zli12321/Bills huggingface dataset:
Letting Insurance Benefit Everyone Regardless of Their Youth (LIBERTY) Act - Amends the Public Health Service Act to increase the permissible variation based on age for premium rates charged by a health insurance issuer for health insurance coverage offered in the individual or small group market from "3 to 1" for adults to "5 to 1" for adults, or such other ratio for adults as the state involved may provide. (The restrictions on premium variations enacted under the Patient Protection and Affordable Care Act apply to plan years beginning on or after January 1, 2014.)

Date: 2013-02-06
Topic: Health (Insurance)
Subject: Health
Healthcare Tax Relief and Mandate Repeal Act - Amends the Internal Revenue Code to: (1) terminate the requirement, added by the Patient Protection and Affordable Care Act (PPACA), that individuals maintain minimum essential health insurance coverage for themselves and dependents; and (2) repeal provisions added by PPACA requiring certain employers who have a workforce of 50 or more full-time employees to provide health insurance coverage for their employees.

Date: 2013-02-06
Topic: Health (Insurance)
Subject: Health
Chiropractic Health Parity for Military Beneficiaries Act - Directs the Secretary of Defense (DOD), no later than August 31, 2013, to complete development of a plan to provide chiropractic health care services and benefits, as a permanent part of the TRICARE program (a DOD managed health care program), for covered beneficiaries. Requires plan implementation by January 31, 2014.

Date: 2013-02-15
Topic: Health (Insurance)
Subject: Armed forces and national security
Health Care Choice Act of 2013 - Repeals the health insurance and health coverage expansion requirements of the Patient Protection and Affordable Care Act and related requirements of the Health Care and Education Reconciliation Act of 2010. Restores provisions of law amended or repealed by such provisions.

Amends the Public Health Service Act to provide that the laws of the state designated by a health insurance issuer (primary state) shall apply to individual health insurance coverage offered by that issuer in the primary state and in any other state (secondary state), but only if the coverage and issuer comply with the conditions of this Act.

Exempts issuers from any secondary state's laws that would prohibit or regulate the operation of the issuer in such state, subject to certain restrictions imposed by such state.

Specifies the notice that an issuer must provide in any insurance coverage offered in a secondary state and at renewal of the policy.

Requires each issuer issuing individual health insurance coverage in both primary and secondary states to submit to the insurance commissioners of such states: (1) a copy of the plan of operation or feasibility study, (2) written notice of any change in its designation of its primary state and of its compliance with all the laws of the primary state, and (3) a quarterly financial statement.

Prohibits an issuer from offering, selling, or issuing individual health insurance coverage in a secondary state if the state insurance commissioner does not use a risk-based capital formula for the determination of capital and surplus requirements for all issuers.

Gives sole jurisdiction to the primary state to enforce the primary state's covered laws in the primary state and any secondary state.

Requires the Comptroller General to study the effect of this Act on specified health insurance issues.

Date: 2013-02-15
Topic: Health (Insurance)
Subject: Health
Amends the Patient Protection and Affordable Care Act to eliminate the annual fee on health insurance providers set to be imposed beginning on January 1, 2013.

Date: 2013-02-15
Topic: Health (Insurance)
Subject: Health
Diagnostic Imaging Services Access Protection Act of 2013 - Amends title XVIII (Medicare) of the Social Security Act, with respect to payments for physician services, to prohibit the Secretary of Health and Human Services (HHS) from applying a multiple procedure payment reduction policy to the professional component of imaging services until the Secretary publishes in the Federal Register: (1) an analysis of the information used in the final rule to implement the physician fee schedule in 2013 to determine what, if any, efficiences exist within the professional component of imaging services when two or more studies are performed on the same patient on the same day; and (2) detailed information on which activities in the vignettes in such rule were assigned specified reduction percentages, how such percentage reductions for the pre-, intra-, and post-service work were determined and calculated, and the clinical aspects that went into those decisions.

Date: 2013-02-27
Topic: Health (Insurance)
Subject: Health
Chiropractic Care Available to All Veterans Act - Amends the Department of Veterans Affairs Health Care Programs Enhancement Act of 2001 to require a program under which the Secretary of Veterans Affairs provides chiropractic care and services to veterans through Department of Veterans Affairs (VA) medical centers and clinics to be carried out at: (1) no fewer than 75 medical centers by December 31, 2014, and (2) all medical centers by December 31, 2016.

Includes chiropractic examinations and services within required VA medical, rehabilitative, and preventive health care services.

Date: 2013-02-28
Topic: Health (Insurance)
Subject: Armed forces and national security
Coordination of Pro Bono Medically Recommended Dental Care Act - Amends the Public Health Service Act to direct the Secretary of Health and Human Services (HHS) to award competitive grants to, or enter into contracts with, eligible entities to maximize the number of eligible low-income individuals receiving dental care.

Requires an entity to use amounts received under a grant or contract to fund the employment costs of a program to: (1) coordinate the provision of free, medically recommended dental care to eligible low-income individuals by volunteer dentists in a manner consistent with state licensing laws; and (2) verify the medical, dental, and financial needs of individuals who may be eligible for such dental services.

Requires an eligible: (1) entity to be tax-exempt and provide for the participation of eligible individuals in a free dental services program; and (2) individual to be entitled to benefits or be enrolled under Medicare, Medicaid, or a state plan or waiver under the State Children's Health Insurance Program (CHIP).

Date: 2013-03-05
Topic: Health (Insurance)
Subject: Health
Amends the Patient Protection and Affordable Care Act (PPACA) to allow a state-authorized public entity benefits pool to apply to the Secretary of Health and Human Services (HHS) for pass-through funding with respect to health care benefits provided through the pool for coverage years beginning on or after January 1, 2014. Requires the Secretary to approve such a pool if the health care benefits provided through it will: (1) provide at least the essential health benefits, (2) provide coverage and cost-sharing protections against excessive out-of-pocket spending that are at least as affordable as the health insurance requirements of PPACA would provide, and (3) result in cost savings to the federal government because the cost of coverage through the pool is less than the cost of coverage through an exchange.

Treats an individual covered under such a plan as having minimum essential coverage for purposes of the Internal Revenue Code.

Requires the Secretary to provide for an alternative means by which an aggregate amount shall be paid to the pool annually based on the premium tax credits, cost-sharing reductions, and small business credits that would have been provided to an exchange plan.

Gives the Secretary 180 days to make a determination on an application under this Act.

Date: 2013-03-12
Topic: Health (Insurance)
Subject: Health
Family Friendly HSA Improvement Act of 2013 - Amends the Internal Revenue Code, with respect to health savings accounts (HSAs), to increase (up to age 27) the age limit for dependents whose medical expenses may be paid from such accounts.

Date: 2013-03-13
Topic: Health (Insurance)
Subject: Taxation
Patients Right to Know Act of 2013 - Amends the Public Health Service Act to require health plans to include in their annual summary of benefits and coverage explanations: (1) the annual fee on health insurance providers under the Patient Protection and Affordable Care Act, (2) the annual fees imposed on health insurance policies, (3) required contributions by health plans to the reinsurance program, (4) user fees on health plans participating in health insurance exchanges, (5) payments by health plans whose costs are lower than the target amount (premiums collected minus administrative costs), and (6) charges assessed by states on health plans whose enrollees have a lower actuarial risk than the average actuarial risk of all enrollees in a state. Allows such costs to be calculated separately for individual, small group, or large group markets.

Requires the Comptroller General (GAO) to study the methods of calculating the impact on average premium costs associated with: (1) guaranteed issuance of coverage and community rated premiums, (2) limitations on age rating, (3) required coverage of women's preventive services, and (4) the requirement that plans cover at least 60% of the actuarial value of essential health benefits.

Date: 2013-03-14
Topic: Health (Insurance)
Subject: Health
Family Health Care Flexibility Act - Repeals provisions of the Patient Protection and Affordable Care Act and the Health Care and Education Reconciliation Act of 2010 that: (1) restrict payments from health savings accounts, medical savings accounts, and health flexible spending arrangements for medications to prescription drugs and insulin only (thus allowing payments for over-the-counter medications); and (2) impose a $2,500 limitation on salary reduction contributions to a health flexible spending arrangement under a cafeteria plan.

Date: 2013-03-19
Topic: Health (Insurance)
Subject: Health
Auto Enroll Repeal Act - Amends the Fair Labor Standards Act of 1938 to repeal the requirement that employers with more than 200 full-time employees that offer enrollment in one or more health benefits plans enroll automatically all new full-time employees in one of those plans.

Date: 2013-03-19
Topic: Health (Insurance)
Subject: Labor and employment
Preventing Diabetes in Medicare Act of 2013 - Amends title XVIII (Medicare) of the Social Security Act to extend Medicare coverage to medical nutrition therapy services for people with pre-diabetes and risk factors for developing type-2 diabetes.

Date: 2013-03-19
Topic: Health (Insurance)
Subject: Health
Excellence in Mental Health Act - Amends the Public Health Service Act to set forth criteria for the certification of federally-qualified community behavioral health centers. Limits such a certification to five years, but requires the Administrator of the Substance Abuse and Mental Health Services Administration to provide an opportunity for recertification at the end of each certification period.

Amends title XIX (Medicaid) of the Social Security Act to make such centers eligible for payments for services under Medicaid.

Amends the Public Health Service Act to authorize the Secretary of Health and Human Services (HHS) to award matching grants to states or Indian tribes to expend funds for the construction or modernization of facilities used to provide community-based mental health and substance abuse services to individuals.

Date: 2013-03-19
Topic: Health (Insurance)
Subject: Health
Medicare Patient Empowerment Act of 2013 - Amends title XVIII (Medicare) of the Social Security Act to allow any Medicare beneficiary to enter into a contract with an eligible professional for any item or service covered by Medicare. Allows such beneficiaries to submit a claim for Medicare payment in the amount that would otherwise apply if the claim had been filed by a participating physician or supplier in the payment area where the eligible professional covered by the contract resides.

Requires a Medicare beneficiary to agree in writing in such a contract to: (1) pay the physician or practitioner for a Medicare-covered item or service; and (2) submit (in lieu of the physician or practitioner) a claim for Medicare payment. Allows a beneficiary, however, to negotiate, as a term of the contract, for the eligible professional to file such claims on the beneficiary's behalf.

Preempts state laws from limiting the amount of charges for physician and practitioner services for which Medicare payment is made.

Date: 2013-03-21
Topic: Health (Insurance)
Subject: Health
Comprehensive Immunosuppressive Drug Coverage for Kidney Transplant Patients Act of 2013 - Amends title II (Old Age, Survivors and Disability Benefits) (OASDI) of the Social Security Act (SSA) to extend the months of coverage of immunosuppressive drugs for kidney transplant patients.

Amends SSA title XVIII (Medicare) to make eligible for enrollment in Medicare part B (Supplementary Medical Insurance), solely for the purpose of such drug coverage, every individual whose insurance benefits under Medicare part A (Hospital Insurance) have ended by reason of a kidney transplant or the end of any requirement for a regular course of dialysis.

Directs the Secretary of Health and Human Services (HHS) to determine a monthly premium rate for such individuals equal to 35% of the monthly actuarial rate for enrollees age 65 and over. Prescribes a formula for detemination of a government contribution to such a premium.

Date: 2013-03-21
Topic: Health (Insurance)
Subject: Health
Helping Save Americans' Health Care Choices Act of 2013 - Amends the Patient Protection and Affordable Care Act (PPACA) to repeal: (1) the 20% penalty for distributions from a health savings account (HSA) or an Archer medical savings account (Archer MSA) not used for qualified medical expenses, (2) the prohibition on distributions from an HSA for over-the-counter drugs, and (3) the limitation on health flexible spending arrangements under cafeteria plans. Allows the treatment of a high deductible health plan as a qualified health plan under PPACA.

Amends the Internal Revenue Code (IRC) to allow: (1) a retirement savings tax credit for contributions to an HSA; (2) payment of premiums for high deductible health plans from an HSA; (3) a tax deduction for medical expenses incurred prior to the establishment of an HSA; (4) an increase of the HSA maximum allowable contribution amount to match the limit on deductible and out-of-pocket expenses under an HSA; (5) an exclusion from gross income of employer-provided coverage for qualified long-term care services that is provided through a flexible spending or similar arrangement; (6) eligibility for veterans with a service-connected disability, participants in Tricare, and certain Medicare beneficiaries for participation in an HSA; (7) both spouses to make catch-up contributions to the same HSA account; and (8) a tax deduction for amounts paid by patients to their primary physician in advance for the right to receive medical services on an as-needed basis. Renames IRC section headings relating to high deductible health plans as HSA qualified health plans.

Directs the Secretary of the Treasury, through regulations or other guidance, to encourage administrators of health plans and trustees of HSAs to provide for simultaneous enrollment in high deductible health plans and setup of HSAs.

Date: 2013-03-21
Topic: Health (Insurance)
Subject: Health
FEHBP Prescription Drug Integrity, Transparency, and Cost Savings Act - Prohibits the Office of Personnel Management (OPM) from entering a contract or approving a health benefits plan with a carrier that is a party to a pharmacy benefit manager (PBM) carrier arrangement to provide or administer prescription drug coverage under the Federal Employees Health Benefits Program (FEHBP) unless the PBM and the carrier comply with the requirements for PBM carrier arrangements set forth by this Act. Directs OPM to terminate a contract or discontinue a plan that fails to comply with such requirements.

Prohibits: (1) a PBM under a carrier arrangement from being under common corporate control with a prescription drug manufacturer or a retail pharmacy, and (2) OPM from permitting a carrier under common corporate control with a PBM to earn a profit from such control.

Sets forth terms and requirements for PBM carrier arrangements under the FEHBP, including: (1) drug substitution restrictions, (2) PBM reimbursement of carriers, (3) sale by a PBM of utilization and claims data, (4) drug pricing and the basis for reimbursement, (5) PBM provision to plan enrollees of an explanation of benefits statement regarding prescription drugs, (6) nondiscriminatory contracts regarding required participation, (7) OPM access to PBM contract information, and (8) civil monetary penalties for making false statements or claims to the government.

Date: 2013-03-21
Topic: Health (Insurance)
Subject: Government operations and politics
Comprehensive Immunosuppressive Drug Coverage for Kidney Transplant Patients Act of 2013 - Amends title II (Old Age, Survivors and Disability Benefits) (OASDI) of the Social Security Act (SSA) to extend the months of coverage of immunosuppressive drugs for kidney transplant patients.

Amends SSA title XVIII (Medicare) to make eligible for enrollment in Medicare part B (Supplementary Medical Insurance), solely for the purpose of such drug coverage, every individual whose insurance benefits under Medicare part A (Hospital Insurance) have ended by reason of a kidney transplant or the end of any requirement for a regular course of dialysis.

Directs the Secretary of Health and Human Services (HHS) to determine a monthly premium rate for such individuals equal to 35% of the monthly actuarial rate for enrollees age 65 and over. Prescribes a formula for detemination of a government contribution to such a premium.

Date: 2013-04-09
Topic: Health (Insurance)
Subject: Health
Helping Sick Americans Now Act - Amends the Patient Protection and Affordable Care Act to require the Secretary of Health and Human Services (HHS) to transfer from the Prevention and Public Health Fund any unobligated funds which are attributable to FY2013 and any funds that would otherwise be made available to the Fund for FY2014-FY2016 to a Department of Health and Human Services account to carry out the temporary high risk health insurance pool program (a program to provide health insurance coverage to eligible individuals with a preexisting condition). Requires such funds to be available for obligation on the date of enactment of this Act and to remain available through December 31, 2013.

Eliminates the eligibility requirement for the temporary high risk pool which prohibits an individual from having creditable coverage (health coverage) for six months before applying for coverage through the pool.

Requires the Secretary to administer the temporary high risk pool in accordance with current regulations governing the operation of the pool, except as necessary to reflect amendments made by this Act.

Date: 2013-04-15
Topic: Health (Insurance)
Subject: Health
Medical FSA Improvement Act of 2013 - Amends the Internal Revenue Code to allow amounts in a flexible spending arrangement (FSA) that are not spent for medical care to be distributed to the FSA participant as taxable income after the close of a plan year (currently, such unspent amounts are forfeited). Includes such FSAs in the definition of tax-exempt cafeteria plans.

Date: 2013-04-18
Topic: Health (Insurance)
Subject: Taxation
Ensuring Women's Access to Free-Market Healthcare Act of 2013 - Amends the Internal Revenue Code, with respect to the tax treatment of health savings accounts (HSAs), to allow a health plan which does not have a deductible for prenatal, labor and delivery, and postpartum care to be treated as a high deductible health plan.

Date: 2013-04-23
Topic: Health (Insurance)
Subject: Taxation
Tohono O'odham Citizenship Act of 2013 - Amends the Immigration and Nationality Act to make a person listed on the official membership roll of the Tohono O'odham Nation (a federally recognized American Indian nation in Arizona) a U.S. citizen as of the date of such listing.

 States that nothing in this Act shall be construed to provide any benefit for a spouse, son, daughter, or other relative of a person granted citizenship under this Act.

 Considers the valid membership credential issued to a person listed on the official Tohono O'odham Nation membership roll the equivalent of a certificate of citizenship and a state-issued birth certificate.

Date: 2013-04-23
Topic: Health (Insurance)
Subject: Immigration
Helping Ensure Life- and Limb-Saving Access to Podiatric Physicians Act or HELLPP Act - Amends title XIX (Medicaid) of the Social Security Act (SSA) to include podiatrists as physicians in order to cover their services under the Medicaid program.

Amends SSA title XVIII (Medicare) to revise requirements for coverage of therapeutic shoes for individuals with diabetes regarding the processes of: (1) documentation by a physician of, and certification of a comprehensive plan of care related to, the diabetic condition; (2) prescription by a podiatrist or other qualified physician upon a finding of the medical necessity for the therapeutic shoes, including findings communicated to a certifying doctor of medicine or osteopathy of certain related foot conditions; and (3) fitting and supplying the shoes.

Amends the Internal Revenue Code to subject to the continuing levy upon property and property rights, for collection of unpaid taxes, any payments made to a Medicaid provider or supplier.

Date: 2013-04-25
Topic: Health (Insurance)
Subject: Health
Cancer Drug Coverage Parity Act of 2013 - Amends the Employee Retirement Income Security Act of 1974 (ERISA), the Public Health Service Act, and the Internal Revenue Code to require a group or individual health plan providing benefits with respect to anticancer medications administered by a health care provider to provide no less favorable coverage for prescribed, patient-administered anticancer medications used to kill, slow, or prevent the growth of cancerous cells and that have been approved by the Food and Drug Administration (FDA).

Applies such requirement to medication that is prescribed based on a finding by the treating physician that the medication is: (1) medically necessary for the purpose of killing, slowing, or preventing the growth of cancerous cells in accordance with nationally accepted standards of medical practice; and (2) clinically appropriate in terms of type, frequency, extent site, and duration.

Permits such coverage to be subject to the same cost-sharing applicable to anticancer medications administered by a health care provider under the plan.

 Prohibits a health plan from imposing an increase in out-of-pocket costs, reclassifying benefits with respect to anticancer medications, or applying more restrictive limitations on prescribed orally- or intravenously-administered or injected anticancer medications.

Requires a plan to provide notice to each participant and beneficiary regarding the coverage required under this Act.

Prohibits a health plan from taking specified actions to avoid the requirements of this Act.

Requires the Medicare Payment Advisory Commission to assess how closing the Medicare part D donut hole affects Medicare coverage for orally-administered anticancer medications, with a particular focus on cost and accessibility.

Date: 2013-04-26
Topic: Health (Insurance)
Subject: Health
Federal Repeal of Expensive Exchanges Act or the FREE Act - Repeals provisions of the Internal Revenue Code and the Patient Protection and Affordable Care Act (PPACA) providing for: (1) a health insurance premium assistance tax credit and advance payments for credit amounts, (2) reductions in out-of-pocket health care expenses for certain low income taxpayers (cost-sharing) and advance payments of cost-sharing amounts, (3) the individual mandate to purchase health care coverage under PPACA, and (4) the employer mandate to provide health care coverage to employees under PPACA and the reporting requirements with respect to such mandate.

Date: 2013-05-09
Topic: Health (Insurance)
Subject: Health
Amends the National Defense Authorization Act for Fiscal Year 2013 to direct the Secretary of Defense (DOD) to ensure that each beneficiary other than an active-duty beneficiary who is enrolled in TRICARE Prime (a DOD managed health care program), as of September 30, 2013, may make a one-time election to continue such enrollment, notwithstanding that an existing TRICARE contract does not allow for such enrollment based on the location in which the beneficiary resides. Allows the beneficiary to continue in such enrollment while residing in the same ZIP Code in which the beneficiary resided at the time of election.

Allows such a beneficiary to elect, at any time, to instead enroll in TRICARE Standard.

Date: 2013-05-14
Topic: Health (Insurance)
Subject: Armed forces and national security
Medicare Secondary Payer and Workers' Compensation Settlement Agreements Act of 2013 - 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.

Date: 2013-05-15
Topic: Health (Insurance)
Subject: Health
Prevent IRS Overreach Act of 2013 - Prohibits the Internal Revenue Service (IRS) from filling any position, by transfer or any other appointment taking effect on or after the enactment of this Act, if the duties and responsibilities of such position include the enforcement of any provision of, or amendment made by, the Patient Protection and Affordable Care Act or the Health Care and Education Reconciliation Act of 2010.

Date: 2013-05-15
Topic: Health (Insurance)
Subject: Taxation
Special Needs Trust Fairness Act of 2013 - Amends title XIX (Medicaid) of the Social Security Act with respect to the treatment of revocable trusts for the benefit of an individual for purposes of meeting income requirements for Medicaid coverage.

Extends the supplemental needs trust exemption from treatment of a trust as resources available to the individual to supplemental needs trusts for Medicaid beneficiaries established by those beneficiaries.

Date: 2013-05-23
Topic: Health (Insurance)
Subject: Health
Family and Retirement Health Investment Act of 2013 - Amends the Internal Revenue Code, with respect to health savings accounts (HSAs), to allow:

 spouses who have both attained age 55 to make increased catch-up contributions to the same HSA; Medicare Part A (hospital insurance benefits) beneficiaries to participate in an HSA; Medicare beneficiaries participating in an Archer medical savings account designated as a Medicare Advantage MSA to contribute to an HSA; veterans eligible for service-connected disability benefits and individuals eligible for Indian health service assistance to participate in an HSA; individuals eligible to receive benefits under certain TRICARE plans to participate in an HSA; participants in flexible spending arrangement or a health reimbursement arrangement to contribute to an HSA; payments from an HSA for prescription and over-the-counter medicine or drugs; the use of HSAs to purchase certain health insurance coverage and long-term care insurance; payment of certain medical expenses from an HSA incurred before the establishment of an HSA; and individuals who receive primary care services for a fixed periodic fee to participate in an HSA. Amends the bankruptcy code to treat HSAs as tax-exempt individual retirement accounts (IRAs) for purposes of exempting them from creditor claims.

Reauthorizes the use of Medicaid health opportunity accounts.

Treats membership in a tax-exempt health care sharing ministry as coverage under a high deductible health plan for purposes of the tax deduction for contributions to an HSA.

Amends the Patient Protection and Affordable Care Act (PPACA) to treat a high deductible health plan in which an enrollee has established an HSA as a qualified health plan.

Amends the Public Health Service Act to exempt from lifetime limits on the dollar value of benefits for any participant in or beneficiary of a group health plan any health reimbursement arrangement which permits the purchase of a qualified health plan through a state health insurance exchange established under PPACA.

Treats as medical care for purposes of the tax deduction for medical expenses certain exercise equipment and physical fitness programs, nutritional and dietary supplements, and periodic fees paid to a primary physician, physician assistant, or nurse practitioner.

Repeals provisions of PPACA that impose annual limitations on deductibles for health plans offered in the small group market.

Date: 2013-05-23
Topic: Health (Insurance)
Subject: Taxation
Access to Professional Health Insurance Advisors Act of 2013 - Amends the Public Health Service Act to exclude remuneration paid for licensed independent insurance producers from administrative cost calculations for purposes of calculating the medical-loss ratio of a health insurance plan.

Defines "independent insurance producer" to mean an insurance agent or broker, insurance consultant, benefit specialist, limited insurance representative, and any other person required to be licensed under the laws of the particular state to sell, solicit, negotiate, service, effect, procure, renew, or bind policies of insurance coverage or offer advice, counsel, opinions, or services related to insurance.

Date: 2013-06-12
Topic: Health (Insurance)
Subject: Health
Medicare Beneficiary Preservation of Choice Act of 2013 - Amends title XVIII (Medicare) of the Social Security Act, as amended by the Patient Protection and Affordable Care Act, to repeal the allowance for disenrollment, between January 1 and March 15 of each year, only from an MedicareAdvantage plan to elect enrollment in the original Medicare fee-for-service program.

Restores the option under previous law to elect to change from a MedicareAdvantage to the original Medicare fee-for-service plan, or from the original Medicare fee-for-service to a MedicareAdvantage plan, once a year during the first three months.

Date: 2013-06-20
Topic: Health (Insurance)
Subject: Health
Supporting Emergency Responders Volunteer Efforts Act of 2013 or the SERVE Act of 2013 - Amends the Internal Revenue Code to allow an individual taxpayer who is a bona fide volunteer of a qualified volunteer emergency response organization a $1,000 refundable tax credit.  Requires such individual to: (1) have served as a bona fide volunteer performing fire fighting and prevention services, emergency medical services, and ambulance services for more than six months in a taxable year; (2) have provided more than 40 hours of such services actively engaged in the prevention, control, or extinguishment of fires or response to emergency situations where life, property, or the environment is at risk; or (3) have been stationed on the premises of an emergency response organization in anticipation of being actively engaged in providing such services.

Date: 2013-06-24
Topic: Health (Insurance)
Subject: Taxation
Medicare Better Health Rewards Program Act of 2013 - Amends title XVIII (Medicare) of the Social Security Act to direct the Secretary of Health and Human Services (HHS) to establish a three-year Better Health Rewards Program under which incentives are provided to Medicare beneficiaries who voluntarily agree to participate in the Program.

 Directs the Secretary to establish standards for measuring better health targets and points for achieving them for participating Medicare beneficiaries, including those for: (1) an annual wellness visit, (2) tobacco cessation, (3) Body Mass Index (BMI), (4) a diabetes screening test, (5) cardiovascular disease screening, (6) cholesterol level screening, and (7) screening tests and specified vaccinations.

Requires the Secretary to make specified incentive payments to each participating Medicare beneficiary who achieves at least 20 points during a year.

Authorizes Medicare Advantage Plans, "Section 1876" health maintenance organization and competitive medical cost plans, and programs of all-inclusive care for the elderly (PACE) to make incentives to their enrollees to participate in a Better Health Rewards Program.

Amends the Internal Revenue Code to exclude from gross income any payment made under: (1) the Medicare Better Health Rewards Program, and (2) any other Better Health Rewards Program.

Date: 2013-06-26
Topic: Health (Insurance)
Subject: Health
Amends title II (Old Age, Survivors and Disability Insurance) of the Social Security Act (SSA) to direct the Commissioner of Social Security to: (1) establish procedures under which an eligible state or local government employee who is not otherwise covered under a state's voluntary agreement for coverage of state and local employees may make an irrevocable election to treat employment as Medicare qualified government employment; and so (2) extend to services performed by such employees entitlement to Medicare coverage under SSA title XVIII, including hospital insurance benefits, as well as coverage for end state renal disease (ESRD).

Amends the Internal Revenue Code to apply the Medicare portion of payroll taxes to state and local government employees making such an election.

Date: 2013-07-08
Topic: Health (Insurance)
Subject: Health
(This measure has not been amended since it was introduced. The summary of that version is repeated here.)

Authority for Mandate Delay Act - Amends the Patient Protection and Affordable Care Act to delay until 2015 enforcement of requirements that large employers offer their full-time employees the opportunity to enroll in minimum essential coverage. Delays the effective date of related reporting requirements for such employers and for providers of minimum essential coverage.

Date: 2013-07-11
Topic: Health (Insurance)
Subject: Health
Title I: Fairness for American Families Act - Fairness for American Families Act - Amends the Internal Revenue Code, as amended by the Patient Protection and Affordable Care Act (PPACA), to delay until 2015 the requirement that individuals maintain minimal essential health care coverage.

Title II: Authority for Mandate Delay Act - Authority for Mandate Delay Act - Amends PPACA to delay until 2015 enforcement of requirements that large employers offer their full-time employees the opportunity to enroll in minimum essential coverage. Delays the effective date of related reporting requirements for such employers and for providers of minimum essential coverage.

Date: 2013-07-11
Topic: Health (Insurance)
Subject: Health
Providing Accountability and Transparency to Incentivize Economically Necessary Transitions in Health Care Act of 2013 or the PATIENT's Health Care Act of 2013 - Amends the Internal Revenue Code, with respect to health savings accounts (HSAs), to:

 allow a new tax deduction for premiums paid for a high deductible health care plan; repeal the requirement that an individual making a tax deductible contribution to an HSA be covered by a high deductible health care plan; increase the maximum HSA contribution level; allow Medicare beneficiaries to contribute to an HSA; allow a rollover of HSA amounts to a Medicare Advantage Medical Savings Account (MSA); allow a transfer of a flexible spending arrangement balance to an HSA upon separation from employment; allow payments of high deductible health plan premiums from HSAs; repeal the prohibition against payment of over-the-counter drugs from HSAs, Archer MSAs, and health flexible spending and reimbursement arrangements; allow payment of long-term care premiums from health flexible spending arrangements; allow a rollover of Archer MSA and HSA amounts to adult children of an account holder; allow a carryover of up to $500 of unused health benefits in cafeteria plans and flexible spending arrangements; allow Medicare beneficiaries to contribute to a Medicare Advantage MSA; and establish child health savings accounts and allow tax deductible contributions to such accounts. Amends the Public Health Service Act to permit the operation of individual and group health insurance plans across state lines. Sets forth requirements and limitations applicable to issuers of such plans in the primary and secondary states governing such issuers.

Extends through December 31, 2016, the Preexisting Condition Insurance Plan (PCIP program) established by the Patient Protection and Affordable Care Act.

Date: 2013-07-15
Topic: Health (Insurance)
Subject: Health
Health Care Waiver Fairness Act of 2013 - Amends the Patient Protection and Affordable Care Act (PPACA) to require the Secretary of Health and Human Services (HHS), the Secretary of Labor, and the Secretary of Treasury to establish waiver processes under which the administrator of a health plan, an employer, an individual, or other entity may seek to waive the application of a health insurance coverage requirement under PPACA. Sets forth PPACA requirements that may be waived, including those related to minimum essential coverage and employers offering health care coverage to employees.

Establishes requirements for the waiver process, including requiring submission of a statement describing how the imposition of the PPACA requirement would result in a significant decrease in access to coverage or a significant increase in premiums or other costs for such plan, employer, individual, or entity. Deems to be approved any waiver including such a statement.

Requires the Secretary of HHS to conduct a public awareness campaign of the waiver process with funds made available for the Prevention and Public Health Fund.

Date: 2013-07-16
Topic: Health (Insurance)
Subject: Health
Amends the Internal Revenue Code to continue the eligibility of Pension Benefit Guaranty Corporation (PBGC) pension recipients for the health care tax credit after 2013 if such recipients were eligible for such credit in December 2013.

Date: 2013-07-22
Topic: Health (Insurance)
Subject: Taxation
DEFECT Act (Delaying Enrollment in Federal Exchanges to Certify Trust) of 2013 - Prohibits the enrollment of any individual in a qualified health plan offered through a state Health Benefit Exchange or the Small Business Health Options Program (SHOP Exchange) under the Patient Protection and Affordable Care Act until one year after publication in the Federal Register of final rules that establish procedures for: (1) verification of eligibility for participation in an Exchange and for the premium tax credit and cost-sharing reduction, and (2) reporting by individuals and large employers who provide minimum essential health care coverage.

Date: 2013-07-23
Topic: Health (Insurance)
Subject: Health
Protect Patient Access to Quality Health Professionals Act of 2013 - Amends the Public Health Service Act to remove prohibitions enacted under the Patient Protection and Affordable Care Act that prohibit a health plan from discriminating with respect to participation under the plan or coverage against any health care provider who is acting within the scope of that provider's license or certification under applicable state law.

Date: 2013-07-24
Topic: Health (Insurance)
Subject: Health
Health Equity Act of 2013 - Amends the Internal Revenue Code to: (1) make permanent the tax deduction allowed to self-employed individuals for health insurance costs; (2) allow a new tax deduction for the health care insurance costs of a taxpayer, the taxpayer's spouse, and dependents; and (3) expand the tax deduction for medical expenses to include costs for a membership in a fitness program or athletic club, fitness equipment, or weight loss program up to $1,200 in a taxable year and allow tax-free reimbursements for such expenses up to $1,200 a year under flexible spending arrangements and health reimbursement arrangements.

Date: 2013-07-24
Topic: Health (Insurance)
Subject: Taxation
Strengthening Medicare Anti-Fraud Measures Act of 2013 - Amends title XI of the Social Security Act to authorize the Secretary of Health and Human Services (HHS) to exclude from participation in any federal health care program entities affiliated with a sanctioned entity, as well as any officer or managing employee of an affiliated entity (currently, only individuals with an ownership or control interest in a sanctioned entity), if the affiliated entity was so affiliated at the time of any of the conduct forming the basis for the conviction or exclusion of the sanctioned entity.

Date: 2013-08-01
Topic: Health (Insurance)
Subject: Health
No Taxation Without Verification Act of 2013 - Decalres that no tax or fee imposed by, and no reduction in a deduction, exclusion or other tax benefit made by, the Patient Protection and Affordable Care Act (or its amendments) shall be implemented for any period before the Secretary of the Treasury (or designee) certifies that the reporting requirements relating to employer status and employee income levels and health care status may be made with 100% accuracy and without fraud.

Date: 2013-08-01
Topic: Health (Insurance)
Subject: Taxation
Exchange Sunset Act of 2013 - Amends the Patient Protection and Affordable Care Act to make inapplicable provisions concerning Health Benefit Exchanges if one or more Exchanges fail to accept applications for enrollment in qualified health plans beginning on October 1, 2013.

Amends the Internal Revenue Code to terminate the requirement that individuals maintain minimum essential coverage upon such a determination by the Secretary of the Treasury.

Date: 2013-08-01
Topic: Health (Insurance)
Subject: Health
Amends the Internal Revenue Code, as amended by the Patient Protection and Affordable Care Act (PPACA), to delay until 2015 for individuals who have not attained age 27 as of December 31, 2013, the penalty imposed by PPACA for failure to maintain minimum essential health care coverage.

Date: 2013-08-01
Topic: Health (Insurance)
Subject: Health
Unnecessary Cap Act of 2013 - Amends the Patient Protection and Affordable Care Act to repeal the annual limitation on deductibles under the essential health benefits of employer-sponsored qualified health plans of: (1) $2,000 in the case of a plan covering a single individual, and (2) $4,000 in the case of any other plan.

Date: 2013-08-02
Topic: Health (Insurance)
Subject: Health
Insurance Fairness for Amputees Act - Amends the Employee Retirement Income Security Act of 1974 (ERISA) and the Public Health Service Act to require a group health plan that provides medical and surgical benefits and also provides benefits for prosthetics and custom orthotics to offer such prosthetics and custom orthotics in the same manner as applicable to medical and surgical benefits. Prohibits separate financial requirements or more restrictive treatment limitations. Requires a health plan that does not provide coverage for benefits outside of a network to ensure that such provider network is adequate to ensure enrollee access to prosthetic and custom orthotic devices and related services provided by appropriately credentialed practitioners and accredited suppliers.

Allows limitation of coverage for required benefits for prosthetics and custom orthotics to the most appropriate device or component that meets the medical requirements of the patient. Requires benefits to include repair and replacement due to normal wear and tear, irreparable damage, a change in the patient's condition, or as otherwise determined appropriate by the treating physician.

Prohibits any annual or lifetime dollar limitation on benefits for prosthetics and custom orthotics unless such limitation applies in the aggregate to all benefits.

Date: 2013-08-02
Topic: Health (Insurance)
Subject: Health
No Special Deal for D.C. Insiders Act of 2013 - Amends the Patient Protection and Affordable Care Act to prohibit the expenditure of federal funds to pay or contribute to any portion of the premium for a health plan purchased by a Member of Congress pursuant to the Act or purchased by congressional staff.

 Includes in the definition of "congressional staff" employees in a leadership office of the House of Representatives or the Senate (consisting of the offices of the President pro Tempore, Majority and Minority Leaders, Majority and Minority Whips, Conferences of the Majority and of the Minority, and Majority and Minority Policy Committees of the Senate) and employees of any congressional committee.

Date: 2013-09-09
Topic: Health (Insurance)
Subject: Health
No Special Treatment for Congress Act - Amends the Patient Protection and Affordable Care Act to prohibit any government contribution under the Federal Employees Health Benefits Program for health benefits obtained by a Member of Congress or congressional staff.

Date: 2013-09-09
Topic: Health (Insurance)
Subject: Health
Roth IRA Flexibility Act of 2013 - Amends part B (Supplementary Medical Insurance) of title XVIII (Medicare) of the Social Security Act with respect to the formula for reductions in the income-based subsidy for premiums under Medicare parts B and D (Voluntary Prescription Drug Benefit Program). Disregards, in computing adjusted gross income in that formula, any amounts transferred from a traditional individual retirement account (IRA) to a Roth IRA.

Amends the Internal Revenue Code to authorize the use of tax return information involving such amounts for disclosure to carry out those subsidy adjustments.

Directs the Secretary of Health and Human Services (HHS), in collaboration with the Commissioner of Social Security, to refund to an individual the portion of premiums paid under Medicare parts B and D equal to the difference between the premiums paid and the premiums the individual would have paid if any rollovers to a Roth IRA from an eligible non-Roth IRA retirement plan made on or after January 1, 2011, had not been taken into account.

Date: 2013-09-10
Topic: Health (Insurance)
Subject: Health
Union Bailout Prevention Act of 2013 - Declares that no refundable premium assistance tax credits (subsidies) for coverage under a qualified health plan under the Internal Revenue Code, or reductions in cost-sharing under the Patient Protection and Affordable Care Act (PPACA), shall be permitted with respect to an individual for health insurance coverage provided pursuant to a collective bargaining agreement involving one or more employers (collectively bargained plan).

Amends PPACA to exclude collectively bargained plans from the meaning of "qualified health plan."

Date: 2013-09-12
Topic: Health (Insurance)
Subject: Taxation
Helping Families and Seniors Save on Health Care Act of 2013 - Repeals the provision of the Patient Protection and Affordable Care Act that increases the adjusted gross income threshold for claiming the tax deduction for medical expenses.

Date: 2013-09-17
Topic: Health (Insurance)
Subject: Taxation
Health Care Regulator Accountability Act - Amends the Patient Protection and Affordable Care Act (PPACA) to prohibit the federal government from making any health care plan available to Department of Health and Human Services (HHS), Internal Revenue Service (IRS), or any other federal executive agency employees responsible for the administration of the Act except a health plan created under it or offered through an American Health Benefit Exchange.

Prohibits the Secretary of HHS, the IRS Director, and the head of any other agency involved in promulgating rules or regulations to carry out or to enforce PPACA, or any amendments made by it, from obligating or expending, in any fiscal year, more than 90% of the funds made available for the salaries and expenses of their offices unless those regulations are promulgated and take effect before the fiscal year's close. Requires rescission of any amounts which remain precluded from obligation or expenditure on that last day of the fiscal year.

Date: 2013-09-23
Topic: Health (Insurance)
Subject: Health