S., Affordable Health Choices Act

Transcription

1 Number Senator Summary 1 Kennedy To improve the CLASS Act 1 Dodd To require a health team established under the grant program to support primary care practices to use a medical home model based upon evidenceinformed medicine. 1 Harkin To make technical changes to title III 2 Harkin To modify the provisions relating to the prevention and public health fund 3 Harkin To provide for personalized prevention plans 1 Mikulski To modify provisions related to quality 1 Bingaman To provide for epidemiology Laboratory Capacity Grants 2 Bingaman To provide for a United States public health sciences track 3 Bingaman To increase teaching capacity with respect to medical professionals 1 Murray To modify provisions relating to the health care workforce 2 Murray To modify provisions relating to the health care workforce 1 Reed To modify provisions relating to drug information 1 Sanders To require certain comprehensive primary health services 2 Sanders To include volunteer emergency medical services personnel including volunteer firefighters who perform emergency medical services in the National Health Care Workforce Commission 3 Sanders To modify definition of health care workforce 4 Sanders To support the recruitment and retention of the volunteer firefighter and emergency medical service workforce 5 Sanders To provide student loan forgiveness or cancellation for volunteer firefighter and volunteer emergency medical service personnel 6 Sanders To provide a cap on private insurance company executive compensation. 7 Sanders To provide a cap on private insurance company executive compensation

2 8 Sanders To provide a cap on private insurance company executive compensation 1 Hagan To modify provisions relating to community health team payments to primary care providers 2 Hagan To require the Preventive Services Task Force to consider clinical preventive best practice recommendations 1 Merkley To provide employees who are nursing mothers with reasonable break times to express breast milk 2 Merkley To establish an advanced technology education program for nursing 1 Enzi To reduce the cost of health insurance for low income Americans. 2 Enzi Fair and Reliable Medical Justice Act 3 Enzi Medical Imaging Standards 4 Enzi To specify procedures to ensure timely updating of standards that enable electronic exchanges 5 Enzi To preserve the work already underway at the Department of Health and Human Services with respect to the implementation of International Classification of Disease, Version 10 and the new 5010 Version of the Health Insurance Portability and Accountability Act Transactions Standards. 6 Enzi To modify provisions relating to administrative simplification 7 Enzi To prohibit the development of healthcare rationing methods. 8 Enzi To prohibit use of comparative effectiveness research to ration healthcare based on the government s assessment of whether elderly, disabled or medically dependent individuals merit treatment. 9 Enzi To direct the Food and Drug Administration to establish guidelines regarding when comparative effectiveness research information is sufficiently clinically and scientifically rigorous to be actionable by other government agencies. 10 Enzi To stop one size fits all comparative effectiveness research. 11 Enzi To provide special safeguards for comparative effectiveness research on rare diseases. 12 Enzi To require that experience regarding the actual practice of medicine be among the diverse and broad range of perspectives represented on the comparative effectiveness research Advisory Council. 13 Enzi To forbid the Center to dictate how doctors practice medicine. 14 Enzi To clarify that the Center shall study what works best for patients, not what is cheapest for the government. 15 Enzi To allow expert advisory panels comprising doctors and other clinical experts with relevant specialized experience to advise the government how to conduct comparative effectiveness research studies. 16 Enzi To increase the period in which premium payments are required for purposes of eligibility for CLASS benefits.

3 17 Enzi To increase the number of benefit plan as alternatives for consideration for designation by the Secretary. 18 Enzi To require health care practitioner certification of functional limitation for the benefit trigger 19 Enzi To lower the per day minimum amount of cash benefits. 20 Enzi To strike the Secretarial response to the public comment on the designation of benefit plan 21 Enzi To require the Secretary to consider the Inspector General s annual report on waste, fraud, and abuse related to the program in setting the premium amount. 22 Enzi To require the Secretary to consider the Inspector General s annual report on waste, fraud, and abuse related to the program in setting the premium amount. 23 Enzi To require that premiums be sufficient for a 75 year period. 24 Enzi To limit the exemption from a premium increase where the Trust Fund is not sound. 25 Enzi To impose an earning requirement with respect to enrollees. 26 Enzi To require coordination with the Secretary of the Treasury with respect to payroll deductions. 27 Enzi To provide for the development of regulations concerning the process for eligibility determinations. 28 Enzi To clarify that advocacy services and advice and assistance counseling services are included as administrative expenses. 29 Enzi To provide Congressional approval for the use of amounts in the Fund. 30 Enzi To prohibit the use of Federal appropriations for the Independence Fund. 31 Enzi To clarify provisions relating to reports on amounts in the Independence Fund. 32 Enzi To require an option with respect to burdens on the disability determinations of the Social Security Administration. 33 Enzi To clarify provisions relating to the soundness of the Independence Fund. 34 Enzi To permit certain actions by the Secretary to ensure the soundness of the Independence Fund. 35 Enzi To provide for an Inspector General's report. 36 Enzi To require coordination with the Secretary of the Treasury.

4 37 Enzi To require coordination with the Commissioner of Social Security. 38 Enzi To modify provisions relating to wellness for individuals with disabilities. 39 Enzi To limit the application of Davis Bacon. 40 Enzi To reduce duplication of women's health programs. 41 Enzi To strike provisions relating to chronic disease referral/treatment and screening. 42 Enzi To modify the definition of eligible entity. 43 Enzi To require the use of income to determine and prioritize receipt of services. 44 Enzi To ensure that data is collected on underserved rural populations. 45 Enzi To require that data collection requirements are not effective without a direct appropriation for that purpose. 46 Enzi To strike provisions relating to immunizations. 47 Enzi To ensure that funds are available to address problems identified in a health impact assessment. 48 Enzi To modify the purpose of health impact assessments. 49 Enzi To make workplace wellness subject to appropriations. 50 Enzi To ensure that the Secretary conducts workplace wellness evaluations in publicly funded programs before evaluating privately funded programs. 51 Enzi To ensure that information under the workplace wellness provisions are not used to establish Federal requirements. 52 Enzi To require that all current programs are fully funded before expansions under this Act may take effect. 53 Enzi To require funds for primary care training. 54 Enzi To require equal funds of acticities located in different geographic regions. 55 Enzi To strike previsions relating to student loan rates and guidelines. 56 Enzi To require that all current programs under the Public Health Services Act are fully funded, repealed, or expired before expansions under title III may take

5 effect. 57 Enzi To prohibit national implementation of recommendations. 58 Enzi To require an evaluation of programs of the Centers for Disease Control and Prevention. 59 Enzi To prohibit the Secretary from requiring the use of best practices. 60 Enzi To require that programs with state requirements are not effective without a direct appropriation for that purpose. 61 Enzi To strike the National Prevention, Promotion and Public Health Council. 62 Enzi To modify provisions relating to the national prevention, health promotion, and public health strategy. 63 Enzi To strike the Prevention and Public Health Investment Fund. 64 Enzi To strike the Prevention and Public Health Investment Fund and provide authority to the Director of the Centers for Disease Control and Prevention to allocate certain funding. 65 Enzi To strike the Prevention and Public Health Investment Fund and provide 66 Enzi To strike the Prevention and Public Health Investment Fund and consolidate all health promotion and chronic disease programs under the authority of the Director of the Centers for Disease Control and Prevention. 67 Enzi To strike the duties of the Preventive Services Task Force. 68 Enzi To strike the duties of the Community Preventive Services Task Force. 69 Enzi To provide that all members of the Preventive Services Task Force are independent. 70 Enzi To provide discretionary authority to carry out activities under the right choices program. 71 Enzi To modify provisions relating to eligible low income individuals under the right choices program. 72 Enzi To modify provisions relating to cost sharing for eligible individuals under the right choices program.

6 73 Enzi To modify provisions relating to who provides the risk stratified care plan for eligible individuals under the right choices program. 74 Enzi To provide for appropriate health services under the right choices program. 75 Enzi To prohibit the use of State or in kind funds to carry out the right choices program. 76 Enzi To limit the authority of the Secretary with respect to the sunset of the right choices program. 77 Enzi To prohibit the use of State funds for the development of a Right Choices card under the right choices program. 78 Enzi To ensure that small states and large states are treated the same under the right choices program. 79 Enzi To prohibit nonstudents from receiving services under the school based health clinic program. 80 Enzi To require parental consent for the receipt of services under the school based health clinic program. 81 Enzi To strike the definition of community under the school based health clinic program. 82 Enzi To strike the authority for optional services under the school based health clinic program. 83 Enzi To expand the number of entities that may be sponsoring entities under the school based health clinic program. 84 Enzi To reauthorize the Ryan White program. 85 Enzi To clarify that certain oral health activities are subject to appropriations. 86 Enzi To strike provisions relating to research based dental caries disease management. 87 Enzi To strike provisions relating to oral health. 88 Enzi To provide for the establishment of a program to allow States to streamline all health promotion and disease prevention funding to target the top 3 chronic

7 conditions in terms of cost to the state. 89 Enzi To prohibit the use of funds to create video games or other similar tools that lead to higher rates of obesity under the community transformation grant programs. 90 Enzi To require grantees to be locally based under the community transformation grant program. 91 Enzi To require local communities to identify disease priority areas under the community transformation program. 92 Enzi To clarify provisions relating to community measures under the community transformation grant program. 93 Enzi To provide employees wellness programs that are targeted towards their health needs and risks 94 Enzi To provide employees wellness programs that are targeted towards their health needs and risks 95 Enzi To ensure Americans who like the health care they have now can keep it 96 Enzi To require comparative effectiveness research to assess whether treatments benefitting the "average" patient might nevertheless benefit many individuals 97 Enzi To forbid the Center for Health Outcomes Research and Evaluation to transmit government comparative effectiveness research through health information technology in order to dictate practice guidelines 98 Enzi To strike comparative effectiveness research Section of the Bill 99 Enzi To promote openness and transparency by establishing public notice and comment periods for certain key government comparative effectiveness research decisions 100 Enzi To develop patient centered alternatives to "one size fits all" comparative effectiveness research 101 Enzi To promote openness and transparency by establishing public notice and comment periods for certain key government comparative effectiveness research decisions 102 Enzi To provide special safeguards for comparative effectiveness research relevant

8 to orphan diseases. 103 Enzi To improve the Health Care Program Integrity Coordinating Council 104 Enzi To improve the legislation by establishing the office of the health care fraud coordinator 1 Gregg To establish a Bipartisan Task Force for Responsible Fiscal Action, to assure the long term fiscal stability of the Social Security Program and to expand future economic prosperity and growth for all Americans. 2 Gregg To insure the fiscal security of the United States 3 Gregg To strike the CLASS act 4 Gregg To provide the same tax treatment for long term care insurance premiums as for health care insurance premiums. 5 Gregg To strike the CLASS act and allow long term care insurance to be offered under cafeteria plans and flexible spending arrangements and to provide additional consumer protections for long term care insurance. 6 Gregg To protect the long term fiscal health of the United States 7 Gregg To ensure honest budgeting by requiring CLASS Act payments, reciepits, and deficits are reflected in the Budget. 8 Gregg To ensure that the healthcare reform does not increase the rate of growth of healthcare spending. 9 Gregg To modify provisions relating to distribution of information to the public. 10 Gregg To provide for the collection and analysis of data for quality and resource use measures. 11 Gregg To allow for the adjusting of Incentives for Employee Participation in Employer Sponsored Prevention and Wellness Programs. 12 Gregg To further incentivize employee participation in employer sponsored prevention and wellness programs. 13 Gregg To amend the Internal Revenue Code of 1986 to provide an exclusion for employee rewards for employer provided wellness program participation. 14 Gregg To amend the Internal Revenue Code of 1986 to expand workplace health incentives by equalizing the tax consequences of employee athletic facility use.

9 15 Gregg To provide for an adjustment in the amount of the Medicare Part B deductible to award beneficiaries who engage in healthy behaviors. 16 Gregg To provide for an adjustment in the amount of the Medicare Part B premium to award beneficiaries who engage in healthy behaviors. 17 Gregg To ensure that Federally Qualified Health Centers are accessible to underserved populations. 18 Gregg To maintain accountability requirements for Federal Qualified Health Centers in order to ensure the quality of patient access and treatment. 19 Gregg To ensure the safety of patients served by Federal Qualified Health Centers. 20 Gregg To protect the integrity and quality of Federally Qualified Health Centers. 21 Gregg To amend the Internal Revenue Code of 1986 to provide more help to Alzheimer's disease caregivers. 22 Gregg To strike the Investment Fund in order to take steps towards establishing fiscal responsibility in this bill. 23 Gregg To authorize the funding of prevention, wellness, and public health activities by the Public Health Service Act. 24 Gregg To evaluate prevention, wellness, and public health activities authorized by the Public Health Services Act. 25 Gregg To ensure that healthcare reform does not increase the rate of growth in healthcare spending. 26 Gregg To focus Federal spending on the health care workforce on increasing the number of primary care providers. 27 Gregg To ensure that healthcare reform does not increase the rate of growth in healthcare spending. 29 Gregg To reduce healthcare workforce shortages and improve patient access to healthcare services by reducing the excessive burden the liability system places on the delivery of quality care. 30 Gregg To reduce healthcare workforce shortages and improve womens' access to healthcare services by reducing the excessive burden the liability system

10 places on the delivery of quality obstetrical and gynecological services 31 Gregg To strike subtitle F of title V. 32 Gregg To strike subtitle G of title V 33 Gregg To apply cease and desist and summary seizure orders to plans maintained under collective bargaining agreements. 34 Gregg To apply cease and desist and summary seizure orders to public health plans. 35 Gregg To ensure that healthcare reform does not increase the rate of growth in healthcare spending. 36 Gregg To prevent unfair competition. 1 Alexander To ensure that funding of the Right Choices program is not an unfunded mandate upon the states. 2 Alexander To ensure that the development of the Right Choices Card is not an unfunded mandate upon the states. 1 Burr To clarify the meaning of public health insurance coverage 2 Burr To require the Senior Advisor for Health Care Fraud to report to Congress 3 Burr To provide for the application of State laws on the reporting of child abuse, sexual abuse, rape, or incest 4 Burr To amend section 435 (o) of the Higher Education Act of 1965 regarding the definition of economic hardship 5 Burr To require all services to be age appropriate under the school based health clinic program 6 Burr To require the Preventive Services Task Force to consider clinical preventive best practice recommendations 7 Burr To provide for a commission concerning the elimination of fraud, waste, and abuse in Federal health programs 1 Isakson To make quality, affordable health care available to all Americans, reduce costs, improve health care quality, enhance disease prevention, and strengthen the health care workforce 1 McCain To strike CDC and employer based wellness programs 2 McCain To determine whether existing Federal Government sponsored health and

11 wellness initiatives are effective in achieving their stated goals 3 McCain To provide clarity that voluntary health risk assessment are legal and appropriate in employer sponsored workplace wellness programs 4 McCain To permit the importation of prescription drugs 1 Hatch To reduce healthcare workforce shortages and improve patient access to healthcare services by reducing the excessive burden the liability system places on the delivery of quality care. 2 Hatch To retain the National Health Service Corps authorization levels contained PL , the Health Care Safety Net Act of Hatch To require that immigrants be citizens for 5 years to participate in certain programs 5 Hatch To improve access to health care services and provide improved medical care by reducing the excessive burden the liability system places on the delivery of emergency room services 6 Hatch To improve access to health care services and provide improved medical care by reducing the excessive burden the liability system places on the delivery of services by primary care physicians in rural and medically underserved communities 7 Hatch To prevent the Centers for Medicare and Medicaid Services or any other Federal agency from using the information to make coverage or treatment decision 8 Hatch To prohibit the use of the information from defining the standard of care in State and Federal courts 9 Hatch To ensure that the Patient Navigator Outreach and Chronic Disease Prevention Act of 2005 (PL ) has minimum core proficiency standards for patient navigators 10 Hatch To promote research and treatment of pain care 11 Hatch To provide for a coordinated environmental public health network 12 Hatch To amend the Public Health Service Act to enhance efforts to address antimicrobial resistance

12 13 Hatch To strike the authorization of appropriations for health impact assessments 14 Hatch To define tooth level surveillance for purposes of oral healthcare surveillance activities 15 Hatch To strike provisions relating to tooth level oral healthcare surveillance activities 16 Hatch To promote training in the treatment and management of pain care 17 Hatch To utilize community health centers to test several approaches to improve wellness and promote the adoption of healthy lifestyles among several at risk populations 18 Hatch To create a mentoring program for minority, low income children to encourage them to pursue careers in the health care field 19 Hatch To ensure that better methodologies are developed to measure prevention and wellness programs 20 Hatch To ensure that major stakeholders in oral health care have input on this national public campaign as it is being developed 21 Hatch To require the Institute of Medicine to make recommendations to Congress on how to reduce unnecessary hospital readmissions 22 Hatch To make technical corrections and improve the bill 23 Hatch To make technical corrections to improve the bill 24 Hatch To ensure that the language in the Affordable Health Choices Act is consistent with professional terminology 25 Hatch To ensure that there is no decrease in children's access to immunizations 26 Hatch To preserve access to the Right Choices program for those who need it most 27 Hatch To ensure that community health teams include doctors of chiropractic 28 Hatch To ensure that fraud and abuse is removed from our health care system 1 Murkowski Strike lines on page 213 "comparative effectiveness information" 2 Murkowski Strike lines 7 10 on page 230

13 3 Murkowski Add language to page 243, line 10 "Federal Indian Health Service programs and tribally operated health programs." 4 Murkowski Add language to page 255, line 15 "and Federal Indian Health Service programs and tribally operated health programs." 5 Murkowski Add language to page 259, line 22 "or Tribe or tribal organization as defined under the Indian Self Determination and Education Assistance Act." 6 Murkowski Add language to page 260, line 12 "and physicians' assistants" 7 Murkowski Add language to page 348, line 24 "and an Indian tribe and tribal organization" 8 Murkowski Strike lines 1 3 on page 354 "cost effectiveness of clinical preventive services" 9 Murkowski Strike lines on page 362 and replace language 10 Murkowski Strike line 14 on page 362 and replace language 11 Murkowski Strike line 7 on page 365 "as determined by the Secretary" and replace with "50 percent" 12 Murkowski Strike line 10 on page 365 "percentage of uninsured" and replace with "rates of uninsured per capita" 13 Murkowski Strike lines 4 5 on page 368 and replace with "residents of an area designated medically underserved areas or health professional shortage areas" 14 Murkowski Strike lines 9 12 on page 372 and replace language 15 Murkowski Strike lines 4 5 on page 368 and replace language 16 Murkowski Add language to page 375, line 14 "individuals who are note enrolled as students are prohibited from receiving services." 17 Murkowski Add language to page 388, line 6 "and who are uninsured" 18 Murkowski Add language to page 388, line 11 "and private insurance companies." 19 Murkowski Add language to page 389, line 8 "and who are uninsured" 20 Murkowski Add language to page 397, line 16 "(I) and immunization information systems to allow all states to have electronic databases for immunization records" 21 Murkowski Add language to page 391, line 1 "and who are uninsured"

14 22 Murkowski Add language to page Murkowski Add definition to page Murkowski Add language to page 429 "(27) an underserved Area is a Health professional Shortage Area or Medically Underserved Area 25 Murkowski Add language to page 429 "(28) " 26 Murkowski Add language to page 433, line 8: "and frontier" 27 Murkowski Add language to page 434, "(IX): and community based training programs." 28 Murkowski Add language to page 434, "(IX): and community based training programs." 29 Murkowski Add language to page 543 "(D) " 30 Murkowski Strike lines 3 8 on page 557 and replace language 31 Murkowski Strike lines 8 16 on page 561 and replace language 32 Murkowski Add language to page 558, line 16: "and community health workers." 33 Murkowski Add language to page 572, line 10: "and area health education centers" 34 Murkowski Add language to page 376, line 22 after the word "disabilities"; and American Indian, Alaskan Native, and Native Hawaiian 35 Murkowski Add language to page 376, line 22 after the word "disabilities"; and American Indian, Alaskan Native, and Native Hawaiian 36 Murkowski Add language to page 377, line 23 after the word "local department of health"; add "Indian health system provider." 37 Murkowski Add language to page 383, after line 2 [Section 321 (b) (1)] add "and Indian tribes." 38 Murkowski Add language to page 281, line 21 after the word "and"; "expenses associated with physician services." 39 Murkowski Strike and replace language on page 288, lines and line Murkowski Add language after line 7 on page Murkowski Strike section 411 on page 430

15 42 Murkowski Strike section 411 on page Murkowski Strike National Center for Health Care Workforce Analysis 44 Murkowski Strike lines of page 470; "rate of 2 percent less than the.." 45 Murkowski Strike Section (3) Noncompliance by student 46 Murkowski Strike section ( c) Student Loan Guidelines 47 Murkowski Line 12 replace "cost of living" with "cost of attendance" 48 Murkowski "(1)" and place it at (2)( c) 49 Murkowski "(3)" and place it at (2)(d) 50 Murkowski Strike section Murkowski Add Section (4) "must not have received loan forgiveness through public service loan forgiveness under the Higher Education Act." 52 Murkowski Strike section (A) and replace with "one year for every year served" 53 Murkowski Strike "other reasonable education expenses" 54 Murkowski Strike "or in settings where patients might require health care services" 55 Murkowski Strike lines 1 5, Section (B) 56 Murkowski Strike lines on page 483; lines 1 3 on page Murkowski Strike lines on page 483; lines 1 3 on page Murkowski To provide funding to facilitate meeting the requirements of Medicare Frontier Extended Stay Clinic certification 59 Murkowski Strike lines on page 483; lines 1 3 on page Murkowski Add "Indian health organization" before "quality improvement organization" 61 Murkowski Add "and an Indian tribe or partnership of 1 or more Indian tribes." 62 Murkowski After line 2 on page 383 add "Indian tribe 63 Murkowski After line 3 on page 388 add "and Indian tribes"

16 64 Murkowski After line 11 on page 388 add "Indian tribe" 65 Murkowski Revise language on line 1 66 Murkowski Add language after line Murkowski Line 8 after "State and local health departments," add "the Indian tribes," 68 Murkowski Strike and add language 69 Murkowski Add language after line Murkowski Add language to line 10 on page 406 and t line 11 on page Murkowski On page 509, line 20 add "dental health aides" 72 Murkowski Add language to line 6 73 Murkowski Add language to page 501, line Murkowski Add language to page 376, line Murkowski Add language to page 377, line Murkowski Add language to page 379, line Murkowski Strike line 18 on page 173 "an intermediate care facility for the mentally retarded" 1 Coburn To strike the class act 2 Coburn To require CLASS ACT recipients to engage in work, education or training 3 Coburn To prevent duplication of benefits 4 Coburn To make CLASS Independence Fund financially independent 5 Coburn To target benefits to most needy individuals. 6 Coburn To strike CLASS Act 7 Coburn To protect all patients by prohibiting the use of data obtained from comparative effectiveness research to deny coverage of items or services under federal health care programs and to insure that comparative effectiveness research accounts for advancements in personalized medicine and differences in patient treatment response.

17 8 Coburn To provide for research on outcomes of health care items and services 9 Coburn To clarify provisions with respect to comparative effectiveness research. 10 Coburn To provide for health care provider transparency and to establish a Health Care Services Commission 11 Coburn To establish a demonstration project that uses practicing health care professionals to conduct undercover investigations of other health care providers in order to determine the quality of health care provided by such other providers. 12 Coburn To remove barriers to the use of health information technology to better coordinate health care 13 Coburn To provide for the establishment of an Office of Unborn Children's Health 14 Coburn To strike provisions relating to administrative simplification= 15 Coburn To protect the safety and health of women by requiring all abortion clinics and pregnancy support centers to meet State health standards 16 Coburn To provide a strategic approach to outcome based prevention 17 Coburn To clarify the intent of the prevention and public health investment fund 18 Coburn To clarify the intent of the prevention and public health investment fund 19 Coburn To restate the purpose of the Prevention and Public health Investment Fund 20 Coburn To reduce funding and provide for a termination date for the Prevention and Public Health Investment Fund 21 Coburn To ensure that no funds are made available through the prevention and public health investment fund if the Social Security Trust Fund or the Medicare Trust Fund are determined to have unfunded liabilities 22 Coburn To ensure that no funds are made available through the prevention and public health investment fund if general revenue Medicare funding is excessive 23 Coburn To prohibit increased appropriations to the Centers for Disease Control and Prevention for fiscal years in which the Prevention and Public Health Investment Fund receives appropriations

18 24 Coburn To provide a limit on appropriations under title III 25 Coburn To for Federal messaging on health promotion and disease prevention 26 Coburn To eliminate Federal funding for screening and preventative services for lowincome individuals for fiscal years in which grant funds are expanded under the right choices program 27 Coburn Ensure protect taxpayer dollars and reduce fraud in Medicare 28 Coburn To ensure that school based health clinic funding is not provided to entities that provide abortions 29 Coburn To ensure that abortion providers are not co locating at schools in order to be integrated into school based health clinics and gain access to potential clients 33 Coburn To ensure that school based health clinics protect parents' rights to know about the medical care of their minor children, to defend against sexual predators, and to ensure health provider compliance with all State and Federal reporting laws regarding child molestation, sexual abuse, rape, and incest, when providing prescription contraceptive drugs or devices to minor children 34 Coburn To ensure that entities, such as faith based organizations, may partner with school based clinics without having to do endorse or become integrated with programs or activities to which they have a religious or moral objection 35 Coburn To ensure that faith based organizations may partner with school based clinics as sponsoring organizations 36 Coburn To increase the matching fund requirement under the school based health clinic grant program 37 Coburn To strike the provision authorizing the Secretary to waive the matching fund requirement under the school based health clinic grant program 38 Coburn To require recipients of community transformation grants to demonstrate improvements in the community within each of the measures provided for under such grant 39 Coburn To prohibit the use of funds to create video games or other similar tools that lead to higher rates of obesity under the community transformation grant provisions 40 Coburn To for Federal messaging on health promotion and disease prevention.

19 41 Coburn To modify provisions relating to immunizations 42 Coburn To focus the food stamp program on nutrition 43 Coburn To rename the community health program subtitle IV 44 Coburn To provide for a conditional termination of the healthy aging, living well grant program 45 Coburn To prohibit recommendations for changes in the built environment of a community 46 Coburn To prohibit the use of funds to build, or modify buildings, based on health assessment 47 Coburn To require that the workplace wellness report be made available to the public 48 Coburn To provide access to preventative primary care 49 Coburn To prohibit the use of funds for sidewalks and other public infrastructure support 50 Coburn To limit the availability of funds for an activity if funds are currently available for such activity through existing Federal programs 51 Coburn To prohibit the use of funds to build football stadiums 52 Coburn To prohibit the use of funds for the recruitment or salaries of police officers, security guards, or other local law enforcement activities 53 Coburn To prohibit the use of funds for education activities, including school construction, preschool programs, or higher education programs 54 Coburn To prohibit the use of funds for any housing activities 55 Coburn To prohibit the use of funds for any activities related to public transit 56 Coburn To provide uniformity in requirements for nutrition labeling of food at chain restaurants and sold from vending machines 58 Coburn To prohibit the expenditure of federal funds for activities related to HIV Vaccine Awareness Day until an HIV vaccine has been approved for human use by the Food and Drug Administration 59 Coburn To prohibit the awarding of grants to entities that are members of national

20 trade associations under the community transformation grant provisions 60 Coburn To strike the provisions relating to the Prevention and Public Health Investment Fund 61 Coburn To strike the provisions relating to the Right Choices Program 62 Coburn To strike the provisions relating to school based health clinics 63 Coburn To strike the provisions relating to community transformation grants 64 Coburn To strike the provisions relating to nutrition labeling of standard menu items at chain restaurants and of articles of food sold from vending machines 65 Coburn To strike the provisions relating to understanding health disparities through data collection and analysis 66 Coburn To strike provisions relating to health impact assessments 67 Coburn To protect a patient s right to know 68 Coburn To prohibit the Department of Health and Human Services from promoting and encouraging tax increases 69 Coburn To express the sense of the Senate that the most effective way of addressing workforce shortages is to address the market distortions that have been created by ineffective government payment policies under the Medicare program 70 Coburn To increase the authorization of appropriations for implementation grants for State health care workforce development, and to strike other health care workforce provisions 71 Coburn To authorize the Secretary of Health and Human Services to consolidate the workforce funding streams of the Health Resources and Services Administration to target the most acute health care workforce shortages 72 Coburn To authorize the Administrator of the Health Resources and Services Administration to contract with States to consolidate the workforce funding of each such State in order to address the 3 most acute health care workforce shortages of the State 73 Coburn To grant the Secretary the authority and responsibility to end any health care workforce programs that are not accomplishing their intended goals and

21 redirect funding toward health care workforce programs that have been proven to be effective 74 Coburn To increase the rate at which interest accrues in the case of a medical student receiving a federally supported loan who fails to comply with the terms of the loan agreement 75 Coburn To increase the period of time an individual is required to practice in primary care as a condition for receiving a federally supported student loan for students of medicine or osteopathic medicine 76 Coburn To strike the provision expressing the sense of Congress that funds repaid under the federally supported loan program should not be transferred to the Treasury 77 Coburn To establish a crisis pregnancy center workforce program 78 Coburn To limit the authorization of appropriations to carry out title IV 79 Coburn To strike provisions related to public health workforce recruitment and retention programs 80 Coburn To strike provisions related to allied health workforce recruitment and retention programs 81 Coburn To strike the provision eliminating a cap on commissioned officers in the Regular Corps of the Public Health Service 82 Coburn To ban no bid contracts from funds authorized or otherwise provided under title III 83 Coburn To reduce fraud under the Medicare program 84 Coburn To amend Title XVIII of the Social Security Act to reduce fraud under the Medicare program 85 Coburn To prevent Medicaid fraud 86 Coburn To fund the Community Living Assistance Services and Supports provisions 87 Coburn To establish a demonstration project that uses practicing health care professionals to conduct undercover investigations of other health care professionals

22 88 Coburn To end lawsuit abuse 89 Coburn To provide for agencies to annually report the number of employees of that agency who are absent without leave and the number of hours that employees of that agency are absent without leave 92 Coburn To protect American taxpayers from wasted federal spending due to lost federal property and goods 93 Coburn To protect the health and safety of the American people and to preserve the professional integrity and independence of Federal scientists and researchers 94 Coburn To prohibit the Department of Health and Human Services from promoting and encouraging tax increases 95 Coburn To require the reporting of the names of former employees of the Department of Health and Human Services who receive grants or contracts for such Department 96 Coburn To ensure that taxpayer dollars are protected and reduce fraud in Medicare 97 Coburn To protect American taxpayers' dollars and reduce fraud in Medicare 98 Coburn To require that each health or medical bill considered in Congress has a full and final score from the Congressional Budget Office at least 1 week before consideration of such bill 100 Coburn To protect the right of health care providers to serve patients without violating their moral and religious convictions 101 Coburn To prohibit funds provided under this Act from being used or sent or otherwise pay for the attendance of more than 50 employees from a Federal department or agency at any single conference occurring outside the United States 102 Coburn To limit the amount the Department of Health and Human Services may spend on conferences each year 103 Coburn To prohibit any earmark in any Act making appropriations for the Department of Labor, Health and Human Services, or Education until the Secretary of Health and Human Services can certify that 95 percent of Americans have health insurance coverage 104 Coburn To permit veterans and survivors and dependents of veterans who are eligible

23 for health care and services administered by the Secretary of Veterans Affairs to receive such care and services through non Department of Veterans Affairs providers and facilities 105 Coburn To provide health care choices for Indians 106 Coburn To require a study and report concerning the costs of the 5 medical conditions that have the greatest impact in the United States 108 Coburn To ensure the American People have access to the same research and analysis as Members of Congress, ensuring a full, transparent, and informed health care reform debate 109 Coburn To ban no bid contracts from funds authorized or otherwise provided under title Coburn To require that each new bureaucrat added at the Department of Health and Human Services or any of its agencies be offset by a reduction of 1 existing bureaucrat at such Department or agency 111 Coburn To prohibit the Department of Health and Human Services from providing funding for fashion shows 112 Coburn To provide a complete substitute 1 Roberts To protect all patients by prohibiting the use of data obtained from comparative effectiveness research to deny coverage of items or services under Federal health care programs and to ensure that comparative effectiveness research accounts for advancements in personalized medicine and differences in patient treatment response. 2 Roberts To require the Secretary to consider the unique characters of rural and lowvolume hospitals when developing criteria to reduce readmissions 3 Roberts To ensure that rural and frontier initiatives receive equal funding to urban and suburban initiatives