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Bill· SS. 582 (114th)referred
United States · United States Congress · 26 February 2015
No Taxpayer Funding for Abortion and Abortion Insurance Full Disclosure Act of 2015 This bill prohibits federal funds, including funds in the budget of the District of Columbia, from being expended for abortion or health coverage that includes coverage of abortion. Abortions are eligible for federal funding only in cases of rape or incest, or where a physical condition endangers a woman's life unless an abortion is performed. Currently, federal funding of abortion and health coverage that includes abortion is prohibited, with the same exceptions. Health care provided in a federal health care facility or by a federal employee may not include abortions that are ineligible for federal funding. This bill amends the Internal Revenue Code to disallow premium assistance tax credits or health insurance tax credits for qualified health plans that cover abortions ineligible for federal funding. This bill amends the Patient Protection and Affordable Care Act to require the Office of Personnel Management to ensure that multi-state qualified health plans offered on health insurance exchanges do not cover abortions ineligible for federal funding. A qualified health plan's coverage of abortion must be disclosed to enrollees at the time of enrollment and must be prominently displayed in marketing materials, comparison tools, or any summary of benefits and coverage made available by the plan issuer, a health insurance exchange, or the Department of Health and Human Services. The amount of a plan's premium that is attributable to coverage of abortions ineligible for federal funding must be disclosed in material where the premium is disclosed.
Bill· SS. 578 (114th)referred
United States · United States Congress · 26 February 2015
Home Health Care Planning Improvement Act of 2015 Amends title XVIII (Medicare) of the Social Security Act to revise conditions of and limitations on payment for home health care services. Allows payment for home health services to Medicare beneficiaries by: (1) a nurse practitioner, (2) a clinical nurse specialist working in collaboration with a physician in accordance with state law, (3) a certified nurse-midwife, or (4) a physician assistant under a physician's supervision.
Bill· SS. 584 (114th)referred
United States · United States Congress · 26 February 2015
Better Efficiency and Administrative Simplification Act of 2015 Amends title XVIII (Medicare) of the Social Security Act to allow individuals the option to receive the Medicare Summary Notice (explanation of benefits) electronically. Requires the Secretary of Health and Human Services to: (1) apply a similar option to other Medicare statements and notifications, and (2) provide such Medicare Summary Notice and any other such statements and notifications on a more frequent basis than is otherwise required under Medicare. Extends from at least once every 5 years to at least once every 10 years the application of competitive procedures when the contract of a Medicare administrative contractor comes up for renewal. Directs the Secretary, to the extent possible without compromising the process for entering into and renewing contracts with Medicare administrative contractors (MACs), to make available to the public the performance of each MAC with respect to requirements and measurement standards.
Bill· HRH.R. 1130 (114th)referred
United States · United States Congress · 26 February 2015
Chronic Kidney Disease Improvement in Research and Treatment Act of 2015 Amends title XVIII (Medicare) of the Social Security Act to revise Medicare payments for dialysis services provided to individuals with end stage renal disease (ESRD) and acute kidney injury. Extends the time period when a private health insurer, in determining benefits, cannot consider a group health insurance enrollee's ESRD or entitlement to Medicare coverage due to ESRD. Makes individuals with ESRD eligible for Medicare Advantage. Allows dialysis facilities to provide kidney disease education services and allows physician assistants, nurse practitioners, or clinical nurse specialists to refer individuals to those services. Requires the Department of Health and Human Services (HHS) to establish an ESRD Care Coordination program to provide higher Medicare payments to nephrologists, dialysis facilities, and other providers that reduce spending on ESRD by being part of a coordinated care organization. Amends the Public Health Service Act to include dialysis as a service provided by the National Health Service Corps in health professional shortage areas. Makes nephrologists and non-physician practitioners who provide dialysis eligible for the National Health Service Corps Scholarship Program and Loan Repayment Program. Requires the Government Accountability Office to submit a report identifying gaps in chronic kidney disease research and comparing research funding to expenditures on disease treatment. Requires HHS to study the causes of kidney disease and efforts to treat kidney disease in disproportionately affected minority populations.
Bill· HRH.R. 1129 (114th)open
United States · United States Congress · 26 February 2015
Veterans' Whistleblower and Patient Protection Act of 2015 Establishes within the Department of Veterans Affairs (VA) an Office of Whistleblower and Patient Protection. Requires the Director of such Office to establish a dedicated Internet website and toll-free telephone number for any individual to file a complaint regarding an alleged prohibited personnel practice committed by a VA officer or employee or the safety of a patient at a VA medical facility. Directs the Secretary of Veterans Affairs to refer to the Director for investigation any such complaint the Secretary receives directly. Prohibits the Secretary from referring any such complaint to any other element of the VA. Requires the Secretary to ensure that VA employees located at a medical facility are able to efficiently refer any such complaints received to the Director. Prohibits the Director from disclosing the identity of any individual who files such a complaint without the individual's consent, except when necessary because of an imminent danger to public health or safety or imminent violation of any criminal law. Requires the Director to: (1) investigate each complaint to determine whether there is a substantial likelihood that it discloses a violation of any law, rule, or regulation, gross mismanagement, gross waste of funds, abuse of authority, or substantial and specific danger to public health and safety; (2) make such determination within 240 days after its receipt; (3) notify the Secretary upon making a positive determination and refer the complaint, as appropriate, to the head of the appropriate federal department or agency; and (4) coordinate with the VA's Inspector General and Special Counsel to avoid duplicative actions.
Bill· HRH.R. 1101 (114th)referred
United States · United States Congress · 26 February 2015
Viral Hepatitis Testing Act of 2015 Amends the Public Health Service Act to require the Department of Health and Human Services (HHS) to carry out hepatitis B (HBV) and hepatitis C (HCV) virus infection surveillance, education, and testing programs. Requires HHS to establish a national system regarding HBV and HCV infections, with its goals being to: determine the prevalence of infections, increase the number of individuals tested and made aware of their status, develop and disseminate public information and education programs, improve the training of health professionals, and provide referrals for counseling and medical treatment and ensure the provision of follow-up services. Directs HHS to determine the populations that are considered at high risk for HBV or HCV infection. Requires HHS to develop benchmarks for activities conducted under the Action Plan for the Prevention, Care, & Treatment of Viral Hepatitis. Directs HHS to establish and support public-private partnerships that facilitate HBV and HCV surveillance, education, screening, testing, and linkage to care programs. Requires the Agency for Healthcare Research and Quality to convene the U.S. Preventive Services Task Force every three years to review its recommendation for HBV and HCV screening. Directs the Department of Veterans Affairs (VA) to provide certain veterans with an HBV and HCV risk assessment, and, as needed, an evaluation and information regarding their need for treatment, vaccination, or other therapy.
Bill· HRH.R. 1116 (114th)referred
United States · United States Congress · 26 February 2015
Medicare Audiology Services Enhancement Act of 2015 Amends title XVIII (Medicare) of the Social Security Act to: limit covered auditory services to only auditory treatment, vestibular treatment, and intraoperative neurophysiologic monitoring services in addition to currently covered hearing and balance assessment services; exclude inter-operative neurophysiological monitoring provided by a physician or qualified audiologist in hospitals from covered inpatient hospital services; revise the requirements and procedure for payment of outpatient auditory services claims of service providers; include audiology services under the limitation on certain physician referrals for designated health services; and declare that nothing shall be construed to require a qualified audiologist to participate in Medicare.
Bill· HRH.R. 1117 (114th)referred
United States · United States Congress · 26 February 2015
Creating Access to Residency Education Act of 2015 This bill amends the Public Health Service Act to require the Centers for Medicare and Medicaid Services to award grants or enter into contracts to create or expand medical residency training programs in states where there are fewer than 25 medical residents per 100,000 people. An awardee of a grant or contract provides a lower ratio of matching funds if its residency training program is in the field of primary care.
Bill· HRH.R. 1143 (114th)referred
United States · United States Congress · 26 February 2015
This bill extends through December 31, 2019, the eligibility of Pension Benefit Guaranty Corporation pension recipients for the health care tax credit.
Resolution· SRESS.Res. 90 (114th)passed
United States · United States Congress · 26 February 2015
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.
Bill· HRH.R. 1055 (114th)referred
United States · United States Congress · 25 February 2015
Comprehensive Dental Reform Act of 2015 Amends titles XVIII (Medicare) and XIX (Medicaid) of the Social Security Act to cover oral health services. Increases the federal medical assistance percentage for oral health services, thereby increasing payments to states under Medicaid. Directs the Centers for Medicare & Medicaid Services to maintain a database of dental benefits available to adult Medicaid enrollees in each state. Amends the Public Health Service Act to establish, revise, and extend funding for grant programs for: educating nondental professionals about oral health care; providing dental services in hospital emergency rooms or in community settings; providing scholarships and education loans for oral health professional students; providing oral health services to low-income and underserved individuals; building, operating, or expanding dental clinics in schools; and providing mobile, comprehensive dental services at locations that serve individuals who qualify for benefits under specified programs. Authorizes community based dental residencies. Authorizes specified agencies to conduct research on oral health issues through FY2019. Amends the Patient Protection and Affordable Care Act to make oral health services an essential health benefit. Removes restrictions on the authority of the Department of Veterans Affairs (VA) to provide dental care to veterans (thereby requiring dental care on the same basis as other VA-provided medical care and services). Authorizes the VA, Department of Defense, Bureau of Prisons, and Indian Health Service to carry out demonstration programs to train and employ alternative dental health care providers in order to increase access to dental services. Directs the Department of Health and Human Services to conduct a cost-benefit analysis of the expansion of dental service coverage pursuant to this Act. Directs the Government Accountability Office to evaluate the implementation and utilization of expanded dental service coverage under this Act and the demonstration programs authorized by this Act.
Bill· HRH.R. 1088 (114th)referred
United States · United States Congress · 25 February 2015
Trade Adjustment Assistance Act of 2015 Amends the Trade Adjustment Assistance Extension Act of 2011 to repeal the declaration that trade adjustment assistance (TAA) program requirements in effect as of February 13, 2011, under the Trade Act of 1974 shall apply to petitions for certification to apply for TAA for workers, firms, and farmers that are filed before January 1, 2014. Amends the Trade Act of 1974 to extend through December 31, 2020: (1) the TAA program, and (2) the reemployment trade adjustment assistance (RTAA) program. Makes funds available through FY2020, and for the period beginning October 1-December 31, 2020 (first quarter of FY2021), for training of adversely affected workers, employment and case management services, and job search expenses and relocation expenses. Reauthorizes appropriations: (1) through December 31, 2020, for the TAA program for workers; and (2) through FY2020, and for the first quarter of FY2021, for the TAA program for firms, communities, and farmers. Prescribes TAA eligibility requirements for adversely affected workers in public agencies. Revises trade readjustment allowance (TRA) program requirements. Increases from 65 to 78 additional weeks of TRA payments in a 91-week period the length of additional time permissible to complete training. Repeals the authority of a state to use funds for employment and case management services and relocation allowances to allow an adversely affected worker who is certified to file an application for a job search allowance and relocation allowance. (Continues to authorize adversely affected workers to apply for the job search allowance as well as the relocation allowance.) Increases from $1,250 to $1,500 the maximum job search allowance and maximum relocation allowance that may be granted to an adversely affected worker. Revises the reemployment trade adjustment assistance (RTAA) program. Increases from: (1) $50,000 to $55,000 the maximum amount an RTAA-eligible worker may earn in wages from reemployment, and (2) $10,000 to $12,000 the maximum payment of RTAA (or wage subsidy) to an eligible older worker. Specifies criteria the Secretary must use to determine the eligibility of workers to apply for TAA if no determination has been made, upon enactment of this Act, as to whether to certify a group of workers or firms as eligible pursuant to a petition filed between January 1, 2014, and enactment of this Act. Requires the Secretary to reconsider any determination made before enactment of this Act not to certify such workers or firms, and to certify them as eligible if they meet the specified requirements. Amends the Internal Revenue Code to extend through calendar 2021, and increase from 72.5% to 80%, the tax credit for the health insurance coverage costs of Pension Benefit Guaranty Corporation (PBGC) pension and TAA recipients and their dependents. Amends the Internal Revenue Code, the Employee Retirement Income Security Act of 1974, and the Public Health Service Act to extend through December 31, 2020, the TAA pre-certification period rule disregarding, for a specified period, any 63-day lapse in creditable health care coverage for TAA workers. Extends also through December 31, 2020, the continued eligibility of certain qualified TAA-eligible individuals and PBGC pension recipients for COBRA premium assistance.
Bill· HRH.R. 1083 (114th)referred
United States · United States Congress · 25 February 2015
Medicaid Physician Self-Referral Act of 2015 Amends title XIX (Medicaid) of the Social Security Act (SSAct) with respect to physician self-referral limitations to repeal the prohibition against payment of federal funds to a state for medical assistance expenditures for a designated health service furnished to an individual on the basis of a referral (self-referral) that would result in denial of payment under SSAct title XVIII (Medicare). Requires a state plan for medical assistance to prohibit payment for a Medicaid designated health service furnished to an individual on the basis of a physician's referral if the physician (or an immediate family member) has an ownership or investment interest or a compensation arrangement with the entity furnishing the service that would not comply with Medicare requirements. Requires application of certain reporting requirements and sanctions to a provider of a Medicaid designated health service the same way they apply under Medicare. Amends SSAct title XVIII to: (1) apply the False Claims Act to violations of the self-referral prohibition, and (2) declare the authority of the Secretary of Health and Human Services to issue regulations under Medicaid limited to the application of self-referral limitations to state plan requirements. Directs the Secretary to establish a protocol consistent with the Medicare self-referral disclosure protocol required under the Patient Protection and Affordable Care Act that enables health care providers to disclose an actual or potential violation of Medicare self-referral limitations as applied to Medicaid.
Bill· HRH.R. 1085 (114th)referred
United States · United States Congress · 25 February 2015
Amends the Patient Protection and Affordable Care Act to repeal the establishment of, and appropriation of funds to, the Prevention and Public Health Fund (a fund to provide for expanded and sustained national investment in prevention and public health programs to improve health and help restrain the rate of growth in private and public sector health care costs). Rescinds any unobligated balances appropriated to the Fund. Directs the Department of Health and Human Services (HHS) to post a notice of the rescission and the amounts of funds rescinded on the public HHS website within 10 days of enactment of this Act.
Bill· HRH.R. 1066 (114th)referred
United States · United States Congress · 25 February 2015
Clinical Trials Modernization Act of 2015 This bill amends the Federal Food, Drug, and Cosmetic Act to require the Food and Drug Administration (FDA) to allow sponsors of applications for new drugs, biological products, and medical devices to propose incorporation of alternative statistical methods, including adaptive trial design and Bayesian methods, into clinical trial protocols and marketing applications. The FDA is required to issue guidance that establishes or clarifies standards for using alternative statistical methods in clinical trials. The FDA must establish a process under which a post-approval study or clinical trial required by the FDA is periodically evaluated to determine whether the trial or study is no longer scientifically warranted or whether the design should be renegotiated because of changes in medical practice or the standard of care.
Bill· SS. 568 (114th)referred
United States · United States Congress · 25 February 2015
Trade Adjustment Assistance Act of 2015 Amends the Trade Adjustment Assistance Extension Act of 2011 to repeal the declaration that trade adjustment assistance (TAA) program requirements in effect as of February 13, 2011, under the Trade Act of 1974 shall apply to petitions for certification to apply for TAA for workers, firms, and farmers that are filed before January 1, 2014. Amends the Trade Act of 1974 to extend through December 31, 2020: (1) the TAA program, and (2) the reemployment trade adjustment assistance (RTAA) program. Makes funds available through FY2020, and for the period beginning October 1-December 31, 2020 (first quarter of FY2021), for training of adversely affected workers, employment and case management services, and job search expenses and relocation expenses. Reauthorizes appropriations: (1) through December 31, 2020, for the TAA program for workers; and (2) through FY2020, and for the first quarter of FY2021, for the TAA program for firms, communities, and farmers. Prescribes TAA eligibility requirements for adversely affected workers in public agencies. Revises trade readjustment allowance (TRA) program requirements. Increases from 65 to 78 additional weeks of TRA payments in a 91-week period the length of additional time permissible to complete training. Repeals the authority of a state to use funds for employment and case management services and relocation allowances to allow an adversely affected worker who is certified to file an application for a job search allowance and relocation allowance. (Continues to authorize adversely affected workers to apply for the job search allowance as well as the relocation allowance.) Increases from $1,250 to $1,500 the maximum job serach allowance and maximum relocation allowance that may be granted to an adversely affected worker. Revises the reemployment trade adjustment assistance (RTAA) program. Increases from: (1) $50,000 to $55,000 the maximum amount an RTAA-eligible worker may earn in wages from reemployment, and (2) $10,000 to $12,000 the maximum payment of RTAA (or wage subsidy) to an eligible older worker. Specifies criteria the Secretary must use to determine the eligibility of workers to apply for TAA if no determination has been made, upon enactment of this Act, as to whether to certify a group of workers or firms as eligible pursuant to a petition filed between January 1, 2014, and enactment of this Act. Requires the Secretary to reconsider any determination made before enactment of this Act not to certify such workers or firms, and to certify them as eligible if they meet the specified requirements. Amends the Internal Revenue Code to extend through calendar 2021, and increase from 72.5% to 80%, the tax credit for the health insurance coverage costs of Pension Benefit Guaranty Corporation (PBGC) pension and TAA recipients and their dependents. Amends the Internal Revenue Code, the Employee Retirement Income Security Act of 1974, and the Public Health Service Act to extend through December 31, 2020, the TAA pre-certification period rule disregarding, for a specified period, any 63-day lapse in creditable health care coverage for TAA workers. Extends also through December 31, 2020, the continued eligibility of certain qualified TAA-eligible individuals and PBGC pension recipients for COBRA premium assistance.
Bill· SS. 570 (114th)referred
United States · United States Congress · 25 February 2015
Comprehensive Dental Reform Act of 2015 Amends titles XVIII (Medicare) and XIX (Medicaid) of the Social Security Act to cover oral health services. Increases the federal medical assistance percentage for oral health services, thereby increasing payments to states under Medicaid. Directs the Centers for Medicare & Medicaid Services to maintain a database of dental benefits available to adult Medicaid enrollees in each state. Amends the Public Health Service Act to establish, revise, and extend funding for grant programs for: educating nondental professionals about oral health care; providing dental services in hospital emergency rooms or in community settings; providing scholarships and education loans for oral health professional students; providing oral health services to low-income and underserved individuals; building, operating, or expanding dental clinics in schools; and providing mobile, comprehensive dental services at locations that serve individuals who qualify for benefits under specified programs. Authorizes community based dental residencies. Authorizes specified agencies to conduct research on oral health issues through FY2019. Amends the Patient Protection and Affordable Care Act to make oral health services an essential health benefit. Removes restrictions on the authority of the Department of Veterans Affairs (VA) to provide dental care to veterans (thereby requiring dental care on the same basis as other VA-provided medical care and services). Authorizes the VA, Department of Defense, Bureau of Prisons, and Indian Health Service to carry out demonstration programs to train and employ alternative dental health care providers in order to increase access to dental services. Directs the Department of Health and Human Services to conduct a cost-benefit analysis of the expansion of dental service coverage pursuant to this Act. Directs the Government Accountability Office to evaluate the implementation and utilization of expanded dental service coverage under this Act and the demonstration programs authorized by this Act.
Bill· HRH.R. 1078 (114th)referred
United States · United States Congress · 25 February 2015
Food and Drug Administration Safety Over Sequestration Act of 2015 This bill amends the Balanced Budget and Emergency Deficit Control Act of 1985 to exempt certain Food and Drug Administration user fees from sequestration. Sequestration is a process of automatic, usually across-the-board spending reductions under which budgetary resources are permanently cancelled to enforce specific budget policy goals.
Bill· HRH.R. 1021 (114th)referred
United States · United States Congress · 24 February 2015
Protecting the Integrity of Medicare Act of 2015 Amends title II (Old Age, Survivors and Disability Insurance) of the Social Security Act (SSAct) to direct the Secretary of Health and Human Services to establish cost-effective procedures to ensure that: (1) a Social Security account number (or any derivative) is not displayed, coded, or embedded on the Medicare card issued to an individual entitled to benefits under part A (Hospital Insurance) of SSAct title XVIII (Medicare) or enrolled under Medicare part B (Supplementary Medical Insurance); and (2) any other identifier displayed on such card is not identifiable as a Social Security account number (or any derivative). Directs the Secretary to establish procedures to ensure that Medicare payment is not made for items and services furnished to an individual incarcerated, deceased, or otherwise ineligible and not lawfully present in the United States. Directs the Secretary, if cost-effective and technologically viable, to consider appropriate measures to implement use of electronic Medicare beneficiary and provider cards. Extends the Medicare durable medical equipment face-to-face encounter documentation requirement to include physician assistants, practitioners, or specialists as well as physicians (as under current law). Requires each Medicare administrative contractor to establish an improper payment outreach and education program for service providers and suppliers in order to reduce improper Medicare payments. Requires the Secretary to develop a plan to revise the incentive program under the Health Insurance Portability and Accountability Act of 1996 to encourage greater participation by individuals to report fraud and abuse in the Medicare program. Directs the Secretary to require a claim for a covered Medicare part D (Voluntary Prescription Drug Benefit Program) drug for an individual enrolled in a prescription drug plan or in a Medicare Advantage Prescription Drug plan (PDP) to include a valid prescriber National Provider Identifier. Gives Medicare beneficiaries the option to receive the Medicare Summary Notice (explanation of benefits) electronically. Directs the Secretary to: (1) apply competitive procedures to selection of a Medicare administrative contractor at least once every 10 years (currently once every 5 years); and (3) study and, as appropriate, specify incentives for states to work with the Secretary under the Medicare-Medicaid Data Match Program to protect the federal and state share of expenditures. Authorizes a PDP sponsor to establish a drug management program for at-risk beneficiaries. Directs the Secretary to authorize Medicare drug integrity contractors (MEDICs) to accept directly an individual's prescription and necessary medical records from pharmacies, prescription drug plans, and physicians in order for MEDICs to provide information relevant to determining whether the individual is an at-risk beneficiary. Directs the Secretary to issue a clarification or modification with respect to the application of the Common Rule (governing the protection of human subjects in research) to activities involving clinical data registries. Amends SSA title XI to eliminate civil monetary penalties for inducements to physicians to limit services that are not medically necessary. Directs the Secretary to report to Congress on options for amending existing Medicare fraud and abuse laws and regulations to permit gainsharing or similar arrangements between physicians and hospitals that would otherwise be subject to penalties. Modifies the Medicare home health surety bond condition of participation requirement. Directs the Secretary to: (1) implement a process for medical review of spinal subluxation services by a chiropractor, and (2) develop educational and training programs to improve the ability of chiropractors to document services in a manner that demonstrates they are reasonable and necessary. Requires the Secretary to: (1) revise the testing in New Jersey, Pennsylvania, and South Carolina of a model of prior authorization for repetitive scheduled non-emergent ambulance transport to cover specified additional states; and (2) apply the prior authorization program to all states under certain conditions. Directs the Secretary to submit a plan to Congress for including in the annual report of the Comprehensive Error Rate Testing programs data on services (other than medical visits) paid under the physician fee schedule where the fee schedule amount exceeds $250 and where the error rate exceeds 20%. Removes funds for the Medicare Improvement Fund that were added by the Impact Act of 2014.
Bill· SS. 539 (114th)referred
United States · United States Congress · 24 February 2015
Medicare Access to Rehabilitation Services Act of 2015 This bill amends title XVIII (Medicare) of the Social Security Act to repeal the existing caps on physical therapy, occupational therapy, and speech-language pathology services.
Bill· SS. 1856 (114th)open
United States · United States Congress · 23 February 2015
Department of Veterans Affairs Equitable Employee Accountability Act of 2015 This bill authorizes the Department of Veterans Affairs (VA) to: (1) suspend a VA employee without pay if the employee's performance or misconduct is a clear and direct threat to public health or safety; and (2) remove a suspended employee when, after investigation and review, removal is determined necessary for public health or safety interests. A suspended employee is entitled, after suspension and before removal, to: a written statement of the specific charges and an opportunity to answer the charges and submit affidavits, a case review by the VA before a decision adverse to the employee is made final, and a written statement of the VA's decision. A VA employee who is suspended or removed is entitled to: (1) appeal to the Merit Systems Protection Board; and (2) back pay, less amounts otherwise earned during such period, if the suspension or removal is determined to be unwarranted. The VA shall: conduct an annual performance plan for each political appointee that is similar to that conducted for VA Senior Executive Service employees; provide managers with training on the rights of whistle blowers and how to address reports of hostile work environment, reprisal, or harassment; and develop a promotional track for technical expert employees that allows for career advancement without being required to transition to management positions. Evaluation of VA managers shall include actions taken to address employee performance. Before terminating VA employment an official who has participated personally and substantially in a VA acquisition that exceeds $1 million or held a key acquisitions position at the VA shall obtain a written opinion from a VA ethics counselor regarding any restrictions on activities that the official may undertake on behalf of a contractor during the two-year period after the official terminates VA employment. A contractor may not knowingly provide compensation to such an individual during the two-year period unless the contractor determines that the individual has obtained or requested such written opinion. The VA may not place an individual subject to disciplinary action on administrative leave for more than 14 business days during any 365-day period.
Bill· SS. 531 (114th)referred
United States · United States Congress · 23 February 2015
Removing Limitations on Insurance Effectiveness and Flexibility Act of 2015 or the ReLIEF Act This bill deems catastrophic health plans described in the Patient Protection and Affordable Care Act to be qualified health plans that are eligible for premium assistance and fulfill an individual's requirement to maintain minimum essential coverage. Limitations on eligibility for enrollment in catastrophic plans are eliminated.
Resolution· SRESS.Res. 83 (114th)referred
United States · United States Congress · 23 February 2015
Expresses support for: (1) the principles and values set forth in the Secondary School Student Athletes' Bill of Rights; and (2) secondary schools that have successfully implemented programs, policies, and practices to emphasize and encourage student athlete safety and well-being. Recognizes the importance of proper safety measures, timely medical assessments, and appropriate environmental conditions, and the role that teachers, parents, coaches, and athletic health care team members play, in ensuring the well-being of secondary school student athletes. Encourages secondary schools to continue to take all available and reasonable efforts to ensure student athlete safety.
Bill· HRH.R. 1018 (114th)referred
United States · United States Congress · 20 February 2015
Patient Access to Disposable Medical Technology Act of 2015 This bill amends title XVIII (Medicare) of the Social Security Act to cover substitute disposable medical technology, subject it to a special payment rule, and exempt it from competitive acquisition.
Bill· HRH.R. 1012 (114th)referred
United States · United States Congress · 17 February 2015
MediFair Act of 2015 Amends title XVIII (Medicare) of the Social Security Act to direct the Secretary of Health and Human Services to establish a system for making adjustments to the amount of payment made to entities and individuals for items and services provided under the original Medicare fee-for-service program under Medicare parts A (Hospital Insurance) and B (Supplementary Medical Insurance). Requires such adjustments in order to make the state average per beneficiary amount equal to the national average per beneficiary amount. Directs the Medicare Payment Advisory Commission to develop recommendations on policies and practices that would encourage: (1) healthy outcomes and quality care under the Medicare program in states with respect to which payments are reduced under such system, and (2) the efficient use of payments made under the Medicare program in such states.
Bill· HRH.R. 977 (114th)referred
United States · United States Congress · 13 February 2015
Making the Education of Nurses Dependable for Schools Act or the MEND Act Requires the Department of Health and Human Services, for any reimbursements to providers under title XVIII (Medicare) of the Social Security Act for the costs of nursing and allied health education activities, to apply the regulation establishing the payment methodology for such reimbursements by treating a provider as meeting the requirements: for consideration as operating an approved nursing or allied health education program if the provider or a wholly owned subsidiary educational institution singly or collectively meets all such requirements; for payment for certain nonprovider-operated programs at wholly owned subsidiary educational institutions if the provider meets all such requirements except that the transfer of a nursing or allied health education program to that wholly owned subsidiary educational institution to meet accreditation standards occurred after October 1, 2003, and if the provider or its wholly owned subsidiary educational institution has been in continuous operation since October 1, 2003. Defines "wholly owned subsidiary educational institution" as one that: (1) is organized as a legal entity distinct from the provider, (2) has the provider as its sole owner or sole member, and (3) is organized in the same state in which the provider is organized or registered to do business.
Bill· HRH.R. 976 (114th)referred
United States · United States Congress · 13 February 2015
Patient Access to Higher Quality Health Care Act of 2015 Amends the Patient Protection and Affordable Care Act (PPACA) to repeal the prohibition against Medicare participation by physician-owned hospitals that do not have a provider agreement by August 1, 2010, which nonetheless allows their Medicare participation under a rural provider and hospital exception to a specified ownership or investment prohibition if they meet certain requirements. Amends the Health Care and Education Reconciliation Act of 2010 (HCERA) to repeal provisions: (1) postponing from August 1, 2010, to December 31, 2010, the date by which physician-owned hospitals must have a provider agreement in order to participate in Medicare under a rural provider and hospital exception to the physician-ownership or -investment prohibition if they also meet certain requirements addressing conflicts of interest, bona fide investments, patient safety issues, and expansion limitations; and (2) modifying the expansion limitation imposed on such a rural hospital Restores related previous law amended or repealed by PPACA and HCERA as if PPACA or HCERA had not been enacted.
Bill· HRH.R. 1006 (114th)referred
United States · United States Congress · 13 February 2015
Building a Health Care Workforce for the Future Act Amends the Public Health Service Act to require the Department of Health and Human Services (HHS) to award matching grants to enable states to implement scholarship programs to ensure an adequate supply of health professionals. Authorizes HHS to award grants to assist medical schools in developing and strengthening primary care mentorship programs and cultivating leaders in primary care among its students. Requires HHS to award grants to medical and other health professions schools to promote priority competencies that are selected annually by the Advisory Committee on Training in Primary Care Medicine and Dentistry, in order to foster curricular innovations to improve the education and training of health care providers. Directs the Institute of Medicine to study the documentation requirements for cognitive services (evaluation and management services) required under Medicare and Medicaid and through private health insurers.
Bill· HRH.R. 971 (114th)referred
United States · United States Congress · 13 February 2015
Orphan Product Extensions Now Accelerating Cures and Treatments Act of 2015 Amends the Federal Food, Drug, and Cosmetic Act to require the Food and Drug Administration (FDA) to extend by six months the exclusivity period for an approved drug or biological product when the product is additionally approved to prevent, diagnose, or treat a new indication that is a rare disease or condition (also known as an “orphan disease”). Allows the FDA to revoke an extension if the application for the new indication contained an untrue material statement. Requires the sponsor of a product receiving an extension to notify the FDA one year prior to discontinuing production for commercial reasons. Requires the FDA to notify the public of products that receive this extension and patents related to those products. Limits a product to one extension under this Act. Sets forth that extensions under this Act are in addition to other extensions. Applies only to products approved after enactment of this Act for a new indication that is a rare disease or condition.
Bill· HRH.R. 965 (114th)referred
United States · United States Congress · 13 February 2015
Facilitating Participation in Clinical Data Registries Act of 2015 This bill requires the Office for Human Research Protections of the Department of Health and Human Services to issue guidance within one year on the application of the Common Rule, which provides protections for human research subjects, to clinical data registries.
Resolution· HRESH.Res. 117 (114th)referred
United States · United States Congress · 13 February 2015
Commends the international community, global and domestic health organizations, the private sector, school and community leaders, and faith-based organizations for bolstering global and domestic health through vaccination. Affirms vaccines save lives and are essential to public health, and economic and national security. Recognizes that the lack of vaccination can cause a public health crisis, and that there is no credible evidence to show that vaccines cause life-threatening or disabling diseases in healthy children or adults. Encourages a continued commitment to research to improve vaccines and develop new vaccines. Urges parents, in consultation with their health care provider, to follow the scientific evidence and consensus of medical experts in favor of timely vaccinations to protect their children and their community.
Resolution· HRESH.Res. 112 (114th)referred
United States · United States Congress · 13 February 2015
Expresses support for: (1) the principles and values set forth in the Secondary School Student Athletes' Bill of Rights; and (2) secondary schools that have successfully implemented programs, policies, and practices to emphasize and encourage student athlete safety and well-being. Recognizes the importance of proper safety measures, timely medical assessments, and appropriate environmental conditions, and the role that teachers, parents, coaches, and athletic health care team members play, in ensuring the well-being of secondary school student athletes. Encourages secondary schools to continue to take all available and reasonable efforts to ensure student athlete safety.
Report· HearingH.Hrg.114published
United States · United States House of Representatives · 12 February 2015
Bill· HRH.R. 954 (114th)open
United States · United States Congress · 12 February 2015
This bill temporarily exempts from penalties for failing to purchase and maintain minimum essential health care coverage individuals whose coverage under a plan offered by a qualified nonprofit health insurance issuer receiving funds through the Consumer Operated and Oriented Plan program was terminated or otherwise discontinued.
Bill· HRH.R. 921 (114th)referred
United States · United States Congress · 12 February 2015
Sports Medicine Licensure Clarity Act of 2015 Provides that for purposes of medical professional liability insurance or civil and criminal malpractice liability determinations, a physician or athletic trainer (covered sports medicine professional) who is authorized to practice medicine in a state (primary state) and who provides medical services to an athlete or athletic team in a state where such professional is not authorized to practice (secondary state) shall be deemed to have provided such medical services in the primary state, provided that prior to providing the covered medical services such professional has disclosed the nature and extent of such services to the entity that provides such professional with medical professional liability insurance in the primary state.
Law· SS. 524 (114th)enacted
United States · United States Congress · 12 February 2015
Comprehensive Addiction and Recovery Act of 2015 Directs the Department of Health and Human Services (HHS) to convene a Pain Management Best Practices Inter-Agency Task Force to develop: (1) best practices for pain management and prescribing pain medication, and (2) a strategy for disseminating such best practices. Amends the Omnibus Crime Control and Safe Streets Act of 1968 to authorize the Attorney General to make grants to: states (with priority to states that provide civil liability protection for first responders, health professionals, and family members administering naloxone to counteract opioid overdoses), local governments, and nonprofit organizations to expand educational efforts to prevent abuse of opioids, heroin, and other substances of abuse, understand addiction as a chronic disease, and promote treatment and recovery; organizations that have received a grant under the Drug-Free Communities Act of 1997 to implement comprehensive community-wide strategies that address local drug crises; states (with priority to states that provide civil liability protection for administering naloxone), local governments, Indian tribes, and nonprofit organizations for treatment alternative to incarceration programs for individuals who have come into contact with the juvenile or criminal justice system or have been arrested or charged with an offense, who have a substance use disorder, mental illness, or both, and who have been approved for participation in such a program; state, local, or tribal law enforcement agencies to create a demonstration law enforcement program to prevent opioid and heroin overdose death; state, local, or tribal law enforcement agencies, manufacturers, distributors, or reverse distributor of prescription medications, retail pharmacies, registered narcotic treatment programs, hospitals or clinics with an on-site pharmacy, eligible long-term care facilities, or any other entity authorized by the Drug Enforcement Administration to dispose of prescription medications to expand or make available disposal sites for unwanted prescription medications; states (with priority to states that provide civil liability protection for administering naloxone), local governments, and Indian tribes to implement medication assisted treatment programs through their criminal justice agencies; states, local governments, nonprofit organizations, and Indian tribes for educational programs for incarcerated offenders; state substance abuse and criminal justice agencies, jointly, to address the use of opioids and heroin among pregnant and parenting female offenders in a state to promote public safety, public health, family permanence, and well-being; establish or expand veterans treatment court programs, peer to peer services or programs for qualified veterans, practices that identify and provide treatment, rehabilitation, legal, and transitional services to incarcerated veterans, and training programs to teach criminal justice, mental health, and substance abuse personnel how to identify and appropriately respond to incidents involving veterans; and states to prepare a comprehensive plan for and implement an integrated opioid abuse response initiative. Amends the Public Health Service Act to authorize the Center for Substance Abuse Treatment to award grants to enable state substance abuse agencies, local governments, nonprofit organizations, and Indian tribes or tribal organizations that have a high rate of, or have had a rapid increase in, the use of heroin or other opioids to expand activities, including medication assisted treatment, for the treatment of addiction in the geographical areas affected. Authorizes the Recovery Branch of the Office of National Drug Control Policy to award grants to: (1) enable high schools and colleges with substance abuse recovery programs and nonprofit organizations to provide substance abuse recovery support services to high school and college students, to help build communities of support for young people in recovery, and to encourage initiatives designed to help young people achieve and sustain recovery; and (2) enable recovery community organizations to develop, expand, and enhance recovery services. Amends the Higher Education Act of 1965 to prohibit the Department of Education from including any question about the conviction of an applicant for the possession or sale of illegal drugs on the Free Application for Federal Student Aid form. Directs HHS to establish a bipartisan Task Force on Recovery and Collateral Consequences to: (1) identify collateral consequences for individuals with drug convictions who are in recovery for a substance use disorder, and (2) determine whether such consequences unnecessarily delay such individuals from resuming their personal and professional activities. Amends the Omnibus Crime Control and Safe Streets Act to direct the Attorney General to report annually on how grants awarded under such Act are used for family-based substance abuse treatment programs that serve as alternatives to incarceration for custodial parents to receive treatment and services as a family. Expresses the sense of Congress that the amounts expended to carry out this Act should be offset by a corresponding reduction in federal non-defense discretionary spending. Directs the Comptroller General to report on the impact that the Medicaid Institutions for Mental Disease exclusion (defined as the prohibition on federal matching payments under Medicaid for patients who have attained age 22, but have not attained age 65, in an institution for mental diseases) has on access to treatment for individuals with a substance use disorder.
Bill· SS. 480 (114th)open
United States · United States Congress · 12 February 2015
National All Schedules Prescription Electronic Reporting Reauthorization Act of 2015 Amends the National All Schedules Prescription Electronic Reporting Act of 2005 to include as a purpose of state-administered controlled substance monitoring systems ensuring access to prescription history information for the investigative purposes of appropriate law enforcement, regulatory, and state professional licensing authorities. Amends the Public Health Service Act to revise and reauthorize through FY2020 the controlled substance monitoring program, including to: allow grants to be used to maintain and operate existing state controlled substance monitoring programs, require the Department of Health and Human Services (HHS) to redistribute any funds that are returned among the remaining grantees, require a state to provide HHS with aggregate data and other information to enable HHS to evaluate the success of the state's program, and expand the program to include any commonwealth or territory of the United States. Allows the Drug Enforcement Administration, HHS, a state Medicaid program, a state health department, or a state substance abuse agency receiving nonidentifiable information from a controlled substance monitoring database for research purposes to make that information available to other entities for research purposes. Requires a state receiving a grant to: (1) facilitate prescriber and dispenser use of the state's controlled substance monitoring system, and (2) educate prescribers and dispensers on the benefits of the system both to them and society.
Law· SS. 483 (114th)enacted
United States · United States Congress · 12 February 2015
Ensuring Patient Access and Effective Drug Enforcement Act of 2015 Amends the Controlled Substances Act to define: (1) "factors as may be relevant to and consistent with the public health and safety," for purposes of the Attorney General's determination of whether registering an applicant to manufacture or distribute a controlled substance in schedule I or II is in the public interest, as factors that are relevant to and consistent with the findings of such Act; and (2) "imminent danger to the public health or safety," for purposes of the suspension of such a registration, to mean that in the absence of an immediate suspension order, controlled substances will continue to be distributed or dispensed by a registrant who knows or should know, through fulfilling the obligations of the registrant under such Act, that the dispensing is outside the usual course of professional practice, that the distribution or dispensing poses a present or foreseeable risk of adverse health consequences or death due to the abuse or misuse of the controlled substances, or that the controlled substances will continue to be diverted outside of legitimate distribution channels. Requires an order to show cause as to why such a registration should not be denied, revoked, or suspended to: (1) contain a statement of the basis for the denial, revocation, or suspension, including specific citations to any laws or regulations alleged to be violated; (2) direct the applicant or registrant to appear before the Attorney General at a specific place and time within 30 days after receipt of the order; and (3) notify the applicant or registrant of the opportunity to submit a corrective action plan on or before such appearance. Requires the Attorney General, upon review of any such plan, to determine whether denial, revocation, or suspension proceedings should be discontinued or deferred for purposes of modifications to such plan. Makes such requirements inapplicable to the issuance of an immediate suspension order. Directs the Department of Health and Human Services, acting through the Food and Drug Administration and the Centers for Disease Control and Prevention, to submit a report identifying: (1) obstacles to legitimate patient access to controlled substances; (2) issues with diversion of controlled substances; and (3) how collaboration between federal, state, local, and tribal law enforcement agencies and the pharmaceutical industry can benefit patients and prevent diversion and abuse of controlled substances.
Bill· SS. 481 (114th)open
United States · United States Congress · 12 February 2015
Improving Regulatory Transparency for New Medical Therapies Act This bill amends the Federal Food, Drug, and Cosmetic Act and the Public Health Service Act to delay the effective date of approval of a drug, biological product, or animal drug for which the Food and Drug Administration (FDA) recommends controls under the Controlled Substances Act until the Department of Justice (DOJ) issues a final interim rule for the drug. This delay also applies to conditional approval and indexing of animal drugs. This bill amends the Controlled Substances Act to require the DOJ to issue a final interim rule for a drug product recommended for controls by the FDA not later than 90 days after DOJ receives a recommendation for controls or the FDA approves the drug. The final interim rule is effective immediately. For purposes of submitting an application to extend a patent, a drug product recommended for controls is considered to be approved and have permission for commercial marketing and use on the date of FDA approval or the date an interim final rule is issued, whichever is later. Timelines are established for DOJ to either register an applicant to manufacture a controlled substance for a clinical trial or serve an order to show cause upon the applicant.
Bill· HRH.R. 943 (114th)referred
United States · United States Congress · 12 February 2015
Medicare Employer Relief Act of 2015 Amends title XVIII (Medicare) of the Social Security Act with respect to Medicare as secondary payer to repeal requirements for identification of secondary payer situations.
Bill· SS. 471 (114th)open
United States · United States Congress · 12 February 2015
Women Veterans Access to Quality Care Act of 2015 Directs the Department of Veterans Affairs (VA) to: (1) establish standards to ensure that all VA medical facilities have the structural characteristics necessary to adequately meet the gender-specific health care needs of veterans at such facilities, including privacy, safety, and dignity; (2) integrate such standards into its prioritization methodology with respect to requests for funding major medical facility projects and major medical facility leases; and (3) report on such standards, including regarding the facilities that fail to meet such standards and the costs of projects and leases required to meet them. Requires the VA to: (1) use health outcomes for women veterans furnished health care by the the VA in evaluating the performance of VA medical center directors, (2) publish on its website information on such performance and on health outcomes for women veterans for each VA medical facility, (3) ensure that every VA medical center has a full-time obstetrician or gynecologist, and (4) carry out a pilot program to increase the number of residency program positions and graduate medical education positions for obstetricians and gynecologists at VA medical facilities in not less than three Veterans Integrated Service Networks. Directs the VA to develop procedures to share information that includes military service and separation data, personal email addresses and telephone numbers, and mailing addresses of veterans with state veterans agencies in electronic format as a means of facilitating the furnishing of assistance and benefits to such veterans. Allows a veteran to elect to prevent their information from being shared. Directs the Government Accountability Office to carry out an examination of whether VA medical centers are able to meet the health care needs of women veterans.
Bill· HRH.R. 953 (114th)referred
United States · United States Congress · 12 February 2015
Comprehensive Addiction and Recovery Act of 2015 Directs the Department of Health and Human Services (HHS) to convene a Pain Management Best Practices Inter-Agency Task Force to develop: (1) best practices for pain management and prescribing pain medication, and (2) a strategy for disseminating such best practices. Amends the Omnibus Crime Control and Safe Streets Act of 1968 to authorize the Attorney General to make grants to: states (with priority to states that provide civil liability protection for first responders, health professionals, and family members administering naloxone to counteract opioid overdoses), local governments, and nonprofit organizations to expand educational efforts to prevent abuse of opioids, heroin, and other substances of abuse, understand addiction as a chronic disease, and promote treatment and recovery; organizations that have received a grant under the Drug-Free Communities Act of 1997 to implement comprehensive community-wide strategies that address local drug crises; states (with priority to states that provide civil liability protection for administering naloxone), local governments, Indian tribes, and nonprofit organizations for treatment alternative to incarceration programs for individuals who have come into contact with the juvenile or criminal justice system or have been arrested or charged with an offense, who have a substance use disorder, mental illness, or both, and who have been approved for participation in such a program; state, local, or tribal law enforcement agencies to create a demonstration law enforcement program to prevent opioid and heroin overdose death; state, local, or tribal law enforcement agencies, manufacturers, distributors, or reverse distributor of prescription medications, retail pharmacies, registered narcotic treatment programs, hospitals or clinics with an on-site pharmacy, eligible long-term care facilities, or any other entity authorized by the Drug Enforcement Administration to dispose of prescription medications to expand or make available disposal sites for unwanted prescription medications; states (with priority to states that provide civil liability protection for administering naloxone), local governments, and Indian tribes to implement medication assisted treatment programs through their criminal justice agencies; states, local governments, nonprofit organizations, and Indian tribes for educational programs for incarcerated offenders; state substance abuse and criminal justice agencies, jointly, to address the use of opioids and heroin among pregnant and parenting female offenders in a state to promote public safety, public health, family permanence, and well-being; establish or expand veterans treatment court programs, peer to peer services or programs for qualified veterans, practices that identify and provide treatment, rehabilitation, legal, and transitional services to incarcerated veterans, and training programs to teach criminal justice, mental health, and substance abuse personnel how to identify and appropriately respond to incidents involving veterans; and states to prepare a comprehensive plan for and implement an integrated opioid abuse response initiative. Amends the Public Health Service Act to authorize the Center for Substance Abuse Treatment to award grants to enable state substance abuse agencies, local governments, nonprofit organizations, and Indian tribes or tribal organizations that have a high rate of, or have had a rapid increase in, the use of heroin or other opioids to expand activities, including medication assisted treatment, for the treatment of addiction in the geographical areas affected. Authorizes the Recovery Branch of the Office of National Drug Control Policy to award grants to: (1) enable high schools and colleges with substance abuse recovery programs and nonprofit organizations to provide substance abuse recovery support services to high school and college students, to help build communities of support for young people in recovery, and to encourage initiatives designed to help young people achieve and sustain recovery; and (2) enable recovery community organizations to develop, expand, and enhance recovery services. Amends the Higher Education Act of 1965 to prohibit the Department of Education from including any question about the conviction of an applicant for the possession or sale of illegal drugs on the Free Application for Federal Student Aid form. Directs HHS to establish a bipartisan Task Force on Recovery and Collateral Consequences to: (1) identify collateral consequences for individuals with drug convictions who are in recovery for a substance use disorder, and (2) determine whether such consequences unnecessarily delay such individuals from resuming their personal and professional activities. Amends the Omnibus Crime Control and Safe Streets Act to direct the Attorney General to report annually on how grants awarded under such Act are used for family-based substance abuse treatment programs that serve as alternatives to incarceration for custodial parents to receive treatment and services as a family. Expresses the sense of Congress that the amounts expended to carry out this Act should be offset by a corresponding reduction in federal non-defense discretionary spending. Directs the Comptroller General to report on the impact that the Medicaid Institutions for Mental Disease exclusion (defined as the prohibition on federal matching payments under Medicaid for patients who have attained age 22, but have not attained age 65, in an institution for mental diseases) has on access to treatment for individuals with a substance use disorder.
Bill· HRH.R. 933 (114th)referred
United States · United States Congress · 12 February 2015
Head Start on Vaccinations Act Amends the Head Start Act to prohibit the enrollment of a child in a Head Start or Early Head Start program unless the child's parent or guardian: (1) provides the program with information establishing that the child is vaccinated in accordance with the pediatric vaccine list; or (2) submits a signed agreement to provide such information and consents to the provision, by a program employee or other health care provider, of any vaccines on the pediatric vaccine list that the child has not yet received. Requires that information to be provided on an annual basis in order for a child to maintain enrollment in such program. Requires any child who is not in compliance with such requirements to be removed from such program, but provides for the exemption of children for whom the administration of such vaccines is medically contraindicated. Authorizes the director of a Head Start or Early Head Start agency to use program funds to: (1) administer the required vaccines to children, at the request of the parent or guardian; or (2) assist the parent or guardian in gaining access to the required vaccines.
Bill· HRH.R. 912 (114th)referred
United States · United States Congress · 12 February 2015
Appalachian Communities Health Emergency Act or ACHE Act Requires the Director of the National Institute of Environmental Health Sciences to conduct or support comprehensive studies on the health impacts of mountaintop removal coal mining on individuals in the surrounding communities. Directs the Secretary of Health and Human Services, upon receipt of a report on study results, to publish a determination of whether such mining presents any health risks to individuals in those communities. Defines "mountaintop removal coal mining" as surface coal mining that uses blasting with explosives in the steep slope regions of Kentucky, Tennessee, West Virginia, and Virginia. Prohibits issuance of an authorization for any mountaintop removal coal mining project (or expansion), under the Federal Water Pollution Control Act (commonly known as the Clean Water Act) or the Surface Mining Control and Reclamation Act of 1977, until and unless the Secretary publishes a determination that such mining does not present any health risk to individuals in the surrounding communities. Imposes requirements for continuous monitoring of air, noise, and water pollution and frequent monitoring of soil until a determination by the Secretary is made. Directs the President, acting through the Office of Surface Mining Reclamation and Enforcement of the Department of the Interior, to assess a one-time fee upon persons that conduct such mining projects, sufficient to cover the federal cost of the health studies and pollution monitoring required by this Act.
Bill· HRH.R. 952 (114th)referred
United States · United States Congress · 12 February 2015
Put a Registered Nurse in the Nursing Home Act of 2015 Amends titles XVIII (Medicare) and XIX (Medicaid) of the Social Security Act with respect to coverage of nursing care services in skilled nursing facilities and nursing facilities, respectively, to revise the standards for 24-hour licensed nursing service care which a professional registered nurse is required to provide at least eight consecutive hours a day, seven days a week. Requires such facilities, instead, to use the services of at least one registered professional nurse to provide assessment, surveillance, and direct care to residents 24 hours a day, seven days a week.
Bill· HRH.R. 940 (114th)referred
United States · United States Congress · 12 February 2015
Health Care Conscience Rights Act Amends title I of the Patient Protection and Affordable Care Act to declare that nothing in that title requires an individual to purchase individual health insurance coverage that includes coverage of an abortion or other item or service to which the individual has a moral or religious objection, or prevent an issuer from offering coverage excluding such item or service to that individual. Denies that title I requires a health plan sponsor or a health insurance issuer to cover an item or service to which the sponsor or issuer has a moral or religious objection. Denies also that title I authorizes imposition of a tax, penalty, fee, fine, or other sanction, or imposition of coverage of such an item or service, on health insurance coverage that excludes such an item or service. Amends the Public Health Service Act to codify the prohibition against any action by the federal government and any state or local government receiving federal financial assistance to subject a health professional, or health care facility, organization, or plan to discrimination on the basis that the entity refuses to participate in abortion-related activities. Requires the Department of Health and Human Services (HHS) to designate the Director of the Office for Civil Rights of HHS to receive and investigate complaints alleging a violation of this abortion discrimination prohibition. Creates a cause of action for the Attorney General or any person or entity adversely affected to obtain equitable or legal relief for any violation of this abortion discrimination prohibition. Allows commencement of an action and the granting of relief without a prerequisite pursuit of administrative remedies. Allows such an action against a federal or state governmental entity.
Bill· HRH.R. 919 (114th)referred
United States · United States Congress · 12 February 2015
CHIP Extension and Improvement Act of 2015 Revises and extends through FY2019 at generally increased levels the program under title XXI (State Children's Health Insurance) (CHIP) of the Social Security Act (SSAct), and adjusts CHIP allotment requirements accordingly, including the rebasing and growth factor update rules for computing state allotments. Makes appropriations for certain allotments. Directs the Secretary of Health and Human Services to make payments to shortfall states from the Child Enrollment Contingency Fund in each of FY2016-FY2019. Amends the Internal Revenue Code, with respect to minimum essential coverage for a targeted pregnant low-income woman under CHIP, to exclude from such coverage, at a woman's option, pregnancy-related assistance. Directs the Secretary to issue regulations to ensure continuity of care for children who: (1) are undergoing an active course of treatment; and (2) involuntarily change coverage under health insurance, the state plan under Medicaid (SSAct title XIX), or the state child health plan under CHIP during such course of treatment for any reason. Amends SSAct title XIX to allow a state Medicaid plan to provide that an adult determined eligible for Medicaid benefits shall remain eligible for those benefits until the end of a period (not to exceed 12 months) following the determination. Makes permanent the express lane option and the CHIP outreach and enrollment grant program. Gives states the option to extend express lane Medicaid eligibility to adults. Makes permanent the program of grants to conduct outreach and enrollment efforts designed to increase the enrollment and participation of eligible children under CHIP. Requires each contract with a managed care entity under Medicaid to require the provision of and payment for language services for enrolled individuals who are limited English proficient. Prescribes additional cost-sharing requirements under CHIP. Amends SSAct titles XIX and XXI to cover preventive services for children or pregnant women without cost-sharing. Amends SSAct title XIX to cover newly approved vaccines within 30 days after the Advisory Committee on Immunization Practices approves them. Treats CHIP-eligible children as federally vaccine-eligible children. Extends Medicaid coverage of primary care services through calendar 2019, and expands the types of physicians and health care practitioners eligible for reimbursement for providing such services. Extends increased federal medical assistance percentage (FMAP, or federal matching rate) for additional expenditures for primary care services through calendar year 2019. Amends SSAct title XI to extend the pediatric quality measures program through FY2019. Revises the FMAP for activities related to pediatric quality measures. Extends the technical assistance provided to states in adopting and utilizing certain core sets of child health measures to assistance in building their data collection infrastructures as well. Revises requirements for initial core measures. Directs the Secretary to report to Congress on the core set of child health quality measures. Modifies and extends through FY2019: (1) the demonstration projects for improving the quality of children's health care and the use of health information technology, and (2) funding for childhood obesity demonstration projects. Amends SSAct title V (Maternal and Child Health Services) to extend funding through FY2019 for maternal, infant, and early childhood home visiting programs. Amends the Patient Protection and Affordable Care Act to extend through calendar 2019 the Pediatric Accountable Care Organization Demonstration Project. Amends SSAct title XIX to cover therapeutic foster care services.
Bill· HRH.R. 928 (114th)referred
United States · United States Congress · 12 February 2015
This bill repeals a provision of the Patient Protection and Affordable Care Act that imposes an annual fee on a health insurance provider based on its net premium income.
Bill· HRH.R. 938 (114th)referred
United States · United States Congress · 12 February 2015
Garrett Lee Smith Memorial Act Reauthorization of 2015 Amends the Public Health Service Act to reauthorize and revise a research, training, and technical assistance resource center to prevent suicides (the Suicide Prevention Resource Center). Expands the program's focus from youth suicides to suicides among all ages, particularly among groups that are at high risk for suicide. Repeals authority for grants to establish research, training, and technical assistance centers related to mental health, substance abuse and the justice system. Reauthorizes a program of grants for the development of state or tribal youth suicide early intervention and prevention strategies. Reauthorizes and revises a grant program to enhance services for students with mental health or substance use disorders at institutions of higher education. Requires the Center for Mental Health Services to award grants to enhance such services and to develop best practices for the delivery of such services. Permits grant funds to be used for the provision of such services to students and to employ appropriately trained staff. Requires special consideration be given to applications for grants that describe programs that demonstrate the greatest need for new or additional mental and substance use disorder services and the greatest potential for replication.
Bill· HRH.R. 931 (114th)referred
United States · United States Congress · 12 February 2015
Helping Effective Antibiotics Last Act of 2015 or the HEAL Act This bill amends the Federal Food, Drug, and Cosmetic Act to allow the Food and Drug Administration (FDA) to approve an antibacterial drug or biological product that is intended to treat a serious or life-threatening condition only for treating a well-defined population of patients. To be approved, the antibacterial product must produce superior outcomes over available therapies in the well-defined patient population. A product approved by this pathway must include in its prescribing information the population of patients expected to benefit from using the product and the method for identifying members of that population. The FDA must require each product to have a risk evaluation and mitigation strategy. The Centers for Disease Control and Prevention must monitor changes to bacterial drug resistance and changes to patient outcomes caused by bacterial drug resistance. Upon approval of antibacterial products, the FDA must identify susceptibility test interpretive criteria (the drug concentrations where a type of bacteria is categorized as susceptible, intermediate, or resistant) and update the criteria as needed based upon evidence of changes in patient outcomes. To be eligible for an exclusivity period extension, a qualified infectious disease product must be demonstrated to produce superior outcomes over available therapies. The FDA must issue guidance on the development of target product profiles for antibacterial drugs.
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