–A Patient-Centered Outcomes Research Trust Fund is established, with $2 per Medicare beneficiary transferred from Medicare Trust Fund. In addition, $10 million is appropriated for 2010, $50 million in 2011, and $150 million plus inflation in subsequent years.
–A tax on insured health plans in the amount of $2 per policy is to begin in 2012, to be paid by insurance companies. The same amount is to be assessed for self-insured plans, to be paid by the employer or other plan sponsor.
–Additional screening of medical providers will be required to participate in Medicare and MedicAid, including a licensure check, a criminal background check, fingerprinting, unannounced site visits, and database checks. This screening is to be paid for by the providers–$200 for individuals and $500 for institutions. A provider may be exempt if access to MedicAid would be threatened by charging such a fee.