Medicare-X Choice Act of 2021

Bill: 117-hr-1227
Sponsor: Rep. Delgado, Antonio [D-NY-19]
Introduced: 2021-02-23 in the House
Policy area: Health
Subjects: Appropriations
Community life and organization
Competition and antitrust
Congressional oversight
Disability and health-based discrimination
Disability and paralysis
Employee benefits and pensions
Government studies and investigations
Government trust funds
Health care costs and insurance
Health care coverage and access
Health care quality
Health information and medical records
Health personnel
Health programs administration and funding
Health technology, devices, supplies
Higher education
Home and outpatient care
Income tax credits
Inflation and prices
Insurance industry and regulation
Long-term, rehabilitative, and terminal care
Medicaid
Medicare
Minority health
Poverty and welfare assistance
Prescription drugs
Public contracts and procurement
Rural conditions and development
Sex, gender, sexual orientation discrimination

Summary:
action_date: 2021-02-23
text: 

Medicare-X Choice Act of 20

21

 
This bill establishes and funds the Medicare Exchange health plan, which allows individuals who are not otherwise eligible for Medicare to enroll in a government-administered health insurance plan. The Centers for Medicare & Medicaid Services (CMS) must offer such plan in certain individual health insurance exchanges beginning plan year 2022 and offer it in all individual health insurance exchanges beginning plan year 2025. CMS must offer the plan in the small group market in all geographic areas for plan year 2025.
 
The plan must cover primary care services without cost sharing and meet the same requirements, including essential health benefits, as existing health insurance exchange plans.
 
Unless they opt out, health care providers enrolled under Medicare or under a state Medicaid plan must participate in the plan and are reimbursed at Medicare rates.
 
The bill establishes a grants program for community organizations, educational institutions, and health agencies to create service partnerships and establish interactive data systems for health care providers. 
 
Additionally, the bill expands the premium tax credit available for plans purchased through an exchange and eliminates the restriction on the Department of Health and Human Services negotiating prescription drug prices for Medicare. 
 


Legislative actions:
action_date: 2021-02-24
text: Referred to the Subcommittee on Health.
action_date: 2021-02-23
text: Referred to the Committee 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.
action_date: 2021-02-23
text: Referred to the Committee 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.
action_date: 2021-02-23
text: Referred to the Subcommittee on Health.
action_date: 2021-02-23
text: Introduced in House
action_date: 2021-02-23
text: Introduced in House