Summary:
Allows any individual who is otherwise entitled to benefits under part A (Hospital Insurance) of title XVIII (Medicare) of the Social Security Act (SSA) to elect to opt out of such entitlement.

Allows an individual who has opted out of Medicare to opt back in without penalty.

Prohibits any requirement to opt out of SSA title II (Old Age, Survivors, and Disability Insurance) (OASDI) as a condition for opting out of Medicare.

Amends the Internal Revenue Code to make individuals who opt out of Medicare part A eligible for health savings accounts.

allows individual entitled benefits title xviii medicare social security act ssa elect opt entitlement allows individual opted medicare opt penalty prohibits requirement opt ssa title survivors disability_insurance oasdi condition opting medicare amends internal revenue code individuals opt medicare eligible health savings accounts


Summary:
Consumer Protection and Rate Review Act of 2013 - Requires each state insurance commissioner to investigate and take appropriate actions on cases of inadequate notices of cancellations or conversions of health insurance coverage in the individual market that take effect on or after January 1, 2014. Requires that such a notice be treated as inadequate if it fails to: (1) contain information on obtaining health insurance coverage through an American Health Benefit Exchange under the Patient Protection and Affordable Care Act (PPACA), on the possible availability of assistance under PPACA towards payment of the premiums and cost-sharing for such coverage, and on the improved benefits for coverage through an Exchange, compared to coverage not offered through an Exchange; (2) be transparent by inappropriately steering individuals to more expensive plans provided by the cancelling issuer; or (3) otherwise comply with requirements of law.

Amends the Public Health Service Act to declare that federal requirements that the Secretary of Health and Human Services (HHS) review unreasonable premium increases in health care coverage shall not be construed to prohibit a state from imposing additional rate requirements on health insurance issuers that are more protective of consumers. Expands such review to include all rate increases, not only premium increases.

Directs the Secretary or the relevant state insurance commissioner (or state regulator) to take corrective actions to ensure that any excessive, unjustified, or unfairly discriminatory rates are corrected before, or as soon as possible after, implementation, including through mechanisms such as denying rates, modifying rates, or requiring rebates to consumers. Authorizes civil monetary penalties and ineligibility as a qualified health plan for failing to comply with any corrective action taken by the Secretary.

Requires the Secretary to determine whether the state insurance commissioner or regulator or the Secretary will undertake such corrective actions based on whether the state can adequately undertake such actions. Applies this Act to health plans grandfathered under PPACA.

requires state insurance commissioner investigate appropriate actions cases inadequate notices cancellations conversions health insurance coverage individual market effect january requires notice treated inadequate fails contain information obtaining health insurance coverage american_health_benefit_exchange patient_protection affordable care act ppaca possible availability assistance ppaca payment premiums cost sharing coverage improved benefits coverage exchange compared coverage offered exchange transparent inappropriately steering individuals expensive plans provided cancelling issuer comply requirements law amends public_health_service_act declare federal requirements secretary health_and_human_services hhs review unreasonable premium increases health care coverage shall construed prohibit state imposing additional rate requirements health insurance issuers protective consumers expands review include rate increases premium increases directs secretary relevant state insurance commissioner state regulator corrective actions ensure excessive unjustified unfairly discriminatory rates corrected soon possible implementation including mechanisms denying rates modifying rates requiring rebates consumers authorizes civil monetary penalties ineligibility qualified health plan failing comply corrective action taken secretary requires secretary determine state insurance commissioner regulator secretary undertake corrective actions based state adequately undertake actions applies act health plans grandfathered ppaca


Summary: 21st Century Care for Military and Veterans Act - Permits the use of a telecommunications system to provide an item or service to current and former members of the uniformed services and their dependents under the TRICARE plan of health care benefits administered by the Department of Defense (DOD) and to veterans receiving health care benefits under plans administered by the Department of Veterans Affairs (VA).

21st century care military veterans act permits use telecommunications system provide item service current members uniformed services dependents tricare plan health care benefits administered department_of_defense dod veterans receiving health care benefits plans administered department_of_veterans_affairs


Summary: Seniors' Health Care Choice Act of 2013 - Amends title XVIII (Medicare) of the Social Security Act (SSA) to establish: (1) a special enrollment period under Medicare part B (Supplementary Medical Insurance) for an individual enrolled in COBRA (health insurance continuation benefits) continuation coverage who elected not to enroll under part B during the individual's initial enrollment period, and (2) a three-month open enrollment period starting with 2014 and recurring in the first three months of each subsequent year in which a Medicare Advantage (MA)-eligible individual under Medicare part C (Medicare+Choice) may change his or her Medicare enrollment election.

seniors health care choice act amends title xviii medicare social security act ssa establish special enrollment period medicare supplementary_medical_insurance individual enrolled cobra health insurance continuation benefits continuation coverage elected enroll individual initial enrollment period month open enrollment period starting recurring months subsequent year medicare_advantage individual medicare change medicare enrollment election


Summary:
Veterans and Armed Forces Health Promotion Act of 2013 - Requires the Secretary of Veterans Affairs and the Secretary of Defense (DOD) to jointly develop and implement: (1) a plan to expand materially and substantially the scope of research and education on, and delivery of holistic care that includes, the integration of appropriate complementary and alternative medicine interventions in the delivery of health care to veterans and members of the Armed Forces at military medical treatment facilities; and (2) a three-year pilot program to establish not fewer than five jointly-operated medical treatment and research facilities.

Requires the Secretary of Veterans Affairs to carry out: (1) a 3-year pilot program, through the Office of Patient Centered Care and Cultural Transformation of the Department of Veterans Affairs (VA), to assess the feasibility and advisability of establishing not fewer than 10 complementary and alternative medicine centers within VA medical centers to promote the use and integration of complementary and alternative medicine services for mental health diagnoses and pain management; (2) a 3-year pilot program, through grants to nonprofit entities, to assess the feasibility and advisability of using wellness programs at VA facilities to complement the provision of mental health care to veterans and family members eligible for counseling; (3) a 3-year pilot program, through the National Center for Preventive Health, to assess the feasibility and advisability of promoting health in covered veterans at not less than 15 VA medical centers through support for fitness center membership or medical nutrition therapy; and (4) a 2-year pilot program under which the Secretary makes grants to nonprofit veterans services organizations (VSOs) to upgrade VSO community facilities into health and wellness centers in at least 10 different geographic locations.

veterans requires secretary veterans_affairs secretary defense dod jointly develop implement plan expand materially substantially scope research education delivery holistic care includes integration appropriate complementary alternative medicine interventions delivery health care veterans members armed_forces military medical treatment facilities year pilot program establish fewer jointly operated medical treatment research facilities requires secretary veterans_affairs carry year pilot program assess feasibility advisability establishing fewer complementary alternative medicine centers medical centers promote use integration complementary alternative medicine services mental health diagnoses pain management year pilot program grants nonprofit entities assess feasibility advisability wellness programs facilities complement provision mental health care veterans family members eligible counseling year pilot program assess feasibility advisability promoting health covered veterans medical centers support fitness center membership medical nutrition therapy year pilot program secretary makes grants nonprofit veterans services organizations upgrade community facilities health wellness centers different geographic locations


Summary:
Federal and State Insurance Exchange Access Fairness and Penalty Delay Act of 2013 - Amends the Internal Revenue Code to delay the effective date of the penalty for failure to maintain minimum essential health insurance coverage to months beginning no earlier than 30 days after the end of an enrollment period extension required by this Act (a period of at least 90 days after a certification to Congress by the Inspector General of the Department of Health and Human Services [HHS] that the healthcare.gov website and a state exchange website are fully operational, or only the healthcare.gov website in the case of an individual residing in a state without a state exchange website).

Requires the Inspector General, in determining whether to make such certification, to consider monthly reports by the Comptroller General (GAO) on the progress of the websites in achieving such status.

penalty delay act amends internal revenue code delay effective date penalty failure maintain minimum essential health insurance coverage months beginning earlier days end enrollment period extension required act period days certification congress inspector general department_of_health_and_human_services hhs website state exchange website fully operational website case individual residing state state exchange website requires inspector general determining certification consider monthly reports comptroller_general gao progress websites achieving status


Summary: Employee Health Care Protection Act of 2014 - Permits a health insurance issuer that has in effect health insurance coverage in the group market on any date during 2013 to continue offering such coverage for sale through 2018 outside of a health care exchange established under the Patient Protection and Affordable Care Act. Treats such coverage as a grandfathered health plan for purposes of an individual meeting the requirement to maintain minimum essential health coverage.

employee health care protection act permits health insurance issuer effect health insurance coverage group market date continue offering coverage sale outside health care exchange established patient_protection affordable care act treats coverage grandfathered health plan purposes individual meeting requirement maintain minimum essential health coverage


Summary: Medicare Link Act of 2013 - Amends title XVIII (Medicare) of the Social Security Act (SSA) to direct the Secretary of Health and Human Services (HHS) to establish a Medicare Link Program through which individuals entitled to enroll in a Medicare Advantage (MA) plan under Medicare part C (Medicare+Choice), but who are not enrolled in one, are eligible to enroll with a nongovernmental Medicare Link contractor which shall provide: (1) a specified variety of optional care management services as well as coverage of the same items and services covered under Medicare parts A and B, and (2) a reduction or rebate in the premium otherwise applicable under Medicare part B as well as in cost-sharing.

amends title xviii medicare social security act ssa direct secretary health_and_human_services hhs establish medicare link program individuals entitled enroll medicare advantage plan medicare enrolled eligible enroll nongovernmental contractor shall provide specified variety optional care management services coverage items services covered medicare parts reduction rebate premium applicable medicare cost sharing


Summary: Start Healthy Act of 2013 - Amends title XIX (Medicaid) of the Social Security Act (SSA) to provide: (1) mandatory coverage of qualified (uninsured) newborns, and (2) 100% federal medical assistance percentage (FMAP) for temporary coverage of such newborns.

start healthy act amends title xix medicaid social security act ssa provide mandatory coverage qualified uninsured newborns federal medical assistance percentage fmap temporary coverage newborns


Summary:
State Health Care Choice Act - Authorizes a state to limit the application of the Patient Protection and Affordable Care Act (PPACA) with respect to health insurance coverage within that state by enacting a law that: (1) expresses the intent of the state to opt out of one or more of the provisions of PPACA, (2) contains a list of the provisions that will not apply to the state, and (3) either expresses the state's intent to continue to administer health coverage-related laws as in effect in the state on March 23, 2010, or provides for the implementation of related state laws enacted after such date.

Sets forth provisions that may be made inapplicable within a state, including provisions related to health coverage, essential health benefits, health insurance exchanges, alternative health plans established by states, individual and employer health coverage requirements, interoperable protocols for enrollment in federal and state health and human service programs, and expansion of Medicaid coverage.

state health care choice act authorizes state limit application patient_protection affordable care act ppaca respect health insurance coverage state enacting law expresses intent state opt provisions ppaca contains list provisions apply state expresses state intent continue administer health coverage related laws effect state march provides implementation related state laws enacted date sets forth provisions inapplicable state including provisions related health coverage essential health benefits health insurance exchanges alternative health plans established states individual employer health coverage requirements interoperable protocols enrollment federal state health human service programs expansion medicaid coverage


Summary: Allows an individual residing in a state who had health insurance coverage in effect as of December 31 under which a provider furnished such individual benefits for a life-sustaining treatment with respect to a health condition, and for whom such coverage is not continued for the following plan year and is not offered in such state by such provider, to enroll in health insurance offered in any other state that provides for coverage of such treatment by such provider, as if such individual were a resident of such other state.

allows individual residing state health insurance coverage effect december provider furnished individual benefits life sustaining treatment respect health condition coverage continued following plan year offered state provider enroll health insurance offered state provides coverage treatment provider individual resident state


Summary:
Medical Foods Equity Act of 2013 - Amends titles XVIII (Medicare), XIX (Medicaid), and XXI (Children's Health Insurance) (CHIP) of the Social Security Act to provide coverage of medically necessary food and food modified to be low protein formulated to be consumed or administered under the supervision of a qualified medical provider, for the treatment of conditions as recommended by the Advisory Committee on Heritable Disorders in Newborns and Children (the Advisory Committee), and the medical equipment and supplies necessary to administer such food. Provides coverage under the Department of Defense (DOD) TRICARE and Federal Employees Health Benefits (FEHBP) programs for such health benefits.

Defines "medically necessary food" as a food formulated to be consumed or administered through the gastrointestinal tract orally or by tube under the supervision of a physician and intended for the specific dietary management of a disease or condition for which distinctive nutritional requirements, based on recognized scientific principles, are established by medical evaluation. Includes nutritionally modified counterparts of traditional foods and other forms of foods such as formulas, pills, capsules, and bars.

Provides Medicare, Medicaid, and CHIP prescription drug coverage of pharmacological doses of vitamins and amino acids used for the treatment of inborn errors of metabolism, for the treatment of conditions as recommended by the Advisory Committee, and as prescribed by a qualified medical provider. Provides similar coverage of such items under the TRICARE and FEHBP programs, without regard to the age of the patient.

amends titles xviii medicare xix medicaid chip social security act provide coverage medically necessary food food modified low protein formulated consumed administered supervision qualified medical provider treatment conditions recommended newborns medical equipment supplies necessary administer food provides coverage department_of_defense dod tricare federal_employees_health benefits fehbp programs health benefits defines medically necessary food food formulated consumed administered tract orally supervision physician intended specific dietary management disease condition distinctive nutritional requirements based recognized scientific principles established medical evaluation includes modified counterparts traditional foods forms foods formulas bars provides medicare medicaid chip prescription drug coverage pharmacological doses vitamins amino acids treatment inborn errors metabolism treatment conditions recommended advisory_committee prescribed qualified medical provider provides similar coverage items tricare fehbp programs regard age patient


Summary:
Amends title XIX (Medicaid) of the Social Security Act (SSA) to increase by 10% the required state matching funds for certain newly eligible individuals under the Medicaid program who, as of January 1, 2014, are under age 65, not pregnant, not entitled to or enrolled for benefits under SSA title XVIII (Medicare), and whose income does not exceed 133% of the poverty line for a family of the size involved.

Directs the Director of the Office of Management and Budget (OMB) to increase the discretionary spending limit under the Balanced Budget and Emergency Deficit Control Act of 1985 (Gramm-Rudman-Hollings Act) for the security category by $20 billion for FY2014 and then to increase the security and nonsecurity categories for that fiscal year each by half of the remaining estimated reduction in new budget authority resulting from enactment of this Act.

amends title xix medicaid social security act ssa increase required state matching funds certain newly eligible individuals medicaid program january age pregnant entitled enrolled benefits ssa title xviii medicare income exceed poverty line family size involved directs director office_of_management_and_budget omb increase discretionary spending limit balanced_budget emergency deficit control act gramm rudman hollings act security category billion fy2014 increase security nonsecurity categories fiscal year half remaining estimated reduction new budget authority resulting enactment act


Summary:
Support our Services to Veterans Caregivers Act or the S.O.S. Veterans Caregivers Act - Includes a veteran who has a serious illness or injury (currently, a serious injury) incurred or aggravated in the line of active duty on or after September 11, 2001, as an "eligible veteran" for purposes of the Department of Veterans Affairs (VA) program of comprehensive assistance for family caregivers of eligible veterans.

Requires the VA Secretary, as part of such program, to provide to each caregiver who is designated as the primary provider of personal care services for an eligible veteran, not less than annually, a multidimensional assessment to measure the burden and strain felt by such caregiver.

Requires the Secretary's annual report on such program to include a description of the satisfaction experienced by caregivers and veterans with respect to such program.

support services veterans caregivers act veteran illness injury currently injury incurred aggravated line active duty september eligible veteran purposes department_of_veterans_affairs program comprehensive assistance family caregivers eligible veterans requires secretary program provide caregiver designated primary provider personal care services eligible veteran annually assessment measure burden strain caregiver requires secretary annual report program include description satisfaction experienced caregivers veterans respect program


Summary: Family Cord Blood Banking Act - Amends the Internal Revenue Code to treat the cost of private umbilical cord blood banking services as a medical care expense for purposes of the tax deduction for medical expenses.

family cord blood banking act amends internal revenue code treat cost private umbilical cord blood banking services medical care expense purposes tax deduction medical expenses


Summary:
Accelerating Innovation in Medicine Act of 2013 or AIM Act of 2013 - Amends title XVIII (Medicare) of the Social Security Act to direct the Secretary of Health and Human Services (HHS) to develop an AIM list of medical devices for which, because of their inclusion on the list, insurance benefits and payments are prohibited under Medicare (either directly or on a capitated basis), with the result that no Medicare claim may be submitted and an individual who consents to receive such a device is responsible for paying for it and for any related services.

Directs the Secretary to post on a public HHS website or other publicly accessible media an updated list of the medical devices on the AIM list.

accelerating innovation medicine act amends title xviii medicare social security act direct secretary health_and_human_services hhs develop aim list medical devices inclusion list insurance benefits payments prohibited medicare directly capitated basis result medicare claim submitted individual consents receive device responsible paying related services directs secretary post public hhs website publicly accessible media updated list medical devices aim list


Summary:
Public Option Act or Medicare You Can Buy Into Act - Amends part A of title XVIII (Medicare) of the Social Security Act to authorize an option for any citizen or permanent resident of the United States to buy into Medicare.

Declares that such coverage satisfies the requirements of: (1) the Patient Protection and Affordable Care Act that an individual maintain minimum essential coverage (individual mandate), and (2) the Internal Revenue Code for premium assistance eligibility with respect to a qualified health plan offered in the individual market in the health care exchange where the individual resides.

public option act medicare buy act amends title xviii medicare social security act authorize option citizen permanent resident united_states buy medicare declares coverage satisfies requirements patient_protection affordable care act individual maintain minimum essential coverage individual mandate internal revenue code premium assistance eligibility respect qualified health plan offered individual market health care exchange individual resides


Summary:
Coverage Protection Act of 2013 - Authorizes the Secretary of Health and Human Services (HHS), in the case of an individual who enrolls in a qualified health plan offered through a health care exchange established under the Patient Protection and Affordable Care Act (PPACA) before February 1, 2014, to require the issuer of the plan to treat such individual as enrolled as of December 23, 2013, if the individual:

 attests, not later than January 31, 2014, to making reasonable, good-faith attempts to successfully enroll in such a plan through an exchange before December 23, 2013, or was initially determined through an exchange to be eligible to enroll in a Medicaid plan but is not eligible to so enroll in such a plan and, because of the incorrect eligibility determination, was subsequently unable to enroll in a qualified plan before December 23, 2013; and pays, not later than January 31, 2014, the monthly premiums for the plan in which such individual enrolls for January and February 2014, taking into account the amount of any premium assistance made available under the Internal Revenue Code. Counts coverage provided under a qualified plan for January and February 2014 under this Act as coverage under such a plan by or through an exchange for such months for all purposes, including premium assistance, PPACA cost-sharing reductions, and the requirement to maintain minimum essential coverage. Directs the Secretary to require a health insurance issuer that offers a qualified plan through an exchange to: allow in-network providers in the plan to treat a receipt of payment of premiums by an individual enrolled for January or February 2014 who has not received a health insurance card from the issuer in the same manner as if such receipt were such a health insurance card issued for services furnished during such month; and notify such in-network providers of that policy.

coverage protection act authorizes secretary health_and_human_services hhs case individual enrolls qualified health plan offered health care exchange established patient_protection affordable care act ppaca february require issuer plan treat individual enrolled december individual attests later january making reasonable good faith attempts successfully enroll plan exchange december initially determined exchange eligible enroll medicaid plan eligible enroll plan incorrect eligibility determination subsequently unable enroll qualified plan december pays later january monthly premiums plan individual enrolls january february taking account premium assistance available internal revenue code counts coverage provided qualified plan january february act coverage plan exchange months purposes including premium assistance ppaca cost sharing reductions requirement maintain minimum essential coverage directs secretary require health insurance issuer offers qualified plan exchange allow network providers plan treat receipt payment premiums individual enrolled january february received health insurance card issuer manner receipt health insurance card issued services furnished month notify network providers policy


Summary: Union Tax Fairness Act of 2013 - Requires that the payments to an applicable reinsurance entity for any plan year beginning in the three-year period beginning January 1, 2014, required under the Patient Protection and Affordable Care Act be applied equally to all health insurance issuers and third party administrators (on behalf of group health plans). Prohibits such payments from being waived on behalf of any such issuer, administrator, or group health plan.

requires payments applicable reinsurance entity plan year beginning year period beginning january required patient_protection affordable care act applied equally health insurance issuers party administrators behalf group health plans prohibits payments waived behalf issuer administrator group health plan


Summary:
Rate Protection Act of 2013 - Amends the Patient Protection and Affordable Care Act to extend, from January 1, 2014, to January 1, 2015, the temporary high risk health insurance pool program providing health insurance coverage to uninsured individuals who have a preexisting condition.

Appropriates additional funds to the Secretary of Health and Human Services (HHS) to pay claims that exceed the amount of premiums collected from the high risk pool's enrollees.

Prohibits individuals who were not enrolled in the high risk health insurance pool program at the close of 2013 from enrolling in the program in 2014, but requires the Secretary to enable individuals to enroll in the federal government's high risk pool program if they are enrolled until the day before a high risk pool that was operated by a state or nonprofit private entity as of December 31, 2013, is terminated in 2014.

rate protection act amends patient protection affordable care act extend january january temporary high risk health insurance pool program providing health insurance coverage uninsured individuals preexisting condition appropriates additional funds secretary health_and_human_services hhs pay claims exceed premiums collected high risk pool enrollees prohibits individuals enrolled high risk health insurance pool program close enrolling program requires secretary enable individuals enroll federal government high risk pool program enrolled day high risk pool operated state nonprofit private entity december terminated


Summary: Nullifying Unconstitutional Mandate By Evaluating Results Act or the NUMBER Act - Repeals the Patient Protection and Affordable Care Act and the health care provisions of the Health Care and Education and Reconciliation Act of 2010, effective as of their enactment, unless the Comptroller General certifies to Congress that at least 7 million individuals have been successfully enrolled in qualified health plans through a health care exchange during the enrollment period ending on March 31, 2014.

unconstitutional mandate evaluating results act number act repeals patient protection affordable care act health care provisions health_care_and_education reconciliation act effective enactment comptroller general certifies congress million individuals successfully enrolled qualified health plans health care exchange enrollment period ending march


Summary: Health Premium Parity Act - Amends the Internal Revenue Code to allow a deduction from gross income for the health insurance premiums of a taxpayer, the taxpayer's spouse and dependents, and any child of the taxpayer who has not attained age 27. Makes such deduction available to taxpayers who do not otherwise itemize their tax deductions.

internal revenue code allow deduction gross income health insurance premiums taxpayer taxpayer spouse dependents child taxpayer attained age makes deduction available taxpayers itemize tax deductions


Summary:
Health Insurance Accountability Act of 2014 - Repeals the Patient Protection and Affordable Care Act (PPACA) and the health care provisions of the Health Care and Education Reconciliation Act of 2010, effective on the date on which a study reported by the Comptroller General (GAO) determines that the number of individuals who are uninsured exceeds the number of individuals who were uninsured on the date of enactment of the PPACA. Requires subsequent studies and reports every 60 days until the Comptroller General makes such a determination.

Directs the Secretary of Health and Human Services (HHS), if a determination is made on the basis of the last such report submitted during a fiscal year that the number of uninsured has decreased as compared to the number on the date of PPACA enactment, to reduce the unobligated funding for the following, according to a specified ratio: health insurance consumer information, assistance to states for health care exchanges, and the Health Insurance Reform Implementation Fund. Deems such amounts to rescinded and permanently cancelled for purposes of debt reduction.

repeals patient protection affordable care act ppaca health care provisions health_care_and_education reconciliation act effective date study reported comptroller_general gao determines number individuals uninsured exceeds number individuals uninsured date enactment ppaca requires subsequent studies reports days comptroller general makes determination directs secretary health_and_human_services hhs determination basis report submitted fiscal year number uninsured decreased compared number date ppaca enactment reduce unobligated funding following according specified ratio health insurance consumer information assistance states health care exchanges deems amounts rescinded permanently cancelled purposes debt reduction


Summary: Promoting Health for Future Generations Act of 2014 -  Amends the Internal Revenue Code, with respect to health savings accounts (HSAs), to: (1) increase the contribution limitation for such accounts, (2) allow Medicare beneficiaries and participants in health care programs administered by the Veterans Administration (VA) to enroll in and contribute to such accounts, and (3) allow adult children of deceased holders of Archer Medical Savings Accounts and HSAs to receive tax-free rollovers of remaining amounts in such accounts.

promoting health future generations act amends internal revenue code respect health savings accounts hsas increase contribution limitation accounts allow medicare beneficiaries participants health care programs administered enroll contribute accounts allow adult children deceased holders archer_medical_savings_accounts hsas receive tax free rollovers remaining amounts accounts


Summary:
Better Care, Lower Cost Act - Amends title XVIII (Medicare) of the Social Security Act (SSA) to direct the Secretary of Health and Human Services (HHS) to establish an integrated chronic care delivery program (Better Care Program or BCP) that promotes accountability and better care management for chronically ill patient populations and coordinates items and services under Medicare parts A (Hospital Insurance), B (Supplementary Medical Insurance), and D (Voluntary Prescription Drug Benefit Program), while encouraging investment in infrastructure and redesigned care processes that result in high quality and efficient service delivery for the most vulnerable and costly populations.

Requires the program to include specified elements and focus on long-term cost containment and better overall health of the Medicare population by implementing through qualified BCPs strategies that prevent, delay, or minimize the progression of illness or disability associated with chronic conditions.

Amends SSA title XIX (Medicaid) to require a state to pay the Secretary, with certain adjustments, for full benefit dual eligible individuals (eligible for both Medicare and Medicaid) enrolled in a qualified BCP. Makes Medicare the primary payor for such individuals.

Amends SSA title XVIII part C (Medicare+Choice Program) to direct the Secretary to establish procedures for the transition of special needs individuals to a Medicare Advantage plan qualified BCPs.

Prohibits any Medicare supplemental (Medigap) policy from covering cost-sharing for items and services (other than certain emergent services) furnished to an enrollee in a qualified BCP by a service provider or supplier that is not a qualified BCP professional.

Revises requirements for the initial preventive physical examination (Welcome to Medicare visit) and annual wellness visits for BCP eligible individuals.

Directs the Secretary, acting through the Agency for Healthcare Research and Quality, to designate and provide core funding for at least three Chronic Care Innovation Centers.

Establishes new curricula requirements for direct and indirect graduate medical education payments that address the need for team-based care and chronic care management, including palliative medicine, chronic care management, leadership and team-based skills and planning, and leveraging technology as a care tool.

title xviii medicare social security act ssa direct secretary health_and_human_services hhs establish integrated chronic care delivery program promotes accountability better care management chronically ill patient populations coordinates items services medicare parts voluntary prescription drug benefit program encouraging investment infrastructure care processes result high quality efficient service delivery vulnerable costly populations requires program include specified elements focus long term cost containment better overall health medicare population implementing qualified strategies prevent delay minimize progression illness disability associated chronic conditions amends ssa title xix medicaid require state pay secretary certain adjustments benefit dual eligible individuals eligible medicare medicaid enrolled qualified makes medicare primary payor individuals amends ssa title xviii program direct secretary establish procedures transition special needs individuals medicare_advantage plan qualified prohibits medicare supplemental medigap policy covering cost sharing items services certain emergent services furnished enrollee qualified service provider supplier qualified professional revises requirements initial preventive physical examination welcome medicare visit annual wellness visits eligible individuals directs secretary acting agency healthcare_research quality designate provide core funding chronic care innovation centers establishes new curricula requirements direct indirect graduate medical education payments address need team based care chronic care management including palliative medicine chronic care management leadership team based skills planning leveraging technology care tool


Summary: Health Plan Notice Requirements Act - Amends the Patient Protection and Affordable Care Act, with respect to abortion coverage in qualified plans offered through a health care exchange in a state, to modify the notice rules to require that in the case of services regarding abortions both for which public funding is prohibited and allowed, the extent of coverage shall be included in any marketing or advertising materials, comparison tools, or summaries of benefits and coverage explanations made available by the issuer of the plan or an exchange during any enrollment period for the plan or prior period for purposes of comparisons of qualified health plans.

health plan notice requirements act amends patient protection affordable care act respect abortion coverage qualified plans offered health care exchange state modify notice rules require case services abortions public funding prohibited allowed extent coverage shall included marketing advertising materials comparison tools summaries benefits coverage explanations available issuer plan exchange enrollment period plan prior period purposes comparisons qualified health plans


Summary: Amends title XVIII (Medicare) of the Social Security Act (SSA) to cover low vision devices under Medicare.

amends title xviii medicare social security act ssa cover low vision devices medicare


Summary: Savings on Medical Expenses for Seniors Act of 2014 - Amends the Internal Revenue Code to make permanent the reduction in the threshold level (10% to 7.5% of adjusted gross income) for determining the amount of deductible medical expenses for individuals who have attained age 65.

savings medical expenses seniors act amends internal revenue code permanent reduction threshold level adjusted gross income determining deductible medical expenses individuals attained age


Summary:
Patient Navigation Assistance Act of 2014 - Amends title XIX (Medicaid) of the Social Security Act to require a state Medicaid plan to provide for state reimbursement of an eligible entity for any patient navigator service provided to a Medicaid-eligible individual.

Includes within the definition of "medical assistance" certain patient navigator services defined under the Public Health Service Act (PHSA) as assisting in specified ways individuals who are at risk for or who have cancer or other chronic diseases.

Treats as eligible entities those identified under PHSA as public or nonprofit private health centers (including federally qualified health centers), health facilities operated by or pursuant to a contract with the Indian Health Service, hospitals, cancer centers, rural health clinics, academic health centers, or nonprofit entities that enter into a partnership or coordinate referrals with such a center, clinic, facility, or hospital to provide patient navigator services.

patient navigation assistance act amends title xix medicaid social security act require state medicaid plan provide state reimbursement eligible entity patient navigator service provided medicaid eligible individual includes definition medical assistance certain patient navigator services defined public_health_service_act phsa assisting specified ways individuals risk cancer chronic diseases treats eligible entities identified phsa public nonprofit private health centers including federally qualified health centers health facilities operated pursuant contract indian_health_service hospitals cancer centers rural health clinics academic health centers nonprofit entities enter partnership coordinate referrals center clinic facility hospital provide patient navigator services


Summary: Amends the Internal Revenue Code, with respect to the tax treatment of payments to a Medicare Advantage Medical Savings Account (MSA), to eliminate the restriction on contributions or transfers to such accounts (currently, only a contribution made by the Secretary of Health and Human Services (HHS) pursuant to Medicare Advantage or a trustee-to-trustee transfer is permitted).

amends internal revenue code respect tax treatment payments msa eliminate restriction contributions transfers accounts currently contribution secretary health_and_human_services hhs pursuant medicare_advantage trustee trustee transfer permitted


Summary:
Seniors' Fairness Act of 2014 - Amends title XVIII (Medicare) part C (Medicare+Choice) of the Social Security Act to direct the Secretary of Health and Human Services (HHS) to establish a Medicare Advantage Improvement Fund.

Amends the Patient Protection and Affordable Care Act (PPACA) to terminate reduced cost-sharing for individuals enrolling in qualified health plans beginning in plan year 2015.

seniors fairness act amends title xviii medicare social security act direct secretary health_and_human_services hhs establish medicare advantage improvement fund amends patient protection affordable care act ppaca terminate reduced cost sharing individuals enrolling qualified health plans beginning plan year


Summary:
Seniors' Rights to Know Act - Amends title XVIII (Medicare) part C (Medicare+Choice) of the Social Security Act to require the information the Secretary of Health and Human Services (HHS) provides to promote informed choice on available part C coverage options to describe the changes for the plan year made by a Medicare Advantage (MA) organization, with respect to the MA plan it offers, pursuant to the Patient Protection and Affordable Care Act and the Health Care and Education Reconciliation Act of 2010. Allows such information to assess the effect of such provisions and amendments on MA-eligible individuals who enroll under the plan.

Prohibits the Secretary from disapproving the inclusion of any such information in marketing materials or application forms unless it is factually inaccurate for the plan year for which the information is provided or any preceding plan year beginning after March 23, 2010.

seniors rights know act amends title xviii medicare social security act require information secretary health_and_human_services hhs provides promote informed choice available coverage options describe changes plan year organization respect plan offers pursuant patient_protection affordable care act health_care_and_education reconciliation act allows information assess effect provisions amendments eligible individuals enroll plan prohibits secretary disapproving inclusion information marketing materials application forms factually inaccurate plan year information provided preceding plan year beginning march


Summary: Advantage of Medicare Advantage for Minorities and Low-Income Seniors Act of 2014 - Directs the Comptroller General (GAO) to study: (1) enrollment by racial and ethnic minorities and low-income seniors in the Medicare Advantage (MA) program under Medicare part C (Medicare+Choice) of title XVIII of the Social Security Act; and (2) the projected impact of payment reductions to such MA program, including reductions resulting from the Patient Protection and Affordable Care Act and from administrative actions.

advantage medicare advantage minorities low income seniors act directs comptroller general gao study enrollment racial ethnic minorities low income seniors medicare_advantage program medicare title xviii social security act projected impact payment reductions program including reductions resulting patient_protection affordable care act administrative actions


Summary: Small Business Health Insurance Affordability Act of 2014 - Amends the Internal Revenue Code, with respect to the small employer health care insurance tax credit, to: (1) revise the definition of "eligible small employer" to mean an employer with not more than 50 (currently, 25) full-time employees; (2) increase the employee threshold from 10 to 20 employees for purposes of determining the maximum allowable amount of such credit; (3) eliminate the requirement that employers contribute the same percentage of cost of each employee's health insurance and the cap limiting eligible employer contributions to average premiums paid to a health care exchange; and (4) extend from 2 to 3 consecutive taxable years the period during which an employer may claim such credit. Treats health insurance providing essential health benefits as defined by the Patient Protection and Affordable Care Act through a plan not offered through an exchange as a qualified health plan offered through an exchange.

amends internal revenue code respect small employer health care insurance tax credit revise definition eligible small employer mean employer currently time employees increase employee threshold employees purposes determining maximum allowable credit eliminate requirement employers contribute percentage cost employee health insurance cap limiting eligible employer contributions average premiums paid health care exchange extend consecutive taxable years period employer claim credit treats health insurance providing essential health benefits defined patient_protection affordable care act plan offered exchange qualified health plan offered exchange


Summary:
Action for Dental Health Act 2014 - Amends the Public Health Service Act to require the Secretary of Health and Human Services (HHS) to award grants to or enter into contracts with eligible entities to obtain portable or mobile dental equipment and to pay for appropriate operational costs for the provision of free dental services to underserved populations that are delivered in a manner consistent with state licensing laws.

Directs the Secretary to award grants to or enter into contracts with eligible entities to collaborate with state, county, or local public officials and other stakeholders in order to develop and implement initiatives to: (1) improve oral health education and dental disease prevention; (2) reduce barriers in a manner that increases dental provider participation in Medicaid and the Children's Health Insurance Program (CHIP); (3) make the health care delivery system providing dental services under Medicaid or CHIP more accessible and efficient by taking actions necessary to facilitate the establishment of dental homes; (4) address geographic, language, cultural, and similar barriers in the provision of dental services; and (5) reduce the use of emergency departments for dental services more appropriately delivered in a dental primary care setting.

action dental health act amends public_health_service_act require secretary health_and_human_services hhs award grants enter contracts eligible entities obtain portable mobile dental equipment pay appropriate operational costs provision free dental services underserved populations delivered manner consistent state licensing laws directs secretary award grants enter contracts eligible entities collaborate state county local public officials stakeholders order develop implement initiatives improve oral health education dental disease prevention reduce barriers manner increases dental provider participation medicaid health care delivery system providing dental services medicaid chip accessible efficient taking actions necessary facilitate establishment dental homes address geographic language cultural similar barriers provision dental services reduce use emergency departments dental services appropriately delivered dental primary care setting


Summary:
Expatriate Health Coverage Clarification Act of 2014 - Exempts expatriate health plans, employers acting as sponsors of such plans, and health insurance issuers providing coverage under such plans from the health care coverage requirements of the Patient Protection and Affordable Care Act and the Health Care and Education Reconciliation Act of 2010.

Deems expatriate health coverage to be minimum essential coverage for purposes of meeting the individual responsibility requirements of the Internal Revenue Code.

Declares that a qualified expatriate (and any dependent) enrolled in an expatriate health plan shall not be considered a U.S. health risk for purposes of assessing the annual fee on health insurance providers that provide health coverage to any U.S. health risk for any year after 2014.

Establishes a special rule for calculating the amount of this fee for calendar 2014.

Defines a "qualified expatriate" as: (1) a participant in a group health plan who is an alien residing outside the United States, a U.S. national, a lawful permanent resident, or a nonimmigrant about whom there is a good faith expectation of being abroad, in connection with his or her employment, for at least 180 days in a 12-month period; or (2) an individual who is abroad as a member of a group determined appropriate by the Secretary of Health and Human Services (HHS).

exempts health plans employers acting sponsors plans health insurance issuers providing coverage plans health care coverage requirements patient_protection affordable care act health_care_and_education reconciliation act deems health coverage minimum essential coverage purposes meeting individual responsibility requirements internal_revenue_code declares qualified dependent enrolled health plan shall considered health risk purposes assessing annual fee health insurance providers provide health coverage health risk year establishes special rule calculating fee calendar defines qualified participant group health plan alien residing outside united_states national lawful permanent resident nonimmigrant good faith expectation abroad connection employment days month period individual abroad member group determined appropriate secretary health_and_human_services hhs


Summary:
Strengthening Healthcare Options for Vulnerable Populations Act - Amends part C (Medicare+Choice) of title XVIII (Medicare) of the Social Security Act (SSA) to extend permanently the authorization for certain Medicare Advantage (MA) Dual Special Needs Plans (D-SNPs).

Requires MA D-SNPs by December 31, 2018, to be fully integrated, in accordance with state law, with capitated contracts with states for any benefits under SSA title XIX (Medicaid), including long-term care and behavioral health.

Directs the Secretary of Health and Human Services (HHS) to develop a clearly defined role for state Medicaid agencies in contracting and oversight of plans.

Directs the Secretary, in implementing requirements for the payment of Medicare+Choice organizations, to take steps necessary to ensure that the quality rating for a D-SNP: (1) does not disadvantage a plan that enrolls full-benefit dual (Medicare- and Medicaid-) eligible individuals, qualified Medicare beneficiaries, and individuals with complex health care needs; and (2) accounts for differences in socioeconomic and demographic characteristics of enrollees of such a plan that result in significant variation in health outcomes.

Allows the Secretary to increase temporarily the quality rating that a specialized MA plan would otherwise receive under certain circumstances.

Directs the Comptroller General (GAO) to report on steps taken for improving health outcomes, cost controls, and beneficiary satisfaction.

Amends the Patient Protection and Affordable Care Act to designate the Federal Coordinated Health Care Office (FCHCO) as the dedicated point of contact within the Centers for Medicare & Medicaid Services to assist states with ongoing D-SNP administration issues.

Allows the Secretary, through the FCHCO, to waive applicable Medicare requirements to promote the integration, alignment, and delivery of items and services under the Medicare program and the Medicaid program, with respect to dual eligible individuals and to ensure the seamless delivery of patient-centered services across the continuum of care with resect to such individuals.

Requires D-SNPs to provide coverage during the appeals process with respect to dispute resolution for claims.

Directs the Secretary to establish a streamlined process for dispute resolution for claims and appeals, with respect to items and services furnished to special needs individuals, to align the Medicare program process with the one under the Medicaid program.

Amends SSA title XI to require the Secretary to report to Congress on the Integrated Data Repository and the One Program Integrity System.

populations act amends title xviii medicare social security act ssa extend permanently authorization certain medicare_advantage dual special needs plans requires december fully integrated accordance state law capitated contracts states benefits ssa title xix medicaid including long term care behavioral health directs secretary health_and_human_services hhs develop clearly defined role state medicaid agencies contracting oversight plans directs secretary implementing requirements payment organizations steps necessary ensure quality rating disadvantage plan enrolls benefit dual eligible individuals qualified medicare beneficiaries individuals complex health care needs accounts differences socioeconomic demographic characteristics enrollees plan result significant variation health outcomes allows secretary increase temporarily quality rating specialized plan receive certain circumstances directs comptroller general gao report steps taken improving health outcomes cost controls beneficiary satisfaction amends patient protection affordable care act designate dedicated point contact assist states ongoing administration issues allows secretary waive applicable medicare requirements promote integration alignment delivery items services medicare program medicaid program respect dual eligible individuals ensure seamless delivery patient centered services continuum care individuals requires provide coverage appeals process respect dispute resolution claims directs secretary establish streamlined process dispute resolution claims appeals respect items services furnished special needs individuals align medicare program process medicaid program amends ssa title require secretary report congress


Summary: Covering People With Pre-Existing Conditions Act of 2014 - Requires each state to mitigate the health costs of high risk individuals in the state through a state reinsurance program or a state high risk pool.

covering people pre existing conditions act requires state mitigate health costs high risk individuals state state reinsurance program state high risk pool


Summary: Tax Free Health Insurance Act of 2014 - Amends the Internal Revenue Code to allow an individual taxpayer a deduction from gross income of insurance premiums paid for the health care coverage of the taxpayer and the taxpayer's spouse and dependents. Makes such deduction available to taxpayers who do not otherwise itemize their deductions.

tax free health insurance act amends internal revenue code allow individual taxpayer deduction gross income insurance premiums paid health care coverage taxpayer taxpayer spouse dependents makes deduction available taxpayers itemize deductions


Summary: ChiPACC Act of 2014 Amends title XIX (Medicaid) of the Social Security Act to give states the option of covering a children's program of all-inclusive coordinated care (ChiPACC).

act amends title xix medicaid social security act states option covering children program inclusive coordinated care


Summary: Insurance Rate Transparency Act - Amends the Public Health Service Act to require that specific health insurance premium increase information submitted to the Secretary of Health and Human Services (HHS) be disclosed to Congress no later than 30 days after receipt of the information.

insurance rate transparency act amends public_health_service_act require specific health insurance premium increase information submitted secretary health_and_human_services hhs disclosed congress later days receipt information


Summary:
Medicaid Physician Self-Referral Act of 2014 - Amends title XIX (Medicaid) of the Social Security Act (SSA) with respect to physician self-referral limitations to repeal the prohibition against payment of federal funds to a state for medical assistance expenditures for a designated health service furnished to an individual on the basis of a referral (self-referral) that would result in denial of payment under SSA title XVIII (Medicare).

Requires a state plan for medical assistance to prohibit payment for a Medicaid designated health service furnished to an individual on the basis of a physician's referral if the physician (or an immediate family member) has an ownership or investment interest or a compensation arrangement with the entity furnishing the service that would not comply with Medicare requirements.

Requires application of certain reporting requirements and sanctions to a provider of a Medicaid designated health service the same way they apply under Medicare.

Amends SSA title XVIII to: (1) apply the False Claims Act to violations of the self-referral prohibition, and (2) declare the authority of the Secretary of Health and Human Services (HHS) to issue regulations under Medicaid limited to the application of self-referral limitations to state plan requirements.

Directs the Secretary to establish a protocol consistent with the Medicare self-referral disclosure protocol required under the Patient Protection and Affordable Care Act that enables health care providers to disclose an actual or potential violation of Medicare self-referral limitations as applied to Medicaid.

amends title xix medicaid social security act ssa respect physician self referral limitations repeal prohibition payment federal funds state medical assistance expenditures designated health service furnished individual basis referral self referral result denial payment ssa title xviii medicare requires state plan medical assistance prohibit payment medicaid designated health service furnished individual basis physician referral physician immediate family member ownership investment interest compensation arrangement entity furnishing service comply medicare requirements requires application certain reporting requirements sanctions provider medicaid designated health service way apply medicare amends ssa title xviii apply false claims act violations self referral prohibition declare authority secretary health_and_human_services hhs issue regulations medicaid limited application self referral limitations state plan requirements directs secretary establish protocol consistent medicare self referral disclosure protocol required patient_protection affordable care act enables health care providers disclose actual potential violation medicare self referral limitations applied medicaid


Summary: Veterans TRICARE Choice Act - Allows an individual who is eligible to participate in the TRICARE program (a Department of Defense [DOD] managed health care program) to: (1) elect to be ineligible to enroll in such program, (2) make tax deductible contributions to a health savings account during the period such individual elects to be ineligible for TRICARE coverage, and (3) enroll in the TRICARE program at a later date during a special enrollment period.

individual eligible participate tricare program department_of_defense dod managed health care program elect ineligible enroll program tax deductible contributions health savings account period individual elects ineligible tricare coverage enroll tricare program later date special enrollment period


Summary: Medal of Honor Priority Care Act - Increases, from third to first, the priority for enrollment in the Department of Veterans Affairs (VA) health care system given to medal of honor recipients, regardless of the date on which the medal is awarded.

medal honor priority care act increases priority enrollment department_of_veterans_affairs health care system given medal honor recipients regardless date medal awarded


Summary: Health Savings Act of 2014 - Amends the Internal Revenue Code, with respect to health savings accounts (HSAs), to: (1) allow an additional tax deduction for amounts paid to the HSA of a taxpayer's child or grandchild; (2) allow a rollover of HSA funds to the child, parent, or grandparent of an account holder; (3) increase the maximum HSA contribution limit; (4) allow mandatory distributions from an individual retirement account (IRA) to be paid into an HSA; (5) exempt HSAs from creditor claims in bankruptcy; and (6) expand the definition of an HSA compatible plan to include bronze, silver, and catastrophic plans on an insurance exchange.

health savings act amends internal revenue code respect health savings accounts hsas allow additional tax deduction amounts paid hsa taxpayer child grandchild allow rollover hsa funds child parent grandparent account holder increase maximum hsa contribution limit allow mandatory distributions individual retirement account ira paid hsa exempt hsas creditor claims bankruptcy expand definition hsa compatible plan include bronze silver catastrophic plans insurance exchange


Summary:
Keeping Well by Using Your Patient Protection and Affordable Care Act Plan- Directs the Secretary of Health and Human Services (HHS) to conduct outreach efforts to provide specified health information to: (1) individuals enrolled in qualified health plans offered through an Exchange established under the Patient Protection and Affordable Care Act (PPACA), and (2) individuals enrolled in state plans (or under a waiver of such a plan) under title XIX (Medicaid) of the Social Security Act.

Directs the Secretary to report to Congress on: (1) the median cost-sharing responsibility of health services under qualified health plans offered through an Exchange in each state, and (2) the best method for making such information public.

keeping patient_protection affordable care act directs secretary health_and_human_services hhs conduct outreach efforts provide specified health information individuals enrolled qualified health plans offered exchange established patient_protection affordable care act ppaca individuals enrolled state plans waiver plan title xix medicaid social security act directs secretary report congress median cost sharing responsibility health services qualified health plans offered exchange state best method making information public


Summary:
No Subsidies Without Verification Act of 2014 - Disallows the health plan premium assistance tax credit or cost-sharing reduction under the Patient Protection and Affordable Care Act before the first date of the first coverage month beginning on or after the date on which the process to verify an individual's household income and coverage requirements of such individual for purposes of determining eligibility for, and the accurate amount of, the credit or reduction, respectively, has been completed.

Requires for such verification: (1) completion of a manual or electronic review of the information required of an applicant for enrollment in a plan, and (2) resolution of any inconsistency of such information with records of the Departments of the Treasury or Homeland Security (DHS) or the Social Security Administration.

Exempts individuals from the penalty for not maintaining minimum essential coverage for any month with respect to which a premium tax credit is being claimed and that begins before the date on which the verification process has been completed.

Suspends, until the coverage month beginning after eligibility verification has been completed, the premium tax credit and reduced cost-sharing in the case of individuals for whom the subsidy was allowed before enactment of this Act. Provides a special enrollment period for an individual who terminated enrollment in a qualified plan during the period of suspension.

subsidies verification act disallows health plan premium assistance tax credit cost sharing reduction patient_protection affordable care act date coverage month beginning date process verify individual household income coverage requirements individual purposes determining eligibility accurate credit reduction respectively completed requires verification completion manual electronic review information required applicant enrollment plan resolution inconsistency information records departments treasury homeland_security dhs social_security_administration exempts individuals penalty maintaining minimum essential coverage month respect premium tax credit claimed begins date verification process completed suspends coverage month beginning eligibility verification completed premium tax credit reduced cost sharing case individuals subsidy allowed enactment act provides special enrollment period individual terminated enrollment qualified plan period suspension


Summary:
Veterans' Access to Care through Choice, Accountability, and Transparency Act of 2014 - Title I: Improvement of Scheduling System for Health Care Appointments - Directs the Secretary of Veterans Affairs (VA) to contract for an independent assessment of:

 the process at each VA medical facility for scheduling appointments for veterans; the staffing level and productivity of each VA medical facility; the organization, processes, and tools used by the VA to support clinical documentation and the subsequent coding of inpatient services; the VA's purchasing, distribution, and use of pharmaceuticals, medical and surgical supplies, and medical devices; and the VA's performance in paying amounts owed to third parties and collecting amounts it is owed. Directs the Secretary: (1) through a technology task force, to review the VA's needs regarding its system and software for scheduling veterans' medical appointments; and (2) to implement task force recommendations the Secretary considers feasible, advisable, and cost-effective.

Title II: Training and Hiring of Health Care Staff - Requires the Inspector General of the VA to annually determine the five health care occupations for which there is the largest staffing shortage throughout the VA.

Authorizes the Secretary, upon a determination by the Inspector General that there is such a staffing shortage regarding a particular health care occupation, to recruit and directly appoint highly qualified health care providers to serve in that particular occupation for the VA.

Directs the Secretary, under the VA's Health Professionals Educational Assistance program, to give scholarship priority to applicants pursuing education or training towards a career in a health care occupation that represents one of the five largest staffing shortages in the VA.

Requires the Secretary to submit a biennial report to Congress, until 2024, assessing the staffing of each VA medical facility.

Directs the Secretary to establish a clinic management training program to provide in-person, standardized education on health care management to all managers of, and health care providers at, VA medical facilities. Terminates the program after two years. Requires the Secretary, thereafter, to provide health care management training materials to specified VA employees upon the commencement of their employment.

Makes specified appropriations to the Veterans Health Administration (VHA) that remain unobligated at the end of FY2014 and FY2015 available to the Secretary to hire additional health care providers for the VHA, particularly in VA medical facilities and areas experiencing the greatest shortages.

Title III: Improvement of Access to Care from Non-Department of Veterans Affairs Providers - Requires hospital care and medical services to be furnished to veterans through contracts with specified non-VA facilities if the veterans:

 have been unable to schedule an appointment at a VA medical facility within the VHA's wait-time goals for hospital care or medical services and such veterans opt for non-VA care or services; reside more than 40 miles from a VA medical facility; or reside in a state without a VA medical facility that provides hospital care, emergency medical services, and surgical care and such veterans reside more than 20 miles from such a facility. Provides for such care through contracts with any health care provider participating in the Medicare program, any federally-qualified health center, the Department of Defense (DOD), and the Indian Health Service (IHS).

Directs the Secretary to provide veterans with information about the availability of care and services at non-VA facilities: (1) when they enroll in the VA patient enrollment system, and (2) when they attempt to schedule an appointment for VA hospital care or medical services but are unable to do so within the VHA's wait time goals.

Terminates this Act's requirement that the Secretary furnish care and services through contracts with non-VA facilities two years after the Secretary publishes interim final regulations implementing the program.

Requires the Secretary to transfer the authority to pay for health care through non-VA facilities from the VA's Veterans Integrated Service Networks and medical centers to the VHA's Chief Business Office.

Directs the Secretary to conduct outreach to each Indian medical facility operated by an Indian tribe or tribal organization through a contract or compact with the IHS to raise awareness of the ability of such facilities, Indian tribes, and tribal organizations to enter into agreements with the VA for reimbursement for providing veterans with health care at such facilities.

Requires the Secretary to establish performance metrics for assessing the performance of the VA and IHS under a memorandum of understanding to increase access to, and the quality and coordination of, health care services.

Directs the Secretary to enter into agreements for the reimbursement of direct care services provided to veterans with Native Hawaiian health care systems that are in receipt of funds from grants awarded, or contracts entered into, under the Native Hawaiian Health Care Improvement Act.

Expresses the sense of Congress that the Secretary must comply with the prompt payment rule or any similar regulation or ruling in paying for health care under contracts with non-VA providers.

Title IV: Health Care Administrative Matters - Directs the Secretary to improve veterans' access to telemedicine and other health care through the use of VA mobile vet centers by establishing standardized requirements for the operation of such centers. Includes among those requirements: (1) the number of days each center is expected to travel each year, (2) the number of locations each center is expected to visit each year, (3) the number of appointments each center is expected to conduct each year, and (4) the method and timing of notification given by each center to individuals in the area to which such center is traveling.

Requires each mobile vet center to have the capability to provide telemedicine services.

Establishes an Independent Commission on Department of Veterans Affairs Construction Projects to review the VA's current construction and maintenance projects and medical facility leasing program to identify any problems the VA experienced in carrying out such projects and program.

Establishes the Commission on Access to Care to examine veterans' access to VA health care and strategically examine how best to organize the VHA, locate health care resources, and deliver health care to veterans over the next 10 to 20 years. Directs the President to require the Secretary and the heads of other relevant federal agencies to implement each recommendation that the President considers feasible and advisable and determines can be implemented without further legislative action.

Requires the Secretary to ensure that scheduling and wait-time metrics or goals are not used as factors in determining the performance of: (1) directors, associate directors, assistant directors, deputy directors, chiefs of staff, and clinical leads of VA medical centers; and (2) directors, assistant directors, and quality management officers of the Veterans Integrated Service Networks (VISNs).

Directs the Secretary to modify the performance plans of the directors of the VA medical centers and VISNs to ensure that such plans are based on the quality of care received by veterans at the health care facilities under their jurisdictions.

Prohibits the Secretary from including in the performance goals of any VISN or VA medical center employee any goal that might disincentivize the payment of VA amounts to provide health care through a non-VA provider.

Requires the Secretary to publish: (1) within 90 days after this Act's enactment, the VA's wait time goals for the scheduling of a veterans' appointment for health care; and (2) within one year after this Act's enactment, the current wait times for an appointment for primary care and specialty care at each VA medical center.

Directs the Secretary to develop, update, and make publicly available a comprehensive database containing all applicable patient safety, quality of care, and outcome measures for VA health care that are tracked by the Secretary.

Requires the Secretary to enter into an agreement with the Secretary of Health and Human Services (HHS) to provide the HHS Secretary with the information needed to make VA medical center patient quality and outcome information publicly available through the HHS's Hospital Compare website.

Requires: (1) the VA website to include a link to the VA's health care providers database that provides veterans with the location of each VA physician's residency training, and (2) each veteran who is to undergo a surgical procedure by or through the VA to be provided information on the credentials of the surgeon who is to perform the procedure.

Directs the Comptroller General (GAO) to submit an assessment to Congress of: (1) the manner in which contractors under the VA's Patient-Centered Community Care initiative oversee the credentials of physicians within their networks, (2) the VA's oversight of the contracts under the Patient-Centered Community Care initiative, and (3) the VA's verification of the credentials and licenses of health care providers furnishing hospital care and medical services to veterans in non-VA facilities. Requires the Secretary to implement a plan to address the Comptroller General's findings and recommendations.

Requires the annual budget that the President submits to Congress to include specified information regarding: (1) the cost of providing, and the number of veterans receiving, medical care through contracts with non-VA facilities; and (2) the number of VA employees on paid administrative leave during the preceding fiscal year.

Directs the Secretary to establish policies penalizing VA employees who knowingly submit, or knowingly require another VA employee to submit, false data concerning health care wait times or quality measures to another VA employee.

Authorizes the Secretary to: (1) remove any individual from the VA Senior Executive Service if the Secretary determines that the individual's performance warrants such removal, and (2) remove such individual from the civil service or transfer the individual to a General Schedule position at any appropriate grade for which the individual is qualified. Gives an individual seven days to appeal such a removal or transfer to the Merit Systems Protection Board (Board). Requires the Board to conduct an expedited review process that results in a final decision on such an appeal within 21 days after it was submitted.

Title V: Health Care Related to Sexual Trauma - Expands eligibility for counseling and treatment for sexual trauma to veterans who were on inactive duty training when they experienced sexual assault or harassment.

Authorizes the Secretary to provide such counseling and treatment to active-duty members of the Armed Forces who experienced sexual assault or harassment while serving on active duty or active or inactive duty training. (Under current law, such services are provided only to veterans.) Prohibits such a member from being required to obtain a referral before receiving such services.

Requires the Secretary to report to Congress on the treatment and services available from the VA for male veterans who experience military sexual trauma compared to such treatment and services available to female veterans who experience such trauma.

Directs the Department of Veterans Affairs-Department of Defense Joint Executive Committee to submit reports to Congress on the transition of military sexual abuse treatment from the DOD to the VA.

Title VI: Major Medical Facility Leases - Authorizes the Secretary to carry out certain major medical facility leases at specified locations for up to specified amounts.

Directs the Secretary, in exercising the authority to enter into such leases, to record as the full cost of the contractual obligation at the time a contract is executed either: (1) the amount of total payments under the full lease term, or (2) the first-year payments plus the specified cancellation costs if the lease is terminated before its full term.

Requires the funding prospectus of a proposed lease to include a detailed analysis of how the lease is expected to comply with Office of Management and Budget (OMB) Circular A-11 and the Anti-Deficiency Act, including an analysis of: (1) the classification of the lease as a lease-purchase, capital lease, or operating lease; (2) the obligation of budgetary resources associated with the lease; and (3) the methodology used in determining the asset cost, fair market value, and cancellation costs of the lease.

Directs the Secretary, at least 30 days before entering into a lease, to submit to Congress: (1) notice of the intention to enter into, and a detailed summary of, such lease; (2) a description and analysis of any differences between the lease prospectus submitted and the proposed lease; and (3) a scoring analysis demonstrating that the proposed lease fully complies with OMB Circular A-11. Requires the Secretary, no more than 30 days after entering into a lease, to report any material differences between the proposed lease and the lease entered.

Title VII: Veterans Benefits Matters - Expands the Marine Gunnery Sergeant John David Fry Scholarship to include surviving spouses (currently, children) of service members who die in the line of duty on or after September 11, 2001. Requires a surviving spouse entitled to such assistance and also to veterans' educational assistance under the Montgomery GI Bill to elect a single coverage.

Directs the Secretary to disapprove, for purposes of the All-Volunteer Force and the Post-9/11 Educational Assistance programs, courses of education provided by a public educational institution of higher education (IHE) that charges veterans living in the state higher tuition and fees than it charges in-state residents, regardless of the veteran's state of residence. Makes this provision applicable to: (1) veterans who were discharged or released from at least 90 days of active service less than three years before their date of enrollment in the applicable course, (2) family members eligible for such assistance due to their relationship to such veterans, and (3) courses that commence on or after July 1, 2015.

Prohibits the Secretary from disapproving a public IHE's course on the grounds that the IHE conditions a veteran's receipt of in-state tuition rates on such veteran: (1) demonstrating an intent, by means other than physical presence, to establish residency in the state; or (2) satisfying other requirements not related to the establishment of residency.

Title VIII: Appropriation and Emergency Designations - Authorizes and appropriates such sums as may be necessary to carry out this Act for FY2014-FY2016. Treats such funding as emergency funding that is not subject to pay-as-you-go spending constraints.

accountability transparency_act title improvement scheduling system health care appointments directs secretary veterans_affairs contract independent assessment process medical facility scheduling appointments veterans staffing level productivity medical facility organization processes tools support clinical documentation subsequent coding inpatient services purchasing distribution use pharmaceuticals medical surgical supplies medical devices performance paying amounts owed parties collecting amounts owed directs secretary technology task force review needs system software scheduling veterans medical appointments implement task force recommendations secretary considers feasible advisable cost effective title training annually determine health care occupations largest staffing shortage authorizes secretary determination inspector_general staffing shortage particular health care occupation recruit directly appoint highly qualified health care providers serve particular occupation directs secretary program scholarship priority applicants pursuing education training career health care occupation represents largest staffing shortages requires secretary submit biennial report congress assessing staffing medical facility directs secretary establish clinic management training program provide person standardized education health care management managers health care providers medical facilities terminates program years requires secretary provide health care management training materials specified employees commencement employment makes specified appropriations veterans_health_administration vha remain unobligated end fy2014 fy2015 available secretary hire additional health care providers vha particularly medical facilities areas experiencing greatest shortages title iii improvement access care affairs providers requires hospital care medical services furnished veterans contracts specified non-va facilities veterans unable schedule appointment medical facility vha wait time goals hospital care medical services veterans opt non care services reside miles medical facility reside state medical facility provides hospital care emergency medical services surgical care veterans reside miles facility provides care contracts health care provider participating medicare program federally qualified health center department_of_defense dod indian_health_service ihs directs secretary provide veterans information availability care services non-va facilities enroll patient enrollment system attempt schedule appointment hospital care medical services unable vha wait time goals terminates act requirement secretary furnish care services contracts non-va facilities years secretary publishes interim final regulations implementing program requires secretary transfer authority pay health care non-va facilities veterans_integrated_service_networks medical centers vha directs secretary conduct outreach indian medical facility operated indian tribe tribal organization contract compact ihs raise awareness ability facilities indian tribes tribal organizations enter agreements reimbursement providing veterans health care facilities requires secretary establish performance metrics assessing performance ihs memorandum understanding increase access quality coordination health care services directs secretary enter agreements reimbursement direct care services provided veterans native hawaiian health care systems receipt funds grants awarded contracts entered native_hawaiian_health_care_improvement_act expresses sense congress secretary comply prompt payment rule similar regulation ruling paying health care contracts non providers title health care administrative matters directs secretary improve veterans access telemedicine health care use mobile vet centers establishing standardized requirements operation centers includes requirements number days center expected travel year number locations center expected visit year number appointments center expected conduct year method timing notification given center individuals area center traveling requires mobile vet center capability provide telemedicine services review current construction maintenance projects medical facility leasing program identify problems experienced carrying projects program examine veterans access health care strategically examine best organize vha locate health care resources deliver health care veterans years directs president require secretary heads relevant federal agencies implement recommendation president considers feasible advisable determines implemented legislative action requires secretary ensure scheduling wait time metrics goals factors determining performance directors associate directors assistant directors deputy directors chiefs staff clinical leads medical centers directors assistant directors quality management officers veterans_integrated_service_networks visns directs secretary modify performance plans directors medical centers visns ensure plans based quality care received veterans health care facilities jurisdictions prohibits secretary including performance goals visn medical center employee goal payment amounts provide health care non-va provider requires secretary publish days act enactment wait time goals scheduling veterans appointment health care year act enactment current wait times appointment primary care specialty care medical center directs secretary develop update publicly available comprehensive database containing applicable patient safety quality care outcome measures health care tracked secretary requires secretary enter agreement secretary health_and_human_services hhs provide hhs secretary information needed medical center patient quality outcome information publicly available hhs website requires website include link health care providers database provides veterans location physician residency training veteran undergo surgical procedure provided information credentials surgeon perform procedure directs comptroller general gao submit assessment congress manner contractors initiative oversee credentials physicians networks oversight contracts initiative verification credentials licenses health care providers furnishing hospital care medical services veterans non-va facilities requires secretary implement plan address comptroller_general findings recommendations requires annual budget president submits congress include specified information cost providing number veterans receiving medical care contracts non-va facilities number employees paid administrative leave preceding fiscal year directs secretary establish policies penalizing employees knowingly submit knowingly require employee submit false data concerning health care wait times quality measures employee authorizes secretary remove individual va_senior_executive_service secretary determines individual performance warrants removal remove individual civil service transfer individual general schedule position appropriate grade individual qualified gives individual seven days appeal removal transfer requires board conduct expedited review process results final decision appeal days submitted title health care related sexual trauma expands eligibility counseling treatment sexual trauma veterans inactive duty training experienced sexual assault harassment authorizes secretary provide counseling treatment active duty members armed_forces experienced sexual assault harassment serving active duty active inactive duty training current law services provided veterans prohibits member required obtain referral receiving services requires secretary report congress treatment services available male veterans experience military sexual trauma compared treatment services available female veterans experience trauma directs submit reports congress transition military sexual abuse treatment dod title secretary carry certain major medical facility leases specified locations specified amounts directs secretary exercising authority enter leases record cost contractual obligation time contract executed total payments lease term year payments plus specified cancellation costs lease terminated term requires funding prospectus proposed lease include detailed analysis lease expected comply office_of_management_and_budget omb circular a-11 including analysis classification lease lease purchase capital lease operating lease obligation budgetary resources associated lease methodology determining asset cost fair market value cancellation costs lease directs secretary days entering lease submit congress notice intention enter detailed summary lease description analysis differences lease prospectus submitted proposed lease scoring analysis demonstrating proposed lease fully complies omb circular a-11 requires secretary days entering lease report material differences proposed lease lease entered title vii veterans benefits matters expands marine gunnery sergeant include surviving spouses currently children service members die line duty september requires surviving spouse entitled assistance veterans educational assistance montgomery bill elect single coverage directs secretary disapprove purposes volunteer force educational assistance programs courses education provided public educational institution higher education ihe charges veterans living state higher tuition fees charges state residents regardless veteran state residence makes provision applicable veterans discharged released days active service years date enrollment applicable course family members eligible assistance relationship veterans courses commence july prohibits secretary disapproving public ihe course grounds ihe conditions veteran receipt state tuition rates veteran demonstrating intent means physical presence establish residency state satisfying requirements related establishment residency title viii appropriation emergency designations authorizes appropriates sums necessary carry act fy2014 fy2016 treats funding emergency funding subject pay spending constraints


Summary:
Family Coverage Act - Expresses the sense of Congress that the Secretaries of Health and Human Services (HHS) and the Treasury have the administrative authority, within their respective jurisdictions, to apply the affordability provision of the Patient Protection and Affordable Care Act so as to expand access to affordable health insurance coverage for working families without further legislation.

Amends the Internal Revenue Code to modify the affordability requirement for the tax credit for health care premium assistance to provide that an employee is eligible for premium assistance if his or her required contribution to an employer-sponsored health care plan does not exceed 9.5% of family household income.

family coverage act expresses sense congress hhs treasury administrative authority respective jurisdictions apply affordability provision patient_protection affordable care act expand access affordable health insurance coverage working families legislation amends internal revenue code modify affordability requirement tax credit health care premium assistance provide employee eligible premium assistance required contribution employer sponsored health care plan exceed family household income


Summary:
Access to Veteran-Centered Community Care Act - Directs the Secretary of Veterans Affairs (VA) to: (1) determine that a VA facility is not capable of furnishing the care or services required if a veteran has been waiting for 14 days or longer for an appointment to receive hospital care or medical services, including primary care, in such a facility; and (2) ensure that such care or services are provided to such a veteran at a non-VA facility under contract with the VA.

Requires: (1) any referral of a veteran who, in the course of receiving hospital care or medical services in a non-VA facility, is referred to another non-VA facility for specialty care, to be submitted to the Secretary; and (2) the Secretary, if he or she does not reject such referral during the 72-hour period following its submittal, to ensure that such specialty care is provided to the veteran at a non-VA facility under contract with the VA.

access veteran centered community care act directs secretary veterans_affairs determine facility capable furnishing care services required veteran waiting days longer appointment receive hospital care medical services including primary care facility ensure care services provided veteran non-va facility contract requires referral veteran course receiving hospital care medical services non-va facility referred non-va facility specialty care submitted secretary secretary reject referral hour period following submittal ensure specialty care provided veteran non-va facility contract


Summary:
Medicare Advantage Participant Bill of Rights Act of 2014 - Amends part C (Medicare+Choice) of title XVIII (Medicare) of the Social Security Act to require a Medicare Advantage (MA) organization to remove a service provider or a supplier from a plan network only for cause, subject to completion of a fair notice and appeals process.

Lists as cause for removal: (1) medical negligence, (2) violation of any legal or contractual requirement for the provider or supplier acting within the lawful scope of practice, or (3) unfitness to furnish items and services in accordance with Medicare requirements.

Requires an MA organization offering an MA plan to include information on the measures used to establish or modify the plan's provider network: (1) in the annual bid information submitted about the MA plan, and (2) on the plan's Internet Web.

Subjects to certain sanctions MA organizations with contracts which fail to meet these information requirements.

Directs the Secretary of Health and Human Services (HHS) to: (1) seek input from patient advocacy groups and others in applying network access adequacy standards, and (2) take necessary measures to ensure that the Medicare Advantage Compare Tool takes into account the preferences and utilization needs of such individuals.

medicare advantage participant bill rights act amends title xviii medicare social security act require medicare_advantage organization remove service provider supplier plan network cause subject completion fair notice appeals process lists cause removal medical negligence violation legal contractual requirement provider supplier acting lawful scope practice unfitness furnish items services accordance medicare requirements requires organization offering plan include information measures establish modify plan provider network annual bid information submitted plan plan internet web subjects certain sanctions organizations contracts fail meet information requirements directs secretary health_and_human_services hhs seek input patient advocacy groups applying network access adequacy standards necessary measures ensure takes account preferences utilization needs individuals


Summary: Continuing Care for Veterans Act of 2014 - Prohibits the Secretary of Veterans Affairs (VA) from altering the health care available to a veteran who is enrolled in the VA health care system or the amount of time that veteran has to wait for an appointment for such care based solely on the length of time since he or she last received health care from the VA.

continuing care veterans act prohibits secretary veterans_affairs altering health care available veteran enrolled health care system time veteran wait appointment care based solely length time received health care


Summary: Mom and Pop SHOP Act of 2014 or the Mom and Mom SHOP Act of 2014 or the Pop and Pop SHOP Act of 2014 - Amends the Patient Protection and Affordable Care Act to make an individual (and his or her spouse or domestic partner) who owns, or is a partner in, a business that has no employees eligible for the Small Business Health Options Program (SHOP Exchange).

mom shop act mom mom shop act shop act amends patient protection affordable care act individual spouse domestic partner owns partner business employees eligible


Summary: Protecting Insurance Coverage for Sick Americans Act of 2014 - Amends the Public Health Service Act to maintain, upon repeal of the Patient Protection and Affordable Care Act and the health care provisions of the Health Care and Education Reconciliation Act of 2010, restrictions on health insurers rescinding or cancelling an enrollee's coverage.

amends public_health_service_act maintain repeal patient_protection affordable care act health care provisions health_care_and_education reconciliation act restrictions health insurers rescinding cancelling enrollee coverage


Summary: Guaranteed Health Coverage for Pre-Existing Conditions Act of 2014 - Amends the Public Health Service Act to maintain, upon repeal of the Patient Protection and Affordable Care Act and the health care provisions of the Health Care and Education Reconciliation Act of 2010, the requirements that: (1) health insurance includes coverage for preexisting conditions; and (2) health insurers accept every employer and every individual in a group that applies for coverage in the group market and every individual that applies for coverage in the individual market.

guaranteed health coverage pre existing conditions act amends public_health_service_act maintain repeal patient_protection affordable care act health care provisions health_care_and_education reconciliation act requirements health insurance includes coverage preexisting conditions health insurers accept employer individual group applies coverage group market individual applies coverage individual market