Category Archives: Regulation

Updated: The Abortion Distraction (Bill Passed, Pelosi Palooza In Process)

Constitution, Democrats, Federalism, Healthcare, Individual Rights, Liberty, Regulation, States' Rights

The abortion fetish is just one of the distractions that damages the cause of freedom in the attempt to halt the hulking H.R.4872 Reconciliation Act of 2010.

FoxNews: “Pro-life Democrats have reached a deal with President Obama to ensure that no taxpayer money goes to abortion services, Rep. Bart Stupak, D-Mich., who led Democratic lawmakers opposed to the Senate bill, said Sunday.”

Stupak made the announcement surrounded by a handful of Democratic lawmakers who had held out their “yes” votes on a massive health insurance overhaul set for a vote on Sunday over abortion. The swing appeared to give Democratic leaders enough votes to pass the 10-year, nearly $1 trillion legislation.

Only the brainless quibble about the correct constitutional position: abortion is to be regulated by states and individuals, not federales.

But conservadems and their Republican pals have managed to muddy the voice of freedom with their constant pules for fetuses (not their own), instead of standing on a refusal to raid coffers not theirs. Abortion is a side-issue, a mere distraction in the fight against the further bureaucratization of health care.

The Ann Coulter cohort continually instruct tea party goers to get behind this or the other Republican if he or she is for “prayer in schools, against abortion and gay marriage.”

Polls confirm what you and I know: freedom-minded individuals don’t give a tinker’s toss about these conservative fetishes.

Conservadems and damn Republicans still don’t get what the opposition to this Bill—and the Tea Party groundswell—is all about.

Incidentally, Bachmann is everything Palin is not.

Update (March 21): PELOSI PALOOZA. Pelosi says that a welfare program resembling Social Security and Medicare in size and significance further brings american society closer to the values espoused by the Founding Fathers and framers of the Constitution.
Not even historians to the regime will deny that the likes of John Locke (b. 1632, d. 1704), with his natural rights doctrine, were the inspiration for the American Founders. That bitch is such a colossal ignoramus.

The vote is in process. It has passed: 219 yeas to 212 nays.

Updated: “‘Deem and Pass’ Dead” (Pass Impending)

Democrats, Healthcare, Law, Liberty, Regulation, The State

“‘Deem and Pass’ is dead” reports FoxNews. This means that the Democrats will have to put their faces not only to “the ostensibly redeemable aspects of the bill—namely the amendments—in hope of hanging onto their jobs,” but to the complete hulking thing. It also means that the Democrats are confident they have the requisite 216 roach votes to pass what is an enormous expansion of government and debt. A sad development for the republic, RIP.

Meanwhile, tea party patriots make a last stand, egged on by the indomitable, much-maligned Michele Bachmann.

Update (March 21): PASS IMPENDING. “‘We have the votes now,’ Representative John Larson, head of the House Democratic Caucus, said on ABC’s ‘This Week,’ although other House leaders were more cautious in their assessment.”

“House Democratic leader Steny Hoyer told NBC’s ‘Meet the Press’ the number of votes still needed for passage were in the “low single digits.'”

[SNIP]
The English language makes an appearance, in the main Bill, at “SUBDIVISION A,” SEC. 100. The Amendments are an affront; they are written in the legalese reserved for the Managerial State; evolved over time to ensure the people have not the faintest notion what’s upon them.

Here is an entirely representative excerpt from the Amendments portion of the Bill:

PREMIUM TAX CREDITS.—Section 36B of the In6
ternal Revenue Code of 1986, as added by section 1401
7 of the Patient Protection and Affordable Care Act and
8 amended by section 10105 of such Act, is amended—
9 (1) in subsection (b)(3)(A)—
10 (A) in clause (i), by striking ‘‘with respect
11 to any taxpayer’’ and all that follows up to the
12 end period and inserting ‘‘for any taxable year
13 shall be the percentage such that the applicable
14 percentage for any taxpayer whose household
15 income is within an income tier specified in the
16 following table shall increase, on a sliding scale
17 in a linear manner, from the initial premium
18 percentage to the final premium percentage
19 specified in such table for such income tier: ….

[SNIP]

What in bloody blue blazes is this? It’s an affront; an “eff you, little serf” if ever there was one.

Updated: Heeere’s Health-Scare

Debt, Democrats, Economy, Fascism, Government, Healthcare, Reason, Regulation

The excerpt is from this week’s WND.COM column, “Heeere’s Health-Scare”:

“The idea that an expansion of government through an enormous entitlement program will drastically reduce the deficit and debt is novel, to say the least. The poster person for this mathematical improbability is House Speaker Nancy Pelosi. She had promised a ‘fiscally sound’ healthcare bill that would save $100 billion in the first 10 years and $1 trillion in the second. And by golly has she kept her promise!

Who would have imagined that a colossal spending bill is actually a deficit reduction bill in disguise? Such a chimerical legislative creature was delivered unto Nancy today by the CBOafs (The Congressional Budget Oafs).

Initially projected to cost $950 billion over 10 years, the reconciliation healthcare bill midwived by the CBOafs is now expected to reduce the deficit by about $138 billion in the first decade and by $1.2 trillion in the next, while simultaneously expanding coverage to 32 million Americans and slashing the debt by $118 billion—$1 billion dollars saved for every new administrative board, bureaucracy, and commission created; one of the pending Reconciliation Act’s cost-curbing measures is the creation of 118 new government entities.” …

The complete column is, “Heeere’s Health-Scare.”

Do read my libertarian manifesto, Broad Sides: One Woman’s Clash With A Corrupt Society.

The Second Edition features bonus material and reviews. Get your copy (or copies) now!

Update (March 20): Here is H.R.4872 Reconciliation Act of 2010. If this is not cause for a revolution, I don’t know what is. I’ve pasted the thing below. It has thousands of sections. Green provisions, early learning fund, promotion of employment experience, translation or interpretation services, whistle blower provisions—these are all sub-chapters in what is a violative bill by every conceivable criterion.

H.R.4872
Reconciliation Act of 2010 (Reported in House)

Beginning
DIVISION I–HOUSE COMMITTEE ON WAYS AND MEANS: HEALTH CARE REFORM
DIVISION II–HOUSE COMMITTEE ON EDUCATION AND LABOR: HEALTH CARE REFORM
DIVISION I–COMMITTEE ON WAYS AND MEANS: HEALTH CARE REFORM

SEC. 1. SHORT TITLE; TABLE OF SUBDIVISIONS, TITLES, AND SUBTITLES.

SEC. 243. AFFORDABILITY PREMIUM CREDIT.

SEC. 442. DISTRIBUTIONS FOR MEDICINE QUALIFIED ONLY IF FOR PRESCRIBED DRUG OR INSULIN.

SEC. 443. DELAY IN APPLICATION OF WORLDWIDE ALLOCATION OF INTEREST.

PART 3–PARITY IN HEALTH BENEFITS

SEC. 461. CERTAIN HEALTH RELATED BENEFITS APPLICABLE TO SPOUSES AND DEPENDENTS EXTENDED TO ELIGIBLE BENEFICIARIES.

SEC. 1113. EXTENSION OF HOSPICE REGULATION MORATORIUM.

`CONVERSION OF ACUTE CARE EPISODE DEMONSTRATION TO PILOT PROGRAM AND EXPANSION TO INCLUDE POST ACUTE SERVICES

SEC. 1159. INSTITUTE OF MEDICINE STUDY OF GEOGRAPHIC VARIATION IN HEALTH CARE SPENDING AND PROMOTING HIGH-VALUE HEALTH CARE.

SEC. 1191. TELEHEALTH EXPANSION AND ENHANCEMENTS. .

SEC. 1311. EXPANSION OF MEDICARE-COVERED PREVENTIVE SERVICES AT FEDERALLY QUALIFIED HEALTH CENTERS.

SEC. 1906. ASSESSMENT OF MEDICARE COST-INTENSIVE DISEASES AND CONDITIONS.

DIVISION II–COMMITTEE ON EDUCATION AND LABOR: HEALTH CARE REFORM

SECTION 1. SHORT TITLE; TABLE OF SUBDIVISIONS, TITLES, AND SUBTITLES.

Subtitle D–State Innovation.
TITLE II–MEDICARE BENEFICIARY IMPROVEMENTS
TITLE III–PROMOTING PRIMARY CARE, MENTAL HEALTH SERVICES, AND COORDINATED CARE
TITLE IV–QUALITY
TITLE V–MEDICARE GRADUATE MEDICAL EDUCATION
TITLE VI–PROGRAM INTEGRITY
TITLE VII–MEDICAID AND CHIP
TITLE VIII–REVENUE-RELATED PROVISIONS
TITLE IX–MISCELLANEOUS PROVISIONS
Subtitle F–Standards for Accessibility to Medical Equipment for Individuals With Disabilities
SUBDIVISION A–AFFORDABLE HEALTH CARE CHOICES

Sec. 100. Purpose; table of contents of subdivision; general definitions.

Sec. 144. Health Insurance Ombudsman.

TITLE I–PROTECTIONS AND STANDARDS FOR QUALIFIED HEALTH BENEFITS PLANS
Subtitle A–General Standards

SEC. 101. REQUIREMENTS REFORMING HEALTH INSURANCE MARKETPLACE.

SEC. 102. PROTECTING THE CHOICE TO KEEP CURRENT COVERAGE.

Subtitle B–Standards Guaranteeing Access to Affordable Coverage

SEC. 111. PROHIBITING PRE-EXISTING CONDITION EXCLUSIONS.

SEC. 112. GUARANTEED ISSUE AND RENEWAL FOR INSURED PLANS.

SEC. 113. INSURANCE RATING RULES.

SEC. 114. NONDISCRIMINATION IN BENEFITS; PARITY IN MENTAL HEALTH AND SUBSTANCE ABUSE DISORDER BENEFITS.

SEC. 115. ENSURING ADEQUACY OF PROVIDER NETWORKS.

SEC. 116. ENSURING VALUE AND LOWER PREMIUMS.

SEC. 117. CONSISTENCY OF COSTS AND COVERAGE UNDER QUALIFIED HEALTH BENEFITS PLANS DURING PLAN YEAR.

Subtitle C–Standards Guaranteeing Access to Essential Benefits

SEC. 121. COVERAGE OF ESSENTIAL BENEFITS PACKAGE.

SEC. 122. ESSENTIAL BENEFITS PACKAGE DEFINED.

SEC. 123. HEALTH BENEFITS ADVISORY COMMITTEE.

SEC. 124. PROCESS FOR ADOPTION OF RECOMMENDATIONS; ADOPTION OF BENEFIT STANDARDS.

SEC. 125. PROHIBITION OF DISCRIMINATION IN HEALTH CARE SERVICES BASED ON RELIGIOUS OR SPIRITUAL CONTENT.

Subtitle D–Additional Consumer Protections

SEC. 131. REQUIRING FAIR MARKETING PRACTICES BY HEALTH INSURERS.

SEC. 132. REQUIRING FAIR GRIEVANCE AND APPEALS MECHANISMS.

SEC. 133. REQUIRING INFORMATION TRANSPARENCY AND PLAN DISCLOSURE.

SEC. 134. APPLICATION TO QUALIFIED HEALTH BENEFITS PLANS NOT OFFERED THROUGH THE HEALTH INSURANCE EXCHANGE.

SEC. 135. TIMELY PAYMENT OF CLAIMS.

SEC. 136. STANDARDIZED RULES FOR COORDINATION AND SUBROGATION OF BENEFITS.

SEC. 137. APPLICATION OF ADMINISTRATIVE SIMPLIFICATION.

SEC. 138. RECORDS RELATIVE TO PRESCRIPTION INFORMATION.

Subtitle E–Governance

SEC. 141. HEALTH CHOICES ADMINISTRATION; HEALTH CHOICES COMMISSIONER.

SEC. 142. DUTIES AND AUTHORITY OF COMMISSIONER.

SEC. 143. CONSULTATION AND COORDINATION.

SEC. 144. HEALTH INSURANCE OMBUDSMAN.

Subtitle F–Relation to Other Requirements; Miscellaneous

SEC. 151. RELATION TO OTHER REQUIREMENTS.

SEC. 152. PROHIBITING DISCRIMINATION IN HEALTH CARE.

SEC. 153. WHISTLEBLOWER PROTECTION.

SEC. 154. CONSTRUCTION REGARDING COLLECTIVE BARGAINING.

SEC. 155. SEVERABILITY.

SEC. 156. RULE OF CONSTRUCTION REGARDING HAWAII PREPAID HEALTH CARE ACT.

SEC. 157. INCREASING MEANINGFUL USE OF ELECTRONIC HEALTH RECORDS.

SEC. 158. PRIVATE RIGHT OF CONTRACT WITH HEALTH CARE PROVIDERS.

Subtitle G–Early Investments

SEC. 161. ENSURING VALUE AND LOWER PREMIUMS.

`SEC. 2714. ENSURING VALUE AND LOWER PREMIUMS.

`SEC. 2754. ENSURING VALUE AND LOWER PREMIUMS.

SEC. 162. ENDING HEALTH INSURANCE RESCISSION ABUSE.

`SEC. 2746. OPPORTUNITY FOR INDEPENDENT, EXTERNAL THIRD PARTY REVIEW IN CASES OF RESCISSION.

SEC. 163. ADMINISTRATIVE SIMPLIFICATION.

`SEC. 1173A. STANDARDIZE ELECTRONIC ADMINISTRATIVE TRANSACTIONS.

SEC. 164. REINSURANCE PROGRAM FOR RETIREES.

SEC. 165. PROHIBITION AGAINST POST-RETIREMENT REDUCTIONS OF RETIREE HEALTH BENEFITS BY GROUP HEALTH PLANS.

`SEC. 715. PROTECTION AGAINST POST-RETIREMENT REDUCTION OF RETIREE HEALTH BENEFITS.

SEC. 167. EXTENSION OF COBRA CONTINUATION COVERAGE.

TITLE II–HEALTH INSURANCE EXCHANGE AND RELATED PROVISIONS
Subtitle A–Health Insurance Exchange

SEC. 201. ESTABLISHMENT OF HEALTH INSURANCE EXCHANGE; OUTLINE OF DUTIES; DEFINITIONS.

SEC. 202. EXCHANGE-ELIGIBLE INDIVIDUALS AND EMPLOYERS.

SEC. 203. BENEFITS PACKAGE LEVELS.

SEC. 204. CONTRACTS FOR THE OFFERING OF EXCHANGE-PARTICIPATING HEALTH BENEFITS PLANS.

SEC. 206. OTHER FUNCTIONS.

SEC. 207. HEALTH INSURANCE EXCHANGE TRUST FUND.

SEC. 208. OPTIONAL OPERATION OF STATE-BASED HEALTH INSURANCE EXCHANGES.

SEC. 209. PARTICIPATION OF SMALL EMPLOYER BENEFIT ARRANGEMENTS.

Subtitle B–Public Health Insurance Option

SEC. 221. ESTABLISHMENT AND ADMINISTRATION OF A PUBLIC HEALTH INSURANCE OPTION AS AN EXCHANGE-QUALIFIED HEALTH BENEFITS PLAN.

SEC. 222. PREMIUMS AND FINANCING.

SEC. 223. PAYMENT RATES FOR ITEMS AND SERVICES.

SEC. 224. MODERNIZED PAYMENT INITIATIVES AND DELIVERY SYSTEM REFORM.

SEC. 225. PROVIDER PARTICIPATION.

SEC. 226. APPLICATION OF FRAUD AND ABUSE PROVISIONS.

SEC. 227. SENSE OF THE HOUSE REGARDING ENROLLMENT OF MEMBERS IN THE PUBLIC OPTION.

Subtitle C–Individual Affordability Credits

SEC. 241. AVAILABILITY THROUGH HEALTH INSURANCE EXCHANGE.

SEC. 242. AFFORDABLE CREDIT ELIGIBLE INDIVIDUAL.

SEC. 243. AFFORDABLE PREMIUM CREDIT.

SEC. 244. AFFORDABILITY COST-SHARING CREDIT.

SEC. 245. INCOME DETERMINATIONS.

SEC. 246. NO FEDERAL PAYMENT FOR UNDOCUMENTED ALIENS.

Subtitle D–State Innovation

SEC. 251. WAIVER OF ERISA LIMITATION; APPLICATION INSTEAD OF STATE SINGLE PAYER SYSTEM.

SEC. 252. REQUIREMENTS.

SEC. 253. DEFINITIONS.

TITLE III–SHARED RESPONSIBILITY
Subtitle A–Individual Responsibility

SEC. 301. INDIVIDUAL RESPONSIBILITY.

Subtitle B–Employer Responsibility
PART 1–HEALTH COVERAGE PARTICIPATION REQUIREMENTS

SEC. 311. HEALTH COVERAGE PARTICIPATION REQUIREMENTS.

SEC. 312. EMPLOYER RESPONSIBILITY TO CONTRIBUTE TOWARDS EMPLOYEE AND DEPENDENT COVERAGE.

SEC. 313. EMPLOYER CONTRIBUTIONS IN LIEU OF COVERAGE.

SEC. 314. AUTHORITY RELATED TO IMPROPER STEERING.

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. 322. SATISFACTION OF HEALTH COVERAGE PARTICIPATION REQUIREMENTS UNDER THE INTERNAL REVENUE CODE OF 1986.

SEC. 323. SATISFACTION OF HEALTH COVERAGE PARTICIPATION REQUIREMENTS UNDER THE PUBLIC HEALTH SERVICE ACT.

`SEC. 2793. NATIONAL HEALTH COVERAGE PARTICIPATION REQUIREMENTS.

SEC. 324. ADDITIONAL RULES RELATING TO HEALTH COVERAGE PARTICIPATION REQUIREMENTS.

TITLE IV–AMENDMENTS TO INTERNAL REVENUE CODE OF 1986
Subtitle A–Shared Responsibility
PART 1–INDIVIDUAL RESPONSIBILITY

SEC. 401. 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.’.
PART 2–EMPLOYER RESPONSIBILITY

SEC. 411. ELECTION TO SATISFY HEALTH COVERAGE PARTICIPATION REQUIREMENTS.

`SEC. 4980H. ELECTION WITH RESPECT TO HEALTH COVERAGE PARTICIPATION REQUIREMENTS.

SEC. 412. RESPONSIBILITIES OF NONELECTING EMPLOYERS.

Subtitle B–Credit for Small Business Employee Health Coverage Expenses

SEC. 421. CREDIT FOR SMALL BUSINESS EMPLOYEE HEALTH COVERAGE EXPENSES.

`SEC. 45R. SMALL BUSINESS EMPLOYEE HEALTH COVERAGE CREDIT.

Subtitle C–Disclosures To Carry Out Health Insurance Exchange Subsidies

SEC. 431. DISCLOSURES TO CARRY OUT HEALTH INSURANCE EXCHANGE SUBSIDIES.

Subtitle D–Other Revenue Provisions
PART 1–GENERAL PROVISIONS

SEC. 441. 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. 442. DELAY IN APPLICATION OF WORLDWIDE ALLOCATION OF INTEREST.

PART 2–PREVENTION OF TAX AVOIDANCE

SEC. 451. LIMITATION ON TREATY BENEFITS FOR CERTAIN DEDUCTIBLE PAYMENTS.

SEC. 452. CODIFICATION OF ECONOMIC SUBSTANCE DOCTRINE.

SEC. 453. PENALTIES FOR UNDERPAYMENTS.

SUBDIVISION B–MEDICARE AND MEDICAID IMPROVEMENTS

Sec. 1001. Table of contents of subdivision.

Sec. 1702. Requirements and special rules for certain Medicaid eligible individuals.

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.

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.

Subtitle B–Provisions Related to Part B
PART 1–PHYSICIANS’ SERVICES

SEC. 1121. SUSTAINABLE GROWTH RATE REFORM.

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. 1143. HOME INFUSION THERAPY REPORT TO CONGRESS.

SEC. 1144. REQUIRE AMBULATORY SURGICAL CENTERS (ASCS) TO SUBMIT COST DATA AND OTHER DATA.

SEC. 1145. TREATMENT OF CERTAIN CANCER HOSPITALS.

SEC. 1146. MEDICARE IMPROVEMENT FUND.

SEC. 1147. PAYMENT FOR IMAGING SERVICES.

SEC. 1148. DURABLE MEDICAL EQUIPMENT PROGRAM IMPROVEMENTS.

SEC. 1149. MEDPAC STUDY AND REPORT ON BONE MASS MEASUREMENT.

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.

`SEC. 1866D. 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. 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.

Subtitle D–Medicare Advantage Reforms
PART 1–PAYMENT AND ADMINISTRATION

SEC. 1161. PHASE-IN OF PAYMENT BASED ON FEE-FOR-SERVICE COSTS.

SEC. 1162. QUALITY BONUS PAYMENTS.

SEC. 1163. EXTENSION OF SECRETARIAL CODING INTENSITY ADJUSTMENT AUTHORITY.

SEC. 1164. SIMPLIFICATION OF ANNUAL BENEFICIARY ELECTION PERIODS.

SEC. 1165. EXTENSION OF REASONABLE COST CONTRACTS.

SEC. 1166. LIMITATION OF WAIVER AUTHORITY FOR EMPLOYER GROUP PLANS.

SEC. 1167. IMPROVING RISK ADJUSTMENT FOR PAYMENTS.

SEC. 1168. 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.

PART 3–TREATMENT OF SPECIAL NEEDS PLANS

SEC. 1177. EXTENSION OF AUTHORITY OF SPECIAL NEEDS PLANS TO RESTRICT ENROLLMENT.

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. PERMITTING MID-YEAR CHANGES IN ENROLLMENT FOR FORMULARY CHANGES THAT ADVERSELY IMPACT AN ENROLLEE.

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 J–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 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. ADVANCE CARE PLANNING CONSULTATION.

`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 K–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 Recommended Vaccines
TITLE L–QUALITY
Subtitle A–Comparative Effectiveness Research

SEC. 1401. COMPARATIVE EFFECTIVENESS RESEARCH.

`Part D–Comparative Effectiveness Research
`COMPARATIVE EFFECTIVENESS RESEARCH
Subtitle B–Nursing Home Transparency
PART 1–IMPROVING TRANSPARENCY OF INFORMATION ON SKILLED NURSING FACILITIES AND NURSING FACILITIES

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.

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 M–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 N–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. 1619. EXCLUSION OF CERTAIN INDIVIDUALS AND ENTITIES FROM PARTICIPATION IN MEDICARE AND STATE HEALTH CARE PROGRAMS.

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.

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. 1653. COMPLIANCE WITH HIPAA PRIVACY AND SECURITY STANDARDS.

TITLE O–MEDICAID AND CHIP
Subtitle A–Medicaid and Health Reform

SEC. 1701. ELIGIBILITY FOR INDIVIDUALS WITH INCOME BELOW 133 1/3 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 EFFORT.

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.

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.

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.

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.

Subtitle G–Puerto Rico and the Territories

SEC. 1771. PUERTO RICO AND TERRITORIES.

Subtitle H–Miscellaneous

SEC. 1781. TECHNICAL CORRECTIONS.

SEC. 1782. EXTENSION OF QI PROGRAM.

TITLE P–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 Q–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
SUBDIVISION C–PUBLIC HEALTH AND WORKFORCE DEVELOPMENT

Sec. 2001. Table of contents; references.

SEC. 2002. PUBLIC HEALTH INVESTMENT FUND.

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 ASSISTANTSHIP.

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.

Subtitle B–Nursing Workforce

SEC. 2221. AMENDMENTS TO PUBLIC HEALTH SERVICE ACT.

`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 CARE 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.

`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

SEC. 2501. EXPANDED PARTICIPATION IN 340B PROGRAM.

SEC. 2502. EXTENSION OF DISCOUNTS TO INPATIENT DRUGS.

SEC. 2503. EFFECTIVE DATE.

Subtitle B–School-Based Health Clinics

SEC. 2511. SCHOOL-BASED HEALTH CLINICS.

`SEC. 399Z-1. SCHOOL-BASED HEALTH CLINICS.

Subtitle C–National Medical Device Registry

SEC. 2521. NATIONAL MEDICAL DEVICE REGISTRY.

`National Medical Device Registry
Subtitle D–Grants for Comprehensive Programs to Provide Education to Nurses and Create a Pipeline to Nursing

SEC. 2531. ESTABLISHMENT OF GRANT PROGRAM.

Subtitle E–States Failing To Adhere to Certain Employment Obligations

SEC. 2541. LIMITATION ON FEDERAL FUNDS.

Subtitle F–Standards for Accessibility to Medical Equipment for Individuals With Disabilities.

SEC. 2541. ACCESS FOR INDIVIDUALS WITH DISABILITIES.

`SEC. 510. STANDARDS FOR ACCESSIBILITY OF MEDICAL DIAGNOSTIC EQUIPMENT.

Subtitle G–Other Grant Programs

SEC. 2551. REDUCING STUDENT-TO-SCHOOL NURSE RATIOS.

SEC. 2552. WELLNESS PROGRAM GRANTS.

SEC. 2553. HEALTH PROFESSIONS TRAINING FOR DIVERSITY PROGRAMS.

Subtitle H–Long-term Care and Family Caregiver Support

SEC. 2561. LONG-TERM CARE AND FAMILY CAREGIVER SUPPORT.

Subtitle I–Online Resources

SEC. 2571. WEB SITE ON HEALTH CARE LABOR MARKET AND RELATED EDUCATIONAL AND TRAINING OPPORTUNITIES.

SEC. 2572. ONLINE HEALTH WORKFORCE TRAINING PROGRAMS.

DIVISION III–HOUSE COMMITTEE ON EDUCATION AND LABOR: INVESTING IN EDUCATION

SECTION 1. SHORT TITLE.

Sec. 1. Short title.

Sec. 2. Table of contents.

SEC. 3. REFERENCES.

TITLE I–INVESTING IN STUDENTS AND FAMILIES
Subtitle A–Increasing College Access and Completion

SEC. 101. FEDERAL PELL GRANTS.

SEC. 102. COLLEGE ACCESS AND COMPLETION INNOVATION FUND.

`PART E–COLLEGE ACCESS AND COMPLETION INNOVATION FUND’.

`SEC. 780. PURPOSES.

`SEC. 782. STATE INNOVATION COMPLETION GRANTS.

`SEC. 783. INNOVATION IN COLLEGE ACCESS AND COMPLETION NATIONAL ACTIVITIES.

`SEC. 784. EVALUATION.

`SEC. 785. VETERANS RESOURCE OFFICER GRANTS.

SEC. 103. INVESTMENT IN HISTORICALLY BLACK COLLEGES AND UNIVERSITIES AND OTHER MINORITY-SERVING INSTITUTIONS.

SEC. 104. INVESTMENT IN COOPERATIVE EDUCATION.

SEC. 105. LOAN FORGIVENESS FOR SERVICEMEMBERS ACTIVATED FOR DUTY.

SEC. 106. VETERANS EDUCATIONAL EQUITY SUPPLEMENTAL GRANT PROGRAM.

`SEC. 401B. VETERANS EDUCATIONAL EQUITY SUPPLEMENTAL GRANT PROGRAM.

Subtitle B–Student Financial Aid Form Simplification

SEC. 121. GENERAL EFFECTIVE DATE.

SEC. 122. TREATMENT OF ASSETS IN NEED ANALYSIS.

SEC. 123. CHANGES TO TOTAL INCOME; AID ELIGIBILITY.

TITLE II–STUDENT LOAN REFORM
Subtitle A–Stafford Loan Reform

SEC. 201. FEDERAL FAMILY EDUCATION LOAN APPROPRIATIONS.

SEC. 202. SCOPE AND DURATION OF FEDERAL LOAN INSURANCE PROGRAM.

SEC. 203. APPLICABLE INTEREST RATES.

SEC. 204. FEDERAL PAYMENTS TO REDUCE STUDENT INTEREST COSTS.

SEC. 205. FEDERAL PLUS LOANS.

SEC. 206. FEDERAL CONSOLIDATION LOAN.

SEC. 207. UNSUBSIDIZED STAFFORD LOANS FOR MIDDLE-INCOME BORROWERS.

SEC. 208. LOAN REPAYMENT FOR CIVIL LEGAL ASSISTANCE ATTORNEYS.

SEC. 209. SPECIAL ALLOWANCES.

SEC. 210. REVISED SPECIAL ALLOWANCE CALCULATION.

SEC. 211. ORIGINATION OF DIRECT LOANS AT INSTITUTIONS LOCATED OUTSIDE THE UNITED STATES.

SEC. 212. AGREEMENTS WITH INSTITUTIONS.

SEC. 213. TERMS AND CONDITIONS OF LOANS.

SEC. 214. CONTRACTS.

SEC. 215. INTEREST RATES.

Subtitle B–Perkins Loan Reform

SEC. 221. FEDERAL DIRECT PERKINS LOANS TERMS AND CONDITIONS.

`SEC. 455A. FEDERAL DIRECT PERKINS LOANS.

SEC. 222. AUTHORIZATION OF APPROPRIATIONS.

SEC. 223. ALLOCATION OF FUNDS.

SEC. 224. FEDERAL DIRECT PERKINS LOAN ALLOCATION.

`SEC. 462A. FEDERAL DIRECT PERKINS LOAN ALLOCATION.

SEC. 225. AGREEMENTS WITH INSTITUTIONS OF HIGHER EDUCATION.

SEC. 226. STUDENT LOAN INFORMATION BY ELIGIBLE INSTITUTIONS.

SEC. 227. TERMS OF LOANS.

SEC. 228. DISTRIBUTION OF ASSETS FROM STUDENT LOAN FUNDS.

`SEC. 466. DISTRIBUTION OF ASSETS FROM STUDENT LOAN FUNDS.

SEC. 229. IMPLEMENTATION OF NON-TITLE IV REVENUE REQUIREMENT.

SEC. 230. ADMINISTRATIVE EXPENSES.

TITLE III–MODERNIZATION, RENOVATION, AND REPAIR
Subtitle A–Elementary and Secondary Education

SEC. 301. DEFINITIONS.

CHAPTER 1–GRANTS FOR MODERNIZATION, RENOVATION, OR REPAIR OF PUBLIC SCHOOL FACILITIES

SEC. 311. PURPOSE.

SEC. 312. ALLOCATION OF FUNDS.

SEC. 313. ALLOWABLE USES OF FUNDS.

SEC. 314. PRIORITY PROJECTS.

CHAPTER 2–SUPPLEMENTAL GRANTS FOR LOUISIANA, MISSISSIPPI, AND ALABAMA

SEC. 321. PURPOSE.

SEC. 322. ALLOCATION TO LOCAL EDUCATIONAL AGENCIES.

SEC. 323. ALLOWABLE USES OF FUNDS.

CHAPTER 3–GENERAL PROVISIONS

SEC. 331. IMPERMISSIBLE USES OF FUNDS.

SEC. 332. SUPPLEMENT, NOT SUPPLANT.

SEC. 333. PROHIBITION REGARDING STATE AID.

SEC. 334. MAINTENANCE OF EFFORT.

SEC. 335. SPECIAL RULE ON CONTRACTING.

SEC. 336. USE OF AMERICAN IRON, STEEL, AND MANUFACTURED GOODS.

SEC. 337. LABOR STANDARDS.

SEC. 338. CHARTER SCHOOLS.

SEC. 339. GREEN SCHOOLS.

SEC. 340. REPORTING.

SEC. 341. SPECIAL RULES.

SEC. 342. PROMOTION OF EMPLOYMENT EXPERIENCES.

SEC. 343. ADVISORY COUNCIL ON GREEN, HIGH-PERFORMING PUBLIC SCHOOL FACILITIES.

SEC. 344. EDUCATION REGARDING PROJECTS.

SEC. 345. AVAILABILITY OF FUNDS.

Subtitle B–Higher Education

SEC. 351. FEDERAL ASSISTANCE FOR COMMUNITY COLLEGE MODERNIZATION AND CONSTRUCTION.

TITLE IV–EARLY LEARNING CHALLENGE FUND

SEC. 401. PURPOSE.

SEC. 402. PROGRAMS AUTHORIZED.

SEC. 403. QUALITY PATHWAYS GRANTS.

SEC. 404. DEVELOPMENT GRANTS.

SEC. 405. RESEARCH AND EVALUATION.

SEC. 406. REPORTING REQUIREMENTS.

SEC. 407. CONSTRUCTION.

SEC. 408. DEFINITIONS.

SEC. 409. AVAILABILITY OF FUNDS.

TITLE V–AMERICAN GRADUATION INITIATIVE

SEC. 501. AUTHORIZATION AND APPROPRIATION.

SEC. 502. DEFINITIONS; GRANT PRIORITY.

SEC. 503. GRANTS TO ELIGIBLE ENTITIES FOR COMMUNITY COLLEGE REFORM.

SEC. 504. GRANTS TO ELIGIBLE STATES FOR COMMUNITY COLLEGE PROGRAMS.

SEC. 505. NATIONAL ACTIVITIES.

Update II: Waiting For The Weasel Vote (Baier Badgers Barack)

Democracy, Democrats, Healthcare, Media, Regulation, Republicans

“A procedural sleight of hand,” the Washington Post calls Pelosi’s putative plan to pass her hulking healthcare bill without having members vote on it.

Instead, Pelosi (D-Calif.) would rely on a procedural sleight of hand: The House would vote on a more popular package of fixes to the Senate bill; under the House rule for that vote, passage would signify that lawmakers “deem” the health-care bill to be passed.

The tactic — known as a “self-executing rule” or a “deem and pass” — has been commonly used, although never to pass legislation as momentous as the $875 billion health-care bill. It is one of three options that Pelosi said she is considering for a late-week House vote, but she added that she prefers it because it would politically protect lawmakers who are reluctant to publicly support the measure.

“It’s more insider and process-oriented than most people want to know,” the speaker said in a roundtable discussion with bloggers Monday. “But I like it,” she said, “because people don’t have to vote on the Senate bill.”

This is not unusual; Republicans have resorted to “deem and pass” in the past, but will now make a big fuss, I hope. However, let this country not be lauded, as it often is, by the pundit peanut gallery for the great democracy it is. It is well-accepted that in a democracy the minority is thwarted. Less accepted is the fact that democracy bypasses the majority as well.

Update I: Via Glenn Beck a chart depicting the bypassing of democracy discussed in this post:

Update II (March 17): BAIER BADGERS BARACK. Bret has to be saluted for his valiant efforts to get this smooth operator of a president to answer a question instead of mouth agitprop, in this exclusive FoxNews interview. It’s worth watching Baier at work. He’s good. But, of course, the top propagandist had the upper hand in the end.