II 

118TH CONGRESS 

1ST SESSION S. 880 

To require MedPAC and MACPAC to biennially conduct a coordinated review 

and analysis of Medicare and Medicaid policy with respect to dually 

eligible beneficiaries, and to jointly submit recommendations for policy 

changes, and for other purposes. 

IN THE SENATE OF THE UNITED STATES 

MARCH 21, 2023 

Mr. CASSIDY (for himself and Mr. CASEY) introduced the following bill; which 

was read twice and referred to the Committee on Finance 

A BILL 

To require MedPAC and MACPAC to biennially conduct 

a coordinated review and analysis of Medicare and Medicaid policy with respect to dually eligible beneficiaries, 

and to jointly submit recommendations for policy 

changes, and for other purposes. 

1 Be it enacted by the Senate and House of Representa2 tives of the United States of America in Congress assembled, 

3 SECTION 1. SHORT TITLE. 

4 This Act may be cited as the ‘‘Coordinating Dual Eli5 gible Recommendations Act’’. 


kjohnson on DSK79L0C42PROD with BILLS
2 

•S 880 IS

1 SEC. 2. COORDINATED MEDPAC AND MACPAC REVIEW AND 

2 REPORT REGARDING DUALLY ELIGIBLE 

3 BENEFICIARIES. 

4 (a) IN GENERAL.— 

5 (1) MEDICARE.—Section 1805(b)(11) of the 

6 Social Security Act (42 U.S.C. 1395b–6(b)(11)) is 

7 amended— 

8 (A) by striking ‘‘The Commission’’ and in9 serting the following: 

10 ‘‘(A) IN GENERAL.—The Commission’’; 

11 and 

12 (B) by adding at the end the following: 

13 ‘‘(B) BIENNIAL COORDINATED REVIEW

14 AND JOINT REPORT ON POLICIES AFFECTING

15 DUALLY ELIGIBLE BENEFICIARIES.— 

16 ‘‘(i) IN GENERAL.—Beginning with 

17 the report for March 15, 2024, and bienni18 ally thereafter, the Commission shall co19 ordinate with MACPAC to jointly— 

20 ‘‘(I) review and analyze aggre21 gate trends in spending, utilization, 

22 and financial performance under 

23 Medicare and Medicaid regarding ac24 cess to, and the quality of, care pro25 vided under such programs for dually 

26 eligible beneficiaries; and 


kjohnson on DSK79L0C42PROD with BILLS
3 

•S 880 IS

1 ‘‘(II) include as an appendix to 

2 such report— 

3 ‘‘(aa) analyses of such 

4 trends; and 

5 ‘‘(bb) subject to paragraph 

6 (10), recommendations for 

7 changes to Medicare and Med8 icaid policy to ensure adequate 

9 and efficient access to care to im10 prove and maintain the health 

11 and functional status of dually el12 igible beneficiaries and to in13 crease the alignment of the Medi14 care and Medicaid programs in 

15 serving such beneficiaries. 

16 ‘‘(ii) APPROPRIATE COMMITTEES OF

17 CONGRESS.—Each report required under 

18 this subparagraph shall be submitted to 

19 the appropriate committees of Congress.’’. 

20 (2) MEDICAID.—Section 1900(b)(11) of the So21 cial Security Act (42 U.S.C. 1396(b)(11)) is amend22 ed by adding at the end the following: 

23 ‘‘(C) BIENNIAL COORDINATED REVIEW

24 AND JOINT REPORT ON POLICIES AFFECTING

25 DUALLY ELIGIBLE BENEFICIARIES.— 


kjohnson on DSK79L0C42PROD with BILLS
4 

•S 880 IS

1 ‘‘(i) IN GENERAL.—Beginning with 

2 the report for March 15, 2024, and bienni3 ally thereafter, MACPAC shall coordinate 

4 with the Medicare Payment Advisory Com5 mission established under section 1805 to 

6 jointly— 

7 ‘‘(I) review and analyze aggre8 gate trends in spending, utilization, 

9 and financial performance under 

10 Medicare and Medicaid regarding ac11 cess to, and the quality of, care pro12 vided under such programs for dually 

13 eligible individuals; and 

14 ‘‘(II) include as an appendix to 

15 such report— 

16 ‘‘(aa) analyses of such 

17 trends; and 

18 ‘‘(bb) subject to paragraph 

19 (13), recommendations for 

20 changes to Medicare and Med21 icaid policy to ensure adequate 

22 and efficient access to care to im23 prove and maintain the health 

24 and functional status of dually el25 igible beneficiaries and to inVerDate Sep 11 2014 22:51 Mar 30, 2023 Jkt 039200 PO 00000 Frm 00004 Fmt 6652 Sfmt 6201 E:\BILLS\S880.IS S880

kjohnson on DSK79L0C42PROD with BILLS
5 

•S 880 IS

1 crease the alignment of the Medi2 care and Medicaid programs in 

3 serving such beneficiaries. 

4 ‘‘(ii) APPROPRIATE COMMITTEES OF

5 CONGRESS.—Each report required under 

6 this subparagraph shall be submitted to 

7 the appropriate committees of Congress 

8 which, for purposes of this subparagraph, 

9 shall include the Committee on Ways and 

10 Means of the House of Representatives.’’. 

11 (b) TECHNICAL AMENDMENTS.— 

12 (1) MEDICARE.—Section 1805(b) of the Social 

13 Security Act (42 U.S.C. 1395b–6(b)) is amended— 

14 (A) in paragraph (6), by inserting ‘‘Energy 

15 and’’ before ‘‘Commerce’’; and 

16 (B) in paragraph (10), by striking ‘‘section 

17 2081’’ and inserting ‘‘section 2602’’. 

18 (2) MEDICAID.—Paragraph (13) of section 

19 1900(b) of the Social Security Act (42 U.S.C. 

20 1396(b)(13)) is amended by striking ‘‘section 2081’’ 

21 and inserting ‘‘section 2602’’. 

Æ 


kjohnson on DSK79L0C42PROD with BILLS