Resources and Guidance for Provisions in the Deficit Reduction Act Of 2005

Updated November 2008

NCSL 's policy has urged congress to amend federal Medicaid law to give states greater flexibility in administering their individual state programs. The enactment of the Deficit Reduction Act of 2005 presents states with an opportunity to implement some of the initiatives they otherwise would have been prohibited from trying. S. 1932 was signed by President Bush on February 8, 2006 and became Public Law No. 109-171. The following provides links to resources and information on the health provisions in the act.

OVERVIEW: DEFICIT REDUCTION ACT OF 2005 (S. 1932) (4/27/2007)

MEDICAID PRESCRIPTION DRUG REFORMS
LONG TERM CARE REFORMS /TRANSFER OF ASSETS
LONG TERM CARE REFORMS /HOME AND COMMUNITY BASED CARE
ELIMINATING FRAUD, WASTE AND ABUSE
FLEXIBILITY IN COST-SHARING AND BENEFITS
STATE FINANCING
FAMILY OPPORTUNITY ACT PROVISIONS
STATE CHILDREN’S HEALTH INSURANCE
HURRICANE KATRINA ASSISTANCE
STATE HIGH RISK POOL FUNDING
LOW INCOME HOME ENERGY ASSISTANCE PROGRAM
SUPPLEMENTAL SECURITY INCOME
MEDICAL CHILD SUPPORT ENFORCEMENT

MEDICARE

Subtitle A--Provisions Related To Medicare Part A

Hospital Quality Improvement (Sec. 5001)

NCSL Document: Medicare Nonpayment for Hospital Acquired Conditions

CMS Overview--Hospital Acquired Conditions (Present on Admission Indicators)

Clarification Of Determination Of Medicaid Patient Days For DSH Computation (Sec. 5002)

Improvements To Medicare-Dependent Hospital (MDH) Program (Sec. 5003)

Reduction In Payments To Skilled Nursing Facilities (Sec. 5004)

Extended Phase-In Of The Inpatient Rehabilitation Facility Classification Criteria (Sec. 5005)

Development Of A Strategic Plan Regarding Investment In Specialty Hospitals (Sec. 5006)

CMS Document: Final Report to Congress Implementating the DRA Provision Affecting Specialty Hospitals (August 8, 2006)

Health and Human Services Document (HHS): Strategic Plan Regarding Physician Investment in Specialty Hospitals Section 5006 of the Deficit Reduction Act--Interim Report to Congress.

Medicare Demonstration Projects To Permit Gain Sharing Arrangements (Sec. 5007)

Post-Acute Care Payment Reform Demonstration Program (Sec. 5008)

Subtitle B--Provisions Relating to Medicare Part B

Transfer Of Title Of Certain DME To Patient After 13-Month Rental (Sec. 5101)

CMS Document: Changes to Medicare Payment for Oxygen Equipment, Oxygen Contents, and Capped Rental Durable Medical Equipment: Proposed Rule (CMS-1304-P) (7/27/06).

Adjustments In Payment For Imaging Services (Sec. 5102)

Limitation On Payments For Procedures In Ambulatory Surgical Centers (Sec. 5103)

Minimum Update For Physician Services For 2006 (Sec. 5104)

Three-Year Extension Of Hold Harmless Provisions For Small Rural Hospitals And Sole Community Hospitals (Sec. 5105)

Update The Composite Rate Component Of The Basic Care-Mix Adjusted PPS For Dialysis Services (Sec. 5106)

One-Year Extension Of Moratorium On Therapy Caps (Sec. 5107)

CMS Document: CMS Manual System--Pub 100-04 Medicare Claims Processing, Subject-Ouypatient Therapy-Additional DRA Mandated Service Edits

Accelerated Implementation Of Income-Related Reduction In Part B Premium Subsidy (Sec. 5111)

Medicare Coverage Of Ultrasound Screening For Abdominal Aortic Aneurysms; National Educational And Information Campaign (Sec. 5112)

Improving Patient Access To And Utilization Of Colorectal Cancer Screening Under Medicare (Sec. 5113)

Delivery Of Services At Federally Qualified Health Centers (FQHC) (Sec. 5114)

CMS Document: Payment of Federally Qualified Health Centers (FQHCs) for Diabetes Self Management Training (DSMT) Services and Medical Nutrition Therapy (MNT) Services.

Waiver Of Part B Late Enrollment Penalty For Certain International Volunteers (Sec. 5115)

Subtitle C--Provisions Relating To Parts A And B

Home Health Payments (Sec. 5201)

CMS Document: CMS Manual System Pub 100-20 One Time Notification, Subject: Temporary 5 Percent Increase for Home Health Services Furnished in a Rural Area for One Year Under the Home Health Prospective Payment System (HH PPS), Change of the HH PPS Calender Year (CY) 2006 Update from that of 2.8 Percent Update to that of a Zero Percent Update.

Revision of Period For Providing Payment For Claims That Are Not Submitted Electronically (Sec. 5202)

Timeframe For Part A And B Payments (Sec. 5203)

Medicare Integrity Program (MIP) Funding (Sec. 5204)

Subtitle D--Provisions Relating To Part C

Phase-Out Of Risk Adjustment Budget Neutrality In Determining Payments To Medicare Advantage Organizations (Sec. 5301)

Rural Pace Provider Grant Program (Sec. 5302)

CMS Document: Rural Pace Provider Grant Program Solicitation Announcement

Resources for State Legislators

CMS Document--The Deficit Reduction Act: Important Facts for State Government Officials
CMS Document--A Checklist for State Legislators on the Deficit Reduction Act

Link to DRA Cover Page

For additional information, please call NCSL staff Joy Johnson Wilson, Health Policy Director at 202-624-8689 or Rachel Morgan RN, BSN, Senior Health Policy Specialist at 202-624-3569.

Resources and Guidance for Provisions in the Deficit Reduction Act Of 2005

OVERVIEW: DEFICIT REDUCTION ACT OF 2005 (S. 1932) (4/27/2007)

Resources for State Legislators CMS Document--The Deficit Reduction Act: Important Facts for State Government Officials CMS Document--A Checklist for State Legislators on the Deficit Reduction Act

Resources for State Legislators

Link to DRA Cover Page

Resources for State Legislators

CMS Document--The Deficit Reduction Act: Important Facts for State Government Officials
CMS Document--A Checklist for State Legislators on the Deficit Reduction Act