{"id":473136,"date":"2010-03-25T11:08:00","date_gmt":"2010-03-25T15:08:00","guid":{"rendered":"tag:blogger.com,1999:blog-5587346.post-4663241086831468966"},"modified":"2010-03-25T11:23:05","modified_gmt":"2010-03-25T15:23:05","slug":"summarizing-the-patient-protection-and-affordable-care-act-%e2%80%93-in-two-pages-and-10-titles","status":"publish","type":"post","link":"https:\/\/mereja.media\/index\/473136","title":{"rendered":"Summarizing the Patient Protection and Affordable Care Act \u2013 in two pages and 10 titles"},"content":{"rendered":"<p>You may have heard that the Senate passed a health care bill. It is likely that it will be further amended by the House, and of course there will be challenges, but it is probable that the directives in the bill will be turned into law. <\/p>\n<p>It is conceivable that this bill will have some implications for the future of health care, so it is useful to learn what is in it. It is quite a large bill.<\/p>\n<p><a href=\"http:\/\/economix.blogs.nytimes.com\/2010\/03\/24\/wrapping-your-head-around-the-health-bill\/\">Uwe Reinhardt, a well known health economist, recommended a summary<\/a> prepared by the Congressional Research Service [1]. Even the summary takes a while to read. One can, however, get a sense of it simply by looking at the headings. I\u2019ve excerpted them below. There are quite a few odd bits in there, but the scope of this bill is occasionally breathtaking.<\/p>\n<blockquote>\n<p><strong><a href=\"http:\/\/thomas.loc.gov\/cgi-bin\/bdquery\/z?d111:HR03590:@@@D&amp;summ2=m&amp;\">Patient Protection and Affordable Care Act \u2013 Summary of Senate Bill \u2013 Library of Congress March 2010<\/a><\/strong><\/p>\n<p><strong>Title I: Quality, Affordable Health Care for All Americans<\/strong>     <br \/>Subtitle A: Immediate Improvements in Health Care Coverage for All Americans     <br \/>Subtitle B: Immediate Actions to Preserve and Expand Coverage     <br \/>Subtitle C: Quality Health Insurance Coverage for All Americans    <br \/>Part I: Health Insurance Market     <br \/>Part II: Other Provisions     <br \/>Subtitle D: Available Coverage Choices for All Americans    <br \/>Part I: Establishment of Qualified Health Plans     <br \/>Part II: Consumer Choices and Insurance Competition Through Health Benefit Exchanges     <br \/>Part III: State Flexibility Relating to Exchanges     <br \/>Part IV: State Flexibility to Establish Alternative Programs     <br \/>Part V: Reinsurance and Risk Adjustment    <br \/>Subtitle E: Affordable Coverage Choices for All Americans    <br \/>Part I: Premium Tax Credits and Cost-sharing Reductions    <br \/>Subpart A: Premium Tax Credits and Cost-sharing Reductions     <br \/>Subpart B: Eligibility Determinations     <br \/>Part II: Small Business Tax Credit &#8211; (Sec. 1421, as modified by section 10105)     <br \/>Subtitle F: Shared Responsibility for Health Care    <br \/>Part I: Individual Responsibility     <br \/>Part II: Employer Responsibilities     <br \/>Subtitle G: Miscellaneous Provisions <\/p>\n<p><strong>Title II: Role of Public Programs     <br \/><\/strong>Subtitle A: Improved Access to Medicaid     <br \/>Subtitle B: Enhanced Support for the Children&#8217;s Health Insurance Program     <br \/>Subtitle C: Medicaid and CHIP Enrollment Simplification     <br \/>Subtitle D: Improvements to Medicaid Services &#8211; (Sec. 2301)    <br \/>Subtitle E: New Options for States to Provide Long-Term Services and Supports     <br \/>Subtitle F: Medicaid Prescription Drug Coverage     <br \/>Subtitle G: Medicaid Disproportionate Share Hospital (DSH) Payments     <br \/>Subtitle H: Improved Coordination for Dual Eligible Beneficiaries     <br \/>Subtitle I: Improving the Quality of Medicaid for Patients and Providers     <br \/>Subtitle J: Improvements to the Medicaid and CHIP Payment and Access Commission (MACPAC)     <br \/>Subtitle K: Protections for American Indians and Alaska Natives     <br \/>Subtitle L: Maternal and Child Health Services<\/p>\n<p><strong>Title III: Improving the Quality and Efficiency of Health Care<\/strong>     <br \/>Subtitle A: Transforming the Health Care Delivery System    <br \/>Part I: Linking Payment to Quality Outcomes under the Medicare Program    <br \/>Part II: National Strategy to Improve Health Care Quality     <br \/>Part III: Encouraging Development of New Patient Care Models     <br \/>Subtitle B: Improving Medicare for Patients and Providers    <br \/>Part 1: Ensuring Beneficiary Access to Physician Care and Other Services     <br \/>Part II: Rural Protections     <br \/>Part III: Improving Payment Accuracy     <br \/>Subtitle C: Provisions Relating to Part C     <br \/>Subtitle D: Medicare Part D Improvements for Prescription Drug Plans and MA-PD Plans     <br \/>Subtitle E: Ensuring Medicare Sustainability     <br \/>Subtitle F: Health Care Quality     <br \/>Subtitle G: Protecting and Improving Guaranteed Medicare Benefits <\/p>\n<p><strong>Title IV: Prevention of Chronic Disease and Improving Public Health      <br \/><\/strong>Subtitle A: Modernizing Disease Prevention and Public Health Systems     <br \/>Subtitle B: Increasing Access to Clinical Preventive Services     <br \/>Subtitle C: Creating Healthier Communities &#8211; (Sec. 4201, as modified by Sec. 10403)     <br \/>Subtitle D: Support for Prevention and Public Health Innovation &#8211; (Sec. 4301)     <br \/>Subtitle E: Miscellaneous Provisions &#8211; (Sec. 4402)<\/p>\n<p><strong>Title V: Health Care Workforce      <br \/><\/strong>Subtitle A: Purpose and Definitions &#8211; (Sec. 5001)     <br \/>Subtitle B: Innovations in the Health Care Workforce &#8211; (Sec. 5101, as modified by Sec. 10501)     <br \/>Subtitle C: Increasing the Supply of the Health Care Workforce     <br \/>Subtitle D: Enhancing Health Care Workforce Education and Training &#8211; (Sec. 5301)     <br \/>Subtitle E: Supporting the Existing Health Care Workforce &#8211; (Sec. 5401)    <br \/>Subtitle F: Strengthening Primary Care and Other Workforce Improvements- (Sec. 5501, as modified by Sec. 10501)<br \/>Subtitle G: Improving Access to Health Care Services &#8211; (Sec. 5601)     <br \/>Subtitle H: General Provisions &#8211; (Sec. 5701)<\/p>\n<p><strong>Title VI: Transparency and Program Integrity<\/strong>     <br \/>Subtitle A: Physician Ownership and Other Transparency &#8211; (Sec. 6001, as modified by Sec. 10601)     <br \/>Subtitle B: Nursing Home Transparency and Improvement    <br \/>Part I: Improving Transparency of Information &#8211; (Sec. 6101)     <br \/>Part II: Targeting Enforcement &#8211; (Sec. 6111)     <br \/>Part III: Improving Staff Training &#8211; (Sec. 6121)     <br \/>Subtitle C: Nationwide Program for National and State Background Checks on Direct Patient Access Employees of Long Term Care Facilities and Providers &#8211; (Sec. 6201)     <br \/>Subtitle D: Patient-Centered Outcomes Research &#8211; (Sec. 6301, as modified by Sec. 10602)     <br \/>Subtitle E: Medicare, Medicaid, and CHIP Program Integrity Provisions &#8211; (Sec. 6401, as modified by Sec. 10603)     <br \/>Subtitle F: Additional Medicaid Program Integrity Provisions &#8211; (Sec. 6501)     <br \/>Subtitle G: Additional Program Integrity Provisions &#8211; (Sec. 6601)     <br \/>Subtitle H: Elder Justice Act &#8211; Elder Justice Act of 2009 &#8211; (Sec. 6702)     <br \/>Subtitle I: Sense of the Senate Regarding Medical Malpractice &#8211; (Sec. 6801)<\/p>\n<p><strong>Title VII: Improving Access to Innovative Medical Therapies &#8211;<\/strong>     <br \/>Subtitle A: Biologics Price Competition and Innovation     <br \/>Subtitle B: More Affordable Medicine for Children and Underserved Communities &#8211; (Sec. 7101) <\/p>\n<p><strong>Title VIII: Class Act &#8211; Community Living Assistance Services and Supports Act or the CLASS Act &#8211; (Sec. 8002, as modified by Sec. 10801)<\/strong> <\/p>\n<p><strong>Title IX: Revenue Provisions<\/strong> &#8211;     <br \/>Subtitle A: Revenue Offset Provisions &#8211; (Sec. 9001, as modified by section 10901)     <br \/>Subtitle B: Other Provisions &#8211; (Sec. 9021) <\/p>\n<p><strong>Title X: Strengthening Quality, Affordable Health Care for All Americans<\/strong> &#8211;     <br \/>Subtitle A: Provisions Relating to Title I &#8211; (Sec. 10101) Revises provisions of or related to Subtitles A, B, and C of Title I of this Act     <br \/>Subtitle B: Provisions Relating to Title II    <br \/>Part I: Medicaid and CHIP &#8211; (Sec. 10201)     <br \/>Part II: Support for Pregnant and Parenting Teens and Women &#8211; (Sec. 10212)     <br \/>Part III: Indian Health Care Improvement &#8211; (Sec. 10221)<\/p>\n<\/blockquote>\n<p>[1] These summaries are written in a programming language for the creation of regulations. The bulk of the omitted material begins with command verbs that tell regulators what to do. I created this summary by regex operations on paragraphs beginning with the command operators which include:<\/p>\n<blockquote>\n<p>Allows    <br \/>Amends     <br \/>Applies     <br \/>Appropriates     <br \/>Authorizes     <br \/>Declares     <br \/>Directs     <br \/>Establishes     <br \/>Excludes     <br \/>Expands     <br \/>Expresses the sense     <br \/>Provides     <br \/>Reauthorizes     <br \/>Redesignates     <br \/>Requires     <br \/>Revises     <br \/>Sets forth<\/p>\n<\/blockquote>\n<p> It\u2019s a very structured document that resembles generated software code and could indeed be created from a regulatory meta-language.<\/p>\n<div class=\"blogger-post-footer\"><img width='1' height='1' src='https:\/\/blogger.googleusercontent.com\/tracker\/5587346-4663241086831468966?l=notes.kateva.org' alt='' \/><\/div>\n","protected":false},"excerpt":{"rendered":"<p>You may have heard that the Senate passed a health care bill. It is likely that it will be further amended by the House, and of course there will be challenges, but it is probable that the directives in the bill will be turned into law. It is conceivable that this bill will have some [&hellip;]<\/p>\n","protected":false},"author":711,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[7],"tags":[],"class_list":["post-473136","post","type-post","status-publish","format-standard","hentry","category-news"],"_links":{"self":[{"href":"https:\/\/mereja.media\/index\/wp-json\/wp\/v2\/posts\/473136","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/mereja.media\/index\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/mereja.media\/index\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/mereja.media\/index\/wp-json\/wp\/v2\/users\/711"}],"replies":[{"embeddable":true,"href":"https:\/\/mereja.media\/index\/wp-json\/wp\/v2\/comments?post=473136"}],"version-history":[{"count":0,"href":"https:\/\/mereja.media\/index\/wp-json\/wp\/v2\/posts\/473136\/revisions"}],"wp:attachment":[{"href":"https:\/\/mereja.media\/index\/wp-json\/wp\/v2\/media?parent=473136"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/mereja.media\/index\/wp-json\/wp\/v2\/categories?post=473136"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/mereja.media\/index\/wp-json\/wp\/v2\/tags?post=473136"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}