3.0.0 4484 2023-01-11T13:26:38Z 2023-01-11T13:26:38Z House H HR 2014-04-10 113 From the Congressional Record Online through the Government Publishing Office [www.gpo.gov]By Ms. SINEMA:H.R. 4484.Congress has the power to enact this legislation pursuantto the following:Article I Section 8 Clause 1andArticle I Section 8 Clause 18[Page H3198]]]> hsif00 Energy and Commerce Committee House Standing hsif14 Health Subcommittee Referred to 2014-04-11T18:55:37Z Referred to 2014-04-10T13:00:49Z hswm00 Ways and Means Committee House Standing Referred to 2014-04-10T13:00:44Z 2014-04-11 hsif14 Health Subcommittee 1 House committee actions Referred to the Subcommittee on Health. Committee 2014-04-10 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. IntroReferral H11100 2 House floor actions hsif00 Energy and Commerce Committee 2014-04-10 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. IntroReferral H11100 2 House floor actions hswm00 Ways and Means Committee 2014-04-10 Sponsor introductory remarks on measure. (CR E571) IntroReferral B00100 9 Library of Congress 2014-04-10 Introduced in House IntroReferral Intro-H 9 Library of Congress 2014-04-10 Introduced in House IntroReferral 1000 9 Library of Congress S001191 Rep. Sinema, Kyrsten [D-AZ-9] Kyrsten Sinema D AZ 9 N G000564 Rep. Gibson, Christopher P. [R-NY-19] Christopher Gibson R NY P. 19 2014-04-10 True B001279 Rep. Barber, Ron [D-AZ-2] Ron Barber D AZ 2 2014-04-10 True B001257 Rep. Bilirakis, Gus M. [R-FL-12] Gus Bilirakis R FL M. 12 2014-04-10 True M001191 Rep. Murphy, Patrick [D-FL-18] Patrick Murphy D FL 18 2014-04-10 True S001175 Rep. Speier, Jackie [D-CA-14] Jackie Speier D CA 14 2014-12-01 False Health Administrative law and regulatory procedures Administrative remedies Congressional oversight Department of Health and Human Services Government information and archives Government studies and investigations Health care costs and insurance Health care quality Long-term, rehabilitative, and terminal care Medicaid Medicare Mental health Health 00 2014-04-10 Introduced in House 2014-05-12T20:54:36Z Strengthening Healthcare Options for Vulnerable Populations Act - Amends part C (Medicare+Choice) of title XVIII (Medicare) of the Social Security Act (SSA) to extend permanently the authorization for certain Medicare Advantage (MA) Dual Special Needs Plans (D-SNPs).

Requires MA D-SNPs by December 31, 2018, to be fully integrated, in accordance with state law, with capitated contracts with states for any benefits under SSA title XIX (Medicaid), including long-term care and behavioral health.

Directs the Secretary of Health and Human Services (HHS) to develop a clearly defined role for state Medicaid agencies in contracting and oversight of plans.

Directs the Secretary, in implementing requirements for the payment of Medicare+Choice organizations, to take steps necessary to ensure that the quality rating for a D-SNP: (1) does not disadvantage a plan that enrolls full-benefit dual (Medicare- and Medicaid-) eligible individuals, qualified Medicare beneficiaries, and individuals with complex health care needs; and (2) accounts for differences in socioeconomic and demographic characteristics of enrollees of such a plan that result in significant variation in health outcomes.

Allows the Secretary to increase temporarily the quality rating that a specialized MA plan would otherwise receive under certain circumstances.

Directs the Comptroller General (GAO) to report on steps taken for improving health outcomes, cost controls, and beneficiary satisfaction.

Amends the Patient Protection and Affordable Care Act to designate the Federal Coordinated Health Care Office (FCHCO) as the dedicated point of contact within the Centers for Medicare & Medicaid Services to assist states with ongoing D-SNP administration issues.

Allows the Secretary, through the FCHCO, to waive applicable Medicare requirements to promote the integration, alignment, and delivery of items and services under the Medicare program and the Medicaid program, with respect to dual eligible individuals and to ensure the seamless delivery of patient-centered services across the continuum of care with resect to such individuals.

Requires D-SNPs to provide coverage during the appeals process with respect to dispute resolution for claims.

Directs the Secretary to establish a streamlined process for dispute resolution for claims and appeals, with respect to items and services furnished to special needs individuals, to align the Medicare program process with the one under the Medicaid program.

Amends SSA title XI to require the Secretary to report to Congress on the Integrated Data Repository and the One Program Integrity System.

]]> Strengthening Healthcare Options for Vulnerable Populations Act Display Title Strengthening Healthcare Options for Vulnerable Populations Act Official Title as Introduced To amend title XVIII of the Social Security Act to provide improvements for Medicare Advantage special needs plans, and for other purposes. Introduced in House IH Short Titles as Introduced Strengthening Healthcare Options for Vulnerable Populations Act Introduced in House 2014-04-10T04:00:00Z https://www.govinfo.gov/content/pkg/BILLS-113hr4484ih/xml/BILLS-113hr4484ih.xml 2014-04-11 Referred to the Subcommittee on Health. 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. Congressional Research Service, Library of Congress This file contains bill summaries and statuses for federal legislation. A bill summary describes the most significant provisions of a piece of legislation and details the effects the legislative text may have on current law and federal programs. Bill summaries are authored by the Congressional Research Service (CRS) of the Library of Congress. As stated in Public Law 91-510 (2 USC 166 (d)(6)), one of the duties of CRS is "to prepare summaries and digests of bills and resolutions of a public general nature introduced in the Senate or House of Representatives". For more information, refer to the User Guide that accompanies this file.