[Congressional Record Volume 163, Number 126 (Wednesday, July 26, 2017)]
[Senate]
[Pages S4322-S4325]
From the Congressional Record Online through the Government Publishing Office [www.gpo.gov]

  SA 340. Mr. McCONNELL (for Mr. Daines) proposed an amendment to 
amendment SA 267 proposed by Mr. McConnell to the bill H.R. 1628, to 
provide for reconciliation pursuant to title II of the concurrent 
resolution on the budget for fiscal year 2017; as follows:

       In lieu of the matter proposed to be inserted, insert the 
     following:

     1. SHORT TITLE; TABLE OF CONTENTS.

       (a) Short Title.--This Act may be cited as the ``Expanded & 
     Improved Medicare For All Act''.
       (b) Table of Contents.--The table of contents of this Act 
     is as follows:

Sec. 1. Short title; table of contents.
Sec. 2. Definitions and terms.

                   TITLE I--ELIGIBILITY AND BENEFITS

Sec. 101. Eligibility and registration.
Sec. 102. Benefits and portability.
Sec. 103. Qualification of participating providers.
Sec. 104. Prohibition against duplicating coverage.

                           TITLE II--FINANCES

                   Subtitle A--Budgeting and Payments

Sec. 201. Budgeting process.
Sec. 202. Payment of providers and health care clinicians.
Sec. 203. Payment for long-term care.
Sec. 204. Mental health services.
Sec. 205. Payment for prescription medications, medical supplies, and 
              medically necessary assistive equipment.
Sec. 206. Consultation in establishing reimbursement levels.

                          Subtitle B--Funding

Sec. 211. Overview: funding the Medicare For All Program.
Sec. 212. Appropriations for existing programs.

                       TITLE III--ADMINISTRATION

Sec. 301. Public administration; appointment of Director.
Sec. 302. Office of Quality Control.
Sec. 303. Regional and State administration; employment of displaced 
              clerical workers.
Sec. 304. Confidential electronic patient record system.
Sec. 305. National Board of Universal Quality and Access.

                    TITLE IV--ADDITIONAL PROVISIONS

Sec. 401. Treatment of VA and IHS health programs.
Sec. 402. Public health and prevention.
Sec. 403. Reduction in health disparities.

                        TITLE V--EFFECTIVE DATE

Sec. 501. Effective date.

     SEC. 2. DEFINITIONS AND TERMS.

       In this Act:
       (1) Medicare for all program; program.--The terms 
     ``Medicare For All Program'' and ``Program'' mean the program 
     of benefits provided under this Act and, unless the context 
     otherwise requires, the Secretary with respect to functions 
     relating to carrying out such program.
       (2) National board of universal quality and access.--The 
     term ``National Board of Universal Quality and Access'' means 
     such Board established under section 305.
       (3) Regional office.--The term ``regional office'' means a 
     regional office established under section 303.
       (4) Secretary.--The term ``Secretary'' means the Secretary 
     of Health and Human Services.
       (5) Director.--The term ``Director'' means, in relation to 
     the Program, the Director appointed under section 301.

                   TITLE I--ELIGIBILITY AND BENEFITS

     SEC. 101. ELIGIBILITY AND REGISTRATION.

       (a) In General.--All individuals residing in the United 
     States (including any territory of the United States) are 
     covered under the Medicare For All Program entitling them to 
     a universal, best quality standard of care. Each such 
     individual shall receive a card with a unique number in the 
     mail. An individual's Social Security number shall not be 
     used for purposes of registration under this section.
       (b) Registration.--Individuals and families shall receive a 
     Medicare For All Program Card in the mail, after filling out 
     a Medicare For All Program application form at a health care 
     provider. Such application form shall be no more than 2 pages 
     long.
       (c) Presumption.--Individuals who present themselves for 
     covered services from a participating provider shall be 
     presumed to be eligible for benefits under this Act, but 
     shall complete an application for benefits in order to 
     receive a Medicare For All Program Card and have payment made 
     for such benefits.
       (d) Residency Criteria.--The Secretary shall promulgate a 
     rule that provides criteria for determining residency for 
     eligibility purposes under the Medicare For All Program.
       (e) Coverage for Visitors.--The Secretary shall promulgate 
     a rule regarding visitors from other countries who seek 
     premeditated non-emergency surgical procedures. Such a rule 
     should facilitate the establishment of country-to-country 
     reimbursement arrangements or self pay arrangements between 
     the visitor and the provider of care.

     SEC. 102. BENEFITS AND PORTABILITY.

       (a) In General.--The health care benefits under this Act 
     cover all medically necessary services, including at least 
     the following:
       (1) Primary care and prevention.
       (2) Approved dietary and nutritional therapies.
       (3) Inpatient care.
       (4) Outpatient care.
       (5) Emergency care.
       (6) Prescription drugs.
       (7) Durable medical equipment.
       (8) Long-term care.
       (9) Palliative care.
       (10) Mental health services.
       (11) The full scope of dental services, services, including 
     periodontics, oral surgery, and endodontics, but not 
     including cosmetic dentistry.
       (12) Substance abuse treatment services.
       (13) Chiropractic services, not including electrical 
     stimulation.
       (14) Basic vision care and vision correction (other than 
     laser vision correction for cosmetic purposes).
       (15) Hearing services, including coverage of hearing aids.
       (16) Podiatric care.
       (b) Portability.--Such benefits are available through any 
     licensed health care clinician anywhere in the United States 
     that is legally qualified to provide the benefits.

[[Page S4323]]

       (c) No Cost-Sharing.--No deductibles, copayments, 
     coinsurance, or other cost-sharing shall be imposed with 
     respect to covered benefits.

     SEC. 103. QUALIFICATION OF PARTICIPATING PROVIDERS.

       (a) Requirement To Be Public or Non-Profit.--
       (1) In general.--No institution may be a participating 
     provider unless it is a public or not-for-profit institution. 
     Private physicians, private clinics, and private health care 
     providers shall continue to operate as private entities, but 
     are prohibited from being investor owned.
       (2) Conversion of investor-owned providers.--For-profit 
     providers of care opting to participate shall be required to 
     convert to not-for-profit status.
       (3) Private delivery of care requirement.--For-profit 
     providers of care that convert to non-profit status shall 
     remain privately owned and operated entities.
       (4) Compensation for conversion.--The owners of such for-
     profit providers shall be compensated for reasonable 
     financial losses incurred as a result of the conversion from 
     for-profit to non-profit status.
       (5) Funding.--There are authorized to be appropriated from 
     the Treasury such sums as are necessary to compensate 
     investor-owned providers as provided for under paragraph (3).
       (6) Requirements.--The payments to owners of converting 
     for-profit providers shall occur during a 15-year period, 
     through the sale of U.S. Treasury Bonds. Payment for 
     conversions under paragraph (3) shall not be made for loss of 
     business profits.
       (7) Mechanism for conversion process.--The Secretary shall 
     promulgate a rule to provide a mechanism to further the 
     timely, efficient, and feasible conversion of for-profit 
     providers of care.
       (b) Quality Standards.--
       (1) In general.--Health care delivery facilities must meet 
     State quality and licensing guidelines as a condition of 
     participation under such program, including guidelines 
     regarding safe staffing and quality of care.
       (2) Licensure requirements.--Participating clinicians must 
     be licensed in their State of practice and meet the quality 
     standards for their area of care. No clinician whose license 
     is under suspension or who is under disciplinary action in 
     any State may be a participating provider.
       (c) Participation of Health Maintenance Organizations.--
       (1) In general.--Non-profit health maintenance 
     organizations that deliver care in their own facilities and 
     employ clinicians on a salaried basis may participate in the 
     program and receive global budgets or capitation payments as 
     specified in section 202.
       (2) Exclusion of certain health maintenance 
     organizations.--Other health maintenance organizations which 
     principally contract to pay for services delivered by non-
     employees shall be classified as insurance plans. Such 
     organizations shall not be participating providers, and are 
     subject to the regulations promulgated by reason of section 
     104(a) (relating to prohibition against duplicating 
     coverage).
       (d) Freedom of Choice.--Patients shall have free choice of 
     participating physicians and other clinicians, hospitals, and 
     inpatient care facilities.

     SEC. 104. PROHIBITION AGAINST DUPLICATING COVERAGE.

       (a) In General.--It is unlawful for a private health 
     insurer to sell health insurance coverage that duplicates the 
     benefits provided under this Act.
       (b) Construction.--Nothing in this Act shall be construed 
     as prohibiting the sale of health insurance coverage for any 
     additional benefits not covered by this Act, such as for 
     cosmetic surgery or other services and items that are not 
     medically necessary.

                           TITLE II--FINANCES

                   Subtitle A--Budgeting and Payments

     SEC. 201. BUDGETING PROCESS.

       (a) Establishment of Operating Budget and Capital 
     Expenditures Budget.--
       (1) In general.--To carry out this Act there are 
     established on an annual basis consistent with this title--
       (A) an operating budget, including amounts for optimal 
     physician, nurse, and other health care professional 
     staffing;
       (B) a capital expenditures budget;
       (C) reimbursement levels for providers consistent with 
     subtitle B; and
       (D) a health professional education budget, including 
     amounts for the continued funding of resident physician 
     training programs.
       (2) Regional allocation.--After Congress appropriates 
     amounts for the annual budget for the Medicare For All 
     Program, the Director shall provide the regional offices with 
     an annual funding allotment to cover the costs of each 
     region's expenditures. Such allotment shall cover global 
     budgets, reimbursements to clinicians, health professional 
     education, and capital expenditures. Regional offices may 
     receive additional funds from the national program at the 
     discretion of the Director.
       (b) Operating Budget.--The operating budget shall be used 
     for--
       (1) payment for services rendered by physicians and other 
     clinicians;
       (2) global budgets for institutional providers;
       (3) capitation payments for capitated groups; and
       (4) administration of the Program.
       (c) Capital Expenditures Budget.--The capital expenditures 
     budget shall be used for funds needed for--
       (1) the construction or renovation of health facilities; 
     and
       (2) for major equipment purchases.
       (d) Prohibition Against Co-Mingling Operations and Capital 
     Improvement Funds.--It is prohibited to use funds under this 
     Act that are earmarked--
       (1) for operations for capital expenditures; or
       (2) for capital expenditures for operations.

     SEC. 202. PAYMENT OF PROVIDERS AND HEALTH CARE CLINICIANS.

       (a) Establishing Global Budgets; Monthly Lump Sum.--
       (1) In general.--The Medicare For All Program, through its 
     regional offices, shall pay each institutional provider of 
     care, including hospitals, nursing homes, community or 
     migrant health centers, home care agencies, or other 
     institutional providers or pre-paid group practices, a 
     monthly lump sum to cover all operating expenses under a 
     global budget.
       (2) Establishment of global budgets.--The global budget of 
     a provider shall be set through negotiations between 
     providers, State directors, and regional directors, but are 
     subject to the approval of the Director. The budget shall be 
     negotiated annually, based on past expenditures, projected 
     changes in levels of services, wages and input, costs, a 
     provider's maximum capacity to provide care, and proposed new 
     and innovative programs.
       (b) Three Payment Options for Physicians and Certain Other 
     Health Professionals.--
       (1) In general.--The Program shall pay physicians, 
     dentists, doctors of osteopathy, pharmacists, psychologists, 
     chiropractors, doctors of optometry, nurse practitioners, 
     nurse midwives, physicians' assistants, and other advanced 
     practice clinicians as licensed and regulated by the States 
     by the following payment methods:
       (A) Fee for service payment under paragraph (2).
       (B) Salaried positions in institutions receiving global 
     budgets under paragraph (3).
       (C) Salaried positions within group practices or non-profit 
     health maintenance organizations receiving capitation 
     payments under paragraph (4).
       (2) Fee for service.--
       (A) In general.--The Program shall negotiate a simplified 
     fee schedule that is fair and optimal with representatives of 
     physicians and other clinicians, after close consultation 
     with the National Board of Universal Quality and Access and 
     regional and State directors. Initially, the current 
     prevailing fees or reimbursement would be the basis for the 
     fee negotiation for all professional services covered under 
     this Act.
       (B) Considerations.--In establishing such schedule, the 
     Director shall take into consideration the following:
       (i) The need for a uniform national standard.
       (ii) The goal of ensuring that physicians, clinicians, 
     pharmacists, and other medical professionals be compensated 
     at a rate which reflects their expertise and the value of 
     their services, regardless of geographic region and past fee 
     schedules.
       (C) State physician practice review boards.--The State 
     director for each State, in consultation with representatives 
     of the physician community of that State, shall establish and 
     appoint a physician practice review board to assure quality, 
     cost effectiveness, and fair reimbursements for physician 
     delivered services.
       (D) Final guidelines.--The Director shall be responsible 
     for promulgating final guidelines to all providers.
       (E) Billing.--Under this Act physicians shall submit bills 
     to the regional director on a simple form, or via computer. 
     Interest shall be paid to providers who are not reimbursed 
     within 30 days of submission.
       (F) No balance billing.--Licensed health care clinicians 
     who accept any payment from the Medicare For All Program may 
     not bill any patient for any covered service.
       (G) Uniform computer electronic billing system.--The 
     Director shall create a uniform computerized electronic 
     billing system, including those areas of the United States 
     where electronic billing is not yet established.
       (3) Salaries within institutions receiving global 
     budgets.--
       (A) In general.--In the case of an institution, such as a 
     hospital, health center, group practice, community and 
     migrant health center, or a home care agency that elects to 
     be paid a monthly global budget for the delivery of health 
     care as well as for education and prevention programs, 
     physicians and other clinicians employed by such institutions 
     shall be reimbursed through a salary included as part of such 
     a budget.
       (B) Salary ranges.--Salary ranges for health care providers 
     shall be determined in the same way as fee schedules under 
     paragraph (2).
       (4) Salaries within capitated groups.--
       (A) In general.--Health maintenance organizations, group 
     practices, and other institutions may elect to be paid 
     capitation payments to cover all outpatient, physician, and 
     medical home care provided to individuals enrolled to receive 
     benefits through the organization or entity.
       (B) Scope.--Such capitation may include the costs of 
     services of licensed physicians and other licensed, 
     independent practitioners provided to inpatients. Other costs 
     of

[[Page S4324]]

     inpatient and institutional care shall be excluded from 
     capitation payments, and shall be covered under institutions' 
     global budgets.
       (C) Prohibition of selective enrollment.--Patients shall be 
     permitted to enroll or disenroll from such organizations or 
     entities without discrimination and with appropriate notice.
       (D) Health maintenance organizations.--Under this Act--
       (i) health maintenance organizations shall be required to 
     reimburse physicians based on a salary; and
       (ii) financial incentives between such organizations and 
     physicians based on utilization are prohibited.

     SEC. 203. PAYMENT FOR LONG-TERM CARE.

       (a) Allotment for Regions.--The Program shall provide for 
     each region a single budgetary allotment to cover a full 
     array of long-term care services under this Act.
       (b) Regional Budgets.--Each region shall provide a global 
     budget to local long-term care providers for the full range 
     of needed services, including in-home, nursing home, and 
     community based care.
       (c) Basis for Budgets.--Budgets for long-term care services 
     under this section shall be based on past expenditures, 
     financial and clinical performance, utilization, and 
     projected changes in service, wages, and other related 
     factors.
       (d) Favoring Non-Institutional Care.--All efforts shall be 
     made under this Act to provide long-term care in a home- or 
     community-based setting, as opposed to institutional care.

     SEC. 204. MENTAL HEALTH SERVICES.

       (a) In General.--The Program shall provide coverage for all 
     medically necessary mental health care on the same basis as 
     the coverage for other conditions. Licensed mental health 
     clinicians shall be paid in the same manner as specified for 
     other health professionals, as provided for in section 
     202(b).
       (b) Favoring Community-Based Care.--The Medicare For All 
     Program shall cover supportive residences, occupational 
     therapy, and ongoing mental health and counseling services 
     outside the hospital for patients with serious mental 
     illness. In all cases the highest quality and most effective 
     care shall be delivered, and, for some individuals, this may 
     mean institutional care.

     SEC. 205. PAYMENT FOR PRESCRIPTION MEDICATIONS, MEDICAL 
                   SUPPLIES, AND MEDICALLY NECESSARY ASSISTIVE 
                   EQUIPMENT.

       (a) Negotiated Prices.--The prices to be paid each year 
     under this Act for covered pharmaceuticals, medical supplies, 
     and medically necessary assistive equipment shall be 
     negotiated annually by the Program.
       (b) Prescription Drug Formulary.--
       (1) In general.--The Program shall establish a prescription 
     drug formulary system, which shall encourage best-practices 
     in prescribing and discourage the use of ineffective, 
     dangerous, or excessively costly medications when better 
     alternatives are available.
       (2) Promotion of use of generics.--The formulary shall 
     promote the use of generic medications but allow the use of 
     brand-name and off-formulary medications.
       (3) Formulary updates and petition rights.--The formulary 
     shall be updated frequently and clinicians and patients may 
     petition their region or the Director to add new 
     pharmaceuticals or to remove ineffective or dangerous 
     medications from the formulary.

     SEC. 206. CONSULTATION IN ESTABLISHING REIMBURSEMENT LEVELS.

       Reimbursement levels under this subtitle shall be set after 
     close consultation with regional and State Directors and 
     after the annual meeting of National Board of Universal 
     Quality and Access.

                          Subtitle B--Funding

     SEC. 211. OVERVIEW: FUNDING THE MEDICARE FOR ALL PROGRAM.

       (a) In General.--The Medicare For All Program is to be 
     funded as provided in subsection (c)(1).
       (b) Medicare For All Trust Fund.--There shall be 
     established a Medicare For All Trust Fund in which funds 
     provided under this section are deposited and from which 
     expenditures under this Act are made.
       (c) Funding.--
       (1) In general.--There are appropriated to the Medicare For 
     All Trust Fund amounts sufficient to carry out this Act from 
     the following sources:
       (A) Existing sources of Federal Government revenues for 
     health care.
       (B) Increasing personal income taxes on the top 5 percent 
     income earners.
       (C) Instituting a modest and progressive excise tax on 
     payroll and self-employment income.
       (D) Instituting a modest tax on unearned income.
       (E) Instituting a small tax on stock and bond transactions.
       (2) System savings as a source of financing.--Funding 
     otherwise required for the Program is reduced as a result 
     of--
       (A) vastly reducing paperwork;
       (B) requiring a rational bulk procurement of medications 
     under section 205(a); and
       (C) improved access to preventive health care.
       (3) Additional annual appropriations to medicare for all 
     program.--Additional sums are authorized to be appropriated 
     annually as needed to maintain maximum quality, efficiency, 
     and access under the Program.

     SEC. 212. APPROPRIATIONS FOR EXISTING PROGRAMS.

       Notwithstanding any other provision of law, there are 
     hereby transferred and appropriated to carry out this Act, 
     amounts from the Treasury equivalent to the amounts the 
     Secretary estimates would have been appropriated and expended 
     for Federal public health care programs, including funds that 
     would have been appropriated under the Medicare program under 
     title XVIII of the Social Security Act, under the Medicaid 
     program under title XIX of such Act, and under the Children's 
     Health Insurance Program under title XXI of such Act.

                       TITLE III--ADMINISTRATION

     SEC. 301. PUBLIC ADMINISTRATION; APPOINTMENT OF DIRECTOR.

       (a) In General.--Except as otherwise specifically provided, 
     this Act shall be administered by the Secretary through a 
     Director appointed by the Secretary.
       (b) Long-Term Care.--The Director shall appoint a director 
     for long-term care who shall be responsible for 
     administration of this Act and ensuring the availability and 
     accessibility of high quality long-term care services.
       (c) Mental Health.--The Director shall appoint a director 
     for mental health who shall be responsible for administration 
     of this Act and ensuring the availability and accessibility 
     of high quality mental health services.

     SEC. 302. OFFICE OF QUALITY CONTROL.

       The Director shall appoint a director for an Office of 
     Quality Control. Such director shall, after consultation with 
     State and regional directors, provide annual recommendations 
     to Congress, the President, the Secretary, and other Program 
     officials on how to ensure the highest quality health care 
     service delivery. The director of the Office of Quality 
     Control shall conduct an annual review on the adequacy of 
     medically necessary services, and shall make recommendations 
     of any proposed changes to the Congress, the President, the 
     Secretary, and other Medicare For All Program officials.

     SEC. 303. REGIONAL AND STATE ADMINISTRATION; EMPLOYMENT OF 
                   DISPLACED CLERICAL WORKERS.

       (a) Establishment of Medicare For All Program Regional 
     Offices.--The Secretary shall establish and maintain Medicare 
     For All regional offices for the purpose of distributing 
     funds to providers of care. Whenever possible, the Secretary 
     should incorporate pre-existing Medicare infrastructure for 
     this purpose.
       (b) Appointment of Regional and State Directors.--In each 
     such regional office there shall be--
       (1) one regional director appointed by the Director; and
       (2) for each State in the region, a deputy director (in 
     this Act referred to as a ``State Director'') appointed by 
     the governor of that State.
       (c) Regional Office Duties.--Regional offices of the 
     Program shall be responsible for--
       (1) coordinating funding to health care providers and 
     physicians; and
       (2) coordinating billing and reimbursements with physicians 
     and health care providers through a State-based reimbursement 
     system.
       (d) State Director's Duties.--Each State Director shall be 
     responsible for the following duties:
       (1) Providing an annual State health care needs assessment 
     report to the National Board of Universal Quality and Access, 
     and the regional board, after a thorough examination of 
     health needs, in consultation with public health officials, 
     clinicians, patients, and patient advocates.
       (2) Health planning, including oversight of the placement 
     of new hospitals, clinics, and other health care delivery 
     facilities.
       (3) Health planning, including oversight of the purchase 
     and placement of new health equipment to ensure timely access 
     to care and to avoid duplication.
       (4) Submitting global budgets to the regional director.
       (5) Recommending changes in provider reimbursement or 
     payment for delivery of health services in the State.
       (6) Establishing a quality assurance mechanism in the State 
     in order to minimize both under utilization and over 
     utilization and to assure that all providers meet high 
     quality standards.
       (7) Reviewing program disbursements on a quarterly basis 
     and recommending needed adjustments in fee schedules needed 
     to achieve budgetary targets and assure adequate access to 
     needed care.
       (e) First Priority in Retraining and Job Placement; 2 Years 
     of Salary Parity Benefits.--The Program shall provide that 
     clerical, administrative, and billing personnel in insurance 
     companies, doctors offices, hospitals, nursing facilities, 
     and other facilities whose jobs are eliminated due to reduced 
     administration--
       (1) should have first priority in retraining and job 
     placement in the new system; and
       (2) shall be eligible to receive two years of Medicare For 
     All employment transition benefits with each year's benefit 
     equal to salary earned during the last 12 months of 
     employment, but shall not exceed $100,000 per year.
       (f) Establishment of Medicare For All Employment Transition 
     Fund.--The Secretary shall establish a trust fund from

[[Page S4325]]

     which expenditures shall be made to recipients of the 
     benefits allocated in subsection (e).
       (g) Annual Appropriations to Medicare For All Employment 
     Transition Fund.--Sums are authorized to be appropriated 
     annually as needed to fund the Medicare For All Employment 
     Transition Benefits.
       (h) Retention of Right to Unemployment Benefits.--Nothing 
     in this section shall be interpreted as a waiver of Medicare 
     For All Employment Transition benefit recipients' right to 
     receive Federal and State unemployment benefits.

     SEC. 304. CONFIDENTIAL ELECTRONIC PATIENT RECORD SYSTEM.

       (a) In General.--The Secretary shall create a standardized, 
     confidential electronic patient record system in accordance 
     with laws and regulations to maintain accurate patient 
     records and to simplify the billing process, thereby reducing 
     medical errors and bureaucracy.
       (b) Patient Option.--Notwithstanding that all billing shall 
     be preformed electronically, patients shall have the option 
     of keeping any portion of their medical records separate from 
     their electronic medical record.

     SEC. 305. NATIONAL BOARD OF UNIVERSAL QUALITY AND ACCESS.

       (a) Establishment.--
       (1) In general.--There is established a National Board of 
     Universal Quality and Access (in this section referred to as 
     the ``Board'') consisting of 15 members appointed by the 
     President, by and with the advice and consent of the Senate.
       (2) Qualifications.--The appointed members of the Board 
     shall include at least one of each of the following:
       (A) Health care professionals.
       (B) Representatives of institutional providers of health 
     care.
       (C) Representatives of health care advocacy groups.
       (D) Representatives of labor unions.
       (E) Citizen patient advocates.
       (3) Terms.--Each member shall be appointed for a term of 6 
     years, except that the President shall stagger the terms of 
     members initially appointed so that the term of no more than 
     3 members expires in any year.
       (4) Prohibition on conflicts of interest.--No member of the 
     Board shall have a financial conflict of interest with the 
     duties before the Board.
       (b) Duties.--
       (1) In general.--The Board shall meet at least twice per 
     year and shall advise the Secretary and the Director on a 
     regular basis to ensure quality, access, and affordability.
       (2) Specific issues.--The Board shall specifically address 
     the following issues:
       (A) Access to care.
       (B) Quality improvement.
       (C) Efficiency of administration.
       (D) Adequacy of budget and funding.
       (E) Appropriateness of reimbursement levels of physicians 
     and other providers.
       (F) Capital expenditure needs.
       (G) Long-term care.
       (H) Mental health and substance abuse services.
       (I) Staffing levels and working conditions in health care 
     delivery facilities.
       (3) Establishment of universal, best quality standard of 
     care.--The Board shall specifically establish a universal, 
     best quality of standard of care with respect to--
       (A) appropriate staffing levels;
       (B) appropriate medical technology;
       (C) design and scope of work in the health workplace;
       (D) best practices; and
       (E) salary level and working conditions of physicians, 
     clinicians, nurses, other medical professionals, and 
     appropriate support staff.
       (4) Twice-a-year report.--The Board shall report its 
     recommendations twice each year to the Secretary, the 
     Director, Congress, and the President.
       (c) Compensation, etc.--The following provisions of section 
     1805 of the Social Security Act shall apply to the Board in 
     the same manner as they apply to the Medicare Payment 
     Assessment Commission (except that any reference to the 
     Commission or the Comptroller General shall be treated as 
     references to the Board and the Secretary, respectively):
       (1) Subsection (c)(4) (relating to compensation of Board 
     members).
       (2) Subsection (c)(5) (relating to chairman and vice 
     chairman).
       (3) Subsection (c)(6) (relating to meetings).
       (4) Subsection (d) (relating to director and staff; experts 
     and consultants).
       (5) Subsection (e) (relating to powers).

                    TITLE IV--ADDITIONAL PROVISIONS

     SEC. 401. TREATMENT OF VA AND IHS HEALTH PROGRAMS.

       (a) VA Health Programs.--This Act provides for health 
     programs of the Department of Veterans' Affairs to initially 
     remain independent for the 10-year period that begins on the 
     date of the establishment of the Medicare For All Program. 
     After such 10-year period, the Congress shall reevaluate 
     whether such programs shall remain independent or be 
     integrated into the Medicare For All Program.
       (b) Indian Health Service Programs.--This Act provides for 
     health programs of the Indian Health Service to initially 
     remain independent for the 5-year period that begins on the 
     date of the establishment of the Medicare For All Program, 
     after which such programs shall be integrated into the 
     Medicare For All Program.

     SEC. 402. PUBLIC HEALTH AND PREVENTION.

       It is the intent of this Act that the Program at all times 
     stress the importance of good public health through the 
     prevention of diseases.

     SEC. 403. REDUCTION IN HEALTH DISPARITIES.

       It is the intent of this Act to reduce health disparities 
     by race, ethnicity, income and geographic region, and to 
     provide high quality, cost-effective, culturally appropriate 
     care to all individuals regardless of race, ethnicity, sexual 
     orientation, or language.

                        TITLE V--EFFECTIVE DATE

     SEC. 501. EFFECTIVE DATE.

       Except as otherwise specifically provided, this Act shall 
     take effect on the first day of the first year that begins 
     more than 1 year after the date of the enactment of this Act, 
     and shall apply to items and services furnished on or after 
     such date.
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