jiayi-li23/proxann_data huggingface dataset:
Bill 114-HR-5273 — Health / Medical Facilities
Subject: Health

Helping Hospitals Improve Patient Care Act of 2016

TITLE I--PROVISIONS RELATING TO MEDICARE PART A

(Sec. 101) The bill amends title XVIII (Medicare) of the Social Security Act to require the Centers for Medicare & Medicaid Services (CMS) to develop, with respect to claims for hospital services, codes under the Healthcare Common Procedure Coding System (HCPCS) for similar inpatient and outpatient hospital services.

(Sec. 102) The bill establishes processes for adjusting a hospital's Medicare payments based on the hospital's overall proportion of inpatients who are dually eligible for Medicare and Medicaid.

(Sec. 103) The bill extends for five years the Rural Community Hospital Demonstration Program, through which Medicare pays certain rural hospitals on the basis of reasonable incurred costs rather than under the standard prospective payment system.

(Sec. 104) With respect to long-term care hospitals, the bill lifts a moratorium on bed increases. The bill reduces rates for high-cost outlier payments, which are additional Medicare payments made in extraordinarily high-cost cases.

(Sec. 105) The bill reduces the amount by which hospital payment rates for inpatient services increase in FY2018.

TITLE II--PROVISIONS RELATING TO MEDICARE PART B

(Sec. 201) The bill excludes certain off-campus outpatient departments (OPDs) from specified rules that mandate lower Medicare payments. Specifically, the exclusion applies to: (1) cancer hospitals in off-campus OPDs, and (2) mid-build OPDs. A "mid-build" OPD is one for which the provider had, before a certain date, a binding written agreement with an outside party for construction.

(Sec. 203) With respect to payment reductions for failing to meet requirements for the meaningful use of electronic health records (EHRs), the bill exempts eligible professionals who are based in ambulatory surgical centers.

TITLE III--OTHER MEDICARE PROVISIONS

(Sec. 301) Until plan year 2019, CMS may not terminate an MA plan solely because the plan failed to achieve a specified minimum quality rating.

(Sec. 302) CMS must annually report on Medicare enrollment data, as specified by the bill.

(Sec. 303) CMS shall: (1) request information and recommendations from stakeholders on information included in the Welcome to Medicare package, and (2) update the information included in the package accordingly.
Bill 114-HR-5331 — Health / Medical Facilities
Subject: Health

Behavioral Health Infrastructure Improvement Act

This bill amends title XIX (Medicaid) of the Social Security Act to temporarily increase the Federal Medical Assistance Percentage (FMAP) for behavioral health infrastructure and systems improvements under a state medical assistance program. For a period of five years, a state's FMAP for such improvements shall equal 90%. (Generally, a state's FMAP under Medicaid may range from 50% to 83%.)

The bill also establishes a grant program for states to establish or support a behavioral health assistance office or ombudsman to coordinate behavioral health and other assistance for Medicaid beneficiaries. The office or ombudsman shall: (1) track, quantify, and report on problems and inquiries encountered by Medicaid beneficiaries with respect to access to behavioral health services; (2) educate Medicaid beneficiaries on their rights and responsibilities to such access; and (3) assist Medicaid beneficiaries in the enforcement of those rights and in accessing services.
Bill 114-HR-5343 — Health / Medical Facilities
Subject: Armed forces and national security

VA Transparency Enhancement Act of 2016

This bill requires the director of each Department of Veterans Affairs (VA) medical facility to report quarterly to the VA on:

 the number of patients who contracted an infection as result of surgery at such medical facility, including a brief summary of each case; and the number of, and reasons for, scheduled surgeries that were cancelled or transferred to another facility and the subsequent number of days that each patient had to wait for surgery. The VA shall submit such reports and a summary of such reports to Congress and publish them on its website.
Bill 114-HR-5431 — Health / Medical Facilities
Subject: Armed forces and national security

Expanding Care for Female Veterans Act

This bill directs the Department of Veterans Affairs (VA) to establish a three-year pilot program to award grants to health care entities to lease, purchase, or build health care facilities for female patients in order to provide hospital care and medical services to female veterans enrolled in the VA's patient enrollment system.

For purposes of providing such care and services, a facility leased, purchased, or built under the program shall be deemed to be: (1) a non-VA entity that may provide veterans hospital care and medical services as specified in the Veterans Access, Choice, and Accountability Act of 2014; or (2) if the authority to carry out the program is terminated, an entity otherwise authorized to provide hospital care and medical services pursuant to an agreement entered into by the VA.
Bill 114-HR-5559 — Health / Medical Facilities
Subject: Health

This bill amends the Pathway for SGR Reform Act of 2013 to specify that certain provisions of current law regarding the calculation of hospital length of stay apply to certain long-term care hospitals (LTCHs) that are permitted, under Medicare, to establish new LTCHs or increase LTCH beds. Specifically, with respect to such LTCHs, two types of patients shall be excluded from the calculation of LTCH length of stay under Medicare: (1) those for whom payment is made under a Medicare Advantage plan, and (2) those for whom payment is made at the site-neutral payment rate.
Bill 114-HR-5613 — Health / Medical Facilities
Subject: Health

Continuing Access to Hospitals Act of 2016 or the CAH Act of 2016

This bill requires the Centers for Medicare & Medicaid Services to continue to instruct Medicare contractors not to enforce requirements for direct physician supervision of outpatient therapeutic services in critical access and small rural hospitals through 2016.

The Medicare Payment Advisory Commission must report on the effect of extending this instruction on: (1) Medicare beneficiaries, and (2) hospital staffing needs.
Bill 114-HR-5614 — Health / Medical Facilities
Subject: Health

This bill amends title XVIII (Medicare) of the Social Security Act to remove certain hospitals specializing in neoplastic disease from their classification as long-term care hospitals for purposes of Medicare payment. The Centers for Medicare & Medicaid Services shall make payments to these hospitals under reasonable cost-based reimbursement rules rather than under the prospective payment system.
Bill 114-HR-5713 — Health / Medical Facilities
Subject: Health

Sustaining Healthcare Integrity and Fair Treatment Act of 2016

This bill amends titles XVIII (Medicare) and XIX (Medicaid) of the Social Security Act, among other Acts, to modify provisions related to long-term care hospital (LTCH) payments under Medicare.

(Sec. 101) The bill amends the Medicare, Medicaid, and SCHIP Extension Act of 2007 to revise the applicability of certain Medicare payment rules exempting LTCHs from negative payment adjustments for admissions from certain co-located hospitals beyond specified thresholds. These rules shall apply for an additional period beginning on October 1, 2016.

(Sec. 102) In addition, the bill amends the Pathway for SGR Reform Act of 2013 to expand to all LTCHs the application of a payment rule that requires the exclusion of certain patients for purposes of calculating length of stay. Under current law, the payment rule applies only to a hospital that was classified as an LTCH as of a specified date.

(Sec. 103) The bill removes certain hospitals specializing in neoplastic disease from their classification as LTCHs for purposes of Medicare payment.

(Sec. 104) With specified exceptions, current law applies certain payment limits to inpatient services for LTCHs that do not meet specified discharge requirements. The bill: (1) establishes a new temporary exception to these limits for certain spinal cord specialty hospitals, and (2) expands an existing temporary exception with respect to certain discharges involving severe wounds.

(Sec. 201) Current law allows the Centers for Medicare & Medicaid Services to impose a temporary moratorium on the enrollment of new providers under Medicare, Medicaid, or the Children's Health Insurance Program (CHIP) if necessary to combat fraud, waste, or abuse. With specified exceptions, the bill prohibits payment under these programs to new providers in areas subject to such temporary moratorium.
Bill 114-HR-5726 — Health / Medical Facilities
Subject: Armed forces and national security

Better Informing Veterans' Healthcare Decisions Act

This bill urges the Department of Veterans Affairs (VA) to ensure that preventing veteran suicide and providing veterans access to mental health care is its top reform priority.

The VA shall, every 30 days, determine and provide to the Department of Defense, with respect to the previous year:

 the average national wait times (in days) for veterans enrolled in the VA health care system to receive appointments for mental health care and primary health care at VA medical facilities, the average time for the VA to process a claim for disability compensation, and the average time for the VA to decide an appeal of such a claim. The VA shall place a sign displaying the most current such times in a conspicuous location at each career counselor or career assistance advisor office.
Bill 114-HR-5767 — Health / Medical Facilities
Subject: Health

Fairness for Our Hospitals Act of 2016

This bill amends title XVIII (Medicare) of the Social Security Act to allow a hospital that meets specified criteria and is located in a state with no rural areas to be considered a Medicare-dependent hospital. The Centers for Medicare & Medicaid Services shall establish and implement a process for reimbursing impacted hospitals for any underpayments resulting from this bill's implementation.
Bill 114-HR-5822 — Health / Medical Facilities
Subject: Armed forces and national security

Improving Standards in VA Contracting Act of 2016

This bill directs the Department of Veterans Affairs (VA) to develop uniform policy guidelines for officials, including contracting officers, of the VA's Real Property Service of the Office of Construction and Facilities Management for evaluating potential lessors of property on which to build medical facilities.

Such guidelines shall include evaluating the potential lessor's: (1) past performance on federal contracts, (2) ability to control the property, and (3) conduct of proper due diligence prior to submitting an offer to enter a lease with the VA.
Bill 114-HR-5927 — Health / Medical Facilities
Subject: Health

Hospital Quality Rating Transparency Act of 2016

This bill delays the date upon which the Department of Health and Human Services (HHS) may make Overall Hospital Quality Star Ratings for hospitals publicly available.

With respect to such ratings, HHS shall: (1) make publicly available detailed information on the methodology used, (2) have the validity and accuracy of such methodology independently confirmed, and (3) provide a public comment period of specified duration.

HHS may not make the ratings publicly available until the later of July 31, 2017, or the date upon which the bill's requirements are satisfied.

In the event that such ratings have already been published on a specified website, HHS shall remove them and not republish them until the bill's requirements have been satisfied.
Bill 114-HR-6088 — Health / Medical Facilities
Subject: Health

Hospital Quality Rating Transparency Act of 2016

This bill delays the date upon which the Department of Health and Human Services (HHS) may make Overall Hospital Quality Star Ratings for hospitals publicly available.

With respect to such ratings, HHS shall: (1) make publicly available detailed information on the methodology used, (2) have the validity and accuracy of such methodology independently confirmed, and (3) provide a public comment period of specified duration.

HHS may not make the ratings publicly available until the later of July 31, 2017, or the date upon which the bill's requirements are satisfied.

In the event that such ratings have already been published on a specified website, HHS shall remove them and not republish them until the bill's requirements have been satisfied.
Bill 114-HR-6101 — Health / Medical Facilities
Subject: Health

ACO Improvement Act of 2016

This bill amends title XVIII (Medicare) of the Social Security Act to allow an accountable care organization (ACO) to: (1) reduce or eliminate certain cost-sharing for primary care services provided within the ACO's network; (2) develop incentives to encourage patient engagement; (3) elect prospective assignment of Medicare fee-for-service beneficiaries; and (4) if specified requirements are met, distribute internal cost savings.

The Centers for Medicare & Medicaid Services (CMS) shall waive specified regulatory requirements for ACOs that have elected to share in both savings and losses under a "two-sided risk model."

In addition, the bill: (1) requires CMS to waive, with respect to certain ACOs, specified limitations regarding telehealth services; (2) allows certain ACOs to depart slightly from specified minimum enrollment requirements; (3) requires CMS to establish a demonstration project for allowing growth of certain prospective risk scores; (4) and allows CMS to make permanent certain ACO-related pilot programs that have been successful.
Bill 114-HR-6132 — Health / Medical Facilities
Subject: Armed forces and national security

National Trauma Care System Act

This bill establishes the Task Force on Eliminating Preventable Deaths or Disabilities due to Traumatic Injuries, which shall: (1) develop a plan to establish a national trauma care system to facilitate the U.S. ability to eliminate preventable deaths related to injuries, eliminate trauma-related disabilities, and respond to mass trauma incidents; and (2) establish specific goals and milestones, and federal responsibilities, to carry out the plan.

The task force shall ensure that each budget of the President submitted to Congress requests sufficient funding to develop and support the system, and that the system:

 includes mechanisms for accountability and a data-driven research agenda, ensures military and civilian trauma systems collect and share common data, is developed and carried out in a manner that reduces regulatory and legal barriers to the full integration of the trauma continuum of care, and is capable of responding domestically to any mass casualty incident. The task force shall develop and implement a national trauma research action plan.

The Department of Health and Human Services shall:

 develop and publish standards for trauma care in pre-hospital and hospital settings; identify, evaluate, and implement policies to ensure coordination between pre-hospital and hospital trauma care; work to facilitate the collection and sharing of data among federal and non-governmental trauma systems; revise and clarify existing regulations to minimize barriers to the use and disclosure of protected health information with respect to trauma care; and ensure the civilian trauma systems participate in a structured trauma quality improvement process. The Department of Defense (DOD) shall:

 submit and implement a plan to establish a Joint Trauma System within the Defense Health Agency that promotes improved trauma care, seek to contract with a non-governmental entity to conduct a system-wide review of the military trauma system, establish a Joint Trauma Education and Training Directorate to ensure that the military trauma care providers maintain readiness and are able to be rapidly deployed for future armed conflicts, partner with civilian trauma centers, determine the number of military trauma care providers that must be maintained within DOD to meet the requirements of the combatant commands, and report on the activities of the Secretarial Designee Program.
Bill 114-HR-6207 — Health / Medical Facilities
Subject: Armed forces and national security

ACT to Improve VA Timing and Efficiency or the ACTivate Act

This bill directs the Department of Veterans Affairs (VA) to: (1) seek to award contracts to private entities to assist with scheduling and managing appointments for veterans enrolled in the VA health care system, and (2) ensure that such private entity assistance augments the VA's scheduling and appointment process.
Bill 114-HR-6220 — Health / Medical Facilities
Subject: Armed forces and national security

Providing Veterans Overdue Care Act of 2016

This bill authorizes the Department of Veterans Affairs to carry out major medical facility leases in specified amounts for:

 outpatient clinics in Ann Arbor, Michigan; Daytona Beach, Gainesville, and Ocala, Florida; Hampton Roads, Virginia; Missoula, Montana; Northern Colorado, Colorado; Oxnard and Santa Rosa, California; Pike County, Georgia; Portland, Maine; and Raleigh, North Carolina; an outpatient mental health clinic and an outpatient specialty clinic in Birmingham, Alabama; research space in Boston, Massachusetts; Charleston, South Carolina; and Mission Bay, California; Chief Business Office Purchased Care office space in Denver, Colorado; and replacement outpatient clinics in Corpus Christi, Texas; Jacksonville and Tampa, Florida; Pontiac, Michigan; Rochester, New York (phase II); and Terre Haute, Indiana.
Bill 114-HR-6399 — Health / Medical Facilities
Subject: Health

Fixing Medicare Hospital Payments Act of 2016

This bill amends title XVIII (Medicare) of the Social Security Act to establish, with respect to calculating payment for inpatient hospital services under Medicare's prospective payment system, a minimum area wage index for hospitals located in metropolitan areas. (Under a prospective payment system, payment is made according to a predetermined, fixed amount.)
Bill 114-HR-6435 — Health / Medical Facilities
Subject: Armed forces and national security

(This measure has not been amended since it was introduced. The summary has been expanded because action occurred on the measure.)

(Sec. 1) This bill authorizes the Director of a Veterans Integrated Service Network of the Department of Veterans Affairs (VA) to contract with an entity specializing in civilian accreditation or health care evaluation to investigate any medical center within the network to assess deficiencies of the facilities at such medical center.

 Before entering into any contract, the director shall notify the VA, the VA Inspector General, and the Government Accountability Office in order to coordinate any investigation pursuant to a contract with any ongoing investigations or accreditations.
Bill 114-HR-6517 — Health / Medical Facilities
Subject: Armed forces and national security

Increasing New recruit Focus On Receiving Mental healthcare Act or the INFORM Act

This bill urges the Department of Veterans Affairs (VA) to ensure that preventing veteran suicide and providing veterans access to mental health care is its top reform priority.

The VA shall, every 30 days, determine and provide to the Department of Defense, with respect to the previous year:

 the average national wait times (in days) for veterans enrolled in the VA health care system to receive appointments for mental health care and primary health care at VA medical facilities, the average time for the VA to process a claim for disability compensation, and the average time for the VA to decide an appeal of such a claim. The VA shall place a sign displaying the most current such times in a conspicuous location at each military entrance processing station.
Bill 114-S-7 — Health / Medical Facilities
Subject: Health

Steve Gleason Act of 2016

This bill amends title XVIII (Medicare) of the Social Security Act to make permanent the elimination of a specified payment cap under the Medicare program with respect to speech generating devices.
Bill 114-S-285 — Health / Medical Facilities
Subject: Armed forces and national security

Aurora Veterans Affairs Hospital Financing and Construction Reform Act of 2015

Authorizes the Secretary of Veterans Affairs (VA) to carry out the Aurora medical facility project to replace the VA Medical Center in Aurora, Colorado.

Requires VA to enter into an agreement with the Chief of Engineers giving the Chief the authority to perform the project, design, contract, and construction management necessary to complete such project.
Bill 114-S-332 — Health / Medical Facilities
Subject: Health

Rural Hospital Access Act of 2015

This bill amends title XVIII (Medicare) of the Social Security Act to make permanent the Medicare-dependent, small rural subsection (d) hospital program and increased payments under the Medicare low-volume hospital program.

 (Generally, a subsection [d] hospital is an acute care hospital, particularly one that receives payments under Medicare's inpatient prospective payment system [IPPS] when providing covered inpatient services to eligible beneficiaries.)
Bill 114-S-607 — Health / Medical Facilities
Subject: Health

Rural Community Hospital Demonstration Extension Act of 2015

This bill amends the Medicare Prescription Drug, Improvement, and Modernization Act of 2003, as amended by the Patient Protection and Affordable Care Act, to extend the period of the Medicare rural community hospital demonstration program from 5 to 10 years.

The Department of Health and Human Services (HHS) shall allow certain rural community hospitals participating in the demonstration program as of December 30, 2014, to continue during the second five years of the 10-year extension period.

HHS shall solicit applications to select up to the maximum number of additional rural community hospitals located in any state to participate in this demonstration program for the second five years of the ten-year extension period without exceeding the applicable limitation (30).

 In determining which applicant rural community hospitals to select for participation in the demonstration program, HHS:

 shall give priority to hospitals located in one of the 20 states with the lowest population densities; and may consider closures of hospitals located in rural areas in the state in which the hospital is located during the 5-year period immediately preceding the enactment of this Act, as well as the population density of the state.