Summary: District of Columbia Fiscal Year 2011 Local Funds Continuation Act - Amends the Continuing Appropriations Act, 2011 to authorize the District of Columbia to continue to expend local funds for certain programs and activities through FY2011.

district columbia fiscal year local funds continuation act amends continuing appropriations act authorize district_of_columbia continue expend local funds certain programs activities fy2011


Summary: Fiscal Responsibility and Retirement Security Act of 2012 - Repeals provisions of the Public Health Service Act enacted under the Patient Protection and Affordable Care Act (entitled the Community Living Assistance Services and Supports Act or the CLASS Act) which establish a national, voluntary insurance program for purchasing community living assistance services and supports in order to provide individuals with functional limitations with tools that will allow them to maintain their personal and financial independence and live in the community. Amends the Deficit Reduction Act of 2005 to convert funding for the National Clearinghouse for Long-Term Care Information from a direct appropriation to an authorization of appropriations.

repeals provisions public_health_service_act enacted patient_protection affordable care act entitled community_living_assistance_services supports_act class act establish national voluntary insurance program purchasing community living assistance services supports order provide individuals functional limitations tools allow maintain personal financial independence live community amends deficit reduction act convert funding national_clearinghouse long-term_care_information direct appropriation authorization appropriations


Summary: Veterans' Traumatic Brain Injury Rehabilitative Services' Improvements Act of 2011 - Includes within a program of individualized rehabilitation and reintegration plans for veterans with traumatic brain injury (TBI): (1) the goal of maximizing the individual's independence and quality of life, and (2) improving such veterans' behavioral and mental health functioning. Requires the inclusion of rehabilitative services in a Department of Veterans Affairs (VA) comprehensive program of long-term care for veterans' TBI that has residential, community, and home-based components utilizing interdisciplinary treatment teams.

veterans traumatic brain injury rehabilitative services improvements act includes program individualized rehabilitation reintegration plans veterans traumatic brain injury tbi goal maximizing individual independence quality life improving veterans behavioral mental health functioning requires inclusion rehabilitative services department_of_veterans_affairs comprehensive program long term care veterans tbi residential community home based components utilizing interdisciplinary treatment teams


Summary: Medicare Home Infusion Therapy Coverage Act of 2011 - 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).

medicare_home_infusion_therapy_coverage_act 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


Summary: Home Health Care Planning Improvement Act of 2011 - 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: Social Security Caregiver Credit Act of 2011 - Amends title II (Old Age, Survivors and Disability Insurance) (OASDI) of the Social Security Act with respect to determining entitlement to and the amount of any monthly benefit, including any lump-sum death payment, payable under OASDI on the basis of the wages and self-employment income of any individual. Deems such an individual to have been paid a wage (according to a specified formula) during each month during which the individual was engaged for at least 80 hours in providing care to a dependent relative without monetary compensation for up to five years of such service. Makes this Act inapplicable in the case of any monthly benefit or lump-sum death payment if a larger benefit or payment would be payable without its application.

social_security_caregiver_credit_act amends title old age survivors disability insurance oasdi social security act respect determining entitlement monthly benefit including lump sum death payment payable oasdi basis wages self employment income individual deems individual paid wage according specified formula month individual engaged hours providing care dependent relative monetary compensation years service makes act inapplicable case monthly benefit lump sum death payment larger benefit payment payable application


Summary: Medicare Home Health Flexibility Act of 2011 - Permits a home health agency to determine the most appropriate skilled professional to conduct the initial assessment visit and to complete the comprehensive assessment for an individual who: (1) is eligible for home health services under title XVIII (Medicare) of the Social Security Act; but (2) does not require skilled nursing care as long as that skilled service is initially ordered by the physician and, in the case of a referral order that includes occupational therapy, the order also includes physical therapy or speech language pathology.

medicare_home_health flexibility act permits home health agency determine appropriate skilled professional conduct initial assessment visit complete comprehensive assessment individual eligible home health services title xviii medicare social security act require skilled nursing care long skilled service initially ordered physician case referral order includes occupational therapy order includes physical therapy speech language pathology


Summary: Directs the Secretary of Veterans Affairs (VA) to enter into a contract or agreement with each state home to pay for nursing home care provided in the home to certain veterans with service-connected disabilities. Requires such payment to be based on a methodology, developed by the Secretary in consultation with the home state, to adequately reimburse the state home for the care provided under such contract or agreement. (Current law requires payment at the lesser of the prevailing rate in the geographic area for non-VA nursing homes or the daily cost of care, both of which are determined by the Secretary.)

directs secretary veterans_affairs enter contract agreement state home pay nursing home care provided home certain veterans service connected disabilities requires payment based methodology developed secretary consultation home state adequately reimburse state home care provided contract agreement current law requires payment lesser prevailing rate geographic area non-va nursing homes daily cost care determined secretary


Summary: Athletic Trainers' Equal Access to Medicare Act of 2011 - Amends title XVIII (Medicare) of the Social Security Act to provide for: (1) access to outpatient occupational and physical therapy services provided incident to a physician's professional services if furnished by an educated or credentialed therapist who does not have a license; and (2) coverage of certified athletic trainer services under part B (Supplementary Medical Insurance) of Medicare, including those provided in rural health clinics and federally qualified health centers.

medicare_act amends title xviii medicare social security act provide access outpatient occupational physical therapy services provided incident physician professional services furnished educated credentialed therapist license coverage certified athletic trainer services medicare including provided rural health clinics federally qualified health centers


Summary: Medicare Oral Health Rehabilitative Enhancement Act of 2011 - Amends title XVIII (Medicare) of the Social Security Act to permit physical therapy to be furnished under the Medicare program to individuals under the care of a dentist.

amends title xviii medicare social security act permit physical therapy furnished medicare program individuals care dentist


Summary: Direct M.D. Care Act of 2011 - Directs the Secretary of Health and Human Services (HHS) to establish a program of pilot projects under part B (Supplementary Medical Insurance) of title XVIII (Medicare) of the Social Security Act under which the Secretary reimburses a qualified direct primary care medical home practice, using a monthly fee-based payment methodology. Prohibits any pilot project from being established with respect to a medical home if the monthly fee for an enrolled individual exceeds $100.

direct care act directs secretary health_and_human_services hhs establish program pilot projects title xviii medicare social security act secretary reimburses qualified direct primary care medical home practice monthly fee based payment methodology prohibits pilot project established respect medical home monthly fee enrolled individual exceeds


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

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


Summary: Hospice Evaluation and Legitimate Payment Act - 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 an individual to determine continued eligibility for hospice care before the first 60-day (currently, 180-day) recertification period and each subsequent recertification period. Requires the Secretary of Health and Human Services (HHS) to establish a Medicare Hospice 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 program entities.

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 period requires 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 program entities


Summary: Amends title XVIII (Medicare) of the Social Security Act to require the Secretary of Health and Human Services (HHS), in making payment under the prospective payment system (PPS) to certain long-term care (LTC) hospitals for discharges in rate years beginning on and after October 1, 2011, to make payment adjustments for cases identified as: (1) meeting or exceeding the fixed high episode efficient case threshold, and (2) meeting or below the episode outlier case threshold. Directs the Secretary to adopt rules which identify the predicted probability of those Medicare beneficiaries admitted as inpatients to LTC hospitals from a subsection (d) hospital for whom the payment for services received during an episode of hospital care is predicted to be less than if they had remained in the subsection (d) hospital (episode efficient cases). (Generally, a subsection [d] hospital is an acute care hospital particularly one that receives payments under Medicare's inpatient PPS when providing covered inpatient services to eligible beneficiaries.) Directs the Secretary to: (1) establish separate thresholds for high episode efficient cases (Medicare beneficiary discharges with the highest 10% probability of being episode efficient cases) and episode outlier cases (Medicare beneficiary discharges with the lowest 10% probability of being episode efficient cases) for LTC hospitals located in a rural area, and (2) establish separate high episode efficient case and episode outlier case thresholds for LTC hospitals located in urban areas for beneficiaries discharged from a subsection (d) hospital which accounts for more than 25% of the Medicare beneficiaries discharged from subsection (d) hospitals in a Metropolitan Statistical Area. Establishes a two-year moratorium, beginning December 29, 2012, on the establishment of new LTC hospitals and LTC satellite facilities and on the increase in beds in existing LTC hospitals or satellite facilities.

amends title xviii medicare social security act require secretary health_and_human_services hhs making payment prospective payment system pps certain long term care ltc hospitals discharges rate years beginning october payment adjustments cases identified meeting exceeding fixed high episode efficient case threshold meeting episode outlier case threshold directs secretary adopt rules identify predicted probability medicare beneficiaries admitted ltc hospitals subsection hospital payment services received episode hospital care predicted remained subsection hospital episode efficient cases generally subsection hospital acute care hospital particularly receives payments medicare inpatient pps providing covered inpatient services eligible beneficiaries directs secretary establish separate thresholds high episode efficient cases medicare beneficiary discharges highest probability episode efficient cases episode outlier cases medicare beneficiary discharges lowest probability episode efficient cases ltc hospitals located rural area establish separate high episode efficient case episode outlier case thresholds ltc hospitals located urban areas beneficiaries discharged subsection hospital accounts medicare beneficiaries discharged subsection hospitals metropolitan_statistical_area establishes year moratorium beginning december establishment new ltc hospitals ltc satellite facilities increase beds existing ltc hospitals satellite facilities


Summary: Senior Medicare Fairness Act of 2011 - Amends title XVIII (Medicare) of the Social Security Act for plan year 2013 and subsequent plan years with respect to payments to Medicare + Choice organizations for original fee-for-service benefits under a specialized Medicare Advantage plan for special needs individuals that: (1) offers integrated Medicare and Medicaid services under contract with the state agency under title XIX (Medicaid) of the Social Security Act; and (2) is offered by a Medicare Advantage organization that as of January 1, 2010, had a contract with such state Medicaid agency that participated in the "Demonstrations Serving Those Dually-Eligible for Medicare and Medicaid." Directs the Secretary of Health and Human Services (HHS) to apply the frailty adjustment under payment rules for programs of all-inclusive care for the elderly (PACE) rather than those which would otherwise apply for plan enrollees.

senior medicare fairness act amends title xviii medicare social security act plan year subsequent plan years respect payments organizations original fee service benefits specialized medicare_advantage plan special needs individuals offers integrated medicare medicaid services contract state agency title xix medicaid social security act offered medicare_advantage organization january contract state medicaid agency participated medicare medicaid directs secretary health_and_human_services hhs apply adjustment payment rules programs inclusive care elderly pace apply plan enrollees


Summary: Comprehensive Cancer Care Improvement Act of 2011 - Amends title XVIII (Medicare) of the Social Security Act to provide for coverage of comprehensive cancer care planning services. Directs the Secretary of Health and Human Services (HHS) to make grants to eligible entities to improve the quality of: (1) graduate and postgraduate training of physicians, nurses, and other health care providers in developing cancer care plans for, and communicating such plans to, patients; and (2) continuing professional education regarding the development and communication of written cancer care plans that outline a system of care that coordinates active treatment and palliative care. Requires the Secretary to provide investment, through existing programs, for research on topics related to cancer care planning and coordination, symptom management, palliative care, and comprehensive survivorship care.

comprehensive cancer care improvement act amends title xviii medicare social security act provide coverage comprehensive cancer care planning services directs secretary health_and_human_services hhs grants eligible entities improve quality graduate postgraduate training physicians nurses health care providers developing cancer care plans communicating plans patients continuing professional education development communication written cancer care plans outline system care coordinates active treatment palliative care requires secretary provide investment existing programs research topics related cancer care planning coordination symptom management palliative care comprehensive survivorship care


Summary: Medicare Hospice Care Access Act of 2012 - Amends title XVIII (Medicare) of the Social Security Act to recognize attending physician assistants as attending physicians to serve hospice patients.

medicare hospice care access act amends title xviii medicare social security act recognize attending physician assistants attending physicians serve hospice patients


Summary: Ensuring Access to Quality Complex Rehabilitation Technology Act of 2012 - 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: Long-Term Care and Retirement Security Act of 2012 - Amends the Internal Revenue Code to: (1) allow a tax deduction from gross income for long-term care insurance premiums, (2) include long-term care insurance in employee benefit cafeteria plans and flexible spending arrangements, (3) allow a tax credit for certain long-term care costs, and (4) set forth certain consumer protections for long-term care insurance contracts.

security act amends internal revenue code allow tax deduction gross income long term care insurance premiums include long term care insurance employee benefit cafeteria plans flexible spending arrangements allow tax credit certain long term care costs set forth certain consumer protections long term care insurance contracts


Summary: Home Health Care Access Protection Act of 2012 - Amends title XVIII (Medicare) of the Social Security Act with respect to the prospective payment system (PPS) for home health services and adjustments to it for case mix changes. Requires for 2013 and each subsequent year that any evaluation of case mix changes and any such adjustment be made using standards developed consistent with specified processes, taking certain criteria into account. Directs the Secretary to convene a Technical Advisory Group to advise on the development of such standards.

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


Summary: Medicaid Long-Term Care Reform Act of 2012 - Expresses the sense of Congress that: (1) Congress should repeal the Community Living Assistance Services and Supports Act (CLASS Act); (2) federal and state governments should work to reduce the number of middle-income individuals who will rely on Medicaid to finance their long-term care (LTC) needs; and (3) the Secretary of Health and Human Services (HHS) should comply with the annual reporting requirements under the Deficit Reduction Act of 2005 relating to LTC insurance partnerships, and promote discussion about the consequences that families and states might encounter if nothing is done to change the trajectory of projected state and federal spending on LTC services under title XIX (Medicaid) of the Social Security Act (SSA). Directs the Secretary to provide to states: (1) technical assistance on the implementation and administration of qualified state LTC insurance partnerships, and (2) information on best practices for such partnerships to reduce future state and federal expenditures on LTC services under Medicaid. Directs the Secretary to: (1) provide technical assistance to states on requirements related to the mandate to seek recoveries from estates, and (2) hold an annual event to assist states in evaluating methods of implementing such requirements and exchanging best practices information on them. Amends the Deficit Reduction Act of 2005 to direct the Secretary, acting through the National Clearing House for Long-Term Care, to establish a public-private initiative to coordinate among the Clearinghouse, state governments, and relevant nongovernmental entities for: (1) increasing the number of targeted middle-income individuals who receive consumer education with respect to long-term care under Medicaid and SSA title XVIII (Medicare), (2) enhancing the quality of information that targeted consumers receive, and (3) improving the accessibility of such information for consumers who seek it. Expands Clearinghouse duties to include educating consumers with respect to the availability and limitations of Medicare coverage for long-term care. Directs the Secretary to: (1) evaluate methods to expand LTC insurance coverage for middle-income individuals through the State Long-Term Care Partnership Program for improving their retirement security and LTC options; (2) solicit and evaluate ideas from stakeholders on policy options to reduce such expenditures; and (3) study the effectiveness of certain federal laws relating to treatment of assets for purposes of determining eligibility for Medicaid long-term care, estate recovery under Medicaid, the look-back period for transfers of assets for purposes of Medicaid eligibility, and the disqualification of individuals with substantial home equity for LTC assistance under Medicaid. Directs the Director of the Congressional Budget Office (CBO) to report to Congress on: (1) the projection of the number of middle-income people who will rely on Medicaid to finance their LTC needs, (2) an estimate of the cost of reliance on Medicaid to state and federal governments, (3) an estimate of the change in the cost that would result from certain policy options such as reduction in the home equity exemption, and (4) the estimate of the change in the cost estimate that would result if each such policy option were adopted and funding for LTC services under Medicaid is provided to states through a block grant.

expresses sense congress congress repeal community_living_assistance_services supports act class act federal state governments work reduce number middle income individuals rely medicaid finance long term care ltc needs secretary health_and_human_services hhs comply annual reporting requirements deficit reduction act relating ltc insurance partnerships promote discussion consequences families states encounter change trajectory projected state federal spending ltc services title xix medicaid social security act ssa directs secretary provide states technical assistance implementation administration qualified state ltc insurance partnerships information best practices partnerships reduce future state federal expenditures ltc services medicaid directs secretary provide technical assistance states requirements related mandate seek recoveries estates hold annual event assist states evaluating methods implementing requirements exchanging best practices information amends deficit reduction act direct secretary acting long-term_care establish public private initiative coordinate clearinghouse state governments relevant nongovernmental entities increasing number targeted middle income individuals receive consumer education respect long term care medicaid ssa title xviii medicare enhancing quality information targeted consumers receive improving accessibility information consumers seek expands clearinghouse duties include educating consumers respect availability limitations medicare coverage long term care directs secretary evaluate methods expand ltc insurance coverage middle income individuals improving retirement security ltc options solicit evaluate ideas stakeholders policy options reduce expenditures study effectiveness certain federal laws relating treatment assets purposes determining eligibility medicaid long term care estate recovery medicaid look period transfers assets purposes medicaid eligibility disqualification individuals substantial home equity ltc assistance medicaid directs director congressional_budget_office cbo report congress projection number middle income people rely medicaid finance ltc needs estimate cost reliance medicaid state federal governments estimate change cost result certain policy options reduction home equity exemption estimate change cost estimate result policy option adopted funding ltc services medicaid provided states block grant


Summary: Compassionate Freedom of Choice Act of 2012 - Amends the Federal Food, Drug, and Cosmetic Act to declare that nothing in it or in the Public Health Service Act shall prevent or restrict, and the Food and Drug Administration (FDA) shall not implement or enforce any law to prevent or restrict, the importation, distribution, or sale of investigational drugs or devices for terminally ill patients. Prohibits the FDA Commissioner from requiring the disclosure, collection, or reporting of certain information concerning such drugs or devices, except that the sponsor of a clinical trial may voluntarily disclose, collect, or report such information to the FDA.

compassionate freedom choice act amends cosmetic act declare public_health_service act shall prevent restrict food_and_drug_administration fda shall implement enforce law prevent restrict importation distribution sale investigational drugs devices terminally ill patients prohibits fda commissioner requiring disclosure collection reporting certain information concerning drugs devices sponsor clinical trial voluntarily disclose collect report information fda


Summary: Medicare Transitional Care Act of 2012 - Amends title XVIII (Medicare) of the Social Security Act to cover transitional care services for qualified individuals provided by a transitional care clinician acting as an employee of a qualified transitional care entity, such as a hospital (or a critical care hospital), a home health agency, a primary care practice, a federally qualified health center, a long-term care facility, a medical home, an appropriate community-based organization, an assisted living center, or an accountable care organization.

medicare transitional care act amends title xviii medicare social security act cover transitional care services qualified individuals provided transitional care acting employee qualified transitional care entity hospital critical care hospital home health agency primary care practice federally qualified health center long term care facility medical home appropriate community based organization assisted living center accountable care organization


Summary: Amends title XVIII (Medicare) of the Social Security Act to exempt from the cap on payments for hospice care any care furnished on or after November 1, 2004, under the Medicare program by a qualified hospice program. Qualifies a hospice program under this Act if: (1) at least 50% of the shares of its common stock are owned by a minority individual or group of minority individuals (African-Americans, American Indians, Asian-Americans, or Latin-Americans), and (2) at least 75% of the individuals electing to participate in the program reside in a county or parish half of whose population consists of minority individuals or for which the average per capita income is the lowest quantile of counties in the state in which the hospice program is located. Directs the Secretary of Health and Human Services (HHS) to recalculate and reconcile payments under part A (Hospital Insurance) of the Medicare program for qualified hospice care furnished between November 1, 2004, and the date of enactment of this Act if the current cap was applied.

amends title xviii medicare social security act exempt cap payments hospice care care furnished november medicare program qualified hospice program qualifies hospice program act shares common stock owned minority individual group minority individuals african americans american indians asian americans latin americans individuals electing participate program reside county parish half population consists minority individuals average capita income lowest counties state hospice program located directs secretary health_and_human_services hhs reconcile payments medicare program qualified hospice care furnished november date enactment act current cap applied


Summary: Medicare Adult Day Services Act of 2012 - 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 (HHS) to increase by 3% the payment amount otherwise effective for such services furnished in a rural area on or after January 1, 2011, and before January 1, 2016.

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 hhs increase payment effective services furnished rural area january january


Summary: Caring for an Aging America Act - Amends the Public Health Service Act to include geriatrics and gerontology within the definition of "primary health services" for purposes of the National Health Service Corps.

caring aging america act amends public_health_service_act include geriatrics gerontology definition primary health services purposes national_health_service_corps


Summary: Home Health Care Planning Improvement Act of 2011 - 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: Caring for Camp Lejeune Veterans Act of 2011 - Provides hospital care, medical services, and nursing home care for any illness acquired by veterans and family members who were stationed at Camp Lejeune, North Carolina, while the water there was contaminated by volatile organic compounds, including known human carcinogens and probable human carcinogens. Makes the provision of such care and services for family members dependent on appropriations for such purpose. Directs the Secretary of Defense (DOD) to reimburse the Secretary of Veterans Affairs (VA) for the cost of such care and services. Requires the DOD Secretary to merge and consolidate all commissary and exchange stores into a single system that, by no later than the end of FY2015, operates on a self-sufficient basis without the need for financial support through appropriated funds. Prohibits any DOD funds from being obligated or expended after FY2015 for commissary and exchange stores.

caring camp lejeune veterans act provides hospital care medical services nursing home care illness acquired veterans family members stationed camp lejeune north_carolina water contaminated volatile organic compounds including known human carcinogens probable human carcinogens makes provision care services family members dependent appropriations purpose directs secretary defense dod reimburse secretary veterans_affairs cost care services requires dod secretary merge consolidate commissary exchange stores single system later end fy2015 operates self sufficient basis need financial support appropriated funds prohibits dod funds obligated expended fy2015 commissary exchange stores


Summary: Fostering Independence Through Technology Act of 2011 - 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 utilize home monitoring and communications technology.

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 utilize home monitoring communications technology


Summary: Home Health Care Access Protection Act of 2011 - Amends title XVIII (Medicare) of the Social Security Act with respect to the prospective payment system (PPS) for home health services and adjustments to it for case mix changes. Requires for 2012 and each subsequent year that any evaluation of case mix changes and any such adjustment be made using standards developed consistent with specified processes, taking certain criteria into account. Directs the Secretary to convene a Technical Advisory Group to advise on the development of such standards.


Summary: Health Care Bureaucrats Elimination Act - Amends the Patient Protection and Affordable Care Act to eliminate the Independent Payment Advisory Board charged with developing and submitting to the President, for Congress to consider, detailed proposals to reduce the per capita rate of growth in Medicare spending.

affordable care act eliminate independent_payment_advisory_board charged developing submitting president congress consider detailed proposals reduce capita rate growth medicare spending


Summary: Hospice Evaluation and Legitimate Payment Act - 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 an individual to determine continued eligibility for hospice care before the first 60-day (currently, 180-day) recertification period and each subsequent recertification period. Requires the Secretary of Health and Human Services (HHS) to establish a Medicare Hospice 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 program entities.

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 period requires 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 program entities


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 (HHS) 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 of HHS 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 hhs requires supervision physician non physician practitioner medicare payment therapeutic hospital outpatient services requirement met services furnished physician non physician practitioner general supervision directs secretary hhs 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: Medicare Access to Rehabilitation Services Act of 2011 - Amends title XVIII (Medicare) of the Social Security Act to repeal the cap on outpatient physical therapy, speech-language pathology, and occupational therapy services of the type furnished by a physician or as an incident to physicians' services.

medicare_access_to_rehabilitation_services_act amends title xviii medicare social security act repeal cap outpatient physical therapy speech language pathology occupational therapy services type furnished physician incident physicians services


Summary: Medicare Hospice Care Access Act of 2011 - Amends title XVIII (Medicare) of the Social Security Act to recognize attending physician assistants as attending physicians to serve hospice patients.

medicare hospice care access act amends title xviii medicare social security act recognize attending physician assistants attending physicians serve hospice patients


Summary: National Childhood Brain Tumor Prevention Network Act - Amends the Public Health Service Act to require the Director of the Centers for Disease Control and Prevention (CDC) to establish, administer, and coordinate within the National Center for Environmental Health a National Childhood Brain Tumor Prevention Network to: (1) provide grants for research on the causes of and risk factors associated with childhood brain tumors; (2) assemble a panel of experts to provide ongoing guidance and recommendations on research funded by the Network, including on a common study design and standard protocols; and (3) designate a central laboratory to collect, analyze, and aggregate data with respect to research funded by the Network and to make such data and analysis available to researchers.

require director centers_for_disease_control_and_prevention cdc establish administer coordinate national childhood brain prevention network provide grants research causes risk factors associated childhood brain tumors assemble panel experts provide ongoing guidance recommendations research funded network including common study design standard protocols designate central laboratory collect analyze aggregate data respect research funded network data analysis available researchers


Summary: Medicare Home Infusion Therapy Coverage Act of 2011 - 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).

medicare_home_infusion_therapy_coverage_act 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


Summary: Long-Term Care Hospital Improvement Act of 2011 - Amends title XVIII (Medicare) of the Social Security Act with respect to long-term care hospitals to specify: (1) the criteria for preadmission patient screening and for admission following a face-to-face evaluation by a physician, (2) core services and patient care requirements, and (3) discharge criteria. Reduces from 48 hours to 24 hours of admission the deadline by which long-term care hospitals must validate that patients meet admission criteria.

amends title xviii medicare social security act respect long term care hospitals specify criteria patient screening admission following face face evaluation physician core services patient care requirements discharge criteria reduces hours hours admission deadline long term care hospitals validate patients meet admission criteria


Summary: Nursing Home Resident Pain Relief Act of 2011 - Amends the Controlled Substances Act to authorize a medical practitioner to enter into an agreement with the administrator of an institutional long-term care facility (facility) authorizing the administrator to designate qualified individuals to act as facility designees for the purpose of dispensing a controlled substance to facility residents. Authorizes an administrator to delegate the authority to act as a facility designee to a qualified health care professional who is directly employed by, and subject to the supervision and control of, the facility. Requires an administrator to: (1) maintain a list of all practitioners who have entered into such an authorizing agreement and all facility designees of each practitioner, and (2) provide the list to all pharmacies to which the facility submits prescriptions and to each such practitioner. Authorizes a practitioner who is providing or supervising medical care to a facility resident to issue an oral prescription for the resident for a controlled substance that is a prescription drug. Allows the oral prescription to be communicated through a facility designee acting under an authorizing agreement. Requires the facility designee to promptly create a document that reduces such an oral prescription to writing and to transmit the written document to a pharmacy for dispensing. Allows: (1) an oral prescription for a schedule II controlled substance to be issued through or transmitted by a facility designee during an emergency situation only, limited to an amount adequate to treat the patient during that situation; and (2) a schedule II controlled substance to be dispensed for treatment of a facility resident in a non-emergency situation if the prescription is in writing and signed by the practitioner. Requires each practitioner who issues such an oral prescription to a facility designee to: (1) create a contemporaneous record of the prescription, and (2) maintain the record in a written or electronic log at the registered location of the practitioner. Directs the Attorney General to specify the contents and retention requirements for such record. Requires: (1) a pharmacy, not later than 72 hours after dispensing a controlled substance pursuant to such an oral prescription, to transmit a copy of the prescription document received from the facility designee, clearly marked as having been dispensed, to the prescribing practitioner; and (2) the practitioner to certify the prescription's accuracy by physically affixing his or her signature to it and to return it to the pharmacy within 5 business days. Sets forth actions that the pharmacy must take if it does not receive an endorsed prescription within that period, including notifying the Drug Enforcement Administration (DEA). Requires each facility to: (1) maintain a written or electronic logbook of each instance in which a facility designee memorializes and transmits an oral prescription for a controlled substance to a pharmacy on behalf of a practitioner; (2) keep the logbook and copies of specified associated documents on its premises; and (3) retain copies of specified documents for five years. Requires every registrant who prescribes a controlled substance for a facility resident to maintain the prescribing log. Applies civil and criminal penalties for the distribution or dispensing of a controlled substance in violation of such Act to distribution or dispensing by such a facility. Sets forth penalties for violations of recordkeeping requirements.

nursing home resident pain relief act amends controlled substances act authorize medical practitioner enter agreement administrator institutional long term care facility facility authorizing administrator designate qualified individuals act facility designees purpose dispensing controlled substance facility residents authorizes administrator delegate authority act facility designee qualified health care professional directly employed subject supervision control facility requires administrator maintain list practitioners entered authorizing agreement facility designees practitioner provide list pharmacies facility submits prescriptions practitioner authorizes practitioner providing supervising medical care facility resident issue oral prescription resident controlled substance prescription drug allows oral prescription communicated facility designee acting authorizing agreement requires facility designee promptly create document reduces oral prescription writing transmit written document pharmacy dispensing allows oral prescription schedule controlled substance issued transmitted facility designee emergency situation limited adequate treat patient situation schedule controlled substance dispensed treatment facility resident non emergency situation prescription writing signed practitioner requires practitioner issues oral prescription facility designee create contemporaneous record prescription maintain record written electronic log registered location practitioner directs attorney general specify contents retention requirements record requires pharmacy later hours dispensing controlled substance pursuant oral prescription transmit copy prescription document received facility designee clearly marked having dispensed prescribing practitioner practitioner certify prescription accuracy physically signature return pharmacy business days sets forth actions pharmacy receive endorsed prescription period including notifying drug_enforcement_administration dea requires facility maintain written electronic logbook instance facility designee transmits oral prescription controlled substance pharmacy behalf practitioner logbook copies specified associated documents premises retain copies specified documents years requires registrant prescribes controlled substance facility resident maintain prescribing log applies civil criminal penalties distribution dispensing controlled substance violation act distribution dispensing facility sets forth penalties violations recordkeeping requirements


Summary: Home Care Consumer Bill of Rights Act - Amends the Older Americans Act of 1965 to make it the duty of the Assistant Secretary of Aging, acting through the designee responsible for elder abuse prevention and services, to: (1) establish best practices for state-based enforcement of a Home Care Consumer Bill of Rights through a Plan for Enforcement, (2) assist states with the development of such Bills of Rights and Plans for Enforcement to support the shift from institutional care to home and community-based long-term care (LTC) services, and (3) develop and use a process for review and approval of state Home Care Consumer Bills of Rights and Plans for Enforcement. Establishes additional state plan requirements,	including that a state have a Home Care Consumer Bill of Rights and a Plan for Enforcement. Requires the Home Care Consumer Bill of Rights to address a home care consumer's right to: (1) basic safety; (2) information access; (3) choice, participation, and self-determination; (4) care and services provided in a way that promotes each consumer's dignity and individuality; and (5) redress of grievances. Requires the Bill of Rights also to address the role and responsibilities that fiduciaries may have in securing these rights of home care consumers. Requires that any allotment for vulnerable elder rights protection activities be used to develop a State Home Care Consumer Bill of Rights and Plan for Enforcement. Directs the Assistant Secretary to establish a National Adult Protective Services Resources Center to: (1) improve the capacity of state and local adult protective services programs, and (2) coordinate with the Home Care Ombudsman Program and Long-Term Care Ombudsman Program to protect home care consumers and residents of LTC facilities most effectively. Authorizes appropriations for State Home Care Ombudsman Programs. Directs the Assistant Secretary of Aging to award competitive grants to states for such Programs. Requires the Assistant Secretary of Aging, in implementing Aging and Disability Resource Centers in all states, to: (1) provide quality assurance information about home and community-based LTC programs, service providers, and resources when referring consumers to them; and (2) identify quality assurance standards for such programs, providers, and resources. Requires the designated state agency, in promoting a comprehensive, coordinated state system enabling older individuals to receive LTC in home and community-based settings, to provide for distribution of quality assurance information about home and community-based LTC programs, service providers, and resources.

home care consumer bill rights act amends older americans act duty assistant secretary aging acting designee responsible elder abuse prevention services establish best practices state based enforcement home care consumer bill rights plan enforcement assist states development bills rights plans enforcement support shift institutional care home community based long term care ltc services develop use process review approval state home care consumer bills rights plans enforcement establishes additional state plan requirements including state home care consumer bill rights plan enforcement requires home care consumer bill rights address home care consumer right basic safety information access choice participation self determination care services provided way promotes consumer dignity redress grievances requires bill rights address role responsibilities fiduciaries securing rights home care consumers requires allotment vulnerable elder rights protection activities develop state home care consumer bill rights plan enforcement directs assistant secretary establish national adult protective services resources center improve capacity state local adult protective services programs coordinate protect home care consumers residents ltc facilities effectively authorizes appropriations state home care ombudsman programs directs assistant secretary aging award competitive grants states programs requires assistant secretary aging implementing aging_and_disability_resource_centers states provide quality assurance information home community based ltc programs service providers resources referring consumers identify quality assurance standards programs providers resources requires designated state agency promoting comprehensive coordinated state system enabling older individuals receive ltc home community based settings provide distribution quality assurance information home community based ltc programs service providers resources


Summary: Improving Care for Vulnerable Older Citizens through Workforce Advancement Act of 2011 - Amends the Older Americans Act of 1965 to direct the Assistant Secretary of Aging of the Department of Health and Human Services (HHS) to carry out a demonstration program awarding grants to eligible entities to carry out demonstration projects that focus on care coordination and service delivery redesign for older individuals with chronic illness or at risk of institutional placement.

improving care vulnerable older citizens workforce advancement act amends older americans act direct assistant secretary hhs carry demonstration program awarding grants eligible entities carry demonstration projects focus care coordination service delivery redesign older individuals chronic illness risk institutional placement


Summary: Amends title XVIII (Medicare) of the Social Security Act to allow physician assistants, nurse practitioners, and clinical nurse specialists to supervise cardiac, intensive cardiac, and pulmonary rehabilitation programs.

amends title xviii medicare social security act allow physician assistants nurse practitioners clinical nurse specialists supervise cardiac intensive cardiac pulmonary rehabilitation programs


Summary: Long-Term Care Insurance Consumer Right-to-Know Act of 2012 - Directs the Secretary of Health and Human Services (HHS) to request the National Association of Insurance Commissioners (NAIC) to review and describe, and report to Congress on: (1) disclosure requirements for long-term care insurance policies under the long-term care insurance model regulation and Act promulgated by NAIC (as adopted as of October 2000 and December 2006); (2) disclosure requirements for long-term care insurance policies under state laws; (3) differences in long-term care services, providers, and settings among states; and (4) key issues to consider in the development of a proposed model form for marketing long-term care insurance policies. Directs the Secretary to request NAIC to: (1) establish a Working Group to develop and issue a model disclosure form for marketing long-term care insurance policies, and (2) amend the model regulation and Act to require the use of such form. Requires: (1) the Secretaries of the Treasury and HHS to promulgate regulations requiring issuers of a qualified long-term care insurance contract under certain tax-qualified or Medicaid Partnership policies to use such form for marketing such contracts, and (2) each state to require any issuer of a long-term care insurance policy to use such form when marketing such a policy in the state.

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


Summary: Long Term Care Insurance Integrity Act of 2012 - Requires an insurance issuer that offers a long-term care insurance plan to implement claims dispute resolution procedures that: (1) are designed to expeditiously resolve disputes; (2) provide for alternative means of dispute resolution involving independent third-party review by entities that are mutually acceptable to the issuer and the enrollee, with the reviewer's decision being binding on the issuer; and (3) ensure that an enrollee is eligible to obtain claims review only to the extent and in the manner provided for in the applicable insurance contract. Allows an enrollee to appeal the decision of an independent reviewer to an appropriate state court as provided for under state law.

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


Summary: 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:
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: Personal Health Investment Today Act of 2013 or the PHIT Act of 2013 - Amends the Internal Revenue Code to allow a medical care tax deduction for up to $1,000 ($2,000 for married couples filing jointly or heads 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 married couples filing jointly heads household qualified sports fitness expenses defines qualified sports fitness expenses amounts paid fitness facility memberships physical exercise programs exercise equipment


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:
Personalize Your Care Act of 2013 - Amends titles XVIII (Medicare) and XIX (Medicaid) of the Social Security Act to cover a Voluntary Advance Care Planning Consultation.

Directs the Secretary of Health and Human Services (HHS) to make grants to eligible entities to: (1) establish statewide programs for physician orders for life-sustaining treatment, or (2) expand or enhance existing programs for physician orders for life-sustaining treatment.

Directs the Secretary to adopt, by rule, standards for a qualified electronic health record, with respect to patient communications with a health care provider about values and goals of care, to adequately display the patient's current: (1) advance directive, and/or (2) physician order for life-sustaining treatment.

Requires under Medicare and Medicaid that an advance directive validly executed outside the state in which the directive is presented must be given effect by a service provider or an organization to the same extent as an advance directive validly executed under the law of the state in which it is presented. Requires that, in the absence of a validly executed advance directive, any authentic expression of a person's wishes with respect to health care be honored.

personalize care act amends titles xviii medicare xix medicaid social security act cover voluntary advance care planning consultation directs secretary health_and_human_services hhs grants eligible entities establish statewide programs physician orders life sustaining treatment expand enhance existing programs physician orders life sustaining treatment directs secretary adopt rule standards qualified electronic health record respect patient communications health care provider values goals care adequately display patient current advance directive physician order life sustaining treatment requires medicare medicaid advance directive validly executed outside state directive presented given effect service provider organization extent advance directive validly executed law state presented requires absence validly executed advance directive authentic expression person wishes respect health care honored


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: (1) analyze key health system barriers to providing patient-centered health care that integrates symptom management and other aspects of coordinated or palliative care; and (2) identify strategic solutions for collectively addressing quality of life concerns for the rapidly expanding population of patients and survivors facing serious, complex, and chronic illness in the United States and for the families of such patients and survivors. Requires the Secretary to establish a Summit Steering Committee, which shall draft a summary report detailing Summit recommendations for a national strategic action agenda to improve patient-centered care and quality of life.

Amends the Public Health Service Act to require the Director of the Centers for Disease Control and Prevention (CDC) to establish a national quality of life education and awareness grants program initiative for seriously ill patients, their families, and health professionals who treat them for the purposes of encouraging an increased demand for and delivery of integrated and patient-centered care for managing their pain and symptoms and improving their quality of life. Requires the Director to award competitive grants to develop new and expand existing information, resources, and communication materials about symptom management and other aspects of patient-centered care as an integral part of quality care for serious illnesses.

Directs the Administrator of the Health Resources and Services Administration (HRSA) to establish a health care professional workforce training grants program initiative for purposes of promoting and enhancing symptom assessment and management, communications skills, coordinated patient-centered care, and other quality of life focused clinical core competencies across all clinical specialties that serve seriously ill patients and patients with multiple or complex chronic diseases.

Requires the Secretary: (1) to update and expand the September 2002 HRSA report, titled "The Supply, Demand and Use of Palliative Care Physicians in the United States"; (2) to establish a Quality of Life Cross-Agency Advisory Committee to assist the CDC and HRSA in conducting the national quality of life education and awareness initiative and the health care professional workforce training initiative and to disseminate initiative findings for cross agency implementation of best practices; and (3) acting through the Director of the National Institutes of Health (NIH), to develop and implement a strategy to be applied across NIH institutes and centers that is in accordance with the Advisory Committee's recommendations to expand national research programs in symptom management, palliative, psychosocial, and survivorship care.

patient centered quality care life act directs secretary health_and_human_services hhs convene strategic summit analyze key health system barriers providing patient centered health care integrates symptom management aspects coordinated palliative care identify strategic solutions collectively addressing quality life concerns rapidly expanding population patients survivors facing complex chronic illness united_states families patients survivors requires secretary establish shall draft summary report detailing summit recommendations national strategic action agenda improve patient centered care quality life amends public_health_service_act require director centers_for_disease_control_and_prevention cdc establish national quality life education awareness grants program initiative seriously ill patients families health professionals treat purposes encouraging increased demand delivery integrated patient centered care managing pain symptoms improving quality life requires director award competitive grants develop new expand existing information resources communication materials symptom management aspects patient centered care integral quality care illnesses directs administrator health_resources_and_services_administration hrsa establish health care professional workforce training grants program initiative purposes promoting enhancing symptom assessment management communications skills coordinated patient centered care quality life focused clinical core competencies clinical specialties serve seriously ill patients patients multiple complex chronic diseases requires secretary update expand september hrsa report titled supply demand use palliative care physicians united_states establish quality life cross agency advisory committee assist cdc hrsa conducting national quality life education awareness initiative health care professional workforce training initiative disseminate initiative findings cross agency implementation best practices acting director national_institutes_of_health nih develop implement strategy applied nih institutes centers accordance advisory_committee recommendations expand national research programs symptom management palliative psychosocial survivorship care


Summary:
Medicaid Program Integrity Act of 2013 - Amends title XIX (Medicaid) of the Social Security Act with respect to the option a state has, when determining an individual's Medicaid eligibility for long-term care assistance, to change the $500,000 maximum allowable equity interest of the individual in his or her home. Gives states the further option to reduce the maximum allowable home equity interest below $500,000 but not below $50,000. Requires indexed inflation adjustments to the state-selected alternative maximum beginning in 2014.

Revises the general maintenance of effort requirement that a state maintain Medicaid eligibility standards no stricter than those in effect when the Patient Protection and Affordable Care Act (PPACA) was enacted until the state health insurance exchange required by such Act is operational. Declares that such maintenance of effort requirement shall not apply to changes in eligibility standards for medical assistance for long-term care services, so long as such changes would have been permitted under the law as in effect before the enactment of PPACA.

amends title xix medicaid social security act respect option state determining individual medicaid eligibility long term care assistance change maximum allowable equity interest individual home gives states option reduce maximum allowable home equity interest requires indexed inflation adjustments state selected alternative maximum beginning revises general maintenance effort requirement state maintain medicaid eligibility standards effect patient_protection affordable care act ppaca enacted state health insurance exchange required act operational declares maintenance effort requirement shall apply changes eligibility standards medical assistance long term care services long changes permitted law effect enactment ppaca


Summary:
Wounded Veteran Job Security Act - Expands the definition of "service in the uniformed services" for the purposes of uniformed servicemembers' employment and reemployment rights to include a period for which a person is absent from a position of employment to obtain medical treatment for an injury or illness recognized as service connected by the Secretary of Veterans Affairs (VA), or for which a line-of-duty document has been granted by the Secretary of Defense (DOD).

Directs such a person intending to return to a position of employment to notify the employer within a specified time period.

Requires a person submitting an application for reemployment due to such an absence for medical treatment to provide the employer, upon request, with documentation to establish eligibility for reemployment, including a link between the injury or illness and the medical treatment obtained.

wounded veteran job security act expands definition service uniformed services purposes uniformed servicemembers employment reemployment rights include period person absent position employment obtain medical treatment injury illness recognized service connected secretary veterans_affairs line duty document granted secretary defense dod directs person intending return position employment notify employer specified time period requires person submitting application reemployment absence medical treatment provide employer request documentation establish eligibility reemployment including link injury illness medical treatment obtained


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: Medicare Audiology Services Enhancement Act of 2013 - Amends title XVIII (Medicare) of the Social Security Act to: (1) limit covered auditory services to only auditory treatment, vestibular treatment, and intraoperative neurophysiologic monitoring services in addition to currently covered hearing and balance assessment services; (2) exclude inter-operative neurophysiological monitoring provided by a physician or qualified audiologist in hospitals from covered inpatient hospital services; (3) revise the requirements and procedure for payment of outpatient auditory services claims of service providers; (4) include audiology services under the limitation on certain physician referrals for designated health services; and (5) declare that nothing in such Act shall be construed to require a qualified audiologist to participate in Medicare.

enhancement act amends title xviii medicare social security act limit covered auditory services auditory treatment treatment monitoring services addition currently covered hearing balance assessment services exclude inter operative monitoring provided physician qualified audiologist hospitals covered inpatient hospital services revise requirements procedure payment outpatient auditory services claims service providers include audiology services limitation certain physician referrals designated health services declare act shall construed require qualified audiologist participate medicare


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: Long-Term Care Veterans Choice Act - Authorizes the Secretary of Veterans Affairs (VA) to transfer a veteran for whom the Secretary is required to provide nursing home care to a medical foster home that meets VA standards pursuant to a contract or agreement with the VA, at such veteran's request. Requires such veteran to agree, as a transfer condition, to accept VA home health services.

long-term_care veterans choice act authorizes secretary veterans_affairs transfer veteran secretary required provide nursing home care medical foster home meets standards pursuant contract agreement veteran request requires veteran agree transfer condition accept home health services


Summary:
Fairness for Beneficiaries Act of 2013 - Amends title XVIII (Medicare) of the Social Security Act to revise requirements for Medicare coverage for extended care services which are not post-hospital extended care services (that is, without regard to the requirement for a 3-day prior hospitalization).

Limits such coverage to extended care services in a skilled nursing facility (SNF), but only if, before the individual is admitted to the SNF, a physician or other qualified health care practitioner determines and certifies that extended care services for the individual are medically necessary.

fairness beneficiaries act amends title xviii medicare social security act revise requirements medicare coverage extended care services post hospital extended care services regard requirement day prior hospitalization limits coverage extended care services skilled nursing facility snf individual admitted snf physician qualified health care practitioner determines certifies extended care services individual medically necessary


Summary:
Adult Day Center Enhancement Act - Requires the Assistant Secretary for 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 Assistant Secretary to identify ongoing successful adult day programs and which of these serve young adults with neurological diseases and conditions and develop a set of best practices to help guide the establishment and replication of additional successful adult day programs.

Directs the Assistant Secretary to establish a competitive grant program for awarding grants annually 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 such 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 such diseases or conditions.

assistant secretary 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 assistant secretary identify ongoing successful adult day programs serve young adults neurological diseases conditions develop set best practices help guide establishment replication additional successful adult day programs directs assistant secretary establish competitive grant program awarding grants annually 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 diseases conditions focus supporting emotional social intellectual needs younger adult population address needs veterans living diseases conditions


Summary:
Medicare Home Health Fraud Reduction Act - Amends title XVIII (Medicare) of the Social Security Act to prohibit payments to a skilled home health agency under the prospective payment system for any episode of care to the extent that it exceeds the applicable episode utilization limit established by the Secretary of Health and Human Services (HHS).

Specifies the formula for establishing an episode utilization limit for a skilled home health agency.

title xviii medicare social security act prohibit payments skilled home health agency prospective payment system episode care extent exceeds applicable episode utilization limit established secretary health_and_human_services hhs specifies formula establishing episode utilization limit skilled home health agency


Summary: Medicare Adult Day Services Act of 2013 - 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 (HHS) to increase by 3% the payment amount otherwise effective for such services furnished in a rural area on or after January 1, 2014, and before January 1, 2016.

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 hhs increase payment effective services furnished rural area january january


Summary: Return to Work Awareness Act of 2013 - Authorizes the Secretary of Labor, acting through the Job Accommodation Network, to disseminate information and promote awareness among survivors of stroke and other debilitating health occurrences, such as traumatic brain injury and heart attack, and survivors' families, as well as among employers, government agencies, employee representatives, and service providers in order to: (1) assist survivors of stroke and such other debilitating health occurrences in returning to work, (2) improve a survivor's employability and demonstrate to employers ways to capitalize on the value and talent that survivors add to the workplace, and (3) enhance self-employment and entrepreneurship options for survivors.

return work awareness act authorizes secretary labor acting disseminate information promote awareness survivors stroke debilitating health occurrences traumatic brain injury heart attack survivors families employers government agencies employee representatives service providers order assist survivors stroke debilitating health occurrences returning work improve survivor employability demonstrate employers ways capitalize value talent survivors add workplace enhance self employment entrepreneurship options survivors


Summary: Defending Rural Access to Long Term Acute Care Act of 2013 - Prohibits the Secretary of Health and Human Services (HHS) from applying to certain long-term care (LTC) hospitals operating in a single-hospital metropolitan statistical area (MSA) special (Medicare threshold) payment (adjustment) policies and regulations for: (1) LTC hospitals within hospitals and satellites of LTC hospitals, or (2) any such LTC hospitals and satellites that discharged patients under title XVIII (Medicare) of the Social Security Act who were admitted from a hospital not located in the same building or on the same campus as the LTC hospital or satellite.

defending rural access long term acute care act prohibits secretary health_and_human_services hhs applying certain long term care ltc hospitals operating single hospital metropolitan statistical area msa special medicare threshold payment adjustment policies regulations ltc hospitals hospitals satellites ltc hospitals ltc hospitals satellites discharged patients title xviii medicare social security act admitted hospital located building campus ltc hospital satellite


Summary: Amends the Patient Protection and Affordable Care Act to consider catastrophic health plans to be providing essential health benefits by removing certain enrollment eligibility restrictions (concerning age, certification of exemption from the Internal Revenue Code requirement to maintain minimum essential coverage, and offering of the plan only in the individual market).

amends patient_protection affordable care act consider catastrophic health plans providing essential health benefits removing certain enrollment eligibility restrictions concerning age certification exemption internal revenue code requirement maintain minimum essential coverage offering plan individual market


Summary:
Directs the Secretary of Health and Human Services (HHS), in implementing special payment requirements for certain long-term care hospitals (LTCHs) and LTCH satellites under title XVIII (Medicare) of the Social Security Act, for a 12-month cost reporting period beginning on or after October 1, 2013, to continue the same 25% rule patient threshold payment adjustment and exemptions as were established for the 12-month cost reporting periods beginning on or after October 1, 2012, in the same manner as provided for in a specified rule published on August 31, 2012, regarding hospital inpatient prospective payment systems (IPPSs) for acute care hospitals and theLTCH prospective payment system and FY2013 rates.

Prohibits the Secretary from applying such special payment requirements to certain grandfathered LTCHs which are subsection (d) hospitals.

(Generally, a subsection (d) hospital is an acute care hospital, particularly one that receives payments under the Medicare IPPS when providing covered inpatient services to eligible beneficiaries.)

Excludes from the calculation of such special payment requirements any Medicare beneficiaries who: (1) were inpatients in a subsection (d) hospital within one day before their admission to a LTCH which has an average inpatient length of stay of more than 25 days, and (2) had a stay of more than seven days in an intensive care unit.

Declares that, for discharges occurring on or after October 1, 2014, payments made to such hospitals at amounts comparable or equivalent to amounts payable to a subsection (d) hospital for short stay patients and under the 25% rule shall be at amounts not less than what would be paid to a subsection (d) hospital had it performed the same services.

Declares that, for discharges occurring on or after enactment of this Act, in calculating the length of stay requirement applicable to a LTCH or satellite facility, the Secretary shall exclude any patient for whom payment is based on an amount comparable or equivalent to that payable to a subsection (d) hospital had such a hospital provided the same service.

directs secretary health_and_human_services hhs implementing special payment requirements certain long term care hospitals ltchs ltch satellites title xviii medicare social security act month cost reporting period beginning october continue rule patient threshold payment adjustment exemptions established month cost reporting periods beginning october manner provided specified rule published august hospital inpatient prospective payment systems acute care hospitals prospective payment system fy2013 rates prohibits secretary applying special payment requirements certain grandfathered ltchs subsection hospitals generally subsection hospital acute care hospital particularly receives payments providing covered inpatient services eligible beneficiaries excludes calculation special payment requirements medicare beneficiaries subsection hospital day admission ltch average inpatient length stay days stay seven days intensive care unit declares discharges occurring october payments hospitals amounts comparable equivalent amounts payable subsection hospital short stay patients rule shall amounts paid subsection hospital performed services declares discharges occurring enactment act calculating length stay requirement applicable ltch satellite facility secretary shall exclude patient payment based comparable equivalent payable subsection hospital hospital provided service


Summary: Amends the Medicare, Medicaid, and SCHIP Extension Act of 2007 to make permanent the exemption of grandfathered long-term care hospitals from the 25% patient threshold payment adjustment under title XVIII (Medicare) of the Social Security Act.

amends medicare medicaid schip extension act permanent exemption grandfathered long term care hospitals patient threshold payment adjustment title xviii medicare social security act


Summary:
Notification of Your Eldercare Rights - Directs the Secretary of Labor to: (1) draft disclosures which describe the rights and liabilities of customers and providers of domestic care services; (2) require that any provider of domestic care services give such disclosures to each customer before entering into a contract with the customer; and (3) disclose to the customer whether the individual or individuals who will provide such services are employees of the provider of domestic care services or independent contractors.

Makes it unlawful for any provider of domestic care services to enter into contract with a customer without first providing the disclosure document required by this Act.

Prescribes penalties for violations of this Act.

notification eldercare rights directs secretary labor draft disclosures describe rights liabilities customers providers domestic care services require provider domestic care services disclosures customer entering contract customer disclose customer individual individuals provide services employees provider domestic care services independent contractors makes unlawful provider domestic care services enter contract customer providing disclosure document required act prescribes penalties violations act


Summary: Amends title XVIII (Medicare) of the Social Security Act with respect to home health agencies to revise surety bond condition of participation requirements to: (1) repeal the requirement for a four-year bond, and (2) require that any surety bond be at least $50,000.

amends title xviii medicare social security act respect home health agencies revise surety bond condition participation requirements repeal requirement year bond require surety bond


Summary: Healing Our Heroes Act - Amends the National Defense Authorization Act for FY2008 to extend for one year the Department of Veterans Affairs (VA) pilot program to assess the effectiveness of providing assisted living services to veterans with a traumatic brain injury to enhance the rehabilitation, quality of life, and community integration of such veterans.

healing heroes act amends national defense authorization act fy2008 extend year department_of_veterans_affairs pilot program assess effectiveness providing assisted living services veterans traumatic brain injury enhance rehabilitation quality life community integration veterans