Medicare
US Congress 116th Congress
Choose Medicare Act [S.1261]
Requires the Department of Health and Human Services (HHS) to establish public health insurance plans and addresses health insurance costs. Such public plans must be offered on health insurance exchanges and (1) meet the requirements of a qualified health plan; (2) cover benefits at the gold plan level; and (3) cover reproductive services, including abortions. Additionally, the bill makes a series of changes related to health insurance costs, including requiring employers to refer employees to health care navigators to assist with enrollment, establishing
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PACT Act Patient Access to Cellular Transplant Act [S.1268]
Specifies that payment under Medicare to a hospital for the acquisition costs of an allogeneic hematopoietic stem cell transplant (e.g., bone marrow transplant from a donor) must be made on a reasonable cost basis (similar to the current payment methodology for solid organ acquisitions). The Centers for Medicare & Medicaid Services must determine included items through regulations.
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Reducing Administrative Costs and Burdens in Health Care Act of 2019 [S.1260]
Requires the Department of Health and Human Services (HHS) to take a series of actions relating to health care administrative costs. Specifically, HHS must develop a strategy and take associated action to reduce unnecessary costs and administrative burdens in the health care system, including Medicare, Medicaid, and the private health-insurance market, by at least half over a period of 10 years. HHS must also award grants so that states may establish commissions targeting such costs.
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Medicare for America Act of 2019 [HB-2452]
Establishes several health insurance programs and otherwise modifies certain requirements relating to health care coverage, costs, and services. In particular, the bill establishes a national health insurance program to be administered by the Department of Health and Human Services (HHS). Among other requirements, the program must (1) cover all U.S. residents; (2) cover specified items and services, including hospital services, prescription drugs, dental services, and home- and community-based long-term care; and (3) be fully implemented in 2023.
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Choose Medicare Act [HB-2463]
Requires the Department of Health and Human Services (HHS) to establish public health insurance plans and addresses health insurance costs. Such public plans must be offered on health insurance exchanges and (1) meet the requirements of a qualified health plan; (2) cover benefits at the gold plan level; and (3) cover reproductive services, including abortions. Additionally, the bill makes a series of changes related to health insurance costs, including requiring employers to refer employees to health care navigators to assist with enrollment, establishing
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US Congress 116th Congress
Choose Medicare Act [HB-2463]
Requires the Department of Health and Human Services (HHS) to establish public health insurance plans and addresses health insurance costs. Such public plans must be offered on health insurance exchanges and (1) meet the requirements of a qualified health plan; (2) cover benefits at the gold plan level; and (3) cover reproductive services, including abortions. Additionally, the bill makes a series of changes related to health insurance costs, including requiring employers to refer employees to health care navigators to assist with enrollment, establishing
(continued...)
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Ensuring Access to Quality Complex Rehabilitation Technology Act of 2019 [HB-2408]
Establishes a specific benefit category (i.e., classification) for complex rehabilitation technology items under Medicare. The Centers for Medicare & Medicaid Services must set payment for such items in accordance with a specified methodology that includes certain clinical conditions and quality standards. The bill also excludes such items from Medicare's competitive acquisition program (in which rates are set through a competitive bidding program rather than by an established fee schedule). The bill defines complex rehabilitation technology item
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US Congress 116th Congress
Restoring Rural Residencies Act of 2019 [S.1240]
Requires the Centers for Medicare & Medicaid Services to reimburse medical residency training programs under Medicare for certain graduate medical education costs associated with resident time spent in rural community hospitals known as "critical access hospitals."
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Protecting Beneficiary Access to Complex Rehab Technology Act of 2019 [S.1223]
Excludes specified wheelchairs and associated accessories from Medicare's competitive acquisition program (in which rates are set through a competitive bidding program rather than by an established fee schedule).
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Supporting efforts to enact a bold jobs and infrastructure package that benefits all Americans, not just billionaires. [HCR-36]
This concurrent resolution expresses the sense of Congress regarding requirements and priorities for any infrastructure plan passed by Congress.
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HEARTS Act of 2019 Health Equity and Access for Returning Troops and Servicemembers Act of 2019 [HB-2371]
Makes a series of changes relating to Medicare coverage and requirements, particularly with respect to military retirees. Specifically, the bill (1) exempts certain military retirees who are under 65 years of age, and who no longer receive Social Security Disability Insurance benefits, from the requirement to enroll in Medicare medical services in order to be eligible for TRICARE; (2) increases funding for the Medicare Improvement Fund; and (3) temporarily provides for Medicare coverage of certain prostate cancer DNA Specimen Provenance Assay tests.
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US Congress 116th Congress
HEARTS Act of 2019 Health Equity and Access for Returning Troops and Servicemembers Act of 2019 [HB-2371]
Makes a series of changes relating to Medicare coverage and requirements, particularly with respect to military retirees. Specifically, the bill (1) exempts certain military retirees who are under 65 years of age, and who no longer receive Social Security Disability Insurance benefits, from the requirement to enroll in Medicare medical services in order to be eligible for TRICARE; (2) increases funding for the Medicare Improvement Fund; and (3) temporarily provides for Medicare coverage of certain prostate cancer DNA Specimen Provenance Assay tests.
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Protecting American Lungs and Reversing the Youth Tobacco Epidemic Act of 2020 [HB-2339]
Revises requirements related to the safety, sale, and advertisement of tobacco products, including electronic nicotine delivery systems (e.g., e-cigarettes, e-hookah, e-cigars, and vape pens). Among other requirements, the bill requires the Food and Drug Administration (FDA) to implement regulations to require color graphics on the labeling of cigarette packages, depicting the negative health consequences of smoking; requires the FDA to apply regulations on tobacco products to all tobacco products, including e-cigarettes; generally prohibits the
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Fairness in Medicare Part B Enrollment Act of 2019 [HB-2310]
Exempts an individual from late-enrollment penalties for Medicare medical services if the individual resided in Puerto Rico as of the date of eligibility and the individual enrolls within five years of such date. Currently, the late enrollment penalty is 10% of monthly premiums for each 12-month period during which the individual was not enrolled, and the penalty continues to apply for as long as the individual is enrolled in Medicare medical services.
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Protecting Access to Wheelchairs Act [HB-2293]
Excludes specified wheelchairs and associated accessories from Medicare's competitive acquisition program (in which rates are set through a competitive bidding program rather than by an established fee schedule).
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Independence at Home Act of 2019 [S.1202]
Establishes a permanent Independence at Home Medical Practice Program for Medicare beneficiaries. Under the program, a primary care practice shall be accountable for (1) providing comprehensive, coordinated, continuous, and accessible care to applicable Medicare beneficiaries at home; and (2) coordinating health care across all treatment settings. Subject to meeting specified quality performance standards, a participating practice is eligible to receive an incentive payment under the program if actual expenditures for applicable beneficiaries are
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Rural Access to Hospice Act of 2019 [S.1190]
Allows federally qualified health centers (FQHCs) and rural health centers (RHCs) to receive payment under Medicare for hospice services. Currently, attending physicians who work for FQHCs and RHCs may provide hospice services only outside of FQHC or RHC work hours and must bill Medicare under their own provider numbers; FQHCs and RHCs may not receive payment under Medicare for such services.
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Consumer Health Insurance Protection Act of 2019 [S.1213]
A bill to provide health insurance reform, and for other purposes.
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Reducing Costs for Out-of-Network Services Act of 2019 [S.967]
Places limits on the cost to insurance plan holders for out-of-network health care services and on the amount charged for services provided to uninsured individuals. First, each state must select one of the following formulas for determining the maximum cost for a service: 125% of fee-for-service rate under Medicare, the 80th percentile of the cost for such service in the geographic area, or 100% of the allowed charges if the service had been provided in network. Health insurance issuers must set the cost-sharing amount for out-of-network services
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Improving Transparency and Accuracy in Medicare Part D Spending Act [S.988]
Prohibits Medicare prescription drug plan sponsors from retroactively reducing payment on clean claims submitted by pharmacies. (A clean claim is a Medicare claim that is free of defects such as incomplete documentation.)