Statute Compilations

SHORT TITLE; TABLE OF CONTENTS

AMENDMENTS TO THE PUBLIC HEALTH SERVICE ACT

HEALTH INSURANCE CONSUMER INFORMATION

ENSURING THAT CONSUMERS GET VALUE FOR THEIR DOLLARS

EFFECTIVE DATES

IMMEDIATE ACCESS TO INSURANCE FOR UNINSURED INDIVIDUALS WITH A PREEXISTING CONDITION

REINSURANCE FOR EARLY RETIREES

IMMEDIATE INFORMATION THAT ALLOWS CONSUMERS TO IDENTIFY AFFORDABLE COVERAGE OPTIONS

ADMINISTRATIVE SIMPLIFICATION

EFFECTIVE DATE

AMENDMENT TO THE PUBLIC HEALTH SERVICE ACT

PRESERVATION OF RIGHT TO MAINTAIN EXISTING COVERAGE

RATING REFORMS MUST APPLY UNIFORMLY TO ALL HEALTH INSURANCE ISSUERS AND GROUP HEALTH PLANS

ANNUAL REPORT ON SELF-INSURED PLANS

STUDY OF LARGE GROUP MARKET

EFFECTIVE DATES

QUALIFIED HEALTH PLAN DEFINED

ESSENTIAL HEALTH BENEFITS REQUIREMENTS

SPECIAL RULES

RELATED DEFINITIONS

AFFORDABLE CHOICES OF HEALTH BENEFIT PLANS

CONSUMER CHOICE

FINANCIAL INTEGRITY

STATE FLEXIBILITY IN OPERATION AND ENFORCEMENT OF EXCHANGES AND RELATED REQUIREMENTS

FEDERAL PROGRAM TO ASSIST ESTABLISHMENT AND OPERATION OF NONPROFIT, MEMBER-RUN HEALTH INSURANCE ISSUERS

FUNDING FOR THE TERRITORIES

LEVEL PLAYING FIELD

STATE FLEXIBILITY TO ESTABLISH BASIC HEALTH PROGRAMS FOR LOW-INCOME INDIVIDUALS NOT ELIGIBLE FOR MEDICAID

WAIVER FOR STATE INNOVATION

PROVISIONS RELATING TO OFFERING OF PLANS IN MORE THAN ONE STATE

MULTI-STATE PLANS

TRANSITIONAL REINSURANCE PROGRAM FOR INDIVIDUAL MARKET IN EACH STATE

ESTABLISHMENT OF RISK CORRIDORS FOR PLANS IN INDIVIDUAL AND SMALL GROUP MARKETS

RISK ADJUSTMENT

REFUNDABLE TAX CREDIT PROVIDING PREMIUM ASSISTANCE FOR COVERAGE UNDER A QUALIFIED HEALTH PLAN

REDUCED COST-SHARING FOR INDIVIDUALS ENROLLING IN QUALIFIED HEALTH PLANS

PROCEDURES FOR DETERMINING ELIGIBILITY FOR EXCHANGE PARTICIPATION, PREMIUM TAX CREDITS AND REDUCED COST-SHARING, AND INDIVIDUAL RESPONSIBILITY EXEMPTIONS

ADVANCE DETERMINATION AND PAYMENT OF PREMIUM TAX CREDITS AND COST-SHARING REDUCTIONS

STREAMLINING OF PROCEDURES FOR ENROLLMENT THROUGH AN EXCHANGE AND STATE MEDICAID, CHIP, AND HEALTH SUBSIDY PROGRAMS

DISCLOSURES TO CARRY OUT ELIGIBILITY REQUIREMENTS FOR CERTAIN PROGRAMS

PREMIUM TAX CREDIT AND COST-SHARING REDUCTION PAYMENTS DISREGARDED FOR FEDERAL AND FEDERALLY-ASSISTED PROGRAMS

STUDY OF GEOGRAPHIC VARIATION IN APPLICATION OF FPL

CREDIT FOR EMPLOYEE HEALTH INSURANCE EXPENSES OF SMALL BUSINESSES

REQUIREMENT TO MAINTAIN MINIMUM ESSENTIAL COVERAGE

REPORTING OF HEALTH INSURANCE COVERAGE

AUTOMATIC ENROLLMENT FOR EMPLOYEES OF LARGE EMPLOYERS

EMPLOYER REQUIREMENT TO INFORM EMPLOYEES OF COVERAGE OPTIONS

SHARED RESPONSIBILITY FOR EMPLOYERS

REPORTING OF EMPLOYER HEALTH INSURANCE COVERAGE

OFFERING OF EXCHANGE-PARTICIPATING QUALIFIED HEALTH PLANS THROUGH CAFETERIA PLANS

DEFINITIONS

TRANSPARENCY IN GOVERNMENT

PROHIBITION AGAINST DISCRIMINATION ON ASSISTED SUICIDE

ACCESS TO THERAPIES

FREEDOM NOT TO PARTICIPATE IN FEDERAL HEALTH INSURANCE PROGRAMS

EQUITY FOR CERTAIN ELIGIBLE SURVIVORS

NONDISCRIMINATION

PROTECTIONS FOR EMPLOYEES

OVERSIGHT

RULES OF CONSTRUCTION

HEALTH INFORMATION TECHNOLOGY ENROLLMENT STANDARDS AND PROTOCOLS

GAO STUDY REGARDING THE RATE OF DENIAL OF COVERAGE AND ENROLLMENT BY HEALTH INSURANCE ISSUERS AND GROUP HEALTH PLANS

SMALL BUSINESS PROCUREMENT

MEDICAID COVERAGE FOR THE LOWEST INCOME POPULATIONS

INCOME ELIGIBILITY FOR NONELDERLY DETERMINED USING MODIFIED GROSS INCOME

REQUIREMENT TO OFFER PREMIUM ASSISTANCE FOR EMPLOYER-SPONSORED INSURANCE

MEDICAID COVERAGE FOR FORMER FOSTER CARE CHILDREN

PAYMENTS TO TERRITORIES

SPECIAL ADJUSTMENT TO FMAP DETERMINATION FOR CERTAIN STATES RECOVERING FROM A MAJOR DISASTER

MEDICAID IMPROVEMENT FUND RESCISSION

ADDITIONAL FEDERAL FINANCIAL PARTICIPATION FOR CHIP

TECHNICAL CORRECTIONS

ENROLLMENT SIMPLIFICATION AND COORDINATION WITH STATE HEALTH INSURANCE EXCHANGES

PERMITTING HOSPITALS TO MAKE PRESUMPTIVE ELIGIBILITY DETERMINATIONS FOR ALL MEDICAID ELIGIBLE POPULATIONS

COVERAGE FOR FREESTANDING BIRTH CENTER SERVICES

CONCURRENT CARE FOR CHILDREN

STATE ELIGIBILITY OPTION FOR FAMILY PLANNING SERVICES

CLARIFICATION OF DEFINITION OF MEDICAL ASSISTANCE

COMMUNITY FIRST CHOICE OPTION

REMOVAL OF BARRIERS TO PROVIDING HOME AND COMMUNITY-BASED SERVICES

MONEY FOLLOWS THE PERSON REBALANCING DEMONSTRATION

PROTECTION FOR RECIPIENTS OF HOME AND COMMUNITY-BASED SERVICES AGAINST SPOUSAL IMPOVERISHMENT

FUNDING TO EXPAND STATE AGING AND DISABILITY RESOURCE CENTERS

SENSE OF THE SENATE REGARDING LONG-TERM CARE

PRESCRIPTION DRUG REBATES

ELIMINATION OF EXCLUSION OF COVERAGE OF CERTAIN DRUGS

PROVIDING ADEQUATE PHARMACY REIMBURSEMENT

DISPROPORTIONATE SHARE HOSPITAL PAYMENTS

5-YEAR PERIOD FOR DEMONSTRATION PROJECTS

PROVIDING FEDERAL COVERAGE AND PAYMENT COORDINATION FOR DUAL ELIGIBLE BENEFICIARIES

ADULT HEALTH QUALITY MEASURES

PAYMENT ADJUSTMENT FOR HEALTH CARE-ACQUIRED CONDITIONS

STATE OPTION TO PROVIDE HEALTH HOMES FOR ENROLLEES WITH CHRONIC CONDITIONS

DEMONSTRATION PROJECT TO EVALUATE INTEGRATED CARE AROUND A HOSPITALIZATION

MEDICAID GLOBAL PAYMENT SYSTEM DEMONSTRATION PROJECT

PEDIATRIC ACCOUNTABLE CARE ORGANIZATION DEMONSTRATION PROJECT

MEDICAID EMERGENCY PSYCHIATRIC DEMONSTRATION PROJECT

MACPAC ASSESSMENT OF POLICIES AFFECTING ALL MEDICAID BENEFICIARIES

SPECIAL RULES RELATING TO INDIANS

ELIMINATION OF SUNSET FOR REIMBURSEMENT FOR ALL MEDICARE PART B SERVICES FURNISHED BY CERTAIN INDIAN HOSPITALS AND CLINICS

MATERNAL, INFANT, AND EARLY CHILDHOOD HOME VISITING PROGRAMS

SUPPORT, EDUCATION, AND RESEARCH FOR POSTPARTUM DEPRESSION

PERSONAL RESPONSIBILITY EDUCATION

RESTORATION OF FUNDING FOR ABSTINENCE EDUCATION

INCLUSION OF INFORMATION ABOUT THE IMPORTANCE OF HAVING A HEALTH CARE POWER OF ATTORNEY IN TRANSITION PLANNING FOR CHILDREN AGING OUT OF FOSTER CARE AND INDEPENDENT LIVING PROGRAMS

HOSPITAL VALUE-BASED PURCHASING PROGRAM

IMPROVEMENTS TO THE PHYSICIAN QUALITY REPORTING SYSTEM

IMPROVEMENTS TO THE PHYSICIAN FEEDBACK PROGRAM

QUALITY REPORTING FOR LONG-TERM CARE HOSPITALS, INPATIENT REHABILITATION HOSPITALS, AND HOSPICE PROGRAMS

QUALITY REPORTING FOR PPS-EXEMPT CANCER HOSPITALS

PLANS FOR A VALUE-BASED PURCHASING PROGRAM FOR SKILLED NURSING FACILITIES AND HOME HEALTH AGENCIES

VALUE-BASED PAYMENT MODIFIER UNDER THE PHYSICIAN FEE SCHEDULE

PAYMENT ADJUSTMENT FOR CONDITIONS ACQUIRED IN HOSPITALS

NATIONAL STRATEGY

INTERAGENCY WORKING GROUP ON HEALTH CARE QUALITY

QUALITY MEASURE DEVELOPMENT

QUALITY MEASUREMENT

DATA COLLECTION; PUBLIC REPORTING

ESTABLISHMENT OF CENTER FOR MEDICARE AND MEDICAID INNOVATION WITHIN CMS

MEDICARE SHARED SAVINGS PROGRAM

NATIONAL PILOT PROGRAM ON PAYMENT BUNDLING

INDEPENDENCE AT HOME DEMONSTRATION PROGRAM

HOSPITAL READMISSIONS REDUCTION PROGRAM

COMMUNITY-BASED CARE TRANSITIONS PROGRAM

EXTENSION OF GAINSHARING DEMONSTRATION

EXTENSION OF THE WORK GEOGRAPHIC INDEX FLOOR AND REVISIONS TO THE PRACTICE EXPENSE GEOGRAPHIC ADJUSTMENT UNDER THE MEDICARE PHYSICIAN FEE SCHEDULE

EXTENSION OF EXCEPTIONS PROCESS FOR MEDICARE THERAPY CAPS

EXTENSION OF PAYMENT FOR TECHNICAL COMPONENT OF CERTAIN PHYSICIAN PATHOLOGY SERVICES

EXTENSION OF AMBULANCE ADD-ONS

EXTENSION OF CERTAIN PAYMENT RULES FOR LONG-TERM CARE HOSPITAL SERVICES AND OF MORATORIUM ON THE ESTABLISHMENT OF CERTAIN HOSPITALS AND FACILITIES

EXTENSION OF PHYSICIAN FEE SCHEDULE MENTAL HEALTH ADD-ON

PERMITTING PHYSICIAN ASSISTANTS TO ORDER POST-HOSPITAL EXTENDED CARE SERVICES

EXEMPTION OF CERTAIN PHARMACIES FROM ACCREDITATION REQUIREMENTS

PART B SPECIAL ENROLLMENT PERIOD FOR DISABLED TRICARE BENEFICIARIES

PAYMENT FOR BONE DENSITY TESTS

REVISION TO THE MEDICARE IMPROVEMENT FUND

TREATMENT OF CERTAIN COMPLEX DIAGNOSTIC LABORATORY TESTS

IMPROVED ACCESS FOR CERTIFIED NURSE-MIDWIFE SERVICES

EXTENSION OF OUTPATIENT HOLD HARMLESS PROVISION

EXTENSION OF MEDICARE REASONABLE COSTS PAYMENTS FOR CERTAIN CLINICAL DIAGNOSTIC LABORATORY TESTS FURNISHED TO HOSPITAL PATIENTS IN CERTAIN RURAL AREAS

EXTENSION OF THE RURAL COMMUNITY HOSPITAL DEMONSTRATION PROGRAM

EXTENSION OF THE MEDICARE-DEPENDENT HOSPITAL (MDH) PROGRAM

TEMPORARY IMPROVEMENTS TO THE MEDICARE INPATIENT HOSPITAL PAYMENT ADJUSTMENT FOR LOW-VOLUME HOSPITALS

IMPROVEMENTS TO THE DEMONSTRATION PROJECT ON COMMUNITY HEALTH INTEGRATION MODELS IN CERTAIN RURAL COUNTIES

MEDPAC STUDY ON ADEQUACY OF MEDICARE PAYMENTS FOR HEALTH CARE PROVIDERS SERVING IN RURAL AREAS

TECHNICAL CORRECTION RELATED TO CRITICAL ACCESS HOSPITAL SERVICES

EXTENSION OF AND REVISIONS TO MEDICARE RURAL HOSPITAL FLEXIBILITY PROGRAM

PAYMENT ADJUSTMENTS FOR HOME HEALTH CARE

HOSPICE REFORM

IMPROVEMENT TO MEDICARE DISPROPORTIONATE SHARE HOSPITAL (DSH) PAYMENTS

MISVALUED CODES UNDER THE PHYSICIAN FEE SCHEDULE

MODIFICATION OF EQUIPMENT UTILIZATION FACTOR FOR ADVANCED IMAGING SERVICES

REVISION OF PAYMENT FOR POWER-DRIVEN WHEELCHAIRS

HOSPITAL WAGE INDEX IMPROVEMENT

TREATMENT OF CERTAIN CANCER HOSPITALS

PAYMENT FOR BIOSIMILAR BIOLOGICAL PRODUCTS

MEDICARE HOSPICE CONCURRENT CARE DEMONSTRATION PROGRAM

APPLICATION OF BUDGET NEUTRALITY ON A NATIONAL BASIS IN THE CALCULATION OF THE MEDICARE HOSPITAL WAGE INDEX FLOOR

HHS STUDY ON URBAN MEDICARE-DEPENDENT HOSPITALS

PROTECTING HOME HEALTH BENEFITS

BENEFIT PROTECTION AND SIMPLIFICATION

SIMPLIFICATION OF ANNUAL BENEFICIARY ELECTION PERIODS

EXTENSION FOR SPECIALIZED MA PLANS FOR SPECIAL NEEDS INDIVIDUALS

EXTENSION OF REASONABLE COST CONTRACTS

TECHNICAL CORRECTION TO MA PRIVATE FEE-FOR-SERVICE PLANS

MAKING SENIOR HOUSING FACILITY DEMONSTRATION PERMANENT

AUTHORITY TO DENY PLAN BIDS

DEVELOPMENT OF NEW STANDARDS FOR CERTAIN MEDIGAP PLANS

MEDICARE COVERAGE GAP DISCOUNT PROGRAM

IMPROVEMENT IN DETERMINATION OF MEDICARE PART D LOW-INCOME BENCHMARK PREMIUM

VOLUNTARY DE MINIMIS POLICY FOR SUBSIDY ELIGIBLE INDIVIDUALS UNDER PRESCRIPTION DRUG PLANS AND MA–PD PLANS

SPECIAL RULE FOR WIDOWS AND WIDOWERS REGARDING ELIGIBILITY FOR LOW-INCOME ASSISTANCE

IMPROVED INFORMATION FOR SUBSIDY ELIGIBLE INDIVIDUALS REASSIGNED TO PRESCRIPTION DRUG PLANS AND MA–PD PLANS

FUNDING OUTREACH AND ASSISTANCE FOR LOW-INCOME PROGRAMS

IMPROVING FORMULARY REQUIREMENTS FOR PRESCRIPTION DRUG PLANS AND MA–PD PLANS WITH RESPECT TO CERTAIN CATEGORIES OR CLASSES OF DRUGS

REDUCING PART D PREMIUM SUBSIDY FOR HIGH-INCOME BENEFICIARIES

ELIMINATION OF COST SHARING FOR CERTAIN DUAL ELIGIBLE INDIVIDUALS

REDUCING WASTEFUL DISPENSING OF OUTPATIENT PRESCRIPTION DRUGS IN LONG-TERM CARE FACILITIES UNDER PRESCRIPTION DRUG PLANS AND MA–PD PLANS

IMPROVED MEDICARE PRESCRIPTION DRUG PLAN AND MA–PD PLAN COMPLAINT SYSTEM

UNIFORM EXCEPTIONS AND APPEALS PROCESS FOR PRESCRIPTION DRUG PLANS AND MA–PD PLANS

OFFICE OF THE INSPECTOR GENERAL STUDIES AND REPORTS

INCLUDING COSTS INCURRED BY AIDS DRUG ASSISTANCE PROGRAMS AND INDIAN HEALTH SERVICE IN PROVIDING PRESCRIPTION DRUGS TOWARD THE ANNUAL OUT-OF-POCKET THRESHOLD UNDER PART D

REVISION OF CERTAIN MARKET BASKET UPDATES AND INCORPORATION OF PRODUCTIVITY IMPROVEMENTS INTO MARKET BASKET UPDATES THAT DO NOT ALREADY INCORPORATE SUCH IMPROVEMENTS

TEMPORARY ADJUSTMENT TO THE CALCULATION OF PART B PREMIUMS

INDEPENDENT MEDICARE ADVISORY BOARD.3

HEALTH CARE DELIVERY SYSTEM RESEARCH; QUALITY IMPROVEMENT TECHNICAL ASSISTANCE

ESTABLISHING COMMUNITY HEALTH TEAMS TO SUPPORT THE PATIENT-CENTERED MEDICAL HOME

MEDICATION MANAGEMENT SERVICES IN TREATMENT OF CHRONIC DISEASE

DESIGN AND IMPLEMENTATION OF REGIONALIZED SYSTEMS FOR EMERGENCY CARE

TRAUMA CARE CENTERS AND SERVICE AVAILABILITY

PROGRAM TO FACILITATE SHARED DECISIONMAKING

PRESENTATION OF PRESCRIPTION DRUG BENEFIT AND RISK INFORMATION

DEMONSTRATION PROGRAM TO INTEGRATE QUALITY IMPROVEMENT AND PATIENT SAFETY TRAINING INTO CLINICAL EDUCATION OF HEALTH PROFESSIONALS

IMPROVING WOMEN'S HEALTH

PATIENT NAVIGATOR PROGRAM

AUTHORIZATION OF APPROPRIATIONS

GAO STUDY AND REPORT ON CAUSES OF ACTION

PROTECTING AND IMPROVING GUARANTEED MEDICARE BENEFITS

NO CUTS IN GUARANTEED BENEFITS

NATIONAL PREVENTION, HEALTH PROMOTION AND PUBLIC HEALTH COUNCIL

PREVENTION AND PUBLIC HEALTH FUND

CLINICAL AND COMMUNITY PREVENTIVE SERVICES

EDUCATION AND OUTREACH CAMPAIGN REGARDING PREVENTIVE BENEFITS

SCHOOL-BASED HEALTH CENTERS

ORAL HEALTHCARE PREVENTION ACTIVITIES

MEDICARE COVERAGE OF ANNUAL WELLNESS VISIT PROVIDING A PERSONALIZED PREVENTION PLAN

REMOVAL OF BARRIERS TO PREVENTIVE SERVICES IN MEDICARE

EVIDENCE-BASED COVERAGE OF PREVENTIVE SERVICES IN MEDICARE

IMPROVING ACCESS TO PREVENTIVE SERVICES FOR ELIGIBLE ADULTS IN MEDICAID

COVERAGE OF COMPREHENSIVE TOBACCO CESSATION SERVICES FOR PREGNANT WOMEN IN MEDICAID

INCENTIVES FOR PREVENTION OF CHRONIC DISEASES IN MEDICAID

COMMUNITY TRANSFORMATION GRANTS

HEALTHY AGING, LIVING WELL; EVALUATION OF COMMUNITY-BASED PREVENTION AND WELLNESS PROGRAMS FOR MEDICARE BENEFICIARIES

REMOVING BARRIERS AND IMPROVING ACCESS TO WELLNESS FOR INDIVIDUALS WITH DISABILITIES

IMMUNIZATIONS

NUTRITION LABELING OF STANDARD MENU ITEMS AT CHAIN RESTAURANTS

DEMONSTRATION PROJECT CONCERNING INDIVIDUALIZED WELLNESS PLAN

REASONABLE BREAK TIME FOR NURSING MOTHERS

RESEARCH ON OPTIMIZING THE DELIVERY OF PUBLIC HEALTH SERVICES

UNDERSTANDING HEALTH DISPARITIES: DATA COLLECTION AND ANALYSIS

CDC AND EMPLOYER-BASED WELLNESS PROGRAMS

EPIDEMIOLOGY-LABORATORY CAPACITY GRANTS

ADVANCING RESEARCH AND TREATMENT FOR PAIN CARE MANAGEMENT

FUNDING FOR CHILDHOOD OBESITY DEMONSTRATION PROJECT

SENSE OF THE SENATE CONCERNING CBO SCORING

EFFECTIVENESS OF FEDERAL HEALTH AND WELLNESS INITIATIVES

PURPOSE

DEFINITIONS

NATIONAL HEALTH CARE WORKFORCE COMMISSION

STATE HEALTH CARE WORKFORCE DEVELOPMENT GRANTS

HEALTH CARE WORKFORCE ASSESSMENT

INTERAGENCY TASK FORCE TO ASSESS AND IMPROVE ACCESS TO HEALTH CARE IN THE STATE OF ALASKA

FEDERALLY SUPPORTED STUDENT LOAN FUNDS

NURSING STUDENT LOAN PROGRAM

HEALTH CARE WORKFORCE LOAN REPAYMENT PROGRAMS

PUBLIC HEALTH WORKFORCE RECRUITMENT AND RETENTION PROGRAMS

ALLIED HEALTH WORKFORCE RECRUITMENT AND RETENTION PROGRAMS

GRANTS FOR STATE AND LOCAL PROGRAMS

FUNDING FOR NATIONAL HEALTH SERVICE CORPS

NURSE-MANAGED HEALTH CLINICS

ELIMINATION OF CAP ON COMMISSIONED CORPS

ESTABLISHING A READY RESERVE CORPS

TRAINING IN FAMILY MEDICINE, GENERAL INTERNAL MEDICINE, GENERAL PEDIATRICS, AND PHYSICIAN ASSISTANTSHIP

TRAINING OPPORTUNITIES FOR DIRECT CARE WORKERS

TRAINING IN GENERAL, PEDIATRIC, AND PUBLIC HEALTH DENTISTRY

ALTERNATIVE DENTAL HEALTH CARE PROVIDERS DEMONSTRATION PROJECT

GERIATRIC EDUCATION AND TRAINING; CAREER AWARDS; COMPREHENSIVE GERIATRIC EDUCATION

MENTAL AND BEHAVIORAL HEALTH EDUCATION AND TRAINING GRANTS

CULTURAL COMPETENCY, PREVENTION, AND PUBLIC HEALTH AND INDIVIDUALS WITH DISABILITIES TRAINING

ADVANCED NURSING EDUCATION GRANTS

NURSE EDUCATION, PRACTICE, AND RETENTION GRANTS

LOAN REPAYMENT AND SCHOLARSHIP PROGRAM

NURSE FACULTY LOAN PROGRAM

AUTHORIZATION OF APPROPRIATIONS FOR PARTS B THROUGH D OF TITLE VIII

GRANTS TO PROMOTE THE COMMUNITY HEALTH WORKFORCE

FELLOWSHIP TRAINING IN PUBLIC HEALTH

UNITED STATES PUBLIC HEALTH SCIENCES TRACK

DEMONSTRATION GRANTS FOR FAMILY NURSE PRACTITIONER TRAINING PROGRAMS

CENTERS OF EXCELLENCE

HEALTH CARE PROFESSIONALS TRAINING FOR DIVERSITY

INTERDISCIPLINARY, COMMUNITY-BASED LINKAGES

WORKFORCE DIVERSITY GRANTS

PRIMARY CARE EXTENSION PROGRAM

EXPANDING ACCESS TO PRIMARY CARE SERVICES AND GENERAL SURGERY SERVICES

DISTRIBUTION OF ADDITIONAL RESIDENCY POSITIONS

COUNTING RESIDENT TIME IN NONPROVIDER SETTINGS

RULES FOR COUNTING RESIDENT TIME FOR DIDACTIC AND SCHOLARLY ACTIVITIES AND OTHER ACTIVITIES

PRESERVATION OF RESIDENT CAP POSITIONS FROM CLOSED HOSPITALS

DEMONSTRATION PROJECTS TO ADDRESS HEALTH PROFESSIONS WORKFORCE NEEDS; EXTENSION OF FAMILY-TO-FAMILY HEALTH INFORMATION CENTERS

INCREASING TEACHING CAPACITY

GRADUATE NURSE EDUCATION DEMONSTRATION

SPENDING FOR FEDERALLY QUALIFIED HEALTH CENTERS (FQHCS)

NEGOTIATED RULEMAKING FOR DEVELOPMENT OF METHODOLOGY AND CRITERIA FOR DESIGNATING MEDICALLY UNDERSERVED POPULATIONS AND HEALTH PROFESSIONS SHORTAGE AREAS

REAUTHORIZATION OF THE WAKEFIELD EMERGENCY MEDICAL SERVICES FOR CHILDREN PROGRAM

CO-LOCATING PRIMARY AND SPECIALTY CARE IN COMMUNITY-BASED MENTAL HEALTH SETTINGS

KEY NATIONAL INDICATORS

STATE GRANTS TO HEALTH CARE PROVIDERS WHO PROVIDE SERVICES TO A HIGH PERCENTAGE OF MEDICALLY UNDERSERVED POPULATIONS OR OTHER SPECIAL POPULATIONS

REPORTS

LIMITATION ON MEDICARE EXCEPTION TO THE PROHIBITION ON CERTAIN PHYSICIAN REFERRALS FOR HOSPITALS

TRANSPARENCY REPORTS AND REPORTING OF PHYSICIAN OWNERSHIP OR INVESTMENT INTERESTS

DISCLOSURE REQUIREMENTS FOR IN-OFFICE ANCILLARY SERVICES EXCEPTION TO THE PROHIBITION ON PHYSICIAN SELF-REFERRAL FOR CERTAIN IMAGING SERVICES

PRESCRIPTION DRUG SAMPLE TRANSPARENCY

PHARMACY BENEFIT MANAGERS TRANSPARENCY REQUIREMENTS

REQUIRED DISCLOSURE OF OWNERSHIP AND ADDITIONAL DISCLOSABLE PARTIES INFORMATION

ACCOUNTABILITY REQUIREMENTS FOR SKILLED NURSING FACILITIES AND NURSING FACILITIES

NURSING HOME COMPARE MEDICARE WEBSITE

REPORTING OF EXPENDITURES

STANDARDIZED COMPLAINT FORM

ENSURING STAFFING ACCOUNTABILITY

GAO STUDY AND REPORT ON FIVE-STAR QUALITY RATING SYSTEM

CIVIL MONEY PENALTIES

NATIONAL INDEPENDENT MONITOR DEMONSTRATION PROJECT

NOTIFICATION OF FACILITY CLOSURE

NATIONAL DEMONSTRATION PROJECTS ON CULTURE CHANGE AND USE OF INFORMATION TECHNOLOGY IN NURSING HOMES

DEMENTIA AND ABUSE PREVENTION TRAINING

NATIONWIDE PROGRAM FOR NATIONAL AND STATE BACKGROUND CHECKS ON DIRECT PATIENT ACCESS EMPLOYEES OF LONG-TERM CARE FACILITIES AND PROVIDERS

PATIENT-CENTERED OUTCOMES RESEARCH

FEDERAL COORDINATING COUNCIL FOR COMPARATIVE EFFECTIVENESS RESEARCH

PROVIDER SCREENING AND OTHER ENROLLMENT REQUIREMENTS UNDER MEDICARE, MEDICAID, AND CHIP

ENHANCED MEDICARE AND MEDICAID PROGRAM INTEGRITY PROVISIONS

ELIMINATION OF DUPLICATION BETWEEN THE HEALTHCARE INTEGRITY AND PROTECTION DATA BANK AND THE NATIONAL PRACTITIONER DATA BANK

MAXIMUM PERIOD FOR SUBMISSION OF MEDICARE CLAIMS REDUCED TO NOT MORE THAN 12 MONTHS

PHYSICIANS WHO ORDER ITEMS OR SERVICES REQUIRED TO BE MEDICARE ENROLLED PHYSICIANS OR ELIGIBLE PROFESSIONALS

REQUIREMENT FOR PHYSICIANS TO PROVIDE DOCUMENTATION ON REFERRALS TO PROGRAMS AT HIGH RISK OF WASTE AND ABUSE

FACE TO FACE ENCOUNTER WITH PATIENT REQUIRED BEFORE PHYSICIANS MAY CERTIFY ELIGIBILITY FOR HOME HEALTH SERVICES OR DURABLE MEDICAL EQUIPMENT UNDER MEDICARE

ENHANCED PENALTIES

MEDICARE SELF-REFERRAL DISCLOSURE PROTOCOL

ADJUSTMENTS TO THE MEDICARE DURABLE MEDICAL EQUIPMENT, PROSTHETICS, ORTHOTICS, AND SUPPLIES COMPETITIVE ACQUISITION PROGRAM

EXPANSION OF THE RECOVERY AUDIT CONTRACTOR (RAC) PROGRAM

TERMINATION OF PROVIDER PARTICIPATION UNDER MEDICAID IF TERMINATED UNDER MEDICARE OR OTHER STATE PLAN

MEDICAID EXCLUSION FROM PARTICIPATION RELATING TO CERTAIN OWNERSHIP, CONTROL, AND MANAGEMENT AFFILIATIONS

BILLING AGENTS, CLEARINGHOUSES, OR OTHER ALTERNATE PAYEES REQUIRED TO REGISTER UNDER MEDICAID

REQUIREMENT TO REPORT EXPANDED SET OF DATA ELEMENTS UNDER MMIS TO DETECT FRAUD AND ABUSE

PROHIBITION ON PAYMENTS TO INSTITUTIONS OR ENTITIES LOCATED OUTSIDE OF THE UNITED STATES

OVERPAYMENTS

MANDATORY STATE USE OF NATIONAL CORRECT CODING INITIATIVE

GENERAL EFFECTIVE DATE

PROHIBITION ON FALSE STATEMENTS AND REPRESENTATIONS

CLARIFYING DEFINITION

DEVELOPMENT OF MODEL UNIFORM REPORT FORM

APPLICABILITY OF STATE LAW TO COMBAT FRAUD AND ABUSE

ENABLING THE DEPARTMENT OF LABOR TO ISSUE ADMINISTRATIVE SUMMARY CEASE AND DESIST ORDERS AND SUMMARY SEIZURES ORDERS AGAINST PLANS THAT ARE IN FINANCIALLY HAZARDOUS CONDITION

MEWA PLAN REGISTRATION WITH DEPARTMENT OF LABOR

PERMITTING EVIDENTIARY PRIVILEGE AND CONFIDENTIAL COMMUNICATIONS

SHORT TITLE OF SUBTITLE

DEFINITIONS

ELDER JUSTICE

SENSE OF THE SENATE REGARDING MEDICAL MALPRACTICE

SHORT TITLE

APPROVAL PATHWAY FOR BIOSIMILAR BIOLOGICAL PRODUCTS

SAVINGS

EXPANDED PARTICIPATION IN 340B PROGRAM

IMPROVEMENTS TO 340B PROGRAM INTEGRITY

GAO STUDY TO MAKE RECOMMENDATIONS ON IMPROVING THE 340B PROGRAM

EXCISE TAX ON HIGH COST EMPLOYER-SPONSORED HEALTH COVERAGE

INCLUSION OF COST OF EMPLOYER-SPONSORED HEALTH COVERAGE ON W–2

DISTRIBUTIONS FOR MEDICINE QUALIFIED ONLY IF FOR PRESCRIBED DRUG OR INSULIN

INCREASE IN ADDITIONAL TAX ON DISTRIBUTIONS FROM HSAS AND ARCHER MSAS NOT USED FOR QUALIFIED MEDICAL EXPENSES

LIMITATION ON HEALTH FLEXIBLE SPENDING ARRANGEMENTS UNDER CAFETERIA PLANS

EXPANSION OF INFORMATION REPORTING REQUIREMENTS

ADDITIONAL REQUIREMENTS FOR CHARITABLE HOSPITALS

IMPOSITION OF ANNUAL FEE ON BRANDED PRESCRIPTION PHARMACEUTICAL MANUFACTURERS AND IMPORTERS

STUDY AND REPORT OF EFFECT ON VETERANS HEALTH CARE

ELIMINATION OF DEDUCTION FOR EXPENSES ALLOCABLE TO MEDICARE PART D SUBSIDY

MODIFICATION OF ITEMIZED DEDUCTION FOR MEDICAL EXPENSES

LIMITATION ON EXCESSIVE REMUNERATION PAID BY CERTAIN HEALTH INSURANCE PROVIDERS

ADDITIONAL HOSPITAL INSURANCE TAX ON HIGH-INCOME TAXPAYERS

MODIFICATION OF SECTION 833 TREATMENT OF CERTAIN HEALTH ORGANIZATIONS

EXCLUSION OF HEALTH BENEFITS PROVIDED BY INDIAN TRIBAL GOVERNMENTS

ESTABLISHMENT OF SIMPLE CAFETERIA PLANS FOR SMALL BUSINESSES

QUALIFYING THERAPEUTIC DISCOVERY PROJECT CREDIT

AMENDMENTS TO SUBTITLE D

FREE CHOICE VOUCHERS

DEVELOPMENT OF STANDARDS FOR FINANCIAL AND ADMINISTRATIVE TRANSACTIONS

AMENDMENTS TO THE SOCIAL SECURITY ACT AND TITLE II OF THIS ACT

INCENTIVES FOR STATES TO OFFER HOME AND COMMUNITY-BASED SERVICES AS A LONG-TERM CARE ALTERNATIVE TO NURSING HOMES

EXTENSION OF FUNDING FOR CHIP THROUGH FISCAL YEAR 2015 AND OTHER CHIP-RELATED PROVISIONS

DEFINITIONS

ESTABLISHMENT OF PREGNANCY ASSISTANCE FUND

PERMISSIBLE USES OF FUND

APPROPRIATIONS

INDIAN HEALTH CARE IMPROVEMENT

DEVELOPMENT OF OUTCOME MEASURES

EXPANSION OF THE SCOPE OF, AND ADDITIONAL IMPROVEMENTS TO, THE INDEPENDENT MEDICARE ADVISORY BOARD

QUALITY REPORTING FOR PSYCHIATRIC HOSPITALS

MEDICARE COVERAGE FOR INDIVIDUALS EXPOSED TO ENVIRONMENTAL HEALTH HAZARDS

PROTECTIONS FOR FRONTIER STATES

PILOT TESTING PAY-FOR-PERFORMANCE PROGRAMS FOR CERTAIN MEDICARE PROVIDERS

IMPROVEMENTS TO THE PHYSICIAN QUALITY REPORTING SYSTEM

IMPROVEMENT IN PART D MEDICATION THERAPY MANAGEMENT (MTM) PROGRAMS

DEVELOPING METHODOLOGY TO ASSESS HEALTH PLAN VALUE

MODERNIZING COMPUTER AND DATA SYSTEMS OF THE CENTERS FOR MEDICARE & MEDICAID SERVICES TO SUPPORT IMPROVEMENTS IN CARE DELIVERY

PUBLIC REPORTING OF PERFORMANCE INFORMATION

AVAILABILITY OF MEDICARE DATA FOR PERFORMANCE MEASUREMENT

COMMUNITY-BASED COLLABORATIVE CARE NETWORKS

MINORITY HEALTH

GAO STUDY AND REPORT ON MEDICARE BENEFICIARY ACCESS TO HIGH-QUALITY DIALYSIS SERVICES

BETTER DIABETES CARE

GRANTS FOR SMALL BUSINESSES TO PROVIDE COMPREHENSIVE WORKPLACE WELLNESS PROGRAMS

CURES ACCELERATION NETWORK

CENTERS OF EXCELLENCE FOR DEPRESSION

PROGRAMS RELATING TO CONGENITAL HEART DISEASE

AUTOMATED DEFIBRILLATION IN ADAM'S MEMORY ACT

YOUNG WOMEN'S BREAST HEALTH AWARENESS AND SUPPORT OF YOUNG WOMEN DIAGNOSED WITH BREAST CANCER

AMENDMENTS TO THE PUBLIC HEALTH SERVICE ACT, THE SOCIAL SECURITY ACT, AND TITLE V OF THIS ACT

INFRASTRUCTURE TO EXPAND ACCESS TO CARE

COMMUNITY HEALTH CENTERS AND THE NATIONAL HEALTH SERVICE CORPS FUND

DEMONSTRATION PROJECT TO PROVIDE ACCESS TO AFFORDABLE CARE

REVISIONS TO LIMITATION ON MEDICARE EXCEPTION TO THE PROHIBITION ON CERTAIN PHYSICIAN REFERRALS FOR HOSPITALS

HEALTH CARE FRAUD ENFORCEMENT

STATE DEMONSTRATION PROGRAMS TO EVALUATE ALTERNATIVES TO CURRENT MEDICAL TORT LITIGATION

EXTENSION OF MEDICAL MALPRACTICE COVERAGE TO FREE CLINICS

LABELING CHANGES

MODIFICATIONS TO EXCISE TAX ON HIGH COST EMPLOYER-SPONSORED HEALTH COVERAGE

INFLATION ADJUSTMENT OF LIMITATION ON HEALTH FLEXIBLE SPENDING ARRANGEMENTS UNDER CAFETERIA PLANS

MODIFICATION OF LIMITATION ON CHARGES BY CHARITABLE HOSPITALS

MODIFICATION OF ANNUAL FEE ON MEDICAL DEVICE MANUFACTURERS AND IMPORTERS

MODIFICATION OF ANNUAL FEE ON HEALTH INSURANCE PROVIDERS

MODIFICATIONS TO ADDITIONAL HOSPITAL INSURANCE TAX ON HIGH-INCOME TAXPAYERS

EXCISE TAX ON INDOOR TANNING SERVICES IN LIEU OF ELECTIVE COSMETIC MEDICAL PROCEDURES

EXCLUSION FOR ASSISTANCE PROVIDED TO PARTICIPANTS IN STATE STUDENT LOAN REPAYMENT PROGRAMS FOR CERTAIN HEALTH PROFESSIONALS

EXPANSION OF ADOPTION CREDIT AND ADOPTION ASSISTANCE PROGRAMS

4Section 10907(a) of PPACA (Public Law 111–148) provides as follows: The provisions of, and amendments made by, section 9017 of this Act are hereby deemed null, void, and of no effect. EXCISE TAX ON ELECTIVE COSMETIC MEDICAL PROCEDURES.