Hear The Bill
We Read...You Listen...We ALL Decide
H.R. 3590 Title VI - Transparency and Program Integrity

Frequently Asked Questions

Download PDF Version  

Title I          Title II          Title III          Title IV          Title V          Title VI          Title VII          Title VIII          Title IX
TITLE VI - TRANSPARENCY AND PROGRAM INTEGRITY

Subtitle A - Physician Ownership and Other Transparency
Sec. 6001.  Limitation on Medicare exception to the prohibition on certain physician referrals for hospitals
Recorded By:  Roger Baker

Click for Download and Artist Information
Sec. 6002.  Transparency reports and reporting of physician ownership or investment interests
Recorded By:  Scott Purvis

Click for Download and Artist Information
Sec. 6003.  Disclosure requirements for in-office ancillary services exception to the prohibition on physician self-referral for certain imaging services

Sec. 6004.  Prescription drug sample transparency

Sec. 6005.  Pharmacy benefit managers transparency requirements
Recorded By:  Steve Cotsalas

Click for Download and Artist Information
Subtitle B - Nursing Home Transparency and Improvement

PART I - IMPROVING TRANSPARENCY OF INFORMATION

Sec. 6101.  Required disclosure of ownership and additional disclosable parties information

Sec. 6102.  Accountability requirements for skilled nursing facilities and nursing facilities

Sec. 6103.  Nursing home compare Medicare website

Sec. 6104.  Reporting of expenditures

Sec. 6105.  Standardized complaint form

Sec. 6106.  Ensuring staffing accountability

Sec. 6107.  GAO study and report on Five-Star Quality Rating System
Recorded By:  George Washington III

Click for Download and Artist Information
PART II - TARGETING ENFORCEMENT
Sec. 6111.  Civil money penalties

Sec. 6112.  National independent monitor demonstration project

Sec. 6113.  Notification of facility closure

Sec. 6114.  National demonstration projects on culture change and use of information technology in nursing homes
Recorded By:  Roger Baker

Click for Download and Artist Information
PART III - IMPROVING STAFF TRAINING
Sec. 6121.  Dementia and abuse prevention training
Subtitle C- Nationwide Program for National and State Background Checks on Direct Patient Access Employees of Long-term Care Facilities and Providers
Sec. 6201.  Nationwide program for National and State background checks on direct patient access employees of long-term care facilities and providers
Recorded By:  Diane Havens

Click for Download and Artist Information
Subtitle D - Patient-Centered Outcomes Research
Sec. 6301.  Patient-Centered Outcomes Research
Recorded By:  Ron Phillips

Click for Download and Artist Information
Sec. 6301. Patient-Centered Outcomes Research (cont.)

Sec. 6302.  Federal coordinating council for comparative effectiveness research
Recorded By:  Steve Clarke

Click for Download and Artist Information
Subtitle E - Medicare, Medicaid, and CHIP Program Integrity Provisions
Sec. 6401.  Provider screening and other enrollment requirements under Medicare, Medicaid, and CHIP
Recorded By:  Barb Stanton

Click for Download and Artist Information
Sec. 6402.  Enhanced Medicare and Medicaid program integrity provisions
Recorded By:  Alicia Gum

Click for Download and Artist Information

Sec. 6403.  Elimination of duplication between the Healthcare Integrity and Protection Data Bank and the National Practitioner Data Bank
Recorded By:  Judy Fossum

Click for Download and Artist Information
Sec. 6404.  Maximum period for submission of Medicare claims reduced to not more than 12 months

Sec. 6405.  Physicians who order items or services required to be Medicare enrolled physicians or eligible professionals

Sec. 6406.  Requirement for physicians to provide documentation on referrals to programs at high risk of waste and abuse

Sec. 6407.  Face to face encounter with patient required before physicians may certify eligibility for home health services or durable medical equipment under Medicare

Sec. 6408.  Enhance penalties
Recorded By:  Brian Cook

Click for Download and Artist Information
Sec. 6409.  Medicare self-referral disclosure protocol

Sec. 6410.  Adjustments to the Medicare durable medical equipment, prosthetics, orthotics, and supplies competitive acquisition program

Sec. 6411.  Expansion of the Recovery Audit Contractor (RAC) program
Recorded By:  Joe Biedrzycki

Click for Download and Artist Information
Subtitle F - Additional Medicaid Program Integrity Provisions
Sec. 6501.  Termination of provider participation under Medicaid if terminated under Medicare or other State plan

Sec. 6502.  Medicaid exclusion from participation relating to certain ownership, control, and management affiliations

Sec. 6503.  Billing agents, clearinghouses, or other alternate payees required to register under Medicaid

Sec. 6504.  Requirement to report expanded set of data elements under MMIS to detect fraud and abuse

Sec. 6505.  Prohibition on payments to institutions or entities located outside of the United States

Sec. 6506.  Overpayments

Sec. 6507.  Mandatory State use of national correct coding initiative

Sec. 6508.  General effective date
Recorded By:  Bob Ransom

Click for Download and Artist Information
Subtitle G - Additional Program Integrity Provisions
Sec. 6601.  Prohibition on false statements and representations

Sec. 6602.  Clarifying definition

Sec. 6603.  Development of model uniform report form

Sec. 6604.  Applicability of State law to combat fraud and abuse

Sec. 6605.  Enabling the Department of Labor to issue administrative summary cease and desist orders and summary seizures orders against plans that are in financially hazardous condition

Sec. 6606.  MEWA plan registration with Department of Labor

Sec. 6607.  Permitting evidentiary privilege and confidential communications
Recorded By:  Diane de Zylva

Click for Download and Artist Information
Subtitle H - Elder Justice Act
Sec. 6701.  Short title of subtitle

Sec. 6702.  Definitions

Sec. 6703.  Elder Justice
Recorded By:  Liz de Nesnera

Click for Download and Artist Information
Sec. 6703.  Elder Justice (cont.)
Recorded By:  Sergei Burbank

Click for Download and Artist Information
Subtitle I - Sense of the Senate Regarding Medical Malpractice
Sec. 6801.  Sense of the Senate Regarding Medical Malpractice
Recorded By:  Vince Brown

Click for Download and Artist Information

To Title VII----->