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§§9001, 10901; HCERA §1401

§§9015, 10906; HCERA §1402

§1421, 10105 §§9010, 10905; HCERA §1406 §9002 §§3403, 10320 §3001 §§1341, 10104 §§1401, 10105 §1313,
§1421, 10105
§§9010, 10905; HCERA §1406
§9002
§§3403, 10320
§3001
§§1341, 10104
§§1401, 10105
§1313, 10104
§§1501, 10106; HCERA §§1002, 1004
§§9004, 9005; HCERA §1402
§1421, 10105
§§3103, 10320
§§1513, 10106; HCERA: §1003
§1311
§1312
§1512
§9002
§1513, 10106
§§1341, 10104
§1512
§§1341, 10104
§1512
§1511
§§1311, 10104
§§1311, 10104
§§1311, 10104
§1341, 10104
§§1331, 10104
§1501
§1511
§1331, 10104
§1511
§§1514, 10106
§§1201, 1301
§1331, 10104
§§1311, 10104
§§1501, 10106; HCERA §§1002, 1004
§1411
§1334, 10104
§3021
§1342
Your New Health Care System
HCERA §1402
§5605
§1411
§3403, 10320
§6301
§6301
§8002
§1411
§5605
§4002
§5605
§5605
§8002
Homeland
§1414
National Academy
Commission
Security
§1411
Eligibility
Other New
of Sciences
Key
CLASS
Life
on Key
Grant Programs
Special
§9004
Department
§5605
Assessment
IRS
National
Independence
President
Independence
Congress
Members
& Personal Staff
Mandate:
Congress
Indicators
Interest
§1331, 10104
§1334, 10104
§1411
System
1002, 1003 , 1311, 1322,
Advisory
59
Indicator System
Accounts
1561, 2952, 2953 , 3501-6,
3508, 4101, 4108, 4201,
Provisions
§5605
Only Exchange
§ §1312, 1411, 3311, 5605, 8002
§1341, 10104
4202 , 4304, 5102 , 5206,
§8002
Implementation
§§ 3012, 3024, 3403, 4001,
8002, 10320
Council
§8002
5208, 5301 -5303, 5305,
5306, 5309 , 5313,
5315, 5405, 5507-8,
5604, 6703,
10323, 10333,
BENEFICIARIES:
10408-10, 10413,
10501, 10503
Mutual of Omaha (NE);
Institute
19
Coverage
Drug Cos; NJ Drug Cos;
§8002
10301
Treasury
§§1513, 10106; HCERA §1003
CLASS
AARP; Libby Montanans;
§1312
§1001
Physician-Owned Hospitals;
§§1401, 1402, 1411, 1412 1414,
1421, 1501, 9004, 9005,
10105, 10901; HCERA
§5605
1102, 1201, 2006,3137, 3201, 3301,
Univ. of CT;
Medigap Plans;
600
1, 9001, 9010, 9
014
, 90
23, 10201,
§5605
State
Longshoreman Health Plans;
103
17, 10323, 1032
4, 1
050
2, 10601,
10901, 10905; HCERA
1101, 1103,
Independence
Medicaid: HI, LA, MA, TN, VT;
§8002
Department
1106, 1203, 1406
Medicare: CT, FL, MI, MT, ND
§1001
Social
Protection &
§8002
Personal
§5605
Fund
§§1401, 1402
Advocacy
Care Attendants
Security
§§1311, 1331, 4002,
8002, 10104
Workforce
Office
Systems
§8002
§8002
Advisory Panel
§8002
§8002
of Tax
§§1201, 1301, 1302
Administration
CLASS
§8002
§1312
CLASS
Analysis
§8002
§§1001, 10101
§9003
§1411
Independence
§§1331, 10104
§§1402, 1412; HCERA §1001
Program
Benefit Plan
§8002
CLASS
Independence
Fund Board of
Trustees
§8002
§1333, 10104
§8002
§8002
Comptroller
§§1331, 10104
§8002
Office of
§6703
General
§6703
Personnel
§3311
§6703
Multi-
§§1313, 1322
§8002
National
Advisory
Board on Elder
Abuse, Neglect,
& Exploitation
MedPAC
§10407
Community
Disciplinary
§8002
Diabetes
§1342
Management
§2602
Preventive
Panels on
Report Card
§2602
Cures
Improving Long-
§§1334, 10104
Services Task
National Oral
Program
Acceleration
Other New
Demonstration
& Pilot Programs
GAO
Term Care
§10407
§6703
§6301
PCORI
Network
§1001
§6703
Website
Review Board
National
Public Education
Campaign on
Prevention & Health
Promotion
Force
Health Public
§4003
Education
§1001
National
Training Institute
for Federal and
State Surveyors
§6301
1201, 2704, 2705, 2706,
2707, 3023, 3024, 3113,
3140, 4204, 4206, 5304,
26
State
§§1401, 3001, 3403, 6301,
10105, 10320
PCORI Board
§10409
5509, 6112, 6114,
§6301
§6703
Vital
Campaign
10212, 10221,
10315,
10323 ,
Optional
10326,
10504 ,
Surveyors
§4102
10607
§1331, 10104
Statistics
§§1401, 1412, 10105; HCERA §§1001, 1004
of Governors
Basic Health
§4004
§6703
Agencies
§1302
§6301
Elder Abuse,
Elder
Program
Office of
Cures
§10407
Neglect, &
§6301
§§1331, 10104
§§1001, 10101
Multi-State
Acceleration
CDC
Exploitation
Justice
§§1311, 10104
§10409
National
Forensic Centers
Qualified
Network
National
§§1311, 1413
§§1001, 4003, 4004,
4102, 10407
Diabetes Mortality
§6703
Coordinating
§10409
Health Plans
PCORI
Partnership on
Statistics Education
PCORI
Council
§§9001, 10901; HCERA §1401
§1334, 10104
Prevention &
Training Program
Methodology
§1333, 10104
§8002
NIH
Health
§10407
§6703
§6703
§§6301, 10602
Committee
§10409
Justice
Promotion
§§4305, 6301,
§6703
§6301
10409
§4004
States
Health
§4
004
NAIC
§2701
Department
§2701
§§1311,1331,
§§1333, 1341,
§2701
Care Choice
§2701
§6703
Essential
Health Benefits
Package
1333,1341, 10104,
Interagency
Working Group
on Health Care
Quality
10104
10407
§6301
Compacts
§6301
§3011
§3013
§§1001,1201, 1301,
§§1333, 10104
§2703
§6703
Bronze
1302
Platinum
PCORI
AHRQ
Other New
§3012, 3013, 6031
§§1333, 10104
§6703
Trust Fund
Bureaucracies
§2703
§2703
Silver
Gold
Reinsurance
PCORI
§3012
§6301
Program
§1302
Expert
1412, 3509, 5101,
10104, 10221,
10334, 10413,
§§1201, 1301, 1302
22
§4001
§§1341, 10104
§1331, 10104
10501
§6703
Advisory
§1411
§2701
§1311
Panels
Prevention
Black Lung
§6301
& Public
§2602
Benefits Act
National
Prevention,
Health Promotion,
& Public Health
Council
Surgeon
§3012
US
§3012
Health Fund
General
Value-Based
Insurance Design
& Coverage of
Preventive Health
Services
US
Qualified
Territories
Health
§1323; HCERA: §1204
§1323; HCERA §1204
§1323; HCERA: §1204
§1556
Plans
§4001
Preventive
§10407
§4002
Labor
§1001
§§1301, 1302,
§4001
Services
1311, 10104
§1301
Department
§1322
§4002
Prevention
§3011
Task Force
§10407
§§1001, 1302, 1311, 1511, 1512,
1513, 6605, 10101, 10106
§4001
Website
§4004
§1001
CO-OP
§§1301, 10104
§4004
Interagency
Website
§§1322, 10104
Secretary
Advisory
Privacy
“Transparency
§1311
§1322
Hours of Service
Determination
for Calculating
Employer Mandate
Penalty
Other New
Pain Research
Advisory
Health
in Government”
Study
Board
Regulatory
§1411
Coordinating
Group on
Public
§1552
§1411
Programs
§1411
Insurance
§1322, 10104
Committee
Prevention, Health
Health
1104, 6102, 6103
§4305
§4102
4
Promotion, and
CO-OP
Service
Integrative and
§§3011, 4002, 4302
§3011
Eligibility
§§1322, 10104
§§1513, 10106
Public Health
§1411
Private
§4003
§§2001-2004
Rules for
§4302
§4001
Determinations
HHS
Purchasing
§§3004, 3005
Insurance
§4001
Health
Health & Human
Services
§1411
§2602
Council
Claims Appeals
Care Quality
Inspector
§3011
§3011
§1322
§§3022, 10307
§1001, 10101
Website
General
§§3011, 3012
§4002
§1313, 8002,
Internet
§1321
§4004
§4004
National
10104
§1313, 10104
§8002
Public
Health Quality &
Efficiency Measures
Development
Program
National
Government
Health Benefit
Exchanges
Portal
§4004
Health Disparities
Data Collection &
§1311
Health Strategy
Health
§1313, 10104
§4302
Medicare
Part A Trust
Fund
& Priorities
IT Policy
Reporting
§1561
Office
Committee
§§1201, 1301,1302, 1311, 1312, 1313,
1321, 1323, 1334, 1411, 1413, 10104;
HCERA §1204
System
§§3013, 10304
§3011
Small Business
§3013
§1561
§4302
§1342
Risk
Health Options
§3026
§3026, 3403,
Data
Corridors
Program
§4004
6301,9015
Collection
§1311
§3011
§3026
IPAB
§1342
§1311
§§3403, 1032
0
§1411
MEWA
§3026
Health Plans
§3403, 10320
§3006
§8002
§6605
Insurance
§§1301, 6605
IPAB
§8002
§3011
Mandates
Consumer
Medicare
Part B Trust
Fund
§3013
§3026
CMS
Federal
Employer
§2602
§§1001, 1101,
17
Mandatory
Advisory
1201, 1251,
§3026, 6301
W2
10101,
Mandate:
Loan
Actuary
Coordinated
Small Group
Worker Auto-
Council
Community-
10103;
Health
Repayment
Enrollment
§3011
Market
§§1331, 3403, 10104
§2602
Health Care
HCERA
§§1201, 1301, 1304
Provide Health
§4001
& Forgiveness
Based Care
§§3403, 10320
Insurance
§2301
§1511
§§3021, 10305, 10306
Programs
Individual Market
§1301, 1304, 1342
Transitions
§3001
Office
Insurance
Disclosure
§1201, 1301, 1304, 1342
5203, 5204, 5205,
Program
5311
§§1514, 10106
§§1513, 10106;
§9002
§3403, 10320
4
§3026
CMS
§2602
Medical
Center
§§1201, 1301, 1304
HCERA §1003
§3403
Device
for Medicare
Large Group
Large Employers
Excise Tax
§§3013, 3021, 3026,
3403, 10305, 10306,
§§9009, 10904;
§2602
Medicaid
§3013
& Medicaid
Health Insurance
Market
§3021
10320
§§1304, 1511, 1512, 1513,
1514, 10106
HCERA
Health Home
§§1201, 1301, 1511
§1405
Innovation
Medicaid/
Medicare
Part C & Part D
Insurers
Companies
Self-Insured
§1511
Home
Ambulatory
Program
Health Plans
Skilled Nursing
§§3021, 10305,
CHIP
§2703
Health Agencies
Employers
§3403, 10320
Surgical Centers
§1301
Facilities
10306
Non-
Title II; §§1413, 3011
§2703
§3006
§§3006, 10301
§§3006, 10310
FFS
§3311
§§9001, 10901; HCERA §1401
Hospital
RA §1401
§§3006, 10301
Mandates, Regulations,
Required Benefits, &
Taxes
§§9001, 10901; HCE
Mandates, Regulations,
Accountable
§§9010, 10905; HCERA §1406
§§3006, 10301
§3005
Value-Based
Medical Device
§§3006, 10301
“Cadillac
& Taxes
Care
§3005
State
Purchasing
Small Employers
§4305
Manufacturers
§§1001, 10101
Plans” Tax
Organizations
§§1001, 1201, 1252, 1301, 1334, 1341,
3311, 9001, 9010, 10101, 10104, 10901,
10905; HCERA §§1401, 1406
§3005
Individual
§§1511, 1512, 1513, 9001, 9002,
10106, 10901; HCERA §§1003, 1401
§§1304, 1311, 1421, 1512,
§§9009, 10904;
Program
Medicaid
§§9001, 10901;
Health Industry
Demonstra-
Program
Medicaid
10105
§4305
HCERA §1405
§§3001, 10335
HCERA §1401
Hospitals
tion Program
§§3006, 10301
Mandate:
Annual Fee
§§3001, 10335
§§3022, 10307
Expansion:
Agencies
Health Insurance
§3001
§§1311, 3001, 10335
§2701
§§9010, 10905;
Subsidies:
§§3001, 10335
Public Data
+16 million
§§2602, 2701, 2703,
§2701
Policy Holder
Buy Health
HCERA §1406
Pharmaceutical
Mandates, Regulations,
Taxes, & Payment Cuts
Disclosure
3011
Out-of-Pocket
§§2001-2004
§§1001, 10101
Insurance
Small
System
Companies
CBO Cost Estimate,
Expenses
Large Business
§§1311, 3001-3006, 3311, 9008, 9009,
10327, 10331, 10335, 10904; HCERA
§§1404, 1405
Hospital
Medicare
§3006,
3/20/10
Business
§9008; HCERA §1404
§6301
§§1402, 1412;
10301
§3022, 10307
Medicare
State-
Employees
Administrative
Value-Based
§§1501, 10106;
HCERA §§1002, 1004
Annual Fee
HCERA
Health Savings
Health Insurance
Specific Adult
Cuts: $528.9bn
§1511, 1512
§1001
§9008; HCERA
Contractors
Purchasing
Health Quality
Accounts
Tax Credit
§1404
(includes MA cuts)
§9008; HCERA §1404
§3311
§§1311
Measures
Program
§§9003, 9004
§§1421,
Title III
Medicare
Title III;
§6301
§2701
10105
Hospital
CBO Cost Estimate,
§6301
§6301
§§3001, 10335
§§3201, 10318; HCERA §1
102
Title III, § 2 6 0 2
Small Business
Compare
3/20/10
§6301
Individuals
Hospice
Website
Medicare
Employees
“Excessive
§3001
Misuse of
Programs
PPS-Exempt
3.8%
§1512
Advantage
10%
§3007
Profits”
HSA Funds
§3004
Cancer Hospitals
Investment
Mandates, Regulations,
Cuts: $205.9bn
Medicaid
Tax On
§§1001, 10101
§9004
§3005
Income Tax
& Taxes
Inpatient
Premium
§§9017, 10907
Subsidy:
Quality
Indoor Tanning
Physician
HCERA §1402
Rehabilitation
Long-Term
Tax Credit
Physicians
Quality
§3311
§§3201, 10318; HCERA
§1102; CBO Cost
Estimate,
Medicare Part D
Measurement
Physician
Care Hospitals
Reporting
Subsidies
§§1311, 1411, 1501, 9003-9005, 9013,
9015, 9017, 10106, 10902, 10906, 10907;
HCERA §§1002, 1004, 1402, 1403
Services:
Facilities
3/20/10
§§9017,
Medicare
§6301
§§1311, 3002, 3003, 10327, 10331
§3004
§3004
Drug Program
“Donut Hole”
Program
Value-Based
10907
System
Hospital
§2701
Prescription Drug
§§1401, 1412, 10105;
HCERA §§1001,
§§3002, 10327,
Payment
Quality
Medicare
§3301; HCERA
1004
§§9015, 10906; HCERA §1402
§9013
10331
and MA-PD
Reporting
§1101
§§3002, 10327, 10331
Modifier
HSA
Payroll Tax
Flexible Spending
§3301; HCERA §1101
Program
Complaint System
§§3002, 10327,
10331
§§3007
Arrangement
Use Restriction
Increase: 0.9%
§3004, 3005
§§3007
§3311
Medicare
§3311
§§9015, 10906;
§9005, 10902; HCERA §1403
§3007
§9003
§3311
§3004
§3004
§3004
HCERA §1402
Beneficiaries
§6703
§3403
§3004
§30§034004
FSA
§3311
§3004
§3004
§3004
§§9005, 10902; HCERA §1403
Contribution
§3012
Patients
Limit: $2,500
§§9005, 10902;
§3311
HCERA§1403
Only
Medical Expenses
Above 10% of Income
(AGI) are Tax
Deductible
§9013
New Government
Expanded Government
Private
New Relationships
§§1401, 1412, 10105; HCERA §§1001, 1004
§3012
§3012
Rationing Potential
Mandates
Government with
Expanded Authority/
Responsibility
Regulations/
Requirements/Mandates
Reporting Requirements
§§1402, 1412; HCERA §1001
§§9009, 10904
Involvement in Health
Insurance Market
Taxes & Monetary Fees/
Penalties/Cuts
Private Entity with
New Mandates/
Regulations/
Responsibilities
Trust Fund
(Rationing Potential)
Government Financial
Entity with New Inflows/
Outflows
Oversight
Unchanged
§9008; HCERA §1404
Other Expansions
Private Entity
§1334, 10104
§§9009, 10904; HCERA §1405
§1001, 10101
§3403, 10320
§1513, 10106
Represents Bundles of
Additional Entities
Other New Trust Funds/
Monetary Benefits
State/Territory with
Expanded Authority/
Responsibility
Special Interest
Provisions
Money Flows
Consultation/Advisory/
Info Sharing
Structural Connections
(Includes Existing)
AGI: Adjusted Gross Income
AHRQ: Agency for Healthcare Research and Quality
CDC: Centers for Disease Control & Prevention
CHIP: Children’s Health Insurance Program
CLASS: Community Living Assistance Services & Supports
CMS: Centers for Medicare & Medicaid Services
CO-OP: Consumer Operated & Oriented Program
FFS: Fee-for-Service
FSA: Flexible Spending Arrangement
GAO: Government Accountability Office
HCERA: Health Care & Education Reconciliation Act
HHS: Health & Human Services Department
HSA: Health Savings Account
IPAB: Independent Payment Advisory Board
IRS: Internal Revenue Service
MA-PD: Medicare Advantage Prescription Drug
MedPAC: Medicare Payment Advisory Commission
MERD: Medical Early Risk Detection
EALORS: Executive Auxiliary Linked Office Regional Systems
MEWA: Multiple Employer Welfare Arrangement
NAIC: National Association of Insurance Commissioners
NIH: National Institutes of Health
PCORI: Patient-Centered Outcomes Research Institute
PPS: Prospective Payment System

Patient Protection & Affordable Care Act, P.L. 111-148; Health Care & Education Reconciliation Act, P.L. 111-152

Prepared by: Joint Economic Committee, Republican Staff Congressman Kevin Brady, Senior House Republican Senator Sam Brownback, Ranking Member