I 116th CONGRESS 1st Session H. R. 3436 IN THE HOUSE OF REPRESENTATIVES June 24, 2019 Ms. DelBene (for herself and Mr. Welch ) 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 determined 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 XVIII of the Social Security Act to remove cost-sharing responsibilities for chronic care management services under the Medicare program.

1. Short title This Act may be cited as the Chronic Care Management Improvement Act . 2. Removing cost-sharing responsibilities for chronic care management services under part B of the Medicare program (a) In general Section 1833 of the Social Security Act ( 42 U.S.C. 1395l ) is amended— (1) in subsection (a)(1), by striking subparagraph (Z) and inserting the following: (Z) with respect to chronic care management services (as described in section 1848(b)(8)) furnished on or after January 1, 2021, the amount paid shall be an amount equal to 100 percent of the lesser of the actual charge for such services or the amount determined under section 1848, ; and (2) in subsection (b)— (A) in paragraph (9), by striking and at the end; and (B) in paragraph (10), by striking the period at the end and inserting the following: , and (11) such deductible shall not apply with respect to chronic care management services (as described in section 1848(b)(8)) furnished on or after January 1, 2021. . (b) Technical amendments (1) In general Section 1833(a) of the Social Security Act ( 42 U.S.C. 1395l(a) ) is amended— (A) in paragraph (3)— (i) in subparagraph (A)— (I) by striking subparagraph (B) and inserting subparagraphs (B), (C), and (D) ; and (II) by striking or at the end; and (ii) by adding at the end the following new subparagraphs: (C) with respect to Federally qualified health center services (other than such services that are described in clause (i) or (ii) of subparagraph (D)) furnished on or after the implementation date of the prospective payment system under section 1834(o) for which payment is made under such section, the amounts paid shall be 80 percent of the lesser of the actual charge or the amount determined under such section; and (D) with respect to Federally qualified health center services and rural health clinic services that are— (i) personalized prevention plan services (as described in paragraph (1)(X)) or preventive services (as described in paragraph (1)(Y)) furnished on or after January 1, 2011; or (ii) chronic care management services (as described in paragraph (1)(Z)) furnished on or after January 1, 2021; the amounts paid shall be equal to 100 percent of the lesser of the actual charge or the amount determined under subparagraph (A), section 1834(o), or section 1848, as applicable); ; and (B) by striking the matter following paragraph (9). (2) Conforming amendments Section 1834(o) of the Social Security Act ( 42 U.S.C. 1395m(o) ) is amended— (A) in paragraph (1)(A), by inserting (other than such services described in clause (i) or (ii) of section 1833(a)(3)(D)) after Federally qualified health center services ; and (B) in paragraph (2)— (i) in subparagraph (A), by inserting (other than such services described in clause (i) or (ii) of section 1833(a)(3)(D)) after services ; and (ii) in subparagraph (B)(i)— (I) by inserting (other than such services described in clause (i) or (ii) of section 1833(a)(3)(D)) after Federally qualified health center services ; and (II) by striking section 1833(a)(1)(Z) and inserting subparagraphs (C) and (D) of section 1833(a)(3) .