To amend title XVIII of the Social Security Act to extend incentive payments for participation in eligible alternative payment models.

Bill: 118-hr-6369
Sponsor: full_name: Rep. Schrier, Kim [D-WA-8]
Introduced: 2023-11-13
Policy area: Health
Subjects: Health care costs and insurance

Medicare
Latest action: action_date: 2024-12-17
text: Referred to the Subcommittee on Health.

Summaries:

tv_txt: I 118th CONGRESS 1st Session H. R. 6369 IN THE HOUSE OF REPRESENTATIVES November 13, 2023 Ms. Schrier (for herself and Mr. Dunn of Florida ) 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 amend title XVIII of the Social Security Act to extend incentive payments for participation in eligible alternative payment models.

1. Extending incentive payments for participation in eligible alternative payment models (a) In general Section 1833(z) of the Social Security Act ( 42 U.S.C. 1395l(z) ) is amended— (1) in paragraph (1)— (A) in subparagraph (A)— (i) by striking In the case and inserting Subject to subparagraph (E), in the case ; (ii) by striking ending with 2025 and inserting ending with 2026 ; and (iii) by inserting and 2026 after with respect to 2025 ; and (B) by adding at the end the following new subparagraph: (E) Special payment rule for 2026 With respect to an amount payable under subparagraph (A) for 2026 to an eligible professional who is a qualifying APM participant for such year, such amount shall be reduced, in the case such participant has received payment under such subparagraph— (i) for at least 4 years but fewer than 7 years, by 34 percent; or (ii) for 7 years, by 67 percent. ; (2) in paragraph (2)— (A) in subparagraph (B)— (i) in the subparagraph heading, by striking 2025 and inserting 2026 ; and (ii) in the matter preceding clause (i), by striking 2025 and inserting 2026 ; (B) in subparagraph (C)— (i) in the subparagraph heading, by striking 2026 and inserting 2027 ; and (ii) in the matter preceding clause (i), by striking 2026 and inserting 2027 ; and (C) in subparagraph (D), by striking 2024, and 2025 and inserting 2024, 2025, and 2026 ; and (3) in paragraph (4)(B), by striking 2025 and inserting 2025 and 2026 . (b) Conforming amendments Section 1848(q)(1)(C)(iii) of the Social Security Act ( 42 U.S.C. 1395w–4(q)(1)(C)(iii) is amended— (1) in subclause (II), by striking 2025 and inserting 2026 ; and (2) in subclause (III), by striking 2026 and inserting 2027 .