Summary: Promoting Small House Nursing Homes Act - Requires the Secretary of Health and Human Services to establish a small house nursing home loan program under which the Secretary makes grants for the establishment, renovation, and construction of small house nursing homes that meet the requirements of this Act. Requires the Secretary to establish: (1) a Small House Advisory Panel to evaluate applications for loans under the program in conjunction with lenders; and (2) an evaluation tool and evaluation criteria with which to prioritize borrowers.Sets forth eligibility criteria for a loan under this Act, including that that home: (1) is designed to establish substantive culture change; (2) has been approved to operate a skilled nursing facility or a nursing facility; and (3) ensures that at least 30% of the residents of the facility are Medicaid-funded individuals.Requires the Secretary to develop model small house nursing home guidelines. Sets forth requirements for a small house nursing home that obtains proceeds from a direct loan under this Act, including that the home provides specified training to all staff. Gives priority in awarding loans to nursing homes that have a certain residential structure, such as private bedrooms, and to homes with a legally binding collective bargaining agreement.Terminates this program 25 years after the date on which amounts are initially appropriated.

promoting small house nursing homes act requires secretary health_and_human_services establish small house nursing home loan program secretary makes grants establishment renovation construction small house nursing homes meet requirements act requires secretary establish evaluate applications loans program conjunction lenders evaluation tool evaluation criteria prioritize borrowers sets forth eligibility criteria loan act including home designed establish substantive culture change approved operate skilled nursing facility nursing facility ensures residents facility medicaid funded individuals requires secretary develop model small house nursing home guidelines sets forth requirements small house nursing home obtains proceeds direct loan act including home provides specified training staff gives priority awarding loans nursing homes certain residential structure private homes legally binding collective bargaining agreement terminates program years date amounts initially appropriated


Summary: Medicare Access to Rehabilitation Services Act of 2009 - Amends title XVIII (Medicare) of the Social Security Act to repeal the Medicare outpatient rehabilitation therapy caps.

medicare_access_to_rehabilitation_services_act amends title xviii medicare social security act repeal medicare outpatient rehabilitation therapy caps


Summary: Medicare Home Infusion Therapy Coverage Act of 2009 - Amends title XVIII (Medicare) of the Social Security Act to provide for Medicare coverage of home infusion therapy and home infusion drugs. Directs the Secretary of Health and Human Services to implement the Medicare home infusion therapy benefit in a manner that ensures that: (1) Medicare beneficiaries have timely and appropriate access to infusion therapy in their homes; and (2) there is rapid and seamless coordination between drug coverage under Medicare part D (Voluntary Prescription Drug Benefit Program) and home infusion therapy services coverage under Medicare part B (Supplemental Security Income).

medicare_home_infusion_therapy_coverage_act amends title xviii medicare social security act provide medicare coverage home infusion therapy home infusion drugs directs secretary health_and_human_services implement medicare home infusion therapy benefit manner ensures medicare beneficiaries timely appropriate access infusion therapy homes rapid seamless coordination drug coverage medicare voluntary prescription drug benefit program home infusion therapy services coverage medicare supplemental security income


Summary: Direct Support Professionals Fairness and Security Act of 2009 - Amends title XIX (Medicaid) of the Social Security Act to provide funds to states to enable them to increase the wages paid to targeted direct support professionals in providing services to individuals with disabilities under the Medicaid program. Directs the Secretary of Health and Human Services, through the Inspector General of the Department of Health and Human Services, to audit a sample from among the states in order to assess the effectiveness of progress made in reducing or eliminating the wage gap between targeted and reference direct support professionals through funds under this Act. Requires the Comptroller General to study and report to Congress on the wage equalization and recruitment and retention of direct support professionals who are providing services and supports to individuals with disabilities.

direct support professionals fairness security act amends title xix medicaid social security act provide funds states enable increase wages paid targeted direct support professionals providing services individuals disabilities medicaid program directs secretary health_and_human_services inspector general department health human services audit sample states order assess effectiveness progress reducing eliminating wage gap targeted reference direct support professionals funds act requires comptroller general study report congress wage equalization recruitment retention direct support professionals providing services supports individuals disabilities


Summary: Blind Persons Return to Work Act of 2009 - Amends title II (Old Age, Survivors and Disability Insurance) (OASDI) of the Social Security Act to: (1) apply a specified earnings test in the determination of the amount of monthly insurance benefits for blind beneficiaries; (2) limit to once a year any review of a determination of disability based on blindness; and (3) reduce any excess earnings of blind beneficiaries by the amount of impairment related work expenses. Directs the Commissioner of Social Security, with respect to the mandatory annual report of earnings by an individual entitled to a monthly insurance benefit, to develop procedures to avoid paying less than the correct amount of benefits to any such individual as a result, during the year, of a termination of employment or a significant reduction in hours of work.

amends title old age survivors disability insurance oasdi social security act apply specified earnings test determination monthly insurance benefits blind beneficiaries limit year review determination disability based blindness reduce excess earnings blind beneficiaries impairment related work expenses directs commissioner social_security respect mandatory annual report earnings individual entitled monthly insurance benefit develop procedures avoid paying correct benefits individual result year termination employment significant reduction hours work


Summary: Veterans Physical Therapy Services Improvement Act of 2009 - Establishes in the Veterans Health Administration (VHA) of the Department of Veterans Affairs (VA): (1) the position of Director of Physical Therapy Service; and (2) degree and license requirements for appointment to a physical therapist position. Establishes the Department of Veterans Affairs Geriatric, Amputee, Polytrauma, and Rehabilitation Research Fellowships Program to assist in the recruitment of qualified physical therapists for VHA positions specializing in the areas of geriatrics, amputee rehabilitation, polytrauma care, and rehabilitation research.

veterans physical therapy services improvement act establishes veterans_health_administration vha department_of_veterans_affairs position director degree license requirements appointment physical therapist position amputee polytrauma assist recruitment qualified physical therapists vha positions specializing areas geriatrics amputee rehabilitation polytrauma care rehabilitation research


Summary: Medicare Home Health Flexibility Act of 2009 - Permits a home health agency to determine the most appropriate skilled service to make the initial assessment visit for an individual who: (1) is eligible for home health services under title XVIII (Medicare) of the Social Security Act; but (2) does not require skilled nursing care as long as that skilled service is included as part of the plan of care for such services. Permits an occupational therapist to make the initial assessment visit in such a case if occupational therapy is included in such plan in the initial physician referral in conjunction with physical therapy or speech language pathology services.

medicare_home_health flexibility act permits home health agency determine appropriate skilled service initial assessment visit individual eligible home health services title xviii medicare social security act require skilled nursing care long skilled service included plan care services permits occupational therapist initial assessment visit case occupational therapy included plan initial physician referral conjunction physical therapy speech language pathology services


Summary: Alopecia Areata Medicaid Improvement and Parity Act - Amends title XIX (Medicaid) of the Social Security Act with respect to inpatient hospital services to require states to provide hair prostheses under the Medicaid program for: (1) individuals diagnosed with alopecia areata universalis or alopecia areata totalis; or (2) individuals whose attending physician certifies in writing the medical necessity of that proposed course of rehabilitative treatment.

medicaid improvement parity act amends title xix medicaid social security act respect inpatient hospital services require states provide hair prostheses medicaid program individuals diagnosed individuals attending physician certifies writing medical necessity proposed course rehabilitative treatment


Summary: Medal of Honor Health Care Equity Act of 2009 - Assigns a priority status for Medal of Honor recipients equal to that of former prisoners of war or Purple Heart recipients with respect to the provision of veterans' hospital care and medical services provided through the Department of Veterans Affairs (VA).

medal honor health care equity act assigns priority status medal honor recipients equal prisoners war recipients respect provision veterans hospital care medical services provided department_of_veterans_affairs


Summary: Revises provisions concerning the authority of the Secretary of Veterans Affairs to reimburse a veteran for the cost of emergency care provided in a non-Department of Veterans Affairs (VA) facility to provide that, if the veteran has contractual or legal recourse against a third party that would, in part, extinguish the veteran's liability to the provider of the emergency treatment and payment for the treatment may be made by both the VA and the third party, the amount payable by the VA shall be that which exceeds the cost payable by the third party. Prohibits the Secretary from reimbursing a veteran for any copayment or other charge owed to a third party under a health plan contract. Authorizes the Secretary to reimburse a veteran for the cost of the emergency care described above which is provided before the enactment of this Act, if the Secretary determines that it is appropriate under the circumstances.

revises provisions concerning authority secretary veterans_affairs reimburse veteran cost emergency care provided non-department_of_veterans_affairs facility provide veteran contractual legal recourse party extinguish veteran liability provider emergency treatment payment treatment party payable shall exceeds cost payable party prohibits secretary reimbursing veteran copayment charge owed party health plan contract authorizes secretary reimburse veteran cost emergency care described provided enactment act secretary determines appropriate circumstances


Summary: Food Allergy and Anaphylaxis Management Act of 2009 - Requires the Secretary of Health and Human Services to develop and make available to local educational agencies, schools, early childhood education programs, and other interested entities voluntary guidelines to develop plans for individuals to manage the risk of food allergy and anaphylaxis in schools and early childhood education programs. Directs that such guidelines address: (1) parental obligation to provide the documentation of their child's allergies; (2) the creation of an individual food allergy management plan for each such child; (3) communication between schools or programs and emergency medical services; (4) reduction of exposure to anaphylactic causative agents; (5) food allergy management training; and (6) administration of epinephrine. Allows the Secretary to award matching grants to assist local educational agencies in implementing such food allergy and anaphylaxis management guidelines.

anaphylaxis management act requires secretary health_and_human_services develop available local educational agencies schools early childhood education programs interested entities voluntary guidelines develop plans individuals manage risk food allergy anaphylaxis schools early childhood education programs directs guidelines address parental obligation provide documentation child creation individual food allergy management plan child communication schools programs emergency medical services reduction exposure anaphylactic agents food allergy management training administration epinephrine allows secretary award matching grants assist local educational agencies implementing food allergy anaphylaxis management guidelines


Summary: Sunset of Life Protection Act of 2009 - Amends the Internal Revenue Code to allow a deduction from gross income for 50% of long-term care premiums without regard to the 7.5 % adjusted gross income limitation applicable to other medical or dental expenses. Allows individual taxpayers to claim such tax deduction regardless of whether they itemize other deductions.

amends internal revenue code allow deduction gross income long term care premiums regard adjusted gross income limitation applicable medical dental expenses allows individual taxpayers claim tax deduction regardless itemize deductions


Summary: Life Sustaining Treatment Preferences Act of 2009 - Amends title XVIII (Medicare) of the Social Security Act, as amended by the Medicare Improvements for Patients and Providers Act of 2008, to extend Medicare coverage to consultations regarding an order for life sustaining treatment for qualified individuals. Directs the Secretary of Health and Human Services to make grants to eligible entities to: (1) establish new programs for orders regarding life sustaining treatment in a state or locality; (2) expand or enhance an existing program; or (3) set up a clearinghouse of information on programs for such orders and consultative services for the development or enhancement of such programs.

preferences act amends title xviii medicare social security act amended medicare_improvements_for_patients_and_providers_act extend medicare coverage consultations order life sustaining treatment qualified individuals directs secretary health_and_human_services grants eligible entities establish new programs orders life sustaining treatment state locality expand enhance existing program set clearinghouse information programs orders consultative services development enhancement programs


Summary: Home Healthcare Nurse Promotion Act of 2009 - Amends the Public Health Service Act to: (1) define "visiting nurse association" for purposes of the Act; (2) authorize the Secretary of Health and Human Services to make grants to visiting nurse associations to provide training in home health care to nurses who are hired to provide such care and have no recent nursing work experience in home health care; (3) direct the Secretary to establish a pilot program to make grants to accredited schools of nursing to develop and implement curricula on home health care and report to Congress on such pilot program; and (4) extend the nursing workforce development loan repayment and scholarship program to nurses who work for a visiting nurse association.

amends public_health_service_act define visiting nurse association purposes act authorize secretary health_and_human_services grants visiting nurse associations provide training home health care nurses hired provide care recent nursing work experience home health care direct secretary establish pilot program grants accredited schools nursing develop implement curricula home health care report congress pilot program extend nursing workforce development loan repayment scholarship program nurses work visiting nurse association


Summary: Patient Safety and Abuse Prevention Act - Directs the Secretary of Health and Human Services to establish a program to identify efficient, effective, and economical procedures for long-term care facilities or providers to conduct background checks on prospective direct patient access employees on a nationwide basis under similar terms and conditions as the pilot program established under the Medicare Prescription Drug, Improvement, and Modernization Act of 2003. Sets forth requirements for states wishing to participate in the program, including requiring: (1) searches of neglect registries and databases; (2) searches of any proceedings that may contain disqualifying information; (3) searches of federal criminal history records, including a fingerprint check; and (4) methods that reduce duplicative fingerprinting. Sets forth program requirements. Requires the Inspector General of the Department of Health and Human Services (HHS) to evaluate the program under this Act. Amends title XIX (Medicaid) of the Social Security Act to require state claims processing and information retrieval systems to incorporate compatible methodologies of the National Correct Coding Initiative administered by the Secretary. Directs the Secretary to identify and notify states as to which methodologies should be incorporated.

patient safety abuse prevention act directs secretary health_and_human_services establish program identify efficient effective economical procedures long term care facilities providers conduct background checks prospective direct patient access employees nationwide basis similar terms conditions pilot program established medicare prescription drug improvement modernization act sets forth requirements states participate program including requiring searches neglect registries databases searches proceedings contain disqualifying information searches federal criminal history records including fingerprint check methods reduce duplicative fingerprinting sets forth program requirements requires inspector general department_of_health_and_human_services hhs evaluate program act amends title xix medicaid social security act require state claims processing information retrieval systems incorporate compatible methodologies administered secretary directs secretary identify notify states methodologies incorporated


Summary: Home Oxygen Patient Protection Act of 2009 - Amends title XVIII (Medicare) of the Social Security Act to restore Medicare payment for the rent of oxygen and oxygen equipment. Repeals the limitation of Medicare payment to the supplier for such equipment (including portable oxygen equipment) to 36 months of continuous use.

home oxygen patient protection act amends title xviii medicare social security act restore medicare payment rent oxygen oxygen equipment repeals limitation medicare payment supplier equipment including portable oxygen equipment months continuous use


Summary: Empowered at Home Act of 2009 - Amends title XIX (Medicaid) of the Social Security Act (SSA) to revise the income eligibility level for home and community-based (HCBS) services for elderly and disabled individuals. Revises the income eligibility limit for the state option to provide HCBS services under a waiver. Replaces the income limit of 150% of the poverty line with a limit of 300% of the supplemental security income (SSI) benefit rate. Authorizes a state to offer HCBS services under a waiver to eligible individuals that differ in type, amount, duration, or scope from the HCBS waiver services offered to other such individuals so long as they are within the scope of services for which the Secretary has authority to approve a waiver and do not include room or board. Increases the federal medical assistance percentage (FMAP) for the provision of HCBS services under Medicaid through the state plan amendment option. Directs the Secretary of Health and Human Services to report annually to Congress on state use of Medicaid state plan amendment option for HCBS services for elderly and disabled individuals. Directs the Secretary to award assistance grants to states electing to provide HCBS waiver services under Medicaid through the state plan amendment option. Reauthorizes Medicaid investment grants (currently called transformation grants) at increased funding and specifies additional permissible uses to facilitate the provision of HCBS and other long-term care (LTC) services. Directs the Secretary to award grants on a competitive basis to eligible states to conduct an evidence- and community-based health promotion program. Amends SSA title XIX, with respect to treatment of the income and resources of HCBS waiver services recipients who would otherwise be institutionalized, to repeal the state option for (thus requiring) application to such individuals of spousal impoverishment protection requirements. Requires states to exclude up to six months of the average cost of nursing facility services from an individual's assets or resources for purposes of eligibility for HCBS waiver services. Directs the Secretary, acting through the Administrator of the Centers for Medicare & Medicaid Services, to revise certain data reporting forms and systems to ensure uniform and consistent state reporting under this Act. Directs the Comptroller General to study and report to Congress on: (1) the provision of home health services under different state Medicaid plans; and (2) the extent to which states offer consumer self-direction of such services, or allow for other consumer-oriented policies with respect to them.

empowered home act amends title xix medicaid social security act ssa revise income eligibility level home community based hcbs services elderly disabled individuals revises income eligibility limit state option provide hcbs services waiver replaces income limit poverty line limit supplemental security income ssi benefit rate authorizes state offer hcbs services waiver eligible individuals differ type duration scope hcbs waiver services offered individuals long scope services secretary authority approve waiver include room board increases federal medical assistance percentage fmap provision hcbs services medicaid state plan amendment option directs secretary health_and_human_services report annually congress state use medicaid state plan amendment option hcbs services elderly disabled individuals directs secretary award assistance grants states electing provide hcbs waiver services medicaid state plan amendment option reauthorizes medicaid investment grants currently called transformation grants increased funding specifies additional permissible uses facilitate provision hcbs long term care ltc services directs secretary award grants competitive basis eligible states conduct community based health promotion program amends ssa title xix respect treatment income resources hcbs waiver services recipients institutionalized repeal state option requiring application individuals spousal impoverishment protection requirements requires states exclude months average cost nursing facility services individual assets resources purposes eligibility hcbs waiver services directs secretary acting administrator centers revise certain data reporting forms systems ensure uniform consistent state reporting act directs comptroller general study report congress provision home health services different state medicaid plans extent states offer consumer self direction services allow consumer oriented policies respect


Summary: Advance Directive Incentive Act - Amends the Internal Revenue Code to allow individual taxpayers a refundable tax credit for 30% of the cost of legal fees incurred for establishing an advance directive, up to $500. Defines "advance directive" as a written document recognized by state law specifying the provision of medical care for incapacitated individuals.

advance directive incentive act amends internal revenue code allow individual taxpayers refundable tax credit cost legal fees incurred establishing advance directive defines advance directive written document recognized state law specifying provision medical care incapacitated individuals


Summary: National Knee and Hip Replacement Registry Act of 2009 - Directs the Secretary of Health and Human Services (HHS) to establish within the Agency for Healthcare Research and Quality (AHRQ) a national knee and hip replacement registry for identifying predictors that may lead to poor outcomes in knee and hip replacement surgeries. Directs: (1) the Administrator of the Centers for Medicare and Medicaid Services, in coordination with the Director of AHRQ, to develop policies and procedures for the development and maintenance of the registry; (2) the AHRQ and the Food and Drug Administration (FDA) to use data in the registry and any analysis conducted to monitor and evaluate the safety of knee and hip replacement procedures and devices; and (3) the Comptroller General to report to Congress on the registry's progress. Requires the head of the registry to: (1) collect and store relevant data; (2) provide data to health care providers to allow them to evaluate their performance relative to their peers; (3) provide data to manufacturers of knee and hip replacement prostheses and related products to allow them to evaluate the safety and performance of their products relative to similar products; (4) develop a process to allow outside researchers to apply to use individually identifiable data contained in the registry to conduct longitudinal studies; (5) seek feedback from orthopedic practitioners and providers, product manufacturers, patient and consumer groups, and public health experts and epidemiologists; and (6) publish an annual report. Authorizes: (1) the head of the registry to request data from federal agencies; and (2) the Secretary to modify the information required to be reported under administrative data sets under Medicare to the extent it would result in the reporting of useful information.

national replacement registry act directs secretary health_and_human_services hhs establish agency healthcare_research_and_quality ahrq national replacement registry identifying predictors lead poor outcomes replacement directs administrator centers medicare medicaid_services coordination director ahrq develop policies procedures development maintenance registry ahrq food_and_drug_administration fda use data registry analysis conducted monitor evaluate safety replacement procedures devices comptroller general report congress registry progress requires head registry collect store relevant data provide data health care providers allow evaluate performance relative peers provide data manufacturers replacement prostheses related products allow evaluate safety performance products relative similar products develop process allow outside researchers apply use individually identifiable data contained registry conduct longitudinal studies seek feedback practitioners providers product manufacturers patient consumer groups public health experts publish annual report authorizes head registry request data federal agencies secretary modify information required reported administrative data sets medicare extent result reporting useful information


Summary: Special Disability Workload Liability Resolution Act of 2009 - Directs the Secretary of Health and Human Services to work with each state to reach an agreement on the amount of a payment for the state related to the Medicare program liability under title XVIII of the Social Security Act as a result of the Special Disability Workload project. (The special workload was the result of discovering a substantial number of recipients of Supplemental Security Income [SSI] benefits whose disability insured status under the title II [OASDI] Disability Insurance program was not previously recognized.) Prohibits any such payment to a state unless it: (1) waives the right to file a civil action (or to be a party to any action) in federal or state court in which the relief sought includes a payment to the state from the United States related to such Medicare liability; and (2) releases the United States from any further claims for reimbursement of state expenditures as a result of the Special Disability Workload project.

special disability workload liability resolution act directs secretary health_and_human_services work state reach agreement payment state related medicare program liability title xviii social security act result project special workload result discovering substantial number recipients supplemental security income ssi benefits disability insured status title oasdi disability insurance program previously recognized prohibits payment state waives right file civil action party action federal state court relief sought includes payment state united_states related medicare liability releases united_states claims reimbursement state expenditures result project


Summary: Project 2020: Building on the Promise of Home and Community-Based Services Act of 2009 - Amends the Social Security Act (SSA) to direct the Secretary of Health and Human Services (HHS) to establish a single-entry point system of grants to states for their own single-entry point systems providing information and counseling about public and private long-term services and supports. Directs the Secretary to establish a healthy living program, with grants to state agencies for the federal share of the cost of carrying out evidence-based disease prevention and health promotion programs. Directs the Secretary to establish a diversion program of grants to states for the federal share of the cost of carrying out enhanced nursing home diversion programs enabling individuals ineligible for medical assistance under SSA title XIX (Medicaid) to avoid admission into nursing homes by helping them to obtain alternative home and community-based long-term services and supports.

project building promise home act amends social security act ssa direct secretary health_and_human_services hhs establish single entry point system grants states single entry point systems providing information counseling public private long term services supports directs secretary establish healthy living program grants state agencies federal share cost carrying evidence based disease prevention health promotion programs directs secretary establish diversion program grants states federal share cost carrying enhanced nursing home diversion programs enabling individuals ineligible medical assistance ssa title xix medicaid avoid admission nursing homes helping obtain alternative home community based long term services supports


Summary: Kenny Callahan Act - Amends title II (Old Age, Survivors and Disability Insurance) (OASDI) of the Social Security Act (SSA) to waive the waiting periods for Social Security disability and Medicare (SSA title XVIII) coverage of certain terminally ill individuals.

survivors disability insurance oasdi social security act ssa waive waiting periods social_security disability medicare ssa title xviii coverage certain terminally ill individuals


Summary: Amends title XIX (Medicaid) of the Social Security Act to direct the Secretary of Health and Human Services (HHS) to continue, for the duration of any state waiver effective as of December 31, 2008, Medicaid spousal income and resource (impoverishment) protections for spouses of beneficiaries receiving home- and community-based services under such a waiver parallel to protections afforded spouses of nursing home residents.

amends title xix medicaid social security act direct secretary health_and_human_services hhs continue duration state waiver effective december medicaid spousal income resource impoverishment protections spouses beneficiaries receiving home- community based services waiver parallel protections afforded spouses nursing home residents


Summary: Senior Navigation and Planning Act of 2009 - Amends titles XVIII (Medicare) and XIX (Medicaid) of the Social Security Act (SSA) to provide for Medicare and Medicaid coverage of advanced illness care management services. Amends the Public Health Services Act to direct the Secretary of Health and Human Services (HHS), through grants or contracts, to conduct a national public education campaign on planning for care near the end of life, including advance directives. Directs the Secretary to provide for the establishment of a national, toll-free information telephone line and a clearinghouse regarding advance directive and end-of-life decisions. Directs the Secretary to establish the Senior Navigation Advisory Board. Requires physicians and nurse practitioners to inform individuals with specified diseases about advance directives and other end-of-life planning tools. Requires a service provider, Medicare Advantage organization, or prepaid or eligible organization to give effect to an advance directive executed outside the state in which such directive is presented (portability). Requires medical providers to honor written orders for medical care. Provides incentive payments to hospitals for accreditation and certification in hospice and palliative care. Directs the Secretary to conduct a pilot program under Medicare to test the use of the Centers for Medicare and Medicaid Services discharge checklist. Directs the Secretary to establish or designate an Office on Medicare/Medicaid Integration. Directs the Secretary to establish and maintain a website providing information, online training, and instructional materials for entities, including faith-based organizations, on end-of-life issues. Authorizes grants to such entities to develop such training and materials. Authorizes the Secretary to award grants to entities to develop and provide services for terminally ill individuals who are receiving hospice care in their own homes. Directs the Secretary to study and report to Congress on the storage of advance directives, and the Comptroller General to study and report on the provisions of this Act.

senior navigation planning act amends titles xviii medicare xix medicaid social security act ssa provide medicare medicaid coverage advanced illness care management services amends public_health_services_act direct secretary health_and_human_services hhs grants contracts conduct national public education campaign planning care near end life including advance directives directs secretary provide establishment national toll free information telephone line clearinghouse advance directive end life decisions directs secretary establish requires physicians nurse practitioners inform individuals specified diseases advance directives end life planning tools requires service provider medicare_advantage organization prepaid eligible organization effect advance directive executed outside state directive presented portability requires medical providers honor written orders medical care provides incentive payments hospitals accreditation certification hospice palliative care directs secretary conduct pilot program medicare test use centers medicare medicaid_services discharge checklist directs secretary establish designate office directs secretary establish maintain website providing information online training instructional materials entities including faith based organizations end life issues authorizes grants entities develop training materials authorizes secretary award grants entities develop provide services terminally ill individuals receiving hospice care homes directs secretary study report congress storage advance directives comptroller general study report provisions act


Summary: Medicare Independent Living Act of 2009 - Amends title XVIII (Medicare) of the Social Security Act to eliminate the in-the-home restriction for Medicare coverage of mobility devices for individuals with expected long-term needs. Deems such devices to be durable medical equipment (DME) if they are used in customary settings for the purpose of normal domestic, vocational, or community activities.

amends title xviii medicare social security act eliminate home restriction medicare coverage mobility devices individuals expected long term needs deems devices durable medical equipment dme customary settings purpose normal domestic vocational community activities


Summary: Medicare Home Oxygen Therapy Act of 2009 - Amends title XVIII (Medicare) of the Social Security Act to revise Medicare coverage and reimbursement requirements for home oxygen therapy services, providing separate coverage of home oxygen therapy services and payment for such services based on a single bundled payment rate.

medicare home oxygen therapy act amends title xviii medicare social security act revise medicare coverage reimbursement requirements home oxygen therapy services providing separate coverage home oxygen therapy services payment services based single bundled payment rate


Summary: Medicare and Medicaid Access Project through Information Technology (MAP IT) Act - Directs the Secretary of Health and Human Services to establish at least one two-year project to demonstrate the impact of health information technology on chronic disease management under the Medicare and Medicaid programs under titles XVIII and XIX of the Social Security Act.

medicare map act_-_directs secretary health_and_human_services establish year project demonstrate impact health information technology chronic disease management medicare medicaid programs titles xviii xix social security act


Summary: Tax Relief for Working Caregivers Act of 2009 - Amends the Internal Revenue Code to: (1) increase from $15,000 to $75,000 the taxpayer adjusted gross income amount at which the tax credit for household and dependent care expenses is phased down; (2) allow such credit for a physically or mentally incapacitated parent (or an ancestor of such parent) of the taxpayer who is a dependent of such taxpayer; and (3) allow an inflation adjustment after 2010 to the maximum dollar limitation for such credit. Makes permanent the increases in the tax credit for household and dependent care expenses enacted by the Economic Growth and Tax Relief Reconciliation Act of 2001 (EGTRRA).

tax relief working caregivers act amends internal revenue code increase taxpayer adjusted gross income tax credit household dependent care expenses phased allow credit physically mentally incapacitated parent parent taxpayer dependent taxpayer allow inflation adjustment maximum dollar limitation credit makes permanent increases tax credit household dependent care expenses enacted economic_growth_and_tax_relief_reconciliation_act egtrra


Summary: Medicare Hospice Reform and Savings Act of 2009 - Amends title XVIII (Medicare) of the Social Security Act to revise payments and coverage for hospice care under the Medicare program. Prescribes conditions for recovery by the Secretary of Health and Human Services (HHS) of repayment demands from a hospice program for any accounting year during the four-year period ending on October 31, 2009. Requires the Secretary to issue evidence-based national coverage determinations for life expectancies covering at least each of those terminal medical diagnoses currently covered by Local Coverage Determinations promulgated by Medicare's fiscal intermediaries. Directs the Secretary to restore the application (and reduce the phase out) of the budget neutrality adjustment factor in the Medicare hospice wage index for FY2010-FY2013 in a manner that will result in an aggregate increase in Medicare expenditures equivalent to the aggregate reductions in expenditures resulting from the issuance of the national coverage determinations.

medicare hospice reform amends title xviii medicare social security act revise payments coverage hospice care medicare program prescribes conditions recovery secretary health_and_human_services hhs repayment demands hospice program accounting year year period ending october requires secretary issue evidence based national coverage determinations life covering terminal medical diagnoses currently covered promulgated medicare fiscal intermediaries directs secretary restore application reduce phase budget neutrality adjustment factor medicare hospice wage index fy2010 fy2013 manner result aggregate increase medicare expenditures equivalent aggregate reductions expenditures resulting issuance national coverage determinations


Summary: Preserving Equitable Access to Community-based Home Health (PEACH) Act of 2009 - Establishes the PEACH fund from which home health agencies meeting specified criteria shall be paid supplemental amounts in addition to their statutory payment amounts under title XVIII (Medicare) of the Social Security Act (SSA). Amends SSA title XVIII to direct the Secretary of Health and Human Services (HHS) to make supplemental payments to certain community-based home health agencies that the Secretary has designated as PEACH agencies for estimated shortfalls due to providing uncompensated care.

preserving equitable access community based act establishes fund home health agencies meeting specified criteria shall paid supplemental amounts addition statutory payment amounts title xviii medicare social security act ssa amends ssa title xviii direct secretary health_and_human_services hhs supplemental payments certain community based home health agencies secretary designated agencies estimated shortfalls providing uncompensated care


Summary: Hospice Support Act of 2009 - Amends the American Recovery and Reinvestment Act of 2009 to eliminate phase out of the Medicare hospice budget neutralilty adjustment factor.

hospice support act amends american_recovery_and_reinvestment_act eliminate phase medicare hospice budget adjustment factor


Summary: Directs the Secretary of Veterans Affairs to carry out a five-year pilot program, in five rural states, under which the Secretary trains and then assigns a specific Department of Veterans Affairs (VA) case manager to each veteran diagnosed with traumatic brain injury who is receiving care in a VA facility in that state.

directs secretary veterans_affairs carry year pilot program rural states secretary trains assigns specific department_of_veterans_affairs case manager veteran diagnosed traumatic brain injury receiving care facility state


Summary: Benefit Rating Acceleration for Veteran Entitlements Act of 2009 - Amends titles II (Old Age, Survivors and Disability Insurance) (OASDI) and XVI (Supplemental Security Income) (SSI) of the Social Security Act to treat as a disability for OASDI and SSI disability payment purposes any service-connected total disability, as rated and certified by the Secretary of Veterans Affairs. Applies the same treatment to related child's insurance and widow's and widower's insurance benefits.

benefit rating acceleration veteran entitlements act amends titles survivors disability insurance oasdi xvi supplemental security income ssi social security act treat disability oasdi ssi disability payment purposes service connected total disability rated certified secretary veterans_affairs applies treatment related child insurance widow widower insurance benefits


Summary: Long-Term Care Insurance Disclosure Act of 2009 - Directs the Secretary of Health and Human Services (HHS) to develop a national model disclosure form for marketing long-term care insurance policies. Sets minimum requirements for such form, including that it: (1) use standard, plain language for purposes of explaining covered services and benefits and restrictions; (2) use standard, consistent definitions for coverage of services and benefits; (3) provide for a standard, consistent disclosure of key provisions, such as monthly premiums, the maximum daily or monthly benefit, and the extent to which benefit amounts will be adjusted for inflation; and (4) have a standard, consistent format with respect to font, color, and type size to allow for easy comparison and not exceed one single-sided page. Requires the Secretaries of the Treasury and HHS to promulgate regulations requiring issuers of qualified long-term care insurance contracts to use such form for marketing such contracts.

disclosure act directs secretary health_and_human_services hhs develop national model disclosure form marketing long term care insurance policies sets minimum requirements form including use standard plain language purposes explaining covered services benefits restrictions use standard consistent definitions coverage services benefits provide standard consistent disclosure key provisions monthly premiums maximum daily monthly benefit extent benefit amounts adjusted inflation standard consistent format respect font color type size allow easy comparison exceed single page requires secretaries treasury hhs promulgate regulations requiring issuers qualified long term care insurance contracts use form marketing contracts


Summary: Together We Care Act of 2009 - Amends the United States Housing Act of 1937 to direct the Secretary of Housing and Urban Development (HUD) to establish a pilot program to make grants on a competitive basis to eligible entities for the training of public housing residents as home health aides and providers of home-based health services to enable them to provide covered home-based health services (i.e., services for which medical assistance is available under a state Medicaid plan or for which financial assistance is available under this Act) to residents of: (1) public housing who are elderly or disabled, or both; and (2) federally-assisted rental housing who are elderly or disabled, or both, subject to criteria that the Secretary may establish.Authorizes the use of grant funds: (1) to establish or maintain and carry out a program to train public housing residents to provide covered home-based health care services to elderly and disabled public housing residents and to elderly and disabled residents of federally-assisted rental housing; (2) for the transportation and child care expenses of public housing residents in training; and (3) for the administrative expenses of carrying out such a program.Provides that for any resident of public housing who is trained as a home health aide or as a provider of home-based health services under the program, any income received for providing covered home-based health services shall apply towards eligibility for benefits under federal housing programs as specified, based on length of time following completion of the training.

care act amends united_states housing act direct secretary housing_and_urban_development hud establish pilot program grants competitive basis eligible entities training public housing residents home health aides providers home based health services enable provide covered home based health services services medical assistance available state medicaid plan financial assistance available act residents public housing elderly disabled federally assisted rental housing elderly disabled subject criteria secretary establish authorizes use grant funds establish maintain carry program train public housing residents provide covered home based health care services elderly disabled public housing residents elderly disabled residents federally assisted rental housing transportation child care expenses public housing residents training administrative expenses carrying program provides resident public housing trained home health aide provider home based health services program income received providing covered home based health services shall apply eligibility benefits federal housing programs specified based length time following completion training


Summary: Home Health Care Planning Improvement Act of 2010 - Amends title XVIII (Medicare) of the Social Security Act to revise conditions of and limitations on payment for home health care services. Allows payment for home health services to Medicare beneficiaries by: (1) a nurse practitioner; (2) a clinical nurse specialist working in collaboration with a physician in accordance with state law; (3) a certified nurse-midwife; or (4) a physician assistant under a physician's supervision.

home_health_care_planning_improvement_act amends title xviii medicare social security act revise conditions limitations payment home health care services allows payment home health services medicare beneficiaries nurse practitioner clinical nurse specialist working collaboration physician accordance state law certified nurse midwife physician assistant physician supervision


Summary: Commission on Improving Long-Term Care and Community Services Act of 2010 - Requires the Secretary of Health and Human Services (HHS) to establish a commission designed to construct a comprehensive national strategy on how to increase the affordability, accessibility, and effectiveness of long-term care and community services in the United States and its territories. Requires the commission's policy recommendations to address economic, geographic, cultural, social, transportation, workforce, and other factors that limit access to quality home, community, and institutional services.

commission services act requires secretary health_and_human_services hhs establish commission designed construct comprehensive national strategy increase affordability accessibility effectiveness long term care community services united_states territories requires commission policy recommendations address economic geographic cultural social transportation workforce factors limit access quality home community institutional services


Summary: Caregiver Tax Relief Act of 2010 - Amends the Internal Revenue Code to allow caregivers of family members or dependents with long-term care needs a refundable income-based tax credit of $2,500 for each such family member or dependent.

caregiver tax relief act amends internal revenue code allow caregivers family members dependents long term care needs refundable income based tax credit family member dependent


Summary: Registered Nurse Safe Staffing Act of 2010 - Amends title XVIII (Medicare) of the Social Security Act, as amended by the Patient Protection and Affordable Care Act (PPACA), to require each Medicare participating hospital to implement a hospital-wide staffing plan for nursing services furnished in the hospital. Requires the plan to require that an appropriate number of registered nurses provide direct patient care in each unit and on each shift of the hospital to ensure staffing levels that: (1) address the unique characteristics of the patients and hospital units; and (2) result in the delivery of safe, quality patient care consistent with specified requirements. Requires each participating hospital to establish a hospital nurse staffing committee which shall implement and oversee such plan. Specifies civil monetary and other penalties for violation of the requirements of this Act. Sets forth whistleblower protections against discrimination and retaliation involving patients or employees of the hospital for their grievances, complaints, or involvement in investigations relating to such plan.

registered nurse safe staffing act amends title xviii medicare social security act amended patient_protection affordable care act ppaca require medicare participating hospital implement hospital wide staffing plan nursing services furnished hospital requires plan require appropriate number registered nurses provide direct patient care unit shift hospital ensure staffing levels address unique characteristics patients hospital units result delivery safe quality patient care consistent specified requirements requires participating hospital establish hospital nurse staffing committee shall implement oversee plan specifies civil monetary penalties violation requirements act sets forth whistleblower protections discrimination retaliation involving patients employees hospital grievances complaints involvement investigations relating plan


Summary: Home Health Care Access Protection Act of 2010 - Amends title XVIII (Medicare) of the Social Security Act, as amended by the Patient Protection and Affordable Care Act, with respect to the prospective payment system (PPS) for home health services and adjustments to it for case mix changes. Requires for years beginning with 2011 that any evaluation of case mix changes and any such adjustment be made using standards developed consistent with specified processes, taking certain criteria into account. Directs the Secretary to convene a Technical Advisory Group to advise on the development of such standards.

amends title xviii medicare social security act amended patient_protection affordable care act respect prospective payment system pps home health services adjustments case mix changes requires years beginning evaluation case mix changes adjustment standards developed consistent specified processes taking certain criteria account directs secretary convene technical_advisory_group advise development standards


Summary: LTC Insurance Reform Act of 2010 - Directs the Secretary of Health and Human Services (HHS) to request the National Association of Insurance Commissioners (NAIC) to conduct reviews every five years of the national and state-specific markets for long-term care (LTC) insurance policies. Directs the Secretary to request the NAIC to review and describe in a White Paper: (1) disclosure requirements for LTC insurance policies under the Model Act and regulation as well as under state laws; (2) differences in LTC services with respect to service providers and the settings in which services are provided among states, among other things; and (3) key issues to consider in the development of a proposed form for marketing LTC insurance policies. Directs the Secretary to request the NAIC to establish a Working Group to develop a model disclosure form for marketing LTC insurance policies. Requires the Secretary of the Treasury to promulgate regulations requiring any issuer of a qualified LTC insurance contract meeting certain criteria, including Medicaid partnership policies, to use the proposed model disclosure form for marketing such contracts. Requires each state to require any issuer of an LTC insurance policy to use the proposed model disclosure form when marketing it in the state. Amends the Deficit Reduction Act of 2005 to authorize establishment of an Internet directory of information regarding LTC insurance ("Long-Term Care Insurance Compare") that shall include comparison tools to assist consumers in evaluating LTC insurance policies with different benefits and features and that allow consumers to compare the price, long-term premium stability, and carrier financial strength of such policies. Amends the Internal Revenue Code to apply Medicaid partnership required model provisions to all tax-qualified LTC insurance contracts. Outlines a process for secretarial review of 2000 and 2006 model provisions as well as subsequent model provisions with respect to their application to tax-qualified LTC policies and Medicaid partnership policies. Amends the Deficit Reduction Act of 2005 to require the Secretary of HHS to issue biennial reports to states and Congress on Medicaid LTC insurance partnerships and their impact. Outlines additional consumer protections for Medicaid partnerships. Directs the Secretary to report to Congress on whether all LTC insurance policies sold after a certain date should provide annual compound inflation protection.

ltc insurance reform act directs secretary health_and_human_services hhs request national_association_of_insurance_commissioners naic conduct reviews years national state specific markets long term care ltc insurance policies directs secretary request naic review describe white paper disclosure requirements ltc insurance policies model act regulation state laws differences ltc services respect service providers settings services provided states things key issues consider development proposed form marketing ltc insurance policies directs secretary request naic establish working_group develop model disclosure form marketing ltc insurance policies requires secretary treasury promulgate regulations requiring issuer qualified ltc insurance contract meeting certain criteria including medicaid partnership policies use proposed model disclosure form marketing contracts requires state require issuer ltc insurance policy use proposed model disclosure form marketing state amends deficit reduction act authorize establishment internet directory information ltc insurance long term care insurance compare shall include comparison tools assist consumers evaluating ltc insurance policies different benefits features allow consumers compare price long term premium stability carrier financial strength policies amends internal revenue code apply medicaid partnership required model provisions tax qualified ltc insurance contracts outlines process secretarial review model provisions subsequent model provisions respect application tax qualified ltc policies medicaid partnership policies amends deficit reduction act require secretary hhs issue biennial reports states congress insurance partnerships impact outlines additional consumer protections medicaid partnerships directs secretary report congress ltc insurance policies sold certain date provide annual compound inflation protection


Summary: Comprehensive Long-Term Care Support Act of 2010 - Amends the Internal Revenue Code to allow a deduction from gross income (available for taxpayers who do not itemize deductions) for the cost of long-term care premiums for the taxpayer and certain family members, including the taxpayer's spouse, ancestors or lineal descendants, and siblings. Phases in the deduction by allowing the deduction of 50 percent of the cost of premiums in 2011, 75 percent in 2012, and 100 percent in 2013 or thereafter. Allows long-term care insurance as a benefit under tax-qualified cafeteria plans and flexible spending arrangements. Allows a tax credit for caregivers of individuals with long-term health care needs. Phases in a $3,000 credit amount for 2015 or thereafter, beginning with $1,000 in 2011, $1,500 in 2012, $2,000 in 2013, and $2,500 in 2014. Reduces the amount of the credit for taxpayers with adjusted gross incomes over $75,000 ($150,000 for joint returns), adjusted for inflation after 2011.

comprehensive long term care support act amends internal revenue code allow deduction gross income available taxpayers itemize deductions cost long term care premiums taxpayer certain family members including taxpayer spouse ancestors lineal descendants siblings phases deduction allowing deduction percent cost premiums percent percent allows long term care insurance benefit tax qualified cafeteria plans flexible spending arrangements allows tax credit caregivers individuals long term health care needs phases credit beginning reduces credit taxpayers adjusted gross incomes joint returns adjusted inflation


Summary: Medicare Access to Rehabilitation Services Act of 2009 - Amends title XVIII (Medicare) of the Social Security Act, as amended by the Medicare Improvements for Patients and Providers Act of 2008, to repeal the outpatient therapy cap.

medicare_access_to_rehabilitation_services_act amends title xviii medicare social security act amended medicare_improvements_for_patients_and_providers_act repeal outpatient therapy cap


Summary: Autonomy for Psychologists and Social Workers Act of 2009 - Amends title XVIII (Medicare) of the Social Security Act to remove the restriction that a clinical psychologist or clinical social worker provide services in a comprehensive outpatient rehabilitation facility to a patient only under the care of a physician.

autonomy psychologists social workers act amends title xviii medicare social security act remove restriction clinical psychologist clinical social worker provide services comprehensive outpatient rehabilitation facility patient care physician


Summary: Medicare Home Infusion Therapy Coverage Act of 2009 - Amends title XVIII (Medicare) of the Social Security Act to provide for Medicare coverage of home infusion therapy and home infusion drugs. Directs the Secretary of Health and Human Services to implement the Medicare home infusion therapy benefit in a manner that ensures that: (1) Medicare beneficiaries have timely and appropriate access to infusion therapy in their homes; and (2) there is rapid and seamless coordination between drug coverage under Medicare part D (Voluntary Prescription Drug Benefit Program) and home infusion therapy services coverage under Medicare part B (Supplemental Security Income).

medicare_home_infusion_therapy_coverage_act amends title xviii medicare social security act provide medicare coverage home infusion therapy home infusion drugs directs secretary health_and_human_services implement medicare home infusion therapy benefit manner ensures medicare beneficiaries timely appropriate access infusion therapy homes rapid seamless coordination drug coverage medicare voluntary prescription drug benefit program home infusion therapy services coverage medicare supplemental security income


Summary: Empowered at Home Act of 2009 - Amends title XIX (Medicaid) of the Social Security Act (SSA) to revise the income eligibility level for home and community-based (HCBS) services for elderly and disabled individuals. Gives states the option to provide HCBS services under a waiver to eligible individuals whose income does not exceed 300% of the supplemental security income (SSI) benefit rate. Gives states the option to provide HCBS waiver services to individuals for whom such services are likely to prevent, delay, or decrease the likelihood of an individual's need for institutionalized care. Directs the Secretary of Health and Human Services to award assistance grants to states electing to provide HCBS waiver services under Medicaid through the state plan amendment option. Reauthorizes Medicaid transformation grants at increased funding and specifies additional permissible uses to facilitate the provision of HCBS and other long-term care (LTC) services. Directs the Secretary to award grants on a competitive basis to eligible states to conduct an evidence- and community-based health promotion program. Amends the Internal Revenue Code to allow: (1) a tax deduction for premiums on qualified LTC insurance contracts; and (2) a tax credit for certain caregivers taking care of individuals with LTC needs. Revises requirements for the model regulation and model Act concerning LTC insurance consumer protections and the excise tax for failing to meet requirements for such protections. Amends SSA title XIX, with respect to treatment of the income and resources of HCBS waiver services recipients who would otherwise be institutionalized, to repeal the state option for (thus requiring) application to such individuals of spousal impoverishment protection requirements. Allows states to elect to exclude up to six months of the average cost of nursing facility services from an individual's assets or resources for purposes of eligibility for HCBS waiver services. Directs the Secretary, acting through the Administrator of the Centers for Medicare & Medicaid Services, to revise certain data reporting forms and systems to ensure uniform and consistent state reporting under this Act. Directs the Comptroller General to study and report to Congress on: (1) the provision of home health services under different state Medicaid plans; and (2) the extent to which states offer consumer self-direction of such services, or allow for other consumer-oriented policies with respect to them.

empowered home act amends title xix medicaid social security act ssa revise income eligibility level home community based hcbs services elderly disabled individuals gives states option provide hcbs services waiver eligible individuals income exceed supplemental security income ssi benefit rate gives states option provide hcbs waiver services individuals services likely prevent delay decrease likelihood individual need institutionalized care directs secretary health_and_human_services award assistance grants states electing provide hcbs waiver services medicaid state plan amendment option transformation grants increased funding specifies additional permissible uses facilitate provision hcbs long term care ltc services directs secretary award grants competitive basis eligible states conduct community based health promotion program amends internal revenue code allow tax deduction premiums qualified ltc insurance contracts tax credit certain caregivers taking care individuals ltc needs revises requirements model regulation model act concerning ltc insurance consumer protections excise tax failing meet requirements protections amends ssa title xix respect treatment income resources hcbs waiver services recipients institutionalized repeal state option requiring application individuals spousal impoverishment protection requirements allows states elect exclude months average cost nursing facility services individual assets resources purposes eligibility hcbs waiver services directs secretary acting administrator centers revise certain data reporting forms systems ensure uniform consistent state reporting act directs comptroller general study report congress provision home health services different state medicaid plans extent states offer consumer self direction services allow consumer oriented policies respect


Summary: Fostering Independence Through Technology Act of 2009 - Directs the Secretary of Health and Human Services to conduct pilot projects under title XVIII (Medicare) of the Social Security Act for the purpose of providing incentives to home health agencies to utilize home monitoring and communications technology.

fostering independence technology act directs secretary health_and_human_services conduct pilot projects title xviii medicare social security act purpose providing incentives home health agencies utilize home monitoring communications technology


Summary: Midwifery Care Access and Reimbursement Equity Act of 2009 - Amends title XVIII (Medicare) of the Social Security Act to provide for the coverage of and payment for certified midwife services. (Currently only certified nurse-midwife services are covered.)

reimbursement equity act amends title xviii medicare social security act provide coverage payment certified midwife services currently certified nurse midwife services covered


Summary: Community Living Assistance Services and Supports Act or the CLASS Act - Amends the Public Health Service Act to create a national, voluntary disability insurance program (CLASS program) under which: (1) all employees are automatically enrolled, but are allowed to waive enrollment; (2) payroll deductions pay monthly premiums; and (3) two-tiered benefits are provided, based on the level of disability, to purchase nonmedical services and supports that the beneficiary needs to maintain independence. Establishes the Independence Fund within the Treasury. Requires the CLASS program to be treated for tax purposes in the same manner as a qualified long-term care insurance contract. Amends the Social Security Act to require each state to: (1) assess the extent to which personal care services providers are serving or able to serve as fiscal agents, employers, and providers of employment-related benefits for personal care attendant workers, who provide personal care services to individuals receiving benefits under this Act; (2) designate or create entities to serve such purposes; and (3) ensure that such entities will not negatively alter or impede existing programs, models, methods, or administration of service delivery that provide for consumer controlled or self-directed home and community services, impede the ability of individuals to direct and control their home and community services, or inhibit individuals from relying on family members for such services. Requires the Secretary of Health and Human Services to establish a Personal Care Attendants Workforce Advisory Panel to examine and advise the Secretary and Congress on workforce issues related to personal care attendant workers. Amends the Internal Revenue Code to allow: (1) a deduction for premiums paid for the CLASS program; (2) a credit CLASS program enrollees with low income; and (3) a credit for employers for the cost incurred to automatically enroll employees and withhold monthly premiums.

community_living_assistance_services supports_act class act amends public_health_service_act create national voluntary disability insurance program class program employees automatically enrolled allowed waive enrollment payroll deductions pay monthly premiums tiered benefits provided based level disability purchase services supports beneficiary needs maintain independence establishes treasury requires class program treated tax purposes manner qualified long term care insurance contract amends social security act require state assess extent personal care services providers serving able serve fiscal agents employers providers employment related benefits personal care attendant workers provide personal care services individuals receiving benefits act designate create entities serve purposes ensure entities negatively alter impede existing programs models methods administration service delivery provide consumer controlled self directed home community services impede ability individuals direct control home community services inhibit individuals relying family members services requires secretary health_and_human_services establish personal care attendants workforce advisory panel examine advise secretary congress workforce issues related personal care attendant workers amends internal revenue code allow deduction premiums paid class program credit class program enrollees low income credit employers cost incurred automatically enroll employees withhold monthly premiums


Summary: Long-Term Care Affordability and Security Act of 2009 - Amends the Internal Revenue Code to: (1) include long-term care insurance as a benefit under tax-exempt employee benefit cafeteria plans and flexible spending arrangements; and (2) extend certain consumer protections under the long-term care insurance model regulation promulgated by the National Association of Insurance Commissioners to all contracts for long-term care insurance.

amends internal revenue code include long term care insurance benefit tax exempt employee benefit cafeteria plans flexible spending arrangements extend certain consumer protections long term care insurance model regulation promulgated national_association_of_insurance_commissioners contracts long term care insurance


Summary: Medicare Rural Home Health Preservation Act of 2009 - Amends the Medicare Prescription Drug, Improvement, and Modernization Act of 2003, as amended by the Deficit Reduction Act of 2005, to require for episodes and visits ending on or after January 1, 2010, and before January 1, 2015, a 5% increase in the rate of payment under title XVIII (Medicare) of the Social Security Act for home health services furnished in a rural area.

amends medicare_prescription_drug improvement modernization act amended deficit reduction act require visits ending january january increase rate payment title xviii medicare social security act home health services furnished rural area


Summary: Medicare Independent Living Act of 2009 - Amends title XVIII (Medicare) of the Social Security Act to eliminate the in-the-home restriction for Medicare coverage of mobility devices for individuals with expected long-term needs. Deems such devices to be durable medical equipment (DME) if they are used in customary settings for the purpose of normal domestic, vocational, or community activities.

amends title xviii medicare social security act eliminate home restriction medicare coverage mobility devices individuals expected long term needs deems devices durable medical equipment dme customary settings purpose normal domestic vocational community activities


Summary: Senior Navigation and Planning Act of 2009 - Amends titles XVIII (Medicare) and XIX (Medicaid) of the Social Security Act (SSA) to provide for Medicare and Medicaid coverage of advanced illness care management services. Amends the Public Health Services Act to direct the Secretary of Health and Human Services (HHS), through grants or contracts, to conduct a national public education campaign on planning for care near the end of life, including advance directives. Directs the Secretary to provide for the establishment of a national, toll-free information telephone line and a clearinghouse regarding advance directive and end-of-life decisions. Directs the Secretary to establish the Senior Navigation Advisory Board. Requires physicians and nurse practitioners to inform individuals with specified diseases about advance directives and other end-of-life planning tools. Requires a service provider, Medicare Advantage organization, or prepaid or eligible organization to give effect to an advance directive executed outside the state in which such directive is presented (portability). Requires medical providers to honor written orders for medical care. Provides incentive payments to hospitals for accreditation and certification in hospice and palliative care. Directs the Secretary to conduct a pilot program under Medicare to test the use of the Centers for Medicare and Medicaid Services discharge checklist. Directs the Secretary to establish or designate an Office on Medicare/Medicaid Integration. Directs the Secretary to establish and maintain a website providing information, online training, and instructional materials for entities, including faith-based organizations, on end-of-life issues. Authorizes grants to such entities to develop such training and materials. Authorizes the Secretary to award grants to entities to develop and provide services for terminally ill individuals who are receiving hospice care in their own homes. Directs the Secretary to study and report to Congress on the storage of advance directives, and the Comptroller General to study and report on the provisions of this Act.

senior navigation planning act amends titles xviii medicare xix medicaid social security act ssa provide medicare medicaid coverage advanced illness care management services amends public_health_services_act direct secretary health_and_human_services hhs grants contracts conduct national public education campaign planning care near end life including advance directives directs secretary provide establishment national toll free information telephone line clearinghouse advance directive end life decisions directs secretary establish requires physicians nurse practitioners inform individuals specified diseases advance directives end life planning tools requires service provider medicare_advantage organization prepaid eligible organization effect advance directive executed outside state directive presented portability requires medical providers honor written orders medical care provides incentive payments hospitals accreditation certification hospice palliative care directs secretary conduct pilot program medicare test use centers medicare medicaid_services discharge checklist directs secretary establish designate office directs secretary establish maintain website providing information online training instructional materials entities including faith based organizations end life issues authorizes grants entities develop training materials authorizes secretary award grants entities develop provide services terminally ill individuals receiving hospice care homes directs secretary study report congress storage advance directives comptroller general study report provisions act


Summary: Home and Community Balanced Incentives Act of 2009 - Amends title XIX (Medicaid) of the Social Security to increase the federal medical assistance percentage (FMAP) for a balancing incentive payment state and any other state in which less than 50% of the total FY2009 expenditures for medical assistance for long-term services and supports (LTSS) are for non-institutionally-based (home and community-based) LTSS. Directs the Secretary of Health and Human Services to award grants to states to: (1) support the development of a common national set of coding methodologies and databases related to the provision of home and community-based LTSS; and (2) make certain structural changes to the state Medicaid program. Directs the Secretary to develop specifications for standardization of: (1) reporting of assessment data for LTSS for each population served; and (2) outcomes measures that track assessment processes for LTSS for each such population that maintain and enhance individual function, independence, and stability. Directs the Secretary to promulgate regulations to ensure that all states develop service systems that are designed to: (1) allocate resources for services in a manner that is responsive to the changing needs and choices of beneficiaries receiving home and community-based LTSS, and that provides strategies for beneficiaries receiving such services to maximize their independence; (2) provide the support and coordination needed for a beneficiary in need of such services to design an individualized, self-directed, community-supported life; and (3) improve coordination among all providers of such services under federally and state-funded programs. Directs the Secretary to assess, on an ongoing basis and based on measures specified by the Agency for Healthcare Research and Quality, the safety, quality, and outcomes of home and community-based LTSS. Changes from 150% of the poverty line to 300% of the supplemental security income (SSI) benefit rate the income eligibility level for providing home and community-based services under the state plan amendment option for elderly and disabled individuals. Authorizes additional state options to provide home and community-based services. Removes the limitation on the scope of services. Creates an eligibility category to provide full Medicaid benefits to individuals receiving home and community-based services under a state plan amendment. Applies spousal impoverishment protections to recipients of home and community-based services. Authorizes states to elect to exclude up to six months of the average cost of nursing facility services from assets or resources for home and community-based services eligibility determinations. Directs the Secretary to create a template to streamline the process of approving, monitoring, evaluating, and renewing state proposals to conduct a program that combines Medicaid waiver authorities into a single program under which the state provides home and community-based services to individuals based on individualized assessments and care plans.

home community balanced incentives act amends title xix medicaid social_security increase federal medical assistance percentage fmap balancing incentive payment state state total fy2009 expenditures medical assistance long term services supports non institutionally based home community based directs secretary health_and_human_services award grants states support development common national set coding methodologies databases related provision home community based certain structural changes state medicaid program directs secretary develop specifications standardization reporting assessment data population served outcomes measures track assessment processes population maintain enhance individual function independence stability directs secretary promulgate regulations ensure states develop service systems designed allocate resources services manner responsive changing needs choices beneficiaries receiving home community based provides strategies beneficiaries receiving services maximize independence provide support coordination needed beneficiary need services design individualized self directed community supported life improve coordination providers services federally state funded programs directs secretary assess ongoing basis based measures specified agency healthcare_research quality safety quality outcomes home community based changes poverty line supplemental security income ssi benefit rate income eligibility level providing home community based services state plan amendment option elderly disabled individuals authorizes additional state options provide home community based services removes limitation scope services creates eligibility category provide medicaid benefits individuals receiving home community based services state plan amendment applies spousal impoverishment protections recipients home community based services authorizes states elect exclude months average cost nursing facility services assets resources home community based services eligibility determinations directs secretary create template streamline process approving monitoring evaluating renewing state proposals conduct program combines medicaid waiver authorities single program state provides home community based services individuals based individualized assessments care plans


Summary: Project 2020: Building on the Promise of Home and Community-Based Services Act of 2009 - Amends the Social Security Act (SSA) to direct the Secretary of Health and Human Services (HHS) to establish a single-entry point system of grants to states for their own single-entry point systems providing information and counseling about public and private long-term services and supports. Directs the Secretary to establish a healthy living program, with grants to state agencies for the federal share of the cost of carrying out evidence-based disease prevention and health promotion programs. Directs the Secretary to establish a diversion program of grants to states for the federal share of the cost of carrying out enhanced nursing home diversion programs enabling individuals ineligible for medical assistance under SSA title XIX (Medicaid) to avoid admission into nursing homes by helping them to obtain alternative home and community-based long-term services and supports.

project building promise home act amends social security act ssa direct secretary health_and_human_services hhs establish single entry point system grants states single entry point systems providing information counseling public private long term services supports directs secretary establish healthy living program grants state agencies federal share cost carrying evidence based disease prevention health promotion programs directs secretary establish diversion program grants states federal share cost carrying enhanced nursing home diversion programs enabling individuals ineligible medical assistance ssa title xix medicaid avoid admission nursing homes helping obtain alternative home community based long term services supports


Summary: Women's Medical Home Demonstration Act - Directs the Secretary of Health and Human Services (HHS) to: (1) establish a three-year women's medical home demonstration project to provide enhanced care to women receiving assistance under Medicaid or the Children's Health Insurance Program (CHIP, formerly known as SCHIP) focusing on specified medical conditions, including premature birth, cervical and breast cancer, menopause, and postpartum depression; (2) establish a Women's Medical Home Advisory Council; and (3) specify standards for certification of certain health care providers as women's medical homes. Defines a "women's medical home" as a physician-led practice, or advanced practice nurse-directed practice, that uses innovations to improve the management and coordination of women's health care and that meets specified standards. Sets forth project goals, including: (1) increasing cost efficiencies of health care delivery, access to appropriate health care services, and patient satisfaction; (2) decreasing inappropriate emergency room utilization, duplication of health care services, and health disparities; and (3) providing appropriate referrals to multidisciplinary services. Authorizes the Secretary to award planning or implementation grants to entities participating in the demonstration project.

secretary health_and_human_services hhs establish year women medical home demonstration project provide enhanced care women receiving assistance medicaid known schip focusing specified medical conditions including premature birth cervical breast cancer postpartum depression establish specify standards certification certain health care providers women medical homes defines women medical home physician led practice advanced practice nurse directed practice uses innovations improve management coordination women health care meets specified standards sets forth project goals including increasing cost efficiencies health care delivery access appropriate health care services patient satisfaction decreasing inappropriate emergency room utilization duplication health care services health disparities providing appropriate referrals multidisciplinary services authorizes secretary award planning implementation grants entities participating demonstration project


Summary: Long Term Care Insurance Integrity Act of 2009 - Requires an insurance issuer that offers a long-term care insurance plan to implement claims dispute resolution procedures that: (1) are designed to expeditiously resolve disputes; (2) provide for alternative means of dispute resolution involving independent third-party review by entities that are mutually acceptable to the issuer and the enrollee, with the reviewer's decision being binding on the issuer; and (3) ensure that an enrollee is eligible to obtain claims review only to the extent and in the manner provided for in the applicable insurance contract. Allows an enrollee to appeal the decision of an independent reviewer to an appropriate state court as provided for under state law.

requires insurance issuer offers long term care insurance plan implement claims dispute resolution procedures designed expeditiously resolve disputes provide alternative means dispute resolution involving independent party review entities mutually acceptable issuer enrollee reviewer decision binding issuer ensure enrollee eligible obtain claims review extent manner provided applicable insurance contract allows enrollee appeal decision independent reviewer appropriate state court provided state law


Summary: Long-Term Care Insurance Consumer Right-to-Know Act of 2009 - Directs the Secretary of Health and Human Services (HHS) to request the National Association of Insurance Commissioners (NAIC) to review and describe, and report to Congress on: (1) disclosure requirements for long-term care insurance policies under the long-term care insurance model regulation and Act promulgated by NAIC (as adopted as of October 2000 and December 2006); (2) disclosure requirements for long-term care insurance policies under state laws; (3) differences in long-term care services, providers, and settings among states; and (4) key issues to consider in the development of a proposed model form for marketing long-term care insurance policies. Directs the Secretary to request NAIC to: (1) establish a Working Group to develop and issue a model disclosure form for marketing long-term care insurance policies; and (2) amend the model regulation and Act to require the use of such form. Requires: (1) the Secretaries of the Treasury and HHS to promulgate regulations requiring issuers of a qualified long-term care insurance contract under certain tax-qualified or Medicaid Partnership policies to use such form for marketing such contracts; and (2) each state to require any issuer of a long-term care insurance policy to use such form when marketing such a policy in the state.

right know act directs secretary health_and_human_services hhs request national_association_of_insurance_commissioners naic review describe report congress disclosure requirements long term care insurance policies long term care insurance model regulation act promulgated naic adopted october december disclosure requirements long term care insurance policies state laws differences long term care services providers settings states key issues consider development proposed model form marketing long term care insurance policies directs secretary request naic establish working_group develop issue model disclosure form marketing long term care insurance policies amend model regulation act require use form requires secretaries treasury hhs promulgate regulations requiring issuers qualified long term care insurance contract certain tax qualified policies use form marketing contracts state require issuer long term care insurance policy use form marketing policy state


Summary: Reducing Emergency Department Utilization through Coordination and Empowerment Demonstration Program Act or the REDUCE Demonstration Program - Directs the Secretary of Health and Human Services (HHS) to establish the REDUCE demonstration program under which the Secretary shall enter into agreements with states to provide for the development, implementation, and evaluation of innovative approaches to coordinated care management and increased access to community support services for targeted beneficiaries under title XIX (Medicaid) of the Social Security Act in order to reduce hospital admissions and the use of emergency health care services.

coordination empowerment demonstration program act secretary health_and_human_services hhs establish reduce demonstration program secretary shall enter agreements states provide development implementation evaluation innovative approaches coordinated care management increased access community support services targeted beneficiaries title xix medicaid social security act order reduce hospital admissions use emergency health care services


Summary: Home Health Care Planning Improvement Act of 2009 - Amends title XVIII (Medicare) of the Social Security Act to revise conditions of and limitations on payment for home health care services. Allows payment for home health services to Medicare beneficiaries by: (1) a nurse practitioner; (2) a clinical nurse specialist working in collaboration with a physician in accordance with state law; (3) a certified nurse-midwife; or (4) a physician assistant under a physician's supervision.

home_health_care_planning_improvement_act amends title xviii medicare social security act revise conditions limitations payment home health care services allows payment home health services medicare beneficiaries nurse practitioner clinical nurse specialist working collaboration physician accordance state law certified nurse midwife physician assistant physician supervision


Summary: Caregiver Assistance and Relief Effort Act of 2010 or the CARE Act of 2010 - Amends the Older Americans Act of 1965 to increase and extend, through FY2014, the authorization of appropriations for the national family caregiver support program, including caregiver support programs for Native Americans. Amends the Internal Revenue Code to: (1) allow caregivers a tax credit for family members with long-term care needs; (2) allow a tax deduction for long-term care insurance premiums; and (3) apply certain consumer protection provisions to long-term care insurance contracts.

caregiver assistance relief effort act care act amends older americans act increase extend fy2014 authorization appropriations national family caregiver support program including caregiver support programs native americans amends internal revenue code allow caregivers tax credit family members long term care needs allow tax deduction long term care insurance premiums apply certain consumer protection provisions long term care insurance contracts


Summary: Home Health Care Access Protection Act of 2010 - Amends title XVIII (Medicare) of the Social Security Act, as amended by the Patient Protection and Affordable Care Act, with respect to the prospective payment system (PPS) for home health services and adjustments to it for case mix changes. Requires for 2011 and each subsequent year that any evaluation of case mix changes and any such adjustment be made using standards developed consistent with specified processes, taking certain criteria into account. Directs the Secretary to convene a Technical Advisory Group to advise on the development of such standards.

amends title xviii medicare social security act amended patient_protection affordable care act respect prospective payment system pps home health services adjustments case mix changes requires subsequent year evaluation case mix changes adjustment standards developed consistent specified processes taking certain criteria account directs secretary convene technical_advisory_group advise development standards


Summary: Medicare Home Health Flexibility Act of 2010 - Permits a home health agency to determine the most appropriate skilled service to make the initial assessment visit for an individual who: (1) is eligible for home health services under title XVIII (Medicare) of the Social Security Act; but (2) does not require skilled nursing care as long as that skilled service is included as part of the plan of care for such services. Permits an occupational therapist to make the initial assessment visit in such a case if occupational therapy is included in such plan in the initial physician referral in conjunction with physical therapy or speech language pathology services.

medicare_home_health flexibility act permits home health agency determine appropriate skilled service initial assessment visit individual eligible home health services title xviii medicare social security act require skilled nursing care long skilled service included plan care services permits occupational therapist initial assessment visit case occupational therapy included plan initial physician referral conjunction physical therapy speech language pathology services


Summary: Long-Term Care Insurance Reform Act of 2011 - Directs the Secretary of Health and Human Services (HHS) to request the National Association of Insurance Commissioners (NAIC) to: (1) conduct reviews every five years of the national and state-specific markets for long-term care (LTC) insurance policies; (2) issue a white paper on disclosure requirements for LTC insurance policies, standardized definitions for LTC services, and issues related to the development of a proposed form for marketing LTC insurance policies; (3) establish a Working Group to develop a model disclosure form for marketing LTC insurance policies; and (4) incorporate such form into the Model Act and regulation. Sets forth requirements related to the use of the proposed model disclosure form for marketing LTC insurance policies, including requiring states to require issuers to use such forms. Amends the Deficit Reduction Act of 2005 to require the National Clearinghouse for Long-Term Care Information to establish an Internet directory of information regarding LTC insurance ("to be known as LTC Insurance Compare). Amends title XIX (Medicaid) of the Social Security Act to require a state Medicaid plan to provide for the annual submission of data relating to functional criteria for the receipt of nursing facility services under the plan. Amends the Internal Revenue Code to apply Medicaid partnership required model provisions to all tax-qualified LTC insurance contracts. Outlines a process for secretarial review of model provisions adopted by NAIC with respect to their application to tax-qualified LTC policies and Medicaid partnership policies to determine if updating such provisions would improve consumer protections for insured individuals. Applies 2006 NAIC model regulations to Medicaid partnerships. (Currently, 2000 NAIC model regulations apply). Sets forth additional requirements applicable to such policies.

reform act directs secretary health_and_human_services hhs request national_association_of_insurance_commissioners naic conduct reviews years national state specific markets long term care ltc insurance policies issue white paper disclosure requirements ltc insurance policies standardized definitions ltc services issues related development proposed form marketing ltc insurance policies establish working_group develop model disclosure form marketing ltc insurance policies incorporate form model act regulation sets forth requirements related use proposed model disclosure form marketing ltc insurance policies including requiring states require issuers use forms amends deficit reduction act require establish internet directory information ltc insurance known ltc insurance compare amends title xix medicaid social security act require state medicaid plan provide annual submission data relating functional criteria receipt nursing facility services plan amends internal revenue code apply medicaid partnership required model provisions tax qualified ltc insurance contracts outlines process secretarial review model provisions adopted naic respect application tax qualified ltc policies medicaid partnership policies determine updating provisions improve consumer protections insured individuals applies naic model regulations medicaid partnerships currently naic model regulations apply sets forth additional requirements applicable policies


Summary: Huntington's Disease Parity Act of 2011 - Directs the Commissioner of Social Security, for purposes of determining cognitive, behavioral, and physical disability under titles II (Old Age, Survivors, and Disability Insurance) (OASDI) and XVI (Supplemental Security Income) (SSI) of the Social Security Act (SSA) to amend specified Listings of Impairments by providing medical and evaluation criteria for Huntington's Disease. Amends SSA title II to waive the 24-month waiting period for coverage under the Medicare program for individuals diagnosed with Hunington's Disease.

huntington disease parity act directs commissioner social_security purposes determining cognitive behavioral physical disability titles survivors disability_insurance oasdi xvi supplemental security income ssi social security act ssa amend specified listings impairments providing medical evaluation criteria huntington disease amends ssa title waive month waiting period coverage medicare program individuals diagnosed


Summary: Considers military service in Operation New Dawn as service in a theater of operations for purposes of eligibility for veterans' hospital and nursing home care and medical services through the Department of Veterans Affairs (VA).

considers military service operation new dawn service theater operations purposes eligibility veterans hospital nursing home care medical services department_of_veterans_affairs