73
852
Sec. 10211
PPACA (Consolidated)
(F) Section 108 of Public Law 111–3 is amended by striking
‘‘$11,706,000,000’’ and all that follows through the second sentence
and inserting ‘‘$15,361,000,000 to accompany the allotment made
for the period beginning on October 1, 2014, and ending on March
31, 2015, under section 2104(a)(18)(A) of the Social Security Act (42
U.S.C. 1397dd(a)(18)(A)), to remain available until expended. Such
amount shall be used to provide allotments to States under para-
graph (3) of section 2104(m) of the Social Security Act (42 U.S.C.
1397dd(m)) for the first 6 months of fiscal year 2015 in the same
manner as allotments are provided under subsection (a)(18)(A) of
such section 2104 and subject to the same terms and conditions as
apply to the allotments provided from such subsection (a)(18)(A).’’.
PART 2—SUPPORT FOR PREGNANT AND
PARENTING TEENS AND WOMEN
SEC. 10211 ø42 U.S.C. 18201¿. DEFINITIONS.
In this part:
(1) A
CCOMPANIMENT
.—The term ‘‘accompaniment’’ means
assisting, representing, and accompanying a woman in seeking
judicial relief for child support, child custody, restraining or-
ders, and restitution for harm to persons and property, and in
filing criminal charges, and may include the payment of court
costs and reasonable attorney and witness fees associated
therewith.
(2) E
LIGIBLE INSTITUTION
OF HIGHER
EDUCATION
.—The
term ‘‘eligible institution of higher education’’ means an insti-
tution of higher education (as such term is defined in section
101 of the Higher Education Act of 1965 (20 U.S.C. 1001)) that
has established and operates, or agrees to establish and oper-
ate upon the receipt of a grant under this part, a pregnant and
parenting student services office.
(3) C
OMMUNITY 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.
(4) H
IGH SCHOOL
.—The term ‘‘high school’’ means any pub-
lic or private school that operates grades 10 through 12, inclu-
sive, grades 9 through 12, inclusive or grades 7 through 12, in-
clusive.
(5) I
NTERVENTION SERVICES
.—The term ‘‘intervention serv-
ices’’ means, with respect to domestic violence, sexual violence,
sexual assault, or stalking, 24-hour telephone hotline services
for police protection and referral to shelters.
(6) S
ECRETARY
.—The term ‘‘Secretary’’ means the Sec-
retary of Health and Human Services.
(7) S
TATE
.—The term ‘‘State’’ includes the District of Co-
lumbia, any commonwealth, possession, or other territory of
the United States, and any Indian tribe or reservation.
(8) S
UPPORTIVE SOCIAL SERVICES
.—The term ‘‘supportive
social services’’ means transitional and permanent housing, vo-
cational counseling, and individual and group counseling aimed
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87
853
Sec. 10213
PPACA (Consolidated)
at preventing domestic violence, sexual violence, sexual as-
sault, or stalking.
(9) V
IOLENCE
.—The term ‘‘violence’’ means actual violence
and the risk or threat of violence.
SEC. 10212 ø42 U.S.C. 18202¿. ESTABLISHMENT OF PREGNANCY ASSIST-
ANCE FUND.
(a) I
N
G
ENERAL
.—The Secretary, in collaboration and coordina-
tion with the Secretary of Education (as appropriate), shall estab-
lish a Pregnancy Assistance Fund to be administered by the Sec-
retary, for the purpose of awarding competitive grants to States to
assist pregnant and parenting teens and women.
(b) U
SE OF
F
UND
.—A State may apply for a grant under sub-
section (a) to carry out any activities provided for in section 10213.
(c) A
PPLICATIONS
.—To be eligible to receive a grant under sub-
section (a), a State shall submit to the Secretary an application at
such time, in such manner, and containing such information as the
Secretary may require, including a description of the purposes for
which the grant is being requested and the designation of a State
agency for receipt and administration of funding received under
this part.
SEC. 10213 ø42 U.S.C. 18203¿. PERMISSIBLE USES OF FUND.
(a) I
N
G
ENERAL
.—A State shall use amounts received under a
grant under section 10212 for the purposes described in this section
to assist pregnant and parenting teens and women.
(b) I
NSTITUTIONS OF
H
IGHER
E
DUCATION
.—
(1) I
NGENERAL
.—A State may use amounts received under
a grant under section 10212 to make funding available to eligi-
ble institutions of higher education to enable the eligible insti-
tutions to establish, maintain, or operate pregnant and par-
enting student services. Such funding shall be used to supple-
ment, not supplant, existing funding for such services.
(2) A
PPLICATION
.—An eligible institution of higher edu-
cation that desires to receive funding under this subsection
shall submit an application to the designated State agency at
such time, in such manner, and containing such information as
the State agency may require.
(3) M
ATCHING REQUIREMENT
.—An eligible institution of
higher education that receives funding under this subsection
shall contribute to the conduct of the pregnant and parenting
student services office supported by the funding an amount
from non-Federal funds equal to 25 percent of the amount of
the funding provided. The non-Federal share may be in cash
or in-kind, fairly evaluated, including services, facilities, sup-
plies, or equipment.
(4) U
SE OF FUNDS FOR ASSISTING PREGNANT AND PARENTING
COLLEGE STUDENTS
.—An eligible institution of higher edu-
cation that receives funding under this subsection shall use
such funds to establish, maintain or operate pregnant and par-
enting student services and may use such funding for the fol-
lowing programs and activities:
(A) Conduct a needs assessment on campus and within
the local community—
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65
854
Sec. 10213
PPACA (Consolidated)
(i) to assess pregnancy and parenting resources,
located on the campus or within the local community,
that are available to meet the needs described in sub-
paragraph (B); and
(ii) to set goals for—
(I) improving such resources for pregnant,
parenting, and prospective parenting students;
and
(II) improving access to such resources.
(B) Annually assess the performance of the eligible in-
stitution in meeting the following needs of students en-
rolled in the eligible institution who are pregnant or are
parents:
(i) The inclusion of maternity coverage and the
availability of riders for additional family members in
student health care.
(ii) Family housing.
(iii) Child care.
(iv) Flexible or alternative academic scheduling,
such as telecommuting programs, to enable pregnant
or parenting students to continue their education or
stay in school.
(v) Education to improve parenting skills for
mothers and fathers and to strengthen marriages.
(vi) Maternity and baby clothing, baby food (in-
cluding formula), baby furniture, and similar items to
assist parents and prospective parents in meeting the
material needs of their children.
(vii) Post-partum counseling.
(C) Identify public and private service providers, lo-
cated on the campus of the eligible institution or within
the local community, that are qualified to meet the needs
described in subparagraph (B), and establishes programs
with qualified providers to meet such needs.
(D) Assist pregnant and parenting students, fathers or
spouses in locating and obtaining services that meet the
needs described in subparagraph (B).
(E) If appropriate, provide referrals for prenatal care
and delivery, infant or foster care, or adoption, to a stu-
dent who requests such information. An office shall make
such referrals only to service providers that serve the fol-
lowing types of individuals:
(i) Parents.
(ii) Prospective parents awaiting adoption.
(iii) Women who are pregnant and plan on par-
enting or placing the child for adoption.
(iv) Parenting or prospective parenting couples.
(5) R
EPORTING
.—
(A) A
NNUAL REPORT BY INSTITUTIONS
.—
(i) I
NGENERAL
.—For each fiscal year that an eligi-
ble institution of higher education receives funds
under this subsection, the eligible institution shall
prepare and submit to the State, by the date deter-
mined by the State, a report that—
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103
855
Sec. 10213
PPACA (Consolidated)
(I) itemizes the pregnant and parenting stu-
dent services office’s expenditures for the fiscal
year;
(II) contains a review and evaluation of the
performance of the office in fulfilling the require-
ments of this section, using the specific perform-
ance criteria or standards established under sub-
paragraph (B)(i); and
(III) describes the achievement of the office in
meeting the needs listed in paragraph (4)(B) of
the students served by the eligible institution, and
the frequency of use of the office by such students.
(ii) P
ERFORMANCE CRITERIA
.—Not later than 180
days before the date the annual report described in
clause (i) is submitted, the State—
(I) shall identify the specific performance cri-
teria or standards that shall be used to prepare
the report; and
(II) may establish the form or format of the
report.
(B) R
EPORT BY STATE
.—The State shall annually pre-
pare and submit a report on the findings under this sub-
section, including the number of eligible institutions of
higher education that were awarded funds and the number
of students served by each pregnant and parenting student
services office receiving funds under this section, to the
Secretary.
(c) S
UPPORT FOR
P
REGNANT AND
P
ARENTING
T
EENS
.—A State
may use amounts received under a grant under section 10212 to
make funding available to eligible high schools and community
service centers to establish, maintain or operate pregnant and par-
enting services in the same general manner and in accordance with
all conditions and requirements described in subsection (b), except
that paragraph (3) of such subsection shall not apply for purposes
of this subsection.
(d) I
MPROVING
S
ERVICES FOR
P
REGNANT
W
OMEN
W
HO
A
RE
V
IC
-
TIMS OF
D
OMESTIC
V
IOLENCE
, S
EXUAL
V
IOLENCE
, S
EXUAL
A
SSAULT
,
AND
S
TALKING
.—
(1) I
NGENERAL
.—A State may use amounts received under
a grant under section 10212 to make funding available tp its
State Attorney General to assist Statewide offices in pro-
viding—
(A) intervention services, accompaniment, and sup-
portive social services for eligible pregnant women who are
victims of domestic violence, sexual violence, sexual as-
sault, or stalking.
(B) technical assistance and training (as described in
subsection (c)) relating to violence against eligible preg-
nant women to be made available to the following:
(i) Federal, State, tribal, territorial, and local gov-
ernments, law enforcement agencies, and courts.
(ii) Professionals working in legal, social service,
and health care settings.
(iii) Nonprofit organizations.
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64
856
Sec. 10214
PPACA (Consolidated)
(iv) Faith-based organizations.
(2) E
LIGIBILITY
.—To be eligible for a grant under para-
graph (1), a State Attorney General shall submit an applica-
tion to the designated State agency at such time, in such man-
ner, and containing such information, as specified by the State.
(3) T
ECHNICAL ASSISTANCE AND TRAINING DESCRIBED
.—For
purposes of paragraph (1)(B), technical assistance and training
is—
(A) the identification of eligible pregnant women expe-
riencing domestic violence, sexual violence, sexual assault,
or stalking;
(B) the assessment of the immediate and short-term
safety of such a pregnant woman, the evaluation of the im-
pact of the violence or stalking on the pregnant woman’s
health, and the assistance of the pregnant woman in de-
veloping a plan aimed at preventing further domestic vio-
lence, sexual violence, sexual assault, or stalking, as ap-
propriate;
(C) the maintenance of complete medical or forensic
records that include the documentation of any examina-
tion, treatment given, and referrals made, recording the lo-
cation and nature of the pregnant woman’s injuries, and
the establishment of mechanisms to ensure the privacy
and confidentiality of those medical records; and
(D) the identification and referral of the pregnant
woman to appropriate public and private nonprofit entities
that provide intervention services, accompaniment, and
supportive social services.
(4) E
LIGIBLE PREGNANT WOMAN
.—In this subsection, the
term ‘‘eligible pregnant woman’’ means any woman who is
pregnant on the date on which such woman becomes a victim
of domestic violence, sexual violence, sexual assault, or stalk-
ing or who was pregnant during the one-year period before
such date.
(e) P
UBLIC
A
WARENESS AND
E
DUCATION
.—A State may use
amounts received under a grant under section 10212 to make fund-
ing available to increase public awareness and education con-
cerning any services available to pregnant and parenting teens and
women under this part, or any other resources available to preg-
nant and parenting women in keeping with the intent and pur-
poses of this part. The State shall be responsible for setting guide-
lines or limits as to how much of funding may be utilized for public
awareness and education in any funding award.
SEC. 10214 ø42 U.S.C. 18204¿. APPROPRIATIONS.
There is authorized to be appropriated, and there are appro-
priated, $25,000,000 for each of fiscal years 2010 through 2019, to
carry out this part.
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86
857
Sec. 10221
PPACA (Consolidated)
PART 3—INDIAN HEALTH CARE
IMPROVEMENT
SEC. 10221. INDIAN HEALTH CARE IMPROVEMENT.
(a) I
N
G
ENERAL
.—Except as provided in subsection (b), S. 1790
entitled ‘‘A bill to amend the Indian Health Care Improvement Act
to revise and extend that Act, and for other purposes.’’, as reported
by the Committee on Indian Affairs of the Senate in December
2009, is enacted into law. øThe bill, as enacted and amended by
subsection (b), is shown in a separate compiled document.¿
(b) A
MENDMENTS
.—øAmendments below are incorporated into
the separate compiled document.¿
(1) Section 119 of the Indian Health Care Improvement
Act (as amended by section 111 of the bill referred to in sub-
section (a)) is amended—
(A) in subsection (d)—
(i) in paragraph (2), by striking ‘‘In establishing’’
and inserting ‘‘Subject to paragraphs (3) and (4), in es-
tablishing’’; and
(ii) by adding at the end the following:
‘‘(3) E
LECTION OF INDIAN TRIBE OR TRIBAL ORGANIZATION
.—
‘‘(A) I
N GENERAL
.—Subparagraph (B) of paragraph (2)
shall not apply in the case of an election made by an In-
dian tribe or tribal organization located in a State (other
than Alaska) in which the use of dental health aide thera-
pist services or midlevel dental health provider services is
authorized under State law to supply such services in ac-
cordance with State law.
‘‘(B) A
CTION BY SECRETARY
.—On an election by an In-
dian tribe or tribal organization under subparagraph (A),
the Secretary, acting through the Service, shall facilitate
implementation of the services elected.
‘‘(4) V
ACANCIES
.—The Secretary shall not fill any vacancy
for a certified dentist in a program operated by the Service
with a dental health aide therapist.’’; and
(B) by adding at the end the following:
‘‘(e) E
FFECT OF
S
ECTION
.—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.’’.
(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).
(3) Section 806 of the Indian Health Care Improvement
Act (25 U.S.C. 1676) is amended—
(A) by striking ‘‘Any limitation’’ and inserting the fol-
lowing:
‘‘(a) HHS A
PPROPRIATIONS
.—Any limitation’’; and
(B) by adding at the end the following:
‘‘(b) L
IMITATIONS
P
URSUANT TO
O
THER
F
EDERAL
L
AW
.—Any
limitation pursuant to other Federal laws on the use of Federal
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June 9, 2010
81
858
Sec. 10301
PPACA (Consolidated)
funds appropriated to the Service shall apply with respect to the
performance or coverage of abortions.’’.
(4) The bill referred to in subsection (a) is amended by
striking section 201.
Subtitle C—Provisions Relating to Title III
SEC. 10301. PLANS FOR A VALUE-BASED PURCHASING PROGRAM FOR
AMBULATORY SURGICAL CENTERS øAMENDMENTS FULLY
INCORPORATED ABOVE¿.
(a) I
N
G
ENERAL
.—øAdded subsection (f) in section 3006¿
(b) T
ECHNICAL
.—øStruck clauses (i) and (ii) of section
3006(a)(2)(A)¿
SEC. 10302. REVISION TO NATIONAL STRATEGY FOR QUALITY IM-
PROVEMENT IN HEALTH CARE øAMENDMENTS FULLY IN-
CORPORATED ABOVE¿.
øAmended 399HH9(a)(2)(B)(iii) of the Public Health Service
Act, as added by section 3011¿
SEC. 10303. DEVELOPMENT OF OUTCOME MEASURES.
(a) D
EVELOPMENT
.—øAdded subsection (f) to section 931 of the
Public Health Service Act, as added by section 3013(a)¿
(b) H
OSPITAL
-
ACQUIRED
C
ONDITIONS
.—øAdded subsection (f) to
section 1890A of the Social Security Act, as added by section
3014(b) and as amended by section 3013(b)¿
(c) C
LINICAL
P
RACTICE
G
UIDELINES
.—Section 304(b) of the
Medicare Improvements for Patients and Providers Act of 2008
(Public Law 110–275) is amended by adding at the end the fol-
lowing new paragraph:
‘‘(4) I
DENTIFICATION
.—
‘‘(A) I
N GENERAL
.—Following receipt of the report sub-
mitted under paragraph (2), and not less than every 3
years thereafter, the Secretary shall contract with the In-
stitute to employ the results of the study performed under
paragraph (1) and the best methods identified by the Insti-
tute for the purpose of identifying existing and new clinical
practice guidelines that were developed using such best
methods, including guidelines listed in the National Guide-
line Clearinghouse.
‘‘(B) C
ONSULTATION
.—In carrying out the identification
process under subparagraph (A), the Secretary shall allow
for consultation with professional societies, voluntary
health care organizations, and expert panels.’’.
SEC. 10304. SELECTION OF EFFICIENCY MEASURES øAMENDMENTS
FULLY INCORPORATED ABOVE¿.
øAmended sections 1890(b)(7) and 1890A of the Social Security
Act, as added by section 3014, by striking ‘‘quality’’ each place it ap-
pears and inserting ‘‘quality and efficiency’’.Because of different
typefaces, uncertain if amended headings in those sections.¿
SEC. 10305. DATA COLLECTION; PUBLIC REPORTING øAMENDMENTS
FULLY INCORPORATED ABOVE¿.
øReplaced section 399II(a) of the Public Health Service Act, as
added by section 3015¿
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June 9, 2010
66
859
Sec. 10312
PPACA (Consolidated)
SEC. 10306. IMPROVEMENTS UNDER THE CENTER FOR MEDICARE AND
MEDICAID INNOVATION øAMENDMENTS FULLY INCOR-
PORATED ABOVE¿.
Section 1115A of the Social Security Act, as added by section
3021, is amended—
(1) øInserted new paragraph at end of subsection (a)¿
(2) in subsection (b)(2)—
(A) øAmended subparagraph (A)¿
(B) øAdded clauses (xix) and (xx) at end of subpara-
graph (B)¿
(C) øAdded clause (viii) at end of subparagraph (C)¿
(3) øAdded subparagraph (C) at the end of subsection
(b)(4)¿
(4) øAmended paragraphs (1)(B) and (2) of subsection (c)
and added paragraph (3) and sentence to subsection (c)¿
SEC. 10307. IMPROVEMENTS TO THE MEDICARE SHARED SAVINGS
PROGRAM øAMENDMENTS FULLY INCORPORATED ABOVE¿.
øAdded new subsections (i) - (k) to section 1899 of the Social
Security Act, as added by section 3022¿
SEC. 10308. REVISIONS TO NATIONAL PILOT PROGRAM ON PAYMENT
BUNDLING øAMENDMENTS FULLY INCORPORATED ABOVE¿.
(a) I
N
G
ENERAL
.—Section 1866D of the Social Security Act, as
added by section 3023, is amended—
(1) øAmended paragraph (a)(2)(B)¿
(2) øReplaced subsection (c)(1)(B)¿
(3) øReplaced subsection (g)¿
(b) T
ECHNICAL
A
MENDMENTS
.—
(1) øAmended section 3023¿
(2) øRedesignated section 1866D of the Social Security Act,
as added by section 3024, as section 1866E¿
SEC. 10309. REVISIONS TO HOSPITAL READMISSIONS REDUCTION
PROGRAM øAMENDMENTS FULLY INCORPORATED ABOVE¿.
øAmended section 1886(q)(1) of the Social Security Act, as
added by section 3025¿
SEC. 10310. REPEAL OF PHYSICIAN PAYMENT UPDATE øAMENDMENTS
FULLY INCORPORATED ABOVE¿.
øRepealed section 3101¿
SEC. 10311. REVISIONS TO EXTENSION OF AMBULANCE ADD-ONS
øAMENDMENTS FULLY INCORPORATED ABOVE¿.
(a) øAmended section 1834(l)(13)(A) of the Social Security Act,
as amended by section 3105(a)¿
(b) øAmended section 146(b)(1) of the Medicare Improvements
for Patients and Providers Act of 2008, as amended by section
3105(b)¿
(c) øAmended section 1834(l)(12)(A) of the Social Security Act,
as amended by section 3105(c)¿
SEC. 10312. CERTAIN PAYMENT RULES FOR LONG-TERM CARE HOS-
PITAL SERVICES AND MORATORIUM ON THE ESTABLISH-
MENT OF CERTAIN HOSPITALS AND FACILITIES øAMEND-
MENTS FULLY INCORPORATED ABOVE¿.
(a) øAmended section 114(c) of the Medicare, Medicaid, and
SCHIP Extension Act of 2007, as amended by section 4302(a) of the
American Recovery and Reinvestment Act and section 3106(a)¿
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June 9, 2010
96
860
Sec. 10313
PPACA (Consolidated)
(b) øAmended section 114(d) of such Act, as amended by section
3106(b)¿
SEC. 10313. REVISIONS TO THE EXTENSION FOR THE RURAL COMMU-
NITY HOSPITAL DEMONSTRATION PROGRAM øAMEND-
MENTS FULLY INCORPORATED ABOVE¿.
(a) øReplaced subsection (g) of section 410A of the Medicare
Prescription Drug, Improvement, and Modernization Act of 2003, as
added by section 3123(a)¿
(b) øAmended subsection (a)(5) of section 410A of the Medicare
Prescription Drug, Improvement, and Modernization Act of 2003, as
amended by section 3123(b)¿
SEC. 10314. ADJUSTMENT TO LOW-VOLUME HOSPITAL PROVISION
øAMENDMENTS FULLY INCORPORATED ABOVE¿.
øAmended subparagraphs (C)(i) and (D) of section 1886(d)(12)
of the Social Security Act, as amended by section 3125¿
SEC. 10315. REVISIONS TO HOME HEALTH CARE PROVISIONS øAMEND-
MENTS FULLY INCORPORATED ABOVE¿.
(a) øAmended section 1895(b)(3)(A)(iii) of the Social Security
Act, as added by section 3131¿
(b) øReplaced section 3131(d)¿
SEC. 10316. MEDICARE DSH øAMENDMENTS FULLY INCORPORATED
ABOVE¿.
øAmended section 1886(r)(2)(B) of the Social Security Act, as
added by section 3133¿
SEC. 10317. REVISIONS TO EXTENSION OF SECTION 508 HOSPITAL
PROVISIONS
øAMENDMENTS
FULLY
INCORPORATED
ABOVE¿.
øReplaced section 3137(a)¿
SEC. 10318. REVISIONS TO TRANSITIONAL EXTRA BENEFITS UNDER
MEDICARE ADVANTAGE øAMENDMENTS FULLY INCOR-
PORATED ABOVE¿.
øAmended section 1853(p)(3)(A) of the Social Security Act, as
added by section 3201(h); section 3201 and its amendments was
subsequently repealed by section 1102(a) of HCERA¿
SEC. 10319. REVISIONS TO MARKET BASKET ADJUSTMENTS øAMEND-
MENTS FULLY INCORPORATED ABOVE¿.
(a) I
NPATIENT
A
CUTE
H
OSPITALS
.—øAmended section
1886(b)(3)(B)(xii) of the Social Security Act, as added by section
3401(a); subsequently amended by section 1105(a) of HCERA¿
(b) L
ONG
-
TERM
C
ARE
H
OSPITALS
.—øAmended section
1886(m)(4) of the Social Security Act, as added by section 3401(c);
subsequently amended by section 1105(b) of HCERA¿
(c) I
NPATIENT
R
EHABILITATION
F
ACILITIES
.—øAmended section
1886(j)(3)(D)(i) of SSA, as added by section 3401(d); subsequently
amended by section 1105(c) of HCERA¿
(d)
H
OME
H
EALTH
A
GENCIES
.—øAmended
section
1895(b)(3)(B)(vi)(II) of SSA, as added by section 3401(e)¿
(e) P
SYCHIATRIC
H
OSPITALS
.—øAmended section 1886(s)(3)(A) of
SSA, as added by section 3401(f); subsequently amended by section
1105(d) of HCERA¿
(f) H
OSPICE
C
ARE
.—øAmended section 1814(i)(1)(C) of the So-
cial Security Act, as amended by section 3401(g)¿
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June 9, 2010
84
861
Sec. 10322
PPACA (Consolidated)
(g) O
UTPATIENT
H
OSPITALS
.—øAmended section 1833(t)(3)(G)(i)
of SSA, as added by section 3401(i); subsequently amended by sec-
tion 1105(e) of HCERA¿
SEC. 10320. EXPANSION OF THE SCOPE OF, AND ADDITIONAL IM-
PROVEMENTS TO, THE INDEPENDENT MEDICARE ADVI-
SORY BOARD.
(a) I
N
G
ENERAL
.—Section 1899A of the Social Security Act, as
added by section 3403, is amended—
(1) in subsection (c)—
(A) øAdded sentence at end of paragraph (1)(B)¿;
(B) øAmended paragraph (2)(A) in clause (iv) and by
adding new clause (vii)¿
(C) øAdded clause (vii) to paragraph (2)(B)¿
(D) øAmended paragraph (3), including striking sub-
paragraph (A)(ii)(III)¿
(E) øAmended paragraph (4)¿
(F) øAmended paragraph (5)¿
(G) øAmended paragraph (6)(B)(i)¿
(2) øAmended subsection (d)¿
(3) in subsection (e)—
(A) øAmended paragraph (1)¿
(B) øAmended paragraph (3), including adding a new
subparagraph (B)¿
(4) øAmended subsection (f)(3)(B)¿
(5) øAdded subsections (n) and (o)¿
(b) N
AME
C
HANGE
.—Any reference in the provisions of, or
amendments made by, section 3403 to the ‘‘Independent Medicare
Advisory Board’’ shall be deemed to be a reference to the ‘‘Inde-
pendent Payment Advisory Board’’.
(c) R
ULE OF
C
ONSTRUCTION
.—Nothing in the amendments
made by this section shall preclude the Independent Medicare Ad-
visory Board, as established under section 1899A of the Social Se-
curity Act (as added by section 3403), from solely using data from
public or private sources to carry out the amendments made by
subsection (a)(4).
SEC. 10321. REVISION TO COMMUNITY HEALTH TEAMS øAMENDMENTS
FULLY INCORPORATED ABOVE¿.
øAmended section 3502(c)(2)(A)¿
SEC. 10322. QUALITY REPORTING FOR PSYCHIATRIC HOSPITALS.
(a) I
N
G
ENERAL
.—Section 1886(s) of the Social Security Act, as
added by section 3401(f), is amended by adding at the end the fol-
lowing new paragraph:
‘‘(4) Q
UALITY REPORTING
.—
‘‘(A) R
EDUCTION IN UPDATE FOR FAILURE TO REPORT
.—
‘‘(i) I
N GENERAL
.—Under the system described in
paragraph (1), for rate year 2014 and each subsequent
rate year, in the case of a psychiatric hospital or psy-
chiatric unit that does not submit data to the Sec-
retary in accordance with subparagraph (C) with re-
spect to such a rate year, any annual update to a
standard Federal rate for discharges for the hospital
during the rate year, and after application of para-
graph (2), shall be reduced by 2 percentage points.
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