Division C — Health Extenders
DIVISION C Health Extenders
TITLE I Public Health Extenders
SEC. 2102. Diabetes Programs.
SEC. 2103. Personal Responsibility Education.
SEC. 2104. Sexual Risk Avoidance Education.
SEC. 2105. Rare Pediatric Disease Priority Review Voucher Extension.
SEC. 2106. Authorization to Accumulate Excess Annual Leave.
SEC. 2107. Hhs Services and Supply Fund.
TITLE II Medicare Extenders
SEC. 2201. Extension of the Work Geographic Index Floor under the Medicare Program.
SEC. 2202. Extension of Funding for Quality Measure Endorsement, Input, and Selection.
SEC. 2203. Extension of Funding Outreach and Assistance for Low-Income Programs.
TITLE III Medicaid Extenders
SEC. 2301. Extension of Money Follows the Person Rebalancing Demonstration.
SEC. 2302. Extension of Spousal Impoverishment Protections.
SEC. 2303. Delay of Dsh Reductions.
SEC. 2304. Extension of Community Mental Health Services Demonstration Program.
TITLE IV Medicare Part B Premium Adjustment
SEC. 2401. 2021 Medicare Part B Premium and Deductible.
“(7)
(A) In applying this part (including subsection (i) and section 1833(b)), the monthly actuarial rate for enrollees age 65 and over for 2021 shall be determined to be equal to the sum of—
“(i) the monthly actuarial rate for enrollees age 65 and over for 2020; plus
“(ii) 25 percent of the difference between such rate for 2020 and the preliminary monthly actuarial rate for enrollees age 65 and over for 2021 (as estimated under subparagraph (B)).
“(B) For purposes of subparagraph (A)(ii), the Secretary shall estimate a preliminary monthly actuarial rate for enrollees age 65 and over for 2021 using the methodology described in paragraph (1) and as if subparagraph (A) of this paragraph did not apply. The Secretary shall make the estimate under the previous sentence as if the transfers described in section 1844(f)(1) have been made.”
“(e)
(1) For 2021, there shall be transferred from the General Fund to the Trust Fund an amount, as estimated by the Chief Actuary of the Centers for Medicare & Medicaid Services, equal to the reduction in aggregate premiums payable under this part for a month in such year (excluding any changes in amounts collected under section 1839(i)) that are attributable to the application of section 1839(a)(7) with respect to—
“(A) enrollees age 65 and over; and
“(B) enrollees under age 65.
“(2) Premium increases affected under section 1839(a)(6) shall not be taken into account in applying subsection (a).
“(3) There shall be transferred from the Trust Fund to the General Fund of the Treasury amounts equivalent to the additional premiums payable as a result of the application of section 1839(a)(6), excluding the aggregate payments attributable to the application of section 1839(i)(3)(A)(ii)(II).”
“(f)
(1) There shall be transferred from the General Fund of the Treasury to the Trust Fund an amount, as estimated by the Chief Actuary of the Centers for Medicare & Medicaid Services, equal to amounts paid in advance for items and services under this part during the period beginning on the first day of the emergency period described in section 1135(g)(1)(B) and ending on the date of the enactment of this paragraph.
“(2) There shall be transferred from the Trust Fund to the General Fund of the Treasury amounts equivalent to the sum of—
“(A) the amounts by which claims have offset (in whole or in part) the amount of such payments described in paragraph (1); and
“(B) the amount of such payments that have been repaid (in whole or in part).
“(3) Amounts described in paragraphs (1) and (2) shall be transferred from time to time as appropriate.”
TITLE V Accelerated and Advance Payment Programs
SEC. 2501. Modifying Accelerated and Advance Payment Programs under Parts a and B of the Medicare Program During the Covid–19 Emergency.
“(C) In the case of a payment made under the terms of the program under subsection (e)(3), including such program as expanded pursuant to this subsection, on or after the date of the enactment of the CARES Act and so made during the emergency period described in section 1135(g)(1)(B), upon request of a hospital, the Secretary shall—
“(i) provide 1 year before payments for items and services furnished by the hospital are offset to recoup payments under such program;
“(ii) provide that any such offset be an amount equal to—
“(I) during the first 11 months in which any such offsets are made with respect to payment for items and services furnished by the hospital, 25 percent of the amount of such payment for such items and services; and
“(II) during the succeeding 6 months, 50 percent of the amount of such payment for such items and services; and
“(iii) allow 29 months from the date of the first payment under such program to such provider before requiring that the outstanding balance be paid in full.”
TITLE VI Offsets
SEC. 2601. Inclusion in the Medicaid Drug Rebate Program of Covered Outpatient Drugs Used for Medication-Assisted Treatment.
“(3) Application of rebate requirements.—The requirements of section 1927 shall apply to any drug or biological product described in paragraph (1)(A) that is—
“(A) furnished as medical assistance in accordance with subsection (a)(29) and section 1902(a)(10)(A); and
“(B) a covered outpatient drug (as defined in section 1927(k), except that, in applying paragraph (2)(A) of such section to a drug described in paragraph (1)(A), such drug shall be deemed a prescribed drug for purposes of subsection (a)(12)).”
“(D) Drugs and biological products described in subsection (ee)(1)(A) of section 1905 that are furnished as medical assistance in accordance with subsection (a)(29) of such section and section 1902(a)(10)(A).”