Relevant Legislation

Legislative activity in the 114th Congress

H.R.2 – Medicare Access and CHIP Reauthorization Act of 2015
TITLE I–SGR REPEAL AND MEDICARE PROVIDER PAYMENT MODERNIZATION
Enacted – 4/16/2015 Read more…

Major Legislative activity prior to 114th Congress

H.R.3590 – Patient Protection and Affordable Care Act
H.R.4872 – Health Care and Education Reconciliation Act of 2010
Title I: Quality, Affordable Health Care for All Americans – Subtitle A: Immediate Improvements in Health Care Coverage for All Americans
H.R.4872 makes a number of health-related financing and revenue changes to this bill. Read together, this bill and the health care-related provisions of H.R.4872 are commonly referred to as the Affordable Care Act (ACA).
Enacted – 10/8/2009 Read more…

H.R.676 — 114th Congress (2015-2016)

Expanded & Improved Medicare for All Act

Establishes the Medicare for All Program to provide all individuals residing in the United States and U.S. territories with free health care that includes all medically necessary care, such as primary care and prevention, dietary and nutritional therapies, prescription drugs, emergency care, long-term care, mental health services, dental services, and vision care.

Prohibits an institution from participating unless it is a public or nonprofit institution. Allows nonprofit health maintenance organizations (HMOs) that deliver care in their own facilities to participate.

Allows patients to choose from participating physicians and institutions.

Prohibits a private health insurer from selling health insurance coverage that duplicates the benefits provided under this Act. Allows insurers to sell benefits that are not medically necessary, such as cosmetic surgery benefits.

Sets forth methods to pay institutional providers of care and health professionals for services. Prohibits financial incentives between HMOs and physicians based on utilization.

Establishes the Medicare for All Trust Fund to finance the Program with amounts deposited: (1) from existing sources of government revenues for health care, (2) by increasing personal income taxes on the top 5% of income earners, (3) by instituting a progressive excise tax on payroll and self-employment income, (4) by instituting a tax on unearned income, and (5) by instituting a tax on stock and bond transactions. Transfers and appropriates to carry out this Act amounts that would have been appropriated for federal public health care programs, including Medicare, Medicaid, and the Children’s Health Insurance Program (CHIP).

Requires the Medicare for All Program to give employment transition benefits and first priority in retraining and job placement to individuals whose jobs are eliminated due to reduced clerical and administrative work.

Requires creation of a confidential electronic patient record system.

Establishes a National Board of Universal Quality and Access to provide advice on quality, access, and affordability.

Requires the eventual integration of the Indian Health Service into the Program, and an evaluation of the continued independence of Department of Veterans Affairs health programs.

On December 18, 2015, the President signed into law S. 614, the Federal Improper Payments Coordination Act of 2015, which became Public Law 114-109.  The House passed the bill on December 7, 2015  by voice vote under suspension of the rules.  The bill previously passed the Senate by unanimous consent on July 28.  Among other things, the bill would provide that Federal agencies shall review, as appropriate, SSA’s death records through the Do Not Pay (DNP) Initiative.  However, the bill does not amend section 205(r) of the Social Security Act, and thus does not permit the use of SSA’s full file of death information by the DNP system. Previous Actions 12/07/15; 07/28/15

  • On November 2, 2015, the President signed into law H.R. 1314, the Bipartisan Budget Act of 2015, which became Public Law 114-74.  The Senate passed the measure on October 30, 2015 by a vote of 64-35.  The House amended and passed the Senate amendment on October 28, 2015 by a vote of 266-167.

The Bipartisan Budget Act of 2015 reallocates funds from the Old-Age and Survivors Insurance trust fund to the Disability Insurance (DI) trust fund to ensure payment of full disability benefits into 2022; without such a reallocation the DI trust fund would have been depleted in December 2016.  The bill also suspends the debt limit until March 15, 2017; partially rolls back the sequester of discretionary spending scheduled for FY 2016 and FY 2017; and reduces the amount of increase in Medicare Part B premiums for certain beneficiaries in 2016.  In addition, the legislation provides adjustments to civil monetary penalties (CMPs) and makes reforms to the Social Security Program.

  • On July 16, 2015, the Senate passed, by unanimous consent, S. 139, the Ensuring Access to Clinical Trials Act of 2015.  The bill would amend the Improving Access to Clinical Trials Act of 2009 to permanently allow an exclusion under the Supplemental Security Income program and the Medicaid program for compensation provided to individuals who participate in clinical trials for rare diseases or conditions.
  • On April 16, 2015, the President signed into law H.R. 2, the Medicare Access and CHIP Reauthorization Act of 2015, which became Public Law 114-10.  The Senate passed the bill on April 14, 2015 by a vote of 92-8, without amendment.  The bill previously passed the House on March 26, 2015 by a vote of 392-37.  The law, among things, reauthorizes the Children’s Health Insurance Program (CHIP) and repeals the Medicare sustainable growth rate. Previous Actions 04/14/15;03/26/15

On March 3, 2015, the House Judiciary Committee reported H.R. 1147, the Legal Workforce Act, without amendment, by a vote of 20-13.  The bill would make electronic employment eligibility verification mandatory for all new hires—and some current workers—across the Nation.  The bill was also referred to the House Ways and Means and House Education and the Workforce Committees.

On January 14, 2015, the House passed H.R. 240, the Department of Homeland Security Appropriations Act by a vote of 236-191.  The bill now moves to the Senate for action.  However, the White House has issued a Statement of Administrative Policy (SAP) on H.R. 240, which states that the President’s senior advisors would recommend that he veto the bill if it includes “restrictions on [DHS’] ability to set smart enforcement priorities.”  The SAP is available athttp://www.whitehouse.gov/sites/default/files/omb/legislative/sap/114/saphr240r_20150112.pdf.

On January 13, 2015, the House passed H.R. 185, the Regulatory Accountability Act of 2015, by a vote of 250-175.  The bill would revise and expand Federal rulemaking requirements, with an emphasis on evidence-based determinations in making a rule and increased justification for proposing and finalizing a Federal rule.  The bill now moves to the Senate for consideration.

However, the White House has issued a Statement of Administrative Policy (SAP) on H.R. 185, which states that the President’s senior advisors would recommend that he veto the bill.  The SAP is available athttp://www.whitehouse.gov/sites/default/files/omb/legislative/sap/114/saphr185r_20150112.pdf

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