Index for HR3962: Affordable Health Care for America Act

HEALTH quality measurement to assist in development ;   Secretary entering into agreements with public, nonprofit or academic institutions with technical expertise in area of

ACCOUNT ratio of amount of dss funds allocated to State to number of uninsured individuals in State ;   Taking into

ACCOUNT ;   Rates established for payments to medicaid managed care organizations under sections 1903(m) and 1932 take into

ACCOUNT ;   Amounts incurred for prescription drugs for cosmetic purposes not to be taken into

ACCOUNT additional drugs included under amendments making by section 1743 of Act Secretary adjusting payment reduction for calendar quarter to extent Secretary ;   Taking into

ACCOUNT recommendations of Advisory Committee and goals for approved medical residency training programs described in section 1886(h)(1)(b) ;   Taking into

ADMINISTRATIVE expenditure For which payment being made under section 1903(a) or 2105(a) of Act after date of enactment of Act ;   Nothing in amendments making by section to be construed as affecting ability of State under title XIX or XXI of Social Security Act to provide nurse home visitation services as part of another class of items and services falling within definition of medical assistance or child health assistance under respective title or

ADMINISTRATIVE functions on which federal Medicaid funds expended and amounts of expenditures  ;  

ADMINISTRATIVE procedures ;   Infusion or injectable drug or Secretary determining as allowed in Agency

ADMINISTRATIVE simplification efforts targeted specifically to vulnerable populations ;   Guidance including provisions to ensure that outreach, enrollment assistance and

ADMINISTRATIVE simplification methods for vulnerable and underserved populations as specified in subsection ;   Secretary reviewing and reporting to Congress on progress in implementing targeted outreach, application and enrollment assistance and

ADULT day health care services, day activity and health services or adult medical day care services as defined under State Medicaid plan approved during or 1994 ;   Withholding, suspending, disallowing or otherwise denying Federal financial participation under section 1903(a) of Social Security Act 42 USC 1396b(a) for provision of

AFFILIATIONS ;   Sec 1757, medicaid and Chip exclusion from participation relating to certain ownership, Control and management

AMBULATORY services offered by freestanding birth center and otherwise included in plan ;   Freestanding birth center services and other

ASSESSMENT of impact of demonstration project on costs of full range of mental health services under plan as contrasted with comparison areas  ;  

AUTHORIZATION or management practices or application of medical necessity and appropriateness criteria applicable to behavioral health ;   States participating in demonstration project managing provision of benefits under project through utilization review,

DOCUMENTATION of income and asseal, presumptive eligibility, continuous eligibility and automatic renewal ;   Guidance on outstationing of eligibility workers, express lane eligibility, residence requirements,

BEHAVIORAL health ;   States participating in demonstration project managing provision of benefits under project through utilization review, authorization or management practices or application of medical necessity and appropriateness criteria applicable to

DRUG or biological under section 1847a ;   Process used by Secretary in determining average sales pricing of

CANCER ;   Inserting and medical assistance making available to individual described in subsection to be limited to family planning services and supplies described in section 1905(a)(4)(c) including medical diagnosis and treatment services provided pursuant to family planning service in family planning setting after cervical

CHILD health and pregnancy outcomes or increasing birth intervals between pregnancies ;   Improving maternal or

CHILD health assistance under State child health plan insofar as plan providing benefits under title ;   Beginning with 2014 not described in subclause and eligible for

ADMINISTRATIVE expenditure For which payment being made under section 1903(a) or 2105(a) of Act after date of enactment of Act ;   Nothing in amendments making by section to be construed as affecting ability of State under title XIX or XXI of Social Security Act to provide nurse home visitation services as part of another class of items and services falling within definition of medical assistance or child health assistance under respective title or

CHILD health assistance under title XXI ;   Other provision in section, no quality measure developed, published or used as basis of measurement or reporting under section to be used to establish irrebuttable presumption regarding medical necessity of care or maximum permissible coverage for individual receiving medical assistance under title XIX or

CHILD health assistance under title through means other than described in section 2101(a)(2) ;   Case of State child health plan providing

CHILD health assistance under title ;   Family income to be determined in same manner specified by State for purposes of determining child's eligibility for

CHILD health assistance under Chip under title XXI of Act providing assistance to individuals for enrollment in applicable programs and establishing methods or procedures for eliminating application and enrollment barriers ;   Secretary of Health and Human Services issuing guidance regarding standards and best practices for conducting outreach to inform eligible individuals about healthcare coverage under Medicaid under title XIX of Social Security Act or

CHILD health plan insofar as plan providing benefits under title ;   Beginning with 2014 not described in subclause and eligible for child health assistance under State

CHILD health assistance under title through means other than described in section 2101(a)(2) ;   Case of State child health plan providing

CHILD health Plan ;   Sec 1756, termination of Provider participation under medicaid and Chip if terminated under medicare or other State Plan or

CHILD involvement in criminal justice system ;   Improving family stability or reducing maternal and

CHILD health assistance under title ;   Family income to be determined in same manner specified by State for purposes of determining child's eligibility for

CHILD'S enrollment ceasing for reason ;   Model ensuring that patient-centered medical home services received by child providing for continuous involvement and education of parent or caregiver and assistance to child in obtaining necessary transitional care if

CHRONIC illness ;   Wireless patient management technologies approved by Food and drugging Administration and enabling providers and practitioners to communicate directly with patients in managinging

COMPLIANCE ;   Year period to become in

COMPLIANCE program described in paragraph of section in accordance with section ;   Providing that provider or supplier providing services under plan establishing

COMPUTER systems in order to anticipate meeting reporting requirements necessary to implement plan contained in report under subsection ;   Northern Mariana Islands and American Samoa in upgrading existing

CONSUMER price index for 12-month period ending in August of previous year ;   Amount specified in clause for previous year increased by annual rate of increase in medical care component of

CONTRACT providing that entity reporting to State  ;  

CONTRACT year beginning in 2011 and subsequent contract year  ;  

ACCOUNT ;   Amounts incurred for prescription drugs for cosmetic purposes not to be taken into

CRIMINAL justice system ;   Improving family stability or reducing maternal and child involvement in

DEFICIT described in paragraph for facilitying as reported on facility's latest available Medicare cost report ;   No case payment amount for eligible dually-certified facility for year under subparagraph to be more than payment

HEALTH and developmental conditions ;   Specializing training for foster parent and consulations with foster parent on management of children with mental illnesses and related

DIAGNOSTIC code described in section 1886(d)(4)(d)( iv and health care acquired condition determined as non-covered service under title XVIII ;   Respect to amounts expended for services related to presence of condition to be identified by secondary

DISCHARGES occurring after January 1 ;   Amendments making by section applying to

ASSESSMENT of discharge planning by participating hospitals ensuring access to furthing emergency inpatient or residential care  ;  

DISPROPORTIONATE share hospitals ;   Term Medicaid dss meaning adjustments in payments under section 1923 of Social Security Act for inpatient hospital services furnished by

DRUG for rare disease or condition ;   Term orphan drugs meaning prescription drugs designated under section 526 of Federal Food, Drug and Cosmetic Act 21 USC 360bb as

ECONOMIC downturns ;   Revising current formula for Federal medical assistance percentage to betting reflecting State fiscal capacity and State effort to pay for health and long-term care services and betting adjusting for national or regional

ECONOMIC self-sufficiency, employment advancement, school-readiness and educational achievement or reducing dependence on public assistance ;   Increasing

EDUCATIONAL achievement or reducing dependence on public assistance ;   Increasing economic self-sufficiency, employment advancement, school-readiness and

ELIGIBILITY for traditional medicaid eligible Individuals with income not exceeding 150 percent of federal poverty Level  ;  

AFFORDABILITY credits through Health Insurance Exchange ;   Individual applying to State for assistance in obtaining health coverage and State determining that individual being not eligible for medical assistance under title and not authorized under memorandum to make determination with respect to eligibility for coverage and

ELIGIBILITY of individual after first day under following ;   State applying asset or resource test in determining

ELIGIBILITY for services under subsection ;   Option of State, purposes of subsection, determining

DOCUMENTATION of income and asseal, presumptive eligibility, continuous eligibility and automatic renewal ;   Guidance on outstationing of eligibility workers, express lane eligibility, residence requirements,

ELIGIBILITY determination under subtitle C of title II of division A of Affordable Health Care for America Act ;   Including erroneous payments making being attributable to error in

ELIGIBILITY option described in section 1902(e) for targeted low-income children whose family income below 200 percent of poverty line ;   Plan providing for implementation under title of 12-month continuous

EDUCATIONAL achievement or reducing dependence on public assistance ;   Increasing economic self-sufficiency, employment advancement, school-readiness and

EXEMPTION from funding limitation for territories  ;  

FEDERAL government, States, providers and beneficiaries ;   Comptroller General submitting to appropriate committees of Congress report on study conducted under paragraph and effect on

EXPENDITURES ;   Administrative functions on which federal Medicaid funds expended and amounts of

FEDERAL payments making to State Medicaid programs under title XIX of Social Security Act for purposes of making recommendations to Congress ;   Comptroller General of United States conducting study regarding

FINANCIAL need ;   Hospitals allowing or providing reduced charges for individuals based on

FINANCING ;   2013 Secretary of Health and Human Services submitting to Congress report detailing plan for transition of territory to full parity in Medicaid with 50 States and District of Columbia in fiscal year 2020 by modifying existing Medicaid programs and outlining actions Secretary and governments of territory taking by fiscal year 2020 to ensure parity in

ECONOMIC downturns ;   Revising current formula for Federal medical assistance percentage to betting reflecting State fiscal capacity and State effort to pay for health and long-term care services and betting adjusting for national or regional

CHILD health plan under title XXI ;   Paragraph not to be construed as preventing State from imposing limitation described in section 2110(b)(5)(c)(i) for fiscal year in order to limit expenditures under State

FISCAL year 2010 ;   Appropriating $40,000,000 for 5-fiscal-year period beginning with

FISCAL year 2011 ;   Amendments making by paragraph applying beginning with

FISCAL year 2014 and subsequent years ;   No funds to be appropriated or authorized to be appropriated under section for

FISCAL year 2017 ;   Respect to dss allotments described in subparagraph for

FISCAL year 2018 ;   Respect to dss allotments described in subparagraph for

FISCAL year 2019 ;   Respect to dss allotments described in subparagraph for

FISCAL years 2011 through 2019 ;   Subject to section 347(b)(1) of Affordable Health Care for America Act with respect to

FISCAL years 2017 through 2019 Secretary effecting following reductions  ;  

FISCAL year 2010 ;   Appropriating $40,000,000 for 5-fiscal-year period beginning with

FRAUD and abuse ;   Nothing in paragraph to be construed as preventing State from limiting classes of entities becoming qualified entities in order to prevent

FRAUD and Abuse ;   Sec 1758, requirement to Report expanded Set of data elements under MMIS to detect

GEOGRAPHIC diversity on basis of application to conduct demonstration project under section submitted by States ;   States to be selected by Secretary in manner so as to providing

GUIDANCE prior to issuing implementing policies under section ;   Secretary consulting with stakeholders through formal process to obtain

CHILD health assistance under Chip under title XXI of Act providing assistance to individuals for enrollment in applicable programs and establishing methods or procedures for eliminating application and enrollment barriers ;   Secretary of Health and Human Services issuing guidance regarding standards and best practices for conducting outreach to inform eligible individuals about healthcare coverage under Medicaid under title XIX of Social Security Act or

HEALTH and substance abuse needs of individuals ;   State not requiring under paragraph enrollment in managed care entity of individual described in section 1902(a) unless State demonstrating that entity having capacity to meet health, mental

HEALTH and developmental conditions ;   Specializing training for foster parent and consulations with foster parent on management of children with mental illnesses and related

ECONOMIC downturns ;   Revising current formula for Federal medical assistance percentage to betting reflecting State fiscal capacity and State effort to pay for health and long-term care services and betting adjusting for national or regional

HEALTH and mental health service system and individuals enrolled in Medicaid program ;   Evaluation to be conducted of demonstration project's impact on functioning of

HEALTH care at childbirth and providing care within scope of practice under which individual legally authorized to perform care under State law ;   Term licensed birth attendant meaning individual licensed or registered by State involved to provide

HEALTH care reforms carried out under division A in reducing number of uninsured individuals ;   2016 Secretary of Health and Human Services submitting to Congress report concerning extent, based upon impact of

HEALTH care services, day activity and health services or adult medical day care services as defined under State Medicaid plan approved during or 1994 ;   Withholding, suspending, disallowing or otherwise denying Federal financial participation under section 1903(a) of Social Security Act 42 USC 1396b(a) for provision of adult day

AFFORDABILITY credits through Health Insurance Exchange ;   Individual applying to State for assistance in obtaining health coverage and State determining that individual being not eligible for medical assistance under title and not authorized under memorandum to make determination with respect to eligibility for coverage and

HEALTH facility ;   Term freestanding birth center meaning

HEALTH quality measurement to assist in development ;   Secretary entering into agreements with public, nonprofit or academic institutions with technical expertise in area of

FISCAL year ;   Secretary reducing dss allotments to States in amount specified under dss health reform methodolology under paragraph for State for

CHILD health assistance under Chip under title XXI of Act providing assistance to individuals for enrollment in applicable programs and establishing methods or procedures for eliminating application and enrollment barriers ;   Secretary of Health and Human Services issuing guidance regarding standards and best practices for conducting outreach to inform eligible individuals about healthcare coverage under Medicaid under title XIX of Social Security Act or

HIV or Aids ;   Children, unaccompanied homeless youth, victims of abuse or trauma, individuals with mental health or substance related disorders and individuals with

HOME concept under title XIX of Social Security Act pilot program operating for period of up to 5 years ;   Secretary of Health and Human Services establishing under section medical home pilot program under which State applying to Secretary for approval of medical home pilot project described in subsection for application of medical

HOME models described in section 1866f(a)(3) of Social Security Act or other model as Secretary approving ;   Pilot project being project applying one or more of medical

HOME concept under title XIX of Social Security Act pilot program operating for period of up to 5 years ;   Secretary of Health and Human Services establishing under section medical home pilot program under which State applying to Secretary for approval of medical home pilot project described in subsection for application of medical

CHILD'S enrollment ceasing for reason ;   Model ensuring that patient-centered medical home services received by child providing for continuous involvement and education of parent or caregiver and assistance to child in obtaining necessary transitional care if

HOME visits by trained nurses to families with first-time pregnant woman or child ;   Term nurse home visitation services meaning

HOSPITAL making publicly available in accordance with section 501 of Medicare Prescription Drug, Improvement and Modernization Act of 2003 cross reference to MMA and Hospital comparing data, section 1139a or section 1139b ;   Providing for timely access to information regarding quality of care at