Summary:
(This measure has not been amended since it was passed by the House on September 16, 2014. The summary of that version is repeated here.)

Veterans Traumatic Brain Injury Care Improvement Act of 2014 - Amends the National Defense Authorization Act for Fiscal Year 2008 to alter the reporting requirements under the pilot program to assess the effectiveness of providing assistance to eligible veterans with traumatic brain injury to enhance their rehabilitation, quality of life, and community integration.

Directs the Secretary of Veterans Affairs (VA) to submit reports to the congressional veterans committees on the pilot program for each quarter occurring between January 1, 2015, and September 30, 2017. Requires each quarterly report to include for the preceding quarter:

 the number of individuals who participated in the pilot program, the number of individuals who successfully completed the program, the degree to which pilot program participants and their family members were satisfied with the program, and the interim findings and conclusions of the Secretary regarding the success of the program and recommendations for improving it. Requires the Secretary to include in the report the Secretary submits to the congressional veterans committees after the completion of the pilot program:

 an evaluation of the pilot program in light of the VA's independent living programs, including an assessment of whether  the pilot program should be incorporated into such independent living programs; and recommendations for improving the pilot program. Replaces references to "assisted living" with the term "community-based brain injury residential rehabilitative care," including rehabilitation services within the meaning of such care.

Requires this Act and its amendments to be carried out using funds already available for such purposes.

measure amended passed house september summary version repeated veterans traumatic brain injury care improvement act amends national defense authorization act fiscal year alter reporting requirements pilot program assess effectiveness providing assistance eligible veterans traumatic brain injury enhance rehabilitation quality life community integration directs secretary veterans_affairs submit reports congressional veterans committees pilot program quarter occurring january september requires quarterly report include preceding quarter number individuals participated pilot program number individuals successfully completed program degree pilot program participants family members satisfied program interim findings conclusions secretary success program recommendations improving requires secretary include report secretary submits congressional veterans committees completion pilot program evaluation pilot program light independent living programs including assessment pilot program incorporated independent living programs recommendations improving pilot program replaces references assisted living term community based brain injury residential rehabilitative care including rehabilitation services meaning care requires act amendments carried funds available purposes


Summary: Improving Care for Vulnerable Older Citizens through Workforce Advancement Act of 2014 - Amends the Older Americans Act of 1965 to direct the Assistant Secretary of Aging to carry out a program awarding grants to eligible entities to carry out six separate demonstration projects that focus on care coordination and service delivery for older individuals with chronic illness or at risk of institutional placement by: (1) designing and testing new models of care coordination and service delivery that thoughtfully and effectively deploy advanced aides to improve efficiency and quality of care for frail older individuals; and (2) giving direct-care workers opportunities for career advancement through additional training, an expanded role, and increased compensation.

improving care vulnerable older citizens workforce advancement act amends older americans act direct assistant secretary aging carry program awarding grants eligible entities carry separate demonstration projects focus care coordination service delivery older individuals chronic illness risk institutional placement designing testing new models care coordination service delivery effectively deploy advanced aides improve efficiency quality care frail older individuals giving direct care workers opportunities career advancement additional training expanded role increased compensation


Summary:
PACE Pilot Act of 2014 - Amends title XI (General Provisions, Peer Review, and Administrative Simplification) of the Social Security Act to authorize the Secretary of Health and Human Services (HHS) to waive applicable general and Medicaid requirements of the Program of All-Inclusive Care for Elderly (PACE) in order to conduct demonstration projects through the Center for Medicare and Medicaid Innovations (CMMI) that involve PACE. Prohibits the Secretary, however, as part of a CMMI demonstration, from waiving: (1) the requirement to offer items and services under Medicare without limitations, and (2) certain requirements regarding enrollment in and disenrollment from PACE programs.

Expresses the sense of the House of Representatives that the Secretary should use waiver authority under this Act to provide, in a budget neutral manner, PACE programs with increased operational flexibility to support their ability to improve and innovate and to reduce technical and administrative barriers that have hindered enrollment.

pace pilot act amends title general_provisions peer_review social security act authorize secretary health_and_human_services hhs waive applicable general medicaid requirements pace order conduct demonstration projects center medicare involve pace prohibits secretary demonstration waiving requirement offer items services medicare limitations certain requirements enrollment disenrollment pace programs expresses sense house_of_representatives secretary use waiver authority act provide budget neutral manner pace programs increased operational flexibility support ability improve innovate reduce technical administrative barriers enrollment


Summary:
Medicare Home Health Rebasing Relief and Reassessment Act - Amends title XVIII (Medicare) of the Social Security Act, with respect to the system for prospective payments for home health services, to suspend for a 12-month period a specified adjustment to (rebasing of) Medicare home health prospective payment amounts.

Revises the home health outlier adjustment to equal not to exceed 2.25% (currently, 2.5%) for 2015 through 2023.

Directs the Secretary of Health and Human Services (HHS) to study alternative methods for determining the appropriate adjustment for 2014 and subsequent years to the prospective payment for home health services, including methods offered by stakeholders.

reassessment act amends title xviii medicare social security act respect system prospective payments home health services suspend month period specified adjustment rebasing medicare home health prospective payment amounts revises home health outlier adjustment equal exceed currently directs secretary health_and_human_services hhs study alternative methods determining appropriate adjustment subsequent years prospective payment home health services including methods offered stakeholders


Summary:
Lifespan Respite Care Reauthorization Act of 2014 - Amends the Public Health Service Act to reauthorize lifespan respite care programs (services for family caregivers of children and adults with special needs) through FY2019.

Requires each state agency awarded a grant or cooperative agreement for such purposes to collect, maintain, and report data and records in a manner as the Secretary of Health and Human Services (HHS) may require to enable monitoring and evaluation of the lifespan programs and activities.

amends public_health_service_act reauthorize lifespan respite care programs services family caregivers children adults special needs fy2019 requires state agency awarded grant cooperative agreement purposes collect maintain report data records manner secretary health_and_human_services hhs require enable monitoring evaluation lifespan programs activities


Summary: Care for our Heroes Act - Makes each veteran eligible to participate in a hospice program (or a similar program) conducted by the Secretary of Veterans Affairs (VA) regardless of: (1) the net worth or income of the veteran, the veteran's spouse, or the veteran's child; or (2) whether or not the Secretary has otherwise furnished the veteran with any veterans' benefit.

care heroes act makes veteran eligible participate hospice program similar program conducted secretary veterans_affairs regardless net worth income veteran veteran spouse veteran child secretary furnished veteran veterans benefit


Summary: Access to Inpatient Rehabilitation Therapy Act of 2014 - Amends title XVIII (Medicare) of the Social Security Act to direct the Secretary of Health and Human Services (HHS) to include recreational therapy services among the therapeutic modalities that constitute an intensive rehabilitation therapy program in determining whether inpatient services in an inpatient rehabilitation facility are reasonable and necessary.

therapy act amends title xviii medicare social security act direct secretary health_and_human_services hhs include recreational therapy services therapeutic modalities constitute intensive rehabilitation therapy program determining inpatient services inpatient rehabilitation facility reasonable necessary


Summary:
Military and Veteran Caregiver Services Improvement Act of 2014 - Expands eligibility for the family caregiver program of the Department of Veterans Affairs (VA) to include members of the Armed Forces or veterans who are seriously injured or who became ill on active duty prior to September 11, 2001 (currently, limited to service after September 11, 2001). Expands services to caregivers of veterans under such program to include child care services, financial planning services, and legal services.

Authorizes the transfer of entitlement to post 9/11 education assistance to family members by veterans who are retired for a physical disability or who are seriously injured veterans in need of family caregiver services, without regard to length-of-service requirements.

Authorizes the VA Secretary to pay monthly special compensation to seriously injured or ill veterans in need of personal care services and to their caregivers. Excludes from gross income, for income tax purposes, such compensation paid to injured or ill veterans.

Authorizes flexible work schedules or telework for federal employees who are caregivers of veterans.

Amends the Public Health Service Act to designate a veteran participating in the program of comprehensive assistance for family caregivers as an adult with a special need for purposes of the lifespan respite care program.

Establishes in the executive branch an interagency working group to review and report on policies relating to the caregivers of veterans and members of the Armed Forces.

Directs the Secretary to provide for studies on members of the Armed Forces who commenced service after September 11, 2001, and veterans who have incurred a serious injury or illness, including a mental health injury, and their caregivers.

military improvement act expands eligibility family caregiver program department_of_veterans_affairs include members armed_forces veterans seriously injured ill active duty prior september currently limited service september expands services caregivers veterans program include child care services financial planning services legal services authorizes transfer entitlement post education assistance family members veterans retired physical disability seriously injured veterans need family caregiver services regard length service requirements authorizes secretary pay monthly special compensation seriously injured ill veterans need personal care services caregivers excludes gross income income tax purposes compensation paid injured ill veterans authorizes flexible work schedules telework federal employees caregivers veterans amends public_health_service_act designate veteran participating program comprehensive assistance family caregivers adult special need purposes lifespan respite care program establishes executive branch interagency working group review report policies relating caregivers veterans members armed_forces directs secretary provide studies members armed_forces commenced service september veterans incurred injury illness including mental health injury caregivers


Summary:
Securing Access Via Excellence for Medicare Home Health Act of 2014 or the SAVE Medicare Home Health Act of 2014 - Amends title XVIII (Medicare) of the Social Security Act, with respect to the prospective payment system (PPS) for home health services, to repeal the rebasing reduction adjustment for 2014 and subsequent years required by the Patient Protection and Affordable Care Act (PPACA).

Establishes a calendar year 2014 payment adjustment under such PPS.

Directs the Secretary of Health and Human Services (HHS) to conduct a detailed analysis of the rebasing reduction in Medicare payments for home health services promulgated under the rule for home health prospective payment system rate update for calendar year 2014.

Directs the Secretary to specify a home health all-cause all-condition hospital unplanned readmission measure for readmissions (for any cause) to a hospital for an individual entitled to benefits under Medicare part A (Hospital Insurance) (or enrolled under Medicare part B [Supplementary Medicare Insurance]) and who is receiving post-hospital home health services. Requires this measure to be risk adjusted for potentially preventable readmission to a hospital for such an individual.

Directs the Secretary of Health and Human Services (HHS) to establish: (1) a Medicare home health agency value-based purchasing program (HHA VBP) under which value-based incentive payments are made in a year to home health agencies, and (2) performance standards for application of the unplanned readmission measure.

Directs the Secretary to develop by regulation a methodology for assessing the total performance of each home health agency based on these performance standards.

Directs the Secretary to: (1) withhold from the payment rates made for each year for home health services the amount necessary so that enactment of this Act is estimated not to result in any net change in payments made for Medicare services, and (2) provide for a distribution of a portion of those withheld amounts for performance payments to home health agencies.

Directs the Medicare Payment Advisory Commission (MEDPAC) to review the progress of the HHA VBP and make appropriate recommendations on any improvements that should be made to the program.

securing access excellence health act amends title xviii medicare social security act respect prospective payment system pps home health services repeal rebasing reduction adjustment subsequent years required patient_protection affordable care act ppaca establishes calendar year payment adjustment pps directs secretary health_and_human_services hhs conduct detailed analysis rebasing reduction medicare payments home health services promulgated rule home health prospective payment system rate update calendar year directs secretary specify home health cause condition hospital unplanned measure cause hospital individual entitled benefits medicare enrolled medicare supplementary medicare insurance receiving post hospital home health services requires measure risk adjusted potentially preventable hospital individual directs secretary health_and_human_services hhs establish medicare home health agency value based purchasing program value based incentive payments year home health agencies performance standards application unplanned measure directs secretary develop regulation methodology assessing total performance home health agency based performance standards directs secretary withhold payment rates year home health services necessary enactment act estimated result net change payments medicare services provide distribution portion withheld amounts performance payments home health agencies directs medicare_payment_advisory_commission medpac review progress appropriate recommendations improvements program


Summary:
Care Coordination for Older Americans Act of 2014 - Amends the Older Americans Act of 1965 to make it a duty and function of the Administration on Aging (AOA) in the Department of Health and Human Services (HHS) to provide technical assistance to, and share best practices with, states, area agencies on aging, Aging and Disability Resource Centers, and service providers to carry out outreach and coordinate activities with health care entities in order to assure better care coordination for individuals with multiple chronic illnesses. Requires AOA also to coordinate activities with other federal agencies working to improve care coordination and developing new models and best practices.

Requires the designated state agency to promote the development and implementation of a state system to: (1) address the care coordination needs of older individuals with multiple chronic illnesses; and (2) work with acute care providers, area agencies on aging, service providers, and federal agencies to ensure that the system uses best practices.

Requires area and state plans to provide assurances that the area agencies on aging will facilitate the area-wide development and implementation of an area-wide system to address the care coordination needs of older individuals with multiple chronic illnesses.

care coordination older americans act amends older americans act duty function administration_on_aging aoa department_of_health_and_human_services hhs provide technical assistance share best practices states area agencies aging aging_and_disability_resource_centers service providers carry outreach coordinate activities health care entities order assure better care coordination individuals multiple chronic illnesses requires aoa coordinate activities federal agencies working improve care coordination developing new models best practices requires designated state agency promote development implementation state system address care coordination needs older individuals multiple chronic illnesses work acute care providers area agencies aging service providers federal agencies ensure system uses best practices requires area state plans provide assurances area agencies aging facilitate area wide development implementation area wide system address care coordination needs older individuals multiple chronic illnesses


Summary:
Put a Registered Nurse in the Nursing Home Act of 2014 - Amends titles XVIII (Medicare) and XIX (Medicaid) of the Social Security Act with respect to coverage of nursing care services in skilled nursing facilities and nursing facilities, respectively, to revise the standards for 24-hour licensed nursing service care which a professional registered nurse is required to provide at least 8 consecutive hours a day, 7 days a week.

Requires such facilities, instead, to use the services of at least one registered professional nurse to provide assessment, surveillance, and direct care to residents 24 hours a day, 7 days a week.

registered nurse nursing home act amends titles xviii medicare xix medicaid social security act respect coverage nursing care services skilled nursing facilities nursing facilities respectively revise standards hour licensed nursing service care professional registered nurse required provide consecutive hours day days week requires facilities instead use services registered professional nurse provide assessment surveillance direct care residents hours day days week


Summary:
Hospice Opportunities for Supporting Patients with Integrity and Care Evaluations (HOSPICE) Act of 2014 - Amends title XVIII (Medicare) of the Social Security Act to subject any entity certified as a hospice program to a standard survey by an appropriate state or local survey agency, or an approved accreditation agency, at least once every 36 months.

Specifies funding from the Federal Hospital Insurance Trust Fund for FY2014-FY2016 for such survey requirements.

Applies certain rules for the limitation of a beneficiary's liability with respect to denial of a Medicare payment for hospice care provided to an individual for more than 180 days in the same manner as such limitation applies with respect to denial of a payment for items and services as not reasonable or necessary for the diagnosis or treatment of an illness or injury.

hospice act amends title xviii medicare social security act subject entity certified hospice program standard survey appropriate state local survey agency approved accreditation agency months specifies funding federal_hospital_insurance_trust_fund fy2014 fy2016 survey requirements applies certain rules limitation beneficiary liability respect denial medicare payment hospice care provided individual days manner limitation applies respect denial payment items services reasonable necessary diagnosis treatment illness injury


Summary:
Medicare Home Infusion Site of Care Act of 2014 - Amends title XVIII (Medicare) of the Social Security Act to authorize Medicare coverage of home infusion therapy and home infusion drugs.

Directs the Secretary of Health and Human Services (HHS) 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) (SSI) to avoid the filing of duplicative or otherwise improper claims.

amends title xviii medicare social security act authorize medicare coverage home infusion therapy home infusion drugs directs secretary health_and_human_services hhs 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 ssi avoid filing duplicative improper claims


Summary:
Community Integration Act of 2014 - Amends title XIX (Medicaid) of the Social Security Act to require state Medicaid plans to give an individual with disabilities needing the level of care provided in an institutional setting the choice and opportunity to receive such care in a home and community-based setting, including rehabilitative services, assistance and support in accomplishing activities of daily living, instrumental activities of daily living, and health-related tasks, and assistance in acquiring, maintaining, or enhancing skills necessary to accomplish such activities, tasks, or services.

Prescribes requirements for providing in home and community-based settings those services such an individual would otherwise receive in an institutional setting, such as a nursing facility, intermediate care facility for the mentally retarded, institution for mental disease, or other similarly restrictive or institutional setting.

community integration act amends title xix medicaid social security act require state medicaid plans individual disabilities needing level care provided institutional setting choice opportunity receive care home community based setting including rehabilitative services assistance support accomplishing activities daily living instrumental activities daily living health related tasks assistance acquiring maintaining enhancing skills necessary accomplish activities tasks services prescribes requirements providing home community based settings services individual receive institutional setting nursing facility intermediate care facility mentally retarded institution mental disease similarly restrictive institutional setting


Summary:
In-Home Caregiver Assessment Resources and Education Act or the In-Home CARE Act - Amends the Public Health Service Act to require the Administration for Community Living to award grants to carry out home visiting programs for unpaid caregivers.

Requires the Secretary of Health and Human Services (HHS) to coordinate with the National Family Caregiver Support Program, Centers for Medicare & Medicaid Services (CMS), and others on this grant program.

Requires grantees to provide:

 caregiver education and training regarding medication management, food preparation, falls prevention, and other subjects; services or referrals for services related to home care, such as transportation, home modification, or respite care; and an assessment and referral for physical and mental health services for the caregiver or person receiving care from the caregiver.

home caregiver assessment resources education act require award grants carry home visiting programs unpaid caregivers requires secretary health_and_human_services hhs coordinate national_family_caregiver_support_program centers cms grant program requires grantees provide caregiver education training medication management food preparation falls prevention subjects services referrals services related home care transportation home modification respite care assessment referral physical mental health services caregiver person receiving care caregiver


Summary: Creating American Prosperity through Preservation Act - Amends the Internal Revenue Code, with respect to tax credits for building rehabilitation expenditures, to: (1) allow an increased 30% credit for projects involving $7.5 million or less in rehabilitation expenditures, (2) provide for an additional 2% credit amount for a building that is a qualified energy efficient rehabilitated building (increased energy efficiency of 30% or more), (3) change the placed-in-service requirement for non-historic rehabilitated buildings from before 1936 to 50 years prior to the year in which qualified rehabilitation expenditures are taken into account, and (4) exempt from tax the proceeds of a state historic tax credit.

internal revenue code respect tax credits building rehabilitation expenditures allow increased credit projects involving million rehabilitation expenditures provide additional credit building qualified energy efficient rehabilitated building increased energy efficiency change placed service requirement non historic rehabilitated buildings years prior year qualified rehabilitation expenditures taken account exempt tax proceeds state historic tax credit


Summary: Medicare Access to Rehabilitation Services Act of 2013 - Amends title XVIII (Medicare) of the Social Security Act to repeal the caps on Medicare outpatient rehabilitation physical therapy services and speech-language pathology services.

medicare_access_to_rehabilitation_services_act amends title xviii medicare social security act repeal caps medicare outpatient rehabilitation physical therapy services speech language pathology services


Summary:
Fostering Independence Through Technology Act of 2013 - Directs the Secretary of Health and Human Services (HHS) to conduct pilot projects under title XVIII (Medicare) of the Social Security Act for the purpose of providing incentives to home health agencies to furnish remote patient monitoring services that reduce expenditures.

Directs the Secretary to specify the criteria for identifying Medicare beneficiaries within the scope of the pilot projects.

Directs the Secretary to establish for each participating home health agency a performance target using specified methodologies.

fostering independence technology act directs secretary health_and_human_services hhs conduct pilot projects title xviii medicare social security act purpose providing incentives home health agencies furnish remote patient monitoring services reduce expenditures directs secretary specify criteria identifying medicare beneficiaries scope pilot projects directs secretary establish participating home health agency performance target specified methodologies


Summary:
Huntington's Disease Parity Act of 2013 - 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 Huntington'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 huntington disease


Summary:
Ensuring Access to Quality Complex Rehabilitation Technology Act of 2013 - Amends title XVIII (Medicare) of the Social Security Act to cover, as medical and other health services, complex rehabilitation technology items designed and configured for a specific qualified individual to meet that individual's unique: (1) medical, physical, and functional needs related to a medical condition; and (2) capacities for basic activities of daily living (ADLs) and instrumental ADLs.

Directs the Secretary of Health and Human Services (HHS) to: (1) designate complex rehabilitation technology items (excluding adaptive equipment to operate motor vehicles or certain prosthetic devices and orthotics), and (2) establish eligibility criteria for them.

Prescribes requirements for payments for CRT items.

Directs the Secretary to establish standards for clinical conditions for CRT item payment as well as quality standards for suppliers of such items.

Directs the Secretary to establish a Healthcare Procedure Coding System (HCPCS) coding subset that uses specified HCPCS codes for CRT items.

Requires payment for replacement of a CRT item (or any part of one), without regard to certain continuous use or useful lifetime restrictions established for items of durable medical equipment (DME), if a qualified ordering practitioner determines that a replacement item (or part) is necessary.

ensuring access quality complex rehabilitation technology act amends title xviii medicare social security act cover medical health services complex rehabilitation technology items designed configured specific qualified individual meet individual unique medical physical functional needs related medical condition capacities basic activities daily living adls instrumental adls directs secretary health_and_human_services hhs designate complex rehabilitation technology items excluding adaptive equipment operate motor vehicles certain prosthetic devices orthotics establish eligibility criteria prescribes requirements payments crt items directs secretary establish standards clinical conditions crt item payment quality standards suppliers items directs secretary establish healthcare procedure coding system hcpcs coding subset uses specified hcpcs codes crt items requires payment replacement crt item regard certain continuous use useful lifetime restrictions established items durable medical equipment dme qualified ordering practitioner determines replacement item necessary


Summary:
Responding to Urgent Needs of Survivors of the Holocaust Act or RUSH Act - Amends the Older Americans Act of 1965 to include specifically within its purview older Americans who are Holocaust survivors.

Authorizes the Administrator for Community Living to designate, within the Administration for Community Living of the Department of Health and Human Services (HHS), a person with specialized training, background, or experience with issues of Holocaust survivors to implement services for them.

Requires a state nutrition project to: (1) ensure that project meals meet the dietary needs of program participants based on religious, cultural, or ethnic requirements; and (2) encourage individuals who distribute nutrition services to engage in conversation with homebound older individuals and to be aware of the warning signs of medical emergencies, injury, or abuse in order to reduce isolation and promote wellbeing.

Amends the Older Americans Act Amendments of 2006 to require the study of nutrition projects to analyze the abilities of service providers to obtain viable contracts for special foods necessary to meet a religious requirement, required dietary need, or ethnic consideration.

Authorizes the HHS Assistant Secretary for Aging to make grants to or contract with states, public agencies, private nonprofit agencies, institutions of higher education, and organizations, including tribal organizations, to support programs that provide transportation services and resources to older individuals with the greatest economic or social need.

responding act amends older americans act include specifically purview older americans holocaust survivors authorizes administrator community living designate hhs person specialized training background experience issues holocaust survivors implement services requires state nutrition project ensure project meals meet dietary needs program participants based religious cultural ethnic requirements encourage individuals distribute nutrition services engage homebound older individuals aware warning signs medical emergencies injury abuse order reduce isolation promote amends older americans act amendments require study nutrition projects analyze abilities service providers obtain viable contracts special foods necessary meet religious requirement required dietary need ethnic consideration authorizes hhs assistant secretary aging grants contract states public agencies private nonprofit agencies institutions higher education organizations including tribal organizations support programs provide transportation services resources older individuals greatest economic social need


Summary:
Hospice Evaluation and Legitimate Payment Act of 2013 - Amends title XVIII (Medicare) of the Social Security Act with respect to the face-to-face encounter framework in hospice care. Allows a clinical nurse specialist, physician assistant, or other health professional (in addition to a hospice physician or a nurse practitioner, as under current law) to conduct the face-to-face encounter with the individual to determine continued eligibility for hospice care before the first 60-day (currently 180-day) recertification period and each subsequent recertification.

Directs the Secretary of Health and Human Services (HHS) to establish a Medicare Hospital Payment Reform demonstration program to test any revisions to the methodology for determining payment rates for routine home care and other hospice care services.

Sets at every three years the frequency of surveys of certified hospice programs.

amends title xviii medicare social security act respect face face encounter framework hospice care allows clinical nurse specialist physician assistant health professional addition hospice physician nurse practitioner current law conduct face face encounter individual determine continued eligibility hospice care day currently day recertification period subsequent recertification directs secretary health_and_human_services hhs establish demonstration program test revisions methodology determining payment rates routine home care hospice care services sets years frequency surveys certified hospice programs


Summary:
Preserving Rehabilitation Innovation Centers Act of 2013 - Amends title XVIII (Medicare) of the Social Security Act to direct the Secretary of Health and Human Services (HHS) to study whether there should be an increase in the prospective payment rate for inpatient rehabilitation services that would otherwise be made to a rehabilitation innovation center to cover additional costs incurred in: (1) furnishing items and services to individuals conducting research, and (2) providing medical training.

Requires the study also to specify the amount of such an increase if the Secretary determines that it is recommended.

preserving rehabilitation innovation centers act amends title xviii medicare social security act direct secretary health_and_human_services hhs study increase prospective payment rate inpatient rehabilitation services rehabilitation innovation center cover additional costs incurred furnishing items services individuals conducting research providing medical training requires study specify increase secretary determines recommended


Summary:
Home Health Care Planning Improvement Act of 2013 - 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:
Care Planning Act of 2013 - Amends titles XVIII (Medicare) and XIX (Medicaid) of the Social Security Act (SSA) to cover advanced illness planning and coordination services furnished to an eligible individual with progressive illness, including Alzheimer's disease, by a hospice or other provider through an interdisciplinary team.

Amends SSA title XI with respect to the Center for Medicare and Medicaid Innovation and its selection for Phase I testing of innovative payment and service delivery models to reduce Medicare and Medicaid expenditures while preserving or enhancing the quality of care. Adds a model for payments to providers that furnish advanced illness care coordination services to eligible individuals who are entitled to, or enrolled for, benefits under Medicare part A (Hospital Insurance) and enrolled under part B (Supplementary Medical Insurance), but not enrolled under Medicare part C (Medicare+Choice).

Amends the Public Health Service Act to require the Secretary of Health and Human Services (HHS), in awarding grants, contracts, or agreements under provisions for quality measure development, to give priority to the development of quality measures that allow the assessment of various specified factors including the effectiveness, patient-centeredness (and, where relevant, family caregiver-centeredness), and accuracy of care plans, including documentation of individual goals, preferences, and values.

Amends SSA title XVIII (Medicare) to require inclusion of information on advanced care planning materials in the "Medicare and You Handbook."

Directs the Secretary to establish a Care Planning Advisory Board.

Revises requirements for the use under Medicare and Medicaid of advanced directives, portable treatment orders, and other treatment directions from an individual or legally authorized representative.

Amends the Assisted Suicide Funding Restriction Act of 1997 with respect to advanced directives.

Establishes additional requirements under Medicare for hospitals, skilled nursing facilities, home health agencies, and hospice programs with respect to completion before discharge of care plan documentation.

Authorizes the Secretary to award grants to certain entities to: (1) develop online training modules, decision support tools, and instructional materials for individuals, family caregivers, and health care providers; (2) establish a website and telephone hotline to disseminate such resources and any materials designed by the HHS Center for Faith-Based and Neighborhood Partnerships for faith communities; and (3) conduct a national public education campaign to raise public awareness of advance care planning and advanced illness care.

Directs the Secretary to study state and regional activities with respect to storing completed advance directives and portable treatment orders.

Directs the Comptroller General (GAO) to study the provisions of, and amendments made by, this Act, including the quality associated with them.

care planning act amends titles xviii medicare xix medicaid social security act ssa cover advanced illness planning coordination services furnished eligible individual progressive illness including alzheimer disease hospice provider interdisciplinary team amends ssa title respect center medicare medicaid_innovation selection phase testing innovative payment service delivery models reduce medicare medicaid expenditures preserving enhancing quality care adds model payments providers furnish advanced illness care coordination services eligible individuals entitled enrolled benefits medicare enrolled enrolled medicare amends public_health_service_act require secretary health_and_human_services hhs awarding grants contracts agreements provisions quality measure development priority development quality measures allow assessment specified factors including effectiveness patient relevant family caregiver accuracy care plans including documentation individual goals preferences values amends ssa title xviii medicare require inclusion information advanced care planning materials medicare handbook directs secretary establish revises requirements use medicare medicaid advanced directives portable treatment orders treatment directions individual legally authorized representative amends respect advanced directives establishes additional requirements medicare hospitals skilled nursing facilities home health agencies hospice programs respect completion discharge care plan documentation authorizes secretary award grants certain entities develop online training modules decision support tools instructional materials individuals family caregivers health care providers establish website telephone hotline disseminate resources materials designed faith based faith communities conduct national public education campaign raise public awareness advance care planning advanced illness care directs secretary study state regional activities respect storing completed advance directives portable treatment orders directs comptroller general gao study provisions amendments act including quality associated


Summary: Authorizes the Secretary of Veterans Affairs, in conducting the Department of Veterans Affairs (VA) medical foster home program, to cover the costs associated with the care of veterans at medical foster homes.

authorizes secretary veterans_affairs conducting department_of_veterans_affairs medical foster home program cover costs associated care veterans medical foster homes


Summary: Improving Care for Vulnerable Older Citizens through Workforce Advancement Act of 2014 - Amends the Older Americans Act of 1965 to direct the Assistant Secretary of Aging to carry out a program awarding grants to eligible entities to carry out six separate demonstration projects that focus on care coordination and service delivery for older individuals with chronic illness or at risk of institutional placement by: (1) designing and testing new models of care coordination and service delivery that thoughtfully and effectively deploy advanced aides to improve efficiency and quality of care for frail older individuals; and (2) giving direct-care workers opportunities for career advancement through additional training, an expanded role, and increased compensation.

improving care vulnerable older citizens workforce advancement act amends older americans act direct assistant secretary aging carry program awarding grants eligible entities carry separate demonstration projects focus care coordination service delivery older individuals chronic illness risk institutional placement designing testing new models care coordination service delivery effectively deploy advanced aides improve efficiency quality care frail older individuals giving direct care workers opportunities career advancement additional training expanded role increased compensation


Summary:
Assisted Living Pilot Program for Veterans with Traumatic Brain Injury Extension Act - Amends the National Defense Authorization Act for Fiscal Year 2008 to extend the pilot program to assess the effectiveness of providing assistance to eligible veterans with traumatic brain injury to enhance their rehabilitation, quality of life, and community integration.

Requires that at least one location of the program be in each health care region of the Veterans Health Administration that contains a polytrauma center of the Department of Veterans Affairs (VA). (Under current law, selected locations also must include any location other than one described above in an area that contains a high concentration of veterans with traumatic brain injuries.)

Expands requirements for reports on the pilot program.

Replaces references to "assisted living" with the term "community-based brain injury residential rehabilitative care," including rehabilitation services within the meaning of such care.

Requires a veteran, in order to be eligible for such services, to have a traumatic brain injury that is classified as complex-mild to severe.

veterans extension act amends national defense authorization act fiscal year extend pilot program assess effectiveness providing assistance eligible veterans traumatic brain injury enhance rehabilitation quality life community integration requires location program health care region veterans_health_administration contains polytrauma center department_of_veterans_affairs current law selected locations include location described area contains high concentration veterans traumatic brain injuries expands requirements reports pilot program replaces references assisted living term community based brain injury residential rehabilitative care including rehabilitation services meaning care requires veteran order eligible services traumatic brain injury classified complex severe


Summary:
Older Americans Community Access Revitalization and Education Act or the Older Americans CARE Act - Amends the Older Americans Act of 1965 (OAA) to redefine Aging and Disability Resource Center as a collaborative network that has a no wrong door single entry point system and a comprehensive and integrated program as part of a state system of integrated long-term care (LTC) for individuals with disabilities and older individuals.

(Under the Patient Protection and Affordable Care Act, a "no wrong door single entry point system" is a statewide system to enable consumers to access all LTC services and supports through an agency, organization, coordinated network, or portal giving information on: (1) the availability of such services, (2) how to apply for them, (3) referral services in the community, and (4) financial and functional eligibility for services and supports, including assistance with eligibility assessment processes.)

Includes status as a lesbian, gay, bisexual, and transgendered (LGBT) individual as a factor indicative of greatest social need.

Directs the Assistant Secretary of Aging, through a coordinated public education and outreach campaign carried out by the National Eldercare Locator Service, and in coordination with other appropriate federal agencies, to promote: (1) enhanced public awareness of the importance of advance planning for integrated LTC; and (2) the availability of national, state, and local information and resources to assist in such planning, as well as the existence of area agencies and aging service providers to give direct assistance with it.

Directs the Assistant Secretary to make grants to states for the modernization of facilities to serve as multipurpose senior centers.

Authorizes the Assistant Secretary to provide funding through area agencies on aging, and other approved entities, to not-for-profit owners or managers of housing for a pilot project service packaged and targeted for residents of federally assisted housing.

Directs the Assistant Secretary to establish a community care wrap-around support demonstration program of grants to enable eligible entities to: (1) establish community care wrap-around support partnerships; and (2) enable them to carry out specified activities, including longitudinal care plans for each eligible older individual as well as medication management and medical nutrition therapy.

Requires a State Long-Term Care Ombudsman to: (1) identify interventions or devices that affect the rights and safety of residents, including the use of chemical and physical restraints; and (2) educate providers, residents, and families about the danger of those interventions and devices.

Authorizes appropriations for the prevention of financial abuse, fraud, and other financial exploitation.

Directs a state agency, in order to receive an allotment from appropriated funds, to develop and enhance programs to address elder abuse, neglect, and exploitation (including financial abuse, fraud, and other financial exploitation).

older americans care act amends older americans act oaa redefine collaborative network wrong door single entry point system comprehensive integrated program state system integrated long term care ltc individuals disabilities older individuals patient_protection affordable care act wrong door single entry point system statewide system enable consumers access ltc services supports agency organization coordinated network portal giving information availability services apply referral services community financial functional eligibility services supports including assistance eligibility assessment processes includes status lesbian gay bisexual transgendered lgbt individual factor greatest social need directs assistant secretary aging coordinated public education outreach campaign carried national_eldercare_locator_service coordination appropriate federal agencies promote enhanced public awareness importance advance planning integrated ltc availability national state local information resources assist planning existence area agencies aging service providers direct assistance directs assistant secretary grants states modernization facilities serve multipurpose senior centers authorizes assistant secretary provide funding area agencies aging approved entities profit owners managers housing pilot project service packaged targeted residents federally assisted housing directs assistant secretary establish community care support demonstration program grants enable eligible entities establish community care support partnerships enable carry specified activities including longitudinal care plans eligible older individual medication management medical nutrition therapy requires state long term care ombudsman identify interventions devices affect rights safety residents including use chemical physical educate providers residents families danger interventions devices authorizes appropriations prevention financial abuse fraud financial exploitation directs state agency order receive allotment appropriated funds develop enhance programs address elder abuse neglect exploitation including financial abuse fraud financial exploitation


Summary:
Patient Centered Quality Care for Life Act - Directs the Secretary of Health and Human Services (HHS) to convene a Patient-Centered Health Care and Quality of Life Stakeholder Strategic Summit to analyze health system barriers to patient-centered care and make recommendations to improve patient-centered care and address quality of life concerns for individuals with serious, complex, and chronic illness and their families.

Amends the Public Health Service Act to require the Director of the Centers for Disease Control and Prevention (CDC) to award grants to increase demand for and delivery of integrated, patient-centered care to improve the quality of life of seriously ill patients.

Directs the Administrator of the Health Resources and Services Administration (HRSA) to award health care professional workforce training grants to promote quality of life focused clinical core competencies across clinical specialties that serve patients who are seriously ill or have complex chronic disease.

Requires the Secretary to update and expand the September 2002 HRSA report "The Supply, Demand and Use of Palliative Care Physicians in the United States" and to establish a Quality of Life Cross-Agency Advisory Committee to disseminate findings on best practices and to assist the CDC and HRSA in conducting the grant programs established by this Act.

Requires the Director of the National Institutes of Health (NIH) to develop and implement a strategy to expand national research programs in symptom management, palliative, psychosocial, and survivorship care in accordance with the Advisory Committee's recommendations.

patient centered quality care life act directs secretary health_and_human_services hhs convene strategic summit analyze health system barriers patient centered care recommendations improve patient centered care address quality life concerns individuals complex chronic illness families amends public_health_service_act require director centers_for_disease_control_and_prevention cdc award grants increase demand delivery integrated patient centered care improve quality life seriously ill patients directs administrator health_resources_and_services_administration hrsa award health care professional workforce training grants promote quality life focused clinical core competencies clinical specialties serve patients seriously ill complex chronic disease requires secretary update expand september hrsa report supply demand use palliative care physicians united_states establish quality life cross agency advisory committee disseminate findings best practices assist cdc hrsa conducting grant programs established act requires director national_institutes_of_health nih develop implement strategy expand national research programs symptom management palliative psychosocial survivorship care accordance advisory_committee recommendations


Summary:
Caregiver Corps Act of 2014 - Amends the Public Health Service Act to require the Secretary of Health and Human Services (HHS) to contract with a nonprofit to develop an online toolkit and guidance providing for the establishment and implementation of Caregiver Corps volunteer programs in which volunteers provide assistance to individuals who are in need of assistance to remain in the community and are either aged 65 or older, or eligible for Social Security Disability Insurance.

Requires Caregiver Corps volunteers to provide assistance by giving an informal caregiver respite from caregiving duties, serving as a companion, or providing other assistance for which the volunteer is qualified. Prohibits volunteers from providing personal care or administering prescription medications.

Allows the Secretary to award grants for the operation of local Corps programs.

Requires local Corps programs to screen, train, and supervise volunteers.

Directs local Corps programs to appropriately recognize volunteers. Allows programs to provide compensation to volunteers.

caregiver corps act amends public_health_service_act require secretary health_and_human_services hhs contract nonprofit develop online guidance providing establishment implementation volunteer programs volunteers provide assistance individuals need assistance remain community aged older eligible social_security_disability_insurance requires caregiver corps volunteers provide assistance giving informal caregiver respite caregiving duties serving companion providing assistance volunteer qualified prohibits volunteers providing personal care administering prescription medications allows secretary award grants operation local corps programs requires local corps programs screen train supervise volunteers directs local corps programs appropriately recognize volunteers allows programs provide compensation volunteers


Summary:
In-Home Caregiver Assessment Resources and Education Act or the In-Home CARE Act - Amends the Public Health Service Act to require the Administration for Community Living to award grants to carry out home visiting programs for unpaid caregivers.

Requires the Secretary of Health and Human Services (HHS) to coordinate with the National Family Caregiver Support Program, Centers for Medicare & Medicaid Services (CMS), and others on this grant program.

Requires grantees to provide:

 caregiver education and training regarding medication management, food preparation, falls prevention and other subjects; services or referrals for services related to home care, such as transportation, home modification, or respite care; and an assessment and referral for physical and mental health services for the caregiver or person receiving care from the caregiver.

home caregiver assessment resources education act require award grants carry home visiting programs unpaid caregivers requires secretary health_and_human_services hhs coordinate national_family_caregiver_support_program centers cms grant program requires grantees provide caregiver education training medication management food preparation falls prevention subjects services referrals services related home care transportation home modification respite care assessment referral physical mental health services caregiver person receiving care caregiver


Summary:
Advance Planning and Compassionate Care Act of 2014 - Directs the Centers for Disease Control and Prevention (CDC) to establish and operate directly, or by grant, contract, or interagency agreement, a 24-hour toll free telephone hotline to provide consumer information regarding advance care planning, which is the process of determining an individual's wishes for care in the future when the individual is no longer able to express his or her wishes.

Directs the Department of Health and Human Services (HHS) to develop an online clearinghouse to provide comprehensive information on advance care planning and pediatric advance care planning.

Directs HHS to develop an online advance care planning toolkit for availability on specified websites.

Requires the CDC, directly or through grants, contracts, or interagency agreements, to develop a national campaign to inform the public of the importance of advance care planning and of the right of individuals to direct their health care decisions.

Directs HHS and the Social Security Administration to update the online versions of the "Plan Ahead for Long-Term Care" section of the Medicare & You Handbook and the Social Security Handbook to include information about advance care planning and advance directives and provide this information in subsequently published paper and online versions.

Amends the Legal Services Corporation Act to authorize financial and legal assistance for advance care planning.

Directs HHS to award grants to states for certain state health insurance assistance programs to provide advance care planning services to Medicare beneficiaries, their personal representatives, and their families.

Authorizes Medicaid transformation grants for advance care planning and advance care planning community training grants.

Directs HHS to make grants to establish new or expand existing state or local programs for orders regarding life sustaining treatment.

Directs the Centers for Medicare & Medicaid Services (CMS) and the Agency for Healthcare Research and Quality, to establish a website for providers under Medicare, Medicaid, the Children's Health Insurance Program (CHIP), the Indian Health Service, and other public health providers on each individual's right to make decisions concerning medical care, including the right to refuse treatment, and the existence of advance directives, which are legal documents that indicate an individual's wishes regarding medical treatment in the event of future incompetence (e.g., living will).

Requires the Health Resources and Services Administration to develop a curriculum for continuing education that states may adopt for physicians and nurses on advance care planning and end-of-life care.

Amends titles XVIII (Medicare), XIX (Medicaid), and XXI (CHIP) of the Social Security Act with respect to inclusion of advance directives in patient medical records, discussion of advance directives with patients, the portability of advance directives, and actual knowledge of a patient's desires.

Amends the Public Health Service Act (PHSA) to require the CDC to award competitive grants to establish and operate state advance directive registries to store and make available to medical providers advance directive documents.

Requires the CDC to award grants to states to establish a mechanism to include notice of an advance directive on driver's licenses.

Requires various specified studies and reports to Congress by the Government Accountability Office and HHS.

Amends the PHSA to direct HHS to establish within the National Health Service Corps a National Geriatric and Palliative Care Services Corps to provide geriatric and palliative care services in health professional shortage areas.

Exempts palliative medicine fellowship training from Medicare graduate medical education caps.

Directs HHS to establish guidelines for the imposition by medical schools of a minimum amount of end-of-life training as a requirement for obtaining a Doctor of Medicine degree in the field of allopathic or osteopathic medicine.

Authorizes coverage of advance care planning under Medicare, Medicaid, and CHIP.

Revises Medicare requirements for hospice payments and related matters. Allows Medicare to make payments for an individual's hospice care and treatments for their terminal illness if the individual is 18 years of age or younger.

Makes hospice care a required Medicaid and CHIP benefit.

Requires CMS, HHS, and the CDC to survey patient satisfaction with end-of-life care, hospice programs, and end-of-life care, respectively.

Directs the Agency for Healthcare Research and Quality to designate an entity to develop requirements, standards, and procedures for accreditation of hospital-based palliative care programs.

Amends the PHSA to establish, within the National Institutes of Health, a National Center on Palliative and End-of-Life Care.

Directs HHS to establish a demonstration program for the use of telemedicine services in advance care planning.

advance planning compassionate care act directs centers disease control prevention cdc establish operate directly grant contract interagency agreement hour toll free telephone hotline provide consumer information advance care planning process determining individual wishes care future individual longer able express wishes directs department_of_health_and_human_services hhs develop online clearinghouse provide comprehensive information advance care planning pediatric advance care planning directs hhs develop online advance care planning availability specified websites requires cdc directly grants contracts interagency agreements develop national campaign inform public importance advance care planning right individuals direct health care decisions directs hhs social_security_administration update online versions plan ahead long term care section include information advance care planning advance directives provide information subsequently published paper online versions authorize financial legal assistance advance care planning directs hhs award grants states certain state health insurance assistance programs provide advance care planning services medicare beneficiaries personal representatives families transformation grants advance care planning advance care planning community training grants directs hhs grants establish new expand existing state local programs orders life sustaining treatment directs centers cms agency healthcare_research quality establish website providers medicare medicaid indian_health_service public health providers individual right decisions concerning medical care including right refuse treatment existence advance directives legal documents indicate individual wishes medical treatment event future living requires health_resources_and_services_administration develop curriculum continuing education states adopt physicians nurses advance care planning end life care amends titles xviii medicare xix medicaid xxi chip social security act respect inclusion advance directives patient medical records discussion advance directives patients portability advance directives actual knowledge patient desires amends public_health_service_act phsa require cdc award competitive grants establish operate state advance directive registries store available medical providers advance directive documents requires cdc award grants states establish mechanism include notice advance directive driver licenses requires specified studies reports congress government_accountability_office hhs amends phsa direct hhs establish national_health_service_corps provide geriatric palliative care services health professional shortage areas exempts palliative medicine fellowship training medicare graduate medical education caps directs hhs establish guidelines imposition medical schools minimum end life training requirement obtaining doctor medicine degree field allopathic osteopathic medicine authorizes coverage advance care planning medicare medicaid chip revises medicare requirements hospice payments related matters allows medicare payments individual hospice care treatments terminal illness individual years age younger makes hospice care required medicaid chip benefit requires cms hhs cdc survey patient satisfaction end life care hospice programs end life care respectively healthcare_research quality designate entity develop requirements standards procedures accreditation hospital based palliative care programs amends phsa establish national_institutes_of_health national center palliative end life care directs hhs establish demonstration program use telemedicine services advance care planning


Summary:
Veterans Traumatic Brain Injury Care Improvement Act of 2014 - Amends the National Defense Authorization Act for Fiscal Year 2008 to alter the reporting requirements under the pilot program to assess the effectiveness of providing assistance to eligible veterans with traumatic brain injury to enhance their rehabilitation, quality of life, and community integration.

Directs the Secretary of Veterans Affairs (VA) to submit reports to the congressional veterans committees on the pilot program for each quarter occurring between January 1, 2015, and September 30, 2017. Requires each quarterly report to include for the preceding quarter:

 the number of individuals who participated in the pilot program, the number of individuals who successfully completed the program, the degree to which pilot program participants and their family members were satisfied with the program, and the interim findings and conclusions of the Secretary regarding the success of the program and recommendations for improving it. Requires the Secretary to include in the report the Secretary submits to the congressional veterans committees after the completion of the pilot program:

 an evaluation of the pilot program in light of the VA's independent living programs, including an assessment of whether  the pilot program should be incorporated into such independent living programs; and recommendations for improving the pilot program. Replaces references to "assisted living" with the term "community-based brain injury residential rehabilitative care," including rehabilitation services within the meaning of such care.

Requires this Act and its amendments to be carried out using funds already available for such purposes.

veterans traumatic brain injury care improvement act amends national defense authorization act fiscal year alter reporting requirements pilot program assess effectiveness providing assistance eligible veterans traumatic brain injury enhance rehabilitation quality life community integration directs secretary veterans_affairs submit reports congressional veterans committees pilot program quarter occurring january september requires quarterly report include preceding quarter number individuals participated pilot program number individuals successfully completed program degree pilot program participants family members satisfied program interim findings conclusions secretary success program recommendations improving requires secretary include report secretary submits congressional veterans committees completion pilot program evaluation pilot program light independent living programs including assessment pilot program incorporated independent living programs recommendations improving pilot program replaces references assisted living term community based brain injury residential rehabilitative care including rehabilitation services meaning care requires act amendments carried funds available purposes


Summary: Extends from 5 to 10 years after discharge or release from active duty after January 28, 2003, a combat veteran's eligibility for veterans' hospital care, medical services, and nursing home care for illnesses that have not been medically proven to be attributable to such veteran's service.

extends years discharge release active duty january combat veteran eligibility veterans hospital care medical services nursing home care illnesses medically proven attributable veteran service


Summary:
Adult Day Center Enhancement Act

Requires the Administration on Aging to initiate a comprehensive survey of current adult day programs that provide care and support to individuals, including young adults, living with neurological diseases or conditions such as multiple sclerosis, Parkinson's disease, or traumatic brain injury. Requires the Administration to identify ongoing successful adult day programs and which of these serve young adults with neurological diseases and conditions and develop best practices to help guide the establishment of additional successful adult day programs.

Directs the Administration to establish a competitive grant program to fund adult day programs serving younger people with neurological diseases or conditions. Defines an "adult day program" as a program that provides comprehensive and effective care and support services to individuals living with neurological diseases or conditions and to their family caregivers and that may assist participants in ways that: (1) maintain or improve their functional abilities or otherwise help them adjust to their changing functional abilities; (2) prevent the onset of complications associated with severe forms of the disease or condition; (3) promote alternatives to placement in nursing homes; (4) reduce the strain on family caregivers taking care of a family member living with neurological diseases or conditions; (5) focus on supporting the emotional, social, and intellectual needs of a younger adult population; or (6) address the needs of veterans living with neurological diseases or conditions.

requires administration aging initiate comprehensive survey current adult day programs provide care support individuals including young adults living neurological diseases conditions multiple sclerosis parkinson disease traumatic brain injury requires administration identify ongoing successful adult day programs serve young adults neurological diseases conditions develop best practices help guide establishment additional successful adult day programs directs administration establish competitive grant program fund adult day programs serving younger people neurological diseases conditions defines adult day program program provides comprehensive effective care support services individuals living neurological diseases conditions family caregivers assist participants ways maintain improve functional abilities help adjust changing functional abilities prevent onset complications associated severe forms disease condition promote alternatives placement nursing homes reduce strain family caregivers taking care family member living neurological diseases conditions focus supporting emotional social intellectual needs younger adult population address needs veterans living neurological diseases conditions


Summary:
Creating Access to Rehabilitation for Every Senior (CARES) Act of 2015

Amends title XVIII (Medicare) of the Social Security Act with respect to coverage of extended care services without regard to the three-day prior hospitalization requirement (non-post-hospital extended care services).

Restricts such coverage to non-post-hospital extended care services in a qualified skilled nursing facility.

Directs the Medicare Payment Advisory Commission (MEDPAC) to study the cost of impact of this Act.

creating access rehabilitation senior cares act amends title xviii medicare social security act respect coverage extended care services regard day prior hospitalization requirement non post hospital extended care services restricts coverage non post hospital extended care services qualified skilled nursing facility directs medicare_payment_advisory_commission medpac study cost impact act


Summary:
Long-Term Care Veterans Choice Act

(Sec. 2) Authorizes the Department of Veterans Affairs (VA), during the three-year period beginning on October 1, 2015, at the request of a veteran for whom the VA is required to provide nursing home care, to place such veteran in a medical foster home that meets VA standards. Requires such veteran to agree, as a condition of such placement, to accept VA home health services.

Limits the number of veterans placed in a medical foster home that may have their care covered at the expense of the United States to 900.

Amends the Veterans Access, Choice, and Accountability Act of 2014 to reduce the aggregate amount of awards and bonuses that may be paid by the VA in each of FY2015-FY2018 to $300 million.

long-term_care veterans choice act sec authorizes department veterans affairs year period beginning october request veteran required provide nursing home care place veteran medical foster home meets standards requires veteran agree condition placement accept home health services limits number veterans placed medical foster home care covered expense united_states amends accountability act reduce aggregate awards bonuses paid fy2015 fy2018 million


Summary:
This bill amends the Medicare, Medicaid, and SCHIP Extension Act of 2007, as amended by other specified federal law, with respect to the five-year moratorium begining April 1, 2014, on the establishment of long-term care (LTC) hospitals and LTC satellite facilities and on the increase of LTC hospital beds in existing LTC hospitals or satellite facilities for purposes of title XVIII (Medicare) of the Social Security Act.

A technical correction is made to an exception to this moratorium for certain LTC hospitals that:

 began their qualifying period for Medicare payment on or before April 1, 2014; have a binding written agreement as of that date with an outside, unrelated party for the actual construction, renovation, lease, or demolition for an LTC hospital, and have expended, before that date, at least 10% of the project's estimated cost (or, if less, $ 2.5 million); or have obtained on or before that date an approved certificate of need in a state where one is required. This bill applies the exception to any similar moratorium.

bill amends medicare medicaid schip extension act amended specified federal law respect year moratorium april establishment long term care ltc hospitals ltc satellite facilities increase ltc hospital beds existing ltc hospitals satellite facilities purposes title xviii medicare social security act technical correction exception moratorium certain ltc hospitals began qualifying period medicare payment april binding written agreement date outside unrelated party actual construction renovation lease demolition ltc hospital expended date project estimated cost million obtained date approved certificate need state required bill applies exception similar moratorium


Summary:
Medicare Home Infusion Site of Care Act of 2015

 Amends title XVIII (Medicare) of the Social Security Act to authorize 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) (SSI) to avoid the filing of duplicative or otherwise improper claims.

amends title xviii medicare social security act authorize 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 ssi avoid filing duplicative improper claims


Summary:
(This measure has not been amended since it was reported to the House on September 9, 2016. The summary of that version is repeated here.)

Special Needs Trust Fairness and Medicaid Improvement Act

 (Sec. 2) This bill amends title XIX (Medicaid) of the Social Security Act with respect to the treatment of revocable trusts for the benefit of an individual for purposes of meeting income requirements for Medicaid coverage.

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

 (Sec. 3) Medicaid coverage of tobacco cessation services shall continue to be provided for mothers of newborns through the first year after the child's birth.

The Inspector General of the Department of Health and Human Services must report to the Congress on the use of the tobacco cessation service benefit under the Medicaid program.

(Sec. 4) The bill eliminates federal financial participation regarding expenditures under Medicaid for drugs used for cosmetic purposes or hair growth, except where such drugs are medically necessary.

 (Sec. 5) The bill makes additional funding available to the Medicaid Improvement Fund for FY2021 and FY2022.

measure amended reported house september summary version repeated special needs trust fairness medicaid improvement act sec bill amends title xix medicaid social security act respect treatment trusts benefit individual purposes meeting income requirements medicaid coverage bill extends supplemental needs trust exemption treatment trust resources available individual supplemental needs trusts medicaid beneficiaries established beneficiaries sec medicaid coverage tobacco cessation services shall continue provided mothers newborns year child birth inspector general department_of_health_and_human_services report congress use tobacco cessation service benefit medicaid program sec bill eliminates federal financial participation expenditures medicaid drugs cosmetic purposes hair growth drugs medically necessary sec bill makes additional funding available medicaid_improvement_fund fy2021 fy2022


Summary:
Medicare Access to Rehabilitation Services Act of 2015

 Amends title XVIII (Medicare) of the Social Security Act to repeal the caps on Medicare outpatient rehabilitation physical therapy services and speech-language pathology services.

medicare_access_to_rehabilitation_services_act amends title xviii medicare social security act repeal caps medicare outpatient rehabilitation physical therapy services speech language pathology services


Summary:
Put a Registered Nurse in the Nursing Home Act of 2015

Amends titles XVIII (Medicare) and XIX (Medicaid) of the Social Security Act with respect to coverage of nursing care services in skilled nursing facilities and nursing facilities, respectively, to revise the standards for 24-hour licensed nursing service care which a professional registered nurse is required to provide at least eight consecutive hours a day, seven days a week.

Requires such facilities, instead, to use the services of at least one registered professional nurse to provide assessment, surveillance, and direct care to residents 24 hours a day, seven days a week.

registered nurse nursing home act amends titles xviii medicare xix medicaid social security act respect coverage nursing care services skilled nursing facilities nursing facilities respectively revise standards hour licensed nursing service care professional registered nurse required provide consecutive hours day seven days week requires facilities instead use services registered professional nurse provide assessment surveillance direct care residents hours day seven days week


Summary:
Veterans' Independent Living Enhancement Act

Repeals provisions that: (1) prohibit the initiation of Department of Veterans Affairs programs providing independent living services and assistance for greater than 2,700 veterans in each fiscal year, and (2) require giving first priority under such programs to veterans for whom the reasonable feasibility of achieving a vocational goal is precluded solely as a result of disability.

repeals provisions prohibit initiation department_of_veterans_affairs programs providing independent living services assistance greater veterans fiscal year require giving priority programs veterans reasonable feasibility achieving vocational goal precluded solely result disability


Summary:
Medicare Skilled Nursing and Home Health Services Continuity of Care Act of 2015

This bill declares that its purpose is to ensure beneficiary access to advance wound care products while in a skilled nursing facility (SNF) or while on a home health plan of care by allowing separate payment to be made for advanced surgical dressings under part B of title XVIII (Medicare) of the Social Security Act as a durable medical equipment prosthetics, orthotics, and supplies benefit.

To this end advanced surgical dressings are excluded from covered SNF services if delivered to a SNF patient for use during the SNF stay. Such dressings are included, however, as home health services.

 The Secretary of Health and Human Services is required to: (1) provide for the submission and processing of claims for advanced surgical dressings for payment under Medicare part B (Supplementary Medical Insurance) by the same Medicare administrative contractors that process claims for other durable medical equipment; and (2) establish an education incentive program to encourage each nursing facility, SNF, or home health agency certified under SSAct title XVIII or XIX (Medicaid) to provide their clinical staff members annually with access to wound care education.

medicare skilled bill declares purpose ensure beneficiary access advance wound care products skilled nursing facility snf home health plan care allowing separate payment advanced surgical title xviii medicare social security act durable medical equipment prosthetics orthotics supplies benefit end advanced surgical excluded covered snf services delivered snf patient use snf stay included home health services secretary health_and_human_services required provide submission processing claims advanced surgical payment medicare supplementary_medical_insurance medicare administrative contractors process claims durable medical equipment establish education incentive program encourage nursing facility snf home health agency certified ssact title xviii xix medicaid provide clinical staff members annually access wound care education


Summary:
Personal Health Investment Today Act or the PHIT Act

Amends the Internal Revenue Code to allow a medical care tax deduction for up to $1,000 ($2,000 for a joint return or a head of household) of qualified sports and fitness expenses. Defines "qualified sports and fitness expenses" as amounts paid for fitness facility memberships, physical exercise programs, and exercise equipment.

personal health investment today act act amends internal revenue code allow medical care tax deduction joint return head household qualified sports fitness expenses defines qualified sports fitness expenses amounts paid fitness facility memberships physical exercise programs exercise equipment


Summary:
This bill amends title XVIII (Medicare) of the Social Security Act to prohibit payment at the applicable site neutral payment rate for discharges in a cost reporting period beginning before October 1, 2017, from subsection (d) hospitals and certain long-term care hospitals that involve certain severe wounds.

(Generally, a subsection [d] hospital is an acute care hospital, particularly one that receives payments under Medicare's inpatient prospective payment system when providing covered inpatient services to eligible beneficiaries.)

The Secretary of Health and Human Services shall study the treatment needs of individuals entitled to benefits under Medicare part A (Hospital Insurance), or enrolled under Medicare part B (Supplementary Medical Insurance), requiring specialized wound care, and the cost, for such individual, and the Medicare program of treating severe wounds in rural and urban areas.

bill amends title xviii medicare social security act prohibit payment applicable site neutral payment rate discharges cost reporting period beginning october subsection hospitals certain long term care hospitals involve certain severe wounds generally subsection hospital acute care hospital particularly receives payments medicare inpatient prospective payment system providing covered inpatient services eligible beneficiaries secretary health_and_human_services shall study treatment needs individuals entitled benefits medicare enrolled medicare supplementary_medical_insurance requiring specialized wound care cost individual medicare program treating severe wounds rural urban areas


Summary:
Home Health Care Planning Improvement Act of 2015

 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:
Medicaid Home Owner Maximum Equity Improvement Act or the Medicaid HOME Improvement Act

This bill amends title XIX (Medicaid) of the Social Security Act with respect to the denial of an individual's eligibility for nursing facility services or other long-term care services if the individual's equity interest in his or her home exceeds $500,000.

The state option to increase such threshold amount to $750,000 is eliminated.

bill amends title xix medicaid social security act respect denial individual eligibility nursing facility services long term care services individual equity interest home exceeds state option increase threshold eliminated


Summary:
Veterans Access to Extended Care Act of 2015

This bill modifies the treatment of Department of Veterans Affairs (VA) agreements with service providers to furnish veterans with nursing home care, adult day health care, or other extended care services.

Any such agreement shall:

 not be treated as a federal contract for the acquisition of goods or services and shall be not subject to any provision of law governing federal contracts for the acquisition of goods or services, and include specified requirements (such as for medical licensing and VA review of staff and facilities) to ensure the safety and quality of care furnished to veterans pursuant to such agreement. The failure of a provider to comply with a provision of the agreement may result in VA termination of the agreement.

Such agreements are exempted from the application of certain public contract labor laws.

bill modifies treatment department_of_veterans_affairs agreements service providers furnish veterans nursing home care adult day health care extended care services agreement shall treated federal contract acquisition goods services shall subject provision law governing federal contracts acquisition goods services include specified requirements medical licensing review staff facilities ensure safety quality care furnished veterans pursuant agreement failure provider comply provision agreement result termination agreement agreements exempted application certain public contract labor laws


Summary:
Medicare Adult Day Services Act of 2015

 Amends title XVIII (Medicare) of the Social Security Act to: (1) cover certified adult day services furnished in a certified adult day services center and meeting specified requirements, and (2) require the Secretary of Health and Human Services to increase by 3% the payment amount otherwise effective for such services furnished in a rural area on or after January 1, 2016, and before January 1, 2018.

act amends title xviii medicare social security act cover certified adult day services furnished certified adult day services center meeting specified requirements require secretary health_and_human_services increase payment effective services furnished rural area january january


Summary:
Ensuring Access to Quality Complex Rehabilitation Technology Act of 2015

 Amends title XVIII (Medicare) of the Social Security Act to cover, as medical and other health services, complex rehabilitation technology (CRT) items designed or individually configured for a specific qualified individual to meet that individual's unique: (1) medical, physical, or functional needs related to a medical condition; and (2) capacities for basic activities of daily living (ADLs) or instrumental ADLs.

Directs the Secretary of Health and Human Services to: (1) designate CRT items (excluding adaptive equipment to operate motor vehicles or certain prosthetic devices and orthotics); and (2) establish eligibility criteria for them.

Prescribes requirements for payments for CRT items.

Directs the Secretary to establish standards for clinical conditions for CRT item payment as well as quality standards for suppliers of such items.

Directs the Secretary to establish a formal process to allow submission of CRT code set modification requests by stakeholder groups for comprehensive coding changes related to entire policy groups.

Requires payment for replacement of a CRT item (or any part of one), without regard to certain continuous use or useful lifetime restrictions established for items of durable medical equipment, if a qualified ordering practitioner determines that a replacement item (or part) is necessary.

ensuring access quality complex rehabilitation technology act amends title xviii medicare social security act cover medical health services complex rehabilitation technology crt items designed individually configured specific qualified individual meet individual unique medical physical functional needs related medical condition capacities basic activities daily living adls instrumental adls directs secretary health_and_human_services designate crt items excluding adaptive equipment operate motor vehicles certain prosthetic devices orthotics establish eligibility criteria prescribes requirements payments crt items directs secretary establish standards clinical conditions crt item payment quality standards suppliers items directs secretary establish formal process allow submission crt code set modification requests stakeholder groups comprehensive coding changes related entire policy groups requires payment replacement crt item regard certain continuous use useful lifetime restrictions established items durable medical equipment qualified ordering practitioner determines replacement item necessary


Summary:
Protecting Access to Rural Therapy Services (PARTS) Act

Amends title XVIII (Medicare) of the Social Security Act to state that, except with respect to high-risk or complex medical services requiring direct levels of supervision, if the Secretary of Health and Human Services requires supervision by a physician or non-physician practitioner for Medicare payment for therapeutic hospital outpatient services, that requirement is met if such services are furnished under the physician's or non-physician practitioner's general supervision.

Directs the Secretary to establish a process for designating therapeutic hospital outpatient services for which direct supervision may be required for the entire service or direct supervision during the initiation of the service followed by general supervision for the remainder of the service.

Declares without force or effect in law regarding Medicare requirements for direct supervision by physicians for therapeutic hospital outpatient services a specified restatement and clarification under the final rulemaking changes to the Medicare hospital outpatient prospective payment system and calendar year 2009 payment rates, which was published in the Federal Register on November 18, 2008.

protecting_access rural therapy services parts act amends title xviii medicare social security act state respect high risk complex medical services requiring direct levels supervision secretary health_and_human_services requires supervision physician non physician practitioner medicare payment therapeutic hospital outpatient services requirement met services furnished physician non physician practitioner general supervision directs secretary establish process designating therapeutic hospital outpatient services direct supervision required entire service direct supervision initiation service followed general supervision remainder service declares force effect law medicare requirements direct supervision physicians therapeutic hospital outpatient services specified restatement clarification final rulemaking changes medicare hospital outpatient prospective payment system calendar year payment rates published federal_register november


Summary:
This bill amends title XIX (Medicaid) of the Social Security Act with respect to the payment of income from a qualifying annuity in determining the Medicaid eligibility of an institutionalized spouse.

One-half of the income from such an annuity made either solely or partly in the name of the community spouse. shall be considered available to the institutionalized spouse.

If payment of income is made in the names of the community spouse and another person or persons, one-half of the proportion of the community spouses's interest in that income shall also be considered available to the institutionalized spouse.

bill amends title xix medicaid social security act respect payment income qualifying annuity determining medicaid eligibility institutionalized spouse half income annuity solely partly community spouse shall considered available institutionalized spouse payment income names community spouse person persons half proportion community spouses interest income shall considered available institutionalized spouse


Summary:
Access to Inpatient Rehabilitation Therapy Act of 2015

 Amends title XVIII (Medicare) of the Social Security Act to direct the Secretary of Health and Human Services to include recreational therapy services among the therapeutic modalities that constitute an intensive rehabilitation therapy program in determining whether inpatient services in an inpatient rehabilitation facility are reasonable and necessary.

therapy act amends title xviii medicare social security act direct secretary health_and_human_services include recreational therapy services therapeutic modalities constitute intensive rehabilitation therapy program determining inpatient services inpatient rehabilitation facility reasonable necessary


Summary:
Registered Nurse Safe Staffing Act of 2015

 Amends title XVIII (Medicare) of the Social Security Act 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 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 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 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:
Medicare Independence at Home Medical Practice Demonstration Improvement Act of 2015

 Amends title XVIII (Medicare) of the Social Security Act to increase from a three-year to a five-year period the length of an agreement with an independence at home medical practice under the Medicare Independence at Home Medical Practice Demonstration Program.

medicare independence amends title xviii medicare social security act increase year year period length agreement independence home medical practice