Improving Seniors Access to Quality Benefits Act

Bill: 115-hr-4952
Sponsor: full_name: Rep. Kelly, Mike [R-PA-3]
Introduced: 2018-02-06
Policy area: Health
Subjects: Government studies and investigations

Health care costs and insurance

Health information and medical records

Medicare
Latest action: action_date: 2018-07-25
text: Received in the Senate and Read twice and referred to the Committee on Finance.

Summaries:
action_date: 2018-02-06
action_desc: Introduced in House
text: <p>This bill requires the Centers for Medicare &amp; Medicaid Services to report on how the inclusion of quality percentage increases affects certain payment calculations under Medicare Advantage. </p>

action_date: 2018-07-17
action_desc: Reported to House amended, Part I
text: <p><b>Improving Seniors Access to Quality Benefits Act</b></p> <p>This bill requires the Centers for Medicare &amp; Medicaid Services to report on how the inclusion of quality percentage increases affects certain payment calculations under Medicare Advantage. </p>

action_date: 2018-07-24
action_desc: Passed House amended
text: <p><b>Improving Seniors Access to Quality Benefits Act</b></p> <p>(Sec. 2) This bill requires the Centers for Medicare &amp; Medicaid Services to report on how the inclusion of quality percentage increases affects certain payment calculations under Medicare Advantage. </p>

tv_txt: I 115th CONGRESS 2d Session H. R. 4952 IN THE HOUSE OF REPRESENTATIVES February 6, 2018 Mr. Kelly of Pennsylvania (for himself 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 direct the Secretary of Health and Human Services to conduct a study and submit a report on the effects of the inclusion of quality increases in the determination of blended benchmark amounts under part C of the Medicare program.

1. Determination of blended benchmark amount study (a) Sense of Congress It is the sense of Congress that the inclusion of quality increases in the determination of blended benchmark amounts under section 1853(n)(4) of the Social Security Act ( 42 U.S.C. 1395w–23(n)(4) ) undermines the goal of delivering high-quality care under the Medicare program under title XVIII of such Act. (b) Study and report Not later than one year after the date of enactment of this section, the Secretary of Health and Human Services, in consultation with relevant stakeholders, shall conduct a study and submit to Congress a report on the effects of the inclusion of quality percentage increases under section 1853(n)(5) of such Act in the determination of blended benchmark amounts under section 1853(n)(4) of such Act. Such study and report shall include an analysis of the following: (1) The authority of the Secretary to remove such increases from the determination of such amounts. (2) The effects of including such increases in the determination of such amounts on Medicare Advantage organizations (including the effects on any contracts entered into by such organizations). (3) The financial impact of including such increases in the determination of such amounts by county. (4) The effects of including such increases in the determination of such amounts on individuals enrolled in a plan under part C of title XVIII of such Act.

tv_txt: IIB 115th CONGRESS 2d Session H. R. 4952 IN THE SENATE OF THE UNITED STATES July 25, 2018 Received; read twice and referred to the Committee on Finance AN ACT To direct the Secretary of Health and Human Services to conduct a study and submit a report on the effects of the inclusion of quality increases in the determination of blended benchmark amounts under part C of the Medicare program.

1. Short title This Act may be cited as the Improving Seniors Access to Quality Benefits Act . 2. Determination of blended benchmark amount study (a) Sense of Congress It is the sense of Congress that the inclusion of quality increases in the determination of blended benchmark amounts under section 1853(n)(4) of the Social Security Act ( 42 U.S.C. 1395w–23(n)(4) ) undermines the goal of delivering high-quality care under the Medicare program under title XVIII of such Act. (b) Study and report Not later than one year after the date of enactment of this section, the Secretary of Health and Human Services, in consultation with relevant stakeholders, shall conduct a study and submit to Congress a report on the effects of the inclusion of quality percentage increases under section 1853(n)(5) of such Act in the determination of blended benchmark amounts under section 1853(n)(4) of such Act. Such study and report shall include an analysis of the following: (1) The authority of the Secretary to remove such increases from the determination of such amounts. (2) The effects of including such increases in the determination of such amounts on Medicare Advantage organizations (including the effects on any contracts entered into by such organizations). (3) The financial impact of including such increases in the determination of such amounts by county. (4) The effects of including such increases in the determination of such amounts on individuals enrolled in a plan under part C of title XVIII of such Act.

Passed the House of Representatives July 24, 2018. Karen L. Haas, Clerk

tv_txt: IB 115th CONGRESS 2d Session H. R. 4952 IN THE HOUSE OF REPRESENTATIVES AN ACT To direct the Secretary of Health and Human Services to conduct a study and submit a report on the effects of the inclusion of quality increases in the determination of blended benchmark amounts under part C of the Medicare program.

1. Short title This Act may be cited as the Improving Seniors Access to Quality Benefits Act . 2. Determination of blended benchmark amount study (a) Sense of Congress It is the sense of Congress that the inclusion of quality increases in the determination of blended benchmark amounts under section 1853(n)(4) of the Social Security Act ( 42 U.S.C. 1395w–23(n)(4) ) undermines the goal of delivering high-quality care under the Medicare program under title XVIII of such Act. (b) Study and report Not later than one year after the date of enactment of this section, the Secretary of Health and Human Services, in consultation with relevant stakeholders, shall conduct a study and submit to Congress a report on the effects of the inclusion of quality percentage increases under section 1853(n)(5) of such Act in the determination of blended benchmark amounts under section 1853(n)(4) of such Act. Such study and report shall include an analysis of the following: (1) The authority of the Secretary to remove such increases from the determination of such amounts. (2) The effects of including such increases in the determination of such amounts on Medicare Advantage organizations (including the effects on any contracts entered into by such organizations). (3) The financial impact of including such increases in the determination of such amounts by county. (4) The effects of including such increases in the determination of such amounts on individuals enrolled in a plan under part C of title XVIII of such Act.

Passed the House of Representatives July 24, 2018. Karen L. Haas, Clerk.

tv_txt: IB Union Calendar No. 644 115th CONGRESS 2d Session H. R. 4952 [Report No. 115–832, Part I] IN THE HOUSE OF REPRESENTATIVES February 6, 2018 Mr. Kelly of Pennsylvania (for himself 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 July 17, 2018 Additional sponsors: Mr. Blumenauer and Mr. Guthrie July 17, 2018 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 July 17, 2018 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 February 6, 2018 A BILL To direct the Secretary of Health and Human Services to conduct a study and submit a report on the effects of the inclusion of quality increases in the determination of blended benchmark amounts under part C of the Medicare program.

1. Short title This Act may be cited as the Improving Seniors Access to Quality Benefits Act . 2. Determination of blended benchmark amount study (a) Sense of Congress It is the sense of Congress that the inclusion of quality increases in the determination of blended benchmark amounts under section 1853(n)(4) of the Social Security Act ( 42 U.S.C. 1395w–23(n)(4) ) undermines the goal of delivering high-quality care under the Medicare program under title XVIII of such Act. (b) Study and report Not later than one year after the date of enactment of this section, the Secretary of Health and Human Services, in consultation with relevant stakeholders, shall conduct a study and submit to Congress a report on the effects of the inclusion of quality percentage increases under section 1853(n)(5) of such Act in the determination of blended benchmark amounts under section 1853(n)(4) of such Act. Such study and report shall include an analysis of the following: (1) The authority of the Secretary to remove such increases from the determination of such amounts. (2) The effects of including such increases in the determination of such amounts on Medicare Advantage organizations (including the effects on any contracts entered into by such organizations). (3) The financial impact of including such increases in the determination of such amounts by county. (4) The effects of including such increases in the determination of such amounts on individuals enrolled in a plan under part C of title XVIII of such Act.

July 17, 2018 Reported from the Committee on Ways and Means with an amendment July 17, 2018 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