I 
117TH CONGRESS 
2D SESSION 
H. R. 7755 
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 12, 2022 
Ms. SEWELL (for herself, Mr. DOGGETT, Mr. EVANS, Mr. GOMEZ, Mr. 
SUOZZI, and Ms. STRICKLAND) introduced the following bill; which was 
referred to the Committee on Energy and Commerce, and in addition to 
the Committee on Ways and Means, for a period to be subsequently de-
termined by the Speaker, in each case for consideration of such provisions 
as fall within the jurisdiction 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 2022’’. 
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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, and’’; 
(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, 2023, 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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this subparagraph shall include the 
social determinants of health payment 
model described in subsection (h), the 
testing of which shall begin not later 
than December 31, 2023.’’; and 
(ii) in subparagraph (C), by adding at 
the end the following new clauses: 
‘‘(ix) Whether the model will affect 
access to care from providers and suppliers 
caring for high risk patients or operating 
in underserved areas. 
‘‘(x) Whether the model has the po-
tential to reduce health disparities, includ-
ing minority and rural health disparities.’’; 
(B) in paragraph (3)(B)— 
(i) in clause (i), by inserting ‘‘or 
health equity’’ after ‘‘quality of care’’; 
(ii) in clause (ii), by inserting ‘‘or in-
creasing health inequities’’ after ‘‘quality 
of care’’; and 
(iii) in clause (iii), by inserting ‘‘or 
health equity’’ after ‘‘quality of care’’; and 
(C) in paragraph (4)(A)— 
(i) in clause (i), by striking ‘‘; and’’ 
and inserting a semicolon; 
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(ii) in clause (ii), by striking the pe-
riod and inserting ‘‘; and’’; and 
(iii) by adding at the end the fol-
lowing new clause: 
‘‘(iii) for models for which testing be-
gins on or after January 1, 2023, the ex-
tent to which the model improves health 
equity.’’; 
(3) in subsection (c)— 
(A) in paragraph (1)— 
(i) in subparagraph (A), by inserting 
‘‘or, beginning on or after January 1, 
2023, increasing health inequities’’ before 
the semicolon; and 
(ii) in subparagraph (B), by inserting 
‘‘or, beginning on or after January 1, 
2023, health equity’’ after ‘‘patient care’’; 
and 
(B) in paragraph (3), by inserting ‘‘or in-
crease health disparities experienced by bene-
ficiaries, including low-income, minority, or 
rural beneficiaries, or that such expansion 
would improve health equity’’ before the period; 
(4) in subsection (g), by adding at the end the 
following: ‘‘For reports submitted after the date of 
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