Medicare
US Congress 116th Congress
CHOICE Act Consumer Health Options and Insurance Competition Enhancement Act [S.1033]
Requires the Centers for Medicare and Medicaid Services (CMS) to develop a public health insurance option that meets all federal plan requirements and is available on state and federal health insurance exchanges. Specifically, the CMS must offer silver and gold plans, may offer bronze plans, and must include all essential benefits, consumer protections, and cost-sharing limitations in each plan.The CMS may contract with a third party to administer the public option plans and states may establish advisory councils to make recommendations to the CMS
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A joint resolution proposing a balanced budget amendment to the Constitution of the United States. [SJR-18]
This joint resolution proposes a constitutional amendment prohibiting total outlays for a fiscal year from exceeding total receipts for that fiscal year unless Congress authorizes the excess by a three-fifths roll call vote of each chamber. The prohibition excludes outlays for repayment of debt principal, receipts derived from borrowing, receipts or outlays of the Social Security and Medicare trust funds, and outlays relating to a natural disaster if the law providing the funds explicitly exempts the funds from the requirement and is agreed to by
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Retirement Freedom Act [S.1030]
Allows an individual to opt out of Medicare hospital services benefits without also having to opt out of Old Age, Survivors, and Disability Insurance benefits and without having to repay Medicare hospital services benefits already received. The bill also allows an individual to opt back in with no penalty.
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CHOICE Act Consumer Health Options and Insurance Competition Enhancement Act [HB-2085]
Requires the Centers for Medicare and Medicaid Services (CMS) to develop a public health insurance option that meets all federal plan requirements and is available on state and federal health insurance exchanges. Specifically, the CMS must offer silver and gold plans, may offer bronze plans, and must include all essential benefits, consumer protections, and cost-sharing limitations in each plan.The CMS may contract with a third party to administer the public option plans and states may establish advisory councils to make recommendations to the CMS
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Drug Price Transparency Act [HB-2087]
Requires certain manufacturers of drugs that are covered under Medicare medical services to report pricing information to the Centers for Medicare & Medicaid Services. Specifically, manufacturers of such drugs that do not have rebate agreements under the Medicaid Drug Rebate Program must report similar information as is required under the program, including average sales price, total units, and wholesale acquisition cost. Manufacturers that fail to comply or that report false information are subject to civil penalties.
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Retirement Freedom Act [HB-2108]
Allows an individual to opt out of Medicare hospital services benefits without also having to opt out of Old Age, Survivors, and Disability Insurance benefits and without having to repay Medicare hospital services benefits already received. The bill also allows an individual to opt back in with no penalty.
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Medicare Access to Radiology Care Act of 2019 [HB-1970]
Provides for Medicare coverage of services that are furnished by a certified radiologist assistant under the supervision of a radiologist. Payment must be made to the supervising radiologist.
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Understanding Appropriate Alzheimer’s Care Act of 2019 [HB-1955]
Requires the Centers for Medicare & Medicaid Services to report on the appropriateness of antipsychotic prescriptions in settings other than nursing homes, particularly with respect to individuals with Alzheimer's disease.
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CT Colonography Screening for Colorectal Cancer Act of 2019 [HB-1969]
(1) provides for Medicare coverage of screening computed tomography colonography (CTC) as a colorectal cancer screening test, and (2) excludes screening CTC from a special Medicare payment rule applicable to certain imaging services.
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Lymphedema Treatment Act of 2019 [HB-1948]
Includes certain lymphedema compression treatment items as covered durable medical equipment under Medicare. (Lymphedema is a condition of localized fluid retention and tissue swelling that is caused when the lymphatic system is damaged or blocked.)
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Preserving Rehabilitation Innovation Centers Act of 2019 [HB-1901]
Directs the Centers for Medicare & Medicaid Services to publish and biennially update a list of all rehabilitation innovation centers. The bill defines rehabilitation innovation centers as nonprofit or government-owned rehabilitation facilities that (1) hold specified federal research and training designations for traumatic brain injury, spinal cord injury, or stroke rehabilitation research; and (2) serve at least a certain number of Medicare patients. The Medicare Payment Advisory Commission must analyze the three most recent years of cost report
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Rural Hospital Regulatory Relief Act of 2019 [S.895]
Permanently extends the rule to not enforce the Medicare direct-supervision requirements for outpatient, therapeutic services at critical access hospitals and small, rural hospitals. Such rule permits therapeutic services to be administered at such hospitals outside a physician or nonphysician practitioner's presence.
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Improving HOPE for Alzheimer's [HB-1873]
Requires the Centers for Medicare & Medicaid Services (CMS) to conduct outreach to health care practitioners regarding comprehensive care planning services that are available under Medicare for individuals with Alzheimer's disease and related dementias. The CMS must report on its outreach efforts, as well as on the number of beneficiaries receiving such services and any barriers to access.
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Improving HOPE for Alzheimer's [S.880]
Requires the Centers for Medicare & Medicaid Services (CMS) to conduct outreach to health care practitioners regarding comprehensive care planning services that are available under Medicare for individuals with Alzheimer's disease and related dementias. The CMS must report on its outreach efforts, as well as on the number of beneficiaries receiving such services and any barriers to access.
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Donald Payne Sr. Colorectal Cancer Detection Act of 2019 [HB-1765]
Provides for Medicare coverage and payment, subject to specified frequency limits, of certain colorectal cancer screening blood-based tests.
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To amend title XVIII of the Social Security Act to limit the penalty for late enrollment under part B of the Medicare Program to 15 percent and twice the period of no enrollment, and to exclude periods of COBRA, retiree, and VA coverage from such late enrollment penalty. [HB-1788]
Modifies provisions relating to enrollment periods for Medicare medical services. Among other things, the bill establishes a late enrollment penalty of 15% of monthly premiums and applies the penalty for a period equal to twice the number of months in each 12-month period during which the individual was not enrolled. 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
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Workplace Violence Prevention for Health Care and Social Service Workers Act [S.851]
Requires the Department of Labor to address workplace violence in the health care and social service sectors. Specifically, Labor must promulgate an occupational safety and health standard that requires certain employers in the health care and social service sectors, as well as employers in sectors that conduct activities similar to the activities in the health care and social service sectors, to develop and implement a comprehensive plan for protecting health care workers, social service workers, and other personnel from workplace violence. In
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Payment Commission Data Act of 2019 [HB-1781]
Allows certain payment information relating to covered drugs under the Medicare prescription drug benefit and Medicaid to be disclosed to additional entities. Specifically, certain subsidy and rebate information, as reported by prescription drug plan sponsors and drug manufacturers, may be disclosed to the Medicare Payment Advisory Commission and the Medicaid and Children's Health Insurance Program (CHIP) Payment and Access Commission, in accordance with specified confidentiality restrictions.
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Resident Physician Shortage Reduction Act of 2019 [HB-1763]
Increases the number of residency positions eligible for graduate medical education payments under Medicare for qualifying hospitals, with an aggregate increase of 3,000 positions per fiscal year for five years. Of these positions, at least one-third must be for hospitals that are already operating above applicable resident limits, subject to specified distribution rules.
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Removing Barriers to Person- and Family-Centered Care Act of 2019 [S.829]
Establishes a program through which entities may implement alternative payment models for providing care to individuals who (1) are enrolled in Medicare, Medicaid, or both; (2) have advanced chronic conditions (e.g., late-stage cancer); and (3) have demonstrated cognitive impairment or functional limitations. Specifically, the Centers for Medicare & Medicaid Services must award cooperative agreements to specified organizations to provide person- and family-centered care for such individuals, particularly through collaboratives with providers and
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