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Resolution· SRESS.Res. 115 (114th)passed
United States · United States Congress · 25 March 2015
Designates April 2015 as National Congenital Diaphragmatic Hernia Awareness Month. (Congenital diaphragmatic hernia is a birth defect that occurs when the diaphragm fails to fully form, allowing abdominal organs to migrate into the chest cavity and preventing lung growth.) Encourages that steps should be taken to: raise awareness of and increase public knowledge about congenital diaphragmatic hernia (CDH); inform all Americans about the dangers of CDH; disseminate information on the importance of quality neonatal care for CDH patients; promote quality prenatal care and the use of ultrasounds to detect CDH in utero; and support research funding of CDH to improve screening and treatment, discover its causes, and develop a cure.
Resolution· SRESS.Res. 114 (114th)referred
United States · United States Congress · 25 March 2015
Expresses support for the designation of March 2015 as National Colorectal Cancer Awareness Month.
Bill· SS. 849 (114th)open
United States · United States Congress · 24 March 2015
Advancing Research for Neurological Diseases Act of 2015 Amends the Public Health Service Act to require the Centers for Disease Control and Prevention to: (1) enhance and expand infrastructure and activities to track the epidemiology of neurological diseases, including multiple sclerosis and Parkinson's disease; and (2) incorporate information obtained through those activities into a National Neurological Diseases Surveillance System. Requires the Department of Health and Human Services (HHS) to ensure that the System facilitates further research on neurological diseases. Requires HHS to provide for the collection and storage of information on neurological diseases, including the incidence, prevalence, and other information, to the extent practicable. Requires HHS to: (1) make information and analysis in the System available to federal agencies and to the public, including researchers; and (2) ensure that privacy and security protections applicable to the System are at least as stringent as the protections under the Health Insurance Portability and Accountability Act.
Resolution· SRESS.Res. 108 (114th)passed
United States · United States Congress · 24 March 2015
Commends the work of Jonas Salk and Albert Sabin in developing effective, safe vaccines for polio. Supports the Global Polio Eradication Initiative's goals and ideals and the international community in remaining committed to the eradication of polio. Encourages continued funding for the Global Polio Eradication Initiative and scientific research so that more life-saving discoveries can be made.
Bill· HRH.R. 1586 (114th)referred
United States · United States Congress · 24 March 2015
Repeal Existing Policies that Encourage and Allow Legal HIV Discrimination Act of 2015 or the REPEAL HIV Discrimination Act of 2015 Expresses the sense of Congress that federal and state laws, policies, and regulations regarding people living with HIV/AIDS should: (1) not place unique or additional burdens on such individuals solely as a result of their HIV status; and (2) demonstrate a public health-oriented, evidence-based, medically accurate, and contemporary understanding of HIV transmission, health implications, treatment, and the impact of punitive HIV-specific laws, policies, regulations, and judicial precedents and decisions on public health and on affected people, families, and communities. Directs: (1) the Department of Justice (DOJ), the Department of Health and Human Services (HHS), and the Department of Defense (DOD) to initiate a national review of federal (including military) and state laws, policies, regulations, and judicial precedents and decisions regarding criminal and related civil commitment cases involving people living with HIV/AIDS; and (2) DOJ to transmit to Congress and make publicly available the results of such review with related recommendations. Requires DOJ and HHS to: (1) develop and publicly release guidance and best practice recommendations for states, and (2) establish an integrated monitoring and evaluation system to measure state progress. Directs DOJ, HHS, and DOD to transmit to the President and Congress any proposals necessary to implement adjustments to federal laws, policies, or regulations. Prohibits this Act from being construed to discourage the prosecution of individuals who intentionally transmit or attempt to transmit HIV to another individual.
Bill· HRH.R. 1571 (114th)referred
United States · United States Congress · 24 March 2015
Improving Access to Medicare Coverage Act of 2015 Amends title XVIII (Medicare) of the Social Security Act to deem an individual receiving outpatient observation services in a hospital to be an inpatient with respect to satisfying the three-day inpatient hospital requirement in order to entitle the individual to Medicare coverage of any post-hospital extended care services in a skilled nursing facility.
Bill· HRH.R. 1559 (114th)referred
United States · United States Congress · 24 March 2015
Health Outcomes, Planning, and Education (HOPE) for Alzheimer's Act of 2015 This bill amends title XVIII (Medicare) of the Social Security Act to cover comprehensive Alzheimer's disease care planning services.
Bill· HRH.R. 1570 (114th)referred
United States · United States Congress · 24 March 2015
Medicaid and CHIP Territory Transparency and Information Act This bill directs the Secretary of Health and Human Services to publish and update periodically, on the Internet site of the Centers for Medicare and Medicaid Services information on the Medicaid program and the Children's Health Insurance Program under titles XIX and XXI of the Social Security Act that are carried out in the U.S. territories.
Bill· HRH.R. 1576 (114th)referred
United States · United States Congress · 24 March 2015
Generic Complex Drugs Safety and Effectiveness for Patients Act of 2015 This bill requires the Government Accountability Office (GAO) to study whether generic versions of certain complex drugs or certain biological drugs face significantly different challenges in meeting the approval standards of the Food and Drug Administration (FDA) than generic versions of small-molecule drugs. (Complex drugs and biological drugs can be composed of large molecules that are more difficult to fully characterize than small molecules, so it can be more difficult to demonstrate that generic versions of these drugs are the same as the brand name versions.) If the GAO determines that these generic drugs face significantly different challenges, then the GAO must also determine: (1) the evidence that should be required to demonstrate that one of these generic drugs is sufficiently similar to the brand name drug in safety, composition, and activity; (2) whether the Federal Food, Drug, and Cosmetic Act should be amended to address the approval of these generic drugs; and (3) whether the FDA should develop a policy document on the evidence that is necessary to obtain approval of these generic drugs.
Bill· SS. 843 (114th)referred
United States · United States Congress · 24 March 2015
Improving Access to Medicare Coverage Act of 2015 Amends title XVIII (Medicare) of the Social Security Act to deem an individual receiving outpatient observation services in a hospital to be an inpatient with respect to satisfying the three-day inpatient hospital requirement in order to entitle the individual to Medicare coverage of any post-hospital extended care services in a skilled nursing facility.
Resolution· HRESH.Res. 167 (114th)referred
United States · United States Congress · 24 March 2015
Expresses the sense that the committees of jurisdiction in the House of Representatives should craft a replacement for the Patient Protection and Affordable Care Act that includes restoration of the Black Lung Benefits Act.
Law· HRH.R. 2 (114th)enacted
United States · United States Congress · 24 March 2015
Medicare Access and CHIP Reauthorization Act of 2015 Amends title XVIII (Medicare) of the Social Security Act (SSAct) to: (1) remove sustainable growth rate (SGR) methodology from the determination of annual conversion factors in the formula for payment for physicians' services, and (2) revise the update in rates for 2015 and subsequent years. Directs the Secretary of Health and Human Services to establish a Merit-based Incentive Payment (MIP) system under which eligible professionals (including physicians, physician assistants, nurse practitioners, clinical nurse specialists, and certified registered nurse anesthetists) shall receive annual payment increases or decreases based on their performance. Requires specified incentive payments to eligible participants in an alternative payment model. Requires the Secretary to: (1) draft a plan for development of quality measures to assess professionals, including non-patient-facing professionals; and (2) make payments for chronic care management services. Expands the kinds of uses of Medicare data available to qualified entities. Directs the Secretary to provide Medicare data to qualified clinical data registries to facilitate quality improvement or patient safety. Declares it a national objective to achieve widespread exchange of health information through interoperable certified electronic health records technology nationwide by December 31, 2018. Extends through calendar 2017 specified elements of Medicare funding. Prescribes requirements for reasonable cost reimbursement contracts that may no longer be extended or renewed. Amends SSAct title XIX (Medicaid) to extend permanently the qualifying individual program and the transitional medical assistance program. Amends the Public Health Service Act to extend certain special diabetes programs. Amends SSAct title V (Maternal and Child Health Services) to extend: (1) abstinence education; (2) personal responsibility education program; (3) family-to-family health information centers; and (4) maternal, infant, and early childhood home visiting programs. Amends SSAct title XXI (State Children's Health Insurance Program) (CHIP) to extend the CHIP program through FY2017. Amends SSA title XVIII to: (1) deny Medigap policies to Medicare beneficiaries newly eligible on or after January 1, 2020; and (2) set 1% market basket percentage increases or annual updates for hospice, long-term care hospital, and other providers. Revises or sets the aggregate reductions in Medicaid disproportionate share hospital allotments for FY2018-FY2025. Prohibits the inclusion of Social Security numbers on Medicare cards. Directs the Secretary to establish procedures to ensure that Medicare payments are not furnished to incarcerated individuals, individuals not lawfully present in the United States, and deceased individuals. Requires the use of Medicare beneficiary smart cards, subject to certain conditions. Requires valid prescriber national provider identifiers on pharmacy claims. Requires medical review of spinal subluxation services by a chiropractor. Eliminates the availability of certain funds for the Medicare Improvement Fund. Amends the Protecting Access to Medicare Act of 2014 to extend through FY2015 the two-midnight rule regarding certain medical patient status review activities. (The two-midnight rule allows Medicare coverage of only hospital stays for which a physician admits to a hospital a beneficiary expected to require care that crosses two midnights, but generally denies coverage of care expected to require less than a two-midnight stay.) Requires bid surety bonds and state licensure for entities submitting bids under a competitive durable medical equipment and prosthetics, orthotics, and supplies acquisition program. Prohibits the Secretary from implementing the final rule requiring the transition of all 10-day and 90-day global surgical packages to 0-day global periods. Extends through FY2015 the Secure Rural Schools and Community Self-Determination Act of 2000.
Bill· HRH.R. 1538 (114th)referred
United States · United States Congress · 23 March 2015
Compassionate Access, Research Expansion, and Respect States Act of 2015 or the CARERS Act of 2015 Amends the Controlled Substances Act (CSA) to provide that control and enforcement provisions of such Act relating to marihuana shall not apply to any person acting in compliance with state law relating to the production, possession, distribution, dispensation, administration, laboratory testing, or delivery of medical marihuana. Transfers marihuana from schedule I to schedule II of the CSA. Excludes "cannabidiol" from the definition of "marihuana" and defines it separately as the substance cannabidiol, as derived from marihuana or the synthetic formulation, that contains not greater than 0.3% delta-9-tetrahydrocannabinol on a dry weight basis. Deems marihuana that is grown or possessed for purposes of making cannabidiol, in accordance with state law, to meet such concentration limitation unless the Attorney General determines that the state law is not reasonably calculated to comply with such definition. Prohibits a federal banking regulator from: (1) terminating or limiting the deposit insurance of a depository institution solely because it provides or has provided financial services to a marihuana-related legitimate business; or (2) prohibiting, penalizing, or otherwise discouraging a depository institution from providing financial services to a marihuana-related legitimate business. Prohibits a federal banking regulator from recommending, motivating, providing incentives, or encouraging a depository institution not to offer financial services to an individual, or to downgrade or cancel financial services offered to an individual, solely because: (1) the individual is a manufacturer of marihuana, (2) the individual is or later becomes an owner or operator of a marihuana-related legitimate business, or (3) the depository institution was not aware that the individual is the owner or operator of a marihuana-related legitimate business. Prohibits a federal banking regulator from taking any adverse or corrective supervisory action on a loan to an owner or operator of: (1) a marihuana-related legitimate business soley because the owner or operator is such a business, or (2) real estate or equipment that is leased to a marihuana-related legitimate business solely because it is leased to such a business. Provides depository institutions that provide financial services to a marihuana-related legitimate business protection under federal law from federal criminal prosecution or investigation, criminal penalties, and forfeiture of legal interest in collateral solely for providing financial services to such a business. Directs: (1) the Department of Health and Human Services to terminate the Public Health Service interdisciplinary review process described in the guidance entitled "Guidance on Procedures for the Provision of marihuana for Medical Research" (issued on May 21, 1999), and (2) the Drug Enforcement Administration to issue at least three licenses under CSA registration requirements to manufacture marihuana and marihuana-derivatives for research approved by the Food and Drug Administration. Directs the Department of Veterans Affairs (VA) to authorize VA health care providers to provide veterans with recommendations and opinions regarding participation in state marihuana programs.
Bill· HRH.R. 1547 (114th)referred
United States · United States Congress · 23 March 2015
Family Health Care Flexibility Act This bill amends the Internal Revenue Code to repeal provisions added by the Patient Protection and Affordable Care Act that: (1) restrict payments from health savings accounts, Archer medical savings accounts, and health flexible spending and reimbursement arrangements for medications to prescription drugs and insulin only (thus allowing payments for over-the-counter medications); and (2) impose a $2,500 limitation on salary reduction contributions to a health flexible spending arrangement under a cafeteria plan.
Bill· HRH.R. 1532 (114th)referred
United States · United States Congress · 23 March 2015
Keeping our Promises to Veterans Act of 2015 This bill amends the Veterans Access, Choice, and Accountability Act of 2014 regarding the veterans choice program to: reduce the 40-mile radius requirement to 20 miles, and require that the closest medical facility is able to provide a veteran with the care and services needed; reduce the 30-day wait-time goal to 15 days; and require the Veterans Administration (VA) to implement the prompt payment system by the earlier of February 1, 2016, or 180 days after the Comptroller General submits a certain report on the timeliness of VA payments for hospital care, medical services, and other health care furnished by non-VA health care providers.
Bill· HRH.R. 1530 (114th)referred
United States · United States Congress · 23 March 2015
Medicare Orthotics and Prosthetics Improvement Act of 2015 This bill amends title XVIII (Medicare) of the Social Security Act to prohibit payment under Medicare part B (Supplementary Medical Insurance) for an item or service furnished: (1) in a state that requires licensure unless the provider or supplier possesses all applicable state licensure, or (2) in a state that does not require licensure unless the provider or supplier meets all qualifications established by the Secretary of Health and Human Services. The Secretary shall designate and approve independent accreditation organizations that apply quality standards for suppliers only if they are Boards for Orthotist/Prosthetist Certification or essentially equivalent programs. Special payment rules for certain prosthetics and custom-fabricated orthotics are extended to custom-fitted orthotics. Such rules do not apply, however, to off-the-shelf orthotics furnished on or after January 1, 2016, which are included in a competitive acquisition program. Decisions about Medicare coverage of orthotics and prosthetics on or after January 1, 2016, must take into account the complexity of the item as well as supplier qualifications (which do not apply, however, to physicians, occupational therapists, or physical therapists state-licensed to provide such items). Documentation created by an orthotist or prosthetist is considered part of the patient's medical record. Requirements for suppliers of orthotics and prosthetics are separated from those for suppliers of durable medical equipment. Orthotists and prosthetists must have a supplier number for Medicare payment to be made. Patients are not liable for payment of furnished orthotics or prosthetics where payment may not be made or where payment is denied. Only the orthotists or prosthetists are liable in such circumstances. The Secretary must publish on the Internet website of the Centers for Medicare and Medicaid Services specified performance information about each recovery audit contractor (RAC). The Secretary is prohibited from recouping more than 50% of any overpayments for qualified providers and hospitals in response to a RAC audit until an administrative law judge has rendered a decision. The Secretary may recoup any overpayments, though, related to or resulting from fraudulent activity on the part of a Medicare provider or supplier. Only the patient may make the minimal self-adjustment required to qualify off-the-shelf orthotics for Medicare coverage in a competitive acquisition program.
Bill· HRH.R. 1526 (114th)referred
United States · United States Congress · 23 March 2015
Medicare Audit Improvement Act of 2015 This bill amends title XVIII (Medicare) of the Social Security Act to require that any records or documentation of an orthotist or prosthetist who furnished an orthotic, prosthetic, or prosthetic device to an individual shall be considered part of the individual's medical record in determining whether the item is reasonable and necessary. Medicare administrative contractors (MACs) shall determine that payment may not be made to a supplier of durable medical equipment (DME) or of orthotics and prosthetics for which a claim is made because the supplier does not meet requirements for licensing or accreditation by a National Board. Recovery audit contractors (RACs) shall consider an overpayment that must be recouped any payment for DME, orthotics, or prosthetics that should not have been made because the supplier failed to meet licensing or accreditation criteria. RACs are prohibited from reviewing payments for certain DME, orthotics, or prosthetics to which prior Medicare authorization applies. The Secretary of Health and Human Services must report annually to Congress certain information on determinations by MACs that payment cannot be made, and by RACs that payment should not have been made, under Medicare for items and services. Payment is prohibited under part B (Supplementary Medical Insurance) of Medicare for orthotics and prosthetics furnished by a supplier without a supplier number. To obtain such a number a supplier must meet specified criteria. The Secretary must: (1) review annually the coverage and utilization of orthotics and prosthetics to determine whether they should be subjected to coverage and utilization review criteria, and if appropriate (2) develop and apply such criteria. Patients are not liable for payment of furnished orthotics and prosthetics which are not reasonable and necessary for the diagnosis or treatment of illness or injury or to improve the functioning of a malformed body member. Competitive acquisition programs shall not apply to off-the-shelf items and services furnished by certain orthotists or prosthetists who are either licensed or, in a state without licensing requirements, meet specified training, education, certification, or credentialing criteria. Recoupment of payments to a qualifying provider or supplier may not be made before completion of an administrative law judge appeals process. Payment under Medicare is denied to suppliers and providers unless they meet certain licensing or other qualifications.
Bill· HRH.R. 1552 (114th)referred
United States · United States Congress · 23 March 2015
Preservation of Antibiotics for Medical Treatment Act of 2015 This bill amends the Federal Food, Drug, and Cosmetic Act to require an applicant for approval of a new animal drug that is a medically important antimicrobial to demonstrate that there is a reasonable certainty of no harm to human health from antimicrobial resistance attributable to the nontherapeutic use of the drug. Medically important antimicrobials are drugs intended for use in food-producing animals that contain: (1) specified antibiotics, or (2) certain drugs on the World Health Organization’s list of critically important antimicrobials. Two years after enactment of this Act, the Food and Drug Administration (FDA) must withdraw approval of a drug's nontherapeutic use in food-producing animals unless the FDA makes a determination that, based on the application holder's demonstration or an FDA risk analysis, there is a reasonable certainty of no harm to human health from antimicrobial resistance attributable to nontherapeutic use. The FDA must rescind an exemption for investigational use of, or approval of a new drug application for, a medically important antimicrobial for its nontherapeutic use in food-producing animals two years after the exemption is granted or the application for approval is submitted unless there is a reasonable certainty of no harm to human health from antimicrobial resistance attributable to nontherapeutic use. A medically important antimicrobial cannot be administered (including through animal feed) to a food-producing animal for disease control unless there is a significant risk that a disease or infection present on the premises will be transmitted to the animal.
Bill· HRH.R. 1537 (114th)referred
United States · United States Congress · 23 March 2015
Advancing Hope Act of 2015 This bill amends the Federal Food, Drug, and Cosmetic Act to expand the priority review voucher program for rare pediatric diseases to include treatments for sickle cell disease and pediatric cancers. The voucher program is extended by removing the provision terminating the program one year after the Food and Drug Administration's (FDA's) issuance of three rare pediatric disease vouchers. A voucher may not be issued for a rare pediatric disease product if a voucher was issued for the product as a tropical disease product. A tropical disease voucher may not be issued for a product that was approved, over two years before submitting an application to the FDA, for commercial marketing by a foreign government to treat a tropical disease.
Bill· SS. 841 (114th)referred
United States · United States Congress · 23 March 2015
Prioritizing Veterans Access to Mental Health Care Act of 2015 This bill amends the Veterans Access, Choice, and Accountability Act of 2014 to make a veteran seeking mental health care in a non-Department of Veterans Affairs (VA) entity eligible for such care if the veteran provides a written statement (which may be sent electronically or made in person or by fax) that the veteran seeks mental health care from the VA and has not received timely and adequate mental health care through a VA facility or health care provider. The VA shall give health professional hiring priority to those health professionals for which there is the greatest need, such as psychiatrists, psychologists, and other mental health care providers.
Bill· SS. 839 (114th)referred
United States · United States Congress · 23 March 2015
Preserve Access to Medicare Rural Home Health Services Act of 2015 This bill amends the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 to extend through calendar 2020 the payment increase (add-on) for Medicare home health services in rural areas. The ceiling on the total amount of the additional payments or payment adjustments otherwise made in the case of home health outliers with respect to a fiscal year or year is lowered, in the case of each of 2016 through 2020, from 2.5% to 2.25% of the total payments projected or estimated to be made under the prospective payment system for home health services.
Bill· SS. 836 (114th)referred
United States · United States Congress · 23 March 2015
Family Health Care Flexibility Act This bill amends the Internal Revenue Code to repeal provisions added by the Patient Protection and Affordable Care Act that: (1) restrict payments from health savings accounts, Archer medical savings accounts, and health flexible spending and reimbursement arrangements for medications to prescription drugs and insulin only (thus allowing payments for over-the-counter medications); and (2) impose a $2,500 limitation on salary reduction contributions to a health flexible spending arrangement under a cafeteria plan.
Bill· SS. 829 (114th)referred
United States · United States Congress · 23 March 2015
Medicare Orthotics and Prosthetics Improvement Act of 2015 This bill directs the Secretary of Health and Human Services shall designate and approve independent accreditation organizations that apply quality standards for suppliers only if they are Boards for Orthotist/Prosthetist Certification or essentially equivalent programs. Special payment rules for certain prosthetics and custom-fabricated orthotics are extended to custom-fitted orthotics. Such rules do not apply, however, to off-the-shelf orthotics furnished on or after January 1, 2016, which are included in a competitive acquisition program. Decisions about Medicare coverage of orthotics and prosthetics on or after January 1, 2016, must take into account the complexity of the item as well as supplier qualifications (which do not apply, however, to physicians, occupational therapists, or physical therapists state-licensed to provide such items). Documentation created by an orthotist or prosthetist is considered part of the patient's medical record. Requirements for suppliers of orthotics and prosthetics are separated from those for suppliers of durable medical equipment. Orthotists and prosthetists must have a supplier number for Medicare payment to be made. Patients are not liable for payment of furnished orthotics or prosthetics where payment may not be made or where payment is denied. Only the orthotists or prosthetists are liable in such circumstances. Only the patient may make the minimal self-adjustment required to qualify off-the-shelf orthotics for Medicare coverage in a competitive acquisition program.
Resolution· HCONRESH.Con.Res. 27 (114th)open
United States · United States Congress · 20 March 2015
Establishes the congressional budget for the federal government for FY2016 and sets forth budgetary levels for FY2017-FY2025. Recommends levels and amounts for FY2016-FY2025 for federal revenues, new budget authority, budget outlays, deficits (on-budget), debt subject to limit, debt held by the public, and the major functional categories. Includes reconciliation instructions directing 13 House authorizing committees to submit deficit reduction legislation to the House Budget Committee no later than July 15, 2015. Requires specified House committees to submit to the House Budget Committee findings identifying changes in law to achieve savings through eliminating waste, fraud, and abuse. Sets forth budget enforcement procedures addressing the inclusion of macroeconomic effects (dynamic scoring) in cost estimates for legislation, measures affecting Social Security solvency, administrative expenses, transfers to the Highway Trust Fund, advance appropriations, fair value credit estimates, long-term spending, allocations for Overseas Contingency Operations/ Global War on Terrorism, and legislation that decreases direct spending and authorizes appropriations for the same purpose. Establishes reserve funds for the Patient Protection and Affordable Care Act repeal, health care reform, the Children's Health Insurance Program (CHIP), graduate medical education, trade agreements, tax reform, revenue reductions, poverty reduction, transportation, federal retirement reform, defense sequestration replacement, and Overseas Contingency Operations/ Global War on Terrorism. Provides estimates for the rate of growth in means-tested and non-means tested direct spending and proposes changes to specified programs. Sets forth recommended long-term levels for revenues, outlays, deficits, and debt as a percentage of gross domestic product in FY2030, FY2035, and FY2040. Includes policy statements on several public policy issues.
Bill· HRH.R. 1462 (114th)open
United States · United States Congress · 19 March 2015
Protecting Our Infants Act of 2015 This bill requires the Agency for Healthcare Research and Quality to report on prenatal opioid abuse and neonatal abstinence syndrome (symptoms of withdrawal in a newborn). (An opioid is a drug with effects similar to opium, such as heroin or certain pain medications.) The report must include: an assessment of existing research on neonatal abstinence syndrome; an evaluation of the causes, and barriers to treatment, of opioid use disorders among women of reproductive age; an evaluation of treatment for pregnant women with opioid use disorders and infants with neonatal abstinence syndrome; and recommendations on preventing, identifying, and treating opioid dependency in women and neonatal abstinence syndrome. The Department of Health and Human Services must review its activities related to prenatal opioid use and neonatal abstinence syndrome and develop a strategy to address gaps in research and programs. The Centers for Disease Control and Prevention must provide technical assistance to states to improve neonatal abstinence syndrome surveillance and make surveillance data publicly available.
Bill· SS. 800 (114th)open
United States · United States Congress · 19 March 2015
Enhancing the Stature and Visibility of Medical Rehabilitation Research at the NIH Act This bill amends the Public Health Service Act to revise requirements for medical rehabilitation research. The purpose of the National Center for Medical Rehabilitation Research (NCMRR) is revised to include coordination of research and research training. The NCMRR must develop and periodically update a comprehensive research plan for medical rehabilitation research. Currently, this research plan is developed and updated by the Eunice Kennedy Shriver National Institute of Child Health and Human Development. The NCMRR must: (1) annually report on progress in achieving the objectives, benchmarks, and guiding principles described in the research plan; and (2) develop guidelines governing the funding for medical rehabilitation research by the National Institutes of Health. The Medical Rehabilitation Coordinating Committee must periodically host a scientific conference or workshop on medical rehabilitation research. The Department of Health and Human Services must enter into interagency agreements to coordinate medical rehabilitation research.
Law· SS. 799 (114th)enacted
United States · United States Congress · 19 March 2015
Protecting Our Infants Act of 2015 This bill requires the Agency for Healthcare Research and Quality to report on prenatal opioid abuse and neonatal abstinence syndrome (symptoms of withdrawal in a newborn). (An opioid is a drug with effects similar to opium, such as heroin or certain pain medications.) The report must include: an assessment of existing research on neonatal abstinence syndrome; an evaluation of the causes, and barriers to treatment, of opioid use disorders among women of reproductive age; an evaluation of treatment for pregnant women with opioid use disorders and infants with neonatal abstinence syndrome; and recommendations on preventing, identifying, and treating opioid dependency in women and neonatal abstinence syndrome. The Department of Health and Human Services must review its activities related to prenatal opioid use and neonatal abstinence syndrome and develop a strategy to address gaps in research and programs. The Centers for Disease Control and Prevention must provide technical assistance to states to improve neonatal abstinence syndrome surveillance and make surveillance data publicly available.
Bill· HRH.R. 1466 (114th)referred
United States · United States Congress · 19 March 2015
Surveillance State Repeal Act Repeals the USA PATRIOT Act and the FISA Amendments Act of 2008 (thereby restoring or reviving provisions amended or repealed by such Acts as if such Acts had not been enacted), except with respect to reports to Congress regarding court orders under the Foreign Intelligence Surveillance Act of 1978 (FISA) and the acquisition of intelligence information concerning an entity not substantially composed of U.S. persons that is engaged in the international proliferation of weapons of mass destruction. Extends from 7 to 10 years the maximum term of FISA judges. Makes such judges eligible for redesignation. Permits FISA courts to appoint special masters to advise on technical issues raised during proceedings. Requires orders approving certain electronic surveillance to direct that, upon request of the applicant, any person or entity must furnish all information, facilities, or technical assistance necessary to accomplish such surveillance in a manner to protect its secrecy and produce a minimum of interference with the services that such carrier, landlord, custodian, or other person is providing the target of such surveillance (thereby retaining the ability to conduct surveillance on such targets regardless of the type of communications methods or devices being used by the subject of the surveillance). Prohibits acquisitions under FISA relating to a U.S. person, or acquisitions under Executive Order 12333 targeting a U.S. person, without a warrant based on probable cause. Requires the Director of National Intelligence and the Department of Justice to destroy any information collected under the repealed Acts, or acquired under Executive Order 12333 without a warrant, if the information concerns a U.S. person that is not related to an investigation that is actively ongoing on the date of enactment of this Act. Prohibits the federal government from requiring manufacturers of electronic devices and related software to build in mechanisms allowing the federal government to bypass encryption or privacy technology. Directs the Government Accountability Office (GAO) to report annually on the federal government's compliance with FISA. Permits an employee of or contractor to an element of the intelligence community with knowledge of FISA-authorized programs and activities to submit a covered complaint to the GAO, to the House or Senate intelligence committees, or in accordance with a process under the National Security Act of 1947 with respect to reports made to the Inspector General of the Intelligence Community. Defines a "covered complaint" as a complaint or information concerning FISA-authorized programs and activities that an employee or contractor reasonably believes is evidence of: (1) a violation of any law, rule, or regulation; or (2) gross mismanagement, a gross waste of funds, an abuse of authority, or a substantial and specific danger to public health or safety. Prohibits an officer or employee of an element of the intelligence community from taking retaliatory action against an employee or contractor who seeks to disclose, or who discloses, such information.
Bill· HRH.R. 1496 (114th)referred
United States · United States Congress · 19 March 2015
Directs the Department of Veterans Affairs (VA), beginning January 1, 2016, to provide assistance to qualified veterans to obtain child care so that such veterans can receive health care services at a VA health care facility during the time such a veteran requires travel to and return from such facility. Defines "qualified veteran" as a veteran who is the primary caretaker of a child and is: (1) receiving from the VA regular mental health care services, intensive mental health care services, or other intensive health care services such that the VA determines that providing assistance to the veteran to obtain child care would improve the veteran's access to such services, or (2) in need of regular or intensive mental health care services from the VA and, but for lack of child care services, would receive such health care services from the VA. Includes among child care assistance under this Act: stipends for the payment of child care offered by licensed child care centers which shall be modeled after the VA's Child Care Subsidy Program; direct provision of child care at an on-site VA facility; payments to private child care agencies; and collaboration with facilities or programs of other federal departments or agencies. Directs the VA to carry out this Act using funds made available to the VA facility that provides the health care services for which the child care assistance is provided.
Bill· HRH.R. 1516 (114th)referred
United States · United States Congress · 19 March 2015
Ensuring Access to Quality Complex Rehabilitation Technology Act of 2015 Amends title XVIII (Medicare) of the Social Security Act to cover, as medical and other health services, complex rehabilitation technology (CRT) items designed or individually configured for a specific qualified individual to meet that individual's unique: (1) medical, physical, or functional needs related to a medical condition; and (2) capacities for basic activities of daily living (ADLs) or instrumental ADLs. Directs the Secretary of Health and Human Services to: (1) designate CRT items (excluding adaptive equipment to operate motor vehicles or certain prosthetic devices and orthotics); and (2) establish eligibility criteria for them. Prescribes requirements for payments for CRT items. Directs the Secretary to establish standards for clinical conditions for CRT item payment as well as quality standards for suppliers of such items. Directs the Secretary to establish a formal process to allow submission of CRT code set modification requests by stakeholder groups for comprehensive coding changes related to entire policy groups. Requires payment for replacement of a CRT item (or any part of one), without regard to certain continuous use or useful lifetime restrictions established for items of durable medical equipment, if a qualified ordering practitioner determines that a replacement item (or part) is necessary.
Bill· HRH.R. 1470 (114th)referred
United States · United States Congress · 19 March 2015
SGR Repeal and Medicare Provider Payment Modernization Act of 2015 Amends title XVIII (Medicare) of the Social Security Act (SSAct) to: (1) remove sustainable growth rate (SGR) methodology from the determination of annual conversion factors in the formula for payment for physicians' services, and (2) revise the update in rates for 2015 and subsequent years. Directs the Secretary of Health and Human Services to establish a Merit-based Incentive Payment (MIP) system under which eligible professionals (including physicians, physician assistants, nurse practitioners, clinical nurse specialists, and certified registered nurse anesthetists) shall receive annual payment increases or decreases based on their performance. Requires specified incentive payments to eligible participants in an alternative payment model. Requires the Secretary to: (1) draft a plan for development of quality measures to assess professionals, including non-patient-facing professionals; and (2) make payments for chronic care management services. Expands the kinds of uses of Medicare data available to qualified entities. Directs the Secretary to provide Medicare data to qualified clinical data registries to facilitate quality improvement or patient safety. Declares it a national objective to achieve widespread exchange of health information through interoperable certified electronic health records technology nationwide by December 31, 2018.
Bill· HRH.R. 1494 (114th)referred
United States · United States Congress · 19 March 2015
Retirement Health Savings Act of 2015 This bill amends the Internal Revenue Code to exclude from gross income, for income tax purposes, distributions from certain tax-exempt retirement plans to a health savings account in which an individual who is covered by a high deductible health care plan is participating (qualified HSA funding distribution). The bill also exempts such distributions from the 10% penalty for premature retirement plan distributions.
Bill· HRH.R. 1479 (114th)referred
United States · United States Congress · 19 March 2015
Repeal of the Obamacare Bay State Boondoogle Act Revises requirements for the non-rural area wage index floor in the formula for the national adjusted diagnosis-related group (DRG) prospective payment rate used in calculating payments under title XVIII (Medicare) of the Social Security Act for each inpatient hospital discharge in a fiscal year involving inpatient hospital services of a subsection (d) hospital. (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.) Directs the Secretary of Health and Human Services, in the case of discharges occurring on or after April 1, 2015, to apply budget neutrality, under the Balanced Budget Act of 1997 and related regulations, on a state-specific rather than national basis in the calculation of the Medicare hospital wage index floor, including a minimum wage index, for each non-rural area, using a specified methodology as if it had been fully implemented for FY2011 using a 100% state-specific adjustment to the area wage index. Declares that nothing in this Act shall be construed as preventing the Secretary, for discharges occurring on or after April 1, 2015, from modifying related regulations in carrying out budget neutrality requirements. Amends the Patient Protection and Affordable Care Act to end the application of budget neutrality on a national basis in the calculation of the Medicare hospital wage index floor as of April 1, 2015.
Bill· HRH.R. 1458 (114th)referred
United States · United States Congress · 19 March 2015
Bundling and Coordinating Post-Acute Care Act of 2015 or the BACPAC Act of 2015 Amends title XVIII (Medicare) of the Social Security Act to require a single bundled payment for post-acute care services under Medicare parts A (Hospital Insurance) and B (Supplementary Medical Insurance). Defines "PAC physician" as the physician with primary responsibility for supervising delivery to an individual of a post-acute care (PAC) bundle of services between a qualifying discharge and the earlier of: (1) 90 days later, or (2) the date on which the individual is admitted to a hospital to receive services for a condition unrelated to the one for which he or she received the acute care inpatient hospital services. Directs the Secretary of Health and Human Services to study the feasibility of integrating ("bundling") all payments under the Medicare program for post acute care services with payments for acute care inpatient hospital services in a subsection (d) hospital. (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.) Places a moratorium on the IPPS payment rate in certain cases. Directs the Secretary to: (1) establish a new Transitional Care Management (TCM) code, with respect to geographic adjustments to the physicians' fee schedule, to pay for care management by a PAC physician; or (2) revise and expand the use of existing TCM codes 99495 and 99494.
Bill· HRH.R. 1517 (114th)referred
United States · United States Congress · 19 March 2015
Stop Selling and Marketing to Our Kids E-Cigarettes Act or the SMOKE Act Amends the Food, Drug, and Cosmetic Act to define "electronic nicotine delivery system" (e-cigarette) and "e-liquid" (solution used in an e-cigarette). Gives the Food and Drug Administration (FDA) authority to regulate e-cigarettes and e-liquids as tobacco products. Amends the Federal Cigarette Labeling and Advertising Act to include e-cigarettes and e-liquids in the definition of cigarettes, thereby: (1) requiring warning labels to appear on packaging and advertising, and (2) prohibiting advertising in electronic media regulated by the Federal Communications Commission. Requires the FDA to study the effects of flavorings added to e-cigarettes and e-liquids, including whether flavorings appeal to children or help adults quit smoking. Requires, upon completion of the study, the FDA to consider restricting the use of flavorings. Directs the FDA to require child-proof packaging for e-cigarettes and e-liquids. Directs the FDA to set nicotine dosage and concentration limits for e-cigarettes and e-liquids, respectively, and allows for exceptions. Prohibits advertisement, promotion, or marketing of e-cigarettes and e-liquids in a manner that increases their use by minors. Sets forth authority for: (1) the Federal Trade Commission (FTC) to enforce violations as an unfair or deceptive act or practice, and (2) states to bring civil actions on behalf of residents threatened or adversely affected by a violation. Allows the FTC to intervene and appeal in state actions.
Bill· HRH.R. 1499 (114th)referred
United States · United States Congress · 19 March 2015
Physical Activities Recommendations for Americans Act of 2015 This bill requires the Department of Health and Human Services (HHS) to publish a report at least every 10 years that contains physical activity recommendations for the general public based on the most current scientific and medical knowledge, including information for population subgroups, as needed. HHS must publish updated reports that detail evidence-based practices and highlight continuing physical activity issues between the publications of full reports. Updated reports may focus on particular population subgroups or issues relating to physical activity. A federal agency that proposes to issue physical activity recommendations that differ from the recommendations in the most recent full report must submit the proposed recommendations to HHS for review.
Bill· HRH.R. 1469 (114th)referred
United States · United States Congress · 19 March 2015
Enhancing the Stature and Visibility of Medical Rehabilitation Research at NIH Act This bill amends the Public Health Service Act to revise requirements for medical rehabilitation research. The purpose of the National Center for Medical Rehabilitation Research (NCMRR) is revised to include coordination of research and research training. The NCMRR must develop and periodically update a comprehensive research plan for medical rehabilitation research. Currently, this research plan is developed and updated by the Eunice Kennedy Shriver National Institute of Child Health and Human Development. The NCMRR must: (1) annually report on progress in achieving the objectives, benchmarks, and guiding principles described in the research plan; and (2) develop guidelines governing the funding for medical rehabilitation research by the National Institutes of Health. The Medical Rehabilitation Coordinating Committee must periodically host a scientific conference or workshop on medical rehabilitation research. The Department of Health and Human Services must enter into interagency agreements to coordinate medical rehabilitation research.
Bill· HRH.R. 1502 (114th)referred
United States · United States Congress · 19 March 2015
Medicaid Parity Act of 2015 Amends title XIX (Medicaid) of the Social Security Act to extend through 2019: (1) Medicaid payment parity with Medicare for primary care services furnished under the Medicaid program, and (2) the increased (to 100%) federal medical assistance percentage (FMAP, or federal matching rate) for additional payments for primary care services.
Bill· SS. 821 (114th)referred
United States · United States Congress · 19 March 2015
BPA in Food Packaging Right to Know Act Requires the Department of Health and Human Services to: (1) issue a revised safety assessment for food containers composed in whole or in part of bisphenol A (BPA), taking into consideration different types and uses of such containers; and (2) determine whether there is reasonable certainty that no harm will result from aggregate exposure to BPA through food containers or other items composed in whole or in part of BPA, taking into consideration potential adverse effects from low-dose exposure and the effects of exposure on vulnerable populations, including pregnant women, infants, children, the elderly, and populations with high exposure to BPA. Amends the Federal Food, Drug, and Cosmetic Act to prohibit the sale of a food if its container is composed in whole or in part of BPA unless the label includes the following statement: "This food packaging contains BPA, an endocrine-disrupting chemical, according to the National Institutes of Health."
Bill· SS. 810 (114th)referred
United States · United States Congress · 19 March 2015
SGR Repeal and Medicare Provider Payment Modernization Act of 2015 Amends title XVIII (Medicare) of the Social Security Act (SSAct) to: (1) remove sustainable growth rate (SGR) methodology from the determination of annual conversion factors in the formula for payment for physicians' services, and (2) revise the update in rates for 2015 and subsequent years. Directs the Secretary of Health and Human Services to establish a Merit-based Incentive Payment (MIP) system under which eligible professionals (including physicians, physician assistants, nurse practitioners, clinical nurse specialists, and certified registered nurse anesthetists) shall receive annual payment increases or decreases based on their performance. Requires specified incentive payments to eligible participants in an alternative payment model. Requires the Secretary to: (1) draft a plan for development of quality measures to assess professionals, including non-patient-facing professionals; and (2) make payments for chronic care management services. Expands the kinds of uses of Medicare data available to qualified entities. Directs the Secretary to provide Medicare data to qualified clinical data registries to facilitate quality improvement or patient safety. Declares it a national objective to achieve widespread exchange of health information through interoperable certified electronic health records technology nationwide by December 31, 2018.
Bill· SS. 801 (114th)referred
United States · United States Congress · 19 March 2015
Representation Fairness Restoration Act Amends the National Labor Relations Act to revise requirements for determination by the National Labor Relation Board (NLRB) of an appropriate bargaining unit before an election of collective bargaining representation. (In effect reverses the NLRB's August 26, 2011, decision in Specialty Healthcare and Rehabilitation of Mobile and its June 22, 2011, rulemaking regarding proposed changes to procedures involving the election of collective bargaining representation.) Replaces the current restriction in the meaning of collective bargaining unit to employer unit, craft unit, plant unit, or subdivision. Requires the NLRB, instead, to determine a unit as appropriate for collective bargaining if it consists of employees that share a sufficient community of interest. Specifies factors the NLRB must consider when making such determinations. Prohibits exclusion of employees from the unit unless the group's interests are sufficiently distinct from those of other employees to warrant the establishment of a separate unit.
Bill· SS. 804 (114th)referred
United States · United States Congress · 19 March 2015
Medicare CGM Access Act of 2015 - This bill amends title XVIII (Medicare) of the Social Security Act to provide Medicare coverage of continuous glucose monitoring (CGM) devices furnished to a CGM qualified individual. The Department of Health and Human Services must establish a fee schedule and ensure that CGM qualified individuals are furnished with appropriate device components.
Resolution· SRESS.Res. 106 (114th)passed
United States · United States Congress · 19 March 2015
Designates March 22, 2015, as National Rehabilitation Counselors Appreciation Day. Commends rehabilitation counselors and professional organizations assisting those who require rehabilitation.
Bill· HRH.R. 1423 (114th)referred
United States · United States Congress · 18 March 2015
Self-Insurance Protection Act This bill amends the Public Health Service Act, the Employee Retirement Income Security Act of 1974 (ERISA), and the Internal Revenue Code to exclude from the definition of "health insurance coverage" a stop-loss policy obtained by a self-insured health plan or a sponsor of a self-insured group health plan to reimburse the plan or sponsor for losses incurred in providing health benefits to plan participants in excess of a level set forth in the stop-loss policy.
Bill· HRH.R. 1419 (114th)referred
United States · United States Congress · 18 March 2015
Social Security Fraud and Error Prevention Act of 2015 Amends title II (Old Age, Survivors and Disability Insurance) of the Social Security Act (SSAct) to appropriate from the Social Security Trust Funds to the Social Security Administration for each fiscal year beginning FY2016 amounts for specified fraud and error prevention activities. Prescribes a formula for the calculation of such amounts, which include fines and civil monetary penalties recovered. Directs the Commissioner of Social Security to: (1) report to Congress and the Office of Management and Budget (OMB) a plan for conducting fraud and error prevention activities; (2) take any necessary actions to ensure that cooperative disability investigations (CDI) units have been established for each of the 50 states, the District of Columbia, and the territories; (3) conduct quality reviews in certain cases with respect to decisions in connection with the application for benefits under this title and SSAct title XVI (Supplemental Security Income) (SSI), in a sufficient number to ensure compliance with laws, regulations, and other guidance issued by the Commissioner; (4) report annually to Congress the total number of cases selected for such quality review, the number of such cases in which a decision is remanded, and the number of such cases in which a decision is modified or reversed; and (5) report annually to Congress on the number of work-related continuing disability reviews conducted. Allows the Commissioner to submit a combined annual report to specified congressional committees of certain information relating to disability benefits. Increases civil and criminal penalties for specified persons in positions of trust in certain cases of fraud, and requires inflation adjustments every four years for certain civil penalties. Prohibits the Commissioner, in making any determination with respect to whether an individual is or continues to be under a disability, from considering (except for good cause) any evidence furnished by a physician or other health care provider who has been barred from practice, has been assessed a penalty for the submission of false evidence, or is excluded from participation in any federal health care program.. Amends the Balanced Budget and Emergency Deficit Control Act of 1985 (Gramm-Rudman-Hollings Act) to repeal program integrity adjustments after FY2014 to budget authority for continuing disability reviews and redeterminations.
Bill· HRH.R. 1453 (114th)referred
United States · United States Congress · 18 March 2015
Ambulatory Surgical Center Quality and Access Act of 2015 Amends title XVIII (Medicare) of the Social Security Act to require alignment of updates for ambulatory surgical center (ASC) services under a revised prospective payment system (PPS) with updates for hospital outpatient department (OPD) services. Revises requirements for the reporting and applying of quality measure data by ASCs and hospital OPDs. Revises requirements for the composition of the expert outside advisory panel the Secretary of Health and Human Services is required to consult during the annual review of the clinical integrity of the groups and payment weights in the PPS for OPD services. Requires the panel to include suppliers subject to the PPS as well as at least one ASC representative. Requires the Secretary, when excluding from a final rule updating ASC lists a procedure whose inclusion was requested during the public comment period, to cite in the final rule specific criteria based on which the procedure was excluded. Requires the Secretary also to identify the peer reviewed research or the evidence upon which the exclusion is based if certain of those criteria are cited for it. Prohibits the Secretary from using or citing as a criterion or a basis for an exclusion that the procedure can only be reported using a Current Procedural Terminology unlisted surgical procedure code.
Bill· HRH.R. 1417 (114th)referred
United States · United States Congress · 18 March 2015
Puerto Rico Hospital Medicare Reimbursement Equity Act of 2015 Amends title XVIII (Medicare) of the Social Security Act to revise the formula for the Medicare inpatient hospital services payment rate for Puerto Rico hospitals to: (1) reduce the applicable Puerto Rico percentage from 25% to zero, and (2) increase the applicable federal percentage from 75% to 100%.
Bill· HRH.R. 1455 (114th)referred
United States · United States Congress · 18 March 2015
Speeding Access to Already Approved Pharmaceuticals Act of 2015 This bill amends the Federal Food, Drug, and Cosmetic Act to require the Food and Drug Administration to facilitate the development and expedite the review of a new drug, biological product, or device that has been approved in the European Union.
Bill· HRH.R. 1427 (114th)referred
United States · United States Congress · 18 March 2015
Medicare CGM Access Act of 2015 - This bill amends title XVIII (Medicare) of the Social Security Act to provide Medicare coverage of continuous glucose monitoring (CGM) devices furnished to a CGM qualified individual. The Department of Health and Human Services must establish a fee schedule and ensure that CGM qualified individuals are furnished with appropriate device components.
Bill· HRH.R. 1446 (114th)referred
United States · United States Congress · 18 March 2015
Healthcare Consumer Privacy Act of 2015 Amends the Patient Protection and Affordable Care Act to require the Department of Health and Human Services to ensure that individuals who enter personal information on a health exchange website can remove their information from the website if they decide not to apply for health care coverage.
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