Summary: Caregivers and Veterans Omnibus Health Services Act of 2010 - Title I: Caregiver Support - (Sec. 101) Directs the Secretary of Veterans Affairs (VA) to establish a program of comprehensive assistance for family caregivers of any veteran who: (1) is undergoing medical discharge from the Armed Forces; (2) has a serious injury incurred or aggravated in the line of duty on or after September 11, 2001; and (3) is in need of personal care services. Includes among such assistance personal care services instruction and training, ongoing technical support, counseling, and lodging and subsistence while accompanying the veteran for VA medical care. Allows additional assistance for the primary personal care provider, including mental health services, respite care, and a monthly stipend comparable to that provided to commercial caregivers in that geographic area. Requires the Secretary, with respect to such assistance, to: (1) designate one family member as the primary personal care provider, subject to approval by the veteran concerned; (2) monitor the well-being of each veteran receiving personal care services, and take corrective actions as necessary; (3) carry out outreach to inform eligible veterans and family members of the program; (4) establish a program of general caregiver support services for caregivers of veterans enrolled in the VA health care system, and provide outreach about that program; (5) develop and submit to the congressional veterans committees a plan for the implementation of the comprehensive assistance program; (6) report annually to such committees on plan implementation; and (7) submit a one-time report on the feasibility and advisability of expanding the program to cover veterans who have a serious injury incurred or aggravated before September 11, 2001. Authorizes appropriations. (Sec. 102) Authorizes the Secretary to provide VA medical care for a designated primary provider of personal care services who is not entitled to care or services under a health-plan contract. (Sec. 103) Includes family caregivers of veterans among those eligible for VA counseling and mental health services. (Sec. 104) Directs the Secretary to reimburse attendants for travel expenses, including lodging and subsistence, in connection with authorized VA treatment for veterans. Title II: Women Veterans Health Care Matters - (Sec. 201) Requires the Secretary to study, and report to the veterans committees on, barriers to the receipt of comprehensive VA health care encountered by women veterans. Requires the Secretary to: (1) ensure that the heads of the Center for Women Veterans and the Advisory Committee on Women Veterans review the study's results; and (2) report to Congress on the study and the status of implementation of this section. Authorizes appropriations. (Sec. 202) Directs the Secretary to: (1) carry out a program of graduate-level education, training, certification, and continuing medical education for mental health professionals specializing in the provision of counseling and care to veterans suffering from sexual trauma and post-traumatic stress disorder (PTSD); and (2) report annually to Congress on the counseling and care provided. (Sec. 203) Requires the Secretary to: (1) conduct a two-year pilot program to evaluate the feasibility and advisability of providing reintegration and readjustment services in group retreat settings to women veterans recently separated from military service after a prolonged deployment; and (2) report to Congress on the pilot program. Authorizes appropriations. (Sec. 204) Requires the inclusion, respectively, of women veterans recently separated from service and minority women veterans recently separated from service on: (1) the Advisory Committee on Women Veterans; and (2) the Advisory Committee on Minority Veterans. (Sec. 205) Directs the Secretary to: (1) carry out a two-year pilot program to assess the feasibility and advisability of providing assistance to veterans receiving regular or intensive mental health services and other intensive health care services in order to obtain child care while receiving such services; and (2) report to Congress on the pilot program. Authorizes appropriations. (Sec. 206) Authorizes the Secretary to furnish care to a newborn child of a woman veteran receiving VA maternity care for up to seven days after the birth of the child. Title III: Rural Health Improvements - (Sec. 301) Revises the VA's education debt reduction program to: (1) add retention as a program purpose; and (2) allow all (under current law, only recently appointed) employees to participate. Increases the aggregate and per-year payment limits under such program. Allows the Secretary to waive such limits for participants who serve in positions for which there is a shortage of qualified employees by reason of either the position's location or requirements. (Sec. 302) Directs the Secretary to establish and carry out a scholarship program of financial assistance for individuals who: (1) are accepted for, or currently enrolled in, a program of study leading to a degree or certificate in visual impairment or orientation and mobility, or both; and (2) enter into an agreement to serve, after program completion, as a full-time VA employee for three years within the first six years after program completion. Sets maximum assistance amounts of $15,000 per academic year and $45,000 total. Requires pro rata repayment for failure to satisfy education or service requirements, while allowing the Secretary to waive or suspend repayment when noncompliance is due to circumstances beyond the control of the participant, or when waiver or suspension is in the best interests of the United States. (Sec. 303) Authorizes the Secretary to carry out demonstration projects to examine the feasibility and advisability of alternatives for expanding care for veterans in rural areas. Requires the Secretary to report project results to the veterans and appropriations committees. Authorizes appropriations. (Sec. 304) Requires the Secretary to establish a program to provide to veterans of Operations Iraqi Freedom and Enduring Freedom, particularly those who served with the National Guard or reserves: (1) peer outreach services; (2) peer support services; (3) readjustment counseling and related services; and (4) mental health services. Requires the Secretary to establish a program to provide to immediate family members of such veterans, during the three-year period after the veteran's return from such deployment, education, support, counseling, and mental health services to assist in: (1) the veteran's readjustment to civilian life; (2) in the case of a veteran with an injury or illness incurred during such deployment, the recovery of the veteran; and (3) the readjustment of the family following the veteran's return. Directs the Secretary to contract with community mental health centers and other qualified entities in areas not adequately served by other health care facilities or VA vet centers. Requires the appropriate training of veterans and clinicians in the provision of such services. (Sec. 305) Authorizes the Secretary to pay travel expenses for veterans receiving treatment at VA facilities at the rate of 41.5 cents per mile. (Current law authorizes the rate provided to federal employees in connection with the performance of official duties.) Allows the Secretary, one year after the enactment of this Act, to adjust such rate to make it equal to the mileage reimbursement rate for the use of privately-owned vehicles by government employees on official business (requiring a justification to Congress if such adjustment causes a decrease from the previous rate). Includes within such reimbursement travel by air if it is the only practical way to reach a VA facility. Requires the Secretary, in considering whether travel by air is the only practical way, to consider the veteran's medical condition and any other impediments to the use of ground transportation. (Sec. 306) Requires the Secretary to carry out a three-year pilot program on financial incentives for VA physicians who assume and maintain inpatient responsibilities at community hospitals in health professional shortage areas. Directs the Secretary to compensate participating physicians for such responsibilities carried out for which the physician would not otherwise be compensated by the VA. Requires a written agreement between the VA and the physician with respect to compensation amounts. Directs the Secretary to report annually to Congress on the pilot program. (Sec. 307) Directs the Secretary to make grants to state veterans service agencies and veterans service organizations to provide innovative transportation options to veterans in highly rural areas. Limits each grant amount to $50,000. Authorizes appropriations. (Sec. 308) Amends the Veterans' Mental Health and Other Care Improvements Act of 2008 to revise eligibility requirements for participation in a pilot program of enhanced VA contract care for the health care needs of VHA-enrolled veterans residing substantial distances from VA facilities providing primary, acute hospital, and tertiary care. Title IV: Mental Health Care Matters - (Sec. 401) Makes any member who serves in Operations Iraqi Freedom or Enduring Freedom eligible for readjustment counseling and related mental health services through the VHA's Readjustment Counseling Service, regardless of whether the member is on active duty at the time of receipt of such counseling and services. (Sec. 402) Directs the Secretary, upon receipt of a request for counseling from an individual who has been discharged or released from active service, to: (1) provide referrals to assist the individual in obtaining mental health care and services outside the VA; and (2) if pertinent, advise such individual of the right to apply for review of the discharge or release. (Sec. 403) Requires the Secretary to: (1) conduct a study to determine the number of veterans who died by suicide between January 1, 1999, and the date of enactment of this Act; and (2) report study results to the veterans committees. Title V: Other Health Care Matters - (Sec. 501) Repeals the requirement for annual reports concerning: (1) pay adjustments for registered nurses; and (2) VA long-range health planning. (Sec. 502) Amends the Persian Gulf War Veterans' Health Status Act to: (1) change the due date of an annual report concerning research on the health effects of military service during the Persian Gulf War; and (2) terminate such report requirement after July 1, 2015. (Sec. 503) Requires VA payments made to providers who furnish medical care to a veteran's beneficiary under the Civilian Health and Medical Program of the Veterans Administration (CHAMPVA) to constitute payment in full (thereby extinguishing the beneficiary's liability to that provider). (Sec. 504) Authorizes disclosure of VA medical information to a representative of a patient who lacks decision-making capacity. (Sec. 505) Requires: (1) the VHA's Under Secretary of Health to designate a National Quality Management Officer for the VHA quality assurance program; (2) each Veterans Integrated Services Network regional director to appoint a quality management officer; and (3)each VHA medical facility director to appoint a quality management officer. Outlines duties for each officer. Authorizes appropriations. Directs: (1) the Under Secretary to establish mechanisms through which VHA employees may submit confidential reports concerning the quality of care in VHA facilities to the designated quality management officers; and (2) the Secretary to review, and report to Congress on, current policies and protocols for maintaining health care quality and patient safety at VA medical facilities. (Sec. 506) Directs the Secretary to: (1) conduct a two-year pilot program to assess the feasibility and advisability of using community-based organizations and local and state governmental entities to ensure that veterans receive the care and benefits for which they are eligible, including while transitioning from military service to civilian life; and (2) report to Congress on the pilot program. (Sec. 507) Authorizes the Secretary to contract with appropriate entities to provide specialized residential care and rehabilitation services to a veteran of Operations Enduring Freedom or Iraqi Freedom who suffers from a traumatic brain injury (TBI), has an accumulation of deficits in activities of daily living and instrumental activities of daily living and, because of these deficits, would otherwise require nursing home admission even though such care would generally exceed the veteran's nursing needs. (Sec. 508) Directs the Secretary to contract with the Institute of Medicine of the National Academies to conduct an expanded study on the health impact of Project Shipboard Hazard and Defense. Requires the study to include, as practicable, all veterans who participated in the Project. (Sec. 509) Authorizes the Secretary to utilize non-VA facilities for the care and treatment of veterans suffering from TBI when the Secretary: (1) is unable to provide such treatment or services at the frequency or for the duration necessary; or (2) determines that it is optimal to the veteran's recovery and rehabilitation. Requires the non-VA facility selected to maintain care standards established by an independent, peer-reviewed organization that accredits specialized rehabilitation programs for adults with TBI. (Sec. 510) Directs the Secretary to conduct a three-year pilot program to assess the feasibility and advisability of providing a dental insurance plan for any veteran enrolled in the VHA annual patient enrollment system, as well as survivors and dependents eligible for VA medical care. Provides for: (1) voluntary plan enrollment and disenrollment; and (2) the payment of plan premiums. (Sec. 511) Prohibits the Secretary from requiring a veteran who is catastrophically disabled from making any copayment for the receipt of VA hospital care or medical services. (Sec. 512) Provides for veterans awarded the Medal of Honor the same priority in the VA provision of hospital care and medical services as is currently provided for veterans who were former prisoners of war or were awarded the Purple Heart. (Sec. 513) Makes eligible for VA hospital care, medical services, and nursing home care, for any disability: (1) Vietnam-era veterans who were exposed to herbicides; and (2) veterans of the Persian Gulf War. (Sec. 514) Establishes in the VHA the Director of Physician Assistant Services, to be responsible for the education and training, employment, appropriate use, and optimal participation of physician assistants within VHA initiatives and programs. (Sec. 515) Directs the Secretary to establish within the VHA the Committee on Care of Veterans with Traumatic Brain Injury, to continually assess VHA capabilities to meet the treatment and rehabilitation needs of veterans with TBI. Requires an annual report from the Secretary to the veterans committees on the implementation of this section. (Sec. 516) Increases the maximum authorized amounts made available to service-disabled veterans and certain other veterans for home improvements and structural alterations furnished as part of VA home health services. (Sec. 517) Extends through the end of FY2012: (1) prescribed copayments from certain veterans receiving hospital or nursing home care; and (2) VA authority to recover from third-party providers the cost of certain care and services provided to service-disabled veterans. Title VI: Department Personnel Matters - (Sec. 601) Authorizes the Secretary to appoint personnel for health care positions within the VHA not specifically listed in authorized classes for appointment, as long as the Secretary provides prior notification to the veterans committees and the Office of Management and Budget (OMB). Requires the Secretary, before submitting notification, to solicit comments from any labor organization representing employees in any such class and include such comments in such notification. Authorizes the appointment of nurse assistants within the VHA. Makes the probationary period after appointment as a registered nurse two years. Provides that an appointment on a part-time basis of a VHA health care professional who has previously served on a full-time basis shall be without a probationary period. Limits to two years the probationary period for the appointment of a registered nurse on a temporary, part-time basis, after which time the appointment shall be considered permanent. Provides an exception with respect to appointments made on a term-limited basis of three years or less. Bases the rate of basic pay for appointees to the Office of the Under Secretary for Health on pay levels in the Senior Executive Service for equivalent positions. Allows for the payment of special incentive pay of up to $40,000 annually for a VHA pharmacist executive. Removes, adjusts, or waives certain pay restrictions, including on the non-foreign cost-of-living adjustment, market pay, and basic and locality pay, for VHA: (1) physicians and dentists; (2) physicians or dentists occupying administrative or executive leadership positions; (3) nurses; and (4) certified registered nurse anesthetists. Requires additional training, education, and support for appropriate VHA employees in the conduct and use of locality pay scale surveys. Requires VHA facility wage-related information, currently provided by way of reports from facility directors to the Secretary, to be made available, upon request, to individuals in VHA positions covered by such report. Increases from $25,000 to $100,000 the special pay for nurse executives. Makes part-time nurses eligible for additional premium nurse pay. Adds nurse service in excess of eight consecutive hours to the services eligible for additional overtime pay. Adds licensed practical nurses, licensed vocational nurses, and certain other nurse positions to those positions exempted from limitations on increases in basic pay rates. (Sec. 602) Prohibits: (1) the Secretary from requiring nursing staff to work more than 40 hours in a week or eight hours in a day (12 hours in the case of three-day workweeks), except under non-recurring emergency circumstances; and (2) discrimination or adverse personnel actions against nurse staff who refuse to work such additional hours. Revises the calculation of leave for nurses working two 12-hour shifts on a weekend. Redefines the VHA alternative work schedule for nurses as six 12-hours shifts within an 80-hour pay period (as opposed to three 12-hour shifts within a work week). (Sec. 603) Reinstates through 2014 the VA's health professionals educational assistance scholarship program. Directs the Secretary to modify such program in a manner designed to fully employ program graduates as soon as possible, and to actively assist and monitor graduates to ensure certification as soon as possible following graduation. Requires program participants to perform clinical tours. Directs the Secretary to ensure that, upon graduation, a participant is assigned a mentor who is employed at the same facility as the participant. (Sec. 604) Authorizes the Secretary to utilize certain authorities under the Public Health Service Act to repay educational loans of qualified health professionals from disadvantaged backgrounds in order to secure VHA clinical research by such professionals. Title VII: Homeless Veterans Matters - (Sec. 701) Authorizes the Secretary to make grants to recipients or entities that meet one, some, or all of the transitional and supportive services criteria prescribed by the Secretary and who furnish services to homeless individuals of which less than 75% are veterans. Requires grant funds to be used for making per diem payments to such recipients or entities, with such payments prioritized according to the number of criteria being met. Title VIII: Nonprofit Research and Education Corporations - (Sec. 801) Amends federal provisions concerning the establishment at VA medical facilities of nonprofit research and education corporations (NRECs) to allow an NREC to facilitate the conduct of research or education, or both, at more than one VA medical center. States that such an NREC shall be known as a multi-medical center research corporation (MCRC). Allows an NREC to act as a MCRC if: (1) the NREC board of directors approve a resolution permitting that NREC to act as a MCRC; and (2) the Secretary of Veterans Affairs approves the resolution. Requires each NREC and MCRC (corporation) to be established in accordance with the nonprofit corporation laws of the state in which the VA medical center(s) which it supports is located. States that neither such corporation shall be considered to be owned or controlled by, or an agent or instrumentality of, the United States. (Sec. 802) Restates corporation purposes, including with respect to their role in: (1) providing a flexible research funding mechanism; and (2) residencies or similar programs. (Sec. 803) Modifies the composition of corporation boards of directors. Revises requirements concerning non-VA members of boards of directors of NRECs and MCRCs to: (1) require a minimum number who are not officers or employees of the federal government; and (2) expand the required areas of experience or expertise. Removes financial relationship restrictions from conflict of interest standards applicable to directors. (Sec. 804) Increases authorized corporation powers to include entering into contracts and setting fees for facilitated education and training. (Sec. 806) Revises annual report procedures to require submission of an Internal Revenue Service return form applicable to tax-exempt organizations. Revises conflict of interest policies applicable to directors, officers, and employees of a corporation. Revises requirements for a report to Congress to increase from $35,000 to $50,000 the threshold for identifying payees of the corporation. Title IX: Construction and Naming Matters - (Sec. 901) Authorizes the Secretary to carry out major medical facility construction projects during FY2010 at specified VA facilities in California, Kentucky, Missouri, and Texas. Extends through FY2010 the authorization for projects in Colorado and Florida. Authorizes appropriations for such projects. (Sec. 902) Designates the VA outpatient clinics in: (1) Havre, Montana, as the "Merril Lundman Department of Veterans Affairs Outpatient Clinic"; (2) Knoxville, Tennessee, as the "William C. Tallent Department of Veterans Affairs Outpatient Clinic"; and (3) Alexandria, Minnesota, as the "Max J. Beilke Department of Veterans Affairs Outpatient Clinic." Title X: Other Matters - (Sec. 1001) Expands the authority of VA police officers to include: (1) carrying VA-issued weapons while off VA property in an official capacity or while on official travel; (2) conducting investigations, on and off VA property, of offenses that may have been committed on VA property; (3) carrying out any VA-authorized duties when engaged in duties authorized by other federal statutes; and (4) serving arrest warrants issued by competent judicial authority. (Sec. 1002) Makes the uniform allowance for VA police officers the lesser of: (1) the amount currently permitted by the Office of Personnel Management (OPM); or (2) estimated or actual costs as determined by periodic VA surveys. Requires the allowance to be paid: (1) at the beginning of the officer's employment, for those appointed on or after October 1, 2010; or (2) in the case of any other officer, upon the officer's request. (Sec. 1003) Provides that, whenever the Secretary or any other VA official is required by law to submit a report to Congress, the Secretary or official shall submit a copy of the report in an electronic format. (Sec. 1004) Requires the budgetary effects of this Act, for purposes of compliance with the Statutory Pay-As-You-Go Act of 2010, to be determined by reference to the latest statement titled "Budgetary Effects of PAYGO Legislation" for this Act, provided that such statement has been submitted prior to the vote on passage.

caregivers veterans_omnibus_health_services act title caregiver support sec directs secretary veterans_affairs establish program comprehensive assistance family caregivers veteran undergoing medical discharge armed_forces injury incurred aggravated line duty september need personal care services includes assistance personal care services instruction training ongoing technical support counseling lodging subsistence accompanying veteran medical care allows additional assistance primary personal care provider including mental health services respite care monthly stipend comparable provided commercial caregivers geographic area requires secretary respect assistance designate family member primary personal care provider subject approval veteran concerned monitor veteran receiving personal care services corrective actions necessary carry outreach inform eligible veterans family members program establish program general caregiver support services caregivers veterans enrolled health care system provide outreach program develop submit congressional veterans committees plan implementation comprehensive assistance program report annually committees plan implementation submit time report feasibility advisability expanding program cover veterans injury incurred aggravated september authorizes appropriations sec authorizes secretary provide medical care designated primary provider personal care services entitled care services health plan contract sec includes family caregivers veterans eligible counseling mental health services sec directs secretary reimburse attendants travel expenses including lodging subsistence connection authorized treatment veterans title women veterans health care matters sec requires secretary study report veterans committees barriers receipt comprehensive health care encountered women veterans requires secretary ensure heads advisory_committee women veterans review study results report congress study status implementation section authorizes appropriations sec directs secretary carry program graduate level education training certification continuing medical education mental health professionals specializing provision counseling care veterans suffering sexual trauma post traumatic stress disorder ptsd report annually congress counseling care provided sec requires secretary conduct year pilot program evaluate feasibility advisability providing reintegration readjustment services group retreat settings women veterans recently separated military service prolonged deployment report congress pilot program authorizes appropriations sec requires inclusion respectively women veterans recently separated service minority women veterans recently separated service advisory_committee_on_women_veterans advisory_committee_on_minority_veterans sec directs secretary carry year pilot program assess feasibility advisability providing assistance veterans receiving regular intensive mental health services intensive health care services order obtain child care receiving services report congress pilot program authorizes appropriations sec authorizes secretary furnish care newborn child woman veteran receiving maternity care seven days birth child title iii sec revises education debt reduction program add retention program purpose allow current law recently appointed employees participate increases aggregate year payment limits program allows secretary waive limits participants serve positions shortage qualified employees reason position location requirements sec directs secretary establish carry scholarship program financial assistance individuals accepted currently enrolled program study leading degree certificate visual impairment orientation mobility enter agreement serve program completion time employee years years program completion sets maximum assistance amounts academic year total requires pro rata repayment failure satisfy education service requirements allowing secretary waive suspend repayment noncompliance circumstances control participant waiver suspension best interests united_states sec authorizes secretary carry demonstration projects examine feasibility advisability alternatives expanding care veterans rural areas requires secretary report project results veterans appropriations committees authorizes appropriations sec requires secretary establish program provide veterans operations iraqi freedom enduring_freedom particularly served national_guard reserves peer outreach services peer support services readjustment counseling related services mental health services requires secretary establish program provide immediate family members veterans year period veteran return deployment education support counseling mental health services assist veteran readjustment civilian life case veteran injury illness incurred deployment recovery veteran readjustment family following veteran return directs secretary contract community mental health centers qualified entities areas adequately served health care facilities vet centers requires appropriate training veterans clinicians provision services sec authorizes secretary pay travel expenses veterans receiving treatment facilities rate cents mile current law authorizes rate provided federal employees connection performance official duties allows secretary year enactment act adjust rate equal mileage reimbursement rate use privately owned vehicles government employees official business requiring justification congress adjustment causes decrease previous rate includes reimbursement travel air practical way reach facility requires secretary considering travel air practical way consider veteran medical condition impediments use ground transportation sec requires secretary carry year pilot program financial incentives physicians assume maintain inpatient responsibilities community hospitals health professional shortage areas directs secretary compensate participating physicians responsibilities carried physician compensated requires written agreement physician respect compensation amounts directs secretary report annually congress pilot program sec directs secretary grants state veterans service agencies veterans service organizations provide innovative transportation options veterans highly rural areas limits grant authorizes appropriations sec amends care improvements act revise eligibility requirements participation pilot program enhanced contract care health care needs vha enrolled veterans residing substantial distances facilities providing primary acute hospital tertiary care title mental health care matters sec makes member serves operations iraqi freedom enduring_freedom eligible readjustment counseling related mental health services vha regardless member active duty time receipt counseling services sec directs secretary receipt request counseling individual discharged released active service provide referrals assist individual obtaining mental health care services outside pertinent advise individual right apply review discharge release sec requires secretary conduct study determine number veterans died suicide january date enactment act report study results veterans committees title health care matters sec repeals requirement annual reports concerning pay adjustments registered nurses long range health planning sec amends health status act change date annual report concerning research health effects military service persian_gulf_war terminate report requirement july sec requires payments providers furnish medical care veteran beneficiary champva constitute payment beneficiary liability provider sec authorizes disclosure medical information representative patient lacks decision making capacity sec requires vha secretary health designate officer vha quality assurance program veterans_integrated_services_network regional director appoint quality management officer vha medical facility director appoint quality management officer outlines duties officer authorizes appropriations directs secretary establish mechanisms vha employees submit confidential reports concerning quality care vha facilities designated quality management officers secretary review report congress current policies protocols maintaining health care quality patient safety medical facilities sec directs secretary conduct year pilot program assess feasibility advisability community based organizations local state governmental entities ensure veterans receive care benefits eligible including transitioning military service civilian life report congress pilot program sec authorizes secretary contract appropriate entities provide specialized residential care rehabilitation services veteran operations enduring freedom iraqi_freedom suffers traumatic brain injury tbi accumulation deficits activities daily living instrumental activities daily living deficits require nursing home admission care generally exceed veteran nursing needs sec directs secretary contract institute_of_medicine_of_the_national_academies conduct expanded study health impact project defense requires study include practicable veterans participated project sec authorizes secretary utilize non-va facilities care treatment veterans suffering tbi secretary unable provide treatment services frequency duration necessary determines optimal veteran recovery rehabilitation requires non facility selected maintain care standards established independent peer reviewed organization specialized rehabilitation programs adults tbi sec directs secretary conduct year pilot program assess feasibility advisability providing dental insurance plan veteran enrolled vha annual patient enrollment system survivors dependents eligible medical care provides voluntary plan enrollment disenrollment payment plan premiums sec prohibits secretary requiring veteran catastrophically disabled making copayment receipt hospital care medical services sec provides veterans awarded medal honor priority provision hospital care medical services currently provided veterans prisoners war awarded purple heart sec makes eligible hospital care medical services nursing home care disability vietnam era veterans exposed herbicides veterans persian_gulf_war sec establishes vha director responsible education training employment appropriate use optimal participation physician assistants vha initiatives programs sec directs secretary establish vha committee care veterans traumatic brain injury continually assess vha capabilities meet treatment rehabilitation needs veterans tbi requires annual report secretary veterans committees implementation section sec increases maximum authorized amounts available service disabled veterans certain veterans home improvements structural alterations furnished home health services sec extends end fy2012 prescribed copayments certain veterans receiving hospital nursing home care authority recover party providers cost certain care services provided service disabled veterans title department personnel matters sec authorizes secretary appoint personnel health care positions vha specifically listed authorized classes appointment long secretary provides prior notification veterans committees office_of_management_and_budget omb requires secretary submitting notification solicit comments labor organization representing employees class include comments notification authorizes appointment nurse assistants vha makes probationary period appointment registered nurse years provides appointment time basis vha health care professional previously served time basis shall probationary period limits years probationary period appointment registered nurse temporary time basis time appointment shall considered permanent provides exception respect appointments term limited basis years bases rate basic pay appointees office secretary health pay levels senior_executive_service equivalent positions allows payment special incentive pay annually vha pharmacist executive removes adjusts waives certain pay restrictions including non foreign cost living adjustment market pay basic locality pay vha physicians dentists physicians dentists occupying administrative executive leadership positions nurses certified registered nurse anesthetists requires additional training education support appropriate vha employees conduct use locality pay scale surveys requires vha facility wage related information currently provided way reports facility directors secretary available request individuals vha positions covered report increases special pay nurse executives makes time nurses eligible additional premium nurse pay adds nurse service excess consecutive hours services eligible additional overtime pay adds licensed practical nurses licensed vocational nurses certain nurse positions positions exempted limitations increases basic pay rates sec prohibits secretary requiring nursing staff work hours week hours day hours case day workweeks non recurring emergency circumstances discrimination adverse personnel actions nurse staff refuse work additional hours revises calculation leave nurses working hour shifts weekend redefines vha alternative work schedule nurses hours shifts hour pay period opposed hour shifts work week sec reinstates health professionals educational assistance scholarship program directs secretary modify program manner designed fully employ program graduates soon possible actively assist monitor graduates ensure certification soon possible following graduation requires program participants perform clinical directs secretary ensure graduation participant assigned mentor employed facility participant sec authorizes secretary utilize certain authorities public_health_service_act repay educational loans qualified health professionals disadvantaged backgrounds order secure vha clinical research professionals title vii sec authorizes secretary grants recipients entities meet transitional supportive services criteria prescribed secretary furnish services homeless individuals veterans requires grant funds making diem payments recipients entities payments prioritized according number criteria met title viii sec amends federal provisions concerning establishment medical facilities nonprofit research education corporations nrecs allow nrec facilitate conduct research education medical center states nrec shall known multi medical center research corporation mcrc allows nrec act mcrc nrec board directors approve resolution permitting nrec act mcrc secretary veterans_affairs approves resolution requires nrec mcrc corporation established accordance nonprofit corporation laws state medical supports located states corporation shall considered owned controlled agent instrumentality united_states sec restates corporation purposes including respect role providing flexible research funding mechanism residencies similar programs sec modifies composition corporation boards directors revises requirements concerning non members boards directors nrecs mcrcs require minimum number officers employees federal government expand required areas experience expertise removes financial relationship restrictions conflict interest standards applicable directors sec increases authorized corporation powers include entering contracts setting fees facilitated education training sec revises annual report procedures require submission internal_revenue_service return form applicable tax exempt organizations revises conflict interest policies applicable directors officers employees corporation revises requirements report congress increase threshold identifying payees corporation title construction naming matters sec authorizes secretary carry major medical facility construction projects fy2010 specified facilities california kentucky missouri texas extends fy2010 authorization projects colorado florida authorizes appropriations projects sec designates outpatient clinics montana department veterans_affairs_outpatient_clinic knoxville tennessee william department veterans_affairs_outpatient_clinic alexandria minnesota max department veterans_affairs_outpatient_clinic title matters sec expands authority police officers include carrying issued weapons property official capacity official travel conducting investigations property offenses committed property carrying authorized duties engaged duties authorized federal statutes serving arrest warrants issued competent judicial authority sec makes uniform allowance police officers lesser currently permitted estimated actual costs determined periodic surveys requires allowance paid beginning officer employment appointed october case officer officer request sec provides secretary official required law submit report congress secretary official shall submit copy report electronic format sec requires budgetary effects act purposes compliance statutory pay act determined reference latest statement titled budgetary effects paygo legislation act provided statement submitted prior vote passage


Summary: COBRA Subsidy Extension and Enhancement Act of 2009 - Amends the American Recovery and Reinvestment Act of 2009 to: (1) increase the subsidy under COBRA (health insurance continuation benefits under the Consolidated Omnibus Budget Reconciliation Act of 1985) to 75% of a worker's health care insurance premium; (2) extend such subsidy from 9 to 15 months after termination from employment; (3) extend coverage under COBRA to employees whose work hours are involuntarily reduced; and (4) extend until June 30, 2010, the period of eligibility for COBRA premium assistance.

cobra subsidy extension enhancement act amends american_recovery_and_reinvestment_act increase subsidy cobra health insurance continuation benefits consolidated_omnibus_budget_reconciliation_act worker health care insurance premium extend subsidy months termination employment extend coverage cobra employees work hours involuntarily reduced extend june period eligibility cobra premium assistance


Summary: Rural Telemedicine Enhancing Community Health (TECH) Act of 2009 - Directs the Secretary of Health and Human Services (HHS) to establish telehealth pilot projects for the purpose of analyzing the clinical outcomes and cost effectiveness associated with telehealth services in a variety of geographic areas. Amends title XVIII (Medicare) of the Social Security Act to: (1) provide for expansion of originating telehealth sites for stroke telehealth services; (2) provide access to store-and-forward telehealth services in facilities of the Indian Health Service and federally qualified health centers; and (3) direct the Secretary to establish reasonable regulations to consider the remote credentialing and privileging standards for originating sites with respect to telehealth services.

act directs secretary health_and_human_services hhs establish telehealth pilot projects purpose analyzing clinical outcomes cost effectiveness associated telehealth services variety geographic areas amends title xviii medicare social security act provide expansion originating telehealth sites stroke telehealth services provide access store forward telehealth services facilities indian_health_service federally qualified health centers direct secretary establish reasonable regulations consider remote credentialing standards originating sites respect telehealth services


Summary: Medical Foods Equity Act of 2009 - Amends titles XVIII (Medicare), XIX (Medicaid), and XXI (State Children's Health Insurance Program) (CHIP, formerly known as SCHIP) of the Social Security Act to include coverage of: (1) medically necessary food and food modified to be low protein; and (2) pharmacological doses of vitamins and amino acids used for the treatment of inborn errors of metabolism. Provides for similar coverage under the TRICARE program (military health care). Amends the Employee Retirement Income Security Act (ERISA), the Public Health Service Act, and the Internal Revenue Code to provide coverage in group and individual plans of such food and vitamins and amino acids. Requires the Secretary of Health and Human Services (HHS) to determine the minimum yearly coverage for all health insurance plans based upon the expanded coverage provided by this Act.

amends titles xviii medicare xix medicaid chip known schip social security act include coverage medically necessary food food modified low protein pharmacological doses vitamins amino acids treatment inborn errors metabolism provides similar coverage tricare program military health care amends employee retirement income security act erisa public_health_service_act internal revenue code provide coverage group individual plans food vitamins amino acids requires secretary health_and_human_services hhs determine minimum yearly coverage health insurance plans based expanded coverage provided act


Summary: Economic Fairness for Seniors Act - Amends title XVIII (Medicare) of the Social Security Act (SSA) to keep the same Medicare part B premium for 2010 that was in effect for 2009. Amends the American Recovery and Reinvestment Tax Act of 2009 (ARRA) to require an additional economic recovery payment (of $250) in calendar 2010 to certain beneficiaries of SSA title II (Old-Age, Survivors, and Disability Insurance) (OASDI), railroad retirement, or veterans benefits. Makes appropriations to fund such payments. Directs the Bureau of Labor Statistics (BLS) of the Department of Labor to study and report to Congress on: (1) whether a consumer price index for elderly consumers (CPI-E) more accurately reflects the true costs of inflation for elderly Americans than the Consumer Price Index for Urban Wage Earners and Clerical Workers (CPI-W); and (2) if the elderly are being financially disadvantged by the use of the CPI-W in the determination of current benefit levels. Requires the BLS to prepare such a CPI-E if elderly Americans are disadvantaged by the CPI-W. Amends the Emergency Economic Stabilization Act of 2008 (EESA) to offset the expenses of this Act through a reduction in Troubled Asset Relief Program (TARP) Funds.

economic fairness seniors act amends title xviii medicare social security act ssa medicare premium effect amends american_recovery_and_reinvestment_tax_act arra require additional economic recovery payment calendar certain beneficiaries ssa title survivors disability_insurance oasdi railroad retirement veterans benefits makes appropriations fund payments directs bureau_of_labor_statistics bls department_of_labor study report congress consumer price index elderly consumers cpi accurately reflects true costs inflation elderly americans consumer price index cpi elderly financially use determination current benefit levels requires bls prepare cpi elderly americans disadvantaged eesa offset expenses act reduction troubled_asset_relief_program tarp funds


Summary: Emergency Aid to American Survivors of the Haiti Earthquake Act - Amends title XI of the Social Security Act (SSA) to increase the funding cap under the U.S. Repatriation Program to $25 million for FY2010 for temporary assistance to U.S. citizens (and their dependents) returning from foreign countries in the event of destitution, illness, war, threat of war, invasion, or similar crisis. Amends SSA title XIX (Medicaid) to provide $65 million in additional funding for the Qualified Individual (QI) Program which pays the Medicare part B premium costs for low-income seniors. Reduces a corresponding amount otherwise available to the Medicaid Improvement Fund for FY2014.

american survivors haiti earthquake act amends title social security act ssa increase funding cap million fy2010 temporary assistance citizens dependents returning foreign countries event illness war threat war invasion similar crisis amends ssa title xix medicaid provide million additional funding program pays medicare premium costs low income seniors reduces corresponding available medicaid_improvement_fund fy2014


Summary: Medicaid DSH Integrity Act - Directs the Secretary of Health and Human Services (HHS) to indicate, in appropriate guidance, that the Centers for Medicare & Medicaid Services (CMS) do not intend to enforce any changes in policy related to calculating the limits on the adjustment in payment under title XIX (Medicaid) of the Social Security Act for inpatient hospital services furnished by disproportionate share hospitals (DSH) that were contained in the Medicaid DSH auditing and reporting regulations the CMS issued pursuant to the Medicare Prescription Drug Improvement and Modernization Act of 2003. Requires the Secretary to publish an interim final rule to revise such regulations as necessary to: (1) correct such policy changes; (2) provide appropriate guidance for otherwise implementing those auditing and reporting regulations; and (3) provide for specified regulatory changes to be included in the new interim rule. Requires the CMS, in defining the costs of furnishing services to individuals with no health insurance (or other source of third-party coverage), to permit inclusion of all costs related to services provided to patients with no insurance for the service rendered, even if the patient has insurance that covers other services. Declares that the receipt by a hospital of nominal payments related to a service shall not constitute health insurance or a source of third-party coverage.

secretary health_and_human_services hhs indicate appropriate guidance centers cms intend enforce changes policy related calculating limits adjustment payment title xix medicaid social security act inpatient hospital services furnished disproportionate share hospitals dsh contained medicaid dsh auditing reporting regulations cms issued pursuant requires secretary publish interim final rule revise regulations necessary correct policy changes provide appropriate guidance implementing auditing reporting regulations provide specified regulatory changes included new interim rule requires cms defining costs furnishing services individuals health insurance source party coverage permit inclusion costs related services provided patients insurance service rendered patient insurance covers services declares receipt hospital nominal payments related service shall constitute health insurance source party coverage


Summary: Amends the American Recovery and Reinvestment Act of 2009 to extend until January 1, 2011, the temporary increase in the federal medical assistance percentage (FMAP), under title XIX (Medicaid) of the Social Security Act, for any state with a certain unemployment increase percentage during the recession adjustment period. Extends the entire recession adjustment period from December 31, 2010, through December 31, 2011. Declares that voluntary contributions by a political subdivision to the non-federal share of expenditures under a state Medicaid plan, or to the non-federal share of payments for inpatient hospital services furnished by disproportionate share (DSH) hospitals shall not be considered to be required contributions. (Thus allows a state that otherwise requires such contributions during the recession adjustment period, but instead receives voluntary contributions from political subdivisions, to be eligible for an increase in its FMAP.)

amends american_recovery_and_reinvestment_act extend january temporary increase federal medical assistance percentage fmap title xix medicaid social security act state certain unemployment increase percentage recession adjustment period extends entire recession adjustment period december december declares voluntary contributions political subdivision non federal share expenditures state medicaid plan non federal share payments inpatient hospital services furnished disproportionate share dsh hospitals shall considered required contributions allows state requires contributions recession adjustment period instead receives voluntary contributions political subdivisions eligible increase fmap


Summary: Health Insurance Rate Authority Act of 2010 - Amends the Public Health Service Act to require the Secretary of Health and Human Services (HHS) to establish a uniform process for the review of potentially unreasonable increases in rates for health insurance coverage, which shall include premiums. Directs the Secretary to establish a Health Insurance Rate Authority to advise and make recommendations to the Secretary. Sets forth corrective actions for unreasonable increases in rates. Requires a report on state authority to review rates and take corrective action, rating requests received by the state and actions taken, justifications by insurance issuers for rate requests, and a recommended definition of unreasonable rate increase. Requires the Secretary to determine: (1) for which states the state insurance commissioner will review rate increases and take corrective action; and (2) for which states the Secretary will undertake such actions based on the Secretary's determination that such states lack the authority and capability. Directs the Secretary to develop a uniform data collection system for new and increased rate information. Requires the Authority to produce annually a single, aggregate report on insurance market behavior. Directs states, as a condition of receiving a grant under this Act, to provide the Secretary with information about trends in rate increases in health insurance coverage in premium rating areas in the state. Requires the Secretary to carry out a program to award grants to states to carry out this Act. Authorizes the Secretary to enforce this Act if the state does not substantially enforce the provisions. Establishes civil penalties for violations.

act amends public_health_service_act require secretary health_and_human_services hhs establish uniform process review potentially unreasonable increases rates health insurance coverage shall include premiums directs secretary establish advise recommendations secretary sets forth corrective actions unreasonable increases rates requires report state authority review rates corrective action rating requests received state actions taken justifications insurance issuers rate requests recommended definition unreasonable rate increase requires secretary determine states state insurance commissioner review rate increases corrective action states secretary undertake actions based secretary determination states lack authority capability directs secretary develop uniform data collection system new increased rate information requires authority produce annually single aggregate report insurance market behavior directs states condition receiving grant act provide secretary information trends rate increases health insurance coverage premium rating areas state requires secretary carry program award grants states carry act authorizes secretary enforce act state substantially enforce provisions establishes civil penalties violations


Summary: Declares that no individual who elects to opt out of benefits under part A (Hospital Insurance) of title XVIII (Medicare) of the Social Security Act (SSA) shall be required to: (1) opt out of benefits under SSA title II (Old-Age, Survivors, and Disability Insurance) (OASDI) as a condition for making such election; or (2) repay any amount paid under Medicare part A for items and services furnished prior to making such election.

declares individual elects opt benefits title xviii medicare social security act ssa shall required opt benefits ssa title survivors disability_insurance oasdi condition making election repay paid medicare items services furnished prior making election


Summary: Amends the Internal Revenue Code to provide that health care coverage provided by the TRICARE program and the Nonappropriated Fund Health Benefits Program of the Department of Defense (DOD) shall constitute minimal essential health care coverage as required by the Patient Protection and Affordable Care Act.

amends internal revenue code provide health care coverage provided tricare program department_of_defense dod shall constitute minimal essential health care coverage required patient_protection affordable care act


Summary: Amends the Internal Revenue Code to include children of Vietnam War and certain Korean War veterans receiving care and services through the Department of Veterans Affairs (VA) for spina bifida-related medical conditions and children of women Vietnam veterans born with certain birth defects as meeting the definition of minimum essential coverage under requirements of the Patient Protection and Affordable Care Act (PPACA).

amends internal revenue code include children vietnam war certain korean war veterans receiving care services department_of_veterans_affairs spina bifida related medical conditions children women vietnam veterans born certain birth defects meeting definition minimum essential coverage requirements patient_protection affordable care act ppaca


Summary: Prosthetics and Custom Orthotics Parity Act of 2010 - Amends the Employee Retirement Income Security Act of 1974 (ERISA) and the Public Health Service Act to require a group health plan that provides medical and surgical benefits and also provides benefits for prosthetics and custom orthotics to offer such prosthetics and custom orthotics in the same manner as applicable to medical and surgical benefits. Prohibits separate financial requirements or more restrictive treatment limitations. Requires a health plan that does not provide coverage for benefits outside of a network to ensure that such provider network is adequate to ensure enrollee access to prosthetic and custom orthotic devices and related services provided by appropriately credentialed practitioners and accredited suppliers. Limits coverage for required benefits for prosthetics and custom orthotics to the most appropriate device or component that adequately meets the medical requirements of the patient. Requires benefits to include repair and replacement due to normal wear and tear, irreparable damage, a change in the condition of the patient, or as otherwise determined appropriate by the treating physician. Prohibits any annual or lifetime dollar limitation on benefits for prosthetics and custom orthotics unless such limitation applies in the aggregate to all benefits. Directs the Comptroller General to study the effects of the implementation of this Act.

prosthetics parity act amends employee retirement income security act erisa public_health_service_act require group health plan provides medical surgical benefits provides benefits prosthetics custom orthotics offer prosthetics custom orthotics manner applicable medical surgical benefits prohibits separate financial requirements restrictive treatment limitations requires health plan provide coverage benefits outside network ensure provider network adequate ensure enrollee access prosthetic custom orthotic devices related services provided appropriately credentialed practitioners accredited suppliers limits coverage required benefits prosthetics custom orthotics appropriate device component adequately meets medical requirements patient requires benefits include repair replacement normal wear tear irreparable damage change condition patient determined appropriate treating physician prohibits annual lifetime dollar limitation benefits prosthetics custom orthotics limitation applies aggregate benefits directs comptroller_general study effects implementation act


Summary: COBRA Health Benefits Extension Act of 2010 - Extends COBRA coverage (health insurance continuation benefits) until the earlier of: (1) the first date in which an individual is eligible for coverage under an employment-based health plan; or (2) the date on which such individual becomes eligible for health insurance coverage through an American Health Benefit Exchange under the Patient Protection and Affordable Care Act (PPACA). Directs the Secretary of Labor to provide rules setting forth the form and manner in which prompt notice to individuals of such continued coverage shall be made. Allows a state to enforce the provisions of this Act with respect to COBRA continuation coverage provided under a state program. Provides that this Act has no effect on termination of continuation coverage for any reason other than expiration of a period of a specified number of months.

cobra health benefits extension act extends cobra coverage health insurance continuation benefits earlier date individual eligible coverage employment based health plan date individual eligible health insurance coverage american_health_benefit_exchange patient_protection affordable care act ppaca directs secretary labor provide rules setting forth form manner prompt notice individuals continued coverage shall allows state enforce provisions act respect cobra continuation coverage provided state program provides act effect termination continuation coverage reason expiration period specified number months


Summary: Reserve Component Medical Bills of Rights Availability Act - Directs the Secretary of Defense (DOD) to ensure that each member of a reserve component who is mobilized or demobilized is provided a clear and comprehensive statement of the medical care and treatment to which the member is entitled under federal law by reason of such mobilization or demobilization. Requires such statement to be provided each time the member is mobilized or demobilized.

reserve component medical bills rights availability act directs secretary defense dod ensure member reserve component mobilized demobilized provided clear comprehensive statement medical care treatment member entitled federal law reason mobilization demobilization requires statement provided time member mobilized demobilized


Summary: Debbie Blanchard Access to Health Care for Individuals With Disabilities Act of 2010 - Amends the Public Health Service Act to require the Secretary of Health and Human Services (HHS) to award grants to states to develop, maintain, and improve Internet directories of health care providers that are known to have entrances, examination rooms, and examination tables that are accessible to individuals with disabilities. Requires the Secretary, acting through the Office on Disability of HHS, to: (1) establish a pilot program to increase the awareness of health care providers of the need to offer accessible environments, examination rooms, and examination tables for individuals with disabilities and to increase voluntary compliance with federal accessibility requirements; and (2) develop and disseminate resources to support individuals with disabilities in finding providers that are accessible to such individuals, which shall include a concise list of questions for individuals with disabilities to ask when calling a health care provider for the first time to schedule an appointment and suggestions for explaining the special needs of such individuals to the provider and for seeking accommodation from the provider. Requires the Secretary to establish a National Advisory Committee on Access to Health Care for Individuals With Disabilities to support implementation of this Act and to ensure interagency coordination of efforts to improve access to care for individuals with disabilities.

health care individuals disabilities act amends public_health_service_act require secretary health_and_human_services hhs award grants states develop maintain improve internet health care providers known examination rooms examination tables accessible individuals disabilities requires secretary acting establish pilot program increase awareness health care providers need offer accessible environments examination rooms examination tables individuals disabilities increase voluntary compliance federal accessibility requirements develop disseminate resources support individuals disabilities finding providers accessible individuals shall include concise list questions individuals disabilities ask calling health care provider time schedule appointment suggestions explaining special needs individuals provider seeking accommodation provider requires secretary establish support implementation act ensure interagency coordination efforts improve access care individuals disabilities


Summary: Medicare Premium Fairness Act - Amends title XVIII (Medicare) of the Social Security Act with respect to the part B (Supplementary Medical Insurance Benefits for Aged and Disabled) premium for 2011. Makes such premium, and the related monthly actuarial rate, the same as those for 2009.

medicare premium fairness act amends title xviii medicare social security act respect supplementary medical insurance benefits aged disabled premium makes premium related monthly actuarial rate


Summary: Empowering States to Innovate Act - Amends the Patient Protection and Affordable Care Act to: (1)  allow states to apply for waivers of certain health insurance coverage requirements in such Act (including requirements for the establishment of qualified health plans and health insurance exchanges) for plan years beginning on or after January 1, 2014 (currently, January 1, 2017); and (2) require the waiver application process to begin not later than 180 days after the enactment of this Act.

empowering states innovate act amends patient protection affordable care act allow states apply waivers certain health insurance coverage requirements act including requirements establishment qualified health plans health insurance exchanges plan years beginning january currently january require waiver application process begin later days enactment act


Summary: Medicare Beneficiary Preservation of Choice Act of 2010 - Amends title XVIII (Medicare) of the Social Security Act, as amended by the Patient Protection and Affordable Care Act, to repeal the allowance for disenrollment, between January 1 and March 15 of each year, only from an MedicareAdvantage plan to elect enrollment in the original Medicare fee-for-service program. Restores the option under previous law to elect to change from a MedicareAdvantage to the original Medicare fee-for-service plan, or from the original Medicare fee-for-service to a MedicareAdvantage plan, once a year during the first three months.

medicare_beneficiary_preservation_of_choice_act amends title xviii medicare social security act amended patient_protection affordable care act repeal allowance disenrollment january march year medicareadvantage plan elect enrollment original medicare fee service program restores option previous law elect change medicareadvantage original medicare fee service plan original medicare fee service medicareadvantage plan year months


Summary: Reclaiming Individual Liberty Act - Amends the Internal Revenue Code to repeal provisions added by the Patient Protection and Affordable Care Act requiring individuals to purchase and maintain minimum essential health care coverage.

reclaiming individual liberty act amends internal revenue code repeal provisions added patient_protection affordable care act requiring individuals purchase maintain minimum essential health care coverage


Summary: Health Care Choices for Seniors Act - Amends title II (Old Age, Survivor's and Disability Insurance) (OASDI) of the Social Security Act (SSA) to require the Secretary of Health and Human Services to establish a procedure under which an individual otherwise entitled to benefits under part A (Hospital Insurance) of SSA title XVIII (Medicare) may waive such entitlement and be automatically enrolled in the Medicare Alternative Voucher Program (MAV Program). Directs the Secretary to establish the MAV Program, under which a voucher may be used as a contribution into a health savings account and for the payment of enrollment premiums under a high deductible health plan. Amends the Internal Revenue Code to increase the amount of the itemized deduction for health savings accounts by the amount of the MAV that is contributed to an individual's health savings account. Suspends Medicare late enrollment penalties for an individual between ages 65 and 70.

title old age survivor disability insurance oasdi social security act ssa require secretary health_and_human_services establish procedure individual entitled benefits ssa title xviii medicare waive entitlement automatically enrolled directs secretary establish voucher contribution health savings account payment enrollment premiums high deductible health plan amends internal revenue code increase itemized deduction health savings accounts contributed individual health savings account suspends medicare late enrollment penalties individual ages


Summary: Breast Cancer Patient Protect Act of 2011 - Amends the Employee Retirement Income Security Act of 1974 (ERISA), the Public Health Service Act, and the Internal Revenue Code to require a group or individual health plan that provides medical and surgical benefits to ensure that inpatient (and in the case of a lumpectomy, outpatient) coverage and radiation therapy are provided for breast cancer treatment. Prohibits such a plan from: (1) restricting benefits for any hospital length of stay to less than 48 hours in connection with a mastectomy or breast conserving surgery or 24 hours in connection with a lymph node dissection, insofar as the attending physician, in consultation with the patient, determines such stay to be medically necessary; or (2) requiring that a provider obtain authorization from the plan for prescribing any such length of stay. Requires such a plan to: (1) provide notice to each participant and beneficiary regarding the coverage required under this Act; and (2) ensure that coverage is provided for secondary consultations. Prohibits a health plan from taking specified actions to avoid the requirements of this Act. Allows a health insurance issuer that provides individual health insurance coverage to nonrenew or discontinue an individual's coverage based on the intentional concealment of material facts regarding a health condition related to the condition for which coverage is being claimed.

breast cancer patient protect act amends employee retirement income security act erisa public_health_service_act internal revenue code require group individual health plan provides medical surgical benefits ensure inpatient case lumpectomy outpatient coverage radiation therapy provided breast cancer treatment prohibits plan restricting benefits hospital length stay hours connection mastectomy breast conserving surgery hours connection lymph node dissection insofar attending physician consultation patient determines stay medically necessary requiring provider obtain authorization plan prescribing length stay requires plan provide notice participant beneficiary coverage required act ensure coverage provided secondary consultations prohibits health plan taking specified actions avoid requirements act allows health insurance issuer provides individual health insurance coverage discontinue individual coverage based intentional concealment material facts health condition related condition coverage claimed


Summary: Defund the Individual Mandate Act - Prohibits any funds appropriated or otherwise made available to any federal department or agency from being used to implement or enforce any federal mandate to purchase health insurance.

defund individual mandate act prohibits funds appropriated available federal department agency implement enforce federal mandate purchase health insurance


Summary: Eliminates the requirement that a member or former member of the Armed Forces entitled to retired pay for non-regular (reserve) service be at least 60 years of age before being eligible for medical and dental care in a military health care facility.

eliminates requirement member member armed_forces entitled retired pay non regular reserve service years age eligible medical dental care military health care facility


Summary: Repeals the Patient Protection and Affordable Care Act (PPACA) and the Health Care and Education Reconciliation Act of 2010, effective as of their enactment. Restores provisions of law amended by such Acts. Amends the Internal Revenue Code to allow the tax deduction for medical expenses without the gross income percentage limitation. Amends the Public Health Service Act to: (1) authorize appropriations for FY2011-FY2015 for grants to states for the creation and operation of qualified high risk health insurance pools; and (2) provide that the laws of the state designated by a health insurance issuer (primary state) shall apply to individual health insurance coverage offered by that issuer in the primary state and in any other state (secondary state), but only if the coverage and issuer comply with the conditions of this Act. Amends the Employee Retirement Income Security Act of 1974 (ERISA) to provide for establishment and governance of association health plans (AHPs), which are privately-sponsored group health plans that meet certain ERISA certification requirements. Establishes the Association Health Plan Fund to be used by the Secretary of Labor to make payments to an insurer to maintain coverage for a plan if there is a reasonable expectation that, without such payments, claims would not be satisfied by reason of termination of coverage. Allows a state to impose a contribution tax on an association health plan that commences operations in such state after the enactment of this Act.

repeals patient protection affordable care act ppaca health_care_and_education reconciliation act effective enactment restores provisions law amended acts amends internal revenue code allow tax deduction medical expenses gross income percentage limitation amends public_health_service_act authorize appropriations fy2011 fy2015 grants states creation operation qualified high risk health insurance pools provide laws state designated health insurance issuer primary state shall apply individual health insurance coverage offered issuer primary state state secondary state coverage issuer comply conditions act amends employee retirement income security act erisa provide establishment governance association health plans ahps privately sponsored group health plans meet certain erisa certification requirements establishes_the_association_health_plan_fund secretary labor payments insurer maintain coverage plan reasonable expectation payments claims satisfied reason termination coverage allows state impose contribution tax association health plan commences operations state enactment act


Summary: Health Care Choice Act of 2011 - Amends the Public Health Service Act to provide that the laws of the state designated by a health insurance issuer (primary state) shall apply to individual health insurance coverage offered by that issuer in the primary state and in any other state (secondary state), but only if the coverage and issuer comply with the conditions of this Act. Exempts issuers from any secondary state's laws that would prohibit or regulate the operation of the issuer in such state, subject to certain restrictions imposed by such state. Specifies the notice that an issuer must provide in any insurance coverage offered in a secondary state and at renewal of the policy. Requires each issuer issuing individual health insurance coverage in both primary and secondary states to submit to the insurance commissioners of such states: (1) a copy of the plan of operation or feasibility study; (2) written notice of any change in its designation of its primary state and of its compliance with all the laws of the primary state; and (3) a quarterly financial statement. Prohibits an issuer from offering, selling, or issuing individual health insurance coverage in a secondary state if the state insurance commissioner does not use a risk-based capital formula for the determination of capital and surplus requirements for all issuers. Gives sole jurisdiction to the primary state to enforce the primary state's covered laws in the primary state and any secondary state. Requires the Comptroller General to study the effect of this Act on specified health insurance issues.

health care choice act amends public_health_service_act provide laws state designated health insurance issuer primary state shall apply individual health insurance coverage offered issuer primary state state secondary state coverage issuer comply conditions act exempts issuers secondary state laws prohibit regulate operation issuer state subject certain restrictions imposed state specifies notice issuer provide insurance coverage offered secondary state renewal policy requires issuer issuing individual health insurance coverage primary secondary states submit insurance commissioners states copy plan operation feasibility study written notice change designation primary state compliance laws primary state quarterly financial statement prohibits issuer offering selling issuing individual health insurance coverage secondary state state insurance commissioner use risk based capital formula determination capital surplus requirements issuers gives sole jurisdiction primary state enforce primary state covered laws primary state secondary state requires comptroller general study effect act specified health insurance issues


Summary: Common Sense Health Reform Americans Actually Want Act - Repeals the Patient Protection and Affordable Care Act and the Health Care and Education Reconciliation Act of 2010, effective as of their enactment. Restores provisions of law amended by such Acts. Requires each state to operate a qualifying high risk pool to provide health coverage to certain individuals with a preexisting condition. Prohibits a health insurance issuer from applying an annual or lifetime aggregate spending cap on any health insurance coverage or plan. Amends the Employee Retirement Income Security Act of 1974 (ERISA) to provide for the establishment and governance of small business health plans, which are group health plans sponsored by trade, industry, professional, chamber of commerce, or similar business associations that meet ERISA certification requirements. Amends ERISA, the Public Health Service Act (PHSA) and the Internal Revenue Code (IRC) to: (1) continue in effect for group (not individual) health plans dependent coverage until the beneficiary turns 26 years of age, (2) continue in effect the prohibition on imposition of preexisting condition exclusions on a participant or beneficiary under 19 years of age, and (3) permit a health plan to vary premiums and cost-sharing by up to 50% of the benefits based on participation in a wellness program. Amends PHSA to provide that the laws of the state designated by a health insurance issuer (primary state) shall apply to individual health insurance coverage offered by that issuer in the primary state and in any other state (secondary state), but only if the coverage and issuer comply with the conditions of this Act. Amends IRC to: (1) revise provisions related to health savings accounts (HSAs), including to allow the payment of premiums for high deductible health plans from such accounts; (2) allow self-employed individuals to deduct health insurance costs in computing the tax on self-employment income; and (3) allow a tax deduction from gross income for the cost of health insurance coverage for individual taxpayers, their spouses, and dependents. Sets forth provisions regulating civil actions for an injury or death as the result of health care. Declares that nothing in this Act shall be construed to interfere with the doctor-patient relationship or the practice of medicine. Repeals provisions of the American Recovery and Reinvestment Act (ARRA) that establish the Federal Coordinating Council for Comparative Effectiveness Research. Prohibits the expenditure of funds authorized or appropriated by federal law or funds in any trust fund to which funds are authorized or appropriated by federal law for any abortion. Prohibits federal funds from being used for any health benefits coverage that includes coverage of abortion. (Currently, federal funds cannot be used for abortion services and plans receiving federal funds must keep federal funds segregated from any funds for abortion services.)  Sets forth certain exceptions, including for rape and a life-endangering physical condition. Requires the Secretary of Health and Human Services (HHS) to address: (1) enforcement of Medicare secondary payer provisions; (2) screening of providers and suppliers under the Medicare program; and (3) tracking of providers that have been excluded from Medicare, including by permitting data matching between Medicare, Medicaid, and Social Security.

common sense health reform americans actually want act repeals patient protection affordable care act health_care_and_education reconciliation act effective enactment restores provisions law amended acts requires state operate qualifying high risk pool provide health coverage certain individuals preexisting condition prohibits health insurance issuer applying annual lifetime aggregate spending cap health insurance coverage plan amends employee retirement income security act erisa provide establishment governance small business health plans group health plans sponsored trade industry professional chamber commerce similar business associations meet erisa certification requirements amends erisa public_health_service_act phsa internal_revenue_code irc continue effect group individual health plans dependent coverage beneficiary turns years age continue effect prohibition imposition preexisting condition exclusions participant beneficiary years age permit health plan vary premiums cost sharing benefits based participation wellness program amends phsa provide laws state designated health insurance issuer primary state shall apply individual health insurance coverage offered issuer primary state state secondary state coverage issuer comply conditions act amends irc revise provisions related health savings accounts hsas including allow payment premiums high deductible health plans accounts allow self employed individuals deduct health insurance costs computing tax self employment income allow tax deduction gross income cost health insurance coverage individual taxpayers spouses dependents sets forth provisions regulating civil actions injury death result health care declares act shall construed interfere doctor patient relationship practice medicine repeals provisions american_recovery_and_reinvestment_act arra establish prohibits expenditure funds authorized appropriated federal law funds trust fund funds authorized appropriated federal law abortion prohibits federal funds health benefits coverage includes coverage abortion currently federal funds abortion services plans receiving federal funds federal funds segregated funds abortion services sets forth certain exceptions including rape life endangering physical condition requires secretary health_and_human_services hhs address enforcement medicare secondary payer provisions screening providers suppliers medicare program tracking providers excluded medicare including permitting data matching medicare medicaid social_security


Summary: Health Savings and Affordability Act of 2011- Amends the Internal Revenue Code to: (1) allow a tax deduction from gross income for the cost of health insurance coverage for individual taxpayers, their spouses, and dependents; (2) permit holders of health savings accounts (HSAs) and their spouses who are age 55 or older to make additional (catch-up) contributions to a joint HSA; (3) increase the allowable amount of the tax deduction for contributions to HSAs; (4) combine individual and family deductibles under high deductible health insurance plans; (5) allow for increased rollovers from flexible spending arrangements (FSAs) or health reimbursement arrangements (HRAs) into HSAs; (6) allow the payment of premiums from HSAs for high deductible health plans; and (7) treat as medical care for purposes of the tax deduction for medical expenses certain exercise equipment and fees for physical fitness programs.

affordability act amends internal revenue code allow tax deduction gross income cost health insurance coverage individual taxpayers spouses dependents permit holders health savings accounts hsas spouses age older additional catch contributions joint hsa increase allowable tax deduction contributions hsas combine individual family deductibles high deductible health insurance plans allow increased rollovers flexible spending arrangements fsas health reimbursement arrangements hsas allow payment premiums hsas high deductible health plans treat medical care purposes tax deduction medical expenses certain exercise equipment fees physical fitness programs


Summary: Health Care Choice Act of 2011 - Repeals Title I of the Patient Protection and Affordable Care Act (provisions related to health insurance and health coverage expansion) and any amendments to such provisions made by the Health Care and Education Reconciliation Act of 2010. Restores provisions of law amended or repealed by such provisions. Amends the Public Health Service Act to provide that the laws of the state designated by a health insurance issuer (primary state) shall apply to individual health insurance coverage offered by that issuer in the primary state and in any other state (secondary state), but only if the coverage and issuer comply with the conditions of this Act. Exempts issuers from any secondary state's laws that would prohibit or regulate the operation of the issuer in such state, subject to certain restrictions imposed by such state. Specifies the notice that an issuer must provide in any insurance coverage offered in a secondary state and at renewal of the policy. Requires each issuer issuing individual health insurance coverage in both primary and secondary states to submit to the insurance commissioners of such states: (1) a copy of the plan of operation or feasibility study; (2) written notice of any change in its designation of its primary state and of its compliance with all the laws of the primary state; and (3) a quarterly financial statement. Prohibits an issuer from offering, selling, or issuing individual health insurance coverage in a secondary state if the state insurance commissioner does not use a risk-based capital formula for the determination of capital and surplus requirements for all issuers. Gives sole jurisdiction to the primary state to enforce the primary state's covered laws in the primary state and any secondary state. Requires the Comptroller General to study the effect of this Act on specified health insurance issues.

health care choice act repeals title patient_protection affordable care act provisions related health insurance health coverage expansion amendments provisions health_care_and_education reconciliation act restores provisions law amended repealed provisions amends public_health_service_act provide laws state designated health insurance issuer primary state shall apply individual health insurance coverage offered issuer primary state state secondary state coverage issuer comply conditions act exempts issuers secondary state laws prohibit regulate operation issuer state subject certain restrictions imposed state specifies notice issuer provide insurance coverage offered secondary state renewal policy requires issuer issuing individual health insurance coverage primary secondary states submit insurance commissioners states copy plan operation feasibility study written notice change designation primary state compliance laws primary state quarterly financial statement prohibits issuer offering selling issuing individual health insurance coverage secondary state state insurance commissioner use risk based capital formula determination capital surplus requirements issuers gives sole jurisdiction primary state enforce primary state covered laws primary state secondary state requires comptroller general study effect act specified health insurance issues


Summary: Reform Americans Can Afford Act of 2011 - Repeals the Patient Protection and Affordable Care Act and the Health Care and Education Reconciliation Act of 2010, effective as of their enactment. Restores provisions of law amended by such Acts. Requires each state to mitigate the cost of high risk individuals in the state through: (1) a state reinsurance program; or (2) a state high risk pool. Prohibits a health insurance issuer from applying an annual or lifetime aggregate spending cap on any health insurance coverage or plan offered by such issuer, except if the imposition of such a cap would result in a significant decrease in access to benefits or a significant increase in premiums under the plan. Requires the Secretary of Health and Human Services (HHS) to pay awards to states for reducing the premiums in the small group market or the individual market or reducing the percentage of uninsured, nonelderly residents in a state. Amends the Employee Retirement Income Security Act of 1974 (ERISA) to provide for establishment and governance of association health plans, which are group health plans whose sponsors are trade, industry, professional, chamber of commerce, or similar business associations and which meet certain ERISA certification requirements. Amends ERISA, the Public Health Service Act, and the Internal Revenue Code to require group health plans that provide dependent coverage of children to continue to treat an individual as a dependent until at least 25 years of age. Prohibits a state from establishing a law that prevents an employer from instituting auto-enrollment for coverage under a group health plan, so long as the participant or beneficiary has the option of declining such coverage. Directs that the laws of the state designated by a health insurance issuer (primary state) shall apply to individual health insurance coverage offered by that issuer in the primary state and in any other state (secondary state), but only if the coverage and issuer comply with conditions of this Act. Revises provisions related to health savings accounts (HSAs), including to allow the payment of premiums for high deductible health plans from HSA accounts. Sets conditions for lawsuits arising from health care liability claims regarding health care goods or services or any medical product affecting interstate commerce. Establishes a statute of limitations and limits noneconomic and punitive damages. Declares that nothing in this Act shall be construed to interfere with the doctor-patient relationship or the practice of medicine. Repeals provisions establishing the Federal Coordinating Council for Comparative Effectiveness Research. Permits a group health plan to vary premiums and cost-sharing by up to 50% of the benefits based on participation (or lack of participation) in a wellness program. Prohibits funds authorized or appropriated by federal law and funds in any trust fund to which funds are authorized or appropriated by federal law from being expended for any abortion. Allows a person to submit an application for licensure of a biological product based on its similarity to a licensed biological product (the reference product).

reform americans afford act repeals patient protection affordable care act health_care_and_education reconciliation act effective enactment restores provisions law amended acts requires state mitigate cost high risk individuals state state reinsurance program state high risk pool prohibits health insurance issuer applying annual lifetime aggregate spending cap health insurance coverage plan offered issuer imposition cap result significant decrease access benefits significant increase premiums plan requires secretary health_and_human_services hhs pay awards states reducing premiums small group market individual market reducing percentage uninsured residents state amends employee retirement income security act erisa provide establishment governance association health plans group health plans sponsors trade industry professional chamber commerce similar business associations meet certain erisa certification requirements amends erisa public_health_service_act internal revenue code require group health plans provide dependent coverage children continue treat individual dependent years age prohibits state establishing law prevents employer instituting auto enrollment coverage group health plan long participant beneficiary option declining coverage directs laws state designated health insurance issuer primary state shall apply individual health insurance coverage offered issuer primary state state secondary state coverage issuer comply conditions act revises provisions related health savings accounts hsas including allow payment premiums high deductible health plans hsa accounts sets conditions lawsuits arising health care liability claims health care goods services medical product affecting interstate commerce establishes statute limitations limits noneconomic punitive damages declares act shall construed interfere doctor patient relationship practice medicine repeals provisions establishing permits group health plan vary premiums cost sharing benefits based participation lack participation wellness program prohibits funds authorized appropriated federal law funds trust fund funds authorized appropriated federal law expended abortion allows person submit application licensure biological product based similarity licensed biological product reference product


Summary: Chiropractic Health Parity for Military Beneficiaries Act - Directs the Secretary of Defense (DOD), no later than August 31, 2011, to complete development of a plan to provide chiropractic health care services and benefits, as a permanent part of the TRICARE program (a DOD managed health care program), for covered beneficiaries. Requires plan implementation by January 31, 2012.

beneficiaries act directs secretary defense dod later august complete development plan provide chiropractic health care services benefits permanent tricare program dod managed health care program covered beneficiaries requires plan implementation january


Summary: Health Insurance Rate Review Act - Amends the Public Health Service Act to declare that federal provisions requiring the Secretary of Health and Human Services (HHS) to 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 prior to, or as soon as possible after, implementation, including through mechanisms such as denying rates, modifying rates, or requiring rebates to consumers. 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 these provisions to grandfathered health plans under the Patient Protection and Affordable Care Act.

declare federal provisions requiring 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 prior soon possible implementation including mechanisms denying rates modifying rates requiring rebates consumers requires secretary determine state insurance commissioner regulator secretary undertake corrective actions based state adequately undertake actions applies provisions grandfathered health plans patient_protection affordable care act


Summary: Prohibits the Secretary of the Treasury from hiring any employee to carry out or enforce the provision of the Internal Revenue Code, as added by the Patient Protection and Affordable Care Act, that requires individuals and their dependents to maintain minimum essential health care coverage.

prohibits secretary treasury hiring employee carry enforce provision internal_revenue_code added patient_protection affordable care act requires individuals dependents maintain minimum essential health care coverage


Summary: Restoring Assistance for Families' and Seniors' Health Expenses Act of 2011- Repeals provisions of the Patient Protection and Affordable Care Act (PPACA) that: (1) increase from 7.5% to 10% the adjusted gross income threshold for claiming the tax deduction for medical expenses; (2) restrict payments from health savings accounts, medical savings accounts, and health flexible spending arrangements for medications solely to prescription drugs or insulin; (3) increase to 20% the penalty for distributions from a health savings or Archer medical savings account not used for qualified medical expenses; and (4) limit to $2,500 the annual salary reduction contribution to a health flexible spending arrangement under a cafeteria plan. Amends PPACA to treat a high deductible health plan as a qualified health plan under such Act.

restoring assistance families seniors health expenses act repeals provisions patient_protection affordable care act ppaca increase adjusted gross income threshold claiming tax deduction medical expenses restrict payments health savings accounts medical savings accounts health flexible spending arrangements medications solely prescription drugs insulin increase penalty distributions health savings archer medical savings account qualified medical expenses limit annual salary reduction contribution health flexible spending arrangement cafeteria plan amends ppaca treat high deductible health plan qualified health plan act


Summary: Medicare Decisions Accountability Act of 2011 - Repeals sections of the Patient Protection and Affordable Care (PPACA) (and restores provisions of law amended by such sections) related to the establishment of an Independent Payment Advisory Board (IPAD) to develop and submit detailed proposals to reduce the per capita rate of growth in Medicare spending to the President for Congress to consider. (Retains, however, requirements for expedited consideration of IPAB-related proposals to reduce Medicare spending.)

medicare decisions accountability act repeals sections patient_protection affordable care ppaca restores provisions law amended sections related establishment independent_payment_advisory_board develop submit detailed proposals reduce capita rate growth medicare spending president congress consider retains requirements expedited consideration related proposals reduce medicare spending