Prioritizing the Most Vulnerable Americans Act

Bill: 115-hr-543
Sponsor: full_name: Rep. Collins, Chris [R-NY-27]
Introduced: 2017-01-13
Policy area: Health
Subjects: Government information and archives

Health care coverage and access

Health care quality

Health information and medical records

Medicaid

Social work, volunteer service, charitable organizations
Latest action: action_date: 2017-01-13
text: Referred to the House Committee on Energy and Commerce.

Summaries:
action_date: 2017-01-13
action_desc: Introduced in House
text: <p><strong>Prioritizing the Most Vulnerable Medicaid Patients</strong></p> <p>This bill amend title XI (General Provisions) of the Social Security Act to require the Centers for Medicare &amp; Medicaid Services, in approving Medicaid demonstration projects, to:</p> <ul> <li>prioritize projects that have been proven effective in improving care and outcomes with respect to uninsured, Medicaid-eligible, or low-income individuals;</li> <li>require participating states to make publicly available data regarding the health outcomes for individuals to be served;</li> <li>ensure that projects are not duplicative of any federal program or funding opportunity; and</li> <li>require participating states to make publicly available an analysis of the degree to which such projects preclude private and charitable sector efforts to improve&nbsp;care and outcomes&nbsp;with respect to uninsured, Medicaid-eligible, or&nbsp;low-income individuals.&nbsp;</li></ul>

tv_txt: I 115th CONGRESS 1st Session H. R. 543 IN THE HOUSE OF REPRESENTATIVES January 13, 2017 Mr. Collins of New York (for himself, Mr. Mullin , Mr. Guthrie , Mrs. Blackburn , Mr. Bucshon , and Mr. Flores ) 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 for purposes of prioritizing the most vulnerable Medicaid patients.

1. Short title This Act may be cited as the Prioritizing the Most Vulnerable Americans Act . 2. Prioritizing the most vulnerable Medicaid patients (a) In general Section 1115 of the Social Security Act ( 42 U.S.C. 1315 ) is amended by adding at the end the following new subsection: (g) In making a determination using the authority under paragraph (2)(A) of subsection (a) (relating to treating costs that would not otherwise be included as expenditures under section 1903 and which are not included as part of the costs of projects under section 1110 as expenditures under the State plan or plans approved under title XIX) to approve an application or renewal of any experimental, pilot, or demonstration project undertaken under such subsection to promote the objectives of title XIX (referred to in this subsection as a Medicaid demonstration project ), the Secretary shall— (1) give priority to Medicaid demonstration projects that have been proven to be effective in improving the medical care and health outcomes of individuals who are uninsured, individuals eligible to receive medical assistance under a State plan under title XIX, or individuals whose household income does not exceed 150 percent of the poverty line (as defined in section 2110(c)(5)) applicable to a family of the size involved; (2) require that the State submitting such application or renewal submit to the Secretary, and make publicly available, any available data or metrics regarding the health outcomes for the individuals to be served by such Medicaid demonstration project; (3) ensure that such Medicaid demonstration project is not duplicative of any Federal program or funding opportunity; and (4) require that the State submitting such application or renewal submit to the Secretary, and make publicly available, an analysis of the degree to which such Medicaid demonstration project, if at all, precludes efforts undertaken by private sector and charitable sector entities to improve medical care and health outcomes for the individuals described in paragraph (1). . (b) Effective date The amendment made by subsection (a) shall apply with respect to applications or renewals submitted on or after January 1, 2018.