H.R. 3200/Division B/Title I

TITLE I — IMPROVING HEALTH CARE VALUE

Subtitle A—Provisions Related to Medicare PART A

Part 1—Market Basket Updates

Sec. 1101. Skilled Nursing Facility Payment Update.

Sec. 1102. Inpatient Rehabilitation Facility Payment Update.

Sec. 1103. Incorporating Productivity Improvements Into Market Basket Updates That Do Not Already Incorporate Such Improvements.

Part 2—Other Medicare PART A Provisions

Sec. 1111. Payments to Skilled Nursing Facilities.

Sec. 1112. Medicare DSH Report and Payment Adjustments in Response to Coverage Expansion.

Subtitle B—Provisions Related to PART B

Part 1—Physicians’ Services

Sec. 1121. Sustainable Growth Rate Reform.

Sec. 1122. Misvalued Codes Under the Physician Fee Schedule.

Sec. 1123. Payments for Efficient Areas.

Sec. 1124. Modifications to the Physician Quality Reporting Initiative (PQRI).

Sec. 1125. Adjustment to Medicare Payment Localities.

Part 2—Market Basket Updates

Sec. 1131. Incorporating Productivity Improvements Into Market Basket Updates That Do Not Already Incorporate Such Improvements.

Part 3—Other Provisions

Sec. 1141. Rental and Purchase of Power-Driven Wheelchairs.

Sec. 1142. Extension of Payment Rule for Brachytherapy.

Sec. 1143. Home Infusion Therapy Report to Ccongress.

Sec. 1144. Require Ambulatory Surgical Centers (ASCs) to Submit Cost Data and Other Data.

Sec. 1145. Treatment of Certain Cancer Hospitals.

Sec. 1146. Medicare Improvement Fund.

Sec. 1147. Payment for Imaging Services.

Sec. 1148. Durable Medical Equipment Program Improvements.

Sec. 1149. MedPAC Study and Report on Bone Mass Measurement.

Subtitle C—Provisions Related to Medicare Parts A and B

Sec. 1151. Reducing Potentially Preventable Hospital Readmissions.

Sec. 1152. Post Acute Care Services Payment Reform Plan and Bundling Pilot Program.

Sec. 1153. Home Health Payment Update for 2010.

Sec. 1154. Payment Adjustments for Home Health Care.

Sec. 1155. Incorporating Productivity Improvements into Market Basket Update for Home Health Services.

Sec. 1156. Limitation on Medicare Exceptions to the Prohibition on Certain Physician Referrals Made to Hospitals.

Sec. 1157. Institute of Medicine Study of Geographic Adjustment Factors Under Medicare.

Sec. 1158. Revision of Medicare Payment Systems to Address Geographic Inequities.

Subtitle D—Medicare Advantage Reforms

Part 1—Payment and Administration

Sec. 1161. Phase-in of Payment Based On Fee-for-Service Costs.

Sec. 1162. Quality Bonus Payments.

Sec. 1163. Extension of Secretarial Coding Intensity Adjustment Authority.

Sec. 1164. Simplification of Annual Beneficiary Election Periods.

Sec. 1165. Extension of Reasonable Cost Contracts.

Sec. 1166. Limitation of Waiver Authority for Employer Group Plans.

Sec. 1167. Improving Risk Adjustment for Payments.

Sec. 1168. Elimination of MA Regional Plan Stabilization Fund.

Part 2—Beneficiary Protections and Anti-Fraud

Sec. 1171. Limitation on Cost-Sharing for Individual Health Services.

Sec. 1172. Continuous Open Enrollment for Enrollees in Plans with Enrollment Suspension.

Sec. 1173. Information for Beneficiaries on MA Plan Administrative Costs.

Sec. 1174. Strengthening Audit Authority.

Sec. 1175. Authority to Deny Plan Bids.

Part 3—Treatment of Special Needs Plans

Sec. 1176. Limitation on Enrollment Outside Open Enrollment Period of Individuals into Chronic Care Specialized MA Plans for Special Needs Individuals.

Sec. 1177. Extension of Authority of Special Needs Plans to Restrict Enrollment.

Subtitle E—Improvements to Medicare Part D

Sec. 1181. Elimination of Coverage Gap.

Sec. 1182. Discounts for Certain PART D Drugs in Original Coverage Gap.

Sec. 1183. Repeal of Provision Relating to Submission of Claims by Pharmacies Located in or Contracting with Long-term Care Facilities.

Sec. 1184. Including Costs Incurred by AIDS Drug Assistance Programs and Indian Health Service in Providing Prescription Drugs Toward the Annual Out-of-Pocket Tthreshold Under PART D.

Sec. 1185. Permitting Mid-Year Changes in Eenrollment for Formulary Changes That Adversely Impact an Enrollee.

Subtitle F—Medicare Rural Access Protections

Sec. 1191. TeleHealth Expansion and Enhancements.

Sec. 1192. Extension of Outpatient Hold Harmless Provision.

Sec. 1193. Extension of Section 508 Hospital Reclassifications.

Sec. 1194. Extension of Geographic Floor for Work.

Sec. 1195. Extension of Payment for Technical Component of Certain Physician Pathology Services.

Sec. 1196. Extension of Ambulance Add-Ons.