111th Congress of the United States - Patient Protection And Affordable Care Act lyrics

H.R.3590 Title I Subtitle A Subtitle B Subtitle C Subtitle D Subtitle E [Subtitle F] Shared Responsibility for Health Care PART I--Individual Responsibility Sec. 1501. Requirement to maintain minimum essential coverage. Sec. 1502. Reporting of health insurance coverage. PART II--Employer Responsibilities Sec. 1511. Automatic enrollment for employees of large employers. Sec. 1512. Employer requirement to inform employees of coverage options. Sec. 1513. Shared responsibility for employers. Sec. 1514. Reporting of employer health insurance coverage. Sec. 1515. Offering of Exchange-participating qualified health plans through cafeteria plans. Subtitle G Miscellaneous Provisions Sec. 1551. Definitions. Sec. 1552. Transparency in government. Sec. 1553. Prohibition against discrimination on a**isted suicide. Sec. 1554. Access to therapies. Sec. 1555. Freedom not to participate in Federal health insurance programs. Sec. 1556. Equity for certain eligible survivors. Sec. 1557. Nondiscrimination. Sec. 1558. Protections for employees. Sec. 1559. Oversight. Sec. 1560. Rules of construction. Sec. 1561. Health information technology enrollment standards and protocols. Sec. 1562. Conforming amendments. Sec. 1563. Sense of the Senate promoting fiscal responsibility. TITLE II--ROLE OF PUBLIC PROGRAMS [Subtitle A] Improved Access to Medicaid Sec. 2001. Medicaid coverage for the lowest income populations. Sec. 2002. Income eligibility for nonelderly determined using modified gross income. Sec. 2003. Requirement to offer premium a**istance for employer-sponsored insurance. Sec. 2004. Medicaid coverage for former foster care children. Sec. 2005. Payments to territories. Sec. 2006. Special adjustment to FMAP determination for certain States recovering from a major disaster. Sec. 2007. Medicaid Improvement Fund rescission. [Subtitle B] Enhanced Support for the Children's Health Insurance Program Sec. 2101. Additional federal financial participation for CHIP. Sec. 2102. Technical corrections. [Subtitle C] Medicaid and CHIP Enrollment Simplification Sec. 2201. Enrollment Simplification and coordination with State Health Insurance Exchanges. Sec. 2202. Permitting hospitals to make presumptive eligibility determinations for all Medicaid eligible populations. [Subtitle D] Improvements to Medicaid Services Sec. 2301. Coverage for freestanding birth center services. Sec. 2302. Concurrent care for children. Sec. 2303. State eligibility option for family planning services. Sec. 2304. Clarification of definition of medical a**istance. [Subtitle E] New Options for States to Provide Long-Term Services and Supports Sec. 2401. Community First Choice Option. Sec. 2402. Removal of barriers to providing home and community-based services. Sec. 2403. Money Follows the Person Rebalancing Demonstration. Sec. 2404. Protection for recipients of home and community-based services against spousal impoverishment. Sec. 2405. Funding to expand State Aging and Disability Resource Centers. Sec. 2406. Sense of the Senate regarding long-term care. [Subtitle F] Medicaid Prescription Drug Coverage Sec. 2501. Prescription drug rebates. Sec. 2502. Elimination of exclusion of coverage of certain d**. Sec. 2503. Providing adequate pharmacy reimbursement. [Subtitle G] Medicaid Disproportionate Share Hospital (DSH) Payments Sec. 2551. Disproportionate share hospital payments. [Subtitle H] Improved Coordination for Dual Eligible Beneficiaries Sec. 2601. 5-year period for demonstration projects. Sec. 2602. Providing Federal coverage and payment coordination for dual eligible beneficiaries. [Subtitle I] Improving the Quality of Medicaid for Patients and Providers Sec. 2701. Adult health quality measures. Sec. 2702. Payment Adjustment for Health Care-Acquired Conditions. Sec. 2703. State option to provide health homes for enrollees with chronic conditions. Sec. 2704. Demonstration project to evaluate integrated care around a hospitalization. Sec. 2705. Medicaid Global Payment System Demonstration Project. Sec. 2706. Pediatric Accountable Care Organization Demonstration Project. Sec. 2707. Medicaid emergency psychiatric demonstration project. Subtitle J Improvements to the Medicaid and CHIP Payment and Access Commission (MACPAC) Sec. 2801. MACPAC a**essment of policies affecting all Medicaid beneficiaries. [Subtitle K] Protections for American Indians and Alaska Natives Sec. 2901. Special rules relating to Indians. Sec. 2902. Elimination of sunset for reimbursement for all medicare part B services furnished by certain indian hospitals and clinics. [Subtitle L] Maternal and Child Health Services Sec. 2951. Maternal, infant, and early childhood home visiting programs. Sec. 2952. Support, education, and research for postpartum depression. Sec. 2953. Personal responsibility education. Sec. 2954. Restoration of funding for abstinence education. Sec. 2955. Inclusion of information about the importance of having a health care power of attorney in transition planning for children aging out of foster care and independent living programs. TITLE III--IMPROVING THE QUALITY AND EFFICIENCY OF HEALTH CARE [Subtitle A] Transforming the Health Care Delivery System PART I--Linking Payment to Quality Outcomes Under the Medicare Program Sec. 3001. Hospital Value-Based purchasing program. Sec. 3002. Improvements to the physician quality reporting system. Sec. 3003. Improvements to the physician feedback program. Sec. 3004. Quality reporting for long-term care hospitals, inpatient rehabilitation hospitals, and hospice programs. Sec. 3005. Quality reporting for PPS-exempt cancer hospitals. Sec. 3006. Plans for a Value-Based purchasing program for sk**ed nursing facilities and home health agencies. Sec. 3007. Value-based payment modifier under the physician fee schedule. Sec. 3008. Payment adjustment for conditions acquired in hospitals. PART II--National Strategy to Improve Health Care Quality Sec. 3011. National strategy. Sec. 3012. Interagency Working Group on Health Care Quality. Sec. 3013. Quality measure development. Sec. 3014. Quality measurement. Sec. 3015. Data collection; public reporting. PART III--Encouraging Development of New Patient Care Models Sec. 3021. Establishment of Center for Medicare and Medicaid Innovation within CMS. Sec. 3022. Medicare shared savings program. Sec. 3023. National pilot program on payment bundling. Sec. 3024. Independence at home demonstration program. Sec. 3025. Hospital readmissions reduction program. Sec. 3026. Community-Based Care Transitions Program. Sec. 3027. Extension of gainsharing demonstration. [Subtitle B] Improving Medicare for Patients and Providers PART I--Ensuring Beneficiary Access to Physician Care and Other Services Sec. 3101. Increase in the physician payment update. Sec. 3102. Extension of the work geographic index floor and revisions to the practice expense geographic adjustment under the Medicare physician fee schedule. Sec. 3103. Extension of exceptions process for Medicare therapy caps. Sec. 3104. Extension of payment for technical component of certain physician pathology services. Sec. 3105. Extension of ambulance add-ons. Sec. 3106. Extension of certain payment rules for long-term care hospital services and of moratorium on the establishment of certain hospitals and facilities. Sec. 3107. Extension of physician fee schedule mental health add-on. Sec. 3108. Permitting physician a**istants to order post-Hospital extended care services. Sec. 3109. Exemption of certain pharmacies from accreditation requirements. Sec. 3110. Part B special enrollment period for disabled TRICARE beneficiaries. Sec. 3111. Payment for bone density tests. Sec. 3112. Revision to the Medicare Improvement Fund. Sec. 3113. Treatment of certain complex diagnostic laboratory tests. Sec. 3114. Improved access for certified nurse-midwife services. PART II--Rural Protections Sec. 3121. Extension of outpatient hold harmless provision. Sec. 3122. Extension of Medicare reasonable costs payments for certain clinical diagnostic laboratory tests furnished to hospital patients in certain rural areas. Sec. 3123. Extension of the Rural Community Hospital Demonstration Program. Sec. 3124. Extension of the Medicare-dependent hospital (MDH) program. Sec. 3125. Temporary improvements to the Medicare inpatient hospital payment adjustment for low-volume hospitals. Sec. 3126. Improvements to the demonstration project on community health integration models in certain rural counties. Sec. 3127. MedPAC study on adequacy of Medicare payments for health care providers serving in rural areas. Sec. 3128. Technical correction related to critical access hospital services. Sec. 3129. Extension of and revisions to Medicare rural hospital flexibility program. PART III--Improving Payment Accuracy Sec. 3131. Payment adjustments for home health care. Sec. 3132. Hospice reform. Sec. 3133. Improvement to medicare disproportionate share hospital (DSH) payments. Sec. 3134. Misvalued codes under the physician fee schedule. Sec. 3135. Modification of equipment utilization factor for advanced imaging services. Sec. 3136. Revision of payment for power-driven wheelchairs. Sec. 3137. Hospital wage index improvement. Sec. 3138. Treatment of certain cancer hospitals. Sec. 3139. Payment for biosimilar biological products. Sec. 3140. Medicare hospice concurrent care demonstration program. Sec. 3141. Application of budget neutrality on a national basis in the calculation of the Medicare hospital wage index floor. Sec. 3142. HHS study on urban Medicare-dependent hospitals. Sec. 3143. Protecting home health benefits. [Subtitle C] Provisions Relating to Part C Sec. 3201. Medicare Advantage payment. Sec. 3202. Benefit protection and simplification. Sec. 3203. Application of coding intensity adjustment during MA payment transition. Sec. 3204. Simplification of annual beneficiary election periods. Sec. 3205. Extension for specialized MA plans for special needs individuals. Sec. 3206. Extension of reasonable cost contracts. Sec. 3207. Technical correction to MA private fee-for-service plans. Sec. 3208. Making senior housing facility demonstration permanent. Sec. 3209. Authority to deny plan bids. Sec. 3210. Development of new standards for certain Medigap plans. [Subtitle D] Medicare Part D Improvements for Prescription Drug Plans and MA-PD Plans Sec. 3301. Medicare coverage gap discount program. Sec. 3302. Improvement in determination of Medicare part D low-income benchmark premium. Sec. 3303. Voluntary de minimis policy for subsidy eligible individuals under prescription drug plans and MA-PD plans. Sec. 3304. Special rule for widows and widowers regarding eligibility for low-income a**istance. Sec. 3305. Improved information for subsidy eligible individuals rea**igned to prescription drug plans and MA-PD plans. Sec. 3306. Funding outreach and a**istance for low-income programs. Sec. 3307. Improving formulary requirements for prescription drug plans and MA-PD plans with respect to certain categories or cla**es of d**. Sec. 3308. Reducing part D premium subsidy for high-income beneficiaries. Sec. 3309. Elimination of cost sharing for certain dual eligible individuals. Sec. 3310. Reducing wasteful dispensing of outpatient prescription d** in long-term care facilities under prescription drug plans and MA-PD plans. Sec. 3311. Improved Medicare prescription drug plan and MA-PD plan complaint system. Sec. 3312. Uniform exceptions and appeals process for prescription drug plans and MA-PD plans. Sec. 3313. Office of the Inspector General studies and reports. Sec. 3314. Including costs incurred by AIDS drug a**istance programs and Indian Health Service in providing prescription d** toward the annual out-of-pocket threshold under part D. Sec. 3315. Immediate reduction in coverage gap in 2010. [Subtitle E] Ensuring Medicare Sustainability Sec. 3401. Revision of certain market basket updates and incorporation of productivity improvements into market basket updates that do not already incorporate such improvements. Sec. 3402. Temporary adjustment to the calculation of part B premiums. Sec. 3403. Independent Medicare Advisory Board. [Subtitle F] Health Care Quality Improvements Sec. 3501. Health care delivery system research; Quality improvement technical a**istance. Sec. 3502. Establishing community health teams to support the patient-centered medical home. Sec. 3503. Medication management services in treatment of chronic disease. Sec. 3504. Design and implementation of regionalized systems for emergency care. Sec. 3505. Trauma care centers and service availability. Sec. 3506. Program to facilitate shared decisionmaking. Sec. 3507. Presentation of prescription drug benefit and risk information. Sec. 3508. Demonstration program to integrate quality improvement and patient safety training into clinical education of health professionals. Sec. 3509. Improving women's health. Sec. 3510. Patient navigator program. Sec. 3511. Authorization of appropriations. [Subtitle G] Protecting and Improving Guaranteed Medicare Benefits Sec. 3601. Protecting and improving guaranteed Medicare benefits. Sec. 3602. No cuts in guaranteed benefits. TITLE IV--PREVENTION OF CHRONIC DISEASE AND IMPROVING PUBLIC HEALTH [Subtitle A] Modernizing Disease Prevention and Public Health Systems Sec. 4001. National Prevention, Health Promotion and Public Health Council. Sec. 4002. Prevention and Public Health Fund. Sec. 4003. Clinical and community preventive services. Sec. 4004. Education and outreach campaign regarding preventive benefits. [Subtitle B] Increasing Access to Clinical Preventive Services Sec. 4101. School-based health centers. Sec. 4102. Oral healthcare prevention activities. Sec. 4103. Medicare coverage of annual wellness visit providing a personalized prevention plan. Sec. 4104. Removal of barriers to preventive services in Medicare. Sec. 4105. Evidence-based coverage of preventive services in Medicare. Sec. 4106. Improving access to preventive services for eligible adults in Medicaid. Sec. 4107. Coverage of comprehensive tobacco cessation services for pregnant women in Medicaid. Sec. 4108. Incentives for prevention of chronic diseases in medicaid. [Subtitle C] Creating Healthier Communities Sec. 4201. Community transformation grants. Sec. 4202. Healthy aging, living well; evaluation of community-based prevention and wellness programs for Medicare beneficiaries. Sec. 4203. Removing barriers and improving access to wellness for individuals with disabilities. Sec. 4204. Immunizations. Sec. 4205. Nutrition labeling of standard menu items at chain restaurants. Sec. 4206. Demonstration project concerning individualized wellness plan. Sec. 4207. Reasonable break time for nursing mothers. [Subtitle D] Support for Prevention and Public Health Innovation Sec. 4301. Research on optimizing the delivery of public health services. Sec. 4302. Understanding health disparities: data collection and an*lysis. Sec. 4303. CDC and employer-based wellness programs. Sec. 4304. Epidemiology-Laboratory Capacity Grants. Sec. 4305. Advancing research and treatment for pain care management. Sec. 4306. Funding for Childhood Obesity Demonstration Project. [Subtitle E] Miscellaneous Provisions Sec. 4401. Sense of the Senate concerning CBO scoring. Sec. 4402. Effectiveness of Federal health and wellness initiatives. TITLE V--HEALTH CARE WORKFORCE [Subtitle A] Purpose and Definitions Sec. 5001. Purpose. Sec. 5002. Definitions. [Subtitle B] Innovations in the Health Care Workforce Sec. 5101. National health care workforce commission. Sec. 5102. State health care workforce development grants. Sec. 5103. Health care workforce a**essment. Subtitle C--Increasing the Supply of the Health Care Workforce Sec. 5201. Federally supported student loan funds. Sec. 5202. Nursing student loan program. Sec. 5203. Health care workforce loan repayment programs. Sec. 5204. Public health workforce recruitment and retention programs. Sec. 5205. Allied health workforce recruitment and retention programs. Sec. 5206. Grants for State and local programs. Sec. 5207. Funding for National Health Service Corps. Sec. 5208. Nurse-managed health clinics. Sec. 5209. Elimination of cap on commissioned corps. Sec. 5210. Establishing a Ready Reserve Corps. Subtitle D--Enhancing Health Care Workforce Education and Training Sec. 5301. Training in family medicine, general internal medicine, general pediatrics, and physician a**istantship. Sec. 5302. Training opportunities for direct care workers. Sec. 5303. Training in general, pediatric, and public health dentistry. Sec. 5304. Alternative dental health care providers demonstration project. Sec. 5305. Geriatric education and training; career awards; comprehensive geriatric education. Sec. 5306. Mental and behavioral health education and training grants. Sec. 5307. Cultural competency, prevention, and public health and individuals with disabilities training. Sec. 5308. Advanced nursing education grants. Sec. 5309. Nurse education, practice, and retention grants. Sec. 5310. Loan repayment and scholarship program. Sec. 5311. Nurse faculty loan program. Sec. 5312. Authorization of appropriations for parts B through D of title VIII. Sec. 5313. Grants to promote the community health workforce. Sec. 5314. Fellowship training in public health. Sec. 5315. United States Public Health Sciences Track. Subtitle E--Supporting the Existing Health Care Workforce Sec. 5401. Centers of excellence. Sec. 5402. Health care professionals training for diversity. Sec. 5403. Interdisciplinary, community-based linkages. Sec. 5404. Workforce diversity grants. Sec. 5405. Primary care extension program. Subtitle F--Strengthening Primary Care and Other Workforce Improvements Sec. 5501. Expanding access to primary care services and general surgery services. Sec. 5502. Medicare Federally qualified health center improvements. Sec. 5503. Distribution of additional residency positions. Sec. 5504. Counting resident time in nonprovider settings. Sec. 5505. Rules for counting resident time for didactic and scholarly activities and other activities. Sec. 5506. Preservation of resident cap positions from closed hospitals. Sec. 5507. Demonstration projects To address health professions workforce needs; extension of family-to-family health information centers. Sec. 5508. Increasing teaching capacity. Sec. 5509. Graduate nurse education demonstration. Subtitle G--Improving Access to Health Care Services Sec. 5601. Spending for Federally Qualified Health Centers (FQHCs). Sec. 5602. Negotiated rulemaking for development of methodology and criteria for designating medically underserved populations and health professions shortage areas. Sec. 5603. Reauthorization of the Wakefield Emergency Medical Services for Children Program. Sec. 5604. Co-locating primary and specialty care in community-based mental health settings. Sec. 5605. Key National indicators. Subtitle H--General Provisions Sec. 5701. Reports. TITLE VI--TRANSPARENCY AND PROGRAM INTEGRITY Subtitle A--Physician Ownership and Other Transparency Sec. 6001. Limitation on Medicare exception to the prohibition on certain physician referrals for hospitals. Sec. 6002. Transparency reports and reporting of physician ownership or investment interests. Sec. 6003. Disclosure requirements for in-office ancillary services exception to the prohibition on physician self-referral for certain imaging services. Sec. 6004. Prescription drug sample transparency. Sec. 6005. Pharmacy benefit managers transparency requirements. Subtitle B--Nursing Home Transparency and Improvement PART I--Improving Transparency of Information Sec. 6101. Required disclosure of ownership and additional disclosable parties information. Sec. 6102. Accountability requirements for sk**ed nursing facilities and nursing facilities. Sec. 6103. Nursing home compare Medicare website. Sec. 6104. Reporting of expenditures. Sec. 6105. Standardized complaint form. Sec. 6106. Ensuring staffing accountability. Sec. 6107. GAO study and report on Five-Star Quality Rating System. PART II--Targeting Enforcement Sec. 6111. Civil money penalties. Sec. 6112. National independent monitor demonstration project. Sec. 6113. Notification of facility closure. Sec. 6114. National demonstration projects on culture change and use of information technology in nursing homes. PART III--Improving Staff Training Sec. 6121. Dementia and abuse prevention training. Subtitle C--Nationwide Program for National and State Background Checks on Direct Patient Access Employees of Long-term Care Facilities and Providers Sec. 6201. Nationwide program for National and State background checks on direct patient access employees of long-term care facilities and providers. Subtitle D--Patient-Centered Outcomes Research Sec. 6301. Patient-Centered Outcomes Research. Sec. 6302. Federal coordinating council for comparative effectiveness research. Subtitle E--Medicare, Medicaid, and CHIP Program Integrity Provisions Sec. 6401. Provider screening and other enrollment requirements under Medicare, Medicaid, and CHIP. Sec. 6402. Enhanced Medicare and Medicaid program integrity provisions. Sec. 6403. Elimination of duplication between the Healthcare Integrity and Protection Data Bank and the National Practitioner Data Bank. Sec. 6404. Maximum period for submission of Medicare claims reduced to not more than 12 months. Sec. 6405. Physicians who order items or services required to be Medicare enrolled physicians or eligible professionals. Sec. 6406. Requirement for physicians to provide documentation on referrals to programs at high risk of waste and abuse. Sec. 6407. Face to face encounter with patient required before physicians may certify eligibility for home health services or durable medical equipment under Medicare. Sec. 6408. Enhanced penalties. Sec. 6409. Medicare self-referral disclosure protocol. Sec. 6410. Adjustments to the Medicare durable medical equipment, prosthetics, orthotics, and supplies competitive acquisition program. Sec. 6411. Expansion of the Recovery Audit Contractor (RAC) program. Subtitle F--Additional Medicaid Program Integrity Provisions Sec. 6501. Termination of provider participation under Medicaid if terminated under Medicare or other State plan. Sec. 6502. Medicaid exclusion from participation relating to certain ownership, control, and management affiliations. Sec. 6503. Billing agents, clearinghouses, or other alternate payees required to register under Medicaid. Sec. 6504. Requirement to report expanded set of data elements under MMIS to detect fraud and abuse. Sec. 6505. Prohibition on payments to institutions or entities located outside of the United States. Sec. 6506. Overpayments. Sec. 6507. Mandatory State use of national correct coding initiative. Sec. 6508. General effective date. Subtitle G--Additional Program Integrity Provisions Sec. 6601. Prohibition on false statements and representations. Sec. 6602. Clarifying definition. Sec. 6603. Development of model uniform report form. Sec. 6604. Applicability of State law to combat fraud and abuse. Sec. 6605. Enabling the Department of Labor to issue administrative summary cease and desist orders and summary seizures orders against plans that are in financially hazardous condition. Sec. 6606. MEWA plan registration with Department of Labor. Sec. 6607. Permitting evidentiary privilege and confidential communications. Subtitle H--Elder Justice Act Sec. 6701. Short title of subtitle. Sec. 6702. Definitions. Sec. 6703. Elder Justice. Subtitle I--Sense of the Senate Regarding Medical Malpractice Sec. 6801. Sense of the Senate regarding medical malpractice. TITLE VII--IMPROVING ACCESS TO INNOVATIVE MEDICAL THERAPIES Subtitle A--Biologics Price Competition and Innovation Sec. 7001. Short title. Sec. 7002. Approval pathway for biosimilar biological products. Sec. 7003. Savings. Subtitle B--More Affordable Medicines for Children and Underserved Communities Sec. 7101. Expanded participation in 340B program. Sec. 7102. Improvements to 340B program integrity. Sec. 7103. GAO study to make recommendations on improving the 340B program. TITLE VIII--CLASS ACT Sec. 8001. Short title of title. Sec. 8002. Establishment of national voluntary insurance program for purchasing community living a**istance services and support. TITLE IX--REVENUE PROVISIONS Subtitle A--Revenue Offset Provisions Sec. 9001. Excise tax on high cost employer-sponsored health coverage. Sec. 9002. Inclusion of cost of employer-sponsored health coverage on W-2. Sec. 9003. Distributions for medicine qualified only if for prescribed drug or insulin. Sec. 9004. Increase in additional tax on distributions from HSAs and Archer MSAs not used for qualified medical expenses. Sec. 9005. Limitation on health flexible spending arrangements under cafeteria plans. Sec. 9006. Expansion of information reporting requirements. Sec. 9007. Additional requirements for charitable hospitals. Sec. 9008. Imposition of annual fee on branded prescription pharmaceutical manufacturers and importers. Sec. 9009. Imposition of annual fee on medical device manufacturers and importers. Sec. 9010. Imposition of annual fee on health insurance providers. Sec. 9011. Study and report of effect on veterans health care. Sec. 9012. Elimination of deduction for expenses allocable to Medicare Part D subsidy. Sec. 9013. Modification of itemized deduction for medical expenses. Sec. 9014. Limitation on excessive remuneration paid by certain health insurance providers. Sec. 9015. Additional hospital insurance tax on high-income taxpayers. Sec. 9016. Modification of section 833 treatment of certain health organizations. Sec. 9017. Excise tax on elective cosmetic medical procedures. Subtitle B--Other Provisions Sec. 9021. Exclusion of health benefits provided by Indian tribal governments. Sec. 9022. Establishment of simple cafeteria plans for small businesses. Sec. 9023. Qualifying therapeutic discovery project credit. TITLE X--STRENGTHENING QUALITY, AFFORDABLE HEALTH CARE FOR ALL AMERICANS Subtitle A--Provisions Relating to Title I Sec. 10101. Amendments to subtitle A. Sec. 10102. Amendments to subtitle B. Sec. 10103. Amendments to subtitle C. Sec. 10104. Amendments to subtitle D. Sec. 10105. Amendments to subtitle E. Sec. 10106. Amendments to subtitle F. Sec. 10107. Amendments to subtitle G. Sec. 10108. Free choice vouchers. Sec. 10109. Development of standards for financial and administrative transactions. Subtitle B--Provisions Relating to Title II PART I--Medicaid and CHIP Sec. 10201. Amendments to the Social Security Act and title II of this Act. Sec. 10202. Incentives for States to offer home and community-based services as a long-term care alternative to nursing homes. Sec. 10203. Extension of funding for CHIP through fiscal year 2015 and other CHIP-related provisions. PART II--Support for Pregnant and Parenting Teens and Women Sec. 10211. Definitions. Sec. 10212. Establishment of pregnancy a**istance fund. Sec. 10213. Permissible uses of Fund. Sec. 10214. Appropriations. PART III--Indian Health Care Improvement Sec. 10221. Indian health care improvement. Subtitle C--Provisions Relating to Title III Sec. 10301. Plans for a Value-Based purchasing program for ambulatory surgical centers. Sec. 10302. Revision to national strategy for quality improvement in health care. Sec. 10303. Development of outcome measures. Sec. 10304. Selection of efficiency measures. Sec. 10305. Data collection; public reporting. Sec. 10306. Improvements under the Center for Medicare and Medicaid Innovation. Sec. 10307. Improvements to the Medicare shared savings program. Sec. 10308. Revisions to national pilot program on payment bundling. Sec. 10309. Revisions to hospital readmissions reduction program. Sec. 10310. Repeal of physician payment update. Sec. 10311. Revisions to extension of ambulance add-ons. Sec. 10312. Certain payment rules for long-term care hospital services and moratorium on the establishment of certain hospitals and facilities. Sec. 10313. Revisions to the extension for the rural community hospital demonstration program. Sec. 10314. Adjustment to low-volume hospital provision. Sec. 10315. Revisions to home health care provisions. Sec. 10316. Medicare DSH. Sec. 10317. Revisions to extension of section 508 hospital provisions. Sec. 10318. Revisions to transitional extra benefits under Medicare Advantage. Sec. 10319. Revisions to market basket adjustments. Sec. 10320. Expansion of the scope of, and additional improvements to, the Independent Medicare Advisory Board. Sec. 10321. Revision to community health teams. Sec. 10322. Quality reporting for psychiatric hospitals. Sec. 10323. Medicare coverage for individuals exposed to environmental health hazards. Sec. 10324. Protections for frontier States. Sec. 10325. Revision to sk**ed nursing facility prospective payment system. Sec. 10326. Pilot testing pay-for-performance programs for certain Medicare providers. Sec. 10327. Improvements to the physician quality reporting system. Sec. 10328. Improvement in part D medication therapy management (MTM) programs. Sec. 10329. Developing methodology to a**ess health plan value. Sec. 10330. Modernizing computer and data systems of the Centers for Medicare & Medicaid services to support improvements in care delivery. Sec. 10331. Public reporting of performance information. Sec. 10332. Availability of medicare data for performance measurement. Sec. 10333. Community-based collaborative care networks. Sec. 10334. Minority health. Sec. 10335. Technical correction to the hospital value-based purchasing program. Sec. 10336. GAO study and report on Medicare beneficiary access to high-quality dialysis services. Subtitle D--Provisions Relating to Title IV Sec. 10401. Amendments to subtitle A. Sec. 10402. Amendments to subtitle B. Sec. 10403. Amendments to subtitle C. Sec. 10404. Amendments to subtitle D. Sec. 10405. Amendments to subtitle E. Sec. 10406. Amendment relating to waiving coinsurance for preventive services. Sec. 10407. Better diabetes care. Sec. 10408. Grants for small businesses to provide comprehensive workplace wellness programs. Sec. 10409. Cures Acceleration Network. Sec. 10410. Centers of Excellence for Depression. Sec. 10411. Programs relating to congenital heart disease. Sec. 10412. Automated Defibrillation in Adam's Memory Act. Sec. 10413. Young women's breast health awareness and support of young women diagnosed with breast cancer. Subtitle E--Provisions Relating to Title V Sec. 10501. Amendments to the Public Health Service Act, the Social Security Act, and title V of this Act. Sec. 10502. Infrastructure to Expand Access to Care. Sec. 10503. Community Health Centers and the National Health Service Corps Fund. Sec. 10504. Demonstration project to provide access to affordable care. Subtitle F--Provisions Relating to Title VI Sec. 10601. Revisions to limitation on medicare exception to the prohibition on certain physician referrals for hospitals. Sec. 10602. Clarifications to patient-centered outcomes research. Sec. 10603. Striking provisions relating to individual provider application fees. Sec. 10604. Technical correction to section 6405. Sec. 10605. Certain other providers permitted to conduct face to face encounter for home health services. Sec. 10606. Health care fraud enforcement. Sec. 10607. State demonstration programs to evaluate alternatives to current medical tort litigation. Sec. 10608. Extension of medical malpractice coverage to free clinics. Sec. 10609. Labeling changes. Subtitle G--Provisions Relating to Title VIII Sec. 10801. Provisions relating to title VIII. Subtitle H--Provisions Relating to Title IX Sec. 10901. Modifications to excise tax on high cost employer-sponsored health coverage. Sec. 10902. Inflation adjustment of limitation on health flexible spending arrangements under cafeteria plans. Sec. 10903. Modification of limitation on charges by charitable hospitals. Sec. 10904. Modification of annual fee on medical device manufacturers and importers. Sec. 10905. Modification of annual fee on health insurance providers. Sec. 10906. Modifications to additional hospital insurance tax on high-income taxpayers. Sec. 10907. Excise tax on indoor tanning services in lieu of elective cosmetic medical procedures. Sec. 10908. Exclusion for a**istance provided to participants in State student loan repayment programs for certain health professionals. Sec. 10909. Expansion of adoption credit and adoption a**istance programs.