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H.R. 5506 · 114th Congress

To amend title XVIII of the Social Security Act to establish a demonstration program to provide integrated…

Full title

To amend title XVIII of the Social Security Act to establish a demonstration program to provide integrated care for Medicare beneficiaries with end-stage renal disease, and for other purposes.

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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.

TYR YoungSponsor
60 cosponsors · 30 D, 30 R
EBD Blumenauer TCD Cárdenas CMR McMorris Rodgers BLD Lawrence KSD Sinema YCD Clarke RCR Costello BGR Guthrie FVD Vela RER Ellmers CBR Boustany BLR Long MBR Blackburn JHR Heck DNR Nunes SPD Peters GND Napolitano MCD Cartwright RKD Kelly KNR Noem PAD Aguilar KCR Calvert BFR Flores TRR Reed DDD DeGette LJR Jenkins DBR Black JBD Beatty ABR Barr ECD Cummings WCD Clay HCD Cuellar SCD Cohen MCR Coffman BCR Comstock DDR Donovan BFR Farenthold AHD Hastings GHR Harper JHR Herrera Beutler DHD Heck DJR Joyce MKR Kelly DLD Loebsack LLR Lance MLD Lujan Grisham TLD Lieu PMR Meehan MMR McSally END Norton CPD Peterson MRR Rogers DWD Wasserman Schultz JBD Brownley KCR Cramer GTR Thompson JCD Courtney EPD Perlmutter RRD Ruiz PDD DeFazio

3 signed on when it was introduced; the rest joined later. Cosponsors who withdrew aren't shown.

Dialysis PATIENT Demonstration Act of 2016 or the Patient Access to Integrated-care, Empowerment, Nephrologists and Treatment Demonstration Act of 2016

What it does: CRS summary · Introduced in House · Jun 16, 2016

Dialysis PATIENT Demonstration Act of 2016 or the Patient Access to Integrated-care, Empowerment, Nephrologists and Treatment Demonstration Act of 2016

This bill amends title XVIII (Medicare) of the Social Security Act to establish a demonstration program for the provision of integrated care to Medicare beneficiaries with end-stage renal disease (ESRD).

Under the voluntary program, eligible participating providers may form organizations to offer ESRD integrated care models and serve as medical homes for program-eligible beneficiaries. Such a model: (1) shall cover medical and hospital services, other than hospice care, under Medicare; (2) must include benefits for transition into palliative care; and (3) may cover prescription drug benefits. An organization must offer at least one open network model but may also offer one or more preferred network models.

An organization shall return savings achieved under the models to program-eligible beneficiaries.

A beneficiary shall have the opportunity to: (1) opt out of the program, (2) make an assignment change into an open network model offered by a different organization, or (3) elect a preferred network model.

The bill establishes requirements regarding: (1) benefits for program-eligible beneficiaries who are also eligible for Medicaid benefits, (2) program quality and reporting, (2) ESRD integrated care strategy, (3) program operation and scope, (4) beneficiary notification, and (5) payment.

Written by the nonpartisan Congressional Research Service. All summary versions on Congress.gov

About this bill and sources

Official title: To amend title XVIII of the Social Security Act to establish a demonstration program to provide integrated care for Medicare beneficiaries with end-stage renal disease, and for other purposes.

Latest action (Jun 16, 2016): Referred to the Subcommittee on Health.

Policy area: Health · Origin: House · Introduced: Jun 16, 2016

Official page on Congress.gov · Bill text (GovInfo) · Status record (XML)

No recorded floor vote found.