Law and Government Legislation regarding 'Managed care' in Federal Government

Quality Health Care Coalition Act of 2007 - Exempts health care professionals that are negotiating with a health plan regarding contract terms under which the professionals provide health care items or services for which plan benefits are provided from federal antitrust laws in connection with such negotiations.

Declares that this Act: (1) applies only to health care professionals excluded from the National Labor Relations Act; and (2) does not apply to such negotiations relating to Medicare or Medicaid programs, the State Children's Health Insurance Program (SCHIP), medical and dental care for members of the uniformed services, veterans' medical care, the federal employees health benefits program, or the Indian Health Care Improvement Act.

Medicare Part D Drug Class Protection Act of 2007 - Amends part D (Voluntary Prescription Drug Benefit Program) of title XVIII (Medicare) of the Social Security Act to require that Medicare prescription drug plans using formularies cover all drugs included in six specified therapeutic categories.

Sets forth special requirements for reconsideration of coverage determinations, and appeals for drugs included in such categories.

Establishes reporting requirements for drugs in these categories.

Medicare Advantage Truth in Advertising Act of 2007 - Amends part C (Medicare+Choice) of title XVIII (Medicare) of the Social Security Act to restrict cost-sharing under the Medicare Advantage (MA) Program to a level no greater (and permissably less) than the cost-sharing that would otherwise be imposed under the original Medicare fee-for-service program option.

Declares that nothing regarding original Medicare fee-for-service program option benefits shall be construed as prohibiting an MA plan from using a flat copayment or per diem rate, under this Act, in lieu of the cost-sharing imposed under Medicare part A or part B.

TRICARE Mail-Order Pharmacy Pilot Program Act - Directs the Secretary of Defense to conduct a two-year pilot program to educate and motivate beneficiaries to voluntarily increase their use of the TRICARE (a Department of Defense [DOD] managed care program) mail-order pharmacy. Requires the program to include at least 2,000 eligible beneficiaries in each TRICARE region, of whom at least 1,000 in each region shall be enrolled in Medicare Part B.

Rural Health Services Preservation Act of 2007 - Amends part C (Medicare+Choice) of title XVIII (Medicare) of the Social Security Act to require Medicare Advantage organizations to provide for a payment rate for critical access hospital services and rural health clinic services that is: (1) at least the applicable payment rate established under Medicare part A (Hospital Insurance) or part B (Supplementary Medical Insurance) for such services; or (2) 103% of the otherwise applicable payment rate, if the critical access hospital or the rural health clinic determines appropriate.

Medicare Part D Improvement Act of 2007 - Amends part D (Voluntary Prescription Drug Benefit Program) of the Social Security Act to revise requirements for the Medicare prescription drug program with respect to: (1) counting certain expenditures towards out-of-pocket limits; (2) conforming the late enrollment penalty to the Medicare part B penalty structure; (3) allowing more frequent changes in plans; and (4) removing the asset test and eliminating late enrollment penalties for low-income subsidy eligible individuals.

Directs the Secretary of Health and Human Services to study and report to Congress on how to: (1) eliminate the gap in Medicare part D prescription drug coverage created through the application of an initial coverage limit; and (2) finance such elimination.

Medicare Cost Contract Extension and Refinement Act of 2007 - Amends title XVIII (Medicare) of the Social Security Act (SSA) to: (1) extend the period reasonable cost reimbursement contracts under Medicare can remain in the market, and the period during which they can be modified to expand their service area; and (2) apply to extended or renewed reasonable cost contracts certain requirements under Medicare part C (Medicare Advantage).

Amends title XIX (Medicaid) of the Social Security Act (SSA) to permit local public agencies to act as Medicaid enrollment brokers.

Amends title XXI (State Children's Health Insurance) (SCHIP) of the Social Security Act (SSA) to provide additional amounts to eliminate the remainder of SCHIP funding shortfalls for FY2007.

Amends SSA title XIX (Medicaid) to require the use of tamper-resistant prescription pads under the Medicaid program.

Repeals the limited continuous enrollment provision for certain beneficiaries under the Medicare Advantage Program.

Denies payments for hospital or ambulatory surgical center services if in their provision there occurred a type of event which should never occur (events that directly harm patients).

Rural Health Services Preservation Act of 2007 - Amends part C (Medicare+Choice) of title XVIII (Medicare) of the Social Security Act to require Medicare Advantage organizations to provide for a payment rate for critical access hospital services and rural health clinic services that is: (1) at least the applicable payment rate established under Medicare part A (Hospital Insurance) or part B (Supplementary Medical Insurance) for such services; or (2) 103% of the otherwise applicable payment rate, if the critical access hospital or the rural health clinic determines appropriate.

Chiropractic Health Parity for Military Beneficiaries Act - Directs the Secretary of Defense, no later than August 31, 2007, to complete development of a plan to provide chiropractic health care services and benefits, as a permanent part of the TRICARE program (a Department of Defense managed health care program), for covered beneficiaries. Requires plan implementation by January 31, 2008.

Universal Health Act of 2007: Repeal of the Late Enrollment Penalty in Medicare Part D - Amends part D (Voluntary Prescription Drug Benefit Program) of title XVIII (Medicare) of the Social Security Act to repeal the Medicare prescription drug benefit late enrollment penalty.

Veterans Health Care Empowerment Act of 2007 - Allows any veteran with a service-connected disability to receive hospital care or medical services for any condition at any hospital or medical facility or from any medical provider eligible to receive payments under either Medicare or the TRICARE program (a Department of Defense [DOD] managed health care program). Requires the cost of such care and services to be borne by the United States.

Amends the Internal Revenue Code to permit: (1) federal civilian and military retirees to pay Federal Employees Health Benefits Program (FEHBP) and TRICARE supplemental premiums on a pretax basis (i.e., exclude premiums from gross income); and (2) a tax deduction (available to itemizers and nonitemizers) for TRICARE supplemental premiums or enrollment fees.

Directs the Director of the Office of Personnel Management (OPM) and the Secretary of Defense to ensure that the option of paying FEHBP and TRICARE supplemental premiums on a pretax basis is available to federal civilian and military retirees for the first open enrollment period beginning not less than 90 days after the enactment of this Act.

Relief and Elimination of the Medicare Enrollment Deadline Penalty (REMEDY) Act of 2007 - Amends part D (Voluntary Prescription Drug Benefit Program) of title XVIII (Medicare) of the Social Security Act to: (1) postpone the Medicare part D late enrollment penalty until after 2007; and (2) eliminate such penalties for low-income subsidy-eligible individuals for periods after 2007.

Directs the Secretary of Health and Human Services to establish a method for providing rebates of late enrollment penalties paid for months before the enactment of this Act.

Amends title XVIII (Medicare) of the Social Security Act to repeal the MA Regional Plan Stabilization Fund.

Amends the Internal Revenue Code to permit: (1) federal civilian and military retirees to pay Federal Employees Health Benefits Program (FEHBP) and TRICARE supplemental premiums on a pretax basis (i.e., exclude premiums from gross income); and (2) a tax deduction (available to itemizers and nonitemizers) for TRICARE supplemental premiums or enrollment fees.

Directs the Director of the Office of Personnel Management (OPM) and the Secretary of Defense to ensure that the option of paying FEHBP and TRICARE supplemental premiums on a pretax basis is available to federal civilian and military retirees for the first open enrollment period beginning not less than 90 days after the enactment of this Act.