3.0.0 2579 2023-01-11T13:31:02Z 2023-01-11T13:31:02Z House HR 2015-05-29 114 [Congressional Record Volume 161, Number 84 (Friday, May 29, 2015)]From the Congressional Record Online through the Government Publishing Office [www.gpo.gov]By Mrs. BLACK:H.R. 2579.Congress has the power to enact this legislation pursuantto the following:The constitutional authority on which this bill rests isthe power of Congress to make rules for the government andregulation of the land and naval forces, as enumerated inArticle I, Section 8, Clause 14 of the United StatesConstitution.[Page H3582]]]> hsif00 Energy and Commerce Committee House Standing hsif14 Health Subcommittee Referred to 2015-06-05T14:45:38Z Discharged from 2015-06-16T23:48:15Z Referred to 2015-05-29T14:00:10Z hswm00 Ways and Means Committee House Standing hswm02 Health Subcommittee Referred to 2015-06-03T17:54:48Z Reported by 2015-06-16T23:47:59Z Markup by 2015-06-02T16:08:59Z Referred to 2015-05-29T14:00:05Z H. Rept. 114-160 Seniors' Health Care Plan Protection Act of 2015 114 2582 HR 2015-06-18 Received in the Senate and Read twice and referred to the Committee on Finance. Related bill CRS Securing Care for Seniors Act of 2015 114 2197 S 2015-10-22 Read twice and referred to the Committee on Finance. Related bill CRS 2015-06-16 Placed on the Union Calendar, Calendar No. 116. Calendars H12410 2 House floor actions U00116 2015-06-16 Committee on Energy and Commerce discharged. Discharge H12300 2 House floor actions hsif00 Energy and Commerce Committee 2015-06-16 Committee on Energy and Commerce discharged. Committee 5500 9 Library of Congress hsif00 Energy and Commerce Committee 2015-06-16 Reported (Amended) by the Committee on Ways and Means. H. Rept. 114-160, Part I. Committee H12200 2 House floor actions hswm00 Ways and Means Committee 2015-06-16 Reported (Amended) by the Committee on Ways and Means. H. Rept. 114-160, Part I. Committee 5000 9 Library of Congress hswm00 Ways and Means Committee 2015-06-05 hsif14 Health Subcommittee 1 House committee actions Referred to the Subcommittee on Health. Committee 2015-06-03 hswm02 Health Subcommittee 1 House committee actions Referred to the Subcommittee on Health. Committee 2015-06-02 hswm00 Ways and Means Committee 1 House committee actions Ordered to be Reported (Amended) by Voice Vote. Committee 2015-06-02 hswm00 Ways and Means Committee 1 House committee actions Committee Consideration and Mark-up Session Held. Committee 2015-05-29 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 2015-05-29 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-A 9 Library of Congress 2015-05-29 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 2015-05-29 Introduced in House IntroReferral Intro-H 9 Library of Congress 2015-05-29 Introduced in House IntroReferral 1000 9 Library of Congress B001273 Rep. Black, Diane [R-TN-6] Diane Black R TN 6 N B000574 Rep. Blumenauer, Earl [D-OR-3] EARL BLUMENAUER D OR 3 2015-05-29 True G000558 Rep. Guthrie, Brett [R-KY-2] Brett Guthrie R KY 2 2015-05-29 True L000565 Rep. Loebsack, David [D-IA-2] David Loebsack D IA 2 2015-05-29 True S001191 Rep. Sinema, Kyrsten [D-AZ-9] Kyrsten Sinema D AZ 9 2015-06-03 False 2015-06-12T17:50:00Z H.R. 2579, Securing Care for Seniors Act of 2015 https://www.cbo.gov/publication/50302 As ordered reported by the House Committee on Ways and Means on June 2, 2015 Health Accounting and auditing Digestive and metabolic diseases Government studies and investigations Health care costs and insurance Health information and medical records Medicaid Medical tests and diagnostic methods Medicare Health 00 2015-05-29 Introduced in House 2015-06-29T16:59:30Z Securing Care for Seniors Act of 2015

This bill amends part C (Medicare+Choice) of title XVIII (Medicare) of the Social Security Act (SSAct) to direct the Department of Health and Human Services (HHS) (in effect, the Centers for Medicare & Medicaid Services [CMS]) to revise for 2017, and periodically afterwards, the system for risk adjustments to payments to Medicare + Choice organizations so that an individual's risk score takes into account the number of chronic conditions with which the individual has been diagnosed.

HHS must, including an actuarial opinion of the CMS Chief Actuary, evaluate the impacts of:

  • including two years of data to compare the models used to determine the risk scores for 2013 and 2014,
  • removing the diagnosis codes related to chronic kidney disease in the 2014 risk adjustment model, and
  • including 10% of encounter data in computing payment for 2016 and CMS readiness to incorporate encounter data in risk scores.

HHS shall also analyze the best practices of MedicareAdvantage (MA) plans to slow disease progression related to chronic kidney disease.

HHS shall then, if appropriate, make revisions to the risk adjustment system, based on such an evaluation or analysis, to better reflect and appropriately weight for the population served.

Congress declares that the MA star rating system lacks proper accounting for the socioeconomic status of plan enrollees and the extent to which those plans serve individuals also eligible for medical assistance under SSAct title XIX (Medicaid).

]]> 18 2015-06-16 Reported to House amended, Part I 2015-10-28T18:13:10Z Securing Care for Seniors Act of 2015

(Sec. 2) This bill amends part C (Medicare+Choice) of title XVIII (Medicare) of the Social Security Act (SSAct) to direct the Department of Health and Human Services (HHS) (in effect, the Centers for Medicare & Medicaid Services [CMS]) to revise for 2017, and periodically afterwards, the system for risk adjustments to payments to Medicare+Choice organizations so that an individual's risk score takes into account the number of chronic conditions with which the individual has been diagnosed.

HHS must, including an actuarial opinion of the CMS Chief Actuary, evaluate the impacts of:

  • including two years of data to compare the models used to determine the risk scores for 2013 and 2014,
  • removing the diagnosis codes related to chronic kidney disease in the 2014 risk adjustment model, and
  • including 10% of encounter data in computing payment for 2016 and CMS readiness to incorporate encounter data in risk scores.

HHS shall also analyze the best practices of MedicareAdvantage (MA) plans to slow disease progression related to chronic kidney disease.

HHS shall then, if appropriate, make revisions to the risk adjustment system, based on such an evaluation or analysis, to better reflect and appropriately weight for the population served.

(Sec. 3) Congress declares that the MA star rating system lacks proper accounting for the socioeconomic status of plan enrollees and the extent to which those plans serve individuals also eligible for medical assistance under SSAct title XIX (Medicaid).

]]> Securing Care for Seniors Act of 2015 Display Title Securing Care for Seniors Act of 2015 Official Title as Introduced To amend title XVIII of the Social Security Act to improve the risk adjustment under the Medicare Advantage program, and for other purposes. Introduced in House IH Short Titles as Introduced Securing Care for Seniors Act of 2015 Short Titles as Reported to House Securing Care for Seniors Act of 2015 H House Reported in House 2015-06-16T04:00:00Z https://www.govinfo.gov/content/pkg/BILLS-114hr2579rh/xml/BILLS-114hr2579rh.xml Introduced in House 2015-05-29T04:00:00Z https://www.govinfo.gov/content/pkg/BILLS-114hr2579ih/xml/BILLS-114hr2579ih.xml 2015-06-16 Placed on the Union Calendar, Calendar No. 116. 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.