Medicare
US Congress 115th Congress
To provide for reconciliation pursuant to title II of the concurrent resolution on the budget for fiscal year 2017. [HB-1436]
To provide for reconciliation pursuant to title II of the concurrent resolution on the budget for fiscal year 2017. This bill amends the Patient Protection and Affordable Care Act (PPACA) to terminate the Prevention and Public Health Fund. The bill increases funding for community health centers. The Department of Health and Human Services may not collect fees or make payments under the transitional reinsurance program. The bill makes appropriations for grants to states to address substance abuse or urgent mental health needs. This bill amends the
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Improving Access to Medicare Coverage Act of 2017 [S.568]
Improving Access to Medicare Coverage Act of 2017 This bill amends title XVIII (Medicare) of the Social Security Act to deem an individual receiving outpatient observation services in a hospital to be an inpatient for purposes of satisfying the three-day inpatient hospital-stay requirement with respect to Medicare coverage of skilled nursing facility services.
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Improving Access to Medicare Coverage Act of 2017 [HB-1421]
Improving Access to Medicare Coverage Act of 2017 This bill amends title XVIII (Medicare) of the Social Security Act to deem an individual receiving outpatient observation services in a hospital to be an inpatient for purposes of satisfying the three-day inpatient hospital-stay requirement with respect to Medicare coverage of skilled nursing facility services.
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Increasing State Flexibility in Care Coordination for the Most Vulnerable Act of 2017 [HB-1389]
Increasing State Flexibility in Care Coordination for the Most Vulnerable Act of 2017 This bill amends title XIX (Medicaid) of the Social Security Act to allow a state Medicaid program to require enrollment with a managed care entity as a condition of Medicaid enrollment with respect to individuals who: (1) are younger than 19 years of age and have certain special needs, or (2) are dually eligible for Medicare.
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A bill to provide for reconciliation pursuant to section 2002 of the concurrent resolution on the budget for fiscal year 2017. [S.554]
A bill to provide for reconciliation pursuant to section 2002 of the concurrent resolution on the budget for fiscal year 2017. This bill amends the Patient Protection and Affordable Care Act (PPACA) to terminate the Prevention and Public Health Fund. The bill increases funding for community health centers. The Department of Health and Human Services may not make payments under the transitional reinsurance program. The bill makes appropriations for grants to states to address substance abuse or urgent mental health needs. This bill amends the Internal
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US Congress 115th Congress
To amend title XVIII of the Social Security Act to provide for the non-application of Medicare competitive acquisition rates to complex rehabilitative wheelchairs and accessories. [HB-1361]
To amend title XVIII of the Social Security Act to provide for the non-application of Medicare competitive acquisition rates to complex rehabilitative wheelchairs and accessories. This bill amends title XVIII (Medicare) of the Social Security Act to prohibit the application of Medicare competitive acquisition rates to complex rehabilitative wheelchairs and accessories. (A competitive bidding program has replaced the use of established fee schedule amounts to determine payments under Medicare for certain durable medical equipment such as wheelchairs.)
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Lymphedema Treatment Act [S.497]
Lymphedema Treatment Act This bill amends title XVIII (Medicare) of the Social Security Act to cover certain lymphedema compression treatment items as 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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US Congress 115th Congress
Prescription Drug Price Transparency Act [HB-1316]
Prescription Drug Price Transparency Act This bill adds certain transparency requirements for pharmacy benefits managers under Medicare, Medicare Advantage, TRICARE, and the Federal Employees Health Benefits Program.
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US Congress 115th Congress
Medicaid Accountability and Care Act of 2017 [S.520]
Medicaid Accountability and Care Act of 2017 This bill revises federal funding to states under the Medicaid program, including by capping annual funding on a per capita basis.
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Improving Access to Mental Health Act [HB-1290]
Improving Access to Mental Health Act This bill amends title XVIII (Medicare) of the Social Security Act to: (1) increase the Medicare reimbursement rate for clinical social worker services, (2) exclude clinical social worker services from the prospective payment system in which predetermined amounts form the basis for payment under Medicare, and (3) alter the definition of “clinical social worker services” as it relates to Medicare. Under current law, “clinical social worker services”: (1) include services performed for the diagnosis and treatment
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US Congress 115th Congress
CT Colonography Screening for Colorectal Cancer Act of 2017 [HB-1298]
CT Colonography Screening for Colorectal Cancer Act of 2017 This bill amends title XVIII (Medicare) of the Social Security Act to: (1) provide Medicare coverage for screening computed tomography colonography (CTC) as a colorectal cancer screening test, and (2) exclude screening CTC from a special Medicare payment rule applicable to certain imaging services.
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US Congress 115th Congress
Removing Barriers to Colorectal Cancer Screening Act of 2017 [S.479]
Removing Barriers to Colorectal Cancer Screening Act of 2017 This bill waives Medicare coinsurance requirements with respect to colorectal cancer screening tests, regardless of the code billed for a resulting diagnosis or procedure.
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Protecting Beneficiary Access to Complex Rehab Technology Act of 2017 [S.486]
Protecting Beneficiary Access to Complex Rehab Technology Act of 2017 This bill amends title XVIII (Medicare) of the Social Security Act to prohibit the application of Medicare competitive acquisition rates to complex rehabilitative wheelchairs and accessories. (A competitive bidding program has replaced the use of established fee schedule amounts to determine payments under Medicare for certain durable medical equipment such as wheelchairs.)
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Medicare Patient Access to Hospice Act of 2017 [HB-1284]
Medicare Patient Access to Hospice Act of 2017 This bill amends title XVIII (Medicare) of the Social Security Act to allow physician assistants to provide hospice care under Medicare.
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World's Greatest Healthcare Plan of 2017 [HB-1275]
World's Greatest Healthcare Plan of 2017 This bill amends the Internal Revenue Code to repeal the requirements for individuals to maintain minimum essential coverage and for large employers to offer affordable coverage to full time employees. Health insurance is no longer required to cover preventive care at no cost or include the essential health benefits. Individuals enrolling in health insurance who have not maintained continuous coverage over the previous 12 months are charged an extra 20% on premiums for each consecutive year without coverage,
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Independence at Home Act of 2017 [S.464]
Independence at Home Act of 2017 This bill amends title XVIII (Medicare) of the Social Security Act to establish a permanent Independence at Home Medical Practice Program, under which 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
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Cancer Care Payment Reform Act of 2017 [S.463]
Cancer Care Payment Reform Act of 2017 This bill amends title XVIII (Medicare) of the Social Security Act to establish the Oncology Medical Home Demonstration Project, through which the Centers for Medicare & Medicaid Services (CMS) shall make special payments to participating oncology practices that coordinate patient care and meet other specified requirements. During the first two years of the project, CMS shall pay a care coordination management fee to each such practice. After the third, fourth, and fifth years of the project, CMS shall pay
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Restoring Rural Residencies Act of 2017 [S.455]
Restoring Rural Residencies Act of 2017 This bill amends title XVIII (Medicare) of the Social Security Act to require 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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Home Health Care Planning Improvement Act of 2017 [S.445]
Home Health Care Planning Improvement Act of 2017 This bill allows Medicare payment for home health services ordered by a nurse practitioner, a clinical nurse specialist, a certified nurse-midwife, or a physician assistant.
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Medicare Mental Health Access Act [S.448]
Medicare Mental Health Access Act This bill amends title XVIII (Medicare) of the Social Security Act to expand the definition of "physician," for purposes of the Medicare program, to include a clinical psychologist with respect to the furnishing of qualified psychologist services.