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§§1501, 10106; HCERA §§1002, 1004

Your New Health Care System


§3021

§5605

§3403, 10320
§6301
§6301
§8002
§1411
§4002 §5605
§5605

§8002 §5605

Homeland National Academy


Congress
Commission
§1414

Security Members

IRS
Key

§1312
§1411
CLASS Eligibility Other New of Sciences
Life on Key & Personal Staff
Congress
Special
Department Independence Assessment Grant Programs §5605 National
President §1411
Independence
Accounts Advisory System
§8002
1 0 0 2 , 10 0 3 , 1 31 1 , 1 3 22 ,
1 5 6 1 , 2 9 5 2 , 2 9 5 3 , 3 5 0 1 -6 ,
3508, 4101, 4108, 4201,
4202, 4304, 5102 , 5206,
59 Indicator System
Implementation
Indicators
§5605
Interest
Provisions
Mandate:
Only Exchange §§1312, 1411, 3311, 5605, 8002
Council
5 2 0 8 , 5 3 0 1 -5 3 0 3 , 5 3 0 5 ,
§§ 3012, 3024, 3403, 4001,

19
10323, 10333,
§8002 Coverage

§5605
5306, 5309 , 5313, BENEFICIARIES:
1 0 4 0 8 -1 0 , 1 0 4 1 3 ,

Institute
5 3 1 5 , 5 4 0 5 , 5 5 0 7 -8 ,
10501, 10503 Mut ual of Omaha (NE);
8002, 10320 §8002
5604, 6703,
Drug Cos; NJ Drug Cos;

CLASS Treasury
10301
§§1513, 10106; HCERA §1003 AARP; Libby Mont anans;
Physician-Owned Hospit als; §1312
§§1401, 1402, 1411, 1412 1414, §5605 Univ. of CT; Medigap Plans;
1 1 0 2 , 1 20 1, 2 0 0 6,3 1 3 7 , 3 20 1 , 3 3 0 1 ,

§3403, 10320
6 0 0 1 , 9 0 0 1 , 9 0 1 0 , 9 0 14 , 9 0 2 3 , 1 0 2 0 1 ,

State Longshoreman Healt h Plans;

Independence
1 0 3 1 7 , 1 0 3 2 3, 1 0 3 2 4, 1 0 5 0 2 , 1 0 6 0 1 ,

1421, 1501, 9004, 9005,


Department
1 09 0 1 , 1 0 90 5 ; HCERA 1 1 0 1 , 1 10 3 ,
Medicaid: HI, LA, MA, TN, VT;
§8002 1106, 1203, 1406

Social
Medicare: CT, FL, MI, MT, ND
Protection & §8002
Personal 10105, 10901; HCERA §5605

Advocacy Fund Care Attendants §§1311, 1331, 4002, §§1401, 1402


Security Systems §8002 Workforce 8002, 10104 Office §8002

§8002
Advisory Panel
Administration §8002 §8002
§8002 CLASS of Tax §1312

§1411
§8002 CLASS Independence
Analysis
§§1331, 10104
Program

§8002
§8002 Benefit Plan
§3403, 10320

CLASS §8002

§§3103, 10320
§8002 §1333, 10104
§8002
Comptroller
Office of
§§1331, 10104
Independence §8002

§9002
General
§6703
Fund Board of §6703

Personnel §8002 Trustees


Community
National Advisory
§6703 Multi-
Disciplinary
§10407
§3311

MedPAC
§§1313, 1322
§8002 Diabetes
Management Cures
Preventive Report Card
Board on Elder
Abuse, Neglect,
Panels on
Improving Long- National
Other New
Demonstration
§2602 §2602
National Services Task National Oral Program
GAO
§3012

§§1334, 10104 Acceleration & Exploitation


§10407 Term Care Training Institute & Pilot Programs
§6301 PCORI Network Public Education Force Health Public §6703

§6703

§1331, 10104
§6703 for Federal and §§1401, 3001, 3403, 6301,

§6301
Campaign on
1 2 0 1 , 27 0 4 , 2 70 5 , 2 7 06 ,

26
Website Review Board §4003 Education

§8002
State Surveyors 2707, 3023, 3024, 3113,
§6301
State 10105, 10320
PCORI Board
3140, 4204, 4206, 5304,

§6301 §10409 Prevention & Health Campaign §6703


5509, 6112, 6114,
10212, 10221,

Optional Vital

§4003
Surveyors
10315, 10323,

§1341, 10104
Promotion Statistics

§§1401, 10105
10326, 10504,
§4102
of Governors
10607 §1331, 10104

§4004 Basic Health §6703

§6703

§§1331, 10104
Agencies
Elder

§3001
Program
§1302
§6301 Elder Abuse,
Office of Cures
§3012

§4004
§10407

§10407
Neglect, &

§4102
§6301 §§1331, 10104
Justice

§4004
Multi-State Acceleration CDC Exploitation §§1311, 10104

§§1311, 10104
National

§1331, 10104
§10409
Forensic Centers
Qualified Network
Coordinating

§1331, 10104
National §§1001, 4003, 4004, Diabetes Mortality

PCORI
§6703

§1331, 10104
§10409 4102, 10407
Health Plans PCORI
Partnership on Statistics Education
§1334, 10104 Prevention & Training Program Council §§9001, 10901; HCERA §1401

Methodology NIH Essential


§1333, 10104
Health §10407

§4004
§§6301, 10602 §6703 §6703

Justice Committee Promotion


§1334, 10104

§10409

§6703
§§4305, 6301,

§6703
§4004

§1313, 10104
States
Health Benefits Health
§6301 10409 §4004
Department
§4004
NAIC

§§9004, 9005; HCERA §1402


§§1311,1331,
Care Choice
§6301

§6703 1333,1341, 10104, §§1333, 1341,


Interagency Package 10407 10104
Compacts

§§1341, 10104
§6301
§6301

Working Group

§§1341, 10104
§6301 §3013

§§1311, 10104
§§1001,1201, 1301, §§1333, 10104

§§1201, 1301, 1302


§6301

on Health Care PCORI AHRQ


Bronze 1302 Platinum

§10407
Other New
Quality

§1001
§3012, 3013, 6031 §§1333, 10104

Trust Fund
§6703

PCORI
Bureaucracies Silver Gold Reinsurance

§1001
§3012 §6301 Program

§§1311, 10104

§§1311, 10104
§1411
Expert
§1302 1 4 1 2 , 35 0 9 , 5 10 1 , §§1201, 1301, 1302

22
10104, 10221,

§4001
10334, 10413,
§§1341, 10104

§4001
10501

Advisory Value-Based
§4305

National US
§3012

Panels
§1311
Insurance Design
Qualified
§4305

Prevention Prevention,
Black Lung §6301 & Coverage of Territories
Health Promotion, Surgeon Health

§3011
& Public §1323; HCERA: §1204

US Preventive Health

§4002

§4004
Benefits Act §3012
General
§3012 §1323; HCERA §1204
& Public Health
§1323; HCERA: §1204

§1556 Health Fund Services Plans


Preventive

§1001
§4001
§4002 Council
Labor §1001 §§1301, 1302,
§4001
Services 1311, 10104
Department
§1301
§1322
Prevention
Task Force
§4002
§3011
§§1001, 1302, 1311, 1511, 1512, §4001 Website

§§1341, 10104
Secretary
1513, 6605, 10101, 10106 §4004 §1001
§§1301, 10104 CO-OP

§1421, 10105
Interagency Website §§1322, 10104

Privacy Advisory

§§1501, 10106; HCERA §§1002, 1004


Health
“Transparency
Pain Research
§1311
Hours of Service
§1322
Other New Advisory
Coordinating Public
in Government”
Study Board

§1001
§1411
Determination Regulatory Group on §1552
Insurance
§6301

§1411 §1322, 10104


for Calculating Programs Committee §1411
Prevention, Health
§6301

Employer Mandate §4305 Health


Promotion, and
Health & Human CO-OP
1 1 0 4 , 61 0 2 , 6 10 3

Penalty 4 Integrative and Service

§§3403, 10320
§1411
§§1513, 10106
Public Health
§§3011, 4002, 4302 §3011
§1411 Eligibility §§1322, 10104
Private
Rules for Determinations
Government
§4302
§4001
HHS Purchasing
§3011

Insurance
Services
§4001
Health §1411
Claims Appeals Care Quality Inspector Council
Health Benefit
§3011
§1001, 10101 §3011
Website §1322
General
§4302
§§3011, 3012
§3011

§8002
§1313, 8002, Internet
Exchanges
§1321
Public National
National 10104 §1313, 10104
Portal
Health Quality & Health Disparities §1311
Efficiency Measures
Health Strategy Health §1313, 10104
Data Collection &
§3013

§§1201, 1301,1302, 1311, 1312, 1313,


Medicare Development & Priorities
Reporting §1561
IT Policy 1321, 1323, 1334, 1411, 1413, 10104;
Program Office Committee HCERA §1204
Part A Trust §§3013, 10304 §3013 §3011 System §1561 Small Business
Fund
§4302 §1342
Risk
§3403

Health Options
§3026
§3026, 3403,
Corridors Data Program

§1334, 10104
IPAB
§1513, 10106

6301,9015 Collection §1311

§§9001, 10901; HCERA §1401


§1342
§1311
MEWA
§§3403, 10320 §1411
§3026
§1001, 10101

§2602
§3403, 10320
Medicare Health Plans
Insurance
§6605
§§1301, 6605
IPAB Part B Trust Mandates

§§1513, 10106; HCERA: §1003


Consumer Fund
§3013

§1342
Employer

§1511
Federal

§1334, 10104
CMS §§1001, 1101,

§1342
§3026 §2602
Mandatory

§1341, 10104
Advisory
§§9015, 10906; HCERA §1402

17

§§1001, 10101
1201, 1251,

§3011
§3026, 6301
Mandate: W2
§§3021, 10305, 10306

§§1514, 10106
§§1201, 1301
Council
Loan
Community- Actuary Coordinated 10101,
10103;
Small Group Worker Auto-
Health
Repayment Market Enrollment Provide Health
§§1331, 3403, 10104
Health Care
§3026

Based Care
§2602 HCERA §§1201, 1301, 1304
§§3403, 10320 & Forgiveness
Individual Market §2301 §1301, 1304, 1342 §1511 Insurance

§2703

§§1311, 1413
Transitions
Programs
Program Office §1201, 1301, 1304, 1342 Insurance Disclosure

CMS

§1511
5 2 0 3 , 52 0 4 , 5 20 5 ,

4
5311 §§1514, 10106 §§1513, 10106; §9002
§3403, 10320 §3026 §2602
Medical Center §§1201, 1301, 1304 HCERA §1003

§1512
§3403

Device
Excise Tax for Medicare §§3013, 3021, 3026, Large Group Large Employers

§1513, 10106
3403, 10305, 10306,
§§9009, 10904;
& Medicaid
§2602
Medicaid Health Insurance Market §§1304, 1511, 1512, 1513,

§9002
§3021 10320 1514, 10106
HCERA
Health Home
§§3022, 10307

§§1201, 1301, 1511


Medicaid/ Companies Self-Insured
§§9009, 10904; HCERA §1405

§1405
Innovation Medicare
§§9009, 10904

§1311
§1511
Home Program
§9008; HCERA §1404

Ambulatory Skilled Nursing Part C & Part D Health Plans


Health Agencies Surgical Centers
§§3021, 10305,
Non-
CHIP §2703
Insurers Mandates, Regulations, Employers §1301

§2703
Facilities 10306
Title II; §§1413, 3011
Required Benefits, &
§2703
§3006 §§3006, 10301
§§3006, 10310
Hospital FFS §3311 §§9001, 10901; HCERA §1401 §§9001, 10901; HCERA §1401
§§3006, 10301
Accountable Taxes Mandates, Regulations,
Value-Based
§§3006, 10301 §§9010, 10905; HCERA §1406
§2703

§§1001, 1201, 1252, 1301, 1334, 1341,


Medical Device §§3006, 10301
Care “Cadillac & Taxes
State

§1512
3311, 9001, 9010, 10101, 10104, 10901,
Purchasing Small Employers
§§2001-2004

Manufacturers Organizations 10905; HCERA §§1401, 1406


§§1001, 10101
Plans” Tax §§1511, 1512, 1513, 9001, 9002,

Program Medicaid Individual 10106, 10901; HCERA §§1003, 1401 §§1304, 1311, 1421, 1512,

§1511
§§9009, 10904; §§9001, 10901;
HCERA §1405 Health Industry Demonstra- Program Medicaid 10105
HCERA §1401
Mandate:
§§3001, 10335
Hospitals

§§1402, 1412; HCERA §1001


tion Program §§3006, 10301
§§3001, 10335
§3001
§§3022, 10307 Expansion: Agencies Annual Fee Health Insurance
§§1311, 3001, 10335
§§3001, 10335
+16 million
§2701
§§9010, 10905; Subsidies: Buy Health
Mandates, Regulations, Public Data §§2602, 2701, 2703, §2701
Policy Holder

§§1001, 10101
§3006

§2701

HCERA §1406

§§1401, 1412, 10105; HCERA §§1001, 1004


Pharmaceutical
§§3004, 3005

Disclosure §§2001-2004 3011 Out-of-Pocket

§1421, 10105
Taxes, & Payment Cuts §§1001, 10101
Insurance Small

§1512
System
Companies Hospital
CBO Cost Estimate, Expenses Large Business
Medicare
§2602

§2701

§§1311, 3001-3006, 3311, 9008, 9009, §3006, 3/20/10 Business

§1411
§9008; HCERA §1404 §§1501, 10106;
10327, 10331, 10335, 10904; HCERA 10301 Medicare State- §§1402, 1412;
Employees
Value-Based
§3022, 10307
Administrative
§2701

HCERA §§1002, 1004


Annual Fee §§1404, 1405 Specific Adult HCERA Health Savings Health Insurance
Contractors Cuts: $528.9bn §1001 §1511, 1512
§9008; HCERA Purchasing Health Quality Accounts Tax Credit
§3001

§1404 §9008; HCERA §1404 §3311 (includes MA cuts)


Measures
Program §§1421,

§1501
§§9003, 9004
Medicare
§§1311 Title III
Title III;
§2701 10105
§2701

Hospital CBO Cost Estimate,


§§3001, 10335 Title III, §2602
§§3201, 10318; HCERA §1102
Small Business
§2701

Compare 3/20/10
Hospice Website Medicare Individuals Employees
Programs PPS-Exempt §3001 “Excessive Misuse of 3.8%
Advantage §1512 10%

HCERA §1402
Profits”
§3007
§3004 Cancer Hospitals HSA Funds Investment Mandates, Regulations,
Cuts: $205.9bn Medicaid §§1001, 10101 §9004
Tax On
§3005
Premium Income Tax & Taxes

§9003
Inpatient Physician §§3201, 10318; HCERA Subsidy: Quality
§§9017, 10907
Indoor Tanning
HCERA §1402 §§1311, 1411, 1501, 9003-9005, 9013,

Physicians
§1102; CBO Cost
Rehabilitation Long-Term Quality Medicare Part D Measurement Tax Credit Services:
Physician
§3311
Estimate, 9015, 9017, 10106, 10902, 10906, 10907;

§9004
Facilities Care Hospitals Reporting Drug Program Subsidies HCERA §§1002, 1004, 1402, 1403 §§9017,
§3005
§3005

Program
§3005

3/20/10
Value-Based Medicare 10907
§§1311, 3002, 3003, 10327, 10331 §3004 §3004 System Hospital “Donut Hole” §2701 §§1401, 1412, 10105;
Prescription Drug HCERA §§1001,
§§3002, 10327,
10331
Payment Quality
and MA-PD
§3301; HCERA 1004 Medicare §§9015, 10906; HCERA §1402 §9013
Reporting §1101 Flexible Spending
§§3002, 10327, 10331
Modifier HSA Payroll Tax
Program Complaint System §3301; HCERA §1101
§§3002, 10327, 10331
§§3007 Use Restriction Increase: 0.9% Arrangement

§§9010, 10905; HCERA §1406


§3004, 3005
§§3007 §3311 §3311
§§9015, 10906;
Medicare §9005, 10902; HCERA §1403
§3007 §9003
Beneficiaries
§3311
Only
§3004
§3004 §3004
HCERA §1402
§3004
§3004
§3004
§3311 FSA
§3004§3004
§3004
Medical Expenses
Contribution
§§9005, 10902; HCERA §1403

Limit: $2,500
§§9005, 10902;
Patients Above 10% of Income
(AGI) are Tax
§3311
HCERA§1403 Deductible
New Government Expanded Government Private New Relationships
§9013

§§1401, 1412, 10105; HCERA §§1001, 1004

Government with Private Entity with Regulations/


Rationing Potential Mandates Expanded Authority/ Requirements/Mandates
New Mandates/ AGI: Adjusted Gross Income HSA: Health Savings Account §§1402, 1412; HCERA §1001

Responsibility Regulations/ Reporting Requirements AHRQ: Agency for Healthcare Research and Quality IPAB: Independent Payment Advisory Board
Involvement in Health Taxes & Monetary Fees/ CDC: Centers for Disease Control & Prevention IRS: Internal Revenue Service
Government Financial Responsibilities Oversight CHIP: Children’s Health Insurance Program MA-PD: Medicare Advantage Prescription Drug
Insurance Market Penalties/Cuts Patient Protection & Affordable Care Act, P.L. 111-148;
Entity with New Inflows/ CLASS: Community Living Assistance Services & Supports MedPAC: Medicare Payment Advisory Commission
Unchanged Money Flows CMS: Centers for Medicare & Medicaid Services MERD: Medical Early Risk Detection Health Care & Education Reconciliation Act, P.L. 111-152
Trust Fund Outflows
Other Expansions Private Entity Consultation/Advisory/ CO-OP: Consumer Operated & Oriented Program EALORS: Executive Auxiliary Linked Office Regional Systems Prepared by: Joint Economic Committee, Republican Staff
(Rationing Potential) FFS: Fee-for-Service MEWA: Multiple Employer Welfare Arrangement
State/Territory with Info Sharing FSA: Flexible Spending Arrangement NAIC: National Association of Insurance Commissioners Congressman Kevin Brady, Senior House Republican
Represents Bundles of Other New Trust Funds/ Expanded Authority/ Special Interest Structural Connections GAO: Government Accountability Office NIH: National Institutes of Health
Senator Sam Brownback, Ranking Member
Additional Entities Responsibility HCERA: Health Care & Education Reconciliation Act PCORI: Patient-Centered Outcomes Research Institute
Monetary Benefits Provisions (Includes Existing) HHS: Health & Human Services Department PPS: Prospective Payment System