H.R. 3200/Division B/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.