Healthcare

WMD Prevention and Preparedness Act of 2014

United States · United States Congress · 11 February 2014

WMD Prevention and Preparedness Act of 2014 - Title I: A National Biodefense Enterprise - Requires the President to assign a member of the National Security Council as Special Assistant to the President for Biodefense to: (1) serve as the President's principal advisor regarding coordination of federal biodefense policy; (2) identify inefficiencies in existing biodefense activities and the actions necessary to overcome them; (3) lead the development of a coordinated National Biodefense Plan, a coordinated National Biosurveillance Strategy, and a coordinated national research and development strategy and implementation plan for microbial forensics; (4) oversee, in coordination with the Director of the Office of Management and Budget (OMB), the development of a comprehensive cross-cutting biodefense budget analysis to inform prioritization of resources and ensure that biodefense challenges are adequately addressed; and (5) conduct ongoing oversight and evaluation of implementation of federal biodefense activities by relevant government agencies. Directs the Special Assistant to submit to the President and update as necessary a National Biodefense Plan that: defines the scope and purpose of a national biodefense capability; identifies biological risks to the nation and activities and tasks to be performed to address them; defines organizational roles, responsibilities, and coordination of federal, state, local, and tribal authorities with respect to such activities and tasks; defines research and development needs for improving the capacity for threat awareness and prevention, protection, response, and recovery; identifies biodefense assets, interdependencies, and capability gaps; provides goals and performance measures; identifies resource and investment needs; integrates and supports the strategies outlined in Presidential Policy Directives 2 and 8 and Homeland Security Presidential Directives 5, 9, 10, 18, and 21, the National Biosurveillance Strategy, and the National Medical Countermeasure Dispensing Strategy; is consistent with the National Response Framework; incorporates input from federal, state, local, and tribal stakeholders; and provides planning guidance to biosecurity and biodefense stakeholders. Directs the Special Assistant to publish and update every four years a National Biosurveillance Strategy that: identifies the purpose and scope of a nationally integrated biosurveillance capability; establishes objectives and performance measures to guide the development of such capability; defines and prioritizes costs, benefits, and resource and investment needs, with particular attention to leveraging existing resources; delineates federal, state, local, tribal, and private roles and responsibilities; and describes how the Strategy is integrated with related national strategies. Requires the Special Assistant to publish an implementation plan for such Strategy that includes a plan for: (1) advancing situational awareness of biological threats; (2) fostering information sharing among national biosecurity and biodefense stakeholders to identify potential threats, reduce vulnerabilities, and improve collective response to and investigations of suspected biological attacks; and (3) enhancing the capability of the federal government to rapidly identify, characterize, localize, and track a biological event of national concern by integrating and analyzing data relating to human health, animal, plant, food, and environmental monitoring systems. Requires the Special Assistant concurrent with the submission of the President's annual budget to Congress, a comprehensive cross-cutting biodefense budget analysis that delineates and integrates the biodefense expenditure requests for the Departments of Agriculture (USDA), Commerce, Defense (DOD), Energy (DOE), Health and Human Services (HHS), Homeland Security (DHS), Justice, State, and Veterans Affairs (VA), the Environmental Protection Agency (EPA), and the National Science Foundation (NSF). Title II: Intelligence Matters - Requires the Director of National Intelligence (DNI) to develop and implement: (1) a National Intelligence Strategy for Countering the Threat from Weapons of Mass Destruction that is designed to improve U.S. capabilities to collect, analyze, and disseminate intelligence related to weapons of mass destruction (WMD); and (2) a plan to implement such Strategy. Requires such Strategy to: (1) identify and address core capabilities needed for successful intelligence collection on WMD; (2) include methods for the recruitment, training, and retention of a workforce with expertise in the collection, analysis, and dissemination of intelligence related to all types of WMD and science and technology related to WMD, as well as expertise in science and technology relating to risks posed by WMD; and (3) include methods for information sharing and collaboration with non-federal national biosecurity and biodefense stakeholders. Requires the implementation plan to include: (1) actions necessary to increase the effectiveness and efficiency of the sharing of intelligence on WMD throughout the Intelligence Community and with other federal partners; (2) methods to disseminate intelligence products to national biosecurity and biodefense stakeholders in classified and unclassified formats to increase the effectiveness and efficiency of information sharing; and (3) actions necessary to provide open-source intelligence relating to WMD to appropriate governmental authorities and private entities. Requires the DNI to develop and implement: (1) a National Intelligence Strategy for Countering Biological Threats that is integrated into the National Intelligence Strategy for Countering the Threat from Weapons of Mass Destruction, and (2) a plan for implementing such Strategy. Requires such Strategy to: identify and address target capabilities needed for successful intelligence collection on biological threats; include a plan for establishing in the Intelligence Community a cadre of collectors and analysts that are familiar with biological threats, biological science, and biotechnology; include a plan for defining the functions, capabilities, and gaps in that Community's workforce with respect to assessing the biological threat; include methods for collaboration with non-Intelligence Community technical experts within and outside of the federal government, in particular with state and local biodefense stakeholders; include a plan for defining, integrating, focusing, and enhancing existing capabilities in the Intelligence Community dedicated to current and strategic biological threats; and include a plan for ensuring the prioritization and sustained commitment of intelligence personnel and resources to address biological threats. Requires the implementation plan to: (1) include actions necessary to increase the effectiveness and efficiency of the sharing of intelligence through the Intelligence Community on biological weapons and organisms that could be used for biological terrorism; (2) address strategic and tactical human intelligence, measurement and signature intelligence, technical intelligence, medical intelligence, and open-source intelligence activities necessary to implement the Strategy; and (3) include a schedule for regularly evaluating the efforts of the Intelligence Community and progress on understanding and countering biological threats. Title III: Homeland Security Matters - Amends the HSA to require DHS's Office of Intelligence and Analysis to: conduct intelligence and information sharing activities consistent with the National Intelligence Strategy for Countering the Threat from Weapons of Mass Destruction under this Act and the National Intelligence Strategy for Countering Biological Threats; support homeland security-focused intelligence analysis of terrorist actors, their claims, and their plans to conduct attacks against the nation involving chemical, biological, radiological, and nuclear materials; support homeland security-focused intelligence analysis of global infectious disease, public health, food, agricultural, and veterinary issues; support homeland security-focused risk analysis and risk assessments of such hazards by providing relevant quantitative and non-quantitative threat information; leverage existing and emerging homeland security capabilities and structures, including fusion centers, to enhance prevention, protection, response, and recovery efforts with respect to a terrorist attack; share information and provide tailored analytical support on such threats to state, local, and tribal authorities, as well as other national biosecurity and biodefense stakeholders; and coordinate with other relevant DHS components, others in the Intelligence Community, and federal, state, local, and tribal authorities on optimal information sharing mechanisms. Directs the Secretary to report to specified congressional committees on: (1) the intelligence and information sharing activities described above and of all relevant entities within DHS to counter the threat from WMD, and (2) DHS's activities in accordance with relevant intelligence strategies. Directs the Under Secretary for Science and Technology to produce and periodically update: (1) a terrorism risk assessment of chemical, biological, radiological, and nuclear threats; and (2) an integrated terrorism risk assessment that assesses all of those threats and compares their relative risks. Directs the Secretary to: (1) convene an interagency task force of relevant subject matter experts to assess and provide recommendations on the adequacy of proposed methodology to be used for such assessments; (2) conduct sensitivity analysis on each assessment to identify and prioritize research activities to close knowledge gaps; (3) consider the evolving threat from an intelligent adversary; (4) share the risk assessments with federal, state, local, and tribal officials with appropriate security clearances and a need for the information in the classified version; and (5) make available an unclassified version for government officials involved in prevention and preparedness for chemical, biological, radiological, and nuclear events. Requires the Export Enforcement Coordination Center to be maintained in DHS, with capability for coordinating the export enforcement activities. Directs the Center to: (1) enhance federal coordination for law enforcement counter proliferation investigations; (2) address licensing inquiries, reviews, requests, checks, and verifications; and (3) conduct outreach and provide training to the export trade community. Directs the Administrator of the Federal Emergency Management Agency (FEMA) to: (1) develop a communications plan designed to provide information to the public related to preventing, preparing for, responding to, and recovering from chemical, biological, radiological, and nuclear attacks; and (2) develop and disseminate, through an alerts and warnings system, pre-scripted messages and message templates for state, local, and tribal authorities to quickly disseminate critical information to the public in anticipation of, during, or in the immediate aftermath of such an attack, to be included in DHS's lessons learned information sharing system. Directs the Secretary to: (1) ensure that homeland security information concerning terrorist threats is provided to state, local, and tribal authorities and the public; and (2) establish a process to optimize opportunities for qualified heads of state, local, and tribal government entities to obtain security clearances so that they may receive classified threat information. Directs the Secretary to prepare unclassified threat bulletins that include guidance to the public for preventing and responding to acts of terrorism arising from chemical, biological, radiological, and nuclear threats, which shall be made available on the Internet website of DHS and other publicly accessible Internet websites, communication systems, and information networks. Directs the Secretary, using information provided by the terrorism risk assessments and material threat assessments and determinations under the Project BioShield Act of 2004, to: (1) provide to state, local, and trial authorities written guidance on communicating terrorism-related threats and risks to the public; and (2) articulate the governmental rationale for identifying particular communities as being at heightened risk of exploitation. Directs the FEMA Administrator, to assist government authorities in improving and promoting individual and community preparedness and collective response to terrorist attacks by: (1) developing and disseminating guidance and checklists of recommended actions for individual and community prevention and preparedness efforts, (2) providing information and training materials in support of individual and community preparedness efforts, and (3) conducting individual and community preparedness outreach efforts. Directs the Secretary to carry out a program to detect a biological attack or event that poses a high risk to homeland security, including by: deploying detection capabilities to high risk areas to indicate the presence of biological agents; considering multiple deployment strategies, including surge capability; providing information to participating laboratories and programs for use in monitoring public health, and biological material or other data from those detectors to participating laboratories and programs for testing and evaluation; regularly communicating with, and providing information about the presence of biological agents to, federal, state, and local agencies responsible for public health, law enforcement, and emergency services in a manner that ensures transparency; providing advanced planning tools, concepts of operations, standard operating procedures, and training exercises for collective response to and recovery from biological attacks; and providing technical assistance to jurisdictions hosting the program to improve their ability to respond to a detected pathogen. Directs the Secretary: (1) to require the Under Secretary for Science and Technology to assess whether the development of technological screening capabilities for biological agents, pandemic influenza, and other infectious diseases should be undertaken by the Directorate of Science and Technology to support entry and exit screening at ports of entry and for other homeland security purposes; and (2) if the Under Secretary's determination is affirmative, to initiate development of safe and effective methods to rapidly screen incoming persons at ports of entry. Authorizes the Secretary, in coordination with the Director of the National Institute of Standards and Technology (NIST), to carry out a program to: (1) establish near-term minimum performance metrics to support public safety actionable activities to evaluate the effectiveness of detection technology for high-priority biological agents and toxins and high-priority chemical agents; (2) establish a process for voluntary testing and evaluation of technology by an accredited laboratory to demonstrate conformance to consensus standards, or performance metrics if standards do not exist, for the effective detection of high-priority biological agents and toxins and high-priority chemical agents; and (3) make available to federal agencies, state, territorial, local, and tribal entities, and the private sector, with permission from the detection technology manufacturer, the results of detection system testing and evaluation. Requires the Director of the Domestic Nuclear Detection Office to: (1) establish and maintain a multilayered system of detection technologies, programs, and guidelines designed to enhance the nation's ability to detect and prevent a radiological or nuclear attack in high-risk U.S. cities; and (2) develop a surge capability for radiological and nuclear detection systems that can be deployed within the United States rapidly in response to actionable intelligence or warnings. Requires such programs to be integrated into the Global Nuclear Detection Architecture and inform architecture studies, technology gaps, and research activities of the Office. Directs the Secretary to: (1) develop for police, fire, emergency medical services, emergency management, and medical and public health personnel voluntary guidance for responding to a release of chemical, biological, radiological, and nuclear material; (2) make such guidance available to state, local, and tribal authorities, including primary and secondary schools and other educational institutions, nongovernmental organizations, the private sector, and the public; and (3) review the experiences of other countries and the expertise of academic institutions and nongovernmental organizations and to consider the unique needs of children and other vulnerable populations. Directs the Secretary to: (1) acquire, use, and disseminate the best available integrated plume models (i.e., assessments of the location and prediction of the spread of agents following a chemical, biological, nuclear, or radiological attack or event that integrate protective action guidance) to enable rapid response activities following such an attack or event; and (2) carry out a program for system assessment and validation of emergency response equipment at DHS, to be known as the SAVER Program. Authorizes federal agencies, in carrying out functions to counter biological terrorism, to enter into contracts with laboratories that comprise the Laboratory Response Network for Biological Terrorism and other federally networked laboratories for the provision of laboratory testing services. Authorizes in DHS a bioforensics analysis center to provide definitive bioforensics analysis in support of the executive agencies with primary responsibilities for preventing, deterring, responding to, attributing, and recovering from biological attacks. Directs the Secretary to conduct a Metropolitan Medical Response System Program that shall assist state and local governments in preparing for and responding to public health and mass casualty incidents resulting from acts of terrorism, natural disasters, and other man-made disasters. Allows a grant under such Program to be used to support the integration of emergency management, health, and medical systems into a coordinated response to mass casualty incidents caused by any hazard. Directs the Under Secretary for Science and Technology to conduct tailored risk assessments to inform prioritization of national recovery activities for chemical, biological, radiological, and nuclear incidents, to be updated as necessary. Directs the Secretary to develop and issue guidance for clean-up and restoration of indoor and outdoor areas, including subways and other mass transportation facilities, that have been exposed to chemical, biological, radiological, or nuclear materials. Directs the Secretary to: (1) develop exercises to facilitate recovery from a chemical, biological, radiological, or nuclear incident and to foster collective response to terrorism; and (2) provide lessons learned reports to designated representatives of state, local, and tribal jurisdictions and private sector entities that participate in National Level Exercises of DHS. Directs the FEMA Administrator, the DHS Chief Medical Officer, and the National Metropolitan Medical Response System Working Group to conduct a review of the Metropolitan Medical Response System Program and report the results of the review to specified congressional committees. Directs the President to establish the Federal Experts Security Advisory Panel to make technical and substantive recommendations on biological agent and toxin security. Requires the Panel to deliver to the Secretaries of Agriculture, HHS, and DHS recommendations concerning: the designation as highest risk of that subset of biological agents and toxins that presents the greatest risk of deliberate misuse with significant potential for mass casualties or devastating effects to the economy; the development of a set of minimum risk-based prescriptive laboratory security performance standards based on the risk at the lowest level, allowing for enhancements as risk increases; the establishment of appropriate standards and practices to improve vetting and monitoring, and ensure reliability, of personnel with access to highest risk biological agents and toxins at facilities registered under the Public Health Service Act (PHSA); the establishment of appropriate practices for physical security and cyber security for facilities that possess highest risk biological agents or toxins; standards for training of laboratory personnel in security measures; other emerging policy issues relevant to the security of biological agents and toxins; and adequacy of information sharing protocols with biodefense and biosecurity stakeholders. Directs the Secretaries, after the date of receipt of such recommendations, to promulgate rules under the PHSA establishing security standards and procedures that are specific to highest risk biological agents and toxins. Requires the heads of specified government entities to: (1) develop and implement a plan for the coordination of biological agents and toxins security oversight for facilities in which the entity supports biological agent or toxin laboratory activities, that articulates a mechanism for coordinated inspections of and harmonized administrative practices for facilities registered under the PHSA and that ensures consistent and timely identification and resolution of biological agents and toxins security and compliance issues; and (2) coordinate or consolidate laboratory inspections and ensure that such inspections are conducted using a common set of inspection procedures across such entities to minimize the administrative burden on laboratories. Directs the Secretaries of HHS and Agriculture to: (1) develop a process for sharing information pertaining to biological agents and toxins with agencies that support biological agent or toxin laboratory activities; and (2) share relevant information pertaining to biological agents and toxins with each other and with appropriate state, local, and tribal government authorities. Expresses the sense of Congress that the field of synthetic biology has the potential to facilitate enormous gains in fundamental discovery, public health, and biotechnological applications, but it also presents inherent dual-use homeland security risks that must be managed. Directs the Under Secretary for Science and Technology: (1) every two years, to undertake a risk assessment of the dual-use and other risks associated with synthetic biology; and (2) to develop and provide to all agencies that fund life sciences research, guidance on compliance with U.S. laws, arms control agreement, and agency policies for research, development, or acquisition projects in the life sciences. Authorizes the Under Secretary to conduct research into the risks and ways to mitigate such risks of synthetic biology, including: (1) determining the current capability of synthetic nucleic acid providers to effectively differentiate a legitimate customer from a potential terrorist or other malicious actor, and to effectively screen orders for sequences of homeland security concern; and (2) making recommendations regarding screening, software, protocols, and other remaining capability gaps uncovered by such assessment. Amends HSA to require the dissemination of information analyzed by DHS to state, local, tribal, and private entities with responsibilities relating to homeland security to assist in preventing, deterring, or responding to acts of terrorism. Title IV: Public Health Matters - Expresses the sense of Congress that: (1) coordination among federal agencies involved in activities relating to researching, developing, and acquiring medical countermeasures still needs improvement; and (2) aggressive action should be taken by HHS, DHS, and the DOD to foster greater coordination with respect to such activities. Amends the PHSA to direct the Secretary of HHS, in coordination with the Secretaries of DHS and Agriculture, and other appropriate federal agencies, to develop, implement, and periodically update a National Medical Countermeasure Dispensing Strategy to enhance preparedness and collective response to a terrorist attack on humans or animals with any chemical, biological, radiological, or nuclear material, that delineates federal, state, and local responsibilities. Directs the HHS Secretary, in coordination with the Secretaries of DHS and Agriculture, to: (1) review the adequacy of domestic vaccination and antimicrobial dispensing policy, guidance, and information provided to the public in light of any known terrorist risk of a biological attack or other phenomena that may have serious health consequences for the United States, including wide-scale fatalities or infectious disease outbreaks including those associated with the avian flu; and (2) report to specified congressional committees on the review and any recommendations relating to the availability of domestic vaccine and antimicrobials for disbursing to the public and voluntary immunization by first responders. Directs the HHS Secretary to: (1) make available to state, local, and tribal first responders surplus vaccines and antimicrobials, and vaccines and antimicrobials with short shelf lives from the strategic national stockpile of drugs, vaccines and other biological products, medical devices, and other supplies; (2) establish any necessary logistical and tracking systems to facilitate making such vaccines and antimicrobials available; and (3) distribute disclosures regarding associated risks to end users. Amends the PHSA to require the HHS Secretary, on an ongoing basis, to: (1) establish criteria for the issuance of a material threat determination, and (2) review and reassess determinations of whether agents continue to present a material threat against the U.S. population sufficient to affect national security and homeland security. Amends the PHSA to direct the Attorney General, in identifying whether an individual is within a category of individuals reasonably suspected by any federal law enforcement or intelligence agency of knowing involvement with an organization that engages in domestic or international terrorism or with any other organization that engages in intentional crimes of violence, to consult with the Secretaries of DHS, Defense, and State. Title V: Foreign Relations Matters - Directs the Secretary of State to: (1) support efforts of other countries to effectively implement legislation criminalizing the development or use of biological weapons or acts of bioterrorism; (2) engage other countries and international nongovernmental entities to establish common standards for actions relevant to preventing acts of bioterrorism and the illicit use of life sciences; (3) support the efforts of other countries to enhance biosecurity and safety practices at laboratories and other facilities with materials that could be used in biological weapons or in an act of bioterrorism; (4) promote the development and adoption of international guidance for the safety and security of high-risk pathogens and toxins; and (5) promote information sharing relating to threats and best practices between the intelligence community, federal law enforcement, and international law enforcement and security officials. Directs the Secretary of State to: (1) support efforts in other countries and regions to develop mechanisms and capabilities for reporting to U.N. organizations validated data on biological attacks or other phenomena that may have serious health consequences for the United States; (2) engage other federal and nongovernmental entities and other countries to advance awareness and understanding of the risk posed by information derived from the life sciences that has the potential for misuse to cause harm; (3) advance recommendations on how best to address such risk; (4) engage such entities and countries to promote greater awareness and understanding of the global availability of and access to life science technologies and materials; and (5) promote the development and use of mechanisms for reporting, preserving, and sharing data on federal programs and investments in international scientific, agricultural, medical, and public health collaborations in support of efforts to enhance global biosecurity. Directs the Secretary of State to convene and lead an interagency task force to examine: (1) the state of global biopreparedness for a major biological event, (2) necessary components of a global biopreparedness architecture that would advance international health security, (3) best practices for preparedness based on lessons learned from domestic efforts to address such issues and that may be applicable internationally, (4) activities undertaken through the National Intelligence Strategy for Countering Biological Threats and the International Health Regulations 2005, and (5) the utility of working through existing international forums as a mechanism for distributing this information to the international community. Directs the Secretary of State to: (1) promote confidence in effective implementation of and compliance with the Convention on the Prohibition of the Development, Production, and Stockpiling of Bacteriological (Biological) and Toxin Weapons and on their Destruction by promoting transparency with respect to legitimate activities and pursuing compliance diplomatically to address concerns; (2) promote universal membership in the Convention; (3) develop an action plan for increasing international adherence to the Convention; and (4) ensure that U.S. participation in Convention meetings is broadly inclusive of representatives of relevant federal departments and agencies.

California Emergency Drought Relief Act of 2014

United States · United States Congress · 11 February 2014

California Emergency Drought Relief Act of 2014 - Requires the Administrator of the Environmental Protection Agency (EPA), the Secretary of Commerce, and the Secretary of the Interior (Secretaries), in response to the declaration of a state of drought emergency in California, to provide the maximum quantity of water supplies possible to Central Valley Project (CVP) and Klamath Project agricultural, municipal and industrial, and refuge service and repayment contractors, State Water Project contractors, and any other locality or municipality in California by approving, consistent with applicable laws: (1) any project or operations to provide additional water supplies if there is any possible way the Secretaries can do so, unless the project or operations constitute a highly inefficient way of providing additional water supplies; and (2) any projects or operations as quickly as possible based on available information to address the emergency conditions. Sets forth actions to be taken to increase water supply, including: (1) ensuring that the Delta Cross Channel Gates remain open to the greatest extent possible, (2) requiring the Director of the National Marine Fisheries Service to recommend revisions to operations of the CVP and the California State Water Project, (3) adopt a 1:1 inflow to export ratio for the increased flow of the San Joaquin River, (4) require the Director and the Commissioner of the Bureau of Reclamation to complete all requirements under the National Environmental Policy Act of 1969 (NEPA) and the Endangered Species Act of 1973 necessary to make final permit decisions on water transfer requests, and (5) make WaterSMART grant funding administered by the Bureau of Reclamation available for eligible projects on a priority and expedited basis. Authorizes financial assistance under the Reclamation States Emergency Drought Relief Act of 1991 for projects to increase water supply. Requires federal agency heads to consult with the Council on Environmental Quality to develop alternative arrangements to comply with NEPA. Directs the EPA to prioritize projects under state water pollution control revolving funds to provide water to areas at risk of having an inadequate supply of water for public health and safety purposes. Requires the Commissioner of Reclamation to provide water supply planning assistance in preparation for and in response to dry, critically dry, and below normal water year types, upon request, to CVP or Klamath Project contractors or other reclamation project contractors in California, including contractors who possess contracts for refuge water supplies or who deliver refuge water supplies. Reauthorizes: (1) the Calfed Bay-Delta Act, (2) the Reclamation States Emergency Drought Relief Act of 1991, and (3) the Secure Water Act. Amends the Klamath Basin Water Supply Enhancement Act of 2000 to authorize the Secretary of the Interior to take actions to reduce water consumption or demand or to restore ecosystems in the Klamath Basin watershed, including tribal fishery resources held in trust. Directs the Secretary of the Treasury to transfer to the Secretary of Agriculture emergency supplemental appropriations to provide: (1) drought assistance to agricultural producers and for mitigation activities related to drought and wildfire hazards, (2) emergency community water assistance grants to address impacts of drought, and (3) grants to assist low-income migrant and seasonal farm workers affected by drought and for forest restoration. Amends the Robert T. Stafford Disaster Relief and Emergency Assistance Act to expand federal emergency assistance to provide for disaster unemployment, emergency nutrition, and crisis counseling assistance. Designates this Act as an emergency requirement for budgetary purposes.

Access to Hearing Healthcare Act of 2014

United States · United States Congress · 11 February 2014

Access to Hearing Healthcare Act of 2014 - Amends title XVIII (Medicare) of the Social Security Act to revise the definition of Medicare-covered audiology (hearing and balance assessment) services provided by a qualified and legally authorized audiologist to state that such services are covered without regard to any requirement that: (1) the individual receiving them be under the care of (or referred by) a physician or other health care practitioner, or (2) such services are provided under the supervision of a physician or other health practitioner. Includes audiology services as medical services, as so redefined, under Medicare part B (Supplementary Medical Insurance).

Granting the consent of Congress to the Health Care Compact.

United States · United States Congress · 11 February 2014

Grants congressional consent to the Health Care Compact.

Rural Veterans Improvement Act of 2014

United States · United States Congress · 10 February 2014

Rural Veterans Improvement Act of 2014 - Directs the Secretary of Veterans Affairs to provide mental health care to veterans who have a mental health issue resulting from a health condition incurred or aggravated in the line of duty and who live in a rural area or highly rural area through shared health facilities or by contracting with or providing payments to mental health care providers that are not otherwise affiliated with the Department of Veterans Affairs (VA) if the Secretary makes specified determinations related to the lack of accessibility to or availability of recommended or requested care from the VA. Requires the Secretary to report on the effectiveness of complementary and alternative medicine used by the VA in treating veterans with mental health conditions resulting from a health condition that was incurred or aggravated in the line of duty. Authorizes the Secretary to: (1) award grants of up to $100,000 to state veterans agencies, veterans service organizations, and/or tribal organizations to provide transportation to and from medical centers to veterans in rural and highly rural areas who would otherwise be eligible for reimbursement for or payment of travel expenses by the VA; and (2) carry out a pilot program to assess the feasibility and advisability of providing a housing allowance to health care providers of the VA who accept assignment at rural or highly rural community-based outpatient clinics. Directs the Secretary to establish a program to train health care professionals for assignment at community-based outpatient clinics that predominantly serve veterans who live in rural and highly rural areas. Requires the VA Secretary and the Secretary of Defense (DOD) to jointly establish a program to encourage an individual who serves in the Armed Forces with a military occupational specialty relating to the provision of health care to seek employment with the Veterans Health Administration when the individual is discharged or released from service or is contemplating separating from such service. Directs the Secretary to: (1) conduct a periodic assessment of community-based outpatient clinics in rural and highly rural areas to determine whether expansion and improvement of such clinics is feasible or advisable, and (2) report on the feasibility and advisability of establishing a Polytrauma Rehabilitation Center or Polytrauma Network Site in each area in which the nearest such center or site is more than 300 miles away.

PROTECT Act of 2014

United States · United States Congress · 10 February 2014

Preventing Regulatory Overreach To Enhance Care Technology Act of 2014 or the PROTECT Act of 2014 - Expresses the sense of Congress concerning: interagency coordination to foster health information technology and mobile health innovation, development of legislation to establish a risk-based regulatory framework for clinical software and health software, oversight by the National Institute of Standards and Technology (NIST) of technical standards used by clinical software, and work by NIST on next steps regarding health information technology, such as collaborating with nongovernmental entities to develop certification processes and to promote best practice standards. Excepts clinical software and health software from regulation under the Federal Food, Drug, and Cosmetic Act and excludes the terms from the meaning of "device." Defines "clinical software" as clinical decision support software or other software intended for human or animal use that: (1) captures, analyzes, changes, or presents patient or population clinical data or information and may recommend courses of clinical action, but does not directly change the structure or any function of the body; and (2) is intended to be marketed for use only by a health care provider in a health care setting. Defines "health software" as software: (1) that captures, analyzes, changes, or presents patient or population clinical data or information; (2) that supports administrative or operational aspects of health care and is not used in the direct delivery of patient care; or (3) whose primary purpose is to act as a platform for a secondary software, to run or act as a mechanism for connectivity, or to store data.

CLEAR Cost Information Act of 2013

United States · United States Congress · 6 February 2014

Consumer Learning through Electronically-Accessible and Reasonable Cost Information Act of 2013 [ sic ] or CLEAR Cost Information Act of 2013 [ sic ] - Amends title XVIII (Medicare) of the Social Security Act (SSA) to require service providers, in order to be qualified to participate and receive Medicare payments under any agreement filed with the Secretary of Health and Human Services (HHS), to report to the Secretary payment data on "subsection (d) hospitals." (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.) Requires a subsection (d) hospital to submit to the Secretary data on the actual amounts it has collected from uninsured and insured patients over the preceding two years for each of the 50 most common diagnosis-related groups and ambulatory payment classification groups for which payment is made in both the inpatient and outpatient settings. Requires each annual report submitted to Congress by the Medicare Payment Advisory Commission (MEDPAC) to contain information on the percentage that charity care makes up of the total care furnished by hospitals and critical access hospitals. Amends the Patient Protection and Affordable Care Act to require the Secretary of the Treasury to post data on trends in the levels of charity care provided by certain hospitals on a publicly accessible and searchable website. Amends SSA title XVIII to require hospitals and critical access hospitals to include a link to such data on their home Internet websites.

A resolution designating February 14, 2014, as National Solidarity Day for Compassionate Patient Care.

United States · United States Congress · 6 February 2014

Designates February 14, 2014, as National Solidarity Day for Compassionate Patient Care. Recognizes the importance of a respectful relationship between health care professionals and their patients in promoting better health outcomes. Encourages all health care professionals to be mindful of the important roles in medicine of humanism and compassion, as well as technical expertise.

SGR Repeal and Medicare Provider Payment Modernization Act of 2014

United States · United States Congress · 6 February 2014

SGR Repeal and Medicare Provider Payment Modernization Act of 2014 - Amends title XVIII (Medicare) of the Social Security Act (SSA) to: (1) end and remove sustainable growth rate (SGR) methodology from the determination of annual conversion factors in the formula for payment for physicians' services, (2) establish an update to the single conversion factor for 2014 through 2018 of 0.5%, (3) freeze the update to the single conversion factor at 0.00% for 2019 through 2023, and (4) establish an update of 1% for health professionals participating in alternative payment models (APMs) and an update of 0.5% for all other health professionals after 2023. Directs the Medicare Payment Advisory Commission (MEDPAC) to report to Congress on the relationship between: (1) physician and other health professional utilization and expenditures (and their rate of increase) of items and services for which Medicare payment is made; and (2) total utilization and expenditures (and their rate of increase) under Medicare parts A (Hospital Insurance), B (Supplementary Medical Insurance), and D (Voluntary Prescription Drug Benefit Program). Directs MEDPAC to report to Congress on: (1) the payment update for professional services applied under Medicare for 2014 through 2018; (2) the effect of such update on the efficiency, economy, and quality of care provided under such program; (3) the effect of such update on ensuring a sufficient number of providers to maintain access to care by Medicare beneficiaries; and (4) recommendations for any future payment updates for professional services under such program to ensure adequate access to care is maintained for Medicare beneficiaries Revises and consolidates components of the three specified existing performance incentive programs into a merit-based incentive payment system (MIPS) the Secretary of Health and Human Services (HHS) is directed to establish, under which MIPS-eligible professionals (excluding most Alternative Payment Model [APM] participants) receive annual payment increases or decreases based on their performance. Applies the MIPS program to payments for items and services furnished on or after January 1, 2018. Requires specified incentive payments to be made to eligible partial qualifying APM participants. Directs the Secretary to make available on the Physician Compare website of the Centers for Medicare & Medicaid Services (CMS) certain information, including information regarding the performance of MIPS-eligible professionals. Requires the Comptroller General (GAO) to evaluate the MIPS program. Requires GAO to submit to Congress a report that: (1) compares the similarities and differences in the use of quality measures under the original Medicare fee-for-service programs, the Medicare Advantage (MA) program under Medicare part C (Medicare+Choice), selected state Medicaid programs, and private payer arrangements; and (2) make recommendations on how to reduce the administrative burden involved in applying such quality measures. Directs GAO to report to Congress on: (1) whether entities that pool financial risk for physician services can play a role in supporting physician practices in assuming financial risk for treatment of patients; and (2) the transition to an APM of professionals in rural areas, health professional shortage areas, or medically underserved areas. Establishes the Payment Model Technical Advisory Committee to make recommendations to the Secretary on physician-focused payment models. Requires the Secretary to study: (1) the application of federal fraud prevention laws related to APMs; (2) the effect of individuals' socioeconomic status on quality and resource use outcome measures for individuals under Medicare; and (3) the impact of risk factors, race, health literacy, limited English proficiency (LEP), and patient activation, on quality and resource use outcome measures under Medicare. Directs the Secretary to: (1) post on the CMS Internet website a draft plan for the development of quality measures to assess professionals, (2) establish new Healthcare Common Procedure Coding System (HCPCS) codes for chronic care management services, and (3) conduct an education and outreach campaign to inform professionals who furnish items and services under Medicare part B and Medicare part B enrollees of the benefits of chronic care management services. Authorizes the Secretary to: (1) collect and use information on the resources directly or indirectly related to physicians' services in the determination of relative values under the Medicare physician fee schedule; and (2) establish or adjust practice expense relative values using cost, charge, or other data from suppliers or service providers. Revises and expands factors for identification of potentially misvalued codes. Sets an annual target for relative value adjustments for misvalued services. Phases-in of significant relative value unit (RVU) reductions. Directs GAO to study the processes used by the Relative Value Scale Update Committee (RUC) to make recommendations to the Secretary regarding relative values for specific services under the Medicare physician fee schedule. Makes Metropolitan Statistical Areas in California fee schedule areas for Medicare payments. Directs the Secretary to: (1) establish a program to promote the use of appropriate use criteria for certain imaging services furnished by ordering professionals and furnishing professionals, and (2) make publicly available on the CMS Physician Compare website specified information with respect to eligible professionals. Expands the kinds and uses of data available to qualified entities for quality improvement activities. Directs the Secretary to provide Medicare data to qualified clinical data registries to facilitate quality improvement or patient safety. Permits continuing automatic extensions of a Medicare physician and practitioner election to opt-out of the Medicare physician payment system into private contracts. Directs the Secretary to: (1) make publicly available through an appropriate publicly accessible website information on the number and characteristics of opt-out physicians and practitioners; and (2) report to Congress recommendations to amend existing fraud and abuse laws, through exceptions, safe harbors, or other narrowly targeted provisions, to permit gainsharing or similar arrangements between physicians and hospitals that improve care while reducing waste and increasing efficiency. Declares it a national objective to achieve widespread exchange of health information through interoperable certified electronic health record (EHR) technology nationwide by December 31, 2017, as a consequence of a significant federal investment in the implementation of health information technology through the Medicare and Medicaid EHR programs. Directs the Secretary to study the feasibility of establishing mechanisms that includes aggregated results of surveys of meaningful EHR users on the functionality of certified EHR products to enable such users to compare directly the functionality and other features of such products. Requires GAO studies on the use of telehealth under federal programs and on remote patient monitoring services.

Quality Foster Care Services Act of 2014

United States · United States Congress · 6 February 2014

Quality Foster Care Services Act of 2014 - Amends title XIX (Medicaid) of the Social Security Act (SSA) to extend medical assistance coverage to therapeutic foster care services. Requires a qualified therapeutic foster care program to be state-licensed and provide: (1) foster care children under 21 with structured daily activities, including the development of age-appropriate social, communication and behavioral skills, trauma-informed and gender-responsive services, crisis intervention and crisis support services, medication monitoring, counseling, and case management; and (2) foster care parents with specialized training and consultation in the management of children with mental illness, trauma, other emotional or behavioral disorders, medically fragile conditions, or developmental disabilities, and specific additional training on the needs of each child provided such services.

Autism Services and Workforce Acceleration Act of 2014

United States · United States Congress · 6 February 2014

Autism Services and Workforce Acceleration Act of 2014 - Amends the Public Health Service Act to require the Administrator of the Health Resources and Services Administration (HRSA) to establish a demonstration project for the implementation of an Autism Care Program to provide grants and other assistance to improve the effectiveness and efficiency in providing comprehensive care to individuals diagnosed with autism spectrum disorders and their families. Sets forth eligibility requirements for the Program. Requires the Secretary of Health and Human Services (HHS) to award grants to carry out the Program and facilitate coordination with local communities to be better prepared and positioned to understand and meet the needs of the communities served by autism care programs. Requires each grantee to establish an autism care program advisory council to advise the autism care program regarding policies, priorities, and services. Directs the Secretary to establish a grant program to provide appropriate services to youth with autism spectrum disorders who are transitioning from secondary education to careers or postsecondary education (transitioning youth) and to adults with autism spectrum disorders, including individuals who are typically underserved, to enable such individuals to be as independent as possible. Requires the Secretary to award: (1) grants for multimedia campaigns to increase public education and awareness and reduce stigma concerning developmental milestones for infants and children and autism spectrum disorders, and (2) multiyear national training initiative supplemental grants to entities for training and technical assistance and to disseminate information to address the unmet needs of individuals with autism spectrum disorders and their families. Provides that nothing in this Act shall be construed to modify the legal rights of parents or legal guardians under federal, state, or local law regarding the care of their children.

Scholarships for Kids Act

United States · United States Congress · 5 February 2014

Scholarships for Kids Act - Amends part A of title I (Improving the Academic Achievement of the Disadvantaged) of the Elementary and Secondary Education Act of 1965 (ESEA) to give states the option of using their part A allocation to carry out a Scholarships for Kids program. Requires participating states to use their part A allocation to provide a grant to the parents of eligible children for use, as allowed by state law, in: supplementing the budget of any public school their eligible child is able to attend without fees; paying for all or a portion of the fees required for their child to attend another public school in the state; paying for all or a portion of the tuition and fees required for their child to attend an accredited or otherwise state-approved private school; or paying for all or a portion of the fees required for their child to participate in a state-approved supplemental educational services program. Defines an "eligible child" as a child residing in the participating state who: (1) is under age 21, (2) is entitled to a free public education through grade 12, and (3) is from a family with an income below the poverty level. Allows participating states to: (1) treat a child as eligible if the child was an "eligible child" during the previous fiscal year and is from a family whose income is not greater than 200% of the poverty level; and (2) use up to 2% of their part A allocation to provide eligible children with transportation to their public school, private school, or supplemental educational services program. Requires participating states and their local educational agencies to continue to: (1) work toward state academic content and achievement standards; (2) conduct annual assessments of student progress toward those standards; and (3) issue annual report cards of student progress, disaggregated by specified student subgroups, toward those standards. Directs the Secretary of Education to conduct a national assessment of the activities carried out under this Act. Reauthorizes appropriations under part A of title I through FY2020. Repeals: the funding reserved for schools identified as needing improvement, corrective action, or restructuring under part A of title I; the programs under parts B (Student Reading Skills Improvement Grants), C (Education of Migratory Children), D (Prevention and Intervention Programs for Children and Youth Who are Neglected, Delinquent, or At-Risk), E (National Assessment of Subchapter I), F (Comprehensive School Reform), G (Advanced Placement Programs), and H (School Dropout Prevention) of title I; titles II (Preparing, Training, and Recruiting High Quality Teachers and Principals), III (Language Instruction for Limited English Proficient and Immigrant Students), IV (21st Century Schools), V (Promoting Informed Parental Choice and Innovative Programs), VI (Flexibility and Accountability), and VII (Indian, Native Hawaiian, and Alaska Native Education) of the ESEA; a program providing supplemental education grants to Micronesia and the Marshall Islands under the Compact of Free Association Amendments Act of 2003; the Carl D. Perkins Career and Technical Education Act of 2006; a program providing grants to states for the education of homeless children and youths under the McKinney-Vento Homeless Assistance Act; the Educational Technical Assistance Act of 2002; part A (Teacher Quality Partnership Grants) of title II of the Higher Education Act of 1965 (HEA); the Talent Search and Upward Bound programs under title IV (Student Assistance) of the HEA; a program providing grants to youth organizations, under the Agricultural Research Extension, and Education Reform Act of 1998, to establish pilot projects to expand the programs they carry out in rural areas and small towns; a grant program, under the National Agricultural Research, Extension, and Teaching Policy Act of 1977, to promote and strengthen agriscience and agribusiness education in secondary and postsecondary schools; a grant program, under the Patient Protection and Affordable Care Act, for the establishment of school-based health centers; a program providing grants, under the National Science Foundation Authorization Act of 2002, to institutions of higher education and nonprofit organizations to improve elementary and secondary mathematics and science instruction; a grant program, under the Public Health Service Act, for the operation of school-based health centers; and programs, under the American Recovery and Reinvestment Act of 2009, that provide grants to states and educational entities that make significant progress in meeting specified elementary and secondary education goals.

Bipartisan Sportsmen's Act of 2014

United States · United States Congress · 4 February 2014

Bipartisan Sportsmen's Act of 2014 - Title I: Regulatory Reforms - Grants the Secretary of the Interior permanent authority to authorize any state to issue electronic duck stamps. Sets forth state electronic duck stamp application requirements. Allows the Secretary to determine the number of new states permitted per year to participate in the electronic duck stamp program. Instructs the Secretary to require electronic stamp revenue and customer information collected by each state to be transmitted in accordance with a written agreement between the Secretary and the state. Amends the Toxic Substances Control Act (TSCA) to exclude from the definition of "chemical substance" for purposes of such Act: (1) any component of any pistol, revolver, firearm, shell, or cartridge the sale of which is subject to federal excise tax, including shot, bullets and other projectiles, propellants, and primers; and (2) any sport fishing equipment the sale of which is subject to federal excise tax and sport fishing equipment components. Amends the Pittman-Robertson Wildlife Restoration Act to: (1) authorize a state to pay up to 90% of the costs of acquiring land for, expanding, or constructing a public target range; (2) authorize a state to elect to allocate 10% of a specified amount apportioned to it from the federal aid to wildlife restoration fund for such costs; (3) limit the federal share of such costs under such Act to 90%; and (4) require amounts provided for such costs under such Act to remain available for expenditure and obligation for five fiscal years. Shields the United States from any civil action or claim for money damages for injury to or loss of property, personal injury, or death caused by an activity occurring at a public target range that is funded by the federal government pursuant to such Act or located on federal land, except to the extent provided under the Federal Tort Claims Act with respect to the exercise or performance of a discretionary function. Urges the Chief of the Forest Service and the Director of BLM to cooperate with state and local authorities and other entities to carry out waste removal and other activities on any federal land used as a public target range to encourage its continued use for target practice or marksmanship training. Amends the Fish and Wildlife Improvement Act of 1978 to exempt an authorized taking of migratory birds and collection of their eggs by indigenous inhabitants of Alaska from the prohibition on taking under the Migratory Bird Hunting and Conservation Stamp Act. Amends the Marine Mammal Protection Act of 1972 to direct the Secretary of the Interior to issue a permit for the importation of any polar bear part (other than an internal organ) from a polar bear taken in a sport hunt in Canada to any person who submits proof that the polar bear was legally harvested before May 15, 2008 (currently by February 18, 1997), when polar bears were listed as a threatened species by the Department of the Interior. Amends the Migratory Bird Treaty Act to permit the taking of any migratory game bird, including waterfowl, coots, and cranes, on or over land that: (1) is not a baited area; and (2) contains a standing crop (including an aquatic crop), standing, flooded, or manipulated natural vegetation, flooded harvested cropland, or an area on which seed or grain has been scattered solely as the result of a normal agricultural practice or is land on which a crop during the current or immediately preceding crop year was not harvestable due to a natural disaster that is declared a major disaster by the President in accordance with the Robert T. Stafford Disaster Relief and Emergency Assistance Act. Requires a federal public land management official, in cooperation with the respective state and fish and wildlife agency, to exercise the authority of the official under law, including regarding land use planning, to facilitate the use of, and access to, federal public land for hunting, recreational fishing, and recreational shooting, except as described in this Act. Requires the heads of federal public land management agencies to exercise their discretion in a manner that supports and facilitates hunting, recreational fishing, and recreational shooting opportunities, to the extent authorized under applicable law. Requires that Bureau of Land Management (BLM) and Forest Service land, excluding land on the Outer Continental Shelf, be open to hunting, recreational fishing, or recreational shooting unless the managing agency acts to close lands to such activity. Permits closures or restrictions on such land for purposes including resource conservation, public safety, energy or mineral production, energy generation or transmission infrastructure, water supply facilities, national security, or compliance with other law. Allows agencies to: (1) lease or permit use of federal public land for recreational shooting ranges, and (2) designate specific land for recreational shooting activities. Excepts from such use or designation land including a component of the National Wilderness Preservation System, land designated as a wilderness study area or administratively classified as wilderness eligible or suitable, and primitive or semiprimitive areas. Requires annual reports on closures of federal public lands to hunting, recreational fishing, or recreational shooting. Sets forth requirements for specified closures or significant restrictions involving 1280 or more contiguous acres of federal public land or water to hunting or recreational fishing or related activities. Instructs federal public land agencies to consult with the advisory councils specified in Executive Orders 12962 (relating to recreational fisheries) and 13443 (relating to the facilitation of hunting heritage and wildlife conservation) in carrying out this Act. Requires the Secretary and the Secretary of Agriculture (USDA), for any film crew of five persons or fewer, to require a permit and assess an annual fee of $200 for commercial filming activities or similar projects on federal land and waterways administered by the Secretary. Makes such a permit valid for such activities or projects that occur in areas designated for public use during public hours on all federal land and waterways administered by the Secretary for a one-year period. Allows an applicable land management agency to deny access to a film crew if: (1) there is a likelihood of resource damage that cannot be mitigated, (2) there would be an unreasonable disruption of the public use and enjoyment of the site, (3) the activity poses public health or safety risks, and (4) the filming includes the use of models or props that are not part of the land's natural or cultural resources or administrative facilities. Title II: Habitat Conservation - Amends the Land and Water Conservation Fund Act of 1965 to direct the Secretary and the Secretary of Agriculture (USDA) to ensure, from amounts requested for the Land and Water Conservation Fund per fiscal year, that not less than the greater of 1.5% of the requested amounts or $10 million be made available for certain projects identified on an annual priority list to be developed pursuant to this Act. Requires projects identified on such a list to secure, through rights-of-way or the acquisition of lands or interests from willing sellers, recreational public access to existing federal public lands that have significantly restricted access to hunting, fishing, and other recreational purposes. Amends the Federal Land Transaction Facilitation Act (FLTFA) to revoke provisions that terminate: (1) the authority provided under such Act, and (2) the Federal Land Disposal Account. Makes the FLTFA inapplicable to land eligible for sale under specified public land laws. Transfers to the Treasury for budget deficit reduction, for each of FY2014-FY2023, $1 million of the amounts deposited in the Federal Land Disposal Account. Amends the North American Wetlands Conservation Act to extend through FY2019 the authorization of appropriations for allocations to carry out approved wetlands conservation projects. Reauthorizes and revises the National Fish and Wildlife Foundation Establishment Act. Requires the Secretary of the Interior to appoint 28 directors (currently, 23) who are knowledgeable and experienced in matters relating to conservation of fish, wildlife, or other natural resources and represent a balance of expertise in ocean, coastal, freshwater, and terrestrial resource conservation. Removes limitations on the appointment of such Foundation's officers and employees. Requires the Foundation's Executive Director to be appointed by and serve at the direction of the Board as the chief executive officer and to be knowledgeable and experienced in matters relating to fish and wildlife conservation. Gives the Foundation the power to receive and administer restitution and community service payments, amounts for mitigation of impacts to natural resources, and other amounts arising from legal, regulatory, or administrative proceedings, subject to the condition that the amounts are received or administered for purposes that further the conservation and management of fish, wildlife, plants, and other natural resources. Repeals provisions authorizing the Foundation to establish a national whale conservation endowment fund. Authorizes appropriations for the Foundation for FY2014-FY2019. Authorizes the Foundation to: (1) assess and collect fees for the management of amounts received from federal agencies; and (2) use such federal funds for matching contributions made by private persons, state and local agencies, and other entities (current law requires such use).

Quality Foster Care Services Act of 2014

United States · United States Congress · 4 February 2014

Quality Foster Care Services Act of 2014 - Amends title XIX (Medicaid) of the Social Security Act (SSA) to extend medical assistance coverage to therapeutic foster care services. Requires a qualified therapeutic foster care program to be state-licensed and provide: (1) foster care children under 21 with structured daily activities, including the development of age-appropriate social, communication and behavioral skills, trauma-informed and gender-responsive services, crisis intervention and crisis support services, medication monitoring, counseling, and case management; and (2) foster care parents with specialized training and consultation in the management of children with mental illness, trauma, other emotional or behavioral disorders, medically fragile conditions, or developmental disabilities, and specific additional training on the needs of each child provided such services.

Critical Access Hospital Relief Act of 2014

United States · United States Congress · 4 February 2014

Critical Access Hospital Relief Act of 2014 - Amends title XVIII (Medicare) of the Social Security Act to repeal the 96-hour physician certification requirement for inpatient critical access hospital services under which a physician must certify that a patient may reasonably be expected to be discharged or transferred to a hospital within 96 hours after admission to the critical access hospital.

Fair Access to Health Care Act

United States · United States Congress · 4 February 2014

Fair Access to Health Care Act - Amends the Internal Revenue Code, with respect to the health care insurance premium assistance tax credit, to provide for a cost-of-living adjustment to the 400% poverty line cap used to determine the eligibility of low-income taxpayers whose principal residence is located in a high cost area for such credit.

Expressing support for designation of February 4, 2014, as National Cancer Prevention Day.

United States · United States Congress · 4 February 2014

Expresses support for the designation of National Cancer Prevention Day.

Comprehensive Veterans Health and Benefits and Military Retirement Pay Restoration Act of 2014

United States · United States Congress · 3 February 2014

Comprehensive Veterans Health and Benefits and Military Retirement Pay Restoration Act of 2014 - Amends federal veterans provisions to revise or add provisions concerning medical services and other benefits provided to veterans and/or their dependents through the Department of Veterans Affairs (VA) relating to the following areas: survivor and dependent matters, including benefits for children of certain veterans born with spina bifida; education matters, including the approval of courses for purposes of the All-Volunteer Force and the Post-9/11 Educational Assistance programs; the expansion and extension of certain health care benefits, including immunizations, chiropractic care, treatment for traumatic brain injury, and wellness promotion; health care administration, including extension of the Department of Veterans Affairs Health Professional Scholarship Program, and complementary and alternative medicine; mental health care, including an education program and peer support program for family members and caregivers of veterans with mental health disorders; dental care eligibility and expansion, including a program of education to promote dental health in veterans; health care related to sexual trauma, including appropriate counseling and treatment and a screening mechanism to detect incidents of domestic abuse; reproductive treatment and services, including fertility counseling as well as adoption assistance for severely wounded veterans; major medical facility leases; veterans' employment training and related services; veterans' employment, including within the federal government and as first responders; career transition services; employment and reemployment rights of members of the Armed Forces after active duty service; small business matters, including contracting and subcontracting participation goals with federal departments and agencies; administrative matters, including regional support centers for Veterans Integrated Service Networks; the revision of claims based on military sexual trauma as well as claims for dependency and indemnity compensation; jurisdictional matters, including with respect to the Board of Veterans' Appeals and the Court of Appeals for Veterans Claims; the revision of certain rights under the Servicemembers Civil Relief Act, including protections with respect to the expiration of professional licenses, a prohibition on the denial of credit or the termination of residential leases due to military service, and the temporary protection of surviving spouses under mortgage foreclosures; and outreach and miscellaneous matters, including: (1) repeal of the provision of the Bipartisan Budget Act of 2013 that reduces the cost-of-living adjustment to the retirement pay of members of the Armed Forces under age 62, and (2) the accounting for discretionary accounts designated for overseas contingency operations/global war on terrorism.

Veterans Health Care Access Received Closer to Home Act of 2014

United States · United States Congress · 3 February 2014

Veterans Health Care Access Received Closer to Home Act of 2014 - Expresses the sense of Congress in support of veteran-centric health care coordination between the Department of Veterans Affairs (VA) and community providers, as well as cost-effective VA purchase of veterans' care from the private sector. Amends the Veterans' Mental Health and Other Care Improvements Act of 2008 to reauthorize a VA pilot program of contract care authority within specified Veterans Integrated Service Networks for the health care needs of veterans in highly rural areas. Requires: (1) that medical appointments for veterans, under the pilot program, occur during the 30-day period beginning on the date that is 15 days after the appointment is requested, and (2) the Secretary of Veterans Affairs to ensure that eligible veterans are informed of the program.

Medicaid and CHIP Continuous Quality Act of 2014

United States · United States Congress · 3 February 2014

Medicaid and CHIP Continuous Quality Act of 2014 - Amends title XIX (Medicaid) of the Social Security Act (SSA) to require a state Medicaid plan to provide 12-month continuous enrollment for an eligible individual, regardless of age. Directs the Secretary of Health and Human Services (HHS) to: (1) identify methods that promote the retention of individuals who are enrolled under the state plan and remain eligible for medical assistance beyond the 12-month period, (2) actively promote the adoption of such enrollment retention methods by states, (3) publish the procedures that states are expected to use to provide annual enrollment and retention reports, and (4) publish annually enrollment and retention performance results for all states. Amends SSA title XXI (State Children's Health Insurance) (CHIP) to: (1) require a state CHIP plan also to provide 12-month continuous enrollment for an eligible individual, (2) prohibit eligibility standards from applying a waiting period for a targeted low-income child (including a child provided dental-only supplemental coverage), and (3) extend the authorization of CHIP performance bonuses through FY2015. Amends SSA title XIX to allow a state to qualify for performance bonuses for the enrollment and retention in Medicaid of certain low-income individuals. Requires a state to develop and implement a quality assessment and improvement strategy if it provides contracts with comparable primary care case management services providers as well as health care services furnished in fee-for-service settings. Directs the Secretary to require states to use certain adult health quality measures and approaches to report on the initial core set of quality measures for Medicaid eligible adults and for the quality of pediatric health care. Directs the Secretary to establish: (1) a Medicaid Quality Performance Bonus fund for awarding performance bonuses to select states for high attainment and improvement on a core set of quality measures related to the goals and purposes of the Medicaid program, as well as (2) a methodology for awarding Medicaid Quality Performance bonuses to states Requires a state, as a condition of receiving a bonus fund award, to designate at least 75% of the performance bonus funds for the development and operation of quality-related initiatives that will directly benefit providers.

Stop Obamacare's Risky Provisions Act

United States · United States Congress · 3 February 2014

Stop Obamacare's Risky Provisions Act - Prohibits health insurance issuers and third-party administrators, for any period after December 31, 2014, from being required to make payments under the Patient Protection and Affordable Care Act (PPACA) for a transitional reinsurance program for the individual health insurance market in each state. Allows payments to issuers, as limited by this Act, only to the extent of available funds. Limits to 2014 the applicability of the program of risk corridors, under which a qualified health plan offered in the individual or small group market shall participate in a payment adjustment system based on the ratio of the allowable costs of the plan to the plan's aggregate premiums. Prohibits application of the program for 2015 and 2016. Amends PPACA to repeal, effective for years after 2014, risk adjustment provisions that require states to: (1) assess a charge on health plans and health insurance issuers if the actuarial risk of enrollees is lower than average, and (2) make payments to health plans and health insurance issuers if the actuarial risk of enrollees is greater than average.

Carl Levin and Howard P. "Buck" McKeon National Defense Authorization Act for Fiscal Year 2015

United States · United States Congress · 31 January 2014

Protecting Volunteer Firefighters and Emergency Responders Act - Amends the Internal Revenue Code to provide that a bona fide volunteer providing firefighting and prevention services, emergency medical services, or ambulance services to a state or local government or a tax-exempt organization shall not be counted in determining the number of full-time employees of an employer for purposes of the employer mandate to provide health care coverage under the Patient Protection and Affordable Care Act.

Increasing Primary Care Access Act of 2014

United States · United States Congress · 30 January 2014

Increasing Primary Care Access Act of 2014 - Amends the Public Health Service Act to require the Secretary of Health and Human Services (HHS) to make grants to, and enter contracts with, schools of medicine and osteopathic medicine to assist the schools in supporting programs of excellence in primary care. Amends title XVIII (Medicare) of the Social Security Act to require the Secretary to establish and implement procedures under which the amount of payments that a subsection (d) hospital would otherwise receive for indirect medical education costs for discharges occurring during an applicable period is adjusted based on the performance of the hospital on measures specified by the Secretary. (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.) Prohibits the Secretary from consulting with an organization representing physicians on adjustments to the fee schedule for physicians' services if the organization uses a group to formulate recommendations regarding such adjustments unless at least 40% of the group are board certified and practicing physicians in specified primary care fields. Directs the Secretary to establish a pilot program to provide funding for graduate medical residency training programs in primary care. Requires the Secretary to award grants or enter into contracts for the establishment of six to eight Regional Centers for Health Workforce Analysis to allocate funds to in-need primary care residency programs. Increases the federal medical assistance percentage (FMAP) for amounts expended on targeted graduate medical education in certain areas in need of primary care health professionals for a state which expanded Medicaid under the Patient Protection and Affordable Care Act. Reauthorizes a program of payments to teaching health centers.

A concurrent resolution designating January 2014 as "National Blood Donor Month".

United States · United States Congress · 29 January 2014

Recognizes January 2014 as National Blood Donor Month. Acknowledges the important role of volunteer blood donors in protecting the health and emergency preparedness security of the United States. Recognizes the need to promote a safe, stable blood supply and to increase volunteer participation of blood donors. Endorses efforts to update blood donation policies in a safe and scientifically sound manner. Recognizes the roles of America's Blood Centers, AABB, and the American Red Cross in ensuring the safety of the blood supply and delivering lifesaving blood and blood products to health providers and patients.

PACT Act

United States · United States Congress · 29 January 2014

Preventing Abuse of Cough Treatments Act of 2014 or the PACT Act - Amends the Federal Food, Drug, and Cosmetic Act to prohibit the sale or offering for sale of a drug containing dextromethorphan, and not subject to practitioner supervision requirements, to an individual under age 18, except if the sale is made: (1) pursuant to a validly issued prescription; or (2) to an individual who provides proof of being actively enrolled in the military, including a valid military identification card. Imposes civil monetary penalties that escalate upon repeated violation. Deems to be adulterated any unfinished dextromethorphan that is possessed, received, or distributed in violation of this Act. Prohibits a person from: (1) possessing or receiving unfinished dextromethorphan unless the person is registered with the Secretary of Health and Human Services (HHS) as a producer of a drug or device or otherwise registered, licensed, or approved under federal or state law to engage in the practice of pharmacy, pharmaceutical production, or manufacture or distribution of drug ingredients; or (2) distributing unfinished dextromethorphan to any person other than a registered or otherwise authorized person. Excludes from such prohibitions common carriers that possess, receive, or distribute unfinished dextromethorphan for purposes of distributing it between registered, licensed, or approved persons. Imposes additional civil monetary penalties for such possession and distribution violations.

Territories Medicare Prescription Drug Assistance Equity Act of 2014

United States · United States Congress · 29 January 2014

Territories Medicare Prescription Drug Assistance Equity Act of 2014 - Amends titles XVIII (Medicare) and XIX (Medicaid) of the Social Security Act (SSA) to: (1) repeal the exclusion of non-residents of the 50 states and the District of Columbia from the Medicare prescription drug program under SSA title XVIII part D (Voluntary Prescription Drug Benefit Program), and (2) promote equitable treatment of the residents of U.S. territories in premium and cost-sharing subsidies under the program.

To amend title XVIII of the Social Security Act to provide coverage for low vision devices under Medicare, and for other purposes.

United States · United States Congress · 29 January 2014

Amends title XVIII (Medicare) of the Social Security Act (SSA) to cover low vision devices under Medicare.

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 113th 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 · 29 January 2014

Expresses the sense of the House of Representatives that: (1) gun violence is a public health issue; and (2) Congress should enact, by the end of the 113th Congress, comprehensive legislation that protects the Second Amendment and keeps communities safe and healthy, including by expanding enforceable background checks for all commercial gun sales, improving the mental health system, and making gun trafficking and straw purchasing a federal crime.

Expressing support for designation of January 2014 as "National Blood Donor Month".

United States · United States Congress · 29 January 2014

Supports the designation of National Blood Donor Month. Acknowledges the important role of volunteer blood donors in protecting the health and emergency preparedness security of the United States. Recognizes the need to promote a safe, stable blood supply and to increase volunteer participation of blood donors. Endorses efforts to update blood donation policies in a safe and scientifically sound manner. Recognizes the roles of America's Blood Centers, AABB, and the American Red Cross in ensuring the safety of the blood supply and delivering lifesaving blood and blood products to health providers and patients.

Scholarships for Kids Act

United States · United States Congress · 28 January 2014

Scholarships for Kids Act - Amends part A of title I (Improving the Academic Achievement of the Disadvantaged) of the Elementary and Secondary Education Act of 1965 (ESEA) to give states the option of using their part A allocation to carry out a Scholarships for Kids program. Requires participating states to use their part A allocation to provide a grant to the parents of eligible children for use, as allowed by state law, in: supplementing the budget of any public school their eligible child is able to attend without fees; paying for all or a portion of the fees required for their child to attend another public school in the state; paying for all or a portion of the tuition and fees required for their child to attend an accredited or otherwise state-approved private school; or paying for all or a portion of the fees required for their child to participate in a state-approved supplemental educational services program. Defines an "eligible child" as a child residing in the participating state who: (1) is under age 21, (2) is entitled to a free public education through grade 12, and (3) is from a family with an income below the poverty level. Allows participating states to: (1) treat a child as eligible if the child was an "eligible child" during the previous fiscal year and is from a family whose income is not greater than 200% of the poverty level; and (2) use up to 2% of their part A allocation to provide eligible children with transportation to their public school, private school, or supplemental educational services program. Requires participating states and their local educational agencies to continue to: (1) work toward state academic content and achievement standards; (2) conduct annual assessments of student progress toward those standards; and (3) issue annual report cards of student progress, disaggregated by specified student subgroups, toward those standards. Directs the Secretary of Education to conduct a national assessment of the activities carried out under this Act. Reauthorizes appropriations under part A of title I through FY2020. Repeals: the funding reserved for schools identified as needing improvement, corrective action, or restructuring under part A of title I; the programs under parts B (Student Reading Skills Improvement Grants), C (Education of Migratory Children), D (Prevention and Intervention Programs for Children and Youth Who are Neglected, Delinquent, or At-Risk), E (National Assessment of Subchapter I), F (Comprehensive School Reform), G (Advanced Placement Programs), and H (School Dropout Prevention) of title I; titles II (Preparing, Training, and Recruiting High Quality Teachers and Principals), III (Language Instruction for Limited English Proficient and Immigrant Students), IV (21st Century Schools), V (Promoting Informed Parental Choice and Innovative Programs), VI (Flexibility and Accountability), and VII (Indian, Native Hawaiian, and Alaska Native Education) of the ESEA; a program providing supplemental education grants to Micronesia and the Marshall Islands under the Compact of Free Association Amendments Act of 2003; the Carl D. Perkins Career and Technical Education Act of 2006; a program providing grants to states for the education of homeless children and youths under the McKinney-Vento Homeless Assistance Act; the Educational Technical Assistance Act of 2002; part A (Teacher Quality Partnership Grants) of title II of the Higher Education Act of 1965 (HEA); the Talent Search and Upward Bound programs under title IV (Student Assistance) of the HEA; a program providing grants to youth organizations, under the Agricultural Research Extension, and Education Reform Act of 1998, to establish pilot projects to expand the programs they carry out in rural areas and small towns; a grant program, under the National Agricultural Research, Extension, and Teaching Policy Act of 1977, to promote and strengthen agriscience and agribusiness education in secondary and postsecondary schools; a grant program, under the Patient Protection and Affordable Care Act, for the establishment of school-based health centers; a program providing grants, under the National Science Foundation Authorization Act of 2002, to institutions of higher education and nonprofit organizations to improve elementary and secondary mathematics and science instruction; a grant program, under the Public Health Service Act, for the operation of school-based health centers; and programs, under the American Recovery and Reinvestment Act of 2009, that provide grants to states and educational entities that make significant progress in meeting specified elementary and secondary education goals.

Concussion Awareness and Education Act of 2014

United States · United States Congress · 28 January 2014

Concussion Awareness and Education Act of 2014 - Amends the Public Health Service Act to require the Director of the Centers for Disease Control and Prevention (CDC) to: (1) establish and oversee a national system to accurately determine the incidence of sports-related concussions, and (2) begin implementation of such system within one year of this Act's enactment. Requires the data collected to include: the incidence of sports related concussions in individuals 5 through 21 years of age; demographic information of the injured individuals; pre-existing conditions of the injured individuals; the concussion history of the injured individuals; the use of protective equipment and impact monitoring devices; the qualifications of personnel diagnosing the concussions; and the cause, nature, and extent of the concussive injury. Requires the Director of the National Institutes of Health (NIH) and the Secretary of Defense (DOD), acting in coordination, to conduct or support: (1) research designed to establish metrics and markers of concussion diagnosis, prognosis, and recovery in youth and to inform the creation of guidelines for the management of short- and long-term sequelae of concussion in youth; (2) studies to assess short- and long-term cognitive, emotional, behavioral, neurobiological, and neuropathological consequences of concussions and repetitive head impacts over a life span; and (3) research on age- and sex-related biomechanical determinants of injury risk for concussion in youth. Directs the Secretary of Defense to conduct a scientific evaluation of the effectiveness of techniques, rules, and playing, practice, and training standards in reducing concussions and sequelae for sports and physical training at military service academies and for military personnel. Calls for the National Collegiate Athletic Association to undertake a scientific evaluation of the effectiveness of age-appropriate techniques, rules, and playing and practice standards in reducing sports-related concussions and sequelae. Requires: (1) the Director of NIH to maintain a national brain tissue and biological sample repository to collect, archive, and distribute material for research on concussions; (2) such Director and the Secretary of Defense to develop standards, best practices, and guidelines for the rules of play and training, respectively, for sports, athletic, and military training and engagement that are designed to prevent or reduce the incidence of concussions and that include standards for effective protective equipment and recommendations on impact-monitoring systems; and (3) the Director of CDC to develop and disseminate to the public information regarding concussions. Establishes a Concussion Research Commission, which shall study the programs and activities conducted pursuant to this Act and formulate systemic recommendations to increase knowledge about, and change the culture surrounding, concussions.

Health Plan Notice Requirements Act

United States · United States Congress · 28 January 2014

Health Plan Notice Requirements Act - Amends the Patient Protection and Affordable Care Act, with respect to abortion coverage in qualified plans offered through a health care exchange in a state, to modify the notice rules to require that in the case of services regarding abortions both for which public funding is prohibited and allowed, the extent of coverage shall be included in any marketing or advertising materials, comparison tools, or summaries of benefits and coverage explanations made available by the issuer of the plan or an exchange during any enrollment period for the plan or prior period for purposes of comparisons of qualified health plans.

QUIET Act

United States · United States Congress · 27 January 2014

Quell Unnecessary, Intentional, and Encroaching Telephone Calls Act of 2014 or the QUIET Act - Amends the federal criminal code to prohibit a a person within the United States, or a person outside the United States if the recipient is within the United States, from knowingly initiating a commercial robocall without the prior express written consent of the recipient. Defines "commercial robocall" to mean a telephone call made for the purpose of soliciting or encouraging the purchase or rental of, or investment or enrollment in, property, goods, or services, using an automatic telephone dialing system or an artificial or prerecorded voice. Exempts telephone calls that: (1) are made for emergency purposes; (2) are by or on behalf of a tax-exempt nonprofit organization; (3) are made by a provider of commercial mobile radio service to subscribers of the service, for which the subscribers are not charged; or (4) deliver a message relating to health care made by, or on behalf of, a covered entity or a business associate of a covered entity. Subjects any person who violates this Act to a fine of not more than $20,000 per violation, imprisonment for not more than 10 years, or both.

A resolution commemorating the 150th anniversary of Mayo Clinic.

United States · United States Congress · 27 January 2014

Commemorates the 150th anniversary of Mayo Clinic.

No Taxpayer Funding for Abortion and Abortion Insurance Full Disclosure Act of 2014

United States · United States Congress · 27 January 2014

No Taxpayer Funding for Abortion and Abortion Insurance Full Disclosure Act of 2014 - Prohibits the expenditure of funds authorized or appropriated by federal law or funds in any trust fund to which funds are authorized or appropriated by federal law (federal funds) for any abortion. (Currently, federal funds cannot be used for abortion services, except in cases involving rape, incest, or life endangerment.) Prohibits federal funds from being used for any health benefits coverage that includes coverage of abortion (thus making permanent existing federal policies). Prohibits the inclusion of abortion in any health care service furnished by a federal or District of Columbia health care facility or by any physician or other individual employed by the federal government or the District. Excludes an abortion from such prohibitions if: (1) the pregnancy is the result of rape or incest; or (2) the woman suffers from a physical disorder, injury, or illness, including a life-endangering physical condition caused by or arising from the pregnancy itself, that would place her in danger of death unless an abortion is performed, as certified by a physician. Applies such prohibitions to District of Columbia funds. Amends the Internal Revenue Code to exclude from the definition of "qualified health plan" after December 31, 2014, for purposes of the refundable tax credit for premium assistance for such plans, any plan that includes coverage for abortion. Excludes from the definition of "qualified health plan," for purposes of the tax credit for small employer health insurance expenses, any health plan that includes coverage for abortions. Exempts from the application of such tax provisions: (1) abortions for pregnancies resulting from rape or incest or in cases where a woman suffers from a physical disorder, injury, or illness that would, as certified by a physician, endanger her life if an abortion were not performed; and (2) the treatment of any infection, injury, disease, or disorder that was caused by or exacerbated by the performance of an abortion. Requires the Director of the Office of Personnel Management (OPM), when entering into contracts for health insurance, to ensure that no multi-state qualified health plan offered in a state health care exchange provides health benefits coverage for which the expenditure of federal funds is prohibited under this Act. Amends the Patient Protection and Affordable Care Act, with respect to notice provided to health plan enrollees, to require: disclosure at the time of enrollment of the extent of coverage of abortion services for which the expenditure of public funds is either prohibited or allowed; prominent display in marketing or advertising materials, comparison tools, or summary of benefits and coverage explanation made available by the issuer of the plan, by an exchange, or by the Secretary of Health and Human Services (HHS), including information made available through an Internet portal or an exchange; and separate disclosure and identification, in the case of a health plan that includes coverage of abortion services for which public funding is prohibited, and where the premium is disclosed, of the separate payment collected by the plan issuer equal to the actuarial value of such coverage.

Children's Health Insurance Protection (CHIP) Act

United States · United States Congress · 27 January 2014

Children's Health Insurance Protection (CHIP) Act - Amends XIX (Medicaid) of the Social Security Act with respect to the income level of certain children born after September 30, 1983 (or, at the option of a state, after any earlier date), who are between 6 and 19 years of age. Maintains the income level at 100% of the income official poverty line applicable to a family of the size involved by repealing the increase to 113% of the poverty line scheduled to begin January 1, 2014.

HEALTHCARE.GOV: CONSEQUENCES OF STOLEN IDENTITY

United States · United States House of Representatives · 16 January 2014

HHS' OWN SECURITY CONCERNS ABOUT HEALTHCARE.GOV

United States · United States House of Representatives · 16 January 2014

A bill to provide for the extension of the enforcement instruction on supervision requirements for outpatient therapeutic services in critical access and small rural hospitals through 2014.

United States · United States Congress · 16 January 2014

Directs the Secretary of Health and Human Services (HHS), to continue to apply through calendar year 2014 the enforcement instruction on physician supervision requirements for outpatient therapeutic services in critical access and small rural hospitals, as extended in November 2012 for calendar year 2013 by the Centers for Medicare & Medicaid Services. (The instruction directs Medicare contractors not to evaluate or enforce such requirements until the policy on supervision of such services could be revisited.)

Comprehensive Veterans Health and Benefits and Military Retirement Pay Restoration Act of 2014

United States · United States Congress · 16 January 2014

Comprehensive Veterans Health and Benefits and Military Retirement Pay Restoration Act of 2014 - Amends federal veterans provisions to revise or add provisions concerning medical services and other benefits provided to veterans and/or their dependents through the Department of Veterans Affairs (VA) relating to the following areas: survivor and dependent matters, including benefits for children of certain veterans born with spina bifida; education matters, including the approval of courses for purposes of the All-Volunteer Force and the Post-9/11 Educational Assistance programs; the expansion and extension of certain health care benefits, including immunizations, chiropractic care, treatment for traumatic brain injury, and wellness promotion; health care administration, including extension of the Department of Veterans Affairs Health Professional Scholarship Program; complementary and alternative medicine; mental health care, including an education program and peer support program for family members and caregivers of veterans with mental health disorders; dental care eligibility and expansion, including a program of education to promote dental health in veterans; health care related to sexual trauma, including appropriate counseling and treatment and a screening mechanism to detect incidents of domestic abuse; reproductive treatment and services, including fertility counseling as well as adoption assistance for severely wounded veterans; major medical facility leases; veterans' employment training and related services; veterans' employment, including within the federal government and as first responders; career transition services; employment and reemployment rights of members of the Armed Forces after active duty service; small business matters, including contracting and subcontracting participation goals with federal departments and agencies; administrative matters, including regional support centers for Veterans Integrated Service Networks; the revision of claims based on military sexual trauma as well as claims for dependency and indemnity compensation; jurisdictional matters, including with respect to the Board of Veterans' Appeals and the Court of Appeals for Veterans Claims; and outreach and miscellaneous matters, including repeal of the provision of the Bipartisan Budget Act of 2013 that reduces the cost-of-living adjustment to the retirement pay of members of the Armed Forces under age 62.

Protecting Seniors from Health Care Fraud Act of 2014

United States · United States Congress · 16 January 2014

Protecting Seniors from Health Care Fraud Act of 2014 - Amends title XVIII (Medicare) of the Social Security Act (SSA) to direct the Secretary of Health and Human Services (HHS), acting through the HHS Office of Inspector General, and the Attorney General to report annually to Congress and the public on health care fraud schemes targeted to seniors and steps being taken to combat such schemes and to educate seniors about them. Directs the Secretary to: (1) disseminate such reports through mechanisms that reach the most Medicare beneficiaries, and (2) mail to each Medicare beneficiary a list of the top 10 most prevalent health care fraud schemes.

RIDE Act of 2014

United States · United States Congress · 16 January 2014

Recruiting Individuals to Drive Our Elders Act of 2014 or RIDE Act of 2014 - Directs the Secretary of Health and Human Services (HHS) to publish an interim final rule to revise certain Medicaid transportation regulations to allow a state plan under title XIX (Medicaid) of the Social Security Act to provide, at state option, reimbursement for costs attributable to providing no-load volunteer travel services to Medicaid-eligible individuals who require transportation to receive non-emergency medical treatment.

Diabetic Testing Supply Access Act of 2014

United States · United States Congress · 16 January 2014

Diabetic Testing Supply Access Act of 2014 - Amends title XVIII (Medicare) of the Social Security Act to deny the Secretary of Health and Human Services (HHS) authority to restrict or eliminate a Medicare beneficiary's option of electing, regardless of delivery method (except by mail and private parcel service), to have diabetic testing supplies delivered to him or her by retail community pharmacies, including one that contracts with a long-term care facility, assisted living facility, group home, or other type of residential setting recognized by the state.

A resolution designating the first week of April 2014 as "National Asbestos Awareness Week".

United States · United States Congress · 16 January 2014

Designates the first week of April 2014 as National Asbestos Awareness Week. Urges the Surgeon General to warn and educate people about asbestos exposure, which may be hazardous to their health.

RIDE Act of 2014

United States · United States Congress · 16 January 2014

Recruiting Individuals to Drive Our Elders Act of 2014 or RIDE Act of 2014 - Directs the Secretary of Health and Human Services (HHS) to publish an interim final rule to revise certain Medicaid transportation regulations to allow a state plan under title XIX (Medicaid) of the Social Security Act to provide, at state option, reimbursement for costs attributable to providing no-load volunteer travel services to Medicaid-eligible individuals who require transportation to receive non-emergency medical treatment.

Better Care, Lower Cost Act

United States · United States Congress · 15 January 2014

Better Care, Lower Cost Act - Amends title XVIII (Medicare) of the Social Security Act (SSA) to direct the Secretary of Health and Human Services (HHS) to establish an integrated chronic care delivery program (Better Care Program or BCP) that promotes accountability and better care management for chronically ill patient populations and coordinates items and services under Medicare parts A (Hospital Insurance), B (Supplementary Medical Insurance), and D (Voluntary Prescription Drug Benefit Program), while encouraging investment in infrastructure and redesigned care processes that result in high quality and efficient service delivery for the most vulnerable and costly populations. Requires the program to include specified elements and focus on long-term cost containment and better overall health of the Medicare population by implementing through qualified BCPs strategies that prevent, delay, or minimize the progression of illness or disability associated with chronic conditions. Amends SSA title XIX (Medicaid) to require a state to pay the Secretary, with certain adjustments, for full benefit dual eligible individuals (eligible for both Medicare and Medicaid) enrolled in a qualified BCP. Makes Medicare the primary payor for such individuals. Amends SSA title XVIII part C (Medicare+Choice Program) to direct the Secretary to establish procedures for the transition of special needs individuals to a Medicare Advantage plan qualified BCPs. Prohibits any Medicare supplemental (Medigap) policy from covering cost-sharing for items and services (other than certain emergent services) furnished to an enrollee in a qualified BCP by a service provider or supplier that is not a qualified BCP professional. Revises requirements for the initial preventive physical examination (Welcome to Medicare visit) and annual wellness visits for BCP eligible individuals. Directs the Secretary, acting through the Agency for Healthcare Research and Quality, to designate and provide core funding for at least three Chronic Care Innovation Centers. Establishes new curricula requirements for direct and indirect graduate medical education payments that address the need for team-based care and chronic care management, including palliative medicine, chronic care management, leadership and team-based skills and planning, and leveraging technology as a care tool.

GROWTH Act

United States · United States Congress · 15 January 2014

Generating Real Opportunities for Workers and Transitional Help Act or GROWTH Act - Amends the Supplemental Appropriations Act, 2008 to declare that nothing in the Act shall prevent the commencement or continued payment of first-tier emergency unemployment compensation (EUC) to the extent that it: represents amounts established in an applicant's EUC account (EUCA); and is payable for a week ending on or before January 1, 2015. (Thus provides for a 12-month extension of EUC.) Revises the formula for crediting Tier-1 amounts to an applicant's EUCA to include a week ending after January 1, 2014. Decreases the percentages in the formula (the lesser of which shall be the amount credited): (1) from 80% to 54% of the total amount of regular compensation (including dependents' allowances) payable to the individual during the benefit year, and (2) from 20 to 14 times the individual's average weekly benefit amount for the benefit year. Directs the Secretary of the Treasury to transfer necessary amounts from the Treasury general fund to the EUC account to make payments to states for this extension of EUC. Makes a change in application of a certain requirement (nonreduction rule) to a state that has entered a federal-state EUC agreement, under which the federal government would reimburse the state's unemployment compensation agency making EUC payments to individuals who have exhausted all rights to regular unemployment compensation under state or federal law and meet specified other criteria. (Under the nonreduction rule such an agreement does not apply with respect to a state whose method for computing regular unemployment compensation under state law has been modified to make the average weekly unemployment compensation benefit paid on or after June 2, 2010, less than what would have been paid before June 2, 2010.) Declares that the nonreduction rule shall not apply to a state which has enacted a law before December 1, 2013, that, upon taking effect, would violate the nonreduction rule. Allows a state whose agreement was terminated, however, to enter into a subsequent federal-state EUC agreement on or after enactment of this Act if, taking into account this inapplicability of the nonreduction rule, it would otherwise meet the requirements for an EUC agreement. (Thus allows such a subsequent EUC agreement to permit payment of less than the average weekly unemployment compensation benefit paid on or after June 2, 2010.) Authorizes the Secretary of Labor, for FY2014-FY2023, to use any available discretionary appropriations to conduct in-person reemployment and unemployment insurance eligibility assessments for unemployment insurance beneficiaries. Specifies limits in such amount for each fiscal year. Amends the Internal Revenue Code (IRC) to repeal the excise tax on medical devices. Declares that no presidential permit shall be required for a specified application filed on May 4, 2012, by TransCanada Keystone XL pipeline, L.P., to the Department of State for the Keystone XL pipeline, as supplemented to include the Nebraska reroute featured in the Final Evaluation Report issued by the Nebraska Department of Environmental Quality in January 2013 and approved by the Nebraska governor. Considers the final environmental impact statement regarding the pipeline issued by the Secretary of State on August 26, 2011, coupled with the Final Evaluation Report, to satisfy all requirements of the National Environmental Policy Act of 1969. Amends the IRC, as amended by the Patient Protection and Affordable Care Act, to redefine "full-time employee," for purposes of the mandate requiring employers to provide health care coverage for their employees, as an employee who is employed on average at least 40 hours of service a week (currently, at least 30 hours of service a week). Amends title II (Old Age, Survivors and Disability Insurance) (OASDI) of the Social Security Act to declare that for any month that an individual is entitled to unemployment compensation (UC) he or she shall be deemed to have engaged in substantial gainful activity and so be disqualified from receiving Social Security disability benefits after a certain period has elapsed. States that, for purposes of determining services rendered by an individual during a period of trial work which will not disqualify the individual for disability benefits, the individual shall be deemed to have rendered services in a month if he or she is entitled to UC or trade adjustment assistance for that month. Amends the IRC to require taxpayers who are claiming the refundable portion of the child tax credit to include their Social Security numbers on their tax returns..

Better Care, Lower Cost Act

United States · United States Congress · 15 January 2014

Better Care, Lower Cost Act - Amends title XVIII (Medicare) of the Social Security Act (SSA) to direct the Secretary of Health and Human Services (HHS) to establish an integrated chronic care delivery program (Better Care Program or BCP) that promotes accountability and better care management for chronically ill patient populations and coordinates items and services under Medicare parts A (Hospital Insurance), B (Supplementary Medical Insurance), and D (Voluntary Prescription Drug Benefit Program), while encouraging investment in infrastructure and redesigned care processes that result in high quality and efficient service delivery for the most vulnerable and costly populations. Requires the program to include specified elements and focus on long-term cost containment and better overall health of the Medicare population by implementing through qualified BCPs strategies that prevent, delay, or minimize the progression of illness or disability associated with chronic conditions. Amends SSA title XIX (Medicaid) to require a state to pay the Secretary, with certain adjustments, for full benefit dual eligible individuals (eligible for both Medicare and Medicaid) enrolled in a qualified BCP. Makes Medicare the primary payor for such individuals. Amends SSA title XVIII part C (Medicare+Choice Program) to direct the Secretary to establish procedures for the transition of special needs individuals to a Medicare Advantage plan qualified BCPs. Prohibits any Medicare supplemental (Medigap) policy from covering cost-sharing for items and services (other than certain emergent services) furnished to an enrollee in a qualified BCP by a service provider or supplier that is not a qualified BCP professional. Revises requirements for the initial preventive physical examination (Welcome to Medicare visit) and annual wellness visits for BCP eligible individuals. Directs the Secretary, acting through the Agency for Healthcare Research and Quality, to designate and provide core funding for at least three Chronic Care Innovation Centers. Establishes new curricula requirements for direct and indirect graduate medical education payments that address the need for team-based care and chronic care management, including palliative medicine, chronic care management, leadership and team-based skills and planning, and leveraging technology as a care tool.

Ensuring Full Use of Federal Health Care Funding Act of 2014

United States · United States Congress · 15 January 2014

Ensuring Full Use of Federal Health Care Funding Act of 2014 - Amends the Patient Protection and Affordable Care Act to direct the Secretary of Health and Human Services (HHS) to recoup any funds awarded to a state to establish health care exchanges to the extent the state has not obligated them for expenditure before April 1, 2014. Allows the Secretary, however, not to recoup such funds from a state if the state has approved, before March 31, 2014, a plan to spend them for such exchanges in a timely manner. Requires the Secretary to use any recouped funds to make grants to qualified entities to: (1) build and fund operations of an in-person assistance personnel (IPA) program (also known as "non-Navigator assistance personnel"); (2) coordinate with other health and human services organizations in the state to broaden outreach to individuals eligible to enroll in qualified health plans through the exchange operating in the state; and (3) produce and disseminate marketing and campaign materials, subject to the Secretary's approval. Requires a qualified entity to: (1) have (or readily and on a timely basis be able to establish) relationships with employers and employees, consumers (both uninsured and underinsured), or self-employed individuals in the state that are likely to be qualified to enroll in coverage options made available through a health care exchange in the state; (2) be capable of carrying out grant activities; and (3) meet specified standards. Lists as types of qualified entities: (1) a trade, industry, and professional association; (2) a commercial fishing industry organization; (3) a ranching and farming organization; (4) a community and consumer-focused nonprofit group; (5) a chamber of commerce; (6) a union; (7) a resource partner of the Small Business Administration (SBA); (8) a licensed insurance agent or broker; and (9) any other entity that meets the qualification standards.

Lymphedema Treatment Act

United States · United States Congress · 15 January 2014

Lymphedema Treatment Act - Amends title XVIII (Medicare) of the Social Security Act (SSA) to cover certain lymphedema compression treatment items as durable medical equipment.