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Weekly Legislative & Regulatory Round-up

Week of July 11 - 17

GAO reports

VA Health Care: Preliminary Findings on VA's Provision of Health Care Services to Women Veterans GAO-09-884T, July 14, 2009 

Electronic Health Records: Program Office Improvements Needed to Strengthen Management of VA and DOD Efforts to Achieve Full Interoperability GAO-09-895T, July 14, 2009

Coast Guard Retiree Health Care: Coast Guard Contributions to and Payments from the DOD Medicare-Eligible Retiree Health Care Fund (MERHCF) GAO-09-857R, July 15, 2009

VA Health Care: Preliminary Findings on VA's Provision of Health Care Services to Women Veterans  GAO-09-899T, July 16, 2009
 

OIG reports

Review of North Carolina’s Accounts Receivable System for Medicaid Provider Overpayments (A-04-06-07009)

Review of Disproportionate Share Hospital Payments Made by Pennsylvania to State-Operated Institutions for Mental Diseases (A-03-08-00202)
 

Bills introduced
Number/
Title
Date Introduced Sponsor Description

H.R. 3172

7/10/09

TAMMY BALDWIN (D-WI)

A bill to amend title XVIII of the Social Security Act to provide for advanced illness care management services for Medicare beneficiaries, and for other purposes; Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means.

H.R. 3184

7/13/09

JAMES LANGEVIN (D-RI)

A bill to amend title XVIII of the Social Security Act to eliminate the in the home restriction for Medicare coverage of mobility devices for individuals with expected long-term needs; Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means.

   H.R. 3185

7/13/09

LOIS CAPPS (D-CA)

A bill to amend title XVIII of the Social Security Act to provide payment to hospitals for costs of expanded advanced practice nurse training programs; Referred to the Committee on Ways and Means.

S. 1445

7/14/09

FRANK LAUTENBERG (D-NJ)

A bill to amend the Public Health Service Act to improve the health of children and reduce the occurrence of sudden unexpected infant death and to enhance public health activities related to stillbirth; Referred to the Committee on Health, Education, Labor, and Pensions.

S. 1446

7/14/09

KIRSTEN GILLIBRAND (D-NY)

A bill to amend title XIX of the Social Security Act to provide incentives for increased use of HIV screening tests under the Medicaid program; Referred to the Committee on Finance.

H.R. 3200

7/14/09

JOHN DINGELL (D-MI)

A bill to provide affordable, quality health care for all Americans and reduce the growth in health care spending, and for other purposes; Referred to the Committee on Energy and Commerce, and in addition to the Committees on Ways and Means, Education and Labor, Oversight and Government Reform, and the Budget.

   H.R. 3212

7/14/09

FRANK PALLONE (D-NJ)

A bill to amend the Public Health Service Act to improve the health of children and reduce the occurrence of sudden unexpected infant death and to enhance public health activities related to stillbirth; Referred to the Committee on Energy and Commerce.

H.R. 3217

7/14/09

JOHN SHADEGG (R-AZ)

A bill to amend the Public Health Service Act to provide for cooperative governing of individual health insurance coverage offered in interstate commerce; Referred to the Committee on Energy and Commerce.

H.R. 3218

7/14/09

JOHN SHADEGG (R-AZ)

A bill to provide a refundable tax credit for medical costs, to expand access to health insurance coverage through individual membership associations (IMAs), and to assist in the establishment of high risk pools; Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means.

H.R. 3219

7/15/09

DEBORAH HALVORSON (D-IL)

A bill to amend title 38, United States Code, to make certain improvements in the laws administered by the Secretary of Veterans Affairs relating to insurance and health care, and for other purposes; Referred to the Committee on Veterans' Affairs.

H.R. 3220

7/15/09

MIKE ROSS (D-AR)

A bill to amend title XVIII of the Social Security Act to reform Medicare coverage and reimbursement for home oxygen therapy services; Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means.

S. 1459

7/16/09

JIM DEMINT (R-SC)

A bill to amend the Public Health Service Act to provide for cooperative governing of individual health insurance coverage offered in interstate commerce; Referred to the Committee on Health, Education, Labor, and Pensions.

H.R. 3242

7/16/09

CAROLYN MALONEY (D-NY)

A bill to improve the health of women through the establishment of Offices of Women's Health within the Department of Health and Human Services; Referred to the Committee on Energy and Commerce.

 

Federal Register notices

July 13, 2009

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

Medicare Program; Payment Policies Under the Physician Fee

Schedule and Other Revisions to Part B for CY 2010

ACTION: Proposed rule.

SUMMARY: This proposed rule would address proposed changes to Medicare

Part B payment policy. We are proposing these changes to ensure that

our payment systems are updated to reflect changes in medical practice

and the relative value of services. This proposed rule discusses:

Refinements to resource-based work, practice expense and malpractice

relative value units (RVUs); geographic practice cost indices (GPCIs);

telehealth services; several coding issues; physician fee schedule

update for CY 2010; payment for covered part B outpatient drugs and

biologicals; the competitive acquisition program (CAP); payment for

renal dialysis services; the chiropractic services demonstration;

comprehensive outpatient rehabilitation facilities; physician self-

referral; the ambulance fee schedule; the clinical laboratory fee

schedule; durable medical equipment, prosthetics, orthotics, and

supplies (DMEPOS); and certain provisions of the Medicare Improvements

for Patients and Providers Act of 2008. (See the Table of contents for

a listing of the specific issues.)

 

July 14, 2009

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Agency for Healthcare Research and Quality

Agency Information Collection Activities: Proposed Collection;

Comment Request

ACTION: Notice.

SUMMARY: This notice announces the intention of the Agency for

Healthcare Research and Quality (AHRQ) to request that the Office of

Management and Budget (OMB) approve the proposed information collection

under the project: ``Evaluation of AHRQ's Effective Health Care

Program.'' In accordance with the Paperwork Reduction Act of 1995,

Public Law 104-13 (44 U.S.C. 3506(c)(2)(A)), AHRQ invites the public to

comment on this proposed information collection.

 

July 15, 2009

DEPARTMENT OF HEALTH AND HUMAN SERVICES 

Centers for Medicare & Medicaid Services

Medicaid Program and Children's Health Insurance Program (CHIP);

Revisions to the Medicaid Eligibility Quality Control and Payment Error

Rate Measurement Programs

ACTION: Proposed rule.

SUMMARY: This proposed rule would implement provisions from the

Children's Health Insurance Program Reauthorization Act of 2009

(CHIPRA) (Pub. L. 111-3) with regard to the Medicaid Eligibility

Quality Control (MEQC) and Payment Error Rate Measurement (PERM)

programs. This proposed rule would also codify several procedural

aspects of the process for estimating improper payments in Medicaid and

the Children's Health Insurance Program (CHIP).

 

July 16, 2009

No relevant notices

 

July 17, 2009 

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

Agency Information Collection Activities: Proposed Collection;

Comment Request

1. Type of Information Collection Request: Revision of a currently

approved collection; Title of Information Collection: Medicare

Advantage and Prescription Drug Program: Final Marketing Provisions.

2. Type of Information Collection Request: Extension of a currently

approved collection; Title of Information Collection: Information

Collection Requirements in QIO Reconsiderations and Appeals.

3. Type of Information Collection Request: Extension of a currently

approved collection; Title of Information Collection: Children's Health

Insurance Program (CHIP) Report on Payables and Receivables.

4. Type of Information Collection Request: Extension of a currently

approved collection; Title of Information Collection: Medicaid Report

on Payables and Receivables.

 

Centers for Medicare & Medicaid Services

Agency Information Collection Activities: Submission for OMB

Review; Comment Request

1. Type of Information Collection Request: New Collection; Title of

Information Collection: Children's Health Insurance Program

Reauthorization Act (CHIPRA) of 2009, State Option Pre-print to Include

Pregnant Women in Title XXI.

2. Type of Information Collection Request: Reinstatement without

change of a previously approved collection; Title of Information

Collection: Statement of Deficiencies and Plan of Correction.

3. Type of Information Collection Request: New Collection; Title of

Information Collection: State Plan Amendment Template for Transitional

Medical Assistance for Low-Income Families.

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