BillCam

Health Care Quality

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Number	Legislature	Summary	Subjects
HB-3	Federal	Elijah E. Cummings Lower Drug Costs Now Act This bill establishes several programs and requirements relating to the prices of prescription drugs, health care coverage and costs, and public health. TITLE I--LOWERING PRICES THROUGH FAIR DRUG PRICE NEGOTIATION The bill requires the Department of Health and Human Services (HHS) to negotiate prices for certain drugs. (Under current law, HHS may not negotiate the prices of covered drugs under the Medicare prescription drug benefit.) Specifically, HHS must negotiate maximum prices for (1) insulin products; (2) with respect to FY2023, at least 25 single-source, brand-name drugs that do not have generic competition and that are among either the 125 drugs that account for the greatest national spending or the 125 drugs that account for the greatest spending under the Medicare prescription drug benefit and Medicare Advantage (MA); (3) beginning in FY2024, at least 50 such single-source, brand-name drugs; and (4) newly approved single-source, brand-name drugs that meet or exceed a specified price threshold and that HHS determines are likely to meet the spending criteria. The negotiated prices must be offered under Medicare and MA and may also be offered under private health insurance unless the insurer opts out. The negotiated maximum price may not exceed (1) 120% of the average price in Australia, Canada, France, Germany, Japan, and the United Kingdom; or (2) if such information is not available, 85% of the U.S. average manufacturer price. Drug manufacturers that fail to comply with the bill's negotiation requirements are subject to civil and tax penalties. TITLE II--MEDICARE PARTS B AND D PRESCRIPTION DRUG INFLATION REBATES The bill also requires drug manufacturers, subject to civil penalties, to issue rebates to the Centers for Medicare & Medicaid Services (CMS) for covered drugs under Medicare that cost $100 or more and for which the average manufacturer price increases faster than inflation. TITLE III--PART D IMPROVEMENTS AND MAXIMUM OUT-OF-POCKET CAP FOR MEDICARE BENEFICIARIES The bill reduces the annual out-of-pocket spending threshold, and eliminates beneficiary cost-sharing above this threshold, under the Medicare prescription drug benefit. Additionally, prescription drug plan sponsors must allow certain beneficiaries to make coinsurance payments in periodic installments, in accordance with CMS requirements. TITLE IV--DRUG PRICE TRANSPARENCY Drug manufacturers must report, subject to civil penalties, specified information for certain drugs that cost $100 or more and that are covered under Medicare or Medicaid, based on the rate of price or spending increases. Among other things, manufacturers must report a qualifying price increase at least 30 days before the effective date of the increase; HHS must publish the information on its website the day the increase takes effect. TITLE V--PROGRAM IMPROVEMENTS FOR MEDICARE LOW-INCOME BENEFICIARIES The bill expands eligibility for certain premium and cost-sharing subsidies for low-income beneficiaries under the Medicare prescription drug benefit. For example, the bill (1) raises the maximum allowable income for beneficiaries to qualify, and (2) allows certain residents of U.S. territories to automatically qualify. TITLE VI--PROVIDING FOR DENTAL, VISION, AND HEARING COVERAGE UNDER THE MEDICARE PROGRAM The bill also expands Medicare coverage to include (1) dentures and dental and oral health services, including basic and major treatments (as determined by the CMS) as well as specified preventive and screening services; (2) hearing aids and hearing rehabilitation and treatment services; and (3) eyeglasses, contact lenses, and vision services, including routine eye examinations and contact lens fittings. TITLE VII--NIH, FDA, AND OPIOIDS FUNDING The bill provides additional funds for several public health programs. Among other things, the bill (1) provides specified funds for innovation projects at the National Institutes of Health through FY2030 and for innovation projects at the Food and Drug Administration through FY2029; and (2) establishes the Opioid Epidemic Response Fund to support HHS programs and initiatives, including the State Opioid Response Grant Program. Additionally, HHS must take a series of actions relating to health care administrative costs. Specifically, HHS must develop a strategy and take associated action to reduce unnecessary costs and administrative burdens in the health care system, including Medicare, Medicaid, and the private health-insurance market, by at least half over a period of 10 years. HHS must also award grants so that states may establish commissions targeting such costs. TITLE VIII--MISCELLANEOUS The bill also establishes and revises several other health care programs and requirements. For example, the bill (1) expands guaranteed issue rights with respect to Medigap policies (Medicare supplemental health-insurance policies); (2) provides specified funds for the Community Health Centers Fund through FY2025; (3) establishes grant programs to support mental health and trauma services in schools, as well as career development programs for health professionals; and (4) requires pass-through pricing models, and prohibits spread-pricing, for payment arrangements with pharmacy benefit managers under Medicaid. Additionally, the CMS must issue regulations that require direct-to-consumer television advertisements for all covered drugs and biologics under Medicare and Medicaid to include the list price of a 30-day supply or for a typical course of treatment. (On May 10, 2019, the CMS issued a final rule titled Medicare and Medicaid Programs; Regulation to Require Drug Pricing Transparency. The rule requires direct-to-consumer television advertisements for covered drugs and biologics under Medicare and Medicaid to include the list price of a 30-day supply or for a typical course of treatment, if the list price is at least $35 per month. The rule was scheduled to take effect July 9, 2019; however, a federal court blocked implementation, citing a lack of statutory authority.) Democrat: 99% (107) Independent: 0% (1) 99% Democrat support 0% Independent support	Health Accounting And Auditing Civil Actions And Liability Digestive And Metabolic Diseases Government Information And Archives Government Studies And Investigations Health Care Costs And Insurance Inflation And Prices Manufacturing Medicare
HB-4378	Federal	Continuing Appropriations Act, 2020, and Health Extenders Act of 2019 This bill provides FY2020 continuing appropriations to federal agencies through November 21, 2019. It is known as a continuing resolution (CR) and prevents a government shutdown that would otherwise occur when FY2020 begins on October 1, 2019, if the 12 regular appropriations bills that fund the federal government for FY2020 have not been enacted. The CR funds most projects and activities at the FY2019 levels with several exceptions that provide funding flexibility and additional appropriations to various programs. Additionally, the CR extends several programs that are scheduled to expire at the end of FY2019, including several health programs, the National Flood Insurance Program, the Temporary Assistance for Needy Families (TANF) program and related programs, several authorities related to immigration, the Calfed Bay-Delta Authorization Act, the Department of Education's National Advisory Committee on Institutional Quality and Integrity, the Export-Import Bank of the United States, and the U.S. Commission on International Religious Freedom. The bill also includes a provision that permits the Department of Agriculture to continue making payments to farmers affected by retaliatory tariffs by accelerating reimbursements to the Commodity Credit Corporation for certain net realized losses sustained in FY2019. Democrat: 100% (1) 100% Democrat support	Economics And Public Finance Advisory Bodies Agricultural Prices, Subsidies, Credit Alaska Alaska Natives And Hawaiians Alaska Natives And Hawaiians Appropriations Appropriations California California
HB-4378	Federal	Continuing Appropriations Act, 2020, and Health Extenders Act of 2019 This bill provides FY2020 continuing appropriations to federal agencies through November 21, 2019. It is known as a continuing resolution (CR) and prevents a government shutdown that would otherwise occur when FY2020 begins on October 1, 2019, if the 12 regular appropriations bills that fund the federal government for FY2020 have not been enacted. The CR funds most projects and activities at the FY2019 levels with several exceptions that provide funding flexibility and additional appropriations to various programs. Additionally, the CR extends several programs that are scheduled to expire at the end of FY2019, including several health programs, the National Flood Insurance Program, the Temporary Assistance for Needy Families (TANF) program and related programs, several authorities related to immigration, the Calfed Bay-Delta Authorization Act, the Department of Education's National Advisory Committee on Institutional Quality and Integrity, the Export-Import Bank of the United States, and the U.S. Commission on International Religious Freedom. The bill also includes a provision that permits the Department of Agriculture to continue making payments to farmers affected by retaliatory tariffs by accelerating reimbursements to the Commodity Credit Corporation for certain net realized losses sustained in FY2019. Democrat: 100% (1) 100% Democrat support	Economics And Public Finance Advisory Bodies Agricultural Prices, Subsidies, Credit Alaska Alaska Natives And Hawaiians Alaska Natives And Hawaiians Appropriations Appropriations California California
HB-4092	Federal	Safe from the Start Act of 2019 This bill directs the Department of State to direct U.S. foreign assistance to address humanitarian crises in a manner that aims to prevent and respond to gender-based violence at the onset of an emergency. Specifically, the State Department shall focus on (1) preventing gender-based violence, (2) protecting survivors of humanitarian crises from the onset of the emergency, (3) promoting standards and activities to prevent and respond to gender-based violence, and (4) advancing and empowering survivors and at-risk individuals. Activities shall include improving access to post-sexual-assault medical and mental health services and ensuring such services are available to hard-to-reach populations. The State Department may provide support to local and international organizations to achieve its goals. Democrat: 69% (23) Republican: 30% (10) 69% Democrat support 30% Republican support	International Affairs Conflicts And Wars Congressional Oversight Crime Prevention Crime Victims Crimes Against Women Diplomacy, Foreign Officials, Americans Abroad Foreign Aid And International Relief Health Care Coverage And Access Health Care Quality
HB-4350	Federal	Ambulatory Surgical Center Quality and Access Act of 2019 Democrat: 15% (3) Republican: 85% (17) 15% Democrat support 85% Republican 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-4278	Federal	Federal Jobs Guarantee Development Act of 2019 Democrat: 100% (27) 100% Democrat support	Labor And Employment Accounting And Auditing Adult Day Care Air Quality Alternative And Renewable Resources Appropriations Child Care And Development Child Health Correctional Facilities And Imprisonment Department Of Labor
S.2457	Federal	Federal Jobs Guarantee Development Act of 2019 Democrat: 100% (3) 100% Democrat support	Labor And Employment Accounting And Auditing Adult Day Care Air Quality Alternative And Renewable Resources Appropriations Child Care And Development Child Health Correctional Facilities And Imprisonment Department Of Labor
HB-3813	Federal	Brian Tally VA Medical Care and Liability Improvement Act Republican: 66% (4) Democrat: 33% (2) 66% Republican support 33% Democrat support	Armed Forces And National Security Civil Actions And Liability Department Of Veterans Affairs Government Liability Health Care Quality Health Information And Medical Records Health Personnel Licensing And Registrations Veterans' Medical Care
HB-4096	Federal	Improving Oversight of Women Veterans' Care Act of 2019 This bill requires the Department of Veterans Affairs (VA) to submit an annual report on women veterans' access to gender-specific services under arrangements entered into by the VA with non-VA medical providers for the provision of hospital care or medical services. The bill also requires the VA to establish a policy under which (1) the environment of care standards and inspections at VA medical centers include specified elements, and (2) no medical center is eligible for a five-star rating unless it meets the environment of care standards. Democrat: 85% (23) Republican: 14% (4) 85% Democrat support 14% Republican support	Armed Forces And National Security Congressional Oversight Health Care Coverage And Access Health Care Quality Health Facilities And Institutions Hospital Care Performance Measurement Public Contracts And Procurement Sex And Reproductive Health Veterans' Medical Care
HB-3636	Federal	Caring For Our Women Veterans Act This bill establishes various reporting requirements for the Department of Veterans Affairs (VA) related to women veterans and health care. Specifically, the bill requires the VA to submit reports on (1) women veterans' use of health care from the VA; (2) use by the VA of general primary care clinics, separate but shared spaces, and women's health centers as models of providing health care to women veterans; and (3) the staffing of the VA related to the treatment of women. Democrat: 100% (7) 100% Democrat support	Armed Forces And National Security Congressional Oversight Government Employee Pay, Benefits, Personnel Management Health Care Quality Health Facilities And Institutions Health Personnel Veterans' Medical Care Women's Health
HB-4215	Federal	Excellence in Maternal Health Act of 2019 Republican: 81% (13) Democrat: 18% (3) 81% Republican support 18% Democrat support	Health Child Health Congressional Oversight Employment And Training Programs Government Information And Archives Government Studies And Investigations Health Care Quality Health Programs Administration And Funding Medical Education Minority Health
HB-3656	Federal	ACCESS Act of 2019 Accessible Care by Curbing Excessive lawSuitS Act of 2019 Republican: 100% (4) 100% Republican support	Health Civil Actions And Liability Drug Safety, Medical Device, And Laboratory Regulation Evidence And Witnesses Health Care Quality Health Facilities And Institutions Health Information And Medical Records Health Personnel Health Technology, Devices, Supplies Legal Fees And Court Costs
HB-4145	Federal	Braeden's Commission: Protect our Athletes from Exertional Heat Stroke This bill establishes the Commission to Prevent Heat Stroke Deaths. The commission shall conduct a study on exertional heat stroke among student athletes at educational institutions across the United States, develop recommendations for the purpose of reducing fatalities from exertional heat stroke among student athletes and guidelines for tracking information to prevent such fatalities, and report to the President and Congress. A federal agency or department that is subject to a recommendation described in the report shall submit to Congress a report containing the agency's plans to address the recommendation. Republican: 20% (1) Democrat: 80% (4) 20% Republican support 80% Democrat support	Sports And Recreation Advisory Bodies Athletes Child Health Congressional Oversight Elementary And Secondary Education Government Information And Archives Government Studies And Investigations Health Care Quality Health Information And Medical Records
HB-3784	Federal	Air Ambulance Affordability Act of 2019 Democrat: 100% (2) 100% Democrat support	Health Administrative Law And Regulatory Procedures Administrative Remedies Aviation And Airports Department Of Health And Human Services Emergency Medical Services And Trauma Care Government Information And Archives Health Care Costs And Insurance Health Care Coverage And Access Health Care Quality
HB-3912	Federal	Chronic Kidney Disease Improvement in Research and Treatment Act Democrat: 66% (4) Republican: 33% (2) 66% Democrat support 33% Republican support	Health Administrative Law And Regulatory Procedures Aging Congressional Oversight Debt Collection Department Of Health And Human Services Digestive And Metabolic Diseases Drug Therapy Government Studies And Investigations Health Care Costs And Insurance
HB-4144	Federal	Ending the Diagnostic Odyssey Act of 2019 This bill allows state Medicaid programs to cover whole genome sequencing services for certain individuals. Specifically, states may cover such services for individuals under the age of 21 (or a lower age, if the state chooses) and for former foster youth under the age of 26 who (1) have been referred or admitted to an intensive care unit or seen by a medical specialist for a suspected genetic or undiagnosed disease, or (2) are suspected by a medical specialist to have a neonatal- or pediatric-onset genetic disease. The Centers for Medicare & Medicaid Services may award grants to assist states in developing plans to cover such services. Democrat: 80% (16) Republican: 20% (4) 80% Democrat support 20% Republican support	Health Adoption And Foster Care Cell Biology And Embryology Child Health Emergency Medical Services And Trauma Care Genetics Health Care Costs And Insurance Health Care Coverage And Access Health Care Quality Health Programs Administration And Funding
HB-4141	Federal	Humane Correctional Health Care Act This bill allows states to cover inmates of public institutions under Medicaid. The Government Accountability Office must report on specified information relating to the health of inmates and the effects of Medicaid coverage. Democrat: 89% (17) Republican: 10% (2) 89% Democrat support 10% Republican support	Health Congressional Oversight Correctional Facilities And Imprisonment Health Care Coverage And Access Health Care Quality Medicaid Mental Health
HB-4004	Federal	Social Determinants Accelerator Act of 2019 Democrat: 86% (39) Republican: 13% (6) 86% Democrat support 13% Republican support	Health Advisory Bodies Appropriations Community Life And Organization Congressional Oversight Department Of Health And Human Services Executive Agency Funding And Structure Health Care Costs And Insurance Health Care Coverage And Access Health Care Quality
HB-3910	Federal	Equality in Medicare and Medicaid Treatment Act of 2019 Democrat: 100% (22) 100% Democrat support	Health Health Care Costs And Insurance Health Care Coverage And Access Health Care Quality Health Programs Administration And Funding Health Promotion And Preventive Care Medicaid Medicare Mental Health Minority Health
S.2379	Federal	Medicaid Patient Abuse Prevention Act Republican: 77% (7) Democrat: 22% (2) 77% Republican support 22% Democrat support	Health Criminal Investigation, Prosecution, Interrogation Fraud Offenses And Financial Crimes Health Care Quality Medicaid State And Local Government Operations

Title: Elijah E. Cummings Lower Drug Costs Now Act

Session: US Congress 116th Congress

Number: HB-3

Subjects: Health, Accounting And Auditing, Civil Actions And Liability, Digestive And Metabolic Diseases, Government Information And Archives, Government Studies And Investigations, Health Care Costs And Insurance, Inflation And Prices, Manufacturing, Medicare

Democrat: 99% (107) Independent: 0% (1)

Title: Continuing Appropriations Act, 2020, and Health Extenders Act of 2019

Session: US Congress 116th Congress

Number: HB-4378

Subjects: Economics And Public Finance, Advisory Bodies, Agricultural Prices, Subsidies, Credit, Alaska, Alaska Natives And Hawaiians, Alaska Natives And Hawaiians, Appropriations, Appropriations, California, California

Democrat: 100% (1)

Title: Continuing Appropriations Act, 2020, and Health Extenders Act of 2019

Session: US Congress 116th Congress

Number: HB-4378

Subjects: Economics And Public Finance, Advisory Bodies, Agricultural Prices, Subsidies, Credit, Alaska, Alaska Natives And Hawaiians, Alaska Natives And Hawaiians, Appropriations, Appropriations, California, California

Democrat: 100% (1)

Title: Safe from the Start Act of 2019

Session: US Congress 116th Congress

Number: HB-4092

Subjects: International Affairs, Conflicts And Wars, Congressional Oversight, Crime Prevention, Crime Victims, Crimes Against Women, Diplomacy, Foreign Officials, Americans Abroad, Foreign Aid And International Relief, Health Care Coverage And Access, Health Care Quality

Democrat: 69% (23) Republican: 30% (10)

Title: Ambulatory Surgical Center Quality and Access Act of 2019

Session: US Congress 116th Congress

Number: HB-4350

Subjects: 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

Democrat: 15% (3) Republican: 85% (17)

Title: Federal Jobs Guarantee Development Act of 2019

Session: US Congress 116th Congress

Number: HB-4278

Subjects: Labor And Employment, Accounting And Auditing, Adult Day Care, Air Quality, Alternative And Renewable Resources, Appropriations, Child Care And Development, Child Health, Correctional Facilities And Imprisonment, Department Of Labor

Democrat: 100% (27)

Title: Federal Jobs Guarantee Development Act of 2019

Session: US Congress 116th Congress

Number: S.2457

Subjects: Labor And Employment, Accounting And Auditing, Adult Day Care, Air Quality, Alternative And Renewable Resources, Appropriations, Child Care And Development, Child Health, Correctional Facilities And Imprisonment, Department Of Labor

Democrat: 100% (3)

Title: Brian Tally VA Medical Care and Liability Improvement Act

Session: US Congress 116th Congress

Number: HB-3813

Subjects: Armed Forces And National Security, Civil Actions And Liability, Department Of Veterans Affairs, Government Liability, Health Care Quality, Health Information And Medical Records, Health Personnel, Licensing And Registrations, Veterans' Medical Care

Republican: 66% (4) Democrat: 33% (2)

Title: Improving Oversight of Women Veterans' Care Act of 2019

Session: US Congress 116th Congress

Number: HB-4096

Subjects: Armed Forces And National Security, Congressional Oversight, Health Care Coverage And Access, Health Care Quality, Health Facilities And Institutions, Hospital Care, Performance Measurement, Public Contracts And Procurement, Sex And Reproductive Health, Veterans' Medical Care

Democrat: 85% (23) Republican: 14% (4)

Title: Caring For Our Women Veterans Act

Session: US Congress 116th Congress

Number: HB-3636

Subjects: Armed Forces And National Security, Congressional Oversight, Government Employee Pay, Benefits, Personnel Management, Health Care Quality, Health Facilities And Institutions, Health Personnel, Veterans' Medical Care, Women's Health

Democrat: 100% (7)

Title: Excellence in Maternal Health Act of 2019

Session: US Congress 116th Congress

Number: HB-4215

Subjects: Health, Child Health, Congressional Oversight, Employment And Training Programs, Government Information And Archives, Government Studies And Investigations, Health Care Quality, Health Programs Administration And Funding, Medical Education, Minority Health

Republican: 81% (13) Democrat: 18% (3)

Title: ACCESS Act of 2019 Accessible Care by Curbing Excessive lawSuitS Act of 2019

Session: US Congress 116th Congress

Number: HB-3656

Subjects: Health, Civil Actions And Liability, Drug Safety, Medical Device, And Laboratory Regulation, Evidence And Witnesses, Health Care Quality, Health Facilities And Institutions, Health Information And Medical Records, Health Personnel, Health Technology, Devices, Supplies, Legal Fees And Court Costs

Republican: 100% (4)

Title: Braeden's Commission: Protect our Athletes from Exertional Heat Stroke

Session: US Congress 116th Congress

Number: HB-4145

Subjects: Sports And Recreation, Advisory Bodies, Athletes, Child Health, Congressional Oversight, Elementary And Secondary Education, Government Information And Archives, Government Studies And Investigations, Health Care Quality, Health Information And Medical Records

Republican: 20% (1) Democrat: 80% (4)

Title: Air Ambulance Affordability Act of 2019

Session: US Congress 116th Congress

Number: HB-3784

Subjects: Health, Administrative Law And Regulatory Procedures, Administrative Remedies, Aviation And Airports, Department Of Health And Human Services, Emergency Medical Services And Trauma Care, Government Information And Archives, Health Care Costs And Insurance, Health Care Coverage And Access, Health Care Quality

Democrat: 100% (2)

Title: Chronic Kidney Disease Improvement in Research and Treatment Act

Session: US Congress 116th Congress

Number: HB-3912

Subjects: Health, Administrative Law And Regulatory Procedures, Aging, Congressional Oversight, Debt Collection, Department Of Health And Human Services, Digestive And Metabolic Diseases, Drug Therapy, Government Studies And Investigations, Health Care Costs And Insurance

Democrat: 66% (4) Republican: 33% (2)

Title: Ending the Diagnostic Odyssey Act of 2019

Session: US Congress 116th Congress

Number: HB-4144

Subjects: Health, Adoption And Foster Care, Cell Biology And Embryology, Child Health, Emergency Medical Services And Trauma Care, Genetics, Health Care Costs And Insurance, Health Care Coverage And Access, Health Care Quality, Health Programs Administration And Funding

Democrat: 80% (16) Republican: 20% (4)

Title: Humane Correctional Health Care Act

Session: US Congress 116th Congress

Number: HB-4141

Subjects: Health, Congressional Oversight, Correctional Facilities And Imprisonment, Health Care Coverage And Access, Health Care Quality, Medicaid, Mental Health

Democrat: 89% (17) Republican: 10% (2)

Title: Social Determinants Accelerator Act of 2019

Session: US Congress 116th Congress

Number: HB-4004

Subjects: Health, Advisory Bodies, Appropriations, Community Life And Organization, Congressional Oversight, Department Of Health And Human Services, Executive Agency Funding And Structure, Health Care Costs And Insurance, Health Care Coverage And Access, Health Care Quality

Democrat: 86% (39) Republican: 13% (6)

Title: Equality in Medicare and Medicaid Treatment Act of 2019

Session: US Congress 116th Congress

Number: HB-3910

Subjects: Health, Health Care Costs And Insurance, Health Care Coverage And Access, Health Care Quality, Health Programs Administration And Funding, Health Promotion And Preventive Care, Medicaid, Medicare, Mental Health, Minority Health

Democrat: 100% (22)

Title: Medicaid Patient Abuse Prevention Act

Session: US Congress 116th Congress

Number: S.2379

Subjects: Health, Criminal Investigation, Prosecution, Interrogation, Fraud Offenses And Financial Crimes, Health Care Quality, Medicaid, State And Local Government Operations

Republican: 77% (7) Democrat: 22% (2)

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