jiayi-li23/proxann_data huggingface dataset:
Bill 113-S-2401 — Health / General
Subject: Armed forces and national security

Increasing Medical Oversight in the Department of Veterans Affairs Act of 2014 - Establishes the Office of the Medical Inspector of the Department of Veterans Affairs (VA) within the Office of the Under Secretary for Health. Includes among the functions of the Office to:

 review the quality of health care provided to veterans by the VA generally and by the VA through contracts with non-VA health care providers; review offices of the Veterans Health Administration (VHA) that have an impact on the quality of health care provided to veterans by the VA and the performance of the VA in providing such care; review VHA offices and facilities to ensure that VA and VHA policies and procedures are applied consistently; investigate any systemic issues that arise within VHA, including improper issuance of credentials and privileges to health care providers, impediments to access to VA health care, wait times for appointments at VA medical facilities in excess of VA goals, and intentional falsification by VA employees of information regarding wait times; establish temporary investigative teams to carry out reviews in response to specific incidents or inquiries, including veterans' complaints and potential systemic issues within VHA that may require the conduct of surveys, the collection of data, and the analysis of VA databases; recommend policies to promote economy and efficiency in the administration of, and to prevent and detect criminal activity, waste, abuse, and mismanagement in, VHA programs and operations; and report on problems or deficiencies encountered in VHA programs and operations and recommend corrective actions.
Bill 113-S-2405 — Health / General
Subject: Health

(This measure has not been amended since it was introduced. 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-S-2406 — Health / General
Subject: Health

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

Improving Trauma Care Act of 2014 - Amends the Public Health Service Act, with respect to trauma care and research programs, to include in the definition of "trauma" an injury resulting from extrinsic agents other than mechanical force, including those that are thermal, electrical, chemical, or radioactive.
Bill 113-S-2423 — Health / General
Subject: Armed forces and national security

Veterans Access to Care Accountability Act - Directs the Comptroller General (GAO) to conduct random, periodic audits of the medical facilities of the Department of Veterans Affairs (VA) and the Veterans Integrated Service Networks to determine if they are in compliance with legal and administrative standards requiring that veterans be provided timely access to health care from the VA.

Requires the VA Secretary, upon the receipt of a specified report finding that a veteran has been subjected to a wait time of more than 30 days for health care from the VA, to: (1) notify the veteran, within 48 hours of receiving such report, of the status of the veteran's appointment; and (2) make every possible effort to schedule the veteran's appointment at a VA facility or through a non-VA health care provider on a date not later than 7 days after receiving such report.

Requires the VA Inspector General to provide the Secretary with a list of the names of each director or other VA official responsible for activities at a VA medical facility who is found to have purposefully misrepresented patient records or other data in order to: (1) conceal a failure of the facility to comply with VA patient access or care standards, or (2) qualify for a performance award or any other compensation that is in addition to basic pay. Prohibits the Secretary from paying a bonus or award to any director or official on such list until the Secretary determines that all issues relating to the reasons why such director or official was included on such list have been resolved.

Directs the Secretary to ensure that any performance review or consideration for promotion of a director or other VA official responsible for activities at a VA medical facility where such misrepresentation has occurred includes an evaluation of whether the director or other official knew or should have known about such misrepresentation.

Prohibits the Inspector General from making the names of the individuals on the list public.
Bill 113-S-2430 — Health / General
Subject: Health

Special Inspector General for Monitoring the ACA Act of 2014 or the SIGMA Act of 2014 - Establishes the Office of the Special Inspector General for Monitoring the Affordable Care Act to conduct, supervise, and coordinate audits and investigations of the implementation and administration of programs and activities established under, and payment system changes made by, the Affordable Care Act (the Patient Protection and Affordable Care Act and the health care provisions of the Health Care and Education Reconciliation Act of 2010). Requires the Special Inspector General to be appointed by the President, with the advice and consent of the Senate.

Requires the Special Inspector General to appoint an Assistant Inspector General for Auditing and an Assistant Inspector General for Investigations.

Places the Special Inspector General under the supervision of the Secretary of Health and Human Services (HHS), but prohibits federal agencies involved in implementing or administering the Affordable Care Act from preventing or prohibiting the Special Inspector General from initiating, carrying out, or completing any audit or investigation.
Bill 113-S-2467 — Health / General
Subject: Armed forces and national security

Continuing Care for Veterans Act of 2014 - Prohibits the Secretary of Veterans Affairs (VA) from altering the health care available to a veteran who is enrolled in the VA health care system or the amount of time that veteran has to wait for an appointment for such care based solely on the length of time since he or she last received health care from the VA.
Bill 113-S-2586 — Health / General
Subject: Health

Medicare Common Access Card Act of 2014 - Establishes a pilot program under title XVIII (Medicare) of the Social Security Act (SSA) in order to utilize smart card technology for Medicare beneficiary and provider identification cards.

Amends SSA title XI to extend through FY2029 funding for the Center for Medicare and Medicaid Innovation.
Bill 113-S-2701 — Health / General
Subject: Health

Stopping Illegal Obamacare Subsidies Act - Prohibits American Health Benefit Exchanges from providing for automatic enrollment in health plans until the Inspector General (IG) of the Department of Health and Human Services (HHS) verifies that each state exchange and the federal exchange established under the Patient Protection and Affordable Care Act (PPACA) have resolved the inconsistencies outlined in the June 14 IG report.

Directs the Secretary of HHS to make public the steps that the Centers for Medicare and Medicaid Services (CMS) and the federal exchange will take to clear any inconsistencies that arose on or before the enactment of this Act and to ensure that the systems used by the CMS to determine or assess eligibility for premium tax credits, cost-sharing reductions, Medicaid, and the State Children's Health Insurance Program (CHIP) under title XXI of the Social Security Act can resolve such inconsistencies within 30 days after enactment of this Act.

Directs the Secretary to make public the methods that the CMS use to monitor, track, and measure the progress of the federal and state exchanges in resolving inconsistencies.

Suspends for plan year 2015 the availability of premium assistance tax credits and the reduced cost-sharing program under PPACA; and allows them to resume only after the Commissioner of the Social Security Administration declares affirmatively that all inconsistencies related to invalid Social Security numbers have been resolved, and the IG determines that this is so.

Directs the Secretary to request additional information from any applicant for a qualified health plan on a state or federal exchange whose information contains inconsistencies. Requires the applicant to: (1) be withdrawn from the premium assistance credit and reduced cost-sharing programs if the additional information is not provided within 90 days, and (2) re-enroll in a qualified health plan with appropriate and accurate information during the next open enrollment period.
Bill 113-S-2731 — Health / General
Subject: Health

Amends title XVIII (Medicare) of the Social Security Act to: (1) create an exception to Medicare secondary payer requirements for certain workers' compensation settlement agreements, and (2) provide for the satisfaction of such requirements through use of qualified Medicare set-asides under such agreements.
Bill 114-HR-289 — Health / General
Subject: Health

Better Efficiency and Administrative Simplification Act of 2015 

 Amends title XVIII (Medicare) of the Social Security Act to allow individuals the option to receive the Medicare Summary Notice (explanation of benefits) electronically.

Requires the Secretary of Health and Human Services to: (1) apply a similar option to other Medicare statements and notifications, and (2) provide such Medicare Summary Notice and any other such statements and notifications on a more frequent basis than is otherwise required under Medicare.

Extends from at least once every 5 years to at least once every 10 years the application of competitive procedures when the contract of a Medicare administrative contractor comes up for renewal.

Directs the Secretary, to the extent possible without compromising the process for entering into and renewing contracts with Medicare administrative contractors (MACs), to make available to the public the performance of each MAC with respect to requirements and measurement standards.
Bill 114-HR-668 — Health / General
Subject: Health

Health and Human Services Hiree Clarification Act

Amends the Public Health Service Act to state that provisions authorizing the appointment of special consultants or authorizing individual scientists to receive fellowships do not authorize the designation, appointment, or employment of any special consultant, fellow, or other employee by an agency outside of the Department of Health and Human Services.
Bill 114-HR-1362 — Health / General
Subject: Health

Medicaid Requiring Expenditures for Public Objectives to be Reflective of Total Spending Act or the Medicaid REPORTS Act 

 This bill amends title XIX (Medicaid) of the Social Security Act to direct the Secretary of Health and Human Services to require each state to report each source of funds, each entity providing such funds, and the amount of funds from each source, used by the state to finance the non-federal share of expenditures under Medicaid.

The Secretary must make the information reported publicly available through publication on the Internet site of the Centers for Medicaid & Medicaid Services.
Bill 114-HR-1400 — Health / General
Subject: Health

Medicaid Tax Fairness Act of 2015

This bill amends title XIX (Medicaid) of the Social Security Act, with respect to payments to states for medical assistance programs, to reduce from 6% to 5.5% on a graduated basis for 2016-2020 and each subsequent year the indirect guarantee thresholds applied for determining permissible broad-based state or local health care-related provider taxes where a requirement is in effect to hold taxpayers harmless for any portion of the costs of the tax.

(Currently the state [or other unit of government] imposing a broad-based health care-related tax or tax on each health care class provides for a direct or indirect non-Medicaid payment to those providers or others paying the tax, which may include an offset or waiver that directly or indirectly guarantees to hold taxpayers harmless for all or any portion of the tax amount. Such taxes are permissible if they are applied at a rate that produces revenues less than or equal to 6% of the revenues received by the taxpayer.)
Bill 114-HR-1543 — Health / General
Subject: Armed forces and national security

Department of Veterans Affairs Medical Facility Earthquake Protection and Improvement Act

This bill authorizes the Department of Veterans Affairs (VA) to carry out the major medical facility projects of the VA specified in the explanatory statement accompanying the Consolidated and Further Continuing Appropriations Act, 2015, including by obligating and expending the amounts specified in such statement. (Those projects include seismic corrections to the West Los Angeles Medical Center, replacement of a community living center and mental health facilities in Long Beach, and replacement of an existing spinal cord injury clinic in San Diego, California, all of which are at high risk of sustaining damage during an earthquake, and renovations to address substantial safety and compliance issues and construction of a new clinic and community living center at the VA medical center in Canandaigua, New York.)
Bill 114-HR-1860 — Health / General
Subject: Armed forces and national security

Equalizing Transparency for Veterans Act

Directs the Secretary of Veterans Affairs (VA) to biennially publish information on the VA's provision of health care on a VA Internet database that is publicly available.

Includes among that information for each VA medical facility:

 quality measures regarding inpatient and outpatient care that the Secretary of Health and Human Services (HHS) is required to make publicly available under the Medicare program; the average length of stay, opioid prescription rate, and suicide rate for patients discharged from the facility; and the average number of days a patient waited for an appointment or procedure at such facility. Includes in such information for each VA nursing home any quality measures the Secretary of HHS makes publicly available regarding Medicare nursing homes.

Directs the Secretary to establish a process to validate the published information.

Requires the Secretary to annually submit a plan to Congress to improve each VA medical facility that ranks within the bottom quartile on each quality measure used by the Secretary to rank such facilities.

Directs the Secretary to establish a toll-free telephone number for individuals to use to notify the Secretary of low-quality care being provided at a VA medical facility.
Bill 114-HR-2299 — Health / General
Subject: Health

This bill amends title XVIII (Medicare) of the Social Security Act, in order to facilitate price transparency with respect to items and services for which payment may be made to a hospital outpatient department or to an ambulatory surgery center, to require the Secretary of Health and Human Services to make available to the public via a searchable website: (1) the estimated payment amount for an appropriate number of items and services under the outpatient department fee schedule and the ambulatory surgical center payment system, and (2) the estimated amount of beneficiary liability applicable to such an item or service.
Bill 114-HR-2396 — Health / General
Subject: Health

Sensible Oversight for Technology which Advances Regulatory Efficiency Act or the SOFTWARE Act

This bill amends the Federal Food, Drug, and Cosmetic Act to define health software as software that does not acquire, process, or analyze data from an in vitro diagnostic device or signal acquisition system, is not an accessory or part of a medical device, is not used to prevent disease in the transfusion of blood and blood components, and is for:

 administrative or operational support or the processing and maintenance of financial records; use in clinical, laboratory, or administrative workflow and recordkeeping; managing data but not for active patient monitoring or controlling the functions of a connected medical device; organizing and presenting information for health or wellness education or maintaining a healthy lifestyle; or analyzing information to provide general health information or patient-specific recommendations. The FDA must classify an accessory of a medical device independently from the medical device with which it is used.

Health software is exempted from regulation by the FDA (including as a medical device), except for software that provides patient-specific recommendations and poses a significant risk to patient safety.

The FDA must review existing regulations and guidance regarding the regulation of health software.
Bill 114-HR-2425 — Health / General
Subject: Health

This bill amends the Federal Food, Drug, and Cosmetic Act to allow a person to request that the Food and Drug Administration (FDA) recognize all or part of a performance standard established by a nationally or internationally recognized standard organization as a standard to which a medical device may conform in order to meet an FDA requirement. When a request to recognize a standard is received, the FDA must determine whether to recognize all, part, or none of the standard and publish the rationale for that determination. (Currently, the FDA recognizes certain performance standards, but it is not required to respond to requests or publish rationales for recognizing standards.)

The FDA must: (1) publish the rationale for recognizing only part of a standard, (2) periodically train employees who review premarket submissions for medical devices on the concept and use of recognized standards for purposes of meeting requirements, and (3) publish its principles for recognizing standards.
Bill 114-HR-2452 — Health / General
Subject: Health

This bill amends the Federal Food, Drug, and Cosmetic Act to revise the requirements for health care economic information that is provided to entities selecting drugs for coverage or reimbursement, such as formularies. The information must include a conspicuous and prominent statement describing the differences between the information and the labeling approved for the drug.

"Health care economic information" is an analysis that describes the economic consequences of the use of a drug. Such an analysis is no longer required to compare the use of the drug to another intervention or no intervention. An analysis that relates only to an indication for which the drug is not approved is not health care economic information.
Bill 114-HR-2568 — Health / General
Subject: Health

Fair Medical Audits Act of 2015

This bill amends title XVIII (Medicare) of the Social Security Act to modify requirements related to the identification and recovery of overpayments under Medicare.

A contract between the the Centers for Medicare & Medicaid Services (CMS) and a recovery audit contractor must require the contractor to provide a health care provider with: (1) specified identifying, legal, and logistical information; (2) an identification of any errors or underpayments discovered in the audit; and (3) a description of how any requested overpayment amount was calculated. Standards for extrapolation when used to determine overpayment amounts are established. CMS must require a contractor to give a provider at least 90 days' notice of identified code over-utilization and to reimburse a provider for the cost of producing certain documentation. The retrospective audit period is limited to two (rather than four) years.

Recovery audit contractors must have staff with knowledge and experience related to clinical licensure and medical records, claims, and codes. A contractor that has excessive overturned determinations shall be subject to administrative penalty and, under specified circumstances, liable for attorneys' fees.

In the case of a provider seeking reconsideration of an overpayment determination, CMS may not recoup the overpayment until a decision has been rendered at the third level of appeal by an Administrative Law Judge. A recoupment based on a decision that is reversed on appeal must be returned to the provider within 30 days.
Bill 114-HR-2579 — Health / General
Subject: Health

Securing Care for Seniors Act of 2015

(Sec. 2) This bill amends part C (Medicare+Choice) of title XVIII (Medicare) of the Social Security Act (SSAct) to direct the Department of Health and Human Services (HHS) (in effect, the Centers for Medicare & Medicaid Services [CMS]) to revise for 2017, and periodically afterwards, the system for risk adjustments to payments to Medicare+Choice organizations so that an individual's risk score takes into account the number of chronic conditions with which the individual has been diagnosed.

HHS must, including an actuarial opinion of the CMS Chief Actuary, evaluate the impacts of:

 including two years of data to compare the models used to determine the risk scores for 2013 and 2014, removing the diagnosis codes related to chronic kidney disease in the 2014 risk adjustment model, and including 10% of encounter data in computing payment for 2016 and CMS readiness to incorporate encounter data in risk scores. HHS shall also analyze the best practices of MedicareAdvantage (MA) plans to slow disease progression related to chronic kidney disease.

HHS shall then, if appropriate, make revisions to the risk adjustment system, based on such an evaluation or analysis, to better reflect and appropriately weight for the population served.

(Sec. 3) Congress declares that the MA star rating system lacks proper accounting for the socioeconomic status of plan enrollees and the extent to which those plans serve individuals also eligible for medical assistance under SSAct title XIX (Medicaid).
Bill 114-HR-2614 — Health / General
Subject: Health

Accuracy in Medicare Physician Payment Act of 2015 

 Amends title XVIII (Medicare) of the Social Security Act to direct the Department of Health and Human Services to establish and appoint an expert outside advisory panel for purposes of providing oversight to the processes relating to valuation of physicians' services.