POLICY BRIEFINGS


Final Medicare OP Hospital, ESRD and Home Health Rules


CMS released final CY 2012 outpatient hospital payment rules which will increase OPPS payments by 1.9% to about $41.1 billion next year.  The rule also expands the measures to be reported under the Hospital Outpatient Quality Reporting Program; creates a new quality reporting program for ambulatory surgical centers; strengthens the hospital value-based purchasing (VBP) program that will affect payments to hospitals for inpatient stays beginning Oct. 1, 2012; and establishes an electronic reporting pilot that will allow additional hospitals, including critical access hospitals, to report clinical quality measures for purposes of participating in the Medicare Electronic Health Record Incentive Program.  CMS also released final CY 2012 Medicare payments to end-stage renal disease (ESRD) treatment providers that will raise overall payments by about $240 million to $8.3 billion in 2012.  In addition, a final CY 2012 CMS payment rule for home health agencies will decrease payments by about 2.3%, or $430 million next year.


Recently Introduced Health Legislation


H.R. 3299 HEALTH INSURANCE COVERAGE, to amend Title XXVII of the Public Health Service Act to apply to retiree-only health plans the extension of dependent health coverage for individuals through age 26 provided for by the PPACA; HINCHEY; jointly, to the committees on Energy and Commerce, Ways and Means, and Education and the Workforce, Nov. 1.

H.R. 3314 (PUBLIC HEALTH), to direct the secretary of health and human services to develop a national strategic action plan to assist health professionals in preparing for and responding to the public health effects of climate change, and for other purposes; CAPPS; to the Committee on Energy and Commerce, Nov. 2.

H.R. 3315 (MEDICARE/MEDICAID), to establish a pilot program providing for monthly fee-based payments for direct primary care medical homes for Medicare-Medicaid dual eligibles and other Medicare beneficiaries; CASSIDY; jointly, to the committees on Energy and Commerce and Ways and Means, Nov. 2.

H.R. 3326 (MEDICAID), to enable states to opt out of the Medicaid expansion-related provisions of the PPACA; QUAYLE; to the Committee on Energy and Commerce, Nov. 2.

H.R. 3328 (MEDICARE), to amend Title XVIII of the Social Security Act to provide a six-month grace period for certain Medicare advanced diagnostic imaging services suppliers to receive accreditation; RENACCI; jointly, to the committees on Energy and Commerce and Ways and Means, Nov. 2.

S. 1799 (VETERANS’ HEALTH), to amend Title 38, U.S. Code, to provide for certain requirements relating to the immunization of veterans, and for other purposes; TESTER; to the Committee on Veterans’ Affairs, Nov. 3.

S. 1800 (MENTAL HEALTH), to prohibit the use of federal funds for any universal or mandatory mental health screening program; PAUL; to the Committee on Health, Education, Labor, and Pensions, Nov. 3.

S. 1809 (HEPATITIS), to amend the Public Health Service Act to revise and extend the program for viral hepatitis surveillance, education, and testing in order to prevent deaths from liver cancer, and for other purposes; KERRY; to the Committee on Health, Education, Labor, and Pensions, Nov. 3.

H.R. 3342 (MEDICAID), to amend Title XIX of the Social Security Act to encourage states to increase generic drug utilization under Medicaid; BASS of New Hampshire; to the Committee on Energy and Commerce, Nov. 3.

H. RES. 457 (CPR/DEFIBRILLATOR TRAINING), encouraging individuals to seek training in the use of cardiopulmonary resuscitation (CPR) and automated external defibrillators (AEDs), and for other purposes; ROE of Tennessee; to the Committee on Energy and Commerce, Nov. 3.



December 31, 1969: | Page 1 Page 2 Page 3

SERVICES




BRIEFING ARCHIVE


 -  2018