the United States Senate

“ In General- The Secretary, acting through the Director of the Centers for Disease Control and Prevention, may-- (1) enhance and expand infrastructure to track the epidemiology of congenital heart disease and to organize such information into a nationally-representative, population-based surveillance system that compiles data concerning actual occurrences of congenital heart disease, to be known as the `National Congenital Heart Disease Surveillance System'; or (2) award a grant to one eligible entity to undertake the activities described in paragraph (1) . ”

“ Conditions for Demonstration Grants- (1) REQUIREMENTS- Each State desiring a grant under subsection (a) shall develop an alternative to current tort litigation that-- (A) allows for the resolution of disputes over injuries allegedly caused by health care providers or health care organizations; and (B) promotes a reduction of health care errors by encouraging the collection and analysis of patient safety data related to disputes resolved under subparagraph (A) by organizations that engage in efforts to improve patient safety and the quality of health care. ”

“ Since most health insurance is sold by national or regional health insurance companies, health insurance is sold in interstate commerce and claims payments flow through interstate commerce. (C) The requirement, together with the other provisions of this Act, will add millions of new consumers to the health insurance market, increasing the supply of, and demand for, health care services, and will increase the number and share of Americans who are insured. ”

“ In General- The Secretary may award grants to eligible entities to support community-based collaborative care networks that meet the requirements of subsection (b) . (b) Community-based Collaborative Care Networks- (1) DESCRIPTION- A community-based collaborative care network (referred to in this section as a `network') shall be a consortium of health care providers with a joint governance structure (including providers within a single entity) that provides comprehensive coordinated and integrated health care services (as defined by the Secretary) for low-income populations. ”

“ Activities of the Centers- Each Center shall carry out the following activities: (1) GENERAL ACTIVITIES- Each Center shall-- (A) integrate basic, clinical, or health services interdisciplinary research and practice in the development, implementation, and dissemination of evidence-based interventions; (B) involve a broad cross-section of stakeholders, such as researchers, clinicians, consumers, families of consumers, and voluntary health organizations, to develop a research agenda and disseminate findings, and to provide support in the implementation of evidence-based practices ”

“ In the absence of the requirement, some individuals would make an economic and financial decision to forego health insurance coverage and attempt to self-insure, which increases financial risks to households and medical providers. (B) Health insurance and health care services are a significant part of the national economy. National health spending is projected to increase from $2,500,000,000,000, or 17.6 percent of the economy, in 2009 to $4,700,000,000,000 in 2019. ”

“ An application or renewal of any experimental, pilot, or demonstration project undertaken under subsection (a) to promote the objectives of title XIX or XXI in a State that would result in an impact on eligibility, enrollment, benefits, cost-sharing, or financing with respect to a State program under title XIX or XXI (in this subsection referred to as a `demonstration project') shall be considered by the Secretary in accordance with the regulations required to be promulgated under paragraph (2) . ”

“ COMMUNITY SERVICE CENTER- The term `community service center' means a non-profit organization that provides social services to residents of a specific geographical area via direct service or by contract with a local governmental agency. ”

“ Public Awareness and Education- A State may use amounts received under a grant under section 10212 to make funding available to increase public awareness and education concerning any services available to pregnant and parenting teens and women under this part, or any other resources available to pregnant and parenting women in keeping with the intent and purposes of this part. The State shall be responsible for setting guidelines or limits as to how much of funding may be utilized for public awareness and education in any funding award. ”

“ REQUIREMENTS- A comprehensive workplace wellness program shall be made available by an eligible employer to all employees and include the following components: (A) Health awareness initiatives (including health education, preventive screenings, and health risk assessments) . (B) Efforts to maximize employee engagement (including mechanisms to encourage employee participation) . (C) Initiatives to change unhealthy behaviors and lifestyle choices (including counseling, seminars, online programs, and self-help materials) . ”

“ In General- A State may award grants to health care providers who treat a high percentage, as determined by such State, of medically underserved populations or other special populations in such State. (b) Source of Funds- A grant program established by a State under subsection (a) may not be established within a department, agency, or other entity of such State that administers the Medicaid program under title XIX of the Social Security Act (42 U.S.C. 1396 et seq.) ”

“ Interagency Coordination- The Director of the Institute, as the primary Federal officials with responsibility for coordinating all research and activities conducted or supported by the National Institutes of Health on minority health and health disparities, shall plan, coordinate, review and evaluate research and other activities conducted or supported by the Institutes and Centers of the National Institutes of Health.'. ”

“ TREATMENT OF QUALIFIED DIRECT PRIMARY CARE MEDICAL HOME PLANS- The Secretary of Health and Human Services shall permit a qualified health plan to provide coverage through a qualified direct primary care medical home plan that meets criteria established by the Secretary, so long as the qualified health plan meets all requirements that are otherwise applicable and the services covered by the medical home plan are coordinated with the entity offering the qualified health plan. ”

“ The requirement achieves near-universal coverage by building upon and strengthening the private employer-based health insurance system, which covers 176,000,000 Americans nationwide. In Massachusetts, a similar requirement has strengthened private employer-based coverage: despite the economic downturn, the number of workers offered employer-based coverage has actually increased. (E) The economy loses up to $207,000,000,000 a year because of the poorer health and shorter lifespan of the uninsured. ”

“ In no case may Medicare beneficiaries be required to pay increased premiums or cost sharing or be subject to a reduction in benefits under title XVIII of the Social Security Act as a result of such demonstration program. The Secretary shall ensure that any such demonstration program does not disadvantage those beneficiaries without reasonable access to high performing physicians or create financial inequities under such title. ”

“ Such amount shall be equal to the amount the employer would pay for an employee with self-only coverage unless such employee elects family coverage (in which case such amount shall be the amount the employer would pay for family coverage) . (B) DETERMINATION OF COST- The cost of any health plan shall be determined under the rules similar to the rules of section 2204 of the Public Health Service Act, except that such amount shall be adjusted for age and category of enrollment in accordance with regulations established by the Secretary. ”

“ Comprehensive Workplace Wellness Programs- (1) CRITERIA- The Secretary shall develop program criteria for comprehensive workplace wellness programs under this section that are based on and consistent with evidence-based research and best practices, including research and practices as provided in the Guide to Community Preventive Services, the Guide to Clinical Preventive Services, and the National Registry for Effective Programs. ”

“ Purpose- The purpose of the Congenital Heart Disease Surveillance System shall be to facilitate further research into the types of health services patients use and to identify possible areas for educational outreach and prevention in accordance with standard practices of the Centers for Disease Control and Prevention. ”

“ Methods to potentially revise the home health prospective payment system under section 1895 of the Social Security Act (42 U.S.C. 1395fff) to account for costs related to patient severity of illness or to improving beneficiary access to care, such as-- (i) payment adjustments for services that may involve additional or fewer resources; (ii) changes to reflect resources involved with providing home health services to low-income Medicare beneficiaries or Medicare beneficiaries residing in medically underserved areas ”

“ ADJUSTMENT FOR INFLATION- In the case of any taxable year beginning after December 31, 2011, the dollar amount in paragraph (1) shall be increased by an amount equal to-- (A) such amount, multiplied by (B) the cost-of-living adjustment determined under section 1 (f) (3) for the calendar year in which such taxable year begins by substituting `calendar year 2010' for `calendar year 1992' in subparagraph (B) thereof. If any increase determined under this paragraph is not a multiple of $50, such increase shall be rounded to the next lowest multiple of $50.'. ”

“ DIVERSE REPRESENTATION- At each meeting of the Board, there shall be not less than one scientist, one representative of a disease advocacy organization, and one representative of a professional venture capital or private equity organization. ”