Medicare
US Congress 115th Congress
HEAL Act of 2018 Helping to End Addiction and Lessen Substance Use Disorders Act of 2018 [S.3120]
HEAL Act of 2018 Helping to End Addiction and Lessen Substance Use Disorders Act of 2018
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Advancing Medical Resident Training in Community Hospitals Act of 2017 [HB-4552]
Advancing Medical Resident Training in Community Hospitals Act of 2017 This bill amends title XVIII (Medicare) of the Social Security Act to revise payment rules for graduate medical education (GME) costs with respect to a hospital that establishes a new medical residency training program. With respect to a hospital that has not entered into a GME affiliation agreement, the Centers for Medicare & Medicaid Services (CMS) shall establish the hospital's full-time equivalent (FTE) resident amount only after determining that the hospital's medical residency
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Department of Defense Appropriations Act, 2019 [HB-6157]
Department of Defense Appropriations Act, 2019 (Sec. 3) Provides that references to "this Act" included in any division of this bill refer only to the provisions of that division unless the bill expressly provides otherwise. (Sec. 4) Specifies that this bill provides appropriations for FY2019. DIVISION A--DEPARTMENT OF DEFENSE APPROPRIATIONS ACT, 2019 Department of Defense Appropriations Act, 2019 This division provides FY2019 appropriations to the Department of Defense (DOD) for military activities. It does not include funding for military construction,
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Dr. Todd Graham Pain Management, Treatment, and Recovery Act of 2018 [HB-6110]
Dr. Todd Graham Pain Management, Treatment, and Recovery Act of 2018 This bill establishes several requirements for the Centers for Medicare & Medicaid Services (CMS), and alters requirements under Medicare and Medicare Advantage (MA), related to pain management and opioid use. Among other requirements, the CMS must review payments under Medicare for opioid and non-opioid pain management procedures, specifically with respect to ambulatory outpatient surgical procedures and hospital outpatient department services. The CMS must ensure that there are
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Stark Administrative Simplification Act of 2018 [S.3054]
Stark Administrative Simplification Act of 2018
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Donald Payne Sr. Colorectal Cancer Detection Act of 2018 [HB-6062]
Donald Payne Sr. Colorectal Cancer Detection Act of 2018
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CARES Act of 2017 Creating Access to Rehabilitation for Every Senior Act of 2017 [HB-4701]
CARES Act of 2017 Creating Access to Rehabilitation for Every Senior Act of 2017
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Dr. Todd Graham Pain Management Improvement Act of 2018 [S.3008]
Dr. Todd Graham Pain Management Improvement Act of 2018 This bill requires the Centers for Medicare & Medicaid Services to publish a report on whether Medicare payments, coverage, and coding policies for non-opioid pain management treatments should be revised. The report must include an analysis of pain management and prescribing guidelines, access to non-opioid treatments, and the effect of any recommended changes on Medicare and enrollee opioid addiction.
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State Public Option Act [HB-4129]
State Public Option Act This bill allows residents not already eligible for Medicaid who are not concurrently enrolled in other health insurance coverage to buy into a state Medicaid plan beginning January 1, 2018. The bill makes such buy-in coverage eligible for premium subsidies and reduced cost sharing under the Patient Protection and Affordable Care Act. The Agency for Healthcare Research and Quality shall develop standardized, state-level metrics of access to, and satisfaction with, providers for individuals enrolled in state Medicaid plans.
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State Public Option Act [S.2001]
State Public Option Act This bill allows residents not already eligible for Medicaid who are not concurrently enrolled in other health insurance coverage to buy into a state Medicaid plan beginning January 1, 2018. The bill makes such buy-in coverage eligible for premium subsidies and reduced cost sharing under the Patient Protection and Affordable Care Act. The Agency for Healthcare Research and Quality shall develop standardized, state-level metrics of access to, and satisfaction with, providers for individuals enrolled in state Medicaid plans.
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Medicare Patient Empowerment Act of 2017 [HB-4133]
Medicare Patient Empowerment Act of 2017 This bill allows any Medicare beneficiary to enter into a contract with an eligible professional, regardless of whether the professional is a participating or non-participating physician or practitioner, for any item or service covered by Medicare. Such beneficiaries may submit a claim for Medicare payment in the amount that would otherwise apply, except that, where the professional is considered to be non-participating, payment shall be paid as if the professional were participating. An eligible professional
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Strengthening Partnerships to Prevent Opioid Abuse Act of 2018 [S.2905]
Strengthening Partnerships to Prevent Opioid Abuse Act of 2018 This bill requires the Centers for Medicare & Medicaid Services (CMS) to establish a secure online portal to allow: (1) data sharing among the CMS, Medicare prescription drug benefit plans, and Medicare Advantage (MA) plans; and (2) referrals by such plans of suspicious activities related to fraud, waste, or abuse in order to initiate or assist investigations by contracted entities under the Medicare Integrity Program. The CMS must disseminate and report certain collected information
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Commit to Opioid Medical Prescriber Accountability and Safety for Seniors Act of 2018 [S.2920]
Commit to Opioid Medical Prescriber Accountability and Safety for Seniors Act of 2018 This bill requires the Centers for Medicare & Medicaid Services (CMS) to identify outlier prescribers of opioids under the Medicare prescription drug benefit and Medicare Advantage prescription drug plans. Specifically, the CMS must: (1) establish an opioid-prescription threshold for determining whether a prescriber is an outlier compared to other prescribers, based on specialty and geographic area; (2) use National Provider Identifiers (unique provider identification
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A bill to amend title XVIII of the Social Security Act to provide for electronic prior authorization under Medicare part D for covered part D drugs, and for other purposes. [S.2908]
A bill to amend title XVIII of the Social Security Act to provide for electronic prior authorization under Medicare part D for covered part D drugs, and for other purposes. This bill requires electronic prescription programs to enable the secure transmittal of prior authorization requests for covered drugs under the Medicare prescription drug benefit.
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To provide for the extension of the enforcement instruction on supervision requirements for outpatient therapeutic services in critical access and small rural hospitals through 2017. [HB-4520]
To provide for the extension of the enforcement instruction on supervision requirements for outpatient therapeutic services in critical access and small rural hospitals through 2017. This bill requires the Department of Health and Human Services to continue to instruct Medicare contractors not to enforce requirements for direct physician supervision of outpatient therapeutic services in critical access and small rural hospitals through 2017.
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COMBAT Act of 2018 Comprehensive Opioid Management and Bundled Addiction Treatment Act of 2018 [S.2875]
COMBAT Act of 2018 Comprehensive Opioid Management and Bundled Addiction Treatment Act of 2018 This bill requires certified opioid treatment program services, including counseling, toxicology testing, and medication-assisted treatment, to be covered under Medicare. Opioid treatment programs must receive payment for such services in accordance with a specified methodology.
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Addiction Prevention and Responsible Opioid Practices Act [HB-5865]
Addiction Prevention and Responsible Opioid Practices Act
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Medicaid Pharmaceutical Home Act of 2018 [HB-5808]
Medicaid Pharmaceutical Home Act of 2018 This bill requires state Medicaid programs to establish drug-management programs for at-risk beneficiaries (those identified as at risk of abusing or misusing controlled substances).
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REACH OUT Act of 2018 Responsible Education Achieves Care and Healthy Outcomes for Users' Treatment Act of 2018 [HB-5796]
REACH OUT Act of 2018 Responsible Education Achieves Care and Healthy Outcomes for Users' Treatment Act of 2018 (Sec. 2) This bill requires the Centers for Medicare & Medicaid Services to award grants, contracts, or cooperative agreements to qualifying organizations in order to support efforts to curb outlier prescribers of opioids under the Medicare prescription drug benefit and Medicare Advantage prescription drug plans. (Sec. 3) Additionally, the bill temporarily eliminates the enhanced federal matching rate for Medicaid expenditures regarding
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Postoperative Opioid Prevention Act of 2018 [HB-5809]
Postoperative Opioid Prevention Act of 2018 This bill temporarily increases payment under Medicare for certain non-opioid analgesics that are used for pain management in hospital outpatient department services.