Summary: Emergency Coverage During an Incident of National Significance Act of 2007 - Directs the Office of Personnel Management (OPM) to administer a health insurance program for certain individuals affected by an incident of national significance. Requires OPM to contract with three or more carriers to make available five or more federal health benefits plans (subject to the provisions of this Act) to eligible individuals. Allows an income-related tax credit for amounts paid by eligible individuals for coverage under the health insurance plan established by this Act. Directs the Secretary of the Treasury to establish a program for making payments on behalf of certain individuals to such plan. Requires the Secretary of Homeland Security, other federal officers, and the Director of OPM to submit a plan that: (1) provides for the orderly implementation of the amendments made by this Act; and (2) includes a schedule of actions to be taken to provide for that implementation.

emergency coverage incident national significance act directs administer health insurance program certain individuals affected incident national significance requires opm contract carriers available federal health benefits plans subject provisions act eligible individuals allows income related tax credit amounts paid eligible individuals coverage health insurance plan established act directs secretary treasury establish program making payments behalf certain individuals plan requires secretary homeland_security federal officers director opm submit plan provides orderly implementation amendments act includes schedule actions taken provide implementation


Summary: Children's Access to Reconstructive Evaluation & Surgery (CARES) Act of 2007 - Amends the Public Health Service Act, the Employee Retirement Income Security Act of 1974 (ERISA), and the Internal Revenue Code to require a group health plan, and a health insurance issuer offering group coverage, that cover surgical benefits to also cover outpatient and inpatient diagnosis and treatment of a congenital or developmental deformity, disease, or injury of a minor child (defined as child under the age of 22).Requires that such coverage: (1) be subject to pre-authorization or pre-certification requirements of the plan or issuer; and (2) include any surgical treatment deemed by the treating physician to be medically necessary to approximate a normal appearance. Defines "treatment" to include reconstructive surgical procedures that are performed on abnormal structures of the body caused by congenital defects, abnormalities, trauma, infection, tumors, or disease, including: (1) procedures that do not materially affect the function of the body part being treated; and (2) procedures for secondary conditions and follow-up treatment. Excludes cosmetic surgery performed to reshape normal structures of the body to improve appearance or self-esteem.

cares act amends public_health_service_act employee retirement income security act erisa internal revenue code require group health plan health insurance issuer offering group coverage cover surgical benefits cover outpatient inpatient diagnosis treatment congenital developmental disease injury minor child defined child age coverage subject pre authorization pre certification requirements plan issuer include surgical treatment deemed treating physician medically necessary approximate normal appearance defines treatment include reconstructive surgical procedures performed abnormal structures body caused congenital defects abnormalities trauma infection tumors disease including procedures materially affect function body treated procedures secondary conditions follow treatment excludes cosmetic surgery performed normal structures body improve appearance self


Summary: Medicare Hearing Health Care Enhancement Act of 2007 - Amends title XVIII (Medicare) of the Social Security Act to provide for direct access to qualified audiologists for Medicare beneficiaries, without regard to any requirement that the beneficiary be under the care of (or referred by) a physician or other health care practitioner, or that such services are provided under the supervision of a physician or other health care practitioner. Covers audiology services under Medicare part B (Supplementary Medical Insurance).

amends title xviii medicare social security act provide direct access qualified audiologists medicare beneficiaries regard requirement beneficiary care referred physician health care practitioner services provided supervision physician health care practitioner covers audiology services medicare supplementary_medical_insurance


Summary: Communities Building Access Act - Amends the Public Health Service Act to require the Secretary of Health and Human Services to make grants to public or nonprofit private entities to carry out demonstration projects for the purpose of making health care coverage available, on a cost-sharing basis, to: (1) employees through employers that have not contributed to health care benefits for employees during the prior 12 months; and (2) self-employed individuals who have been without such coverage during the prior 12 months. Requires the Secretary to make matching grants to public or nonprofit private entities to carry out demonstration projects for the purpose of forming and maintaining networks composed of health care specialists who volunteer health services to eligible individuals. Directs the Secretary to make an award of a grant or contract for the establishment and operation of a clearinghouse for information on demonstration projects under this Act and similar projects that are community initiated. Allows the Secretary to carry out a program to encourage public and private entities that plan or operate such projects to submit information to the clearinghouse.

communities building access act amends public_health_service_act require secretary health_and_human_services grants public nonprofit private entities carry demonstration projects purpose making health care coverage available cost sharing basis employees employers contributed health care benefits employees prior months self employed individuals coverage prior months requires secretary matching grants public nonprofit private entities carry demonstration projects purpose forming maintaining networks composed health care specialists volunteer health services eligible individuals directs secretary award grant contract establishment operation clearinghouse information demonstration projects act similar projects community initiated allows secretary carry program encourage public private entities plan operate projects submit information clearinghouse


Summary: MedPAC Rural Representation Act - Amends title XVIII (Medicare) of the Social Security Act to require that the proportion of members of the Medicare Payment Advisory Commission (MEDPAC) who represent the interests of health care providers and Medicare beneficiaries located in rural areas be no less than the proportion of the total number of Medicare beneficiaries who reside in such areas.

medpac rural representation act amends title xviii medicare social security act require proportion members medicare_payment_advisory_commission medpac represent interests health care providers medicare beneficiaries located rural areas proportion total number medicare beneficiaries reside areas


Summary: Keeping Small Businesses Healthy Act of 2007 - Amends the Internal Revenue Code to allow certain small business employers (100 or fewer employees) a refundable tax credit for up to 60 percent of the health insurance costs paid for their employees.

keeping small businesses amends internal revenue code allow certain small business employers fewer employees refundable tax credit percent health insurance costs paid employees


Summary: Menopausal Hormone Replacement Therapies and Alternative Treatments and Fairness Act of 2007 - Amends the Social Security Act to include coverage of hormone replacement therapy for menopausal symptoms and alternative treatments for such therapy under Medicare (title XVIII of the Act). Includes alternative treatments for hormone replacement therapy for menopausal symptoms under Medicaid (title XIX of the Act). Requires coverage of hormone replacement therapy for menopausal symptoms and alternative treatments for such therapy on the same basis as outpatient prescription drugs under: (1) the Public Health Service Act and the Employee Retirement Income Security Act of 1974 (group health plans and group and individual health insurance); (2) the Internal Revenue Code (group health plans);and (3) federal employee health benefit plans.Includes alternative treatments for hormone replacement therapy for menopausal symptoms under veterans' benefits.

therapies alternative treatments fairness act amends social security act include coverage replacement therapy symptoms alternative treatments therapy medicare title xviii act includes alternative treatments replacement therapy symptoms medicaid title xix act requires coverage replacement therapy symptoms alternative treatments therapy basis outpatient prescription drugs public_health_service_act employee retirement income security act group health plans group individual health insurance internal revenue code group health federal employee health benefit plans includes alternative treatments replacement therapy symptoms veterans benefits


Summary: Tax Equity for Health Plan Beneficiaries Act of 2007 - Amends the Internal Revenue Code to: (1) extend the exclusion from gross income for employer-provided health care coverage to certain eligible beneficiaries and their dependent children; (2) revise the definition of "dependent" for purposes of the tax deduction for the health insurance costs of self-employed individuals; and (3) extend voluntary employees' beneficiary association sick and accident benefits to eligible beneficiaries and their dependents.

tax equity health plan beneficiaries act amends internal revenue code extend exclusion gross income employer provided health care coverage certain eligible beneficiaries dependent children revise definition dependent purposes tax deduction health insurance costs self employed individuals extend voluntary employees beneficiary association sick accident benefits eligible beneficiaries dependents


Summary: Prohibits the Secretary of Health and Human Services, in making coverage determinations respecting intermittent catheterization under part B (Supplementary Medical Insurance) of title XVIII (Medicare) of the Social Security Act, from denying coverage of a replacement catheter on the basis of frequency of use.

prohibits secretary health_and_human_services making coverage determinations respecting intermittent title xviii medicare social security act denying coverage replacement basis frequency use


Summary: AmeriCare Health Care Act of 2007 - Adds a new title XXII to the Social Security Act (SSA) entitled "AmeriCare Health Benefits." Makes all U.S. residents eligible for AmeriCare benefits, including prescription drugs and biologicals. Requires the development of an AmeriCare enrollment mechanism that includes automatic enrollment at birth and the issuance of AmeriCare cards for identification and claims processing purposes.Provides that an individual may elect not to be enrolled for benefits under AmeriCare if the individual has health benefits coverage under a group health plan at least equivalent to AmeriCare coverage.Provides the same benefits under AmeriCare as are provided under parts A (Hospital Insurance) and B (Supplementary Medical Insurance) of SSA title XVIII (Medicare).Provides additional AmeriCare coverage to children under age 24, pregnant women, and low-income individuals. Establishes the AmeriCare Trust Fund.Requires the modification of Medicaid (SSA title XIX), SCHIP (SSA title XXI (State Children's Health Insurance Program), and other federal health programs to avoid their duplication of AmeriCare coverage. Provides for the regulation of AmeriCare supplemental policies.Establishes the general obligations for individuals and employers for the cost of health insurance coverage provided under this Act. Provides for additional premium subsidies.

adds new title xxii social security act ssa entitled health benefits makes residents eligible benefits including prescription drugs biologicals requires development enrollment mechanism includes automatic enrollment birth issuance cards identification claims processing purposes provides individual elect enrolled benefits individual health benefits coverage group health plan equivalent coverage provides benefits provided parts ssa title xviii additional coverage children age pregnant women low income individuals establishes requires modification medicaid ssa title xix schip ssa title federal health programs avoid duplication coverage provides regulation supplemental policies establishes general obligations individuals employers cost health insurance coverage provided act provides additional premium subsidies


Summary: Medicare Durable Medical Equipment Access Act of 2007 - Amends title XVIII (Medicare) of the Social Security Act to prohibit the Secretary of Health and Human Services from awarding any contracts under the competitive durable medical equipment items and services acquisition program unless: (1) the quality standards have been implemented; and (2) the Secretary has received advice from the program oversight committee. Requires the Secretary (who currently is authorized), in carrying out competitive acquisition programs, to exempt: (1) rural areas and areas with low population density within urban areas that are not competitive, unless there is a significant national market through mail order for a particular item or service; and (2) items and services for which the application of competitive acquisition is not likely to result in significant savings. Exempts smaller metropolitan statistical areas as well. Modifies requirements for the protection of small suppliers in bidding and contracting. Requires the Secretary to permit all suppliers to continue to participate as suppliers at the selected award price so long as they submit bids at less than the fee schedule amount otherwise applicable and otherwise comply with program requirements. Provides for appeal rights (currently denied).Requires the Secretary to exempt from competitive acquisition requirements items and services for which the application of competitive acquisition is not likely to result in significant savings of at least 10%. Prohibits the Secretary from implementing a program with respect to an item or service unless inclusion of the item or service will make significant savings of at least 10% probable, compared to the fee schedule in effect on January 1, 2007. Prohibits the Secretary from implementing certain payment rate basis requirements for covered items furnished after January 1, 2009, with respect to an area that is not a competitive acquisition area, unless a comparability analysis has been completed and published. Directs the Secretary, after fully implementing the initial 10 competitive acquisition areas, to analyze and report to Congress on the impact of competitive bidding in those areas. Prohibits expanding the coverage of competitive acquisition programs, or applying bid rates to non-bid areas, beyond the 10 competitive acquisition areas, unless specifically authorized by Congress.

amends title xviii medicare social security act prohibit secretary health_and_human_services awarding contracts competitive durable medical equipment items services acquisition program quality standards implemented secretary received advice program oversight committee requires secretary currently authorized carrying competitive acquisition programs exempt rural areas areas low population density urban areas competitive significant national market mail order particular item service items services application competitive acquisition likely result significant savings exempts smaller metropolitan statistical areas modifies requirements protection small suppliers bidding contracting requires secretary permit suppliers continue participate suppliers selected award price long submit bids fee schedule applicable comply program requirements provides appeal rights currently secretary exempt competitive acquisition requirements items services application competitive acquisition likely result significant savings prohibits secretary implementing program respect item service inclusion item service significant savings probable compared fee schedule effect january prohibits secretary implementing certain payment rate basis requirements covered items furnished january respect area competitive acquisition area comparability analysis completed published directs secretary fully implementing initial competitive acquisition areas analyze report congress impact competitive bidding areas prohibits expanding coverage competitive acquisition programs applying bid rates non bid areas competitive acquisition areas specifically authorized congress


Summary: Child Health Care Affordability Act - Amends the Internal Revenue Code to allow a tax credit for the medical expenses of a dependent. Limits the amount of such credit to $500 (adjusted for inflation) per dependent. Increases the amount of the credit to $3,000 (adjusted for inflation) for a dependent who has a terminal disease, cancer, a disability, or any other health condition requiring hospitalization or other forms of specialized care. (Coordinates the credit allowed by this Act with the income tax credit for household and dependent care expenses and the income tax deduction for medical expenses to prevent a double tax benefit.)

child health care affordability act amends internal revenue code allow tax credit medical expenses dependent limits credit adjusted inflation dependent increases credit adjusted inflation dependent terminal disease cancer disability health condition requiring hospitalization forms specialized care coordinates credit allowed act income tax credit household dependent care expenses income tax deduction medical expenses prevent double tax benefit


Summary: Veterans Traumatic Brain Injury Treatment Act of 2007 - Directs the Secretary of Veterans Affairs to: (1) establish a program to screen veterans eligible for Department of Veterans Affairs (VA) hospital, medical, and nursing home care for symptoms of traumatic brain injury (TBI); (2) develop and carry out a program of long-term care for post-acute TBI rehabilitation; (3) establish a TBI transition office at each VA polytrauma network site to coordinate the provision of health care and services to veterans who suffer from moderate to severe TBI and are in need of health care and services not immediately offered by the VA; and (4) establish and maintain the Traumatic Brain Injury Veterans' Health Registry.

veterans traumatic brain injury treatment act directs secretary veterans_affairs establish program screen veterans eligible department_of_veterans_affairs hospital medical nursing home care symptoms traumatic brain injury tbi develop carry program long term care post acute tbi rehabilitation establish tbi transition office polytrauma network site coordinate provision health care services veterans suffer moderate severe tbi need health care services immediately offered establish maintain traumatic brain injury veterans health registry


Summary: Medicare Cost Contract Extension and Refinement Act of 2007 - Amends title XVIII (Medicare) of the Social Security Act (SSA) to: (1) extend the period reasonable cost reimbursement contracts under Medicare can remain in the market, and the period during which they can be modified to expand their service area; and (2) apply to extended or renewed reasonable cost contracts certain requirements under Medicare part C (Medicare Advantage).

refinement act amends title xviii medicare social security act ssa extend period reasonable cost reimbursement contracts medicare remain market period modified expand service area apply extended renewed reasonable cost contracts certain requirements medicare medicare advantage


Summary: Health Insurance for Life Act of 2007 - Amends the Employee Retirement Income Security Act (ERISA), the Internal Revenue Code, and the Public Health Service Act to remove all limitations on Consolidated Omnibus Budget Reconciliation Act (COBRA) continuation coverage that establish a period by which such coverage must end, and instead provides no deadline for discontinuing such coverage. Sets forth a formula to determine the maximum allowable premium that certain qualified disabled beneficiaries and individuals receiving extended coverage provided pursuant to this Act may be charged based on the average monthly actuarial cost of such continuation coverage. Applies such provisions to continuation coverage provided pursuant to the Federal Employee Health Benefits Program (FEHBP).

amends employee retirement income security act erisa internal revenue code public_health_service_act remove limitations consolidated_omnibus_budget reconciliation act cobra continuation coverage establish period coverage end instead provides deadline discontinuing coverage sets forth formula determine maximum allowable premium certain qualified disabled beneficiaries individuals receiving extended coverage provided pursuant act charged based average monthly actuarial cost continuation coverage applies provisions continuation coverage provided pursuant fehbp


Summary: Medicaid Emergency Psychiatric Care Act of 2007 - Amends title XIX (Medicaid) of the Social Security Act with respect to reimbursement for specified emergency care and services of private institutions for mental diseases subject (under the Emergency Medical Treatment and Active Medicaid (EMTALA) Program) to certain requirements for examination and treatment for emergency medical conditions.Requires the Medicaid program to reimburse such institutions for care and services required to stabilize an emergency medical condition of an individual between ages 21 and 65, if the treatment is within the range of services that such institution typically provides.

medicaid emergency psychiatric care act amends title xix medicaid social security act respect reimbursement specified emergency care services private institutions mental diseases subject program certain requirements examination treatment emergency medical conditions requires medicaid program reimburse institutions care services required stabilize emergency medical condition individual ages treatment range services institution typically provides


Summary: Medicaid Advanced Practice Nurses and Physician Assistants Access Act of 2007 - Amends title XIX (Medicaid) of the Social Security Act to eliminate the state option to include nurse practitioners, certified nurse-midwives, and physician assistants as primary care case managers. Specifies as primary care case managers any nurse practitioner, certified nurse-midwife, or physician assistant that provides primary care case management services under a primary care case management contract.Revises the coverage of certain nurse practitioner services under the Medicaid fee-for-service program to remove the specification of certified pediatric nurse practitioner and certified family nurse practitioner in order to extend such coverage to services furnished by a nurse practitioner or clinical nurse specialist. Includes nurse practitioners, clinical nurse specialists, physician assistants, certified nurse midwives, and certified registered nurse anesthetists in the mix of service providers which Medicaid managed care organizations are required to maintain.

medicaid_advanced_practice_nurses physician assistants access act amends title xix medicaid social security act eliminate state option include nurse practitioners certified nurse midwives physician assistants primary care case managers specifies primary care case managers nurse practitioner certified nurse midwife physician assistant provides primary care case management services primary care case management contract revises coverage certain nurse practitioner services medicaid fee service program remove specification certified pediatric nurse practitioner certified family nurse practitioner order extend coverage services furnished nurse practitioner clinical nurse specialist includes nurse practitioners clinical nurse specialists physician assistants certified nurse midwives certified registered nurse anesthetists mix service providers medicaid managed care organizations required maintain


Summary: Small Business Health Plans Act of 2007 - Amends the Public Health Service Act to direct the Secretary of Health and Human Services to establish a small business health benefits program (SBHBP) under which small employers may offer health insurance coverage to employees and their dependents. Outlines program elements and coverage requirements, including that small employers are provided access to qualified health pooling arrangements under which their employees may elect coverage substantially similar to the federal employees benefit program (FEHB) coverage. Requires the Secretary to: (1) establish a program of premium assistance for small employers under SBHBP that provides a sliding scale of assistance based on the number of employees, the average wage level of such employees, and the employer profit margin; (2) provide for reinsurance coverage for an individual's claims that exceed a specified amount for a year; and (3) provide grants to states for the establishment, initial administration, and operations of qualified health pooling arrangements. Directs the Secretary and the Secretary of Labor to provide for a national health pooling arrangement for eligible small employers modeled after FEHB.

plans act amends public_health_service_act direct secretary health_and_human_services establish small business health benefits program small employers offer health insurance coverage employees dependents outlines program elements coverage requirements including small employers provided access qualified health pooling arrangements employees elect coverage substantially similar federal employees benefit program fehb coverage requires secretary establish program premium assistance small employers provides sliding scale assistance based number employees average wage level employees employer profit margin provide reinsurance coverage individual claims exceed specified year provide grants states establishment initial administration operations qualified health pooling arrangements directs secretary secretary labor provide national health pooling arrangement eligible small employers modeled fehb


Summary: Healthcare Eligibility for Late Participants (HELP) in Medicare Part D Act of 2007 - Amends title XVIII (Medicare) of the Social Security Act to waive the late enrollment penalty under Medicare part D (Voluntary Prescription Drug Benefit Program) for certain months for individuals who: (1) are first eligible to enroll for such benefit for 2006 or 2007; and (2) enroll by the end of the first annual, coordinated election period following their initial enrollment period. Limits the amount of such penalty for any eligible individual for a continuous period of eligibility to 25% of the base beneficiary premium. Directs the Secretary of Health and Human Services to report to Congress on the Medicare prescription drug late enrollment penalty.

late participants help medicare act amends title xviii medicare social security act waive late enrollment penalty medicare voluntary prescription drug benefit program certain months individuals eligible enroll benefit enroll end annual coordinated election period following initial enrollment period limits penalty eligible individual continuous period eligibility base beneficiary premium directs secretary health_and_human_services report congress medicare prescription drug late enrollment penalty


Summary: Health Insurance Affordability Act of 2007 - Amends the Internal Revenue Code to allow a deduction from gross income for premiums paid under a high deductible health plan by an individual eligible for a deduction for amounts paid into a health savings account, for months when such taxpayer is not covered under any other plan.

amends internal revenue code allow deduction gross income premiums paid high deductible health plan individual eligible deduction amounts paid health savings account months taxpayer covered plan


Summary: Preventing Medicare Seniors from being Confused due to Abusive Marketing (Prevent Medicare SCAMs) Act of 2007 - Amends title XVIII (Medicare) of the Social Security Act to provide for: (1) enhanced penalties for Medicare Advantage-Prescription Drug (MA-PD) plans and Medicare prescription drug plans that violate marketing requirements; and (2) public notification about plans that habitually receive intermediate sanctions.Permits Medicare beneficiaries enrolled under prescription drug plans suspended under this Act to enroll under other plans during the period of suspension.Directs the Comptroller General to study and report to Congress on each anti-fraud and abuse provision (including related intermediate sanctions) applicable to an MA-PD plan or a Medicare prescription drug plan, and assess its effectiveness and the overall compliance of such plans.

preventing medicare seniors scams act amends title xviii medicare social security act provide enhanced penalties ma-pd plans medicare prescription drug plans violate marketing requirements public notification plans habitually receive intermediate sanctions permits medicare beneficiaries enrolled prescription drug plans suspended act enroll plans period suspension directs comptroller_general study report congress anti fraud abuse provision including related intermediate sanctions applicable ma-pd plan medicare prescription drug plan assess effectiveness overall compliance plans


Summary: Health Coverage, Affordability, Responsibility, and Equity Act of 2007 or the HealthCARE Act of 2007 - Permits a state to apply to the Secretary of Health and Human Services (the Secretary) for waivers of such provisions of law as may be necessary for the state to implement policies that make comprehensive, affordable health coverage available for all state residents. Requires the Secretary to establish a process for states to apply for a waiver to implement policies that emphasize the use of preventive services, care coordination by a personal physician, and health information technology. Amends title XIX (Medicaid) of the Social Security Act (SSA) to allow state plans for medical assistance to provide Medicaid coverage to individuals who have incomes of no more than 100% of the poverty line. Amends title XXI (State Children's Health Insurance Program) (SCHIP) of SSA to permit states to provide child health assistance to all targeted low-income children. Amends the Internal Revenue Code to permit a refundable credit for the cost of qualified health insurance for the taxpayer or qualifying family members. Requires the Secretary of the Treasury to establish a program to make advance payments to health insurance providers of credit for health insurance costs of eligible low-income individuals. Establishes a program under which the Secretary of Health and Human Services shall ensure that eligible individuals can enroll in private group health insurance through a purchasing pool operator in participating states. Directs the Secretary to establish standards for state-based reinsurance programs and permits the Secretary to award grants to states to cover the costs of such programs. Directs the Secretary to establish the National Advisory Commission on Expanded Access to Health Care to assess the effectiveness of programs designed to expand health care coverage.

equity act healthcare act permits state apply secretary health_and_human_services secretary waivers provisions law necessary state implement policies comprehensive affordable health coverage available state residents requires secretary establish process states apply waiver implement policies emphasize use preventive services care coordination personal physician health information technology amends title xix medicaid social security act ssa allow state plans medical assistance provide medicaid coverage individuals incomes poverty line amends title schip ssa permit states provide child health assistance targeted low income children amends internal revenue code permit refundable credit cost qualified health insurance taxpayer qualifying family members requires secretary treasury establish program advance payments health insurance providers credit health insurance costs eligible low income individuals establishes program secretary health_and_human_services shall ensure eligible individuals enroll private group health insurance purchasing pool operator participating states directs secretary establish standards state based reinsurance programs permits secretary award grants states cover costs programs directs secretary establish assess effectiveness programs designed expand health care coverage


Summary: Assisting Doctors to Obtain Proficient and Transmissible Health Information Technology (ADOPT HIT) Act of 2007 - Amends the Internal Revenue Code to allow medical care providers to expense (i.e., deduct all costs in the current taxable year) up to $250,000 of the cost of health care information technology used primarily for the electronic creation, maintenance, and exchange of medical care information.Directs the Secretary of Health and Human Services to develop standards for hardware, software, and support services for the electronic exchange of health information.

assisting doctors adopt hit act amends internal revenue code allow medical care providers expense deduct costs current taxable year cost health care information technology primarily electronic creation maintenance exchange medical care information directs secretary health_and_human_services develop standards hardware software support services electronic exchange health information


Summary: Establishes the Commission on Wounded Women Warriors to: (1) study the needs of women in the Armed Forces who are transitioning from the Department of Defense (DOD) health care system to the Department of Veterans Affairs (VA) health care system; and (2) report recommendations and conclusions to Congress.

study needs women armed_forces transitioning department_of_defense dod health care system department_of_veterans_affairs health care system report recommendations conclusions congress


Summary: Assured Funding for Veterans Health Care Act - Requires the Secretary of the Treasury to make available to the Secretary of Veterans Affairs for programs, functions, and activities of the Veterans Health Administration for FY2008 130 percent of the amount obligated during FY2006. Adjusts the amount provided for fiscal years after FY2008 based on the number of enrolled veterans and the number of other persons eligible but not enrolled who are provided care, multiplied by the per capita baseline amount for FY2006, as increased by the percentage increase in the Consumer Price Index. Prohibits the availability of such funds for: (1) construction, acquisition, or alteration of veterans' medical facilities (other than for repairs provided for before the date of enactment of this Act); or (2) grants for the construction of state home facilities for the furnishing of veterans' domiciliary, nursing home, and hospital care.

assured funding veterans health care act requires secretary treasury available secretary veterans_affairs programs functions activities veterans_health_administration fy2008 percent obligated fy2006 adjusts provided fiscal years fy2008 based number enrolled veterans number persons eligible enrolled provided care multiplied capita baseline fy2006 increased percentage increase consumer price index prohibits availability funds construction acquisition alteration veterans medical facilities repairs provided date enactment act grants construction state home facilities furnishing veterans domiciliary nursing home hospital care


Summary: Unintended Pregnancy Reduction Act of 2007 - Amends title XIX (Medicaid) of the Social Security Act to: (1 ) include women who are not pregnant but who meet certain income eligibility standards in a mandatory categorically needy group for family planning services purposes; (2) allow a state Medicaid plan to provide for making medical assistance available to such individuals during a presumptive eligibility period; and (3) prohibit a state from providing for medical assistance through enrollment of an individual with benchmark coverage or benchmark-equivalent coverage unless it includes certain family planning services and supplies.

unintended pregnancy reduction act amends title xix medicaid social security act include women pregnant meet certain income eligibility standards mandatory categorically needy group family planning services purposes allow state medicaid plan provide making medical assistance available individuals presumptive eligibility period prohibit state providing medical assistance enrollment individual benchmark coverage benchmark equivalent coverage includes certain family planning services supplies


Summary: Amends part B (Supplementary Medical Insurance) of title XVIII (Medicare) of the Social Security Act to: (1) limit the penalty for late enrollment under part B to 10% and twice the period of no enrollment; and (2) exclude periods of COBRA and retiree coverage from such late enrollment penalty. Provides for a special enrollment period for individuals whose COBRA or retiree coverage terminates.

amends supplementary_medical_insurance title xviii medicare social security act limit penalty late enrollment twice period enrollment exclude periods cobra retiree coverage late enrollment penalty provides special enrollment period individuals cobra retiree coverage terminates


Summary: Comprehensive Health Coverage and Reform Enhancement Act of 2007 or the Comprehensive HealthCARE Act of 2007 - Amends the Internal Revenue Code to allow a tax credit and a deduction for qualified health insurance. Imposes a tax on any employer who fails to contribute to any health insurance provider elected by an employee in lieu of the employer's group health coverage.Requires the Office of Personnel Management (OPM) to revise government contribution amounts such that the amount of contribution does not change based on the health benefits plan in which the individual is enrolled.Quality Health-Care Coalition Act of 2007 - Treats health care professionals negotiating with health plans as collective bargaining units for purposes of antitrust laws. Amends the Public Health Service Act to apply the covered laws of the primary state to individual health insurance coverage offered by a health insurance issuer in the primary state and in any secondary state, but only if the coverage and issuer comply with certain conditions. Help Efficient, Accessible, Low-Cost, Timely Healthcare (HEALTH) Act of 2007 - Sets forth provisions regulating lawsuits for health care liability claims concerning the provision of health care goods or services or any medical product affecting interstate commerce. Provides for administrative health care tribunals to resolve disputes concerning injuries allegedly caused by health care providers.Allows medical care providers: (1) to expense the cost of health care information technology; and (2) a business tax credit for certain telecommunication charges.Deems hospitals, emergency departments, physicians, and physicians groups that provide emergency care to be employees of the Public Health Service for purposes of any civil action that may arise due to items and services furnished.Allows certain physicians a bad debt tax deduction for their costs in providing uncompensated care to emergency room patients.Requires the Secretary to establish a Technical Advisory Group to review issues related to the Health Insurance Portability and Accountability Act (HIPAA).

comprehensive health coverage reform enhancement act comprehensive healthcare act amends internal revenue code allow tax credit deduction qualified health insurance imposes tax employer fails contribute health insurance provider elected employee lieu employer group health coverage requires revise government contribution amounts contribution change based health benefits plan individual enrolled treats health care professionals negotiating health plans collective bargaining units purposes antitrust laws amends public_health_service_act apply covered laws primary state individual health insurance coverage offered health insurance issuer primary state secondary state coverage issuer comply certain conditions help efficient accessible low cost timely healthcare health act sets forth provisions regulating lawsuits health care liability claims concerning provision health care goods services medical product affecting interstate commerce provides administrative health care tribunals resolve disputes concerning injuries allegedly caused health care providers allows medical care providers expense cost health care information technology business tax credit certain telecommunication charges deems hospitals emergency departments physicians physicians groups provide emergency care employees public_health_service purposes civil action arise items services furnished allows certain physicians bad debt tax deduction costs providing uncompensated care emergency room patients requires secretary establish technical_advisory_group review issues related health_insurance_portability_and_accountability_act hipaa


Summary: Promoting Health for Future Generations Act of 2007 - Amends the Internal Revenue Code to: (1) increase the tax deduction for contributions to health savings accounts (HSAs); (2) allow Medicare and veterans health care beneficiaries to establish and contribute to HSAs; (3) allow individuals age 50 or older (currently, age 55 or older) to make additional HSA contributions and to increase the allowable amount of such contributions; (4) treat Medicare supplemental insurance premiums as a tax deductible medical expense; (5) allow a new tax deduction for high deductible health plan premiums; (6) allow individual contributions to a Medicare Advantage medical savings account (MSA); (7) allow adult children of holders of HSAs and MSAs to inherit such accounts; and (8) allow MSA funds to be used for wellness and fitness programs.Amends title XVIII (Medicare) of the Social Security Act to allow MSAs to provide preventive care without requiring a deductible for expenses related to such care.

promoting health future generations act amends internal revenue code increase tax deduction contributions health savings accounts hsas allow medicare veterans health care beneficiaries establish contribute hsas allow individuals age older currently age older additional hsa contributions increase allowable contributions treat medicare supplemental insurance premiums tax deductible medical expense allow new tax deduction high deductible health plan premiums allow individual contributions medicare_advantage medical savings account msa allow adult children holders hsas msas accounts allow msa funds wellness fitness programs amends title xviii medicare social security act allow msas provide preventive care requiring deductible expenses related care


Summary: Access to Cancer Clinical Trials Act of 2007 - Amends the Public Health Service Act, the Employee Retirement Income Security Act of 1974 (ERISA), and the Internal Revenue Code to prohibit a group health plan from: (1) denying an eligible participant or beneficiary participation in clinical trials related to the treatment of cancer that are federally funded or conducted under an investigational new drug application reviewed by the Food and Drug Administration (FDA); (2) denying (or limiting or imposing additional conditions on) the coverage of routine patient costs for items and services furnished in connection with such participation; or (3) discriminating against an individual on the basis of such participation. Includes as routine patient costs all items and services provided in the clinical trial that are otherwise generally available to a qualified individual, with certain exceptions. Applies such prohibitions to coverage offered in the individual market. Requires the Secretary of Health and Human Services to study the impact on group health plans and health insurance issuers of requiring them to cover routine patient care costs for individuals with serious and life threatening diseases other than cancer.

access cancer clinical trials act amends public_health_service_act employee retirement income security act erisa internal revenue code prohibit group health plan denying eligible participant beneficiary participation clinical trials related treatment cancer federally funded conducted investigational new drug application reviewed food_and_drug_administration fda denying limiting imposing additional conditions coverage routine patient costs items services furnished connection participation discriminating individual basis participation includes routine patient costs items services provided clinical trial generally available qualified individual certain exceptions applies prohibitions coverage offered individual market requires secretary health_and_human_services study impact group health plans health insurance issuers requiring cover routine patient care costs individuals life threatening diseases cancer


Summary: Access to Medical Treatment Act - Gives an individual the right to be treated by a health care practitioner with any medical treatment that the individual desires, including a treatment that is not approved, certified, or licensed by the Secretary of Health and Human Services, if: (1) the practitioner has personally examined the individual and agrees to treat the individual; and (2) the administration of such treatment does not violate licensing laws.Authorizes health care practitioners to provide any method of treatment to such an individual if certain requirements are met, including that: (1) there is no reason to conclude that such treatment will cause danger to the individual; and (2) the patient is informed in writing that such treatment has not been approved, certified, or licensed by the Secretary. Requires a practitioner to report: (1) administering such treatment and discovering it to be a danger to an individual; and (2) the positive effects of an unconventional medical treatment for a life-threatening medical condition. Allows an individual to introduce or deliver into interstate commerce, or to produce, transport, receive, or hold, a food, drug, device, or equipment solely for use in accordance with this Act if there have been no advertising claims made by the manufacturer, distributor, or seller with respect to a medical treatment. States that nothing in this Act shall in any way adversely affect the distribution or sale of dietary supplements.

individual right treated health care practitioner medical treatment individual desires including treatment approved certified licensed secretary health_and_human_services practitioner personally examined individual agrees treat individual administration treatment violate licensing laws authorizes health care practitioners provide method treatment individual certain requirements met including reason conclude treatment cause danger individual patient informed writing treatment approved certified licensed secretary requires practitioner report administering treatment discovering danger individual positive effects unconventional medical treatment life threatening medical condition allows individual introduce deliver interstate commerce produce transport receive hold food drug device equipment solely use accordance act advertising claims manufacturer distributor seller respect medical treatment states act shall way adversely affect distribution sale dietary supplements


Summary: Health Care Relief Act of 2007 - Amends the Internal Revenue Code to allow: (1) a refundable tax credit up to $1,000 for the health insurance coverage costs of a previously uninsured taxpayer, the taxpayer's spouse, and dependents; and (2) certain small business employers a business tax credit for amounts paid under a new health plan for employee health insurance coverage.

health care relief act amends internal revenue code allow refundable tax credit health insurance coverage costs previously uninsured taxpayer taxpayer spouse dependents certain small business employers business tax credit amounts paid new health plan employee health insurance coverage


Summary: Amends title XVIII (Medicare) of the Social Security Act with respect to the use of average sales price methodology for calculating payments for drugs and biologicals under Medicare part B (Supplementary Medical Insurance). Excludes from the manufacturer's average sales price when calculating such payments any customary prompt pay discounts extended to wholesalers.

amends title xviii medicare social security act respect use average sales price methodology calculating payments drugs biologicals medicare supplementary_medical_insurance excludes manufacturer average sales price calculating payments customary prompt pay discounts extended wholesalers


Summary: Amends title XVIII (Medicare) part B (Supplementary Medical Insurance) to extend "deemed" enrollment under part B Medicare to residents of Puerto Rico.

amends title xviii medicare extend deemed enrollment medicare residents puerto_rico


Summary: Establishes within the Veterans Health Administration (VHA) of the Department of Veterans Affairs (VA) the position of Director of Physician Assistant Services, who shall report to the VHA's Under Secretary for Health on all matters relating to the education and training, employment, appropriate utilization, and optimal participation of physician assistants within VHA programs and initiatives. Requires the Secretary of Veterans Affairs to ensure that an individual is serving in such position no later than 120 days after the enactment of this Act.

establishes veterans_health_administration vha department_of_veterans_affairs position director shall report vha secretary health matters relating education training employment appropriate utilization optimal participation physician assistants vha programs initiatives requires secretary veterans_affairs ensure individual serving position later days enactment act


Summary: Medicare Medical Nutrition Therapy Act of 2007 - Amends title XVIII (Medicare) of the Social Security Act to authorize expansion of Medicare coverage of medical nutrition therapy services to diseases, conditions, or disorders other than diabetes or a renal disease.

medicare medical nutrition therapy act amends title xviii medicare social security act authorize expansion medicare coverage medical nutrition therapy services diseases conditions disorders diabetes renal disease


Summary: Medicare Equity and Accessibility Act of 2007 - Amends part B (Supplementary Medical Insurance) of title XVIII (Medicare) of the Social Security Act with respect to certain factors and indices in geographic adjustments to the fee schedule for determination of payments for physicians' services. Directs the Secretary of Health and Human Services to increase the practice expense geographic index to 1.0 for any location for which the practice expense geographic index is less than 1.0. Repeals the current termination date in order to extend permanently the 1.0 floor for the work expense geographic index.

accessibility act amends supplementary_medical_insurance title xviii medicare social security act respect certain factors indices geographic adjustments fee schedule determination payments physicians services directs secretary health_and_human_services increase practice expense geographic index location practice expense geographic index repeals current termination date order extend permanently floor work expense geographic index


Summary: Preexisting Condition Exclusion Patient Protection Act of 2007 - Amends the Employee Retirement Income Security Act of 1974 (ERISA), the Public Health Service Act, and the Internal Revenue Code to allow a group health plan to impose a preexisting condition exclusion only if: (1) such exclusion relates to a condition for which medical advice, diagnosis, care, or treatment was recommended or received within the 30-day period ending on the enrollment date; and (2) such exclusion extends not more than three months, or nine months for a late enrollee, after the enrollment date.Applies such requirement to coverage offered in the individual market. Allows an issuer of individual health insurance coverage to impose a preexisting condition exclusion for a period of not more than three months under certain circumstances.Revises provisions that prohibit health insurance issuers that offer health insurance coverage in the individual market from declining to offer coverage or imposing any preexisting condition exclusion on coverage to an eligible individual to remove eligibility requirements that require an individual to have: (1) elected COBRA continuation coverage, if it was offered; and (2) exhausted such continuation coverage, if elected.

preexisting condition exclusion patient protection act amends employee retirement income security act erisa public_health_service_act internal revenue code allow group health plan impose preexisting condition exclusion exclusion relates condition medical advice diagnosis care treatment recommended received day period ending enrollment date exclusion extends months months late enrollee enrollment date applies requirement coverage offered individual market allows issuer individual health insurance coverage impose preexisting condition exclusion period months certain circumstances revises provisions prohibit health insurance issuers offer health insurance coverage individual market declining offer coverage imposing preexisting condition exclusion coverage eligible individual remove eligibility requirements require individual elected cobra continuation coverage offered exhausted continuation coverage elected


Summary: Children's Health Protection Act of 2007 - Amends the Employee Retirement Income Security Act of 1974 (ERISA), the Public Health Service Act, and the Internal Revenue Code to prohibit a group health plan from imposing any preexisting condition exclusion for individuals who have not attained 19 years of age. Applies such requirement to coverage offered in the individual market.

amends employee retirement income security act erisa public_health_service_act internal revenue code prohibit group health plan imposing preexisting condition exclusion individuals attained years age applies requirement coverage offered individual market


Summary: Michelle's Law - Amends the Employee Retirement Income Security Act of 1974 (ERISA), the Public Health Service Act, and the Internal Revenue Code to prohibit a group health plan from terminating coverage of a dependent child due to a medically necessary leave of absence from, or any other change in enrollment at, a postsecondary education institution that commences while such child is suffering from a serious illness or injury and that causes such child to lose student status for purposes of coverage under the plan, before the earlier of: (1) one year after the first day of the medically necessary leave of absence; or (2) the date on which such coverage would otherwise terminate under the terms of the plan. Requires written certification by the child's treating physician. Directs group health plans to include notice of the terms of this Act with any notice regarding a requirement for certification of student status for coverage under the plan.Provides that coverage under this Act continues in the manner in which the participant or beneficiary is covered under the plan changes so long as the change of coverage continues to provide coverage of beneficiaries as dependent children.Applies such requirement to coverage offered in the individual market.

law amends employee retirement income security act erisa public_health_service_act internal revenue code prohibit group health plan terminating coverage dependent child medically necessary leave absence change enrollment postsecondary education institution commences child suffering illness injury causes child lose student status purposes coverage plan earlier year day medically necessary leave absence date coverage terminate terms plan requires written certification child treating physician directs group health plans include notice terms act notice requirement certification student status coverage plan provides coverage act continues manner participant beneficiary covered plan changes long change coverage continues provide coverage beneficiaries dependent children applies requirement coverage offered individual market


Summary: Medicare IVIG Access Act of 2007 - Amends title XVIII (Medicare) of the Social Security Act to direct the Secretary of Health and Human Services to collect and review data on the differences, if any, between: (1) payments to physicians for immune globulins using average sales price payment methodology; and (2) costs incurred by physicians for furnishing these products. Requires the Secretary, after completion of the review, to provide, if appropriate, an additional payment to such physicians for all items related to the furnishing of immune globulins as part of hospital outpatient services. Provides for Medicare coverage of and payment for intravenous immune globulin (IVIG) administered in the home. Directs the Secretary to conduct two surveys, for reports to Congress, of Medicare and non-Medicare patients who need immune globulins in order to measure changes in patient access to those products (and providers furnishing them), as well as changes in the health care status of those patients.

medicare ivig access act amends title xviii medicare social security act direct secretary health_and_human_services collect review data differences payments physicians immune average sales price payment methodology costs incurred physicians furnishing products requires secretary completion review provide appropriate additional payment physicians items related furnishing immune hospital outpatient services provides medicare coverage payment intravenous immune ivig administered home directs secretary conduct surveys reports congress medicare non medicare patients need immune order measure changes patient access products providers furnishing changes health care status patients


Summary: Medicare Advantage Truth in Advertising Act of 2007 - Amends part C (Medicare+Choice) of title XVIII (Medicare) of the Social Security Act to restrict cost-sharing under the Medicare Advantage (MA) Program to a level no greater (and permissably less) than the cost-sharing that would otherwise be imposed under the original Medicare fee-for-service program option. Declares that nothing regarding original Medicare fee-for-service program option benefits shall be construed as prohibiting an MA plan from using a flat copayment or per diem rate, under this Act, in lieu of the cost-sharing imposed under Medicare part A or part B.

advertising act amends title xviii medicare social security act restrict cost sharing level greater cost sharing imposed original medicare fee service program option declares original medicare fee service program option benefits shall construed prohibiting plan flat copayment diem rate act lieu cost sharing imposed medicare


Summary: Increased Access to Health Insurance Act of 2007 - Amends the Internal Revenue Code to repeal the prohibition against the purchase of health insurance from a health savings account.

increased access health insurance act amends internal revenue code repeal prohibition purchase health insurance health savings account


Summary: Independent Health Record Trust Act of 2007 - Directs the Federal Trade Commission (FTC) to prescribe standards for the establishment, certification, operation, and interoperability of independent health record trusts (IHRTs).Establishes a fiduciary duty requiring an IHRT to act for the benefit and interest of participants and of the IHRT as a whole. Sets forth penalties for any knowing or reckless breach of such duty. Sets forth permitted uses for an electronic health record, including: (1) a primary use for purposes of the individual's self-care or care by health care professionals; and (2) a secondary use for purposes of public health research or related activities.Directs that participation in an IHRT, or authorizing access to information from such trust, is voluntary. Prohibits any person from requiring that an individual participate in, or authorize access to information from, an IHRT.Authorizes an IHRT to generate revenue to pay for operations through: (1) charging participants account fees; (2) charging authorized IHRT data users for accessing electronic health records; (3) the sale of information; and (4) any other activity determined appropriate by the FTC. Prohibits an IHRT from charging a fee for the transmittal of information from a health care provider to be included in an independent electronic health record.Requires the Secretary of Health and Human Services to establish an Interagency Steering Committee to coordinate the implementation of this Act. Requires the National Committee for Vital and Health Statistics to serve as an advisory committee for IHRTs.

directs federal_trade_commission ftc prescribe standards establishment certification operation interoperability independent health record trusts fiduciary duty requiring act benefit interest participants sets forth penalties knowing reckless breach duty sets forth permitted uses electronic health record including primary use purposes individual self care care health care professionals secondary use purposes public health research related activities directs participation authorizing access information trust voluntary prohibits person requiring individual participate authorize access information generate revenue pay operations charging participants account fees charging authorized data users accessing electronic health records sale information activity determined appropriate ftc prohibits charging fee transmittal information health care provider included independent electronic health record requires secretary health_and_human_services establish coordinate implementation act requires serve advisory committee


Summary: Amends title XVIII (Medicare) of the Social Security Act to revise the average sales price methodology for payment for drugs and biologicals under Medicare part B (Supplementary Medical Insurance Benefits for Aged and Disabled). Directs the Secretary of Health and Human Services to increase the payment amount for a drug or biological to the extent necessary to ensure that it is in no case less than the widely available market price. Limits the prompt pay discounts included in the calculation of the manufacturer's average sales price to those discounts furnished to physicians. Excludes such discounts from the average sales price calculation for years after 2004.

amends title xviii medicare social security act revise average sales price methodology payment drugs biologicals medicare supplementary medical insurance benefits aged disabled directs secretary health_and_human_services increase payment drug biological extent necessary ensure case widely available market price limits prompt pay discounts included calculation manufacturer average sales price discounts furnished physicians excludes discounts average sales price calculation years


Summary: Colorectal Cancer Screening and Detection Coverage Age of 2007 - Amends the Public Health Service Act, the Employee Retirement Income Security Act (ERISA), and the Internal Revenue Code to require a group health plan to provide coverage for colorectal screening for any participant or beneficiary who is 50 years of age or older or at high risk for colorectal cancer under terms and conditions that are no less favorable than those applicable to other screening benefits provided under the plan. Prohibits specified actions by group health plans to avoid the requirements of this Act, including denying enrollment, penalizing the provision of required services, or providing incentives for care inconsistent with this Act.Requires such plan to provide certain disclosures to participants and beneficiaries, including regarding covered benefits, cost sharing, and participating providers. Authorizes the Secretary of Health and Human Services to modify coverage requirements under this Act to incorporate new scientific and technological advances, practice pattern changes, or other updated medical practices regarding colorectal screening.Applies such requirements to health insurance coverage offered in the individual market and coverage under the federal employees health benefits program (FEHBP).

colorectal cancer screening detection coverage age amends public_health_service_act employee retirement income security act erisa internal revenue code require group health plan provide coverage colorectal screening participant beneficiary years age older high risk colorectal cancer terms conditions favorable applicable screening benefits provided plan prohibits specified actions group health plans avoid requirements act including denying enrollment penalizing provision required services providing incentives care inconsistent act requires plan provide certain disclosures participants beneficiaries including covered benefits cost sharing participating providers authorizes secretary health_and_human_services modify coverage requirements act incorporate new scientific technological advances practice pattern changes updated medical practices colorectal screening applies requirements health insurance coverage offered individual market coverage federal employees health benefits program fehbp


Summary: Medicare Savings Program Improvement Act of 2007 - Amends title XIX (Medicaid) of the Social Security Act (SSA) with respect to the Qualified Medicare Beneficiaries (QMB) and Specified Low-Income Medicare Beneficiaries (SLMB) programs (Medicare Savings Program) to increase the income eligibility levels for: (1) QMBs to 135% of the federal poverty level (FPL); and (2) SLMBs to 150% of the FPL. Eliminates the application of estate recovery for Medicare Savings Program beneficiaries. Modifies the asset tests for QMBs and SLMBs. Directs the Secretary of Health and Human Services to provide for expedited enrollment under the Medicare Savings Program through Social Security offices. Provides for treatment of QMBs, SLMBs, and other dual eligibles as Medicare beneficiaries.Amends SSA title XIX with respect to Medicaid treatment of certain Medicare providers.Directs the Inspector General of the Department of Health and Human Services to examine and report on whether providers have attempted to make QMBs liable for deductibles, coinsurance, and co-payments in violation of applicable law. Requires the Secretary to report an enforcement plan of action to Congress regarding any QMBs that have been held so liable in violation of law.Requires states to provide medical assistance to dual eligibles in MedicareAdvantage (MA) plans.

amends title xix medicaid social security act ssa respect qualified medicare beneficiaries specified low income medicare beneficiaries programs medicare_savings_program increase income eligibility levels qmbs federal poverty level fpl fpl eliminates application estate recovery medicare_savings_program beneficiaries modifies asset tests qmbs directs secretary health_and_human_services provide expedited enrollment medicare_savings_program social_security offices provides treatment qmbs dual eligibles medicare beneficiaries amends ssa title xix respect medicaid treatment certain medicare providers directs inspector general department_of_health_and_human_services examine report providers attempted qmbs liable deductibles coinsurance payments violation applicable law requires secretary report enforcement plan action congress qmbs held liable violation law requires states provide medical assistance dual eligibles medicareadvantage plans