AN ACTMaking continuing appropriations for fiscal year 2014, and for other purposes. Be it enacted by the Senate and House of Representatives of the United States of America in Congress assembled,

That

DIVISION A—BIPARTISAN BUDGET AGREEMENT

SECTION 1. SHORT TITLE AND TABLE OF CONTENTS. (a) [2 U.S.C. 900 note] Short Title.—This division may be cited as the “Bipartisan Budget Act of 2013”. (b) Table of Contents.—The table of contents of this division is as follows: DIVISION A—BUDGET ENFORCEMENT AND DEFICIT REDUCTION Sec. 1. Short title and table of contents. TITLE I—BUDGET ENFORCEMENT Subtitle A—Amendments to the Balanced Budget and Emergency Deficit Control Act of 1985 Sec. 101. Amendments to the Balanced Budget and Emergency Deficit Control Act of 1985. Subtitle B—Establishing a Congressional Budget Sec. 111. Fiscal year 2014 budget resolution. Sec. 112. Limitation on advance appropriations in the Senate. Sec. 113. Rule of construction in the House of Representatives. Sec. 114. Additional Senate budget enforcement. Sec. 115. Authority for fiscal year 2015 budget resolution in the House of Representatives. Sec. 116. Authority for fiscal year 2015 budget resolution in the Senate. Sec. 117. Exclusion of savings from PAYGO scorecards. Sec. 118. Exercise of rulemaking powers. Subtitle C—Technical Corrections Sec. 121. Technical corrections to the Balanced Budget and Emergency Deficit Control Act of 1985. Sec. 122. Technical corrections to the Congressional Budget Act of 1974. TITLE II—PREVENTION OF WASTE, FRAUD, AND ABUSE Sec. 201. Improving the collection of unemployment insurance overpayments. Sec. 202. Strengthening Medicaid Third-Party Liability. Sec. 203. Restriction on access to the death master file. Sec. 204. Identification of inmates requesting or receiving improper payments. TITLE III—NATURAL RESOURCES Sec. 301. Ultra-deepwater and unconventional natural gas and other petroleum resources. Sec. 302. Amendment to the Mineral Leasing Act. Sec. 303. Approval of agreement with Mexico. Sec. 304. Amendment to the Outer Continental Shelf Lands Act. Sec. 305. Federal oil and gas royalty prepayment cap. Sec. 306. Strategic Petroleum Reserve. TITLE IV—FEDERAL CIVILIAN AND MILITARY RETIREMENT Sec. 401. Increase in contributions to Federal Employees Retirement System for new employees. Sec. 402. Foreign Service Pension System. Sec. 403. Annual adjustment of retired pay and retainer pay amounts for retired members of the Armed Forces under age 62. TITLE V—HIGHER EDUCATION Sec. 501. Default reduction program. Sec. 502. Elimination of nonprofit servicing contracts. TITLE VI—TRANSPORTATION Sec. 601. Aviation security service fees. Sec. 602. Transportation cost reimbursement. Sec. 603. Sterile areas at airports. TITLE VII—MISCELLANEOUS PROVISIONS Sec. 701. Extension of customs user fees. Sec. 702. Limitation on allowable government contractor compensation costs. Sec. 703. Pension Benefit Guaranty Corporation premium rate increases. Sec. 704. Cancellation of Unobligated Balances. Sec. 705. Conservation planning technical assistance user fees. Sec. 706. Self plus one coverage. (c) [1 U.S.C. 1 note] References.—Except as expressly provided otherwise, any reference to “this Act” contained in any division of this Act shall be treated as referring only to the provisions of that division.

DIVISION B—MEDICARE AND OTHER HEALTH PROVISIONS

SEC. 1001. SHORT TITLE; TABLE OF CONTENTS. (a) [42 U.S.C. 1305 note] Short Title.—This division may be cited as the “Pathway for SGR Reform Act of 2013”. (b) Table of Contents.—The table of contents of this division is as follows: DIVISION B—MEDICARE AND OTHER HEALTH PROVISIONS Sec. 1001. Short title; table of contents. Sec. 1002. Findings; purpose statement. TITLE I—MEDICARE EXTENDERS Sec. 1101. Physician payment update. Sec. 1102. Extension of work GPCI floor. Sec. 1103. Extension of therapy cap exceptions process. Sec. 1104. Extension of ambulance add-ons. Sec. 1105. Medicare inpatient hospital payment adjustment for low-volume hospitals. Sec. 1106. Medicare-dependent hospital (MDH) program. Sec. 1107. 1-year extension of authorization for special needs plans. Sec. 1108. 1-year extension of Medicare reasonable cost contracts. Sec. 1109. Extension of existing funding for contract with consensus-based entity. Sec. 1110. Extension of funding outreach and assistance for low-income programs. TITLE II—OTHER HEALTH PROVISIONS Sec. 1201. Extension of the qualifying individual (QI) program. Sec. 1202. Temporary extension of transitional medical assistance (TMA). Sec. 1203. Extension of funding for family-to-family health information centers. Sec. 1204. Delay of reductions to Medicaid DSH allotments. Sec. 1205. Realignment of the Medicare sequester for fiscal year 2023. Sec. 1206. Payment for inpatient services in long-term care hospitals (LTCHs).

SEC. 1002. [42 U.S.C. 1395w-4 note] FINDINGS; PURPOSE STATEMENT. In order to support the provision of quality care for our nation’s seniors, Congress finds it appropriate to reform physician reimbursements under the Medicare program. SGR reform legislation provides such an opportunity, but not until next year. In order to facilitate such reform, Congress finds that the Centers for Medicare & Medicaid Services should continue to focus its efforts on the following areas: (1) Simplify and reduce administrative burden on physicians.—The application and assessment of measures and other activities under SGR reform should be facilitated by the Centers for Medicare and Medicaid Services (CMS) in a way that accounts for the administrative burden such measurement places on physicians. Therefore, the Congress encourages CMS to identify and implement, to the extent practicable, mechanisms to ensure that the application and assessment of measures be coordinated across programs. (2) Timely feedback for physicians.—In order for measure and assessment programs to encourage the highest quality care for Medicare seniors, the Congress finds it critical that CMS provide physicians with feedback on performance in as close to real time as possible. Such timely feedback will ensure that physicians can excel under a system of meaningful measurement. (3) Encourage development of new models.—There is great need to test alternatives to Fee-For-Service reimbursement in the Medicare program. One option is the promotion and adoption of new models of care for physicians. To date, there has been significant development and testing of models for primary care. Congress supports these efforts and encourages them to continue in the future. Congress also encourages the development and testing of models of specialty care.