jiayi-li23/proxann_data huggingface dataset:
Topic: Health — Long-term Care
Subject: Health
Date: 2015-03-19 00:00:00

Ensuring Access to Quality Complex Rehabilitation Technology Act of 2015

 Amends title XVIII (Medicare) of the Social Security Act to cover, as medical and other health services, complex rehabilitation technology (CRT) items designed or individually configured for a specific qualified individual to meet that individual's unique: (1) medical, physical, or functional needs related to a medical condition; and (2) capacities for basic activities of daily living (ADLs) or instrumental ADLs.

Directs the Secretary of Health and Human Services to: (1) designate CRT items (excluding adaptive equipment to operate motor vehicles or certain prosthetic devices and orthotics); and (2) establish eligibility criteria for them.

Prescribes requirements for payments for CRT items.

Directs the Secretary to establish standards for clinical conditions for CRT item payment as well as quality standards for suppliers of such items.

Directs the Secretary to establish a formal process to allow submission of CRT code set modification requests by stakeholder groups for comprehensive coding changes related to entire policy groups.

Requires payment for replacement of a CRT item (or any part of one), without regard to certain continuous use or useful lifetime restrictions established for items of durable medical equipment, if a qualified ordering practitioner determines that a replacement item (or part) is necessary.
Topic: Health — Long-term Care
Subject: Health
Date: 2015-03-25 00:00:00

Protecting Access to Rural Therapy Services (PARTS) Act

Amends title XVIII (Medicare) of the Social Security Act to state that, except with respect to high-risk or complex medical services requiring direct levels of supervision, if the Secretary of Health and Human Services requires supervision by a physician or non-physician practitioner for Medicare payment for therapeutic hospital outpatient services, that requirement is met if such services are furnished under the physician's or non-physician practitioner's general supervision.

Directs the Secretary to establish a process for designating therapeutic hospital outpatient services for which direct supervision may be required for the entire service or direct supervision during the initiation of the service followed by general supervision for the remainder of the service.

Declares without force or effect in law regarding Medicare requirements for direct supervision by physicians for therapeutic hospital outpatient services a specified restatement and clarification under the final rulemaking changes to the Medicare hospital outpatient prospective payment system and calendar year 2009 payment rates, which was published in the Federal Register on November 18, 2008.
Topic: Health — Long-term Care
Subject: Health
Date: 2015-04-14 00:00:00

This bill amends title XIX (Medicaid) of the Social Security Act with respect to the payment of income from a qualifying annuity in determining the Medicaid eligibility of an institutionalized spouse.

One-half of the income from such an annuity made either solely or partly in the name of the community spouse. shall be considered available to the institutionalized spouse.

If payment of income is made in the names of the community spouse and another person or persons, one-half of the proportion of the community spouses's interest in that income shall also be considered available to the institutionalized spouse.
Topic: Health — Long-term Care
Subject: Health
Date: 2015-04-21 00:00:00

Access to Inpatient Rehabilitation Therapy Act of 2015

 Amends title XVIII (Medicare) of the Social Security Act to direct the Secretary of Health and Human Services to include recreational therapy services among the therapeutic modalities that constitute an intensive rehabilitation therapy program in determining whether inpatient services in an inpatient rehabilitation facility are reasonable and necessary.
Topic: Health — Long-term Care
Subject: Health
Date: 2015-04-29 00:00:00

Registered Nurse Safe Staffing Act of 2015

 Amends title XVIII (Medicare) of the Social Security Act to require each Medicare participating hospital to implement a hospital-wide staffing plan for nursing services furnished in the hospital.

Requires the plan to require that an appropriate number of registered nurses provide direct patient care in each unit and on each shift of the hospital to ensure staffing levels that: (1) address the unique characteristics of the patients and hospital units; and (2) result in the delivery of safe, quality patient care consistent with specified requirements.

Requires each participating hospital to establish a hospital nurse staffing committee which shall implement such plan.

Specifies civil monetary and other penalties for violation of the requirements of this Act.

Sets forth whistleblower protections against discrimination and retaliation involving patients or employees of the hospital for their grievances, complaints, or involvement in investigations relating to such plan.
Topic: Health — Long-term Care
Subject: Health
Date: 2015-05-01 00:00:00

Medicare Independence at Home Medical Practice Demonstration Improvement Act of 2015 

 Amends title XVIII (Medicare) of the Social Security Act to increase from a three-year to a five-year period the length of an agreement with an independence at home medical practice under the Medicare Independence at Home Medical Practice Demonstration Program.
Topic: Health — Long-term Care
Subject: Health
Date: 2015-05-01 00:00:00

Hospice Commitment to Accurate and Relevant Encounters Act or the Hospice CARE [sic]

 Amends title XVIII (Medicare) of the Social Security Act with respect to the face-to-face encounter framework in hospice care. A clinical nurse specialist, physician assistant, or other health professional (in addition to a hospice physician or a nurse practitioner, as under current law) is allowed to conduct the face-to-face encounter with the individual to determine continued eligibility for hospice care before the first 60-day (currently 180-day) recertification period and each subsequent recertification.
Topic: Health — Long-term Care
Subject: Health
Date: 2015-05-13 00:00:00

Preserving Rehabilitation Innovation Centers Act of 2015 

 Amends title XVIII (Medicare) of the Social Security Act to direct the Secretary of Health and Human Services to study whether there should be an increase in the prospective payment rate for inpatient rehabilitation services that would otherwise be made to a rehabilitation innovation center to cover additional costs incurred in: (1) furnishing items and services to individuals conducting research, and (2) providing medical training.

Requires the study also to specify the amount of such an increase if the Secretary determines that it is recommended.

Directs the Secretary also to study the access by individuals to rehabilitation care in rural communities in states where there is no rehabilitation innovation center.
Topic: Health — Long-term Care
Subject: Armed forces and national security
Date: 2015-05-19 00:00:00

(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 directs the Department of Veterans Affairs (VA) to enter into an agreement or a contract with each state home to pay for adult day health care for a veteran eligible for, but not receiving, nursing home care.

The veteran must need such care either specifically for a service-connected disability, or, if not specifically for one, the veteran must have a service-connected disability rated 70% or more.

Payment under each agreement or contract between the VA and a state home must equal 65% of the payment that the VA would otherwise pay to the state home if the veteran were receiving nursing home care.
Topic: Health — Long-term Care
Subject: Health
Date: 2015-06-09 00:00:00

Community Based Independence for Seniors Act of 2015

This bill amends part C (Medicare+Choice) of title XVIII (Medicare) of the Social Security Act to direct the Secretary of Health and Human Services to establish a Community-Based Institutional Special Needs Plan demonstration program to provide home and community-based care to eligible Medicare beneficiaries age 65 or older.
Topic: Health — Long-term Care
Subject: Armed forces and national security
Date: 2015-07-10 00:00:00

Veterans Residential Care Choice Act

This bill authorizes the Department of Veterans Affairs (VA), at the request of an eligible veteran for whom the VA is required to provide domiciliary, nursing home, adult day health, or hospital care, or who is determined to be in need of such care, to place the veteran (at the expense of the United States) in a state licensed or certified residential care facility that meets VA standards if the cost of providing such care through the facility is less than the cost of providing the care through any other available option.

An eligible veteran is a veteran with a service-connected disability rated at 70% or more disabling.
Topic: Health — Long-term Care
Subject: Health
Date: 2015-07-13 00:00:00

Hospice Care Access Improvement Act of 2015

This bill directs the Department of Health and Human Services (HHS) to select one Medicare administrative contractor to conduct a one-year demonstration program during FY2016 in all hospice programs under the contractor's jurisdiction to test revisions to the methodology for determining hospice payment rates under title XVIII (Medicare) of the Social Security Act contained in the "Fiscal Year 2016 Hospice Wage Index and Payment Rate Update and Hospice Quality Reporting Requirements," published on May 5, 2015, by the Centers for Medicare & Medicaid Services.

No revisions to the hospice payment methodology may be made for FY2016-FY2017, except for demonstration program purposes. HHS shall implement the proposed hospice payment methodology revisions beginning with FY2018 after:

 taking into account an evaluation of the demonstration program, and making any necessary changes to the revisions. HHS shall implement a process for the medical review of hospice care furnished by a hospice program identified according to certain multiple factors, such as the percentage of patients discharged after receiving hospice care for between 120 and 180 days and who were alive upon discharge.

HHS shall also develop and publish guidance for hospice programs to develop interventions to reduce hospital admissions and visits to hospital emergency departments by hospice patients.

Medicare shall cover pre-hospice evaluation and counseling services performed by a registered nurse employed by a hospice program.

A skilled nursing facility (SNF) shall make a good faith effort to contract with more than one hospice program participating in the Medicare program that provides services in the area served by the SNF, if more than one hospice program is available to serve SNF residents.

SNF residents shall have the right to be fully informed of any financial interest the SNF has in any hospice program to which a resident is referred.

Any hospital discharge planning evaluation must evaluate, for an individual likely to need hospice care, the availability of such care through hospice programs that:

 participate in the Medicare program and serve the area in which the patient resides, and request to be listed by the hospital as available.
Topic: Health — Long-term Care
Subject: Crime and law enforcement
Date: 2015-07-16 00:00:00

Missing Alzheimer's Disease Patient Alert Program Reauthorization Act of 2015

 Amends the Violent Crime Control and Law Enforcement Act of 1994 to revise provisions concerning the Missing Alzheimer's Disease Patient Alert Program to direct the Attorney General: (1) through the Bureau of Justice Assistance and in consultation with the Department of Health and Human Services, to award competitive grants to nonprofit organizations to assist in paying for the costs of planning, designing, establishing, and operating locally based, proactive programs to protect and locate missing patients with Alzheimer's disease and related dementias; and (2) in awarding grants, to give preference to national nonprofit organizations that have experience working with patients with Alzheimer's disease and related dementias and their families.

Authorizes appropriations for such grants for FY2016-FY2020.
Topic: Health — Long-term Care
Subject: Health
Date: 2015-07-16 00:00:00

Recognize, Assist, Include, Support, and Engage Family Caregivers Act of 2015 or the RAISE Family Caregivers Act

This bill directs the Department of Health and Human Services (HHS) to develop, maintain, and periodically update a National Family Caregiving Strategy.

 HHS shall convene a Family Caregiving Advisory Council to advise it on recognizing and supporting family caregivers.

Federal departments and agencies must share with HHS any data they maintain that HHS needs to prepare the initial and updated Strategies.
Topic: Health — Long-term Care
Subject: Health
Date: 2015-07-29 00:00:00

Safe Food for Seniors Act of 2015

This bill amends titles XVIII (Medicare) and XIX (Medicaid) of the Social Security Act such that a Medicare skilled nursing facility or Medicaid nursing facility without a full-time qualified dietitian must require its director of food services to be: (1) a Certified Dietary Manager meeting the requirements of the Certifying Board for Dietary Managers; (2) a Dietetic Technician, Registered, meeting with the requirements published by the Commission on Dietetic Registration; or (3) an individual with equivalent military or academic qualifications.
Topic: Health — Long-term Care
Subject: Health
Date: 2015-09-08 00:00:00

Medicaid and CHIP Territory Fraud Prevention Act

This bill amends part A (General Provisions) of title XI of the Social Security Act to exclude certain payments from ceilings on the amounts of Medicaid payments made to Puerto Rico, the Virgin Islands, Guam, the Northern Mariana Islands, and American Samoa. Specifically, the bill excludes certain payments made to these territories for the establishment and operation of Medicaid fraud control units.

The bill also makes a technical amendment.
Topic: Health — Long-term Care
Subject: Health
Date: 2015-10-21 00:00:00

Nursing Home Accountability Act of 2015

This bill amends the National Housing Act to condition a nursing home's eligibility for a Section 232 loan upon its quality rating. (A Section 232 loan is insured by the Federal Housing Administration and may be used to finance or refinance the purchase, construction, or renovation of a nursing home or assisted living facility.)

A nursing home becomes ineligible for a Section 232 loan if, for any period of 30 or more consecutive months, the home achieves two or fewer stars under the five-star quality rating system established pursuant to the Social Security Act for purposes of the Medicare and Medicaid programs. However, a nursing home's eligibility shall be renewed if the home subsequently maintains a rating of three or more stars for a period of at least 30 consecutive months.

The bill does not affect existing mortgages.
Topic: Health — Long-term Care
Subject: Health
Date: 2015-11-03 00:00:00

Lifespan Respite Care Reauthorization Act of 2015

This bill amends the Public Health Service Act to extend lifespan respite care programs (services for family caregivers of children and adults with special needs) through FY2020.

Each state agency awarded a grant or cooperative agreement for lifespan respite care must collect, maintain, and report to the Department of Health and Human Services data and records to enable monitoring and evaluation of the lifespan programs and activities.
Topic: Health — Long-term Care
Subject: Health
Date: 2015-12-10 00:00:00

Community-Based Independence for Seniors Act of 2015

This bill amends title XVIII (Medicare) of the Social Security Act to establish a Community-Based Institutional Special Needs Plan demonstration program through which up to five eligible Medicare Advantage (MA) organizations shall provide home and community-based care to eligible Medicare beneficiaries. For purposes of the demonstration program, an eligible Medicare beneficiary is ineligible for Medicaid and unable to perform two or more activities of daily living.

The Centers for Medicare & Medicaid Services (CMS) shall establish payment rates for eligible MA plans under the demonstration program. Such payment rates are capped but shall be in addition to payments otherwise made to MA organizations with respect to such plans.

CMS shall also: (1) help to educate eligible Medicare beneficiaries on the availability of the program, and (2) provide for program evaluation by an independent third party.
Topic: Health — Long-term Care
Subject: Health
Date: 2015-12-16 00:00:00

Medicare and Medicaid Improvements and Adjustments Act of 2015

This bill amends titles XVIII (Medicare) and XIX (Medicaid) of the Social Security Act to modify payment rules and other provisions related to the Medicare and Medicaid programs.

The bill includes off-campus outpatient department (OPD) services in Medicare's prospective payment system (in which predetermined amounts form the basis of payment) with respect to departments that are under development.

The existing Medicare payment adjustment for cancer hospitals shall apply to off-campus OPDs.

The bill temporarily prohibits specified Medicare payment adjustments related to competitive acquisition programs for certain wheelchair accessories.

In addition, the bill modifies provisions related to: (1) reimbursement under Medicare for certain drugs furnished through durable medical equipment (DME), (2) Medicare payment rules for certain radiation therapy services, and (3) the treatment of Medicaid supplemental needs trusts.

The bill expands criminal penalties and civil monetary penalties for certain acts involving federal health care programs.

With respect to negative Medicare payment adjustments for physicians and hospitals that fail to comply with certain requirements related to electronic health records (EHR), the bill authorizes a temporary blanket exception.

A patient encounter occurring at an ambulatory surgical center shall not be used to determine whether an eligible professional qualifies as a meaningful EHR user. This prohibition applies until a specified period has passed following a determination by the Department of Health and Human Services that certified EHR technology is applicable to that setting.

Current law limits state reimbursement for DME under Medicaid to Medicare payment rates beginning January 1, 2019. The bill accelerates this limitation such that it begins October 1, 2018.
Topic: Health — Long-term Care
Subject: Labor and employment
Date: 2016-02-12 00:00:00

Return to Work Awareness Act of 2016

 This bill authorizes the Department of Labor, acting through the Job Accommodation Network, to disseminate information and promote awareness among survivors of stroke and other debilitating health occurrences, such as traumatic brain injury and heart attack, and survivors' families, as well as among employers, government agencies, employee representatives, and service providers in order to: (1) assist survivors of stroke and such other debilitating health occurrences in returning to work, (2) improve a survivor's employability and demonstrate to employers ways to capitalize on the value and talent that survivors add to the workplace, and (3) enhance self-employment and entrepreneurship options for survivors.
Topic: Health — Long-term Care
Subject: Health
Date: 2016-02-29 00:00:00

Preserving Patient Access to Post-Acute Hospital Care Act of 2016

This bill amends title XVIII (Medicare) of the Social Security Act to delay by two additional years the application of negative payment adjustments under the "25-percent rule" to certain long-term care hospitals and satellite facilities. This rule reduces payments to a long-term care facility that admits proportionately more patients from any single hospital.
Topic: Health — Long-term Care
Subject: Housing and community development
Date: 2016-03-03 00:00:00

Housing Opportunities for Persons With AIDS Modernization Act of 2016

This bill amends the AIDS Housing Opportunity Act to revise the formula and requirements for distributing funds under the Housing Opportunities for Persons With Aids (HOPWA) Program.

 A grantee that received an allocation in FY2016 shall continue to be eligible for such allocations in subsequent fiscal years, subject to approval by the Department of Housing and Urban Development (HUD) and the amounts available from appropriations Acts.

HUD shall:

 redetermine a grantee's eligibility at least once every 10 years, and ensure that a grantee that received an allocation in the prior fiscal year does not receive an allocation 5% less than or 10% greater than the share of total available formula funds allocated to that grantee in the preceding fiscal year. HUD may also award such funds to an alternative grantee if the original grantee agrees in a written document meeting HUD approval.

References to "cases of AIDS" and "AIDS cases" shall be replaced by "individuals living with HIV or AIDS," which means, with respect to the counting of cases in a geographic area during a period of time, the sum of:

 the number of living non-AIDS cases of HIV in the area, and the number of living cases of AIDS in the area.
Topic: Health — Long-term Care
Subject: Health
Date: 2016-04-21 00:00:00

Protecting Families with Disabilities Act of 2016

This bill amends the Patient Protection and Affordable Care Act with respect to how a state that had an approved home- and community-based Medicaid waiver as of January 1, 2014, may treat spousal income and assets for purposes of determining an individual's financial eligibility for services under the waiver.

With respect to such a state that disregarded an individual's spousal income and assets for those purposes, specified provisions of current law shall not prohibit the state from continuing to do so.
Topic: Health — Long-term Care
Subject: Health
Date: 2016-06-22 00:00:00

Personalize Your Care Act 2.0

This bill amends title XVIII (Medicare) of the Social Security Act to establish several new programs and requirements related to end-of-life care and advance care planning.

The bill establishes a demonstration program to test the use of advanced illness management and early use of palliative care under Medicare.

The Department of Health and Human Services (HHS) must make grants to eligible entities for the purpose of developing, expanding, and enhancing programs for orders for life-sustaining treatment.

The Centers for Medicare & Medicaid Services (CMS) shall adopt standards for electronic health records with respect to providing one-click access to specified advance care planning documentation.

Under Medicare, an advance directive shall be portable across state lines and may be presumed valid regardless of where it was executed. In the absence of a validly executed advance directive, any authentic expression of a person's wishes with regard to health care shall be honored.

The Government Accountability Office must study and report on the portability, electronic storage, use, and barriers to use of advance directives.

The bill applies specified quality measures to end-of-life care under Medicare.

CMS must report annually on specified information related to Medicare decedents.

HHS shall award grants to increase public awareness of advance care planning. In addition, HHS shall award grants to eligible entities for the development and implementation of training and education programs related to advance care planning, hospice care, and palliative care.

HHS must establish an advisory committee on advance care planning.