1. Senate passed bill on December 24, 2009.2. House passed on Sunday, March 21, 2010, Senate bill (219 – 212) and reconciliation bill–a package of modifications to the Senate bill per White House–congressional Democratic leader negotiations (220 - 211).3. Senate scheduled Tuesday, March 23 to take up House-approved reconciliation package (51 votes needed).
Legislative Process
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Issues Addressed in Reconciliation Package to Modify Senate-Passed Reform Bill
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Coverage Expansion-How?Over 10 Years, the Bill will Expand Coverage to 34 million–95% of all Americans–23 million will remain uncovered
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Key Hospital and Health System Provisions
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DSH Reductions
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Medicare Update Factor Reductions Increase for Hospitals
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340B Drug Discount Program
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Geographic Variation
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Wage Index
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Hospital Readmissions
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Hospital Value-Based Purchasing
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Graduate Medical Education (GME)
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Independent Payment Advisory Board
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501(c)(3) Tax-Exempt Status
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Key Hospital and Health System Pilots and Demonstrations
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Medicare Payment Bundling
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Accountable Care Organizations (ACOs)
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Medicaid Payment Demos
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Center for Medicare and Medicaid Innovation
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Additional Hospital and Health System Provisions in the Final Health Reform Package