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US Laws | Affordable Health Care Act (HR3950F)
TITLE II--ROLE OF PUBLIC PROGRAMS
Subtitle J--Improvements to the Medicaid and CHIP Payment and Access Commission (MACPAC)

"(4) AVAILABILITY- Amounts made available under paragraphs (2) and (3) to MACPAC to carry out the provisions of this section shall remain available until expended.". (3135)

(b) Conforming MedPAC Amendments- Section 1805(b) of the Social Security Act (42 U.S.C. 1395b-6(b)), is amended-- (3136)

(1) in paragraph (1)(C), by striking "March 1 of each year (beginning with 1998)" and inserting "March 15"; (3137)

(2) in paragraph (1)(D), by inserting ", and (beginning with 2012) containing an examination of the topics described in paragraph (9), to the extent feasible" before the period; and (3138)

(3) by adding at the end the following: (3139)

"(9) REVIEW AND ANNUAL REPORT ON MEDICAID AND COMMERCIAL TRENDS- The Commission shall review and report on aggregate trends in spending, utilization, and financial performance under the Medicaid program under title XIX and the private market for health care services with respect to providers for which, on an aggregate national basis, a significant portion of revenue or services is associated with the Medicaid program. Where appropriate, the Commission shall conduct such review in consultation with the Medicaid and CHIP Payment and Access Commission established under section 1900 (in this section referred to as "MACPAC"). (3140)

"(10) COORDINATE AND CONSULT WITH THE FEDERAL COORDINATED HEALTH CARE OFFICE- The Commission shall coordinate and consult with the Federal Coordinated Health Care Office established under section 2081 of the Patient Protection and Affordable Care Act before making any recommendations regarding dual eligible individuals. (3141)

"(11) INTERACTION OF MEDICAID AND MEDICARE- The Commission shall consult with MACPAC in carrying out its duties under this section, as appropriate. Responsibility for analysis of and recommendations to change Medicare policy regarding Medicare beneficiaries, including Medicare beneficiaries who are dually eligible for Medicare and Medicaid, shall rest with the Commission. Responsibility for analysis of and recommendations to change Medicaid policy regarding Medicaid beneficiaries, including Medicaid beneficiaries who are dually eligible for Medicare and Medicaid, shall rest with MACPAC.". (3142)

Subtitle K--Protections for American Indians and Alaska Natives (3143)(Text)

SEC. 2901. SPECIAL RULES RELATING TO INDIANS. (3144)(Text)

(a) No Cost-sharing for Indians With Income at or Below 300 Percent of Poverty Enrolled in Coverage Through a State Exchange- For provisions prohibiting cost sharing for Indians enrolled in any qualified health plan in the individual market through an Exchange, see section 1402(d) of the Patient Protection and Affordable Care Act. (3145)

(b) Payer of Last Resort- Health programs operated by the Indian Health Service, Indian tribes, tribal organizations, and Urban Indian organizations (as those terms are defined in section 4 of the Indian Health Care Improvement Act (25 U.S.C. 1603)) shall be the payer of last resort for services provided by such Service, tribes, or organizations to individuals eligible for services through such programs, notwithstanding any Federal, State, or local law to the contrary. (3146)

(c) Facilitating Enrollment of Indians Under the Express Lane Option- Section 1902(e)(13)(F)(ii) of the Social Security Act (42 U.S.C. 1396a(e)(13)(F)(ii)) is amended-- (3147)

(1) in the clause heading, by inserting "AND INDIAN TRIBES AND TRIBAL ORGANIZATIONS" after "AGENCIES"; and (3148)

(2) by adding at the end the following: (3149)

"(IV) The Indian Health Service, an Indian Tribe, Tribal Organization, or Urban Indian Organization (as defined in section 1139(c)).". (3150)

(d) Technical Corrections- Section 1139(c) of the Social Security Act (42 U.S.C. 1320b-9(c)) is amended by striking "In this section" and inserting "For purposes of this section, title XIX, and title XXI". (3151)

SEC. 2902. ELIMINATION OF SUNSET FOR REIMBURSEMENT FOR ALL MEDICARE PART B SERVICES FURNISHED BY CERTAIN INDIAN HOSPITALS AND CLINICS. (3152)(Text)

(a) Reimbursement for All Medicare Part B Services Furnished by Certain Indian Hospitals and Clinics- Section 1880(e)(1)(A) of the Social Security Act (42 U.S.C. 1395qq(e)(1)(A)) is amended by striking "during the 5-year period beginning on" and inserting "on or after". (3153)

(b) Effective Date- The amendments made by this section shall apply to items or services furnished on or after January 1, 2010. (3154)

Subtitle L--Maternal and Child Health Services (3155)(Text)

SEC. 2951. MATERNAL, INFANT, AND EARLY CHILDHOOD HOME VISITING PROGRAMS. (3156)(Text)

Title V of the Social Security Act (42 U.S.C. 701 et seq.) is amended by adding at the end the following new section: (3157)

SEC. 511. MATERNAL, INFANT, AND EARLY CHILDHOOD HOME VISITING PROGRAMS. (3158)

"(a) Purposes- The purposes of this section are-- (3159)

"(1) to strengthen and improve the programs and activities carried out under this title; (3160)

"(2) to improve coordination of services for at risk communities; and (3161)

"(3) to identify and provide comprehensive services to improve outcomes for families who reside in at risk communities. (3162)

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