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Bill· SS. 223 (116th)referred
United States · United States Congress · 24 January 2019
Patriot Employer Tax Credit Act This bill allows a Patriot employer a business-related tax credit equal to 10% of up to $15,000 of wages paid to any employee in a taxable year. The bill sets forth criteria for designation as a Patriot employer, including requirements that the employer maintain its headquarters in the United States and not expatriate to avoid payment of U.S. income taxes, comply with the employer mandate to provide minimum essential health care coverage to its employees under the Patient Protection and Affordable Care Act, provide employees with paid sick leave or paid family and medical leave, compensate at least 90% of its employees at an hourly rate that is at least 218% of the federal poverty level for an individual for the calendar year divided by 1,750 and provide at least 90% of its employees with a basic level of retirement benefits, provide for differential wage payments to its employees who are members of the Uniformed Services, have a written policy in place for the recruitment of employees who have served in the Uniformed Services or who are disabled, and increase the number of its employees performing substantially all of their services inside the United States to offset the number of employees who work outside the United States.
Bill· SS. 205 (116th)referred
United States · United States Congress · 24 January 2019
Right Rebate Act of 2019 This bill requires drug manufacturers with Medicaid rebate agreements for covered outpatient drugs to disclose drug product information. Manufacturers are subject to civil penalties for knowingly misclassifying drugs. Manufacturers are also required to compensate for rebates that were initially underpaid as a result of misclassification (whether or not such misclassification was committed knowingly).
Bill· HRH.R. 728 (116th)referred
United States · United States Congress · 23 January 2019
Title VIII Nursing Workforce Reauthorization Act of 2019 This bill expands and reauthorizes through FY2024 specified nursing workforce development programs. Specifically, the bill reauthorizes (1) loan repayment and scholarships for nurses; (2) loans for nursing faculty development; (3) advanced education nursing grants; (4) grants for increasing nursing workforce diversity; and (5) nurse education, practice, quality, and retention grants. Eligibility for nurse education, practice, quality, and retention grants is expanded to include nurse-managed health clinics that provide primary care to underserved communities. Further, grants for nursing career ladder programs are expanded to (1) promote career advancement for individuals to become registered nurses or advanced education nurses and (2) support internships and residency programs that encourage mentoring and the development of specialties. In addition, eligibility for advanced education nursing grants is expanded to include education of clinical nurse leaders in combined registered nurse graduate degree programs. Clinical nurse leaders are advanced generalist clinicians who apply research and coordinate care to improve outcomes for patients. Eligibility is also extended to clinical nurse specialist programs that provide registered nurses with full-time clinical nurse specialist education that qualifies participating nurses to provide a full range of care. The bill also revises specified grant reporting and program evaluation requirements.
Resolution· HRESH.Res. 70 (116th)referred
United States · United States Congress · 23 January 2019
This resolution thanks and promotes the profession of Certified Registered Nurse Anesthetists (CRNAs) and encourages patients, health care professionals, policymakers, and others to participate in National CRNA Week.
Bill· HRH.R. 711 (116th)referred
United States · United States Congress · 22 January 2019
This bill requires the Government Accountability Office (GAO) to report to the Federal Communications Commission (FCC) and Congress on the filing requirements for telecommunications carriers or service providers that receive Universal Service Fund program support to provide service to qualifying low-income consumers, rural or high-cost areas, rural health care providers, schools, or libraries. The report must analyze the financial impact of those filing requirements and provide any recommendations on how to consolidate redundant filing requirements. After receiving the GAO report, the FCC must initiate a rulemaking to consolidate redundant filing requirements and incorporate any of the reported recommendations.
Bill· HRH.R. 708 (116th)referred
United States · United States Congress · 22 January 2019
Taxpayer Conscience Protection Act of 2019 This bill establishes reporting requirements for states regarding certain Medicaid payments to abortion providers. Specifically, the bill requires states that make Medicaid payments using federal funds for any items or services furnished by an abortion provider to annually (1) submit a report to the Centers for Medicare & Medicaid Services on all such payments, and (2) publish the report on the state's website. The report must include specified information, including the number of abortions performed by the providers and the gestational age with respect to each such abortion.
Bill· HRH.R. 692 (116th)referred
United States · United States Congress · 18 January 2019
Pre-existing Conditions Protection Act of 2019 This bill reestablishes requirements for private health insurance plans with respect to preexisting conditions, guaranteed enrollment, and discrimination based on health-related factors if they are repealed by another law. In such event, the bill prohibits private health insurance plans from (1) limiting or excluding benefits covering preexisting conditions; (2) denying enrollment to employers or individual applicants, subject to specified limits; (3) establishing rules for eligibility based on an individual's health status; or (4) requiring an individual to a pay higher premium than similarly situated individuals enrolled in the plan based the individual's health status. The bill also prohibits plans from collecting genetic information in connection with issuing health insurance and provides requirements for workplace wellness programs connected to health insurance.
Bill· SS. 192 (116th)referred
United States · United States Congress · 18 January 2019
Community and Public Health Programs Extension Act This bill reauthorizes several health care, research, and workforce programs through FY2024. Specifically, the bill reauthorizes the Community Health Center Fund, which provides enhanced funding for community health centers and the National Health Service Corps; payments to teaching health centers that operate graduate medical-education programs; the Special Diabetes Program, which is administered by the National Institutes of Health; and the Special Diabetes Program for Indians, which is administered by the Indian Health Service.
Bill· HRH.R. 647 (116th)referred
United States · United States Congress · 17 January 2019
Palliative Care and Hospice Education and Training Act This bill requires the Department of Health and Human Services (HHS) to take a series of actions relating to palliative-care training. Specifically, HHS must provide support for Palliative Care and Hospice Education Centers. The centers must improve the training of health professionals in palliative care and establish traineeships for individuals preparing for advanced-education nursing degrees, social-work degrees, or advanced degrees in physician-assistant studies in palliative care. HHS may provide support to medical schools, teaching hospitals, and graduate medical-education programs for training physicians who plan to teach palliative medicine. HHS must (1) provide Palliative Medicine and Hospice Academic Career Awards to individuals to promote their career development, (2) support entities that operate a Palliative Care and Hospice Education Center, (3) support individuals in specified fields who are pursuing an advanced degree in palliative care or related fields, and (4) award grants to nursing programs to train individuals in providing palliative care. The Agency for Healthcare Research and Quality must provide for a national education and awareness campaign to inform patients, families, and health professionals about the benefits of palliative care. The National Institutes of Health must expand national research programs in palliative care.
Bill· HRH.R. 641 (116th)referred
United States · United States Congress · 17 January 2019
Agricultural Worker Program Act of 2019 This bill establishes a program for alien agricultural workers to obtain temporary resident status ("blue card status") and procedures to obtain permanent resident status. An alien shall qualify for the status if he or she performed the required amount of qualified agricultural work. The Department of Homeland Security may grant blue card status to qualified individuals who pass security checks and are not disqualified for various reasons, such as an aggravated felony conviction. DHS may waive certain disqualifications for humanitarian or public interest reasons. Blue card holders shall be authorized for employment in the United States and travel outside the United States. Such individuals shall be ineligible for various federal benefits, including the healthcare premium assistance tax credit. Individuals going through deportation or removal proceedings shall be given a chance to apply for blue card status if they qualify. Blue card holders may apply for permanent resident status, subject to various requirements, including work requirements over a specified time period and payment of federal taxes. Blue card status shall not last longer than eight years.
Bill· HRH.R. 652 (116th)referred
United States · United States Congress · 17 January 2019
Comprehensive Care for Seniors Act of 2019 This bill requires the Centers for Medicare & Medicaid Services (CMS) to finalize a proposed rule regarding Programs of All-Inclusive Care for the Elderly (PACE) by April 1, 2019. PACE is a program under Medicare and Medicaid that provides in-home and community services for certain individuals as an alternative to nursing home care. The proposed rule updates and revises application, enforcement, and other administrative requirements. The CMS published the proposed rule in August 2016; final action is expected in August 2019.
Resolution· HRESH.Res. 59 (116th)referred
United States · United States Congress · 17 January 2019
This resolution affirms the House of Representatives' obligation to fulfill the promises made to senior citizens of the United States regarding access to Medicare and Social Security. It also rejects any changes to Medicare or Social Security that diminish benefits for Americans currently enrolled, or soon to be enrolled, in the Medicare program or the Old Age, Survivors, and Disability Insurance program. The resolution also expresses the House's commitment that these programs should be strengthened and preserved, and expresses support for efforts to reduce waste, fraud, and abuse in these programs.
Bill· HRH.R. 674 (116th)referred
United States · United States Congress · 17 January 2019
Gun Violence Prevention Research Act of 2019 This bill authorizes the Centers for Disease Control and Prevention to conduct or support research on firearms safety or gun violence prevention.
Bill· HRH.R. 660 (116th)referred
United States · United States Congress · 17 January 2019
Community Health Improvement, Leadership, and Development Act of 2019 or the CHILD Act This bill establishes several programs to support community health. Specifically, the bill establishes (1) an integrated database of epidemiological and health-claims information to monitor illness rates and associated health care costs; and (2) a grant program to support local community health improvement programs for the purposes of maintaining, disseminating, and reporting on database information.
Bill· HRH.R. 634 (116th)referred
United States · United States Congress · 17 January 2019
Ultrasound Informed Consent Act This bill requires abortion providers to conduct an ultrasound before performing an abortion. Specifically, before a woman gives informed consent to any part of an abortion, the abortion provider must (1) perform an obstetric ultrasound on the pregnant woman; (2) provide a simultaneous explanation of what the ultrasound is depicting; (3) display the ultrasound images so the woman may view them; and (4) provide a complete medical description of the images, including the dimensions of the embryo or fetus, cardiac activity if present and visible, and the presence of external members and internal organs if present and viewable. Providers are subject to civil actions and penalties for violations. The bill's ultrasound requirements do not apply in cases where a physical disorder, illness, or injury caused by the pregnancy endangers a woman's life. A woman is also not required to view the ultrasound images; nor may she or the provider be penalized if she declines to do so.
Bill· SS. 184 (116th)referred
United States · United States Congress · 17 January 2019
Gun Violence Prevention Research Act This bill authorizes the Centers for Disease Control and Prevention to conduct or support research on firearms safety or gun violence prevention.
Bill· SS. 183 (116th)referred
United States · United States Congress · 17 January 2019
Conscience Protection Act of 2019 This bill provides statutory authority for certain restrictions prohibiting discrimination against health care providers that refuse to perform abortions. Specifically, the bill prohibits the federal government, as well as state and local governments that receive federal financial assistance for health-related activities, from penalizing or discriminating against a health care provider based on the provider's refusal to be involved in, or provide coverage for, abortions. Currently, similar provider nondiscrimination requirements apply to certain employment or personnel decisions (the Church Amendments), abortion services training (the Coats-Snowe Amendment), and qualified health plans offered through health insurance exchanges. Annual appropriations bills for the Department of Health and Human Services (HHS) and other federal agencies have also included similar language (the Weldon Amendment). The HHS Office for Civil Rights, in coordination with the Department of Justice (DOJ), must investigate complaints alleging discrimination based on an individual's religious belief, moral conviction, or refusal to be involved in an abortion. DOJ or any entity adversely affected by such discrimination may obtain equitable or legal relief in a civil action. Administrative remedies do not need to be sought or exhausted prior to commencing an action or granting relief. Such an action may be brought against a governmental entity and may include money damages against such entity.
Bill· SS. 175 (116th)referred
United States · United States Congress · 17 January 2019
Agricultural Worker Program Act of 2019 This bill establishes a program for alien agricultural workers to obtain temporary resident status ("blue card status") and procedures to obtain permanent resident status. An alien shall qualify for the status if he or she performed the required amount of qualified agricultural work. The Department of Homeland Security may grant blue card status to qualified individuals who pass security checks and are not disqualified for various reasons, such as an aggravated felony conviction. DHS may waive certain disqualifications for humanitarian or public interest reasons. Blue card holders shall be authorized for employment in the United States and travel outside the United States. Such individuals shall be ineligible for various federal benefits, including the healthcare premium assistance tax credit. Individuals going through deportation or removal proceedings shall be given a chance to apply for blue card status if they qualify. Blue card holders may apply for permanent resident status, subject to various requirements, including work requirements over a specified time period and payment of federal taxes. Blue card status shall not last longer than eight years.
Bill· HRH.R. 20 (116th)referred
United States · United States Congress · 17 January 2019
No Taxpayer Funding for Abortion and Abortion Insurance Full Disclosure Act of 2019 This bill modifies provisions relating to federal funding for, and health insurance coverage of, abortions. Specifically, the bill prohibits the use of federal funds for abortions or for health coverage that includes abortions. Such restrictions extend to the use of funds in the budget of the District of Columbia. Additionally, abortions may not be provided in a federal health care facility or by a federal employee. Historically, language has been included in annual appropriations bills for the Department of Health and Human Services (HHS) that prohibits the use of federal funds for abortions—such language is commonly referred to as the Hyde Amendment. Similar language is also frequently included in appropriations bills for other federal agencies and the District of Columbia. The bill makes these restrictions permanent and extends the restrictions to all federal funds (rather than specific agencies). The bill's restrictions regarding the use of federal funds do not apply in cases of rape, incest, or where a physical disorder, injury, or illness endangers a woman's life unless an abortion is performed. The Hyde Amendment provides the same exceptions. The bill also prohibits qualified health plans from including coverage for abortions. Currently, qualified health plans may cover abortion, but the portion of the premium attributable to abortion coverage is not eligible for subsidies.
Bill· HRH.R. 617 (116th)open
United States · United States Congress · 16 January 2019
Department of Energy Veterans' Health Initiative Act This bill directs the Department of Energy (DOE) to establish a research program in artificial intelligence and high-performance computing that is focused on the development of tools to (1) solve big data challenges associated with veterans' health care, and (2) support the Department of Veterans Affairs in identifying potential health risks and challenges. DOE shall carry out a pilot program to develop tools for big data analytics in order to advance artificial intelligence technologies to solve complex big data challenges.
Bill· SS. 143 (116th)open
United States · United States Congress · 16 January 2019
Department of Energy Veterans' Health Initiative Act This bill directs the Department of Energy (DOE) to establish a research program in artificial intelligence and high-performance computing that is focused on the development of tools to (1) solve big data challenges associated with veterans' health care, and (2) support the Department of Veterans Affairs in identifying potential health risks and challenges. DOE shall carry out a pilot program to develop tools for big data analytics in order to advance artificial intelligence technologies to solve complex big data challenges.
Bill· HRH.R. 601 (116th)referred
United States · United States Congress · 16 January 2019
Medical Cannabis Research Act of 2019 This bill establishes a new, separate registration process for manufacturers of cannabis for research. As a part of this process, the Drug Enforcement Administration must annually assess whether there is an adequate and uninterrupted supply of research cannabis and register additional manufacturers. The bill also authorizes health care providers of the Department of Veterans Affairs to provide information to veterans regarding participation in federally approved cannabis clinical trials.
Bill· HRH.R. 603 (116th)referred
United States · United States Congress · 16 January 2019
Health Savings Account Expansion Act of 2019 This bill modifies the requirements for health savings accounts (HSAs) to: increase the maximum contribution amounts, permit the use of HSAs to pay health insurance premiums and for direct primary care service arrangements, repeal the restriction on using HSAs for over-the-counter medications, eliminate the requirement that a participant in an HSA be enrolled in a high deductible health care plan, and decrease the additional tax for HSA distributions not used for qualified medical expenses.
Bill· HRH.R. 594 (116th)referred
United States · United States Congress · 16 January 2019
Ellie Helton, Lisa Colagrossi, Teresa Anne Lawrence, and Jennifer Sedney Focused Research Act or Ellie's Law This bill authorizes appropriations for the National Institute of Neurological Disorders and Stroke to conduct or support research on unruptured brain aneurysms in a patient population diversified by age, sex, and race.
Bill· HRH.R. 584 (116th)referred
United States · United States Congress · 16 January 2019
Incentivizing Medicaid Expansion Act of 2019 This bill provides the enhanced federal medical assistance percentage (FMAP) to every state that expands Medicaid coverage for individuals who are newly eligible under the Patient Protection and Affordable Care Act, regardless of when such expansion takes place. Under current law, the enhanced FMAP is equivalent to 100% in 2014 through 2016, 95% in 2017, 94% in 2018, 93% in 2019, and 90% thereafter. The bill retains this enhanced FMAP, but bases it on a term of years rather than on specific dates. The bill applies retroactively.
Bill· SS. 172 (116th)referred
United States · United States Congress · 16 January 2019
Health Insurance Tax Relief Act of 2019 This bill delays reimposition of the annual fee on health insurers until 2022. Under current law, the annual fee for a health insurer is calculated based on the insurer's share of total premiums from the preceding year. The fee is suspended for 2019 (i.e., there is no fee based on premiums from 2018); reimposition is scheduled for 2020.
Bill· SS. 161 (116th)referred
United States · United States Congress · 16 January 2019
This bill requires the Government Accountability Office (GAO) to report to the Federal Communications Commission (FCC) and Congress on the filing requirements for telecommunications carriers or service providers that receive Universal Service Fund program support to provide service to qualifying low-income consumers, rural or high-cost areas, rural health care providers, schools, or libraries. The report must analyze the financial impact of those filing requirements and provide any recommendations on how to consolidate redundant filing requirements. After receiving the GAO report, the FCC must initiate a rulemaking to consolidate redundant filing requirements and incorporate any of the reported recommendations.
Bill· SS. 158 (116th)referred
United States · United States Congress · 16 January 2019
This bill prohibits the availability of federal funds to Planned Parenthood Federation of America or any of its affiliates.
Bill· SS. 141 (116th)referred
United States · United States Congress · 16 January 2019
Protect Funding for Women's Health Care Act This bill prohibits federal funding of Planned Parenthood Federation of America or its affiliates, subsidiaries, successors, or clinics.
Bill· SS. 130 (116th)open
United States · United States Congress · 15 January 2019
Born-Alive Abortion Survivors Protection Act This bill establishes requirements for the degree of care a health care practitioner must exercise in the event a child is born alive following an abortion or attempted abortion. A health care practitioner who is present must (1) exercise the same degree of care as reasonably provided to another child born alive at the same gestational age, and (2) immediately admit the child to a hospital. The bill also requires a health care practitioner or other employee to immediately report any failure to comply with this requirement to law enforcement. A person who violates the requirements is subject to criminal penalties—a fine, up to five years in prison, or both. Additionally, an individual who intentionally kills or attempts to kill a child born alive is subject to prosecution for murder. The bill bars the criminal prosecution of a mother of a child born alive for conspiracy to violate these provisions, for being an accessory after the fact, or for concealment of felony. A woman who undergoes an abortion or attempted abortion may file a civil action for damages against an individual who violates this bill.
Bill· HRH.R. 576 (116th)referred
United States · United States Congress · 15 January 2019
Seniors Have Eyes, Ears, and Teeth Act This bill expands Medicare coverage to include eyeglasses, hearing aids, and dental care.
Bill· HRH.R. 566 (116th)referred
United States · United States Congress · 15 January 2019
Agent Orange Exposure Fairness Act This bill expands eligibility for a presumption of service-connection for veterans exposed to certain herbicide agents (e.g., Agent Orange) during military service in Vietnam. Specifically, the bill removes the manifestation period required for the presumption of service-connection for chloracne and porphyria cutanea tarda. Additionally, the bill provides statutory authority for a presumption of service-connection for certain cases of acute and subacute peripheral neuropathy without a manifestation period. Under a presumption of service-connection, specific disabilities diagnosed in certain veterans are presumed to have been caused by the circumstances of their military service. Health care benefits and disability compensation may then be awarded.
Bill· HRH.R. 573 (116th)referred
United States · United States Congress · 15 January 2019
Protecting Life and Integrity in Research Act of 2019 This bill prohibits the Department of Health and Human Services from conducting or supporting any research that involves the use of human fetal tissue from an induced abortion. The bill also prohibits soliciting or acquiring a donation of human fetal tissue from an induced abortion, other than for purposes of an autopsy or burial. The bill applies requirements on the research of transplantation of fetal tissue for therapeutic purposes to research on fetal tissue in general.
Bill· SS. 131 (116th)referred
United States · United States Congress · 15 January 2019
Protect Medicaid Act This bill prohibits federal payment under Medicaid for the administrative costs of providing health benefits to noncitizens who are ineligible for Medicaid based on their immigration status. The Department of Health and Human Services must report on specified information regarding states that provide health benefits to such individuals.
Bill· SS. 116 (116th)referred
United States · United States Congress · 15 January 2019
Modernizing Obstetric Medicine Standards Act of 2019 or the MOMS Act This bill requires the Health Resources and Services Administration to contract with a national organization to (1) develop best practices relating to maternal mortality and morbidity prevention, and (2) establish a grant program for states to implement such best practices.
Resolution· SRESS.Res. 18 (116th)referred
United States · United States Congress · 15 January 2019
This resolution authorizes the Senate Legal Counsel to represent the Senate in Texas v. United States , including to intervene as a party in the matter and any appellate or related proceedings, and to defend the Patient Protection and Affordable Care Act and the Health Care and Education Reconciliation Act of 2010.
Bill· HRH.R. 534 (116th)referred
United States · United States Congress · 14 January 2019
Aidan's Law This bill authorizes newborn screenings for adrenoleukodystrophy (also known as ALD), which is a hereditary condition that damages the insulating membrane of nerve cells in the brain. The bill authorizes hospitals, child care centers, clinics, and similar institutions to test newborns for ALD in accordance with state protocols; such protocols must be approved by the Discretionary Advisory Committee on Heritable Disorders in Newborns and Children. The bill also reauthorizes for FY2020-FY2023 the heritable disorders screening program for newborns and children that is administered by the Health Resources and Services Administration.
Bill· HRH.R. 520 (116th)referred
United States · United States Congress · 11 January 2019
Protecting Life Until Natural Death Act This bill excludes advanced care planning services from Medicare coverage, with the exception of certain hospice-related services that may include advising on end-of-life or advanced care planning.
Bill· HRH.R. 519 (116th)referred
United States · United States Congress · 11 January 2019
Tax Free Health Insurance Act of 201 9 This bill allows an individual taxpayer a deduction from gross income for insurance premiums paid for the health care coverage of the taxpayer and the taxpayer's spouse and dependents. The bill makes the deduction available whether or not the taxpayer itemizes other deductions.
Bill· HRH.R. 506 (116th)referred
United States · United States Congress · 11 January 2019
Hospital Competition Act of 2019 This bill establishes a series of programs and requirements relating to hospital costs, payments, and infrastructure. Among other things, the bill requires hospitals, as a condition of Medicare participation, to (1) in the case of hospitals that meet specified market concentration thresholds, apply Medicare reimbursement rates regardless of whether the individual receiving services is entitled to or enrolled in Medicare; and (2) publish the prices charged for specified services that are highly utilized. The bill also repeals (1) performance incentives under the Medicare Shared Savings Program for accountable care organizations, and (2) provisions under the Stark law (i.e., the Physician Self-Referral Law) that prohibit physician-owned hospitals from expanding facility capacity.
Bill· HRH.R. 525 (116th)referred
United States · United States Congress · 11 January 2019
Strengthening the Health Care Fraud Prevention Task Force Act of 2019 This bill establishes statutory authority and requirements for a partnership between health insurance plans, government agencies, law enforcement, and health care organizations in order to detect and prevent health care waste, fraud, and abuse. The partnership must be established under the Health Care Fraud and Abuse Control Program, which is administered by the Department of Health and Human Services (HHS) and the Department of Justice (DOJ). Among other requirements, the partnership must (1) promote data sharing between partners, (2) analyze data to identify fraudulent practices, (3) refer potential criminal cases to law enforcement, and (4) conduct education and outreach. Currently, HHS and DOJ administer the Healthcare Fraud Prevention Partnership. The purpose of the partnership is to address health care fraud through voluntary data sharing between public and private sectors; the partnership was created in 2012 through agency action. The bill transfers all functions, personnel, assets, liabilities, and administrative actions of this partnership to the partnership established under the bill.
Bill· HRH.R. 501 (116th)referred
United States · United States Congress · 11 January 2019
Poison Center Network Enhancement Act of 2019 This bill reauthorizes for FY2020-FY2024 and revises the national toll-free phone number, public awareness campaign, and grant program relating to poison control centers. Among other changes, the bill supports enhancements of the national toll-free phone number, such as texting capabilities; expands the public awareness campaign to include education about drug misuse; and authorizes poison control centers and professional organizations to use grant funds for preventing and treating the misuse of opioids and other drugs.
Bill· HRH.R. 448 (116th)open
United States · United States Congress · 10 January 2019
Medicare Drug Price Negotiation Act This bill makes a series of changes relating to the prices of prescription drugs under the Medicare prescription drug benefit and Medicare Advantage (MA) prescription drug plans (PDPs). Under current law, the Centers for Medicare & Medicaid Services (CMS) may neither negotiate the prices of covered drugs nor establish a formulary. The bill repeals these restrictions and instead specifically requires the CMS to (1) negotiate the prices of covered drugs; and (2) either establish a formulary for covered drugs, or require changes to PDP formularies that take into account CMS negotiations. If the CMS is unable to negotiate an appropriate price for a drug in accordance with certain criteria, the price must be the lowest of three specified options (e.g., the average price in other countries). The CMS must identify drugs that are subject to negotiation, with priority given to certain categories of drugs based on usage and cost. Additionally, drug manufacturers must issue rebates to the CMS for drugs dispensed to eligible low-income individuals. Subject to civil monetary penalties, a Medicare or MA PDP sponsor must report, both to drug manufacturers and to the CMS, specified information related to the determination and payment of such rebates.
Bill· HRH.R. 458 (116th)referred
United States · United States Congress · 10 January 2019
Affordable Limited Health Coverage Act This bill nullifies a rule by the Departments of the Treasury, Labor, and Health and Human Services regarding short-term, limited-duration health insurance plans that was published on October 31, 2016. The departments must use the definition of short-term, limited-duration insurance in use immediately prior to publication of the rule. (The rule requires the duration of short-term, limited-duration insurance to be less than three months, including renewals. Previously, such insurance was required to expire less than 12 months after its effective date.) Short-term, limited-duration health insurance plans are plans that may only offer coverage for a limited amount of time under law and that are exempt from the market requirements of the Patient Protection and Affordable Care Act (e.g., coverage of individuals with preexisting conditions). On August 3, 2018, the departments issued a revised rule that increases the maximum authorized duration of such plans from less than 3 months (including renewals) to an initial maximum duration of less than 12 months (with a total duration of up to 36 months, including renewals). The rule took effect October 2, 2018.
Bill· HRH.R. 478 (116th)referred
United States · United States Congress · 10 January 2019
Safe and Affordable Drugs from Canada Act of 2019 This bill requires the Food and Drug Administration (FDA) to promulgate regulations within 180 days permitting individuals to import a prescription drug purchased from an approved Canadian pharmacy if the drug is dispensed by a pharmacist licensed in Canada; is purchased for personal use in quantities not greater than a 90-day supply; is filled using a valid prescription issued by a physician licensed to practice in the United States; and has the same active ingredients, route of administration, dosage form, and strength as a prescription drug approved by the FDA. Under the bill, certain drugs may not be imported, including controlled substances and biological products. The bill establishes a certification process for approving Canadian pharmacies. The FDA must publish a list of approved Canadian pharmacies.
Bill· HRH.R. 465 (116th)referred
United States · United States Congress · 10 January 2019
Prescription Drug Price Relief Act of 2019 This bill establishes a series of oversight and disclosure requirements relating to the prices of brand-name drugs. Specifically, the bill requires the Department of Health and Human Services (HHS) to review at least annually all brand-name drugs for excessive pricing; HHS must also review prices upon petition. If any such drugs are found to be excessively priced, HHS must (1) void any government-granted exclusivity; (2) issue open, nonexclusive licenses for the drugs; and (3) expedite the review of corresponding applications for generic drugs and biosimilar biological products. HHS must also create a public database with its determinations for each drug. Under the bill, a price is considered excessive if the domestic average manufacturing price exceeds the median price for the drug in Canada, the United Kingdom, Germany, France, and Japan. If a price does not meet this criteria, or if pricing information is unavailable in at least three of the aforementioned countries, the price is still considered excessive if it is higher than reasonable in light of specified factors, including cost, revenue, and the size of the affected patient population. The bill also requires drug manufacturers to report specified financial information for brand-name drugs, including research and advertising expenditures.
Bill· HRH.R. 461 (116th)referred
United States · United States Congress · 10 January 2019
This bill requires hospitals with emergency departments to be equipped with sexual assault forensic examiners as a condition of participation in the 340B drug pricing program (i.e., a program that allows entities to receive covered outpatient drugs at reduced prices from manufacturers). Specifically, the Department of Health and Human Services must designate the hospital as a facility in which a sexual assault forensic examiner is available or on call 24-7. Hospitals that do not receive this designation after one year must take action to become designated within the following year. They must also implement an interim policy that allows emergency department patients to choose to be transferred free of charge to already-designated facilities.
Bill· HRH.R. 460 (116th)referred
United States · United States Congress · 10 January 2019
This bill incrementally lowers, from 70% in FY2020 to 54% in FY2028 and subsequent years, the maximum federal matching rate under Medicaid for the District of Columbia.
Bill· HRH.R. 456 (116th)referred
United States · United States Congress · 10 January 2019
Care for All Act of 2019 This bill eliminates restrictions on who may purchase catastrophic health plans and allows such plans to be offered in both the individual and group markets. Catastrophic health plans do not cover any benefits, other than three primary care visits per year, before the deductible is met; such plans are generally characterized by lower premiums and higher deductibles. Currently, only individuals who are younger than 30 years of age or who have a hardship exemption may purchase such plans. Additionally, such plans may only be offered in the individual market.
Bill· HRH.R. 447 (116th)referred
United States · United States Congress · 10 January 2019
Affordable and Safe Prescription Drug Importation Act This bill addresses the importation of drugs from Canada and other foreign countries. The bill requires the Food and Drug Administration (FDA) to promulgate regulations within 180 days permitting wholesalers, pharmacies, and individuals to import certain prescription drugs from Canada. After two years, The FDA, may permit the importation of prescription drugs from other countries. The bill establishes a process for certifying foreign sellers—a licensed foreign pharmacy or foreign wholesale distributor.
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