[Congressional Bills 119th Congress]
[From the U.S. Government Publishing Office]
[S. 891 Introduced in Senate (IS)]
<DOC>
119th CONGRESS
1st Session
S. 891
To extend expiring health provisions and improve health care delivery.
_______________________________________________________________________
IN THE SENATE OF THE UNITED STATES
March 6, 2025
Mr. Wyden (for himself and Mr. Sanders) introduced the following bill;
which was read twice and referred to the Committee on Finance
_______________________________________________________________________
A BILL
To extend expiring health provisions and improve health care delivery.
Be it enacted by the Senate and House of Representatives of the
United States of America in Congress assembled,
SECTION 1. SHORT TITLE; TABLE OF CONTENTS.
(a) Short Title.--This Act may be cited as the ``Bipartisan Health
Care Act''.
(b) Table of Contents.--The table of contents for this Act is as
follows:
Sec. 1. Short title; table of contents.
TITLE I--MEDICAID
Sec. 101. Streamlined enrollment process for eligible out-of-state
providers under Medicaid and CHIP.
Sec. 102. Making certain adjustments to coverage of home or community-
based services under Medicaid.
Sec. 103. Removing certain age restrictions on Medicaid eligibility for
working adults with disabilities.
Sec. 104. Medicaid State plan requirement for determining residency and
coverage for military families.
Sec. 105. Ensuring the reliability of address information provided
under the Medicaid program.
Sec. 106. Codifying certain Medicaid provider screening requirements
related to deceased providers.
Sec. 107. Modifying certain State requirements for ensuring deceased
individuals do not remain enrolled.
Sec. 108. One-year delay of Medicaid and CHIP requirements for health
screenings, referrals, and case management
services for eligible juveniles in public
institutions; State interim work plans.
Sec. 109. State studies and HHS report on costs of providing maternity,
labor, and delivery services.
Sec. 110. Modifying certain disproportionate share hospital allotments.
Sec. 111. Modifying certain limitations on disproportionate share
hospital payment adjustments under the
Medicaid program.
Sec. 112. Ensuring accurate payments to pharmacies under Medicaid.
Sec. 113. Preventing the use of abusive spread pricing in Medicaid.
TITLE II--MEDICARE
Sec. 201. Extension of increased inpatient hospital payment adjustment
for certain low-volume hospitals.
Sec. 202. Extension of the Medicare-dependent hospital (MDH) program.
Sec. 203. Extension of add-on payments for ambulance services.
Sec. 204. Extending incentive payments for participation in eligible
alternative payment models.
Sec. 205. Temporary payment increase under the Medicare physician fee
schedule to account for exceptional
circumstances.
Sec. 206. Extension of funding for quality measure endorsement, input,
and selection.
Sec. 207. Extension of funding outreach and assistance for low-income
programs.
Sec. 208. Extension of the work geographic index floor.
Sec. 209. Extension of certain telehealth flexibilities.
Sec. 210. Requiring modifier for use of telehealth to conduct face-to-
face encounter prior to recertification of
eligibility for hospice care.
Sec. 211. Extending acute hospital care at home waiver flexibilities.
Sec. 212. Enhancing certain program integrity requirements for DME
under Medicare.
Sec. 213. Guidance on furnishing services via telehealth to individuals
with limited English proficiency.
Sec. 214. In-home cardiopulmonary rehabilitation flexibilities.
Sec. 215. Inclusion of virtual diabetes prevention program suppliers in
MDPP Expanded Model.
Sec. 216. Medication-induced movement disorder outreach and education.
Sec. 217. Report on wearable medical devices.
Sec. 218. Extension of temporary inclusion of authorized oral antiviral
drugs as covered part D drugs.
Sec. 219. Extension of adjustment to calculation of hospice cap amount.
Sec. 220. Multiyear contracting authority for MedPAC and MACPAC.
Sec. 221. Contracting parity for MedPAC and MACPAC.
Sec. 222. Adjustments to Medicare part D cost-sharing reductions for
low-income individuals.
Sec. 223. Requiring Enhanced and Accurate Lists of (REAL) Health
Providers Act.
Sec. 224. Medicare coverage of multi-cancer early detection screening
tests.
Sec. 225. Medicare coverage of external infusion pumps and non-self-
administrable home infusion drugs.
Sec. 226. Assuring pharmacy access and choice for Medicare
beneficiaries.
Sec. 227. Modernizing and Ensuring PBM Accountability.
Sec. 228. Requiring a separate identification number and an attestation
for each off-campus outpatient department
of a provider.
Sec. 229. Medicare sequestration.
Sec. 230. Medicare improvement fund.
TITLE III--HUMAN SERVICES
Sec. 301. Sexual risk avoidance education extension.
Sec. 302. Personal responsibility education extension.
Sec. 303. Extension of funding for family-to-family health information
centers.
TITLE IV--PUBLIC HEALTH EXTENDERS
Subtitle A--Extensions
Sec. 401. Extension for community health centers, National Health
Service Corps, and teaching health centers
that operate GME programs.
Sec. 402. Extension of special diabetes programs.
Subtitle B--World Trade Center Health Program
Sec. 411. 9/11 responder and survivor health funding corrections.
TITLE V--SUPPORT ACT REAUTHORIZATION
Sec. 501. Short title.
Subtitle A--Prevention
Sec. 511. Prenatal and postnatal health.
Sec. 512. Monitoring and education regarding infections associated with
illicit drug use and other risk factors.
Sec. 513. Preventing overdoses of controlled substances.
Sec. 514. Support for individuals and families impacted by fetal
alcohol spectrum disorder.
Sec. 515. Promoting State choice in PDMP systems.
Sec. 516. First responder training program.
Sec. 517. Donald J. Cohen National Child Traumatic Stress Initiative.
Sec. 518. Protecting suicide prevention lifeline from cybersecurity
incidents.
Sec. 519. Bruce's law.
Sec. 520. Guidance on at-home drug disposal systems.
Sec. 521. Assessment of opioid drugs and actions.
Sec. 522. Grant program for State and Tribal response to opioid use
disorders.
Subtitle B--Treatment
Sec. 531. Residential treatment program for pregnant and postpartum
women.
Sec. 532. Improving access to addiction medicine providers.
Sec. 533. Mental and behavioral health education and training grants.
Sec. 534. Loan repayment program for substance use disorder treatment
workforce.
Sec. 535. Development and dissemination of model training programs for
substance use disorder patient records.
Sec. 536. Task force on best practices for trauma-informed
identification, referral, and support.
Sec. 537. Grants to enhance access to substance use disorder treatment.
Sec. 538. State guidance related to individuals with serious mental
illness and children with serious emotional
disturbance.
Sec. 539. Reviewing the scheduling of approved products containing a
combination of buprenorphine and naloxone.
Subtitle C--Recovery
Sec. 541. Building communities of recovery.
Sec. 542. Peer support technical assistance center.
Sec. 543. Comprehensive opioid recovery centers.
Sec. 544. Youth prevention and recovery.
Sec. 545. CAREER Act.
Sec. 546. Addressing economic and workforce impacts of the opioid
crisis.
Subtitle D--Miscellaneous Matters
Sec. 551. Delivery of a controlled substance by a pharmacy to a
prescribing practitioner.
Sec. 552. Technical correction on controlled substances dispensing.
Sec. 553. Required training for prescribers of controlled substances.
Sec. 554. Extension of temporary order for fentanyl-related substances.
TITLE VI--PANDEMIC AND ALL-HAZARDS PREPAREDNESS AND RESPONSE
Sec. 601. Short title.
Subtitle A--State and Local Readiness and Response
Sec. 611. Temporary reassignment of State and local personnel during a
public health emergency.
Sec. 612. Public Health Emergency Preparedness program.
Sec. 613. Hospital Preparedness Program.
Sec. 614. Facilities and capacities of the Centers for Disease Control
and Prevention to combat public health
security threats.
Sec. 615. Pilot program to support State medical stockpiles.
Sec. 616. Enhancing domestic wastewater surveillance for pathogen
detection.
Sec. 617. Reauthorization of Mosquito Abatement for Safety and Health
program.
Subtitle B--Federal Planning and Coordination
Sec. 621. All-Hazards Emergency Preparedness and Response.
Sec. 622. National Health Security Strategy.
Sec. 623. Improving development and distribution of diagnostic tests.
Sec. 624. Combating antimicrobial resistance.
Sec. 625. Strategic National Stockpile and material threats.
Sec. 626. Medical countermeasures for viral threats with pandemic
potential.
Sec. 627. Public Health Emergency Medical Countermeasures Enterprise.
Sec. 628. Fellowship and training programs.
Sec. 629. Regional biocontainment research laboratories.
Sec. 629A. Limitation related to countries of concern conducting
certain research.
Subtitle C--Addressing the Needs of All Individuals
Sec. 631. Improving access to certain programs.
Sec. 632. Supporting at-risk individuals during emergency responses.
Sec. 633. National advisory committees.
Sec. 634. National Academies study on prizes.
Subtitle D--Additional Reauthorizations
Sec. 641. Medical countermeasure priority review voucher.
Sec. 642. Epidemic Intelligence Service.
Sec. 643. Monitoring and distribution of certain medical
countermeasures.
Sec. 644. Regional health care emergency preparedness and response
systems.
Sec. 645. Emergency system for advance registration of volunteer health
professionals.
Sec. 646. Ensuring collaboration and coordination in medical
countermeasure development.
Sec. 647. Military and civilian partnership for trauma readiness.
Sec. 648. National Disaster Medical System.
Sec. 649. Volunteer Medical Reserve Corps.
Sec. 649A. Epidemiology-laboratory capacity.
TITLE VII--PUBLIC HEALTH PROGRAMS
Sec. 701. Action for dental health.
Sec. 702. PREEMIE.
Sec. 703. Preventing maternal deaths.
Sec. 704. Sickle cell disease prevention and treatment.
Sec. 705. Traumatic brain injuries.
Sec. 706. Lifespan respite care.
Sec. 707. Dr. Lorna Breen health care provider protection.
Sec. 708. SCREENS for Cancer.
Sec. 709. DeOndra Dixon INCLUDE Project.
Sec. 710. IMPROVE Initiative.
Sec. 711. Organ Procurement and Transplantation Network.
Sec. 712. Honor Our Living Donors.
Sec. 713. Program for pediatric studies of drugs.
TITLE VIII--FOOD AND DRUG ADMINISTRATION
Subtitle A--Give Kids a Chance
Sec. 801. Research into pediatric uses of drugs; additional authorities
of Food and Drug Administration regarding
molecularly targeted cancer drugs.
Sec. 802. Ensuring completion of pediatric study requirements.
Sec. 803. FDA report on PREA enforcement.
Sec. 804. Extension of authority to issue priority review vouchers to
encourage treatments for rare pediatric
diseases.
Sec. 805. Limitations on exclusive approval or licensure of orphan
drugs.
Subtitle B--United States-Abraham Accords Cooperation and Security
Sec. 811. Establishment of Abraham Accords Office within Food and Drug
Administration.
TITLE IX--LOWERING PRESCRIPTION DRUG COSTS
Sec. 901. Oversight of pharmacy benefit management services.
Sec. 902. Full rebate pass through to plan; exception for innocent plan
fiduciaries.
Sec. 903. Increasing transparency in generic drug applications.
Sec. 904. Title 35 amendments.
TITLE X--MISCELLANEOUS
Sec. 1001. Extension of safe harbor for absence of deductible for
telehealth.
TITLE I--MEDICAID
SEC. 101. STREAMLINED ENROLLMENT PROCESS FOR ELIGIBLE OUT-OF-STATE
PROVIDERS UNDER MEDICAID AND CHIP.
(a) In General.--Section 1902(kk) of the Social Security Act (42
U.S.C. 1396a(kk)) is amended by adding at the end the following new
paragraph:
``(10) Streamlined enrollment process for eligible out-of-
state providers.--
``(A) In general.--The State--
``(i) adopts and implements a process to
allow an eligible out-of-State provider to
enroll under the State plan (or a waiver of
such plan) to furnish items and services to, or
order, prescribe, refer, or certify eligibility
for items and services for, qualifying
individuals without the imposition of screening
or enrollment requirements by such State that
exceed the minimum necessary for such State to
provide payment to an eligible out-of-State
provider under such State plan (or a waiver of
such plan), such as the provider's name and
National Provider Identifier (and such other
information specified by the Secretary); and
``(ii) provides that an eligible out-of-
State provider that enrolls as a participating
provider in the State plan (or a waiver of such
plan) through such process shall be so enrolled
for a 5-year period, unless the provider is
terminated or excluded from participation
during such period.
``(B) Definitions.--In this paragraph:
``(i) Eligible out-of-state provider.--The
term `eligible out-of-State provider' means,
with respect to a State, a provider--
``(I) that is located in any other
State;
``(II) that--
``(aa) was determined by
the Secretary to have a limited
risk of fraud, waste, and abuse
for purposes of determining the
level of screening to be
conducted under section
1866(j)(2), has been so
screened under such section
1866(j)(2), and is enrolled in
the Medicare program under
title XVIII; or
``(bb) was determined by
the State agency administering
or supervising the
administration of the State
plan (or a waiver of such plan)
of such other State to have a
limited risk of fraud, waste,
and abuse for purposes of
determining the level of
screening to be conducted under
paragraph (1) of this
subsection, has been so
screened under such paragraph
(1), and is enrolled under such
State plan (or a waiver of such
plan); and
``(III) that has not been--
``(aa) excluded from
participation in any Federal
health care program pursuant to
section 1128 or 1128A;
``(bb) excluded from
participation in the State plan
(or a waiver of such plan)
pursuant to part 1002 of title
42, Code of Federal Regulations
(or any successor regulation),
or State law; or
``(cc) terminated from
participating in a Federal
health care program or the
State plan (or a waiver of such
plan) for a reason described in
paragraph (8)(A).
``(ii) Qualifying individual.--The term
`qualifying individual' means an individual
under 21 years of age who is enrolled under the
State plan (or waiver of such plan).
``(iii) State.--The term `State' means 1 of
the 50 States or the District of Columbia.''.
(b) Conforming Amendments.--
(1) Section 1902(a)(77) of the Social Security Act (42
U.S.C. 1396a(a)(77)) is amended by inserting ``enrollment,