Medicaid Qualified Providers Clarification Act

Bill: 114-hr-3597
Sponsor: full_name: Rep. Aderholt, Robert B. [R-AL-4]
Introduced: 2015-09-24
Policy area: Health
Subjects: Health care quality

Health personnel

Medicaid
Latest action: action_date: 2015-09-25
text: Referred to the Subcommittee on Health.

Summaries:
action_date: 2015-09-24
action_desc: Introduced in House
text: <p><strong>Medicaid Qualified Providers Clarification Act</strong></p> <p>This bill amends title XIX (Medicaid) of the Social Security Act to modify requirements regarding a state plan for medical assistance. Under current law, a state plan for medical assistance must provide that any individual eligible for medical assistance may obtain required services from any institution, agency, or person qualified to perform them. The bill specifies that a state may determine whether a provider is qualified to perform such services. To do so, a state may establish qualification criteria, which may include criteria designed to evaluate: (1) the provider's ability to perform the needed medical services in a professionally competent, safe, and legal manner; and (2) any other qualification deemed necessary by the state.</p>

tv_txt: I 114th CONGRESS 1st Session H. R. 3597 IN THE HOUSE OF REPRESENTATIVES September 24, 2015 Mr. Aderholt (for himself, Mr. Lipinski , Mr. Duffy , Mr. Fortenberry , Mr. Harris , Mr. Meadows , Mr. Palmer , Mr. Brooks of Alabama , Mr. Rogers of Alabama , Mrs. Roby , and Mr. Byrne ) introduced the following bill; which was referred to the Committee on Energy and Commerce A BILL To amend title XIX of the Social Security Act to allow States to determine if providers are qualified under Medicaid State plans to perform services.

1. Short title This Act may be cited as the Medicaid Qualified Providers Clarification Act . 2. Allowing States to determine if providers are qualified under Medicaid State plans to perform services Section 1902(a) of the Social Security Act ( 42 U.S.C. 1396(a) ) is amended by adding at the end the following: For purposes of paragraph (23), a State may determine whether or not a provider or group of providers is qualified to perform services, as described in paragraph (23), including by establishing qualification criteria, which may include— (1) criteria designed to evaluate the ability of the provider or group to perform the needed medical services in a professionally competent, safe, and legal manner; and (2) criteria designed to evaluate any other qualification deemed necessary by the State. .