Prohibit federal payments to states for Medicaid services related to health care acquired conditions.
Create a new Medicaid state plan option to permit Medicaid enrollees with at least two chronic conditions, one condition and risk of developing another, or at least one serious and persistent mental health condition to designate a provider as a health home. Provide states taking up the option with 90% FMAP for two years for health home related services including care management, care coordination and health promotion.
Create the State Balancing Incentive Program in Medicaid to provide enhanced federal matching payments to increase non-institutionally based long-term care services.
Establish the Community First Choice Option in Medicaid to provide community-based attendant support services to certain people with disabilities.
Develop a national quality improvement strategy that includes priorities to improve the delivery of health care services, patient health outcomes, and population health.
Establish the Community-based Collaborative Care Network Program to support consortiums of health care providers to coordinate and integrate health care services, for low-income uninsured and underinsured populations.
Establish a new trauma center program to strengthen emergency department and trauma center capacity.
Improve access to care by increasing funding by $11 billion for community health centers and the National Health Service Corps over five years; establish new programs to support school-based health centers and nurse-managed health clinics.
Establish Teaching Health Centers to provide payments for primary care residency programs in community-based ambulatory care providers.
Impose new annual fees on the pharmaceutical manufacturing sector.