SEC. 201. Extension of Work Gpci Floor.
Section 1848(e)(1)(E) of the Social Security Act (42 U.S.C. 1395w–4(e)(1)(E)) is amended by striking “ April 1, 2015” and inserting “ January 1, 2018”.
Title II — Medicare and Other Health Extenders
TITLE II Medicare and Other Health Extenders
Subtitle A Medicare Extenders
SEC. 202. Extension of Therapy Cap Exceptions Process.
in paragraph (5)(A), in the first sentence, by striking “ March 31, 2015” and inserting “ December 31, 2017”; and
in paragraph (6)(A)—
by striking “ March 31, 2015” and inserting “ December 31, 2017”; and
by striking “ 2012, 2013, 2014, or the first three months of 2015” and inserting “ 2012 through 2017”.
Targeted Reviews Under Manual Medical Review Process for Outpatient Therapy Services.—
in subparagraph (C)(i), by inserting “ , subject to subparagraph (E),” after “ manual medical review process that”; and
by adding at the end the following new subparagraph:
“(E)
(i) In place of the manual medical review process under subparagraph (C)(i), the Secretary shall implement a process for medical review under this subparagraph under which the Secretary shall identify and conduct medical review for services described in subparagraph (C)(i) furnished by a provider of services or supplier (in this subparagraph referred to as a ‘therapy provider’) using such factors as the Secretary determines to be appropriate.
“(ii) Such factors may include the following:
“(I) The therapy provider has had a high claims denial percentage for therapy services under this part or is less compliant with applicable requirements under this title.
“(II) The therapy provider has a pattern of billing for therapy services under this part that is aberrant compared to peers or otherwise has questionable billing practices for such services, such as billing medically unlikely units of services in a day.
“(III) The therapy provider is newly enrolled under this title or has not previously furnished therapy services under this part.
“(IV) The services are furnished to treat a type of medical condition.
“(V) The therapy provider is part of group that includes another therapy provider identified using the factors determined under this subparagraph.
“(iii) For purposes of carrying out this subparagraph, the Secretary shall provide for the transfer, from the Federal Supplementary Medical Insurance Trust Fund under section 1841, of $5,000,000 to the Centers for Medicare & Medicaid Services Program Management Account for fiscal years 2015 and 2016, to remain available until expended. Such funds may not be used by a contractor under section 1893(h) for medical reviews under this subparagraph.
“(iv) The targeted review process under this subparagraph shall not apply to services for which expenses are incurred beyond the period for which the exceptions process under subparagraph (A) is implemented.”
Effective date.— The amendments made by this subsection shall apply with respect to requests described in section 1833(g)(5)(C)(i) of the Social Security Act (42 U.S.C. 1395l(g)(5)(C)(i)) with respect to which the Secretary of Health and Human Services has not conducted medical review under such section by a date (not later than 90 days after the date of the enactment of this Act) specified by the Secretary.
SEC. 203. Extension of Ambulance Add-Ons.
Ground Ambulance.— Section 1834(l)(13)(A) of the Social Security Act (42 U.S.C. 1395m(l)(13)(A)) is amended by striking “ April 1, 2015” and inserting “ January 1, 2018” each place it appears.
Super Rural Ground Ambulance.— Section 1834(l)(12)(A) of the Social Security Act (42 U.S.C. 1395m(l)(12)(A)) is amended, in the first sentence, by striking “ April 1, 2015” and inserting “ January 1, 2018”.
SEC. 204. Extension of Increased Inpatient Hospital Payment Adjustment for Certain Low-Volume Hospitals.
Section 1886(d)(12) of the Social Security Act (42 U.S.C. 1395ww(d)(12)) is amended—
in subparagraph (B), in the matter preceding clause (i), by striking “ in fiscal year 2015 (beginning on April 1, 2015), fiscal year 2016, and subsequent fiscal years” and inserting “ in fiscal year 2018 and subsequent fiscal years”;
in subparagraph (C)(i), by striking “ fiscal years 2011 through 2014 and fiscal year 2015 (before April 1, 2015),” and inserting “ fiscal years 2011 through 2017,” each place it appears; and
in subparagraph (D), by striking “ fiscal years 2011 through 2014 and fiscal year 2015 (before April 1, 2015),” and inserting “ fiscal years 2011 through 2017,”.
SEC. 205. Extension of the Medicare-Dependent Hospital (mdh) Program.
In General.— Section 1886(d)(5)(G) of the Social Security Act (42 U.S.C. 1395ww(d)(5)(G)) is amended—
in clause (i), by striking “ April 1, 2015” and inserting “ October 1, 2017”; and
in clause (ii)(II), by striking “ April 1, 2015” and inserting “ October 1, 2017”.
Conforming Amendments.—
Extension of target amount.— Section 1886(b)(3)(D) of the Social Security Act (42 U.S.C. 1395ww(b)(3)(D)) is amended—
in the matter preceding clause (i), by striking “ April 1, 2015” and inserting “ October 1, 2017”; and
in clause (iv), by striking “ through fiscal year 2014 and the portion of fiscal year 2015 before April 1, 2015” and inserting “ through fiscal year 2017”.
Permitting hospitals to decline reclassification.— Section 13501(e)(2) of the Omnibus Budget Reconciliation Act of 1993 (42 U.S.C. 1395ww note) is amended by striking “ through the first 2 quarters of fiscal year 2015” and inserting “ through fiscal year 2017”.
SEC. 206. Extension for Specialized Medicare Advantage Plans for Special Needs Individuals.
Section 1859(f)(1) of the Social Security Act (42 U.S.C. 1395w–28(f)(1)) is amended by striking “ 2017” and inserting “ 2019”.
SEC. 207. Extension of Funding for Quality Measure Endorsement, Input, and Selection.
Section 1890(d)(2) of the Social Security Act (42 U.S.C. 1395aaa(d)(2)) is amended by striking “ and $15,000,000 for the first 6 months of fiscal year 2015” and inserting “ and $30,000,000 for each of fiscal years 2015 through 2017”.
SEC. 208. Extension of Funding Outreach and Assistance for Low-Income Programs.
Additional Funding for State Health Insurance Programs.— Subsection (a)(1)(B) of section 119 of the Medicare Improvements for Patients and Providers Act of 2008 (42 U.S.C. 1395b–3 note), as amended by section 3306 of the Patient Protection and Affordable Care Act (Public Law 111–148), section 610 of the American Taxpayer Relief Act of 2012 (Public Law 112–240), section 1110 of the Pathway for SGR Reform Act of 2013 (Public Law 113–67), and section 110 of the Protecting Access to Medicare Act of 2014 (Public Law 113–93), is amended—
in clause (iv), by striking “ and” at the end;
by striking clause (v); and
by adding at the end the following new clauses:
“(v) for fiscal year 2015, of $7,500,000;
“(vi) for fiscal year 2016, of $13,000,000; and
“(vii) for fiscal year 2017, of $13,000,000.”
Additional Funding for Area Agencies on Aging.— Subsection (b)(1)(B) of such section 119, as so amended, is amended—
in clause (iv), by striking “ and” at the end;
by striking clause (v); and
by inserting after clause (iv) the following new clauses:
“(v) for fiscal year 2015, of $7,500,000;
“(vi) for fiscal year 2016, of $7,500,000; and
“(vii) for fiscal year 2017, of $7,500,000.”
Additional Funding for Aging and Disability Resource Centers.— Subsection (c)(1)(B) of such section 119, as so amended, is amended—
in clause (iv), by striking “ and” at the end;
by striking clause (v); and
by inserting after clause (iv) the following new clauses:
“(v) for fiscal year 2015, of $5,000,000;
“(vi) for fiscal year 2016, of $5,000,000; and
“(vii) for fiscal year 2017, of $5,000,000.”
Additional Funding for Contract With the National Center for Benefits and Outreach Enrollment.— Subsection (d)(2) of such section 119, as so amended, is amended—
in clause (iv), by striking “ and” at the end;
by striking clause (v); and
by inserting after clause (iv) the following new clauses:
“(v) for fiscal year 2015, of $5,000,000;
“(vi) for fiscal year 2016, of $12,000,000; and
“(vii) for fiscal year 2017, of $12,000,000.”
SEC. 209. Extension and Transition of Reasonable Cost Reimbursement Contracts.
One-Year Transition and Notice Regarding Transition.— Section 1876(h)(5)(C) of the Social Security Act (42 U.S.C. 1395mm(h)(5)(C)) is amended—
in clause (ii), in the matter preceding subclause (I), by striking “ For any” and inserting “ Subject to clause (iv), for any”;
in clause (iii)(I), by inserting “ cost plan service” after “ With respect to any portion of the”;
in clause (iii)(II), by inserting “ cost plan service” after “ With respect to any other portion of such”; and
by adding at the end the following new clauses:
“(iv) In the case of an eligible organization that is offering a reasonable cost reimbursement contract that may no longer be extended or renewed because of the application of clause (ii), or where such contract has been extended or renewed but the eligible organization has informed the Secretary in writing not later than a date determined appropriate by the Secretary that such organization voluntarily plans not to seek renewal of the reasonable cost reimbursement contract, the following shall apply:
“(I) Notwithstanding such clause, such contract may be extended or renewed for the two years subsequent to 2016. The final year in which such contract is extended or renewed is referred to in this subsection as the ‘last reasonable cost reimbursement contract year for the contract’.
“(II) The organization may not enroll a new enrollee under such contract during the last reasonable cost reimbursement contract year for the contract (but may continue to enroll new enrollees through the end of the year immediately preceding such year) unless such enrollee is any of the following:
“(aa) An individual who chooses enrollment in the reasonable cost contract during the annual election period with respect to such last year.
“(bb) An individual whose spouse, at the time of the individual’s enrollment is an enrollee under the reasonable cost reimbursement contract.
“(cc) An individual who is covered under an employer group health plan that offers coverage through the reasonable cost reimbursement contract.
“(dd) An individual who becomes entitled to benefits under part A, or enrolled under part B, and was enrolled in a plan offered by the eligible organization immediately prior to the individual’s enrollment under the reasonable cost reimbursement contract.
“(III) Not later than a date determined appropriate by the Secretary prior to the beginning of the last reasonable cost reimbursement contract year for the contract, the organization shall provide notice to the Secretary as to whether the organization will apply to have the contract converted over, in whole or in part, and offered as a Medicare Advantage plan under part C for the year following the last reasonable cost reimbursement contract year for the contract.
“(IV) If the organization provides the notice described in subclause (III) that the contract will be converted, in whole or in part, the organization shall, not later than a date determined appropriate by the Secretary, provide the Secretary with such information as the Secretary determines appropriate in order to carry out section 1851(c)(4) and to carry out section 1854(a)(5), including subparagraph (C)(ii) of such section.
“(V) In the case that the organization enrolls a new enrollee under such contract during the last reasonable cost reimbursement contract year for the contract, the organization shall provide the individual with a notification that such year is the last year for such contract.
“(v) If an eligible organization that is offering a reasonable cost reimbursement contract that is extended or renewed pursuant to clause (iv) provides the notice described in clause (iv)(III) that the contract will be converted, in whole or in part, the following shall apply:
“(I) The deemed enrollment under section 1851(c)(4).
“(II) The special rule for quality increase under section 1853(o)(4)(C).
“(III) During the last reasonable cost reimbursement contract year for the contract and the year immediately preceding such year, the eligible organization, or the corporate parent organization of the eligible organization, shall be permitted to offer an MA plan in the area that such contract is being offered and enroll Medicare Advantage eligible individuals in such MA plan and such cost plan.”
Deemed Enrollment From Reasonable Cost Reimbursement Contracts Converted to Medicare Advantage Plans.—
in paragraph (1), by striking “ Such elections” and inserting “ Subject to paragraph (4), such elections”; and
by adding at the end the following:
“(4) Deemed enrollment relating to converted reasonable cost reimbursement contracts.—
“(A) In general.—On the first day of the annual, coordinated election period under subsection (e)(3) for plan years beginning on or after January 1, 2017, an MA eligible individual described in clause (i) or (ii) of subparagraph (B) is deemed, unless the individual elects otherwise, to have elected to receive benefits under this title through an applicable MA plan (and shall be enrolled in such plan) beginning with such plan year, if—
“(i) the individual is enrolled in a reasonable cost reimbursement contract under section 1876(h) in the previous plan year;
“(ii) such reasonable cost reimbursement contract was extended or renewed for the last reasonable cost reimbursement contract year of the contract (as described in subclause (I) of section 1876(h)(5)(C)(iv)) pursuant to such section;
“(iii) the eligible organization that is offering such reasonable cost reimbursement contract provided the notice described in subclause (III) of such section that the contract was to be converted;
“(iv) the applicable MA plan—
“(I) is the plan that was converted from the reasonable cost reimbursement contract described in clause (iii);
“(II) is offered by the same entity (or an organization affiliated with such entity that has a common ownership interest of control) that entered into such contract; and
“(III) is offered in the service area where the individual resides;
“(v) in the case of reasonable cost reimbursement contracts that provide coverage under parts A and B (and, to the extent the Secretary determines it to be feasible, contracts that provide only part B coverage), the difference between the estimated individual costs (as determined applicable by the Secretary) for the applicable MA plan and such costs for the predecessor cost plan does not exceed a threshold established by the Secretary; and
“(vi) the applicable MA plan—
“(I) provides coverage for enrollees transitioning from the converted reasonable cost reimbursement contract to such plan to maintain current providers of services and suppliers and course of treatment at the time of enrollment for a period of at least 90 days after enrollment; and
“(II) during such period, pays such providers of services and suppliers for items and services furnished to the enrollee an amount that is not less than the amount of payment applicable for such items and services under the original Medicare fee-for-service program under parts A and B.
“(B) MA eligible individuals described.—
“(i) Without prescription drug coverage.—An MA eligible individual described in this clause, with respect to a plan year, is an MA eligible individual who is enrolled in a reasonable cost reimbursement contract under section 1876(h) in the previous plan year and who is not, for such previous plan year, enrolled in a prescription drug plan under part D, including coverage under section 1860D–22.
“(ii) With prescription drug coverage.—An MA eligible individual described in this clause, with respect to a plan year, is an MA eligible individual who is enrolled in a reasonable cost reimbursement contract under section 1876(h) in the previous plan year and who, for such previous plan year, is enrolled in a prescription drug plan under part D—
“(I) through such contract; or
“(II) through a prescription drug plan, if the sponsor of such plan is the same entity (or an organization affiliated with such entity) that entered into such contract.
“(C) Applicable ma plan defined.—In this paragraph, the term ‘applicable MA plan’ means, in the case of an individual described in—
“(i) subparagraph (B)(i), an MA plan that is not an MA–PD plan; and
“(ii) subparagraph (B)(ii), an MA–PD plan.
“(D) Identification and notification of deemed individuals.—Not later than 45 days before the first day of the annual, coordinated election period under subsection (e)(3) for plan years beginning on or after January 1, 2017, the Secretary shall identify and notify the individuals who will be subject to deemed elections under subparagraph (A) on the first day of such period.”
Beneficiary option to discontinue or change ma plan or ma–pd plan after deemed enrollment.—
In general.— Section 1851(e)(2) of the Social Security Act (42 U.S.C. 1395w–21(e)(4)) is amended by adding at the end the following:
“(F) Special period for certain deemed elections.—
“(i) In general.—At any time during the period beginning after the last day of the annual, coordinated election period under paragraph (3) in which an individual is deemed to have elected to enroll in an MA plan or MA–PD plan under subsection (c)(4) and ending on the last day of February of the first plan year for which the individual is enrolled in such plan, such individual may change the election under subsection (a)(1) (including changing the MA plan or MA–PD plan in which the individual is enrolled).
“(ii) Limitation of one change.—An individual may exercise the right under clause (i) only once during the applicable period described in such clause. The limitation under this clause shall not apply to changes in elections effected during an annual, coordinated election period under paragraph (3) or during a special enrollment period under paragraph (4).”
Conforming amendments.—
Plan requirement for open enrollment.— Section 1851(e)(6)(A) of the Social Security Act (42 U.S.C. 1395w–21(e)(6)(A)) is amended by striking “ paragraph (1),” and inserting “ paragraph (1), during the period described in paragraph (2)(F),”.
in clause (ii), by adding “ and paragraph (4)” after “ paragraph (3)(A)”; and
in clause (iii) by striking “ and (E)” and inserting “ (E), and (F)”.
Treatment of esrd for deemed enrollment.— Section 1851(a)(3)(B) of the Social Security Act (42 U.S.C. 1395w–21(a)(3)(B)) is amended by adding at the end the following flush sentence: “ An individual who develops end-stage renal disease while enrolled in a reasonable cost reimbursement contract under section 1876(h) shall be treated as an MA eligible individual for purposes of applying the deemed enrollment under subsection (c)(4).”.
Information Requirements.— Section 1851(d)(2)(B) of the Social Security Act (42 U.S.C. 1395w–21(d)(2)(B)) is amended—
in the heading, by striking “ Notification to newly eligible medicare advantage eligible individuals” and inserting the following:
“(i) Notification to newly eligible medicare advantage eligible individuals.—”
; and
by adding at the end the following new clause:
“(ii) Notification related to certain deemed elections.—The Secretary shall require a Medicare Advantage organization that is offering a Medicare Advantage plan that has been converted from a reasonable cost reimbursement contract pursuant to section 1876(h)(5)(C)(iv) to mail, not later than 30 days prior to the first day of the annual, coordinated election period under subsection (e)(3) of a year, to any individual enrolled under such contract and identified by the Secretary under subsection (c)(4)(D) for such year—
“(I) a notification that such individual will, on such day, be deemed to have made an election with respect to such plan to receive benefits under this title through an MA plan or MA–PD plan (and shall be enrolled in such plan) for the next plan year under subsection (c)(4)(A), but that the individual may make a different election during the annual, coordinated election period for such year;
“(II) the information described in subparagraph (A);
“(III) a description of the differences between such MA plan or MA–PD plan and the reasonable cost reimbursement contract in which the individual was most recently enrolled with respect to benefits covered under such plans, including cost-sharing, premiums, drug coverage, and provider networks;
“(IV) information about the special period for elections under subsection (e)(2)(F); and
“(V) other information the Secretary may specify.”
Treatment of Transition Plan for Quality Rating for Payment Purposes.— Section 1853(o)(4) of the Social Security Act (42 U.S.C. 1395w–23(o)(4)) is amended by adding at the end the following new subparagraph:
“(C) Special rule for first 3 plan years for plans that were converted from a reasonable cost reimbursement contract.—For purposes of applying paragraph (1) and section 1854(b)(1)(C) for the first 3 plan years under this part in the case of an MA plan to which deemed enrollment applies under section 1851(c)(4)—
“(i) such plan shall not be treated as a new MA plan (as defined in paragraph (3)(A)(iii)(II)); and
“(ii) in determining the star rating of the plan under subparagraph (A), to the extent that Medicare Advantage data for such plan is not available for a measure used to determine such star rating, the Secretary shall use data from the period in which such plan was a reasonable cost reimbursement contract.”
SEC. 210. Extension of Home Health Rural Add-On.
Section 421(a) of the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (Public Law 108–173; 117 Stat. 2283; 42 U.S.C. 1395fff note), as amended by section 5201(b) of the Deficit Reduction Act of 2005 (Public Law 109–171; 120 Stat. 46) and by section 3131(c) of the Patient Protection and Affordable Care Act (Public Law 111–148; 124 Stat. 428), is amended by striking “ January 1, 2016” and inserting “ January 1, 2018” each place it appears.
Subtitle B Other Health Extenders
SEC. 211. Permanent Extension of the Qualifying Individual (qi) Program.
Permanent Extension.— Section 1902(a)(10)(E)(iv) of the Social Security Act (42 U.S.C. 1396a(a)(10)(E)(iv)) is amended by striking “ (but only for premiums payable with respect to months during the period beginning with January 1998, and ending with March 2015)”.
in paragraph (2)—
by striking subparagraphs (A) through (H);
in subparagraph (V), by striking “ and” at the end;
in subparagraph (W), by striking the period at the end and inserting a semicolon;
by redesignating subparagraphs (I) through (W) as subparagraphs (A) through (O), respectively; and
by adding at the end the following new subparagraphs:
“(P) for the period that begins on April 1, 2015, and ends on December 31, 2015, the total allocation amount is $535,000,000; and
“(Q) for 2016 and, subject to paragraph (4), for each subsequent year, the total allocation amount is $980,000,000.”
in paragraph (3), by striking “ (P), (R), (T), or (V)” and inserting “ or (P)”; and
by adding at the end the following new paragraph:
“(4) Adjustment to allocations.—The Secretary may increase the allocation amount under paragraph (2)(Q) for a year (beginning with 2017) up to an amount that does not exceed the product of the following:
“(A) Maximum allocation amount for previous year.—In the case of 2017, the allocation amount for 2016, or in the case of a subsequent year, the maximum allocation amount allowed under this paragraph for the previous year.
“(B) Increase in part b premium.—The monthly premium rate determined under section 1839 for the year divided by the monthly premium rate determined under such section for the previous year.
“(C) Increase in part b enrollment.—The average number of individuals (as estimated by the Chief Actuary of the Centers for Medicare & Medicaid Services in September of the previous year) to be enrolled under part B of title XVIII for months in the year divided by the average number of such individuals (as so estimated) under this subparagraph with respect to enrollments in months in the previous year.”
SEC. 212. Permanent Extension of Transitional Medical Assistance (tma).
by striking subsection (f); and
by redesignating subsection (g) as subsection (f).
Conforming Amendment.— Section 1902(e)(1) of the Social Security Act (42 U.S.C. 1396a(e)(1)) is amended to read as follows:
“(1) Beginning April 1, 1990, for provisions relating to the extension of eligibility for medical assistance for certain families who have received aid pursuant to a State plan approved under part A of title IV and have earned income, see section 1925.”
SEC. 213. Extension of Special Diabetes Program for Type I Diabetes and for Indians.
Special Diabetes Programs for Type I Diabetes.— Section 330B(b)(2)(C) of the Public Health Service Act (42 U.S.C. 254c–2(b)(2)(C)) is amended by striking “ 2015” and inserting “ 2017”.
Special Diabetes Programs for Indians.— Section 330C(c)(2)(C) of the Public Health Service Act (42 U.S.C. 254c–3(c)(2)(C)) is amended by striking “ 2015” and inserting “ 2017”.
SEC. 214. Extension of Abstinence Education.
in subsection (a), striking “ 2015” and inserting “ 2017”; and
in subsection (d), by inserting “ and an additional $75,000,000 for each of fiscal years 2016 and 2017” after “ 2015”.
Budget Scoring.— Notwithstanding section 257(b)(2) of the Balanced Budget and Emergency Deficit Control Act of 1985, the baseline shall be calculated assuming that no grant shall be made under section 510 of the Social Security Act (42 U.S.C. 710) after fiscal year 2017.
Reallocation of Unused Funding.— The remaining unobligated balances of the amount appropriated for fiscal years 2016 and 2017 by section 510(d) of the Social Security Act (42 U.S.C. 710(d)) for which no application has been received by the Funding Opportunity Announcement deadline, shall be made available to States that require the implementation of each element described in subparagraphs (A) through (H) of the definition of abstinence education in section 510(b)(2). The remaining unobligated balances shall be reallocated to such States that submit a valid application consistent with the original formula for this funding.
SEC. 215. Extension of Personal Responsibility Education Program (prep).
Section 513 of the Social Security Act (42 U.S.C. 713) is amended—
in paragraphs (1)(A) and (4)(A) of subsection (a), by striking “ 2015” and inserting “ 2017” each place it appears;
in subsection (a)(4)(B)(i), by striking “ , 2013, 2014, and 2015” and inserting “ through 2017”; and
in subsection (f), by striking “ 2015” and inserting “ 2017”.
SEC. 216. Extension of Funding for Family-To-Family Health Information Centers.
Section 501(c)(1)(A) of the Social Security Act (42 U.S.C. 701(c)(1)(A)) is amended—
by striking clause (vi); and
by adding after clause (v) the following new clause:
“(vi) $5,000,000 for each of fiscal years 2015 through 2017.”
SEC. 217. Extension of Health Workforce Demonstration Project for Low-Income Individuals.
Section 2008(c)(1) of the Social Security Act (42 U.S.C. 1397g(c)(1)) is amended by striking “ 2015” and inserting “ 2017”.
SEC. 218. Extension of Maternal, Infant, and Early Childhood Home Visiting Programs.
Section 511(j)(1) of the Social Security Act (42 U.S.C. 711(j)) is amended—
by striking “ and” at the end of subparagraph (E);
in subparagraph (F)—
by striking “ for the period beginning on October 1, 2014, and ending on March 31, 2015” and inserting “ for fiscal year 2015”;
by striking “ an amount equal to the amount provided in subparagraph (E)” and inserting “ $400,000,000”; and
by striking the period at the end and inserting a semicolon; and
by adding at the end the following new subparagraphs:
“(G) for fiscal year 2016, $400,000,000; and
“(H) for fiscal year 2017, $400,000,000.”
SEC. 219. Tennessee Dsh Allotment for Fiscal Years 2015 Through 2025.
Section 1923(f)(6)(A) of the Social Security Act (42 U.S.C. 1396r–4(f)(6)(A)) is amended by adding at the end the following:
“(vi) Allotment for fiscal years 2015 through 2025.—Notwithstanding any other provision of this subsection, any other provision of law, or the terms of the TennCare Demonstration Project in effect for the State, the DSH allotment for Tennessee for fiscal year 2015, and for each fiscal year thereafter through fiscal year 2025, shall be $53,100,000 for each such fiscal year.”
SEC. 220. Delay in Effective Date for Medicaid Amendments Relating to Beneficiary Liability Settlements.
Section 202(c) of the Bipartisan Budget Act of 2013 (division A of Public Law 113–67; 42 U.S.C. 1396a note), as amended by section 211 of the Protecting Access to Medicare Act of 2014 (Public Law 113–93; 128 Stat. 1047) is amended by striking “ October 1, 2016” and inserting “ October 1, 2017”.
SEC. 221. Extension of Funding for Community Health Centers, the National Health Service Corps, and Teaching Health Centers.
Funding for Community Health Centers and the National Health Service Corps.—
Community health centers.— Section 10503(b)(1)(E) of the Patient Protection and Affordable Care Act (42 U.S.C. 254b–2(b)(1)(E)) is amended by striking “ for fiscal year 2015” and inserting “ for each of fiscal years 2015 through 2017”.
National health service corps.— Section 10503(b)(2)(E) of the Patient Protection and Affordable Care Act (42 U.S.C. 254b–2(b)(2)(E)) is amended by striking “ for fiscal year 2015” and inserting “ for each of fiscal years 2015 through 2017”.
Extension of Teaching Health Centers Program.— Section 340H(g) of the Public Health Service Act (42 U.S.C. 256h(g)) is amended by inserting “ and $60,000,000 for each of fiscal years 2016 and 2017” before the period at the end.
Application.— Amounts appropriated pursuant to this section for fiscal year 2016 and fiscal year 2017 are subject to the requirements contained in Public Law 113–235 for funds for programs authorized under sections 330 through 340 of the Public Health Service Act (42 U.S.C. 254b–256).