113 S2157 PCS: Commonsense Medicare SGR Repeal and Beneficiary Access Improvement Act of 2014 U.S. Senate 2014-03-25 text/xml EN Pursuant to Title 17 Section 105 of the United States Code, this file is not subject to copyright protection and is in the public domain.

II Calendar No. 336113th CONGRESS 2d Session S. 2157 IN THE SENATE OF THE UNITED STATES March 25, 2014 Mr. Wyden introduced the following bill; which was read the first time March 26, 2014Read the second time and placed on the calendarA BILL To amend titles XVIII and XIX of the Social Security Act to repeal the Medicare sustainable growth rate and to improve Medicare and Medicaid payments, and for other purposes.

1.

Short title; table of contents

(a)

Short title

This Act may be cited as the Commonsense Medicare SGR Repeal and Beneficiary Access Improvement Act of 2014. (b)

Table of contents

The table of contents of this Act is as follows: Sec. 1. Short title; table of contents. TITLE I—Medicare Payment for Physicians' Services Sec. 101. Repealing the sustainable growth rate (SGR) and improving Medicare payment for physicians’ services. Sec. 102. Priorities and funding for measure development. Sec. 103. Encouraging care management for individuals with chronic care needs. Sec. 104. Ensuring accurate valuation of services under the physician fee schedule. Sec. 105. Promoting evidence-based care. Sec. 106. Empowering beneficiary choices through access to information on physicians’ services. Sec. 107. Expanding availability of Medicare data. Sec. 108. Reducing administrative burden and other provisions. TITLE II—Extensions Subtitle A—Medicare Extensions Sec. 201. Work geographic adjustment. Sec. 202. Medicare payment for therapy services. Sec. 203. Medicare ambulance services. Sec. 204. Revision of the Medicare-dependent hospital (MDH) program. Sec. 205. Revision of Medicare inpatient hospital payment adjustment for low-volume hospitals. Sec. 206. Specialized Medicare Advantage plans for special needs individuals. Sec. 207. Reasonable cost reimbursement contracts. Sec. 208. Quality measure endorsement and selection. Sec. 209. Permanent extension of funding outreach and assistance for low-income programs. Subtitle B—Medicaid and Other Extensions Sec. 211. Qualifying individual program. Sec. 212. Transitional Medical Assistance. Sec. 213. Express lane eligibility. Sec. 214. Pediatric quality measures. Sec. 215. Special diabetes programs. Subtitle C—Human Services Extensions Sec. 221. Abstinence education grants. Sec. 222. Personal responsibility education program. Sec. 223. Family-to-family health information centers. Sec. 224. Health workforce demonstration project for low-income individuals. TITLE III—Medicare and Medicaid program integrity Sec. 301. Reducing improper Medicare payments. Sec. 302. Authority for Medicaid fraud control units to investigate and prosecute complaints of abuse and neglect of Medicaid patients in home and community-based settings. Sec. 303. Improved use of funds received by the HHS Inspector General from oversight and investigative activities. Sec. 304. Preventing and reducing improper Medicare and Medicaid expenditures. TITLE IV—Other Provisions Sec. 401. Commission on Improving Patient Directed Health Care. Sec. 402. Expansion of the definition of inpatient hospital services for certain cancer hospitals. Sec. 403. Quality measures for certain post-acute care providers relating to notice and transfer of patient health information and patient care preferences. Sec. 404. Criteria for medically necessary, short inpatient hospital stays. Sec. 405. Transparency of reasons for excluding additional procedures from the Medicare ambulatory surgical center (ASC) approved list. Sec. 406. Supervision in critical access hospitals. Sec. 407. Requiring State licensure of bidding entities under the competitive acquisition program for certain durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS). Sec. 408. Recognition of attending physician assistants as attending physicians to serve hospice patients. Sec. 409. Remote patient monitoring pilot projects. Sec. 410. Community-Based Institutional Special Needs Plan Demonstration Program. Sec. 411. Applying CMMI waiver authority to PACE in order to foster innovations. Sec. 412. Improve and modernize Medicaid data systems and reporting. Sec. 413. Fairness in Medicaid supplemental needs trusts. Sec. 414. Helping Ensure Life- and Limb-Saving Access to Podiatric Physicians. Sec. 415. Demonstration programs to improve community mental health services. Sec. 416. Annual Medicaid DSH report. Sec. 417. Implementation. TITLE V—Amendment to OCO adjustments Sec. 501. Amendment to OCO adjustments. Sec. 502. Limitation on the use of OCO funding.

March 26, 2014Read the second time and placed on the calendar