Sec. 502. Improving the effectiveness of the pediatric quality measures

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Section 1139A(b) (42 U.S.C. 1320b–9a(b)) is amended— in paragraph (4)— in subparagraph (A), by striking and at the end; in subparagraph (B), by striking the period at the end and inserting ; and ; and by adding at the end the following new subparagraph: establish a program to continue and enhance pediatric quality measures program centers of excellence, which may include developing centers of excellence with a particular emphasis on patient and family experience and 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. ; and by amending paragraph

(5)to read as follows: The Secretary shall annually publish recommended changes to the core measures described in subsection

(a)that— are consistent with the purposes of the pediatric quality measures program established under paragraph (1); meet the conditions specified in paragraph (2); were developed by the Secretary in consultation with the entities specified in subparagraphs

(A)through

(H)of paragraph (3); and were developed, validated, or tested through a grant awarded under paragraph (4). Beginning not later than 1 year after the date of enactment of the CHIP Extension Act of 2014 , the recommended changes published 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 diverse health care settings, including both inpatient and ambulatory settings; to encourage the development, implementation, and stewardship of core measures that can be used at the State, hospital, practice, and plan levels, including a sustainable mechanism to maintain and disseminate such measures and collect and report data on such measures; and to facilitate the adoption, dissemination, stewardship, and reporting of such measures as well as measures developed through the pediatric quality measures program at the State, hospital, practice, and plan levels and 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. . The amendments made by this section shall take effect on the date of enactment of this Act.

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42 USC 1320b–9a(b)

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Sec. 502

Improving the effectiveness of the pediatric quality measures

Cite42 USC 1320b–9a(b)

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