3.0.0 2369 2023-01-15T04:48:54Z 2023-01-15T04:48:54Z Senate S S 2004-04-29 108 ssfi00 Finance Committee Senate Standing Referred to 2004-04-29T21:50:28Z 2004-04-29 ssfi00 Finance Committee Senate Read twice and referred to the Committee on Finance. IntroReferral 2004-04-29 Introduced in Senate IntroReferral 10000 9 Library of Congress L000035 Sen. Lincoln, Blanche L. [D-AR] BLANCHE LINCOLN D AR LAMBERT N B000953 Sen. Brownback, Sam [R-KS] SAM BROWNBACK R KS 2004-04-29 True B000780 Sen. Breaux, John B. [D-LA] JOHN BREAUX D LA BERLINGER 2004-04-29 True J000072 Sen. Jeffords, James M. [I-VT] JAMES JEFFORDS I VT MERRILL 2004-04-29 True Health Comprehensive health care Congress Congressional reporting requirements Cost effectiveness Economics and Public Finance Federal advisory bodies Federal aid to health facilities Geriatrics Government Operations and Politics Housing and Community Development Medicaid Medicare Nonprofit organizations Patient satisfaction Performance measurement Quality of care Rural health Social Welfare Welfare waivers Health 00 2004-04-29 Introduced in Senate 2004-06-14T20:57:01Z Community Options for Rural Elders Act of 2004 or the CORE Act of 2004 - Directs the Secretary of Health and Human Services to provide for the Administrator of Health Resources and Services to work with the Administrator of the Centers for Medicare and Medicaid Services to establish Programs for All-Inclusive Care for Elderly (PACE) providers in rural areas.

Directs the Secretary to permit a rural PACE provider applicant to adapt its PACE program to the unique requirements of eligible participants residing in rural areas and the challenges of providing services to them.

Directs the Secretary to utilize the authority provided for flexibility in exercising waiver authority under the Medicare, Medicaid, and SCHIP Benefits Improvement and Protection Act of 2000, and the regulations issued to carry it out with respect to the operations of rural PACE providers.

Requires the Secretary to waive certain requirements of titles XI, XVIII (Medicare), and XIX (Medicaid) of the Social Security Act as necessary for purposes of supporting the delivery of PACE services in rural areas. Directs the Secretary to waive the requirement that a rural PACE provider, in at least its first three years of operation, be at full financial risk, and authorizes the Secretary, upon the provider's request, to waive such requirement for subsequent years of operation if the provider is operating properly and has demonstrated a reasonable basis for not assuming full risk.

Directs the Secretary to award site development grants to rural PACE providers.

Directs the Secretary, through the Office of Rural Health Policy, to make awards to tax-exempt organizations for the purpose of establishing a technical assistance program to provide: (1) outreach and education to State agencies and provider organizations interested in establishing PACE programs in rural areas; and (2) technical assistance necessary to support providers awarded site development grants.

Requires the Secretary to establish a fund to reimburse rural PACE providers awarded a site development grant for outlier costs incurred with respect to eligible enrollees who reside in, or receive services in, a rural area.

Directs the Secretary to establish an advisory group that will review and comment on progress related to providing PACE program services in rural areas, including prospective PACE provider applications.

]]> CORE Act of 2004 Display Title CORE Act of 2004 Official Title as Introduced A bill to require the Secretary of Health and Human Services to undertake activities to ensure the provision of services under the PACE program to frail elders living in rural areas, and for other purposes. Introduced in Senate IS Short Titles as Introduced CORE Act of 2004 Short Titles as Introduced Community Options for Rural Elders Act of 2004 Introduced in Senate 2004-04-29T04:00:00Z 2004-04-29 Read twice and referred to the Committee on Finance. text/xml EN Pursuant to Title 17 Section 105 of the United States Code, this file is not subject to copyright protection and is in the public domain. Congressional Research Service, Library of Congress This file contains bill summaries and statuses for federal legislation. A bill summary describes the most significant provisions of a piece of legislation and details the effects the legislative text may have on current law and federal programs. Bill summaries are authored by the Congressional Research Service (CRS) of the Library of Congress. As stated in Public Law 91-510 (2 USC 166 (d)(6)), one of the duties of CRS is "to prepare summaries and digests of bills and resolutions of a public general nature introduced in the Senate or House of Representatives". For more information, refer to the User Guide that accompanies this file.