Listing of health care reform (Obamacare) provisions that effect hospitals and their administration.

1. Hospital Healthcare Reform Provisions
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2. Section 1001 Subsection 2713: Preventive Healthcare Coverage
A group health plan and a health insurance issuer offering group or individual
health insurance coverage shall provide preventive care and screenings to
infants, children, adolescents and young adults.
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3. Section 1201: Prohibition of Preexisting Conditions
A group health plan and a health insurance issuer offering group or individual
health insurance coverage may not impose any preexisting condition exclusion
with respect to such plan or coverage.
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4. Section 2301: Coverage for Birthing Centers
A State shall provide separate payments to providers administering prenatal
labor and delivery or postpartum care in a freestanding birth center
(as defined in subparagraph (B)), such as nurse midwives and other
providers of services such as birth attendants recognized under State law, as
determined appropriate by the Secretary. Nothing in this subparagraph
shall be construed as changing State law requirements
applicable to a birth attendant.
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5. Section 3008: Incentive to Reduce Hospital Acquired Conditions
In order to provide an incentive for applicable hospitals to reduce hospital acquired
conditions with respect to discharges occurring during fiscal year 2015, the amount
of payment shall be equal to 99% of the amount of payment that would otherwise
apply to such discharges.
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6. Section 3025: Payment Reduction for Hospital Readmissions
Discharges occurring on or after October 1, 2012, in order to account for excess
readmissions, the Secretary shall reduce payments for such discharge by an
amount equal to the product of the base operating DRG payment amount
for the discharge; and the adjustment factor for the hospital for the fiscal year.
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7. Section 3111: Payment for Bone Density Tests
For dual-energy x-ray absorptiometry services (bone density, identified in 2006
by HCPCS codes 76075 and 76077 (and any succeeding codes)) furnished during
2010 and 2011, instead of the payment amount that would otherwise be
determined under this section for such years, the payment amount shall be
equal to 70 percent of the product.
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8. Section 3125: Payment for Low-Volume Hospitals
For discharges occurring in fiscal years 2011 and 2012, the Secretary shall
determine an applicable percentage increase for purposes of using a continuous’
linear sliding scale ranging from 25 percent for low-volume hospitals with 200 or
fewer discharges of individuals entitled to, or enrolled for, benefits under part A
in the fiscal year to 0 percent for low-volume hospitals with greater than 1,500
discharges of such individuals in the fiscal year.
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9. Section 3133: Disproportionate Share Hospital Payments
For fiscal year 2015 and each subsequent fiscal year, instead of the amount of
disproportionate share hospital payment that would otherwise be made to a
hospital for the fiscal year, the Secretary shall pay to the hospital a 25 percent of
such amount (which represents the empirically justified amount for such payment,
as determined by the Medicare Payment Advisory Commission in its March 2007
Report to the Congress).
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10. Section 3134: Misvalued Codes Under Physician Fee Schedule
For purposes of identifying potentially misvalued services, the Secretary shall
examine (as the Secretary determines to be appropriate) codes (and families of
codes as appropriate) for which there has been the fastest growth; codes
(and families of codes as appropriate) that have experienced substantial
changes in practice expenses; codes for new technologies or services within an
appropriate period (such as 3 years) after the relative values are initially
established for such codes.
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11. Section 4104: Elimination of Co-Pay
Elimination of coinsurance (co-pay) on preventive services (i.e. physical exams)
in outpatient hospital settings.
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12. Section 4108: Incentive for Prevention of Chronic Diseases
Incentives for prevention of chronic diseases. A program described in this
paragraph is a comprehensive, evidence-based, widely available, and easily
accessible program, proposed by the State and approved by the Secretary,
that is designed and uniquely suited to address the needs of Medicaid
beneficiaries and has demonstrated success in helping individuals achieve
one or more of the following: ceasing use of tobacco products, controlling or
reducing their weight, lowering their cholesterol, lowering their blood pressure,
avoiding the onset of diabetes or, in the case of a diabetic, improving the
management of that condition.
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13. Section 9007: Taxes on Hospital Failures
If a hospital organization to which section 501(r) applies fails to meet the
requirement of section 501(r)(3) for any taxable year, there is imposed on
the organization a tax equal to $50,000.The Secretary of the Treasury or the
Secretary's delegate shall review at least once every 3 years the community
benefit activities of each hospital organization to which section 501(r) of the
Internal Revenue Code of 1986 applies.
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14. Section 9017: Excise Tax on Cosmetic Surgery
There is hereby imposed on any cosmetic surgery and medical procedure a tax
equal to 5 percent of the amount paid for such procedure (determined without
regard to this section), whether paid by insurance or otherwise.
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