Require grandfathered group plans to eliminate lifetime limits on coverage and beginning ineliminate annual limits on coverage.
Establish a multi-stakeholder Workforce Advisory Committee to develop a national workforce strategy. Each multi-state plan must be licensed in each state and must meet the qualifications of a qualified health plan.
Effective January 1, Require all new policies except stand-alone dental, vision, and long-term care insurance plansincluding those offered through the Exchanges and those offered outside of the Exchanges, to comply with one of the four benefit categories.
Effective July 1, Prescription drugs Authorize the Food and Drug Administration to approve generic versions of biologic drugs and grant biologics manufacturers 12 years of exclusive use before generics can be developed.
We have attempted to update our summaries with those changes. Require risk adjustment in the individual and small group markets and in the Exchange.
Prior to Januaryplans may only impose annual limits on coverage as determined by the Secretary.
Funding appropriated for five years beginning in fiscal year Medicare Establish a national Medicare pilot program to develop and evaluate paying a bundled payment for acute, inpatient hospital services, physician services, outpatient hospital services, and post-acute care services for an episode of care that begins three days prior to a hospitalization and spans 30 days following discharge.
Funds appropriated for five years beginning fiscal year Increase workforce supply and support training of health professionals through scholarships and loans; support primary care training and capacity building; provide state grants to providers in medically underserved areas; train and recruit providers to serve in rural areas; establish a public health workforce loan repayment program; provide medical residents with training in preventive medicine and public health; promote training of a diverse workforce; and promote cultural competence training of health care professionals.
The Board is prohibited from submitting proposals that would ration care, increase revenues or change benefits, eligibility or Medicare beneficiary cost sharing including Parts A and B premiumsor would result in a change in the beneficiary premium percentage or low-income subsidies under Part D.
Multi-state plans Require the Office of Personnel Management to contract with insurers to offer at least two multi-state plans in each Exchange.
Permit Exchanges to contract with state Medicaid agencies to determine eligibility for tax credits in the Exchanges. The Institute will be overseen by an appointed multi-stakeholder Board of Governors and will be assisted by expert advisory panels.
The ACA protects consumers from some of the worse abuses of the health care and insurance industries. If an individual who receives federal assistance purchases coverage in a plan that chooses to cover abortion services beyond those for which federal funds are permitted, those federal subsidy funds for premiums or cost-sharing must not be used for the purchase of the abortion coverage and must be segregated from private premium payments or state funds.
If a state has lower age rating requirements than 3: Effective upon enactment Allow providers organized as accountable care organizations ACOs that voluntarily meet quality thresholds to share in the cost savings they achieve for the Medicare program.
Shared savings program established January 1, Create an Innovation Center within the Centers for Medicare and Medicaid Services to test, evaluate, and expand in Medicare, Medicaid, and CHIP different payment structures and methodologies to reduce program expenditures while maintaining or improving quality of care.
National strategy due to Congress by January 1, Establish the Community-based Collaborative Care Network Program to support consortiums of health care providers to coordinate and integrate health care services, for low-income uninsured and underinsured populations.
Orszagthe then director of the CBOargued in June that the Medicare program as currently structured is unsustainable without significant reform, as tax revenues dedicated to the program are not sufficient to cover its rapidly increasing expenditures.
Compacts may only be approved if it is determined that the compact will provide coverage that is at least as comprehensive and affordable as coverage provided through the state Exchanges.
He argued that it is necessary to cut wasteful spending which is known to exist over-testing, no IT, lack of co-ordination, hospital re-admissions in order to cut costs in order to protect Medicare in the future and cut the projected national deficit.HRthe Affordable Health Care For America Act Section‐by‐Section Analysis DIVISION A – AFFORDABLE HEALTH CARE CHOICES Sec.
Prepared by Committees on Energy and Commerce, Ways and Means, and Education and Labor July 14, 1 America’s Affordable Health Choices Act Section-by-Section Analysis July 14, "legislative counsel!
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Can you instantly access the explanations and analysis you need to answer questions on every provision of the Affordable Care Act?
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Prepared by Committees on Ways and Means July 16, 1 America’s Affordable Health Choices Act Section‐by‐Section Analysis.
Letter to the Honorable Charles B. Rangel. View Document MB. Summary.Download