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601 records in US in 2009
United States · United States Congress · 8 June 2009
Equal Rights for Health Care Act Title 42 - Prohibits discrimination on the basis of sex, race, color, national origin, sexual orientation, gender identity, or disability status against any person in the United States under any health care service or research program or activity receiving federal financial assistance.
United States · United States Congress · 8 June 2009
Prohibits the Secretary of Health and Human Services from applying, during a specified period, certain revised Medicare average hourly wage comparison reclassification criteria to a "subsection (d) hospital" seeking reclassification of its wage index during such period. (Generally a subsection (d) hospital is an acute care hospital, particularly one that receives payments under Medicare's inpatient prospective payment system (IPPS) when providing covered inpatient services to eligible beneficiaries.)
United States · United States Congress · 8 June 2009
Medicare Specialty Care Improvement and Protection Act of 2009 - Amends part C (Medicare+Choice) of title XVIII (Medicare) of the Social Security Act (SSA) to extend through December 31, 2013, the authority to restrict enrollment for specialized Medicare Advantage (MA) plans for special needs individuals (SNPs). Extends such authority through December 31, 2015, in the case of a SNP designated as a Fully Integrated Dual Eligible Special Needs Plan.. Directs the Secretary of Health and Human Services (HHS) to evaluate the MA and the health status risk adjustment payment mechanisms in order to resolve plan payment inequities relative to Medicare fee-for-service payments for high-risk, high cost beneficiaries. Directs the Secretary, using the results of the evaluation, to refine the risk adjustment payment mechanism for such beneficiaries. Requires the Secretary to provide bonus payments to account for added SNP costs associated with additional benefit, care management, reporting, and other requirements established by Congress and the Secretary in excess of other MA plans. Requires the Secretary to take into account specified factors, including dual eligibility (for both Medicare and SSA title XIX [Medicaid] benefits) and geographic cost differences, with respect to the bid structure for SNPs. Requires the Secretary to have in place a process under which the Secretary designates dual eligible SNPs as Fully Integrated Dual Eligible Special Needs Plans for the purpose of advancing fully integrated Medicare and Medicaid benefits and services for dual eligible beneficiaries, including state-designated Dual subsets. Directs the Secretary to establish or designate an Office on Medicare/Medicaid Integration. Requires the Medicaid plan to provide that an individual who has attained age 65, and has been determined for 12 consecutive months to be a full-benefit dual eligible individual, to be presumed to remain eligible for benefits under the plan without any need for further redetermination or recertification.
United States · United States Congress · 8 June 2009
Parent's Right to Know Act of 2009 - Prohibits any funds appropriated for carrying out federal family planning programs from being made available to any family planning project if any service provider in the project knowingly provides contraceptive drugs or devices to a minor, unless: (1) such provider has given actual written notice to a custodial parent or legal guardian at least five business days prior to providing the drugs or prescription devices; (2) the minor has written consent of a parent or legal guardian; (3) the minor is emancipated; or (4) a court has directed that the minor may receive such drugs or prescription devices. Requires providers to certify to the Secretary of Health and Human Services (HHS) compliance with this Act.
United States · United States Congress · 8 June 2009
Expresses support for: (1) the goals and ideals of National Caribbean American HIV/AIDS Awareness Day and recognizes the fourth anniversary of observing it; and (2) the development of a national AIDS strategy with clear goals and objectives to reduce new HIV infections, especially among communities of color. Encourages: (1) state and local governments to recognize such Day, publicize its importance, and encourage Caribbean Americans, Caribbean-born individuals, and all people in the United States and its territories to know their status and undergo HIV testing; and (2) media organizations to carry messages in support of such Day.
United States · United States Congress · 4 June 2009
Medicare Financial Stability for Beneficiaries Act of 2009 - Amends part D (Voluntary Prescription Drug Benefit Program) of title XVIII (Medicare) of the Social Security Act (SSA), as amended by the Medicare Improvements for Patients and Providers Act of 2008, to disregard part D premium or cost-sharing subsidies for low-income individuals (LIS program) for purposes of determining eligibility for, or the amount of assistance or benefits provided under, any federal and state public benefit programs. Amends SSA title XIX (Medicaid) with respect to Medicare Savings Programs (MSP programs) to disregard any medical assistance for some or all Medicare cost-sharing for qualified Medicare beneficiaries (QMBs) in determining eligibility for, or the amount of assistance or benefits provided under, any federal, state, or local public benefit program. Limits cost-sharing under the part D LIS program for a year to a maximum 2.5% of income. Exempts pension and retirement benefits from resources under the LIS and MSP programs and modifies the resource standards for determination of eligibility for the LIS program. Increases the income eligibility to: (1) 150% of the federal poverty level (FPL) for full benefits and 200% of the FPL for partial benefits (sliding scale premium subsidy) under the LIS program, and (2) 150% of the FPL for QMB benefits under the MSP program. Expands the special enrollment process to individuals eligible for an income-related subsidy under the LIS program. Eliminates part D cost-sharing for certain non-institutionalized full-benefit dual eligible individuals. Repeals authority for states to pay Medicare cost-sharing at Medicaid rates and authorizes medical assistance to dual eligibles in MedicareAdvantage (MA) plans. Authorizes cross deeming between LIS and MSP so that qualifying for one program would automatically qualify an individual for the other programs. Amends the Food and Nutrition Act of 2008 with respect to temporary supplemental nutrition assistance program (SNAP) benefits under the LIS program. Requires targeted outreach for low-income subsidies under the Medicare prescription drug program. Amends the Internal Revenue Code to require the Secretary of the Treasury to disclose tax return information to the Social Security Administration to facilitate identification of individuals likely to be eligible for low-income subsidies under the Medicare prescription drug program. Prescribes requirements for enhanced oversight and enforcement relating to reimbursements for retroactive LIS enrollment. Requires the award of grants to: (1) states for outreach regarding Medicare enrollment assistance and benefit availability; and (2) Aging and Disability Resource Centers. Makes the date of the electronic transmission of low income subsidy (LIS) program data from the Commissioner of Social Security to the state Medicaid agency the date of filing of the application for MSP benefits Requires a state Medicaid plan to provide that the state enters into a modification of a Medicaid agreement with the Secretary to provide for enrollment in (buy-in to) the Medicare part A (Hospital Insurance) program by QMBs who are uninsured elderly individuals not otherwise eligible for hospital insurance benefits. Requires states to: (1) make MSP applications available on the Internet; and (2) allow individuals to specify a preferred language other than English for subsequent communication.
United States · United States Congress · 4 June 2009
Healthy Living and Health Aging Demonstration Project Act of 2009 - Directs the Secretary of Health and Human Services, acting through the Administrator of the Centers for Medicare & Medicaid Services, to establish a demonstration project under which eligible partnerships are awarded grants to examine whether community-based prevention and intervention strategies, targeted towards pre-Medicare eligible individuals, result in: (1) lower rates of chronic diseases and conditions after such individuals become eligible for Medicare benefits; and (2) lower costs under Medicare.
United States · United States Congress · 4 June 2009
Community Mental Health Services Improvement Act - Amends the Public Health Service Act to require the Secretary of Health and Human Services (HHS), acting through the Administrator of the Substance Abuse and Mental Health Services Administration (SAMHSA), to award grants for demonstration projects to provide coordinated and integrated services to individuals with mental illnesses who have co-occurring primary care conditions and chronic diseases through the co-location of primary and specialty care services in community-based mental and behavioral health settings. Requires the Secretary to make funds available for the development or expansion of programs to provide integrated treatment services for individuals with a serious mental illness and a co-occurring substance abuse disorder. Deems certain community mental health centers to be automatically designated as having health professional shortage areas for purposes of the National Health Service Corps. Requires the Secretary, acting through the Administrator of the Health Resources and Services Administration, to award matching grants to states, territories, and Indian tribes or tribal organizations for programs to address behavioral and mental health workforce needs of designated mental health professional shortage areas. Directs the Secretary, acting through the Administrator of SAMHSA, to award grants for: (1) establishing or expanding accredited behavioral and mental health education programs; and (2) providing tele-mental health services in medically-underserved areas. Requires the Secretary to: (1) implement a plan for ensuring that various components of the National Health Information Infrastructure address the needs of mental health and substance abuse treatment providers; and (2) finance related infrastructure improvements, technical support, personnel training, and ongoing quality improvements.
United States · United States Congress · 4 June 2009
Medicare Independent Living Act of 2009 - Amends title XVIII (Medicare) of the Social Security Act to eliminate the in-the-home restriction for Medicare coverage of mobility devices for individuals with expected long-term needs. Deems such devices to be durable medical equipment (DME) if they are used in customary settings for the purpose of normal domestic, vocational, or community activities.
United States · United States Congress · 4 June 2009
Nurse Training and Retention Act of 2009 - Directs the Secretary of Labor to establish a partnership grant program to award matching grants to eligible entities to carry out comprehensive programs to provide education to nurses and create a pipeline to nursing for incumbent ancillary health care workers who wish to advance their careers.
United States · United States Congress · 4 June 2009
Health Care for Family Caregivers Act of 2009 - Authorizes the Secretary of Veterans Affairs (VA) to provide medical care to a family member of a disabled veteran who provides caregiver services to the veteran for such disability. Prohibits the caregiver from being subject to deductibles, premiums, copayments, or other fees for such care.
United States · United States Congress · 4 June 2009
Veterans and Survivors Behavioral Health Awareness Act - Directs the Secretary of Veterans Affairs (VA) to provide scholarships to individuals pursuing education or training in behavioral health care specialties that are critical to the operations of Vet Centers (centers for readjustment counseling and related mental health services for veterans) in order to recruit and retain individuals with such specialties for service in Vet Centers. Conditions the scholarship on the recipient's agreeing to serve in such a capacity for whatever period the Secretary specifies in the agreement. Directs the Secretary, on receipt of a request for counseling from an individual who has been discharged or released from active service, to: (1) provide referrals to assist the individual in obtaining mental health care and services outside the VA; and (2) if pertinent, advise such individual of the individual's rights to apply for review of the discharge or release. Directs the Secretary to award grants to nonprofit organizations that provide emotional support services for survivors of deceased members of the Armed Forces and deceased veterans through the survivors' peers.
United States · United States Congress · 4 June 2009
Indian Health Care Improvement Act Amendments of 2009 - Amends the Indian Health Care Improvement Act to revise requirements for health care programs and services for Indians, Indian tribes, tribal organizations, and urban Indian organizations. Replaces the Urban Health Programs Branch with a Division of Urban Indian Health. Authorizes grants to urban Indian organizations for health information technology, telemedicine services development, and related infrastructure. Directs the Secretary of Health and Human Services, acting through the Indian Health Service, to provide programs of comprehensive behavioral health, prevention, and treatment. Excludes from gross income: (1) services or benefits provided or purchased by the Service; and (2) services or benefits provided by a tribe or tribal organization, directly or through insurance. Declares that these provisions are not intended as an inference to the tax treatment of governmental benefits provided by tribes to Indians. Reauthorizes the Indian Health Care Improvement Act. Amends the Indian Self-Determination and Education Assistance Act to direct the Secretary to establish the Native American Health and Wellness Foundation. Expands coverage for qualified Indians in the State Children's Health Insurance Program (CHIP, formerly known as SCHIP) under title XXI of the Social Security Act (SSA), as well as under Medicare (SSA title XVIII) and Medicaid (SSA title XIX). Authorizes related payments to Indian Health Programs operating in the state.
United States · United States Congress · 4 June 2009
Optometric Equity in Medicaid Act of 2009 - Amends title XIX (Medicaid) of the Social Security Act to require Medicaid coverage of medical and other health services of optometrists that are otherwise covered when furnished by a physician.
United States · United States Congress · 4 June 2009
Medicare Payment Advisory Commission (MedPAC) Reform Act of 2009 - Amends title XVIII (Medicare) of the Social Security Act to rename the Medicare Payment Advisory Commission (MedPAC) the Medicare Payment and Access Commission, make it an independent executive branch (instead of a legislative branch) agency, and revise its membership requirements. Directs MedPAC to determine payment rates for items and services furnished under Medicare. Requires the Comptroller General to study and report annually to Congress on changes to payment policies under the Medicare program as a result of the amendments made by this Act. Makes it in order in the Senate or the House to consider any measure that would overrule a MedPAC determination with respect to such payments if three-fifths of the Members agree to such consideration. Authorizes MedPAC to advise the Secretary of Health and Human Services (HHS), through the Director of the Agency for Healthcare Research and Quality and the Director of the National Institutes of Health (NIH), on priorities for health services research. Directs MedPAC to establish: (1) an office of ombudsman to handle complaints on the implementation of certain regulations; and (2) a council of health and economic advisers to advise it on its development, analyses, and implementation of payment policies. Establishes: (1) a consumer advisory council to advise MedPAC on the impact of Medicare payment policies on consumers; and (2) a federal health advisory council.
United States · United States Congress · 4 June 2009
Tim Fagan's Law or the Counterfeit Drug Enforcement Act of 2009 - Amends the Federal Food, Drug, and Cosmetic Act to establish a criminal fine and/or imprisonment for a person who: (1) knowingly causes a prescription drug to be adulterated, misbranded, or misrepresented as an approved prescription drug and sells or trades the drug; or (2) purchases or trades for such drug knowing or having reason to know that the drug was knowingly adulterated, misbranded, or misrepresented. Requires a manufacturer of a drug to notify the Secretary of Health and Human Services (HHS) within 48 hours after first receiving or becoming aware of information that reasonably suggests that such a violation may have occurred. Deems a drug to be misbranded if it is not manufactured in accordance with the use of technologies that the Secretary determines are technically feasible and will assist in preventing such violations. Requires the Secretary to establish alternative requirements to the extent that such requirements provide greater certainty on the chain of custody and are technically feasible. Increases funding for Food and Drug Administration (FDA) inspections, examinations, and investigations. Requires the Secretary to educate the public and health care professionals on counterfeit drugs. Directs the Secretary: (1) upon a finding of reasonable probability that a drug intended for human use would cause serious health consequences or death, to issue an order requiring the appropriate person (including the manufacturers, importers, distributors, or retailers of the drug) to cease distribution of the drug and to notify and instruct health professionals to cease administering or prescribing the drug; and (2) amend the order to include a recall if necessary.
United States · United States Congress · 4 June 2009
Medicare Savings Program Improvement Act of 2009 - Amends title XVIII (Medicare) of the Social Security Act (SSA) to increase the income eligibility level to 150% of the federal poverty level (FPL) for benefits under the Medicare Savings Program (MSP) for qualified Medicare beneficiaries. Expands the Specified Low-Income Medicare Beneficiary (SLMB) Program to provide for the eligibility of individuals with incomes below 200% of FPL. Establishes an asset standard for qualified Medicare beneficiary (QMB) eligibility for 2011 of $27,500 (or $55,000 in the case of the combined value of the individual's assets or resources and the assets or resources of the individual's spouse) with subsequent years standard increased by the annual percentage increase in the consumer price index. Exempts pension benefits and life insurance policies from resources under the MSP programs. Prohibits any medical assistance for some or all Medicare cost-sharing under the MSP programs from being considered income or resources in determining eligibility for, or the amount of assistance or benefits provided under, any other federal, state, or local public benefit program. Authorizes treatment of QMBs, SLMBs, and other dual eligibles as Medicare beneficiaries. Prohibits a state plan under SSA title XIX (Medicaid) from denying a claim from a provider or supplier with respect to Medicare cost-sharing for an eligible item or service on the basis that the provider or supplier does not have a Medicaid provider agreement in effect or does not otherwise serve all individuals entitled to Medicaid. Requires the state to create a mechanism through which providers or suppliers that do not otherwise have Medicaid provider agreements with the state can bill the state for Medicare cost-sharing for QMBs. Requires each state to: (1) identify those individuals who are Medicaid-eligible for Medicare cost-sharing and who are enrolled with a MedicareAdvantage (MA) plan; and (2) provide for Medicaid payment with respect to such individuals for the Medicare cost-sharing to which they are entitled. Requires the award of grants to: (1) states for outreach regarding Medicare enrollment assistance and benefit availability; and (2) Aging and Disability Resource Centers. Makes the date of the electronic transmission of low income subsidy (LIS) program data from the Commissioner of Social Security to the state Medicaid agency the date of filing of the application for MSP benefits Requires a state Medicaid plan to provide that the state enters into a modification of a Medicaid agreement with the Secretary to provide for enrollment in (buy-in to) the Medicare part A (Hospital Insurance) program by QMBs who are uninsured elderly individuals not otherwise eligible for hospital insurance benefits. Requires states to: (1) make MSP applications available on the Internet; and (2) allow individuals to specify a preferred language other than English for subsequent communication. Requires a state Medicaid plan to provide that the state coordinates with the state agency that administers the supplemental nutrition assistance program (SNAP) benefits under the Food and Nutrition Act of 2008 to ensure that individuals applying for Medicaid have the opportunity to apply for, establish eligibility for, and, if eligible, receive SNAP program benefits. Repeals payment limitations on Medicare cost-sharing.
United States · United States Congress · 4 June 2009
Student-to-School Nurse Ratio Improvement Act of 2009 - Amends the Public Health Service Act to allow the Secretary of Health and Human Services (HHS), acting through the Director of the Centers for Disease Control and Prevention (CDC), to make demonstration grants to states in which the student-to-school nurse ratio in public secondary schools, elementary schools, and kindergarten is 1,000 or more students to every school nurse to reduce such ratio.
United States · United States Congress · 4 June 2009
Prescription Coverage for Now Act of 2009 - Amends part D (Voluntary Prescription Drug Benefit Program) of title XVIII (Medicare) of the Social Security Act (SSA) to direct the Commissioner of Social Security, through certain information requests to the Secretary of the Treasury, to provide for the identification of individuals potentially eligible for low-income subsidies (LIS) and transmit them low-income subsidy applications if they are also part D eligible. Requires the Secretary of Health and Human Services, jointly with the Commissioner, to develop a model, simplified low-income subsidy application and process. Amends the Internal Revenue Code to require the Secretary of the Treasury, upon the Commissioner's request, to disclose tax return information to facilitate identification of individuals likely to be eligible for Medicare prescription drug program low-income subsidies. Entitles low-income subsidy beneficiaries to retroactive reimbursement for previously incurred covered drug costs. Prescribes requirements for enhanced oversight and enforcement relating to such reimbursements. Establishes an asset standard for LIS eligibility for 2011 of $27,500 (or $55,000 in the case of the combined value of the individual's assets or resources and the assets or resources of the individual's spouse), increased in subsequent years by the annual percentage increase in the consumer price index. Exempts retirement benefits from resources under the LIS programs. Increases the income eligibility to 150% of the federal poverty level (FPL) for full benefits and 200% of the FPL for partial benefits under the LIS program. Authorizes indexing of deductible and cost-sharing above the annual out-of-pocket threshold for individuals with incomes below 200% of FPL. Prohibits the treating of LIS premium and cost-sharing subsidies as benefits, or otherwise taking them into account, in determining an individual's eligibility for, or amount of benefits under, any other federal program. Requires individuals eligible for Medicare Savings Programs to be deemed subsidy eligible individuals under LIS. Establishes a special enrollment period for subsidy eligible individuals under LIS.
United States · United States Congress · 4 June 2009
Encourages safe patient movement for direct-care licensed nurses and other health care providers as a critical component in protecting health care workers and increasing patient safety.
United States · United States Congress · 4 June 2009
Recognizes that: (1) the current payment mechanisms for Federally-Qualified Health Centers in Medicaid, the Children's Health Insurance Program (CHIP, formerly known as SCHIP), and Medicare are essential to assuring access to quality, affordable, primary, and preventive care servies; and (2) any expansion of private insurance must include mechanisms to ensure the full participation of, and appropriate reimbursement to, such Centers to ensure adequate access to care for the medically underserved and disenfranchised. Expresses the sense of Congress that: (1) everyone should have the choice of a community health center as their health care home and every center should be appropriately reimbursed for the care it provides; and (2) health care reform should include measures to expand community health centers.
United States · United States Congress · 3 June 2009
Preserving Patient Access to Primary Care Act of 2009 - Amends the Higher Education Act of 1965 to authorize the Secretary of Education to award recruitment incentive grants or contracts to graduate medical schools to enable them to improve primary care education and training for medical students. Amends the Public Health Service Act (PHSA) to direct the Secretary of Health and Human Services, acting through the Administrator of the Health Resources and Services Administration, to: (1) award grants to critical shortage health facilities to enable them to provide scholarships to individuals who agree to serve as physicians at such facilities after completing a residency in a primary care field; (2) establish an educational loan repayment program for individuals who agree to serve as primary care physicians or primary care providers (including nurse practitioners) in an area that is not a health professional shortage area but has a critical shortage of such physicians or providers; and (3) establish an educational loan repayment program for individuals who agree to serve as physicians in the field of obstetrics and gynecology or as certified nurse midwives in an area that is not a health professional shortage area. Amends the Higher Education Act of 1965 to provide for deferment of education loans during medical residency and internships in a primary care field. Amends the PHSA to direct the Secretary to award grants to eligible state and local government entities for the development of informational materials that promote careers in primary care. Amends the PHSA to extend the authorization of appropriations for training in a family medicine, general internal medicine, general geriatrics, general pediatrics, physician assistance, general dentistry, and pediatric dentistry Authorizes increased appropriations for the national health service corps scholarships and loan repayment programs. Amends title XIX (Medicaid) of the Social Security Act (SSA) to allow the use of Medicaid transformation payments for methods for improving medical assistance under Medicaid and SSA title XXI (Children's Health Insurance Program) (CHIP, formerly known as SCHIP) by encouraging certain medical practices to qualify as patient centered medical homes. Amends SSA title XVIII (Medicare) to: (1) increase budget neutrality limits under the physician fee schedule to account for anticipated savings resulting from payments for certain services and the coordination of beneficiary care; and (2) require a separate Medicare payment for designated primary care services and comprehensive care coordination services. Amends SSA title XVIII to cover patient-centered medical home services. Directs the Secretary to develop a methodology to increase payments for designated evaluation and management services provided by primary and principal care providers. Requires: (1) additional incentive payments for primary care services furnished in health professional shortage areas; (2) permanent extension of the floor on the Medicare work geographic adjustment under the physician fee schedule; and (3) permanent extension of the Medicare incentive payment program for physician scarcity areas. Directs the Secretary to study and report to Congress on the process for determining relative value under the Medicare physician fee schedule. Eliminates cost sharing for preventive benefits and the time restriction for initial preventive physical examination. Directs the Secretary to study and report to Congress on: (1) facilitating the receipt of Medicare preventive services by Medicare beneficiaries; (2) increasing the ability of physicians and primary care providers to assist Medicare beneficiaries in obtaining needed prescriptions under Medicare part D (Voluntary Prescription Drug Benefit Program); and (3) developing and implementing mechanisms to promote and increase interaction between physicians or primary care providers and the families of Medicare beneficiaries, as well as other caregivers who support such beneficiaries, for the purpose of improving patient care under the Medicare program. Requires additional payments to physicians for services to individuals with limited English proficiency (LEP). Requires various specified studies. Directs the Medicare Payment Advisory Commission (MEDPAC) to provide an ongoing assessment of the impact of changes in Medicare payment policies in improving access to and equity of payments to primary care physicians and primary care providers. Authorizes distribution of additional residency positions and the counting of resident time in certain outpatient settings. Establishes rules for counting resident time in a nonhospital setting primarily engaged in furnishing patient care in non-patient care activities, such as didactic and scholarly activities and other activities (but not research not associated with the treatment or diagnosis of a particular patient). Authorizes redistribution of residency slots after a hospital closes or is acquired by another entity with the approval of a bankruptcy court. Directs the Secretary to revise the 9th Statement of Work under the Quality Improvement Program to include a requirement that, in order to be an eligible Quality Improvement Organization (QIO) for the 9th Statement of Work contract cycle, a QIO provide assistance, including technical assistance, to physicians under the Medicare program that seek to acquire the elements necessary to be recognized as a patient centered medical home practice under the National Committee for Quality Assurance's Physician Practice Connections -- PCMH module.
United States · United States Congress · 3 June 2009
Critical Access Flexibility Act of 2009 - Amends title XVIII (Medicare) of the Social Security Act with respect to the Medicare rural hospital flexibility program a state may establish. Authorizes state designation of a Medicare critical access hospital (CAH), even if it does not comply with the requirement that it be located more than a 35-mile drive from another hospital, if it is certified by the state on or after enactment of this Act as being a necessary provider of health care services to residents in the area. (Thus restores state authority that existed before January 1, 2006, to waive the 35-mile rule.)
United States · United States Congress · 3 June 2009
Community-Based Health Care Retraining Act - Amends the Workforce Investment Act of 1998 to require the Secretary of Labor to establish and carry out a health professions training demonstration project that awards matching grants to eligible entities to train certain unemployed workers for employment as health care professionals in communities: (1) with a significant percentage decline in rates of employment and a health care professional shortage; or (2) that are underserved by the health care structure.
United States · United States Congress · 3 June 2009
Revises TRICARE (a Department of Defense [DOD] managed health care program) to authorize treatment of autism spectrum disorders, if a health care professional determines that such treatment is medically necessary.
United States · United States Congress · 3 June 2009
Confidence in Long-Term Care Insurance Act of 2009 - Directs the Secretary of Health and Human Services to request the National Association of Insurance Commissioners (NAIC) to conduct biennial reviews of the national and state-specific markets for long-term care (LTC) insurance policies. Directs the Secretary to request the NAIC to: (1) develop model language for marketing of long-term insurance policies that meets certain criteria; and (2) develop recommendations for enforcement of the model marketing disclosures and definitions. Amends the Deficit Reduction Act of 2005 to authorize establishment of an Internet directory of information regarding LTC insurance ("LTC Insurance Compare") that shall include comparison tools to assist consumers in evaluating LTC insurance policies with different benefits and features. Amends the Internal Revenue Code to apply Medicaid partnership required model provisions to all tax-qualified LTC insurance contracts. Outlines a process for secretarial review of 2000 and 2006 model provisions as well as subsequent model provisions with respect to their application to tax-qualified LTC policies and Medicaid partnership policies. Amends the Deficit Reduction Act of 2005 to require the Secretary to issue biennial reports to states and Congress on Medicaid LTC insurance partnerships and their impact. Outlines additional consumer protections for Medicaid partnerships. Directs the Secretary to report to Congress on whether all LTC insurance policies sold after a certain date determined by the Secretary should provide annual compound inflation protection.
United States · United States Congress · 3 June 2009
Allied Health Reinvestment Act - Amends the Public Health Service Act to require the Secretary of Health and Human Services (HHS) to develop public service announcements to promote the allied health professions. Requires the Secretary to award grants to promote such professions by: (1) supporting relevant state and local advertising campaigns; (2) increasing education opportunities; (3) carrying out programs that form education pipelines to facilitate the entry of students into relevant careers; (4) expanding enrollment in such programs; (5) providing education through new technologies and methods; (6) enhancing the workforce through retention programs; (7) developing retention strategies; (8) expanding area health education centers to develop models of excellence for such professionals; and (9) developing clinical education, internship, and resident programs that encourage mentoring and the development of specialties. Requires the Secretary, acting through the Administrator of the Health Resources and Services Administration (HRSA), to enter into agreements to establish faculty loan funds to increase the number of qualified allied health faculty. Requires the Secretary to: (1) provide scholarships to individuals seeking allied health education who agree to provide service in rural and other medically underserved areas with personnel shortages; (2) develop a system for collecting and analyzing workforce data to determine education pipeline and practitioner shortages and to project future needs for such a workforce; and (3) include allied health schools among the schools eligible to receive grants to support Centers of Excellence in health professions education for individuals from diverse communities and backgrounds. Requires the Comptroller General to conduct an evaluation of whether this Act has demonstrably increased the number of allied health education program applicants.
United States · United States Congress · 3 June 2009
Healthy Transition Act of 2009 - Amends the Public Health Service Act to require the Secretary of Health and Human Services (HHS) to award grants or cooperative agreements to states: (1) to develop plans for the statewide coordination of services to assist adolescents and young adults with a serious mental health disorder in acquiring the skills, knowledge, and resources necessary to ensure their healthy transition to successful adult roles and responsibilities; and (2) for the coordination of such services. Requires the Secretary to designate a federal entity, or establish a Committee of Federal Partners, to coordinate programs providing such services. Directs such entity or committee to: (1) review how federal programs and efforts that address issues related to the transition of adolescents and young adults with serious mental health disorders may be coordinated to ensure the maximum benefit for the individuals being served; and (2) provide technical assistance to the states that are planning or implementing programs under this Act.
United States · United States Congress · 3 June 2009
Empowered at Home Act of 2009 - Amends title XIX (Medicaid) of the Social Security Act (SSA) to revise the income eligibility level for home and community-based (HCBS) services for elderly and disabled individuals. Revises the income eligibility limit for the state option to provide HCBS services under a waiver. Replaces the income limit of 150% of the poverty line with a limit of 300% of the supplemental security income (SSI) benefit rate. Authorizes a state to offer HCBS services under a waiver to eligible individuals that differ in type, amount, duration, or scope from the HCBS waiver services offered to other such individuals so long as they are within the scope of services for which the Secretary has authority to approve a waiver and do not include room or board. Increases the federal medical assistance percentage (FMAP) for the provision of HCBS services under Medicaid through the state plan amendment option. Directs the Secretary of Health and Human Services to report annually to Congress on state use of Medicaid state plan amendment option for HCBS services for elderly and disabled individuals. Directs the Secretary to award assistance grants to states electing to provide HCBS waiver services under Medicaid through the state plan amendment option. Reauthorizes Medicaid investment grants (currently called transformation grants) at increased funding and specifies additional permissible uses to facilitate the provision of HCBS and other long-term care (LTC) services. Directs the Secretary to award grants on a competitive basis to eligible states to conduct an evidence- and community-based health promotion program. Amends SSA title XIX, with respect to treatment of the income and resources of HCBS waiver services recipients who would otherwise be institutionalized, to repeal the state option for (thus requiring) application to such individuals of spousal impoverishment protection requirements. Requires states to exclude up to six months of the average cost of nursing facility services from an individual's assets or resources for purposes of eligibility for HCBS waiver services. Directs the Secretary, acting through the Administrator of the Centers for Medicare & Medicaid Services, to revise certain data reporting forms and systems to ensure uniform and consistent state reporting under this Act. Directs the Comptroller General to study and report to Congress on: (1) the provision of home health services under different state Medicaid plans; and (2) the extent to which states offer consumer self-direction of such services, or allow for other consumer-oriented policies with respect to them.
United States · United States Congress · 3 June 2009
Amends title XVIII (Medicare) of the Social Security Act to provide for a Medicare Advantage benchmark adjustment for certain local areas with Department of Veterans Affairs (VA) medical centers and for certain contiguous areas.
United States · United States Congress · 3 June 2009
Territorial Health Parity Act of 2009 - Amends title XI of the Social Security Act (SSA) to sunset at the end of FY2009 the limitation on Medicaid payments to Puerto Rico, the Virgin Islands, Guam, the Northern Mariana Islands, and American Samoa. Amends SSA title XIX (Medicaid) to: (1) repeal, as of the end of FY2011, the federal medical assistance percentage (FMAP) of 50% that applies to such territories; and (2) set the new FMAP for such territories at one determined by the Secretary of Health and Human Services (Secretary) in consultation with the Secretary of the Interior. Specifies a transitional FMAP for such territories for FY2010-FY2011. Requires the Secretary to report to Congress on the per capita income data used to promulgate the FMAP in the territories and how such data differ from the per capita income data used to promulgate FMAPs for the 50 states and the District of Columbia. Requires the report to include recommendations on how FMAPs can be calculated for the territories to ensure parity with the 50 states and the District of Columbia. Amends the Personal Responsibility and Work Opportunity Reconciliation Act of 1996 to extend the Medicaid program to the citizens of the Freely Associated States (Federated States of Micronesia, the Republic of the Marshall Islands, and the Republic of Palau). Amends SSA title XIX to set a 100% FMAP for otherwise qualified services rendered to such citizens.
United States · United States Congress · 3 June 2009
CAH Designation Waiver Authority Act of 2009 - Amends title XVIII (Medicare) of the Social Security Act with respect to the Medicare rural hospital flexibility program a state may establish. Authorizes state designation of a Medicare critical access hospital (CAH), even if it does not comply with the requirement that it be located more than a 35-mile drive from another hospital, if it is certified by the state on or after enactment of this Act as being a necessary provider of health care services to residents in the area. (Thus restores state authority that existed before January 1, 2006, to waive the 35-mile rule.)
United States · United States Congress · 3 June 2009
Expresses support for the annual National Men's Health Week.
United States · United States Congress · 2 June 2009
Promoting Health Care Purchasing Cooperatives Act - Authorizes the Secretary of Health and Human Services, acting through the Director of the Agency for Healthcare Research and Quality (AHRQ), to award grants for the development of health care purchasing cooperatives by two or more self-insured employers. Sets forth requirements for cooperatives, including that they: (1) are nonprofit, wholly owned, and democratically governed by their member-employers; (2) exist solely to serve the membership base; (3) assist members in pooling their health care insurance purchasing power; (4) provide data to improve the ability of the members to make data-based decisions regarding their health plans; and (5) conduct activities to enhance quality improvement in the health care community. Requires the Secretary to carry out an identical grant program for eligible groups consisting of a consortium of two or more employers that each: (1) have 99 employees or fewer; and (2) purchase health insurance for their employees.
United States · United States Congress · 2 June 2009
Automated Defibrillation in Adam's Memory Reauthorization Act - Amends the Public Health Service Act to reauthorize appropriations for grants for states, political subdivisions, Indian tribes, and tribal organizations to develop and implement public access defibrillation programs. Requires that any information clearinghouse that is established by a grantee using grant funds be administered by an organization that has substantial experience in pediatric education, pediatric medicine, and electrophysiology and sudden death.
United States · United States Congress · 2 June 2009
Nurse Faculty and Physical Therapist Education Act of 2009 - Amends the Public Health Service Act to require the Secretary of Health and Human Services, acting through the Health Resources and Services Administration, to establish a Nurse Faculty Education Program to ensure an adequate supply of nurse faculty through awarding grants to eligible entities to: (1) hire new faculty, retain existing faculty, and purchase educational resources; (2) increase enrollment and graduation rates for students from doctoral programs; and (3) assist graduates in serving as nurse faculty in schools of nursing. Requires the Comptroller General to report on activities to increase participation in the nurse educator program. Requires the Secretary to establish a program to provide Geriatric Academic Career Awards to promote the career development of eligible individuals as geriatric nurse faculty. Requires the Secretary to establish a Nurse and Physical Therapist Distance Education Pilot Program to award grants for activities to increase accessibility to nursing and physical therapy education, including to: (1) assist individuals in rural areas who want to study nursing or physical therapy; (2) promote the study of nursing and physical therapy at all educational levels; (3) establish additional slots for nursing and physical therapy students at existing schools and programs; and (4) establish new nursing and physical therapy education programs at institutions of higher education Requires the Secretary to: (1) report on the country of origin or professional school of origin of newly licensed nurses and physical therapists in each state; and (2) contract with the Institute of Medicine to study the nursing and physical therapy workforce.
United States · United States Congress · 2 June 2009
Choice in Health Options Insures Care for Everyone (CHOICE) Act of 2009 - Establishes the American Trust Health Plan to offer eligible individuals health benefits coverage. Requires the Plan to comply with all requirements that are applicable with respect to other health benefit plans to be offered through a National Health Insurance Exchange. (The Exchange has not yet been established.) Exempts the Plan from state insurance regulations. Treats enrollment with the Plan as satisfying any requirement under federal law for the individual to demonstrate enrollment in health insurance or benefits coverage. Sets forth provisions regarding administration of the Plan. Requires the Plan to be financially self-sustaining insofar as funds to operate the Plan shall be derived from premiums of individuals enrolled under the Plan. Makes the Plan eligible to accept subsides to the same extent as other health benefit plans offered through an Exchange. Prohibits significant changes to the Plan without public notice. Conditions a health care provider's continued participation in the Medicare program on participation in the American Trust Health Plan. Sets payment for health care providers under the Plan at 105% of the payment rates under Medicare. Requires the Administrator of the Plan to set the benefit level and the premiums.
United States · United States Senate · 1 June 2009
United States · United States Congress · 21 May 2009
Veterans to Paramedics Transition Act - Amends the Public Health Service Act to authorize entities receiving rural emergency medical service training and equipment grants to use grant funds to provide required coursework and training to enable military veterans to satisfy emergency medical services personnel certification requirements, as determined by the appropriate state regulatory entity.
United States · United States Congress · 21 May 2009
Annual and Lifetime Health Care Limit Elimination Act of 2009 - Amends the Employee Retirement Income Security Act of 1974 (ERISA) and the Public Health Service Act to prohibit a group health plan from imposing an aggregate dollar annual or lifetime limit with respect to benefits payable under the plan. Applies such prohibition to individual health insurance coverage.
United States · United States Congress · 21 May 2009
Public Health Workforce Development Act of 2009 - Amends the Public Health Service Act to require the Secretary of Health and Human Services (HHS) to establish the Public Health Workforce Scholarship Program to assure an adequate supply of public health professionals to eliminate critical public health workforce shortages in federal, state, local, and tribal public health agencies and centers by offering four-year scholarships in return for employment at such agencies and centers. Requires the Secretary to establish the Public Health Workforce Loan Repayment Program to provide for the repayment of loans incurred by individuals in the pursuit of the relevant public health workforce educational degree or certificate in exchange for working at public health agencies or centers for at least three years. Requires the Secretary to award grants to public health agencies that receive public health preparedness cooperative agreements from HHS to operate state, local, and tribal public health workforce loan repayment programs. Authorizes the Secretary to make grants to, or enter into contracts with, any eligible entity to award scholarships to eligible individuals to enroll in degree or professional training programs for the purpose of enabling mid-career professionals in the public health workforce to receive additional training in the field of public health. Requires the Director of the Office of Personnel Management (OPM), in cooperation with the Secretary, to ensure that included in the OPM website there is an online catalogue, or a link to an online catalogue, of public health workforce employment opportunities in the federal government.
United States · United States Congress · 21 May 2009
Independence at Home Act of 2009 - Amends title XVIII (Medicare) of the Social Security Act to authorize voluntary Independence at Home chronic care coordination pilot programs for high-cost Medicare beneficiaries with multiple chronic conditions under the traditional Medicare fee-for-service program.
United States · United States Congress · 21 May 2009
Empowering Medicare Patient Choices Act - Requires the Secretary of Health and Human Services to: (1) have a contract with an entity to establish standards to certify patient decision aides and to conduct its business in an open and transparent manner and provide the opportunity for public comment on its activities; and (2) establish an expert panel to make recommendations to the Secretary regarding which patient decision aids should be implemented, appropriate training for health care providers on patient decision aids and shared decision making, and appropriate quality measures for use in the pilot program established below. Amends title XVIII of the Social Security Act (Medicare) to require the Secretary's contract with a consensus-based entity to ensure that priority is given in making recommendations to measures that address certain medical conditions and regional practice variations under Medicare. Directs the Secretary to establish a pilot program to provide for the phased-in development, implementation, and evaluation of shared decision making under the Medicare program using patient decision aids to meet the objective of improving the understanding by Medicare beneficiaries of their medical treatment options, as compared to comparable Medicare beneficiaries who do not participate in a shared decision making process using patient decision aids. Directs the Secretary to provide financial assistance for the establishment and support of Shared Decision Making Resource Centers to provide technical assistance to eligible providers and to develop and disseminate best practices and other information to support adoption, implementation, and effective use of patient decision aids and shared decision making by eligible providers under the Medicare program. Specifies the medical conditions for the patient decision aids approved under this Act. Directs that any savings resulting from implementation of the pilot project be: (1) used to provide bonus payments to eligible providers participating in the pilot program who achieve high quality shared decision making; (2) placed in a Shared Decision Making Trust Fund; and (3) retained by the Medicare program. Amends SSA title XVIII to require the Secretary to promulgate regulations that: (1) specify for which preference-sensitive conditions beneficiaries should participate in shared decision making; (2) require providers of services and suppliers to make sure that beneficiaries receive patient decision aids as appropriate; and (3) specify a process for beneficiaries to elect not to use such patient decision aids. Prescribes a penalty for not using shared decision making.
United States · United States Congress · 21 May 2009
Craig Thomas Rural Hospital and Provider Equity Act of 2009 - Amends title XVIII (Medicare) of the Social Security Act with respect to: (1) the Medicare disproportionate share hospital (DSH) adjustment for rural hospitals; (2) revision of the temporary increase in payments to certain rural hospitals (Medicare hold harmless provision); (3) the definition of low-volume hospital for purposes of the Medicare inpatient hospital payment adjustment (MIHPA); (4) Medicare wage index reclassifications for certain hospitals; (5) Medicare reasonable costs payments for certain clinical diagnostic laboratory tests furnished to hospitals in certain rural areas; (6) critical access hospitals; (7) the capital infrastructure revolving loan program; (8) the Medicare incentive payment program for physician scarcity areas; (9) the 1.00 floor on Medicare work geographic adjustment to payments for physician services; (10) permission for physician assistants to order post-hospital extended care services or hospice care; (11) Medicare home health care planning; (12) rural health clinics; (13) community health center collaborative access; (14) the temporary Medicare payment increase for home health services furnished in a rural area; (15) increased Medicare payments for rural ground ambulance services; and (16) coverage of marriage and family therapist services and mental health counselor services under Medicare part B (Supplementary Medical Insurance). Amends the Medicare, Medicaid, and SCHIP Benefits Improvement and Protection Act of 2000 to provide for the extension of treatment of certain physician pathology services under Medicare. Directs the Secretary of Health and Human Services to: (1) conduct pilot projects to provide incentives to home health agencies to utilize remote home monitoring and communications technologies; and (2) facilitate the provision of telehealth services across state lines. Amends title XVIII (Medicare) of the Social Security Act to extend Medicare part A (Hospital Insurance) coverage and payment, on a reasonable cost basis, to anesthesia services furnished by a physician anesthesiologist in certain rural hospitals in the same manner as payment is made for anesthesia services furnished by a certified registered nurse anesthetists in such hospitals. Establishes the floor at 1.00 on: (1) the practice expense geographic index for services furnished during a specified period in certain rural areas under the Medicare physician fee schedule; and (2) the Medicare hospital area wage index for certain hospitals for discharges during the same period. Revises the standard for designation of sole community hospitals.
United States · United States Congress · 21 May 2009
Medicare Rural Home Health Preservation Act of 2009 - Amends the Medicare Prescription Drug, Improvement, and Modernization Act of 2003, as amended by the Deficit Reduction Act of 2005, to require for episodes and visits ending on or after January 1, 2010, and before January 1, 2015, a 5% increase in the rate of payment under title XVIII (Medicare) of the Social Security Act for home health services furnished in a rural area.
United States · United States Congress · 21 May 2009
SMA Treatment Acceleration Act of 2009 - Amends the Public Health Service Act to require the Director of the National Institutes of Health (NIH) to establish a national clinical trials network for spinal muscular atrophy by upgrading and unifying spinal muscular atrophy clinical trial sites and recruiting new investigators and sites. Requires the Director to ensure that such network: (1) conducts coordinated, multisite, clinical trials of therapies and clinical approaches to the treatment of spinal muscular atrophy; and (2) rapidly and efficiently disseminates scientific findings to the field. Requires the Director to: (1) establish a data coordinating center with respect to spinal muscular atrophy; and (2) expand and intensify NIH programs with respect to preclinical translation research related to spinal muscular atrophy. Requires the Secretary of Health and Human Services, acting through the Director of the Centers for Disease Control and Prevention (CDC), to enhance and support a spinal muscular atrophy patient registry to provide for expanded epidemiological research towards improving awareness, management, treatment, and prevention of spinal muscular atrophy. Requires the Secretary to ensure the collection and analysis of longitudinal data related to individuals of all ages. Directs the Secretary to establish the Interagency Spinal Muscular Atrophy Research Coordinating Committee. Sets forth the duties of the Committee, including to develop a comprehensive strategy related to spinal muscular atrophy research and other related neurological diseases and disorders. Requires the Secretary to establish a program to provide information and education on spinal muscular atrophy to health professionals and the general public.
United States · United States Congress · 21 May 2009
Mental Illness Chronic Care Improvement Act of 2009 - Directs the Secretary of Health and Human Services to enter into chronic care improvement program operator agreements with applicant states to provide for the development, testing, evaluation, and implementation of severe mental illness chronic care improvement demonstration programs.
United States · United States Congress · 21 May 2009
Small Business Paperwork Relief Act of 2009 - Amends the Paperwork Reduction Act to direct agency heads not to impose civil fines for first-time paperwork violations by small business concerns unless there is potential for serious harm to the public interest, the detection of criminal activity would be impaired, the violation is not corrected within six months, the violation is a violation of internal revenue law or a law concerning the assessment or collection of any tax, debt, revenue, or receipt, or the violation presents a danger to the public health or safety. Permits an agency to determine that a fine should not be imposed for a violation that presents a danger to public health or safety if the violation is corrected within 24 hours after receipt by the small business owner of notification of the violation. Makes this Act inapplicable to any violation by a small business of a requirement regarding the collection of information by an agency if the small business previously violated any requirement concerning the collection of information by that agency.
United States · United States Congress · 21 May 2009
Advance Planning and Compassionate Care Act of 2009 - Directs the Secretary of Health and Human Services, acting through the Director of the Centers for Disease Control and Prevention (CDC), to establish and operate directly, or by grant, contract, or interagency agreement, a 24-hour toll free telephone hotline to provide consumer information regarding advance care planning. Directs the Secretary to develop an online clearinghouse to provide comprehensive information regarding: (1) advance care planning; and (2) pediatric advance care planning. Directs the Secretary to develop an online advance care planning toolkit for availability on specified websites. Directs the Secretary, acting through the CDC Director, directly or through grants, contracts, or interagency agreements, to develop a national campaign to inform the public of the importance of advance care planning and of an individual's right to direct and participate in his or her health care decisions. Directs the Secretary to update the online version of the "Planning Ahead" section of the Medicare & You Handbook to include information about advanced care planning and advance directives. Directs the Commissioner of Social Security to update the online version of the Social Security Handbook for beneficiaries to include such information, as well as all paper and online versions subsequently published. Amends the Legal Services Corporation Act to authorize financial and legal assistance for advanced care planning. Directs the Secretary to award grants to states for certain state health insurance assistance programs to provide advance care planning services to Medicare beneficiaries, their personal representatives, and their families. Authorizes Medicaid transformation grants for advance care planning and advanced care planning community training grants. Directs the Secretary to make grants to eligible entities to establish new or expand existing programs for orders regarding life sustaining treatment in states or localities. Directs the Secretary, acting through the Administrator of Centers for Medicare & Medicaid Services and the Director of the Agency for Healthcare Research and Quality, to establish a website for providers under the Medicare, Medicaid, and the Children's Health Insurance Program, the Indian Health Service, and other public health providers on each individual's right to make decisions concerning medical care, including the right to accept or refuse medical or surgical treatment, and the existence of advance directives. Directs the Secretary, acting through the Director of Health Resources and Services Administration, to develop a curriculum for continuing education that states may adopt for physicians and nurses on advanced care planning and end-of-life care. Amends titles XVIII (Medicare), XIX (Medicaid), and XXI (Children's Health Insurance) (CHIP, formerly known as SCHIP) of the Social Security Act with respect to the portability of advance directives. Amends the Public Health Service Act to direct the Secretary, acting through the CDC Director, to award competitive grants to eligible entities to establish and operate state advance directive registries. Requires various specified studies and reports to Congress by the Comptroller General and by the Secretary. Amends the Public Health Service Act to direct the Secretary to establish within the National Health Service Corps a National Geriatric and Palliative Care Services Corps. Exempts palliative medicine fellowship training from Medicare graduate medical education caps. Directs the Secretary to establish guidelines for the imposition by medical schools of a minimum amount of end-of-life training as a requirement for obtaining a Doctor of Medicine degree in the field of allopathic or osteopathic medicine. Authorizes coverage of advance care planning under Medicare, Medicaid, and CHIP. Revises Medicare requirements for hospice payments and related matters. Makes hospice care a required Medicaid and CHIP benefit. Directs the Secretary, acting through the Administrator of the Agency for Healthcare Research and Quality, to designate an entity to develop requirements, standards, and procedures for accreditation of hospital-based palliative care programs. Amends the Public Health Service Act to establish, within the National Institutes of Health, a National Center on Palliative and End-of-Life Care. Directs the Secretary to establish a demonstration program for the use of telemedicine services in advance care planning.
United States · United States Congress · 21 May 2009
Medicaid Emergency Psychiatric Care Demonstration Project Act of 2009 - Directs the Secretary of Health and Human Services to establish a demonstration project under which a state shall reimburse, under title XIX (Medicaid) of the Social Security Act, a privately owned and operated institution for mental diseases for medical assistance to an eligible individual between ages 21 and 65 who requires it to stabilize an emergency medical condition.