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Health Care Reform

Health Care Reform


Tue Jun 21, 2011 8:08 pm Post
A BILL

To provide affordable, guaranteed private health coverage that will make Americans healthier and can never be taken away.

Be it enacted by the Senate and House of Representatives of the United States of America in Congress assembled,

SECTION 1. SHORT TITLE; TABLE OF CONTENTS.

(a) Short Title- This Act may be cited as the `Healthy Americans Act'.

(b) Table of Contents-

Sec. 1. Short title; table of contents.

Sec. 2. Findings.

Sec. 3. Definitions.

TITLE I--HEALTHY AMERICANS PRIVATE INSURANCE PLANS

Subtitle A--Guaranteed Private Coverage

Sec. 101. Guarantee of Healthy Americans Private Insurance coverage.

Sec. 102. Individual responsibility to enroll in a Healthy Americans Private Insurance plan.

Sec. 103. Guaranteeing you can keep the coverage you have.

Sec. 104. Coordination of supplemental coverage under the Medicaid program to HAPI plan coverage for nondisabled, nonelderly adult individuals.

Subtitle B--Standards for Healthy Americans Private Insurance Coverage

Sec. 111. Healthy Americans Private Insurance Plans.

Sec. 112. Specific coverage requirements.

Sec. 113. Updating Healthy Americans Private Insurance plan requirements.

Subtitle C--Eligibility for Premium and Personal Responsibility Contribution Subsidies

Sec. 121. Eligibility for premium subsidies.

Sec. 122. Eligibility for personal responsibility contribution subsidies.

Sec. 123. Definitions and special rules.

Subtitle D--Wellness Programs

Sec. 131. Requirements for wellness programs.

TITLE II--HEALTHY START FOR CHILDREN

Subtitle A--Benefits and Eligibility

Sec. 201. General goal and authorization of appropriations for HAPI plan coverage for children.

Sec. 202. Coordination of supplemental coverage under the Medicaid program with HAPI plan coverage for children.

Subtitle B--Service Providers

Sec. 211. Inclusion of providers under HAPI plans.

Sec. 212. Use of, and grants for, school-based health centers.

TITLE III--BETTER HEALTH FOR OLDER AND DISABLED AMERICANS

Subtitle A--Assurance of Supplemental Medicaid Coverage

Sec. 301. Coordination of supplemental coverage under the Medicaid program for elderly and disabled individuals.

Subtitle B--Empowering Individuals and States To Improve Long-Term Care Choices

Sec. 311. New, automatic Medicaid option for State Choices for Long-Term Care Program.

Sec. 312. Simpler and more affordable long-term care insurance coverage.

TITLE IV--HEALTHIER MEDICARE

Subtitle A--Authority To Adjust Amount of Part B Premium To Reward Positive Health Behavior

Sec. 401. Authority to adjust amount of Medicare part B premium to reward positive health behavior.

Subtitle B--Promoting Primary Care for Medicare Beneficiaries

Sec. 411. Primary care services management payment.

Subtitle C--Chronic Care Disease Management

Sec. 421. Chronic care disease management.

Sec. 422. Chronic Care Education Centers.

Subtitle D--Part D Improvements

Sec. 431. Process for individuals entering the Medicare coverage gap to switch to a plan that provides coverage in the gap.

Subtitle E--Improving Quality in Hospitals for All Patients

Sec. 441. Improving quality in hospitals for all patients.

Subtitle F--End-of-Life Care Improvements

Sec. 451. Patient empowerment and following a patient's health care wishes.

Sec. 452. Permitting hospice beneficiaries to receive curative care.

Sec. 453. Providing beneficiaries with information regarding end-of-life care clearinghouse.

Sec. 454. Clearinghouse.

Subtitle G--Additional Provisions

Sec. 461. Additional cost information.

Sec. 462. Reducing Medicare paperwork and regulatory burdens.

TITLE V--STATE HEALTH HELP AGENCIES

Sec. 501. Establishment.

Sec. 502. Responsibilities and authorities.

Sec. 503. Appropriations for Transition to State Health Help Agencies.

TITLE VI--SHARED RESPONSIBILITIES

Subtitle A--Individual Responsibilities

Sec. 601. Individual responsibility to ensure HAPI plan coverage.

Subtitle B--Employer Responsibilities

Sec. 611. Health care responsibility payments.

Sec. 612. Distribution of individual responsibility payments to HHAs.

Subtitle C--Insurer Responsibilities

Sec. 621. Insurer responsibilities.

Subtitle D--State Responsibilities

Sec. 631. State responsibilities.

Sec. 632. Empowering states to innovate through waivers.

Subtitle E--Federal Fallback Guarantee Responsibility

Sec. 641. Federal guarantee of access to coverage.

Subtitle F--Federal Financing Responsibilities

Sec. 651. Appropriation for subsidy payments.

Sec. 652. Recapture of Medicare and 90 percent of Medicaid Federal DSH funds to strengthen Medicare and ensure continued support for public health programs.

Subtitle G--Tax Treatment of Health Care Coverage Under Healthy Americans Program; Termination of Coverage Under Other Governmental Programs and Transition Rules for Medicaid and CHIP

Part I--Tax Treatment of Health Care Coverage Under Healthy Americans Program

Sec. 661. Limited employee income and payroll tax exclusion for employer shared responsibility payments, historic retiree health contributions, and transitional coverage contributions.

Sec. 662. Exclusion for limited employer-provided health care fringe benefits.

Sec. 663. Limited employer deduction for employer shared responsibility payments, historic retiree health contributions, and other health care expenses.

Sec. 664. Health care standard deduction.

Sec. 665. Modification of other tax incentives to complement Healthy Americans program.

Part II--Clarification of ERISA Treatment; Termination of Coverage Under Other Governmental Programs and Transition Rules for Medicaid and CHIP

Sec. 671. Clarification of ERISA applicability to employer-sponsored HAPI plans.

Sec. 672. Federal Employees Health Benefits Plan.

Sec. 673. Medicaid and CHIP.

TITLE VII--PURCHASING HEALTH SERVICES AND PRODUCTS THAT ARE MOST EFFECTIVE

Subtitle A--Effective Health Services and Products

Sec. 701. One time disallowance of deduction for advertising and promotional expenses for certain prescription pharmaceuticals.

Sec. 702. Enhanced new drug and device approval.

Sec. 703. Medical schools and finding what works in health care.

Sec. 704. Finding affordable health care providers nearby.

Subtitle B--Other Provisions to Improve Health Care Services and Quality

Sec. 711. Individual medical records.

Sec. 712. Bonus payment for medical malpractice reform.

Sec. 713. Prioritizing health care employment and training activities.

TITLE VIII--CONTAINING MEDICAL COSTS AND GETTING MORE VALUE FOR THE HEALTH CARE DOLLAR

Sec. 801. Cost-containment results of the Healthy Americans Act.

For full text of legislation click here:http://thomas.loc.gov/cgi-bin/query/F?c111:1:./temp/~c111CQIGPc:e0:
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Re: Health Care Reform


Tue Jun 21, 2011 8:16 pm Post
What the hell try to get it passed.
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