Bill Text
111th Congress (2009-2010)
H.R.3590.AS
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Beginning
November 19, 2009
- SECTION 1. SHORT TITLE; TABLE OF CONTENTS.
- Sec. 1. Short title; table of contents.
`subpart i--general reform
- Sec. 6607. Permitting evidentiary privilege and confidential cSec. 6606. MEWA plan registration with Department of Labor.
Subtitle A--Immediate Improvements in Health Care Coverage for All Americans
- SEC. 1001. AMENDMENTS TO THE PUBLIC HEALTH SERVICE ACT.
`Subpart II--Improving Coverage
- `SEC. 2711. NO LIFETIME OR ANNUAL LIMITS.
- `SEC. 2712. PROHIBITION ON RESCISSIONS.
- `SEC. 2713. COVERAGE OF PREVENTIVE HEALTH SERVICES.
- `SEC. 2714. EXTENSION OF DEPENDENT COVERAGE.
- `SEC. 2715. DEVELOPMENT AND UTILIZATION OF UNIFORM EXPLANATION OF COVERAGE DOCUMENTS AND STANDARDIZED DEFINITIONS.
- `SEC. 2716. PROHIBITION OF DISCRIMINATION BASED ON SALARY.
- `SEC. 2717. ENSURING THE QUALITY OF CARE.
- `SEC. 2718. BRINGING DOWN THE COST OF HEALTH CARE COVERAGE.
- `SEC. 2719. APPEALS PROCESS.
- SEC. 1002. HEALTH INSURANCE CONSUMER INFORMATION.
- `SEC. 2793. HEALTH INSURANCE CONSUMER INFORMATION.
- SEC. 1003. ENSURING THAT CONSUMERS GET VALUE FOR THEIR DOLLARS.
- `SEC. 2794. ENSURING THAT CONSUMERS GET VALUE FOR THEIR DOLLARS.
- SEC. 1004. EFFECTIVE DATES.
- SEC. 1101. IMMEDIATE ACCESS TO INSURANCE FOR UNINSURED INDIVIDUALS WITH A PREEXISTING CONDITION.
- SEC. 1102. REINSURANCE FOR EARLY RETIREES.
- SEC. 1103. IMMEDIATE INFORMATION THAT ALLOWS CONSUMERS TO IDENTIFY AFFORDABLE COVERAGE OPTIONS.
- SEC. 1104. ADMINISTRATIVE SIMPLIFICATION.
- SEC. 1105. EFFECTIVE DATE.
PART I--HEALTH INSURANCE MARKET REFORMS
- SEC. 1201. AMENDMENT TO THE PUBLIC HEALTH SERVICE ACT.
- `SEC. 2704. PROHIBITION OF PREEXISTING CONDITION EXCLUSIONS OR OTHER DISCRIMINATION BASED ON HEALTH STATUS.
- `SEC. 2701. FAIR HEALTH INSURANCE PREMIUMS.
- `SEC. 2702. GUARANTEED AVAILABILITY OF COVERAGE.
- `SEC. 2703. GUARANTEED RENEWABILITY OF COVERAGE.
- `SEC. 2705. PROHIBITING DISCRIMINATION AGAINST INDIVIDUAL PARTICIPANTS AND BENEFICIARIES BASED ON HEALTH STATUS.
- `SEC. 2706. NON-DISCRIMINATION IN HEALTH CARE.
- `SEC. 2707. COMPREHENSIVE HEALTH INSURANCE COVERAGE.
- `SEC. 2708. PROHIBITION ON EXCESSIVE WAITING PERIODS.
- SEC. 1251. PRESERVATION OF RIGHT TO MAINTAIN EXISTING COVERAGE.
- SEC. 1252. RATING REFORMS MUST APPLY UNIFORMLY TO ALL HEALTH INSURANCE ISSUERS AND GROUP HEALTH PLANS.
- SEC. 1253. EFFECTIVE DATES.
PART I--ESTABLISHMENT OF QUALIFIED HEALTH PLANS
- SEC. 1301. QUALIFIED HEALTH PLAN DEFINED.
- SEC. 1302. ESSENTIAL HEALTH BENEFITS REQUIREMENTS.
- SEC. 1303. SPECIAL RULES.
- SEC. 1304. RELATED DEFINITIONS.
- SEC. 1311. AFFORDABLE CHOICES OF HEALTH BENEFIT PLANS.
- SEC. 1312. CONSUMER CHOICE.
- SEC. 1313. FINANCIAL INTEGRITY.
- SEC. 1321. STATE FLEXIBILITY IN OPERATION AND ENFORCEMENT OF EXCHANGES AND RELATED REQUIREMENTS.
- SEC. 1322. FEDERAL PROGRAM TO ASSIST ESTABLISHMENT AND OPERATION OF NONPROFIT, MEMBER-RUN HEALTH INSURANCE ISSUERS.
- SEC. 1323. COMMUNITY HEALTH INSURANCE OPTION.
- SEC. 1324. LEVEL PLAYING FIELD.
- SEC. 1331. STATE FLEXIBILITY TO ESTABLISH BASIC HEALTH PROGRAMS FOR LOW-INCOME INDIVIDUALS NOT ELIGIBLE FOR MEDICAID.
- SEC. 1332. WAIVER FOR STATE INNOVATION.
- SEC. 1333. PROVISIONS RELATING TO OFFERING OF PLANS IN MORE THAN ONE STATE.
- SEC. 1341. TRANSITIONAL REINSURANCE PROGRAM FOR INDIVIDUAL AND SMALL GROUP MARKETS IN EACH STATE.
- SEC. 1342. ESTABLISHMENT OF RISK CORRIDORS FOR PLANS IN INDIVIDUAL AND SMALL GROUP MARKETS.
- SEC. 1343. RISK ADJUSTMENT.
PART I--PREMIUM TAX CREDITS AND COST-SHARING REDUCTIONS
Subpart A--Premium Tax Credits and Cost-sharing Reductions
- SEC. 1401. REFUNDABLE TAX CREDIT PROVIDING PREMIUM ASSISTANCE FOR COVERAGE UNDER A QUALIFIED HEALTH PLAN.
- `SEC. 36B. REFUNDABLE CREDIT FOR COVERAGE UNDER A QUALIFIED HEALTH PLAN.
- SEC. 1402. REDUCED COST-SHARING FOR INDIVIDUALS ENROLLING IN QUALIFIED HEALTH PLANS.
- SEC. 1412. ADVANCE DETERMINATION AND PAYMENT OF PREMIUM TAX CREDITS AND COST-SHARING REDUCTIONS.
- SEC. 1413. STREAMLINING OF PROCEDURES FOR ENROLLMENT THROUGH AN EXCHANGE AND STATE MEDICAID, CHIP, AND HEALTH SUBSIDY PROGRAMS.
- SEC. 1414. DISCLOSURES TO CARRY OUT ELIGIBILITY REQUIREMENTS FOR CERTAIN PROGRAMS.
- SEC. 1415. PREMIUM TAX CREDIT AND COST-SHARING REDUCTION PAYMENTS DISREGARDED FOR FEDERAL AND FEDERALLY-ASSISTED PROGRAMS.
- SEC. 1421. CREDIT FOR EMPLOYEE HEALTH INSURANCE EXPENSES OF SMALL BUSINESSES.
- `SEC. 45R. EMPLOYEE HEALTH INSURANCE EXPENSES OF SMALL EMPLOYERS.
PART I--INDIVIDUAL RESPONSIBILITY
- SEC. 1501. REQUIREMENT TO MAINTAIN MINIMUM ESSENTIAL COVERAGE.
- `SEC. 5000A. REQUIREMENT TO MAINTAIN MINIMUM ESSENTIAL COVERAGE.
- SEC. 1502. REPORTING OF HEALTH INSURANCE COVERAGE.
- `SEC. 6055. REPORTING OF HEALTH INSURANCE COVERAGE.
PART II--EMPLOYER RESPONSIBILITIES
- SEC. 1511. AUTOMATIC ENROLLMENT FOR EMPLOYEES OF LARGE EMPLOYERS.
- `SEC. 18A. AUTOMATIC ENROLLMENT FOR EMPLOYEES OF LARGE EMPLOYERS.
- SEC. 1512. EMPLOYER REQUIREMENT TO INFORM EMPLOYEES OF COVERAGE OPTIONS.
- `SEC. 18B. NOTICE TO EMPLOYEES.
- SEC. 1513. SHARED RESPONSIBILITY FOR EMPLOYERS.
- `SEC. 4980H. SHARED RESPONSIBILITY FOR EMPLOYERS REGARDING HEALTH COVERAGE.
- SEC. 1514. REPORTING OF EMPLOYER HEALTH INSURANCE COVERAGE.
- `SEC. 6056. LARGE EMPLOYERS REQUIRED TO REPORT ON HEALTH INSURANCE COVERAGE.
- SEC. 1515. OFFERING OF EXCHANGE-PARTICIPATING QUALIFIED HEALTH PLANS THROUGH CAFETERIA PLANS.
- SEC. 1551. DEFINITIONS.
- SEC. 1552. TRANSPARENCY IN GOVERNMENT.
- SEC. 1553. PROHIBITION AGAINST DISCRIMINATION ON ASSISTED SUICIDE.
- SEC. 1554. ACCESS TO THERAPIES.
- SEC. 1555. FREEDOM NOT TO PARTICIPATE IN FEDERAL HEALTH INSURANCE PROGRAMS.
- SEC. 1556. EQUITY FOR CERTAIN ELIGIBLE SURVIVORS.
- SEC. 1557. NONDISCRIMINATION.
- SEC. 1558. PROTECTIONS FOR EMPLOYEES.
- `SEC. 18C. PROTECTIONS FOR EMPLOYEES.
- SEC. 1559. OVERSIGHT.
- SEC. 1560. RULES OF CONSTRUCTION.
- SEC. 1561. HEALTH INFORMATION TECHNOLOGY ENROLLMENT STANDARDS AND PROTOCOLS.
- `SEC. 3021. HEALTH INFORMATION TECHNOLOGY ENROLLMENT STANDARDS AND PROTOCOLS.
- SEC. 1562. CONFORMING AMENDMENTS.
- `SEC. 715. ADDITIONAL MARKET REFORMS.
- `SEC. 9815. ADDITIONAL MARKET REFORMS.
Subtitle A--Improved Access to Medicaid
- SEC. 2001. MEDICAID COVERAGE FOR THE LOWEST INCOME POPULATIONS.
- SEC. 2002. INCOME ELIGIBILITY FOR NONELDERLY DETERMINED USING MODIFIED GROSS INCOME.
- SEC. 2003. REQUIREMENT TO OFFER PREMIUM ASSISTANCE FOR EMPLOYER-SPONSORED INSURANCE.
- SEC. 2004. MEDICAID COVERAGE FOR FORMER FOSTER CARE CHILDREN.
- SEC. 2005. PAYMENTS TO TERRITORIES.
- SEC. 2006. SPECIAL ADJUSTMENT TO FMAP DETERMINATION FOR CERTAIN STATES RECOVERING FROM A MAJOR DISASTER.
- SEC. 2007. MEDICAID IMPROVEMENT FUND RESCISSION.
- SEC. 2101. ADDITIONAL FEDERAL FINANCIAL PARTICIPATION FOR CHIP.
- SEC. 2102. TECHNICAL CORRECTIONS.
- SEC. 2201. ENROLLMENT SIMPLIFICATION AND COORDINATION WITH STATE HEALTH INSURANCE EXCHANGES.
- `SEC. 1943. ENROLLMENT SIMPLIFICATION AND COORDINATION WITH STATE HEALTH INSURANCE EXCHANGES.
- SEC. 2202. PERMITTING HOSPITALS TO MAKE PRESUMPTIVE ELIGIBILITY DETERMINATIONS FOR ALL MEDICAID ELIGIBLE POPULATIONS.
- SEC. 2301. COVERAGE FOR FREESTANDING BIRTH CENTER SERVICES.
- SEC. 2302. CONCURRENT CARE FOR CHILDREN.
- SEC. 2303. STATE ELIGIBILITY OPTION FOR FAMILY PLANNING SERVICES.
- SEC. 2304. CLARIFICATION OF DEFINITION OF MEDICAL ASSISTANCE.
- SEC. 2401. COMMUNITY FIRST CHOICE OPTION.
- SEC. 2402. REMOVAL OF BARRIERS TO PROVIDING HOME AND COMMUNITY-BASED SERVICES.
- SEC. 2403. MONEY FOLLOWS THE PERSON REBALANCING DEMONSTRATION.
- SEC. 2404. PROTECTION FOR RECIPIENTS OF HOME AND COMMUNITY-BASED SERVICES AGAINST SPOUSAL IMPOVERISHMENT.
- SEC. 2405. FUNDING TO EXPAND STATE AGING AND DISABILITY RESOURCE CENTERS.
- SEC. 2406. SENSE OF THE SENATE REGARDING LONG-TERM CARE.
- SEC. 2501. PRESCRIPTION DRUG REBATES.
- SEC. 2502. ELIMINATION OF EXCLUSION OF COVERAGE OF CERTAIN DRUGS.
- SEC. 2503. PROVIDING ADEQUATE PHARMACY REIMBURSEMENT.
- SEC. 2551. DISPROPORTIONATE SHARE HOSPITAL PAYMENTS.
- SEC. 2601. 5-YEAR PERIOD FOR DEMONSTRATION PROJECTS.
- SEC. 2602. PROVIDING FEDERAL COVERAGE AND PAYMENT COORDINATION FOR DUAL ELIGIBLE BENEFICIARIES.
- SEC. 2701. ADULT HEALTH QUALITY MEASURES.
- `SEC. 1139B. ADULT HEALTH QUALITY MEASURES.
- SEC. 2702. PAYMENT ADJUSTMENT FOR HEALTH CARE-ACQUIRED CONDITIONS.
- SEC. 2703. STATE OPTION TO PROVIDE HEALTH HOMES FOR ENROLLEES WITH CHRONIC CONDITIONS.
- SEC. 2704. DEMONSTRATION PROJECT TO EVALUATE INTEGRATED CARE AROUND A HOSPITALIZATION.
- SEC. 2705. MEDICAID GLOBAL PAYMENT SYSTEM DEMONSTRATION PROJECT.
- SEC. 2706. PEDIATRIC ACCOUNTABLE CARE ORGANIZATION DEMONSTRATION PROJECT.
- SEC. 2707. MEDICAID EMERGENCY PSYCHIATRIC DEMONSTRATION PROJECT.
- SEC. 2801. MACPAC ASSESSMENT OF POLICIES AFFECTING ALL MEDICAID BENEFICIARIES.
- SEC. 2901. SPECIAL RULES RELATING TO INDIANS.
- SEC. 2951. MATERNAL, INFANT, AND EARLY CHILDHOOD HOME VISITING PROGRAMS.
- `SEC. 511. MATERNAL, INFANT, AND EARLY CHILDHOOD HOME VISITING PROGRAMS.
- SEC. 2952. SUPPORT, EDUCATION, AND RESEARCH FOR POSTPARTUM DEPRESSION.
- `SEC. 512. SERVICES TO INDIVIDUALS WITH A POSTPARTUM CONDITION AND THEIR FAMILIES.
- SEC. 2953. PERSONAL RESPONSIBILITY EDUCATION.
- `SEC. 513. PERSONAL RESPONSIBILITY EDUCATION.
- SEC. 2954. RESTORATION OF FUNDING FOR ABSTINENCE EDUCATION.
Subtitle A--Transforming the Health Care Delivery System
PART I--LINKING PAYMENT TO QUALITY OUTCOMES UNDER THE MEDICARE PROGRAM
- SEC. 3001. HOSPITAL VALUE-BASED PURCHASING PROGRAM.
- SEC. 3002. IMPROVEMENTS TO THE PHYSICIAN QUALITY REPORTING SYSTEM.
- SEC. 3003. IMPROVEMENTS TO THE PHYSICIAN FEEDBACK PROGRAM.
- SEC. 3004. QUALITY REPORTING FOR LONG-TERM CARE HOSPITALS, INPATIENT REHABILITATION HOSPITALS, AND HOSPICE PROGRAMS.
- SEC. 3005. QUALITY REPORTING FOR PPS-EXEMPT CANCER HOSPITALS.
- SEC. 3006. PLANS FOR A VALUE-BASED PURCHASING PROGRAM FOR SKILLED NURSING FACILITIES AND HOME HEALTH AGENCIES.
- SEC. 3007. VALUE-BASED PAYMENT MODIFIER UNDER THE PHYSICIAN FEE SCHEDULE.
- SEC. 3008. PAYMENT ADJUSTMENT FOR CONDITIONS ACQUIRED IN HOSPITALS.
- SEC. 3011. NATIONAL STRATEGY.
`Subpart I--National Strategy for Quality Improvement in Health Care
- `SEC. 399HH. NATIONAL STRATEGY FOR QUALITY IMPROVEMENT IN HEALTH CARE.
- SEC. 3012. INTERAGENCY WORKING GROUP ON HEALTH CARE QUALITY.
- SEC. 3013. QUALITY MEASURE DEVELOPMENT.
`Subpart I--Quality Measure Development
- `SEC. 931. QUALITY MEASURE DEVELOPMENT.
- SEC. 3014. QUALITY MEASUREMENT.
- SEC. 3015. DATA COLLECTION; PUBLIC REPORTING.
- `SEC. 399II. COLLECTION AND ANALYSIS OF DATA FOR QUALITY AND RESOURCE USE MEASURES.
- `SEC. 399JJ. PUBLIC REPORTING OF PERFORMANCE INFORMATION.
- SEC. 3021. ESTABLISHMENT OF CENTER FOR MEDICARE AND MEDICAID INNOVATION WITHIN CMS.
- SEC. 3022. MEDICARE SHARED SAVINGS PROGRAM.
- SEC. 3023. NATIONAL PILOT PROGRAM ON PAYMENT BUNDLING.
- SEC. 3024. INDEPENDENCE AT HOME DEMONSTRATION PROGRAM.
- SEC. 3025. HOSPITAL READMISSIONS REDUCTION PROGRAM.
- `SEC. 399KK. QUALITY IMPROVEMENT PROGRAM FOR HOSPITALS WITH A HIGH SEVERITY ADJUSTED READMISSION RATE.
- SEC. 3026. COMMUNITY-BASED CARE TRANSITIONS PROGRAM.
- SEC. 3027. EXTENSION OF GAINSHARING DEMONSTRATION.
PART I--ENSURING BENEFICIARY ACCESS TO PHYSICIAN CARE AND OTHER SERVICES
- SEC. 3101. INCREASE IN THE PHYSICIAN PAYMENT UPDATE.
- SEC. 3103. EXTENSION OF EXCEPTIONS PROCESS FOR MEDICARE THERAPY CAPS.
- SEC. 3104. EXTENSION OF PAYMENT FOR TECHNICAL COMPONENT OF CERTAIN PHYSICIAN PATHOLOGY SERVICES.
- SEC. 3105. EXTENSION OF AMBULANCE ADD-ONS.
- SEC. 3107. EXTENSION OF PHYSICIAN FEE SCHEDULE MENTAL HEALTH ADD-ON.
- SEC. 3108. PERMITTING PHYSICIAN ASSISTANTS TO ORDER POST-HOSPITAL EXTENDED CARE SERVICES.
- SEC. 3109. EXEMPTION OF CERTAIN PHARMACIES FROM ACCREDITATION REQUIREMENTS.
- SEC. 3110. PART B SPECIAL ENROLLMENT PERIOD FOR DISABLED TRICARE BENEFICIARIES.
- SEC. 3111. PAYMENT FOR BONE DENSITY TESTS.
- SEC. 3112. REVISION TO THE MEDICARE IMPROVEMENT FUND.
- SEC. 3113. TREATMENT OF CERTAIN COMPLEX DIAGNOSTIC LABORATORY TESTS.
- SEC. 3114. IMPROVED ACCESS FOR CERTIFIED NURSE-MIDWIFE SERVICES.
- SEC. 3121. EXTENSION OF OUTPATIENT HOLD HARMLESS PROVISION.
- SEC. 3123. EXTENSION OF THE RURAL COMMUNITY HOSPITAL DEMONSTRATION PROGRAM.
- SEC. 3124. EXTENSION OF THE MEDICARE-DEPENDENT HOSPITAL (MDH) PROGRAM.
- SEC. 3125. TEMPORARY IMPROVEMENTS TO THE MEDICARE INPATIENT HOSPITAL PAYMENT ADJUSTMENT FOR LOW-VOLUME HOSPITALS.
- SEC. 3126. IMPROVEMENTS TO THE DEMONSTRATION PROJECT ON COMMUNITY HEALTH INTEGRATION MODELS IN CERTAIN RURAL COUNTIES.
- SEC. 3127. MEDPAC STUDY ON ADEQUACY OF MEDICARE PAYMENTS FOR HEALTH CARE PROVIDERS SERVING IN RURAL AREAS.
- SEC. 3128. TECHNICAL CORRECTION RELATED TO CRITICAL ACCESS HOSPITAL SERVICES.
- SEC. 3129. EXTENSION OF AND REVISIONS TO MEDICARE RURAL HOSPITAL FLEXIBILITY PROGRAM.
- SEC. 3131. PAYMENT ADJUSTMENTS FOR HOME HEALTH CARE.
- SEC. 3132. HOSPICE REFORM.
- SEC. 3133. IMPROVEMENT TO MEDICARE DISPROPORTIONATE SHARE HOSPITAL (DSH) PAYMENTS.
- SEC. 3134. MISVALUED CODES UNDER THE PHYSICIAN FEE SCHEDULE.
- SEC. 3135. MODIFICATION OF EQUIPMENT UTILIZATION FACTOR FOR ADVANCED IMAGING SERVICES.
- SEC. 3136. REVISION OF PAYMENT FOR POWER-DRIVEN WHEELCHAIRS.
- SEC. 3137. HOSPITAL WAGE INDEX IMPROVEMENT.
- SEC. 3138. TREATMENT OF CERTAIN CANCER HOSPITALS.
- SEC. 3139. PAYMENT FOR BIOSIMILAR BIOLOGICAL PRODUCTS.
- SEC. 3140. MEDICARE HOSPICE CONCURRENT CARE DEMONSTRATION PROGRAM.
- SEC. 3141. APPLICATION OF BUDGET NEUTRALITY ON A NATIONAL BASIS IN THE CALCULATION OF THE MEDICARE HOSPITAL WAGE INDEX FLOOR.
- SEC. 3142. HHS STUDY ON URBAN MEDICARE-DEPENDENT HOSPITALS.
- SEC. 3201. MEDICARE ADVANTAGE PAYMENT.
- SEC. 3202. BENEFIT PROTECTION AND SIMPLIFICATION.
- SEC. 3203. APPLICATION OF CODING INTENSITY ADJUSTMENT DURING MA PAYMENT TRANSITION.
- SEC. 3204. SIMPLIFICATION OF ANNUAL BENEFICIARY ELECTION PERIODS.
- SEC. 3205. EXTENSION FOR SPECIALIZED MA PLANS FOR SPECIAL NEEDS INDIVIDUALS.
- SEC. 3206. EXTENSION OF REASONABLE COST CONTRACTS.
- SEC. 3207. TECHNICAL CORRECTION TO MA PRIVATE FEE-FOR-SERVICE PLANS.
- SEC. 3208. MAKING SENIOR HOUSING FACILITY DEMONSTRATION PERMANENT.
- SEC. 3209. AUTHORITY TO DENY PLAN BIDS.
- SEC. 3210. DEVELOPMENT OF NEW STANDARDS FOR CERTAIN MEDIGAP PLANS.
- SEC. 3301. MEDICARE COVERAGE GAP DISCOUNT PROGRAM.
`MEDICARE COVERAGE GAP DISCOUNT PROGRAM
- SEC. 3302. IMPROVEMENT IN DETERMINATION OF MEDICARE PART D LOW-INCOME BENCHMARK PREMIUM.
- SEC. 3303. VOLUNTARY DE MINIMIS POLICY FOR SUBSIDY ELIGIBLE INDIVIDUALS UNDER PRESCRIPTION DRUG PLANS AND MA-PD PLANS.
- SEC. 3304. SPECIAL RULE FOR WIDOWS AND WIDOWERS REGARDING ELIGIBILITY FOR LOW-INCOME ASSISTANCE.
- SEC. 3305. IMPROVED INFORMATION FOR SUBSIDY ELIGIBLE INDIVIDUALS REASSIGNED TO PRESCRIPTION DRUG PLANS AND MA-PD PLANS.
- SEC. 3306. FUNDING OUTREACH AND ASSISTANCE FOR LOW-INCOME PROGRAMS.
- SEC. 3308. REDUCING PART D PREMIUM SUBSIDY FOR HIGH-INCOME BENEFICIARIES.
- SEC. 3309. ELIMINATION OF COST SHARING FOR CERTAIN DUAL ELIGIBLE INDIVIDUALS.
- SEC. 3311. IMPROVED MEDICARE PRESCRIPTION DRUG PLAN AND MA-PD PLAN COMPLAINT SYSTEM.
- SEC. 3312. UNIFORM EXCEPTIONS AND APPEALS PROCESS FOR PRESCRIPTION DRUG PLANS AND MA-PD PLANS.
- SEC. 3313. OFFICE OF THE INSPECTOR GENERAL STUDIES AND REPORTS.
- SEC. 3315. IMMEDIATE REDUCTION IN COVERAGE GAP IN 2010.
- SEC. 3402. TEMPORARY ADJUSTMENT TO THE CALCULATION OF PART B PREMIUMS.
- SEC. 3403. INDEPENDENT MEDICARE ADVISORY BOARD.
Subtitle F--Health Care Quality Improvements
- SEC. 3501. HEALTH CARE DELIVERY SYSTEM RESEARCH; QUALITY IMPROVEMENT TECHNICAL ASSISTANCE.
- `SEC. 933. HEALTH CARE DELIVERY SYSTEM RESEARCH.
- `SEC. 934. QUALITY IMPROVEMENT TECHNICAL ASSISTANCE AND IMPLEMENTATION.
- SEC. 3502. ESTABLISHING COMMUNITY HEALTH TEAMS TO SUPPORT THE PATIENT-CENTERED MEDICAL HOME.
- SEC. 3503. MEDICATION MANAGEMENT SERVICES IN TREATMENT OF CHRONIC DISEASE.
- `SEC. 935. GRANTS OR CONTRACTS TO IMPLEMENT MEDICATION MANAGEMENT SERVICES IN TREATMENT OF CHRONIC DISEASES.
- SEC. 3504. DESIGN AND IMPLEMENTATION OF REGIONALIZED SYSTEMS FOR EMERGENCY CARE.
- `SEC. 1204. COMPETITIVE GRANTS FOR REGIONALIZED SYSTEMS FOR EMERGENCY CARE RESPONSE.
- `SEC. 498D. SUPPORT FOR EMERGENCY MEDICINE RESEARCH.
- SEC. 3505. TRAUMA CARE CENTERS AND SERVICE AVAILABILITY.
- `SEC. 1245. AUTHORIZATION OF APPROPRIATIONS.
- `SEC. 1246. DEFINITION.
- `SEC. 1281. GRANTS TO STATES.
- `SEC. 1282. AUTHORIZATION OF APPROPRIATIONS.
- SEC. 3506. PROGRAM TO FACILITATE SHARED DECISIONMAKING.
- `SEC. 936. PROGRAM TO FACILITATE SHARED DECISIONMAKING.
- SEC. 3507. PRESENTATION OF PRESCRIPTION DRUG BENEFIT AND RISK INFORMATION.
- SEC. 3509. IMPROVING WOMEN'S HEALTH.
- `SEC. 229. HEALTH AND HUMAN SERVICES OFFICE ON WOMEN'S HEALTH.
- `SEC. 310A. CENTERS FOR DISEASE CONTROL AND PREVENTION OFFICE OF WOMEN'S HEALTH.
- `SEC. 925. ACTIVITIES REGARDING WOMEN'S HEALTH.
- `SEC. 713. OFFICE OF WOMEN'S HEALTH.
- `SEC. 1011. OFFICE OF WOMEN'S HEALTH.
- SEC. 3510. PATIENT NAVIGATOR PROGRAM.
- SEC. 3511. AUTHORIZATION OF APPROPRIATIONS.
Subtitle A--Modernizing Disease Prevention and Public Health Systems
- SEC. 4001. NATIONAL PREVENTION, HEALTH PROMOTION AND PUBLIC HEALTH COUNCIL.
- SEC. 4002. PREVENTION AND PUBLIC HEALTH FUND.
- SEC. 4003. CLINICAL AND COMMUNITY PREVENTIVE SERVICES.
- `SEC. 399U. COMMUNITY PREVENTIVE SERVICES TASK FORCE.
- SEC. 4004. EDUCATION AND OUTREACH CAMPAIGN REGARDING PREVENTIVE BENEFITS.
- SEC. 4101. SCHOOL-BASED HEALTH CENTERS.
- `SEC. 399Z-1. SCHOOL-BASED HEALTH CENTERS.
- SEC. 4102. ORAL HEALTHCARE PREVENTION ACTIVITIES.
- `SEC. 399LL. ORAL HEALTHCARE PREVENTION EDUCATION CAMPAIGN.
- `SEC. 399LL-1. RESEARCH-BASED DENTAL CARIES DISEASE MANAGEMENT.
- `SEC. 399LL-2. AUTHORIZATION OF APPROPRIATIONS.
- SEC. 4103. MEDICARE COVERAGE OF ANNUAL WELLNESS VISIT PROVIDING A PERSONALIZED PREVENTION PLAN.
- SEC. 4104. REMOVAL OF BARRIERS TO PREVENTIVE SERVICES IN MEDICARE.
- SEC. 4105. EVIDENCE-BASED COVERAGE OF PREVENTIVE SERVICES IN MEDICARE.
- SEC. 4106. IMPROVING ACCESS TO PREVENTIVE SERVICES FOR ELIGIBLE ADULTS IN MEDICAID.
- SEC. 4107. COVERAGE OF COMPREHENSIVE TOBACCO CESSATION SERVICES FOR PREGNANT WOMEN IN MEDICAID.
- SEC. 4108. INCENTIVES FOR PREVENTION OF CHRONIC DISEASES IN MEDICAID.
- SEC. 4201. COMMUNITY TRANSFORMATION GRANTS.
- SEC. 4202. HEALTHY AGING, LIVING WELL; EVALUATION OF COMMUNITY-BASED PREVENTION AND WELLNESS PROGRAMS FOR MEDICARE BENEFICIARIES.
- SEC. 4203. REMOVING BARRIERS AND IMPROVING ACCESS TO WELLNESS FOR INDIVIDUALS WITH DISABILITIES.
- `SEC. 510. ESTABLISHMENT OF STANDARDS FOR ACCESSIBLE MEDICAL DIAGNOSTIC EQUIPMENT.
- SEC. 4204. IMMUNIZATIONS.
- SEC. 4205. NUTRITION LABELING OF STANDARD MENU ITEMS AT CHAIN RESTAURANTS.
- SEC. 4206. DEMONSTRATION PROJECT CONCERNING INDIVIDUALIZED WELLNESS PLAN.
- SEC. 4207. REASONABLE BREAK TIME FOR NURSING MOTHERS.
- SEC. 4301. RESEARCH ON OPTIMIZING THE DELIVERY OF PUBLIC HEALTH SERVICES.
- SEC. 4302. UNDERSTANDING HEALTH DISPARITIES: DATA COLLECTION AND ANALYSIS.
- `SEC. 3101. DATA COLLECTION, ANALYSIS, AND QUALITY.
- `SEC. 1946. ADDRESSING HEALTH CARE DISPARITIES.
- SEC. 4303. CDC AND EMPLOYER-BASED WELLNESS PROGRAMS.
- `SEC. 399MM. TECHNICAL ASSISTANCE FOR EMPLOYER-BASED WELLNESS PROGRAMS.
- `SEC. 399MM-1. NATIONAL WORKSITE HEALTH POLICIES AND PROGRAMS STUDY.
- `SEC. 399MM-2. PRIORITIZATION OF EVALUATION BY SECRETARY.
- `SEC. 399MM-3. PROHIBITION OF FEDERAL WORKPLACE WELLNESS REQUIREMENTS.
- SEC. 4304. EPIDEMIOLOGY-LABORATORY CAPACITY GRANTS.
- `SEC. 2821. EPIDEMIOLOGY-LABORATORY CAPACITY GRANTS.
- SEC. 4305. ADVANCING RESEARCH AND TREATMENT FOR PAIN CARE MANAGEMENT.
- `SEC. 409J. PAIN RESEARCH.
- `SEC. 759. PROGRAM FOR EDUCATION AND TRAINING IN PAIN CARE.
- SEC. 4306. FUNDING FOR CHILDHOOD OBESITY DEMONSTRATION PROJECT.
- SEC. 4401. SENSE OF THE SENATE CONCERNING CBO SCORING.
- SEC. 4402. EFFECTIVENESS OF FEDERAL HEALTH AND WELLNESS INITIATIVES.
Subtitle A--Purpose and Definitions
- SEC. 5001. PURPOSE.
- SEC. 5002. DEFINITIONS.
- SEC. 5101. NATIONAL HEALTH CARE WORKFORCE COMMISSION.
- SEC. 5102. STATE HEALTH CARE WORKFORCE DEVELOPMENT GRANTS.
- SEC. 5103. HEALTH CARE WORKFORCE ASSESSMENT.
- SEC. 5201. FEDERALLY SUPPORTED STUDENT LOAN FUNDS.
- SEC. 5202. NURSING STUDENT LOAN PROGRAM.
- SEC. 5203. HEALTH CARE WORKFORCE LOAN REPAYMENT PROGRAMS.
- `SEC. 775. INVESTMENT IN TOMORROW'S PEDIATRIC HEALTH CARE WORKFORCE.
- SEC. 5204. PUBLIC HEALTH WORKFORCE RECRUITMENT AND RETENTION PROGRAMS.
- `SEC. 776. PUBLIC HEALTH WORKFORCE LOAN REPAYMENT PROGRAM.
- SEC. 5205. ALLIED HEALTH WORKFORCE RECRUITMENT AND RETENTION PROGRAMS.
- SEC. 5206. GRANTS FOR STATE AND LOCAL PROGRAMS.
- `SEC. 777. TRAINING FOR MID-CAREER PUBLIC AND ALLIED HEALTH PROFESSIONALS.
- SEC. 5207. FUNDING FOR NATIONAL HEALTH SERVICE CORPS.
- SEC. 5208. NURSE-MANAGED HEALTH CLINICS.
- `SEC. 330A-1. GRANTS TO NURSE-MANAGED HEALTH CLINICS.
- SEC. 5209. ELIMINATION OF CAP ON COMMISSIONED CORPS.
- SEC. 5210. ESTABLISHING A READY RESERVE CORPS.
- `SEC. 203. COMMISSIONED CORPS AND READY RESERVE CORPS.
- SEC. 5301. TRAINING IN FAMILY MEDICINE, GENERAL INTERNAL MEDICINE, GENERAL PEDIATRICS, AND PHYSICIAN ASSISTANTSHIP.
- `SEC. 747. PRIMARY CARE TRAINING AND ENHANCEMENT.
- SEC. 5302. TRAINING OPPORTUNITIES FOR DIRECT CARE WORKERS.
- `SEC. 747A. TRAINING OPPORTUNITIES FOR DIRECT CARE WORKERS.
- SEC. 5303. TRAINING IN GENERAL, PEDIATRIC, AND PUBLIC HEALTH DENTISTRY.
- `SEC. 748. TRAINING IN GENERAL, PEDIATRIC, AND PUBLIC HEALTH DENTISTRY.
- SEC. 5304. ALTERNATIVE DENTAL HEALTH CARE PROVIDERS DEMONSTRATION PROJECT.
- `SEC. 340G-1. DEMONSTRATION PROGRAM.
- SEC. 5305. GERIATRIC EDUCATION AND TRAINING; CAREER AWARDS; COMPREHENSIVE GERIATRIC EDUCATION.
- SEC. 5306. MENTAL AND BEHAVIORAL HEALTH EDUCATION AND TRAINING GRANTS.
- `SEC. 756. MENTAL AND BEHAVIORAL HEALTH EDUCATION AND TRAINING GRANTS.
- SEC. 5307. CULTURAL COMPETENCY, PREVENTION, AND PUBLIC HEALTH AND INDIVIDUALS WITH DISABILITIES TRAINING.
- SEC. 5308. ADVANCED NURSING EDUCATION GRANTS.
- SEC. 5309. NURSE EDUCATION, PRACTICE, AND RETENTION GRANTS.
- `SEC. 831A. NURSE RETENTION GRANTS.
- SEC. 5310. LOAN REPAYMENT AND SCHOLARSHIP PROGRAM.
- SEC. 5311. NURSE FACULTY LOAN PROGRAM.
- `SEC. 847. ELIGIBLE INDIVIDUAL STUDENT LOAN REPAYMENT.
- SEC. 5312. AUTHORIZATION OF APPROPRIATIONS FOR PARTS B THROUGH D OF TITLE VIII.
- `SEC. 871. AUTHORIZATION OF APPROPRIATIONS.
- SEC. 5313. GRANTS TO PROMOTE THE COMMUNITY HEALTH WORKFORCE.
- `SEC. 399V. GRANTS TO PROMOTE POSITIVE HEALTH BEHAVIORS AND OUTCOMES.
- SEC. 5314. FELLOWSHIP TRAINING IN PUBLIC HEALTH.
- SEC. 5315. UNITED STATES PUBLIC HEALTH SCIENCES TRACK.
- `SEC. 271. ESTABLISHMENT.
- `SEC. 272. ADMINISTRATION.
- `SEC. 273. STUDENTS; SELECTION; OBLIGATION.
- `SEC. 274. FUNDING.
- SEC. 5401. CENTERS OF EXCELLENCE.
- SEC. 5402. HEALTH CARE PROFESSIONALS TRAINING FOR DIVERSITY.
- SEC. 5403. INTERDISCIPLINARY, COMMUNITY-BASED LINKAGES.
- `SEC. 751. AREA HEALTH EDUCATION CENTERS.
- `SEC. 752. CONTINUING EDUCATIONAL SUPPORT FOR HEALTH PROFESSIONALS SERVING IN UNDERSERVED COMMUNITIES.
- SEC. 5404. WORKFORCE DIVERSITY GRANTS.
- SEC. 5405. PRIMARY CARE EXTENSION PROGRAM.
- `SEC. 399W. PRIMARY CARE EXTENSION PROGRAM.
- SEC. 5501. EXPANDING ACCESS TO PRIMARY CARE SERVICES AND GENERAL SURGERY SERVICES.
- SEC. 5502. MEDICARE FEDERALLY QUALIFIED HEALTH CENTER IMPROVEMENTS.
- SEC. 5503. DISTRIBUTION OF ADDITIONAL RESIDENCY POSITIONS.
- SEC. 5504. COUNTING RESIDENT TIME IN NONPROVIDER SETTINGS.
- SEC. 5505. RULES FOR COUNTING RESIDENT TIME FOR DIDACTIC AND SCHOLARLY ACTIVITIES AND OTHER ACTIVITIES.
- SEC. 5506. PRESERVATION OF RESIDENT CAP POSITIONS FROM CLOSED HOSPITALS.
- `SEC. 2008. DEMONSTRATION PROJECTS TO ADDRESS HEALTH PROFESSIONS WORKFORCE NEEDS.
- SEC. 5508. INCREASING TEACHING CAPACITY.
- `SEC. 749A. TEACHING HEALTH CENTERS DEVELOPMENT GRANTS.
- `SEC. 340H. PROGRAM OF PAYMENTS TO TEACHING HEALTH CENTERS THAT OPERATE GRADUATE MEDICAL EDUCATION PROGRAMS.
- SEC. 5509. GRADUATE NURSE EDUCATION DEMONSTRATION.
- SEC. 5601. SPENDING FOR FEDERALLY QUALIFIED HEALTH CENTERS (FQHCS).
- SEC. 5603. REAUTHORIZATION OF THE WAKEFIELD EMERGENCY MEDICAL SERVICES FOR CHILDREN PROGRAM.
- SEC. 5604. CO-LOCATING PRIMARY AND SPECIALTY CARE IN COMMUNITY-BASED MENTAL HEALTH SETTINGS.
- `SEC. 520K. AWARDS FOR CO-LOCATING PRIMARY AND SPECIALTY CARE IN COMMUNITY-BASED MENTAL HEALTH SETTINGS.
- SEC. 5605. KEY NATIONAL INDICATORS.
- SEC. 5701. REPORTS.
Subtitle A--Physician Ownership and Other Transparency
- SEC. 6001. LIMITATION ON MEDICARE EXCEPTION TO THE PROHIBITION ON CERTAIN PHYSICIAN REFERRALS FOR HOSPITALS.
- SEC. 6002. TRANSPARENCY REPORTS AND REPORTING OF PHYSICIAN OWNERSHIP OR INVESTMENT INTERESTS.
- `SEC. 1128G. TRANSPARENCY REPORTS AND REPORTING OF PHYSICIAN OWNERSHIP OR INVESTMENT INTERESTS.
- SEC. 6004. PRESCRIPTION DRUG SAMPLE TRANSPARENCY.
- `SEC. 1128H. REPORTING OF INFORMATION RELATING TO DRUG SAMPLES.
- SEC. 6005. PHARMACY BENEFIT MANAGERS TRANSPARENCY REQUIREMENTS.
- `SEC. 1150A. PHARMACY BENEFIT MANAGERS TRANSPARENCY REQUIREMENTS.
PART I--IMPROVING TRANSPARENCY OF INFORMATION
- SEC. 6101. REQUIRED DISCLOSURE OF OWNERSHIP AND ADDITIONAL DISCLOSABLE PARTIES INFORMATION.
- SEC. 6102. ACCOUNTABILITY REQUIREMENTS FOR SKILLED NURSING FACILITIES AND NURSING FACILITIES.
- `SEC. 1128I. ACCOUNTABILITY REQUIREMENTS FOR FACILITIES.
- SEC. 6103. NURSING HOME COMPARE MEDICARE WEBSITE.
- SEC. 6104. REPORTING OF EXPENDITURES.
- SEC. 6105. STANDARDIZED COMPLAINT FORM.
- SEC. 6106. ENSURING STAFFING ACCOUNTABILITY.
- SEC. 6107. GAO STUDY AND REPORT ON FIVE-STAR QUALITY RATING SYSTEM.
- SEC. 6111. CIVIL MONEY PENALTIES.
- SEC. 6112. NATIONAL INDEPENDENT MONITOR DEMONSTRATION PROJECT.
- SEC. 6113. NOTIFICATION OF FACILITY CLOSURE.
- SEC. 6114. NATIONAL DEMONSTRATION PROJECTS ON CULTURE CHANGE AND USE OF INFORMATION TECHNOLOGY IN NURSING HOMES.
- SEC. 6121. DEMENTIA AND ABUSE PREVENTION TRAINING.
- SEC. 6301. PATIENT-CENTERED OUTCOMES RESEARCH.
`COMPARATIVE CLINICAL EFFECTIVENESS RESEARCH
- `SEC. 937. DISSEMINATION AND BUILDING CAPACITY FOR RESEARCH.
`TRUST FUND TRANSFERS TO PATIENT-CENTERED OUTCOMES RESEARCH TRUST FUND
- `SEC. 9511. PATIENT-CENTERED OUTCOMES RESEARCH TRUST FUND.
- `SEC. 4375. HEALTH INSURANCE.
- `SEC. 4376. SELF-INSURED HEALTH PLANS.
- `SEC. 4377. DEFINITIONS AND SPECIAL RULES.
`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'.
- SEC. 6302. FEDERAL COORDINATING COUNCIL FOR COMPARATIVE EFFECTIVENESS RESEARCH.
- SEC. 6401. PROVIDER SCREENING AND OTHER ENROLLMENT REQUIREMENTS UNDER MEDICARE, MEDICAID, AND CHIP.
- SEC. 6402. ENHANCED MEDICARE AND MEDICAID PROGRAM INTEGRITY PROVISIONS.
- `SEC. 1128J. MEDICARE AND MEDICAID PROGRAM INTEGRITY PROVISIONS.
- SEC. 6404. MAXIMUM PERIOD FOR SUBMISSION OF MEDICARE CLAIMS REDUCED TO NOT MORE THAN 12 MONTHS.
- SEC. 6405. PHYSICIANS WHO ORDER ITEMS OR SERVICES REQUIRED TO BE MEDICARE ENROLLED PHYSICIANS OR ELIGIBLE PROFESSIONALS.
- SEC. 6406. REQUIREMENT FOR PHYSICIANS TO PROVIDE DOCUMENTATION ON REFERRALS TO PROGRAMS AT HIGH RISK OF WASTE AND ABUSE.
- SEC. 6408. ENHANCED PENALTIES.
- SEC. 6409. MEDICARE SELF-REFERRAL DISCLOSURE PROTOCOL.
- SEC. 6411. EXPANSION OF THE RECOVERY AUDIT CONTRACTOR (RAC) PROGRAM.
- SEC. 6501. TERMINATION OF PROVIDER PARTICIPATION UNDER MEDICAID IF TERMINATED UNDER MEDICARE OR OTHER STATE PLAN.
- SEC. 6502. MEDICAID EXCLUSION FROM PARTICIPATION RELATING TO CERTAIN OWNERSHIP, CONTROL, AND MANAGEMENT AFFILIATIONS.
- SEC. 6503. BILLING AGENTS, CLEARINGHOUSES, OR OTHER ALTERNATE PAYEES REQUIRED TO REGISTER UNDER MEDICAID.
- SEC. 6504. REQUIREMENT TO REPORT EXPANDED SET OF DATA ELEMENTS UNDER MMIS TO DETECT FRAUD AND ABUSE.
- SEC. 6505. PROHIBITION ON PAYMENTS TO INSTITUTIONS OR ENTITIES LOCATED OUTSIDE OF THE UNITED STATES.
- SEC. 6506. OVERPAYMENTS.
- SEC. 6507. MANDATORY STATE USE OF NATIONAL CORRECT CODING INITIATIVE.
- SEC. 6508. GENERAL EFFECTIVE DATE.
- SEC. 6601. PROHIBITION ON FALSE STATEMENTS AND REPRESENTATIONS.
- `SEC. 519. PROHIBITION ON FALSE STATEMENTS AND REPRESENTATIONS.
- SEC. 6602. CLARIFYING DEFINITION.
- SEC. 6603. DEVELOPMENT OF MODEL UNIFORM REPORT FORM.
- `SEC. 2794. UNIFORM FRAUD AND ABUSE REFERRAL FORMAT.
- SEC. 6604. APPLICABILITY OF STATE LAW TO COMBAT FRAUD AND ABUSE.
- `SEC. 520. APPLICABILITY OF STATE LAW TO COMBAT FRAUD AND ABUSE.
- SEC. 6606. MEWA PLAN REGISTRATION WITH DEPARTMENT OF LABOR.
- SEC. 6607. PERMITTING EVIDENTIARY PRIVILEGE AND CONFIDENTIAL COMMUNICATIONS.
- SEC. 6701. SHORT TITLE OF SUBTITLE.
- SEC. 6702. DEFINITIONS.
- SEC. 6703. ELDER JUSTICE.
`Subtitle B--Elder Justice
- `SEC. 2011. DEFINITIONS.
- `SEC. 2012. GENERAL PROVISIONS.
`Subpart A--Elder Justice Coordinating Council and Advisory Board on Elder Abuse, Neglect, and Exploitation
- `SEC. 2021. ELDER JUSTICE COORDINATING COUNCIL.
- `SEC. 2022. ADVISORY BOARD ON ELDER ABUSE, NEGLECT, AND EXPLOITATION.
- `SEC. 2023. RESEARCH PROTECTIONS.
- `SEC. 2024. AUTHORIZATION OF APPROPRIATIONS.
- `SEC. 2031. ESTABLISHMENT AND SUPPORT OF ELDER ABUSE, NEGLECT, AND EXPLOITATION FORENSIC CENTERS.
- `SEC. 2041. ENHANCEMENT OF LONG-TERM CARE.
- `SEC. 2042. ADULT PROTECTIVE SERVICES FUNCTIONS AND GRANT PROGRAMS.
- `SEC. 2043. LONG-TERM CARE OMBUDSMAN PROGRAM GRANTS AND TRAINING.
- `SEC. 2044. PROVISION OF INFORMATION REGARDING, AND EVALUATIONS OF, ELDER JUSTICE PROGRAMS.
- `SEC. 2045. REPORT.
- `SEC. 2046. RULE OF CONSTRUCTION.
Subtitle I--Sense of the Senate Regarding Medical Malpractice
- SEC. 6801. SENSE OF THE SENATE REGARDING MEDICAL MALPRACTICE.
Subtitle A--Biologics Price Competition and Innovation
- SEC. 7001. SHORT TITLE.
- SEC. 7002. APPROVAL PATHWAY FOR BIOSIMILAR BIOLOGICAL PRODUCTS.
- SEC. 7003. SAVINGS.
- SEC. 7101. EXPANDED PARTICIPATION IN 340B PROGRAM.
- SEC. 7102. IMPROVEMENTS TO 340B PROGRAM INTEGRITY.
- SEC. 7103. GAO STUDY TO MAKE RECOMMENDATIONS ON IMPROVING THE 340B PROGRAM.
- SEC. 8001. SHORT TITLE OF TITLE.
- `SEC. 3201. PURPOSE.
- `SEC. 3202. DEFINITIONS.
- `SEC. 3203. CLASS INDEPENDENCE BENEFIT PLAN.
- `SEC. 3204. ENROLLMENT AND DISENROLLMENT REQUIREMENTS.
- `SEC. 3205. BENEFITS.
- `SEC. 3206. CLASS INDEPENDENCE FUND.
- `SEC. 3207. CLASS INDEPENDENCE ADVISORY COUNCIL.
- `SEC. 3208. SOLVENCY AND FISCAL INDEPENDENCE; REGULATIONS; ANNUAL REPORT.
- `SEC. 3209. INSPECTOR GENERAL'S REPORT.
- `SEC. 3210. TAX TREATMENT OF PROGRAM.
Subtitle A--Revenue Offset Provisions
- SEC. 9001. EXCISE TAX ON HIGH COST EMPLOYER-SPONSORED HEALTH COVERAGE.
- `SEC. 4980I. EXCISE TAX ON HIGH COST EMPLOYER-SPONSORED HEALTH COVERAGE.
- SEC. 9002. INCLUSION OF COST OF EMPLOYER-SPONSORED HEALTH COVERAGE ON W-2.
- SEC. 9003. DISTRIBUTIONS FOR MEDICINE QUALIFIED ONLY IF FOR PRESCRIBED DRUG OR INSULIN.
- SEC. 9004. INCREASE IN ADDITIONAL TAX ON DISTRIBUTIONS FROM HSAS AND ARCHER MSAS NOT USED FOR QUALIFIED MEDICAL EXPENSES.
- SEC. 9005. LIMITATION ON HEALTH FLEXIBLE SPENDING ARRANGEMENTS UNDER CAFETERIA PLANS.
- SEC. 9006. EXPANSION OF INFORMATION REPORTING REQUIREMENTS.
- SEC. 9007. ADDITIONAL REQUIREMENTS FOR CHARITABLE HOSPITALS.
- `SEC. 4959. TAXES ON FAILURES BY HOSPITAL ORGANIZATIONS.
- SEC. 9008. IMPOSITION OF ANNUAL FEE ON BRANDED PRESCRIPTION PHARMACEUTICAL MANUFACTURERS AND IMPORTERS.
- SEC. 9009. IMPOSITION OF ANNUAL FEE ON MEDICAL DEVICE MANUFACTURERS AND IMPORTERS.
- SEC. 9010. IMPOSITION OF ANNUAL FEE ON HEALTH INSURANCE PROVIDERS.
- SEC. 9011. STUDY AND REPORT OF EFFECT ON VETERANS HEALTH CARE.
- SEC. 9012. ELIMINATION OF DEDUCTION FOR EXPENSES ALLOCABLE TO MEDICARE PART D SUBSIDY.
- SEC. 9013. MODIFICATION OF ITEMIZED DEDUCTION FOR MEDICAL EXPENSES.
- SEC. 9014. LIMITATION ON EXCESSIVE REMUNERATION PAID BY CERTAIN HEALTH INSURANCE PROVIDERS.
- SEC. 9015. ADDITIONAL HOSPITAL INSURANCE TAX ON HIGH-INCOME TAXPAYERS.
- SEC. 9016. MODIFICATION OF SECTION 833 TREATMENT OF CERTAIN HEALTH ORGANIZATIONS.
- SEC. 9017. EXCISE TAX ON ELECTIVE COSMETIC MEDICAL PROCEDURES.
- `SEC. 5000B. IMPOSITION OF TAX ON ELECTIVE COSMETIC MEDICAL PROCEDURES.
Subtitle B--Other Provisions
- SEC. 9021. EXCLUSION OF HEALTH BENEFITS PROVIDED BY INDIAN TRIBAL GOVERNMENTS.
- `SEC. 139D. INDIAN HEALTH CARE BENEFITS.
- SEC. 9022. ESTABLISHMENT OF SIMPLE CAFETERIA PLANS FOR SMALL BUSINESSES.
- SEC. 9023. QUALIFYING THERAPEUTIC DISCOVERY PROJECT CREDIT.
- `SEC. 48D. QUALIFYING THERAPEUTIC DISCOVERY PROJECT CREDIT.
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