PATIENT PROTECTION AND AFFORDABLE CARE ACT

Addresses

Health Care Reform: Edward M. Kennedy, S13302-S13306 [16DE]

Amendments

Enact (H.R. 3590), S11607 [19NO], S11886 [20NO], S11973 [21NO], S11987, S12013, S12015 [30NO], S12072, S12073, S12087 [1DE], S12152, S12164, S12165, S12166, S12167, S12168, S12169, S12170, S12171, S12172, S12250, S12251, S12252, S12253, S12254, S12255, S12256, S12257, S12258 [2DE], S12276, S12278, S12304, S12334, S12335, S12337, S12340, S12341, S12342, S12343, S12344, S12345, S12346, S12349 [3DE], S12389, S12391, S12397, S12416, S12418, S12419, S12420, S12421, S12422, S12423, S12424, S12425, S12426, S12427, S12428, S12429, S12430, S12431, S12432, S12433 [4DE], S12495, S12496, S12517, S12518, S12519, S12520, S12521 [5DE], S12544, S12552, S12553, S12555, S12556, S12561 [6DE], S12600, S12621, S12622, S12623, S12624, S12626, S12627, S12628, S12629, S12630, S12631, S12632, S12633, S12634, S12635, S12636, S12637, S12638, S12639, S12640, S12641, S12644, S12645 [7DE], S12715, S12716, S12717, S12718, S12719, S12720, S12721, S12722, S12723, S12724, S12725, S12726, S12727, S12728, S12734, S12738, S12739, S12740, S12741 [8DE], S12768, S12819, S12820, S12821, S12822, S12823, S12825, S12826, S12827, S12828, S12829, S12830, S12831, S12832 [9DE], S12914, S12916, S12917, S12922, S12923, S12924, S12925, S12926, S12931, S12934, S12935, S12936, S12937, S12939, S12940, S12943, S12944, S12947, S12961, S12964, S12967, S12968 [10DE], S13039, S13040, S13041, S13042, S13043, S13047, S13048, S13049, S13059 [11DE], S13096, S13100 [12DE], S13193, S13194, S13195, S13198, S13199, S13200, S13201 [14DE], S13205, S13255, S13259, S13260, S13261, S13263, S13265, S13266, S13268, S13273, S13274 [15DE], S13326, S13327, S13330, S13334, S13337, S13338, S13340 [16DE], S13395, S13396, S13397, S13399 [17DE], S13464, S13465, S13466, S13467 [18DE], S13478, S13490, S13529 [19DE], S13628, S13631, S13632, S13633 [20DE], S13716, S13791, S13792 [22DE], S14139 [24DE]

Analyses

Prohibit Federal Funding of Abortions Under Any National Health Care Plan: George Washington University School of Public Health and Health Services, S12673 [8DE]

Provisions (H.R. 3590): CBO's Key Caveats on Price Tag of Reid Amendment, S13483 [19DE]

Articles and editorials

AARP—Reform Advocate and Insurance Salesman, S12054 [1DE]

Are Republicans Serious About Fixing Health Care?, S13877 [23DE]

Champion of Health Comforts His Fellow Patients, S13301 [16DE]

Change Nobody Believes In, S13726 [22DE]

Coming Deficit Disaster, S12585 [7DE]

Constitutionality of Healthcare, S13753, S13766 [22DE]

Cost Conundrum (excerpt), S13581 [20DE]

Crazy Math of Health-Care Reform, S12394 [4DE]

Danger of Success, S13615 [20DE]

Democratic Fratricide, S13615 [20DE]

Democrats' Blues Grow Deeper in New Poll, S13347 [17DE]

Democrats Find Rallying Points on Health Reform, but Splinters Remain, S12902 [10DE]

Doctors and Patients, Not Feds, Know Best, S13772, S13774 [22DE]

Fewer Taxpayers Are Penalized for Not Having Health Coverage, S12860 [10DE]

Flawed Aid for Long-Term Care—A Piece of Health Reform With Too Much Financial Risk, S14124 [24DE]

For Sale—One Senator (D-Neb.); No Principles, Low Price, S13827 [23DE]

Hardest Call, S13673 [21DE]

Health Gap Kills 3,200 Black Chicagoans Every Year, S13420 [18DE]

Health Reform Could Harm Medicaid Patients—A Vast Expansion of the Program Will Impose Unsustainable Costs on Treatment Centers, S12749 [9DE]

Health ``Reform'' Gets a Failing Grade, S11962 [21NO]

Health-Care Nation, S12572 [7DE]

Illegal Health Reform, S13724 [22DE]

Indispensable Dispenser Opens Up, S13683 [21DE]

Labor Cites JCT Analysis To Argue Against Cadillac Tax, S13590 [20DE]

Louisiana Purchase and Omaha Stakes, S13758 [22DE]

Malpractice Relief, S13775 [22DE]

Mandatory Insurance Is Unconstitutional, S13724 [22DE]

Medicare Expansion Won't Get Us There—Proposal Would Not Increase Access to Health Care Services or Control Costs, S12854 [10DE]

Medicare Part D `Reforms' Will Harm Seniors, S12469 [5DE]

Medicare Sausage?—The Emerging Buy-In Proposal Could Have Costly Unintended Consequences, S12853, S12868 [10DE]

Moment Ted Kennedy Would Not Want To Lose, S13480 [19DE], S13608 [20DE]

More Talk, Less Support, S13616 [20DE]

ObamaCare at Any Cost, S12266 [3DE]

ObamaCare's Longshoremen Rules, S13813 [23DE]

Obama's False Medicare Claim, S12103 [2DE], S12493 [5DE]

One Is the Loneliest Number for President Obama, S13683 [21DE]

Reform or Else, S12359 [4DE]

Reform That Falls Short, S13615 [20DE]

Reid Compares Opponents of Health Care Reform to Supporters of Slavery, S12606 [7DE]

Senate Bill Fails Small Business, S11868 [20NO]

Senate Health Bill Unfair to Construction Industry—NAHB, S13814 [23DE]

Senator Nelson Wins Tax Carve-Out for Mutual of Omaha in Health Bill, S13592 [20DE]

Snow Jobs, S13813 [23DE]

Specific Plan of Action—Lowering Health Care Costs, S13124 [12DE]

State Ends Subsidy for Mammograms to Low-Income Women Under 50, S12586, S12605 [7DE]

Support for Health Overhaul Wanes, S13347 [17DE]

To Pay for Health Care, Obama Looks to Taxes on Affluent, S12766 [9DE]

White House & Big Pharma—What's the Deal?, S12507 [5DE]

White House Affirms Deal on Drug Cost, S12753 [9DE]

Why the Personal Mandate To Buy Health Insurance Is Unprecedented and Unconstitutional, S13725 [22DE]

———(excerpt), S13015 [11DE]

Will the Reid Health Bill Really Reduce the Deficit?—CBO Says That This Bill Will Reduce the Deficit, S13482 [19DE]

Yes, It's All About Him, S14124 [24DE]

Cloture motions

Enact (H.R. 3590), S13477, S13478 [19DE], S13646 [21DE], S13716 [22DE], S13834 [23DE]

———motion to commit, S13132 [13DE]

———motion to proceed, S11578 [19NO], S11967 [21NO], S13376 [17DE]

Descriptions

60 Plus Association: Wikipedia.org (Internet site), S12290 [3DE]

E-mails

National policy to provide health care and reform insurance procedures, S13674-S13676 [21DE]

Letters

Allow employers to provide a free choice voucher to employees to purchase any plan under the health insurance exchange: Susan Eckerly, National Federation of Independent Business, S12996 [11DE]

Community Living Assistance Services and Supports (CLASS) program funding: several Senators, S12389, S12394 [4DE], S13566 [20DE]

Compliance with Senate rule on definition of congressionally directed spending items: Senator Ben Nelson, S13855 [23DE]

Constitutionality of mandate requiring U.S. citizens to have health insurance: Carroll G. Robinson and Michael O. Adams, S13016 [11DE]

Construction industry exclusion from small business exemption from providing minimum health insurance standards to employees: several construction industry organizations, S13775 [22DE], S13814 [23DE]

Dept. of HHS medical insurance rate authority establishment to monitor premium costs and require insurance companies to submit justifications and explanations for premium increases: several California organizations, S13755 [22DE]

Ensure children benefit from any health care insurance reform: several national organizations, S12861 [10DE]

Impact of proposed Medicare funding cuts and buy-in option on States: Janice K. Brewer, Governor of Arizona, S13153 [14DE]

Importation of prescription drugs: Margaret A. Hamburg, FDA, S12778 [9DE], S13227 [15DE]

Medicare Advantage program funding: several Senators, S12385 [4DE]

Medicare funding cuts: Addison B. Rand, Alliance for Retired Americans, S12289 [3DE]

———Barbara B. Kennelly, National Committee To Preserve Social Security and Medicare, S12041, S12050 [1DE], S12290 [3DE]

———Barbara J. Easterling, Ruben Burks, and Edward F. Coyle, Alliance for Retired Americans, S12289 [3DE]

———several Hispanic organizations, S12043 [1DE]

Medicare home health services cuts: Jane Kelly, Kansas Heine Care Association, S12482 [5DE]

———Judy Adams, Georgia Association for Home Health Agencies, Inc., S12468 [5DE]

———Mari Irelan, Home Health Care Alliance of Wyoming, S12484, S12495 [5DE]

———Mark Wheeler, Iowa Alliance in Home Care, S12406 [4DE]

———several Senators (2007), S12407 [4DE]

———Val J. Halamandaris, National Association for Home Care & Hospice, S12406 [4DE]

Prohibit Federal funding of abortions under any national health care plan: Cindy O'Leary, HOPE Center (organization), S13567 [20DE]

———Sadie Fields, Georgia Christian Alliance, S13567 [20DE]

———several religious organizations, S12675 [8DE], S13567 [20DE]

———several Utah citizens, S12678 [8DE]

———William F. Murray, Daniel DiNardo, and John Wester, U.S. Conference of Catholic Bishops, S11929 [21NO]

Prohibit reduction of guaranteed Medicare benefits and extend solvency, reduce premiums, expand benefits, and protect access to providers: Barbara B. Kennelly, National Committee To Preserve Social Security and Medicare, S12289 [3DE]

Provisions: Diann Howland and William Samuel, AFL-CIO, S13081 [12DE]

———Kim Holland, Oklahoma Insurance Dept., S12543 [6DE]

———Lorne Bretz, Anchorage, AK, Police & Fire Retiree Medical Trust, S13773 [22DE]

———Senator Gregg, S12263 [3DE]

———several economists, S13581 [20DE]

———several Palm Beach Cardiovascular Clinic physicians, S13606 [20DE]

———several Senators, S13001 [11DE]

———several State and National medical associations and societies, S13562 [20DE]

———several State and national speciality medical societies, S12857 [10DE]

———several surgeon and anethesiologist organizations, S12857 [10DE]

———Small Business Coalition for Affordable Healthcare, S12975 [11DE]

———Susan Eckerly, National Federation of Independent Business, S12866-S12868 [10DE]

———Thomas A. Barthold, Committee on Taxation (Joint), S13023-S13025 [11DE]

———Thomas A. Schatz, Council for Citizens Against Government Waste, S12039 [1DE]

Require that amendments and CBO scoring of health care reform legislation be available on the Internet for a certain period as the legislation proceeds: several Senators, S13440 [18DE]

U.S. Preventive Services Task Force recommendations on breast self-exams and mammograms: Gerald F. Joseph, American College of Obstetricians and Gynecologists, H14867 [14DE]

Lists

Committee on Finance (Senate) staff members granted the privileges of the floor during consideration of motion to proceed to H.R. 3590, provisions, S11887 [20NO]

Congressional and executive branch staff working on H.R. 3590, provisions, S11966 [21NO]

National organizations supporting a single-payer health care system, S13291 [16DE]

Organizations supporting Community Living Assistance Services and Supports (CLASS) program provisions of H.R. 3590, provisions, S12381 [4DE]

Physician organizations opposing H.R. 3590, provisions, S12857 [10DE]

Sec. of the Senate staff who read aloud the manager's amendment to H.R. 3590, provisions, S13646 [21DE]

Senate and Obama administration staff who worked on H.R. 3590, provisions, S13781 [22DE]

State organizations supporting a single-payer health care system, S13291 [16DE]

Memorandums

Constitutionality of Mandate Requiring U.S. Citizens To Have Health Insurance: Conservative Action Project (organization), S13728 [22DE]

Definition of Term ``Congressional Staff'': Ida Brudnick and Todd B. Tatelman, Congressional Research Service, S13804 [23DE]

Patient Protection and Affordable Care Act Estimated Effects on Medicare Trust Fund, Premiums, and Coinsurance Amounts: Richard S. Foster, Centers for Medicare & Medicaid Services, S13827 [23DE]

Prohibit Federal Funding of Abortions Under Any National Health Care Plan: Jon O. Shimabukuro, Congressional Research Service, S12672 [8DE]

Public and Private Expenditures for Health Care: Thomas L. Hungerford, Congressional Research Service, S12480 [5DE]

Motions

Enact (H.R. 3590), S11578 [19NO], S11997 [30NO], S12306 [3DE], S12397 [4DE], S12603 [7DE], S12683, S12685 [8DE], S13239 [15DE], S13295 [16DE], S13376 [17DE], S13478 [19DE], S13792 [22DE], S13804, S13810, S13833 [23DE]

Poems

``Twas the Night Before Christmas and All Through the Senate,'' Senator Burris, S13721 [22DE]

Press releases

Alaska Physicians' Group—Senator Erred on Tort Reform: Alaska State Medical Association, S13775 [22DE]

MAG in Group Representing 92,000 Doctors Opposing Senate Health Bill: Medical Association of Georgia, S13562 [20DE]

Remarks in House

Health: constitutionality of mandate requiring U.S. citizens to have health insurance, H14814, H14816 [11DE]

———prohibit Federal funding of abortions under any national health care plan, H14874 [14DE]

U.S. Preventive Services Task Force: recommendations on breast self-exams and mammograms, H14862-H14867 [14DE], H14952 [15DE]

Remarks in Senate

Alaska: impact of health insurance premium rates, S13772 [22DE]

Budget: deficit, S11855 [20NO], S11912-S11918, S11955, S11958, S11960 [21NO], S11996 [30NO], S12033-S12036, S12060 [1DE], S12577-S12580 [7DE], S12862, S12879 [10DE], S13164 [14DE], S13482 [19DE], S13827-S13829 [23DE]

———ensure that Social Security trust fund and Community Living Assistance Services and Supports (CLASS) program revenues be reserved for their intended purposes, S11985, S11986, S11990 [30NO], S12301-S12305, S12313-S12317 [3DE], S12360, S12375, S12379-S12383, S12386-S12388 [4DE]

Business and industry: limit corporate income tax deduction for health insurance company executive salaries to same amount as salary of the President of the U.S., S12463, S12464, S12467, S12470-S12474, S12477-S12479, S12481, S12483, S12504-S12507 [5DE], S12540 [6DE]

Centers for Medicare & Medicaid Services: actuarial report on impact of H.R. 3590, provisions, on Medicare and Medicaid programs, S13088-S13092 [12DE]

———delay implementation until Office of the Actuary certifies that legislation will control health care costs, S13561 [20DE]

———establish a Center for Medicare & Medicaid Innovation, S11888 [20NO]

———extend the Rural Community Hospital Demonstration Program, S12655 [8DE]

Children and youth: ensure children benefit from any health care insurance reform, S12695 [8DE], S12860, S12861 [10DE], S12980 [11DE], S13092 [12DE]

Committee on the Budget (Senate): appropriations allocation revisions to S. Con. Res. 13, setting forth the Federal budget for 2009-2014, S11971 [21NO], S12066 [1DE], S13751 [22DE]

Congress: importance of bipartisanship, S11890 [20NO]

Dept. of HHS: establish a medical insurance rate authority to monitor premium costs and require insurance companies to submit justifications and explanations for premium increases, S13754 [22DE]

———establish an online database of enrollee satisfaction information relative to health plans offered through the health insurance exchange, S12570, S12592, S12596, S12597, S12599 [7DE]

———establish Office of the Deputy Sec. for Health Care Fraud Prevention, S13768, S13769 [22DE]

———National Health Service Corps program funding, S13653-S13655 [21DE]

Disabled: help individuals with functional impairments to pay for services and supports needed to maximize independence and choices about community participation, education, and employment, S11847 [20NO], S11936, S11938, S11959 [21NO]

Drugs: cost to produce drugs and devices that provide alternatives to surgery, S11838 [20NO]

Employment: definition of ``full time'' employment, S13849, S13850 [23DE]

Enact (H.R. 3590), S11967-S11969 [21NO], S11979-S12005 [30NO], S12019-S12031, S12033-S12066, S12090-S12092 [1DE], S12093-S12152 [2DE], S12261-S12317 [3DE], S12355, S12379-S12408 [4DE], S12461-S12516 [5DE], S12523-S12552 [6DE], S12563-S12613 [7DE], S12648-S12699 [8DE], S12744-S12799 [9DE], S12836-S12839, S12841-S12887, S12890-S12896, S12901-S12904 [10DE], S12972-S12978, S12980-S12984, S12987, S12988, S12990-S13026, S13028, S13063 [11DE], S13069, S13073, S13078-S13083, S13086-S13096, S13114-S13118, S13120-S13124 [12DE], S13126, S13131-S13141 [13DE], S13144-S13154, S13156-S13178, S13181-S13183 [14DE], S13204-S13242 [15DE], S13278-S13280, S13283, S13286, S13300-S13307, S13309, S13311-S13314 [16DE], S13344-S13358, S13360-S13370, S13374-S13376 [17DE], S13402-S13406, S13411-S13414, S13418-S13422, S13424, S13429, S13432-S13440, S13442-S13455 [18DE], S13472-S13474, S13477-S13489 [19DE], S13558-S13628 [20DE], S13640-S13695, S13706-S13709 [21DE], S13714-S13782 [22DE], S13796-S13801, S13803-S13866, S13875-S13877 [23DE], S13890-S14136 [24DE]

———motion to commit, S11997-S12001, S12003-S12005 [30NO], S12020-S12025, S12028-S12030, S12033-S12041, S12043-S12058, S12063-S12066 [1DE], S12094-S12108, S12112, S12114-S12119, S12123-S12126, S12144-S12146 [2DE], S12263, S12264, S12268-S12271, S12279-S12295, S12306-S12311 [3DE], S12356, S12361-S12369, S12371-S12375, S12384-S12386, S12391-S12393, S12396-S12403, S12405 [4DE], S12466-S12472, S12474, S12482-S12484, S12488-S12490, S12494-S12496 [5DE], S12604-S12607, S12609 [7DE], S12649, S12655-S12659, S12663, S12667-S12669, S12683-S12686, S12691 [8DE], S12745-S12751, S12755-S12758, S12760-S12770, S12774-S12777, S12779-S12784, S12789, S12790 [9DE], S12863, S12869, S12880-S12885, S12893-S12896 [10DE], S12972, S13004-S13007 [11DE], S13131 [13DE], S13205-S13210, S13213, S13217-S13221, S13236-S13238, S13239 [15DE], S13286-S13289, S13294-S13297 [16DE]

———motion to proceed, S11578-S11589, S11819-S11824 [19NO], S11825-S11879, S11888-S11903 [20NO], S11906-S11967 [21NO]

———unanimous-consent agreement, S11577, S11824 [19NO], S12259 [2DE], S12303 [3DE], S12683 [8DE], S13177, S13201 [14DE], S13747 [22DE]

———unanimous-consent request, S11985, S11986 [30NO], S12898, S12899 [10DE], S12981, S12992, S12993 [11DE], S13289 [16DE], S13477 [19DE]

Foreign countries: analysis of universal health care coverage plans, S12501-S12504 [5DE]

Health: allow employers to provide a free choice voucher to employees to purchase any plan under the health insurance exchange, S12875 [10DE], S12995-S12998 [11DE], S13852 [23DE]

———allow individuals the option to purchase low-cost insurance plans that provide essential, basic coverage, S12995-S12998 [11DE]

———allow individuals to purchase catastrophic insurance plans regardless of age, S12875 [10DE]

———Community Living Assistance Services and Supports (CLASS) program funding, S12389, S12390, S12393-S12395 [4DE], S13565, S13566, S13620 [20DE], S13744 [22DE], S13840 [23DE]

———constitutionality of excise tax imposed on high-cost employer-sponsored insurance plans at non-uniform rates per State, S13015 [11DE]

———constitutionality of mandate requiring U.S. citizens to have health insurance, S13013-S13017 [11DE], S13094 [12DE], S13721-S13728, S13751-S13754, S13766, S13767 [22DE], S13822-S13826, S13830 [23DE]

———create an incentive for insurers to maintain lower premium fees, S12875 [10DE], S12995-S12998 [11DE]

———eliminate copays and deductibles for preventive health services for women, S11987, S11988 [30NO], S12019, S12025-S12028, S12030, S12041, S12049-S12052, S12058-S12060 [1DE], S12113, S12120-S12123, S12126-S12131, S12142-S12144 [2DE], S12267-S12278 [3DE], S12665 [8DE]

———ensure that health insurance issuers and medical malpractice insurance issuers cannot engage in price fixing, bid rigging, or market allocations to the detriment of competition and consumers, S11908 [21NO], S12030 [1DE], S13694 [21DE]

———establish dedicated trust fund with mandatory spending for community health centers and National Health Service Corps, S12573 [7DE], S12697 [8DE]

———establish nationwide health insurance purchasing pool for small businesses and the self-employed to offer a choice of health plans and make health coverage more affordable and accessible, S12994 [11DE]

———exempt nonprofit organizations with high payout rates from health insurance provider annual fees, S13692 [21DE]

———grants to support community-based doula programs, S13850 [23DE]

———health insurance premiums rates, S12487 [5DE], S12581, S12582 [7DE]

———impact of increased medical device taxes or fees on research and development, competition, and viability of domestic orthopedic industry, S13566 [20DE]

———impact of media coverage on public perception of health care reform, S11823 [19NO]

———impose a tax on higher-income individuals to offset health care costs, S13162-S13165 [14DE]

———improve access to health care services in rural, frontier, and urban underserved areas by addressing the supply and distribution of health professionals in areas of need, S12654 [8DE], S13626 [20DE]

———improve health care fraud enforcement, S13692 [21DE]

———national policy to provide health care and reform insurance procedures (S. 1099), S11939 [21NO]

———national policy to provide health care and reform insurance procedures (S. 1796), S13694 [21DE]

———prevent tax increases on medical devices, S13655 [21DE]

———prohibit abortions from being defined a preventive service, S12130 [2DE], S12274, S12277 [3DE]

———prohibit Federal funding of abortions under any national health care plan, S11822 [19NO], S11924-S11930 [21NO], S12600-S12603, S12607-S12611 [7DE], S12659-S12683 [8DE], S13489 [19DE], S13564, S13567, S13568, S13620-S13622 [20DE], S13760, S13761, S13777 [22DE], S13858 [23DE], S14134 [24DE]

———prohibit tax increases on assistive medical devices for individuals with disabilities, S13454 [18DE]

———provide religious conscience exemption for mandate requiring U.S. citizens to have health insurance, S13778, S13779 [22DE]

———provide support to pregnant and parenting teens and women, S12861, S12884 [10DE]

———reduce health care and insurance costs through medical malpractice tort reform, S11837 [20NO], S11954 [21NO], S11996 [30NO], S12109-S12112, S12125, S12137-S12139, S12146 [2DE], S12496-S12501, S12504, S12505, S12508 [5DE], S12523-S12528, S12532-S12543 [6DE], S13774 [22DE]

———require Federal elected officials favoring a public, federally-run health insurance option to forgo participation in Federal Employees Health Benefits Program and enroll in such option, S13804-S13806 [23DE]

———require group and individual insurer coverage of routine care for clinical trial participants, S13283 [16DE]

———require guidelines relative to coverage of women's preventive services to be based on recommendations of relevant professional medical organizations, S12122, S12127-S12131, S12143 [2DE], S12267-S12277 [3DE], S13348, S13349 [17DE]

———require Members of Congress to enroll in a community health insurance option and forgo participation in Federal Employees Health Benefits Program, S12368, S12376, S12390, S12391 [4DE], S12502 [5DE]

Health care facilities: expand pilot program for national and State background checks on direct patient access employees of long-term care facilities or providers, S12699 [8DE]

———extend Federal Tort Claims Act medical malpractice coverage to non-physician employees and officers of free clinics, S13692 [21DE]

———recognize value, benefits, and importance of community health centers, S12573-S12575 [7DE], S12697 [8DE]

Independent Medicare Advisory Board: establish, S11888 [20NO], S13367-S13370 [17DE], S13432-S13436 [18DE]

Indian Health Care Improvement Act: reauthorize and extend, S13181 [14DE], S13626 [20DE]

Insurance: condition implementation on Dept. of HHS certification that a certain number of premiums would not be raised as compared to projections under current law, S13777 [22DE]

———provide enhanced health insurance marketplace pooling and relating market rating, S13681 [21DE]

———repeal antitrust exemption for health insurance and medical malpractice insurance, S13073 [12DE]

———require a minimum loss ratio of 90 percent for health insurance coverage, S12504 [5DE]

Law enforcement: improve health care fraud enforcement, S11908 [21NO], S12689, S12690 [8DE], S13363 [17DE]

Medicaid: clarify definition of individuals considered newly eligible, S13778 [22DE]

———exempt States and local governments from costs due to unfunded Federal mandates, S12748, S12749 [9DE], S13687 [21DE], S13803, S13810, S13831 [23DE]

———exemption of Nebraska from increased funding obligations, S13564, S13593 [20DE], S13755-S13763 [22DE]

———impact of increased funding obligations on States, S13134-S13136 [13DE], S13306 [16DE], S13345 [17DE], S13442, S13444 [18DE], S13564, S13593 [20DE], S13717 [22DE]

———impact of increased State funding obligations on State education funding, S11844 [20NO], S11939 [21NO]

———pharmacy reimbursement rate for certain generic drugs, S13778 [22DE]

———physician reimbursement rate, S11835, S11836, S11837 [20NO]

———provide for optional coverage of nurse home visitation services, S13008 [11DE]

———reform, S11935-S11942 [21NO]

Medicare: allow all enrollees in the Medicare Advantage program to maintain current level of benefits, S12604-S12607, S12609 [7DE], S12649, S12655-S12659, S12663, S12667-S12669, S12683, S12684, S12691 [8DE], S12797 [9DE]

———allow patients the right to privately contract for medical services with the physician of their choice, S13670 [21DE]

———create a value indexing mechanism for the physician work component of the physician fee schedule, S11865 [20NO]

———eliminate cuts to home health services, S12397, S12400-S12403, S12405 [4DE], S12466-S12472, S12474, S12477, S12482, S12484, S12488-S12490, S12494-S12496 [5DE], S12532, S12551 [6DE], S12612 [7DE]

———eliminate funding cuts, S11997-S12001, S12003-S12005 [30NO], S12020-S12025, S12028-S12030, S12033-S12041, S12043-S12058, S12064, S12065 [1DE], S12094-S12108, S12112, S12114-S12119, S12123-S12126, S12139, S12144-S12146, S12148 [2DE], S12263, S12264, S12268-S12271, S12279-S12297 [3DE], S12376-S12379, S12399, S12407 [4DE], S12466, S12467, S12471, S12475-S12477, S12480, S12491 [5DE], S12523, S12524, S12526 [6DE], S12575-S12577 [7DE], S12856 [10DE], S13009, S13022 [11DE], S13482 [19DE], S13562, S13579, S13580 [20DE], S13656-S13660, S13668 [21DE], S13718, S13729 [22DE]

———establish a Care Transitions Program to improve quality and cost-effectiveness of care for beneficiaries, S11908 [21NO]

———establish Independence at Home Chronic Care Coordination Demonstration Project, S11910 [21NO], S13852 [23DE]

———impact of proposed funding cuts and buy-in option on States, S12862 [10DE], S13122 [12DE], S13152 [14DE]

———implement single-payer health care system, S13290-S13294 [16DE], S13577 [20DE]

———improve fairness and reduce regional inequities in reimbursement payments to providers, S13773 [22DE], S13849 [23DE]

———long-term care insurance reform, S13862 [23DE]

———Medicare Advantage program funding, S11855-S11861 [20NO], S11951 [21NO], S11983, S11986 [30NO], S12294-S12300, S12305-S12311 [3DE], S12356, S12361-S12369, S12371-S12375, S12379, S12384-S12386, S12391-S12393, S12396, S12403-S12405 [4DE], S12462, S12466, S12471, S12474, S12482-S12484, S12491, S12515 [5DE], S12584-S12592 [7DE], S12851 [10DE], S13122 [12DE], S13719, S13760 [22DE], S13858 [23DE]

———offer certain individuals a buy-in option, S12693 [8DE], S12793 [9DE], S12853-S12855, S12868 [10DE]

———physician referrals to hospitals in which doctors have a financial interest, S13669 [21DE]

———prohibit establishment of Medicare Advisory Board, S12113 [2DE]

———prohibit reduction of guaranteed benefits and apply any savings to extend solvency of trust funds, reduce premiums, improve or expand guaranteed benefits, and protect access to providers, S12278, S12285, S12292-S12295 [3DE], S12549 [6DE], S12566, S12567, S12590-S12592, S12595 [7DE]

———prohibit use of trust fund revenues to establish new entitlement programs, S12530-S12532, S12534-S12536, S12538, S12549-S12551 [6DE], S12565-S12570, S12575-S12586, S12588, S12590-S12593, S12596-S12599 [7DE], S13803 [23DE]

———provide temporary improvements to inpatient hospital payment adjustment for low-volume hospitals and use the non-wage adjusted PPS rate under the Medicare-dependent hospital (MDH) program, S13694 [21DE]

———reduce coverage gap in prescription drug coverage through savings resulting from medical malpractice tort reform, S13592 [20DE]

———reform sustainable growth rate payment system for physicians, S13432-S13435 [18DE], S13576, S13594, S13595 [20DE]

———solvency, S11847, S11855 [20NO], S11944, S11950, S11951 [21NO], S12480, S12484 [5DE], S12693 [8DE], S12791 [9DE]

Parliamentary inquiry, S13478 [19DE]

Pharmaceuticals: importation of prescription drugs, S11876 [20NO], S12546, S12547 [6DE], S12686-S12688 [8DE], S12751-S12759, S12765, S12770-S12774, S12776-S12780, S12784-S12789, S12792 [9DE], S12870-S12872 [10DE], S12978 [11DE], S13082, S13083 [12DE], S13167, S13168, S13177 [14DE], S13212, S13216, S13219, S13221-S13235, S13238, S13239 [15DE], S13622 [20DE]

———lower prescription drug prices, S11953 [21NO], S13165, S13166 [14DE]

———prohibit brand name drug companies from compensating generic drug companies to delay the entry of a generic drug into the market, S13240 [15DE]

Senate: impact of partisanship, S12262 [3DE], S13351-S13355 [17DE], S13569-S13571, S13598 [20DE], S13762 [22DE]

———importance of bipartisanship, S12541 [6DE], S12792 [9DE], S12856, S12857, S12901-S12904 [10DE], S13093, S13094 [12DE], S13714, S13716, S13717 [22DE]

———legislative process, S13669 [21DE]

———tribute to clerks, S13479 [19DE]

———tribute to congressional staff who worked on H.R. 3590, Patient Protection and Affordable Care Act, S13779-S13782 [22DE]

———tribute to Sec. of the Senate staff who read aloud the manager's amendment to H.R. 3590, provisions, S13646 [21DE]

Senate Rules: ensure amendments containing congressionally directed spending items, and limited tax or tariff benefit and not originally included in legislation comply with certain standing rules, S13592, S13593 [20DE], S13643 [21DE], S13810, S13829, S13831, S13854 [23DE]

———legislative procedure relative to reading and withdrawal of amendments, S13646 [21DE]

———prohibit consideration of a congressionally directed spending item if inclusion of such language is conditioned on the vote of any Senator, S13832, S13833 [23DE]

———require members certify that they have read health care reform legislation in its entirety and understand impact of its passage prior to vote, S13289, S13290 [16DE]

———require that amendments and CBO scoring of health care reform legislation be available on the Internet for a certain period as the legislation proceeds, S13286, S13289 [16DE], S13346-S13348 [17DE], S13604 [20DE]

———require that legislation and amendments be available on the Internet prior to consideration by the Senate, S11986, S11990 [30NO]

———vote requirements for amendments to standing rules contained in legislation, S13708, S13709 [21DE]

Senior citizens: ensure adequate public-private infrastructure and resolve to prevent, detect, treat, intervene in, and prosecute elder abuse, neglect, and exploitation, S12699 [8DE]

———protect seniors from elder abuse by improving prosecution, law enforcement, and assistance to victims and encourage, enhance, and integrate Silver Alert plans throughout the U.S, S12699 [8DE]

Small business: economic impact of increased tax rates, S11845, S11866, S11868 [20NO], S12601 [7DE], S12762, S12783, S12796 [9DE], S12865 [10DE], S12994 [11DE], S13148, S13158, S13175, S13176 [14DE], S13241 [15DE], S13771, S13773 [22DE], S13814 [23DE]

———health insurance premium rates, S11845, S11866 [20NO], S13737 [22DE], S13828 [23DE]

Social Security: conduct comparative effectiveness research on health care treatment options by establishing a private Patient-Centered Outcomes Research Institute, S11888 [20NO]

———strengthen the State Children's Health Insurance Program, S12002 [30NO], S12981 [11DE]

States: constitutionality of restrictions on State employees' self-insurance plans, S13821, S13832 [23DE]

———impact of national policy to provide health care and reform insurance procedures on State employees' self-insurance plans, S13717, S13774 [22DE]

———permit use of tax credits to negotiate health care premium rates, S13862 [23DE]

Taxation: delay tax increases until health benefits begin, S12794 [9DE], S12863, S12864 [10DE], S12973-S12978 [11DE], S13132 [13DE], S13161, S13172 [14DE], S13208, S13209, S13239 [15DE], S13286-S13289, S13294-S13297 [16DE], S13364 [17DE]

———modify the first-time homebuyers credit for Armed Forces members and certain other Federal employees (H.R. 3590)-S12552 [6DE]

———prohibit excise tax on certain health insurance plans, S13011 [11DE]

———prohibit tax increase for individuals under certain income levels, S12685 [8DE], S12745-S12751, S12755-S12758, S12760-S12770, S12774-S12777, S12779-S12784, S12789, S12790, S12796 [9DE], S12876, S12880-S12885, S12893-S12896 [10DE], S12972, S13004-S13007 [11DE], S13095 [12DE], S13204-S13210, S13213, S13217-S13219, S13220, S13236-S13238 [15DE], S13454 [18DE], S13656 [21DE], S13741, S13777 [22DE]

———rates, S11847-S11850, S11871 [20NO], S12684, S12698 [8DE], S12862 [10DE], S13023, S13026 [11DE], S13140 [13DE], S13164 [14DE], S13241 [15DE], S13590 [20DE], S13744 [22DE], S13859 [23DE]

———remove excise tax on health benefits above a certain limit, S13167 [14DE]

U.S. Preventive Services Task Force: prohibit recommendations from being used to deny health insurance coverage of items or services, S12122, S12127-S12131 [2DE], S12271-S12277 [3DE]

———provide recommendations relative to health insurance benefit requirements, S11888 [20NO]

———recommendations on breast self-exams and mammograms, S11838 [20NO]

Women: establish programs to decrease need for abortion, help women bear healthy children, and support new parents, S12762 [9DE]

Reports

AARP Financial Statements Independent Audit: KPMG LLP, S12472-S12474 [5DE]

Effects of the Patient Protection and Affordable Care Act on the Federal Budget and the Balance in the Hospital Insurance Trust Fund: CBO, S13812 [23DE]

Provisions: Centers for Medicare & Medicaid Services, S13000 [11DE]

Rulings of the Chair

Enact (H.R. 3590), S13810 [23DE]

Statements

Community Living Assistance Services and Supports (CLASS) Program: AARP, S12383 [4DE]

Perspective on Current Health Reform Issues: Mayo Clinic, S11948 [21NO]

Require Guidelines Relative to Coverage of Women's Preventive Services To Be Based on Recommendations of Relevant Professional Medical Organizations: Nancy Brown, American Heart Association, S12268 [3DE]

Summaries

Legal Solution in Health Reform—The Constitutionality of Mandates To Purchase Health Insurance: Mark A. Hall, O'Neill Institute for National and Global Health Law, S13582 [20DE]

Provisions (H.R. 3590), S13350 [17DE]

Tables

Committee on the Budget (Senate) appropriations allocation revisions to S. Con. Res. 13, setting forth the Federal budget for 2009-2014, S11972 [21NO], S12066 [1DE], S13751 [22DE]

Estimated effects of Medicare Advantage provisions of H.R. 3590, Patient Protection and Affordable Care Act on enrollment in Medicare Advantage plans and Federal subsidies for plan enrollees' benefits not covered by Medicare, S12124 [2DE]

Medicare Advantage enrollment by State, S12657 [8DE]

Republican amendments submitted and accepted during Committee on Health, Education, Labor, and Pensions (Senate) and Committee on Finance (Senate) markups of H.R. 3590, provisions, S12843-S12850 [10DE]

Texts of

H.R. 3590, provisions, S13891-S14124 [24DE]

Tributes

Kennedy, Edward M., S13480 [19DE]