Index for HR3962: Affordable Health Care for America Act
DIVISION B — MEDICARE AND MEDICAID IMPROVEMENTS.
TITLE IX — MISCELLANEOUS PROVISIONS.
SEC 1905. — IMPROVED COORDINATION AND PROTECTION FOR DUAL ELIGIBLES.
Table Of Contents of the INDEX
Assessment
Assessment of communication strategies
Sec 1905. -- Improved Coordination And Protection For Dual Eligibles.
(c) RESPONSIBILITIES. - paragraph (4)
DIVISION B TITLE IX SEC 1905. Quoted: SEC 1150A. (c) (4)
Automated Concept:
Automated Concept:
ASSESSMENT of communication strategies for dual eligibles to determine whether additional informational materials or outreach ;
Index of Sec 1905. ...Assessment of factors
Sec 1905. -- Improved Coordination And Protection For Dual Eligibles.
(c) RESPONSIBILITIES. - paragraph (5)
DIVISION B TITLE IX SEC 1905. Quoted: SEC 1150A. (c) (5)
Automated Concept:
Automated Concept:
ASSESSMENT of factors related to enrollee satisfaction with services and care delivery ; Research and evaluation of areas where service utilization, quality and access to cost sharing protection to be improved and
Index of Sec 1905. ...Assessment requirements
Assessment requirements: combine
Sec 1905. -- Improved Coordination And Protection For Dual Eligibles.
(d) PERIODIC REPORTS.
DIVISION B TITLE IX SEC 1905. Quoted: SEC 1150A. (d)
Automated Concept:
Automated Concept:
ASSESSMENT requirements where appropriate ; Office or program seeking to minimize duplication in reporting requirements and identify opportunities to combine
Index of Sec 1905. ...Assessment requirements: identify quality metrics and
Sec 1905. -- Improved Coordination And Protection For Dual Eligibles.
(d) PERIODIC REPORTS.
DIVISION B TITLE IX SEC 1905. Quoted: SEC 1150A. (d)
Automated Concept:
Automated Concept:
ASSESSMENT requirements facilitating comparisons of quality of care received by beneficiaries enrolled or entitled to benefits under fee-for-service Medicare ; Office or program seeking to identify quality metrics and
Index of Sec 1905. ...Contract
Sec 1905. -- Improved Coordination And Protection For Dual Eligibles.
(e) DEFINITIONS.
DIVISION B TITLE IX SEC 1905. Quoted: SEC 1150A. (e)
Automated Concept:
Automated Concept:
CONTRACT under section 1890(a) of quality measures and benchmarks developed under section ; Secretary seeking endorsement by entity with
Index of Sec 1905. ...Eligibility
Sec 1905. -- Improved Coordination And Protection For Dual Eligibles.
(c) RESPONSIBILITIES. - paragraph (6)
DIVISION B TITLE IX SEC 1905. Quoted: SEC 1150A. (c) (6)
Automated Concept:
Automated Concept:
ELIGIBILITY, benefit and cost-sharing assistance available to dual eligibles by State ; Collection of data and database describing
Index of Sec 1905. ...Endorsement
Sec 1905. -- Improved Coordination And Protection For Dual Eligibles.
(e) DEFINITIONS.
DIVISION B TITLE IX SEC 1905. Quoted: SEC 1150A. (e)
Automated Concept:
Automated Concept:
CONTRACT under section 1890(a) of quality measures and benchmarks developed under section ; Secretary seeking endorsement by entity with
Index of Sec 1905. ...For-service Medicaid and Medicaid: fee-
Sec 1905. -- Improved Coordination And Protection For Dual Eligibles.
(d) PERIODIC REPORTS.
DIVISION B TITLE IX SEC 1905. Quoted: SEC 1150A. (d)
Automated Concept:
Automated Concept:
FOR-service Medicaid and Medicaid managed care and combinations ; Fee-
Index of Sec 1905. ...For-service Medicare: fee-
Sec 1905. -- Improved Coordination And Protection For Dual Eligibles.
(d) PERIODIC REPORTS.
DIVISION B TITLE IX SEC 1905. Quoted: SEC 1150A. (d)
Automated Concept:
Automated Concept:
FOR-service Medicare ; Office or program seeking to identify quality metrics and assessment requirements facilitating comparisons of quality of care received by beneficiaries enrolled or entitled to benefits under fee-
Index of Sec 1905. ...Grievance and appeals: payment and
Sec 1905. -- Improved Coordination And Protection For Dual Eligibles.
(a) IN GENERAL. - paragraph (1)
DIVISION B TITLE IX SEC 1905. Quoted: SEC 1150A. (a) (1)
Automated Concept:
Automated Concept:
GRIEVANCE and appeals processing under parts A and B of title XVIII under Medicare Advantage program under part C of title and title XIX ; Review Medicare and Medicaid policies related to enrollment, benefits, service delivery, payment and
Index of Sec 1905. ...Guidance: issue
Sec 1905. -- Improved Coordination And Protection For Dual Eligibles.
(a) IN GENERAL. - paragraph (3)
DIVISION B TITLE IX SEC 1905. Quoted: SEC 1150A. (a) (3)
Automated Concept:
Automated Concept:
GUIDANCE to States regarding improving coordination and protection ; Issue
Index of Sec 1905. ...Lead
Sec 1905. -- Improved Coordination And Protection For Dual Eligibles.
(c) RESPONSIBILITIES. - paragraph (2)
DIVISION B TITLE IX SEC 1905. Quoted: SEC 1150A. (c) (2)
Automated Concept:
Automated Concept:
LEAD to betting coordination of community-based care ;
Index of Sec 1905. ...Medical assistance
Sec 1905. -- Improved Coordination And Protection For Dual Eligibles.
(1) DUAL ELIGIBLE.
DIVISION B TITLE IX SEC 1905. Quoted: SEC 1150A. (h) (1)
Automated Concept:
Automated Concept:
MEDICAL assistance under title XIX ; Term dual eligible meaning individual being dually eligible for benefits under title XVIII and
Index of Sec 1905. ...Payment systems: examination of Medicare and Medicaid
Sec 1905. -- Improved Coordination And Protection For Dual Eligibles.
(c) RESPONSIBILITIES. - paragraph (1)
DIVISION B TITLE IX SEC 1905. Quoted: SEC 1150A. (c) (1)
Automated Concept:
Automated Concept:
PAYMENT systems to develop strategies to foster more integrating and higher quality care ; Examination of Medicare and Medicaid
Index of Sec 1905. ...Protection
Sec 1905. -- Improved Coordination And Protection For Dual Eligibles.
(c) RESPONSIBILITIES. - paragraph (5)
DIVISION B TITLE IX SEC 1905. Quoted: SEC 1150A. (c) (5)
Automated Concept:
Automated Concept:
ASSESSMENT of factors related to enrollee satisfaction with services and care delivery ; Research and evaluation of areas where service utilization, quality and access to cost sharing protection to be improved and
Index of Sec 1905. ...Protection: better coordination and
Sec 1905. -- Improved Coordination And Protection For Dual Eligibles.
(a) IN GENERAL. - paragraph (2)
DIVISION B TITLE IX SEC 1905. Quoted: SEC 1150A. (a) (2)
Automated Concept:
Automated Concept:
PROTECTION improving care and costs ; Identify areas of policies where better coordination and
Index of Sec 1905. ...Protection: coordination and
Sec 1905. -- Improved Coordination And Protection For Dual Eligibles.
(a) IN GENERAL. - paragraph (3)
DIVISION B TITLE IX SEC 1905. Quoted: SEC 1150A. (a) (3)
Automated Concept:
Automated Concept:
PROTECTION ; Issue guidance to States regarding improving coordination and
Index of Sec 1905. ...Protection: improved coordination and
Sec 1905. -- Improved Coordination And Protection For Dual Eligibles.
(b) ELEMENTS.
DIVISION B TITLE IX SEC 1905. Quoted: SEC 1150A. (b)
Automated Concept:
Automated Concept:
PROTECTION under section including efforts ; Improved coordination and
Index of Sec 1905. ...Protection: Medicare and Medicaid and
Sec 1905. -- Improved Coordination And Protection For Dual Eligibles.
(a) IN GENERAL.
DIVISION B TITLE IX SEC 1905. Quoted: SEC 1150A. (a)
Automated Concept:
Automated Concept:
PROTECTION in case of dual eligibles ; Secretary providing for focused effort to provide for improved coordination between Medicare and Medicaid and
Index of Sec 1905. ...Title and title XIX: part C of
Sec 1905. -- Improved Coordination And Protection For Dual Eligibles.
(a) IN GENERAL. - paragraph (1)
DIVISION B TITLE IX SEC 1905. Quoted: SEC 1150A. (a) (1)
Automated Concept:
Automated Concept:
TITLE and title XIX ; Review Medicare and Medicaid policies related to enrollment, benefits, service delivery, payment and grievance and appeals processing under parts A and B of title XVIII under Medicare Advantage program under part C of
Index of Sec 1905. ...Title XI
Sec 1905. -- Improved Coordination And Protection For Dual Eligibles.
SEC 1905. -- IMPROVED COORDINATION AND PROTECTION FOR DUAL ELIGIBLES.
DIVISION B TITLE IX SEC 1905.
Automated Concept:
Automated Concept:
TITLE XI of Social Security Act amended by inserting after section 1150 following new section ;
Index of Sec 1905. ...Title XIX
Sec 1905. -- Improved Coordination And Protection For Dual Eligibles.
(1) DUAL ELIGIBLE.
DIVISION B TITLE IX SEC 1905. Quoted: SEC 1150A. (h) (1)
Automated Concept:
Automated Concept:
TITLE XIX ; Term dual eligible meaning individual being dually eligible for benefits under title XVIII and medical assistance under
Index of Sec 1905. ...Title xviii
Title xviii
Sec 1905. -- Improved Coordination And Protection For Dual Eligibles.
(1) DUAL ELIGIBLE.
DIVISION B TITLE IX SEC 1905. Quoted: SEC 1150A. (h) (1)
Automated Concept:
Automated Concept:
MEDICAL assistance under title XIX ; Term dual eligible meaning individual being dually eligible for benefits under title XVIII and
Index of Sec 1905. ...Title xviii: parts A and B of
Sec 1905. -- Improved Coordination And Protection For Dual Eligibles.
(a) IN GENERAL. - paragraph (1)
DIVISION B TITLE IX SEC 1905. Quoted: SEC 1150A. (a) (1)
Automated Concept:
Automated Concept:
TITLE and title XIX ; Review Medicare and Medicaid policies related to enrollment, benefits, service delivery, payment and grievance and appeals processing under parts A and B of title XVIII under Medicare Advantage program under part C of
Index of Sec 1905. ...The Index is © 2009 healthcarebillindex.com
1st Session |
To provide affordable, quality health care for all Americans and reduce the growth in health care spending, and for other purposes.
Mr. Dingell (for himself, Mr. Rangel, Mr. Waxman, Mr. George Miller of California, Mr. Stark, Mr. Pallone, and Mr. Andrews) introduced the following bill; which was referred to the Committee on Energy and Commerce, and in addition to the Committees on Ways and Means, Education and Labor, Oversight and Government Reform, and the Budget, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned
Be it enacted by the Senate and House of Representatives of the United States of America in Congress assembled,
SEC. 1905. Improved coordination and protection for dual eligibles.
Title XI of the Social Security Act is amended by inserting after section 1150 the following new section:
“Improved coordination and protection for dual eligibles
“Sec. 1150A. (a) In general.—The Secretary shall provide, through an identifiable office or program within the Centers for Medicare & Medicaid Services, for a focused effort to provide for improved coordination between Medicare and Medicaid and protection in the case of dual eligibles (as defined in subsection (g)). The office or program shall—
“(1) review Medicare and Medicaid policies related to enrollment, benefits, service delivery, payment, and grievance and appeals processes under parts A and B of title XVIII, under the Medicare Advantage program under part C of such title, and under title XIX;
“(2) identify areas of such policies where better coordination and protection could improve care and costs; and
“(3) issue guidance to States regarding improving such coordination and protection.
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