I 
114TH CONGRESS 
1ST SESSION H. R. 3821 
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 
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. 
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’’. 
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SEC. 2. REQUIRING PUBLICATION OF FEE-FOR-SERVICE 
PROVIDER DIRECTORY. 
(a) IN GENERAL.—Section 1902(a) of the Social Se-
curity 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 as-
sistance on a fee-for-service basis or through a pri-
mary care case-management system described in sec-
tion 1915(b)(1) (other than a primary care case 
management 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 administering the State plan, a directory of 
the providers (including, at a minimum, primary and 
specialty care physicians) that received payment 
under the State plan in the preceding 12-month pe-
riod that includes— 
‘‘(A) with respect to each such provider— 
‘‘(i) the name of the provider; 
‘‘(ii) the specialty of the provider; 
‘‘(iii) the address of the provider; and 
‘‘(iv) the telephone number of the pro-
vider; and 
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‘‘(B) with respect to any such provider 
participating in such a primary care case-man-
agement 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 interpreta-
tion services at the provider’s office.’’. 
(b) RULE OF CONSTRUCTION.— 
(1) IN
GENERAL.—The amendment made by 
subsection (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 Secu-
rity Act (or under a waiver of such plan), other than 
individuals described in paragraph (2), are enrolled 
with a medicaid managed care organization (as de-
fined in section 1903(m)(1)(A) of such Act (42 
U.S.C. 1396b(m)(1)(A))), including prepaid inpa-
tient health plans and prepaid ambulatory health 
plans (as defined by the Secretary). 
(2) INDIVIDUALS
DESCRIBED.—An individual 
described in this paragraph is an individual who is 
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an Indian (as defined in section 4 of the Indian 
Health Care Improvement Act (25 U.S.C. 1603)) or 
an Alaska Native. 
(c) 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 deter-
mines 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 require-
ments 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 
regular session of the State legislature that begins after 
the date of enactment of this section. For purposes of the 
previous sentence, in the case of a State that has a 2- 
year legislative session, each year of the session shall be 
considered to be a separate regular session of the State 
legislature. 
Æ 
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