Healthcare

ZIKA VIRUS: ADDRESSING THE GROWING PUBLIC HEALTH THREAT

United States · United States Senate · 24 February 2016

Drinking Water Safety and Infrastructure Act

United States · United States Congress · 24 February 2016

Drinking Water Safety and Infrastructure Act This bill provides additional assistance for a public health emergency related to a contaminated public drinking water supply system. Assistance may be provided through grants under the drinking water state revolving fund and loans under the Water Infrastructure Finance and Innovation Program. Upon the request of a state or local health official, the National Center for Environmental Health's Agency for Toxic Substances and Disease Registry must conduct voluntary surveillance activities to evaluate any adverse health effects on individuals exposed to lead from drinking water in affected communities. The bill amends the Safe Drinking Water Act by requiring public water systems to notify their customers of lead concentration levels in drinking water that exceed lead limits. The Environmental Protection Agency must notify the public within 15 days of the lead levels exceeding those limits if the public water system or the state does not notify the public. The EPA may notify the public or the local or state health department of the result of lead monitoring conducted by a public water system. The Department of Health and Human Services must establish a lead exposure registry to collect data on the lead exposure of residents of a city on a voluntary basis. The Treasury must transfer funds to: (1) the Centers for Disease Control and Prevention funds for the childhood lead poisoning prevention program, (2) the Department of Housing and Urban Development for its Healthy Homes Initiative, and (3) the Health Resources and Services Administration for the Healthy Start Initiative. The bill prohibits further spending by the Department of Energy on or after October 1, 2020, for the subsidy costs of loans issued through the Advanced Technology Vehicle Manufacturing Loan Program.

DEFENSE HEALTH CARE REFORM

United States · United States Senate · 23 February 2016

Lali's Law

United States · United States Congress · 23 February 2016

Lali's Law This bill amends the Public Health Service Act to permit the Centers for Disease Control and Prevention to make grants to states that allow standing orders (documents that allow a person to acquire, dispense, or administer a prescription medication without a person-specific prescription) for opioid overdose reversal medication (e.g., naloxone). (Opioids are drugs with effects similar to opium, such as heroin and certain pain medications.) Grants may be used for: developing standing orders for opioid overdose reversal medication for pharmacies; encouraging pharmacies to dispense medication pursuant to such a standing order; implementing guidelines and best practices for prescribing opioids, prescribing opioid overdose reversal medication with opioids, and discussing opioid overdose reversal medication with patients; developing training for prescribers to use in educating the public on administration of opioid overdose reversal medication; and educating the public on the availability and public health benefits of opioid overdose reversal medication. States must report on pharmacies that dispense opioid overdose reversal medication under a standing order and the number of pharmacists trained in educating the public on administration of opioid overdose reversal medication.

Excellence in Medicare Act

United States · United States Congress · 23 February 2016

Excellence in Medicare Act This bill amends title XVIII (Medicare) of the Social Security Act to require the Centers for Medicare & Medicaid to disregard the application of certain percentage quality increases when calculating the maximum payment that may be made to a Medicare Advantage organization. Medical Malpractice Reform Act of 2015 The bill sets conditions for lawsuits arising from health care liability claims regarding health care goods or services or any medical product affecting interstate commerce. Additionally, the bill sets a statute of limitations of three years after the date of manifestation of injury or one-year after the claimant discovers the injury, with certain exceptions. The bill revises other provisions related to health care lawsuits including: (1) limiting noneconomic damages, (2) mandating joint and several liability, (3) limiting attorney contingency fees, (4) limiting punitive damages, and (5) denying punitive damages in the case of products approved by the Food and Drug Administration.

Incentivizing Medicaid Expansion Act of 2016

United States · United States Congress · 23 February 2016

Incentivizing Medicaid Expansion Act of 2016 This bill amends title XIX (Medicaid) of the Social Security Act to provide the enhanced federal medical assistance percentage (FMAP) to every state that expands Medicaid coverage for individuals who are newly eligible under the Patient Protection and Affordable Care Act, regardless of when such expansion takes place. Under current law, the enhanced FMAP is equivalent to 100% in 2014 through 2016, 95% in 2017, 94% in 2018, 93% in 2019, and 90% thereafter. The bill retains this enhanced FMAP, but bases it on a term of years rather than on specific dates. The bill applies retroactively.

Department of Veterans Affairs Purchased Health Care Streamlining and Modernization Act

United States · United States Congress · 23 February 2016

Department of Veterans Affairs Purchased Health Care Streamlining and Modernization Act This bill authorizes the Department of Veterans Affairs (VA), in addition to furnishing hospital care, medical services, or extended care at VA facilities or under contracts or sharing agreements, to furnish such care and services to eligible veterans through the use of Veterans Care Agreements with eligible providers. An eligible provider is: a provider whose income in the year preceding the year of entering into an agreement did not exceed $11 million; a provider who does not otherwise provide such care or services pursuant to a federal contract; and a physician or provider of Medicaid or Medicare services, an Aging and Disability Resource Center, an area agency on aging, or a center for independent living. The VA shall: (1) establish a certifying process for providers, (2) review agreements at least once every two years, and (3) use the quality of care standards set forth or used by the Centers for Medicare & Medicaid Services. The VA may enter into an agreement using non-competitive procedures.

Preventing Overprescribing for Pain Act of 2016

United States · United States Congress · 23 February 2016

Preventing Overprescribing for Pain Act of 2016 This bill requires the Centers for Disease Control and Prevention to issue guidelines for the safe prescribing of opioids for the treatment of acute pain. (Opioids are drugs with effects similar to opium, such as certain pain medications.)

Heroin and Prescription Drug Abuse Prevention and Reduction Act

United States · United States Congress · 22 February 2016

Heroin and Prescription Drug Abuse Prevention and Reduction Act This bill amends the Controlled Substances Act to revise requirements for and limitations on practitioners who dispense narcotic drugs for maintenance or detoxification treatment. The Department of Health and Human Services (HHS) must establish grant programs to: (1) encourage prescribing and purchase of opioid overdose reversal drugs (e.g., naloxone), and (2) develop prescribing guidelines for such drugs. (Opioids are drugs with effects similar to opium, such as heroin or certain pain medications.) The Centers for Disease Control and Prevention must provide support to improve drug overdose surveillance and reporting capabilities. HHS may support syringe exchange programs. The Substance Abuse and Mental Health Services Administration must provide support to reduce drug overdose deaths. This bill amends the Public Health Service Act to extend residential treatment programs for pregnant and postpartum women. HHS must: (1) carry out a pilot program to support services for pregnant and postpartum women with a substance use disorder; (2) award grants to expand treatment activities in areas with a high rate of, or a rapid increase in, the use of opioids; (3) support increasing the capacity of substance use disorder services for adolescents; and (4) develop, expand, and enhance substance use recovery support services. This bill amends the Employee Retirement Income Security Act of 1974 (ERISA) and Internal Revenue Code to direct HHS and the Departments of Labor and the Treasury to require disclosures, issue guidance, conduct audits, and publish information regarding the requirement for group health plans and health insurance coverage to have parity between mental health and substance use disorder benefits and medical and surgical benefits. HHS must establish a consumer parity portal website. HHS must establish a loan repayment program for substance use disorder health professionals.

Expedited Hiring for VA Trained Psychiatrists Act of 2016

United States · United States Congress · 12 February 2016

Expedited Hiring for VA Trained Psychiatrists Act of 2016 This bill authorizes the Department of Veterans Affairs to appoint a psychiatrist who completes a residency at a Veterans Health Administration (VHA) facility to a VHA health care position immediately after such residency, without regard to civil service or classification laws, if: (1) the psychiatrist meets the qualifications established in regulations prescribed for the position, and (2) the position has been unfilled for at least 35 days.

To amend title 10, United States Code, to ensure that certain members of the National Guard serving on full-time National Guard duty and dependents remain eligible for the TRICARE program during periods in which the member is responding to a disaster.

United States · United States Congress · 12 February 2016

This bill makes eligible for TRICARE health care benefits certain National Guard members (and dependents) who are performing disaster response duty, if the performance of such a duty immediately follows a period in which the member served on full-time additional National Guard duty. "Disaster response duty" means duty performed by a member of the National Guard in state status pursuant to an emergency declaration by the state governor (or, for the District of Columbia, by the mayor) in response to a disaster or in preparation for an imminent disaster.

Reducing Unexpected Deaths in Infants and Children Act of 2016

United States · United States Congress · 12 February 2016

Reducing Unexpected Deaths in Infants and Children Act of 2016 This bill amends the Public Health Service Act to require the Centers for Disease Control and Prevention (CDC) to award grants for: (1) improving state comprehensive death scene investigations for sudden unexplained infant death (SUID) and sudden unexplained death in childhood (SUDC), (2) death scene investigation training specific to such deaths, (3) increasing the rate of comprehensive and standardized autopsies for such deaths, and (4) surveillance efforts on stillbirths. The CDC must: (1) develop guidelines for a standard autopsy protocol for SUID and SUDC, (2) conduct a needs assessment for investigations and determinations of such deaths, and (3) support public education and prevention programs to reduce stillbirths and address the racial and ethnic disparities in occurrence. The Health Resources and Services Administration must award grants for: (1) infant and child death review programs and prevention strategies; and (2) support services for families who have experienced SUID, SUDC, or stillbirth. The Department of Health and Human Services must establish a task force to develop a national research plan to determine the causes of, and how to prevent, stillbirths.

Extend Excellence in Mental Health Act of 2016

United States · United States Congress · 12 February 2016

Extend Excellence in Mental Health Act of 2016 This bill amends the Protecting Access to Medicare Act of 2014 to extend and expand the Medicaid community mental health services demonstration program. Under current law, the program is limited to no more than eight states. The Centers for Medicare & Medicaid Services (CMS) shall extend an existing program and may expand the number of programs if, with respect to the requesting state, CMS determines that: (1) the state's participation in the program will measurably improve access to, and participation in, specified behavioral health services; and (2) the state is in full compliance with specified reporting requirements. The bill also specifies that, for purposes of implementing specified CMS guidance on demonstration program testing, a "clinical visit" includes on-site behavioral health services, certain community services, and telehealth services.

Expand Excellence in Mental Health Act of 2016

United States · United States Congress · 12 February 2016

Expand Excellence in Mental Health Act of 2016 This bill amends the Promoting Access to Medicare Act of 2014 to increase, from 8 to 24, the number of states that may be selected to participate in Medicaid demonstration programs to improve community mental health services.

Responsibility in Drug Advertising Act of 2016

United States · United States Congress · 12 February 2016

Responsibility in Drug Advertising Act of 2016 This bill amends the Federal Food, Drug, and Cosmetic Act to prohibit direct-to-consumer advertising of a drug in the first three years after the drug's approval. The Food and Drug Administration may: (1) waive the third year of this prohibition for a drug if direct-to-consumer advertising of the drug would have an affirmative value to public health, or (2) extend the prohibition if the drug has significant adverse health effects.

Zika Authorization Plan Act of 2016

United States · United States Congress · 12 February 2016

Zika Authorization Plan Act of 2016 This bill amends the Public Health Service Act to reauthorize grants for state mosquito control programs through FY2020.

ZIPP Act

United States · United States Congress · 12 February 2016

Zika Is Preventable Plan Act or the ZIPP Act This bill authorizes funds made available under the Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2015 to the Centers for Disease Control and Prevention for Ebola response and preparedness to also be used for Zika virus response and preparedness.

CARE Act of 2016

United States · United States Congress · 12 February 2016

Critical Access and Rural Equity Act of 2016 or the CARE Act of 2016 This bill amends title XVIII (Medicare) of the Social Security Act to specify that, for purposes of determining Medicare payment and reasonable costs for both inpatient and outpatient critical access hospital (CAH) services, the Centers for Medicare & Medicaid Services (CMS) shall recognize as allowable costs those related to specified emergency, diagnostic, anesthetist, community health, and off-campus clinical services. Furthermore, in determining payment and reasonable costs for both inpatient and outpatient CAH services, CMS shall not disallow payment to a CAH on the basis that such payment offsets the cost of a current permissible health care-related tax imposed on and paid by the CAH. CMS must make specified payment adjustments to account for such a tax.  Generally, under current law, a facility must be located beyond a specified driving distance from another hospital or facility in order to be designated as a CAH. The bill specifies that this requirement does not apply with respect to a CAH's off-campus provider-based clinic. Current law further requires a facility to provide certain 24-hour emergency care services as a condition of designation as a CAH. The bill allows CMS to waive this requirement with respect to a facility that coordinates with a nearby facility or hospital that provides such services.

PRESIDENT'S FISCAL YEAR 2017 HEALTH CARE PROPOSALS

United States · United States Senate · 11 February 2016

Energy Sovereignty Act

United States · United States Congress · 11 February 2016

Energy Sovereignty Act This bill amends the Clean Air Act to prohibit the Environmental Protection Agency from requiring states to prevent or eliminate air pollution endangering public health or welfare in other countries.

Department of Veterans Affairs Accountability Act of 2016

United States · United States Congress · 11 February 2016

Department of Veterans Affairs Accountability Act of 2016 This bill authorizes the Department of Veterans Affairs (VA) to remove or demote a VA employee based on performance or misconduct. A determination that the performance or misconduct warrants removal or demotion may consist of any of the following: neglect of duty; malfeasance; failure to accept a directed reassignment or transfer of function; violation of VA policy; violation of law; insubordination; overprescription of medication; or purposeful omission, including by a supervisor, from an electronic wait list of the name of one or more veterans waiting for VA health care. The VA may also remove such individual from the civil service or demote the individual through a reduction in grade or annual pay rate. A demoted individual: (1) shall be paid at the demoted rate as of the date of demotion, (2) may not be placed on administrative leave or any other category of paid leave while an appeal is ongoing, and (3) may only receive pay and other benefits if the individual reports for duty. The VA shall notify Congress of, and the reason for, any removal or demotion. An employee shall have the right to an appeal before the Merit Systems Protection Board within seven days of removal or demotion. An administrative law judge shall have to make a final decision within 45 days of such appeal or the original decision becomes final. The Board or an administrative judge may not stay any removal or demotion. Between the date on which an individual appeals a removal from the civil service and the date on which the administrative judge issues a final decision on the appeal, the individual may not receive any pay, awards, bonuses, incentives, allowances, differentials, student loan repayments, special payments, or benefits. The VA may not remove or demote an employee without the approval of the Special Counsel if the individual seeks corrective action from the Office of Special Counsel based on an alleged prohibited personnel practice. The Special Counsel may terminate an investigation of a prohibited personnel practice alleged by a VA employee or former employee after it has given the individual a written statement of the reasons for the termination. The Director of a Veterans Integrated Service Network may contract with an entity specializing in civilian accreditation or health care evaluation to investigate any medical center within the Network to assess deficiencies at such medical center. The Government Accountability Office shall report to Congress on VA implementation of the Veterans Choice Program.

Veterans Choice Card Prompt Payment Act

United States · United States Congress · 11 February 2016

Veterans Choice Card Prompt Payment Act This bill amends the Veterans Access, Choice, and Accountability Act of 2014 to require the Department of Veterans Affairs (VA), upon receipt of a request from a non-VA entity for reimbursement for health care services provided to a veteran under the Veterans Choice Program, to reimburse the entity even if the request does not include the veteran's medical records.

Changing the Culture of the FDA Act

United States · United States Congress · 11 February 2016

Changing the Culture of the FDA Act This bill requires the Food and Drug Administration to amend its mission statement to take responsibility for protecting the public health by considering the danger of addiction and overdose death when approving and regulating prescription opioid medications. (Opioid medications are drugs with effects similar to opium, such as certain pain medications.)

Cradle Act

United States · United States Congress · 11 February 2016

Cradle Act This bill amends title XIX (Medicaid) of the Social Security Act to allow for alternative certification requirements for a residential pediatric recovery center to participate in a state Medicaid program. A "residential pediatric recovery center" is a facility that treats infants with neonatal abstinence syndrome (NAS), which is caused by exposure to opioids before birth. With respect to certifying such facilities, the Centers for Medicare & Medicaid must establish guidelines that: (1) include requirements specifically applicable to treating infants with NAS, and (2) take into account that certain requirements needed for centers that treat adults may not be necessary for facilities that treat such infants. A residential pediatric recovery center may satisfy the requirements set forth in these guidelines in lieu of any comparable requirements otherwise applicable for purposes of the center's participation under a state Medicaid program. A facility licensed by a state as a residential pediatric recovery center shall be treated as having satisfied certification requirements for participation under the Medicaid program for that state. 

California Long-Term Provisions for Water Supply and Short-Term Provisions for Emergency Drought Relief Act

United States · United States Congress · 10 February 2016

California Long-Term Provisions for Water Supply and Short-Term Provisions for Emergency Drought Relief Act TITLE I--LONG-TERM IMPROVEMENTS FOR WESTERN STATES SUBJECT TO DROUGHT This bill authorizes the Department of the Interior, within California and other states served by the Bureau of Reclamation (Reclamation), and also within Alaska and Hawaii, to provide: (1) cost-shared financial assistance and other long-term agreements to nonfederal participants to advance the planning, design, and construction of nonfederal permanent water storage and conveyance facilities, projects for the reclamation and reuse of municipal, industrial, domestic, and agricultural wastewater, naturally impaired ground and surface waters, groundwater recharge, and other water management improvement projects; and (2) grants for projects in disadvantaged communities that are unable to meet primary water quality standards or whose local private or public water supply has been lost or severely diminished due to drought conditions. The Environmental Protection Agency (EPA), for five years after enactment of this Act, must require California to prioritize state revolving funds allocated under the Federal Water Pollution Control Act or the Safe Drinking Water Act to projects that will: (1) provide additional water supplies to areas at risk of having inadequate supplies for public health and safety purposes, or (2) improve resiliency to drought. At California's request, the EPA must authorize 40-year financing for assistance in the case of state loan funds used to buy or refinance the debt obligation of municipalities and intermunicipal and interstate agencies at or below market rates. In Reclamation-served states, Interior may participate in up to: (1) 50% of the total cost of a federally owned surface water storage project upon the request of a state or public agency, or (2) 25% of the total cost of a state-led project involving a groundwater or surface water storage facility upon a governor's request. The Department of the Army must carry out up to 15 pilot projects, including at least 6 nonfederal projects, to implement revisions of reservoir water operations manuals and flood control rule curves in states under a gubernatorial drought declaration during water year 2015. Interior must award funding on a competitive basis to water recycling and desalination projects sponsored by certain cities, districts, regional commissions, and facilities. The Water Desalination Act of 1996 is amended to reauthorize through FY2020 water desalination research grants and demonstration programs. The White House Office of Science and Technology Policy must develop a strategic plan for future federal investments in desalination. The Reclamation Wastewater and Groundwater Study and Facilities Act is amended to establish a process for Interior to award grants to nonfederal sponsors for projects that reclaim and reuse: (1) municipal, industrial, domestic, or agricultural wastewater; or (2) impaired ground or surface waters. The EPA may continue the WaterSense Program for the voluntary labeling of products, buildings, landscapes, facilities, processes, and services that meet EPA water efficiency criteria. Interior may provide secured loans or loan guarantees to private entities, state or local governments, irrigation districts, water users' associations, or other entities that contract with the United States under federal reclamation law to carry out water projects within the 17 western states served by Reclamation, other states where Reclamation is authorized to provide project assistance, Alaska, and Hawaii. Interior may enter a memorandum of understanding with California and up to four additional states to establish a pilot program that designates a state as lead agency for purposes of the National Environmental Policy Act of 1969 (NEPA). TITLE II--LISTED SPECIES AND WILDLIFE This title authorizes appropriations for the National Oceanic and Atmospheric Administration for: (1) gravel and rearing area additions and habitat restoration to the Sacramento River to benefit Chinook salmon and steelhead trout; (2) real-time operations of Shasta and related Central Valley facilities, temperature modeling, and forecasting to predict impacts to salmon and salmon habitat as a result of water management at Shasta; and (3) salvage systems for the Sacramento-San Joaquin Delta and the Suisun Marsh (the Delta). It also authorizes appropriations for Interior to conduct a Delta smelt distribution study. The Department of Commerce must implement a pilot program to test an experimental trap and barge program to improve survival of juvenile salmonids emigrating from the San Joaquin watershed though the Delta. Interior and Commerce must expand conservation hatchery programs to enhance, supplement, and rebuild Delta smelt and Endangered Species Act-listed fish species under the smelt biological opinion dated December 15, 2008, and the salmonid biological opinion dated June 4, 2009, for California's Central Valley Project (CVP) and State Water Project (SWP). A federal cost share of up to 50% is authorized for the acceleration and completion of water infrastructure and conveyance facilities necessary to achieve full water deliveries to Central Valley wildlife refuges and habitat areas. The National Marine Fisheries Service and California's Oakdale and South San Joaquin irrigation districts must conduct a nonnative predator research and pilot fish removal program to study the effects of removing certain nonnative bass and predator fish from the Stanislaus River. Interior must establish pilot projects to implement the Calfed Bay-Delta invasive species control program. TITLE III--CALIFORNIA EMERGENCY DROUGHT RELIEF AND OPERATIONAL FLEXIBILITY The U.S. Fish and Wildlife Service must use the best scientific and commercial data available to implement, continuously evaluate, and make appropriate amendments to the reasonable and prudent alternative described in the smelt biological opinion. Interior must collaborate with stakeholders to conduct annual surveys on the science of the Delta to enhance real-time decisionmaking. By not later than March 15, 2021, Interior must complete studies to determine the abundance and distribution of Delta smelt. Interior must: (1) determine potential methods to minimize the effects of CVP and SWP operations on Delta smelt, (2) implement new targeted sampling and monitoring of Delta smelt or provide an explanation if such new sampling and monitoring is not warranted, and (3) use new tracking technologies. Until the California governor declares an end to its drought emergency or September 30, 2017, whichever is later, Interior and Commerce must conduct real-time monitoring of fish species relative to Delta conditions to identify: (1) opportunities to increase water pumping without violating environmental or endangered species laws or biological opinions; and (2) circumstances where it is necessary to decrease water pumping to protect natural origin steelhead, natural origin genetic spring run Chinook, genetic winter run Chinook salmon, or Delta smelt. Temporary procedures are set forth for management of: the Old and Middle River (OMR) to maximize water supplies for the CVP and the SWP, OMR reverse flow rates, and the C.W. "Bill" Jones and the Harvey O. Banks pumping plants. To address emergency drought conditions, Interior and Commerce must approve operations or temporary projects to provide the maximum quantity of water supplies to CVP agricultural, municipal, and industrial contractors, water service or repayment contractors, water rights settlement contractors, exchange and refuge contractors, and SWP contractors. Consistent with biological opinions and subject to environmental law restrictions, Interior and Commerce must: implement a pilot project to test the ability to open the Delta cross-channel gates to the maximum extent practicable; install a deflection barrier at Georgiana Slough and the Delta cross-channel gate; implement turbidity control strategies; adopt inflow-to-export ratios for the increment of increased flow in April and May; issue permits for temporary barriers, operable gates, and water transfer requests; enter an agreement with the National Academy of Sciences to study saltcedar biological control efforts to increase water supplies and improve riparian habitats of the Colorado River; and vary averaging periods for Delta export-inflow ratios. During the period when emergency procedures are in effect, federal agencies must: (1) expedite final decisions for newly proposed federal water projects or operations upon the California governor's request, and (2) develop alternative arrangements to comply with NEPA. Interior and Commerce may, during that temporary period, authorize CVP and SWP operations at levels that capture peak flows during storm-related events. TITLE IV--WATER RIGHTS This title sets forth temporary procedures for Interior to confer with the California Department of Fish and Wildlife (CDFW) regarding the implementation of this Act and any changes to the smelt or salmonid biological opinions. If the CDFW determines that SWP operations are inconsistent with California law, or requires take authorization in a manner that reduces water supply to the SWP as compared to the supply available under the biological opinions, and as a result the CVP yield is greater than it otherwise would have been, then that additional yield must be made available to SWP contractors to offset the reduced water supply. In cases where it is necessary to reduce CVP water supplies to make additional yield available to the SWP, such reductions must be applied proportionately to uses or contractors benefiting from that increased yield. For existing CVP agricultural water service contractors within the Sacramento River Watershed, this title sets forth temporary water allocation percentages for irrigation purposes in wet, dry, and above or below normal water years. TITLE V--MISCELLANEOUS PROVISIONS The CVP's service area is expanded to include the Kettleman City Community Services District. Interior shall enter a contract to deliver CVP water to that Kettleman City district for municipal and industrial uses if local supplies or SWP allocations are insufficient. Reclamation must coordinate implementation of projects for additional water storage at the New Melones Reservoir. The U.S. Geological Survey must establish an open water data system to promote voluntary sharing of water data among state, local, and tribal governments, communities, educational institutions, and the private sector. TITLE VI--OFFSETS This title establishes a process for Interior to identify, solicit public comment on, and submit to Congress a list of Reclamation projects to be deauthorized because they are no longer feasible. Reclamation projects that would yield an average of more than 200,000 acre-feet of water per year are exempt from this process. Accelerated Revenue, Repayment, and Surface Water Storage Enhancement Act This Act requires Interior, upon request from a water users association, to convert certain water service contracts between the United States and the water users association to allow for prepayment of repayment contracts. A percentage of the receipts generated from such prepayments is to be deposited in a Reclamation Surface Storage Account established to fund the construction of surface water storage. TITLE VII--DURATION AND EFFECT ON EXISTING OBLIGATIONS This title identifies the temporary provisions of titles III and IV that will expire when the California governor declares an end to its drought emergency or on September 30, 2017, whichever is later.

Sergeant Daniel Somers Classified Veterans Access to Care Act

United States · United States Congress · 10 February 2016

Sergeant Daniel Somers Classified Veterans Access to Care Act This bill expresses the sense of Congress that veterans who experience combat-related mental health wounds should have immediate and consistent access to comprehensive mental health care. The Department of Veterans Affairs (VA) shall: establish standards and procedures to ensure that a veteran who participated in a classified mission or served in a sensitive unit while in the Armed Forces may access VA mental health care in a manner that fully accommodates the veteran's obligation to not improperly disclose classified information; disseminate guidance to employees of the Veterans Health Administration, including mental health professionals, on such standards and procedures and on how to best engage such veterans during the course of mental health treatment with respect to classified information; and ensure that an individual may elect to identify as such a veteran on an appropriate form.

Public Health Emergency Preparedness Act

United States · United States Congress · 10 February 2016

Public Health Emergency Preparedness Act This bill provides $5 billion in supplemental appropriations to the Department of Health and Human Services (HHS) for the Public Health Emergency Fund. The bill designates the funds as an emergency requirement, and provides that the funds are only available if the President subsequently designates the funds. (Emergency spending is exempt from discretionary spending limits and other budget enforcement rules.) HHS may use the funds provided by this bill to acquire products such as drugs, vaccines and other biological products, and medical devices for deposit into the Strategic National Stockpile. The bill amends the Balanced Budget and Emergency Deficit Control Act of 1985 to exempt the Public Health Emergency Fund from sequestration, which is a process of automatic, usually across-the-board spending reductions under which budgetary resources are permanently cancelled to enforce specific budget policy goals.

Newborn Care Improvement Act

United States · United States Congress · 9 February 2016

Newborn Care Improvement Act This bill increases from 7 to 14 the number of days that the Department of Veterans Affairs (VA) may furnish health care services, including post-delivery care, to the newborn child of a woman veteran who delivered the child in a VA facility or another facility pursuant to a VA contract for such services.

Expand Excellence in Mental Health Act

United States · United States Congress · 9 February 2016

Expand Excellence in Mental Health Act This bill amends the Promoting Access to Medicare Act of 2014 to increase, from 8 to 24, the number of states that may be selected to participate in Medicaid demonstration programs to improve community mental health services.

Empowering Patients First Act of 2015

United States · United States Congress · 9 February 2016

Empowering Patients First Act of 2015 This bill repeals the Patient Protection and Affordable Care Act and the health care provisions of the Health Care and Education and Reconciliation Act of 2010, effective as of their enactment. This bill replaces those provisions with amendments to the Internal Revenue Code, the Public Health Service Act, and the Employee Retirement Income Security Act of 1974 (ERISA) to address health care coverage. The bill provides for refundable tax credits for health insurance coverage and health savings account (HSA) contributions. The bill raises the annual HSA contribution limit, expands eligibility for tax-deductible HSA contributions, and allows HSAs to be used to pay periodic or capitated primary care fees. A limit is placed on the amount of an employer's contribution to health coverage that can be excluded from the employee's taxable income. The Department of Health and Human Services (HHS) must provide a grant to each state for high-risk pools or reinsurance pools to subsidize health insurance for high-risk populations and individuals. Funds authorized, tax credits, and tax deductions under this Act may not be used to pay for an abortion or health coverage that includes abortion, with exceptions. This bill provides for the establishment and governance of independent health pools, entities that form risk pools to offer health insurance coverage to their members. Small Business Health Fairness Act of 2015 This bill provides for the establishment and governance of association health plans, which are group health plans sponsored by business associations that meet certain ERISA certification requirements. Health insurers offering individual coverage may deny coverage to an individual, outside of open enrollment periods. Preexisting conditions may be excluded from coverage under certain conditions. Individual health insurance coverage is governed by the laws of a state designated by the health insurance issuer. HHS must issue clinical practice guidelines. The bill specifies how these guidelines may be used in a health care lawsuit. HHS may not use comparative effectiveness research or patient-centered outcomes research to deny coverage of an item or service under a federal health care program. This bill amends title XVIII (Medicare) of the Social Security Act to permit Medicare beneficiaries to contract with a physician or practitioner for covered health care and submit a claim for payment under Medicare. Health care professionals are exempted from federal and state antitrust laws in connection with negotiations with a health plan to provide health care items or services.

Zika Response and Safety Act of 2016

United States · United States Congress · 9 February 2016

Zika Response and Safety Act of 2016 This bill authorizes funds made available in prior appropriation Acts to any federal agency for Ebola response and preparedness to be used for Zika virus response and preparedness.

State and High-Risk Urban Area Working Group Act

United States · United States Congress · 9 February 2016

State and High-Risk Urban Area Working Group Act This bill amends the Homeland Security Act of 2002 to require any state or high-risk urban area receiving a grant under the State Homeland Security Grant Program or the Urban Area Security Initiative to establish an urban area working group to assist in preparation and revision of the state, regional, or local homeland security plan or the threat and hazard identification and risk assessment. The bill adds to the stakeholders who shall have at least one representative on such a committee or working group: public health officials and other appropriate medical practitioners, individuals representing educational institutions, state and regional interoperable communications coordinators, and state and major urban area fusion centers. (A fusion center serves as a focal point within the state and local environment for the receipt, analysis, gathering, and sharing of threat-related information between the federal government and state, local, tribal, territorial, and private sector partners.)

Know Before You Go Act of 2016

United States · United States Congress · 9 February 2016

Know Before You Go Act of 2016 This bill amends the Public Health Service Act to permit health insurers to include, for plan year accounting purposes, activities related to a transparency tool as activities that improve health care quality. (An insurer must provide a rebate to enrollees if the insurer spends less than a certain percentage of premium revenues on clinical services and activities that improve health care quality.) A transparency tool is a website and telephone support that provides quality of care and cost sharing comparisons among in-network providers. Such accounting for a plan year is permitted only for insurers that have: (1) significantly increased the percentage of enrollees using a transparency tool compared to the previous year, (2) provided cost sharing estimates for episodes of care upon request, and (3) made available a list of high deductible health plans offered by the insurer to each individual seeking coverage from the insurer.

PROP Act of 2016

United States · United States Congress · 9 February 2016

Promoting Responsible Opioid Prescribing Act of 2016 or the PROP Act of 2016 This bill amends title XVIII (Medicare) of the Social Security Act to exclude certain pain-related measures for purposes of calculating incentive payments under the value-based purchasing program (VBP). (VBP is a program that links hospital payments to the quality of care provided.) Specifically, VPB measures shall not include measures based on a patient's assessment of: (1) the patient's need for pain medicine during a hospital stay; (2) how often, during the stay, the patient's pain was well controlled; or (3) how often, during the stay, hospital staff did everything they could to help manage the patient's pain.

Adding Zika Virus to the FDA Priority Review Voucher Program Act

United States · United States Congress · 8 February 2016

Adding Zika Virus to the FDA Priority Review Voucher Program Act This bill amends the Federal Food, Drug, and Cosmetic Act to add the Zika virus to the list of tropical diseases under the priority review voucher program, which awards a voucher to the sponsor of a new drug or biological product that is approved to prevent or treat a tropical disease. (A voucher entitles the holder to have a future new drug or biological product application acted upon by the Food and Drug Administration within six months.)

Improving Health Information Technology Act

United States · United States Congress · 8 February 2016

Improving Health Information Technology Act This bill amends the Health Information Technology for Economic and Clinical Health Act to require the Department of Health and Human Services (HHS) to: (1) reduce regulatory burdens relating to electronic health records (EHR), (2) publish statistics for the Medicare and Medicaid EHR Incentive Programs, and (3) establish an index of digital contact information to encourage exchange of health information. This bill amends the Public Health Service Act to require the Office of the National Coordinator for Health Information Technology (ONC) to: (1) encourage, keep, or recognize the certification of health information technology (IT) for use in medical specialties; and (2) issue guidance and convene stakeholders regarding the secure exchange of electronic health information. HHS must develop a rating system for health IT. Health IT with a low rating must be improved by the developer or decertified. A provider whose adopted health IT is decertified is exempt from certain penalties. The bill sets forth requirements for health IT, certification criteria, and health IT developers. Developers of health IT and providers may be penalized for engaging in information blocking. The ONC, in coordination with the HHS Office for Civil Rights, must: (1) encourage partnerships between health information exchanges and others to offer patients access to their electronic health information; (2) educate providers on health information exchanges; (3) issue guidance to health information exchanges on best practices, and (4) ensure patient access to health information in a convenient form. HHS, in consultation with the ONC, must promote policies to facilitate patient communication with providers. The HHS Office for Civil Rights must assist individuals and health care providers in understanding a patient's rights regarding their health information.

A resolution designating February 2016 as "American Heart Month" and February 5, 2016, as "National Wear Red Day".

United States · United States Congress · 8 February 2016

Expresses support for the goals and ideals of American Heart Month and National Wear Red Day. Recognizes and reaffirms the commitment to fighting heart disease and stroke by promoting awareness about the causes, risks, and prevention, supporting research, and expanding access to medical treatment. Encourages individuals to learn about their risk for heart disease.

Preventing Superbugs and Protecting Patients Act

United States · United States Congress · 4 February 2016

Preventing Superbugs and Protecting Patients Act This bill amends the Federal Food, Drug, and Cosmetic Act to require the Food and Drug Administration (FDA) to identify types of medical devices for which premarket notification must include proposed labeling, including validated instructions regarding cleaning, disinfection, and sterilization. The FDA must issue final guidance regarding when a premarket notification is required for a modification to a medical device.

Health Savings Act of 2016

United States · United States Congress · 4 February 2016

Health Savings Act of 2016 This bill amends the Internal Revenue Code, with respect to the taxation of health savings accounts (HSAs), to: rename high deductible health plans as HSA-qualified health plans; allow spouses who have both attained age 55 to make increased catch-up contributions to the same HSA; make Medicare Part A (hospital insurance benefits) beneficiaries eligible to participate in an HSA; allow individuals eligible for hospital care or medical services under a medical care program of the Indian Health Service or of a tribal organization to participate in an HSA; allow individuals eligible to receive medical benefits under certain TRICARE plans to participate in an HSA; allow members of a health care sharing ministry to participate in an HSA; allow individuals who receive primary care services in exchange for a fixed periodic fee or payment, or who receive health care benefits from an onsite medical clinic of an employer, to participate in an HSA; include amounts paid for prescriptions and over-the-counter medicines or drugs as "qualified medical expenses" for which distributions from an HSA or an Archer Medical Savings Account may be used; and allow HSA distributions to be used to purchase health insurance coverage. The bill amends the federal bankruptcy code to exempt HSAs from creditor claims in bankruptcy. The bill amends the Social Security Act to reauthorize the use of Medicaid health opportunity accounts. The bill allows a medical care tax deduction for: (1) exercise equipment, physical fitness programs, and membership at a fitness facility; (2) nutritional and dietary supplements; and (3) periodic fees paid to a primary care physician and amounts paid for pre-paid primary care services.

Families of Flint Act

United States · United States Congress · 4 February 2016

Families of Flint Act This bill provides support for Flint, Michigan in addressing lead in the city's drinking water and related issues. The bill amends the Safe Drinking Water Act by establishing a 10-year grant program to ensure that Flint's drinking water does not contain: (1) lead levels that threaten public health or the environment, or (2) other drinking water contaminants and pathogens that threaten public health. The bill also establishes specified grant programs for assisting Flint that are established within the Department of Labor, the Department of Health and Human Services (HHS), the Department of Education, the Department of Commerce, the Department of Justice, and the Department of Housing and Urban Development. The bill amends the Consolidated Appropriations Act, 2016, by allowing states to use more than 20% of funds from Drinking Water State Revolving Fund capitalization grants for addressing a threat to public health from heightened exposure to lead in a municipal drinking water supply if a federal or state emergency declaration has been issued for that threat. HHS must establish in Flint a Center of Excellence on Lead Exposure. The bill amends the Child Nutrition Act of 1966 to increase the allowable participation period in the Special Supplemental Nutrition Program for Women, Infants, and Children for children residing in areas that are in a state of emergency. A state may elect to allow those children to participate in the program for a period that ends on the earlier of: (1) the child's tenth birthday (currently fifth), or (2) five years after the emergency (currently children may participate for a one-year period).

Gold King Mine Spill Accountability Act of 2016

United States · United States Congress · 4 February 2016

Gold King Mine Spill Accountability Act of 2016 This bill requires the Department of Justice (DOJ) to appoint a special investigator to investigate: (1) who was at fault for the discharge of contaminated water from the Gold King Mine north of Silverton, Colorado, into Cement Creek; (2) which individuals were responsible for the decisions that led to the spill; and (3) what downstream environmental effects were caused by the Environmental Protection Agency's (EPA) actions, or inactions, after the spill. The bill: (1) entitles individuals to receive compensation for a claim filed, or civil action brought, under the Federal Tort Claims Act relating to an injury resulting from the spill, and (2) establishes within the EPA the Office of Gold King Mine Spill Claims for processing claims of allowable damages resulting from the spill. The EPA may provide compensation for a claim in an amount greater than $25,000 without the prior approval of DOJ. The EPA must fund the implementation of the long-term monitoring program developed by the Long-Term Impact Review Team of New Mexico, for the water quality of the Animas and San Juan Rivers. The EPA may not finalize or work on any rules (including those not related to the spill) until all claims have been paid, except rules that are necessary to address an imminent threat to public health or safety, or other emergency.

Youth Access to Sexual Health Services Act of 2016

United States · United States Congress · 4 February 2016

Youth Access to Sexual Health Services Act of 2016 This bill authorizes the Department of Health and Human Services to award grants to support the access of marginalized youth to sexual health services such as sexual health education and contraception. Marginalized youth are disadvantaged individuals under the age of 26. Grants may be awarded to state or local health or education agencies, public schools, nonprofit organizations, hospitals, Indian tribes, and tribal organizations. Grants may be used to: (1) provide sexual health information to marginalized youth, (2) promote effective communication regarding sexual health among marginalized youth, (3) promote and support opportunities for school-age parents, and (3) train individuals who work with marginalized youth to promote sexual health and the development of safe and supportive environments. Grants may not be used to provide access to health services that: (1) are medically unsound; (2) withhold sexual health-promoting or lifesaving information; (3) promote gender stereotypes; or (4) are insensitive or unresponsive to the needs of homosexual, bisexual, or transgender youth, sexually active youth, school-age parents, or survivors of sexual abuse or assault. Unobligated FY2017 appropriations for abstinence education are made available for these grants.

Expressing support for designation of February 4, 2016, as National Cancer Prevention Day.

United States · United States Congress · 4 February 2016

Expresses support for the designation of National Cancer Prevention Day.

Health Care Premium Reduction Act

United States · United States Congress · 4 February 2016

Health Care Premium Reduction Act This bill amends the Patient Protection and Affordable Care Act to require the Department of Health and Human Services to award grants to states to support the purchase of private health insurance by consumers and to stabilize health insurance premiums. Priority is given to states with the highest health insurance premiums and such states may be provided bonus payments. States must use grants to: reduce health insurance premiums through activities such as cost-sharing programs to reduce deductibles and out-of-pocket expenses; increase the number of individuals with health insurance; review premium rates to determine unreasonable premium increases and facilitate reduction of such rates; and address health insurance affordability, quality, and accessibility through a waiver of health coverage requirements.

Health Savings Act of 2016

United States · United States Congress · 4 February 2016

Health Savings Act of 2016 This bill amends the Internal Revenue Code, with respect to the taxation of health savings accounts (HSAs), to: rename high deductible health plans as HSA-qualified health plans; allow spouses who have both attained age 55 to make increased catch-up contributions to the same HSA; make Medicare Part A (hospital insurance benefits) beneficiaries eligible to participate in an HSA; allow individuals eligible for hospital care or medical services under a medical care program of the Indian Health Service or of a tribal organization to participate in an HSA; allow individuals eligible to receive medical benefits under certain TRICARE plans to participate in an HSA; allow members of a health care sharing ministry to participate in an HSA; allow individuals who receive primary care services in exchange for a fixed periodic fee or payment, or who receive health care benefits from an onsite medical clinic of an employer, to participate in an HSA; include amounts paid for prescriptions and over-the-counter medicines or drugs as "qualified medical expenses" for which distributions from an HSA or an Archer Medical Savings Account may be used; and allow HSA distributions to be used to purchase health insurance coverage. The bill amends the federal bankruptcy code to exempt HSAs from creditor claims in bankruptcy. The bill amends the Social Security Act to reauthorize the use of Medicaid health opportunity accounts. The bill allows a medical care tax deduction for: (1) exercise equipment, physical fitness programs, and membership at a fitness facility; (2) nutritional and dietary supplements; and (3) periodic fees paid to a primary care physician and amounts paid for pre-paid primary care services.

Medicare Program Linking Uncoordinated Services (PLUS) Act

United States · United States Congress · 4 February 2016

Medicare Program Linking Uncoordinated Services (PLUS) Act This bill amends title XVIII (Medicare) of the Social Security Act to establish a pilot program to demonstrate improvements in patient care and cost savings for the highest-cost Medicare fee-for-service (FFS) beneficiaries through enrollment of such beneficiaries with participating organizations. The program shall be designed to provide comprehensive and integrated care management and services through a network of health care providers to meet the specialized needs of such beneficiaries. The Centers for Medicare & Medicaid Services (CMS) must design the program in such a manner as to preserve the operation of the Medicare prescription drug benefit. A participating organization must meet the same requirements that apply to a Medicare Advantage (MA) organization. CMS must develop quality performance standards and, using an integrated care model, care management requirements for participating organizations. For each individual enrolled under the program, CMS shall make a monthly capitated payment to the participating organization as would be made for an individual enrolled in an MA plan (excluding MA prescription drug plans), except that the amount of payment shall: (1) equal 98% of the projected cost under the Medicare FFS program for the highest-cost Medicare FFS beneficiaries; and (2) be adjusted to account for differences in costs among different geographic areas and among high-cost Medicare FFS beneficiaries, including outlier costs. CMS must report to Congress on the performance of the program within two years of initial enrollment.

REEXAMINING THE SUBSTANDARD QUALITY OF INDIAN HEALTH CARE IN THE GREAT PLAINS

United States · United States Senate · 3 February 2016

Female Veteran Suicide Prevention Act

United States · United States Congress · 3 February 2016

Female Veteran Suicide Prevention Act This bill directs the Department of Veterans Affairs (VA) to identify: (1) VA mental health care and suicide prevention programs that are most effective for women veterans, and (2) such programs with the highest satisfaction rates among women veterans.

Zika Response and Safety Act of 2016

United States · United States Congress · 3 February 2016

Zika Response and Safety Act of 2016 This bill authorizes funds made available in prior appropriation Acts to any federal agency for Ebola response and preparedness to be used for Zika virus response and preparedness.

CONNECT for Health Act

United States · United States Congress · 3 February 2016

Creating Opportunities Now for Necessary and Effective Care Technologies (CONNECT) for Health Act or the CONNECT for Health Act This bill amends titles XI (General Provisions) and XVIII (Medicare) of the Social Security Act to expand and modify the use of telehealth and remote patient monitoring services under Medicare. The bill establishes a telehealth and remote patient monitoring services "bridge" demonstration waiver program, through which the Centers for Medicare & Medicaid Services (CMS) shall waive certain limitations as a condition of Medicare payment to eligible providers of telehealth services. CMS shall also waive such limitations as a condition of Medicare payment for telehealth services with respect to providers participating in qualifying alternative payment models.  With regard to individuals with certain chronic conditions, telehealth services shall be covered under Medicare as medical and other health services, rural health clinic services, or federally qualified health center (FQHC) services, as the case may be. A Medicare beneficiary determined to have end stage renal disease (ESRD) and receiving home dialysis may elect to receive certain required monthly ESRD-related visits via telehealth if the beneficiary receives an in-person examination at least once every three months. For purposes of Medicare payment for telehealth services: (1) a rural health clinic or FQHC may serve as a distant site whose clinician furnishes such services, and (2) certain requirements for originating sites shall not apply with respect to specified stroke-related services or to specified Native American health service facilities. A Medicare Advantage (MA) plan may use telehealth services to provide benefits under the original Medicare fee-for-service program option. Specified limitations are waived with regard to such services furnished under an MA plan.