Medicare Advantage Coverage Transparency Act of 2015

Bill: 114-hr-2505
Sponsor: full_name: Rep. Kelly, Mike [R-PA-3]
Introduced: 2015-05-21
Policy area: Health
Subjects: Congressional oversight

Health care costs and insurance

Health information and medical records

Medicare

Prescription drugs
Latest action: action_date: 2015-06-18
text: Received in the Senate and Read twice and referred to the Committee on Finance.

Summaries:
action_date: 2015-05-21
action_desc: Introduced in House
text: <p><b>Medicare Advantage Coverage Transparency Act of 2015</b></p> <p>Amends title XVIII (Medicare) of the Social Security Act to direct the Department of Health and Human Services (HHS) to report to specified congressional committees by May 1 of each year on enrollment data of the Medicare+Choice plan year ending before January 1 of such year.</p> <p>If HHS is unable to submit such a report by May 1 of any year it shall notify those committees of the inability by April 30, with an explanation and the date by which the report will be made, which shall be not later than June 1.</p>

action_date: 2015-06-12
action_desc: Reported to House amended, Part I
text: <p><b>Medicare Advantage Coverage Transparency Act of 2015</b></p> <p>Amends title XVIII (Medicare) of the Social Security Act to direct the Department of Health and Human Services (HHS) (in effect, the Centers for Medicare and Medicaid Services) to report to specified congressional committees by May 1 of each year on enrollment data for all Medicare programs (including on individuals receiving benefits under Medicare part A [Hospital Insurance]) for the plan year or, in the case of enrollment under both part A and part B (Supplementary Medical Insurance), for the fiscal year or year (as applicable), ending before January 1.</p> <p>The report must also cover enrollment under a MedicareAdvantage plan under part C (Medicare+Choice Program) and enrollment under part D (Voluntary Prescription Drug Benefit Program).</p> <p>If HHS is unable to submit such a report by May 1 of any year it shall notify those committees of the inability by April 30, with an explanation and the date by which the report will be made, which shall be not later than June 1.</p>

action_date: 2015-06-17
action_desc: Passed House amended
text: <p><b>Medicare Advantage Coverage Transparency Act of 2015</b></p> <p>Amends title XVIII (Medicare) of the Social Security Act to direct the Department of Health and Human Services (HHS) (in effect, the Centers for Medicare and Medicaid Services) to report to specified congressional committees by May 1 of each year on enrollment data for all Medicare programs (including on individuals receiving benefits under Medicare part A [Hospital Insurance]) for the plan year or, in the case of enrollment under both part A and part B (Supplementary Medical Insurance), for the fiscal year or year (as applicable), ending before January 1.</p> <p>The report must also cover enrollment under a MedicareAdvantage plan under part C (Medicare+Choice Program) and enrollment under part D (Voluntary Prescription Drug Benefit Program).</p> <p>If HHS is unable to submit such a report by May 1 of any year it shall notify those committees of the inability by April 30, with an explanation and the date by which the report will be made, which shall be not later than June 1.</p>

tv_txt: I 114th CONGRESS 1st Session H. R. 2505 IN THE HOUSE OF REPRESENTATIVES May 21, 2015 Mr. Kelly of Pennsylvania (for himself, Mr. Bilirakis , and Mr. Kind ) 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 require the annual reporting of data on enrollment in Medicare Advantage plans.

1. Short title This Act may be cited as the Medicare Advantage Coverage Transparency Act of 2015 . 2. Requirement for enrollment data reporting for Medicare Advantage Section 1859 of the Social Security Act ( 42 U.S.C. 1395w–28 ) is amended by adding at the end the following new subsection: (h) Requirement for enrollment data reporting (1) In general Not later than May 1 of each year (beginning with 2016), the Secretary shall submit to the Committees on Ways and Means and Energy and Commerce of the House of Representatives and the Committee on Finance of the Senate a report on enrollment data of the plan year ending before January 1 of such year. Such enrollment data shall be presented— (A) by zip code, congressional district, and State; and (B) in a manner that provides for such data for each MA–PD plan and for each MA plan that is not an MA–PD plan. (2) Delay of deadline If the Secretary is unable to submit a report under paragraph (1) by May 1 of year for data of the plan year ending before January 1 of such year, the Secretary shall, not later than April 30 of such year notify the committees described in such paragraph of— (A) such inability, including an explanation for such inability; and (B) the date by which the Secretary will provide such report, which shall be not later than June 1 of such year. .

tv_txt: I 114th CONGRESS 1st Session H. R. 2505 IN THE HOUSE OF REPRESENTATIVES AN ACT To amend title XVIII of the Social Security Act to require the annual reporting of data on enrollment in Medicare Advantage plans.

1. Short title This Act may be cited as the Medicare Advantage Coverage Transparency Act of 2015 . 2. Requirement for enrollment data reporting for Medicare Section 1874 of the Social Security Act ( 42 U.S.C. 1395kk ) is amended by adding at the end the following new subsection: (g) Requirement for enrollment data reporting (1) In general Not later than May 1 of each year (beginning with 2016), the Secretary shall submit to the Committees on Ways and Means and Energy and Commerce of the House of Representatives and the Committee on Finance of the Senate a report on enrollment data (and, in the case of part A, on data on individuals receiving benefits under such part) for the plan year or, in the case of part A and part B, for the fiscal year or year (as applicable) ending before January 1 of such plan year, fiscal year, or year. Such enrollment data shall be presented— (A) by zip code, congressional district, and State; (B) in a manner that provides for such data based on enrollment (including receipt of benefits other than through enrollment) under part A, enrollment under part B, enrollment under an MA plan under part C, and enrollment under part D; and (C) in the case of enrollment data described in subparagraph (B) relating to MA plans, presented in a manner that provides for such data for each MA–PD plan and for each MA plan that is not an MA–PD plan. (2) Delay of deadline If the Secretary is unable to submit a report under paragraph (1) by May 1 of a year for data of the plan year, fiscal year, or year (as applicable) ending before January 1 of such year, the Secretary shall, not later than April 30 of such year, notify the committees described in such paragraph of— (A) such inability, including an explanation for such inability; and (B) the date by which the Secretary will provide such report, which shall be not later than June 1 of such year. .

Passed the House of Representatives June 17, 2015. Karen L. Haas, Clerk.

tv_txt: IB Union Calendar No. 110 114th CONGRESS 1st Session H. R. 2505 [Report No. 114–152, Part I] IN THE HOUSE OF REPRESENTATIVES May 21, 2015 Mr. Kelly of Pennsylvania (for himself, Mr. Bilirakis , and Mr. Kind ) 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 June 12, 2015 Additional sponsors: Mr. Sessions and Ms. Sinema June 12, 2015 Reported from the Committee on Ways and Means with an amendment Strike out all after the enacting clause and insert the part printed in italic June 12, 2015 The Committee on Energy and Commerce discharged; committed to the Committee of the Whole House on the State of the Union and ordered to be printed For text of introduced bill, see copy of bill as introduced on May 21, 2015 A BILL To amend title XVIII of the Social Security Act to require the annual reporting of data on enrollment in Medicare Advantage plans.

1. Short title This Act may be cited as the Medicare Advantage Coverage Transparency Act of 2015 . 2. Requirement for enrollment data reporting for Medicare Section 1874 of the Social Security Act ( 42 U.S.C. 1395kk ) is amended by adding at the end the following new subsection: (g) Requirement for enrollment data reporting (1) In general Not later than May 1 of each year (beginning with 2016), the Secretary shall submit to the Committees on Ways and Means and Energy and Commerce of the House of Representatives and the Committee on Finance of the Senate a report on enrollment data (and, in the case of part A, on data on individuals receiving benefits under such part) for the plan year or, in the case of part A and part B, for the fiscal year or year (as applicable) ending before January 1 of such plan year, fiscal year, or year. Such enrollment data shall be presented— (A) by zip code, congressional district, and State; (B) in a manner that provides for such data based on enrollment (including receipt of benefits other than through enrollment) under part A, enrollment under part B, enrollment under an MA plan under part C, and enrollment under part D; and (C) in the case of enrollment data described in subparagraph (B) relating to MA plans, presented in a manner that provides for such data for each MA–PD plan and for each MA plan that is not an MA–PD plan. (2) Delay of deadline If the Secretary is unable to submit a report under paragraph (1) by May 1 of a year for data of the plan year, fiscal year, or year (as applicable) ending before January 1 of such year, the Secretary shall, not later than April 30 of such year, notify the committees described in such paragraph of— (A) such inability, including an explanation for such inability; and (B) the date by which the Secretary will provide such report, which shall be not later than June 1 of such year. .

June 12, 2015 Reported from the Committee on Ways and Means with an amendment June 12, 2015 The Committee on Energy and Commerce discharged; committed to the Committee of the Whole House on the State of the Union and ordered to be printed

tv_txt: IIB 114th CONGRESS 1st Session H. R. 2505 IN THE SENATE OF THE UNITED STATES June 18, 2015 Received; read twice and referred to the Committee on Finance AN ACT To amend title XVIII of the Social Security Act to require the annual reporting of data on enrollment in Medicare Advantage plans.

1. Short title This Act may be cited as the Medicare Advantage Coverage Transparency Act of 2015 . 2. Requirement for enrollment data reporting for Medicare Section 1874 of the Social Security Act ( 42 U.S.C. 1395kk ) is amended by adding at the end the following new subsection: (g) Requirement for enrollment data reporting (1) In general Not later than May 1 of each year (beginning with 2016), the Secretary shall submit to the Committees on Ways and Means and Energy and Commerce of the House of Representatives and the Committee on Finance of the Senate a report on enrollment data (and, in the case of part A, on data on individuals receiving benefits under such part) for the plan year or, in the case of part A and part B, for the fiscal year or year (as applicable) ending before January 1 of such plan year, fiscal year, or year. Such enrollment data shall be presented— (A) by zip code, congressional district, and State; (B) in a manner that provides for such data based on enrollment (including receipt of benefits other than through enrollment) under part A, enrollment under part B, enrollment under an MA plan under part C, and enrollment under part D; and (C) in the case of enrollment data described in subparagraph (B) relating to MA plans, presented in a manner that provides for such data for each MA–PD plan and for each MA plan that is not an MA–PD plan. (2) Delay of deadline If the Secretary is unable to submit a report under paragraph (1) by May 1 of a year for data of the plan year, fiscal year, or year (as applicable) ending before January 1 of such year, the Secretary shall, not later than April 30 of such year, notify the committees described in such paragraph of— (A) such inability, including an explanation for such inability; and (B) the date by which the Secretary will provide such report, which shall be not later than June 1 of such year. .

Passed the House of Representatives June 17, 2015. Karen L. Haas, Clerk