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

(A) the ability of providers of services and renal dialysis facilities to furnish specified oral drugs or arrange for the provision of such drugs; (13512)

(B) the ability of providers of services and renal dialysis facilities to comply, if necessary, with applicable State laws (such as State pharmacy licensure requirements) in order to furnish specified oral drugs; (13513)

(C) whether appropriate quality measures exist to safeguard care for Medicare beneficiaries being furnished specified oral drugs by providers of services and renal dialysis facilities; and (13514)

(D) other areas determined appropriate by the Comptroller General. (13515)

(2) SPECIFIED ORAL DRUG DEFINED- For purposes of paragraph (1), the term "specified oral drug" means a drug or biological for which there is no injectable equivalent (or other non-oral form of administration). (13516)

(b) Report- Not later than 1 year after the date of the enactment of this Act, the Comptroller General of the United States shall submit to Congress a report containing the results of the study conducted under subsection (a), together with recommendations for such legislation and administrative action as the Comptroller General determines appropriate. (13517)

Subtitle D--Provisions Relating to Title IV (13518)(Text)

SEC. 10401. AMENDMENTS TO SUBTITLE A. (13519)(Text)

(a) Section 4001(h)(4) and (5) of this Act is amended by striking "2010" each place such appears and inserting "2020". (13520)

(b) Section 4002(c) of this Act is amended-- (13521)

(1) by striking "research and health screenings" and inserting "research, health screenings, and initiatives"; and (13522)

(2) by striking "for Preventive" and inserting "Regarding Preventive". (13523)

(c) Section 4004(a)(4) of this Act is amended by striking "a Gateway" and inserting "an Exchange". (13524)

SEC. 10402. AMENDMENTS TO SUBTITLE B. (13525)(Text)

(a) Section 399Z-1(a)(1(A) of the Public Health Service Act, as added by section 4101(b) of this Act, is amended by inserting "and vision" after "oral". (13526)

(b) Section 1861(hhh)(4)(G) of the Social Security Act, as added by section 4103(b), is amended to read as follows: (13527)

"(G) A beneficiary shall be eligible to receive only an initial preventive physical examination (as defined under subsection (ww)(1)) during the 12-month period after the date that the beneficiary"s coverage begins under part B and shall be eligible to receive personalized prevention plan services under this subsection each year thereafter provided that the beneficiary has not received either an initial preventive physical examination or personalized prevention plan services within the preceding 12-month period.". (13528)

SEC. 10403. AMENDMENTS TO SUBTITLE C. (13529)(Text)

Section 4201 of this Act is amended-- (13530)

(1) in subsection (a), by adding before the period the following: ", with not less than 20 percent of such grants being awarded to rural and frontier areas"; (13531)

(2) in subsection (c)(2)(B)(vii), by striking "both urban and rural areas" and inserting "urban, rural, and frontier areas"; and (13532)

(3) in subsection (f), by striking "each fiscal years" and inserting "each of fiscal year". (13533)

SEC. 10404. AMENDMENTS TO SUBTITLE D. (13534)(Text)

Section 399MM(2) of the Public Health Service Act, as added by section 4303 of this Act, is amended by striking "by ensuring" and inserting "and ensuring". (13535)

SEC. 10405. AMENDMENTS TO SUBTITLE E. (13536)(Text)

Subtitle E of title IV of this Act is amended by striking section 4401. (13537)

SEC. 10406. AMENDMENT RELATING TO WAIVING COINSURANCE FOR PREVENTIVE SERVICES. (13538)(Text)

Section 4104(b) of this Act is amended to read as follows: (13539)

"(b) Payment and Elimination of Coinsurance in All Settings- Section 1833(a)(1) of the Social Security Act (42 U.S.C. 1395l(a)(1)), as amended by section 4103(c)(1), is amended-- (13540)

"(1) in subparagraph (T), by inserting "(or 100 percent if such services are recommended with a grade of A or B by the United States Preventive Services Task Force for any indication or population and are appropriate for the individual)" after "80 percent"; (13541)

"(2) in subparagraph (W)-- (13542)

"(A) in clause (i), by inserting "(if such subparagraph were applied, by substituting "100 percent" for "80 percent")" after "subparagraph (D)"; and (13543)

"(B) in clause (ii), by striking "80 percent" and inserting "100 percent"; (13544)

"(3) by striking "and" before "(X)"; and (13545)

"(4) by inserting before the semicolon at the end the following: ", and (Y) with respect to preventive services described in subparagraphs (A) and (B) of section 1861(ddd)(3) that are appropriate for the individual and, in the case of such services described in subparagraph (A), are recommended with a grade of A or B by the United States Preventive Services Task Force for any indication or population, the amount paid shall be 100 percent of (i) except as provided in clause (ii), the lesser of the actual charge for the services or the amount determined under the fee schedule that applies to such services under this part, and (ii) in the case of such services that are covered OPD services (as defined in subsection (t)(1)(B)), the amount determined under subsection (t)".". (13546)

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