Sec. 405. Improving the effectiveness of the pediatric quality measures
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Section 1139A(b) of the Social Security Act (42 U.S.C. 1320b–9a(b)) is amended— in paragraph (4)— by striking the paragraph heading and inserting the following: ; Ensuring the development, maintenance, and reporting of a portfolio of pediatric quality measures in subparagraph (A), by striking and at the end; in subparagraph (B)(iii)— by inserting establishment of a sustainable mechanism for maintaining and before updating ; and by striking as necessary. and inserting in alignment with the most recent version of the ; and Blueprint for the Measures Management System published by the Centers for Medicare & Medicaid Services, as necessary; and by adding at the end the following new subparagraph: award grants or contracts to continue and enhance the pediatric quality measures program, which shall include awarding grants and contracts with a particular emphasis on— patient and family experience or coordination of care; pediatric populations that are small in size and may be most effectively addressed by aggregating data across multiple States, including pediatric populations with medical complexity and pediatric populations with rare conditions; the impacts of changes in life events over various stages of child and adolescent development, including changes in morbidity and mortality, dependence status, and developmental stages, and the impacts of such changes on subsequent health and health care quality; and establishing a sustainable mechanism for identifying and assisting States in developing a standardized data infrastructure for the collection and national reporting of pediatric quality measures, including developing precise data element definitions and utilizing consistent data collection methods. ; by striking paragraph
(5)and inserting the following new paragraph: The Secretary shall annually issue a rule (in accordance with section 553 of title 5, United States Code) to amend the core set of child health quality measures described in subsection
(a)so that such core set— is consistent with the purposes of the pediatric quality measures program established under paragraph (1); meets the conditions specified in paragraph (2); includes measures that— were developed by the Secretary in consultation with the entities specified in subparagraphs
(A)through
(H)of paragraph (3); were developed, validated, tested, or maintained through a grant or contract awarded under paragraph (4); and were submitted to the Secretary for consideration that were not developed under such a grant or contract; and takes into account the reports and demonstration projects described in subparagraphs (c), (d), (e), and
(f)of this section. Beginning not later than one year after the date of the enactment of the CHIP Extension and Improvement Act of 2014 , the amendments made to the core set of measures under subparagraph
(A)shall include changes— to measure the type of children’s health insurance coverage or other health benefits coverage available over time, in addition to the presence, stability, and duration of such health insurance coverage or such health benefits coverage over time, for purposes of examining enrollment changes of a child from one type of coverage to another; to ensure that the measures reflect the care provided to the diverse pediatric population, including adolescents and children with special health care needs and the management of acute and chronic conditions; to ensure that the measures reflect care provided in all health care settings in which an individual enrolled in the State plan under title XIX receives care; and to encourage the adoption of pediatric quality measures at the State, plan, community, facility, and provider level attribution, as well as across different health care delivery and coverage systems, including coverage provided through the Exchanges established under title I of the Patient Protection and Affordable Care Act. ; in paragraph (6)— by striking clinical care and inserting clinical effectiveness, patient safety, population and public health, patient and family engagement, care coordination, or efficiency ; and by striking in various institutional and ambulatory health care settings ; and by adding at the end the following new paragraph: $20,000,000 of the amount appropriated under subsection
(i)for a fiscal year shall be used to carry out this subsection. .
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- 42 USC 1320b–9a(b)
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Sec. 405
Improving the effectiveness of the pediatric quality measures
Cite42 USC 1320b–9a(b)
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