Summary: Letting Insurance Benefit Everyone Regardless of Their Youth (LIBERTY) Act - Amends the Public Health Service Act to increase the permissible variation based on age for premium rates charged by a health insurance issuer for health insurance coverage offered in the individual or small group market from "3 to 1" for adults to "5 to 1" for adults, or such other ratio for adults as the state involved may provide. (The restrictions on premium variations enacted under the Patient Protection and Affordable Care Act apply to plan years beginning on or after January 1, 2014.)

liberty act_-_amends public_health_service_act increase permissible variation based age premium rates charged health insurance issuer health insurance coverage offered individual small group market adults adults ratio adults state involved provide restrictions premium variations enacted patient_protection affordable care act apply plan years beginning january


Summary: Healthcare Tax Relief and Mandate Repeal Act - Amends the Internal Revenue Code to: (1) terminate the requirement, added by the Patient Protection and Affordable Care Act (PPACA), that individuals maintain minimum essential health insurance coverage for themselves and dependents; and (2) repeal provisions added by PPACA requiring certain employers who have a workforce of 50 or more full-time employees to provide health insurance coverage for their employees.

terminate requirement added patient_protection affordable care act ppaca individuals maintain minimum essential health insurance coverage dependents repeal provisions added ppaca requiring certain employers workforce time employees provide health insurance coverage employees


Summary: Chiropractic Health Parity for Military Beneficiaries Act - Directs the Secretary of Defense (DOD), no later than August 31, 2013, 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, 2014.

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 Care Choice Act of 2013 - Repeals the health insurance and health coverage expansion requirements of the Patient Protection and Affordable Care Act and related requirements of 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 health insurance health coverage expansion requirements patient_protection affordable care act related requirements 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: Amends the Patient Protection and Affordable Care Act to eliminate the annual fee on health insurance providers set to be imposed beginning on January 1, 2013.

amends patient_protection affordable care act eliminate annual fee health insurance providers set imposed beginning january


Summary: Diagnostic Imaging Services Access Protection Act of 2013 - Amends title XVIII (Medicare) of the Social Security Act, with respect to payments for physician services, to prohibit the Secretary of Health and Human Services (HHS) from applying a multiple procedure payment reduction policy to the professional component of imaging services until the Secretary publishes in the Federal Register: (1) an analysis of the information used in the final rule to implement the physician fee schedule in 2013 to determine what, if any, efficiences exist within the professional component of imaging services when two or more studies are performed on the same patient on the same day; and (2) detailed information on which activities in the vignettes in such rule were assigned specified reduction percentages, how such percentage reductions for the pre-, intra-, and post-service work were determined and calculated, and the clinical aspects that went into those decisions.

amends title xviii medicare social security act respect payments physician services prohibit secretary health_and_human_services hhs applying multiple procedure payment reduction policy professional component imaging services secretary publishes federal_register analysis information final rule implement physician fee schedule determine exist professional component imaging services studies performed patient day detailed information activities rule assigned specified reduction percentages percentage reductions pre- post service work determined calculated clinical aspects went decisions


Summary:
Chiropractic Care Available to All Veterans Act - Amends the Department of Veterans Affairs Health Care Programs Enhancement Act of 2001 to require a program under which the Secretary of Veterans Affairs provides chiropractic care and services to veterans through Department of Veterans Affairs (VA) medical centers and clinics to be carried out at: (1) no fewer than 75 medical centers by December 31, 2014, and (2) all medical centers by December 31, 2016.

Includes chiropractic examinations and services within required VA medical, rehabilitative, and preventive health care services.

chiropractic_care_available veterans act amends department_of_veterans_affairs_health_care_programs_enhancement_act require program secretary veterans_affairs provides chiropractic care services veterans department_of_veterans_affairs medical centers clinics carried fewer medical centers december medical centers december includes chiropractic examinations services required medical rehabilitative preventive health care services


Summary:
Coordination of Pro Bono Medically Recommended Dental Care Act - Amends the Public Health Service Act to direct the Secretary of Health and Human Services (HHS) to award competitive grants to, or enter into contracts with, eligible entities to maximize the number of eligible low-income individuals receiving dental care.

Requires an entity to use amounts received under a grant or contract to fund the employment costs of a program to: (1) coordinate the provision of free, medically recommended dental care to eligible low-income individuals by volunteer dentists in a manner consistent with state licensing laws; and (2) verify the medical, dental, and financial needs of individuals who may be eligible for such dental services.

Requires an eligible: (1) entity to be tax-exempt and provide for the participation of eligible individuals in a free dental services program; and (2) individual to be entitled to benefits or be enrolled under Medicare, Medicaid, or a state plan or waiver under the State Children's Health Insurance Program (CHIP).

coordination pro bono medically recommended dental care act amends public_health_service_act direct secretary health_and_human_services hhs award competitive grants enter contracts eligible entities maximize number eligible low income individuals receiving dental care requires entity use amounts received grant contract fund employment costs program coordinate provision free medically recommended dental care eligible low income individuals volunteer dentists manner consistent state licensing laws verify medical dental financial needs individuals eligible dental services requires eligible entity tax exempt provide participation eligible individuals free dental services program individual entitled benefits enrolled medicare medicaid state plan waiver


Summary:
Amends the Patient Protection and Affordable Care Act (PPACA) to allow a state-authorized public entity benefits pool to apply to the Secretary of Health and Human Services (HHS) for pass-through funding with respect to health care benefits provided through the pool for coverage years beginning on or after January 1, 2014. Requires the Secretary to approve such a pool if the health care benefits provided through it will: (1) provide at least the essential health benefits, (2) provide coverage and cost-sharing protections against excessive out-of-pocket spending that are at least as affordable as the health insurance requirements of PPACA would provide, and (3) result in cost savings to the federal government because the cost of coverage through the pool is less than the cost of coverage through an exchange.

Treats an individual covered under such a plan as having minimum essential coverage for purposes of the Internal Revenue Code.

Requires the Secretary to provide for an alternative means by which an aggregate amount shall be paid to the pool annually based on the premium tax credits, cost-sharing reductions, and small business credits that would have been provided to an exchange plan.

Gives the Secretary 180 days to make a determination on an application under this Act.

amends patient_protection affordable care act ppaca allow state authorized public entity benefits pool apply secretary health_and_human_services hhs pass funding respect health care benefits provided pool coverage years beginning january requires secretary approve pool health care benefits provided provide essential health benefits provide coverage cost sharing protections excessive pocket spending affordable health insurance requirements ppaca provide result cost savings federal government cost coverage pool cost coverage exchange treats individual covered plan having minimum essential coverage purposes internal_revenue_code requires secretary provide alternative means aggregate shall paid pool annually based premium tax credits cost sharing reductions small business credits provided exchange plan gives secretary days determination application act


Summary: Family Friendly HSA Improvement Act of 2013 - Amends the Internal Revenue Code, with respect to health savings accounts (HSAs), to increase (up to age 27) the age limit for dependents whose medical expenses may be paid from such accounts.

family friendly hsa improvement act amends internal revenue code respect health savings accounts hsas increase age age limit dependents medical expenses paid accounts


Summary:
Patients Right to Know Act of 2013 - Amends the Public Health Service Act to require health plans to include in their annual summary of benefits and coverage explanations: (1) the annual fee on health insurance providers under the Patient Protection and Affordable Care Act, (2) the annual fees imposed on health insurance policies, (3) required contributions by health plans to the reinsurance program, (4) user fees on health plans participating in health insurance exchanges, (5) payments by health plans whose costs are lower than the target amount (premiums collected minus administrative costs), and (6) charges assessed by states on health plans whose enrollees have a lower actuarial risk than the average actuarial risk of all enrollees in a state. Allows such costs to be calculated separately for individual, small group, or large group markets.

Requires the Comptroller General (GAO) to study the methods of calculating the impact on average premium costs associated with: (1) guaranteed issuance of coverage and community rated premiums, (2) limitations on age rating, (3) required coverage of women's preventive services, and (4) the requirement that plans cover at least 60% of the actuarial value of essential health benefits.

patients right know act amends public_health_service_act require health plans include annual summary benefits coverage explanations annual fee health insurance providers patient_protection affordable care act annual fees imposed health insurance policies required contributions health plans reinsurance program user fees health plans participating health insurance exchanges payments health plans costs lower target premiums collected minus administrative costs charges assessed states health plans enrollees lower actuarial risk average actuarial risk enrollees state allows costs calculated separately individual small group large group markets requires comptroller general gao study methods calculating impact average premium costs associated guaranteed issuance coverage community rated premiums limitations age rating required coverage women preventive services requirement plans cover actuarial value essential health benefits


Summary: Family Health Care Flexibility Act - Repeals provisions of the Patient Protection and Affordable Care Act and the Health Care and Education Reconciliation Act of 2010 that: (1) restrict payments from health savings accounts, medical savings accounts, and health flexible spending arrangements for medications to prescription drugs and insulin only (thus allowing payments for over-the-counter medications); and (2) impose a $2,500 limitation on salary reduction contributions to a health flexible spending arrangement under a cafeteria plan.

family health care flexibility act repeals provisions patient_protection affordable care act health_care_and_education reconciliation act restrict payments health savings accounts medical savings accounts health flexible spending arrangements medications prescription drugs insulin allowing payments counter medications impose limitation salary reduction contributions health flexible spending arrangement cafeteria plan


Summary: Auto Enroll Repeal Act - Amends the Fair Labor Standards Act of 1938 to repeal the requirement that employers with more than 200 full-time employees that offer enrollment in one or more health benefits plans enroll automatically all new full-time employees in one of those plans.

auto enroll repeal act amends fair labor standards act repeal requirement employers time employees offer enrollment health benefits plans enroll automatically new time employees plans


Summary: Preventing Diabetes in Medicare Act of 2013 - Amends title XVIII (Medicare) of the Social Security Act to extend Medicare coverage to medical nutrition therapy services for people with pre-diabetes and risk factors for developing type-2 diabetes.

preventing diabetes medicare_act amends title xviii medicare social security act extend medicare coverage medical nutrition therapy services people pre diabetes risk factors developing type-2 diabetes


Summary:
Excellence in Mental Health Act - Amends the Public Health Service Act to set forth criteria for the certification of federally-qualified community behavioral health centers. Limits such a certification to five years, but requires the Administrator of the Substance Abuse and Mental Health Services Administration to provide an opportunity for recertification at the end of each certification period.

Amends title XIX (Medicaid) of the Social Security Act to make such centers eligible for payments for services under Medicaid.

Amends the Public Health Service Act to authorize the Secretary of Health and Human Services (HHS) to award matching grants to states or Indian tribes to expend funds for the construction or modernization of facilities used to provide community-based mental health and substance abuse services to individuals.

excellence mental health act amends public_health_service_act set forth criteria certification federally qualified community behavioral health centers limits certification years requires administrator substance_abuse_and_mental_health_services_administration provide opportunity recertification end certification period amends title xix medicaid social security act centers eligible payments services medicaid amends public_health_service_act authorize secretary health_and_human_services hhs award matching grants states indian tribes expend funds construction modernization facilities provide community based mental health substance abuse services individuals


Summary:
Medicare Patient Empowerment Act of 2013 - Amends title XVIII (Medicare) of the Social Security Act to allow any Medicare beneficiary to enter into a contract with an eligible professional for any item or service covered by Medicare. Allows such beneficiaries to submit a claim for Medicare payment in the amount that would otherwise apply if the claim had been filed by a participating physician or supplier in the payment area where the eligible professional covered by the contract resides.

Requires a Medicare beneficiary to agree in writing in such a contract to: (1) pay the physician or practitioner for a Medicare-covered item or service; and (2) submit (in lieu of the physician or practitioner) a claim for Medicare payment. Allows a beneficiary, however, to negotiate, as a term of the contract, for the eligible professional to file such claims on the beneficiary's behalf.

Preempts state laws from limiting the amount of charges for physician and practitioner services for which Medicare payment is made.

medicare patient empowerment act amends title xviii medicare social security act allow medicare beneficiary enter contract eligible professional item service covered medicare allows beneficiaries submit claim medicare payment apply claim filed participating physician supplier payment area eligible professional covered contract resides requires medicare beneficiary agree writing contract pay physician practitioner medicare covered item service submit lieu physician practitioner claim medicare payment allows beneficiary negotiate term contract eligible professional file claims beneficiary behalf preempts state laws limiting charges physician practitioner services medicare payment


Summary:
Comprehensive Immunosuppressive Drug Coverage for Kidney Transplant Patients Act of 2013 - Amends title II (Old Age, Survivors and Disability Benefits) (OASDI) of the Social Security Act (SSA) to extend the months of coverage of immunosuppressive drugs for kidney transplant patients.

Amends SSA title XVIII (Medicare) to make eligible for enrollment in Medicare part B (Supplementary Medical Insurance), solely for the purpose of such drug coverage, every individual whose insurance benefits under Medicare part A (Hospital Insurance) have ended by reason of a kidney transplant or the end of any requirement for a regular course of dialysis.

Directs the Secretary of Health and Human Services (HHS) to determine a monthly premium rate for such individuals equal to 35% of the monthly actuarial rate for enrollees age 65 and over. Prescribes a formula for detemination of a government contribution to such a premium.

comprehensive immunosuppressive drug coverage kidney transplant patients act amends title old age survivors disability benefits oasdi social security act ssa extend months coverage immunosuppressive drugs kidney transplant patients amends ssa title xviii medicare eligible enrollment medicare supplementary_medical_insurance solely purpose drug coverage individual insurance benefits medicare ended reason kidney transplant end requirement regular course dialysis directs secretary health_and_human_services hhs determine monthly premium rate individuals equal monthly actuarial rate enrollees age prescribes formula government contribution premium


Summary:
Helping Save Americans' Health Care Choices Act of 2013 - Amends the Patient Protection and Affordable Care Act (PPACA) to repeal: (1) the 20% penalty for distributions from a health savings account (HSA) or an Archer medical savings account (Archer MSA) not used for qualified medical expenses, (2) the prohibition on distributions from an HSA for over-the-counter drugs, and (3) the limitation on health flexible spending arrangements under cafeteria plans. Allows the treatment of a high deductible health plan as a qualified health plan under PPACA.

Amends the Internal Revenue Code (IRC) to allow: (1) a retirement savings tax credit for contributions to an HSA; (2) payment of premiums for high deductible health plans from an HSA; (3) a tax deduction for medical expenses incurred prior to the establishment of an HSA; (4) an increase of the HSA maximum allowable contribution amount to match the limit on deductible and out-of-pocket expenses under an HSA; (5) an exclusion from gross income of employer-provided coverage for qualified long-term care services that is provided through a flexible spending or similar arrangement; (6) eligibility for veterans with a service-connected disability, participants in Tricare, and certain Medicare beneficiaries for participation in an HSA; (7) both spouses to make catch-up contributions to the same HSA account; and (8) a tax deduction for amounts paid by patients to their primary physician in advance for the right to receive medical services on an as-needed basis. Renames IRC section headings relating to high deductible health plans as HSA qualified health plans.

Directs the Secretary of the Treasury, through regulations or other guidance, to encourage administrators of health plans and trustees of HSAs to provide for simultaneous enrollment in high deductible health plans and setup of HSAs.

amends affordable care act ppaca repeal penalty distributions health savings account hsa archer medical savings account archer msa qualified medical expenses prohibition distributions hsa counter drugs limitation health flexible spending arrangements cafeteria plans allows treatment high deductible health plan qualified health plan ppaca amends internal revenue code irc allow retirement savings tax credit contributions hsa payment premiums high deductible health plans hsa tax deduction medical expenses incurred prior establishment hsa increase hsa maximum allowable contribution match limit deductible pocket expenses hsa exclusion gross income employer provided coverage qualified long term care services provided flexible spending similar arrangement eligibility veterans service connected disability participants tricare certain medicare beneficiaries participation hsa spouses catch contributions hsa account tax deduction amounts paid patients primary physician advance right receive medical services needed basis renames irc section relating high deductible health plans hsa qualified health plans directs secretary treasury regulations guidance encourage administrators health plans trustees hsas provide simultaneous enrollment high deductible health plans hsas


Summary:
FEHBP Prescription Drug Integrity, Transparency, and Cost Savings Act - Prohibits the Office of Personnel Management (OPM) from entering a contract or approving a health benefits plan with a carrier that is a party to a pharmacy benefit manager (PBM) carrier arrangement to provide or administer prescription drug coverage under the Federal Employees Health Benefits Program (FEHBP) unless the PBM and the carrier comply with the requirements for PBM carrier arrangements set forth by this Act. Directs OPM to terminate a contract or discontinue a plan that fails to comply with such requirements.

Prohibits: (1) a PBM under a carrier arrangement from being under common corporate control with a prescription drug manufacturer or a retail pharmacy, and (2) OPM from permitting a carrier under common corporate control with a PBM to earn a profit from such control.

Sets forth terms and requirements for PBM carrier arrangements under the FEHBP, including: (1) drug substitution restrictions, (2) PBM reimbursement of carriers, (3) sale by a PBM of utilization and claims data, (4) drug pricing and the basis for reimbursement, (5) PBM provision to plan enrollees of an explanation of benefits statement regarding prescription drugs, (6) nondiscriminatory contracts regarding required participation, (7) OPM access to PBM contract information, and (8) civil monetary penalties for making false statements or claims to the government.

fehbp prescription drug integrity transparency cost savings act prohibits entering contract approving health benefits plan carrier party pharmacy benefit manager pbm carrier arrangement provide administer prescription drug coverage federal_employees_health_benefits_program fehbp pbm carrier comply requirements pbm carrier arrangements set forth act directs opm terminate contract discontinue plan fails comply requirements prohibits pbm carrier arrangement common corporate control prescription drug manufacturer retail pharmacy opm permitting carrier common corporate control pbm earn profit control sets forth terms requirements pbm carrier arrangements fehbp including drug substitution restrictions pbm reimbursement carriers sale pbm utilization claims data drug pricing basis reimbursement pbm provision plan enrollees explanation benefits statement prescription drugs nondiscriminatory contracts required participation opm access pbm contract information civil monetary penalties making false statements claims government


Summary:
Helping Sick Americans Now Act - Amends the Patient Protection and Affordable Care Act to require the Secretary of Health and Human Services (HHS) to transfer from the Prevention and Public Health Fund any unobligated funds which are attributable to FY2013 and any funds that would otherwise be made available to the Fund for FY2014-FY2016 to a Department of Health and Human Services account to carry out the temporary high risk health insurance pool program (a program to provide health insurance coverage to eligible individuals with a preexisting condition). Requires such funds to be available for obligation on the date of enactment of this Act and to remain available through December 31, 2013.

Eliminates the eligibility requirement for the temporary high risk pool which prohibits an individual from having creditable coverage (health coverage) for six months before applying for coverage through the pool.

Requires the Secretary to administer the temporary high risk pool in accordance with current regulations governing the operation of the pool, except as necessary to reflect amendments made by this Act.

helping sick americans act amends patient protection affordable care act require secretary health_and_human_services hhs transfer prevention_and_public_health_fund unobligated funds attributable fy2013 funds available fund fy2014 fy2016 department_of_health_and_human_services account carry temporary high risk health insurance pool program program provide health insurance coverage eligible individuals preexisting condition requires funds available obligation date enactment act remain available december eliminates eligibility requirement temporary high risk pool prohibits individual having creditable coverage health coverage months applying coverage pool requires secretary administer temporary high risk pool accordance current regulations governing operation pool necessary reflect amendments act


Summary: Medical FSA Improvement Act of 2013 - Amends the Internal Revenue Code to allow amounts in a flexible spending arrangement (FSA) that are not spent for medical care to be distributed to the FSA participant as taxable income after the close of a plan year (currently, such unspent amounts are forfeited). Includes such FSAs in the definition of tax-exempt cafeteria plans.

medical fsa improvement act amends internal revenue code allow amounts flexible spending arrangement fsa spent medical care distributed fsa participant taxable income close plan year currently unspent amounts forfeited includes fsas definition tax exempt cafeteria plans


Summary: Ensuring Women's Access to Free-Market Healthcare Act of 2013 - Amends the Internal Revenue Code, with respect to the tax treatment of health savings accounts (HSAs), to allow a health plan which does not have a deductible for prenatal, labor and delivery, and postpartum care to be treated as a high deductible health plan.

ensuring women access free market healthcare act amends internal revenue code respect tax treatment health savings accounts hsas allow health plan deductible prenatal labor delivery postpartum care treated high deductible health plan


Summary:
Tohono O'odham Citizenship Act of 2013 - Amends the Immigration and Nationality Act to make a person listed on the official membership roll of the Tohono O'odham Nation (a federally recognized American Indian nation in Arizona) a U.S. citizen as of the date of such listing.

 States that nothing in this Act shall be construed to provide any benefit for a spouse, son, daughter, or other relative of a person granted citizenship under this Act.

 Considers the valid membership credential issued to a person listed on the official Tohono O'odham Nation membership roll the equivalent of a certificate of citizenship and a state-issued birth certificate.

citizenship act amends immigration nationality act person listed official membership roll federally recognized american indian nation arizona citizen date listing states act shall construed provide benefit spouse son daughter relative person granted citizenship act considers valid membership credential issued person listed official membership roll equivalent certificate citizenship state issued birth certificate


Summary:
Helping Ensure Life- and Limb-Saving Access to Podiatric Physicians Act or HELLPP Act - Amends title XIX (Medicaid) of the Social Security Act (SSA) to include podiatrists as physicians in order to cover their services under the Medicaid program.

Amends SSA title XVIII (Medicare) to revise requirements for coverage of therapeutic shoes for individuals with diabetes regarding the processes of: (1) documentation by a physician of, and certification of a comprehensive plan of care related to, the diabetic condition; (2) prescription by a podiatrist or other qualified physician upon a finding of the medical necessity for the therapeutic shoes, including findings communicated to a certifying doctor of medicine or osteopathy of certain related foot conditions; and (3) fitting and supplying the shoes.

Amends the Internal Revenue Code to subject to the continuing levy upon property and property rights, for collection of unpaid taxes, any payments made to a Medicaid provider or supplier.

podiatric physicians act title xix medicaid social security act ssa include podiatrists physicians order cover services medicaid program amends ssa title xviii medicare revise requirements coverage therapeutic shoes individuals diabetes processes documentation physician certification comprehensive plan care related diabetic condition prescription qualified physician finding medical necessity therapeutic shoes including findings communicated certifying doctor medicine osteopathy certain related foot conditions fitting supplying shoes amends internal revenue code subject continuing levy property property rights collection unpaid taxes payments medicaid provider supplier


Summary:
Cancer Drug Coverage Parity Act of 2013 - 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 providing benefits with respect to anticancer medications administered by a health care provider to provide no less favorable coverage for prescribed, patient-administered anticancer medications used to kill, slow, or prevent the growth of cancerous cells and that have been approved by the Food and Drug Administration (FDA).

Applies such requirement to medication that is prescribed based on a finding by the treating physician that the medication is: (1) medically necessary for the purpose of killing, slowing, or preventing the growth of cancerous cells in accordance with nationally accepted standards of medical practice; and (2) clinically appropriate in terms of type, frequency, extent site, and duration.

Permits such coverage to be subject to the same cost-sharing applicable to anticancer medications administered by a health care provider under the plan.

 Prohibits a health plan from imposing an increase in out-of-pocket costs, reclassifying benefits with respect to anticancer medications, or applying more restrictive limitations on prescribed orally- or intravenously-administered or injected anticancer medications.

Requires a plan to provide notice to each participant and beneficiary regarding the coverage required under this Act.

Prohibits a health plan from taking specified actions to avoid the requirements of this Act.

Requires the Medicare Payment Advisory Commission to assess how closing the Medicare part D donut hole affects Medicare coverage for orally-administered anticancer medications, with a particular focus on cost and accessibility.

parity act amends employee retirement income security act erisa public_health_service_act internal revenue code require group individual health plan providing benefits respect anticancer medications administered health care provider provide favorable coverage prescribed patient administered anticancer medications kill slow prevent growth cells approved food_and_drug_administration fda applies requirement medication prescribed based finding treating physician medication medically necessary purpose killing preventing growth cells accordance nationally accepted standards medical practice clinically appropriate terms type frequency extent site duration permits coverage subject cost sharing applicable anticancer medications administered health care provider plan prohibits health plan imposing increase pocket costs reclassifying benefits respect anticancer medications applying restrictive limitations prescribed intravenously administered injected anticancer medications requires plan provide notice participant beneficiary coverage required act prohibits health plan taking specified actions avoid requirements act requires medicare_payment_advisory_commission assess closing medicare donut hole affects medicare coverage orally administered anticancer medications particular focus cost accessibility


Summary: Federal Repeal of Expensive Exchanges Act or the FREE Act - Repeals provisions of the Internal Revenue Code and the Patient Protection and Affordable Care Act (PPACA) providing for: (1) a health insurance premium assistance tax credit and advance payments for credit amounts, (2) reductions in out-of-pocket health care expenses for certain low income taxpayers (cost-sharing) and advance payments of cost-sharing amounts, (3) the individual mandate to purchase health care coverage under PPACA, and (4) the employer mandate to provide health care coverage to employees under PPACA and the reporting requirements with respect to such mandate.

free act repeals provisions internal_revenue_code patient_protection affordable care act ppaca providing health insurance premium assistance tax credit advance payments credit amounts reductions pocket health care expenses certain low income taxpayers cost sharing advance payments cost sharing amounts individual mandate purchase health care coverage ppaca employer mandate provide health care coverage employees ppaca reporting requirements respect mandate


Summary:
Amends the National Defense Authorization Act for Fiscal Year 2013 to direct the Secretary of Defense (DOD) to ensure that each beneficiary other than an active-duty beneficiary who is enrolled in TRICARE Prime (a DOD managed health care program), as of September 30, 2013, may make a one-time election to continue such enrollment, notwithstanding that an existing TRICARE contract does not allow for such enrollment based on the location in which the beneficiary resides. Allows the beneficiary to continue in such enrollment while residing in the same ZIP Code in which the beneficiary resided at the time of election.

Allows such a beneficiary to elect, at any time, to instead enroll in TRICARE Standard.

amends national_defense_authorization_act fiscal year direct secretary defense dod ensure beneficiary active duty beneficiary enrolled tricare prime dod managed health care program september time election continue enrollment notwithstanding existing tricare contract allow enrollment based location beneficiary resides allows beneficiary continue enrollment residing zip code beneficiary resided time election allows beneficiary elect time instead enroll tricare_standard


Summary: Medicare Secondary Payer and Workers' Compensation Settlement Agreements Act of 2013 - Amends title XVIII (Medicare) of the Social Security Act to: (1) create an exception to Medicare secondary payer requirements for certain workers' compensation settlement agreements, and (2) provide for the satisfaction of such requirements through use of qualified Medicare set-asides under such agreements.

medicare_secondary_payer amends title xviii medicare social security act create exception medicare secondary payer requirements certain workers compensation settlement agreements provide satisfaction requirements use qualified medicare set asides agreements


Summary: Prevent IRS Overreach Act of 2013 - Prohibits the Internal Revenue Service (IRS) from filling any position, by transfer or any other appointment taking effect on or after the enactment of this Act, if the duties and responsibilities of such position include the enforcement of any provision of, or amendment made by, the Patient Protection and Affordable Care Act or the Health Care and Education Reconciliation Act of 2010.

prevent irs overreach act prohibits internal_revenue_service irs filling position transfer appointment taking effect enactment act duties responsibilities position include enforcement provision amendment patient_protection affordable care act health_care_and_education reconciliation act


Summary:
Special Needs Trust Fairness Act of 2013 - Amends title XIX (Medicaid) of the Social Security Act with respect to the treatment of revocable trusts for the benefit of an individual for purposes of meeting income requirements for Medicaid coverage.

Extends the supplemental needs trust exemption from treatment of a trust as resources available to the individual to supplemental needs trusts for Medicaid beneficiaries established by those beneficiaries.

fairness act amends title xix medicaid social security act respect treatment trusts benefit individual purposes meeting income requirements medicaid coverage extends supplemental needs trust exemption treatment trust resources available individual supplemental needs trusts medicaid beneficiaries established beneficiaries


Summary:
Family and Retirement Health Investment Act of 2013 - Amends the Internal Revenue Code, with respect to health savings accounts (HSAs), to allow:

 spouses who have both attained age 55 to make increased catch-up contributions to the same HSA; Medicare Part A (hospital insurance benefits) beneficiaries to participate in an HSA; Medicare beneficiaries participating in an Archer medical savings account designated as a Medicare Advantage MSA to contribute to an HSA; veterans eligible for service-connected disability benefits and individuals eligible for Indian health service assistance to participate in an HSA; individuals eligible to receive benefits under certain TRICARE plans to participate in an HSA; participants in flexible spending arrangement or a health reimbursement arrangement to contribute to an HSA; payments from an HSA for prescription and over-the-counter medicine or drugs; the use of HSAs to purchase certain health insurance coverage and long-term care insurance; payment of certain medical expenses from an HSA incurred before the establishment of an HSA; and individuals who receive primary care services for a fixed periodic fee to participate in an HSA. Amends the bankruptcy code to treat HSAs as tax-exempt individual retirement accounts (IRAs) for purposes of exempting them from creditor claims.

Reauthorizes the use of Medicaid health opportunity accounts.

Treats membership in a tax-exempt health care sharing ministry as coverage under a high deductible health plan for purposes of the tax deduction for contributions to an HSA.

Amends the Patient Protection and Affordable Care Act (PPACA) to treat a high deductible health plan in which an enrollee has established an HSA as a qualified health plan.

Amends the Public Health Service Act to exempt from lifetime limits on the dollar value of benefits for any participant in or beneficiary of a group health plan any health reimbursement arrangement which permits the purchase of a qualified health plan through a state health insurance exchange established under PPACA.

Treats as medical care for purposes of the tax deduction for medical expenses certain exercise equipment and physical fitness programs, nutritional and dietary supplements, and periodic fees paid to a primary physician, physician assistant, or nurse practitioner.

Repeals provisions of PPACA that impose annual limitations on deductibles for health plans offered in the small group market.

amends internal revenue code respect health savings accounts hsas allow spouses attained age increased catch contributions hsa medicare hospital insurance benefits beneficiaries participate hsa medicare beneficiaries participating archer medical savings account designated medicare advantage msa contribute hsa veterans eligible service connected disability benefits individuals eligible indian health service assistance participate hsa individuals eligible receive benefits certain tricare plans participate hsa participants flexible spending arrangement health reimbursement arrangement contribute hsa payments hsa prescription counter medicine drugs use hsas purchase certain health insurance coverage long term care insurance payment certain medical expenses hsa incurred establishment hsa individuals receive primary care services fixed periodic fee participate hsa amends bankruptcy code treat hsas tax exempt individual retirement accounts iras purposes exempting creditor claims reauthorizes use medicaid health opportunity accounts treats membership tax exempt health care sharing ministry coverage high deductible health plan purposes tax deduction contributions hsa amends patient protection affordable care act ppaca treat high deductible health plan enrollee established hsa qualified health plan amends public_health_service_act exempt lifetime limits dollar value benefits participant beneficiary group health plan health reimbursement arrangement permits purchase qualified health plan state health insurance exchange established ppaca treats medical care purposes tax deduction medical expenses certain exercise equipment physical fitness programs nutritional dietary supplements periodic fees paid primary physician physician assistant nurse practitioner repeals provisions ppaca impose annual limitations deductibles health plans offered small group market


Summary:
Empowering Patients First Act of 2013 - Repeals the Patient Protection and Affordable Care Act and the health care provisions of the Health Care and Education and Reconciliation Act of 2010, effective as of their enactment. Restores or revives provisions amended or repealed by such Act or such health care provisions.

Amends the Internal Revenue Code to allow a refundable tax credit for the cost of qualified health insurance costs for low-income taxpayers and a tax deduction for such costs for other taxpayers.

Amends the Public Health Service Act to provide for the establishment and governance of individual and small employer membership associations (IMAs) to make health benefits coverage available to IMA members and their dependents.

Small Business Health Fairness Act of 2013 - 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.

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.

Amends title XXI (Children's Health Insurance) (CHIP) of the Social Security Act (SSA) to: (1) require a state CHIP plan to specify how it will achieve coverage for 90% of targeted low-income children; and (2) prohibit CHIP payments for children with family income above 300% of the applicable poverty line.

 Directs the Secretary of Health and Human Services (HHS) to issue best practice guidelines for the treatment of medical conditions. Sets forth how such guidelines may be used in a health care lawsuit. 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.

Requires a health insurance issuer to provide claims information, on request, to a plan, plan sponsor, or plan administrator.

Prohibits the Secretary from using comparative effectiveness research or patient-centered outcomes research to deny coverage of an item or service under a federal health care program.

Authorizes a state to establish a Health Plan and Provider Portal website to standardize information on health insurance plans available in the state. Amends title XVIII (Medicare) of SSA to permit Medicare beneficiaries to contract with a physician or practitioner for health care items or services. Prohibits states from imposing limits on the amount of charges for health care services furnished by an eligible professional.

Sets forth provisions regarding students loans and loan repayment for health care professionals.

Exempts health care professionals from federal and state antitrust laws in connection with negotiations with a health plan regarding contract terms under which the professionals provide health care items or services for which plan benefits are provided. Establishes discretionary spending limits for FY2022-FY2023 for new budget authority in the nondefense category and revises sequestration discretionary spending limits for FY2014-FY2021.

empowering patients act repeals patient protection affordable care act health care provisions health_care_and_education reconciliation act effective enactment restores revives provisions amended repealed act health care provisions amends internal revenue code allow refundable tax credit cost qualified health insurance costs low income taxpayers tax deduction costs taxpayers amends public_health_service_act provide establishment governance individual small employer membership associations imas health benefits coverage available ima members dependents small business health fairness act 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 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 amends title chip social security act ssa require state chip plan specify achieve coverage targeted low income children prohibit chip payments children family income applicable poverty line directs secretary health_and_human_services hhs issue best practice guidelines treatment medical conditions sets forth guidelines health care lawsuit permits group health plan vary premiums cost sharing benefits based participation lack participation wellness program requires health insurance issuer provide claims information request plan plan sponsor plan administrator prohibits secretary comparative effectiveness research patient centered outcomes research deny coverage item service federal health care program authorizes state establish health plan provider portal website standardize information health insurance plans available state amends title xviii medicare ssa permit medicare beneficiaries contract physician practitioner health care items services prohibits states imposing limits charges health care services furnished eligible professional sets forth provisions students loans loan repayment health care professionals exempts health care professionals federal state antitrust laws connection negotiations health plan contract terms professionals provide health care items services plan benefits provided establishes discretionary spending limits fy2022 fy2023 new budget authority nondefense category revises sequestration discretionary spending limits


Summary:
Access to Professional Health Insurance Advisors Act of 2013 - Amends the Public Health Service Act to exclude remuneration paid for licensed independent insurance producers from administrative cost calculations for purposes of calculating the medical-loss ratio of a health insurance plan.

Defines "independent insurance producer" to mean an insurance agent or broker, insurance consultant, benefit specialist, limited insurance representative, and any other person required to be licensed under the laws of the particular state to sell, solicit, negotiate, service, effect, procure, renew, or bind policies of insurance coverage or offer advice, counsel, opinions, or services related to insurance.

amends public_health_service_act exclude remuneration paid licensed independent insurance producers administrative cost calculations purposes calculating medical loss ratio health insurance plan defines independent insurance producer mean insurance agent broker insurance consultant benefit specialist limited insurance representative person required licensed laws particular state sell solicit negotiate service effect procure renew bind policies insurance coverage offer advice counsel opinions services related insurance


Summary:
Medicare Beneficiary Preservation of Choice Act of 2013 - 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: Supporting Emergency Responders Volunteer Efforts Act of 2013 or the SERVE Act of 2013 - Amends the Internal Revenue Code to allow an individual taxpayer who is a bona fide volunteer of a qualified volunteer emergency response organization a $1,000 refundable tax credit.  Requires such individual to: (1) have served as a bona fide volunteer performing fire fighting and prevention services, emergency medical services, and ambulance services for more than six months in a taxable year; (2) have provided more than 40 hours of such services actively engaged in the prevention, control, or extinguishment of fires or response to emergency situations where life, property, or the environment is at risk; or (3) have been stationed on the premises of an emergency response organization in anticipation of being actively engaged in providing such services.

supporting emergency responders volunteer efforts act serve act amends internal revenue code allow individual taxpayer bona fide volunteer qualified volunteer emergency response organization refundable tax credit requires individual served bona fide volunteer performing fire fighting prevention services emergency medical services ambulance services months taxable year provided hours services actively engaged prevention control extinguishment fires response emergency situations life property environment risk stationed premises emergency response organization anticipation actively engaged providing services


Summary:
Medicare Better Health Rewards Program Act of 2013 - Amends title XVIII (Medicare) of the Social Security Act to direct the Secretary of Health and Human Services (HHS) to establish a three-year Better Health Rewards Program under which incentives are provided to Medicare beneficiaries who voluntarily agree to participate in the Program.

 Directs the Secretary to establish standards for measuring better health targets and points for achieving them for participating Medicare beneficiaries, including those for: (1) an annual wellness visit, (2) tobacco cessation, (3) Body Mass Index (BMI), (4) a diabetes screening test, (5) cardiovascular disease screening, (6) cholesterol level screening, and (7) screening tests and specified vaccinations.

Requires the Secretary to make specified incentive payments to each participating Medicare beneficiary who achieves at least 20 points during a year.

Authorizes Medicare Advantage Plans, "Section 1876" health maintenance organization and competitive medical cost plans, and programs of all-inclusive care for the elderly (PACE) to make incentives to their enrollees to participate in a Better Health Rewards Program.

Amends the Internal Revenue Code to exclude from gross income any payment made under: (1) the Medicare Better Health Rewards Program, and (2) any other Better Health Rewards Program.

amends title xviii medicare social security act direct secretary health_and_human_services hhs establish year incentives provided medicare beneficiaries voluntarily agree participate program directs secretary establish standards measuring better health targets points achieving participating medicare beneficiaries including annual wellness visit tobacco cessation body mass index bmi diabetes screening test cardiovascular disease screening cholesterol level screening screening tests specified vaccinations requires secretary specified incentive payments participating medicare beneficiary achieves points year authorizes medicare advantage plans section health maintenance organization competitive medical cost plans programs inclusive care elderly pace incentives enrollees participate amends internal revenue code exclude gross income payment


Summary:
Amends title II (Old Age, Survivors and Disability Insurance) of the Social Security Act (SSA) to direct the Commissioner of Social Security to: (1) establish procedures under which an eligible state or local government employee who is not otherwise covered under a state's voluntary agreement for coverage of state and local employees may make an irrevocable election to treat employment as Medicare qualified government employment; and so (2) extend to services performed by such employees entitlement to Medicare coverage under SSA title XVIII, including hospital insurance benefits, as well as coverage for end state renal disease (ESRD).

Amends the Internal Revenue Code to apply the Medicare portion of payroll taxes to state and local government employees making such an election.

amends title old age survivors disability insurance social security act ssa direct commissioner social_security establish procedures eligible state local government employee covered state voluntary agreement coverage state local employees irrevocable election treat employment medicare qualified government employment extend services performed employees entitlement medicare coverage ssa title xviii including hospital insurance benefits coverage end state renal disease esrd amends internal revenue code apply medicare portion payroll taxes state local government employees making election


Summary:
(This measure has not been amended since it was introduced. The summary of that version is repeated here.)

Authority for Mandate Delay Act - Amends the Patient Protection and Affordable Care Act to delay until 2015 enforcement of requirements that large employers offer their full-time employees the opportunity to enroll in minimum essential coverage. Delays the effective date of related reporting requirements for such employers and for providers of minimum essential coverage.

measure amended introduced summary version repeated delay act amends patient_protection affordable care act delay enforcement requirements large employers offer time employees opportunity enroll minimum essential coverage delays effective date related reporting requirements employers providers minimum essential coverage


Summary:
Title I: Fairness for American Families Act - Fairness for American Families Act - Amends the Internal Revenue Code, as amended by the Patient Protection and Affordable Care Act (PPACA), to delay until 2015 the requirement that individuals maintain minimal essential health care coverage.

Title II: Authority for Mandate Delay Act - Authority for Mandate Delay Act - Amends PPACA to delay until 2015 enforcement of requirements that large employers offer their full-time employees the opportunity to enroll in minimum essential coverage. Delays the effective date of related reporting requirements for such employers and for providers of minimum essential coverage.

title fairness american families act fairness american families act amends internal revenue code amended patient_protection affordable care act ppaca delay requirement individuals maintain minimal essential health care coverage title authority mandate delay mandate delay act amends ppaca delay enforcement requirements large employers offer time employees opportunity enroll minimum essential coverage delays effective date related reporting requirements employers providers minimum essential coverage


Summary:
Providing Accountability and Transparency to Incentivize Economically Necessary Transitions in Health Care Act of 2013 or the PATIENT's Health Care Act of 2013 - Amends the Internal Revenue Code, with respect to health savings accounts (HSAs), to:

 allow a new tax deduction for premiums paid for a high deductible health care plan; repeal the requirement that an individual making a tax deductible contribution to an HSA be covered by a high deductible health care plan; increase the maximum HSA contribution level; allow Medicare beneficiaries to contribute to an HSA; allow a rollover of HSA amounts to a Medicare Advantage Medical Savings Account (MSA); allow a transfer of a flexible spending arrangement balance to an HSA upon separation from employment; allow payments of high deductible health plan premiums from HSAs; repeal the prohibition against payment of over-the-counter drugs from HSAs, Archer MSAs, and health flexible spending and reimbursement arrangements; allow payment of long-term care premiums from health flexible spending arrangements; allow a rollover of Archer MSA and HSA amounts to adult children of an account holder; allow a carryover of up to $500 of unused health benefits in cafeteria plans and flexible spending arrangements; allow Medicare beneficiaries to contribute to a Medicare Advantage MSA; and establish child health savings accounts and allow tax deductible contributions to such accounts. Amends the Public Health Service Act to permit the operation of individual and group health insurance plans across state lines. Sets forth requirements and limitations applicable to issuers of such plans in the primary and secondary states governing such issuers.

Extends through December 31, 2016, the Preexisting Condition Insurance Plan (PCIP program) established by the Patient Protection and Affordable Care Act.

providing accountability transparency incentivize economically necessary transitions health care act patient health care act amends internal revenue code respect health savings accounts hsas allow new tax deduction premiums paid high deductible health care plan repeal requirement individual making tax deductible contribution hsa covered high deductible health care plan increase maximum hsa contribution level allow medicare beneficiaries contribute hsa allow rollover hsa amounts msa allow transfer flexible spending arrangement balance hsa separation employment allow payments high deductible health plan premiums hsas repeal prohibition payment counter drugs hsas archer msas health flexible spending reimbursement arrangements allow payment long term care premiums health flexible spending arrangements allow rollover archer msa hsa amounts adult children account holder allow carryover unused health benefits cafeteria plans flexible spending arrangements allow medicare beneficiaries contribute medicare advantage msa establish child health savings accounts allow tax deductible contributions accounts amends public_health_service_act permit operation individual group health insurance plans state lines sets forth requirements limitations applicable issuers plans primary secondary states governing issuers extends december program established patient_protection affordable care act


Summary:
Health Care Waiver Fairness Act of 2013 - Amends the Patient Protection and Affordable Care Act (PPACA) to require the Secretary of Health and Human Services (HHS), the Secretary of Labor, and the Secretary of Treasury to establish waiver processes under which the administrator of a health plan, an employer, an individual, or other entity may seek to waive the application of a health insurance coverage requirement under PPACA. Sets forth PPACA requirements that may be waived, including those related to minimum essential coverage and employers offering health care coverage to employees.

Establishes requirements for the waiver process, including requiring submission of a statement describing how the imposition of the PPACA requirement would result in a significant decrease in access to coverage or a significant increase in premiums or other costs for such plan, employer, individual, or entity. Deems to be approved any waiver including such a statement.

Requires the Secretary of HHS to conduct a public awareness campaign of the waiver process with funds made available for the Prevention and Public Health Fund.

health care waiver fairness act amends patient protection affordable care act ppaca require secretary health_and_human_services hhs secretary labor secretary treasury establish waiver processes administrator health plan employer individual entity seek waive application health insurance coverage requirement ppaca sets forth ppaca requirements waived including related minimum essential coverage employers offering health care coverage employees establishes requirements waiver process including requiring submission statement describing imposition ppaca requirement result significant decrease access coverage significant increase premiums costs plan employer individual entity deems approved waiver including statement requires secretary hhs conduct public awareness campaign waiver process funds available prevention_and_public_health_fund


Summary: Amends the Internal Revenue Code to continue the eligibility of Pension Benefit Guaranty Corporation (PBGC) pension recipients for the health care tax credit after 2013 if such recipients were eligible for such credit in December 2013.

amends internal revenue code continue eligibility pension_benefit_guaranty_corporation pbgc pension recipients health care tax credit recipients eligible credit december


Summary: DEFECT Act (Delaying Enrollment in Federal Exchanges to Certify Trust) of 2013 - Prohibits the enrollment of any individual in a qualified health plan offered through a state Health Benefit Exchange or the Small Business Health Options Program (SHOP Exchange) under the Patient Protection and Affordable Care Act until one year after publication in the Federal Register of final rules that establish procedures for: (1) verification of eligibility for participation in an Exchange and for the premium tax credit and cost-sharing reduction, and (2) reporting by individuals and large employers who provide minimum essential health care coverage.

defect act delaying enrollment federal exchanges certify trust prohibits enrollment individual qualified health plan offered state patient_protection affordable care act year publication federal_register final rules establish procedures verification eligibility participation exchange premium tax credit cost sharing reduction reporting individuals large employers provide minimum essential health care coverage


Summary: Protect Patient Access to Quality Health Professionals Act of 2013 - Amends the Public Health Service Act to remove prohibitions enacted under the Patient Protection and Affordable Care Act that prohibit a health plan from discriminating with respect to participation under the plan or coverage against any health care provider who is acting within the scope of that provider's license or certification under applicable state law.

protect patient access quality health professionals act amends public_health_service_act remove prohibitions enacted patient_protection affordable care act prohibit health plan discriminating respect participation plan coverage health care provider acting scope provider license certification applicable state law


Summary: Health Equity Act of 2013 - Amends the Internal Revenue Code to: (1) make permanent the tax deduction allowed to self-employed individuals for health insurance costs; (2) allow a new tax deduction for the health care insurance costs of a taxpayer, the taxpayer's spouse, and dependents; and (3) expand the tax deduction for medical expenses to include costs for a membership in a fitness program or athletic club, fitness equipment, or weight loss program up to $1,200 in a taxable year and allow tax-free reimbursements for such expenses up to $1,200 a year under flexible spending arrangements and health reimbursement arrangements.

health equity act amends internal revenue code permanent tax deduction allowed self employed individuals health insurance costs allow new tax deduction health care insurance costs taxpayer taxpayer spouse dependents expand tax deduction medical expenses include costs membership fitness program athletic club fitness equipment weight loss program taxable year allow tax free reimbursements expenses year flexible spending arrangements health reimbursement arrangements


Summary: Strengthening Medicare Anti-Fraud Measures Act of 2013 - Amends title XI of the Social Security Act to authorize the Secretary of Health and Human Services (HHS) to exclude from participation in any federal health care program entities affiliated with a sanctioned entity, as well as any officer or managing employee of an affiliated entity (currently, only individuals with an ownership or control interest in a sanctioned entity), if the affiliated entity was so affiliated at the time of any of the conduct forming the basis for the conviction or exclusion of the sanctioned entity.

strengthening medicare anti fraud measures act amends title social security act authorize secretary health_and_human_services hhs exclude participation federal health care program entities affiliated sanctioned entity officer managing employee affiliated entity currently individuals ownership control interest sanctioned entity affiliated entity affiliated time conduct forming basis conviction exclusion sanctioned entity


Summary: No Taxation Without Verification Act of 2013 - Decalres that no tax or fee imposed by, and no reduction in a deduction, exclusion or other tax benefit made by, the Patient Protection and Affordable Care Act (or its amendments) shall be implemented for any period before the Secretary of the Treasury (or designee) certifies that the reporting requirements relating to employer status and employee income levels and health care status may be made with 100% accuracy and without fraud.

taxation verification act tax fee imposed reduction deduction exclusion tax benefit patient_protection affordable care act amendments shall implemented period secretary treasury designee certifies reporting requirements relating employer status employee income levels health care status accuracy fraud


Summary:
Exchange Sunset Act of 2013 - Amends the Patient Protection and Affordable Care Act to make inapplicable provisions concerning Health Benefit Exchanges if one or more Exchanges fail to accept applications for enrollment in qualified health plans beginning on October 1, 2013.

Amends the Internal Revenue Code to terminate the requirement that individuals maintain minimum essential coverage upon such a determination by the Secretary of the Treasury.

exchange sunset act amends patient protection affordable care act inapplicable provisions concerning exchanges fail accept applications enrollment qualified health plans beginning october amends internal revenue code terminate requirement individuals maintain minimum essential coverage determination secretary treasury


Summary: Amends the Internal Revenue Code, as amended by the Patient Protection and Affordable Care Act (PPACA), to delay until 2015 for individuals who have not attained age 27 as of December 31, 2013, the penalty imposed by PPACA for failure to maintain minimum essential health care coverage.

amends internal revenue code amended patient_protection affordable care act ppaca delay individuals attained age december penalty imposed ppaca failure maintain minimum essential health care coverage


Summary: Unnecessary Cap Act of 2013 - Amends the Patient Protection and Affordable Care Act to repeal the annual limitation on deductibles under the essential health benefits of employer-sponsored qualified health plans of: (1) $2,000 in the case of a plan covering a single individual, and (2) $4,000 in the case of any other plan.

unnecessary cap act amends patient protection affordable care act repeal annual limitation deductibles essential health benefits employer sponsored qualified health plans case plan covering single individual case plan


Summary:
Insurance Fairness for Amputees Act - 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.

Allows limitation of coverage for required benefits for prosthetics and custom orthotics to the most appropriate device or component that 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 patient's condition, 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.

insurance fairness 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 allows limitation coverage required benefits prosthetics custom orthotics appropriate device component meets medical requirements patient requires benefits include repair replacement normal wear tear irreparable damage change patient condition determined appropriate treating physician prohibits annual lifetime dollar limitation benefits prosthetics custom orthotics limitation applies aggregate benefits


Summary:
No Special Deal for D.C. Insiders Act of 2013 - Amends the Patient Protection and Affordable Care Act to prohibit the expenditure of federal funds to pay or contribute to any portion of the premium for a health plan purchased by a Member of Congress pursuant to the Act or purchased by congressional staff.

 Includes in the definition of "congressional staff" employees in a leadership office of the House of Representatives or the Senate (consisting of the offices of the President pro Tempore, Majority and Minority Leaders, Majority and Minority Whips, Conferences of the Majority and of the Minority, and Majority and Minority Policy Committees of the Senate) and employees of any congressional committee.

special deal insiders act amends patient protection affordable care act prohibit expenditure federal funds pay contribute portion premium health plan purchased member congress pursuant act purchased congressional staff includes definition congressional staff employees leadership office house_of_representatives senate consisting offices president pro tempore majority minority leaders majority minority conferences majority minority majority minority policy committees senate employees congressional committee


Summary: No Special Treatment for Congress Act - Amends the Patient Protection and Affordable Care Act to prohibit any government contribution under the Federal Employees Health Benefits Program for health benefits obtained by a Member of Congress or congressional staff.

congress act amends patient protection affordable care act prohibit government contribution federal_employees_health_benefits_program health benefits obtained member congress congressional staff


Summary:
Roth IRA Flexibility Act of 2013 - Amends part B (Supplementary Medical Insurance) of title XVIII (Medicare) of the Social Security Act with respect to the formula for reductions in the income-based subsidy for premiums under Medicare parts B and D (Voluntary Prescription Drug Benefit Program). Disregards, in computing adjusted gross income in that formula, any amounts transferred from a traditional individual retirement account (IRA) to a Roth IRA.

Amends the Internal Revenue Code to authorize the use of tax return information involving such amounts for disclosure to carry out those subsidy adjustments.

Directs the Secretary of Health and Human Services (HHS), in collaboration with the Commissioner of Social Security, to refund to an individual the portion of premiums paid under Medicare parts B and D equal to the difference between the premiums paid and the premiums the individual would have paid if any rollovers to a Roth IRA from an eligible non-Roth IRA retirement plan made on or after January 1, 2011, had not been taken into account.

roth ira flexibility act amends supplementary_medical_insurance title xviii medicare social security act respect formula reductions income based subsidy premiums medicare parts voluntary prescription drug benefit program disregards computing adjusted gross income formula amounts transferred traditional individual retirement account ira roth ira amends internal revenue code authorize use tax return information involving amounts disclosure carry subsidy adjustments directs secretary health_and_human_services hhs collaboration commissioner_of_social_security refund individual portion premiums paid medicare parts equal difference premiums paid premiums individual paid rollovers roth ira eligible ira retirement plan january taken account


Summary:
Union Bailout Prevention Act of 2013 - Declares that no refundable premium assistance tax credits (subsidies) for coverage under a qualified health plan under the Internal Revenue Code, or reductions in cost-sharing under the Patient Protection and Affordable Care Act (PPACA), shall be permitted with respect to an individual for health insurance coverage provided pursuant to a collective bargaining agreement involving one or more employers (collectively bargained plan).

Amends PPACA to exclude collectively bargained plans from the meaning of "qualified health plan."

declares refundable premium assistance tax credits subsidies coverage qualified health plan internal revenue code reductions cost sharing patient_protection affordable care act ppaca shall permitted respect individual health insurance coverage provided pursuant collective bargaining agreement involving employers collectively plan amends ppaca exclude collectively plans meaning qualified health plan


Summary: Helping Families and Seniors Save on Health Care Act of 2013 - Repeals the provision of the Patient Protection and Affordable Care Act that increases the adjusted gross income threshold for claiming the tax deduction for medical expenses.

helping families repeals provision patient_protection affordable care act increases adjusted gross income threshold claiming tax deduction medical expenses


Summary:
Health Care Regulator Accountability Act - Amends the Patient Protection and Affordable Care Act (PPACA) to prohibit the federal government from making any health care plan available to Department of Health and Human Services (HHS), Internal Revenue Service (IRS), or any other federal executive agency employees responsible for the administration of the Act except a health plan created under it or offered through an American Health Benefit Exchange.

Prohibits the Secretary of HHS, the IRS Director, and the head of any other agency involved in promulgating rules or regulations to carry out or to enforce PPACA, or any amendments made by it, from obligating or expending, in any fiscal year, more than 90% of the funds made available for the salaries and expenses of their offices unless those regulations are promulgated and take effect before the fiscal year's close. Requires rescission of any amounts which remain precluded from obligation or expenditure on that last day of the fiscal year.

accountability act amends patient protection affordable care act ppaca prohibit federal government making health care plan available department_of_health_and_human_services hhs internal_revenue_service irs federal executive agency employees responsible administration act health plan created offered american_health_benefit_exchange prohibits secretary hhs irs director head agency involved promulgating rules regulations carry enforce ppaca amendments obligating expending fiscal year funds available salaries expenses offices regulations promulgated effect fiscal year close requires rescission amounts remain precluded obligation expenditure day fiscal year


Summary:
Telehealth Enhancement Act of 2013 - Amends title XVIII (Medicare) of the Social Security Act (SSA) to direct the Secretary of Health and Human Services (HHS), in order to provide a positive incentive for certain hospitals to lower their excess readmission ratios for inpatient services, to make an additional payment to a hospital in such proportion that provides for a sharing of the savings from better-than-expected performance between the hospital and the Medicare program.

Authorizes the Secretary, in the case of a state that has amended its Medicaid plan to provide coordinated care through a health home for individuals with chronic conditions, to contract with the state medical assistance agency to serve eligible individuals with chronic conditions who select a designated provider, a team of health care professionals operating with such a provider, or a health team as the individual's health home.

Authorizes the Secretary to contract with a national or multi-state regional center of excellence with a network of affiliated local providers to provide through one or more medical homes for targeted, accessible, continuous, and coordinated care to individuals under Medicare and Medicaid with a long-term illness or medical condition that requires regular medical treatment, advising, and monitoring.

Authorizes an Accountable Care Organization (ACO) to include coverage of telehealth and remote patient monitoring services as supplemental health care benefits to the same extent as a Medicare Advantage plan is permitted to provide such coverage of such services as supplemental health care.

Recognizes telehealth services and remote patient monitoring in the national pilot program on payment bundling.

Includes among originating sites (at which an eligible telehealth individual is located at the time a service is furnished via a telecommunications system), but without receiving payment of a facility fee, any critical access hospitals, sole community hospitals, home telehealth sites, as well as specified others.

Amends SSA title XIX (Medicaid) to give states the option to provide coordinated care for enrollees with high-risk pregnancies and births.

Amends the Communications Act of 1934 to specify additional health care providers to which universal telecommunications service support must be provided.

Requires Federal Communications Commission (FCC) rules for enhancing health care provider access to advanced telecommunications and information services to disregard provider location.

telehealth enhancement act amends title xviii medicare social security act ssa direct secretary health_and_human_services hhs order provide positive incentive certain hospitals lower excess ratios inpatient services additional payment hospital proportion provides sharing savings better expected performance hospital medicare program authorizes secretary case state amended medicaid plan provide coordinated care health home individuals chronic conditions contract state medical assistance agency serve eligible individuals chronic conditions select designated provider team health care professionals operating provider health team individual health home authorizes secretary contract national multi state regional center excellence network affiliated local providers provide medical homes targeted accessible continuous coordinated care individuals medicare medicaid long term illness medical condition requires regular medical treatment advising monitoring authorizes aco include coverage telehealth remote patient monitoring services supplemental health care benefits extent medicare_advantage plan permitted provide coverage services supplemental health care recognizes telehealth services remote patient monitoring national pilot program payment bundling includes originating sites eligible telehealth individual located time service furnished telecommunications system receiving payment facility fee critical access hospitals sole community hospitals home telehealth sites specified amends ssa title xix medicaid states option provide coordinated care enrollees high risk pregnancies amends communications act specify additional health care providers universal telecommunications service support provided fcc rules enhancing health care provider access advanced telecommunications information services disregard provider location


Summary:
Equal Healthcare Access Act - Requires the Office of Personnel Management (OPM) to administer a health insurance program for non-federal employees under the existing Federal Employees Health Benefits (FEHB) Program. Extends eligibility for such program to any qualified individual (i.e., any individual other than an individual who is enrolled or eligible to be enrolled in FEHB, including as a family member).

Authorizes employers, under arrangements satisfactory to OPM, to: (1) offer their employees coverage under such program, and (2) make a contribution toward the cost of such coverage.

Deems a health care plan under such program to be a plan offered through an Exchange established under the Patient Protection and Affordable Care Act for purposes of complying with the individual mandate to purchase health insurance.

administer health insurance program non federal employees existing federal_employees_health benefits fehb program extends eligibility program qualified individual individual individual enrolled eligible enrolled fehb including family member authorizes employers arrangements satisfactory opm offer employees coverage program contribution cost coverage deems health care plan program plan offered exchange established patient_protection affordable care act purposes complying individual mandate purchase health insurance


Summary:
Medicare Ventricular Assist Device Access Act of 2013 - Directs the Secretary of Health and Human Services (HHS) to revise the Medicare national coverage determination relating to coverage of ventricular assist devices to extend the coverage of such devices under title XVIII (Medicare) of the Social Security Act for individuals approved for heart transplantation to apply also to: (1) individuals undergoing an evaluation to determine candidacy for heart transplantation; and (2) individuals who would be heart transplant candidates, but are not so eligible because of a contraindication that may be favorably modified by the use of a ventricular assist device.

Directs the Secretary to use specified processes to revise its national coverage determination relating to ventricular assist devices to incorporate the requirements of this Act.

medicare assist device access act directs secretary health_and_human_services hhs revise medicare national coverage determination relating coverage assist devices extend coverage devices title xviii medicare social security act individuals approved heart transplantation apply individuals undergoing evaluation determine candidacy heart transplantation individuals heart transplant candidates eligible modified use assist device directs secretary use specified processes revise national coverage determination relating assist devices incorporate requirements act


Summary: Obamacare Choice Act of 2013 - Amends the Internal Revenue Code, as amended by the Patient Protection and Affordable Care Act, to delay until 2015 the requirement that individuals maintain minimal essential health care coverage.

obamacare choice act amends internal revenue code amended patient_protection affordable care act delay requirement individuals maintain minimal essential health care coverage


Summary:
(This measure has not been amended since it was introduced. The summary of that version is repeated here.)

Keep Your Health Plan Act of 2013 - Permits a health insurance issuer that has in effect health insurance coverage in the individual market as of January 1, 2013, to continue offering such coverage for sale during 2014 outside of a health care exchange established under the Patient Protection and Affordable Care Act. Treats such coverage as a grandfathered health plan for purposes of an individual meeting the requirement to maintain minimum essential health coverage.

measure amended introduced summary version repeated health plan act permits health insurance issuer effect health insurance coverage individual market january continue offering coverage sale outside health care exchange established patient_protection affordable care act treats coverage grandfathered health plan purposes individual meeting requirement maintain minimum essential health coverage


Summary: Exchange Information Disclosure Act - Amends the Patient Protection and Affordable Care Act to expand reporting requirements related to health care exchanges. Requires the Secretary of Health and Human Services (HHS) to publish reports weekly through March 30, 2015, on: (1) consumer interactions with healthcare.gov or subsequent sites and any efforts undertaken to remedy problems that impact taxpayers and consumers; (2) calls to the federal customer service call center, including the number of calls received by the call center, problems identified by users, and referrals of those calls; (3) all navigators and certified application counselors that have been trained and certified by health care exchanges; and (4) all agents and brokers who have been trained and certified by the federal health care exchange.

exchange information disclosure act amends patient protection affordable care act expand reporting requirements related health care exchanges requires secretary health_and_human_services hhs publish reports weekly march consumer interactions subsequent sites efforts undertaken remedy problems impact taxpayers consumers calls federal customer service center including number calls received center problems identified users referrals calls navigators certified application counselors trained certified health care exchanges agents brokers trained certified federal health care exchange


Summary:
Fairness for Lost Coverage Act of 2013 - Prohibits any of the 12 months beginning with the first month of an applicable individual's loss of health insurance coverage from being taken into account in applying the Internal Revenue Code requirement to maintain minimum essential coverage.

Defines "applicable individual" as an individual who: (1) has coverage (whether as a principal or a dependent of another individual) under an employer-sponsored health plan or individual health insurance coverage for the last month of a plan year beginning during 2013, and (2) loses such coverage beginning with the first month of the subsequent plan year because of the plan's or coverage's termination and not because of any termination or change of the individual's employment, the individual's failure to pay premiums, or any other reasons within the individual's control.

fairness lost coverage act prohibits months beginning month applicable individual loss health insurance coverage taken account applying internal revenue code requirement maintain minimum essential coverage defines applicable individual individual coverage principal dependent individual employer sponsored health plan individual health insurance coverage month plan year beginning loses coverage beginning month subsequent plan year plan coverage termination termination change individual employment individual failure pay premiums reasons individual control


Summary:
If You Like Your Health Plan, You Can Keep it Act - Amends the Patient Protection and Affordable Care Act (PPACA) to prohibit anything in the Act from being construed to require an individual to terminate coverage under a group health plan or health insurance coverage in which the individual was enrolled during any part of the period beginning on the date of enactment of PPACA (March 23, 2010) and ending on December 31, 2013.

 Allows: (1) continuation of coverage under a group health plan or health insurance in which an individual was enrolled during any part of such period, regardless of whether the individual renews such coverage; (2) family members of the individual to join coverage under such a plan that is renewed; (3) new employees to join a group health plan that provides coverage during any part of such period; and (4) continuation of coverage maintained pursuant to a collective bargaining agreement that was ratified before the end of such period.

like health plan act amends patient protection affordable care act ppaca prohibit act construed require individual terminate coverage group health plan health insurance coverage individual enrolled period beginning date enactment ppaca march ending december allows continuation coverage group health plan health insurance individual enrolled period regardless individual renews coverage family members individual join coverage plan renewed new employees join group health plan provides coverage period continuation coverage maintained pursuant collective bargaining agreement ratified end period


Summary:
Health Insurance Freedom Act of 2013 - Amends the Patient Protection and Affordable Care Act (PPACA), with respect to the definition of a qualified health plan, to allow a health insurance issuer to offer coverage that: (1) provides the essential health benefits package required of a qualified health plan other than the minimum benefits required under the essential benefits and level of coverage requirements, and (2) meets federal and state benefit requirements as otherwise applied as of October 1, 2013, in the state in which the coverage is offered.

Makes such coverage ineligible: (1) for the premium assistance income tax credit or PPACA cost-sharing reductions; and (2) to be treated as a bronze, silver, gold, or platinum plan or be taken into account for purposes of determining the applicable second lowest cost silver plan.

Makes this Act's amendments effective as if they were included in the enactment of PPACA.

amends patient protection affordable care act ppaca respect definition qualified health plan allow health insurance issuer offer coverage provides essential health benefits package required qualified health plan minimum benefits required essential benefits level coverage requirements meets federal state benefit requirements applied october state coverage offered makes coverage ineligible premium assistance income tax credit ppaca cost sharing reductions treated bronze silver gold platinum plan taken account purposes determining applicable second lowest cost silver plan makes act amendments effective included enactment ppaca


Summary: Self-Insurance Protection Act - Amends the Public Health Service Act, the Employee Retirement Income Security Act of 1974 (ERISA), and the Internal Revenue Code to exclude from the definition of "health insurance coverage" a stop loss policy obtained by a self-insured health plan or a plan sponsor of a group health plan that self-insures the health risks of its plan participants to reimburse the plan or sponsor for losses incurred in providing health or medical benefits to such plan participants in excess of a predetermined level set forth in the stop loss policy.

employee retirement income security act erisa internal revenue code exclude definition health insurance coverage stop loss policy obtained self insured health plan plan sponsor group health plan self insures health risks plan participants reimburse plan sponsor losses incurred providing health medical benefits plan participants excess predetermined level set forth stop loss policy


Summary:
(This measure has not been amended since it was introduced. The summary of that version is repeated here, with an updated short title.)

Hire More Heroes Act of 2014 - Amends the Internal Revenue Code to permit an employer, for purposes of determining whether such employer is an applicable large employer and thus required to provide health care coverage to its employees under the Patient Protection and Affordable Care Act, to exclude employees who have coverage under a health care program administered by the Department of Defense (DOD), including TRICARE, or the Department of Veterans Affairs (VA).

measure amended introduced summary version repeated updated short title hire heroes act amends internal revenue code permit employer purposes determining employer applicable large employer required provide health care coverage employees patient_protection affordable care act exclude employees coverage health care program administered department_of_defense dod including tricare department_of_veterans_affairs


Summary: Amends the Patient Protection and Affordable Care Act to eliminate the funding mechanism for the three-year transitional reinsurance program, under which group health plans are required to pay a fee to reinsurance entities for plan years beginning January 1, 2014. (The fees are distributed to individual health plans that cover high-risk individuals.) Authorizes appropriations for such reinsurance program instead.

amends patient_protection affordable care act eliminate funding mechanism year transitional reinsurance program group health plans required pay fee reinsurance entities plan years beginning january fees distributed individual health plans cover high risk individuals authorizes appropriations reinsurance program instead