Summary:
CHIP Extension and Improvement Act of 2014 - Revises and extends through FY2019 at generally increased levels the program under title XXI (State Children's Health Insurance) (CHIP) of the Social Security Act (SSA), and adjusts CHIP allotment requirements accordingly, including the rebasing and growth factor update rules for computing state allotments. Makes appropriations for certain allotments.

Directs the Secretary of Health and Human Services (HHS) to make payments to shortfall states from the Child Enrollment Contingency Fund in each of FY2016-FY2019.

Amends the Internal Revenue Code, with respect to minimum essential coverage for a targeted pregnant low-income woman under CHIP, to exclude from such coverage, at a woman's option, pregnancy-related assistance.

Directs the Secretary to issue regulations to ensure continuity of care for children who: (1) are undergoing an active course of treatment; and (2) involuntarily change coverage under health insurance, the state plan under Medicaid (SSA title XIX), or the state child health plan under CHIP during such course of treatment for any reason.

Amends SSA title XIX to allow a state Medicaid plan to provide that an adult determined eligible for Medicaid benefits shall remain eligible for those benefits until the end of a period (not to exceed 12 months) following the determination.

Makes permanent the express lane option and the CHIP outreach and enrollment grant program. Gives states the option to extend express lane Medicaid eligibility to adults.

Makes permanent the program of grants to conduct outreach and enrollment efforts designed to increase the enrollment and participation of eligible children under CHIP.

Requires each contract with a managed care entity under Medicaid to require the provision of and payment for language services for enrolled individuals who are limited English proficient.

Prescribes additional cost-sharing requirements under CHIP.

Amends SSA titles XIX and XXI to cover preventive services for children or pregnant women without cost-sharing.

Amends SSA title XIX to cover newly approved vaccines within 30 days after the Advisory Committee on Immunization Practices approves them. Treats CHIP-eligible children as federally vaccine-eligible children.

Extends Medicaid coverage of primary care services through calendar 2019, and expands the types of physicians and health care practitioners eligible for reimbursement for providing such services.

Amends SSA title XI to extend the pediatric quality measures program through calendar 2019.

Revises the federal medical assistance percentage (FMAP, or federal matching rate) for activities related to pediatric quality measures.

Extends the technical assistance provided to states in adopting and utilizing certain core sets of child health measures to assistance in building their data collection infrastructures as well.

Revises requirements for initial core measures.

Directs the Secretary to report to Congress on the core set of child health quality measures.

Modifies and extends through FY2019: (1) the demonstration projects for improving the quality of children's health care and the use of health information technology, and (2) funding for childhood obesity demonstration projects.

Amends SSA title V (Maternal and Child Health Services) to extend funding through FY2019 for maternal, infant, and early childhood home visiting programs.

Amends the Patient Protection and Affordable Care Act to extend through calendar 2019 the Pediatric Accountable Care Organization Demonstration Project.

Amends SSA title XIX to cover therapeutic foster care services.

chip extension improvement act revises extends fy2019 generally increased levels program title chip social security act ssa adjusts chip allotment requirements accordingly including rebasing growth factor update rules computing state allotments makes appropriations certain allotments directs secretary health_and_human_services hhs payments shortfall states fy2016 fy2019 amends internal revenue code respect minimum essential coverage targeted pregnant low income woman chip exclude coverage woman option pregnancy related assistance directs secretary issue regulations ensure continuity care children undergoing active course treatment involuntarily change coverage health insurance state plan medicaid ssa title xix state child health plan chip course treatment reason amends ssa title xix allow state medicaid plan provide adult determined eligible medicaid benefits shall remain eligible benefits end period exceed months following determination makes permanent express lane option chip outreach enrollment grant program gives states option extend express lane medicaid eligibility adults makes permanent program grants conduct outreach enrollment efforts designed increase enrollment participation eligible children chip requires contract managed care entity medicaid require provision payment language services enrolled individuals limited english proficient prescribes additional cost sharing requirements chip amends ssa titles xix xxi cover preventive services children pregnant women cost sharing amends ssa title xix cover newly approved vaccines days advisory_committee_on_immunization_practices approves treats chip eligible children federally vaccine eligible children extends medicaid coverage primary care services calendar expands types physicians health care practitioners eligible reimbursement providing services amends ssa title extend pediatric quality measures program calendar revises federal medical assistance percentage fmap federal matching rate activities related pediatric quality measures extends technical assistance provided states adopting utilizing certain core sets child health measures assistance building data collection infrastructures revises requirements initial core measures directs secretary report congress core set child health quality measures modifies extends fy2019 demonstration projects improving quality children health care use health information technology funding childhood obesity demonstration projects amends ssa title maternal child health services extend funding fy2019 maternal infant early childhood home visiting programs amends patient protection affordable care act extend calendar amends ssa title xix cover therapeutic foster care services


Summary: Securing Health Care for Young Americans Act of 2014 - Amends the Public Health Service Act to maintain, upon repeal of the Patient Protection and Affordable Care Act and the health care provisions of the Health Care and Education Reconciliation Act of 2010, the requirement that health insurers provide coverage to dependents over 18 years of age until the dependent turns 26, marries, or no longer resides at home.

securing health care young americans act amends public_health_service_act maintain repeal patient_protection affordable care act health care provisions health_care_and_education reconciliation act requirement health insurers provide coverage dependents years age dependent turns marries longer resides home


Summary: Permits a health insurance issuer that has in effect health insurance coverage in the group market on any date during 2013 to continue offering such coverage for sale through 2016 outside of a health care exchange established under the Patient Protection and Affordable Care Act. Treats such coverage as a grandfathered health plan for purposes of an individual meeting the requirement to maintain minimum essential health coverage.

permits health insurance issuer effect health insurance coverage group market date continue offering coverage sale outside health care exchange established patient_protection affordable care act treats coverage grandfathered health plan purposes individual meeting requirement maintain minimum essential health coverage


Summary:
Medicare Ambulance Access, Fraud Prevention, and Reform Act of 2014 - Amends part B (Supplementary Medical Insurance Benefits) of title XVIII (Medicare) of the Social Security Act with respect to the ambulance fee schedule to: (1) increase the conversion factor for ground ambulance services in the formula for determining the appropriate fee, and (2) increase the mileage rate for such services.

Directs the Secretary of Health and Human Services (HHS) to study how the conversion factor should be modified, if at all, to take into account the cost of providing ambulance services in urban, rural, and super-rural areas.

Directs the Secretary to establish a process to determine, in advance of furnishing end stage renal disease (ESRD) ambulance services, whether payment for them may not be made because they are not covered or because they are excluded from coverage. Prohibits any payment unless the Secretary determines, pursuant to this process, that the service meets coverage requirements.

Directs the Secretary to develop a data collection system for providers and suppliers of ambulance services to collect cost, revenue, utilization, and other appropriate information.

medicare fraud prevention reform_act amends supplementary medical insurance benefits title xviii medicare social security act respect ambulance fee schedule increase conversion factor ground ambulance services formula determining appropriate fee increase mileage rate services directs secretary health_and_human_services hhs study conversion factor modified account cost providing ambulance services urban rural super rural areas directs secretary establish process determine advance furnishing end stage renal disease esrd ambulance services payment covered excluded coverage prohibits payment secretary determines pursuant process service meets coverage requirements directs secretary develop data collection system providers suppliers ambulance services collect cost revenue utilization appropriate information


Summary: Middle Class Family Savings Act of 2014 - Amends the Internal Revenue Code, with respect to health savings accounts (HSAs), to: (1) increase the maximum deductible amount for such accounts, and (2) allow payments from such accounts for the medical expenses of children of the account holder who have not attained age 27.

middle class family savings act amends internal revenue code respect health savings accounts hsas increase maximum deductible accounts allow payments accounts medical expenses children account holder attained age


Summary:
Amends the Employee Retirement Income Security Act (ERISA) to revise requirements permitting multiemployer plans to adopt alternative rules for computing the payment of an employer's withdrawal liability to include a plan in critical status whose plan sponsor determines it cannot be expected to emerge from that status by the end of the rehabilitation period.

Requires any such rule to become effective 90 days after adoption unless the corporation disapproves it before the end of the 90-day period (subject to tolling while a request by the corporation for additional information is pending).

Authorizes a corporation to disapprove a rule only if it creates an unreasonable risk of loss to plan participants and beneficiaries or to the corporation.

amends employee retirement income security act erisa revise requirements permitting multiemployer plans adopt alternative rules computing payment employer withdrawal liability include plan critical status plan sponsor determines expected emerge status end rehabilitation period requires rule effective days adoption corporation disapproves end day period subject tolling request corporation additional information pending authorizes corporation disapprove rule creates unreasonable risk loss plan participants beneficiaries corporation


Summary: Small Business Healthcare Relief Act of 2014 - Amends the Internal Revenue Code to treat employer payments for employee health care premiums and for amounts paid on behalf of an employee to a health reimbursement arrangement as medical expenses under an accident or health plan and thus excludible from gross income for income tax purposes.

relief act amends internal revenue code treat employer payments employee health care premiums amounts paid behalf employee health reimbursement arrangement medical expenses accident health plan excludible gross income income tax purposes


Summary: American Liberty Restoration Act - Repeals provisions of the Patient Protection and Affordable Care Act that require individuals to maintain minimum essential health care coverage. Applies the Internal Revenue Code as if such provisions had never been enacted.

provisions patient_protection affordable care act require individuals maintain minimum essential health care coverage applies internal revenue code provisions enacted


Summary:
Veterans Health Equity Act of 2013 - Requires the Secretary of Veterans Affairs, with respect to each of the 48 contiguous states, to ensure that veterans who are eligible for hospital care and medical services through the Department of Veterans Affairs (VA) have access to: (1) at least one full-service VA medical center in the state, or (2) hospital care and medical services comparable to that provided in full-service VA medical centers through contract with other health providers in the state.

Directs the Secretary to report to Congress on compliance with such requirement, including its effect on improving the quality and standards of veterans' care.

requires secretary veterans_affairs respect contiguous states ensure veterans eligible hospital care medical services department_of_veterans_affairs access service medical center state hospital care medical services comparable provided service medical centers contract health providers state directs secretary report congress compliance requirement including effect improving quality standards veterans care


Summary:
Preventing the Offering of Elective Coverage of Taxpayer-Funded-Abortion Act of 2013 or PROTECT Act - Amends the Patient Protection and Affordable Care Act to require the Director of the Office of Personnel Management (OPM), in entering into contracts with health insurance issuers, to ensure that no multi-state qualified health plan offered in a health benefit exchange provides coverage of abortion. Excepts from such limitation: (1) a pregnancy that results from rape or incest; or (2) a case where a woman suffers from a physical disorder, injury, or illness that would place the her in danger of death unless an abortion is performed, including a life-endangering physical condition caused by or arising from the pregnancy itself.

Preempts any state law requiring coverage of or funding for abortions in multi-state qualified health plans.

preventing protect act amends patient protection affordable care act require director entering contracts health insurance issuers ensure multi state qualified health plan offered health benefit exchange provides coverage abortion excepts limitation pregnancy results rape incest case woman suffers physical disorder injury illness place danger death abortion performed including life endangering physical condition caused arising pregnancy preempts state law requiring coverage funding abortions multi state qualified health plans


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

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

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

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


Summary:
Chiropractic Care Available to All Veterans Act of 2013 - Amends the Department of Veterans Affairs Health Care Programs Enhancement Act of 2001 to require a program under which the Secretary of Veterans Affairs provides chiropractic care and services to veterans through Department of Veterans Affairs (VA) medical centers and clinics to be carried out at: (1) no fewer than 75 medical centers by December 31, 2014, and (2) all medical centers by December 31, 2016.

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

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


Summary:
Medication Therapy Management Empowerment Act of 2013 - Amends part D (Voluntary Prescription Drug Benefit Program) of title XVIII (Medicare) of the Social Security Act to direct the Chief Actuary of the Centers for Medicare and Medicaid Services to report to the Secretary of Health and Human Services (HHS) and to Congress on whether or not the expansion of the definition of targeted beneficiary, with respect to medication therapy management, would, if implemented, reduce spending under Medicare. Requires the report to include a certification of any determination by the Chief Actuary that such expansion would reduce such spending.

Specifies such an expansion as targeted beneficiaries with a single chronic disease that accounts for high Medicare spending, including diabetes, hypertension, heart failure, dyslipidemia, respiratory disease (such as asthma, chronic obstructive pulmonary disease, or chronic lung disorders), bone disease-arthritis (such as osteoporosis or osteoarthritis), rheumatoid arthritis, and mental health (such as depression, schizophrenia, or bipolar disorder). (Currently a targeted beneficiary must have multiple chronic diseases.)

Requires such an expansion to take place if the report contains the certification indicated.

medication therapy management empowerment act amends voluntary prescription drug benefit program title xviii medicare social security act direct chief actuary centers medicare medicaid_services report secretary health_and_human_services hhs congress expansion definition targeted beneficiary respect medication therapy management implemented reduce spending medicare requires report include certification determination chief actuary expansion reduce spending specifies expansion targeted beneficiaries single chronic disease accounts high medicare spending including diabetes hypertension heart failure respiratory disease asthma chronic obstructive pulmonary disease chronic lung disorders bone disease osteoporosis mental health depression disorder currently targeted beneficiary multiple chronic diseases requires expansion place report contains certification indicated


Summary: Jobs and Premium Protection Act - Repeals a provision of the Patient Protection and Affordable Care Act that imposes an annual fee on each entity that provides health insurance for any U.S. health risk based on net premium income.

jobs premium protection act repeals provision patient_protection affordable care act imposes annual fee entity provides health insurance health risk based net premium income


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

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


Summary:
Social Security Number Protection Act of 2011[sic] - Requires the Secretary of Health and Human Services (HHS) to establish and begin to implement procedures to eliminate the unnecessary collection, use, and display of Social Security account numbers of Medicare beneficiaries on Medicare identification cards and communications.

Prohibits a Social Security card also from storing a Social Security account number electronically.

Allows the display of a Social Security number on written or electronic communications only if the Secretary determines that its inclusion on such communications is essential for the operation of the Medicare program.

requires secretary health_and_human_services hhs establish begin implement procedures eliminate unnecessary collection use display social_security account numbers medicare beneficiaries medicare identification cards communications prohibits social_security card storing social_security account number electronically allows display social_security number written electronic communications secretary determines inclusion communications essential operation medicare program


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

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


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

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

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


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

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

Requires Secretary of Health and Human Services (HHS) to make the disclosures under this Act and the GAO study available to the general public through an Internet website.

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


Summary:
Veterans' Health Promotion Act of 2013 - Directs the Secretary of Veterans Affairs (VA) to designate and operate at least one center of innovation for complementary and alternative medicine in health research, education, and clinical activities in each of the Veterans Integrated Service Networks.

Directs the Secretary to carry out a three-year pilot program to assess the feasibility and advisability of establishing complementary and alternative medicine centers within current VA medical centers in order to promote the use and integration of such services for veterans' mental health diagnoses and pain management. Requires the establishment of at least 15 such centers in 15 different VA medical centers.

Requires the Secretary to establish a three-year pilot program for the award of grants to public or private nonprofit entities to assess the feasibility and advisability of using wellness programs to complement the provision of mental health care to veterans and family members eligible for VA counseling services.

Directs the Secretary to carry out a two-year pilot program to assess the feasibility and advisability of promoting health through the payment of fitness center membership for veterans determined to be overweight or obese and who reside more than 15 minutes' driving distance from a VA fitness facility.

Requires the Secretary to carry out a three-year pilot program to assess the feasibility and advisability, through the establishment of VA fitness facilities, of promoting the achievement of a healthy weight in veterans enrolled in the VA system of annual patient enrollment. Prohibits the assessment of a user fee for program participants using such facilities.

Directs the Secretary to conduct a comprehensive study of barriers encountered by veterans in receiving complementary and alternative medicine from the VA.

directs secretary veterans_affairs designate operate center innovation complementary alternative medicine health research education clinical activities veterans_integrated_service_networks directs secretary carry year pilot program assess feasibility advisability establishing complementary alternative medicine centers current medical centers order promote use integration services veterans mental health diagnoses pain management requires establishment centers different medical centers requires secretary establish year pilot program award grants public private nonprofit entities assess feasibility advisability wellness programs complement provision mental health care veterans family members eligible counseling services directs secretary carry year pilot program assess feasibility advisability promoting health payment fitness center membership veterans determined overweight obese reside minutes driving distance fitness facility requires secretary carry year pilot program assess feasibility advisability establishment fitness facilities promoting achievement healthy weight veterans enrolled system annual patient enrollment prohibits assessment user fee program participants facilities directs secretary conduct comprehensive study barriers encountered veterans receiving complementary alternative medicine


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

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


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

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

Reauthorizes the use of Medicaid health opportunity accounts.

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

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

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

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

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

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


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

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

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


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

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

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


Summary:
Medicare Fair Share Act of 2013 - Amends part B (Supplemental Medical Insurance) of title XVIII (Medicare) of the Social Security Act with respect to adjustments to Medicare parts B and D (Voluntary Prescription Drug Benefit Program) premiums for high income beneficiaries to reduce from $80,000 to $50,000 the threshold amount for 2015 and subsequent years for determining the monthly amount of the premium subsidy (for high-income beneficiaries) applicable to Medicare parts B and D premiums.

Requires reduction of the monthly amount of the Medicare parts B and D premium subsidies (and corresponding increase in the monthly premium amount) for individuals whose modified adjusted gross income exceeds the threshold amount by specified applicable percentages for modified adjusted gross incomes in certain ranges starting at $50,000 (40%) and ending at $196,000 (90%).

Extends the temporary adjustment to income thresholds from December 31, 2019 through December 31, 2023.

amends title xviii medicare social security act respect adjustments medicare parts voluntary prescription drug benefit program premiums high income beneficiaries reduce threshold subsequent years determining monthly premium subsidy high income beneficiaries applicable medicare parts premiums requires reduction monthly medicare parts premium subsidies corresponding increase monthly premium individuals modified adjusted gross income exceeds threshold specified applicable percentages modified adjusted gross incomes certain ranges starting ending extends temporary adjustment income thresholds december december


Summary:
Amends title XVIII (Medicare) of the Social Security Act to delay implementation of Round 2 of the Medicare DMEPOS (Durable Medical Equipment, Prosthetics, Orthotics, and Supplies) competitive acquisition program (for the furnishing to Medicare beneficiaries of competitively priced items and services) for competitive acquisition areas in Tennessee.

Terminates contracts already awarded with respect to such areas in Tennessee, and prohibits any payments based on such a contract. Requires any damages resulting from contract terminations to be paid from the Federal Supplementary Medical Insurance Trust Fund.

Directs the Secretary of Health and Human Services (HHS) to conduct a rebid of the competition for such round in such areas as soon as possible in accordance with the requirements of this Act, including the requirement that suppliers meet state licensing requirements.

Requires the Secretary, in the case of any such new competition, to impose a civil monetary penalty of $10,000 on the entity contracted to implement the competitive bidding program for each instance in which information that entity supplies is incorrect and results in the award of a contract to a supplier in such an area to a supplier not licensed by the state of Tennessee.

amends title xviii medicare social security act delay implementation round supplies competitive acquisition program furnishing medicare beneficiaries competitively priced items services competitive acquisition areas tennessee terminates contracts awarded respect areas tennessee prohibits payments based contract requires damages resulting contract terminations paid federal_supplementary_medical_insurance_trust_fund directs secretary health_and_human_services hhs conduct competition round areas soon possible accordance requirements act including requirement suppliers meet state licensing requirements requires secretary case new competition impose civil monetary penalty entity contracted implement competitive bidding program instance information entity supplies incorrect results award contract supplier area supplier licensed state tennessee


Summary: Expedited Disability Insurance Payments for Terminally Ill Individuals Act of 2013 - Amends title II (Old Age, Survivors and Disability Insurance) (OASDI) of the Social Security Act to prescribe formulae for payment of Social Security Disability Insurance (SSDI) benefits over a period of 24 consecutive calendar months for individuals determined to be under a disability upon submission of a diagnosis of a terminal illness.

expedited disability insurance payments terminally ill individuals act amends title old age survivors disability insurance oasdi social security act prescribe formulae payment social_security_disability_insurance benefits period consecutive calendar months individuals determined disability submission diagnosis terminal illness


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

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

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

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


Summary: Healthy Competition for Small Business Act - Amends the Patient Protection and Affordable Care Act to allow qualified employers under such Act to offer their employees enrollment in a health benefits plan under the Federal Employees Health Benefits (FEHB) Program when fewer than two qualified health plans are offered through the Small Business Health Options Program (SHOP Exchange) and no multi-state qualified health plan is available under such Act.

healthy competition small business act amends patient protection affordable care act allow qualified employers act offer employees enrollment health benefits plan fehb program fewer qualified health plans offered multi state qualified health plan available act


Summary: Health Care Coverage for Displaced Workers Act - Amends the Internal Revenue Code, with respect to the tax credit for the health insurance coverage costs of certain taxpayers (i.e., Pension Benefit Guaranty Corporation [PBGC] pension and trade adjustment assistance [TAA] recipients) and their dependents, to: (1) increase the rate of such credit from 72.5% to 80%, and (2) make such credit permanent.

act amends internal revenue code respect tax credit health insurance coverage costs certain taxpayers pension_benefit_guaranty_corporation pbgc pension trade adjustment assistance taa recipients dependents increase rate credit credit permanent


Summary: Exchange Verification of Eligibility to Receive Income-Related Funds for Individuals or the Requiring E-VERIFI Act - Declares that no premium tax credits or reductions in cost-sharing for the purchase of qualified health benefit plans under the Patient Protection and Affordable Care Act (PPACA) shall be permitted until the Inspector General of the Department of Health and Human Services (HHS) certifies to Congress that there is in place a program that successfully and consistently verifies, consistent with PPACA requirements, the household income and coverage requirements of individuals applying for such credits and cost-sharing reductions.

exchange verification eligibility receive income related funds individuals requiring act declares premium tax credits reductions cost sharing purchase qualified health benefit plans patient_protection affordable care act ppaca shall permitted inspector general department_of_health_and_human_services hhs certifies congress place program successfully consistently verifies consistent ppaca requirements household income coverage requirements individuals applying credits cost sharing reductions


Summary:
Congressional Health Care for Seniors Act of 2013 - Allows access to the Federal Employees Health Benefits Program (FEHBP) beginning in 2015 for persons who would have been entitled to, or could have enrolled in part A (Hospital Insurance) Medicare benefits, or who could have enrolled in part B (Supplementary Medical Insurance) Medicare.

States that a covered individual who elects to enroll in such program shall enroll as an individual and not as self and family.

Bases monthly premiums on adjusted gross income.

Requires the Office of Personnel Management (OPM) to establish procedures to ensure that health benefits plans coordinate with state Medicaid programs regarding cost-sharing and other medical assistance for covered individuals enrolled in health benefit plans who are also eligible for medical assistance and enrolled in a state Medicaid program.

Requires OPM, at the end of each contract year, to identify high risk individuals and pay to a carrier contracting to provide a health benefits plan to a high risk individual 90% of the benefits paid by the carrier for such individual.

Defines "high risk individual" as an enrolled individual who, of all individuals enrolled in a health benefits plan for the contract year, is in the highest 5% in terms of benefits paid by a carrier for the contract year.

Exempts health benefits plans from specified insurance requirements of the Patient Protection and Affordable Care Act.

Amends the Social Security Act to incrementally increase the Medicare qualifying age from 65 years to 70 years, by 2034, plus the number of months in a specified age increase factor.

Sunsets Medicare, on January 1, 2014, with a transition to FEHBP coverage. Directs the Secretary of Health and Human Services (HHS) to make available to states recommendations with respect to specified requirements for health care entities and individuals under Medicare that will no longer apply but that should be considered on the state level.

allows access federal_employees_health_benefits_program fehbp beginning persons entitled enrolled medicare benefits enrolled medicare states covered individual elects enroll program shall enroll individual self family bases monthly premiums adjusted gross income requires establish procedures ensure health benefits plans coordinate state medicaid programs cost sharing medical assistance covered individuals enrolled health benefit plans eligible medical assistance enrolled state medicaid program end contract year identify high risk individuals pay carrier contracting provide health benefits plan high risk individual benefits paid carrier individual defines high risk individual enrolled individual individuals enrolled health benefits plan contract year highest terms benefits paid carrier contract year exempts health benefits plans specified insurance requirements patient_protection affordable care act amends social security act incrementally increase medicare qualifying age years years plus number months specified age increase factor sunsets medicare january transition fehbp coverage directs secretary health_and_human_services hhs available states recommendations respect specified requirements health care entities individuals medicare longer apply considered state level


Summary:
Long-Term Care Insurance Consumer Right-to-Know Act of 2013 - Directs the Secretary of Health and Human Services (HHS) to request the National Association of Insurance Commissioners (NAIC) to issue a white paper with its results from the following activities: (1) review and describe disclosure requirements for long-term care insurance policies under the long-term care insurance model regulation and model act promulgated by NAIC (as adopted as of October 2000 and December 2006), (2) review and describe disclosure requirements for long-term care insurance policies under state laws, (3) review and describe differences in long-term care services among states and develop a standardized definition of long-term care services, and (4) identify and describe 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 model act to require the use of such form.

Requires 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 the model form for marketing such contracts.

Directs each state to require any issuer of a long-term care insurance policy to use the model form for marketing a policy.

right know act directs secretary health_and_human_services hhs request national_association_of_insurance_commissioners naic issue white paper results following activities review describe disclosure requirements long term care insurance policies long term care insurance model regulation model act promulgated naic adopted october december review describe disclosure requirements long term care insurance policies state laws review describe differences long term care services states develop standardized definition long term care services identify describe 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 model act require use form requires secretaries treasury hhs promulgate regulations requiring issuers qualified long term care insurance contract certain tax qualified policies use model form marketing contracts directs state require issuer long term care insurance policy use model form marketing policy


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

Amends PPACA to exclude Taft-Hartley plans from the meaning of "qualified health plan."

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


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

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

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


Summary: Expands eligibility for reimbursement from the Department of Veterans Affairs (VA) for emergency medical treatment furnished in a non-VA facility to include veterans that were unable to receive care from the VA within the 24-month period preceding such treatment because of a waiting period imposed by the VA with respect to a new patient examination.

expands eligibility reimbursement department_of_veterans_affairs emergency medical treatment furnished non-va facility include veterans unable receive care month period preceding treatment waiting period imposed respect new patient examination


Summary: Exchange Information Disclosure Act - Amends the Patient Protection and Affordable Care Act to expand reporting requirements related to health care exchanges. Requires the Secretary of Health and Human Services (HHS) to publish reports weekly through March 31, 2015, on: (1) consumer interactions with healthcare.gov or subsequent sites and any efforts undertaken to remedy problems that impact taxpayers and consumers, (2) calls to the federal customer service call center, including the number of calls received by the call center, problems identified by users, and referrals of those calls; (3) all navigators and certified application counselors that have been trained and certified by health care exchanges; and (4) all agents and brokers who have been trained and certified by the federal health care exchange.

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


Summary:
Veterans Health Care Eligibility Expansion and Enhancement Act of 2013 - Modifies provisions relating to health care services for veterans to: (1) require (currently, authorize) the Secretary of the Veterans Administration (VA) to furnish health care services to veterans who do not qualify under existing VA programs for veterans with a service-connected disability or other impairment; (2) require the enrollment in VA health care programs by December 31, 2014, of veterans who do not have a service-connected disability rating; (3) extend the period of the eligibility of veterans with certain combat service to enroll in VA health care programs; (4) limit requirements for providing hospital care, nursing home care, extended care services, and prescription medications to veterans based upon the amount provided in advance in appropriation Acts; and (5) revise criteria for treating veterans as low-income families based upon location and income factors for purposes of enrollment in VA health care programs.

Directs the VA Secretary to: (1) use the VA capitation-based resource allocation model (provides for the allocation of health care services based on factors such as population, patient age and sex, and financial need) in entering into contracts for furnishing health care services; (2) afford priority for entry into contracts for Federally Qualified Health Centers and Community Health Centers; and (3) modify guidance for VA health care services contracts to incorporate best practices in such contracts.

enhancement act modifies provisions relating health care services veterans require currently authorize secretary furnish health care services veterans qualify existing programs veterans service connected disability impairment require enrollment health care programs december veterans service connected disability rating extend period eligibility veterans certain combat service enroll health care programs limit requirements providing hospital care nursing home care extended care services prescription medications veterans based provided advance appropriation acts revise criteria treating veterans low income families based location income factors purposes enrollment health care programs directs secretary use capitation based resource allocation model provides allocation health care services based factors population patient age sex financial need entering contracts furnishing health care services afford priority entry contracts modify guidance health care services contracts incorporate best practices contracts


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

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

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


Summary:
Keeping the Affordable Care Act Promise Act - Permits individuals to continue their individual health insurance coverage in which they are enrolled on December 31, 2013, if they meet requirements applied to such coverage, unless the health insurance issuer cancels all coverage offered in the individual market and ceases operations as a health insurance issuer. Deems such coverage: (1) as a grandfathered health plan under the Patient Protection and Affordable Care Act (PPACA), and (2) to be minimum essential health coverage.

Amends PPACA to require health insurance issuers in the individual market annually, at the time of enrollment and renewal, to provide enrollees with a notice that states: (1) the reasons that such coverage, if applicable, does not meet the requirements under PPACA for a qualified health plan, including citations to the requirements involved; (2) that the enrollee has the right to continue to enroll in such coverage; and (3) that the enrollee has the right to enroll in a qualified health plan offered through a health care exchange and instructions on how to access the exchange.

Requires a health insurance issuer's cancellation notice for individual health insurance coverage to contain a statement of the reasons for the cancellation, including a reference to any provision of PPACA that the issuer relied upon in making the determination to cancel. Exempts from this notice requirement a health plan that has provided, before enactment of this Act, a notification of cancellation that has not yet taken effect. Allows an enrollee to continue coverage under the plan if the issuer continues to offer it, and the issuer shall provide a subsequent notification to the enrollee that states: (1) that such plan will remain in effect at the enrollee's option, and (2) the reasons that the plan does not otherwise meet PPACA requirements for a qualified health plan.

keeping affordable care act promise act permits individuals continue individual health insurance coverage enrolled december meet requirements applied coverage health insurance issuer cancels coverage offered individual market ceases operations health insurance issuer deems coverage grandfathered health plan patient_protection affordable care act ppaca minimum essential health coverage amends ppaca require health insurance issuers individual market annually time enrollment renewal provide enrollees notice states reasons coverage applicable meet requirements ppaca qualified health plan including citations requirements involved enrollee right continue enroll coverage enrollee right enroll qualified health plan offered health care exchange instructions access exchange requires health insurance issuer cancellation notice individual health insurance coverage contain statement reasons cancellation including reference provision ppaca issuer relied making determination cancel exempts notice requirement health plan provided enactment act notification cancellation taken effect allows enrollee continue coverage plan issuer continues offer issuer shall provide subsequent notification enrollee states plan remain effect enrollee option reasons plan meet ppaca requirements qualified health plan


Summary: Provider Tax Administrative Simplification Act of 2013 - Requires the Secretary of Health and Human Services (HHS) to approve a waiver of the uniform tax requirement (whether or not the tax is broad based), regardless of whether the state concerned satisfies certain requirements, for any state with a provider tax that does not apply to continuing care retirement communities or life care communities that: (1) have no beds certified to provide medical assistance under title XIX (Medicaid) of the Social Security Act, or (2) do not provide services for which Medicaid payment may be made.

requires secretary health_and_human_services hhs approve waiver uniform tax requirement tax broad based regardless state concerned satisfies certain requirements state provider tax apply continuing care retirement communities life care communities beds certified provide medical assistance title xix medicaid social security act provide services medicaid payment


Summary:
ACA Enrollment Extension Act - Amends the Patient Protection and Affordable Care Act to revise the initial open enrollment period provided by a health care exchange so that the period closes on a date that is the later of: (1) May 31, 2014, or (2) a later date determined by the Secretary of Health and Human Services (HHS) after considering the progress made on improving the functionality of the federally-facilitated health insurance marketplace and related factors.

Provides similar terms for initial or special enrollment periods applicable to other health insurance coverage in the individual market.

Amends the Internal Revenue Code to exempt individuals, for taxable year 2014, from the penalty for not maintaining minimum essential coverage for any month ending prior to the enrollment period closing date determined by the Secretary under this Act.

affordable care act revise initial open enrollment period provided health care exchange period closes date later later date determined secretary health_and_human_services hhs considering progress improving functionality federally facilitated health insurance marketplace related factors provides similar terms initial special enrollment periods applicable health insurance coverage individual market amends internal revenue code exempt individuals taxable year penalty maintaining minimum essential coverage month ending prior enrollment period closing date determined secretary act


Summary:
Continuous Coverage Act - Provides that, notwithstanding any provision of the Patient Protection and Affordable Care Act (PPACA) or the Health Care and Education Reconciliation Act of 2010:

 a health insurance issuer shall offer an individual the opportunity to renew enrollment in coverage offered in the individual market if the individual was enrolled in such coverage on September 30, 2013, and continues to meet the requirements of eligibility for such coverage; an individual may renew enrollment in such coverage for plan years through December 31, 2015; the coverage shall not be required to meet PPACA essential health benefits requirements; and the coverage shall be deemed to meet the Internal Revenue Code minimum essential coverage requirement (thus not subjecting the taxpayer to a penalty).

continuous coverage act provides notwithstanding provision patient_protection affordable care act ppaca health_care_and_education reconciliation act health insurance issuer shall offer individual opportunity renew enrollment coverage offered individual market individual enrolled coverage september continues meet requirements eligibility coverage individual renew enrollment coverage plan years december coverage shall required meet ppaca essential health benefits requirements coverage shall deemed meet internal revenue code minimum essential coverage requirement subjecting taxpayer penalty


Summary:
State Health Care Choice Act - Authorizes a state to limit the application of the Patient Protection and Affordable Care Act (PPACA) with respect to health insurance coverage within that state by enacting a law that: (1) expresses the intent of the state to opt out of one or more of the provisions of PPACA, (2) contains a list of the provisions that will not apply to the state, and (3) either expresses the state's intent to continue to administer health coverage-related laws as in effect in the state on March 23, 2010, or provides for the implementation of related state laws enacted after such date.

Sets forth provisions that may be made inapplicable within a state, including provisions related to health coverage, essential health benefits, health insurance exchanges, alternative health plans established by states, individual and employer health coverage requirements, interoperable protocols for enrollment in federal and state health and human service programs, and expansion of Medicaid coverage.

state health care choice act authorizes state limit application patient_protection affordable care act ppaca respect health insurance coverage state enacting law expresses intent state opt provisions ppaca contains list provisions apply state expresses state intent continue administer health coverage related laws effect state march provides implementation related state laws enacted date sets forth provisions inapplicable state including provisions related health coverage essential health benefits health insurance exchanges alternative health plans established states individual employer health coverage requirements interoperable protocols enrollment federal state health human service programs expansion medicaid coverage


Summary: Obamacare Taxpayer Bailout Prevention Act - Repeals the provision of the Patient Protection and Affordable Care Act that directs the Secretary of Health and Human Services (HHS) to establish and administer a program of risk corridors for calendar years 2014, 2015, and 2016 under which a qualified health plan offered in the individual or small group market is required to participate in a payment adjustment system based on the ratio of the allowable costs of the plan to the plan's aggregate premiums.

obamacare taxpayer bailout prevention act repeals provision patient_protection affordable care act directs secretary health_and_human_services hhs establish administer program risk corridors calendar years qualified health plan offered individual small group market required participate payment adjustment system based ratio allowable costs plan plan aggregate premiums


Summary:
Expanded Consumer Choice Act - Amends the Patient Protection and Affordable Care Act to provide a new "copper" level of coverage under qualified health plans, designed to provide benefits that are actuarially equivalent to 50% of the full actuarial value of the benefits provided under the plan. Requires cost-sharing under such a plan to exceed the amount applicable to a plan at the bronze level.

Requires the Secretary of Health Human Services (HHS) to promulgate regulations providing for annual limits on deductibles and cost-sharing for copper-level plans to ensure that the limits are reasonable for every marketplace and to consider the feasibility of the relative plan design in each local insurance marketplace.

Allows qualification of copper-level plans as multi-state plans.

expanded consumer choice act amends patient protection affordable care act provide new copper level coverage qualified health plans designed provide benefits actuarially equivalent actuarial value benefits provided plan requires cost sharing plan exceed applicable plan bronze level requires secretary hhs promulgate regulations providing annual limits deductibles cost sharing copper level plans ensure limits reasonable marketplace consider feasibility relative plan design local insurance marketplace allows qualification copper level plans multi state plans


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

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


Summary:
Medicaid Managed Care Responsibility and Equity Act - Amends titles XIX (Medicaid) and XXI (Children's Health Insurance) (CHIP) of the Social Security Act (SSA) with respect to managed care requirements.

Requires a minimum medical loss ratio of at least 85% for Medicaid and CHIP managed care plans under contracts between a state and a managed medical care entity (health maintenance organization), but a minimum ratio of only 80% for an entity in which at least 10% of the enrollees are optional targeted low-income children.

Prescribes administrative penalties for failure to maintain such ratios.

Applies the same minimum medical loss ratios to a state child health (CHIP) plan, except for a medical loss ratio of at least 80% for managed care organizations.

equity act amends titles xix medicaid chip social security act ssa respect managed care requirements requires minimum medical loss ratio medicaid chip managed care plans contracts state managed medical care entity health maintenance organization minimum ratio entity enrollees optional targeted low income children prescribes administrative penalties failure maintain ratios applies minimum medical loss ratios state child health chip plan medical loss ratio managed care organizations


Summary:
Premium Disclosure Act - Amends the Patient Protection and Affordable Care Act, with respect to state health care exchanges, to revise open enrollment period requirements so that such periods commence on October 15 and end on December 7 of each calendar year after the initial open enrollment period. Prohibits modification of such dates by the Secretary of Health and Human Services (HHS).

Requires the Secretary to carry out activities to broadly disseminate information to qualified individuals (and those who may become qualified individuals) concerning open enrollment periods, monthly premiums, and cost-sharing requirements under qualified health plans, ensuring that such information is first made available at least 30 days prior to the initial open enrollment period.

premium disclosure act amends patient protection affordable care act respect state health care exchanges revise open enrollment period requirements periods commence october end december calendar year initial open enrollment period prohibits modification dates secretary health_and_human_services hhs requires secretary carry activities broadly disseminate information qualified individuals qualified individuals concerning open enrollment periods monthly premiums cost sharing requirements qualified health plans ensuring information available days prior initial open enrollment period


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

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

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

Small Business Health Fairness Act of 2013 - Amends the Employee Retirement Income Security Act of 1974 (ERISA) to provide for establishment and governance of association health plans, which are group health plans whose sponsors are trade, industry, professional, chamber of commerce, or similar business associations and which meet certain ERISA certification requirements.

Directs that the laws of the state designated by a health insurance issuer (primary state) shall apply to individual health insurance coverage offered by that issuer in the primary state and in any other state (secondary state), but only if the coverage and issuer comply with conditions of this Act.

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

 Directs the Secretary of Health and Human Services (HHS) to issue best practice guidelines for the treatment of medical conditions. Sets forth how such guidelines may be used in a health care lawsuit. Permits a group health plan to vary premiums and cost-sharing by up to 50% of the benefits based on participation (or lack of participation) in a wellness program.

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

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

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

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

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

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


Summary:
Cancer Treatment Parity Act of 2013 - Amends the Employee Retirement Income Security Act of 1974 (ERISA), the Public Health Service Act, and the Internal Revenue Code to require a group or individual health plan providing benefits with respect to anticancer medications administered by a health care provider to provide no less favorable coverage for prescribed, patient-administered anticancer medications used to kill, slow, or prevent the growth of cancerous cells and that have been approved by the Food and Drug Administration (FDA).

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

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

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

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

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

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


Summary:
Coverage Protection Act - Directs the Secretary of Health and Human Services (HHS), in the case of an individual who enrolls in a qualified health plan offered through a health care exchange established under the Patient Protection and Affordable Care Act (PPACA) before February 1, 2014, to require the issuer of the plan to treat such individual as enrolled as of December 23, 2013, if the individual:

 attests, not later than January 31, 2014, to making reasonable, good-faith attempts to successfully enroll in such a plan through an exchange before December 23, 2013, or was initially determined through healthcare.gov to be eligible to enroll in a Medicaid plan but is not eligible to so enroll in such a plan and, because of the incorrect eligibility determination, was subsequently unable to enroll in a qualified plan before December 23, 2013; and pays to the issuer of the plan in which the individual is enrolled any premiums owed for enrollment in the plan, taking into account the amount of any premium assistance made available under the Internal Revenue Code. Counts coverage provided under a qualified plan for January and February 2014 under this Act as coverage under such a plan by or through an exchange for such months for all purposes, including premium assistance, PPACA cost-sharing reductions, and the requirement to maintain minimum essential coverage. Amends PPACA to allow a state to make coverage under a qualified plan retroactive to January 1, 2014, with respect to an individual who enrolls through the state exchange (or the federal exchange in the case of a state that does not have one) during the period established by the state that begins on December 23, 2013, and ends on a date determined by the state, but not later than January 31, 2014. Allows a state that has an enrollment deadline that is prior to December 23, 2013, to modify the period to encompass such deadline. Applies retroactively to January 1, 2014, any premium assistance tax credit or cost-sharing assistance for which the individual is determined to be eligible, but where the determination has not been verified by the date on which the individual enrolls in the qualified plan. Directs the Secretary to require a health insurance issuer that offers a qualified plan through an exchange to: allow in-network providers in the plan to treat a receipt of payment of premiums by an individual enrolled for January or February 2014 who has not received a health insurance card from the issuer in the same manner as if such receipt were such a health insurance card issued for services furnished during such month; and notify such in-network providers of that policy.

coverage protection act directs secretary health_and_human_services hhs case individual enrolls qualified health plan offered health care exchange established patient_protection affordable care act ppaca february require issuer plan treat individual enrolled december individual attests later january making reasonable good faith attempts successfully enroll plan exchange december initially determined eligible enroll medicaid plan eligible enroll plan incorrect eligibility determination subsequently unable enroll qualified plan december pays issuer plan individual enrolled premiums owed enrollment plan taking account premium assistance available internal revenue code counts coverage provided qualified plan january february act coverage plan exchange months purposes including premium assistance ppaca cost sharing reductions requirement maintain minimum essential coverage amends ppaca allow state coverage qualified plan retroactive january respect individual enrolls state exchange federal exchange case state period established state begins december ends date determined state later january allows state enrollment deadline prior december modify period encompass deadline applies retroactively january premium assistance tax credit cost sharing assistance individual determined eligible determination verified date individual enrolls qualified plan directs secretary require health insurance issuer offers qualified plan exchange allow network providers plan treat receipt payment premiums individual enrolled january february received health insurance card issuer manner receipt health insurance card issued services furnished month notify network providers policy


Summary:
Health Insurance Accountability Act of 2013 - Repeals the Patient Protection and Affordable Care Act (PPACA) and the health care provisions of the Health Care and Education Reconciliation Act of 2010, effective on the date on which a study reported by the Comptroller General (GAO) determines that the number of individuals who are uninsured exceeds the number of individuals who were uninsured on the date of enactment of the PPACA. Requires subsequent studies and reports every 60 days until the Comptroller General makes such a determination.

Directs the Secretary of Health and Human Services (HHS), if a determination is made on the basis of the last such report submitted during a fiscal year that the number of uninsured has decreased as compared to the number on the date of PPACA enactment, to reduce the unobligated funding for the following, according to a specified ratio: health insurance consumer information, assistance to states for health care exchanges, and the Health Insurance Reform Implementation Fund. Deems such amounts to rescinded and permanently cancelled for purposes of debt reduction.

repeals patient protection affordable care act ppaca health care provisions health_care_and_education reconciliation act effective date study reported comptroller_general gao determines number individuals uninsured exceeds number individuals uninsured date enactment ppaca requires subsequent studies reports days comptroller general makes determination directs secretary health_and_human_services hhs determination basis report submitted fiscal year number uninsured decreased compared number date ppaca enactment reduce unobligated funding following according specified ratio health insurance consumer information assistance states health care exchanges deems amounts rescinded permanently cancelled purposes debt reduction


Summary:
Removing Limitations on Insurance Effectiveness and Flexibility Act of 2013 or the ReLIEF Act - Allows catastrophic health plans described in the Patient Protection and Affordable Care Act to be considered as providing essential health benefits by removing certain enrollment eligibility restrictions (concerning age and certification of exemption from the Internal Revenue Code requirement to maintain minimum essential coverage).

Deems coverage under such a plan to meet the Internal Revenue Code requirement that an individual maintain minimum essential coverage.

removing limitations insurance effectiveness flexibility act relief act allows catastrophic health plans described patient_protection affordable care act considered providing essential health benefits removing certain enrollment eligibility restrictions concerning age certification exemption internal revenue code requirement maintain minimum essential coverage deems coverage plan meet internal revenue code requirement individual maintain minimum essential coverage


Summary:
Better Care, Lower Cost Act - Amends title XVIII (Medicare) of the Social Security Act (SSA) to direct the Secretary of Health and Human Services (HHS) to establish an integrated chronic care delivery program (Better Care Program or BCP) that promotes accountability and better care management for chronically ill patient populations and coordinates items and services under Medicare parts A (Hospital Insurance), B (Supplementary Medical Insurance), and D (Voluntary Prescription Drug Benefit Program), while encouraging investment in infrastructure and redesigned care processes that result in high quality and efficient service delivery for the most vulnerable and costly populations.

Requires the program to include specified elements and focus on long-term cost containment and better overall health of the Medicare population by implementing through qualified BCPs strategies that prevent, delay, or minimize the progression of illness or disability associated with chronic conditions.

Amends SSA title XIX (Medicaid) to require a state to pay the Secretary, with certain adjustments, for full benefit dual eligible individuals (eligible for both Medicare and Medicaid) enrolled in a qualified BCP. Makes Medicare the primary payor for such individuals.

Amends SSA title XVIII part C (Medicare+Choice Program) to direct the Secretary to establish procedures for the transition of special needs individuals to a Medicare Advantage plan qualified BCPs.

Prohibits any Medicare supplemental (Medigap) policy from covering cost-sharing for items and services (other than certain emergent services) furnished to an enrollee in a qualified BCP by a service provider or supplier that is not a qualified BCP professional.

Revises requirements for the initial preventive physical examination (Welcome to Medicare visit) and annual wellness visits for BCP eligible individuals.

Directs the Secretary, acting through the Agency for Healthcare Research and Quality, to designate and provide core funding for at least three Chronic Care Innovation Centers.

Establishes new curricula requirements for direct and indirect graduate medical education payments that address the need for team-based care and chronic care management, including palliative medicine, chronic care management, leadership and team-based skills and planning, and leveraging technology as a care tool.

title xviii medicare social security act ssa direct secretary health_and_human_services hhs establish integrated chronic care delivery program promotes accountability better care management chronically ill patient populations coordinates items services medicare parts voluntary prescription drug benefit program encouraging investment infrastructure care processes result high quality efficient service delivery vulnerable costly populations requires program include specified elements focus long term cost containment better overall health medicare population implementing qualified strategies prevent delay minimize progression illness disability associated chronic conditions amends ssa title xix medicaid require state pay secretary certain adjustments benefit dual eligible individuals eligible medicare medicaid enrolled qualified makes medicare primary payor individuals amends ssa title xviii program direct secretary establish procedures transition special needs individuals medicare_advantage plan qualified prohibits medicare supplemental medigap policy covering cost sharing items services certain emergent services furnished enrollee qualified service provider supplier qualified professional revises requirements initial preventive physical examination welcome medicare visit annual wellness visits eligible individuals directs secretary acting agency healthcare_research quality designate provide core funding chronic care innovation centers establishes new curricula requirements direct indirect graduate medical education payments address need team based care chronic care management including palliative medicine chronic care management leadership team based skills planning leveraging technology care tool


Summary: Diabetic Testing Supply Access Act of 2014 - Amends title XVIII (Medicare) of the Social Security Act to deny the Secretary of Health and Human Services (HHS) authority to restrict or eliminate a Medicare beneficiary's option of electing, regardless of delivery method (except by mail and private parcel service), to have diabetic testing supplies delivered to him or her by retail community pharmacies, including one that contracts with a long-term care facility, assisted living facility, group home, or other type of residential setting recognized by the state.

diabetic testing supply access act amends title xviii medicare social security act deny secretary health_and_human_services hhs authority restrict eliminate medicare beneficiary option electing regardless delivery method mail private parcel service diabetic testing supplies delivered retail community pharmacies including contracts long term care facility assisted living facility group home type residential setting recognized state