MITECH Act

To amend title XIX of the Social Security Act to encourage the adoption and use of certified electronic health record technology by safety net providers and clinics under the Medicaid program. 1. Short title This Act may be cited as the Medicaid Information Technology to Enhance Community Health Act of 2013 MITECH Act 2. Incentives for adoption and use of EHR Technology by safety net clinics and providers Section 1903(t) of the Social Security Act ( 42 U.S.C. 1396b(t) (1) in paragraph (2)— (A) in subparagraph (A)— (i) in clause (i), by inserting or QSNC-based hospital-based (ii) in clause (ii)— (I) by inserting or QSNC-based hospital-based (II) by striking and or (iii) in clause (iii), by striking who practices predominantly in a Federally qualified health center or rural health clinic subject to paragraph (11)(C), who practices predominantly in a Federally qualified health center, rural health clinic, or qualified safety net clinic (B) in subparagraph (B)— (i) in clause (i), by striking or (ii) in clause (ii), by striking the period at the end and inserting , or (iii) by adding at the end the following new clause: (iii) subject to paragraph (11), a qualified safety net clinic (as defined in paragraph (3)(G)). ; (2) in paragraph (3)— (A) in subparagraph (B)(v), by striking rural health clinic rural health clinic, Federally qualified health center, or qualified safety net clinic that is led by a physician assistant. (B) by adding at the end the following new subparagraphs: (G) The term qualified safety net clinic (H) The term QSNC-based ; (3) in paragraph (5)— (A) in subparagraph (A), by inserting clause (i) or (ii) of paragraph (2)(B) (B) by adding at the end the following new subparagraph: (E) For purposes of payments described in paragraph (1)(B) to a Medicaid provider described in paragraph (2)(B)(iii), the Secretary shall establish a methodology for determining the maximum amount of payment permitted for each such provider. ; and (4) by adding at the end the following new paragraph: (11) (A) Not later than January 1, 2015, the Secretary, in consultation with States and other relevant stakeholders, shall promulgate regulations to establish a procedure through which a qualified safety net clinic may demonstrate meaningful use of certified EHR technology by such clinic for purposes of satisfying the requirement described in paragraph (6)(C)(i)(II). (B) A qualified safety net clinic shall not be eligible to receive payments described in paragraph (1)(B) before the date on which the Secretary establishes the procedure described in subparagraph (A). On and after that date, a qualified safety net clinic may receive such payments if the qualified safety net clinic notifies the Secretary that the qualified safety net clinic elects to receive such payments in lieu of the Secretary making payments described in paragraph (1)(A) to the eligible professionals who practice predominately in the qualified safety net clinic. (C) On or after the date that the Secretary establishes the procedure described in subparagraph (A), an eligible professional who practices predominately in a qualified safety net clinic, as described in paragraph (2)(A)(iii), shall not be eligible to receive payments described in paragraph (1)(A) if the qualified safety net clinic receives payments described in paragraph (1)(B). .

Summary: Medicaid Information Technology to Enhance Community Health Act of 2013 or MITECH Act - Amends title XIX (Medicaid) of the Social Security Act to extend payments to encourage the adoption and use of certified electronic health record (EHR) technology to qualified safety net clinics (QSNCs). Defines a QSNC as a clinic or network of clinics operated by a private non-profit or public entity at least 30% percent of whose patient volume is attributable to needy individuals. Defines a "QSNC-based" individual as one who furnishes substantially all of his or her professional services in a QSNC and through use of the clinic's facilities and equipment, including qualified EHRs. Directs the Secretary of Health and Human Services (HHS) to establish a procedure through which a QSNC may demonstrate meaningful use of certified EHR technology in order to receive incentive payments.