Rural ACO Provider Equity Act of 2016

Bill: 114-hr-5667
Sponsor: full_name: Rep. Jenkins, Lynn [R-KS-2]
Introduced: 2016-07-07
Policy area: Health
Subjects: Health care quality

Health facilities and institutions

Health personnel

Medicare

Rural conditions and development
Latest action: action_date: 2016-07-15
text: Referred to the Subcommittee on Health.

Summaries:
action_date: 2016-07-07
action_desc: Introduced in House
text: <p><b>Rural ACO Provider Equity Act of 2016 </b></p> <p>This bill amends title XVIII (Medicare) of the Social Security Act to establish additional requirements for assigning Medicare fee-for-service beneficiaries to accountable care organizations (ACOs) under the Medicare shared savings program. (The program enables ACOs to receive payments for savings stemming from care coordination and management.)</p> <p>Specifically, the bill requires the basis for assignment to reflect beneficiaries' utilization of not only primary care services provided by ACO physicians, but also those furnished in federally qualified health centers or rural health clinics. </p>

tv_txt: I 114th CONGRESS 2d Session H. R. 5667 IN THE HOUSE OF REPRESENTATIVES July 7, 2016 Ms. Jenkins of Kansas (for herself and Ms. Linda T. Sánchez of California ) introduced the following bill; which was referred to the Committee on Ways and Means , and in addition to the Committee on Energy and Commerce , 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 improve the way beneficiaries are assigned under the Medicare shared savings program by also basing such assignment on services furnished by Federally qualified health centers and rural health clinics.

1. Short title This Act may be cited as the Rural ACO Provider Equity Act of 2016 . 2. Improvements to the assignment of beneficiaries under the Medicare shared savings program Section 1899(c) of the Social Security Act ( 42 U.S.C. 1395jjj(c) ) is amended— (1) by striking utilization of primary and inserting “utilization of— (1) in the case of performance years beginning on or after April 1, 2012, primary ; (2) in paragraph (1), as added by paragraph (1) of this section, by striking the period at the end and inserting ; and ; and (3) by adding at the end the following new paragraph: (2) in the case of performance years beginning on or after January 1, 2018, services provided under this title by a Federally qualified health center or rural health clinic (as those terms are defined in section 1861(aa)), as may be determined by the Secretary. .