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§§1501,

10106;
HCERA
§§1002,
1004 §3021

§5605

§3403,
§6301 10320
§6301
§8002
§1411
§4002 §5605
§5605

§8002 §5605

Homeland National Academy


Congress
Commission
§1414

Security Members

IRS
Key

§1312
§1411
CLASS Eligibility Other New of Sciences
Life on Key & Personal Staff
Congress
Special
Department Independence Assessment Grant Programs §5605 National
President §1411
Independence
Accounts Advisory System
§8002
1002 , 1003 , 1311 , 1322 ,
1561 , 2952, 2953 , 3501 -6,
3508 , 4101 , 4108 , 4201 ,
4202 , 4304 , 5102 , 5206 ,
59 Indicator System
Implementation
Indicators
§5605
Interest
Provisions
Mandate:
Only Exchange §§1312, 1411, 3311, 5605, 8002
Council
19
5208 , 5301 -5303 , 5305, 10323 , 10333 ,
§§ 3012, 3024, 3403, 4001, §8002 Coverage
5306 , 5309 , 5313 , 10408 -10 , 10413 ,

§5605
5315 , 5405 , 5507 -8, 10501 , 10503 BENEFICIARIES:

Institute
5604 , 6703 , Mu tualof Omaha (NE);
8002, 10320 §8002
Treasury
10301 Dr ug Cos; NJ Drug Cos;

State CLASS §§1401,


1421,1402,
1501,1411,
9004,1412
9005,1414,
§§1513, 10106; HCERA §1003
§5605
AARP; Libby Montanans;
Physician-Owned Hospitals;
Univ. of CT;MedigapPlans;
1 1 0 2 , 1 20 1 , 2 0 0 6 , 3 1 3 7 , 3
20 1 , 33 01 ,
§1312

§3403, 10320
6 0 0 1 , 9 0 0 1 , 9 0 1 0 , 9 0 14 , 9 0 2 3 , 1 0 2 0 1,
2, 1 0 6 0 1 ,
Longsh oreman Health Plans; 1 0 3 1 7 , 1 0 3 2 3, 1 0 3 2 4, 1 0 5 0

Independence Departmen
Medicaid: HI, LA, MA, TN, VT; 10 90 1 , 10 90 5 ; H CE R A 11 01 , 110 3 ,

§8002 11 06 , 120 3 , 14 06

Social
Medicare: CT, FL, MI, MT, ND
Protection & §8002
Personal 10105, 10901; HCERA §5605
Advocacy Fund Care Attendants t §§1401, 1402
Security Systems §8002 Workforce §§1311, 1331, 4002, Office §8002

§8002
Advisory Panel
Administration §8002 §8002
§8002 CLASS 8002, 10104 of Tax §1312

§1411
§8002 CLASS Independence
Analysis
§§1331, 10104
Program

§8002
§8002 Benefit Plan
§3403, 10320

§§3103, 10320
CLASS §8002 §8002 §1333, 10104
Comptroller
§8002
§§1331, 10104

Office of Independence §8002

§9002
General
§6703
Fund Board of §6703

Personnel §8002 Trustees


Community
National Advisory
§6703 Multi-
Disciplinary
§10407
§3311

MedPAC
§§1313, 1322
§8002 Diabetes
Management Cures
Preventive Report Card
Board on Elder
Abuse, Neglect,
Panels on
Other New
Demonstration
§2602 §2602
National Improving Long- National
Services Task National Oral Program
GAO
§3012

§§1334, 10104 Acceleration & Exploitation


§10407 Term Care Training Institute & Pilot Programs
§6301 PCORI Network Public Education Force Health Public §6703

§6703

§1331, 10104
§6703 for Federal and §§1401, 3001, 3403, 6301,

§6301
26
Campaign on
1201 , 2704 , 2705 , 2706 ,

Website Review Board §4003 Education

§8002
State Surveyors
2707 , 3023 , 3024 , 3113 ,

PCORI Board
§6301
§6301 §10409 Prevention & Health Campaign §6703
3140 , 4204 , 4206 , 5304 ,
5509 , 6112 , 6114 ,
State Vital
10105, 10320
Optional
10212 , 10221 ,

§4003
Surveyors
10315 , 10323 ,

§1341, 10104
Promotion

§§1401, 10105
§4102 Statistics
10326 , 10504 ,

of Governors
10607 §1331, 10104

§4004 Basic Health §6703

§6703
Agencies

§§1331, 10104
Elder

§3001
Program
§1302
§6301 Elder Abuse,
Office of Cures
§3012

§10407

§4004
§§1331, 10104

§10407
§6301
Neglect, &

§4102
Justice

§4004
Multi-State Acceleration CDC Exploitation §§1311, 10104

§§1311, 10104
National

§1331, 10104
§10409
Forensic Centers
Qualified Network Coordinating

§1331, 10104
National Diabetes Mortality

PCORI
§§1001, 4003, 4004, §6703

§1331, 10104
§10409 Partnership on 4102, 10407 Statistics Education
Health Plans PCORI
§1334, 10104 Prevention & Training Program Council §§9001, 10901; HCERA §1401

Methodology NIH Essential


§1333, 10104
Health §10407

§4004
§6703 §6703
§§6301, 10602
Justice Committee Promotion
§1334, 10104

§10409

§6703
§§4305, 6301,

§6703
§4004

§1313, 10104
States
Health Benefits Health
§6301 10409 §4004
Department
§4004
NAIC

§§9004, 9005; HCERA §1402


§§1311,1331,
Care Choice
§6301

§6703 1333,1341, 10104, §§1333, 1341,


Interagency Package 10407 10104
Compacts

§§1341, 10104
§6301
§6301

Working Group

§§1341, 10104
§6301 §3013
§§1001,1201, 1301, §§1333, 10104

§§1311, 10104
§§1201, 1301, 1302
on Health Care
§6301

Bronze 1302 Platinum


AHRQ
PCORI
Secretary

§10407
Other New
Quality Trust Fund
§3012, 3013, 6031 §§1333, 10104
§6703

Bureaucracies Reinsurance
§3012 §6301
PCORI
Of Health Program

§§1311, 10104

§§1311, 10104
Expert

§1411
§1302 §§1201, 1301, 1302

22
1412, 3509 , 5101 ,

And Human
§§1341, 10104
10104 , 10221,
§4001 10334 , 10413 ,

§4001
Services

§1001
Silver Gold

§1001
10501

Advisory Value-Based
§4305

National US
§3012

Panels
§1311
Insurance Design
Qualified
§4305

Prevention Prevention,
Black Lung §6301 & Coverage of Territories
Health Promotion, Surgeon Health

§3011
& Public §1323; HCERA: §1204

US Preventive Health

§4002

§4004
Benefits Act §3012 §1323; HCERA §1204

Health & Human


General
§3012
& Public Health
§1323; HCERA: §1204

§1556 Health Fund Services Plans


Preventive

§1001
§4001
§4002 Council
Labor §1001 §§1301, 1302,
§4001
Services 1311, 10104
Department
§1301
§1322

Task Force
§4002
§3011 Prevention
§§1001, 1302, 1311, 1511, 1512, §4001 Website

§§1341, 10104
1513, 6605, 10101, 10106
Interagency
§4004 §1001
§§1301, 10104 CO-OP
Advisory

§1421, 10105
Website §§1322, 10104
§1311
Privacy
Health

§§1501, 10106; HCERA §§1002, 1004


“Transparency
Hours of Service Other New Pain Research Advisory
§1322

Regulatory Coordinating Public


in Government”
Study Board

§1001
§1411
Determination Group on §1552
Insurance
§6301

Programs §1411 §1322, 10104


Committee §1411
for Calculating Prevention, Health
§6301

Employer Mandate §4305 Health


4
Promotion, and
CO-OP
1104 , 6102 , 6103

Penalty Integrative and Service

§§3403, 10320
§§1513, 10106 Public Health §§3011, 4002, 4302 §1411 Eligibility §§1322, 10104 Private
§3011

Secrtary
OfHealth
AndHuman
Services

§1411
§3011

Rules for Determinations


Government
§4302

Insurance §4001
§4001
Health HHS §1411
Purchasing
Claims Appeals Care Quality Inspector Council
Health Benefit
§3011
§1001, 10101 §3011
Website §1322
General
§4302

§§3011, 3012
§3011

§8002
Public
Health Quality &
National
National
Health Disparities
§1313, 8002,
10104
§1321
§1313, 10104
Exchanges Internet
Portal
§1311

Efficiency Measures Health Strategy Health §1313, 10104


Data Collection &
§3013

§§1201, 1301,1302, 1311, 1312, 1313,


Medicare Development & Priorities
Reporting §1561
IT Policy 1321, 1323, 1334, 1411, 1413, 10104;
Program Office Committee HCERA §1204
Part A Trust §§3013, 10304 §3013 §3011 System §1561 Small Business
Fund
§4302
Risk
§3403

§1342
Health Options
§302
§3026, 3403,
Corridors Data Program

§1334, 10104
IPAB
§1513, 10106

6301,9015 Collection §1311

§§9001, 10901; HCERA §1401


§1342
§1311
MEWA
§§3403, 10320 §1411
§3026

Medicare Health Plans


§1001, 10101

§2602
§3403, 10320 §6605

IPAB Insurance §§1301, 6605


Part B Trust Mandates

§§1513, 10106; HCERA: §1003


Consumer Fund
§3013
CMS Federal Employer

§1342

§1511
Mandatory

§1334, 10104
§§1001, 1101,

§1342
§3026 §2602

Advisory

§1341, 10104
§§9015, 10906; HCERA §1402

§§1001, 10101
§3011
17
§§3021, 10305, 10306

§§1514, 10106
Mandate: W2

§§1201, 1301
Council
§3026, 6301 Loan
Repayment Community- Actuary Coordinated 1201, 1251,
10101, Small Group Worker Auto-
Health
10103; Market Enrollment Provide Health
§§1331, 3403, 10104
Health Care
§3026

§2602
§§3403, 10320 & Forgiveness Based Care HCERA
§§1201, 1301, 1304
Insurance
§2703
Individual Market §1301, 1304, 1342 §1511

§§1311, 1413
Transitions
Programs
Program Office §1201, 1301, 1304, 1342
§2301
Insurance Disclosure

CMS

§1511
4
5203 , 5204 , 5205 ,
5311 §§1514, 10106 §§1513, 10106; §9002
§3403, 10320 §3026 §2602
Medical Center §§1201, 1301, 1304 HCERA §1003

§1512
§3403

Device
Excise Tax for Medicare §§3013, 3021, 3026, Large Group Large Employers

§1513, 10106
§§9009, 10904;
& Medicaid
3403, 10305, 10306, §2602
Medicaid Health Insurance Market §§1304, 1511, 1512, 1513,

§9002
§3021 10320 1514, 10106
HCERA
Health Home
§§3022, 10307

§§1201, 1301, 1511


Medicaid/ Companies Self-Insured
§§9009, 10904; HCERA §1405

§1405
Innovation Medicare
§§9009, 10904

§1311
§1511
Home Program
§9008; HCERA §1404

Ambulatory Skilled Nursing Part C & Part D Health Plans


Health§3006
Agencies Surgical Centers
§§3021, 10305,
10306 Non- CHIP §2703
Insurers Mandates, Regulations, Employers §1301
§2703

Facilities Title II; §§1413, 3011 §2703

§§3006, 10301
FFS §3311 Required Benefits, &
§§3006, 10310
Hospital Taxes
§§9001, 10901; HCERA §1401 §§9001, 10901; HCERA §1401

Mandates, Regulations,
§§3006, 10301

Value-Based Accountable §§9010, 10905; HCERA §1406

State
§§3006, 10301
“Cadillac
§2703

Medical Device §§3006, 10301 §§1001,


3311, 1201,
9001, 1252,
9010, 1301,10104,
10101, 1334, 10901,
1341,
& Taxes
Care

§1512
Manufacturers Purchasing §§1001, 10101
Plans” Tax §§1511, 1512, 1513, 9001, 9002, Small Employers
Organizations 10905; HCERA §§1401, 1406
Individual
Program Medicaid 10106, 10901; HCERA §§1003, 1401 §§1304, 1311, 1421, 1512,

§1511
§§9009, 10904;
Health Industry Medicai
§§9001, 10901;
Demonstra- Program 10105
HCERA §1405
Mandate:
§§3001, 10335
HCERA §1401
Hospitals tion Program §§3006, 10301 §§3022, 10307
Agencies Annual Fee Health Insurance
d Expan
§§3001, 10335
§§1311, 3001, 10335 §3001 §2701
§§9010, 10905; Subsidies: Buy Health
Secretar
§§3001, 10335
Mandates, Regulations, Public Data §§2602, 2701, 2703, §2701
Policy Holder
§3006

§2701

HCERA §1406
§§1401, 1412, 10105; HCERA §§1001, 1004

Pharmaceutical Disclosure 3011 Out-of-Pocket

§1421, 10105
§§1001, 10101
Taxes, & Payment Cuts Insurance Small

§1512
System
Companies Medicare Hospital Expenses Large Business
y Medicare
§2701

§§1311, 3001-3006, 3311, 9008, 9009, §3006, State- §§1501, 10106;


§9008; HCERA §1404 10327, 10331, 10335, 10904; HCERA §§1402, 1412; Business

§1411
Employees
Of
§3001

Health
And
Human
Servic
§§2001-2004

es
§§1402, 1412; HCERA §1001

sion:
§§1001, 10101

+16 million
§§3004, 3005

§§2001-2004
CBO Cost Estimate,
§2602

§2701

Annual Fee §§1404, 1405 Administrative Value-Based 10301 §3022, 10307


3/20/10
Specific Adult HCERA Health Savings HCERA §§1002, 1004
Health Insurance
Contractors Cuts: $528.9bn §1001 §1511, 1512
§9008; HCERA
§1404
Purchasing (includes MA cuts)
Health Quality Accounts Tax Credit
§9008; HCERA §1404 §3311 Measures

§1501
Program Medicare §§9003, 9004 §§1421,
§§1311 Title III
Title III;
§2701 10105
§2701

Hospital CBO Cost Estimate,


§§3001, 10335 §§3201, 10318; HCERA §1102
Small Business
Title III, §2602
Individuals
§2701

Compare 3/20/10
Hospice Website Medicare Employees
Programs PPS-Exempt §3001 “Excessive Misuse of 3.8% §1512 10%
Advantage

HCERA §1402
Profits”
§3007
§3004 Cancer Hospitals HSA Funds Investment Mandates, Regulations,
Cuts: $205.9bn Medicaid §§1001, 10101 §9004
Tax On
Inpatient §3005
Subsidy: Premium Income Tax & Taxes
§9003

Physician §§3201, 10318;


§1102; HCERA
CBO Cost Quality §§1311, 1411, 1501, 9003-9005, 9013,
§§9017, 10907
Indoor Tanning
HCERA §1402

Physicians Rehabilitation Long-Term Quality Physician Medicare Part D Measurement Tax Credit Services:
§3311
Estimate, 9015, 9017, 10106, 10902, 10906, 10907;
§9004

Facilities Care Hospitals Reporting Drug Program Subsidies HCERA §§1002, 1004, 1402, 1403
§3005

§§9017,
§3005

Program
§3005

3/20/10
Value-Based Medicare 10907
§§1311, 3002, 3003, 10327, 10331 §3004 §3004 System Hospital “Donut Hole” §2701 §§1401, 1412, 10105;
Prescription Drug HCERA §§1001,
§§3002, 10327,
10331
Payment Quality
and MA-PD §3301; HCERA 1004 Medicare §§9015, 10906; HCERA §1402 §9013
Reporting §1101
§§3002, 10327, 10331
Modifier HSA Payroll Tax Flexible Spending
§§3007 Program
§3004, 3005 Complaint System §3301; HCERA §1101
Use Restriction Arrangement
§§3002, 10327, 10331
§§3007
Increase: 0.9%
e Government Expanded vate New
§3311
§3311
§3004 §3311
§3007 §3004
§3004

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30
404
3
§0
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§3
§4
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§§9015, 10906; HCERA § 1402 §9005, 10902; HCERA § 1403
§9003 M
§§9005, 10902; HCERA § 1403
FSA
e O
Contribution Limit: $2,500
n
d §§9005, 10902; HCERA§1403

Patients
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§§9010, 10905; HCERA §1406


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Government with Expanded Authority/ Private Entity with New Mandates/ Regulations/ Requirements/Mandates Reporting HSA: Health SavingsAccount
Rationing Potential Mandates AGI: Adjusted Gross Income IPAB: Independent Payment AdvisoryBoard IRS: Internal Revenue Service
Responsibility Regulations/ Responsibilities Requirements AHRQ: Agency for Healthcare Research and Quality CDC: Centers for Disease Control & Prevention CHIP: Children’s Health Insurance Program MA-PD: Medicare Advantage Prescription Drug MedPAC: Medicare Payment Advisory Commission MERD: Medical Early Risk Detection
EALORS: Executive Auxiliary Linked Office Regional Systems
CLASS: Community Living Assistance Services & Supports CMS: Centers for Medicare & Medicaid Services
MEWA: Multiple Employer Welfare Arrangement
Involvement in Health Insurance Market Taxes & Monetary Fees/ Penalties/Cuts Oversight Money Flows
CO-OP: Consumer Operated & Oriented Program FFS: Fee-for-Service
NAIC: National Association of Insurance Commissioners NIH: National Institutes of Healt
Government Financial Entity with New Inflows/ FSA: Flexible Spending Arrangement GAO: Government Accountability Office
Unchanged Private Entity HCERA: Health Care & Education Reconciliation Act HHS: Health & Human Services Department
Outflows
Other Expansions Trust Fund (Rationing Potential) Consultation/Advisory/
State/Territory with Expanded Authority/ Info Sharing
Other New Trust Funds/ Monetary Benefits Special Interest Provisions
Responsibility
Represents Bundles of Additional Entities Structural Connections (Includes Existing)
Republican Senator Sam Brownback, Ranking Member
PCORI: Patient- Centered Outcomes Research
Institute PPS: Patientotection & Affordable Care Act, P
Pr.L. 111-148; Health Care & hEducation Reconciliation
Act, P.L. 111-152 Prepared by: Joint Economic Committee
Republican Staff Congressman Kevin Brady, Senior
House
§§1402, 1412; HCERA §1001