Law, Explanation and Analysis of the Patient Protection and Affordable Care Act: Including Reconciliation Act Impact, Volume 1"This book contains an editorially enhanced version of the Patient Protection and Affordable Care Act that integrates in place changeds made to it by the Reconciliation Act of 2010. ... A special website, http://www.mediregs.com/ |
Contents
105 No Lifetime or Annual Coverage Limits 107 Prohibition on Rescission 109 Preventive Health Services Coverage 111 Extension of Dependent C... | 37 |
345 Small Employer Health Insurance Credit 350 Free Choice Vouchers in Employer Plans 355 Free Choice Vouchers Employer Tax Credit CHAPT... | 39 |
MEDICAID CHILDRENS HEALTH INSURANCE PROGRAM MEDICAID COVERAGE AND ELIGIBILITY 505 New Groups Required to be Cov... | 40 |
543 Medicaid Prescription Drug Rebates 545 Elimination of Medicaid Exclusion of Certain Drugs 547 Adequate Pharmacy Reimbursement MEDIC... | 41 |
564 Qualified Plans and CHIP 565 Presumptive Eligibility Determinations by Hospitals | 42 |
743 Creation of Accountable Care Organizations Under the Medicare Shared Savings Program 745 National Pilot Program on Payment Bundling 74... | 43 |
820 New Authority for Physician Assistants | 44 |
1015 Improvements to Medicare DSH Payments 1017 Skilled Nursing Facility Prospective Payment System 1020 Misvalued Codes Under the Physic... | 45 |
1485 Congenital Heart Disease Programs | 676 |
1490 Reauthorization of the Public Access Defibrillation Program | 677 |
1495 BreastHealth Awareness in Young Women | 678 |
HEALTHCARE WORKFORCE IMPROVEMENTS INNOVATIONS 1505 National Health Care Workforce Commission 1507 State Health Care Wor... | 681 |
1594 Reauthorization of the Wakefield Emergency Medical Services for Children Program | 682 |
1595 CoLocating Primary and Specialty Care Services 1596 Creation of a Key National Indicators System 1597 Grants to Fund Programs for Medica... | 683 |
1517 Pediatric Specialty Loan Repayment Program | 698 |
1519 Public Health Workforce Loan Repayment Program | 702 |
1035 Improvement of Hospital Wage Index System | 46 |
113 New Uniform Standards for Health Plan Summary of Benefits and Coverage 115 Additional Information Regarding Transparency in Coverage 1... | 55 |
195 Health Plan Market Study | 56 |
COVERAGE CHOICES QUALIFIED HEALTH PLANS | 68 |
133 Review of Premium Increases | 83 |
IMMEDIATE ACTIONS TO PRESERVE AND EXPAND COVERAGE 135 Insurance Access for Individuals With PreExisting Conditions | 85 |
137 Reinsurance for Early Retirees | 89 |
140 Internet Portal for Health Coverage Information | 90 |
145 Administrative Simplification for Electronic Health Care Transactions | 92 |
ADDITIONAL REFORMS 150 Insurance Premium Rates Limitations | 98 |
155 Guaranteed Availability and Renewal | 100 |
165 Preexisting Condition Exclusion | 107 |
170 Prohibiting Discrimination Based on Health Status | 108 |
175 State Prohibitions On Discrimination Against Health Care Providers | 114 |
180 Comprehensive Health Insurance Coverage | 115 |
181 Prohibition on Excessive Waiting Periods | 116 |
183 Coverage For Individuals Participating in Approved Clinical Trials | 117 |
185 Grandfathered Plans in the Individual and Group Health Markets | 119 |
190 Annual Report on SelfInsured Plans | 122 |
205 Contents of Essential Health Benefits Package 210 Special Rules Relating to Abortion Coverage HEALTH BENEFIT EXCHANGES 215 Establis... | 127 |
235 Nonprofit Health Insurance Issuers | 154 |
240 Exempt Status Available to Nonprofit Health Insurance Issuers | 158 |
245 Level Playing Field for Private Insurance Issuers | 159 |
STATE FLEXIBILITY TO ESTABLISH ALTERNATIVE PROGRAMS 250 State Basic Health Programs for LowIncome Individuals Not Eligible fo... | 161 |
255 State Waiver of Requirements Relating to Qualified Health Plans | 164 |
260 Interstate Health Care Choice Compacts | 166 |
265 MultiState Plans | 168 |
REINSURANCE AND RISK ADJUSTMENT 270 Transitional Reinsurance Program for Individual Markets | 171 |
275 Transitional Risk Corridors for Plans in Individual and Small Group Markets | 175 |
280 Risk Adjustment for Plans in Individual and Small Group Markets | 177 |
AFFORDABILITY OF COVERAGE PREMIUM CREDITS AND COSTSHARING REDUCTIONS 305 Health Insurance Premium Assistance Refunda... | 179 |
310 CostSharing Reductions | 191 |
517 Recision of Appropriations to Medicaid Improvement Fund EXPANSION OF MEDICAID SERVICES 519 Medicaid Coverage of FreeStanding ... | 257 |
523 New Optional Coverage for Family Planning | 275 |
525 Definition of Medical Assistance OPTIONS FOR STATES TO PROVIDE LONGTERM SERVICES AND SUPPORTS 530 Community First Choi... | 278 |
315 Procedures for Determining Eligibility | 315 |
320 Advance Determinations and Payments | 320 |
566 Extension of Childrens Health Insurance Program | 321 |
OTHER PROVISIONS 567 Disproportionate Share Hospital Payments | 323 |
325 Streamlined Health Program Enrollment Procedures | 325 |
330 Disclosures to Carry Out Eligibility Requirements for Certain Programs | 330 |
335 Premium Assistance Tax Credit and CostSharing Reduction Payments Disregarded for Federal Assistance Programs | 335 |
340 Application of Geographic Variations in Determining Federal Poverty | 340 |
MATERNAL AND CHILD HEALTH SERVICES MATERNAL AND CHILD HEALTH SERVICES 605 Maternal Infant and Early Childhood Home ... | 341 |
620 Restoration of Funding for Abstinence Education | 350 |
625 Foster Care Transition Planning | 352 |
SUPPORT FOR PREGNANT AND PARENTING TEENS AND WOMEN 630 Pregnancy Assistance Fund | 353 |
635 Permissible Uses of Funds | 354 |
HEALTH CARE QUALITY IMPROVEMENT QUALITY ADJUSTED PAYMENTS 705 Hospital ValueBased Purchasing Program 707 Critical Acce... | 357 |
751 CommunityBased Care Transitions Program 753 Gainsharing Demonstration Program Extended Through 2011 | 358 |
Level | 369 |
717 Quality Reporting for Hospice Programs LTC Inpatient Rehabilitation and Psychiatric Hospitals | 374 |
719 Quality Reporting for PPSExempt Cancer Hospitals | 375 |
725 Adjustment to Hospital Payments for Hospital Acquired Conditions | 376 |
NATIONAL STRATEGY TO IMPROVE HEALTH CARE QUALITY 727 National Strategy Defined | 378 |
729 Interagency Working Group on Health Care Quality | 380 |
731 Quality Measure Development | 382 |
733 Quality Measurement and Selection of Efficiency Measures | 383 |
735 Collection of Data for Quality and Resource Measures | 385 |
737 Medicare Data Availability for Performance Measurement Reports | 386 |
739 Modernization of CMS Computer and Data Systems | 388 |
DEVELOPMENT OF NEW PATIENT CARE MODELS 741 New Center for Medicare and Medicaid Innovation to Test New Payment Models | 389 |
761 Regionalized Emergency Care Systems | 415 |
763 Trauma Care Center Grant Programs | 420 |
765 Program to Facilitate Shared Decision Making | 421 |
767 Prescription Drug Summaries | 424 |
769 Demonstration Program to Improve Clinical Education of Health Professionals | 427 |
771 Office of Womens Health | 429 |
773 Patient Navigator Program | 431 |
775 Appropriations | 432 |
777 GAO Study and Report on Causes of Action | 433 |
779 Medicare Coverage for Individuals Exposed to Environmental Health Hazards | 434 |
780 Early Detection Program for Medical Conditions Related to Environmental Health Hazards | 436 |
781 State Grants to Providers | 437 |
783 Procedural Requirements for Approval of Medicaid and CHIP Demonstration Projects | 438 |
790 GAO Study on Medicare Beneficiary Access to Dialysis Services | 440 |
795 Health Care Facility Infrastructure Funding | 441 |
797 Appropriations for the Community Health Center Fund | 442 |
MEDICARE IMPROVEMENTS FOR PATIENTS AND PROVIDERS PHYSICIAN FEE SCHEDULE 805 Extension of the Work Geographic Index ... | 445 |
835 Part B Special Enrollment Period and Waiver of Premium Increase for Disabled TRICARE Beneficiaries | 452 |
840 Improved Access for Nurse Midwife Services | 454 |
845 Medical Coverage for Individuals Exposed to Environmental Health Hazards | 455 |
OTHER PAYMENT AND BILLING PROVISIONS 850 Extension of Therapy Caps Exceptions Process | 456 |
855 Rural Ambulance Addons Extension | 457 |
860 Extension of Payments for LongTerm Care Hospital Services and of Moratorium on the Establishment of Certain Hospitals and Facilities | 458 |
865 Payment for Bone Density Tests | 459 |
870 Revision to the Medicare Improvement Fund | 460 |
875 Complex Diagnostic Laboratory Tests | 461 |
877 Payment for Qualifying Hospitals | 462 |
905 Additional Outpatient Reimbursement for Rural Hospitals 910 Rural Laboratory Test Payment Increase Reinstatement 915 Rural Community Hos... | 465 |
917 Community Mental Health Centers Providing Partial Hospitalization Services | 469 |
920 MedicareDependent Hospital Program Extension | 471 |
925 LowVolume Hospital Temporary Payment Improvements | 472 |
930 Rural Demonstration Projects Expanded | 473 |
935 MedPAC Study on Medicare Payments in Rural Areas | 474 |
940 Critical Access Hospital Technical Corrections | 475 |
945 Rural Hospital Flexibility Program Changes | 476 |
950 Frontier States Wage Index and Physician Practice Expense Index Floors | 477 |
MEDICARE PAYMENT ACCURACY IMPROVEMENTS 1005 Home Health Payments 1010 Hospice Care Payment Reforms | 481 |
1065 Protecting Home Health Benefits | 501 |
1070 Comparative Cost Adjustment Program | 503 |
PROVISIONS RELATING TO MEDICARE PART C | 505 |
1140 PACE Programs | 524 |
BENEFIT PROTECTIONS AND OTHER IMPROVEMENTS 1145 Limitation on MA Beneficiary Cost Sharing for Some Essential Services | 525 |
1150 Coding Intensity Adjustment for Medicare Advantage | 527 |
1155 Open Enrollment Periods for MA and Part D Plans | 528 |
1160 Special Needs Plans Enrollment Extension | 529 |
1165 Extension of Reasonable Cost Contracts | 531 |
Service Area Waiver for MA Private FeeForService Plans | 532 |
533 Removal of Barriers to Home and CommunityBased Services | 533 |
534 Optional Coverage of HigherIncome Beneficiaries and Reports | 534 |
1185 Development of New Standards for Medigap Plans | 535 |
1195 Medicare Advantage Plans Medical Loss Ratios | 536 |
DRUG COVERAGE | 539 |
1235 Improved Information for Subsidy Eligible Individuals Reassigned | 554 |
1270 Uniform Exceptions and Appeals Process for PDPs and MAPD Plans | 567 |
573 Special Rules Applying to Indians | 573 |
575 Reimbursement for Part B Services Furnished by Indian Hospitals and Clinics | 575 |
577 Medicaid Matching Funds for Assistance to Newly Eligible | 577 |
580 Increased Matching Funds for CHIP | 580 |
585 Technical Corrections to CHIPRA | 585 |
Services | 588 |
1360 Productivity Adjustment to Rates for Laboratory Services | 589 |
590 LongTerm Care Balancing Incentive | 590 |
1375 Productivity Adjustment to Rates for Miscellaneous Services | 591 |
OTHER SUSTAINABILITY METHODS 1380 Adjustment to Part B Premium Calculation | 592 |
597 Demonstration on Access to Affordable Care | 597 |
1385 Independent Medicare Advisory Board | 600 |
1390 Protecting and Improving Guaranteed Medicare Benefits | 601 |
1395 No Cuts in Guaranteed Benefits | 603 |
DISEASE PREVENTION AND WELLNESS MODERNIZING DISEASE PREVENTION AND PUBLIC HEALTH SYSTEM 1405 National Public H... | 605 |
SUPPORT FOR PREVENTION AND PUBLIC HEALTH INNOVATION 1445 Research Public Health Services and Systems 1447 Data Collection to ... | 606 |
INCREASING ACCESS TO CLINICAL PREVENTIVE SERVICES | 617 |
1413 SchoolBased Health Centers | 618 |
1415 Oral Healthcare and Prevention Activities | 621 |
1417 Medicare Coverage of Annual Wellness Examination as Part of Personalized Prevention Plan | 625 |
1419 Removal of Barriers to Medicare Preventive Services | 627 |
1421 EvidenceBased Coverage of Preventive Services in Medicare | 628 |
1423 Access to Preventive Services for Adults | 630 |
1425 Coverage of Drugs for Smoking Cessation | 631 |
1427 Incentive Payments for Prevention of Chronic Diseases | 633 |
CREATING HEALTHIER COMMUNITIES 1429 Community Transformation Grants | 635 |
1431 Healthy Aging Programs | 639 |
1433 Medical Diagnostic Equipment Standards | 643 |
1435 Immunizations | 645 |
1437 Calorie and Nutrition Labeling of Standard Menu Items | 648 |
1439 Individualized Wellness Plan Pilot Program | 651 |
1475 Cures Acceleration Network | 672 |
1480 Centers of Excellence for Depression | 674 |
1521 Allied Health Loan Forgiveness Program | 704 |
1523 Grants for State and Local MidCareer Training Programs | 706 |
1525 National Health Service Corps Funding | 707 |
1527 Grants to NurseManaged Health Clinics | 709 |
1529 Elimination of Cap on Public Health Service Regular Corps Commissioned Officers | 710 |
1531 Public Health Service Ready Reserve Corps | 711 |
EDUCATION AND TRAINING | 724 |
1545 Training Grants for Mental and Behavioral Health Education | 729 |
1547 Cultural Competency Prevention Public Health and Individuals with Disabilities Training | 732 |
1549 Advanced Nursing Education Grants | 736 |
1551 Nurse Education Practice and Retention | 739 |
1553 Loan Repayment and Scholarship Program | 740 |
1555 Nurse Faculty Loan Program | 742 |
1557 Authorization of Appropriations | 745 |
1559 Grants to Promote the Community Health Workforce | 746 |
1561 Fellowship Training in Public Health | 748 |
1563 United States Public Health Sciences Track | 749 |
1565 Demonstration Grants for Family Nurse Practitioner Training Programs | 756 |
SUPPORTING THE EXISTING HEALTH CARE WORKFORCE | 759 |
1567 Centers of Excellence | 760 |
1569 Health Care Professionals Training for Diversity | 761 |
1571 Area Health Education Centers | 764 |
1573 Workforce Diversity Grants | 766 |
1575 Primary Care Extension Program | 769 |
STRENGTHENING PRIMARY CARE AND OTHER WORKFORCE IMPROVEMENTS 1577 Medicare Payment Bonus for Primary Care Practitione... | 771 |
1578 New Prospective Payment System for Federally Qualified Health Centers | 772 |
1579 Unused Resident Positions | 774 |
1581 Counting Resident Time in Nonprovider Settings | 776 |
1583 Counting Resident Time for Scholarly and Other Activities | 778 |
1585 Preservation of Resident Cap Positions from Closed Hospitals | 779 |
1587 Health Professions Workforce Needs Extension of FamilytoFamily Health Information Centers | 781 |
1589 Increasing Teaching Capacity | 784 |
1590 Graduate Nurse Education Demonstration Project | 787 |
IMPROVING ACCESS TO HEALTH CARE SERVICES 1591 Federal Grants for Qualified Health Centers | 789 |
Negotiated Rulemaking | 791 |
1599 Reports | 803 |
PHYSICIAN REFERRALS 1605 Exception to the Medicare Prohibition on Physician Referrals for Hospitals | 806 |
PHYSICIAN OWNERSHIP AND OTHER TRANSPARENCY 1610 Transparency Reporting of Physician Ownership and Investment | 811 |
1615 InOffice Ancillary Services Exception for Certain Imaging Services | 815 |
1620 Prescription Drug Samples | 816 |
1625 Pharmacy Benefit Manager Transparency | 818 |
NURSING HOME TRANSPARENCY 1630 Required Disclosure of Ownership | 820 |
1635 Compliance and Ethics Requirements | 822 |
1640 Nursing Home Compare Website | 825 |
1645 Skilled Nursing Facility Expenditure Reporting | 826 |
1650 Complaint Standardization for Nursing Home Residents | 828 |
1655 Nursing Facility Staffing Information | 829 |
1660 GAO Study on FiveStar Quality Rating System of Nursing Homes | 830 |
1665 Dementia and Abuse Prevention Training | 831 |
ENFORCEMENT 1670 Civil Monetary Penalties for Deficiencies at Nursing Facilities | 832 |
1673 Medicare Prepayment Review | 834 |
1675 Independent Monitor Pilot Program | 835 |
1680 Facility Closure Notifications | 836 |
1685 Nursing Home Demonstration Project on Information Technology Usage | 838 |
1690 Fraud Enforcement Augmentation | 839 |
1693 Medical Tort Litigation Alternatives Demonstration Program | 841 |
1695 Extension of Medical Malpractice Coverage to Free Clinics Employees | 844 |
PATIENTCENTERED OUTCOMES RESEARCH 1705 PatientCentered Outcomes Research Trust Fund Established and Funded | 849 |
1710 Federal Coordinating Council | 854 |
MEDICARE MEDICAID AND CHIP PROGRAM INTEGRITY MEDICARE AND MEDICAID 1805 Provider Screening and Enrollment Requireme... | 855 |
1813 Federal Matching Funds Exclusions and Penalties | 864 |
1815 Subpoena Authority and Specific Intent Requirement | 866 |
1817 Surety Bond Requirements | 868 |
1821 Payment Suspension During Fraud Investigation | 869 |
1823 Increased Funding for Fraud and Abuse Enforcement Activities | 870 |
1825 Medicare and Medicaid Integrity Program Contractor Reporting | 872 |
1827 Expanded Application of Hardship Waivers for OIG Exclusions to Beneficiaries of Any Federal Health Care Program | 874 |
1831 Elimination of Duplication Between the Healthcare Integrity and Protection Data Bank and the National Practitioners Data Bank | 875 |
1833 Reduction of Period for Submission of Medicare Claims | 880 |
1835 Requirements for Physicians Who Order DME or Home Health Services | 881 |
1837 Physician and Supplier Documentation of Referrals to Programs at High Risk of Fraud and Abuse | 882 |
1839 Requirement for Certifying Patient Eligibility for Home Health Services or DME under Medicare | 885 |
1841 Penalties for False Statements | 887 |
1843 Physician SelfReferral Disclosure Protocol | 889 |
1845 Adjustments to the Medicare DMEPOS Competitive Acquisition Program | 892 |
1847 Expansion of the RAC Program | 894 |
ADDITIONAL MEDICAID PROVISONS 1850 Exclusion from Medicaid Participation Due to Affiliations | 896 |
1853 Termination of Participation of Medicaid Providers | 897 |
1855 Billing Agents Clearinghouses or Other Alternate Payees Registration Requirements Under Medicaid | 898 |
1857 Requirement to Report Expanded Set of Data Elements Under MMIS | 899 |
1858 Funding for Territories That Establish a Health Benefit Exchange | 900 |
1859 No Medicaid Payment to Entities Outside the United States | 901 |
1861 Extension of Period for Collection of Overpayments Due to Fraud | 902 |
1863 Medicaid Requirements Under the Correct Coding Initiative | 904 |
OTHER PROVISIONS 1865 Prohibition on False Statements Regarding Multiple Employer Welfare Arrangement MEWA Plans | 905 |
1867 Federal Health Care Offense Clarification | 906 |
1869 Development of Model Uniform Report Form | 908 |
1871 Application of State Law to MEWA Plans | 909 |
1873 Administrative Orders Against Distressed MEWA Plans | 910 |
1875 MEWA Plan Registration With Labor Department | 911 |
1880 Permitting Evidentiary Privilege in Confidential Communications | 912 |
ELDER JUSTICE ACT ELDER JUSTICE 1905 Elder Justice Act OTHER PROVISIONS 1910 Option for State Plan under TANF | 915 |
1915 National Training Institute for Surveyors | 918 |
1920 Grants to State Survey Agencies | 919 |
1925 Reporting of Crimes in Federally Funded LongTerm Care Facilities | 920 |
1930 National Nurse Aide Registry | 922 |
ACCESS TO INNOVATIVE MEDICAL THERAPIES BIOLOGICS PRICE COMPETITION AND INNOVATION 2005 Biologics Price Competition ... | 923 |
MORE AFFORDABLE MEDICINES FOR CHILDREN AND UNDERSERVED COMMUNITIES 2025 Expanded Participation in 340B Program for ... | 934 |
2030 Integrity Requirements Under Drug Discount 340B Program | 936 |
2035 GAO Study on Section 340B Program CHAPTER 21 CLASS | 940 |
2105 Community Living Assistance Services and Supports CLASS Program | 942 |
2125 CLASS Program Benefits | 948 |
2130 CLASS Independence Fund | 955 |
2135 CLASS Independence Advisory Council | 958 |
2140 HHS Secretarys Annual Report on CLASS Program | 959 |
2145 Annual Inspector Generals Report on CLASS Program | 961 |
2150 Personal Care Attendants Workforce Provision and Advisory Panel | 962 |
2155 Inclusion of CLASS Program Information in the National Clearinghouse for Long Term Care Information | 964 |
REVENUE PROVISIONS OFFSETS 2205 Excise Tax on High Cost EmployerSponsored Health Coverage 2210 Inclusion of Cost of EmployerSpons... | 967 |
2260 Elimination of Deduction for Federal Subsidies for Certain Retiree Prescription Drug Plans | 1000 |
2265 Itemized Deduction for Medical Expenses | 1003 |
2270 Limitation on Excessive Employee Remuneration | 1004 |
2275 Additional Medicare Tax on Wages and SelfEmployment Income | 1006 |
2277 Modification of Tax Treatment of Certain Health Organizations | 1010 |
2279 Excise Tax on Indoor Tanning Salon Services | 1011 |
OTHER PROVISIONS 2285 Exclusion of Qualified Health Care Benefits of Indian Tribe Members | 1012 |
2287 Simple Cafeteria Plans | 1016 |
2289 Credit for Therapeutic Discovery Projects | 1018 |
2291 Exclusion for Assistance Provided to Participants in State Student Loan Repayment Programs for Certain Health Professionals | 1025 |
2293 Adoption Credit and Adoption Assistance Programs | 1027 |
2295 Medical Benefits for Children Under Age 27 | 1030 |
2296 Black Liquor CarveOut for Cellulosic Biofuel Producer Credit | 1034 |
2297 Economic Substance Doctrine | 1037 |
2298 Penalties for Underpayments Attributable to Transactions Lacking Economic Substance | 1041 |
2299 Corporate Estimated Tax Payments | 1042 |
2305 Indian Health Care Improvement Act CHAPTER 24 MISCELLANEOUS PROVISIONS | 1046 |
2405 Government Transparency 2410 Prohibition of Discrimination on Assisted Suicide 2415 Access To Therapies | 1055 |
2420 Freedom Not to Participate in Federal Health Insurance Programs | 1058 |
2425 Equity for certain eligible Black Lung survivors | 1059 |
2430 Nondiscrimination in Health Programs or Activities | 1060 |
2435 Employee Protections | 1062 |
2440 Oversight by HHS Inspector General 2445 Treatment Of Antitrust Laws Hawaii Prepaid Health Care Act and Student Health Insurance | 1065 |
2450 Information Technology and Enrollment in Federal and State Programs | 1068 |
2455 GAO to Study Denial Rates by Health Insurance Issuers | 1070 |
2460 Nonwaiver of Procurement Requirements | 1071 |
2465 Continued Utilization Management Techniques | 1073 |
2470 Impact of PHSA Reforms on ERISA | 1074 |
2475 Impact of PHSA Reforms on Internal Revenue Code | 1075 |
2480 Sense of Senate on Medical Malpractice | 1082 |
2485 Sense of Senate on Fiscal Responsibility | 1083 |
2490 Implementation Funding | 1084 |
2494 Community College and Career Training Program | 1085 |
Medicaid Enrollment | 1100 |
Volume 1 | 1 |
Medicaid Childrens Health Insurance Program 605 Chapter 6 Maternal and Child Health Services 705 Chapter 7 Health Care Quality Improvement 8... | 3 |
1533 Primary Care Training and Enhancement | 448 |
1537 Training Opportunities for Direct Care Workers | 450 |
Repealed | 973 |
Common terms and phrases
Act P.L. activities added by Act added by Affordable addition adjustment administrative Affordable Care Act agencies amended amended by Act amount annual applicable appropriate areas assistance authorized BACKGROUND beginning beneficiaries benefits centers Code Sec cost coverage covered date is provided date of enactment demonstration determined develop effective date eligible employees enrollment entities established Exchange facility federal fiscal funds grants Health and Human health care health insurance health plan hospital Human Services implement improve income increase individuals January LAW EXPLAINED Law source limited measures Medicaid Medicare nursing offered organizations participation Patient Protection payment percent percentage period PHSA Sec physician practice premium prevention Protection and Affordable Public Health Service qualified receive Reconciliation Act reduce residents Secretary Security Act Sec Social Security Act specific SSA Sec standards submit SUMMARY