H.R. 4273 · 114th Congress
Medicare and Medicaid Improvements and Adjustments 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
GreenSponsor10 cosponsors · 10 D
D
McDermott
EB
D
Blumenauer
DD
D
Davis
JL
D
Lewis
DL
D
Loebsack
DM
D
Matsui
CR
D
Rangel
LC
D
Capps
YC
D
Clarke
SC
D
Cohen1 signed on when it was introduced; the rest joined later. Cosponsors who withdrew aren't shown.
Medicare and Medicaid Improvements and Adjustments Act of 2015
What it does: CRS summary · Introduced in House · Dec 16, 2015
Medicare and Medicaid Improvements and Adjustments Act of 2015
This bill amends titles XVIII (Medicare) and XIX (Medicaid) of the Social Security Act to modify payment rules and other provisions related to the Medicare and Medicaid programs.
The bill includes off-campus outpatient department (OPD) services in Medicare's prospective payment system (in which predetermined amounts form the basis of payment) with respect to departments that are under development.
The existing Medicare payment adjustment for cancer hospitals shall apply to off-campus OPDs.
The bill temporarily prohibits specified Medicare payment adjustments related to competitive acquisition programs for certain wheelchair accessories.
In addition, the bill modifies provisions related to: (1) reimbursement under Medicare for certain drugs furnished through durable medical equipment (DME), (2) Medicare payment rules for certain radiation therapy services, and (3) the treatment of Medicaid supplemental needs trusts.
The bill expands criminal penalties and civil monetary penalties for certain acts involving federal health care programs.
With respect to negative Medicare payment adjustments for physicians and hospitals that fail to comply with certain requirements related to electronic health records (EHR), the bill authorizes a temporary blanket exception.
A patient encounter occurring at an ambulatory surgical center shall not be used to determine whether an eligible professional qualifies as a meaningful EHR user. This prohibition applies until a specified period has passed following a determination by the Department of Health and Human Services that certified EHR technology is applicable to that setting.
Current law limits state reimbursement for DME under Medicaid to Medicare payment rates beginning January 1, 2019. The bill accelerates this limitation such that it begins October 1, 2018.
Written by the nonpartisan Congressional Research Service. All summary versions on Congress.gov
About this bill and sources
Official title: Medicare and Medicaid Improvements and Adjustments Act of 2015
Latest action (Dec 18, 2015): Referred to the Subcommittee on Health.
Policy area: Health · Origin: House · Introduced: Dec 16, 2015
Official page on Congress.gov · Bill text (GovInfo) · Status record (XML)
No recorded floor vote found.