ON CERTAIN PHYSICIAN REFERRALS MADE TO HOSPITALS.
SEC. 1157. INSTITUTE OF MEDICINE STUDY OF GEOGRAPHIC ADJUSTMENT FACTORS UNDER MEDICARE.
SEC. 1158. REVISION OF MEDICARE PAYMENT SYSTEMS TO ADDRESS GEOGRAPHIC INEQUITIES.
Subtitle D--Medicare Advantage Reforms
PART 1--PAYMENT AND ADMINISTRATION
SEC. 1161. PHASE-IN OF PAYMENT BASED ON FEE-FOR-SERVICE COSTS.
SEC. 1162. QUALITY BONUS PAYMENTS.
SEC. 1163. EXTENSION OF SECRETARIAL CODING INTENSITY ADJUSTMENT AUTHORITY.
SEC. 1164. SIMPLIFICATION OF ANNUAL BENEFICIARY ELECTION PERIODS.
SEC. 1165. EXTENSION OF REASONABLE COST CONTRACTS.
SEC. 1166. LIMITATION OF WAIVER AUTHORITY FOR EMPLOYER GROUP PLANS.
SEC. 1167. IMPROVING RISK ADJUSTMENT FOR PAYMENTS.
SEC. 1168. ELIMINATION OF MA REGIONAL PLAN STABILIZATION FUND.
PART 2--BENEFICIARY PROTECTIONS AND ANTI-FRAUD
SEC. 1171. LIMITATION ON COST-SHARING FOR INDIVIDUAL HEALTH SERVICES.
SEC. 1172. CONTINUOUS OPEN ENROLLMENT FOR ENROLLEES IN PLANS WITH ENROLLMENT SUSPENSION.
SEC. 1173. INFORMATION FOR BENEFICIARIES ON MA PLAN ADMINISTRATIVE COSTS.
SEC. 1174. STRENGTHENING AUDIT AUTHORITY.
SEC. 1175. AUTHORITY TO DENY PLAN BIDS.
PART 3--TREATMENT OF SPECIAL NEEDS PLANS
SEC. 1177. EXTENSION OF AUTHORITY OF SPECIAL NEEDS PLANS TO RESTRICT ENROLLMENT.
Subtitle E--Improvements to Medicare Part D
SEC. 1181. ELIMINATION OF COVERAGE GAP.
SEC. 1182. DISCOUNTS FOR CERTAIN PART D DRUGS IN ORIGINAL COVERAGE GAP.
SEC. 1185. PERMITTING MID-YEAR CHANGES IN ENROLLMENT FOR FORMULARY CHANGES THAT ADVERSELY IMPACT AN ENROLLEE.
Subtitle F--Medicare Rural Access Protections
SEC. 1191. TELEHEALTH EXPANSION AND ENHANCEMENTS.
SEC. 1192. EXTENSION OF OUTPATIENT HOLD HARMLESS PROVISION.
SEC. 1193. EXTENSION OF SECTION 508 HOSPITAL RECLASSIFICATIONS.
SEC. 1194. EXTENSION OF GEOGRAPHIC FLOOR FOR WORK.
SEC. 1195. EXTENSION OF PAYMENT FOR TECHNICAL COMPONENT OF CERTAIN PHYSICIAN PATHOLOGY SERVICES.
SEC. 1196. EXTENSION OF AMBULANCE ADD-ONS.
TITLE II--MEDICARE BENEFICIARY IMPROVEMENTSSubtitle A--Improving and Simplifying Financial Assistance for Low Income Medicare Beneficiaries
SEC. 1201. IMPROVING ASSETS TESTS FOR MEDICARE SAVINGS PROGRAM AND LOW-INCOME SUBSIDY PROGRAM.
SEC. 1202. ELIMINATION OF PART D COST-SHARING FOR CERTAIN NON-INSTITUTIONALIZED FULL-BENEFIT DUAL ELIGIBLE INDIVIDUALS.
SEC. 1203. ELIMINATING BARRIERS TO ENROLLMENT.
SEC. 1204. ENHANCED OVERSIGHT RELATING TO REIMBURSEMENTS FOR RETROACTIVE LOW INCOME SUBSIDY ENROLLMENT.
SEC. 1205. INTELLIGENT ASSIGNMENT IN ENROLLMENT.
SEC. 1206. SPECIAL ENROLLMENT PERIOD AND AUTOMATIC ENROLLMENT PROCESS FOR CERTAIN SUBSIDY ELIGIBLE INDIVIDUALS.
SEC. 1207. APPLICATION OF MA PREMIUMS PRIOR TO REBATE IN CALCULATION OF LOW INCOME SUBSIDY BENCHMARK.
Subtitle B--Reducing Health Disparities
SEC. 1221. ENSURING EFFECTIVE COMMUNICATION IN MEDICARE.
SEC. 1223. IOM REPORT ON IMPACT OF LANGUAGE ACCESS SERVICES.
SEC. 1224. DEFINITIONS.
Subtitle C--Miscellaneous Improvements
SEC. 1231. EXTENSION OF THERAPY CAPS EXCEPTIONS PROCESS.
SEC. 1233. ADVANCE CARE PLANNING CONSULTATION.
`Advance Care Planning Consultation
SEC. 1234. PART B SPECIAL ENROLLMENT PERIOD AND WAIVER OF LIMITED ENROLLMENT PENALTY FOR TRICARE BENEFICIARIES.
SEC. 1236. DEMONSTRATION PROGRAM ON USE OF PATIENT DECISIONS AIDS.
TITLE III--PROMOTING PRIMARY CARE, MENTAL HEALTH SERVICES, AND COORDINATED CARE
SEC. 1301. ACCOUNTABLE CARE ORGANIZATION PILOT PROGRAM.
`ACCOUNTABLE CARE ORGANIZATION PILOT PROGRAM
SEC. 1302. MEDICAL HOME PILOT PROGRAM.
`MEDICAL HOME PILOT PROGRAM
SEC. 1303. PAYMENT INCENTIVE FOR SELECTED PRIMARY CARE SERVICES.
SEC. 1304. INCREASED REIMBURSEMENT RATE FOR CERTIFIED NURSE-MIDWIVES.
SEC. 1305. COVERAGE AND WAIVER OF COST-SHARING FOR PREVENTIVE SERVICES.
`Medicare Covered Preventive Services
SEC. 1308. COVERAGE OF MARRIAGE AND FAMILY THERAPIST SERVICES AND MENTAL HEALTH COUNSELOR SERVICES.
`Marriage and Family Therapist Services`Mental Health Counselor Services
SEC. 1309. EXTENSION OF PHYSICIAN FEE SCHEDULE MENTAL HEALTH ADD-ON.
SEC. 1310. EXPANDING ACCESS TO VACCINES.
`Federally Recommended Vaccines
TITLE IV--QUALITY
Subtitle A--Comparative Effectiveness Research
SEC. 1401. COMPARATIVE EFFECTIVENESS RESEARCH.
`Part D--Comparative Effectiveness Research`COMPARATIVE EFFECTIVENESS RESEARCH
Subtitle B--Nursing Home TransparencyPART 1--IMPROVING TRANSPARENCY OF INFORMATION ON SKILLED NURSING FACILITIES AND NURSING FACILITIES
SEC. 1411. REQUIRED DISCLOSURE OF OWNERSHIP AND ADDITIONAL DISCLOSABLE PARTIES INFORMATION.
SEC. 1412. ACCOUNTABILITY REQUIREMENTS.
SEC. 1413. NURSING HOME COMPARE MEDICARE WEBSITE.
SEC. 1414. REPORTING OF EXPENDITURES.
SEC. 1415. STANDARDIZED COMPLAINT FORM.
SEC. 1416. ENSURING STAFFING ACCOUNTABILITY.
PART 2--TARGETING ENFORCEMENT
SEC. 1421. CIVIL MONEY PENALTIES.
SEC. 1422. NATIONAL INDEPENDENT MONITOR PILOT PROGRAM.
SEC. 1423. NOTIFICATION OF FACILITY CLOSURE.
PART 3--IMPROVING STAFF TRAINING
SEC. 1431. DEMENTIA AND ABUSE PREVENTION TRAINING.
SEC. 1432. STUDY AND REPORT ON TRAINING REQUIRED FOR CERTIFIED NURSE AIDES AND SUPERVISORY STAFF.
Subtitle C--Quality Measurements
SEC. 1441. ESTABLISHMENT OF NATIONAL PRIORITIES FOR QUALITY IMPROVEMENT.
`Part E--Quality Improvement`ESTABLISHMENT OF NATIONAL PRIORITIES FOR PERFORMANCE IMPROVEMENT
SEC. 1442. DEVELOPMENT OF NEW QUALITY MEASURES; GAO EVALUATION OF DATA COLLECTION PROCESS FOR QUALITY MEASUREMENT.
`SEC. 1192. DEVELOPMENT OF NEW QUALITY MEASURES.
`SEC. 1193. GAO EVALUATION OF DATA COLLECTION PROCESS FOR QUALITY MEASUREMENT.
SEC. 1443. MULTI-STAKEHOLDER PRE-RULEMAKING INPUT INTO SELECTION OF QUALITY MEASURES.
SEC. 1444. APPLICATION OF QUALITY MEASURES.
SEC. 1445. CONSENSUS-BASED ENTITY FUNDING.
Subtitle D--Physician Payments Sunshine ProvisionSubtitle E--Public Reporting on Health Care-Associated Infections
SEC. 1461. REQUIREMENT FOR PUBLIC REPORTING BY HOSPITALS AND AMBULATORY SURGICAL CENTERS ON HEALTH CARE-ASSOCIATED INFECTIONS.
`SEC. 1138A. REQUIREMENT FOR PUBLIC REPORTING BY HOSPITALS AND AMBULATORY SURGICAL CENTERS ON HEALTH CARE-ASSOCIATED INFECTIONS.
TITLE V--MEDICARE GRADUATE MEDICAL EDUCATION
SEC. 1501. DISTRIBUTION OF UNUSED RESIDENCY POSITIONS.
SEC. 1502. INCREASING TRAINING IN NONPROVIDER SETTINGS.
SEC. 1503. RULES FOR COUNTING RESIDENT TIME FOR DIDACTIC AND SCHOLARLY ACTIVITIES AND OTHER ACTIVITIES.
SEC. 1504. PRESERVATION OF RESIDENT CAP POSITIONS FROM CLOSED HOSPITALS.
SEC. 1505. IMPROVING ACCOUNTABILITY FOR APPROVED MEDICAL RESIDENCY TRAINING.
TITLE VI--PROGRAM INTEGRITYSubtitle A--Increased Funding To Fight Waste, Fraud, and Abuse
SEC. 1601. INCREASED FUNDING AND FLEXIBILITY TO FIGHT FRAUD AND ABUSE.
Subtitle B--Enhanced Penalties for Fraud and Abuse
SEC. 1611. ENHANCED PENALTIES FOR FALSE STATEMENTS ON PROVIDER OR SUPPLIER ENROLLMENT APPLICATIONS.
SEC. 1612. ENHANCED PENALTIES FOR SUBMISSION OF FALSE STATEMENTS MATERIAL TO A FALSE CLAIM.
SEC. 1613. ENHANCED PENALTIES FOR DELAYING INSPECTIONS.
SEC. 1614. ENHANCED HOSPICE PROGRAM SAFEGUARDS.
`SEC. 1819A. ASSURING QUALITY OF CARE IN HOSPICE CARE.
`SEC. 2114. ASSURING QUALITY OF CARE IN HOSPICE CARE.
SEC. 1615. ENHANCED PENALTIES FOR INDIVIDUALS EXCLUDED FROM PROGRAM PARTICIPATION.
SEC. 1616. ENHANCED PENALTIES FOR PROVISION OF FALSE INFORMATION BY MEDICARE ADVANTAGE AND PART D PLANS.
SEC. 1617. ENHANCED PENALTIES FOR MEDICARE ADVANTAGE AND PART D MARKETING VIOLATIONS.
SEC. 1618. ENHANCED PENALTIES FOR OBSTRUCTION OF PROGRAM AUDITS.
SEC. 1619. EXCLUSION OF CERTAIN INDIVIDUALS AND ENTITIES FROM PARTICIPATION IN MEDICARE AND STATE HEALTH CARE PROGRAMS.
Subtitle C--Enhanced Program and Provider Protections
SEC. 1631. ENHANCED CMS PROGRAM PROTECTION AUTHORITY.
`SEC. 1128G. ENHANCED PROGRAM AND PROVIDER PROTECTIONS IN THE MEDICARE, MEDICAID, AND CHIP PROGRAMS.
SEC. 1632. ENHANCED MEDICARE, MEDICAID, AND CHIP PROGRAM DISCLOSURE REQUIREMENTS RELATING TO PREVIOUS AFFILIATIONS.
SEC. 1633. REQUIRED INCLUSION OF PAYMENT MODIFIER FOR CERTAIN EVALUATION AND MANAGEMENT SERVICES.
SEC. 1634. EVALUATIONS AND REPORTS REQUIRED UNDER MEDICARE INTEGRITY PROGRAM.
SEC. 1635. REQUIRE PROVIDERS AND SUPPLIERS TO ADOPT PROGRAMS TO REDUCE WASTE, FRAUD, AND ABUSE.
SEC. 1636. MAXIMUM PERIOD FOR SUBMISSION OF MEDICARE CLAIMS REDUCED TO NOT MORE THAN 12 MONTHS.
SEC. 1638. REQUIREMENT FOR PHYSICIANS TO PROVIDE DOCUMENTATION ON REFERRALS TO PROGRAMS AT HIGH RISK OF WASTE AND ABUSE.
SEC. 1640. EXTENSION OF TESTIMONIAL SUBPOENA AUTHORITY TO PROGRAM EXCLUSION INVESTIGATIONS.
SEC. 1641. REQUIRED REPAYMENTS OF MEDICARE AND MEDICAID OVERPAYMENTS.
SEC. 1642. EXPANDED APPLICATION OF HARDSHIP WAIVERS FOR OIG EXCLUSIONS TO BENEFICIARIES OF ANY FEDERAL HEALTH CARE PROGRAM.
SEC. 1643. ACCESS TO CERTAIN INFORMATION ON RENAL DIALYSIS FACILITIES.
SEC. 1644. BILLING AGENTS, CLEARINGHOUSES, OR OTHER ALTERNATE PAYEES REQUIRED TO REGISTER UNDER MEDICARE.
SEC. 1645. CONFORMING CIVIL MONETARY PENALTIES TO FALSE CLAIMS ACT AMENDMENTS.
Subtitle D--Access to Information Needed To Prevent Fraud, Waste, and Abuse
SEC. 1651. ACCESS TO INFORMATION NECESSARY TO IDENTIFY FRAUD, WASTE, AND ABUSE.
SEC. 1653. COMPLIANCE WITH HIPAA PRIVACY AND SECURITY STANDARDS.
TITLE VII--MEDICAID AND CHIPSubtitle A--Medicaid and Health Reform
SEC. 1701. ELIGIBILITY FOR INDIVIDUALS WITH INCOME BELOW 133 1/3 PERCENT OF THE FEDERAL POVERTY LEVEL.
SEC. 1702. REQUIREMENTS AND SPECIAL RULES FOR CERTAIN MEDICAID ELIGIBLE INDIVIDUALS.
`REQUIREMENTS AND SPECIAL RULES FOR CERTAIN MEDICAID ELIGIBLE INDIVIDUALS
SEC. 1703. CHIP AND MEDICAID MAINTENANCE OF EFFORT.
SEC. 1704. REDUCTION IN MEDICAID DSH.
SEC. 1705. EXPANDED OUTSTATIONING.
Subtitle B--Prevention
SEC. 1711. REQUIRED COVERAGE OF PREVENTIVE SERVICES.
SEC. 1712. TOBACCO CESSATION.
SEC. 1713. OPTIONAL COVERAGE OF NURSE HOME VISITATION SERVICES.
SEC. 1714. STATE ELIGIBILITY OPTION FOR FAMILY PLANNING SERVICES.
`PRESUMPTIVE ELIGIBILITY FOR FAMILY PLANNING SERVICESSubtitle C--Access
SEC. 1721. PAYMENTS TO PRIMARY CARE PRACTITIONERS.
SEC. 1722. MEDICAL HOME PILOT PROGRAM.
SEC. 1723. TRANSLATION OR INTERPRETATION SERVICES.
SEC. 1724. OPTIONAL COVERAGE FOR FREESTANDING BIRTH CENTER SERVICES.
SEC. 1725. INCLUSION OF PUBLIC HEALTH CLINICS UNDER THE VACCINES FOR CHILDREN PROGRAM.
Subtitle D--Coverage
SEC. 1731. OPTIONAL MEDICAID COVERAGE OF LOW-INCOME HIV-INFECTED INDIVIDUALS.
SEC. 1732. EXTENDING TRANSITIONAL MEDICAID ASSISTANCE (TMA).
SEC. 1733. REQUIREMENT OF 12-MONTH CONTINUOUS COVERAGE UNDER CERTAIN CHIP PROGRAMS.
Subtitle E--Financing
SEC. 1741. PAYMENTS TO PHARMACISTS.
SEC. 1742. PRESCRIPTION DRUG REBATES.
SEC. 1743. EXTENSION OF PRESCRIPTION DRUG DISCOUNTS TO ENROLLEES OF MEDICAID MANAGED CARE ORGANIZATIONS.
SEC. 1744. PAYMENTS FOR GRADUATE MEDICAL EDUCATION.
Subtitle F--Waste, Fraud, and Abuse
SEC. 1751. HEALTH-CARE ACQUIRED CONDITIONS.
SEC. 1752. EVALUATIONS AND REPORTS REQUIRED UNDER MEDICAID INTEGRITY PROGRAM.
SEC. 1753. REQUIRE PROVIDERS AND SUPPLIERS TO ADOPT PROGRAMS TO REDUCE WASTE, FRAUD, AND ABUSE.
SEC. 1754. OVERPAYMENTS.
SEC. 1755. MANAGED CARE ORGANIZATIONS.
SEC. 1757. MEDICAID AND CHIP EXCLUSION FROM PARTICIPATION RELATING TO CERTAIN OWNERSHIP, CONTROL, AND MANAGEMENT AFFILIATIONS.
SEC. 1758. REQUIREMENT TO REPORT EXPANDED SET OF DATA ELEMENTS UNDER MMIS TO DETECT FRAUD AND ABUSE.
SEC. 1759. BILLING AGENTS, CLEARINGHOUSES, OR OTHER ALTERNATE PAYEES REQUIRED TO REGISTER UNDER MEDICAID.
SEC. 1760. DENIAL OF PAYMENTS FOR LITIGATION-RELATED MISCONDUCT.
Subtitle G--Puerto Rico and the Territories
SEC. 1771. PUERTO RICO AND TERRITORIES.
Subtitle H--Miscellaneous
SEC. 1781. TECHNICAL CORRECTIONS.
SEC. 1782. EXTENSION OF QI PROGRAM.
TITLE VIII--REVENUE-RELATED PROVISIONS
SEC. 1802. COMPARATIVE EFFECTIVENESS RESEARCH TRUST FUND; FINANCING FOR TRUST FUND.
`SEC. 9511. HEALTH CARE COMPARATIVE EFFECTIVENESS RESEARCH TRUST FUND.
`Subchapter B--Insured and Self-Insured Health Plans
`SEC. 4375. HEALTH INSURANCE.
`SEC. 4376. SELF-INSURED HEALTH PLANS.
`SEC. 4377. DEFINITIONS AND SPECIAL RULES.
`CHAPTER 34--TAXES ON CERTAIN INSURANCE POLICIES`subchapter a. policies issued by foreign insurers`subchapter b. insured and self-insured health plans`Subchapter A--Policies Issued By Foreign Insurers'.
`Chapter 34--Taxes on Certain Insurance Policies'.TITLE IX--MISCELLANEOUS PROVISIONS
SEC. 1901. REPEAL OF TRIGGER PROVISION.
SEC. 1902. REPEAL OF COMPARATIVE COST ADJUSTMENT (CCA) PROGRAM.
SEC. 1903. EXTENSION OF GAINSHARING DEMONSTRATION.
`Subpart 3--Support for Quality Home Visitation Programs
`SEC. 440. HOME VISITATION PROGRAMS FOR FAMILIES WITH YOUNG CHILDREN AND FAMILIES EXPECTING CHILDREN.
SEC. 1905. IMPROVED COORDINATION AND PROTECTION FOR DUAL ELIGIBLES.
`IMPROVED COORDINATION AND PROTECTION FOR DUAL ELIGIBLESDIVISION C--PUBLIC HEALTH AND WORKFORCE DEVELOPMENT
Sec. 2001. Table of contents; references.
SEC. 2002. PUBLIC HEALTH INVESTMENT FUND.
TITLE I--COMMUNITY HEALTH CENTERS
SEC. 2101. INCREASED FUNDING.
TITLE II--WORKFORCESubtitle A--Primary Care WorkforcePART 1--NATIONAL HEALTH SERVICE CORPS
SEC. 2201. NATIONAL HEALTH SERVICE CORPS.
SEC. 2202. AUTHORIZATIONS OF APPROPRIATIONS.
`SEC. 338H-1. ADDITIONAL FUNDING.
PART 2--PROMOTION OF PRIMARY CARE AND DENTISTRY
SEC. 2211. FRONTLINE HEALTH PROVIDERS.
`Subpart XI--Health Professional Needs Areas
`SEC. 340H. IN GENERAL.
`SEC. 340I. LOAN REPAYMENTS.
`SEC. 340J. REPORT.
`SEC. 340K. ALLOCATION.
SEC. 2212. PRIMARY CARE STUDENT LOAN FUNDS.
SEC. 2213. TRAINING IN FAMILY MEDICINE, GENERAL INTERNAL MEDICINE, GENERAL PEDIATRICS, GERIATRICS, AND PHYSICIAN ASSISTANTSHIP.
SEC. 2214. TRAINING OF MEDICAL RESIDENTS IN COMMUNITY-BASED SETTINGS.
`SEC. 748. TRAINING OF MEDICAL RESIDENTS IN COMMUNITY-BASED SETTINGS.
SEC. 2215. TRAINING FOR GENERAL, PEDIATRIC, AND PUBLIC HEALTH DENTISTS AND DENTAL HYGIENISTS.
`SEC. 749. TRAINING FOR GENERAL, PEDIATRIC, AND PUBLIC HEALTH DENTISTS AND DENTAL HYGIENISTS.
SEC. 2216. AUTHORIZATION OF APPROPRIATIONS.
`SEC. 799C. FUNDING THROUGH PUBLIC HEALTH INVESTMENT FUND.
Subtitle B--Nursing Workforce
SEC. 2221. AMENDMENTS TO PUBLIC HEALTH SERVICE ACT.
`SEC. 872. FUNDING THROUGH PUBLIC HEALTH INVESTMENT FUND.
`SEC. 871. FUNDING.
Subtitle C--Public Health Workforce
SEC. 2231. PUBLIC HEALTH WORKFORCE CORPS.
`Subpart XII--Public Health Workforce
`SEC. 340L. PUBLIC HEALTH WORKFORCE CORPS.
`SEC. 340M. PUBLIC HEALTH WORKFORCE SCHOLARSHIP PROGRAM.
`SEC. 340N. PUBLIC HEALTH WORKFORCE LOAN REPAYMENT PROGRAM.
SEC. 2232. ENHANCING THE PUBLIC HEALTH WORKFORCE.
`SEC. 765. ENHANCING THE PUBLIC HEALTH WORKFORCE.
SEC. 2233. PUBLIC HEALTH TRAINING CENTERS.
SEC. 2234. PREVENTIVE MEDICINE AND PUBLIC HEALTH TRAINING GRANT PROGRAM.
`SEC. 768. PREVENTIVE MEDICINE AND PUBLIC HEALTH TRAINING GRANT PROGRAM.
SEC. 2235. AUTHORIZATION OF APPROPRIATIONS.
Subtitle D--Adapting Workforce to Evolving Health System NeedsPART 1--HEALTH PROFESSIONS TRAINING FOR DIVERSITY
SEC. 2242. NURSING WORKFORCE DIVERSITY GRANTS.
SEC. 2243. COORDINATION OF DIVERSITY AND CULTURAL COMPETENCY PROGRAMS.
`SEC. 739A. COORDINATION OF DIVERSITY AND CULTURAL COMPETENCY PROGRAMS.
PART 2--INTERDISCIPLINARY TRAINING PROGRAMS
SEC. 2251. CULTURAL AND LINGUISTIC COMPETENCY TRAINING FOR HEALTH CARE PROFESSIONALS.
SEC. 2252. INNOVATIONS IN INTERDISCIPLINARY CARE TRAINING.
`SEC. 759. INNOVATIONS IN INTERDISCIPLINARY CARE TRAINING.
PART 3--ADVISORY COMMITTEE ON HEALTH WORKFORCE EVALUATION AND ASSESSMENT
SEC. 2261. HEALTH WORKFORCE EVALUATION AND ASSESSMENT.
`SEC. 764. HEALTH WORKFORCE EVALUATION AND ASSESSMENT.
PART 4--HEALTH WORKFORCE ASSESSMENT
SEC. 2271. HEALTH WORKFORCE ASSESSMENT.
PART 5--AUTHORIZATION OF APPROPRIATIONS
SEC. 2281. AUTHORIZATION OF APPROPRIATIONS.
TITLE III--PREVENTION AND WELLNESS
SEC. 2301. PREVENTION AND WELLNESS.
`TITLE XXXI--PREVENTION AND WELLNESS`Subtitle A--Prevention and Wellness Trust
`SEC. 3111. PREVENTION AND WELLNESS TRUST.
`Subtitle B--National Prevention and Wellness Strategy
`SEC. 3121. NATIONAL PREVENTION AND WELLNESS STRATEGY.
`Subtitle C--Prevention Task Forces
`SEC. 3131. TASK FORCE ON CLINICAL PREVENTIVE SERVICES.
`SEC. 3132. TASK FORCE ON COMMUNITY PREVENTIVE SERVICES.
`Subtitle D--Prevention and Wellness Research
`SEC. 3141. PREVENTION AND WELLNESS RESEARCH ACTIVITY COORDINATION.
`SEC. 3142. COMMUNITY PREVENTION AND WELLNESS RESEARCH GRANTS.
`Subtitle E--Delivery of Community Prevention and Wellness Services
`SEC. 3151. COMMUNITY PREVENTION AND WELLNESS SERVICES GRANTS.
`Subtitle F--Core Public Health Infrastructure
`SEC. 3161. CORE PUBLIC HEALTH INFRASTRUCTURE FOR STATE, LOCAL, AND TRIBAL HEALTH DEPARTMENTS.
`SEC. 3162. CORE PUBLIC HEALTH INFRASTRUCTURE AND ACTIVITIES FOR CDC.
`Subtitle G--General Provisions
`SEC. 3171. DEFINITIONS.
TITLE IV--QUALITY AND SURVEILLANCE
SEC. 2401. IMPLEMENTATION OF BEST PRACTICES IN THE DELIVERY OF HEALTH CARE.
`PART D--IMPLEMENTATION OF BEST PRACTICES IN THE DELIVERY OF HEALTH CARE
SEC. 931. CENTER FOR QUALITY IMPROVEMENT.
SEC. 2402. ASSISTANT SECRETARY FOR HEALTH INFORMATION.
`SEC. 1709. ASSISTANT SECRETARY FOR HEALTH INFORMATION.
SEC. 2403. AUTHORIZATION OF APPROPRIATIONS.
TITLE V--OTHER PROVISIONSSubtitle A--Drug Discount for Rural and Other Hospitals
SEC. 2501. EXPANDED PARTICIPATION IN 340B PROGRAM.
SEC. 2502. EXTENSION OF DISCOUNTS TO INPATIENT DRUGS.
SEC. 2503. EFFECTIVE DATE.
Subtitle B--School-Based Health Clinics
SEC. 2511. SCHOOL-BASED HEALTH CLINICS.
`SEC. 399Z-1. SCHOOL-BASED HEALTH CLINICS.
Subtitle C--National Medical Device Registry
SEC. 2521. NATIONAL MEDICAL DEVICE REGISTRY.
`National Medical Device RegistrySubtitle D--Grants for Comprehensive Programs To Provide Education to Nurses and Create a Pipeline to Nursing
SEC. 2531. ESTABLISHMENT OF GRANT PROGRAM.
Subtitle E--States Failing To Adhere to Certain Employment Obligations
SEC. 2541. LIMITATION ON FEDERAL FUNDS.
NOTE: I received two comments recently. One was a comment that the reader had just begun reading the posts and enjoyed them. Thank you. The other was a comment that I definitely intent to respond to soon. However, not until I post more on “Global Warming” and “Cap and Trade” which will probably conclude with the Senate’s recess on August 10th.
“‘Healthcare Reform’: Of course, what is about to be considered in the House is NOT reform. It is a proposal for the federal government to TAKE CONTROL of healthcare in this nation—either immediately or ultimately.”
I had computer problems Saturday night and couldn’t post. I’m trying again tonight. Posts this week will be early morning according to my present plans.
I had planned on listing the record high temperatures for August in Peoria tonight. Instead, one more post on “Nationalized Healthcare” before switching. After I posted last night, I looked for the vote on an amendment to H.R. 3200 which is the House’s version of “Nationalized Healthcare.” I couldn’t find what I wanted but I did find the following: A breakdown of House Bill 3200 by sections. This should provide the necessary links to get you to any particular section of the proposed bill. (I believe before amendments.) Notice, the bill itself is 1017 pages long and just listing the Sections of the bill is 22 pages long on Word. I’ve never tried this before. I hope it works. Actually, I’ve never tried to post 26 pages on one post before. I hope it works! The information links below are just as I copied and pasted them from the website. Just reading the sections should scare any voter—what a bureaucratic nightmare this would be!
BeginningJuly 14, 2009
SECTION 1. SHORT TITLE; TABLE OF DIVISIONS, TITLES, AND SUBTITLES.
DIVISION A--AFFORDABLE HEALTH CARE CHOICES
Sec. 100. Purpose; table of contents of division; general definitions.
TITLE I--PROTECTIONS AND STANDARDS FOR QUALIFIED HEALTH BENEFITS PLANS
Subtitle A--General Standards
SEC. 101. REQUIREMENTS REFORMING HEALTH INSURANCE MARKETPLACE.
SEC. 102. PROTECTING THE CHOICE TO KEEP CURRENT COVERAGE.
Subtitle B--Standards Guaranteeing Access to Affordable Coverage
SEC. 111. PROHIBITING PRE-EXISTING CONDITION EXCLUSIONS.
SEC. 112. GUARANTEED ISSUE AND RENEWAL FOR INSURED PLANS.
SEC. 113. INSURANCE RATING RULES.
SEC. 114. NONDISCRIMINATION IN BENEFITS; PARITY IN MENTAL HEALTH AND SUBSTANCE ABUSE DISORDER BENEFITS.
SEC. 115. ENSURING ADEQUACY OF PROVIDER NETWORKS.
SEC. 116. ENSURING VALUE AND LOWER PREMIUMS.
Subtitle C--Standards Guaranteeing Access to Essential Benefits
SEC. 121. COVERAGE OF ESSENTIAL BENEFITS PACKAGE.
SEC. 122. ESSENTIAL BENEFITS PACKAGE DEFINED.
SEC. 123. HEALTH BENEFITS ADVISORY COMMITTEE.
SEC. 124. PROCESS FOR ADOPTION OF RECOMMENDATIONS; ADOPTION OF BENEFIT STANDARDS.
Subtitle D--Additional Consumer Protections
SEC. 131. REQUIRING FAIR MARKETING PRACTICES BY HEALTH INSURERS.
SEC. 132. REQUIRING FAIR GRIEVANCE AND APPEALS MECHANISMS.
SEC. 133. REQUIRING INFORMATION TRANSPARENCY AND PLAN DISCLOSURE.
SEC. 134. APPLICATION TO QUALIFIED HEALTH BENEFITS PLANS NOT OFFERED THROUGH THE HEALTH INSURANCE EXCHANGE.
SEC. 135. TIMELY PAYMENT OF CLAIMS.
SEC. 136. STANDARDIZED RULES FOR COORDINATION AND SUBROGATION OF BENEFITS.
SEC. 137. APPLICATION OF ADMINISTRATIVE SIMPLIFICATION.
Subtitle E--Governance
SEC. 141. HEALTH CHOICES ADMINISTRATION; HEALTH CHOICES COMMISSIONER.
SEC. 142. DUTIES AND AUTHORITY OF COMMISSIONER.
SEC. 143. CONSULTATION AND COORDINATION.
SEC. 144. HEALTH INSURANCE OMBUDSMAN.
Subtitle F--Relation to Other Requirements; Miscellaneous
SEC. 151. RELATION TO OTHER REQUIREMENTS.
SEC. 152. PROHIBITING DISCRIMINATION IN HEALTH CARE.
SEC. 153. WHISTLEBLOWER PROTECTION.
SEC. 154. CONSTRUCTION REGARDING COLLECTIVE BARGAINING.
SEC. 155. SEVERABILITY.
Subtitle G--Early Investments
SEC. 161. ENSURING VALUE AND LOWER PREMIUMS.
`SEC. 2714. ENSURING VALUE AND LOWER PREMIUMS.
`SEC. 2754. ENSURING VALUE AND LOWER PREMIUMS.
SEC. 162. ENDING HEALTH INSURANCE RESCISSION ABUSE.
`SEC. 2746. OPPORTUNITY FOR INDEPENDENT, EXTERNAL THIRD PARTY REVIEW IN CASES OF RESCISSION.
SEC. 163. ADMINISTRATIVE SIMPLIFICATION.
`SEC. 1173A. STANDARDIZE ELECTRONIC ADMINISTRATIVE TRANSACTIONS.
SEC. 164. REINSURANCE PROGRAM FOR RETIREES.
TITLE II--HEALTH INSURANCE EXCHANGE AND RELATED PROVISIONSSubtitle A--Health Insurance Exchange
SEC. 201. ESTABLISHMENT OF HEALTH INSURANCE EXCHANGE; OUTLINE OF DUTIES; DEFINITIONS.
SEC. 202. EXCHANGE-ELIGIBLE INDIVIDUALS AND EMPLOYERS.
SEC. 203. BENEFITS PACKAGE LEVELS.
SEC. 204. CONTRACTS FOR THE OFFERING OF EXCHANGE-PARTICIPATING HEALTH BENEFITS PLANS.
SEC. 206. OTHER FUNCTIONS.
SEC. 207. HEALTH INSURANCE EXCHANGE TRUST FUND.
SEC. 208. OPTIONAL OPERATION OF STATE-BASED HEALTH INSURANCE EXCHANGES.
Subtitle B--Public Health Insurance Option
SEC. 221. ESTABLISHMENT AND ADMINISTRATION OF A PUBLIC HEALTH INSURANCE OPTION AS AN EXCHANGE-QUALIFIED HEALTH BENEFITS PLAN.
SEC. 222. PREMIUMS AND FINANCING.
SEC. 223. PAYMENT RATES FOR ITEMS AND SERVICES.
SEC. 224. MODERNIZED PAYMENT INITIATIVES AND DELIVERY SYSTEM REFORM.
SEC. 225. PROVIDER PARTICIPATION.
SEC. 226. APPLICATION OF FRAUD AND ABUSE PROVISIONS.
Subtitle C--Individual Affordability Credits
SEC. 241. AVAILABILITY THROUGH HEALTH INSURANCE EXCHANGE.
SEC. 242. AFFORDABLE CREDIT ELIGIBLE INDIVIDUAL.
SEC. 243. AFFORDABLE PREMIUM CREDIT.
SEC. 244. AFFORDABILITY COST-SHARING CREDIT.
SEC. 245. INCOME DETERMINATIONS.
SEC. 246. NO FEDERAL PAYMENT FOR UNDOCUMENTED ALIENS.
TITLE III--SHARED RESPONSIBILITYSubtitle A--Individual Responsibility
SEC. 301. INDIVIDUAL RESPONSIBILITY.
Subtitle B--Employer Responsibility
PART 1--HEALTH COVERAGE PARTICIPATION REQUIREMENTS
SEC. 311. HEALTH COVERAGE PARTICIPATION REQUIREMENTS.
SEC. 312. EMPLOYER RESPONSIBILITY TO CONTRIBUTE TOWARDS EMPLOYEE AND DEPENDENT COVERAGE.
SEC. 313. EMPLOYER CONTRIBUTIONS IN LIEU OF COVERAGE.
SEC. 314. AUTHORITY RELATED TO IMPROPER STEERING.
PART 2--SATISFACTION OF HEALTH COVERAGE PARTICIPATION REQUIREMENTS
`SEC. 801. ELECTION OF EMPLOYER TO BE SUBJECT TO NATIONAL HEALTH COVERAGE PARTICIPATION REQUIREMENTS.
`SEC. 802. TREATMENT OF COVERAGE RESULTING FROM ELECTION.
`SEC. 803. HEALTH COVERAGE PARTICIPATION REQUIREMENTS.
`SEC. 804. RULES FOR APPLYING REQUIREMENTS.
`SEC. 805. TERMINATION OF ELECTION IN CASES OF SUBSTANTIAL NONCOMPLIANCE.
`SEC. 806. REGULATIONS.
`Part 8--National Health Coverage Participation Requirements
SEC. 322. SATISFACTION OF HEALTH COVERAGE PARTICIPATION REQUIREMENTS UNDER THE INTERNAL REVENUE CODE OF 1986.
SEC. 323. SATISFACTION OF HEALTH COVERAGE PARTICIPATION REQUIREMENTS UNDER THE PUBLIC HEALTH SERVICE ACT.
`SEC. 2793. NATIONAL HEALTH COVERAGE PARTICIPATION REQUIREMENTS.
SEC. 324. ADDITIONAL RULES RELATING TO HEALTH COVERAGE PARTICIPATION REQUIREMENTS.
TITLE IV--AMENDMENTS TO INTERNAL REVENUE CODE OF 1986Subtitle A--Shared ResponsibilityPART 1--INDIVIDUAL RESPONSIBILITY
SEC. 401. TAX ON INDIVIDUALS WITHOUT ACCEPTABLE HEALTH CARE COVERAGE.
`PART VIII--HEALTH CARE RELATED TAXES`subpart a. tax on individuals without acceptable health care coverage.
`Subpart A--Tax on Individuals Without Acceptable Health Care Coverage
`SEC. 59B. TAX ON INDIVIDUALS WITHOUT ACCEPTABLE HEALTH CARE COVERAGE.
`SEC. 6050X. RETURNS RELATING TO HEALTH INSURANCE COVERAGE.
`Part VIII. Health Care Related Taxes.
'.PART 2--EMPLOYER RESPONSIBILITY
SEC. 411. ELECTION TO SATISFY HEALTH COVERAGE PARTICIPATION REQUIREMENTS.
`SEC. 4980H. ELECTION WITH RESPECT TO HEALTH COVERAGE PARTICIPATION REQUIREMENTS.
SEC. 412. RESPONSIBILITIES OF NONELECTING EMPLOYERS.
Subtitle B--Credit for Small Business Employee Health Coverage Expenses
SEC. 421. CREDIT FOR SMALL BUSINESS EMPLOYEE HEALTH COVERAGE EXPENSES.
`SEC. 45R. SMALL BUSINESS EMPLOYEE HEALTH COVERAGE CREDIT.
Subtitle C--Disclosures To Carry Out Health Insurance Exchange Subsidies
SEC. 431. DISCLOSURES TO CARRY OUT HEALTH INSURANCE EXCHANGE SUBSIDIES.
Subtitle D--Other Revenue ProvisionsPART 1--GENERAL PROVISIONS
SEC. 441. SURCHARGE ON HIGH INCOME INDIVIDUALS.
`Subpart B--Surcharge on High Income Individuals
`SEC. 59C. SURCHARGE ON HIGH INCOME INDIVIDUALS.
`subpart b. surcharge on high income individuals.'.
SEC. 442. DELAY IN APPLICATION OF WORLDWIDE ALLOCATION OF INTEREST.
PART 2--PREVENTION OF TAX AVOIDANCE
SEC. 451. LIMITATION ON TREATY BENEFITS FOR CERTAIN DEDUCTIBLE PAYMENTS.
SEC. 452. CODIFICATION OF ECONOMIC SUBSTANCE DOCTRINE.
SEC. 453. PENALTIES FOR UNDERPAYMENTS.
DIVISION B--MEDICARE AND MEDICAID IMPROVEMENTS
Sec. 1001. Table of contents of division.
Sec. 1702. Requirements and special rules for certain Medicaid eligible individuals.
Sec. 1757. Medicaid and CHIP exclusion from participation relating to certain ownership, control, and management affiliations.
Sec. 1758. Requirement to report expanded set of data elements under MMIS to detect fraud and abuse.
TITLE I--IMPROVING HEALTH CARE VALUESubtitle A--Provisions Related to Medicare Part APART 1--MARKET BASKET UPDATES
SEC. 1101. SKILLED NURSING FACILITY PAYMENT UPDATE.
SEC. 1102. INPATIENT REHABILITATION FACILITY PAYMENT UPDATE.
SEC. 1103. INCORPORATING PRODUCTIVITY IMPROVEMENTS INTO MARKET BASKET UPDATES THAT DO NOT ALREADY INCORPORATE SUCH IMPROVEMENTS.
PART 2--OTHER MEDICARE PART A PROVISIONS
SEC. 1111. PAYMENTS TO SKILLED NURSING FACILITIES.
SEC. 1112. MEDICARE DSH REPORT AND PAYMENT ADJUSTMENTS IN RESPONSE TO COVERAGE EXPANSION.
Subtitle B--Provisions Related to Part BPART 1--PHYSICIANS' SERVICES
SEC. 1121. SUSTAINABLE GROWTH RATE REFORM.
SEC. 1122. MISVALUED CODES UNDER THE PHYSICIAN FEE SCHEDULE.
SEC. 1123. PAYMENTS FOR EFFICIENT AREAS.
SEC. 1124. MODIFICATIONS TO THE PHYSICIAN QUALITY REPORTING INITIATIVE (PQRI).
SEC. 1125. ADJUSTMENT TO MEDICARE PAYMENT LOCALITIES.
PART 2--MARKET BASKET UPDATES
SEC. 1131. INCORPORATING PRODUCTIVITY IMPROVEMENTS INTO MARKET BASKET UPDATES THAT DO NOT ALREADY INCORPORATE SUCH IMPROVEMENTS.
PART 3--OTHER PROVISIONS
SEC. 1141. RENTAL AND PURCHASE OF POWER-DRIVEN WHEELCHAIRS.
SEC. 1142. EXTENSION OF PAYMENT RULE FOR BRACHYTHERAPY.
SEC. 1143. HOME INFUSION THERAPY REPORT TO CONGRESS.
SEC. 1144. REQUIRE AMBULATORY SURGICAL CENTERS (ASCS) TO SUBMIT COST DATA AND OTHER DATA.
SEC. 1145. TREATMENT OF CERTAIN CANCER HOSPITALS.
SEC. 1146. MEDICARE IMPROVEMENT FUND.
SEC. 1147. PAYMENT FOR IMAGING SERVICES.
SEC. 1148. DURABLE MEDICAL EQUIPMENT PROGRAM IMPROVEMENTS.
SEC. 1149. MEDPAC STUDY AND REPORT ON BONE MASS MEASUREMENT.
Subtitle C--Provisions Related to Medicare Parts A and B
SEC. 1151. REDUCING POTENTIALLY PREVENTABLE HOSPITAL READMISSIONS.
SEC. 1152. POST ACUTE CARE SERVICES PAYMENT REFORM PLAN AND BUNDLING PILOT PROGRAM.
`SEC. 1866D. CONVERSION OF ACUTE CARE EPISODE DEMONSTRATION TO PILOT PROGRAM AND EXPANSION TO INCLUDE POST ACUTE SERVICES.
SEC. 1153. HOME HEALTH PAYMENT UPDATE FOR 2010.
SEC. 1154. PAYMENT ADJUSTMENTS FOR HOME HEALTH CARE.
SEC. 1155. INCORPORATING PRODUCTIVITY IMPROVEMENTS INTO MARKET BASKET UPDATE FOR HOME HEALTH SERVICES.
SEC. 1156. LIMITATION ON MEDICARE EXCEPTIONS TO THE PROHIBITION ON CERTAIN PHYSICIAN REFERRALS MADE TO HOSPITALS.
SEC. 1157. INSTITUTE OF MEDICINE STUDY OF GEOGRAPHIC ADJUSTMENT FACTORS UNDER MEDICARE.
SEC. 1158. REVISION OF MEDICARE PAYMENT SYSTEMS TO ADDRESS GEOGRAPHIC INEQUITIES.
Subtitle D--Medicare Advantage Reforms
PART 1--PAYMENT AND ADMINISTRATION
SEC. 1161. PHASE-IN OF PAYMENT BASED ON FEE-FOR-SERVICE COSTS.
SEC. 1162. QUALITY BONUS PAYMENTS.
SEC. 1163. EXTENSION OF SECRETARIAL CODING INTENSITY ADJUSTMENT AUTHORITY.
SEC. 1164. SIMPLIFICATION OF ANNUAL BENEFICIARY ELECTION PERIODS.
SEC. 1165. EXTENSION OF REASONABLE COST CONTRACTS.
SEC. 1166. LIMITATION OF WAIVER AUTHORITY FOR EMPLOYER GROUP PLANS.
SEC. 1167. IMPROVING RISK ADJUSTMENT FOR PAYMENTS.
SEC. 1168. ELIMINATION OF MA REGIONAL PLAN STABILIZATION FUND.
PART 2--BENEFICIARY PROTECTIONS AND ANTI-FRAUD
SEC. 1171. LIMITATION ON COST-SHARING FOR INDIVIDUAL HEALTH SERVICES.
SEC. 1172. CONTINUOUS OPEN ENROLLMENT FOR ENROLLEES IN PLANS WITH ENROLLMENT SUSPENSION.
SEC. 1173. INFORMATION FOR BENEFICIARIES ON MA PLAN ADMINISTRATIVE COSTS.
SEC. 1174. STRENGTHENING AUDIT AUTHORITY.
SEC. 1175. AUTHORITY TO DENY PLAN BIDS.
PART 3--TREATMENT OF SPECIAL NEEDS PLANS
SEC. 1177. EXTENSION OF AUTHORITY OF SPECIAL NEEDS PLANS TO RESTRICT ENROLLMENT.
Subtitle E--Improvements to Medicare Part D
SEC. 1181. ELIMINATION OF COVERAGE GAP.
SEC. 1182. DISCOUNTS FOR CERTAIN PART D DRUGS IN ORIGINAL COVERAGE GAP.
SEC. 1185. PERMITTING MID-YEAR CHANGES IN ENROLLMENT FOR FORMULARY CHANGES THAT ADVERSELY IMPACT AN ENROLLEE.
Subtitle F--Medicare Rural Access Protections
SEC. 1191. TELEHEALTH EXPANSION AND ENHANCEMENTS.
SEC. 1192. EXTENSION OF OUTPATIENT HOLD HARMLESS PROVISION.
SEC. 1193. EXTENSION OF SECTION 508 HOSPITAL RECLASSIFICATIONS.
SEC. 1194. EXTENSION OF GEOGRAPHIC FLOOR FOR WORK.
SEC. 1195. EXTENSION OF PAYMENT FOR TECHNICAL COMPONENT OF CERTAIN PHYSICIAN PATHOLOGY SERVICES.
SEC. 1196. EXTENSION OF AMBULANCE ADD-ONS.
TITLE II--MEDICARE BENEFICIARY IMPROVEMENTSSubtitle A--Improving and Simplifying Financial Assistance for Low Income Medicare Beneficiaries
SEC. 1201. IMPROVING ASSETS TESTS FOR MEDICARE SAVINGS PROGRAM AND LOW-INCOME SUBSIDY PROGRAM.
SEC. 1202. ELIMINATION OF PART D COST-SHARING FOR CERTAIN NON-INSTITUTIONALIZED FULL-BENEFIT DUAL ELIGIBLE INDIVIDUALS.
SEC. 1203. ELIMINATING BARRIERS TO ENROLLMENT.
SEC. 1204. ENHANCED OVERSIGHT RELATING TO REIMBURSEMENTS FOR RETROACTIVE LOW INCOME SUBSIDY ENROLLMENT.
SEC. 1205. INTELLIGENT ASSIGNMENT IN ENROLLMENT.
SEC. 1206. SPECIAL ENROLLMENT PERIOD AND AUTOMATIC ENROLLMENT PROCESS FOR CERTAIN SUBSIDY ELIGIBLE INDIVIDUALS.
SEC. 1207. APPLICATION OF MA PREMIUMS PRIOR TO REBATE IN CALCULATION OF LOW INCOME SUBSIDY BENCHMARK.
Subtitle B--Reducing Health Disparities
SEC. 1221. ENSURING EFFECTIVE COMMUNICATION IN MEDICARE.
SEC. 1223. IOM REPORT ON IMPACT OF LANGUAGE ACCESS SERVICES.
SEC. 1224. DEFINITIONS.
Subtitle C--Miscellaneous Improvements
SEC. 1231. EXTENSION OF THERAPY CAPS EXCEPTIONS PROCESS.
SEC. 1233. ADVANCE CARE PLANNING CONSULTATION.
`Advance Care Planning Consultation
SEC. 1234. PART B SPECIAL ENROLLMENT PERIOD AND WAIVER OF LIMITED ENROLLMENT PENALTY FOR TRICARE BENEFICIARIES.
SEC. 1236. DEMONSTRATION PROGRAM ON USE OF PATIENT DECISIONS AIDS.
TITLE III--PROMOTING PRIMARY CARE, MENTAL HEALTH SERVICES, AND COORDINATED CARE
SEC. 1301. ACCOUNTABLE CARE ORGANIZATION PILOT PROGRAM.
`ACCOUNTABLE CARE ORGANIZATION PILOT PROGRAM
SEC. 1302. MEDICAL HOME PILOT PROGRAM.
`MEDICAL HOME PILOT PROGRAM
SEC. 1303. PAYMENT INCENTIVE FOR SELECTED PRIMARY CARE SERVICES.
SEC. 1304. INCREASED REIMBURSEMENT RATE FOR CERTIFIED NURSE-MIDWIVES.
SEC. 1305. COVERAGE AND WAIVER OF COST-SHARING FOR PREVENTIVE SERVICES.
`Medicare Covered Preventive Services
SEC. 1308. COVERAGE OF MARRIAGE AND FAMILY THERAPIST SERVICES AND MENTAL HEALTH COUNSELOR SERVICES.
`Marriage and Family Therapist Services`Mental Health Counselor Services
SEC. 1309. EXTENSION OF PHYSICIAN FEE SCHEDULE MENTAL HEALTH ADD-ON.
SEC. 1310. EXPANDING ACCESS TO VACCINES.
`Federally Recommended Vaccines
TITLE IV--QUALITY
Subtitle A--Comparative Effectiveness Research
SEC. 1401. COMPARATIVE EFFECTIVENESS RESEARCH.
`Part D--Comparative Effectiveness Research`COMPARATIVE EFFECTIVENESS RESEARCH
Subtitle B--Nursing Home TransparencyPART 1--IMPROVING TRANSPARENCY OF INFORMATION ON SKILLED NURSING FACILITIES AND NURSING FACILITIES
SEC. 1411. REQUIRED DISCLOSURE OF OWNERSHIP AND ADDITIONAL DISCLOSABLE PARTIES INFORMATION.
SEC. 1412. ACCOUNTABILITY REQUIREMENTS.
SEC. 1413. NURSING HOME COMPARE MEDICARE WEBSITE.
SEC. 1414. REPORTING OF EXPENDITURES.
SEC. 1415. STANDARDIZED COMPLAINT FORM.
SEC. 1416. ENSURING STAFFING ACCOUNTABILITY.
PART 2--TARGETING ENFORCEMENT
SEC. 1421. CIVIL MONEY PENALTIES.
SEC. 1422. NATIONAL INDEPENDENT MONITOR PILOT PROGRAM.
SEC. 1423. NOTIFICATION OF FACILITY CLOSURE.
PART 3--IMPROVING STAFF TRAINING
SEC. 1431. DEMENTIA AND ABUSE PREVENTION TRAINING.
SEC. 1432. STUDY AND REPORT ON TRAINING REQUIRED FOR CERTIFIED NURSE AIDES AND SUPERVISORY STAFF.
Subtitle C--Quality Measurements
SEC. 1441. ESTABLISHMENT OF NATIONAL PRIORITIES FOR QUALITY IMPROVEMENT.
`Part E--Quality Improvement`ESTABLISHMENT OF NATIONAL PRIORITIES FOR PERFORMANCE IMPROVEMENT
SEC. 1442. DEVELOPMENT OF NEW QUALITY MEASURES; GAO EVALUATION OF DATA COLLECTION PROCESS FOR QUALITY MEASUREMENT.
`SEC. 1192. DEVELOPMENT OF NEW QUALITY MEASURES.
`SEC. 1193. GAO EVALUATION OF DATA COLLECTION PROCESS FOR QUALITY MEASUREMENT.
SEC. 1443. MULTI-STAKEHOLDER PRE-RULEMAKING INPUT INTO SELECTION OF QUALITY MEASURES.
SEC. 1444. APPLICATION OF QUALITY MEASURES.
SEC. 1445. CONSENSUS-BASED ENTITY FUNDING.
Subtitle D--Physician Payments Sunshine ProvisionSubtitle E--Public Reporting on Health Care-Associated Infections
SEC. 1461. REQUIREMENT FOR PUBLIC REPORTING BY HOSPITALS AND AMBULATORY SURGICAL CENTERS ON HEALTH CARE-ASSOCIATED INFECTIONS.
`SEC. 1138A. REQUIREMENT FOR PUBLIC REPORTING BY HOSPITALS AND AMBULATORY SURGICAL CENTERS ON HEALTH CARE-ASSOCIATED INFECTIONS.
TITLE V--MEDICARE GRADUATE MEDICAL EDUCATION
SEC. 1501. DISTRIBUTION OF UNUSED RESIDENCY POSITIONS.
SEC. 1502. INCREASING TRAINING IN NONPROVIDER SETTINGS.
SEC. 1503. RULES FOR COUNTING RESIDENT TIME FOR DIDACTIC AND SCHOLARLY ACTIVITIES AND OTHER ACTIVITIES.
SEC. 1504. PRESERVATION OF RESIDENT CAP POSITIONS FROM CLOSED HOSPITALS.
SEC. 1505. IMPROVING ACCOUNTABILITY FOR APPROVED MEDICAL RESIDENCY TRAINING.
TITLE VI--PROGRAM INTEGRITYSubtitle A--Increased Funding To Fight Waste, Fraud, and Abuse
SEC. 1601. INCREASED FUNDING AND FLEXIBILITY TO FIGHT FRAUD AND ABUSE.
Subtitle B--Enhanced Penalties for Fraud and Abuse
SEC. 1611. ENHANCED PENALTIES FOR FALSE STATEMENTS ON PROVIDER OR SUPPLIER ENROLLMENT APPLICATIONS.
SEC. 1612. ENHANCED PENALTIES FOR SUBMISSION OF FALSE STATEMENTS MATERIAL TO A FALSE CLAIM.
SEC. 1613. ENHANCED PENALTIES FOR DELAYING INSPECTIONS.
SEC. 1614. ENHANCED HOSPICE PROGRAM SAFEGUARDS.
`SEC. 1819A. ASSURING QUALITY OF CARE IN HOSPICE CARE.
`SEC. 2114. ASSURING QUALITY OF CARE IN HOSPICE CARE.
SEC. 1615. ENHANCED PENALTIES FOR INDIVIDUALS EXCLUDED FROM PROGRAM PARTICIPATION.
SEC. 1616. ENHANCED PENALTIES FOR PROVISION OF FALSE INFORMATION BY MEDICARE ADVANTAGE AND PART D PLANS.
SEC. 1617. ENHANCED PENALTIES FOR MEDICARE ADVANTAGE AND PART D MARKETING VIOLATIONS.
SEC. 1618. ENHANCED PENALTIES FOR OBSTRUCTION OF PROGRAM AUDITS.
SEC. 1619. EXCLUSION OF CERTAIN INDIVIDUALS AND ENTITIES FROM PARTICIPATION IN MEDICARE AND STATE HEALTH CARE PROGRAMS.
Subtitle C--Enhanced Program and Provider Protections
SEC. 1631. ENHANCED CMS PROGRAM PROTECTION AUTHORITY.
`SEC. 1128G. ENHANCED PROGRAM AND PROVIDER PROTECTIONS IN THE MEDICARE, MEDICAID, AND CHIP PROGRAMS.
SEC. 1632. ENHANCED MEDICARE, MEDICAID, AND CHIP PROGRAM DISCLOSURE REQUIREMENTS RELATING TO PREVIOUS AFFILIATIONS.
SEC. 1633. REQUIRED INCLUSION OF PAYMENT MODIFIER FOR CERTAIN EVALUATION AND MANAGEMENT SERVICES.
SEC. 1634. EVALUATIONS AND REPORTS REQUIRED UNDER MEDICARE INTEGRITY PROGRAM.
SEC. 1635. REQUIRE PROVIDERS AND SUPPLIERS TO ADOPT PROGRAMS TO REDUCE WASTE, FRAUD, AND ABUSE.
SEC. 1636. MAXIMUM PERIOD FOR SUBMISSION OF MEDICARE CLAIMS REDUCED TO NOT MORE THAN 12 MONTHS.
SEC. 1638. REQUIREMENT FOR PHYSICIANS TO PROVIDE DOCUMENTATION ON REFERRALS TO PROGRAMS AT HIGH RISK OF WASTE AND ABUSE.
SEC. 1640. EXTENSION OF TESTIMONIAL SUBPOENA AUTHORITY TO PROGRAM EXCLUSION INVESTIGATIONS.
SEC. 1641. REQUIRED REPAYMENTS OF MEDICARE AND MEDICAID OVERPAYMENTS.
SEC. 1642. EXPANDED APPLICATION OF HARDSHIP WAIVERS FOR OIG EXCLUSIONS TO BENEFICIARIES OF ANY FEDERAL HEALTH CARE PROGRAM.
SEC. 1643. ACCESS TO CERTAIN INFORMATION ON RENAL DIALYSIS FACILITIES.
SEC. 1644. BILLING AGENTS, CLEARINGHOUSES, OR OTHER ALTERNATE PAYEES REQUIRED TO REGISTER UNDER MEDICARE.
SEC. 1645. CONFORMING CIVIL MONETARY PENALTIES TO FALSE CLAIMS ACT AMENDMENTS.
Subtitle D--Access to Information Needed To Prevent Fraud, Waste, and Abuse
SEC. 1651. ACCESS TO INFORMATION NECESSARY TO IDENTIFY FRAUD, WASTE, AND ABUSE.
SEC. 1653. COMPLIANCE WITH HIPAA PRIVACY AND SECURITY STANDARDS.
TITLE VII--MEDICAID AND CHIPSubtitle A--Medicaid and Health Reform
SEC. 1701. ELIGIBILITY FOR INDIVIDUALS WITH INCOME BELOW 133 1/3 PERCENT OF THE FEDERAL POVERTY LEVEL.
SEC. 1702. REQUIREMENTS AND SPECIAL RULES FOR CERTAIN MEDICAID ELIGIBLE INDIVIDUALS.
`REQUIREMENTS AND SPECIAL RULES FOR CERTAIN MEDICAID ELIGIBLE INDIVIDUALS
SEC. 1703. CHIP AND MEDICAID MAINTENANCE OF EFFORT.
SEC. 1704. REDUCTION IN MEDICAID DSH.
SEC. 1705. EXPANDED OUTSTATIONING.
Subtitle B--Prevention
SEC. 1711. REQUIRED COVERAGE OF PREVENTIVE SERVICES.
SEC. 1712. TOBACCO CESSATION.
SEC. 1713. OPTIONAL COVERAGE OF NURSE HOME VISITATION SERVICES.
SEC. 1714. STATE ELIGIBILITY OPTION FOR FAMILY PLANNING SERVICES.
`PRESUMPTIVE ELIGIBILITY FOR FAMILY PLANNING SERVICESSubtitle C--Access
SEC. 1721. PAYMENTS TO PRIMARY CARE PRACTITIONERS.
SEC. 1722. MEDICAL HOME PILOT PROGRAM.
SEC. 1723. TRANSLATION OR INTERPRETATION SERVICES.
SEC. 1724. OPTIONAL COVERAGE FOR FREESTANDING BIRTH CENTER SERVICES.
SEC. 1725. INCLUSION OF PUBLIC HEALTH CLINICS UNDER THE VACCINES FOR CHILDREN PROGRAM.
Subtitle D--Coverage
SEC. 1731. OPTIONAL MEDICAID COVERAGE OF LOW-INCOME HIV-INFECTED INDIVIDUALS.
SEC. 1732. EXTENDING TRANSITIONAL MEDICAID ASSISTANCE (TMA).
SEC. 1733. REQUIREMENT OF 12-MONTH CONTINUOUS COVERAGE UNDER CERTAIN CHIP PROGRAMS.
Subtitle E--Financing
SEC. 1741. PAYMENTS TO PHARMACISTS.
SEC. 1742. PRESCRIPTION DRUG REBATES.
SEC. 1743. EXTENSION OF PRESCRIPTION DRUG DISCOUNTS TO ENROLLEES OF MEDICAID MANAGED CARE ORGANIZATIONS.
SEC. 1744. PAYMENTS FOR GRADUATE MEDICAL EDUCATION.
Subtitle F--Waste, Fraud, and Abuse
SEC. 1751. HEALTH-CARE ACQUIRED CONDITIONS.
SEC. 1752. EVALUATIONS AND REPORTS REQUIRED UNDER MEDICAID INTEGRITY PROGRAM.
SEC. 1753. REQUIRE PROVIDERS AND SUPPLIERS TO ADOPT PROGRAMS TO REDUCE WASTE, FRAUD, AND ABUSE.
SEC. 1754. OVERPAYMENTS.
SEC. 1755. MANAGED CARE ORGANIZATIONS.
SEC. 1757. MEDICAID AND CHIP EXCLUSION FROM PARTICIPATION RELATING TO CERTAIN OWNERSHIP, CONTROL, AND MANAGEMENT AFFILIATIONS.
SEC. 1758. REQUIREMENT TO REPORT EXPANDED SET OF DATA ELEMENTS UNDER MMIS TO DETECT FRAUD AND ABUSE.
SEC. 1759. BILLING AGENTS, CLEARINGHOUSES, OR OTHER ALTERNATE PAYEES REQUIRED TO REGISTER UNDER MEDICAID.
SEC. 1760. DENIAL OF PAYMENTS FOR LITIGATION-RELATED MISCONDUCT.
Subtitle G--Puerto Rico and the Territories
SEC. 1771. PUERTO RICO AND TERRITORIES.
Subtitle H--Miscellaneous
SEC. 1781. TECHNICAL CORRECTIONS.
SEC. 1782. EXTENSION OF QI PROGRAM.
TITLE VIII--REVENUE-RELATED PROVISIONS
SEC. 1802. COMPARATIVE EFFECTIVENESS RESEARCH TRUST FUND; FINANCING FOR TRUST FUND.
`SEC. 9511. HEALTH CARE COMPARATIVE EFFECTIVENESS RESEARCH TRUST FUND.
`Subchapter B--Insured and Self-Insured Health Plans
`SEC. 4375. HEALTH INSURANCE.
`SEC. 4376. SELF-INSURED HEALTH PLANS.
`SEC. 4377. DEFINITIONS AND SPECIAL RULES.
`CHAPTER 34--TAXES ON CERTAIN INSURANCE POLICIES`subchapter a. policies issued by foreign insurers`subchapter b. insured and self-insured health plans`Subchapter A--Policies Issued By Foreign Insurers'.
`Chapter 34--Taxes on Certain Insurance Policies'.TITLE IX--MISCELLANEOUS PROVISIONS
SEC. 1901. REPEAL OF TRIGGER PROVISION.
SEC. 1902. REPEAL OF COMPARATIVE COST ADJUSTMENT (CCA) PROGRAM.
SEC. 1903. EXTENSION OF GAINSHARING DEMONSTRATION.
`Subpart 3--Support for Quality Home Visitation Programs
`SEC. 440. HOME VISITATION PROGRAMS FOR FAMILIES WITH YOUNG CHILDREN AND FAMILIES EXPECTING CHILDREN.
SEC. 1905. IMPROVED COORDINATION AND PROTECTION FOR DUAL ELIGIBLES.
`IMPROVED COORDINATION AND PROTECTION FOR DUAL ELIGIBLESDIVISION C--PUBLIC HEALTH AND WORKFORCE DEVELOPMENT
Sec. 2001. Table of contents; references.
SEC. 2002. PUBLIC HEALTH INVESTMENT FUND.
TITLE I--COMMUNITY HEALTH CENTERS
SEC. 2101. INCREASED FUNDING.
TITLE II--WORKFORCESubtitle A--Primary Care WorkforcePART 1--NATIONAL HEALTH SERVICE CORPS
SEC. 2201. NATIONAL HEALTH SERVICE CORPS.
SEC. 2202. AUTHORIZATIONS OF APPROPRIATIONS.
`SEC. 338H-1. ADDITIONAL FUNDING.
PART 2--PROMOTION OF PRIMARY CARE AND DENTISTRY
SEC. 2211. FRONTLINE HEALTH PROVIDERS.
`Subpart XI--Health Professional Needs Areas
`SEC. 340H. IN GENERAL.
`SEC. 340I. LOAN REPAYMENTS.
`SEC. 340J. REPORT.
`SEC. 340K. ALLOCATION.
SEC. 2212. PRIMARY CARE STUDENT LOAN FUNDS.
SEC. 2213. TRAINING IN FAMILY MEDICINE, GENERAL INTERNAL MEDICINE, GENERAL PEDIATRICS, GERIATRICS, AND PHYSICIAN ASSISTANTSHIP.
SEC. 2214. TRAINING OF MEDICAL RESIDENTS IN COMMUNITY-BASED SETTINGS.
`SEC. 748. TRAINING OF MEDICAL RESIDENTS IN COMMUNITY-BASED SETTINGS.
SEC. 2215. TRAINING FOR GENERAL, PEDIATRIC, AND PUBLIC HEALTH DENTISTS AND DENTAL HYGIENISTS.
`SEC. 749. TRAINING FOR GENERAL, PEDIATRIC, AND PUBLIC HEALTH DENTISTS AND DENTAL HYGIENISTS.
SEC. 2216. AUTHORIZATION OF APPROPRIATIONS.
`SEC. 799C. FUNDING THROUGH PUBLIC HEALTH INVESTMENT FUND.
Subtitle B--Nursing Workforce
SEC. 2221. AMENDMENTS TO PUBLIC HEALTH SERVICE ACT.
`SEC. 872. FUNDING THROUGH PUBLIC HEALTH INVESTMENT FUND.
`SEC. 871. FUNDING.
Subtitle C--Public Health Workforce
SEC. 2231. PUBLIC HEALTH WORKFORCE CORPS.
`Subpart XII--Public Health Workforce
`SEC. 340L. PUBLIC HEALTH WORKFORCE CORPS.
`SEC. 340M. PUBLIC HEALTH WORKFORCE SCHOLARSHIP PROGRAM.
`SEC. 340N. PUBLIC HEALTH WORKFORCE LOAN REPAYMENT PROGRAM.
SEC. 2232. ENHANCING THE PUBLIC HEALTH WORKFORCE.
`SEC. 765. ENHANCING THE PUBLIC HEALTH WORKFORCE.
SEC. 2233. PUBLIC HEALTH TRAINING CENTERS.
SEC. 2234. PREVENTIVE MEDICINE AND PUBLIC HEALTH TRAINING GRANT PROGRAM.
`SEC. 768. PREVENTIVE MEDICINE AND PUBLIC HEALTH TRAINING GRANT PROGRAM.
SEC. 2235. AUTHORIZATION OF APPROPRIATIONS.
Subtitle D--Adapting Workforce to Evolving Health System NeedsPART 1--HEALTH PROFESSIONS TRAINING FOR DIVERSITY
SEC. 2242. NURSING WORKFORCE DIVERSITY GRANTS.
SEC. 2243. COORDINATION OF DIVERSITY AND CULTURAL COMPETENCY PROGRAMS.
`SEC. 739A. COORDINATION OF DIVERSITY AND CULTURAL COMPETENCY PROGRAMS.
PART 2--INTERDISCIPLINARY TRAINING PROGRAMS
SEC. 2251. CULTURAL AND LINGUISTIC COMPETENCY TRAINING FOR HEALTH CARE PROFESSIONALS.
SEC. 2252. INNOVATIONS IN INTERDISCIPLINARY CARE TRAINING.
`SEC. 759. INNOVATIONS IN INTERDISCIPLINARY CARE TRAINING.
PART 3--ADVISORY COMMITTEE ON HEALTH WORKFORCE EVALUATION AND ASSESSMENT
SEC. 2261. HEALTH WORKFORCE EVALUATION AND ASSESSMENT.
`SEC. 764. HEALTH WORKFORCE EVALUATION AND ASSESSMENT.
PART 4--HEALTH WORKFORCE ASSESSMENT
SEC. 2271. HEALTH WORKFORCE ASSESSMENT.
PART 5--AUTHORIZATION OF APPROPRIATIONS
SEC. 2281. AUTHORIZATION OF APPROPRIATIONS.
TITLE III--PREVENTION AND WELLNESS
SEC. 2301. PREVENTION AND WELLNESS.
`TITLE XXXI--PREVENTION AND WELLNESS`Subtitle A--Prevention and Wellness Trust
`SEC. 3111. PREVENTION AND WELLNESS TRUST.
`Subtitle B--National Prevention and Wellness Strategy
`SEC. 3121. NATIONAL PREVENTION AND WELLNESS STRATEGY.
`Subtitle C--Prevention Task Forces
`SEC. 3131. TASK FORCE ON CLINICAL PREVENTIVE SERVICES.
`SEC. 3132. TASK FORCE ON COMMUNITY PREVENTIVE SERVICES.
`Subtitle D--Prevention and Wellness Research
`SEC. 3141. PREVENTION AND WELLNESS RESEARCH ACTIVITY COORDINATION.
`SEC. 3142. COMMUNITY PREVENTION AND WELLNESS RESEARCH GRANTS.
`Subtitle E--Delivery of Community Prevention and Wellness Services
`SEC. 3151. COMMUNITY PREVENTION AND WELLNESS SERVICES GRANTS.
`Subtitle F--Core Public Health Infrastructure
`SEC. 3161. CORE PUBLIC HEALTH INFRASTRUCTURE FOR STATE, LOCAL, AND TRIBAL HEALTH DEPARTMENTS.
`SEC. 3162. CORE PUBLIC HEALTH INFRASTRUCTURE AND ACTIVITIES FOR CDC.
`Subtitle G--General Provisions
`SEC. 3171. DEFINITIONS.
TITLE IV--QUALITY AND SURVEILLANCE
SEC. 2401. IMPLEMENTATION OF BEST PRACTICES IN THE DELIVERY OF HEALTH CARE.
`PART D--IMPLEMENTATION OF BEST PRACTICES IN THE DELIVERY OF HEALTH CARE
SEC. 931. CENTER FOR QUALITY IMPROVEMENT.
SEC. 2402. ASSISTANT SECRETARY FOR HEALTH INFORMATION.
`SEC. 1709. ASSISTANT SECRETARY FOR HEALTH INFORMATION.
SEC. 2403. AUTHORIZATION OF APPROPRIATIONS.
TITLE V--OTHER PROVISIONSSubtitle A--Drug Discount for Rural and Other Hospitals
SEC. 2501. EXPANDED PARTICIPATION IN 340B PROGRAM.
SEC. 2502. EXTENSION OF DISCOUNTS TO INPATIENT DRUGS.
SEC. 2503. EFFECTIVE DATE.
Subtitle B--School-Based Health Clinics
SEC. 2511. SCHOOL-BASED HEALTH CLINICS.
`SEC. 399Z-1. SCHOOL-BASED HEALTH CLINICS.
Subtitle C--National Medical Device Registry
SEC. 2521. NATIONAL MEDICAL DEVICE REGISTRY.
`National Medical Device RegistrySubtitle D--Grants for Comprehensive Programs To Provide Education to Nurses and Create a Pipeline to Nursing
SEC. 2531. ESTABLISHMENT OF GRANT PROGRAM.
Subtitle E--States Failing To Adhere to Certain Employment Obligations
SEC. 2541. LIMITATION ON FEDERAL FUNDS.
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