Code-FLEX Act of 2015

Bill: 114-hr-3018
Sponsor: full_name: Rep. Blackburn, Marsha [R-TN-7]
Introduced: 2015-07-10
Policy area: Health
Subjects: Administrative law and regulatory procedures

Congressional oversight

Department of Health and Human Services

Government studies and investigations

Health information and medical records

Health programs administration and funding

Medicaid

Medicare
Latest action: action_date: 2015-07-21
text: Referred to the Subcommittee on Health.

Summaries:
action_date: 2015-07-10
action_desc: Introduced in House
text: <p>This bill requires that health care claims submitted with ICD-9 codes (the code set currently used in health care transactions to identify diagnoses and procedures) continue to be paid during the transition from the ICD-9 code set to the ICD-10 code set.</p>

tv_txt: I 114th CONGRESS 1st Session H. R. 3018 IN THE HOUSE OF REPRESENTATIVES July 10, 2015 Mrs. Blackburn (for herself and Mr. Price of Georgia ) 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 provide for a safe harbor period for the transition from the ICD–9 to the ICD–10 standard for health care claims.

1. Short title This Act may be cited as the Coding Flexibility in Healthcare Act of 2015 or the Code-FLEX Act of 2015 . 2. Continuing use of ICD–9–CM codes during a transition period (a) In general The Secretary of Health and Human Services, in implementing the transition to ICD–10 code sets pursuant to section 1173(c) of the Social Security Act ( 42 U.S.C. 1320d–2(c) ) and consistent with section 212 of the Protecting Access to Medicare Act of 2014, shall provide for a transition period, in accordance with subsection (b), during which health care claims (and related standard transactions) otherwise payable (or processed) by public and private payors shall continue to be processed and paid, as applicable, if submitted with ICD–9 codes. (b) Duration of transition period The transition period under subsection (a) shall begin on the first day in which the Secretary adopts such ICD–10 code sets as the standard for codes sets under section 1173(c) of the Social Security Act ( 42 U.S.C. 1320d–2(c) ) and end 180 days after such date. (c) Report Not later than 90 days after the date of the enactment of this Act, the Secretary shall submit to Congress a report assessing the impact of such ICD–10 code sets on health care providers participating under the Medicare program under title XVIII of the Social Security Act, individuals entitled to benefits under part A of such title or enrolled under part B of such title, and other impacted stakeholders.