Health Care Costs And Insurance
US Congress 115th Congress
America Wins Act [HB-4209]
America Wins Act The bill amends the Internal Revenue Code to impose an excise tax on the carbon dioxide content of coal, petroleum and petroleum products, and natural gas sold by the manufacturer, producer, or importer and require the revenues to be used for infrastructure and other purposes. Refunds or credits for the tax must be issued for carbon substances that are: (1) not emitted due to use as a feedstock or through carbon capture and sequestration, or (2) previously taxed carbon substances used to make another taxable carbon substance. The
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Sponsored by: Rep. Barbara Lee Referred To The Subcommittee On Energy. on 05/22/2018
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State Public Option Act [S.2001]
State Public Option Act This bill allows residents not already eligible for Medicaid who are not concurrently enrolled in other health insurance coverage to buy into a state Medicaid plan beginning January 1, 2018. The bill makes such buy-in coverage eligible for premium subsidies and reduced cost sharing under the Patient Protection and Affordable Care Act. The Agency for Healthcare Research and Quality shall develop standardized, state-level metrics of access to, and satisfaction with, providers for individuals enrolled in state Medicaid plans.
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Sponsored by: Sen. Robert Casey
Read Twice And Referred To The Committee On Finance. on 10/24/2017
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Spending Cuts to Expired and Unnecessary Programs Act [S.2979]
Spending Cuts to Expired and Unnecessary Programs Act This bill rescinds approximately $15 billion in budget authority over 2018-2028 that was proposed to be rescinded by the President under procedures included in the Impoundment Control Act of 1974. (A rescission is legislation enacted by Congress that cancels the availability of previously enacted budget authority before the authority would otherwise expire. Under current law, the President may propose rescissions to Congress, which must be enacted into law to take effect. Congress may rescind
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Sponsored by: Sen. Mike Lee
Read Twice And Referred Concurrently To The Committees On Appropriations; The Budget Pursuant To The Order Of January 30, 1975, As Modified By The Order Of April 11, 1986, With Instructions That The Budget Committee Be Authorized To Report Its Views To The Appropriations Committee, And That The Latter Alone Be Authorized To Report The Bill. on 05/24/2018
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Medicare Patient Empowerment Act of 2017 [HB-4133]
Medicare Patient Empowerment Act of 2017 This bill allows any Medicare beneficiary to enter into a contract with an eligible professional, regardless of whether the professional is a participating or non-participating physician or practitioner, for any item or service covered by Medicare. Such beneficiaries may submit a claim for Medicare payment in the amount that would otherwise apply, except that, where the professional is considered to be non-participating, payment shall be paid as if the professional were participating. An eligible professional
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Sponsored by: Rep. David Roe
Referred To The Subcommittee On Health. on 10/27/2017
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Tribal Employment and Jobs Protection Act [S.2943]
Tribal Employment and Jobs Protection Act This bill amends the Internal Revenue Code to exclude from the definition of "applicable large employer" for purposes of the employer health care mandate under the Patient Protection and Affordable Care Act (PPACA): (1) any Indian tribal government or subdivision, (2) any tribal organization, or (3) any corporation or partnership if more than 50% of the equity interest of such an entity is owned by an Indian tribal government or tribal organization. An applicable large employer is defined by PPACA as an
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Sponsored by: Sen. Mike Rounds
Read Twice And Referred To The Committee On Finance. on 05/23/2018
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Strengthening Partnerships to Prevent Opioid Abuse Act of 2018 [S.2905]
Strengthening Partnerships to Prevent Opioid Abuse Act of 2018 This bill requires the Centers for Medicare & Medicaid Services (CMS) to establish a secure online portal to allow: (1) data sharing among the CMS, Medicare prescription drug benefit plans, and Medicare Advantage (MA) plans; and (2) referrals by such plans of suspicious activities related to fraud, waste, or abuse in order to initiate or assist investigations by contracted entities under the Medicare Integrity Program. The CMS must disseminate and report certain collected information
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Sponsored by: Sen. Claire McCaskill
Read Twice And Referred To The Committee On Finance. on 05/22/2018
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Commit to Opioid Medical Prescriber Accountability and Safety for Seniors Act of 2018 [S.2920]
Commit to Opioid Medical Prescriber Accountability and Safety for Seniors Act of 2018 This bill requires the Centers for Medicare & Medicaid Services (CMS) to identify outlier prescribers of opioids under the Medicare prescription drug benefit and Medicare Advantage prescription drug plans. Specifically, the CMS must: (1) establish an opioid-prescription threshold for determining whether a prescriber is an outlier compared to other prescribers, based on specialty and geographic area; (2) use National Provider Identifiers (unique provider identification
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Sponsored by: Sen. Claire McCaskill
Read Twice And Referred To The Committee On Finance. on 05/22/2018
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A bill to amend title XVIII of the Social Security Act to provide for electronic prior authorization under Medicare part D for covered part D drugs, and for other purposes. [S.2908]
A bill to amend title XVIII of the Social Security Act to provide for electronic prior authorization under Medicare part D for covered part D drugs, and for other purposes. This bill requires electronic prescription programs to enable the secure transmittal of prior authorization requests for covered drugs under the Medicare prescription drug benefit.
Sponsored by: Sen. Susan Collins
Read Twice And Referred To The Committee On Finance. on 05/22/2018
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Energy and Water, Legislative Branch, and Military Construction and Veterans Affairs Appropriations Act, 2019 [HB-5895]
Energy and Water, Legislative Branch, and Military Construction and Veterans Affairs Appropriations Act, 2019 (Sec. 3) Specifies that, unless this bill expressly provides otherwise, references to "this Act" included in a division shall be treated as referring only to the provisions of that division. (Sec. 4) Specifies that this bill provides appropriations for FY2019. DIVISION A--ENERGY AND WATER DEVELOPMENT AND RELATED AGENCIES APPROPRIATIONS ACT, 2019 Energy and Water Development and Related Agencies Appropriations Act, 2019 This division provides
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Sponsored by: Rep. Michael Simpson
Signed By President. on 09/21/2018
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To establish an Advisory Committee on Opioids and the Workplace to advise the Secretary of Labor on actions the Department of Labor can take to address the impact of opioid abuse on the workplace. [HB-5892]
To establish an Advisory Committee on Opioids and the Workplace to advise the Secretary of Labor on actions the Department of Labor can take to address the impact of opioid abuse on the workplace. (Sec. 1) This bill establishes an Advisory Committee on Opioids and the Workplace to advise the Department of Labor on actions Labor can take to provide informational resources and best practices for addressing the impact of opioid abuse on the workplace and supporting workers abusing opioids. The advisory committee must report to Labor and Congress on
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Sponsored by: Rep. Matthew Cartwright
Received In The Senate And Read Twice And Referred To The Committee On Health, Education, Labor, And Pensions. on 06/14/2018
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To amend title XXI to allow for the blending of risk pools of children's health insurance buy-in programs with the risk pools of State child health plans under such title, and for other purposes. [HB-3927]
To amend title XXI to allow for the blending of risk pools of children's health insurance buy-in programs with the risk pools of State child health plans under such title, and for other purposes. This bill allows a state to include in a single risk pool: (1) children enrolled in a state plan under the Children's Health Insurance Program (CHIP); and (2) children enrolled in a health insurance buy-in program that is run by the state and provides, at minimum, benefits identical to those provided under CHIP.
Sponsored by: Rep. Gus Bilirakis
Referred To The Subcommittee On Health. on 10/06/2017
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Security and Financial Empowerment Act of 2017 [HB-4198]
Security and Financial Empowerment Act of 2017
Sponsored by: Rep. Raul Grijalva
Introduced In House on 10/31/2017
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State CHIP Flexibility Act of 2017 [HB-4404]
State CHIP Flexibility Act of 2017 This bill establishes an exception to the requirement that unused Children's Health Insurance Program (CHIP) allotments to states for FY2017 be reduced by one-third. A state shall receive the exception if: (1) the remaining allotment amounts are with respect to expenditures incurred during any quarter of FY2017, (2) the state submitted a claim under its child health plan after September 30, 2017 and before December 31, 2017, and (3) the state could have alternatively submitted a claim for federal funding under
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Sponsored by: Rep. Collin Peterson
Referred To The Subcommittee On Health. on 11/17/2017
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To amend title XIX of the Social Security Act to provide for Medicaid coverage protections for pregnant and post-partum women while receiving inpatient treatment for a substance use disorder, and for other purposes. [HB-5789]
To amend title XIX of the Social Security Act to provide for Medicaid coverage protections for pregnant and post-partum women while receiving inpatient treatment for a substance use disorder, and for other purposes. This bill requires the Centers for Medicare & Medicaid Services to develop guidance for states on neonatal abstinence syndrome services, including coverage options under Medicaid and the Children's Health Insurance Program (CHIP). The Government Accountability Office must also study Medicaid coverage gaps for pregnant and postpartum
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Sponsored by: Sen. Marsha Blackburn
Reported (amended) By The Committee On Energy And Commerce. H. Rept. 115-730. on 06/12/2018
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Medicaid Pharmaceutical Home Act of 2018 [HB-5808]
Medicaid Pharmaceutical Home Act of 2018 This bill requires state Medicaid programs to establish drug-management programs for at-risk beneficiaries (those identified as at risk of abusing or misusing controlled substances).
Sponsored by: Rep. Gus Bilirakis
Reported By The Committee On Energy And Commerce. H. Rept. 115-726. on 06/12/2018
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Medicaid DRUG Improvement Act Medicaid Drug Review, Utilization, Good Governance Improvement Act [HB-5799]
Medicaid DRUG Improvement Act Medicaid Drug Review, Utilization, Good Governance Improvement Act This bill requires state Medicaid programs to establish drug-review and utilization requirements for enrollees, particularly with respect to opioid prescriptions. Drug use review programs must also identify prescribing or billing practices by providers that indicate abuse or excessive utilization.
Sponsored by: Sen. Marsha Blackburn
Reported (amended) By The Committee On Energy And Commerce. H. Rept. 115-728. on 06/12/2018
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PROPER Act of 2018 Providing Reliable Options for Patients and Educational Resources Act of 2018 [HB-5775]
PROPER Act of 2018 Providing Reliable Options for Patients and Educational Resources Act of 2018 (Sec. 2) This bill requires Medicare and Medicare Advantage (MA) prescription drug plan (PDP) sponsors to annually disclose information to enrollees about: (1) the risks of prolonged opioid use; and (2) the plan's coverage of nonpharmacological therapies, devices, and non-opioid medications. PDP sponsors may limit disclosure to a subset of enrollees (such as those who were prescribed an opioid in the previous two-year period). (Sec. 3) The bill also
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Sponsored by: Rep. Bruce Poliquin
Received In The Senate And Read Twice And Referred To The Committee On Finance. on 06/20/2018
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PASS Act of 2018 Preventing Addiction for Susceptible Seniors Act of 2018 [HB-5773]
PASS Act of 2018 Preventing Addiction for Susceptible Seniors Act of 2018 (Sec. 2) This bill alters several requirements under the Medicare prescription drug benefit. Specifically, the bill requires electronic prescription programs to enable the secure transmittal of prior authorization requests for covered drugs. (Sec. 3) The bill also requires the Centers for Medicare & Medicaid Services (CMS) to establish a secure online portal to allow: (1) data sharing among the CMS, Medicare prescription drug benefit plans, and Medicare Advantage (MA) plans;
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Sponsored by: Rep. Terri Sewell
Received In The Senate And Read Twice And Referred To The Committee On Finance. on 06/20/2018
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Jobs and Justice Act of 2018 [HB-5785]
Jobs and Justice Act of 2018 This bill addresses a wide variety of domestic policy matters and focuses on economically distressed communities, opportunities for minorities and the disadvantaged, and civil rights enforcement. Included in the programs and requirements affected are those concerning: diversity in contracting; infrastructure development; areas of persistent poverty; job training for youth and older Americans; education of girls and minorities in STEM fields; the federal minimum wage; military family benefits; health care coverage and
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Sponsored by: Rep. Barbara Lee
Referred To The Subcommittee On Aviation. on 05/14/2018
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MOST Act Medicare and Opioid Safe Treatment Act [HB-5776]
MOST Act Medicare and Opioid Safe Treatment Act This bill establishes several requirements for the Centers for Medicare & Medicaid Services (CMS), and alters requirements under Medicare and Medicare Advantage, related to pain management and opioid use. For example, the bill requires certified opioid treatment program services to be covered under Medicare. Additionally, among other requirements, the CMS must review payments under Medicare for opioid and non-opioid pain management procedures, specifically with respect to ambulatory outpatient surgical
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Sponsored by: Rep. Matthew Cartwright
Reported (amended) By The Committee On Ways And Means. H. Rept. 115-764, Part I. on 06/19/2018