Mr. Speaker, we are here today considering a continuing resolution that will provide dollars for the Federal Government and our national defense, but it also will finally accomplish reauthorization of funding for several important…
Mr. Speaker, we are here today considering a continuing resolution that will provide dollars for the Federal Government and our national defense, but it also will finally accomplish reauthorization of funding for several important healthcare programs. These extensions are long overdue, and I urge Members to support this legislation so that our Nation's healthcare providers will have stability to continue their normal operations.
The House passed many of these provisions last November. That is when we passed the Championing Healthy Kids Act. However, since House passage, the legislation has been stalled without action in the Senate. Fortunately, the Children's Health Insurance Program was reauthorized in the last continuing resolution. It seems like a long time ago, but it was only 3 weeks ago. However, we did not complete the public health or Medicare extenders. The continuing resolution that we are debating today includes funding for other important healthcare programs, such as community health centers, the National Health Service Corps, and Teaching Health Center Graduate Medical Education, all of which expired at the end of September.
The continuing resolution provides a 2-year extension of funding for federally qualified health centers. One in 13 individuals nationwide relies upon a community health center to receive necessary healthcare services. The Community Health Center Fund plays an important role in supplementing the services that the federally qualified health centers are able to deliver to underserved communities by providing care to all Americans, regardless of their income or their ability to pay.
The legislation we are considering also includes a 2-year extension of other important public health programs, including funding for the National Health Service Corps, the Family-to-Family Information Centers, the Personal Responsibility Education Program, the Special Diabetes Program for Type 1 Diabetes, and the Special Diabetes Program for American Indians.
The package also delays the $5 billion in cuts to many hospitals in many of our districts across the country from the Affordable Care Act- mandated Medicaid disproportionate share hospital reductions for the fiscal years 2018 and 2019. I am certain that other Members have heard from their hospitals, as have I; hospitals in our districts whose ability to remain open and operational and continue to provide care could be jeopardized by these cuts in the so-called DSH payments.
This delays but does not fix a problem that ObamaCare created for safety net hospitals that provide care to citizens of our country who most need this care. The committee is committed to continuing to work on this, but this 2-year extension is important.
The bill also includes important Medicare extenders. The extension of the ground ambulance services and cost reporting requirements will allow our emergency responders in urban, rural, and superrural areas another 5 years of certainty in receiving their add-on payments.
Similarly, home health providers will receive a 5-year extension of their rural add-on Medicare payments, and certain low-volume hospitals will continue to receive the payment adjustment for an additional 2 years.
This health extenders package permanently repeals a provision in the Balanced Budget Act of 1997. This provision sought to cap Medicare- covered outpatient therapy services, physical therapy, occupational therapy, and speech-language pathology. The cap was never fully put into effect, but repealing the therapy caps will allow for certainty and stability for Medicare beneficiaries and providers of these services. Many of us have heard about the importance of repealing the cap.
One of my priorities as chairman of the Health Subcommittee has been to improve the value of our electronic health records for doctors and for patients. Electronic health records have promise to streamline the sharing of data amongst patients and their doctors, but they have not yet fully lived up to this promise.
Adoption of electronic health records is growing, but the meaningful use program, as established in the Health Information Technology for Economic and Clinical Health Act, has burdened providers with stringent requirements. In an effort to reduce that burden, this bill we are considering today removes the mandate that the Secretary of Health and Human Services make the meaningful use standards more stringent over time.
I believe we have squeezed all the blood we can out of this turnip, and it is time to let our doctors be doctors. This will permit the Department to evaluate in other ways.
Lastly, this package contains important provisions that aim to improve care for individuals suffering from chronic diseases. The Senate has already passed these provisions in their CHRONIC Care Act.
One of the most important pieces of this package is the extension of the Independence At Home Medical Practice Demonstration Program, which allows participating high-need Medicare beneficiaries who have multiple chronic conditions to receive Medicare coverage for home-based primary care. This program is currently in its fifth year and has been found to save Medicare dollars, but Medicare needs more time to evaluate the overall effectiveness of the program.
This health extenders package has responsible offsets. One of these offsets would allow for Medicare reimbursement of outpatient physical therapy or occupational therapy services provided by a therapy assistant. These providers are reimbursed at 85 percent of the physician rate, and therapy assistants must have a State license and abide by Medicare supervision requirements.
Additionally, lottery winnings and other lump sum income of over $80,000 would count toward income eligibility under Medicaid's modified adjusted gross income rules. In certain cases, individuals could remain eligible if being ineligible would lead to undue medical or financial hardship.
Similar to the Championing Healthy Kids Act, this bill modifies the level of funding in the Prevention and Public
Health Fund. By law, this fund is required to receive $2.5 billion in annual appropriations, which must be used for prevention, wellness, and public health initiatives administered by the Department of Health and Human Services.
If Congress does not direct the funds toward specific efforts, the Secretary of Health and Human Services has the authority to spend the dollars however he or she deems fit. While we are redirecting these taxpayer dollars, the overarching purpose of the fund is still there to improve the health and wellness of Americans through existing mechanisms, and community health centers will do just that. With this spending offset, we are using the Prevention and Public Health Fund for what is intended: investing in America's well-being.