MFAR Transparency Act

Bill: 116-hr-7606
Sponsor: full_name: Rep. Williams, Roger [R-TX-25]
Introduced: 2020-07-13
Policy area: Health
Subjects: Administrative law and regulatory procedures

Congressional oversight

Department of Health and Human Services

Government information and archives

Health programs administration and funding

Medicaid

State and local finance

State and local government operations
Latest action: action_date: 2020-07-21
text: Sponsor introductory remarks on measure. (CR H3596)

Summaries:
action_date: 2020-07-13
action_desc: Introduced in House
text: <p><b>MFAR Transparency Act</b></p> <p>This bill restricts the implementation of, and requires additional reporting with respect to, the Centers for Medicare &amp; Medicaid Services (CMS) proposed rule titled <i>Medicaid Program; Medicaid Fiscal Accountability Regulation</i>, published on November 18, 2019. The proposed rule establishes new reporting requirements for states with respect to supplemental payments and upper payment limits under Medicaid and generally modifies requirements relating to state Medicaid financing. </p> <p>The bill prohibits the CMS from finalizing or otherwise implementing the proposed rule without congressional authorization. Additionally, the Government Accountability Office must report on the fiscal impact of the proposed rule on health care facilities and state and local governments. </p>

tv_txt: I 116th CONGRESS 2d Session H. R. 7606 IN THE HOUSE OF REPRESENTATIVES July 13, 2020 Mr. Williams (for himself and Ms. Johnson of Texas ) introduced the following bill; which was referred to the Committee on Energy and Commerce A BILL To require the Comptroller General to submit to Congress a report on the impact of the Medicaid Fiscal Accountability Regulation, to limit the authority for the Secretary of Health and Human Services, and for other purposes.

1. Short title This Act may be cited as the MFAR Transparency Act . 2. Reporting requirement relating to the Medicaid Fiscal Accountability Regulation (a) Comptroller General report Not later than 2 years after the date of the enactment of this Act, the Comptroller General shall submit to Congress a report that— (1) identifies the reporting requirements that are necessary to ensure that States comply with laws and regulations with respect to the financing of the non-Federal share of expenditures under State plans under title XIX of the Social Security Act ( 42 U.S.C. 1396 et seq.); (2) estimates the financial impact of the proposed rulemaking entitled, Medicaid Program; Medicaid Fiscal Accountability Regulation published by the Secretary of Health and Human Services on November 18, 2019 with respect to all health care facilities that receive supplemental or direct payments under such title XIX funded through intergovernmental transfers; (3) evaluate the impact of the proposed rulemaking described in paragraph (2) with respect to State and local budgets, including the impact of tax increases that would be necessary to maintain current funding for hospitals and nursing homes that receive payments from intergovernmental transfers (as of the date of enactment of this Act); and (4) identifies the impact of the proposed rulemaking described in paragraph (2) with respect to intergovernmental transfers of funds from units of government within a State and provider taxes paid authorized under section 1903(w) of the Social Security Act ( 42 U.S.C. 1396b(w) ). (b) Limitation of authority for the Secretary of Health and Human Services The Secretary of Health and Human Services may not take any action (through promulgation of regulation, issuance of regulatory guidance, or other administrative action), unless the 116th Congress enacts a resolution that authorizes such action, to finalize or otherwise implement provisions contained in the proposed rulemaking described in subsection (a)(2).