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41 SEC. 203. QUALITY MEASURE DEVELOPMENT. ";

SEC. 203. QUALITY MEASURE DEVELOPMENT.

Title IX of the Public Health Service Act (42 U.S.C. 299 et seq.) is amended-

(1) by redesignating part D as part E;

(2)
by redesignating sections 931 through 938 as sections 941 through 948, respectively;

(3)
in section 948(1), as so redesignated, by striking 931 and inserting 941; and

(4) by inserting after section 926 the following:

"PART D-HEALTH CARE QUALITY

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42 "SEC. 931. QUALITY MEASURE DEVELOPMENT. ";

IMPROVEMENT

"Subpart I-Quality Measure Development

"SEC. 931. QUALITY MEASURE DEVELOPMENT.

(a) QUALITY MEASURE.-In this subpart, the term quality measure means a standard for measuring the per-formance and improvement of population health or of health plans, providers of services, and other clinicians in the delivery of health care services.

(b) IDENTIFICATION OF QUALITY MEASURES.-

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36 "SEC. 45R. CREDIT FOR COSTS OF AUTOMATICALLY ENROLLING EMPLOYEES AND WITHHOLDING CLASS PREMIUMS FROM WAGES. ";

"SEC. 45R. CREDIT FOR COSTS OF AUTOMATICALLY ENROLLING EMPLOYEES AND WITHHOLDING CLASS PREMIUMS FROM WAGES.

(a) GENERAL RULE.-For purposes of section 38, the CLASS automatic enrollment and premium with-holding credit determined under this section for the tax-able year is an amount equal to 25 percent of the total amount paid or incurred by the taxpayer during the tax-able year to-

(1) automatically enroll employees in the CLASS program established under title XXIX of the Public Health Service Act, and

(2) withhold monthly CLASS premiums on behalf of an employee who is enrolled in that program.

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37 SEC. 196. LONG-TERM CARE INSURANCE INCLUDIBLE IN CAFETERIA PLANS. ";

SEC. 196. LONG-TERM CARE INSURANCE INCLUDIBLE IN CAFETERIA PLANS.

(a)
IN GENERAL.-Section 125(f) of the Internal Revenue Code of 1986 is amended by striking the last sen-tence.

(b)
EFFECTIVE DATE.-The amendment made by this section shall apply to taxable years beginning after December 31, 2010.

TITLE II-IMPROVING THE QUALITY AND EFFICIENCY OF HEALTH CARE

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38 SEC. 201. NATIONAL STRATEGY. ";

Subtitle A-National Strategy to Improve Health Care Quality

SEC. 201. NATIONAL STRATEGY.

(a) IN GENERAL.-Title III of the Public Health Service Act (42 U.S.C. 241 et seq.) is amended by adding at the end the following:

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39 "PART S-HEALTH CARE QUALITY PROGRAMS "Subpart I-National Strategy for Quality Improvement in Health Care "SEC. 399HH. NATIONAL STRATEGY FOR QUALITY IMPROVEMENT IN HEALTH CARE. ";

"PART S-HEALTH CARE QUALITY PROGRAMS "Subpart I-National Strategy for Quality Improvement in Health Care "SEC. 399HH. NATIONAL STRATEGY FOR QUALITY IMPROVEMENT IN HEALTH CARE.

(a) ESTABLISHMENT OF NATIONAL STRATEGY AND PRIORITIES.-

(1) NATIONAL STRATEGY.-The Secretary, through a transparent collaborative process, shall es-tablish a national strategy to improve the delivery of health care services, patient health outcomes, and population health.

(2) IDENTIFICATION OF PRIORITIES.-

(A) IN GENERAL.-The Secretary shall identify national priorities for improvement in developing the strategy under paragraph (1).

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34 "SEC. 3208. REGULATIONS; ANNUAL REPORT. ";

"SEC. 3208. REGULATIONS; ANNUAL REPORT.

(a) REGULATIONS.-The Secretary shall promulgate such regulations as are necessary to carry out the CLASS program in accordance with this title. Such regulations shall include provisions to prevent fraud and abuse under the program.

(b) ANNUAL REPORT.-Beginning January 1, 2014, the Secretary shall submit an annual report to Congress on the CLASS program. Each report shall include the fol-lowing:

(1) The total number of enrollees in the pro

gram.

(2) The total number of eligible beneficiaries

during the fiscal year.

(3) The total amount of cash benefits provided

during the fiscal year.

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35 PART II-AMENDMENTS TO THE INTERNAL REVENUE CODE OF 1986 SEC. 195. CREDIT FOR COSTS OF EMPLOYERS WHO ELECT TO AUTOMATICALLY ENROLL EMPLOYEES AND WITHHOLD CLASS PREMIUMS FROM WAGES. ";

PART II-AMENDMENTS TO THE INTERNAL REVENUE CODE OF 1986 SEC. 195. CREDIT FOR COSTS OF EMPLOYERS WHO ELECT TO AUTOMATICALLY ENROLL EMPLOYEES AND WITHHOLD CLASS PREMIUMS FROM WAGES.

(a) IN GENERAL.-Subpart D of part IV of sub-chapter A of chapter 1 of the Internal Revenue Code of 1986 (relating to business credits) is amended by inserting after section 45Q the following:

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33 "SEC. 3206. CLASS INDEPENDENCE FUND. ";

"SEC. 3206. CLASS INDEPENDENCE FUND.

(a) ESTABLISHMENT OF CLASS INDEPENDENCE FUND.-There is established in the Treasury of the United States a trust fund to be known as the CLASS Independence Fund. The Secretary of the Treasury shall serve as Managing Trustee of such Fund. The Fund shall consist of all amounts derived from payments into the Fund under sections 3204(f) and 3205(c)(5)(C)(ii), and remaining after investment of such amounts under sub-section (b), including additional amounts derived as income from such investments. The amounts held in the Fund are appropriated and shall remain available without fiscal year limitation-

(1) to be held for investment on behalf of individuals enrolled in the CLASS program;

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32 "SEC. 3202. DEFINITIONS. ";

"SEC. 3202. DEFINITIONS.

In this title:

(1) ACTIVE ENROLLEE.-The term active en-rollee means an individual who is enrolled in the CLASS program in accordance with section 3204

and who has paid any premiums due to maintain such enrollment. (2) ACTIVELY EMPLOYED.-The term actively employed means an individual who-

(A) is reporting for work at the individ-uals usual place of employment or at another location to which the individual is required to travel because of the individuals employment (or in the case of an individual who is a mem-ber of the uniformed services, is on active duty and is physically able to perform the duties of the individuals position); and

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29 SEC. 190. SHORT TITLE OF SUBTITLE. ";

SEC. 190. SHORT TITLE OF SUBTITLE.

This subtitle may be cited as the Community Living Assistance Services and Supports Act or the CLASS Act.

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30 PART I-COMMUNITY LIVING ASSISTANCE SERVICES AND SUPPORTS SEC. 191. ESTABLISHMENT OF NATIONAL VOLUNTARY IN SURANCE PROGRAM FOR PURCHASING COMMUNITY LIVING ASSISTANCE SERVICES AND SUPPORT. ";

PART I-COMMUNITY LIVING ASSISTANCE SERVICES AND SUPPORTS SEC. 191. ESTABLISHMENT OF NATIONAL VOLUNTARY IN SURANCE PROGRAM FOR PURCHASING COMMUNITY LIVING ASSISTANCE SERVICES AND SUPPORT.

(a)
ESTABLISHMENT OF CLASS PROGRAM.-

(1)
IN GENERAL.-The Public Health Service Act (42 U.S.C. 201 et seq.), as amended by section 143, is amended by adding at the end the following:

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31 "SEC. 3201. PURPOSE. The purpose of this title is to establish a national ";

"TITLE XXXII-COMMUNITY LIVING ASSISTANCE SERVICES AND SUPPORTS

"SEC. 3201. PURPOSE. The purpose of this title is to establish a national

voluntary insurance program for purchasing community

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27 SEC. 185. HEALTH INFORMATION TECHNOLOGY ENROLLMENT STANDARDS AND PROTOCOLS. ";

SEC. 185. HEALTH INFORMATION TECHNOLOGY ENROLLMENT STANDARDS AND PROTOCOLS.

Title XXX of the Public Health Service Act (42

U.S.C. 300jj et seq.) is amended by adding at the end the following:

"Subtitle C-Other Provisions Related to Health Information Technology

"SEC. 3021. HEALTH INFORMATION TECHNOLOGY ENROLL

MENT STANDARDS AND PROTOCOLS.

(a) IN GENERAL.-

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28 SEC. 186. RULE OF CONSTRUCTION REGARDING HAWAII'S PREPAID HEALTH CARE ACT. ";

SEC. 186. RULE OF CONSTRUCTION REGARDING HAWAII'S PREPAID HEALTH CARE ACT.

Nothing in this title (or an amendment made by this title) shall be construed to modify or limit the application of the exemption for Hawaiis Prepaid Health Care Act (Haw. Rev. Stat. �� 393-1 et seq.) as provided for under section 514(b)(5) of the Employee Retirement Income Security Act of 1974 (29 U.S.C. 1144(b)(5)).

SEC. 187. KEY NATIONAL INDICATORS.

(a)
DEFINITIONS.-In this section:

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