Subtitle A: Transforming the Health Care Delivery System
Part I: Linking Payment to Quality Outcomes Under the Medicare Program
Section 3001: Hospital Value-Based Purchasing Program
Section 3002: Improvements to the Physician Quality Reporting System
Section 3003: Improvements to the Physician Feedback Program
Section 3004: Quality Reporting for Long-Term Care Hospitals, Inpatient Rehabilitation Hospitals, and Hospice Programs
Section 3005: Quality Reporting for PPS-Exempt Cancer Hospitals
Section 3006: Plans for a Value-based Purchase Program for Skilled Nursing Facilities and Home Health Agencies
Section 3007: Value-based Payment Modifier Under the Physician Fee Schedule
Section 3008: Payment Adjustment for Conditions Acquired in Hospitals
Part II: National Strategy to Improve Health Care Quality
Section 3011: National Strategy
Section 3012: Interagency Working Group on Health Care Quality
Section 3013: Quality Measure Development
Section 3014: Quality Measurement
Section 3015: Data Collection; Public Reporting
Part III: Encouraging Development of New Patient Care Models
Section 3021: Establishment of Center for Medicare and Medicaid Innovation within CMS
Section 3022: Medicare Shared Savings Program
Section 3023: National Pilot Program on Payment Bundling
Section 3024: Independence at Home Demonstration Program
Section 3025: Hospital Readmissions Reduction Program
Section 3026: Community-based Care Transitions Program
Section 3027: Extension of Gainsharing Demonstration
Subtitle B: Improving Medicare for Patients and Providers
Part I: Ensuring Beneficiary Access to Physican Care and Other Services
Section 3101: Increase in the Physician Payment Update
Section 3102: Extension of the Work Geographic Index Floor and Revisions to the Practice Expense Geographic Adjustment Under the Medicare Physician Fee Schedule
Section 3103: Extension of Exceptions Process for Medicare Therapy Caps
Section 3104: Extension of Payment for Technical Component of Certain Physician Pathology Services
Section 3105: Extension of Ambulance Add-ons
Section 3106: Extension of Certain Payment Rules for Long-Term Care Hospital Services and of Moratorium on the Establishment of Certain Hospitals and Facilities
Section 3107: Extension of Physcian Fee Schedule Mental Health Add-on
Section 3108: Permitting Physician Assistants to Order Post-Hospital Extended Care Services
Section 3109: Exemption of Certain Pharmacies from Accreditation Requirements
Section 3110: Part B Special Enrollment Period for Disabled Tricare Beneficiaries
Section 3111: Payment for Bone Density Tests
Section 3112: Revision to the Medicare Improvement Fund
Section 3113: Treatment of Certain Complex Diagnostic Laboratory Tests
Section 3114: Improved Access for Certified Nurse-Midwife Services
Part II: Rural Protections
Section 3121: Extension of Outpatient Hold Harmless Provision
Section 3122: Extension of Medicare Reasonable Costs Payments for Certain Clinical Diagnostic Laboratory Tests Furnished to Hospital Patients in Certain Rural Areas
Section 3123: Extension of the Rural Community Hospital Demonstration Program
Section 3124: Extension of the Medicare-Dependent Hospital (MDH) Program
Section 3125: Temporary Improvements to the Medicare Inpatient Hospital Payment Adjustment for Low-Volume Hospitals
Section 3126: Improvements to the Demonstration Project on Community Health Integration Models in Certain Rural Counties
Section 3127: MEDPAC Study on Adequacy of Medicare Payments for Health Care Providers Serving in Rural Areas
Section 3128: Technical Correction Related to Critical Access Hospital Services
Section 3129: Extension of and Revisions to Medicare Rural Hospital Flexibility Program
Part III: Improving Payment Accuracy
Section 3131: Payment Adjustments for Home Health Care
Section 3132: Hospice Reform
Section 3133: Improvement to Medicare Disproportionate Share Hospital (DSH) Payments
Section 3134: Misvalued Codes Under the Physician Fee Schedule
Section 3135: Modification of Equipment Utiliization Factor for Advanced Imaging Services
Section 3136: Revision of Payment for Power-driven Wheelchairs
Section 3137: Hospital Wage Index Improvement
Section 3138: Treatment of Certain Cancer Hospitals
Section 3139: Payment for Biosimilar Biological Products
Section 3140: Medicare Hospice Concurrent Care Demonstration Program
Section 3141: Application of Budget Neutrality on a National Basis in the Calculation of the Medicare Hospital Wage Index Floor
Section 3142: HHS Study on Urban Medicare-Dependent Hospitals
Section 3143: Protecting Home Health Benefits
Subtitle C: Provisions Relating to Part C
Section 3201: Medicare Advantage Payment
Section 3202: Benefit Protection and Simplification
Section 3203: Application of Coding Intensity Adjustment During MA Payment Transition
Section 3204: Simplification of Annual Beneficiary Election Periods
Section 3205: Extension for Specialized MA Plans for Special Needs Individuals
Section 3206: Extension of Reasonable Cost Contracts
Section 3207: Technical Correction to MA Private Fee-for-Service Plans
Section 3208: Making Senior Housing Facility Demonstration Permanent
Section 3209: Authority to Deny Plan Bids
Section 3210: Development of New Standards for Certain Medigap Plans
Subtitle D: Medicare Part D Improvements for Prescription Drug Plans and MA-PD Plans
Section 3301: Medicare Coverage Gap Discount Program
Section 3302: Improvement in Determination of Medicare Part D Low-Income Benchmark Premium
Section 3303: Voluntary De Minimis Policy for Subsidy Eligible Individuals Under Prescription Drug Plans and MA-PD Plans
Section 3304: Special Rule for Widows and Widowers Regarding Eligibility for Low-Income Assistance
Section 3305: Improved Information for Subsidy Eligible Individuals Reassigned to Prescription Drug Plans and MA-PD Plans
Section 3306: Funding Outreach and Assistance for Low-Income Programs
Section 3307: Improving Formulary Requirements for Prescription Drug Plans and MA-PD Plans with Respect to Certain Categories or Classes of Drugs
Section 3308: Reducing Part D Premium Subsidy for High-Income Beneficiaries
Section 3309: Elminiation of Cost Sharing for Certain Dual Eligible Individuals
Section 3310: Reducing Wasteful Dispensing of Outpatient Prescription Drugs in Long-Term Care Facilities Under Presciption Drug Plans and MA-PD Plans
Section 3311: Improved Medicare Prescription Drug Plan and MA-PD Plan Complaint System
Section 3312: Uniform Exceptions and Appeals Process for Prescription Drug Plans and MA-PD Plans
Section 3313: Office of the Inspector General Studies and Reports
Section 3314: Including Costs Incurred by AIDS Drug Assistance Programs and Indian Health Service in Providing Prescription Drugs Toward the Annual Out-of-Pocket Threshold Under Part D
Section 3315: Immediate Reduction in Coverage Gap in 2010
Subtitle E: Ensuring Medicare Sustainability
Section 3401: Revision of Certain Market Basket Updates and Incorporation of Productivity Improvements into Market Basket Updates that Do Not Already Incorporate Such Improvements
Section 3402: Temporary Adjustment to the Calculation of Part B Premiums
Section 3403: Independent Medicare Advisory Board
Subtitle F: Health Care Quality Improvements
Section 3501: Health Care Delivery System Research; Quality Improvement Technical Assistance
Section 3502: Establishing Community Health Teams to Support the Patient-Centered Medical Home
Section 3503: Medication Management Services in Treatment of Chronic Disease
Section 3504: Design and Implementation of Regionalized Systems for Emergency Care
Section 3505: Trauma Care Centers and Service Availability
Section 3506: Program to Facilitate Shared Decisionmaking
Section 3507: Presentation of Prescription Drug Benefit and Risk Information
Section 3508: Demonstration Program to Integrate Quality Improvement and Patient Safety Training into Clinical Education of Health Professionals
Section 350: Improving Women's Health
Section 3510: Patient Navigator Program
Section 3511: Authorization of Appropriations
Subtitle G: Protecting and Improving Guaranteed Medicare Benefits
Section 3601: Protecting and Improving Guaranteed Medicare Benefits