Sec. 601. National health budget
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Not later than September 1 of each year, beginning with the year prior to the date on which benefits are first available under section 106(a), the Secretary shall establish a national health budget, which specifies a budget for the total expenditures to be made for items and services covered under the Medicare for All Program. The national health budget shall consist of at least the following components: An operating budget. A capital expenditures budget. A special projects budget.
Quality assessment activities under title V. Health professional education expenditures. Administrative costs, including costs related to the operation of regional offices. A reserve fund. Prevention and public health activities. The Secretary shall allocate the funds received for purposes of carrying out this Act among the components described in paragraph
(2)in a manner that ensures— that the operating budget allows for every participating provider in the Medicare for All Program to meet the needs of their respective patient populations; that the special projects budget is sufficient to meet the health care needs within areas described in paragraph
(7)through the construction, renovation, and staffing of health care facilities in a reasonable timeframe; a fair allocation for quality assessment activities; and that the health professional education expenditure component described in paragraph (2)(E) is sufficient to provide for the amount of health professional education expenditures sufficient to meet the need for items and services covered under the Medicare for All Program. The Secretary shall annually provide each regional office with an allotment the Secretary determines appropriate for purposes of carrying out this Act in such region, including payments to providers in such region, capital expenditures in such region, special projects in such region, health professional education in such region, administrative expenses in such region, and prevention and public health activities in such region. The operating budget described in paragraph (2)(A) shall be used for— payments to institutional providers pursuant to section 611; and payments to individual providers pursuant to section 612. The capital expenditures budget described in paragraph (2)(B) shall be used for— the construction or renovation of health care facilities, excluding congregate or segregated facilities for individuals with disabilities who receive long-term care services and support; and major equipment purchases. The special projects budget described in paragraph (2)(C) shall be used for the purposes of allocating funds for the construction of new facilities, major equipment purchases, and staffing in rural areas or areas described in section 330(b)(3) of the Public Health Service Act ( 42 U.S.C. 254b(b)(3) ), including areas designated as health professional shortage areas (as defined in section 332(a) of the Public Health Service Act ( 42 U.S.C. 254e(a) )), and to address health disparities, including racial, ethnic, national origin, primary language use, age, disability, sex (including gender identity and sexual orientation), geography, or socioeconomic health disparities. The reserve fund described in paragraph (2)(G) shall be used to respond to the costs of an epidemic, pandemic, natural disaster, or other such health emergency, or market-shift adjustments related to patient volume. Expenditures from each component of the national health budget, including construction, shall expand accessibility for persons with disabilities to achieve full compliance with the Americans with Disabilities Act of 1990 ( 42 U.S.C. 12101 et seq. ). Any project funded through the national budget shall at least meet the new construction standards under such Act. In this section: The term capital expenditures means expenses for the purchase, lease, construction, or renovation of capital facilities and for major equipment. The term health professional education expenditures means expenditures in hospitals and other health care facilities to cover costs associated with teaching and related research activities, including the impact of workforce recruitment, retention, and diversity on patient outcomes.
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