I 
118TH CONGRESS 
1ST SESSION H. R. 3069 
To amend title XI of the Social Security Act to improve access to care 
for all Medicare and Medicaid beneficiaries through models tested under 
the Center for Medicare and Medicaid Innovation, and for other purposes. 
IN THE HOUSE OF REPRESENTATIVES 
MAY 2, 2023 
Ms. SEWELL (for herself, Ms. STRICKLAND, Mr. DOGGETT, Mr. EVANS, Mr. 
GOMEZ, Mr. CARTER of Louisiana, and Mrs. CHERFILUS-MCCORMICK) 
introduced the following bill; which was referred to the Committee on En-
ergy 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 jurisdic-
tion of the committee concerned 
A BILL 
To amend title XI of the Social Security Act to improve 
access to care for all Medicare and Medicaid beneficiaries 
through models tested under the Center for Medicare 
and Medicaid Innovation, 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 ‘‘John Lewis Equality 
in Medicare and Medicaid Treatment Act of 2023’’. 
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SEC. 2. IMPROVING ACCESS TO CARE FOR MEDICARE AND 
MEDICAID BENEFICIARIES. 
Section 1115A of the Social Security Act (42 U.S.C. 
1315a) is amended— 
(1) in subsection (a)— 
(A) in paragraph (1), by inserting ‘‘ad-
vance health equity and’’ before ‘‘improve the 
coordination’’; and 
(B) in paragraph (3)— 
(i) by inserting ‘‘(including the Office 
of Minority Health of the Centers for 
Medicare & Medicaid Services, the Office 
of Rural Health Policy of the Health Re-
sources and Services Administration, and 
the Office on Women’s Health of the De-
partment of Health and Human Services)’’ 
after ‘‘relevant Federal agencies’’; and 
(ii) by striking ‘‘experts with expertise 
in medicine’’ and inserting ‘‘experts with 
expertise in medicine, the causes of health 
disparities and the social determinants of 
health,’’; 
(2) in subsection (b)— 
(A) in paragraph (2)— 
(i) in subparagraph (A)— 
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(I) by inserting the following 
after the first sentence: ‘‘Prior to se-
lecting a model under this paragraph, 
the Secretary shall consult with the 
Office of Minority Health of the Cen-
ters for Medicare & Medicaid Services, 
the Office of Rural Health Policy of 
the Health Resources and Services 
Administration, and the Office on 
Women’s Health of the Department of 
Health and Human Services to ensure 
that models under consideration ad-
dress health disparities and social de-
terminants of health as appropriate 
for populations to be cared for under 
the model.’’; 
(II) by inserting ‘‘and, for models 
for which testing begins on or after 
January 1, 2024, address health eq-
uity as well as improving access to 
care received by individuals receiving 
benefits under such title’’ after ‘‘appli-
cable title’’; and 
(III) by adding at the end the 
following: ‘‘The models selected under 
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enactment of the John Lewis Equality in Medicare 
and Medicaid Treatment Act of 2023, each such re-
port shall include information on the following: 
‘‘(1) The interventions that address social de-
terminants of health, health disparities, or health eq-
uity in payment models selected by the CMI for test-
ing under this section. 
‘‘(2) 
Estimated 
Federal 
savings 
achieved 
through reducing disparities, including rural and mi-
nority health disparities, improving health equity, or 
addressing social determinants of health. 
‘‘(3) The effectiveness of interventions in miti-
gating negative health outcomes and higher costs as-
sociated with social determinants of health within 
models selected by the Center for Medicare and 
Medicaid Innovation for testing. 
‘‘(4) Other areas determined appropriate by the 
Secretary.’’; and 
(5) by adding at the end the following new sub-
section: 
‘‘(h) SOCIAL DETERMINANTS OF HEALTH PAYMENT 
MODEL.— 
‘‘(1) IN GENERAL.—The social determinants of 
health payment model described in this subsection is 
a payment model that tests each of the payment and 
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service delivery innovations described in paragraph 
(2) in a region determined appropriate by the Sec-
retary. 
‘‘(2) PAYMENT AND SERVICE DELIVERY INNO-
VATIONS DESCRIBED.—For purposes of paragraph 
(1), the payment and service delivery innovations de-
scribed in this clause are the following: 
‘‘(A) Payment and service delivery innova-
tions for behavioral health services, focusing on 
gathering actionable data to address the higher 
costs associated with beneficiaries with diag-
nosed behavioral conditions. 
‘‘(B) Payment and service delivery innova-
tions targeting conditions or comorbidities of 
individuals entitled or enrolled under the Medi-
care program under title XVIII and enrolled 
under a State plan under the Medicaid program 
under title XIX to increase capacity in under-
served areas. 
‘‘(C) Payment and service delivery innova-
tions targeting conditions or comorbidities of 
applicable individuals to increase capacity in 
underserved areas. 
‘‘(D) Payment and service delivery innova-
tions targeted on Medicaid eligible pregnant 
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and postpartum women, up to one year after 
delivery.’’. 
Æ 
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