Healthcare

No Subsidies Without Verification Act of 2015

United States · United States Congress · 10 June 2015

No Subsidies Without Verification Act of 2015 This bill disallows the health plan premium assistance tax credit or cost-sharing reduction under the Patient Protection and Affordable Care Act before an individual's eligibility and the accurate amount of the credit or reduction is verified. Verification requires a review of the information provided by an applicant and resolution of any inconsistency between the information and the records of the Departments of the Treasury or Homeland Security or the Social Security Administration. Individuals are exempt from the penalty for not maintaining minimum essential coverage for any month for which a premium tax credit is being claimed and that begins before verification is completed. The premium tax credit and reduced cost-sharing are suspended for an individual for whom a subsidy was allowed before enactment of this Act until the individual's eligibility is verified. A special enrollment period is provided for an individual who terminated enrollment in a qualified plan during the period of suspension.

Professional's Access To Health Workforce Integration Act of 2015

United States · United States Congress · 10 June 2015

Professional's Access To Health Workforce Integration Act of 2015 Directs the Department of Health and Human Services, acting through the Bureau of Health Workforce within the Health Resources and Services Administration, the National Institute on Minority Health and Health Disparities, or the Office of Minority Health (HHS), to award grants to eligible entities to: provide services to assist unemployed and underemployed skilled immigrants residing in the United States, who have legal, permanent work authorization and who are internationally educated health professionals, in entering into and advancing in the American health workforce with employment matching their health professional skills, education, and expertise; provide training opportunities to reduce barriers to entry and advancement in the health workforce for skilled, internationally educated immigrants; educate employers regarding the abilities and capacities of internationally educated health professionals; assist in the evaluation of foreign credentials; and facilitate access to contextualized and accelerated courses on English as a second language. Includes as an eligible entity a clinical, public health, or health services organization, a community-based or nonprofit entity, an academic institution, a faith-based organization, a state, county, or local government, or an Area Health Education Center that submits an application that meets HHS requirements. Defines "health professional" as an individual trained for employment or intended employment in specified fields, including public health, health management, dentistry, health administration, medicine, nursing, pharmacy, psychology, social work, psychiatry, and other mental and behavioral health, allied health, and community health or wellness work.

Care Planning Act of 2015

United States · United States Congress · 10 June 2015

Care Planning Act of 2015 Amends titles XVIII (Medicare) of the Social Security Act (SSAct) to cover advanced illness planning and coordination services furnished to an eligible individual with progressive illness, including Alzheimer's disease, by a hospice or other provider through an interdisciplinary team. Amends SSAct title XI with respect to the Center for Medicare and Medicaid Innovation and its selection for Phase I testing of innovative payment and service delivery models to reduce Medicare and Medicaid expenditures while preserving or enhancing the quality of care. Adds a model for payments to providers that furnish advanced illness care coordination services to eligible individuals who are entitled to, or enrolled for, benefits under Medicare part A (Hospital Insurance) and enrolled under part B (Supplementary Medical Insurance), but not enrolled under Medicare part C (Medicare+Choice). Amends the Public Health Service Act to require the Department of Health and Human Services, in awarding grants, contracts, or agreements under provisions for quality measure development, to give priority to the development of quality measures that allow the assessment of various specified factors including the effectiveness, patient-centeredness (and, where relevant, family caregiver-centeredness), and accuracy of care plans, including documentation of individual goals, preferences, and values. Amends SSAct title XVIII (Medicare) to require inclusion of information on advanced care planning materials in the "Medicare and You Handbook." Revises requirements for the use under Medicare of advanced directives, portable treatment orders, and other treatment directions from an individual or legally authorized representative. Amends the Assisted Suicide Funding Restriction Act of 1997 with respect to advanced directives. Establishes additional requirements under Medicare for hospitals, skilled nursing facilities, home health agencies, and hospice programs with respect to completion before discharge of care plan documentation. Authorizes the Secretary to award grants to certain entities to: develop online training modules, decision support tools, and instructional materials for individuals, family caregivers, and health care providers; establish a website and telephone hotline to disseminate such resources and any materials designed by the HHS Center for Faith-Based and Neighborhood Partnerships for faith communities; and conduct a national public education campaign to raise public awareness of advance care planning and advanced illness care.

Border Health Security Act of 2015

United States · United States Congress · 10 June 2015

Border Health Security Act of 2015 This bill amends the United States-Mexico Border Health Commission Act to require the commission to cooperate with the Canada-United States Pan-Border Public Health Preparedness Council and to recommend and implement initiatives that solve border health issues. Members of the commission may provide advice or recommendations to the Department of Health and Human Services (HHS) or Congress without authorization or a request. HHS must award grants: (1) to address the priorities and recommendations of the commission and council to improve the health of border area residents, and (2) for infectious disease surveillance activities in border areas. Every five years, the commission and the council must each prepare a binational strategic plan that includes priority areas, recommendations to address these priority areas, and an evaluation framework to gauge progress. The Office of the Assistant Secretary for Preparedness and Response may coordinate with the Department of Homeland Security in establishing a system that alerts clinicians and public health officials to emerging health threats in border areas.

Prevention of Bureaucratic Workarounds Act

United States · United States Congress · 9 June 2015

Prevention of Bureaucratic Workarounds Act This bill prohibits the Department of Health and Human Services from entering into a contract with a state or awarding assistance to a state to provide the state with technology from the federal health insurance exchange.

Community Based Independence for Seniors Act of 2015

United States · United States Congress · 9 June 2015

Community Based Independence for Seniors Act of 2015 This bill amends part C (Medicare+Choice) of title XVIII (Medicare) of the Social Security Act to direct the Secretary of Health and Human Services to establish a Community-Based Institutional Special Needs Plan demonstration program to provide home and community-based care to eligible Medicare beneficiaries age 65 or older.

Insurance Rate Transparency Act

United States · United States Congress · 9 June 2015

Insurance Rate Transparency Act This bill amends the Public Health Service Act to require the Department of Health and Human Services to report to Congress within 30 days of receiving information on health insurance premium increases for the 2016 plan year on the increase with information presented according to specified categories of consumers (e.g., single, non-smoking male who is 30 years of age).

Including Families in Mental Health Recovery Act of 2015

United States · United States Congress · 9 June 2015

Including Families in Mental Health Recovery Act of 2015 Amends the HITECH Act to direct the Department of Health and Human Services (HHS) to promulgate regulations clarifying the circumstances under which, consistent with the standards governing the privacy and security of individually identifiable health information promulgated under the Health Insurance Portability and Accountability Act of 1996 (HIPAA), health care providers and covered entities may disclose the protected health information of patients with a mental illness, including for purposes of: communicating with a patient's family, friends, or caregivers, including about treatments, side effects, risk factors, and the availability of community resources, with or without patient consent; considering the patient's capacity to agree or object to the sharing of patient information; involving a patient's family members, friends, or caregivers in the patient's care plan in dealing with patient failures to adhere to medication or other therapy; communicating with family members, caregivers, law enforcement, or others when the patient presents a serious and imminent threat of harm to self or others; and communicating to law enforcement and family members or caregivers about the admission or release of a patient who was admitted to a facility for an emergency psychiatric hold or involuntary treatment. Requires HHS to: (1) carry out such provisions in coordination with its Office for Civil Rights of HHS; and (2) ensure that the regulations pertaining to such provisions are consistent with the guidance entitled "HIPAA Privacy Rule and Sharing Information Related to Mental Health," issued by HHS on February 20, 2014. Directs HHS to develop and disseminate model programs for: (1) training health care providers regarding the circumstances under which the protected health information of patients with a mental illness may be disclosed, (2) training lawyers and others in the legal profession on such circumstances, and (3) training patients and their families regarding their rights to protect and obtain information.

Treto Garza South Texas Veterans Inpatient Care Act of 2015

United States · United States Congress · 9 June 2015

Treto Garza South Texas Veterans Inpatient Care Act of 2015 Designates the medical center of the Department of Veterans Affairs (VA) located in Harlingen, Texas, as the "Treto Garza South Texas Department of Veterans Affairs Health Care Center." Directs the VA to: (1) ensure that such Center includes a full-service inpatient health care facility; (2) modify the existing facility to meet such requirement; and (3) include in the annual VA strategic capital investment plan a project to expand the Center's capabilities to provide increased inpatient capacity, an urgent care center, and a full range of services to meet the health care needs of women veterans.

Affordability Is Access Act

United States · United States Congress · 9 June 2015

Affordability Is Access Act This bill amends the Public Health Service Act to require health insurance and group health plans to cover, as preventive care for women, over-the-counter oral contraceptives for daily use, regardless of whether an enrollee has a prescription for the contraceptive. (Insurers and plans cannot impose cost sharing for preventive care.)

Patient Freedom Act of 2015

United States · United States Congress · 9 June 2015

Patient Freedom Act of 2015 This bill provides states with three options regarding title I (provisions on health insurance reform, exchanges, and subsidies) of the Patient Protection and Affordable Care Act (PPACA): (1) continue implementing PPACA, (2) do not apply title I of PPACA except to prohibit lifetime or annual limits on health insurance benefits and require coverage of dependents up to 26 years old, or (3) the second option plus implementation of a health savings account (HSA) deposit system. In states implementing an HSA deposit system, residents who are enrolled in health insurance coverage that meets state standards receive monthly deposits in their HSAs either from states administering federal funds or as a tax credit paid in advance. States that administer deposits are entitled to payments from the Department of Health and Human Services for population health initiatives. States with an HSA deposit system must offer a health insurance plan that is continually available for enrollment and penalize residents who have a break in coverage. This bill amends title XIX (Medicaid) of the Social Security Act (SSAct) to disregard assets in an HSA for purposes of determining Medicaid eligibility and benefits except for long-term care services. This bill amends SSAct title XVIII (Medicare) to require participating hospitals to limit costs to individuals for uncovered emergency medical care. This bill amends the Internal Revenue Code to eliminate the requirement that an individual have a high deductible health plan to be eligible for the tax benefits of an HSA. HSAs can be used to pay premiums for health insurance that meets specified requirements. HSA tax benefits only apply to payments for health care for which the provider publishes the price.

Helping Families in Mental Health Crisis Act of 2016

United States · United States Congress · 4 June 2015

Helping Families in Mental Health Crisis Act of 2015 This bill creates the position of Assistant Secretary for Mental Health and Substance Use Disorders to take over the responsibilities of the Administrator of the Substance Abuse and Mental Health Services Administration (SAMHSA). Mental health programs are extended and training regarding mental health is expanded. SAMHSA must establish the National Mental Health Policy Laboratory and the Interagency Serious Mental Illness Coordinating Committee. This bill amends the Public Health Service Act to require the National Institute of Mental Health to translate evidence-based interventions and the best available science into systems of care. Certain mental health care professional volunteers are provided liability protection. Pediatric mental health subspecialists are eligible for National Health Service Corps programs. An underserved population of children or a site for training in child psychiatry can be designated as a health professional shortage area. The protected health information of an individual with a serious mental illness may be disclosed to a caregiver under certain conditions. This bill amends title XIX (Medicaid) of the Social Security Act (SSAct) to conditionally expand coverage of mental health services. Part D (Voluntary Prescription Drug Benefit Program) of title XVIII (Medicare) of the SSAct is amended to require coverage of antidepressants and antipsychotics. If it will not increase Medicare spending, Medicare's 190-day lifetime limit on inpatient psychiatric hospital services is eliminated. Health information technology activities and incentives are expanded to include certain mental health and substance abuse professionals and facilities. This bill restricts the lobbying and counseling activities of protection and advocacy systems for individuals with mental illness. These systems must focus on safeguarding the rights of individuals with mental illness to be free from abuse and neglect.

National Care Corps Act of 2015

United States · United States Congress · 4 June 2015

National Care Corps Act of 2015 Establishes in the Department of Health and Human Services the National Care Corps through which Corps volunteers provide certain services to individuals in need who are age 65 or older or have a disability and have difficulty with self-care or living independently.

Flexibility and Oversight Act

United States · United States Congress · 4 June 2015

Flexibility and Oversight Act Authorizes the Department of Veterans Affairs (VA) to transfer funds from one covered program to another covered program if: (1) such transfer will improve the quality of service provided by the VA to veterans, (2) the VA notifies Congress of the justification for such transfer, and (3) a period of 30 days has elapsed following the date of such notification. Defines "covered program" to mean the VA's Health Professional Scholarship Program, Employee Incentive Scholarship Program, and education debt reduction programs. Requires the VA's annual report on its educational assistance programs to include, during the 10-year period beginning on March 1, 2016, an evaluation of the efficacy of the programs in increasing the quality of health care provided to veterans and opportunities for improvement.

American Health Care Reform Act of 2015

United States · United States Congress · 4 June 2015

American Health Care Reform Act of 2015 This bill repeals the Patient Protection and Affordable Care Act and the health care provisions of the Health Care and Education Reconciliation Act of 2010, effective January 1, 2016. Provisions amended by repealed provisions are restored. This bill amends the Internal Revenue Code to allow an income tax standard deduction for health insurance. Provisions regarding health savings accounts (HSAs) are revised, including to raise contribution limits and to expand the products and services that may be paid for using an HSA. Group health plans may vary premiums and cost-sharing based on participation in a wellness program. This bill amends the Public Health Service Act to require the Department of Health and Human Services (HHS) to provide grants to states for high risk health insurance pools. Individual health insurance coverage is governed by the laws of the state designated by the health insurance issuer. This bill amends title XI (General Provisions) of the Social Security Act to require the Center for Medicare and Medicaid Services to publish Medicare claims and payment data. This bill amends the Employee Retirement Income Security Act of 1974 (ERISA) to provide for association health plans, which are group health plans sponsored by certain business associations. Veterans with certain service-related disabilities or who have been awarded a medal of honor must be provided access to medical services though specified entities other than the Department of Veterans Affairs. HHS must publish clinical practice guidelines. Independent medical review panels must review health care lawsuits in which the defendant alleges adherence to clinical practice guidelines. Federal courts have jurisdiction over health care lawsuits. This bill amends the Balanced Budget and Emergency Deficit Control Act of 1985 to revise non-security discretionary spending limits.

RESCUE America's Health Care Act of 2015

United States · United States Congress · 4 June 2015

Restoring Equity, Saving Coverage, and Undoing Errors Act of 2015 or the RESCUE America's Health Care Act of 2015 This bill applies only: (1) if the Supreme Court determines that the premium tax credit under the Patient Protection and Affordable Care Act (PPACA) is not applicable to health plans purchased through the federal health insurance exchange, and (2) in states without a state health insurance exchange. This bill amends the Internal Revenue Code to allow a tax credit for individuals with health insurance who are ineligible for federal health care and not enrolled in an employer-subsidized group health plan. The Department of the Treasury must make payments to health insurers on behalf of taxpayers eligible for the tax credit. This bill repeals certain provisions of PPACA and the Health Care and Education Reconciliation Act of 2010 relating to health insurance, health savings accounts, and health flexible spending accounts. Provisions amended by the repealed provisions are restored. Any health plan fulfills an individual's requirement to maintain minimum essential coverage. Dental plans no longer need to provide pediatric dental benefits to be offered on a health insurance exchange. This bill amends the Public Health Service Act to define individual health pools (IHPs) as nonprofit entities that form health insurance risk pools. IHPs are prohibited from conditioning membership on an individual's health status and must offer the same coverage to all members. State benefit requirements and restrictions on premium variation do not apply to IHPs. Health insurers in the individual market must offer coverage to all individuals. A health insurer may exclude coverage for a preexisting condition or vary premiums based on health status only for individuals who have not had continuous coverage for the last 18 months.

Protecting Patients and Physicians Against Coding Act of 2015

United States · United States Congress · 4 June 2015

Protecting Patients and Physicians Against Coding Act of 2015 The Department of Health and Human Services (HHS), in carrying out regulations providing for the replacement of ICD-9 (International Classification of Diseases-9) with ICD-10 as a standard code set, shall provide for a two-year grace period during which physicians and other health care providers submitting claims and other documents using ICD-10 are not penalized for errors, mistakes, and malfunctions relating to the transition to such code set. HHS shall also give these practitioners assistance during the grace period. The Government Accountability Office shall study this transition for Congress.

Medicare Secondary Payer and Workers' Compensation Settlement Agreements Act of 2015

United States · United States Congress · 4 June 2015

Medicare Secondary Payer and Workers' Compensation Settlement Agreements Act of 2015 Amends title XVIII (Medicare) of the Social Security Act to: (1) create an exception to Medicare secondary payer requirements for certain workers' compensation settlement agreements, and (2) provide for the satisfaction of such requirements through use of qualified Medicare set-asides under such agreements.

Eliminating Disparities in Diabetes Prevention, Access, and Care Act of 2015

United States · United States Congress · 4 June 2015

Eliminating Disparities in Diabetes Prevention, Access, and Care Act of 2015 This bill amends the Public Health Service Act to require the National Institutes of Health to: (1) expand, intensify, and support activities regarding prediabetes and diabetes, particularly type 2, in minority populations; (2) award grants for a mentoring program for health care professionals to be more involved in weight counseling, obesity research, and nutrition; (3) provide for the participation of minority health professionals in diabetes-focused research programs; and (4) award grants for programs to establish a pipeline from high school to professional school that will increase minority representation in diabetes-focused health fields. The Diabetes Mellitus Interagency Coordinating Committee must report on federal activities regarding prediabetes and diabetes in minority populations and prepare a plan to address prediabetes and diabetes in minority populations. The Centers for Disease Control and Prevention must conduct and support research and public health activities regarding diabetes in minority populations. The Division of Diabetes Translation must educate the public on diabetes in minority populations and educate minority populations on diabetes. The National Diabetes Education Program must educate specific minority populations through culturally and linguistically appropriate information campaigns. The Health Resources and Services Administration must educate health professionals on diabetes in minority populations. The Indian Health Service must: (1) conduct and support research and other activities regarding diabetes; and (2) coordinate the collection of data on clinically and culturally appropriate diabetes services. The Department of Health and Human Services must arrange for the National Academy of Medicine (formerly known as the Institute of Medicine) to update its report entitled "Unequal Treatment: Confronting Racial and Ethnic Disparities in Health Care."

Charity Care Expansion Act of 2015

United States · United States Congress · 4 June 2015

Charity Care Expansion Act of 2015 Amends the Internal Revenue Code to allow a physician a tax deduction equal to the amount such physician would have otherwise charged for charity medical care provided on a volunteer or pro bono basis through a pre-existing agreement between the physician and a health care clinic or other organization providing health care to underserved or low-income individuals. Imposes an overal limitation on such deduction equal to 10% of the physician's gross income derived from physicians' services (as defined by the Social Security Act) or $10,000 for physicians who do not have income derived from physicians' services. Repeals the block grant program for preventive health and health services under the Public Health Service Act.

Medicare Secondary Payer and Workers' Compensation Settlement Agreements Act of 2015

United States · United States Congress · 4 June 2015

Medicare Secondary Payer and Worker's Compensation Settlement Agreements Act of 2015 Amends title XVIII (Medicare) of the Social Security Act to: (1) create an exception to Medicare secondary payer requirements for certain workers' compensation settlement agreements, and (2) provide for the satisfaction of such requirements through use of qualified Medicare set-asides under such agreements.

Treat and Reduce Obesity Act of 2015

United States · United States Congress · 4 June 2015

Treat and Reduce Obesity Act of 2015 Amends title XVIII (Medicare) of the Social Security Act to authorize the Department of Health and Human Services (HHS), in addition to qualified primary care physicians and other primary care practitioners, to cover intensive behavioral therapy for obesity furnished by: (1) a physician who is not a qualified primary care physician; (2) an evidence-based, community-based HHS-approved lifestyle counseling program; or (3) any other appropriate health care provider (including a physician assistant, nurse practitioner, clinical nurse specialist, a clinical psychologist, and a registered dietitian or nutrition professional). Allows coverage of intensive behavioral therapy for obesity furnished by another appropriate health care provider or program only if it is furnished: (1) upon referral from, and in coordination with, a physician or primary care practitioner in a primary care or other HHS-specified setting; and (2) in an office setting, a hospital outpatient department, a community-based site that complies with the federal regulations concerning the privacy of individually identifiable health information, or another HHS-specified setting. Authorizes HHS to cover under Medicare part D (Voluntary Prescription Drug Benefit Program) medication for treatment of obesity or for weight loss management for an overweight individual with one or more related comorbidities.

Lyme and Tick-Borne Disease Prevention, Education, and Research Act of 2015

United States · United States Congress · 4 June 2015

Lyme and Tick-Borne Disease Prevention, Education, and Research Act of 2015 This bill requires the Department of Health and Human Services (HHS) to establish the Tick-Borne Diseases Advisory Committee to advise HHS on how to: (1) ensure coordination with other federal agencies, private organizations, and constituency groups regarding efforts to address Lyme disease and other tick-borne diseases; (2) ensure that a broad spectrum of scientific viewpoints is considered in public health policy decisions and that information disseminated to the public and physicians is based on the best available science; and (3) advise federal agencies on priorities related to tick-borne diseases. HHS must coordinate federal activities related to tick-borne diseases and conduct or support activities related to tick-borne diseases, including: developing diagnostic tools and tests, improving the efficient utilization of diagnostic tests, surveillance and reporting, providing and promoting access to a clearinghouse of information, increasing public education, creating a physician education program on the latest research and treatment options for Lyme disease, research on tick repellents and strategies for the control of ticks, exploring the potential for vaccines, establishing epidemiological research objectives, and determining the effectiveness of different treatments. HHS must report on scientific conferences that cost the federal government more than $100,000 and address tick-borne diseases.

A resolution celebrating the 50th anniversary of the historic Griswold v. Connecticut decision of the Supreme Court of the United States and expressing the sense of the Senate that the case was an important step forward in helping ensure that all people of the United States are able to use contraceptives to plan pregnancies and have healthier babies.

United States · United States Congress · 4 June 2015

Celebrates the 50th anniversary of the U.S. Supreme Court decision in Griswold v. Connecticut . Recognizes the value of the publicly funded family planning safety net in helping to realize the promise of Griswold and that: (1) birth control constitutes basic health care for women, (2) affordable contraceptives remain inaccessible to many poor and low-income women, and (3) investments in publicly funded family planning services help prevent unplanned pregnancies and abortions and help save taxpayer dollars. Encourages robust investment in publicly funded family planning services as a means to help women plan pregnancies and have healthier babies. Acknowledges that all women should have affordable access to the tools that help women plan and space their pregnancies.

Protecting Volunteer Firefighters and Emergency Responders Act

United States · United States Congress · 4 June 2015

Protecting Volunteer Firefighters and Emergency Responders Act This bill amends the Internal Revenue Code to exclude services rendered by bona-fide volunteers providing firefighting and prevention services, emergency medical services, or ambulance services to a state or local government or a tax-exempt charitable organization from the category of services usually rendered by an employee of an applicable large employer subject to the mandate to provide minimum essential health care coverage under the Patient Protection and Affordable Care Act (PPACA), thus exempting such employers from PPACA requirements with respect to such volunteers. The bill defines "bona fide volunteer" as an employee of any government entity and any tax-exempt charitable organization whose only compensation is in the form of: (1) reimbursement for (or reasonable allowance for) reasonable expenses incurred in the performance of volunteer services, or (2) reasonable benefits (including length-of-service awards) and nominal fees customarily paid by similar entities for the services of volunteers.

PENDING HEALTH CARE LEGISLATION

United States · United States Senate · 3 June 2015

Children's Recovery from Trauma Act

United States · United States Congress · 3 June 2015

Children's Recovery from Trauma Act This bill amends the Public Health Service Act to require the Department of Health and Human Services (HHS) to support programs that provide for the continued operation of the National Child Traumatic Stress Initiative (NCTSI) and for research on evidence-based practices for identifying and treating children and youth with mental, behavioral, and biological disorders resulting from witnessing or experiencing a traumatic event. HHS must award a cooperative agreement to a comprehensive national coordinating center to oversee NCTSI activities. The NCTSI coordinating center must: (1) collect, analyze, and report data to establish the effectiveness of early identification and delivery of treatment and services; (2) focus on the development of services and resources to prevent the long-term consequences of child trauma; (3) collaborate with federal research institutions; and (4) collaborate with HHS in the dissemination of evidence-based and trauma-informed interventions, treatments, products, and other resources.

Part D Beneficiary Appeals Fairness Act

United States · United States Congress · 3 June 2015

Part D Beneficiary Appeals Fairness Act Amends part D (Voluntary Prescription Drug Benefit Program) of title XVIII (Medicare) of the Social Security Act, with respect to a prescription drug plan (PDP) that provides for any tiered cost-sharing within a formulary (including a structure that provides for different co-payment or coinsurance amounts for drugs in different tiers included within the formulary), to authorize a Medicare part D eligible individual enrolled in the plan to request an exception to the tiered cost-sharing structure. States that in no case may the Secretary of Health and Human Services allow a PDP sponsor to make any element of the tiered cost-sharing structure (including a tier used for very high cost or unique items) ineligible for lower-cost sharing through an exception.

Petroleum Coke Transparency and Public Health Protection Act

United States · United States Congress · 3 June 2015

Petroleum Coke Transparency and Public Health Protection Act This bill directs the Department of Health and Human Services (HHS) to submit to Congress and publish on the HHS website a report containing the results of a study concerning petroleum coke that includes: (1) an analysis of the public health and environmental impacts of the production, transportation, storage, and use of petroleum coke; (2) an assessment of potential approaches and best practices for storing, transporting, and managing petroleum coke; and (3) a quantitative analysis of current and projected domestic petroleum coke production and utilization locations. The Environmental Protection Agency is required to promulgate rules concerning the storage and transportation of petroleum coke that ensure the protection of public and ecological health based upon the findings of such study.

Improving the Treatment of the U.S. Territories Under Federal Health Programs Act of 2015

United States · United States Congress · 3 June 2015

Improving the Treatment of the U.S. Territories Under Federal Health Programs Act of 2015 This bill amends title XIX (Medicaid) the Social Security Act (SSAct) to terminate the limitations on general Medicaid funding, as well as the specific federal medical assistance percentage (FMAP, or matching rate), beginning FY2017 for Puerto Rico, the Virgin Islands of the United States, Guam, the Northern Mariana Islands, and American Samoa (territories). The authority to waive or modify Medicaid requirements (except certain requirements for coverage of adults formerly under foster care) in American Samoa and the Northern Mariana Islands shall now extend as well to Puerto Rico, the U.S. Virgin Islands, and Guam. Federal financial participation shall not be available to a territory, however, for medical assistance (with certain exceptions) for an individual whose family income exceeds 100% percent of the official poverty line for a family of the size involved. A formula is prescribed for Medicaid disproportionate share hospital (DSH) payments to the territories beginning FY2017. This bill also amends SSAct title XVIII (Medicare) to revise the formula for the Medicare inpatient hospital services payment rate for hospitals in Puerto Rico to: (1) reduce the applicable Puerto Rico percentage from 25% to zero, and (2) increase the applicable federal percentage from 75% to 100%. Medicare HITECH (Health Information Technology for Economic and Clinical Health Act) payments shall now apply to subsection (d) hospitals in Puerto Rico to allow them to qualify for incentives for adoption and meaningful use of certified electronic health record technology. (Generally, a subsection [d] hospital is an acute care hospital, particularly one that receives payments under Medicare's inpatient prospective payment system when providing covered inpatient services to eligible beneficiaries.) A formula element is revised for calculating Medicare DSH payments under the inpatient prospective payment system for subsection (d) hospitals in Puerto Rico. The exclusion of residents of Puerto Rico from deemed enrollment under part B (Supplementary Medical Insurance Benefits) is repealed and they may now be deemed to be so enrolled. The Department of Health and Human Services (HHS) shall provide a special seven-month enrollment period for such residents. The late enrollment penalty shall be recalculated to 15% of the usual penalty for residents of Puerto Rico who are current enrollees or who enroll during a specified transition period. HHS shall increase the geographic adjustment practice expense index for Puerto Rico to equal 0.800 or, if less, the lowest practice expense index value for the year for any area in the 50 states or the District of Columbia) for the year. The blended benchmark component of payments to Medicare + Choice organizations for an area in a territory under SSAct title XVIII part C (Medicare+Choice) shall be, beginning with 2016, at least 80% of the national average of specified base payment amounts for the year (but never more than the lowest blended benchmark amount) for any area within the 50 States and the District of Columbia. HHS shall treat as medical assistance under the Medicaid program, with a 100% FMAP, any financial assistance a territory furnishes to individuals eligible for prescription drugs under SSAct title XVIII part D (Voluntary Prescription Drug Benefit Program) who, if they were residing in one of the 50 States or the District of Columbia, would qualify as low-income subsidy eligible individuals, without regard to whether they otherwise qualify for Medicaid. HHS shall report to Congress on the treatment of territories under Medicare part D. This bill amends the Patient Protection and Affordable Care Act (PPACA) to reduce by 50% the annual fee imposed on health insurance providers for U.S. health risks in the territories. Funds from such fees shall be available to a territory only to assist low-income part D eligible individuals to obtain part D-covered drugs. HHS shall publish and update periodically, on the Internet site of the Centers for Medicare and Medicaid Services, information on the programs under SSAct titles XIX (Medicaid) and XXI (Children's Health Insurance Program, or CHIP) that are carried out in the U.S. territories. HHS shall report to Congress on the adverse impacts in each territory from their practical exclusion under PPACA from the establishment of American Health Benefit Exchanges or the administration of a federally facilitated Exchange.

Children's Recovery from Trauma Act

United States · United States Congress · 3 June 2015

Children's Recovery from Trauma Act This bill amends the Public Health Service Act to require the Department of Health and Human Services (HHS) to support programs that provide for the continued operation of the National Child Traumatic Stress Initiative (NCTSI) and for research on evidence-based practices for identifying and treating children and youth with mental, behavioral, and biological disorders resulting from witnessing or experiencing a traumatic event. HHS must award a cooperative agreement to a comprehensive national coordinating center to oversee NCTSI activities. The NCTSI coordinating center must: (1) collect, analyze, and report data to establish the effectiveness of early identification and delivery of treatment and services; (2) focus on the development of services and resources to prevent the long-term consequences of child trauma; (3) collaborate with federal research institutions; and (4) collaborate with HHS in the dissemination of evidence-based and trauma-informed interventions, treatments, products, and other resources.

Antibiotic Development to Advance Patient Treatment Act

United States · United States Congress · 3 June 2015

Antibiotic Development to Advance Patient Treatment Act This bill amends the Federal Food, Drug, and Cosmetic Act to allow the Food and Drug Administration (FDA) to agree with the sponsor of an applicable medication on a process for approving the medication for use in a limited population of patients. Applicable medications are antibacterial or antifungal drugs or biological products for the treatment of a serious infection. The FDA may rely on alternate study endpoints, limited data sets, and additional data, including preclinical evidence, in approving such a medication. A medication approved for use in a limited population must be labeled accordingly. The Public Health Service Act is amended to require the Department of Health and Human Services to monitor the use of antibacterial and antifungal medications and monitor antibacterial and antifungal resistance. (An individual infected by a strain of bacteria or fungi that is resistant to a medication cannot be treated with that medication. Resistance can develop naturally with the use of a medication.) The FDA must identify and publish susceptibility test interpretive criteria for antimicrobial medications. (These criteria are used to characterize the resistance of microbes to antimicrobial medications. "Microbes" or "microorganisms" include bacteria, some fungi, and other organisms.) Every six months, the FDA must evaluate any new or updated susceptibility test interpretive criteria established by a standard development organization and recognize new criteria or withdraw recognition of criteria, as appropriate. The FDA may allow marketing of medical devices that use these criteria without premarket approval.

Part D Beneficiary Appeals Fairness Act

United States · United States Congress · 3 June 2015

Part D Beneficiary Appeals Fairness Act Amends part D (Voluntary Prescription Drug Benefit Program) of title XVIII (Medicare) of the Social Security Act, with respect to a prescription drug plan (PDP) that provides for any tiered cost-sharing within a formulary (including a structure that provides for different co-payment or coinsurance amounts for drugs in different tiers included within the formulary), to authorize a Medicare part D eligible individual enrolled in the plan to request an exception to the tiered cost-sharing structure. States that in no case may the Secretary of Health and Human Services allow a PDP sponsor to make any formulary tier of the tiered cost-sharing structure (including a formulary tier used for very high cost or unique items) ineligible for lower-cost sharing through an exception.

Personal Drug Importation Fairness Act of 2015

United States · United States Congress · 3 June 2015

Personal Drug Importation Fairness Act of 2015 This bill allows a drug to be imported by a person other than the drug's manufacturer if the drug: (1) has the same active ingredients, route of administration, and strength as an approved drug; (2) may be lawfully marketed in, and is imported or reimported from, a country included on a list in this Act that the Food and Drug Administration determines has standards for ensuring drug safety and effectiveness that are at least as protective as U.S. standards; (3) is dispensed by a licensed pharmacist; (4) is shipped directly to, or is imported by, the ultimate consumer; (5) is shipped or imported in quantities that do not exceed a 90-day supply; (6) is accompanied by a copy of a valid prescription; and (7) is not a controlled substance.

Calling for Sickle Cell Trait research.

United States · United States Congress · 3 June 2015

Recognizes the challenges in addressing health outcomes among people with Sickle Cell Trait and Sickle Cell Disease. Encourages the medical community to make individuals aware of their Sickle Cell Trait status. Urges the Department of Health and Human Services to develop a public awareness campaign regarding the importance of individuals knowing their Sickle Cell Trait status and to expand access for screening and counseling. Commits to supporting research on Sickle Cell Trait and Sickle Cell Disease.

Expressing support for designation of the first full week of May as "National Mental Health No Stigma Week".

United States · United States Congress · 3 June 2015

Expresses support for the designation of National Mental Health No Stigma Week.

Saving Lives, Saving Costs Act

United States · United States Congress · 2 June 2015

Saving Lives, Saving Costs Act Establishes a framework for health care liability lawsuits to undergo review by independent medical review panels if health care professionals (practicing physicians or their agents or employees) allege adherence to applicable clinical practice guidelines. Requires the Department of Health and Human Services (HHS) to publish clinical practice guidelines provided and maintained by national or state medical societies or medical specialty societies designated by HHS. Sets forth standards for the development of guidelines, including standards related to transparency, the composition of the panel, and the review of existing evidence. Prohibits holding a professional organization or a participant in guideline development liable for injury allegedly caused by adherence to a guideline to which they contributed. Declares that this Act does not preempt: (1) any state or federal law that imposes greater procedural or substantive protections for health care providers and health care organizations from liability, loss, or damages than those provided under this Act; (2) any state or federal law that creates a cause of action; or (3) any defenses otherwise available. Gives jurisdiction of health care liability actions against health care professionsals, providers, or organizations to district courts. Allows a defendant to remove any health care liability action brought in a state court to a district court. Requires an independent medical review in health care liability actions that have been removed to a district court if the eligible professionals allege that they adhered to applicable clinical practice guidelines. Sets forth procedures for the use of the panel's findings at trial.

Expressing the sense of the House of Representatives that gun violence is a public health issue and Congress should enact by the end of the 114th Congress comprehensive Federal legislation that protects the Second Amendment and keeps communities safe and healthy, including expanding enforceable background checks for all commercial gun sales, improving the mental health system in the United States, and making gun trafficking and straw purchasing a Federal crime.

United States · United States Congress · 2 June 2015

Expresses the sense of the House of Representatives that: (1) gun violence is a public health issue; and (2) Congress should expand enforceable background checks for all commercial gun sales, improve the mental health system, and make gun trafficking and straw purchasing a federal crime.

Saving Lives, Saving Costs Act

United States · United States Congress · 2 June 2015

Saving Lives, Saving Costs Act Establishes a framework for health care liability lawsuits to undergo review by independent medical review panels if health care professionals (practicing physicians or their agents or employees) allege adherence to applicable clinical practice guidelines. Requires the Department of Health and Human Services (HHS) to publish clinical practice guidelines provided and maintained by national or state medical societies or medical specialty societies designated by HHS. Sets forth standards for the development of guidelines, including standards related to transparency, the composition of the panel, and the review of existing evidence. Prohibits holding a professional organization or a participant in guideline development liable for injury allegedly caused by adherence to a guideline to which they contributed. Declares that this Act does not preempt: (1) any state or federal law that imposes greater procedural or substantive protections for health care providers and health care organizations from liability, loss, or damages than those provided under this Act; (2) any state or federal law that creates a cause of action; or (3) any defenses otherwise available. Gives jurisdiction of health care liability actions against health care professionsals, providers, or organizations to district courts. Allows a defendant to remove any health care liability action brought in a state court to a district court. Requires an independent medical review in health care liability actions that have been removed to a district court if the eligible professionals allege that they adhered to applicable clinical practice guidelines. Sets forth procedures for the use of the panel's findings at trial.

Accuracy in Medicare Physician Payment Act of 2015

United States · United States Congress · 2 June 2015

Accuracy in Medicare Physician Payment Act of 2015 Amends title XVIII (Medicare) of the Social Security Act to direct the Department of Health and Human Services to establish and appoint an expert outside advisory panel for purposes of providing oversight to the processes relating to valuation of physicians' services.

To authorize the appropriation of funds to the Centers for Disease Control and Prevention for conducting or supporting research on firearms safety or gun violence prevention.

United States · United States Congress · 2 June 2015

This bill authorizes FY2016-FY2021 appropriations for the Centers for Diseases Control and Prevention to conduct or support research on firearms safety or gun violence prevention.

Patriot Employer Tax Credit Act

United States · United States Congress · 2 June 2015

Patriot Employer Tax Credit Act Amends the Internal Revenue Code to allow a Patriot employer a business-related tax credit for up to 10% of the first $15,000 of wages paid to any employee in a taxable year. Sets forth criteria for designation as a Patriot employer, including requirements that such employer: (1) maintains its headquarters in the United States and does not expatriate to avoid payment of U.S. income taxes, (2) complies with the employer mandate to provide minimum essential health care coverage to its employees under the Patient Protection and Affordable Care Act, (3) compensates at least 90% of its employees at a level that is 156% of the federal poverty level for a family of three and provides 90% of its employees with a basic level of retirement benefits, (4) provides for differential wage payments to its employees who are members of the Uniformed Services, and (5) increases the number of its employees performing substantially all of their services inside the United States to offset the number of employees who work outside the United States. Sets forth a rule for the deferral of the tax deduction for foreign-related interest expense.

A bill to authorize the appropriation of funds to the Centers for Disease Control and Prevention for conducting or supporting research on firearms safety or gun violence prevention.

United States · United States Congress · 2 June 2015

This bill authorizes FY2016-FY2021 appropriations for the Centers for Diseases Control and Prevention to conduct or support research on firearms safety or gun violence prevention.

Patriot Employer Tax Credit Act

United States · United States Congress · 2 June 2015

Patriot Employer Tax Credit Act Amends the Internal Revenue Code to allow a Patriot employer a business-related tax credit for up to 10% of the first $15,000 of wages paid to any employee in a taxable year. Sets forth criteria for designation as a Patriot employer, including requirements that such employer: (1) maintains its headquarters in the United States and does not expatriate to avoid payment of U.S. income taxes, (2) complies with the employer mandate to provide minimum essential health care coverage to its employees under the Patient Protection and Affordable Care Act, (3) compensates at least 90% of its employees at a level that is 156% of the federal poverty level for a family of three and provides 90% of its employees with a basic level of retirement benefits, (4) provides for differential wage payments to its employees who are members of the Uniformed Services, and (5) increases the number of its employees performing substantially all of their services inside the United States to offset the number of employees who work outside the United States. Sets forth a rule for the deferral of the tax deduction for foreign-related interest expense.

CIRCUMVENTION OF CONTRACTS IN THE PROVISION OF NON-VA HEALTHCARE

United States · United States House of Representatives · 1 June 2015

AIM Act of 2015

United States · United States Congress · 1 June 2015

Accelerating Innovation in Medicine Act of 2015 or the AIM Act of 2015 Amends title XVIII (Medicare) of the Social Security Act to direct the Department of Health and Human Services (HHS) to develop an accelerating innovation in medicine (AIM) list of medical devices for which, because of their inclusion on the list, insurance benefits and payments are prohibited under Medicare (either directly or on a capitated basis), with the result that no Medicare claim may be submitted and an individual who consents to receive such a device is responsible for paying for it and for any related services. Directs the Secretary to post on a public HHS website or other publicly accessible media an updated list of the medical devices on the AIM list.

Seniors' Health Care Plan Protection Act of 2015

United States · United States Congress · 29 May 2015

Securing Senior's Health Care Act of 2015 This bill amends part C (Medicare+Choice) of title XVIII (Medicare) of the Social Security Act (SSAct) to direct the Department of Health and Human Services (HHS) (in effect, the Centers for Medicare & Medicaid Services [CMS]) to revise for 2017, and periodically afterwards, the system for risk adjustments to payments to Medicare+Choice organizations so that an individual's risk score takes into account the number of chronic conditions with which the individual has been diagnosed. HHS must, including an actuarial opinion of the CMS Chief Actuary, evaluate the impacts of: including two years of data to compare the models used to determine the risk scores for 2013 and 2014, removing the diagnosis codes related to chronic kidney disease in the 2014 risk adjustment model, and including 10% of encounter data in computing payment for 2016 and CMS readiness to incorporate encounter data in risk scores. HHS shall also analyze the best practices of MedicareAdvantage (MA) plans to slow disease progression related to chronic kidney disease. HHS shall then, if appropriate, make revisions to the risk adjustment system, based on such an evaluation or analysis, to better reflect and appropriately weight for the population served. Congress declares that the five-star quality rating system for MA plans lacks proper accounting for the socioeconomic status of plan enrollees and the extent to which those plans serve individuals also eligible for medical assistance under SSAct title XIX (Medicaid). It is the intent of Congress to: (1) continue to study and request input on the effects of socioeconomic status and dual-eligible populations on the five-star quality rating system for MA plans before reforming it, and, pending study and input results, (2) delay CMS authority to terminate MA plan contracts solely on the basis of performance under the five-star quality rating system. HHS may not, through the end of plan year 2018, terminate a contract with respect to the offering of an MA plan by an MA organization solely because the plan has failed to achieve a minimum quality rating under the five-star rating system.

Preservation of Access for Seniors in Medicare Advantage Act of 2015

United States · United States Congress · 29 May 2015

Preservation of Access for Seniors in Medicare Advantage Act of 2015 This bill requires the Department of Health and Human Services (HHS) to establish a three-year demonstration program to test the use of value-based insurance design methodologies under the eligible Medicare Advantage (MA) plans offered by MA organizations under part C (Medicare+Choice Program) of title XVIII (Medicare) of the Social Security Act (SSAct). "Value-based insurance design methodology" is one for identifying specific prescription medications, and clinical services payable under Medicare, for which copayments, coinsurance, or both would improve the management of specific chronic clinical conditions because of the high value and effectiveness of such medications and services for such specific chronic clinical conditions, as approved by HHS. HHS may expand the duration and scope of the demonstration program to an appropriate extent if specified requirements are met. The annual 45-day period for disenrollment from MA plans to elect to receive benefits under the original Medicare fee-for-service program, and to elect coverage under part D (Voluntary Prescription Drug Benefit Program), shall end on December 31, 2015. Starting in 2016, a Medicare Advantage eligible individual, during the first three months of any year, may change a previous election to elect to receive benefits through the original Medicare fee-for-service program or an MA plan, and to elect coverage under part D. This continuous open enrollment and disenrollment period during the first three months of any year starting in 2016 shall apply with respect to a prescription drug plan only in the case of an individual who, previous to such change in enrollment, is enrolled in a MA plan. This bill also amends part B (Supplementary Medical Insurance) of SSAct title XVIII to revise requirements (in effect, changing payment methodologies from 95% of the Average Wholesale Price to the Average Sales Price plus six) for payments for infusion drugs and biologicals furnished through durable medical equipment on or after January 1, 2017.

LTCH Technical Correction Act of 2015

United States · United States Congress · 29 May 2015

LTCH Technical Correction Act of 2015 This bill amends the Medicare, Medicaid, and SCHIP Extension Act of 2007, as amended by other specified federal law, with respect to the five-year moratorium beginning April 1, 2014, on the establishment of long-term care (LTC) hospitals and LTC satellite facilities and on the increase of LTC hospital beds in existing LTC hospitals or satellite facilities for purposes of title XVIII (Medicare) of the Social Security Act (SSAct). A technical correction is made to an exception to this moratorium for certain LTC hospitals that: began their qualifying period for Medicare payment on or before April 1, 2014; have a binding written agreement as of that date with an outside, unrelated party for the actual construction, renovation, lease, or demolition for an LTC hospital, and have expended, before that date, at least 10% of the project's estimated cost (or, if less, $ 2.5 million); or have obtained on or before that date an approved certificate of need in a state where one is required. This bill applies the exception to any similar moratorium. Amends SSAct title XVIII to direct the Department of Health and Human Services (HHS), in adjusting the standard federal rate for outlier payments under the prospective payment system for inpatient hospital services furnished by an LTC hospital for rate years beginning on or after October 1, 2016, to apply a reduction factor of 8% to establish an outlier pool. In reimbursing outlier payments under this system for such rate years, HHS shall structure pool payments so that reimbursements do not exceed an amount equivalent to 99.0625% of the outlier pool for the rate year.

Securing Care for Seniors Act of 2015

United States · United States Congress · 29 May 2015

Securing Care for Seniors Act of 2015 This bill amends part C (Medicare+Choice) of title XVIII (Medicare) of the Social Security Act (SSAct) to direct the Department of Health and Human Services (HHS) (in effect, the Centers for Medicare & Medicaid Services [CMS]) to revise for 2017, and periodically afterwards, the system for risk adjustments to payments to Medicare + Choice organizations so that an individual's risk score takes into account the number of chronic conditions with which the individual has been diagnosed. HHS must, including an actuarial opinion of the CMS Chief Actuary, evaluate the impacts of: including two years of data to compare the models used to determine the risk scores for 2013 and 2014, removing the diagnosis codes related to chronic kidney disease in the 2014 risk adjustment model, and including 10% of encounter data in computing payment for 2016 and CMS readiness to incorporate encounter data in risk scores. HHS shall also analyze the best practices of MedicareAdvantage (MA) plans to slow disease progression related to chronic kidney disease. HHS shall then, if appropriate, make revisions to the risk adjustment system, based on such an evaluation or analysis, to better reflect and appropriately weight for the population served. Congress declares that the MA star rating system lacks proper accounting for the socioeconomic status of plan enrollees and the extent to which those plans serve individuals also eligible for medical assistance under SSAct title XIX (Medicaid).