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H.R. 4173 -- The Wall Street Reform and Consumer Protection Act of 2009 Print E-mail
H.R.4173
Roll Call # 968
Title: To provide for financial regulatory reform, to protect consumers and investors, to enhance Federal understanding of insurance issues, to regulate the over-the-counter derivatives markets, and for other purposes.
Sponsor: Rep Frank, Barney [MA-4] (introduced 12/2/2009)      Cosponsors (None)
Related Bills: H.RES.956, H.RES.964, H.R.3126, H.R.3818
Latest Major Action: 12/11/2009 Passed/agreed to in House. Status: On passage Passed by recorded vote: 223 - 202 (Roll no. 968).

This bill in the House with 223 AYES and 202 NOES and nine not voting.  Twenty-seven Democrats and 175 Republicans voted against the bill.  Nancy Pelosi exercised her prerogative as speaker and did not vote.

Read about this legislation here.

See the roll call here.
 
H.R. 3962 -- Affordable Health Care for America Act Print E-mail
Beginning
October 29, 2009
    SECTION 1. SHORT TITLE; TABLE OF DIVISIONS, TITLES, AND SUBTITLES.
 DIVISION A--AFFORDABLE HEALTH CARE CHOICES
    Sec. 100. Purpose; table of contents of division; general definitions.
 TITLE I--IMMEDIATE REFORMS
    SEC. 101. NATIONAL HIGH-RISK POOL PROGRAM.
    SEC. 102. ENSURING VALUE AND LOWER PREMIUMS.
    `SEC. 2714. ENSURING VALUE AND LOWER PREMIUMS.
    `SEC. 2754. ENSURING VALUE AND LOWER PREMIUMS.
    SEC. 103. ENDING HEALTH INSURANCE RESCISSION ABUSE.
    `SEC. 2746. OPPORTUNITY FOR INDEPENDENT, EXTERNAL THIRD-PARTY REVIEW IN CASES OF RESCISSION.
    `SEC. 2703. OPPORTUNITY FOR INDEPENDENT, EXTERNAL THIRD-PARTY REVIEW IN CASES OF RESCISSION.
    SEC. 104. SUNSHINE ON PRICE GOUGING BY HEALTH INSURANCE ISSUERS.
    SEC. 105. REQUIRING THE OPTION OF EXTENSION OF DEPENDENT COVERAGE FOR UNINSURED YOUNG ADULTS.
    `SEC. 2703. REQUIRING THE OPTION OF EXTENSION OF DEPENDENT COVERAGE FOR UNINSURED YOUNG ADULTS.
    `SEC. 704. REQUIRING THE OPTION OF EXTENSION OF DEPENDENT COVERAGE FOR UNINSURED YOUNG ADULTS.
    `SEC. 9804. REQUIRING THE OPTION OF EXTENSION OF DEPENDENT COVERAGE FOR UNINSURED YOUNG ADULTS.
    `SEC. 2746. REQUIRING THE OPTION OF EXTENSION OF DEPENDENT COVERAGE FOR UNINSURED YOUNG ADULTS.
    SEC. 107. PROHIBITING ACTS OF DOMESTIC VIOLENCE FROM BEING TREATED AS PREEXISTING CONDITIONS.
    `SEC. 2754. PROHIBITION ON DOMESTIC VIOLENCE AS PREEXISTING CONDITION.
    SEC. 108. ENDING HEALTH INSURANCE DENIALS AND DELAYS OF NECESSARY TREATMENT FOR CHILDREN WITH DEFORMITIES.
    `SEC. 715. STANDARDS RELATING TO BENEFITS FOR MINOR CHILD'S CONGENITAL OR DEVELOPMENTAL DEFORMITY OR DISORDER.
    `SEC. 9814. STANDARDS RELATING TO BENEFITS FOR MINOR CHILD'S CONGENITAL OR DEVELOPMENTAL DEFORMITY OR DISORDER.
    `SEC. 2708. STANDARDS RELATING TO BENEFITS FOR MINOR CHILD'S CONGENITAL OR DEVELOPMENTAL DEFORMITY OR DISORDER.
    `SEC. 2755. STANDARDS RELATING TO BENEFITS FOR MINOR CHILD'S CONGENITAL OR DEVELOPMENTAL DEFORMITY OR DISORDER.
    SEC. 109. ELIMINATION OF LIFETIME LIMITS.
    `SEC. 716. ELIMINATION OF LIFETIME AGGREGATE LIMITS.
    `SEC. 9815. ELIMINATION OF LIFETIME AGGREGATE LIMITS.
    `SEC. 2709. ELIMINATION OF LIFETIME AGGREGATE LIMITS.
    `SEC. 2756. ELIMINATION OF ANNUAL OR LIFETIME AGGREGATE LIMITS.
    SEC. 110. PROHIBITION AGAINST POSTRETIREMENT REDUCTIONS OF RETIREE HEALTH BENEFITS BY GROUP HEALTH PLANS.
    `SEC. 717. PROTECTION AGAINST POSTRETIREMENT REDUCTION OF RETIREE HEALTH BENEFITS.
    SEC. 111. REINSURANCE PROGRAM FOR RETIREES.
    SEC. 112. WELLNESS PROGRAM GRANTS.
    SEC. 113. EXTENSION OF COBRA CONTINUATION COVERAGE.
    SEC. 114. STATE HEALTH ACCESS PROGRAM GRANTS.
    SEC. 115. ADMINISTRATIVE SIMPLIFICATION.
    `SEC. 1173A. STANDARDIZE ELECTRONIC ADMINISTRATIVE TRANSACTIONS.
    `SEC. 1173B. INTERIM COMPANION GUIDES, INCLUDING OPERATING RULES.
 TITLE II--PROTECTIONS AND STANDARDS FOR QUALIFIED HEALTH BENEFITS PLANS
Subtitle A--General Standards
    SEC. 201. REQUIREMENTS REFORMING HEALTH INSURANCE MARKETPLACE.
    SEC. 202. PROTECTING THE CHOICE TO KEEP CURRENT COVERAGE.
 Subtitle B--Standards Guaranteeing Access to Affordable Coverage
    SEC. 211. PROHIBITING PREEXISTING CONDITION EXCLUSIONS.
    SEC. 212. GUARANTEED ISSUE AND RENEWAL FOR INSURED PLANS AND PROHIBITING RESCISSIONS.
    SEC. 213. INSURANCE RATING RULES.
    SEC. 214. NONDISCRIMINATION IN BENEFITS; PARITY IN MENTAL HEALTH AND SUBSTANCE ABUSE DISORDER BENEFITS.
    SEC. 215. ENSURING ADEQUACY OF PROVIDER NETWORKS.
    SEC. 216. REQUIRING THE OPTION OF EXTENSION OF DEPENDENT COVERAGE FOR UNINSURED YOUNG ADULTS.
    SEC. 217. CONSISTENCY OF COSTS AND COVERAGE UNDER QUALIFIED HEALTH BENEFITS PLANS DURING PLAN YEAR.
 Subtitle C--Standards Guaranteeing Access to Essential Benefits
    SEC. 221. COVERAGE OF ESSENTIAL BENEFITS PACKAGE.
    SEC. 222. ESSENTIAL BENEFITS PACKAGE DEFINED.
    SEC. 223. HEALTH BENEFITS ADVISORY COMMITTEE.
    SEC. 224. PROCESS FOR ADOPTION OF RECOMMENDATIONS; ADOPTION OF BENEFIT STANDARDS.
 Subtitle D--Additional Consumer Protections
    SEC. 231. REQUIRING FAIR MARKETING PRACTICES BY HEALTH INSURERS.
    SEC. 232. REQUIRING FAIR GRIEVANCE AND APPEALS MECHANISMS.
    SEC. 233. REQUIRING INFORMATION TRANSPARENCY AND PLAN DISCLOSURE.
    SEC. 234. APPLICATION TO QUALIFIED HEALTH BENEFITS PLANS NOT OFFERED THROUGH THE HEALTH INSURANCE EXCHANGE.
    SEC. 235. TIMELY PAYMENT OF CLAIMS.
    SEC. 236. STANDARDIZED RULES FOR COORDINATION AND SUBROGATION OF BENEFITS.
    SEC. 237. APPLICATION OF ADMINISTRATIVE SIMPLIFICATION.
    SEC. 238. STATE PROHIBITIONS ON DISCRIMINATION AGAINST HEALTH CARE PROVIDERS.
    SEC. 239. PROTECTION OF PHYSICIAN PRESCRIBER INFORMATION.
    SEC. 240. DISSEMINATION OF ADVANCE CARE PLANNING INFORMATION.
 Subtitle E--Governance
    SEC. 241. HEALTH CHOICES ADMINISTRATION; HEALTH CHOICES COMMISSIONER.
    SEC. 242. DUTIES AND AUTHORITY OF COMMISSIONER.
    SEC. 243. CONSULTATION AND COORDINATION.
    SEC. 244. HEALTH INSURANCE OMBUDSMAN.
 Subtitle F--Relation to Other Requirements; Miscellaneous
    SEC. 251. RELATION TO OTHER REQUIREMENTS.
    SEC. 252. PROHIBITING DISCRIMINATION IN HEALTH CARE.
    SEC. 253. WHISTLEBLOWER PROTECTION.
    SEC. 254. CONSTRUCTION REGARDING COLLECTIVE BARGAINING.
    SEC. 255. SEVERABILITY.
    SEC. 256. TREATMENT OF HAWAII PREPAID HEALTH CARE ACT.
    SEC. 257. ACTIONS BY STATE ATTORNEYS GENERAL.
    SEC. 258. APPLICATION OF STATE AND FEDERAL LAWS REGARDING ABORTION.
    SEC. 259. NONDISCRIMINATION ON ABORTION AND RESPECT FOR RIGHTS OF CONSCIENCE.
    SEC. 260. AUTHORITY OF FEDERAL TRADE COMMISSION.
    SEC. 261. CONSTRUCTION REGARDING STANDARD OF CARE.
    SEC. 263. STUDY AND REPORT ON METHODS TO INCREASE EHR USE BY SMALL HEALTH CARE PROVIDERS.
 TITLE III--HEALTH INSURANCE EXCHANGE AND RELATED PROVISIONS
Subtitle A--Health Insurance Exchange
    SEC. 301. ESTABLISHMENT OF HEALTH INSURANCE EXCHANGE; OUTLINE OF DUTIES; DEFINITIONS.
    SEC. 302. EXCHANGE-ELIGIBLE INDIVIDUALS AND EMPLOYERS.
    SEC. 303. BENEFITS PACKAGE LEVELS.
    SEC. 304. CONTRACTS FOR THE OFFERING OF EXCHANGE-PARTICIPATING HEALTH BENEFITS PLANS.
    SEC. 306. OTHER FUNCTIONS.
    SEC. 307. HEALTH INSURANCE EXCHANGE TRUST FUND.
    SEC. 308. OPTIONAL OPERATION OF STATE-BASED HEALTH INSURANCE EXCHANGES.
    SEC. 309. INTERSTATE HEALTH INSURANCE COMPACTS.
    SEC. 310. HEALTH INSURANCE COOPERATIVES.
    SEC. 311. RETENTION OF DOD AND VA AUTHORITY.
 Subtitle B--Public Health Insurance Option
    SEC. 321. ESTABLISHMENT AND ADMINISTRATION OF A PUBLIC HEALTH INSURANCE OPTION AS AN EXCHANGE-QUALIFIED HEALTH BENEFITS PLAN.
    SEC. 322. PREMIUMS AND FINANCING.
    SEC. 323. PAYMENT RATES FOR ITEMS AND SERVICES.
    SEC. 324. MODERNIZED PAYMENT INITIATIVES AND DELIVERY SYSTEM REFORM.
    SEC. 325. PROVIDER PARTICIPATION.
    SEC. 326. APPLICATION OF FRAUD AND ABUSE PROVISIONS.
    SEC. 327. APPLICATION OF HIPAA INSURANCE REQUIREMENTS.
    SEC. 328. APPLICATION OF HEALTH INFORMATION PRIVACY, SECURITY, AND ELECTRONIC TRANSACTION REQUIREMENTS.
    SEC. 329. ENROLLMENT IN PUBLIC HEALTH INSURANCE OPTION IS VOLUNTARY.
    SEC. 330. ENROLLMENT IN PUBLIC HEALTH INSURANCE OPTION BY MEMBERS OF CONGRESS.
    SEC. 331. REIMBURSEMENT OF SECRETARY OF VETERANS AFFAIRS.
 Subtitle C--Individual Affordability Credits
    SEC. 341. AVAILABILITY THROUGH HEALTH INSURANCE EXCHANGE.
 `Coordination of Information With Health Choices Administration
    SEC. 342. AFFORDABLE CREDIT ELIGIBLE INDIVIDUAL.
    SEC. 343. AFFORDABILITY PREMIUM CREDIT.
    SEC. 344. AFFORDABILITY COST-SHARING CREDIT.
    SEC. 345. INCOME DETERMINATIONS.
    SEC. 346. SPECIAL RULES FOR APPLICATION TO TERRITORIES.
    SEC. 347. NO FEDERAL PAYMENT FOR UNDOCUMENTED ALIENS.
 TITLE IV--SHARED RESPONSIBILITY
Subtitle A--Individual Responsibility
    SEC. 401. INDIVIDUAL RESPONSIBILITY.
 Subtitle B--Employer Responsibility
PART 1--HEALTH COVERAGE PARTICIPATION REQUIREMENTS
    SEC. 411. HEALTH COVERAGE PARTICIPATION REQUIREMENTS.
    SEC. 412. EMPLOYER RESPONSIBILITY TO CONTRIBUTE TOWARD EMPLOYEE AND DEPENDENT COVERAGE.
    SEC. 413. EMPLOYER CONTRIBUTIONS IN LIEU OF COVERAGE.
    SEC. 414. AUTHORITY RELATED TO IMPROPER STEERING.
    SEC. 415. IMPACT STUDY ON EMPLOYER RESPONSIBILITY REQUIREMENTS.
    SEC. 416. STUDY ON EMPLOYER HARDSHIP EXEMPTION.
 PART 2--SATISFACTION OF HEALTH COVERAGE PARTICIPATION REQUIREMENTS
    `SEC. 801. ELECTION OF EMPLOYER TO BE SUBJECT TO NATIONAL HEALTH COVERAGE PARTICIPATION REQUIREMENTS.
    `SEC. 802. TREATMENT OF COVERAGE RESULTING FROM ELECTION.
    `SEC. 803. HEALTH COVERAGE PARTICIPATION REQUIREMENTS.
    `SEC. 804. RULES FOR APPLYING REQUIREMENTS.
    `SEC. 805. TERMINATION OF ELECTION IN CASES OF SUBSTANTIAL NONCOMPLIANCE.
    `SEC. 806. REGULATIONS.
 `Part 8--National Health Coverage Participation Requirements
    SEC. 422. SATISFACTION OF HEALTH COVERAGE PARTICIPATION REQUIREMENTS UNDER THE INTERNAL REVENUE CODE OF 1986.
    SEC. 423. SATISFACTION OF HEALTH COVERAGE PARTICIPATION REQUIREMENTS UNDER THE PUBLIC HEALTH SERVICE ACT.
    `SEC. 2793. NATIONAL HEALTH COVERAGE PARTICIPATION REQUIREMENTS.
    SEC. 424. ADDITIONAL RULES RELATING TO HEALTH COVERAGE PARTICIPATION REQUIREMENTS.
 TITLE V--AMENDMENTS TO INTERNAL REVENUE CODE OF 1986
Subtitle A--Provisions Relating to Health Care Reform
PART 1--SHARED RESPONSIBILITY
Subpart A--Individual Responsibility
    SEC. 501. TAX ON INDIVIDUALS WITHOUT ACCEPTABLE HEALTH CARE COVERAGE.
 `PART VIII--HEALTH CARE RELATED TAXES
`subpart a. tax on individuals without acceptable health care coverage.
`Subpart A--Tax on Individuals Without Acceptable Health Care Coverage
    `SEC. 59B. TAX ON INDIVIDUALS WITHOUT ACCEPTABLE HEALTH CARE COVERAGE.
    `SEC. 6050X. RETURNS RELATING TO HEALTH INSURANCE COVERAGE.
 `Part VIII. Health Care Related Taxes.'.
Subpart B--Employer Responsibility
    SEC. 511. ELECTION TO SATISFY HEALTH COVERAGE PARTICIPATION REQUIREMENTS.
    `SEC. 4980H. ELECTION WITH RESPECT TO HEALTH COVERAGE PARTICIPATION REQUIREMENTS.
    SEC. 512. HEALTH CARE CONTRIBUTIONS OF NONELECTING EMPLOYERS.
 PART 2--CREDIT FOR SMALL BUSINESS EMPLOYEE HEALTH COVERAGE EXPENSES
    SEC. 521. CREDIT FOR SMALL BUSINESS EMPLOYEE HEALTH COVERAGE EXPENSES.
    `SEC. 45R. SMALL BUSINESS EMPLOYEE HEALTH COVERAGE CREDIT.
 PART 3--LIMITATIONS ON HEALTH CARE RELATED EXPENDITURES
    SEC. 531. DISTRIBUTIONS FOR MEDICINE QUALIFIED ONLY IF FOR PRESCRIBED DRUG OR INSULIN.
    SEC. 532. LIMITATION ON HEALTH FLEXIBLE SPENDING ARRANGEMENTS UNDER CAFETERIA PLANS.
    SEC. 533. INCREASE IN PENALTY FOR NONQUALIFIED DISTRIBUTIONS FROM HEALTH SAVINGS ACCOUNTS.
    SEC. 534. DENIAL OF DEDUCTION FOR FEDERAL SUBSIDIES FOR PRESCRIPTION DRUG PLANS WHICH HAVE BEEN EXCLUDED FROM GROSS INCOME.
 PART 4--OTHER PROVISIONS TO CARRY OUT HEALTH INSURANCE REFORM
    SEC. 541. DISCLOSURES TO CARRY OUT HEALTH INSURANCE EXCHANGE SUBSIDIES.
    SEC. 542. OFFERING OF EXCHANGE-PARTICIPATING HEALTH BENEFITS PLANS THROUGH CAFETERIA PLANS.
    SEC. 543. EXCLUSION FROM GROSS INCOME OF PAYMENTS MADE UNDER REINSURANCE PROGRAM FOR RETIREES.
    SEC. 544. CLASS PROGRAM TREATED IN SAME MANNER AS LONG-TERM CARE INSURANCE.
    SEC. 545. EXCLUSION FROM GROSS INCOME FOR MEDICAL CARE PROVIDED FOR INDIANS.
    `SEC. 139D. MEDICAL CARE PROVIDED FOR INDIANS.
 Subtitle B--Other Revenue Provisions
PART 1--GENERAL PROVISIONS
    SEC. 551. SURCHARGE ON HIGH INCOME INDIVIDUALS.
 `Subpart B--Surcharge on High Income Individuals
    `SEC. 59C. SURCHARGE ON HIGH INCOME INDIVIDUALS.
 `subpart b. surcharge on high income individuals.'.
    SEC. 552. EXCISE TAX ON MEDICAL DEVICES.
 `Subchapter D--Medical Devices
    `SEC. 4061. MEDICAL DEVICES.
 `subchapter d. medical devices.'.
    SEC. 553. EXPANSION OF INFORMATION REPORTING REQUIREMENTS.
    SEC. 554. DELAY IN APPLICATION OF WORLDWIDE ALLOCATION OF INTEREST.
 PART 2--PREVENTION OF TAX AVOIDANCE
    SEC. 561. LIMITATION ON TREATY BENEFITS FOR CERTAIN DEDUCTIBLE PAYMENTS.
    SEC. 562. CODIFICATION OF ECONOMIC SUBSTANCE DOCTRINE; PENALTIES.
 PART 3--PARITY IN HEALTH BENEFITS
    SEC. 571. CERTAIN HEALTH RELATED BENEFITS APPLICABLE TO SPOUSES AND DEPENDENTS EXTENDED TO ELIGIBLE BENEFICIARIES.
 DIVISION B--MEDICARE AND MEDICAID IMPROVEMENTS
    Sec. 1001. Table of contents of division.
    Sec. 1620. OIG authority to exclude from Federal health care programs officers and owners of entities convicted of fraud.
 TITLE I--IMPROVING HEALTH CARE VALUE
Subtitle A--Provisions Related to Medicare Part A
PART 1--MARKET BASKET UPDATES
    SEC. 1101. SKILLED NURSING FACILITY PAYMENT UPDATE.
    SEC. 1102. INPATIENT REHABILITATION FACILITY PAYMENT UPDATE.
    SEC. 1103. INCORPORATING PRODUCTIVITY IMPROVEMENTS INTO MARKET BASKET UPDATES THAT DO NOT ALREADY INCORPORATE SUCH IMPROVEMENTS.
 PART 2--OTHER MEDICARE PART A PROVISIONS
    SEC. 1111. PAYMENTS TO SKILLED NURSING FACILITIES.
    SEC. 1112. MEDICARE DSH REPORT AND PAYMENT ADJUSTMENTS IN RESPONSE TO COVERAGE EXPANSION.
    SEC. 1113. EXTENSION OF HOSPICE REGULATION MORATORIUM.
 Subtitle B--Provisions Related to Part B
PART 1--PHYSICIANS' SERVICES
    SEC. 1121. RESOURCE-BASED FEEDBACK PROGRAM FOR PHYSICIANS IN MEDICARE.
    SEC. 1122. MISVALUED CODES UNDER THE PHYSICIAN FEE SCHEDULE.
    SEC. 1123. PAYMENTS FOR EFFICIENT AREAS.
    SEC. 1124. MODIFICATIONS TO THE PHYSICIAN QUALITY REPORTING INITIATIVE (PQRI).
    SEC. 1125. ADJUSTMENT TO MEDICARE PAYMENT LOCALITIES.
 PART 2--MARKET BASKET UPDATES
    SEC. 1131. INCORPORATING PRODUCTIVITY IMPROVEMENTS INTO MARKET BASKET UPDATES THAT DO NOT ALREADY INCORPORATE SUCH IMPROVEMENTS.
 PART 3--OTHER PROVISIONS
    SEC. 1141. RENTAL AND PURCHASE OF POWER-DRIVEN WHEELCHAIRS.
    SEC. 1142. EXTENSION OF PAYMENT RULE FOR BRACHYTHERAPY.
    SEC. 1144. REQUIRE AMBULATORY SURGICAL CENTERS (ASCS) TO SUBMIT COST DATA AND OTHER DATA.
    SEC. 1145. TREATMENT OF CERTAIN CANCER HOSPITALS.
    SEC. 1146. PAYMENT FOR IMAGING SERVICES.
    SEC. 1147. DURABLE MEDICAL EQUIPMENT PROGRAM IMPROVEMENTS.
    SEC. 1148. MEDPAC STUDY AND REPORT ON BONE MASS MEASUREMENT.
    SEC. 1149. TIMELY ACCESS TO POST-MASTECTOMY ITEMS.
    SEC. 1149A. PAYMENT FOR BIOSIMILAR BIOLOGICAL PRODUCTS.
    SEC. 1149B. STUDY AND REPORT ON DME COMPETITIVE BIDDING PROCESS.
 Subtitle C--Provisions Related to Medicare Parts A and B
    SEC. 1151. REDUCING POTENTIALLY PREVENTABLE HOSPITAL READMISSIONS.
    SEC. 1152. POST ACUTE CARE SERVICES PAYMENT REFORM PLAN AND BUNDLING PILOT PROGRAM.
 `CONVERSION OF ACUTE CARE EPISODE DEMONSTRATION TO PILOT PROGRAM AND EXPANSION TO INCLUDE POST ACUTE SERVICES
    SEC. 1153. HOME HEALTH PAYMENT UPDATE FOR 2010.
    SEC. 1154. PAYMENT ADJUSTMENTS FOR HOME HEALTH CARE.
    SEC. 1155. INCORPORATING PRODUCTIVITY IMPROVEMENTS INTO MARKET BASKET UPDATE FOR HOME HEALTH SERVICES.
    SEC. 1155A. MEDPAC STUDY ON VARIATION IN HOME HEALTH MARGINS.
    SEC. 1156. LIMITATION ON MEDICARE EXCEPTIONS TO THE PROHIBITION ON CERTAIN PHYSICIAN REFERRALS MADE TO HOSPITALS.
    SEC. 1157. INSTITUTE OF MEDICINE STUDY OF GEOGRAPHIC ADJUSTMENT FACTORS UNDER MEDICARE.
    SEC. 1158. REVISION OF MEDICARE PAYMENT SYSTEMS TO ADDRESS GEOGRAPHIC INEQUITIES.
    SEC. 1159. INSTITUTE OF MEDICINE STUDY OF GEOGRAPHIC VARIATION IN HEALTH CARE SPENDING AND PROMOTING HIGH-VALUE HEALTH CARE.
 Subtitle D--Medicare Advantage Reforms
PART 1--PAYMENT AND ADMINISTRATION
    SEC. 1161. PHASE-IN OF PAYMENT BASED ON FEE-FOR-SERVICE COSTS; QUALITY BONUS PAYMENTS.
    SEC. 1162. AUTHORITY FOR SECRETARIAL CODING INTENSITY ADJUSTMENT AUTHORITY.
    SEC. 1163. SIMPLIFICATION OF ANNUAL BENEFICIARY ELECTION PERIODS.
    SEC. 1164. EXTENSION OF REASONABLE COST CONTRACTS.
    SEC. 1165. LIMITATION OF WAIVER AUTHORITY FOR EMPLOYER GROUP PLANS.
    SEC. 1166. IMPROVING RISK ADJUSTMENT FOR PAYMENTS.
    SEC. 1167. ELIMINATION OF MA REGIONAL PLAN STABILIZATION FUND.
 PART 2--BENEFICIARY PROTECTIONS AND ANTI-FRAUD
    SEC. 1171. LIMITATION ON COST-SHARING FOR INDIVIDUAL HEALTH SERVICES.
    SEC. 1172. CONTINUOUS OPEN ENROLLMENT FOR ENROLLEES IN PLANS WITH ENROLLMENT SUSPENSION.
    SEC. 1173. INFORMATION FOR BENEFICIARIES ON MA PLAN ADMINISTRATIVE COSTS.
    SEC. 1174. STRENGTHENING AUDIT AUTHORITY.
    SEC. 1175. AUTHORITY TO DENY PLAN BIDS.
    SEC. 1175A. STATE AUTHORITY TO ENFORCE STANDARDIZED MARKETING REQUIREMENTS.
 PART 3--TREATMENT OF SPECIAL NEEDS PLANS
    SEC. 1177. EXTENSION OF AUTHORITY OF SPECIAL NEEDS PLANS TO RESTRICT ENROLLMENT; SERVICE AREA MORATORIUM FOR CERTAIN SNPS.
    SEC. 1178. EXTENSION OF MEDICARE SENIOR HOUSING PLANS.
 Subtitle E--Improvements to Medicare Part D
    SEC. 1181. ELIMINATION OF COVERAGE GAP.
    SEC. 1182. DISCOUNTS FOR CERTAIN PART D DRUGS IN ORIGINAL COVERAGE GAP.
    SEC. 1185. NO MID-YEAR FORMULARY CHANGES PERMITTED.
    SEC. 1186. NEGOTIATION OF LOWER COVERED PART D DRUG PRICES ON BEHALF OF MEDICARE BENEFICIARIES.
    SEC. 1187. ACCURATE DISPENSING IN LONG-TERM CARE FACILITIES.
    SEC. 1188. FREE GENERIC FILL.
    SEC. 1189. STATE CERTIFICATION PRIOR TO WAIVER OF LICENSURE REQUIREMENTS UNDER MEDICARE PRESCRIPTION DRUG PROGRAM.
 Subtitle F--Medicare Rural Access Protections
    SEC. 1191. TELEHEALTH EXPANSION AND ENHANCEMENTS.
    SEC. 1192. EXTENSION OF OUTPATIENT HOLD HARMLESS PROVISION.
    SEC. 1193. EXTENSION OF SECTION 508 HOSPITAL RECLASSIFICATIONS.
    SEC. 1194. EXTENSION OF GEOGRAPHIC FLOOR FOR WORK.
    SEC. 1195. EXTENSION OF PAYMENT FOR TECHNICAL COMPONENT OF CERTAIN PHYSICIAN PATHOLOGY SERVICES.
    SEC. 1196. EXTENSION OF AMBULANCE ADD-ONS.
 TITLE II--MEDICARE BENEFICIARY IMPROVEMENTS
Subtitle A--Improving and Simplifying Financial Assistance for Low Income Medicare Beneficiaries
    SEC. 1201. IMPROVING ASSETS TESTS FOR MEDICARE SAVINGS PROGRAM AND LOW-INCOME SUBSIDY PROGRAM.
    SEC. 1202. ELIMINATION OF PART D COST-SHARING FOR CERTAIN NON-INSTITUTIONALIZED FULL-BENEFIT DUAL ELIGIBLE INDIVIDUALS.
    SEC. 1203. ELIMINATING BARRIERS TO ENROLLMENT.
    SEC. 1204. ENHANCED OVERSIGHT RELATING TO REIMBURSEMENTS FOR RETROACTIVE LOW INCOME SUBSIDY ENROLLMENT.
    SEC. 1205. INTELLIGENT ASSIGNMENT IN ENROLLMENT.
    SEC. 1206. SPECIAL ENROLLMENT PERIOD AND AUTOMATIC ENROLLMENT PROCESS FOR CERTAIN SUBSIDY ELIGIBLE INDIVIDUALS.
    SEC. 1207. APPLICATION OF MA PREMIUMS PRIOR TO REBATE AND QUALITY BONUS PAYMENTS IN CALCULATION OF LOW INCOME SUBSIDY BENCHMARK.
 Subtitle B--Reducing Health Disparities
    SEC. 1221. ENSURING EFFECTIVE COMMUNICATION IN MEDICARE.
    SEC. 1223. IOM REPORT ON IMPACT OF LANGUAGE ACCESS SERVICES.
    SEC. 1224. DEFINITIONS.
 Subtitle C--Miscellaneous Improvements
    SEC. 1231. EXTENSION OF THERAPY CAPS EXCEPTIONS PROCESS.
    SEC. 1233. VOLUNTARY ADVANCE CARE PLANNING CONSULTATION.
 `Voluntary Advance Care Planning Consultation
    SEC. 1234. PART B SPECIAL ENROLLMENT PERIOD AND WAIVER OF LIMITED ENROLLMENT PENALTY FOR TRICARE BENEFICIARIES.
    SEC. 1236. DEMONSTRATION PROGRAM ON USE OF PATIENT DECISIONS AIDS.
 TITLE III--PROMOTING PRIMARY CARE, MENTAL HEALTH SERVICES, AND COORDINATED CARE
    SEC. 1301. ACCOUNTABLE CARE ORGANIZATION PILOT PROGRAM.
 `ACCOUNTABLE CARE ORGANIZATION PILOT PROGRAM
    SEC. 1302. MEDICAL HOME PILOT PROGRAM.
 `MEDICAL HOME PILOT PROGRAM
    SEC. 1303. PAYMENT INCENTIVE FOR SELECTED PRIMARY CARE SERVICES.
    SEC. 1304. INCREASED REIMBURSEMENT RATE FOR CERTIFIED NURSE-MIDWIVES.
    SEC. 1305. COVERAGE AND WAIVER OF COST-SHARING FOR PREVENTIVE SERVICES.
 `Medicare Covered Preventive Services
    SEC. 1308. COVERAGE OF MARRIAGE AND FAMILY THERAPIST SERVICES AND MENTAL HEALTH COUNSELOR SERVICES.
 `Marriage and Family Therapist Services
`Mental Health Counselor Services
    SEC. 1309. EXTENSION OF PHYSICIAN FEE SCHEDULE MENTAL HEALTH ADD-ON.
    SEC. 1310. EXPANDING ACCESS TO VACCINES.
 `Federally Approved and Recommended Vaccines
    SEC. 1311. EXPANSION OF MEDICARE-COVERED PREVENTIVE SERVICES AT FEDERALLY QUALIFIED HEALTH CENTERS.
    SEC. 1312. INDEPENDENCE AT HOME DEMONSTRATION PROGRAM.
 `INDEPENDENCE AT HOME MEDICAL PRACTICE DEMONSTRATION PROGRAM
TITLE IV--QUALITY
Subtitle A--Comparative Effectiveness Research
    SEC. 1401. COMPARATIVE EFFECTIVENESS RESEARCH.
 `Part D--Comparative Effectiveness Research
`COMPARATIVE EFFECTIVENESS RESEARCH
Subtitle B--Nursing Home Transparency
    SEC. 1411. REQUIRED DISCLOSURE OF OWNERSHIP AND ADDITIONAL DISCLOSABLE PARTIES INFORMATION.
    SEC. 1412. ACCOUNTABILITY REQUIREMENTS.
    SEC. 1413. NURSING HOME COMPARE MEDICARE WEBSITE.
    SEC. 1414. REPORTING OF EXPENDITURES.
    SEC. 1415. STANDARDIZED COMPLAINT FORM.
    SEC. 1416. ENSURING STAFFING ACCOUNTABILITY.
 PART 2--TARGETING ENFORCEMENT
    SEC. 1421. CIVIL MONEY PENALTIES.
    SEC. 1422. NATIONAL INDEPENDENT MONITOR PILOT PROGRAM.
    SEC. 1423. NOTIFICATION OF FACILITY CLOSURE.
 PART 3--IMPROVING STAFF TRAINING
    SEC. 1431. DEMENTIA AND ABUSE PREVENTION TRAINING.
    SEC. 1432. STUDY AND REPORT ON TRAINING REQUIRED FOR CERTIFIED NURSE AIDES AND SUPERVISORY STAFF.
    SEC. 1433. QUALIFICATION OF DIRECTOR OF FOOD SERVICES OF A SKILLED NURSING FACILITY OR NURSING FACILITY.
 Subtitle C--Quality Measurements
    SEC. 1441. ESTABLISHMENT OF NATIONAL PRIORITIES FOR QUALITY IMPROVEMENT.
 `Part E--Quality Improvement
`ESTABLISHMENT OF NATIONAL PRIORITIES FOR PERFORMANCE IMPROVEMENT
    SEC. 1442. DEVELOPMENT OF NEW QUALITY MEASURES; GAO EVALUATION OF DATA COLLECTION PROCESS FOR QUALITY MEASUREMENT.
    `SEC. 1192. DEVELOPMENT OF NEW QUALITY MEASURES.
    `SEC. 1193. GAO EVALUATION OF DATA COLLECTION PROCESS FOR QUALITY MEASUREMENT.
    SEC. 1443. MULTI-STAKEHOLDER PRE-RULEMAKING INPUT INTO SELECTION OF QUALITY MEASURES.
    SEC. 1444. APPLICATION OF QUALITY MEASURES.
    SEC. 1445. CONSENSUS-BASED ENTITY FUNDING.
 Subtitle D--Physician Payments Sunshine Provision
Subtitle E--Public Reporting on Health Care-Associated Infections
    SEC. 1461. REQUIREMENT FOR PUBLIC REPORTING BY HOSPITALS AND AMBULATORY SURGICAL CENTERS ON HEALTH CARE-ASSOCIATED INFECTIONS.
    `SEC. 1138A. REQUIREMENT FOR PUBLIC REPORTING BY HOSPITALS AND AMBULATORY SURGICAL CENTERS ON HEALTH CARE-ASSOCIATED INFECTIONS.
 TITLE V--MEDICARE GRADUATE MEDICAL EDUCATION
    SEC. 1501. DISTRIBUTION OF UNUSED RESIDENCY POSITIONS.
    SEC. 1502. INCREASING TRAINING IN NONPROVIDER SETTINGS.
    SEC. 1503. RULES FOR COUNTING RESIDENT TIME FOR DIDACTIC AND SCHOLARLY ACTIVITIES AND OTHER ACTIVITIES.
    SEC. 1504. PRESERVATION OF RESIDENT CAP POSITIONS FROM CLOSED HOSPITALS.
    SEC. 1505. IMPROVING ACCOUNTABILITY FOR APPROVED MEDICAL RESIDENCY TRAINING.
 TITLE VI--PROGRAM INTEGRITY
Subtitle A--Increased Funding to Fight Waste, Fraud, and Abuse
    SEC. 1601. INCREASED FUNDING AND FLEXIBILITY TO FIGHT FRAUD AND ABUSE.
 Subtitle B--Enhanced Penalties for Fraud and Abuse
    SEC. 1611. ENHANCED PENALTIES FOR FALSE STATEMENTS ON PROVIDER OR SUPPLIER ENROLLMENT APPLICATIONS.
    SEC. 1612. ENHANCED PENALTIES FOR SUBMISSION OF FALSE STATEMENTS MATERIAL TO A FALSE CLAIM.
    SEC. 1613. ENHANCED PENALTIES FOR DELAYING INSPECTIONS.
    SEC. 1614. ENHANCED HOSPICE PROGRAM SAFEGUARDS.
    `SEC. 1819A. ASSURING QUALITY OF CARE IN HOSPICE CARE.
    `SEC. 2114. ASSURING QUALITY OF CARE IN HOSPICE CARE.
    SEC. 1615. ENHANCED PENALTIES FOR INDIVIDUALS EXCLUDED FROM PROGRAM PARTICIPATION.
    SEC. 1616. ENHANCED PENALTIES FOR PROVISION OF FALSE INFORMATION BY MEDICARE ADVANTAGE AND PART D PLANS.
    SEC. 1617. ENHANCED PENALTIES FOR MEDICARE ADVANTAGE AND PART D MARKETING VIOLATIONS.
    SEC. 1618. ENHANCED PENALTIES FOR OBSTRUCTION OF PROGRAM AUDITS.
    SEC. 1620. OIG AUTHORITY TO EXCLUDE FROM FEDERAL HEALTH CARE PROGRAMS OFFICERS AND OWNERS OF ENTITIES CONVICTED OF FRAUD.
    SEC. 1621. SELF-REFERRAL DISCLOSURE PROTOCOL.
 Subtitle C--Enhanced Program and Provider Protections
    SEC. 1631. ENHANCED CMS PROGRAM PROTECTION AUTHORITY.
    `SEC. 1128G. ENHANCED PROGRAM AND PROVIDER PROTECTIONS IN THE MEDICARE, MEDICAID, AND CHIP PROGRAMS.
    SEC. 1632. ENHANCED MEDICARE, MEDICAID, AND CHIP PROGRAM DISCLOSURE REQUIREMENTS RELATING TO PREVIOUS AFFILIATIONS.
    SEC. 1633. REQUIRED INCLUSION OF PAYMENT MODIFIER FOR CERTAIN EVALUATION AND MANAGEMENT SERVICES.
    SEC. 1634. EVALUATIONS AND REPORTS REQUIRED UNDER MEDICARE INTEGRITY PROGRAM.
    SEC. 1635. REQUIRE PROVIDERS AND SUPPLIERS TO ADOPT PROGRAMS TO REDUCE WASTE, FRAUD, AND ABUSE.
    SEC. 1636. MAXIMUM PERIOD FOR SUBMISSION OF MEDICARE CLAIMS REDUCED TO NOT MORE THAN 12 MONTHS.
    SEC. 1638. REQUIREMENT FOR PHYSICIANS TO PROVIDE DOCUMENTATION ON REFERRALS TO PROGRAMS AT HIGH RISK OF WASTE AND ABUSE.
    SEC. 1640. EXTENSION OF TESTIMONIAL SUBPOENA AUTHORITY TO PROGRAM EXCLUSION INVESTIGATIONS.
    SEC. 1641. REQUIRED REPAYMENTS OF MEDICARE AND MEDICAID OVERPAYMENTS.
    SEC. 1642. EXPANDED APPLICATION OF HARDSHIP WAIVERS FOR OIG EXCLUSIONS TO BENEFICIARIES OF ANY FEDERAL HEALTH CARE PROGRAM.
    SEC. 1643. ACCESS TO CERTAIN INFORMATION ON RENAL DIALYSIS FACILITIES.
    SEC. 1644. BILLING AGENTS, CLEARINGHOUSES, OR OTHER ALTERNATE PAYEES REQUIRED TO REGISTER UNDER MEDICARE.
    SEC. 1645. CONFORMING CIVIL MONETARY PENALTIES TO FALSE CLAIMS ACT AMENDMENTS.
    SEC. 1647. INSPECTOR GENERAL FOR THE HEALTH CHOICES ADMINISTRATION.
    `SEC. 8M SPECIAL PROVISIONS RELATING TO THE HEALTH CHOICES ADMINISTRATION AND THE DEPARTMENT OF HEALTH AND HUMAN SERVICES.
 Subtitle D--Access to Information Needed to Prevent Fraud, Waste, and Abuse
    SEC. 1651. ACCESS TO INFORMATION NECESSARY TO IDENTIFY FRAUD, WASTE, AND ABUSE.
    `Sec. 721. Access to certain information
    SEC. 1653. COMPLIANCE WITH HIPAA PRIVACY AND SECURITY STANDARDS.
 TITLE VII--MEDICAID AND CHIP
    Sec. 1. Table of contents [Struck out->][ Temporary ][<-Struck out] .
    Sec. 1702. Requirements and special rules for certain Medicaid eligible individuals.
 Subtitle A--Medicaid and Health Reform
    SEC. 1701. ELIGIBILITY FOR INDIVIDUALS WITH INCOME BELOW 150 PERCENT OF THE FEDERAL POVERTY LEVEL.
    SEC. 1702. REQUIREMENTS AND SPECIAL RULES FOR CERTAIN MEDICAID ELIGIBLE INDIVIDUALS.
 ` REQUIREMENTS AND SPECIAL RULES FOR CERTAIN MEDICAID ELIGIBLE INDIVIDUALS
    SEC. 1703. CHIP AND MEDICAID MAINTENANCE OF ELIGIBILITY.
    SEC. 1704. REDUCTION IN MEDICAID DSH.
    SEC. 1705. EXPANDED OUTSTATIONING.
 Subtitle B--Prevention
    SEC. 1711. REQUIRED COVERAGE OF PREVENTIVE SERVICES.
    SEC. 1712. TOBACCO CESSATION.
    SEC. 1713. OPTIONAL COVERAGE OF NURSE HOME VISITATION SERVICES.
    SEC. 1714. STATE ELIGIBILITY OPTION FOR FAMILY PLANNING SERVICES.
 `PRESUMPTIVE ELIGIBILITY FOR FAMILY PLANNING SERVICES
Subtitle C--Access
    SEC. 1721. PAYMENTS TO PRIMARY CARE PRACTITIONERS.
    SEC. 1722. MEDICAL HOME PILOT PROGRAM.
    SEC. 1723. TRANSLATION OR INTERPRETATION SERVICES.
    SEC. 1724. OPTIONAL COVERAGE FOR FREESTANDING BIRTH CENTER SERVICES.
    SEC. 1725. INCLUSION OF PUBLIC HEALTH CLINICS UNDER THE VACCINES FOR CHILDREN PROGRAM.
    SEC. 1726. REQUIRING COVERAGE OF SERVICES OF PODIATRISTS.
    SEC. 1726A. REQUIRING COVERAGE OF SERVICES OF OPTOMETRISTS.
    SEC. 1727. THERAPEUTIC FOSTER CARE.
    SEC. 1728. ASSURING ADEQUATE PAYMENT LEVELS FOR SERVICES.
 `ASSURING ADEQUATE PAYMENT LEVELS FOR SERVICES
    SEC. 1729. PRESERVING MEDICAID COVERAGE FOR YOUTHS UPON RELEASE FROM PUBLIC INSTITUTIONS.
    SEC. 1730. QUALITY MEASURES FOR MATERNITY AND ADULT HEALTH SERVICES UNDER MEDICAID AND CHIP.
    `SEC. 1139B. QUALITY MEASURES FOR MATERNITY AND ADULT HEALTH SERVICES UNDER MEDICAID AND CHIP.
    SEC. 1730A. ACCOUNTABLE CARE ORGANIZATION PILOT PROGRAM.
    SEC. 1730B. FQHC COVERAGE.
 Subtitle D--Coverage
    SEC. 1731. OPTIONAL MEDICAID COVERAGE OF LOW-INCOME HIV-INFECTED INDIVIDUALS.
    SEC. 1732. EXTENDING TRANSITIONAL MEDICAID ASSISTANCE (TMA).
    SEC. 1733. REQUIREMENT OF 12-MONTH CONTINUOUS COVERAGE UNDER CERTAIN CHIP PROGRAMS.
    SEC. 1734. PREVENTING THE APPLICATION UNDER CHIP OF COVERAGE WAITING PERIODS FOR CERTAIN CHILDREN.
    SEC. 1735. ADULT DAY HEALTH CARE SERVICES.
    SEC. 1736. MEDICAID COVERAGE FOR CITIZENS OF FREELY ASSOCIATED STATES.
    SEC. 1737. CONTINUING REQUIREMENT OF MEDICAID COVERAGE OF NONEMERGENCY TRANSPORTATION TO MEDICALLY NECESSARY SERVICES.
    SEC. 1739. PROVISIONS RELATING TO COMMUNITY LIVING ASSISTANCE SERVICES AND SUPPORTS (CLASS).
 Subtitle E--Financing
    SEC. 1741. PAYMENTS TO PHARMACISTS.
    SEC. 1742. PRESCRIPTION DRUG REBATES.
    SEC. 1743. EXTENSION OF PRESCRIPTION DRUG DISCOUNTS TO ENROLLEES OF MEDICAID MANAGED CARE ORGANIZATIONS.
    SEC. 1744. PAYMENTS FOR GRADUATE MEDICAL EDUCATION.
    SEC. 1745. NURSING FACILITY SUPPLEMENTAL PAYMENT PROGRAM.
    SEC. 1746. REPORT ON MEDICAID PAYMENTS.
    SEC. 1747. REVIEWS OF MEDICAID.
    SEC. 1748. EXTENSION OF DELAY IN MANAGED CARE ORGANIZATION PROVIDER TAX ELIMINATION.
    SEC. 1749. EXTENSION OF ARRA INCREASE IN FMAP.
 Subtitle F--Waste, Fraud, and Abuse
    SEC. 1751. HEALTH CARE ACQUIRED CONDITIONS.
    SEC. 1752. EVALUATIONS AND REPORTS REQUIRED UNDER MEDICAID INTEGRITY PROGRAM.
    SEC. 1753. REQUIRE PROVIDERS AND SUPPLIERS TO ADOPT PROGRAMS TO REDUCE WASTE, FRAUD, AND ABUSE.
    SEC. 1754. OVERPAYMENTS.
    SEC. 1755. MANAGED CARE ORGANIZATIONS.
    SEC. 1757. MEDICAID AND CHIP EXCLUSION FROM PARTICIPATION RELATING TO CERTAIN OWNERSHIP, CONTROL, AND MANAGEMENT AFFILIATIONS.
    SEC. 1758. REQUIREMENT TO REPORT EXPANDED SET OF DATA ELEMENTS UNDER MMIS TO DETECT FRAUD AND ABUSE.
    SEC. 1759. BILLING AGENTS, CLEARINGHOUSES, OR OTHER ALTERNATE PAYEES REQUIRED TO REGISTER UNDER MEDICAID.
    SEC. 1760. DENIAL OF PAYMENTS FOR LITIGATION-RELATED MISCONDUCT.
    SEC. 1761. MANDATORY STATE USE OF NATIONAL CORRECT CODING INITIATIVE.
 Subtitle G--Payments to the Territories
    SEC. 1771. PAYMENT TO TERRITORIES.
 Subtitle H--Miscellaneous
    SEC. 1781. TECHNICAL CORRECTIONS.
    SEC. 1782. EXTENSION OF QI PROGRAM.
    SEC. 1783. ASSURING TRANSPARENCY OF INFORMATION.
 `HOSPITAL PRICE TRANSPARENCY
    SEC. 1784. MEDICAID AND CHIP PAYMENT AND ACCESS COMMISSION.
    SEC. 1785. OUTREACH AND ENROLLMENT OF MEDICAID AND CHIP ELIGIBLE INDIVIDUALS.
    SEC. 1786. PROHIBITIONS ON FEDERAL MEDICAID AND CHIP PAYMENT FOR UNDOCUMENTED ALIENS.
    SEC. 1787. DEMONSTRATION PROJECT FOR STABILIZATION OF EMERGENCY MEDICAL CONDITIONS BY INSTITUTIONS FOR MENTAL DISEASES.
    SEC. 1788. APPLICATION OF MEDICAID IMPROVEMENT FUND.
    SEC. 1789. TREATMENT OF CERTAIN MEDICAID BROKERS.
    SEC. 1790. RULE FOR CHANGES REQUIRING STATE LEGISLATION.
 TITLE VIII--REVENUE-RELATED PROVISIONS
    SEC. 1802. COMPARATIVE EFFECTIVENESS RESEARCH TRUST FUND; FINANCING FOR TRUST FUND.
    `SEC. 9511. HEALTH CARE COMPARATIVE EFFECTIVENESS RESEARCH TRUST FUND.
 `Subchapter B--Insured and Self-Insured Health Plans
    `SEC. 4375. HEALTH INSURANCE.
    `SEC. 4376. SELF-INSURED HEALTH PLANS.
    `SEC. 4377. DEFINITIONS AND SPECIAL RULES.
 `CHAPTER 34--TAXES ON CERTAIN INSURANCE POLICIES
`subchapter a. policies issued by foreign insurers
`subchapter b. insured and self-insured health plans
`Subchapter A--Policies Issued By Foreign Insurers'.
`Chapter 34--Taxes on Certain Insurance Policies'.
TITLE IX--MISCELLANEOUS PROVISIONS
    SEC. 1901. REPEAL OF TRIGGER PROVISION.
    SEC. 1902. REPEAL OF COMPARATIVE COST ADJUSTMENT (CCA) PROGRAM.
    SEC. 1903. EXTENSION OF GAINSHARING DEMONSTRATION.
 `Subpart 3--Support for Quality Home Visitation Programs
    `SEC. 440. HOME VISITATION PROGRAMS FOR FAMILIES WITH YOUNG CHILDREN AND FAMILIES EXPECTING CHILDREN.
    SEC. 1905. IMPROVED COORDINATION AND PROTECTION FOR DUAL ELIGIBLES.
 `IMPROVED COORDINATION AND PROTECTION FOR DUAL ELIGIBLES
    SEC. 1906. ASSESSMENT OF MEDICARE COST-INTENSIVE DISEASES AND CONDITIONS.
    SEC. 1907. ESTABLISHMENT OF CENTER FOR MEDICARE AND MEDICAID INNOVATION WITHIN CMS.
 `CENTER FOR MEDICARE AND MEDICAID INNOVATION
    SEC. 1908. APPLICATION OF EMERGENCY SERVICES LAWS.
 DIVISION C--PUBLIC HEALTH AND WORKFORCE DEVELOPMENT
    Sec. 2001. Table of contents; references.
    SEC. 2002. PUBLIC HEALTH INVESTMENT FUND.
    SEC. 2003. DEFICIT NEUTRALITY.
 TITLE I--COMMUNITY HEALTH CENTERS
    SEC. 2101. INCREASED FUNDING.
 TITLE II--WORKFORCE
Subtitle A--Primary Care Workforce
PART 1--NATIONAL HEALTH SERVICE CORPS
    SEC. 2201. NATIONAL HEALTH SERVICE CORPS.
    SEC. 2202. AUTHORIZATIONS OF APPROPRIATIONS.
    `SEC. 338H-1. ADDITIONAL FUNDING.
 PART 2--PROMOTION OF PRIMARY CARE AND DENTISTRY
    SEC. 2211. FRONTLINE HEALTH PROVIDERS.
 `Subpart XI--Health Professional Needs Areas
    `SEC. 340H. IN GENERAL.
    `SEC. 340I. LOAN REPAYMENTS.
    `SEC. 340J. REPORT.
    `SEC. 340K. ALLOCATION.
    SEC. 2212. PRIMARY CARE STUDENT LOAN FUNDS.
    SEC. 2213. TRAINING IN FAMILY MEDICINE, GENERAL INTERNAL MEDICINE, GENERAL PEDIATRICS, GERIATRICS, AND PHYSICIAN ASSISTANTS.
    SEC. 2214. TRAINING OF MEDICAL RESIDENTS IN COMMUNITY-BASED SETTINGS.
    `SEC. 748. TRAINING OF MEDICAL RESIDENTS IN COMMUNITY-BASED SETTINGS.
    SEC. 2215. TRAINING FOR GENERAL, PEDIATRIC, AND PUBLIC HEALTH DENTISTS AND DENTAL HYGIENISTS.
    `SEC. 749. TRAINING FOR GENERAL, PEDIATRIC, AND PUBLIC HEALTH DENTISTS AND DENTAL HYGIENISTS.
    SEC. 2216. AUTHORIZATION OF APPROPRIATIONS.
    `SEC. 799C. FUNDING THROUGH PUBLIC HEALTH INVESTMENT FUND.
    SEC. 2217. STUDY ON EFFECTIVENESS OF SCHOLARSHIPS AND LOAN REPAYMENTS.
 Subtitle B--Nursing Workforce
    SEC. 2221. AMENDMENTS TO PUBLIC HEALTH SERVICE ACT.
    `SEC. 809. REPORTS.
    `SEC. 872. FUNDING THROUGH PUBLIC HEALTH INVESTMENT FUND.
    `SEC. 871. FUNDING.
 Subtitle C--Public Health Workforce
    SEC. 2231. PUBLIC HEALTH WORKFORCE CORPS.
 `Subpart XII--Public Health Workforce
    `SEC. 340L. PUBLIC HEALTH WORKFORCE CORPS.
    `SEC. 340M. PUBLIC HEALTH WORKFORCE SCHOLARSHIP PROGRAM.
    `SEC. 340N. PUBLIC HEALTH WORKFORCE LOAN REPAYMENT PROGRAM.
    SEC. 2232. ENHANCING THE PUBLIC HEALTH WORKFORCE.
    `SEC. 765. ENHANCING THE PUBLIC HEALTH WORKFORCE.
    SEC. 2233. PUBLIC HEALTH TRAINING CENTERS.
    SEC. 2234. PREVENTIVE MEDICINE AND PUBLIC HEALTH TRAINING GRANT PROGRAM.
    `SEC. 768. PREVENTIVE MEDICINE AND PUBLIC HEALTH TRAINING GRANT PROGRAM.
    SEC. 2235. AUTHORIZATION OF APPROPRIATIONS.
 Subtitle D--Adapting Workforce to Evolving Health System Needs
PART 1--HEALTH PROFESSIONS TRAINING FOR DIVERSITY
    SEC. 2242. NURSING WORKFORCE DIVERSITY GRANTS.
    SEC. 2243. COORDINATION OF DIVERSITY AND CULTURAL COMPETENCY PROGRAMS.
    `SEC. 739A. COORDINATION OF DIVERSITY AND CULTURAL COMPETENCY PROGRAMS.
 PART 2--INTERDISCIPLINARY TRAINING PROGRAMS
    SEC. 2251. CULTURAL AND LINGUISTIC COMPETENCY TRAINING FOR HEALTH PROFESSIONALS.
    SEC. 2252. INNOVATIONS IN INTERDISCIPLINARY CARE TRAINING.
    `SEC. 759. INNOVATIONS IN INTERDISCIPLINARY CARE TRAINING.
 PART 3--ADVISORY COMMITTEE ON HEALTH WORKFORCE EVALUATION AND ASSESSMENT
    SEC. 2261. HEALTH WORKFORCE EVALUATION AND ASSESSMENT.
    `SEC. 764. HEALTH WORKFORCE EVALUATION AND ASSESSMENT.
 PART 4--HEALTH WORKFORCE ASSESSMENT
    SEC. 2271. HEALTH WORKFORCE ASSESSMENT.
 PART 5--AUTHORIZATION OF APPROPRIATIONS
    SEC. 2281. AUTHORIZATION OF APPROPRIATIONS.
 TITLE III--PREVENTION AND WELLNESS
    SEC. 2301. PREVENTION AND WELLNESS.
 `TITLE XXXI--PREVENTION AND WELLNESS
`Subtitle A--Prevention and Wellness Trust
    `SEC. 3111. PREVENTION AND WELLNESS TRUST.
 `Subtitle B--National Prevention and Wellness Strategy
    `SEC. 3121. NATIONAL PREVENTION AND WELLNESS STRATEGY.
 `Subtitle C--Prevention Task Forces
    `SEC. 3131. TASK FORCE ON CLINICAL PREVENTIVE SERVICES.
    `SEC. 3132. TASK FORCE ON COMMUNITY PREVENTIVE SERVICES.
 `Subtitle D--Prevention and Wellness Research
    `SEC. 3141. PREVENTION AND WELLNESS RESEARCH ACTIVITY COORDINATION.
    `SEC. 3142. COMMUNITY PREVENTION AND WELLNESS RESEARCH GRANTS.
    `SEC. 3143. RESEARCH ON SUBSIDIES AND REWARDS TO ENCOURAGE WELLNESS AND HEALTHY BEHAVIORS.
 `Subtitle E--Delivery of Community Prevention and Wellness Services
    `SEC. 3151. COMMUNITY PREVENTION AND WELLNESS SERVICES GRANTS.
 `Subtitle F--Core Public Health Infrastructure
    `SEC. 3161. CORE PUBLIC HEALTH INFRASTRUCTURE FOR STATE, LOCAL, AND TRIBAL HEALTH DEPARTMENTS.
    `SEC. 3162. CORE PUBLIC HEALTH INFRASTRUCTURE AND ACTIVITIES FOR CDC.
 `Subtitle G--General Provisions
    `SEC. 3171. DEFINITIONS.
 TITLE IV--QUALITY AND SURVEILLANCE
    SEC. 2401. IMPLEMENTATION OF BEST PRACTICES IN THE DELIVERY OF HEALTH CARE.
 `PART D--IMPLEMENTATION OF BEST PRACTICES IN THE DELIVERY OF HEALTH CARE
    `SEC. 931. CENTER FOR QUALITY IMPROVEMENT.
    SEC. 2402. ASSISTANT SECRETARY FOR HEALTH INFORMATION.
    `SEC. 1709. ASSISTANT SECRETARY FOR HEALTH INFORMATION.
    SEC. 2403. AUTHORIZATION OF APPROPRIATIONS.
 TITLE V--OTHER PROVISIONS
Subtitle A--Drug Discount for Rural and Other Hospitals; 340B Program Integrity
    SEC. 2501. EXPANDED PARTICIPATION IN 340B PROGRAM.
    SEC. 2502. IMPROVEMENTS TO 340B PROGRAM INTEGRITY.
    SEC. 2503. EFFECTIVE DATE.
 Subtitle B--Programs
PART 1--GRANTS FOR CLINICS AND CENTERS
    SEC. 2511. SCHOOL-BASED HEALTH CLINICS.
    `SEC. 399Z-1. SCHOOL-BASED HEALTH CLINICS.
    SEC. 2512. NURSE-MANAGED HEALTH CENTERS.
 `PART S--NURSE-MANAGED HEALTH CENTERS
    `SEC. 399FF. NURSE-MANAGED HEALTH CENTERS.
    SEC. 2513. FEDERALLY QUALIFIED BEHAVIORAL HEALTH CENTERS.
 PART 2--OTHER GRANT PROGRAMS
    SEC. 2521. COMPREHENSIVE PROGRAMS TO PROVIDE EDUCATION TO NURSES AND CREATE A PIPELINE TO NURSING.
    SEC. 2522. MENTAL AND BEHAVIORAL HEALTH TRAINING.
 `Subpart 3--Mental and Behavioral Health Training
    `SEC. 775. MENTAL AND BEHAVIORAL HEALTH TRAINING PROGRAM.
    SEC. 2523. REAUTHORIZATION OF TELEHEALTH AND TELEMEDICINE GRANT PROGRAMS.
    SEC. 2525. EXTENSION OF WISEWOMAN PROGRAM.
    SEC. 2526. HEALTHY TEEN INITIATIVE TO PREVENT TEEN PREGNANCY.
    `SEC. 317U. HEALTHY TEEN INITIATIVE TO PREVENT TEEN PREGNANCY.
    SEC. 2527. NATIONAL TRAINING INITIATIVES ON AUTISM SPECTRUM DISORDERS.
 `Subtitle F--National Training Initiative on Autism Spectrum Disorders
    `SEC. 171. NATIONAL TRAINING INITIATIVE.
    SEC. 2528. IMPLEMENTATION OF MEDICATION MANAGEMENT SERVICES IN TREATMENT OF CHRONIC DISEASES.
    SEC. 2529. POSTPARTUM DEPRESSION.
    SEC. 2530. GRANTS TO PROMOTE POSITIVE HEALTH BEHAVIORS AND OUTCOMES.
    `SEC. 399V. GRANTS TO PROMOTE POSITIVE HEALTH BEHAVIORS AND OUTCOMES.
    SEC. 2531. MEDICAL LIABILITY ALTERNATIVES.
    SEC. 2532. INFANT MORTALITY PILOT PROGRAMS.
    SEC. 2533. SECONDARY SCHOOL HEALTH SCIENCES TRAINING PROGRAM.
    SEC. 2534. COMMUNITY-BASED COLLABORATIVE CARE NETWORKS.
 `Subpart XIII--Community-Based Collaborative Care Network Program
    `SEC. 340O. COMMUNITY-BASED COLLABORATIVE CARE NETWORK PROGRAM.
    SEC. 2535. COMMUNITY-BASED OVERWEIGHT AND OBESITY PREVENTION PROGRAM.
    `SEC. 399W-1. COMMUNITY-BASED OVERWEIGHT AND OBESITY PREVENTION PROGRAM.
    SEC. 2536. REDUCING STUDENT-TO-SCHOOL NURSE RATIOS.
    SEC. 2537. MEDICAL-LEGAL PARTNERSHIPS.
 PART 3--EMERGENCY CARE-RELATED PROGRAMS
    SEC. 2551. TRAUMA CARE CENTERS.
    `SEC. 1241. GRANTS FOR CERTAIN TRAUMA CENTERS.
    `SEC. 1242. CONSIDERATIONS IN MAKING GRANTS.
    `SEC. 1243. CERTAIN AGREEMENTS.
    `SEC. 1244. GENERAL PROVISIONS.
    `SEC. 1245. AUTHORIZATION OF APPROPRIATIONS.
    SEC. 2552. EMERGENCY CARE COORDINATION.
    `SEC. 2816. EMERGENCY CARE COORDINATION.
    SEC. 2553. PILOT PROGRAMS TO IMPROVE EMERGENCY MEDICAL CARE.
    `SEC. 315. REGIONALIZED COMMUNICATION SYSTEMS FOR EMERGENCY CARE RESPONSE.
    SEC. 2555. DENTAL EMERGENCY RESPONDERS: PUBLIC HEALTH AND MEDICAL RESPONSE.
    SEC. 2556. DENTAL EMERGENCY RESPONDERS: HOMELAND SECURITY.
 PART 4--PAIN CARE AND MANAGEMENT PROGRAMS
    SEC. 2561. INSTITUTE OF MEDICINE CONFERENCE ON PAIN.
    SEC. 2562. PAIN RESEARCH AT NATIONAL INSTITUTES OF HEALTH.
    `SEC. 409J. PAIN RESEARCH.
    SEC. 2563. PUBLIC AWARENESS CAMPAIGN ON PAIN MANAGEMENT.
    `SEC. 249. NATIONAL EDUCATION OUTREACH AND AWARENESS CAMPAIGN ON PAIN MANAGEMENT.
 Subtitle C--Food and Drug Administration
PART 1--IN GENERAL
    SEC. 2571. NATIONAL MEDICAL DEVICE REGISTRY.
 `National Medical Device Registry
    SEC. 2572. NUTRITION LABELING OF STANDARD MENU ITEMS AT CHAIN RESTAURANTS AND OF ARTICLES OF FOOD SOLD FROM VENDING MACHINES.
    SEC. 2573. PROTECTING CONSUMER ACCESS TO GENERIC DRUGS.
 PART 2--BIOSIMILARS
    SEC. 2575. LICENSURE PATHWAY FOR BIOSIMILAR BIOLOGICAL PRODUCTS.
    SEC. 2576. FEES RELATING TO BIOSIMILAR BIOLOGICAL PRODUCTS.
    SEC. 2577. AMENDMENTS TO CERTAIN PATENT PROVISIONS.
 Subtitle D--Community Living Assistance Services and Supports
`TITLE XXXII--COMMUNITY LIVING ASSISTANCE SERVICES AND SUPPORTS
    `SEC. 3201. PURPOSE.
    `SEC. 3202. DEFINITIONS.
    `SEC. 3203. CLASS INDEPENDENCE BENEFIT PLAN.
    `SEC. 3204. ENROLLMENT AND DISENROLLMENT REQUIREMENTS.
    `SEC. 3205. BENEFITS.
    `SEC. 3206. CLASS INDEPENDENCE FUND.
    `SEC. 3207. CLASS INDEPENDENCE ADVISORY COUNCIL.
    `SEC. 3208. REGULATIONS; ANNUAL REPORT.
    `SEC. 3209. INSPECTOR GENERAL'S REPORT.
 Subtitle E--Miscellaneous
    SEC. 2585. STATES FAILING TO ADHERE TO CERTAIN EMPLOYMENT OBLIGATIONS.
    SEC. 2586. HEALTH CENTERS UNDER PUBLIC HEALTH SERVICE ACT; LIABILITY PROTECTIONS FOR VOLUNTEER PRACTITIONERS.
    SEC. 2587. REPORT TO CONGRESS ON THE CURRENT STATE OF PARASITIC DISEASES THAT HAVE BEEN OVERLOOKED AMONG THE POOREST AMERICANS.
    SEC. 2588. OFFICE OF WOMEN'S HEALTH.
    `SEC. 229. HEALTH AND HUMAN SERVICES OFFICE ON WOMEN'S HEALTH.
    `SEC. 310A. CENTERS FOR DISEASE CONTROL AND PREVENTION OFFICE OF WOMEN'S HEALTH.
    `SEC. 927. ACTIVITIES REGARDING WOMEN'S HEALTH.
    `SEC. 713. OFFICE OF WOMEN'S HEALTH.
    `SEC. 911. OFFICE OF WOMEN'S HEALTH.
    SEC. 2589. LONG-TERM CARE AND FAMILY CAREGIVER SUPPORT.
    SEC. 2590. WEB SITE ON HEALTH CARE LABOR MARKET AND RELATED EDUCATIONAL AND TRAINING OPPORTUNITIES.
    SEC. 2591. ONLINE HEALTH WORKFORCE TRAINING PROGRAMS.
    SEC. 2592. ACCESS FOR INDIVIDUALS WITH DISABILITIES.
    `SEC. 510. STANDARDS FOR ACCESSIBILITY OF MEDICAL DIAGNOSTIC EQUIPMENT.
 DIVISION D--INDIAN HEALTH CARE IMPROVEMENT
    Sec. 3001. Short title; table of contents.
    Sec. 3101. Indian Health Care Improvement At amended.
 TITLE I--AMENDMENTS TO INDIAN LAWS
    SEC. 3101. INDIAN HEALTH CARE IMPROVEMENT AMENDED.
    `SECTION 1. SHORT TITLE; TABLE OF CONTENTS.
    `SEC. 2. FINDINGS.
    `SEC. 3. DECLARATION OF NATIONAL INDIAN HEALTH POLICY.
    `SEC. 4. DEFINITIONS.
 `TITLE I--INDIAN HEALTH, HUMAN RESOURCES, AND DEVELOPMENT
    `SEC. 101. PURPOSE.
    `SEC. 102. HEALTH PROFESSIONS RECRUITMENT PROGRAM FOR INDIANS.
    `SEC. 103. HEALTH PROFESSIONS PREPARATORY SCHOLARSHIP PROGRAM FOR INDIANS.
    `SEC. 104. INDIAN HEALTH PROFESSIONS SCHOLARSHIPS.
    `SEC. 105. AMERICAN INDIANS INTO PSYCHOLOGY PROGRAM.
    `SEC. 106. SCHOLARSHIP PROGRAMS FOR INDIAN TRIBES.
    `SEC. 107. INDIAN HEALTH SERVICE EXTERN PROGRAMS.
    `SEC. 108. CONTINUING EDUCATION ALLOWANCES.
    `SEC. 109. COMMUNITY HEALTH REPRESENTATIVE PROGRAM.
    `SEC. 110. INDIAN HEALTH SERVICE LOAN REPAYMENT PROGRAM.
    `SEC. 111. SCHOLARSHIP AND LOAN REPAYMENT RECOVERY FUND.
    `SEC. 112. RECRUITMENT ACTIVITIES.
    `SEC. 113. INDIAN RECRUITMENT AND RETENTION PROGRAM.
    `SEC. 114. ADVANCED TRAINING AND RESEARCH.
    `SEC. 115. QUENTIN N. BURDICK AMERICAN INDIANS INTO NURSING PROGRAM.
    `SEC. 116. TRIBAL CULTURAL ORIENTATION.
    `SEC. 117. INMED PROGRAM.
    `SEC. 118. HEALTH TRAINING PROGRAMS OF COMMUNITY COLLEGES.
    `SEC. 119. RETENTION BONUS.
    `SEC. 120. NURSING RESIDENCY PROGRAM.
    `SEC. 121. COMMUNITY HEALTH AIDE PROGRAM.
    `SEC. 122. TRIBAL HEALTH PROGRAM ADMINISTRATION.
    `SEC. 123. HEALTH PROFESSIONAL CHRONIC SHORTAGE DEMONSTRATION PROGRAMS.
    `SEC. 124. NATIONAL HEALTH SERVICE CORPS.
    `SEC. 125. SUBSTANCE ABUSE COUNSELOR EDUCATIONAL CURRICULA DEMONSTRATION PROGRAMS.
    `SEC. 126. BEHAVIORAL HEALTH TRAINING AND COMMUNITY EDUCATION PROGRAMS.
    `SEC. 127. EXEMPTION FROM PAYMENT OF CERTAIN FEES.
    `SEC. 128. AUTHORIZATION OF APPROPRIATIONS.
 `TITLE II--HEALTH SERVICES
    `SEC. 201. INDIAN HEALTH CARE IMPROVEMENT FUND.
    `SEC. 202. HEALTH PROMOTION AND DISEASE PREVENTION SERVICES.
    `SEC. 203. DIABETES PREVENTION, TREATMENT, AND CONTROL.
    `SEC. 204. SHARED SERVICES FOR LONG-TERM CARE.
    `SEC. 205. HEALTH SERVICES RESEARCH.
    `SEC. 206. MAMMOGRAPHY AND OTHER CANCER SCREENING.
    `SEC. 207. PATIENT TRAVEL COSTS.
    `SEC. 208. EPIDEMIOLOGY CENTERS.
    `SEC. 209. COMPREHENSIVE SCHOOL HEALTH EDUCATION PROGRAMS.
    `SEC. 210. INDIAN YOUTH PROGRAM.
    `SEC. 211. PREVENTION, CONTROL, AND ELIMINATION OF COMMUNICABLE AND INFECTIOUS DISEASES.
    `SEC. 212. OTHER AUTHORITY FOR PROVISION OF SERVICES.
    `SEC. 213. INDIAN WOMEN'S HEALTH CARE.
    `SEC. 214. ENVIRONMENTAL AND NUCLEAR HEALTH HAZARDS.
    `SEC. 215. ARIZONA AS A CONTRACT HEALTH SERVICE DELIVERY AREA.
    `SEC. 216. NORTH DAKOTA AND SOUTH DAKOTA AS CONTRACT HEALTH SERVICE DELIVERY AREA.
    `SEC. 217. CALIFORNIA CONTRACT HEALTH SERVICES PROGRAM.
    `SEC. 218. CALIFORNIA AS A CONTRACT HEALTH SERVICE DELIVERY AREA.
    `SEC. 219. CONTRACT HEALTH SERVICES FOR THE TRENTON SERVICE AREA.
    `SEC. 220. PROGRAMS OPERATED BY INDIAN TRIBES AND TRIBAL ORGANIZATIONS.
    `SEC. 221. LICENSING.
    `SEC. 222. NOTIFICATION OF PROVISION OF EMERGENCY CONTRACT HEALTH SERVICES.
    `SEC. 223. PROMPT ACTION ON PAYMENT OF CLAIMS.
    `SEC. 224. LIABILITY FOR PAYMENT.
    `SEC. 225. OFFICE OF INDIAN MEN'S HEALTH.
    `SEC. 226. CATASTROPHIC HEALTH EMERGENCY FUND.
    `SEC. 227. AUTHORIZATION OF APPROPRIATIONS.
 `TITLE III--FACILITIES
    `SEC. 301. CONSULTATION; CONSTRUCTION AND RENOVATION OF FACILITIES; REPORTS.
    `SEC. 302. SANITATION FACILITIES.
    `SEC. 303. PREFERENCE TO INDIANS AND INDIAN FIRMS.
    `SEC. 304. EXPENDITURE OF NON-SERVICE FUNDS FOR RENOVATION.
    `SEC. 305. FUNDING FOR THE CONSTRUCTION, EXPANSION, AND MODERNIZATION OF SMALL AMBULATORY CARE FACILITIES.
    `SEC. 306. INDIAN HEALTH CARE DELIVERY DEMONSTRATION PROJECT.
    `SEC. 307. LAND TRANSFER.
    `SEC. 308. LEASES, CONTRACTS, AND OTHER AGREEMENTS.
    `SEC. 309. STUDY ON LOANS, LOAN GUARANTEES, AND LOAN REPAYMENT.
    `SEC. 310. TRIBAL LEASING.
    `SEC. 311. INDIAN HEALTH SERVICE/TRIBAL FACILITIES JOINT VENTURE PROGRAM.
    `SEC. 312. LOCATION OF FACILITIES.
    `SEC. 313. MAINTENANCE AND IMPROVEMENT OF HEALTH CARE FACILITIES.
    `SEC. 314. TRIBAL MANAGEMENT OF FEDERALLY OWNED QUARTERS.
    `SEC. 315. APPLICABILITY OF BUY AMERICAN ACT REQUIREMENT.
    `SEC. 316. OTHER FUNDING FOR FACILITIES.
    `SEC. 317. AUTHORIZATION OF APPROPRIATIONS.
 `TITLE IV--ACCESS TO HEALTH SERVICES
    `SEC. 401. TREATMENT OF PAYMENTS UNDER SOCIAL SECURITY ACT HEALTH BENEFITS PROGRAMS.
    `SEC. 403. REIMBURSEMENT FROM CERTAIN THIRD PARTIES OF COSTS OF HEALTH SERVICES.
    `SEC. 404. CREDITING OF REIMBURSEMENTS.
    `SEC. 405. PURCHASING HEALTH CARE COVERAGE.
    `SEC. 406. SHARING ARRANGEMENTS WITH FEDERAL AGENCIES.
    `SEC. 407. ELIGIBLE INDIAN VETERAN SERVICES.
    `SEC. 408. PAYOR OF LAST RESORT.
    `SEC. 409. CONSULTATION.
    `SEC. 410. STATE CHILDREN'S HEALTH INSURANCE PROGRAM (SCHIP).
    `SEC. 412. TREATMENT UNDER MEDICAID AND SCHIP MANAGED CARE.
    `SEC. 413. NAVAJO NATION MEDICAID AGENCY FEASIBILITY STUDY.
    `SEC. 414. EXCEPTION FOR EXCEPTED BENEFITS.
    `SEC. 415. AUTHORIZATION OF APPROPRIATIONS.
 `TITLE V--HEALTH SERVICES FOR URBAN INDIANS
    `SEC. 501. PURPOSE.
    `SEC. 502. CONTRACTS WITH, AND GRANTS TO, URBAN INDIAN ORGANIZATIONS.
    `SEC. 503. CONTRACTS AND GRANTS FOR THE PROVISION OF HEALTH CARE AND REFERRAL SERVICES.
    `SEC. 504. USE OF FEDERAL GOVERNMENT FACILITIES AND SOURCES OF SUPPLY.
    `SEC. 505. CONTRACTS AND GRANTS FOR THE DETERMINATION OF UNMET HEALTH CARE NEEDS.
    `SEC. 506. EVALUATIONS; RENEWALS.
    `SEC. 507. OTHER CONTRACT AND GRANT REQUIREMENTS.
    `SEC. 508. REPORTS AND RECORDS.
    `SEC. 509. LIMITATION ON CONTRACT AUTHORITY.
    `SEC. 510. FACILITIES.
    `SEC. 511. DIVISION OF URBAN INDIAN HEALTH.
    `SEC. 512. GRANTS FOR ALCOHOL AND SUBSTANCE ABUSE-RELATED SERVICES.
    `SEC. 513. TREATMENT OF CERTAIN DEMONSTRATION PROJECTS.
    `SEC. 514. URBAN NIAAA TRANSFERRED PROGRAMS.
    `SEC. 516. URBAN YOUTH TREATMENT CENTER DEMONSTRATION.
    `SEC. 517. GRANTS FOR DIABETES PREVENTION, TREATMENT, AND CONTROL.
    `SEC. 518. COMMUNITY HEALTH REPRESENTATIVES.
    `SEC. 519. EFFECTIVE DATE.
    `SEC. 520. ELIGIBILITY FOR SERVICES.
    `SEC. 521. AUTHORIZATION OF APPROPRIATIONS.
    `SEC. 522. HEALTH INFORMATION TECHNOLOGY.
 `TITLE VI--ORGANIZATIONAL IMPROVEMENTS
    `SEC. 601. ESTABLISHMENT OF THE INDIAN HEALTH SERVICE AS AN AGENCY OF THE PUBLIC HEALTH SERVICE.
    `SEC. 602. AUTOMATED MANAGEMENT INFORMATION SYSTEM.
    `SEC. 603. AUTHORIZATION OF APPROPRIATIONS.
 `TITLE VII--BEHAVIORAL HEALTH PROGRAMS
    `SEC. 701. BEHAVIORAL HEALTH PREVENTION AND TREATMENT SERVICES.
    `SEC. 702. MEMORANDA OF AGREEMENT WITH THE DEPARTMENT OF THE INTERIOR.
    `SEC. 703. COMPREHENSIVE BEHAVIORAL HEALTH PREVENTION AND TREATMENT PROGRAM.
    `SEC. 704. MENTAL HEALTH TECHNICIAN PROGRAM.
    `SEC. 705. LICENSING REQUIREMENT FOR MENTAL HEALTH CARE WORKERS.
    `SEC. 706. INDIAN WOMEN TREATMENT PROGRAMS.
    `SEC. 707. INDIAN YOUTH PROGRAM.
    `SEC. 708. INDIAN YOUTH TELEMENTAL HEALTH DEMONSTRATION PROJECT.
    `SEC. 709. INPATIENT AND COMMUNITY-BASED MENTAL HEALTH FACILITIES DESIGN, CONSTRUCTION, AND STAFFING.
    `SEC. 710. TRAINING AND COMMUNITY EDUCATION.
    `SEC. 711. BEHAVIORAL HEALTH PROGRAM.
    `SEC. 712. FETAL ALCOHOL DISORDER PROGRAMS.
    `SEC. 713. CHILD SEXUAL ABUSE AND PREVENTION TREATMENT PROGRAMS.
    `SEC. 714. DOMESTIC AND SEXUAL VIOLENCE PREVENTION AND TREATMENT.
    `SEC. 715. BEHAVIORAL HEALTH RESEARCH.
    `SEC. 716. DEFINITIONS.
    `SEC. 717. AUTHORIZATION OF APPROPRIATIONS.
 `TITLE VIII--MISCELLANEOUS
    `SEC. 801. REPORTS.
    `SEC. 802. REGULATIONS.
    `SEC. 803. PLAN OF IMPLEMENTATION.
    `SEC. 804. LIMITATION ON USE OF FUNDS APPROPRIATED TO INDIAN HEALTH SERVICE.
    `SEC. 805. ELIGIBILITY OF CALIFORNIA INDIANS.
    `SEC. 806. HEALTH SERVICES FOR INELIGIBLE PERSONS.
    `SEC. 807. REALLOCATION OF BASE RESOURCES.
    `SEC. 808. RESULTS OF DEMONSTRATION PROJECTS.
    `SEC. 809. PROVISION OF SERVICES IN MONTANA.
    `SEC. 810. MORATORIUM.
    `SEC. 811. SEVERABILITY PROVISIONS.
    `SEC. 812. USE OF PATIENT SAFETY ORGANIZATIONS.
    `SEC. 813. CONFIDENTIALITY OF MEDICAL QUALITY ASSURANCE RECORDS; QUALIFIED IMMUNITY FOR PARTICIPANTS.
    `SEC. 814. CLAREMORE INDIAN HOSPITAL.
    `SEC. 815. SENSE OF CONGRESS REGARDING LAW ENFORCEMENT AND METHAMPHETAMINE ISSUES IN INDIAN COUNTRY.
    `SEC. 816. PERMITTING IMPLEMENTATION THROUGH CONTRACTS WITH TRIBAL HEALTH PROGRAMS.
    `SEC. 817. AUTHORIZATION OF APPROPRIATIONS; AVAILABILITY.
    `SEC. 5. AUTHORITY OF ASSISTANT SECRETARY FOR INDIAN HEALTH.';
    SEC. 3102. SOBOBA SANITATION FACILITIES.
    SEC. 3103. NATIVE AMERICAN HEALTH AND WELLNESS FOUNDATION.
 `TITLE VIII--NATIVE AMERICAN HEALTH AND WELLNESS FOUNDATION
    `SEC. 801. DEFINITIONS.
    `SEC. 802. NATIVE AMERICAN HEALTH AND WELLNESS FOUNDATION.
    `SEC. 803. ADMINISTRATIVE SERVICES AND SUPPORT.
    SEC. 3104. GAO STUDY AND REPORT ON PAYMENTS FOR CONTRACT HEALTH SERVICES.
 TITLE II--IMPROVEMENT OF INDIAN HEALTH CARE PROVIDED UNDER THE SOCIAL SECURITY ACT
    `SEC. 1911. INDIAN HEALTH PROGRAMS.';
    `SEC. 1880. INDIAN HEALTH PROGRAMS.';
    SEC. 3202. ADDITIONAL PROVISIONS TO INCREASE OUTREACH TO, AND ENROLLMENT OF, INDIANS IN SCHIP AND MEDICAID.
    SEC. 3204. ANNUAL REPORT ON INDIANS SERVED BY SOCIAL SECURITY ACT HEALTH BENEFIT PROGRAMS.
 
H. Res. 867: Urging Obama to Reject the Goldstone Study Print E-mail
H.RES.867
Roll Call Number 838
Title: Calling on the President and the Secretary of State to oppose unequivocally any endorsement or further consideration of the "Report of the United Nations Fact Finding Mission on the Gaza Conflict" in multilateral fora.
Sponsor: Rep Ros-Lehtinen, Ileana [FL-18] (introduced 10/23/2009) Cosponsors (202)
Latest Major Action: 11/3/2009 Passed/agreed to in House. Status: On motion to suspend the rules and agree to the resolution, as amended Agreed to by the Yeas and Nays: (2/3 required): 344 - 36, 22 Present (Roll no. 838).

Speaker Nancy Pelosi exercised her prerogative -- as speaker -- to refrain from participating in the vote.  This resolution passed 344 to 36, with 22 present and 30 not voting.  California "nays" (all Democrats) were: Lois Capps, Bob Filner, Barbara Lee, George Miller, Pete Stark, Maxine Waters, and Lynn Woolsey.  Californians who either responded "present" or were categorized as "not voting" (also all Democrats) were: Xavier Becerra, Anna Eshoo, Sam Farr, Mike Honda, Zoe Lofgren, Jackie Speier, and Linda Sanchez.

To see the entire roll call, follow this link.

To read more about this issue, follow this link.
 
H.R. 984: State Secret Protection Act of 2009 Print E-mail
H.R. 984: State Secret Protection Act of 2009
To provide safe, fair, and responsible procedures and standards for resolving claims of state secret privilege. Govtrack; Linked on November 3, 2009
 
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