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US Laws | Affordable Health Care Act (HR3950F)
TITLE X--STRENGTHENING QUALITY, AFFORDABLE HEALTH CARE FOR ALL AMERICANS
Subtitle B--Provisions Relating to Title II

"(e) Effect of Section- Nothing in this section shall restrict the ability of the Service, an Indian tribe, or a tribal organization to participate in any program or to provide any service authorized by any other Federal law.". (12842)

(2) The Indian Health Care Improvement Act (as amended by section 134(b) of the bill referred to in subsection (a)) is amended by striking section 125 (relating to treatment of scholarships for certain purposes). (12843)

(3) Section 806 of the Indian Health Care Improvement Act (25 U.S.C. 1676) is amended-- (12844)

(A) by striking "Any limitation" and inserting the following: (12845)

"(a) HHS Appropriations- Any limitation"; and (12846)

(B) by adding at the end the following: (12847)

"(b) Limitations Pursuant to Other Federal Law- Any limitation pursuant to other Federal laws on the use of Federal funds appropriated to the Service shall apply with respect to the performance or coverage of abortions.". (12848)

(4) The bill referred to in subsection (a) is amended by striking section 201. (12849)

Subtitle C--Provisions Relating to Title III (12850)(Text)

SEC. 10301. PLANS FOR A VALUE-BASED PURCHASING PROGRAM FOR AMBULATORY SURGICAL CENTERS. (12851)(Text)

(a) In General- Section 3006 is amended by adding at the end the following new subsection: (12852)

"(f) Ambulatory Surgical Centers- (12853)

"(1) IN GENERAL- The Secretary shall develop a plan to implement a value-based purchasing program for payments under the Medicare program under title XVIII of the Social Security Act for ambulatory surgical centers (as described in section 1833(i) of the Social Security Act (42 U.S.C. 1395l(i))). (12854)

"(2) DETAILS- In developing the plan under paragraph (1), the Secretary shall consider the following issues: (12855)

"(A) The ongoing development, selection, and modification process for measures (including under section 1890 of the Social Security Act (42 U.S.C. 1395aaa) and section 1890A of such Act, as added by section 3014), to the extent feasible and practicable, of all dimensions of quality and efficiency in ambulatory surgical centers. (12856)

"(B) The reporting, collection, and validation of quality data. (12857)

"(C) The structure of value-based payment adjustments, including the determination of thresholds or improvements in quality that would substantiate a payment adjustment, the size of such payments, and the sources of funding for the value-based bonus payments. (12858)

"(D) Methods for the public disclosure of information on the performance of ambulatory surgical centers. (12859)

"(E) Any other issues determined appropriate by the Secretary. (12860)

"(3) CONSULTATION- In developing the plan under paragraph (1), the Secretary shall-- (12861)

"(A) consult with relevant affected parties; and (12862)

"(B) consider experience with such demonstrations that the Secretary determines are relevant to the value-based purchasing program described in paragraph (1). (12863)

"(4) REPORT TO CONGRESS- Not later than January 1, 2011, the Secretary shall submit to Congress a report containing the plan developed under paragraph (1).". (12864)

(b) Technical- Section 3006(a)(2)(A) is amended by striking clauses (i) and (ii). (12865)

SEC. 10302. REVISION TO NATIONAL STRATEGY FOR QUALITY IMPROVEMENT IN HEALTH CARE. (12866)(Text)

Section 399HH(a)(2)(B)(iii) of the Public Health Service Act, as added by section 3011, is amended by inserting "(taking into consideration the limitations set forth in subsections (c) and (d) of section 1182 of the Social Security Act)" after "information". (12867)

SEC. 10303. DEVELOPMENT OF OUTCOME MEASURES. (12868)(Text)

(a) Development- Section 931 of the Public Health Service Act, as added by section 3013(a), is amended by adding at the end the following new subsection: (12869)

"(f) Development of Outcome Measures- (12870)

"(1) IN GENERAL- The Secretary shall develop, and periodically update (not less than every 3 years), provider-level outcome measures for hospitals and physicians, as well as other providers as determined appropriate by the Secretary. (12871)

"(2) CATEGORIES OF MEASURES- The measures developed under this subsection shall include, to the extent determined appropriate by the Secretary-- (12872)

"(A) outcome measurement for acute and chronic diseases, including, to the extent feasible, the 5 most prevalent and resource-intensive acute and chronic medical conditions; and (12873)

"(B) outcome measurement for primary and preventative care, including, to the extent feasible, measurements that cover provision of such care for distinct patient populations (such as healthy children, chronically ill adults, or infirm elderly individuals). (12874)

"(3) GOALS- In developing such measures, the Secretary shall seek to-- (12875)

"(A) address issues regarding risk adjustment, accountability, and sample size; (12876)

"(B) include the full scope of services that comprise a cycle of care; and (12877)

"(C) include multiple dimensions. (12878)

"(4) TIMEFRAME- (12879)

"(A) ACUTE AND CHRONIC DISEASES- Not later than 24 months after the date of enactment of this Act, the Secretary shall develop not less than 10 measures described in paragraph (2)(A). (12880)

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