H.R. 1083 · 114th Congress
Medicaid Physician Self-Referral Act of 2015
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Never voted on. It didn't reach a floor vote before the 114th Congress ended, so it expired. A bill has to be introduced again to be considered in a new Congress.
D
McDermottSponsorNo cosponsors.
Amends title XIX (Medicaid) of the Social Security Act (SSAct) with respect to physician self-referral limitations to repeal the prohibition against payment of federal funds to a state for medical assistance expenditures for a designated health service furnished to an individual on the basis of a referral (self-referral) that would result in denial of…
What it does: CRS summary · Introduced in House · Feb 25, 2015
Medicaid Physician Self-Referral Act of 2015
Amends title XIX (Medicaid) of the Social Security Act (SSAct) with respect to physician self-referral limitations to repeal the prohibition against payment of federal funds to a state for medical assistance expenditures for a designated health service furnished to an individual on the basis of a referral (self-referral) that would result in denial of payment under SSAct title XVIII (Medicare).
Requires a state plan for medical assistance to prohibit payment for a Medicaid designated health service furnished to an individual on the basis of a physician's referral if the physician (or an immediate family member) has an ownership or investment interest or a compensation arrangement with the entity furnishing the service that would not comply with Medicare requirements.
Requires application of certain reporting requirements and sanctions to a provider of a Medicaid designated health service the same way they apply under Medicare.
Amends SSAct title XVIII to: (1) apply the False Claims Act to violations of the self-referral prohibition, and (2) declare the authority of the Secretary of Health and Human Services to issue regulations under Medicaid limited to the application of self-referral limitations to state plan requirements.
Directs the Secretary to establish a protocol consistent with the Medicare self-referral disclosure protocol required under the Patient Protection and Affordable Care Act that enables health care providers to disclose an actual or potential violation of Medicare self-referral limitations as applied to Medicaid.
Written by the nonpartisan Congressional Research Service. All summary versions on Congress.gov
About this bill and sources
Official title: Medicaid Physician Self-Referral Act of 2015
Latest action (Mar 27, 2015): Referred to the Subcommittee on Health.
Policy area: Health · Origin: House · Introduced: Feb 25, 2015
Official page on Congress.gov · Bill text (GovInfo) · Status record (XML)
No recorded floor vote found.