I 
110TH CONGRESS 
1ST SESSION H. R. 4327 
To establish a Medicare Chronic Care Practice Research Network to develop 
and apply improved practices in care management for Medicare bene-
ficiaries with multiple, chronic conditions. 
IN THE HOUSE OF REPRESENTATIVES 
DECEMBER 6, 2007 
Mr. JOHNSON of Illinois (for himself, Mr. PATRICK J. MURPHY of Pennsyl-
vania, Ms. HERSETH SANDLIN, Mr. LATHAM, Ms. SCHWARTZ, and Mr. 
HULSHOF) introduced the following bill; which was referred to the Com-
mittee on Energy and Commerce, and in addition to the Committee on 
Ways and Means, for a period to be subsequently determined by the 
Speaker, in each case for consideration of such provisions as fall within 
the jurisdiction of the committee concerned 
A BILL 
To establish a Medicare Chronic Care Practice Research 
Network to develop and apply improved practices in care 
management for Medicare beneficiaries with multiple, 
chronic conditions. 
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 ‘‘Medicare Chronic Care 
Practice Research Network Act of 2007’’. 
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SEC. 2. FINDINGS. 
The Congress makes the following findings: 
(1) Two-thirds of all Medicare spending involves 
beneficiaries living with 5 or more chronic condi-
tions. 
(2) Eighty-four percent of people ages 65 to 70 
live with at least one of the following chronic condi-
tions: hypertension, heart disease or heart attack, 
cancer, diabetes, arthritis, or high cholesterol. 
(3) Medicare beneficiaries with chronic condi-
tions are more likely to undergo duplicative tests, re-
ceive contradictory information from their healthcare 
providers, experience adverse responses to medica-
tions, and undergo hospital visits that could have 
been prevented. 
(4) Both traditional fee-for-service Medicare 
and Medicare Advantage are not currently config-
ured to meet the unique needs of beneficiaries living 
with multiple chronic conditions. 
(5) Care for these patients is typically frag-
mented and delivered by multiple providers working 
at multiple sites. 
(6) Medicare has implemented a number of 
demonstration projects focused on ways to improve 
care for beneficiaries with multiple chronic condi-
tions, yet there has been limited translation of evi-
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dence-based results to the wider chronic care com-
munity in a timely manner. 
(7) As the population of Medicare beneficiaries 
living with multiple chronic conditions continues to 
increase, the Centers for Medicare & Medicaid Serv-
ices should seek more effective actions to test var-
ious care models, analyze the outcomes, and imple-
ment evidence-based best practices as soon as pos-
sible. 
(8) The United States Government should part-
ner with qualified and experienced health care insti-
tutions already serving these beneficiaries to effec-
tively and efficiently develop, evaluate, and translate 
improvements in coordinated care for them. Gener-
ating this information and supporting its translation 
into clinical practice will serve beneficiaries far more 
effectively. 
SEC. 3. MEDICARE CHRONIC CARE PRACTICE RESEARCH 
NETWORK TO DEVELOP AND APPLY IM-
PROVED PRACTICES IN COORDINATED CARE 
FOR MEDICARE BENEFICIARIES WITH MUL-
TIPLE, CHRONIC CONDITIONS. 
(a) ESTABLISHMENT.— 
(1) IN GENERAL.—Not later than 60 days after 
the date of the enactment of this Act, the Secretary 
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of Health and Human Services (in this section re-
ferred to as the ‘‘Secretary’’) shall establish in ac-
cordance with this section a Medicare Chronic Care 
Practice Research Network (in this section referred 
to as the ‘‘Network’’). 
(2) DURATION.—The initial period of the Net-
work shall be not less than five years. The Secretary 
may extend or make permanent the Network if the 
Network’s performance demonstrates benefit to the 
Medicare program. 
(b) PURPOSE AND DUTIES OF NETWORK.— 
(1) PURPOSE.—The purpose of the Network is 
to enable highly qualified providers, including pro-
viders participating in the Medicare Coordinated 
Care Demonstration under section 1807 of the So-
cial Security Act (in this section referred to as the 
‘‘MCCD’’), to form a stable and flexible research in-
frastructure that accelerates the development and 
deployment of evidence-based chronic care manage-
ment practices for Medicare beneficiaries with mul-
tiple, chronic conditions. 
(2) DUTIES OF THE NETWORK.— 
(A) IN GENERAL.—The Network shall de-
velop and evaluate evidence-based chronic care 
management practices for Medicare bene-
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