Weekly Legislative & Regulatory Round-up
Week of March 7 - 13
| GAO reports |
Ryan White CARE Act: Estimated Effect of Proposed Stop-Loss Provision on Urban Areas GAO-09-472R
Medicare: Improvements Needed to Address Improper Payments in Home Health GAO-09-185, February 27, 2009
| OIG reports |
Exclusions and Reinstatements Occurring in the Month of February 2009
Review of Medicare Payments to Managed Care Plans on Behalf of Deceased Enrollees (A-07-07-01046)
Hospital Compliance With Medicare’s Postacute Care Transfer Policy During Fiscal Years 2003 Through 2005 (A-04-07-03035)
Civil Monetary Penalty Enforcement Actions
Criminal and Civil Enforcement Actions: February
| Bills introduced |
|
Number/ Title |
Date Introduced | Sponsor | Description |
S. 547 |
3/9/09 |
JEFF BINGAMAN (D-NM) |
A bill to amend title XIX of the Social Security Act to reduce the costs of prescription drugs for enrollees of Medicaid managed care organizations by extending the discounts offered under fee-for-service Medicaid to such organizations; Referred to the Committee on Finance. |
H.R. 1384 |
3/9/09 |
TOM PRICE (R-GA) |
A bill to amend part B of title XVIII of the Social Security Act to remove limiting charges under the Medicare Program for non-participating physicians with beneficiary notice and to preempt State laws that prohibit balance billing; Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means. |
H.R. 1386 |
3/9/09 |
BOB FILNER (D-CA) |
A bill to amend section 1011 of the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (Public Law 108-173) to make permanent the program of Federal reimbursement of emergency health services furnished to undocumented aliens; Referred to the Committee on Energy and Commerce. |
H.R. 1392 |
3/9/09 |
GENE GREEN (D-TX) |
A bill to amend title XVIII of the Social Security Act to ensure more appropriate payment amounts for drugs and biologicals under part B of the Medicare Program by excluding customary prompt pay discounts extended to wholesalers from the manufacturer's average sales price; Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Mean. |
S. 565 |
3/10/09 |
RICHARD DURBIN (D-IL) |
A bill to amend title XVIII of the Social Security Act to provide continued entitlement to coverage for immunosuppressive drugs furnished to beneficiaries under the Medicare Program that have received a kidney transplant and whose entitlement to coverage would otherwise expire, and for other purposes; to the Committee on Finance. |
H.R. 1407 |
3/10/09 |
LLOYD DOGGETT (D-TX) |
A bill to amend title XVIII of the Social Security Act to reduce cost-sharing under part D of such title for certain non-institutionalized full-benefit dual eligible individuals; Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means. |
H.R. 1415 |
3/10/09 |
BART GORDON (D-TN) |
A bill to provide for a demonstration project regarding Medicaid reimbursements for stabilization of emergency medical conditions by non-publicly owned or operated institutions for mental diseases; Referred to the Committee on Energy and Commerce |
H.R. 1421 |
3/10/09 |
BILL SHUSTER (D-PA) |
A bill to amend title XIX of the Social Security Act to provide Medicaid coverage of drugs prescribed for certain research study child participants; Referred to the Committee on Energy and Commerce. |
H.R. 1427 |
3/11/09 |
HENRY WAXMAN (D-CA) |
A bill to amend the Public Health Service Act to provide for the licensing of biosimilar and biogeneric biological products, and for other purposes; Referred to the Committee on Energy and Commerce, and in addition to the Committee on the Judiciary, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned. |
H.R. 1430 |
3/11/09 |
BILL PASCRELL (D-NJ) |
A bill to amend title XVIII of the Social Security Act to permit physical therapy services to be furnished under the Medicare Program to individuals under the care of a dentist; Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned. |
H.R. 1441 |
3/11/09 |
KENNY MARCHANT (R-TX) |
A bill to amend title XIX of the Social Security Act to allow States to permit certain Medicaid eligible individuals who have extremely high annual lifelong orphan drug costs to continue on Medicaid notwithstanding increased income; Referred to the Committee on Energy and Commerce. |
H.R. 1452 |
3/11/09 |
BART STUPAK (D-MI) |
A bill to require the Secretary of Health and Human Services to enter into negotiated rulemaking to modernize the Medicare part B fee schedule for clinical diagnostic laboratory tests and to amend title XVIII of the Social Security Act to adjust the fee for collecting specimens for clinical diagnostic laboratory tests under the Medicare Program; Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means. |
S. 586 |
3/12/09 |
PATTY MURRAY (D-WA) |
A bill to direct the Secretary of Health and Human Services to implement a National Neurotechnology Initiative, and for other purposes; Referred to the Committee on Health, Education, Labor, and Pensions. |
H.R. 1458 |
3/12/09 |
DAVE CAMP (R-MI) |
A bill to amend title XVIII of the Social Security Act to provide continued entitlement to coverage for immunosuppressive drugs furnished to beneficiaries under the Medicare Program that have received a kidney transplant and whose entitlement to coverage would otherwise expire, and for other purposes; Referred to the Committee on Ways and Means, and in addition to the Committees on Energy and Commerce, and Education and Labor. |
H.R. 1468. |
3/12/09 |
MICAEL BURGESS (R-TX) |
A bill to provide health care liability reform, and for other purposes; Referred to the Committee on the Judiciary. |
H.R. 1470 |
3/12/09 |
RON KIND (D-WI) |
A bill to amend the Internal Revenue Code of 1986 to provide that the deduction for the health insurance costs of self-employed individuals be allowed in determining self-employment tax; Referred to the Committee on Ways and Means. |
H.R. 1483 |
3/12/09 |
PATRICK KENNEDY (D-RI) |
A bill to direct the Secretary of Health and Human Services to implement a National Neurotechnology Initiative, and for other purposes; Referred to the Committee on Energy and Commerce. |
H.R. 1493 |
3/12/09 |
RON PAUL (R-TX) |
A bill to ensure and foster continued patient safety and quality of care by exempting health care professionals from the Federal antitrust laws in their negotiations with health plans and health insurance issuers; Referred to the Committee on the Judiciary. |
H.R. 1497 |
3/12/09 |
RON PAUL (R-TX) |
A bill to amend the Internal Revenue Code of 1986 to allow medical care providers a credit against income tax for uncompensated emergency medical care and to allow hospitals a deduction for such care; Referred to the Committee on Ways and Means. |
H.R. 1498 |
3/12/09 |
RON PAUL (R-TX) |
A bill to amend the Internal Revenue Code of 1986 to allow individuals a credit against income tax for the cost of insurance against negative outcomes from surgery, including against malpractice of a physician; Referred to the Committee on Ways and Means. |
H.R. 1501 |
3/12/09 |
PEDRO PIERLUISI (D-PR) |
A bill to amend title XVIII of the Social Security Act to increase inpatient hospital payments under the Medicare Program to Puerto Rico hospitals; Referred to the Committee on Ways and Means. |
H.R. 1502 |
3/12/09 |
PEDRO PIERLUISI (D-PR) |
A bill to amend title XVIII of the Social Security Act to provide for equity in the calculation of Medicare disproportionate share hospital payments for hospitals in Puerto Rico; Referred to the Committee on Ways and Means. |
| Federal Register notices |
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Health Resources and Services Administration
Advisory Council on Blood Stem Cell Transplantation; Request for
Nominations for Voting Members
ACTION: Notice
SUMMARY: The Health Resources and Services Administration (HRSA) is
requesting nominations to fill expected vacancies on the Advisory
Council on Blood Stem Cell Transplantation.
The Advisory Council on Blood Stem Cell Transplantation was
established pursuant to Public Law 109-129, 42 U.S.C. 274k (section 379
of the Public Health Service Act, as amended). In accordance with
Public Law 92-463, the Council was chartered on December 19, 2006.
Office of the Secretary, Office of Public Health and Science
Meeting of the Presidential Advisory Council on HIV/AIDS
ACTION: Notice.
SUMMARY: As stipulated by the Federal Advisory Committee Act, the U.S.
Department of Health and Human Services (DHHS) is hereby giving notice
that the Presidential Advisory Council on HIV/AIDS (PACHA) will hold a
meeting. The meeting will be open to the public.
DATES: The meeting will be held on Tuesday, March 24, 2009 and
Wednesday, March 25, 2009. The meeting will be held from 9 a.m. to
approximately 5 p.m. on both days.
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Office of the Secretary
Rescission of the Regulation Entitled ``Ensuring That Department
of Health and Human Services Funds Do Not Support Coercive or
Discriminatory Policies or Practices in Violation of Federal Law'';
Proposal
ACTION: Proposed rule
SUMMARY: The Department of Health and Human Services proposes to
rescind the December 19, 2008 final rule entitled ``Ensuring That
Department of Health and Human Services Funds Do Not Support Coercive
or Discriminatory Policies or Practices in Violation of Federal Law.''
The Department believes it is important to have an opportunity to
review this regulation to ensure its consistency with current
Administration policy and to reevaluate the necessity for regulations
implementing the Church Amendments, Section 245 of the Public Health
Service Act, and the Weldon Amendment.
No relevant notices
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Office of the National Coordinator for Health Information
Technology
HIT Standards Committee and HIT Policy Committee Nomination
Letters
ACTION: Notice on letters of nomination
SUMMARY: The American Recovery and Reinvestment Act of 2009 (Act),
Public Law 111-5 amends the Public Health Service Act (PHSA) to add new
sections 3002 and 3003. The new section 3003 of the PHSA establishes
the HIT Standards Committee to make recommendations to the National
Coordinator for Health Information Technology on standards,
implementation specifications, and certification criteria for the
electronic exchange and use of health information for purposes of
health information technology adoption. The HIT Standards Committee
members are to be appointed by the Secretary of the Department of
Health and Human Services with the National Coordinator taking a
leading role. Membership of the HIT Standards Committee should at least
reflect the following categories of stakeholders and will include other
individuals: providers, ancillary healthcare workers, consumers,
purchasers, health plans, technology vendors, researchers, relevant
Federal agencies, and individuals with technical expertise on health
care quality, privacy and security, and on the electronic exchange and
use of health information.
In addition, we also seek nominations to the HIT Policy Committee
(established by the new section 3002 of the PHSA), which makes
recommendations to the National Coordinator on the implementation of a
nationwide health information technology infrastructure.
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
Medicare Program; Meeting of the Medicare Evidence Development
and Coverage Advisory Committee--May 6, 2009
ACTION: Notice of meeting.
SUMMARY: This notice announces that a public meeting of the Medicare
Evidence Development and Coverage Advisory Committee (MEDCAC)
(``Committee'') will be held on Wednesday, May 6, 2009. The Committee
generally provides advice and recommendations concerning the adequacy
of scientific evidence needed to determine whether certain medical
items and services are reasonable and necessary under the Medicare
statute. The Committee may also review and evaluate medical literature
and make recommendations concerning items and services that may be
eligible for Medicare coverage. This meeting will focus on the
requirements for evidence to determine if the use of screening genetic
testing of beneficiaries without signs or symptoms of disease improves
health outcomes in Medicare beneficiaries. The meeting will discuss the
various kinds of evidence that are useful to support requests for
Medicare coverage in this field. This meeting is open to the public in
accordance with the Federal Advisory Committee Act (5 U.S.C. App. 2,
section 10(a)).
DATES: Meeting Date: The public meeting will be held 7:30 a.m. until
4:30 p.m., daylight saving time (d.s.t.) on Wednesday, May 6, 2009.
Food and Drug Administration
Memorandum of Understanding With Baylor College of Medicine, The
University of Texas M.D. Anderson Cancer Center, Rice University,
University of Houston, The University of Texas Health Science Center at
Houston, Texas A&M Health Science Center, The University of Texas
Medical Branch at Galveston, and The Methodist Hospital Research
Institute for the FDA-ANH Nanotechnology Initiative
ACTION: Notice
SUMMARY: The Food and Drug Administration (FDA) is providing notice of
a memorandum of understanding (MOU) with The Alliance for NanoHealth
(ANH), a collaboration among: Baylor College of Medicine, The
University of Texas M.D. Anderson Cancer Center, Rice University,
University of Houston, The University of Texas Health Science Center at
Houston, Texas A&M Health Science Center, The University of Texas
Medical Branch at Galveston, and The Methodist Hospital Research
Institute. This MOU identifies the terms of collaboration between FDA
and ANH in the area of nanotechnology. Specifically, this MOU
establishes the FDA-ANH Nanotechnology Initiative (FANTI), a public-
private partnership dedicated to the identification of scientific and
translational gaps in moving nanoengineered medical products from the
preclinical stages of development through clinical stages and then to
commercialization, all with immediate benefit to public health.
Food and Drug Administration
Clinical Trials Endpoints for Acute Graft-Versus-Host Disease
After Allogeneic Hematopoietic Stem Cell Transplantation; Public
Workshop
ACTION: Notice of public workshop
This is a 1-day workshop for academics, government researchers, clinical trial experts, government regulators, and industry representatives. The purpose of the public workshop is to
review the data that will serve as the foundation for protocol design
and clinical trial evidence-based endpoints intended to support the
approval of new drugs or biologics to prevent or treat acute GVHD. The
public workshop also will inform FDA and assist investigators in
facilitating clinical development programs for products to prevent or
treat acute GVHD indications.
