jiayi-li23/proxann_data huggingface dataset:
Bill 113-HR-3698 — Health / Medical Facilities
Subject: Health

Two-Midnight Rule Delay Act of 2013 - Prohibits the Secretary of Health and Human Services (HHS) from enforcing the two-midnight rule to a hospital for which payment is made under title XVIII (Medicare) of the Social Security Act for admissions occurring before October 1, 2014.

(The two-midnight rule allows Medicare coverage of only hospital stays for which a physician admits to a hospital a beneficiary expected to require care that crosses two midnights, but generally denies coverage of care expected to require less than a two-midnight stay.)

Applies such prohibition to Medicare review contracts.

Prohibits Medicare review contractors from denying a claim for inpartient hospital services furnished by a hospital, or inpatient critical access hospital services furnished by a critical access hospital, for discharges occurring before October 1, 2014: (1) for medical necessity due to the length of an inpatient stay in such hospital or due to a determination that the services could have been provided on an outpatient basis; or (2) for requirements for orders, certifications, or recertifications, and associated documentation relating to such matters.

Prohibits the Secretary from increasing the sample of claims selected for prepayment review under the Medicare Probe and Educate program above the number and type established by the Secretary as of November 4, 2013.

Directs the Secretary to develop: (1) a Medicare hospital payment methodology for short inpatient hospital stays; (2) general equivalency maps to link the relevant International Statistical Classification of Diseases and Related Health Problems (ICD)-10 codes (used to report medical diagnoses and inpatient procedures) to relevant Current Procedural Terminology (CPT) codes, and the relevant CPT codes to relevant ICD-10 codes, in order to permit comparison of inpatient hospital services and hospital outpatient department servives; and (3) a second crosswalk between Diagnosis-Related Group (DRG) codes for inpatient hospital services and Ambulatory Payment Class codes for outpatient hospital services.
Bill 113-HR-3710 — Health / Medical Facilities
Subject: Health

Medicare CGM Coverage Act - Amends title XVIII (Medicare) of the Social Security Act (SSA) to cover continuous glucose monitoring systems (CGMS) (including a transmitter, receiver, sensors, and test strips required for use) as durable medical equipment (DME).
Bill 113-HR-3769 — Health / Medical Facilities
Subject: Health

Directs the Secretary of Health and Human Services (HHS), during a specified extension period, to extend the therapy supervision nonenforcement instruction (the enforcement instruction on supervision requirements for outpatient therapeutic services in critical access and small rural hospitals, as extended for calendar year 2013 by the Centers for Medicare & Medicaid Services).

Directs the Secretary to study the impact (including the economic impact and the impact upon hospital staffing needs, if any) on critical access hospitals and small rural hospitals of not extending the therapy supervision nonenforcement instruction.
Bill 113-HR-3776 — Health / Medical Facilities
Subject: Health

Stark Administrative Simplification Act - Amends title XVIII (Medicare) of the Social Security Act (SSA) to prescribe a single civil monetary penalty as an alternative sanction to those already established for compensation arrangements between a physician (or an immediate family member) and a person or entity that is in violation of the limitation on certain physician referrals (Stark Law) solely due to technical noncompliance.

(The Stark law, or Stark Rule, prohibits physician referrals of certain health services for Medicare and Medicaid patients to a specified entity if the physician, or an immediate family member, has a financial relationship with that entity.)

Requires the Secretary of Health and Human Services (HHS) to accept the voluntary disclosure of a technically noncomplaint compensation arrangement by a person or entity in violation of the Stark Law under certain circumstances.
Bill 113-HR-3796 — Health / Medical Facilities
Subject: Health

Comprehensive Care Payment Innovation Act - Amends title XVIII (Medicare) of the Social Security Act (SSA) to direct the Secretary of Health and Human Services (HHS) to provide for bundled payments for integrated care furnished by a qualified entity, during an episode of care for applicable conditions involving a hospitalization, to an individual entitled to, or enrolled for, benefits under Medicare part A (Hospital Insurance) and enrolled for benefits under Medicare part B (Supplementary Medical Insurance), but not enrolled under Medicare part C (Medicare+Choice Program) or in a PACE (Programs of All-Inclusive Care for the Elderly) program.
Bill 113-HR-3877 — Health / Medical Facilities
Subject: Health

Lymphedema Treatment Act - Amends title XVIII (Medicare) of the Social Security Act (SSA) to cover certain lymphedema compression treatment items as durable medical equipment.
Bill 113-HR-4053 — Health / Medical Facilities
Subject: Armed forces and national security

VA Timely Mammogram Results Act of 2013 [sic] - Requires the Secretary of Veterans Affairs: (1) to establish standards with respect to the timeliness of reporting and providing to patients the results of mammograms performed at a Department of Veterans Affairs (VA) facility; and (2) in establishing such standards, to take into consideration the best practices of the private sector.
Bill 113-HR-4067 — Health / Medical Facilities
Subject: Health

(This measure has not been amended since it was introduced. The summary of that version is repeated here.)

Requires the Secretary of Health and Human Services (HHS) 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 2014.
Bill 113-HR-4080 — Health / Medical Facilities
Subject: Health

(This measure has not been amended since it was reported to the House on May 20, 2014. The summary of that version is repeated here.)

Trauma Systems and Regionalization of Emergency Care Reauthorization Act - Amends the Public Health Service Act to authorize appropriations for trauma care programs through FY2019. Requires that not more than 50% of amounts remaining for a fiscal year after FY2014 (after allocation for administrative purposes or for improvement of emergency medical services in rural areas) be allocated for competitive grants to support pilot projects for emergency care and trauma systems.

Requires the inclusion of standards and requirements of the American Burn Association in trauma care modifications of a state plan for providing emergency medical services.
Bill 113-HR-4188 — Health / Medical Facilities
Subject: Health

Establishing Beneficiary Equity in the Hospital Readmission Program Act - Amends title XVIII (Medicare) of the Social Security Act (SSA) with respect to the hospital readmission reduction program to exclude from the program admissions related to transplants, end-stage renal disease (ESRD), burns, trauma, psychosis, or substance abuse.

 Requires the Secretary of Health and Human Services (HHS), in applying requirements for the excess readmission ratio, to provide for a risk adjustment that will take into account a hospital's proportion of inpatients who are full-benefit dual eligible individuals (eligible for both Medicare and Medicaid under SSA title XIX) in order to ensure that hospitals that treat the most vulnerable populations are not unfairly penalized.

Directs the Medicare Payment Advisory Commission (MEDPAC) to study the appropriateness of using a threshold of 30 days for readmissions under the program.

Directs the Secretary, in promulgating regulations for the hospital readmission reduction program, to consider the use of V codes for potential exclusions of cases involving noncompliant patients in promulgating applicable regulations.
Bill 113-HR-4673 — Health / Medical Facilities
Subject: Health

Bundling and Coordinating Post-Acute Care Act of 2014 or the BACPAC Act of 2014 - Amends title XVIII (Medicare) of the Social Security Act to require a single bundled payment for post-acute care services under Medicare parts A (Hospital Insurance) and B (Supplementary Medical Insurance).

Defines "PAC physician" as the physician with primary responsibility for supervising delivery to an individual of a post-acute care (PAC) bundle of services between a qualifying discharge and the earlier of: (1) 90 days later, or (2) the date on which the individual is admitted to a hospital to receive services for a condition unrelated to the one for which he or she received the acute care inpatient hospital services.

Directs the Secretary of Health and Human Services (HHS) to: (1) establish a new Transitional Care Management (TCM) code, with respect to geographic adjustments to the physicians' fee schedule, to pay for care management by a PAC physician; or (2) revise and expand the use of existing TCM codes 99495 and 99494.
Bill 113-HR-4759 — Health / Medical Facilities
Subject: Armed forces and national security

Directs the Secretary of Veterans Affairs to carry out a two-year pilot program under which: (1) eligible veterans may elect to receive hospital care and services at non-Department of Veterans Affairs (VA) facilities, and (2) the Secretary shall reimburse such facilities for the cost of such care and services.

Defines an "eligible veteran" as a veteran who: (1) is enrolled in the VA's patient enrollment system, and (2) resides in a geographic area selected by the Secretary. Directs the Secretary to select: (1) one geographic area within each Veterans Integrated Service Network, and (2) NJ-2 as the geographic area for participation in the pilot program for Veterans Integrated Service Network 4.

Requires the Secretary to: (1) issue a unique identification card to each eligible veteran who elects to receive hospital care and medical services at non-VA facilities under the pilot program, and (2) take steps to ensure that such veterans receive such care and services at such non-VA facilities.
Bill 113-HR-4760 — Health / Medical Facilities
Subject: Armed forces and national security

Veterans' Health Care Flexibility Act - Allows veterans who are eligible to receive hospital care and medical services from the Department of Veterans Affairs (VA) to elect to receive such care and services at non-VA facilities.

Directs the VA Secretary to contract with non-VA facilities to furnish hospital care and medical services to such veterans.
Bill 113-HR-4762 — Health / Medical Facilities
Subject: Health

Medicare Transitional Care Act of 2014 - Amends title XVIII (Medicare) of the Social Security Act to cover transitional care services for qualified individuals provided by a transitional care clinician acting as an employee of a qualified transitional care entity, such as a hospital (or a critical care hospital), a home health agency, a primary care practice, a federally qualified health center or rural health clinic, a long-term care facility, a medical home, an appropriate community-based organization, an assisted living center, or an accountable care organization.
Bill 113-HR-4779 — Health / Medical Facilities
Subject: Armed forces and national security

Veterans Need Timely Access to Care Act - Directs the Secretary of Veterans Affairs (VA) to enter into contracts with such non-VA facilities as may be necessary to furnish hospital care or medical services to any veteran enrolled in the VA's patient enrollment system who: (1) has waited 7 days or longer for an appointment for primary care, or 14 days or longer for an appointment for speciality care, in a VA facility; and (2) elects to receive such care in a non-VA facility.
Bill 113-HR-4780 — Health / Medical Facilities
Subject: Health

Rural Community Hospital Demonstration Extension Act of 2014 - Amends the Medicare Prescription Drug, Improvement, and Modernization Act of 2003, as amended by the Patient Protection and Affordable Care Act, to extend the rural community hospital demonstration program from five through 10 years.
Bill 113-HR-4781 — Health / Medical Facilities
Subject: Health

Medicare Access to Rural Anesthesiology Act of 2014 - Amends title XVIII (Medicare) of the Social Security Act to provide payment under Medicare part A (Hospital Insurance) on a reasonable cost basis for anesthesia services furnished by a physician who is an anesthesiologist in certain rural hospitals in the same manner as payment is made for anesthesia services furnished by a certified registered nurse anesthetist in such hospitals.
Bill 113-HR-4857 — Health / Medical Facilities
Subject: Health

Ensuring Equal Access to Treatments Act of 2014 - Amends title XVIII (Medicare) of the Social Security Act, with respect to the prospective payment system for hospital outpatient department (OPD) services, to direct the Secretary of Health and Human Services (HHS) to create certain additional groups of covered OPD services that classify separately, from those that do not utilize such a drug, procedures that utilize a drug (other than contrast agents and diagnostic radiopharmaceuticals) that both has a cost above the drug packaging threshold and functions as a supply when used in a diagnostic test or procedure.
Bill 113-HR-4971 — Health / Medical Facilities
Subject: Armed forces and national security

Ask Veterans Act - Directs the Secretary of Veterans Affairs (VA) to contract with an experienced non-government entity to conduct an annual survey, over a five-year period, of a statistically significant sample of veterans who reside in the geographic area served by each VA medical facility to determine the experiences of such veterans in obtaining hospital care and medical services at such facility.

Requires those surveys to include questions relating to:

 the veteran's ability to obtain hospital care and medical services at the facility in a timely manner, the time that expires between the date the veteran requests an appointment and the date on which the appointment is scheduled, the frequency with which scheduled appointments are cancelled, and the quality of hospital care or medical services the veteran receives. Requires the non-government entity to consult with veterans service organizations in designing and conducting the surveys.

Prohibits the non-government entity from conducting a survey before the Comptroller General (GAO) certifies the survey as scientifically valid and the proposed sample size of veterans as statistically significant.

Directs the Secretary to make the results of the surveys publicly available on the VA's Internet website.
Bill 113-HR-5007 — Health / Medical Facilities
Subject: Armed forces and national security

Restoring Accountability in Veterans Access to Health Care Act - Directs the Inspector General of the Department of Veterans Affairs (VA) to annually determine, and publish in the Federal Register, the five occupations of health care providers for which there is the largest staffing shortage throughout the VA. Authorizes the Secretary of Veterans Affairs, based upon such determination, to recruit and appoint highly qualified health care providers to positions in those occupations.

Requires the Secretary to submit biennial reports assessing the staffing of each VA medical facility, including: (1) information on wait times and workload levels, (2) a plan to fill staffing shortages, and (3) an analysis of succession planning.

Directs the Secretary to implement a clinic management training program to provide in-person, standardized education on health care management to all managers of, and health care providers at, VA medical facilities, including training on how to: (1) manage the schedules of health care providers, (2) optimize the use of technology, (3) use data to meet the demand for health care, (4) use the VA appointment scheduling system, and (5) use physical plant space at VA facilities to ensure efficient flow and privacy for patients and staff.
Bill 113-HR-5042 — Health / Medical Facilities
Subject: Armed forces and national security

Jumpstart VA Construction Act - Requires the Secretary of Veterans Affairs to carry out a 10-year pilot program of entering into partnership agreements on a competitive basis with appropriate non-federal entities for major authorized construction projects. Directs the Secretary to select 10 major medical facility projects authorized for the construction of a new facility for which: (1) Congress has appropriated funds, (2) the design and development phase is complete, and (3) construction has not begun as of the date of enactment of this Act. Requires four of such projects to be seismic-related projects and four to be community based outpatient clinic-related projects.

Directs the Secretary to: (1) appoint a non-Department of Veterans Affairs (VA) entity as the project manager of each project; (2) ensure that the project manager implements a project management plan to ensure concise and consistent communication of all parties involved; (3) work in cooperation with each participating non-federal entity to minimize multiple change orders; (4) develop metrics to monitor change order process times, with the intent of expediting any change order; and (5) monitor construction to ensure that it is in compliance with the Federal Acquisition Regulations and VA acquisition regulations and that the costs are reasonable.
Bill 113-HR-5232 — Health / Medical Facilities
Subject: Health

Notice of Observation Treatment and Implication for Care Eligibility Act or the NOTICE Act - Amends title XVIII (Medicare) of the Social Security Act to require a hospital with an agreement with the Secretary of Health and Human Services (HHS) to give each individual entitled to benefits under Medicare part A (Hospital Insurance), whom the hospital classifies for more than 24 hours as an outpatient under observation status or any other similar status, an adequate oral and written notification within 36 hours of that classification which:

 explains the individual's status as an outpatient under observation (or any similar status) and not as an inpatient; explains the reason for that classification; explains the implications of that outpatient status on eligibility for Medicare coverage of items and services as well as cost-sharing requirements; includes the name and title of the hospital staff who gave an oral notification and its date and time; and is signed by individual, if the notification is written, to acknowledge its receipt.
Bill 113-HR-5333 — Health / Medical Facilities
Subject: Armed forces and national security

Expanding Access for Veterans' Service Animals Act - Expresses the sense of Congress that: (1) certified therapeutic animals should be provided the same access to facilities of the Department of Veterans Affairs (VA) as service animals, and (2) the Secretary of Veterans Affairs should implement a certification process for therapeutic animals that mitigate the effects of a medically diagnosed mental health condition.

Bars the Secretary from prohibiting any service animal that is allowed to access VA medical facilities from accessing the room of a patient who is receiving inpatient care at such a facility, including with respect to staying overnight. Authorizes the Secretary to prescribe regulations to ensure the safety and health of VA employees, patients, and the public, including by requiring that a patient maintain responsibility for such animal.
Bill 113-HR-5342 — Health / Medical Facilities
Subject: Armed forces and national security

VA Credentialing and Privileging Improvement Act - Directs the Secretary of Veterans Affairs (VA), within 30 days after a military health care provider requests privileges to provide hospital care or medical services in a VA medical facility, to approve such provider's credentials and grant such privileges, unless the Secretary can show cause for denying such privileges.

Defines "military health care provider" as a member of the Armed Forces who is: (1) a health care provider; (2) serving on active duty in, or in the process of being separated from, the Armed Forces; and (3) privileged to work in a military treatment facility.
Bill 113-HR-5531 — Health / Medical Facilities
Subject: Health

Amends title XVIII (Medicare) of the Social Security Act to prohibit any subsection (d) hospital located in an area which after September 30, 2014, is reclassified from a rural to an urban area from being required to waive the application of a wage index increase in order to be eligible for such reclassification for the first two fiscal years for which the reclassification from rural to urban is effective.

(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 113-HR-5537 — Health / Medical Facilities
Subject: Health

Requires the Comptroller General (GAO) to study and report on the interoperability of computer systems used by hospitals to store and access electronic health records.

Requires the study to explore the ability of hospital computer systems to allow more than one hospital to access and update the electronic health records of the same patient, including: (1) the identity of hospitals that use computer systems with this ability, (2) reasons hospitals do not have computer systems with this ability, and (3) whether this ability allows hospitals to more effectively coordinate patient care.
Bill 113-HR-5556 — Health / Medical Facilities
Subject: Health

Electronic Health Fairness Act of 2014 - Amends title XVIII (Medicare) of the Social Security Act to prohibit any patient encounter of an eligible professional occurring at an ambulatory surgical center from being treated as such an encounter in determining whether an eligible professional qualifies as a meaningful electronic health record (EHR) user.

Terminates this prohibition three years after the Secretary of Health and Human Services (HHS) certifies EHR technology for the ambulatory surgical center setting.
Bill 113-HR-5558 — Health / Medical Facilities
Subject: Health

ACO Improvement Act of 2014 - Amends title XVIII (Medicare) of the Social Security Act with respect to the shared savings program under which groups of service providers and suppliers meeting specified criteria may work together to manage and coordinate care for Medicare fee-for-service beneficiaries through an accountable care organization (ACO).

Directs the Secretary of Health and Human Services (HHS) to permit an ACO that has elected a two-sided risk model to: (1) reduce or eliminate cost-sharing under Medicare part B (Supplementary Medical Insurance) for some or all primary care services furnished by health care professionals within the ACO network; and (2) develop additional incentive programs to encourage patient engagement and participation in their own wellness.

Prescribes requirements for fostering stronger patient-provider ties.  Directs the Secretary to require a primary care ACO professional to provide the beneficiary with information concerning the ACO program as part of the initial preventive physical examination of the beneficiary.

Directs the Secretary to form a stakeholder group including representatives of ACOs, health care providers, Medicare beneficiaries, and ACO experts.  Requires such parties to advise the Secretary with recommendations to improve the process of ACO-to-beneficiary communication.

Prescribes requirements for regulatory relief for an ACO that has elected a two-sided risk model and for improving care coordinatiion through access to telehealth.

Directs the Secretary to: (1) conduct a demonstration project to test the use of payment benchmarks that take into account geographic area differences, (2) study the feasibility of establishing a system of electronic access of service providers and suppliers to in-process and complete patient claims data, (3) establish one or more demonstration programs to test the global capitation payment model, and (4) develop a mechanism to make permanent those ACO-related pilot programs that have been successful.