Sec. 1. Short title; table of contents
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/bill/118/s/3950/is/section-1·A research copy — for the controlling text, always check the official state or federal source. Not legal advice.
This Act may be cited as the or the Delivering Unified Access to Lifesaving Services Act of 2024 . DUALS Act of 2024 The table of contents for this Act is as follows: Sec. 1. Short title; table of contents. TITLE I—State Integrated Care Programs for Dual Eligible Individuals Sec. 101. State implementation. TITLE XXII—State Integrated Care Programs for Dual Eligible Individuals Sec. 2201. Definitions. Sec. 2202. State selection of program models, development, and implementation.
Sec. 2203. Enrollment in integrated care plans. Sec. 2204. Plan requirements and payments. Sec. 2205. Data collection and reporting. Sec. 2206. State ombudsman. Sec. 2207. Funding. Sec. 2208. Federal administration through the Federal Coordinated Health Care Office. Sec. 102. Providing Federal Coordinated Health Care Office authority over dual snps. Sec. 103. Additional conforming amendments. TITLE II—Improving Eligibility Determinations, Enrollment Processes, and Quality of Care for Dual Eligible Individuals Sec. 201.
Identifying opportunities for State coordination with respect to eligibility determinations. Sec. 202. Alignment of bidding, reporting, and other dates and deadlines for integrated care plans. Sec. 203. Grants to State and local community organizations for outreach and enrollment. Sec. 204. Application of model standards to information requirements for integrated care plans. Sec. 205. Enrollment through independent brokers. Sec. 206. Reducing threshold for look-alike D–SNP plans under Medicare Advantage.
Sec. 207. Requiring regular update of provider directories. Sec. 208. Review of hospital quality star rating system. Sec. 209. Requirement for FCHCO and State Medicaid agencies to develop maximum staffing ratios for care coordinators. Sec. 210. CMMI testing of coverage of partial benefit dual eligible individuals through State Integrated Care Programs. TITLE III—Administration Sec. 301. Alignment of billing codes under titles XVIII, XIX, and XXII. TITLE IV—PACE Sec. 401. Requiring States to offer PACE program services to eligible individuals.
Sec. 402. Enrollment of PACE beneficiaries at any time. Sec. 403. Extending eligibility for PACE to medicare-eligible individuals under the age of 55. Sec. 404. Removal of quarterly restrictions for submission of a new pace organization application, and removal quarterly restrictions for applications in a new service area. Sec. 405. Ensuring Medicare-only PACE program enrollees have a choice of prescription drug plans under Medicare part D.