BillCam

Health Care Quality

Number	Legislature	Summary	Subjects
HB-42	Federal	To authorize the Directors of Veterans Integrated Service Networks of the Department of Veterans Affairs to enter into contracts with appropriate civilian accreditation entities or appropriate health care evaluation entities to investigate medical centers of the Department of Veterans Affairs. This bill authorizes the Director of a Veterans Integrated Service Network of the Department of Veterans Affairs to contract with an entity specializing in civilian accreditation or health care evaluation to investigate any medical center within the network to assess deficiencies of the facilities at such medical center. Republican: 100% (2) 100% Republican support	Armed Forces And National Security Department Of Veterans Affairs Government Studies And Investigations Health Care Quality Health Facilities And Institutions Licensing And Registrations Public Contracts And Procurement Veterans' Medical Care
HB-161	Federal	Services for Ending Long-Term Homelessness Act This bill amends the Public Health Service Act to require the Substance Abuse and Mental Health Services Administration to design national strategies and implement programs to address chronic homelessness. To promote an end to chronic homelessness, the Department of Health and Human Services must award grants to provide: mental health services; substance use disorder treatment; integrated, coordinated treatment for co-occurring disorders; health education; services designed to help individuals and families make progress toward self-sufficiency; and other supportive services that promote an end to chronic homelessness. Priority for grants is given to applicants that target services to individuals and families who have experienced more homelessness, use more public emergency care, or have a history with the criminal justice system. Democrat: 100% (6) 100% Democrat support	Health Disability And Paralysis Drug, Alcohol, Tobacco Use Family Services Health Care Quality Health Programs Administration And Funding Health Promotion And Preventive Care Homelessness And Emergency Shelter Housing And Community Development Funding Housing Supply And Affordability
HB-195	Federal	Federal Register Printing Savings Act of 2017 DIVISION A--FEDERAL REGISTER PRINTING SAVINGS ACT OF 2017 Federal Register Printing Savings Act of 2017 (Sec. 2) This division bars the Government Publishing Office from furnishing a printed copy of the Federal Register without charge to any Member of Congress or any other office of the United States during a year unless the Member or office requests: (1) a printed copy of a specific issue of the Federal Register, or (2) a subscription to printed copies of the Federal Register for that year. DIVISION B--EXTENSION OF CONTINUING APPROPRIATIONS ACT, 2018 Extension of Continuing Appropriations Act, 2018 (Sec. 2001) This division amends the Continuing Appropriations Act, 2018 to provide continuing FY2018 appropriations to federal agencies through February 8, 2018 (January 19, 2018, under current law). It ends the government shutdown that began when the existing continuing resolution (CR) expired because none of the 12 FY2018 regular appropriations bills that fund the federal government have been enacted. This division also adds provisions to the Continuing Appropriations Act, 2018 that: permit funds appropriated by the Department of Defense Missile Defeat and Defense Enhancements Appropriations Act, 2018 to be obligated and expended notwithstanding a provision of the National Security Act of 1947 that requires a specific authorization of appropriations for intelligence activities; provide the Department of Agriculture with funding flexibility to ensure that certain demonstration projects for providing meals to low-income children during the summer will be fully operational by May 2018; provide the National Aeronautics and Space Administration (NASA) with funding flexibility to maintain the planned launch capability schedules for the Space Launch System launch vehicle, Exploration Ground Systems, and Orion Multi-Purpose Crew Vehicle programs; provide the Department of Energy with funding flexibility to maintain the June 30, 2017, staffing levels of the Office of Inspector General; provide the Small Business Administration with funding flexibility to accommodate increased demand for general business loans authorized under section 7(a) of the Small Business Act; permit the Department of Housing and Urban Development to make certain adjustments to the Section 8 housing choice voucher annual renewal funding allocations and administrative fee eligibility determinations for public housing agencies in an area for which the President declared a disaster in 2017 or 2018 under the Robert T. Stafford Disaster Relief and Emergency Assistance Act; compensate employees furloughed as a result of any lapse in appropriations which began on or about January 20, 2018; and require certain states, federal grantees, and furloughed state employees to be compensated or reimbursed for periods in which there is a lapse in FY2018 appropriations. (Sec. 2002) This section amends the Further Additional Continuing Appropriations Act, 2018 to strike a provision that extended certain authorities provided by the Foreign Intelligence Surveillance Act of 1978 (FISA) through the duration of the CR. (The FISA Amendments Reauthorization Act of 2017 was signed into law on January 19, 2018.) (Sec. 2003) This section specifies that the time covered by the Continuing Appropriations Act, 2018 includes the period that began on or about January 20, 2018, during which there was a lapse in appropriations. DIVISION C--HEALTHY KIDS ACT Helping Ensure Access for Little Ones, Toddlers, and Hopeful Youth by Keeping Insurance Delivery Stable Act or the HEALTHY KIDS Act (Sec. 101) This division extends funding through FY2023 for the Children's Health Insurance Program (CHIP) and the Child Enrollment Contingency Fund. In addition, the bill reauthorizes through FY2023: the qualifying-states option (which allows states that provided coverage to now CHIP-eligible children prior to CHIP's enactment to continue to provide such coverage), and the express-lane eligibility option (which allows states to use eligibility findings from other public benefit programs to determine children's eligibility for Medicaid and CHIP). Beginning in FY2020, the division allows state child-health plans to adopt more restrictive eligibility standards with respect to children in families whose income exceeds 300% of the poverty line. (Sec. 102) The division extends funding through FY2023 for the Childhood Obesity Demonstration Project and the Pediatric Quality Measures Program. (Sec. 103) The division: (1) extends funding through FY2023 for specified outreach and enrollment grants, and (2) makes eligible for such grants "parent-mentors" who are trained to assist families with children who have no health-insurance coverage. Any nominal amount received by an individual for participation as a parent-mentor shall be disregarded for purposes of determining the individual's income-based eligibility for Medicaid. (Sec. 104) Current law provides states with an enhanced Federal Matching Assistance Percentage (FMAP) for child-health assistance through FY2019. The division maintains the enhanced FMAP in FY2020, but halves the percentage-point increase. (Sec. 105) The Centers for Medicare & Medicaid Services shall make additional funding available to states for specified activities related to mechanized claims systems. DIVISION D--SUSPENSION OF CERTAIN HEALTH-RELATED TAXES (Sec. 4001) This section amends the Internal Revenue Code to extend for two years (2018 and 2019) the moratorium on the 2.3% excise tax on the sale of medical devices. (Under current law, the moratorium expired at the end of 2017.) (Sec. 4002) This section amends the Patient Protection and Affordable Care Act to delay for two years the implementation of the excise tax on high cost employer-sponsored health coverage (commonly referred to as the Cadillac tax). Under the bill, the tax will go into effect in 2022 instead of 2020, as required under current law. (Sec. 4003) This section suspends for 2019 the annual fee imposed on certain health insurance providers based on market share. DIVISION E--BUDGETARY EFFECTS (Sec. 5001) This division exempts the budgetary effects of division C and each succeeding division of this bill from Pay-As-You-Go (PAYGO) rules and certain budget scorekeeping guidelines. Republican: 100% (1) 100% Republican support	Congress Administrative Law And Regulatory Procedures Congressional Operations And Organization Government Publishing Office (gpo) Government Information And Archives Members Of Congress Aging Child Health Child Safety And Welfare Congressional Oversight
HR-332	Federal	Supporting the goals and ideals of the International Day Against Homophobia and Transphobia. Expresses support for the goals and ideals of an International Day Against Homophobia and Transphobia. Encourages: (1) health care providers to offer culturally and clinically competent care to the lesbian, gay, bisexual, or transgender (LGBT) community; (2) schools to support the creation of gay-straight alliances to achieve safer learning environments; (3) individuals to learn about national resources for those who identify as LGBT; and (4) the federal government, states, international funding organizations, and U.S. bilateral and multilateral aid efforts to prioritize the health and human rights of LGBT people. Democrat: 100% (75) 100% Democrat support	Civil Rights And Liberties, Minority Issues Commemorative Events And Holidays Elementary And Secondary Education Foreign Aid And International Relief Health Care Quality Higher Education Human Rights School Administration Sex, Gender, Sexual Orientation Discrimination
S.1153	Federal	Veterans ACCESS Act Veterans Acquiring Community Care Expect Safe Services Act of 2017 (Sec. 2) This bill directs the Department of Veterans Affairs (VA) to deny or revoke eligibility to provide non-VA health care services to veterans for any any health care provider that: (1) was removed from VA employment for violating VA policy relating to the delivery of safe and appropriate health care, (2) violated medical license requirements, (3) had a VA credential revoked on grounds that impact the provider's ability to deliver safe and appropriate health care, or (4) violated a law for which a prison term of more than one year may be imposed. The VA may deny, revoke, or suspend a health care provider's eligibility to provide non-VA health care services based on a reasonable belief that such action is necessary to immediately protect the health or safety of veterans if: (1) the provider is under investigation by a state's medical licensing board, (2) the provider has entered into a settlement agreement for a disciplinary charge relating to the practice of medicine, or (3) the VA otherwise determines that such action is appropriate. The VA shall suspend a health care provider's eligibility to provide non-VA health care services to veterans if such provider is suspended from serving as a VA medical provider. Democrat: 50% (1) Republican: 50% (1) 50% Democrat support 50% Republican support	Armed Forces And National Security Congressional Oversight Department Of Veterans Affairs Employee Performance Government Employee Pay, Benefits, Personnel Management Government Studies And Investigations Health Care Coverage And Access Health Care Quality Health Personnel Licensing And Registrations
HB-2429	Federal	Puerto Rico Task Force Economic Empowerment Act of 2017 Puerto Rico Opportunity, Small Business Prosperity, and Economic Revitalization Act of 2017 This bill amends the Small Business Act to modify requirements for the microloan program for Puerto Rico small businesses and increase access to capital for such program. The Small Business Administration shall establish: (1) a Veteran Business Outreach Center in Puerto Rico, and (2) a temporary Federal and State Technology (FAST) grant program to provide assistance to Puerto Rico businesses. The bill amends the Investment Company Act of 1940 to apply the oversight requirements of that Act to investment companies in U.S. territories. The bill includes Puerto Rico in the Department of Labor reemployment demonstration projects grant program. For FY2018, Labor may transfer funding to the Bureau of Labor Statistics for feasibility studies of the Puerto Rico economy. The bill amends Social Security Act provisions affecting hospitals in Puerto Rico and health care and prescription drug coverage in U.S. territories. The Office of National Drug Control Policy shall develop a publicly available Caribbean Border Counternarcotics Strategy, with emphasis on the borders of Puerto Rico and the U.S. Virgin Islands. Republican: 50% (4) Democrat: 50% (4) 50% Republican support 50% Democrat support	Commerce Government Operations And Politics Appropriations Banking And Financial Institutions Regulation Border Security And Unlawful Immigration Business Education Caribbean Area Census And Government Statistics Congressional Oversight Criminal Justice Information And Records
S.1112	Federal	Maternal Health Accountability Act of 2017 This bill directs the Department of Health and Human Services (HHS) to establish a program under which HHS may make grants to states (including federally recognized Indian tribes and organizations) for the purpose of: (1) reviewing pregnancy-related and pregnancy-associated deaths (maternal deaths); (2) establishing and sustaining a maternal mortality review committee to review relevant information; (3) ensuring that the state department of health develops a plan for ongoing health care provider education in order to improve the quality of maternal care, disseminate findings, and implement recommendations; (4) disseminating a case abstraction form to aid information collection for HHS review and preserve its uniformity; and (5) providing for the public disclosure of information included in state reports. The bill defines "pregnancy-associated death" as the death of a woman while pregnant or during the one-year period following the date of the end of pregnancy, irrespective of the cause of death. It defines "pregnancy-related death" as the death of a woman while pregnant or during the one-year period following the date of the end of pregnancy, irrespective of the pregnancy's duration, from any cause related to, or aggravated by, the pregnancy or its management, excluding any accidental or incidental cause. States shall develop procedures for mandatory reporting to their departments of health by health facilities and professionals concerning maternal deaths and for voluntary reporting of such deaths by family members. States shall investigate each case and prepare a case summary for each case, to be reviewed by the committee and included in applicable reports. The bill amends the Public Health Service Act to direct HHS to take specified steps to eliminate disparities in maternal health outcomes. Democrat: 86% (37) Republican: 11% (5) Independent: 2% (1) 86% Democrat support 11% Republican support 2% Independent support	Health Government Information And Archives Government Studies And Investigations Health Care Coverage And Access Health Care Quality Health Information And Medical Records Health Programs Administration And Funding Health Promotion And Preventive Care Minority Health Performance Measurement
HB-2392	Federal	Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act of 2017 This bill amends the Public Health Service Act to require hospitals to implement and submit to the Department of Health and Human Services (HHS) a staffing plan that complies with specified minimum nurse-to-patient ratios by unit. Hospitals must post a notice regarding nurse-to-patient ratios in each unit and maintain records of actual ratios for each shift in each unit. HHS must adjust Medicare payments to hospitals to cover additional costs incurred in providing services to Medicare beneficiaries that are attributable to compliance with these ratios. The bill states that nurses have a duty and a right to act based on their professional judgment and provide care in the exclusive interests of patients. Nurses may object to, or refuse to participate in, an assignment if it would violate minimum ratios or if they are not prepared by education or experience to fulfill the assignment without compromising the safety of a patient or jeopardizing their nurse's license. Hospitals may not: (1) take specified actions against a nurse based on the nurse's refusal to accept an assignment for such a reason; or (2) discriminate against individuals for good faith complaints relating to the care, services, or conditions of the hospital or related facilities. HHS must publish the names of hospitals penalized for violating the requirements in this bill. The bill adds stipends to the nurse workforce loan repayment and scholarship program. The nurse retention grant program is expanded to authorize programs to implement nurse preceptorship and mentorship projects. Democrat: 100% (58) 100% Democrat support	Health Administrative Law And Regulatory Procedures Civil Actions And Liability Department Of Health And Human Services Employment Discrimination And Employee Rights Government Employee Pay, Benefits, Personnel Management Government Information And Archives Government Studies And Investigations Health Care Quality Health Facilities And Institutions
S.1063	Federal	Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act of 2017 This bill amends the Public Health Service Act to require hospitals to implement and submit to the Department of Health and Human Services (HHS) a staffing plan that complies with specified minimum nurse-to-patient ratios by unit. Hospitals must post a notice regarding nurse-to-patient ratios in each unit and maintain records of actual ratios for each shift in each unit. HHS must adjust Medicare payments to hospitals to cover additional costs incurred in providing services to Medicare beneficiaries that are attributable to compliance with these ratios. The bill states that nurses have a duty and a right to act based on their professional judgment and provide care in the exclusive interests of patients. Nurses may object to, or refuse to participate in, an assignment if it would violate minimum ratios or if they are not prepared by education or experience to fulfill the assignment without compromising the safety of a patient or jeopardizing their nurse's license. Hospitals may not: (1) take specified actions against a nurse based on the nurse's refusal to accept an assignment for such a reason; or (2) discriminate against individuals for good faith complaints relating to the care, services, or conditions of the hospital or related facilities. HHS must publish the names of hospitals penalized for violating the requirements in this bill. The bill adds stipends to the nurse workforce loan repayment and scholarship program. The nurse retention grant program is expanded to authorize programs to implement nurse preceptorship and mentorship projects. Democrat: 80% (4) Independent: 20% (1) 80% Democrat support 20% Independent support	Health Administrative Law And Regulatory Procedures Civil Actions And Liability Department Of Health And Human Services Employment Discrimination And Employee Rights Government Employee Pay, Benefits, Personnel Management Government Information And Archives Government Studies And Investigations Health Care Quality Health Facilities And Institutions
HB-2336	Federal	Behavioral Health Care Integration Act of 2017 This bill amends the Public Health Service Act to replace a Substance Abuse and Mental Health Services Administration (SAMHSA) program to support demonstration projects for providing integrated health care to certain patient populations with a program to support integration of primary and behavioral health care. The program must be designed to lead to full collaboration between primary care and behavioral health providers in the same facility to ensure support for individuals with mental illness and a physical condition or substance use disorder. Under the program, grants and cooperative agreements may be awarded to state departments of health, state mental health or addiction agencies, state Medicaid agencies, and health care providers and institutions. Recipients must report to SAMHSA on progress in reducing barriers to integrated care and outcomes for certain patient populations. Democrat: 100% (4) 100% Democrat support	Health Child Health Drug, Alcohol, Tobacco Use Health Care Coverage And Access Health Care Quality Health Facilities And Institutions Health Programs Administration And Funding Medical Tests And Diagnostic Methods Mental Health
HB-2322	Federal	Injured and Amputee Veterans Bill of Rights This bill requires the Department of Veterans Affairs (VA) to ensure that an Injured and Amputee Veterans Bill of Rights is printed on signage in accessible formats and displayed prominently and conspicuously in each VA prosthetics and orthotics clinic. VA employees who work at such clinics, as well as patient advocates of veterans who receive care there, must receive training on such Bill of Rights. The VA shall conduct outreach to inform veterans of such Bill of Rights. Such Bill of Rights shall include the right to: (1) access the highest quality prosthetic and orthotic care; (2) select the practitioner that best meets their prosthetic and orthotic needs; (3) receive timely and efficient prosthetic and orthotic care; and (4) transition and readjust to civilian life in an honorable manner, including by having ample access to vocational rehabilitation, employment programs, and housing assistance. The bill directs: (1) the VA to collect information relating to the alleged mistreatment of injured and amputee veterans, (2) the veteran liaison at each VA medical center to submit quarterly to the VA's Chief Consultant of Prosthetics and Sensory Aids a report on such information, and (3) the Chief Consultant to investigate and address such information. Republican: 70% (14) Democrat: 30% (6) 70% Republican support 30% Democrat support	Armed Forces And National Security Disability And Paralysis Government Information And Archives Government Studies And Investigations Health Care Coverage And Access Health Care Quality Health Information And Medical Records Health Personnel Veterans' Education, Employment, Rehabilitation Veterans' Loans, Housing, Homeless Programs
S.1001	Federal	Ambulatory Surgical Center Quality and Access Act of 2017 This bill amends title XVIII (Medicare) of the Social Security Act to: (1) require the payment system for ambulatory surgical center (ASC) services to feature certain positive annual adjustments equivalent to those made with respect to hospital outpatient department (OPD) services; (2) revise quality reporting requirements to permit publicly available, side-by-side comparisons of quality measures for ASCs and OPDs in the same geographic area; and (3) require the Department of Health and Human Services (HHS), when excluding requested procedures from the list of those approved to be performed in ASCs, to cite specified reasons for doing so. With respect to excluding procedures from the approved list for ASCs, HHS may not cite as a basis for exclusion that a procedure can only be reported using an unlisted surgical procedure code. (Physicians sometimes use unlisted codes when performing new procedures or services if no existing code is adequately descriptive.) Republican: 50% (3) Democrat: 50% (3) 50% Republican support 50% Democrat support	Health Administrative Law And Regulatory Procedures Advisory Bodies Department Of Health And Human Services Health Care Quality Health Facilities And Institutions Health Information And Medical Records Home And Outpatient Care Medicare Surgery And Anesthesia
HB-2163	Federal	Medical Device Guardians Act Republican: 33% (1) Democrat: 66% (2) 33% Republican support 66% Democrat support	Health Drug Safety, Medical Device, And Laboratory Regulation Health Care Quality Health Information And Medical Records Health Personnel Health Technology, Devices, Supplies Product Safety And Quality
SR-140	Federal	A resolution supporting the designation of April 2017 as "Parkinson's Awareness Month". Designates April 2017 as Parkinson's Awareness Month. Expresses support for research to find better treatments and a cure for Parkinson's disease. Recognizes individuals living with Parkinson's disease who participate in clinical trials. Commends the dedication of organizations, volunteers, researchers, and millions of individuals across the United States working to improve the quality of life for individuals living with Parkinson's disease and their families. Republican: 50% (1) Democrat: 50% (1) 50% Republican support 50% Democrat support	Health Commemorative Events And Holidays Congressional Tributes Health Care Quality Health Personnel Medical Research Neurological Disorders
SR-125	Federal	A resolution supporting the goals and ideals of National Public Health Week. Expresses support for the goals and ideals of National Public Health Week. Recognizes the efforts of public health professionals, governments, tribes, and individuals in preventing disease and injury. Encourages increased efforts and the use of additional resources to improve the health of people in the United States and to make the United States the healthiest nation in one generation through greater opportunities to improve community health and by strengthening the public health system. Democrat: 93% (14) Independent: 6% (1) 93% Democrat support 6% Independent support	Health Commemorative Events And Holidays Health Care Quality Health Personnel Health Programs Administration And Funding Health Promotion And Preventive Care
HR-270	Federal	Supporting the goals and ideals of National Public Health Week. Expresses support for the goals and ideals of National Public Health Week. Recognizes the efforts of public health professionals, governments, tribes, and individuals in preventing disease and injury. Encourages increased efforts and resources to improve the health of individuals in the United States to create the healthiest nation in one generation through greater opportunities to improve community health and by strengthening the public health system. Democrat: 86% (20) Republican: 13% (3) 86% Democrat support 13% Republican support	Health Commemorative Events And Holidays Health Care Quality Health Personnel Health Programs Administration And Funding Health Promotion And Preventive Care
S.870	Federal	Creating High-Quality Results and Outcomes Necessary to Improve Chronic (CHRONIC) Care Act of 2017 This bill amends title XVIII (Medicare) of the Social Security Act to: extend the Independence at Home demonstration program; modify provisions regarding access to home dialysis therapy under Medicare and special needs plans under Medicare Advantage (MA); expand testing of the MA Value-Based Insurance Design test model; allow an MA plan to provide additional telehealth benefits to enrollees and, to chronically ill enrollees, certain supplemental health care benefits; modify other provisions regarding the use of telehealth services; allow prospective, voluntary assignment of Medicare fee-for-service beneficiaries to accountable care organizations (ACOs); and allow ACOs to operate beneficiary incentive programs. The Government Accountability Office shall conduct studies on: the establishment of a payment code for a visit for longitudinal comprehensive care planning services, the extent to which Medicare prescription drug plans and private payors use programs that synchronize pharmacy dispensing to facilitate comprehensive counseling and promote medication adherence, and the use of prescription drugs to manage the weight of obese patients and the impact of such drug coverage on patient health and health care spending. Republican: 50% (10) Democrat: 50% (10) 50% Republican support 50% Democrat support	Health Cardiovascular And Respiratory Health Congressional Oversight Digestive And Metabolic Diseases Disability And Paralysis Drug Therapy Government Studies And Investigations Health Care Costs And Insurance Health Care Coverage And Access Health Care Quality
HB-2048	Federal	Eliminating Health Disparities Act of 2017 This bill amends title XIX (Medicaid) of the Social Security Act to allow a state to establish a Health Disparities Elimination Program, through which the state shall provide incentive payments to qualified community health systems (i.e., hospitals or affiliated groups of health care providers) for approved initiatives to reduce health disparities. In selecting qualified community health systems for participation, a state shall give priority to those that: (1) have included, in their required action plans, the use of evidence-based interventions; (2) have had relevant prior experience; and (3) demonstrate a long-term commitment to serving the target populations, a need for additional financial resources, and the potential for high impact relative to the amount of funding requested. Federal funding for program support shall be allocated based on each state's share of total federal Medicaid expenditures. Democrat: 100% (2) 100% Democrat support	Health Health Care Coverage And Access Health Care Quality Health Facilities And Institutions Health Programs Administration And Funding Medicaid
S.808	Federal	Sports Medicine Licensure Clarity Act of 2017 This bill extends the liability insurance coverage of a state-licensed medical professional to another state when the professional provides medical services to an athlete, athletic team, or team staff member pursuant to a written agreement. Prior to providing such services, the medical professional must disclose to the insurer the nature and extent of the services. This extension of coverage does not apply at a health care facility or while a medical professional licensed in the state is transporting the injured individual to a health care facility. Republican: 64% (18) Democrat: 32% (9) Independent: 3% (1) 64% Republican support 32% Democrat support 3% Independent support	Health Athletes Civil Actions And Liability Elementary And Secondary Education Health Care Quality Health Personnel Higher Education Jurisdiction And Venue Licensing And Registrations Professional Sports
HB-1876	Federal	Good Samaritan Health Professionals Act of 2017 This bill amends the Public Health Service Act to shield a health care professional from liability under federal or state law for harm caused by any act or omission if: (1) the professional is serving as a volunteer in response to a disaster; and (2) the act or omission occurs during the period of the disaster, in the professional's capacity as a volunteer, and in a good faith belief that the individual being treated is in need of health care services. This protection from liability does not apply if: (1) the harm was caused by an act or omission constituting willful or criminal misconduct, gross negligence, reckless misconduct, or a conscious flagrant indifference to the rights or safety of the individual harmed; or (2) the professional rendered the health care services under the influence of alcohol or an intoxicating drug. Republican: 85% (75) Democrat: 13% (12) Unaffiliated: 1% (1) 85% Republican support 13% Democrat support 1% Unaffiliated support	Health Civil Actions And Liability Disaster Relief And Insurance Emergency Medical Services And Trauma Care Evidence And Witnesses Federal Preemption Health Care Quality Health Personnel Licensing And Registrations Social Work, Volunteer Service, Charitable Organizations

Title: To authorize the Directors of Veterans Integrated Service Networks of the Department of Veterans Affairs to enter into contracts with appropriate civilian accreditation entities or appropriate health care evaluation entities to investigate medical centers of the Department of Veterans Affairs.