Updates

Health Care Extenders

Last extended by the Consolidated Appropriations Act of 2021

Public Health Extenders Provisions

Community Health Centers.

National Health Service Corps.

Teaching Health Centers That Operate GME Programs.

Diabetes Programs:

  • Expires September 30, 2023

Medicare Extenders

Sec. 101. Extension of the work geographic index floor under the Medicare program.

Sec. 102. Extension of funding for quality measure endorsement, input, and selection.

Sec. 103. Extension of funding outreach and assistance for low-income programs.

Sec. 104. Extension of Medicare patient IVIG access demonstration project.

Sec. 105. Extending the independence at home medical practice demonstration program under the Medicare program.

Subtitle B—Other Medicare Provisions

Sec. 111. Improving measurements under the skilled nursing facility value based purchasing program under the Medicare program.

Sec. 112. Providing the Medicare Payment Advisory Commission (MEDPAC) and Medicaid and CHIP Payment and Access Commission (MACPAC) with access to certain drug payment information, including certain rebate information.

Sec. 113. Moratorium on payment under the Medicare physician fee schedule of the add on code for inherently complex evaluation and management visits.

  • No funding was allocated to accomplish this provision. It just prevents the Secretary of Health and Human Services (HHS) from enacting the referenced provision before January 1, 2024.
  • See page 4620 of Consolidated Appropriations Act of 2021

Sec. 114. Temporary freeze of APM payment incentive thresholds.

  • No funding was allocated to accomplish this provision. It just sets terms and conditions for years 2021-2024 and a different set of terms and conditions for 2025 and later.
  • See page 4621 of Consolidated Appropriations Act of 2021 and U.S. Code for details.

Sec. 115. Permitting occupational therapists to conduct the initial assessment visit and complete the comprehensive assessment with respect to certain rehabilitation services for home health agencies under the Medicare program.

Sec. 116. Centers for Medicare & Medicaid Services provider outreach and reporting on cognitive assessment and care plan services.

  • No funding was allocated to accomplish this provision. It just directs the Secretary of HHS to carry out the title of this section.
  • See pages 4624-4625 of Consolidated Appropriations Act of 2021

Sec. 117. Continued coverage of certain temporary transitional home infusion therapy services.

Sec. 118. Transitional coverage and retroactive Medicare part D coverage for certain low-income beneficiaries.

  • No funding was allocated to accomplish this provision. It just directs the Secretary of HHS to carry out the title of this section.
  • See pages 4627-4631 of Consolidated Appropriations Act of 2021

Sec. 119. Increasing the use of real-time benefit tools to lower beneficiary costs.

  • No funding was allocated to accomplish this provision. It just directs the Secretary of HHS to carry out the title of this section.
  • See pages 4631-4635 of Consolidated Appropriations Act of 2021

Sec. 120. Beneficiary enrollment simplification.

Sec. 121. Waiving budget neutrality for oxygen under the Medicare program.

Sec. 122. Waiving Medicare coinsurance for certain colorectal cancer screening tests.

Sec. 123. Expanding access to mental health services furnished through telehealth.

  • No funding was allocated to accomplish this provision. It just enables the Secretary of HHS to carry out the title of this section via rulemaking or other regulatory means.
  • See pages 4644-4647 of Consolidated Appropriations Act of 2021

Sec. 124. Public-private partnership for health care waste, fraud, and abuse detection.

Sec. 125. Medicare payment for rural emergency hospital services

  • No funding expiration date was set. It allocates a set amount of funds to be used starting January 1, 2023 to be used until expended.
  • See pages 4654-4673 of Consolidated Appropriations Act of 2021

Sec. 126. Distribution of additional residency positions.

  • No funding was allocated to accomplish this provision. It just enables the Secretary of HHS to carry out the title of this section.
  • See pages 4673- 4684 of Consolidated Appropriations Act of 2021

Sec. 127. Promoting Rural Hospital GME Funding Opportunity.

  • No funding was allocated to accomplish this provision. It just directs the Secretary of HHS to carry out the title of this section.
  • See pages 4684- 4685 of Consolidated Appropriations Act of 2021

Sec. 128. Five-year extension of the rural community hospital demonstration program.

Sec. 129. Extension of Frontier Community Health Integration Project Demonstration.

Sec. 130. Improving rural health clinic payments.

  • No funding was allocated to accomplish this provision, but service payments were set for years 2021-2028 with subsequent years’ pricing based on a certain percentage increase.
  • See pages 4691-4694 of Consolidated Appropriations Act of 2021

Sec. 131. Medicare GME treatment of hospitals establishing new medical residency training programs after hosting medical resident rotators for short durations.

Sec. 132. Medicare payment for certain Federally qualified health center and rural health clinic services furnished to hospice patients.

Sec. 133. Delay to the implementation of the radiation oncology model under the Medicare program.

Sec. 134. Improving access to skilled nursing facility services for hemophilia patients.

Medicaid Extenders and Other Policies

Sec. 201. Eliminating DSH reductions for fiscal years 2021 through 2023.

Sec. 202. Supplemental payment reporting requirements.

Sec. 203. Medicaid shortfall and third-party payments.

Sec. 204. Extension of Money Follows the Person Rebalancing Demonstration.

Sec. 205. Extension of spousal impoverishment protections.

Sec. 206. Extension of community mental health services demonstration program.

Sec. 207. Clarifying authority of State Medicaid fraud and abuse control units to investigate and prosecute cases of Medicaid patient abuse and neglect in any setting.

Sec. 208. Medicaid coverage for citizens of Freely Associated States.

Sec. 209. Medicaid coverage of certain medical transportation.

Sec. 210. Promoting access to life-saving therapies for Medicaid enrollees by ensuring coverage of routine patient costs for items and services furnished in connection with participation in qualifying clinical trials.

Human Services Extenders

Sec. 301. Extension of TANF, childcare entitlement to States, and related programs.

  • Expires September 30, 2022
  • See pages 4744-4745 of Consolidated Appropriations Act of 2021. These provisions were extended a year past September 30, 2021, by the Consolidated Appropriations Act of 2022.

Sec. 302. Personal responsibility education extension.

Sec. 303. Sexual risk avoidance education extension.

Sec. 304. Extension of support for current health professions opportunity grants.

Sec. 305. Extension of MaryLee Allen Promoting Safe and Stable Families Program and State court support.