S. 227Senate112th Congress (2011-2013)In Committee

Home Health Care Planning Improvement Act of 2011

Introduced January 31, 2011

Legislative Activity

Stay on top of the latest movement without scrolling through every action

2 earlier actions
SenateIntro Referral Latest Action

Read twice and referred to the Committee on Finance.

January 31, 2011

View full timeline
SenateIntro Referral

Introduced in Senate

January 31, 2011

SenateIntro Referral

Sponsor introductory remarks on measure. (CR S360)

January 31, 2011

SenateIntro Referral

Read twice and referred to the Committee on Finance.

January 31, 2011

Floor Debate

23 members

What members said about S. 227 on the floor

7 Republicans16 Democrats
Patrick J. Leahy
Sen. Patrick J. LeahyD-VT · Feb 1, 2011

Mr. President, today, I am proud to introduce the Justice for All Reauthorization Act of 2011. The Justice for All Act, passed in 2004, was unprecedented, bipartisan criminal justice legislation. It…

John D. Rockefeller IV
Sen. John D. Rockefeller IVD-WV · Jan 31, 2011

Mr. President. I rise today with Senators Webb, McCaskill, Tim Johnson, Manchin, Ben Nelson, and Conrad to introduce the EPA Regulations Suspension Act of 2011. We are introducing this legislation…

Claire McCaskill
Sen. Claire McCaskillD-MO · Feb 1, 2011

Mr. President, like my colleague, I appreciate the work he has done on this issue. We have been talking about this for a number of weeks. Our staffs have been hammering out the details. I will be…

Adam Smith
Rep. Adam SmithD-WA-9 · May 25, 2011

Madam Chair, I support the amendment being offered. With that, I yield 1 minute to the gentleman from New York (Mr. Tonko). Madam Chair, I yield 1 minute to the gentleman from California (Mr.…

Benjamin L. Cardin
Sen. Benjamin L. CardinD-MD · Feb 1, 2011

Mr. President, today, on the first day of Black History Month, I am proud to reintroduce The Harriet Tubman National Historical Park and The Harriet Tubman Underground Railroad National Historical…

Show 8 more
Dianne Feinstein
Sen. Dianne FeinsteinD-CA · Jan 31, 2011

Mr. President, I rise to introduce the Strengthening Pipeline Safety and Enforcement Act of 2011, with my colleague and friend, Senator Barbara Boxer. This bill strengthens and expands legislation…

Mark Udall
Sen. Mark UdallD-CO · Feb 1, 2011

Mr. President, I am proud to join my colleague, the Senator from Alabama, in introducing legislation today that would amend the Constitution to require a balanced budget. The idea of requiring a…

K. Michael Conaway
Rep. K. Michael ConawayR-TX-11 · May 25, 2011

Mr. Chairman, I claim the time in opposition. I do oppose the gentleman from Connecticut's amendment on the grounds that it's really bad policy. Having spent several years working with the…

Bob Corker
Sen. Bob CorkerR-TN · Feb 1, 2011

Mr. President, I am glad to be here today with the Senator from Missouri, my friend Claire McCaskill. We are introducing a bill called the Commitment to American Prosperity Act, the CAP Act. It is a…

Joe Donnelly
Rep. Joe DonnellyD-IN-2 · May 25, 2011

Mr. Chair, on February 19, 2010, a constituent of mine, Marine Lance Corporal Joshua Birchfield of Westville, Indiana, was shot and killed while on patrol by a local Afghan security contractor who…

Scott P. Brown
Sen. Scott P. Brown R-MA · Feb 1, 2011

Mr. President, I rise today to join my colleague, Mr. Wyden, to introduce legislation that will protect Massachusetts by allowing it to waive out of specific requirements under the Patient Protection…

Silvestre Reyes
Rep. Silvestre ReyesD-TX-16 · May 25, 2011

I thank the gentleman for yielding. Just in fairness, none of the manufacturing of this great aircraft is in my district. So what I'm saying is based on my experience and what I know about the…

Richard C. Shelby
Sen. Richard C. ShelbyR-AL · Feb 1, 2011

Mr. President, I rise to introduce a piece of legislation that I have introduced in every Congress since 1987--a proposed constitutional amendment requiring Congress to balance our Nation's budget.…

Show 11 more
John R. Carter
Rep. John R. CarterR-TX-31 · May 25, 2011

Madam Chairman, I have an amendment at the desk. Madam Chair, this is an amendment to extend whistleblower protection for American soldiers for the protection of American soldiers both at home and…

Christopher Murphy
Rep. Christopher MurphyD-CT-5 · May 25, 2011

Mr. Chairman, I have an amendment at the desk. Mr. Chairman, the amendment before the House now is a relatively simple one. We have, over the last 10 years, lost 42,000 factories in this country. We…

John P. Sarbanes
Rep. John P. SarbanesD-MD-3 · May 25, 2011

Mr. Chairman, I have an amendment at the desk. Mr. Chair, I appreciate the opportunity to speak to this amendment, and I want to thank the cosponsors: Representatives Hanabusa, Langevin, Loebsack,…

Ron Wyden
Sen. Ron WydenD-OR · Feb 1, 2011

Mr. President, I rise today to reintroduce the Empowering States to Innovate Act with my colleagues, Senators Scott Brown and Mary Landrieu. At a time when we are looking for ways to bring this…

John Garamendi
Rep. John GaramendiD-CA-10 · May 25, 2011

I have an amendment at the desk. Mr. Chairman, this is a very simple amendment. This is about local jobs for local companies. Many of us have in our districts military facilities of large and small…

J. Randy Forbes
Rep. J. Randy ForbesR-VA-4 · May 25, 2011

Mr. Chairman, I rise in opposition to the amendment. I yield myself such time as I may consume. I thank the gentleman for his amendment, but, Mr. Chairman, most of all, I thank the chairman of the…

Elijah E. Cummings
Rep. Elijah E. CummingsD-MD-7 · May 25, 2011

I claim the time in opposition. Mr. Chairman, I rise in very strong opposition to this amendment. The amendment is nothing more than a legislative attempt to circumvent a draft Executive order, which…

Lynn C. Woolsey
Rep. Lynn C. WoolseyD-CA-6 · May 25, 2011

Madam Chair, I have an amendment at the desk. Madam Chair, in the current budget debate, I often hear from my Republican colleagues that everything should be on the table. By that they usually mean…

Susan M. Collins
Sen. Susan M. CollinsR-ME · Jan 31, 2011

Mr. President, I rise today on behalf of myself and Senator Conrad to introduce legislation to ensure that our seniors and disabled citizens have timely access to home health services under the…

Susan M. Collins
Sen. Susan M. CollinsR-ME · Jan 31, 2011

Mr. President, I rise today on behalf of myself and Senator Conrad to introduce legislation to ensure that our seniors and disabled citizens have timely access to home health services under the…

André Carson
Rep. André CarsonD-IN-7 · May 25, 2011

Mr. Chairman, I have an amendment at the desk. I yield myself such time as I may consume. Mr. Chairman, my amendment seeks to address shortfalls in the current Department of Defense mental health…

Bill Text

Latest available legislative text

Reading Mode
Latest
Introduced in SenateIssued January 31, 2011

II

112th CONGRESS

1st Session

S. 227

IN THE SENATE OF THE UNITED STATES

January 31, 2011

Ms. Collins (for herself and Mr. Conrad) introduced the following bill; which was read twice and referred to the Committee on Finance

A BILL

To amend title XVIII of the Social Security Act to ensure more timely access to home health services for Medicare beneficiaries under the Medicare program.

1.

Short title

This Act may be cited as the Home Health Care Planning Improvement Act of 2011.

2.

Improving care planning for Medicare home health services

(a)

Part A provisions

Section 1814(a) of the Social Security Act (42 U.S.C. 1395f(a)) is amended—

(1)

in paragraph (2)—

(A)

in the matter preceding subparagraph (A), by inserting , a nurse practitioner or clinical nurse specialist who is working in collaboration with a physician in accordance with State law, a certified nurse-midwife (as defined in section 1861(gg)) as authorized by State law, or a physician assistant (as defined in section 1861(aa)(5)) under the supervision of a physician after 1866(j); and

(B)

in subparagraph (C)—

(i)

by inserting , a nurse practitioner, a clinical nurse specialist, a certified nurse-midwife, or a physician assistant (as the case may be) after physician the first 2 times it appears; and

(ii)

by striking , and, in the case of a certification made by a physician and all that follows through face-to-face encounter and inserting , and, in the case of a certification made by a physician after January 1, 2010, or by a nurse practitioner, clinical nurse specialist, certified nurse-midwife, or physician assistant (as the case may be) after January 1, 2012, prior to making such certification the physician, nurse practitioner, clinical nurse specialist, certified nurse-midwife, or physician assistant must document that the physician, nurse practitioner, clinical nurse specialist, certified nurse-midwife, or physician assistant has had a face-to-face encounter;

(2)

in the second sentence, by inserting certified nurse-midwife, after clinical nurse specialist,;

(3)

in the third sentence—

(A)

by striking physician certification and inserting certification;

(B)

by inserting (or on January 1, 2012, in the case of regulations to implement the amendments made by section 2 of the Home Health Care Planning Improvement Act of 2011) after 1981; and

(C)

by striking a physician who and inserting a physician, nurse practitioner, clinical nurse specialist, certified nurse-midwife, or physician assistant who; and

(4)

in the fourth sentence, by inserting , nurse practitioner, clinical nurse specialist, certified nurse-midwife, or physician assistant after physician.

(b)

Part B provisions

Section 1835(a) of the Social Security Act (42 U.S.C. 1395n(a)) is amended—

(1)

in paragraph (2)—

(A)

in the matter preceding subparagraph (A), by inserting , a nurse practitioner or clinical nurse specialist (as those terms are defined in 1861(aa)(5)) who is working in collaboration with a physician in accordance with State law, a certified nurse-midwife (as defined in section 1861(gg)) as authorized by State law, or a physician assistant (as defined in section 1861(aa)(5)) under the supervision of a physician after 1866(j);

(B)

in subparagraph (A)—

(i)

in each of clauses (ii) and (iii) of subparagraph (A) by inserting , a nurse practitioner, a clinical nurse specialist, a certified nurse-midwife, or a physician assistant (as the case may be) after physician; and

(ii)

in clause (iv), by striking after January 1, 2010 and all that follows through face-to-face encounter and inserting made by a physician after January 1, 2010, or by a nurse practitioner, clinical nurse specialist, certified nurse-midwife, or physician assistant (as the case may be) after January 1, 2012, prior to making such certification the physician, nurse practitioner, clinical nurse specialist, certified nurse-midwife, or physician assistant must document that the physician, nurse practitioner, clinical nurse specialist, certified nurse-midwife, or physician assistant has had a face-to-face encounter;

(2)

in the third sentence, by inserting , nurse practitioner, clinical nurse specialist, certified nurse-midwife, or physician assistant (as the case may be) after physician;

(3)

in the fourth sentence—

(A)

by striking physician certification and inserting certification;

(B)

by inserting (or on January 1, 2012, in the case of regulations to implement the amendments made by section 2 of the Home Health Care Planning Improvement Act of 2011) after 1981; and

(C)

by striking a physician who and inserting a physician, nurse practitioner, clinical nurse specialist, certified nurse-midwife, or physician assistant who; and

(4)

in the fifth sentence, by inserting , nurse practitioner, clinical nurse specialist, certified nurse-midwife, or physician assistant after physician.

(c)

Definition provisions

(1)

Home health services

Section 1861(m) of the Social Security Act (42 U.S.C. 1395x(m)) is amended—

(A)

in the matter preceding paragraph (1)—

(i)

by inserting , a nurse practitioner or a clinical nurse specialist (as those terms are defined in subsection (aa)(5)), a certified nurse-midwife (as defined in section 1861(gg)), or a physician assistant (as defined in subsection (aa)(5)) after physician the first place it appears; and

(ii)

by inserting , a nurse practitioner, a clinical nurse specialist, a certified nurse-midwife, or a physician assistant after physician the second place it appears; and

(B)

in paragraph (3), by inserting , a nurse practitioner, a clinical nurse specialist, a certified nurse-midwife, or a physician assistant after physician.

(2)

Home health agency

Section 1861(o)(2) of the Social Security Act (42 U.S.C. 1395x(o)(2)) is amended—

(A)

by inserting , nurse practitioners or clinical nurse specialists (as those terms are defined in subsection (aa)(5)), certified nurse-midwives (as defined in section 1861(gg)), or physician assistants (as defined in subsection (aa)(5)) after physicians; and

(B)

by inserting , nurse practitioner, clinical nurse specialist, certified nurse-midwife, physician assistant, after physician.

(d)

Home health prospective payment system provisions

Section 1895 of the Social Security Act (42 U.S.C. 1395fff) is amended—

(1)

in subsection (c)(1), by inserting , the nurse practitioner or clinical nurse specialist (as those terms are defined in section 1861(aa)(5)), the certified nurse-midwife (as defined in section 1861(gg)), or the physician assistant (as defined in section 1861(aa)(5)), after physician; and

(2)

in subsection (e)—

(A)

in paragraph (1)(A), by inserting , a nurse practitioner or clinical nurse specialist (as those terms are defined in section 1861(aa)(5)), a certified nurse-midwife (as defined in section 1861(gg)), or a physician assistant (as defined in section 1861(aa)(5)) after physician; and

(B)

in paragraph (2)—

(i)

in the heading, by striking Physician certification and inserting Rule of construction regarding requirement for certification; and

(ii)

by striking physician.

(e)

Effective Date

The amendments made by this section shall apply to items and services furnished on or after January 1, 2012.