jiayi-li23/proxann_data huggingface dataset:
Topic: Health — Long-term Care
Subject: Health
Date: 2016-07-07 00:00:00

Alzheimer's Beneficiary and Caregiver Support Act

This bill amends title XI (General Provisions) of the Social Security Act to require the Center for Medicare and Medicaid Innovation to test the efficacy of coverage and payment for Alzheimer's Disease caregiver support services in delaying or reducing the use of institutionalized care for Medicare beneficiaries.

The Centers for Medicare & Medicaid Services shall establish payment amounts for such services.
Topic: Health — Long-term Care
Subject: Health
Date: 2016-07-08 00:00:00

This bill amends title XVIII (Medicare) of the Social Security Act to establish, with respect to certain spinal cord specialty hospitals, a temporary exemption from specified Medicare payment limits applicable to long-term care hospital (LTCH) inpatient services. Current law generally applies payment limits to inpatient services for LTCHs that do not meet certain discharge requirements.
Topic: Health — Long-term Care
Subject: Health
Date: 2016-07-11 00:00:00

This bill amends title XVIII (Medicare) of the Social Security Act to, with respect to certain discharges involving severe wounds, extend and expand a temporary exception from certain Medicare payment limits for long-term care hospital (LTCH) inpatient services. Current law generally applies payment limits to inpatient services for LTCHs that do not meet specified discharge requirements.
Topic: Health — Long-term Care
Subject: Health
Date: 2016-07-14 00:00:00

Rural Access to Hospice Act of 2016

This bill amends title XVIII (Medicare) of the Social Security Act to allow payment under Medicare for certain services furnished to hospice patients by rural health clinics and federally qualified health centers (FQHCs).

With respect to a patient who elects to receive hospice care under Medicare, current law generally limits payment for services that are either duplicative of such care or related to the treatment of the individual's terminal illness. However, current law exempts from this limitation: (1) physicians' services furnished by the individual's attending physician, if not an employee of the hospice program; and (2) services provided or arranged by the hospice program.

The bill expands this exemption with regard to rural health clinic and FQHC services. Specifically, the Medicare payment limitation shall not apply to such services that: (1) would otherwise be physicians' services if furnished by an individual unaffiliated with a rural health clinic or FQHC; and (2) are either arranged by the hospice program or furnished by the individual's attending physician, if not an employee of the hospice program.
Topic: Health — Long-term Care
Subject: Health
Date: 2016-09-15 00:00:00

Community Integration Act of 2016

This bill amends title XIX (Medicaid) of the Social Security Act to require a state Medicaid program to, with respect to an individual who requires a level of care provided in a nursing facility, intermediate care facility for the developmentally disabled, institution for mental disease, or other similar setting: (1) provide the individual with the choice and equal opportunity to receive such care in a home- and community-based setting; and (2) meet specified requirements relating to the provision and availability of care in such a setting, including a requirement to develop a statewide plan to increase affordable and accessible housing for individuals with disabilities.
Topic: Health — Long-term Care
Subject: Health
Date: 2016-09-28 00:00:00

Pre-Claims Undermine Seniors' Health Act of 2016 or the PUSH Act of 2016

This bill delays the Medicare demonstration for pre-claim review of home health services and requires the Centers for Medicare & Medicaid Services (CMS) to report on such pre-claim review. Specifically, CMS shall delay or suspend the demonstration by the later of: (1) one year after either the bill's enactment or the demonstration's scheduled start-date, as applicable; or (2) six months after CMS submits its report.
Topic: Health — Long-term Care
Subject: Health
Date: 2016-11-30 00:00:00

Medicare Home Health Flexibility Act of 2016

This bill establishes circumstances under which an occupational therapist may conduct the initial assessment visit for an individual who is eligible for home health services under Medicare. Specifically, an occupational therapist may conduct the assessment if the physician's referral order does not include skilled nursing care but does include: (1) occupational therapy, and (2) physical therapy or speech language pathology.
Topic: Health — Long-term Care
Subject: Social welfare
Date: 2016-12-08 00:00:00

Improving Care for Vulnerable Older Citizens through Workforce Advancement Act of 2016 

 This bill amends the Older Americans Act of 1965 to direct the Administration on Aging to carry out a program awarding grants to eligible entities to carry out six separate demonstration projects that focus on care coordination and service delivery for older individuals with chronic illness or at risk of institutional placement by: (1) designing and testing new models of care coordination and service delivery that thoughtfully and effectively deploy advanced aides to improve efficiency and quality of care for frail older individuals; and (2) giving direct-care workers opportunities for career advancement through additional training, an expanded role, and increased compensation.
Topic: Health — Long-term Care
Subject: Families
Date: 2016-12-08 00:00:00

Younger-Onset Alzheimer's Disease Parity Act of 2016

This bill amends the Older Americans Act of 1965 to authorize services to be provided to individuals with Alzheimer's disease or a related disorder with neurological and organic brain dysfunction who have not attained 60 years of age.
Topic: Health — Long-term Care
Subject: Armed forces and national security
Date: 2015-01-13 00:00:00

Authorizes payment under the Department of Veterans Affairs (VA) beneficiary travel program of travel expenses in connection with the medical examination, treatment, or care of a veteran with vision impairment, a spinal cord injury or disorder, or double or multiple amputations whose travel is in connection with care provided through a VA special disabilities rehabilitation program, if such care is provided: (1) on an inpatient basis, or (2) while a veteran is provided temporary lodging at a VA facility in order to make such care more accessible.

Requires a report from the Secretary to the congressional veterans committees on the travel program.
Topic: Health — Long-term Care
Subject: Health
Date: 2015-01-27 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: 2015-01-28 00:00:00

Medicare Home Infusion Site of Care Act of 2015

 Amends title XVIII (Medicare) of the Social Security Act to authorize Medicare coverage of home infusion therapy and home infusion drugs.

Directs the Secretary of Health and Human Services to implement the Medicare home infusion therapy benefit in a manner that ensures that: (1) Medicare beneficiaries have timely and appropriate access to infusion therapy in their homes, and (2) there is rapid and seamless coordination between drug coverage under Medicare part D (Voluntary Prescription Drug Benefit Program) and home infusion therapy services coverage under Medicare part B (Supplemental Security Income) (SSI) to avoid the filing of duplicative or otherwise improper claims.
Topic: Health — Long-term Care
Subject: Health
Date: 2015-02-24 00:00:00

Medicare Access to Rehabilitation Services Act of 2015

This bill amends title XVIII (Medicare) of the Social Security Act to repeal the existing caps on physical therapy, occupational therapy, and speech-language pathology services.
Topic: Health — Long-term Care
Subject: Health
Date: 2015-02-26 00:00:00

Home Health Care Planning Improvement Act of 2015

 Amends title XVIII (Medicare) of the Social Security Act to revise conditions of and limitations on payment for home health care services.

Allows payment for home health services to Medicare beneficiaries by: (1) a nurse practitioner, (2) a clinical nurse specialist working in collaboration with a physician in accordance with state law, (3) a certified nurse-midwife, or (4) a physician assistant under a physician's supervision.
Topic: Health — Long-term Care
Subject: Armed forces and national security
Date: 2015-02-26 00:00:00

Rural Veterans Travel Enhancement Act of 2015

Makes permanent the authority of the Department of Veterans Affairs (VA) to transport individuals to and from VA facilities in connection with vocational rehabilitation, counseling, examination, treatment, or care.

Treats Vet Centers (centers for readjustment counseling and related mental health services for veterans) as VA facilities for purposes of providing payment of actual expenses of travel or allowance for travel to or from a VA facility.

Amends the Caregivers and Veterans Omnibus Health Services Act of 2010 to reauthorize through FY2020 a grant program to provide innovative transportation options to veterans in highly rural areas.
Topic: Health — Long-term Care
Subject: Armed forces and national security
Date: 2015-03-04 00:00:00

Caregivers Expansion and Improvement Act of 2015

Extends to all veterans with a serious service-connected injury the eligibility to participate in the Department of Veterans Affairs program of comprehensive assistance to family caregivers of such veterans. (Under current law, such eligibility is limited to those veterans who incurred such an injury on or after September 11, 2001.)
Topic: Health — Long-term Care
Subject: Health
Date: 2015-03-11 00:00:00

Community Based Independence for Seniors Act 

(Sec. 3) This bill directs the Department of Health and Human Services (HHS) to establish a five-year Community-Based Institutional Special Needs Plan demonstration program to prevent and delay institutionalization under title XIX (Medicaid) of the Social Security Act (SSAct) among eligible low-income Medicare beneficiaries age 65 or older.

HHS shall enter into agreements with up to five eligible Medicare Advantage (MA) plans under part C (Medicare+Choice) of SSAct title XVIII (Medicare) to conduct the demonstration program. Each eligible MA plan may enroll up to 1,000 eligible low-income Medicare beneficiaries in such program.

A participating MA plan shall use the rebate the plan must provide to eligible low-income Medicare enrollees to furnish certain benefits, including homemaker services, home delivered meals, transportation services, respite care, adult day care services, and non-Medicare-covered safety and other equipment.

HHS shall help to educate eligible Medicare beneficiaries about the availability of the demonstration program through State Health Insurance Assistance Programs and other organizations dedicated to assisting seniors with Medicare benefits and enrollment.

The demonstration program shall be implemented by January 1, 2018.

HHS shall arrange for an independent third party evaluation of the demonstration program, on the basis of which its duration and scope may be expanded.

Funding for the demonstration program shall come out of the Medicare trust funds.
Topic: Health — Long-term Care
Subject: Health
Date: 2015-03-23 00:00:00

Preserve Access to Medicare Rural Home Health Services Act of 2015

This bill amends the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 to extend through calendar 2020 the payment increase (add-on) for Medicare home health services in rural areas.

 The ceiling on the total amount of the additional payments or payment adjustments otherwise made in the case of home health outliers with respect to a fiscal year or year is lowered, in the case of each of 2016 through 2020, from 2.5% to 2.25% of the total payments projected or estimated to be made under the prospective payment system for home health services.
Topic: Health — Long-term Care
Subject: Health
Date: 2015-03-24 00:00:00

Improving Access to Medicare Coverage Act of 2015

Amends title XVIII (Medicare) of the Social Security Act to deem an individual receiving outpatient observation services in a hospital to be an inpatient with respect to satisfying the three-day inpatient hospital requirement in order to entitle the individual to Medicare coverage of any post-hospital extended care services in a skilled nursing facility.
Topic: Health — Long-term Care
Subject: Health
Date: 2015-03-25 00:00:00

Health Outcomes, Planning, and Education (HOPE) for Alzheimer's Act of 2015

This bill amends title XVIII (Medicare) of the Social Security Act to cover comprehensive Alzheimer's disease care planning services.
Topic: Health — Long-term Care
Subject: Health
Date: 2015-04-16 00:00:00

(This measure has not been amended since it passed the Senate on April 22, 2015. The summary of that version is repeated here.)

Medicare Independence at Home Medical Practice Demonstration Improvement Act of 2015 

(Sec. 2) 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: 2015-04-20 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: 2015-04-30 00:00:00

Preserving Rehabilitation Innovation Centers Act of 2016

This bill amends title XVIII (Medicare) of the Social Security Act to direct the Department of Health and Human Services to conduct a study to assess the costs incurred by rehabilitation innovation centers that are beyond the prospective rates for each of the following activities: (1) furnishing items and services to individuals under Medicare; (2) conducting research; and (3) providing medical training.
Topic: Health — Long-term Care
Subject: Health
Date: 2015-05-06 00:00:00

This bill amends title XVIII (Medicare) of the Social Security Act to prohibit payment at the applicable site neutral payment rate for discharges in a cost reporting period beginning before October 1, 2017, from subsection (d) hospitals and certain long-term care hospitals that involve certain severe wounds.

(Generally, a subsection [d] hospital is an acute care hospital, particularly one that receives payments under Medicare's inpatient prospective payment system when providing covered inpatient services to eligible beneficiaries.)

The Secretary of Health and Human Services shall study the treatment needs of individuals entitled to benefits under Medicare part A (Hospital Insurance), or enrolled under Medicare part B (Supplementary Medical Insurance), requiring specialized wound care, and the cost, for such individual, and the Medicare program of treating severe wounds in rural and urban areas.
Topic: Health — Long-term Care
Subject: Health
Date: 2015-05-18 00:00:00

(This measure has not been amended since it was reported to the Senate on July 30, 2015. The summary of that version is repeated here.)

This bill amends part A (General Provisions) of title XI of the Social Security Act to authorize the Department of Health and Human Services (HHS) to waive applicable general and Medicaid requirements of the Program of All-Inclusive Care for the Elderly (PACE) in order to conduct demonstration projects through the Center for Medicare and Medicaid Innovation (CMS Innovation Center) that involve PACE.

 HHS may not, as part of a CMS Innovation Center demonstration, waive: (1) the requirement to offer items and services under Medicare and Medicaid without limitation to PACE program enrollees, and (2) certain requirements regarding enrollment in and disenrollment from PACE programs.
Topic: Health — Long-term Care
Subject: Social welfare
Date: 2015-06-15 00:00:00

Older Americans Community Access Revitalization and Education Act or the CARE Act

Amends the Older Americans Act of 1965 to direct the Administration on Aging (AoA) of the Administration for Community Living of the Department of Health and Human Services to establish a community care wrap-around support demonstration program of grants to enable eligible entities to: (1) establish community care wrap-around support partnerships; and (2) carry out specified activities, including longitudinal care plans for each eligible older individual as well as medication management and medical nutrition therapy.

Directs the AoA to provide funding through area agencies on aging, and other approved entities, to not-for-profit owners or managers of housing for a pilot project service packaged and targeted for residents of federally assisted housing.

Directs the AoA, through a coordinated public education and outreach campaign carried out by the National Eldercare Locator Service, and in coordination with other appropriate federal agencies, to promote: (1) enhanced public awareness of the importance of advance planning for integrated long-term care; and (2) the availability of national, state, and local information and resources to assist in such planning, as well as the existence of area agencies and aging service providers to give direct assistance with it.
Topic: Health — Long-term Care
Subject: Health
Date: 2015-06-23 00:00:00

Home Health Documentation and Program Improvement Act of 2015

This bill amends title XVIII (Medicare) of the Social Security Act to direct the Department of Health and Human Services (HHS) to:

 develop a single form or document to be used by a physician to satisfy the documentation requirements necessary to fulfill the requirement of a face-to-face encounter and other criteria for home health eligibility (otherwise known as the certification for home health services); and notify and provide guidance and education to Medicare administrative contractors, recovery audit contractors, and any other appropriate entity regarding application of the form or document to such documentation requirements. HHS shall also:

 develop and implement processes to open and review claims denied on or after January 1, 2011, and before enactment of this Act, due solely to the face-to-face documentation requirements; issue revised decisions of such denials as if the requirements of related regulations did not apply at the time such services were furnished; and establish a voluntary process for home health agencies to enter into a settlement agreement with HHS in lieu of reprocessing claims whose payment this bill now requires.
Topic: Health — Long-term Care
Subject: Health
Date: 2015-10-22 00:00:00

This bill amends title XVIII (Medicare) of the Social Security Act to prohibit the application of Medicare competitive acquisition rates to complex rehabilitative wheelchairs and accessories. (A competitive bidding program has replaced the use of established fee schedule amounts to determine payments under Medicare for certain durable medical equipment such as wheelchairs.)
Topic: Health — Long-term Care
Subject: Health
Date: 2015-11-18 00:00:00

Medicare Choices Empowerment and Protection Act

This bill amends title XVIII (Medicare) of the Social Security Act to establish an Advance Directive Certification Program. Under the program, the Centers for Medicare & Medicaid Services (CMS) shall grant accreditation to advance directive vendors that meet specified accreditation criteria.

CMS shall establish procedures for an eligible beneficiary to register the adoption of a certified advance directive under the program. Beneficiary registration in the program shall be optional, but each eligible beneficiary who adopts and registers a certified advance directive shall receive a one-time incentive payment.

CMS shall provide for related education and outreach.
Topic: Health — Long-term Care
Subject: Health
Date: 2015-12-01 00:00:00

Living Independently for Extended Time Act or the LIFETIME Act 

This bill requires the Department of Health and Human Services to award grants to enable eligible states to develop innovative programs to meet the unique need for long-term services and supports in the state.
Topic: Health — Long-term Care
Subject: Health
Date: 2015-12-10 00:00:00

Preserve Access to Medicare Rural Home Health Services Act of 2015

This bill amends the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 to extend through 2021 the rural add-on, which is a payment increase for Medicare home health services furnished to patients in rural areas.

The bill also amends title XVIII (Medicare) of the Social Security Act to lower, for FY2018-FY2022, the annual ceiling on the home health outlier adjustment, which is a payment increase for home health services furnished to the costliest Medicare beneficiaries, from 2.5% to 2.25% of the total Medicare payments projected to be made under the prospective payment system for home health services. (Under the Medicare prospective payment system, payment is made according to a predetermined, fixed amount.)