IB 
Union Calendar No. 325 
114TH CONGRESS 
2D SESSION 
H. R. 3821 
[Report No. 114–426] 
To amend title XIX to require the publication of a provider directory in 
the case of States providing for medical assistance on a fee-for-service 
basis or through a primary care case-management system, and for other 
purposes. 
IN THE HOUSE OF REPRESENTATIVES 
OCTOBER 23, 2015 
Mr. COLLINS of New York (for himself and Mr. TONKO) introduced the 
following bill; which was referred to the Committee on Energy and Commerce 
FEBRUARY 23, 2016 
Reported with an amendment, committed to the Committee of the Whole 
House on the State of the Union, and ordered to be printed 
[Strike out all after the enacting clause and insert the part printed in italic] 
[For text of introduced bill, see copy of bill as introduced on October 23, 2015] 
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A BILL 
To amend title XIX to require the publication of a provider 
directory in the case of States providing for medical 
assistance on a fee-for-service basis or through a primary 
care case-management system, and for other purposes. 
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Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘Medicaid Directory of 
Caregivers Act’’ or the ‘‘Medicaid DOC Act’’. 
SEC. 2. REQUIRING PUBLICATION OF FEE-FOR-SERVICE 
PROVIDER DIRECTORY. 
(a) IN GENERAL.—Section 1902(a) of the Social Secu-
rity Act (42 U.S.C. 1396a(a)) is amended by inserting after 
paragraph (77) the following new paragraph: 
‘‘(78) provide that, not later than 180 days after 
the date of the enactment of this paragraph, in the 
case of a State plan that provides medical assistance 
on a fee-for-service basis or through a primary care 
case-management 
system 
described 
in 
section 
1915(b)(1) (other than a primary care case manage-
ment entity (as defined by the Secretary)), the State 
shall publish (and update on at least an annual 
basis) on the public Website of the State agency ad-
ministering the State plan, a directory of the pro-
viders (including, at a minimum, primary and spe-
cialty care physicians) described in subsection (ll) 
that includes— 
‘‘(A) with respect to each such provider— 
‘‘(i) the name of the provider; 
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‘‘(ii) the specialty of the provider; 
‘‘(iii) the address of the provider; and 
‘‘(iv) the telephone number of the pro-
vider; and 
‘‘(B) with respect to any such provider par-
ticipating in such a primary care case-manage-
ment system, information regarding— 
‘‘(i) whether the provider is accepting 
as new patients individuals who receive 
medical assistance under this title; and 
‘‘(ii) the provider’s cultural and lin-
guistic capabilities, including the languages 
spoken by the provider or by the skilled 
medical interpreter providing interpretation 
services at the provider’s office;’’. 
(b) DIRECTORY
PROVIDERS
DESCRIBED.—Section 
1902 of the Social Security Act (42 U.S.C. 1396a) is 
amended by adding at the end the following new subsection: 
‘‘(ll) DIRECTORY PROVIDERS DESCRIBED.—A pro-
vider described in this subsection is— 
‘‘(1) in the case of a provider of a provider type 
for which the State agency, as a condition on receiv-
ing payment for items and services furnished by the 
provider to individuals eligible to receive medical as-
sistance under the State plan, requires the enrollment 
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of the provider with the State agency, a provider 
that— 
‘‘(A) is enrolled with the agency as of the 
date on which the directory is published or up-
dated (as applicable) under subsection (a)(78); 
and 
‘‘(B) received payment under the State plan 
in the 12-month period preceding such date; and 
‘‘(2) in the case of a provider of a provider type 
for which the State agency does not require such en-
rollment, a provider that received payment under the 
State plan in the 12-month period preceding the date 
on which the directory is published or updated (as 
applicable) under subsection (a)(78).’’. 
(c) RULE OF CONSTRUCTION.— 
(1) IN GENERAL.—The amendment made by sub-
section (a) shall not be construed to apply in the case 
of a State in which all the individuals enrolled in the 
State plan under title XIX of the Social Security Act 
(or under a waiver of such plan), other than individ-
uals described in paragraph (2), are enrolled with a 
medicaid managed care organization (as defined in 
section 1903(m)(1)(A) of such Act (42 U.S.C. 
1396b(m)(1)(A))), including prepaid inpatient health 
plans and prepaid ambulatory health plans (as de-
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fined by the Secretary of Health and Human Serv-
ices). 
(2) INDIVIDUALS
DESCRIBED.—An individual 
described in this paragraph is an individual who is 
an Indian (as defined in section 4 of the Indian 
Health Care Improvement Act (25 U.S.C. 1603)) or 
an Alaska Native. 
(d) EXCEPTION FOR STATE LEGISLATION.—In the case 
of a State plan under title XIX of the Social Security Act 
(42 U.S.C. 1396 et seq.), which the Secretary determines 
requires State legislation in order for the respective plan 
to meet one or more additional requirements imposed by 
amendments made by this section, the respective plan shall 
not be regarded as failing to comply with the requirements 
of such title solely on the basis of its failure to meet such 
an additional requirement before the first day of the first 
calendar quarter beginning after the close of the first reg-
ular session of the State legislature that begins after the 
date of enactment of this section. For purposes of the pre-
vious sentence, in the case of a State that has a 2-year legis-
lative session, each year of the session shall be considered 
to be a separate regular session of the State legislature. 
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Union Calendar No. 325 
114TH CONGRESS 
2D SESSION 
H. R. 3821 
[Report No. 114–426] 
A BILL 
To amend title XIX to require the publication of a 
provider directory in the case of States providing 
for medical assistance on a fee-for-service basis 
or through a primary care case-management sys-
tem, and for other purposes. 
FEBRUARY 23, 2016 
Reported with an amendment, committed to the Com-
mittee of the Whole House on the State of the Union, 
and ordered to be printed 
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