3.0.0 4273 2023-01-11T13:32:26Z 2023-01-11T13:32:26Z House HR 2015-12-16 114 [Congressional Record Volume 161, Number 183 (Wednesday, December 16, 2015)]From the Congressional Record Online through the Government Publishing Office [www.gpo.gov]By Mr. GENE GREEN of Texas:H.R. 4273.Congress has the power to enact this legislation pursuantto the following:Section 8 of Article I of the Constitution.[Page H9375]]]> hsif00 Energy and Commerce Committee House Standing hsif14 Health Subcommittee Referred to 2015-12-18T22:31:13Z Referred to 2015-12-16T14:03:15Z hswm00 Ways and Means Committee House Standing hswm02 Health Subcommittee Referred to 2015-12-16T20:29:25Z Referred to 2015-12-16T14:03:20Z Medicare and Medicaid Improvements and Adjustments Act of 2015 114 2409 S 2015-12-16 Read twice and referred to the Committee on Finance. Identical bill CRS Related bill CRS Special Needs Trust Fairness and Medicaid Improvement Act 114 670 HR 2016-09-21 Received in the Senate and Read twice and referred to the Committee on Finance. Related bill CRS 2015-12-18 hsif14 Health Subcommittee 1 House committee actions Referred to the Subcommittee on Health. Committee 2015-12-16 hswm02 Health Subcommittee 1 House committee actions Referred to the Subcommittee on Health. Committee 2015-12-16 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. IntroReferral H11100 2 House floor actions hswm00 Ways and Means Committee 2015-12-16 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. IntroReferral H11100-A 9 Library of Congress 2015-12-16 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. IntroReferral H11100 2 House floor actions hsif00 Energy and Commerce Committee 2015-12-16 Introduced in House IntroReferral Intro-H 9 Library of Congress 2015-12-16 Introduced in House IntroReferral 1000 9 Library of Congress G000410 Rep. Green, Gene [D-TX-29] GENE GREEN D TX 29 N M000404 Rep. McDermott, Jim [D-WA-7] JIM MCDERMOTT D WA 7 2015-12-16 True D000096 Rep. Davis, Danny K. [D-IL-7] DANNY DAVIS D IL K. 7 2015-12-18 False B000574 Rep. Blumenauer, Earl [D-OR-3] EARL BLUMENAUER D OR 3 2015-12-18 False L000287 Rep. Lewis, John [D-GA-5] JOHN LEWIS D GA 5 2015-12-18 False R000053 Rep. Rangel, Charles B. [D-NY-13] CHARLES RANGEL D NY B. 13 2015-12-18 False M001163 Rep. Matsui, Doris O. [D-CA-6] Doris Matsui D CA O. 6 2015-12-18 False L000565 Rep. Loebsack, David [D-IA-2] David Loebsack D IA 2 2015-12-18 False C001036 Rep. Capps, Lois [D-CA-24] LOIS CAPPS D CA 24 2016-01-06 False C001067 Rep. Clarke, Yvette D. [D-NY-9] Yvette Clarke D NY D. 9 2016-01-06 False C001068 Rep. Cohen, Steve [D-TN-9] Steve Cohen D TN 9 2016-02-01 False Health Cancer Civil actions and liability Congressional oversight Drug therapy Fraud offenses and financial crimes Government studies and investigations Health facilities and institutions Health information and medical records Health personnel Health programs administration and funding Health technology, devices, supplies Home and outpatient care Hospital care Long-term, rehabilitative, and terminal care Medicaid Medicare Public contracts and procurement Radiation Surgery and anesthesia Health 00 2015-12-16 Introduced in House 2016-10-24T16:47:10Z Medicare and Medicaid Improvements and Adjustments Act of 2015

This bill amends titles XVIII (Medicare) and XIX (Medicaid) of the Social Security Act to modify payment rules and other provisions related to the Medicare and Medicaid programs.

The bill includes off-campus outpatient department (OPD) services in Medicare's prospective payment system (in which predetermined amounts form the basis of payment) with respect to departments that are under development.

The existing Medicare payment adjustment for cancer hospitals shall apply to off-campus OPDs.

The bill temporarily prohibits specified Medicare payment adjustments related to competitive acquisition programs for certain wheelchair accessories.

In addition, the bill modifies provisions related to: (1) reimbursement under Medicare for certain drugs furnished through durable medical equipment (DME), (2) Medicare payment rules for certain radiation therapy services, and (3) the treatment of Medicaid supplemental needs trusts.

The bill expands criminal penalties and civil monetary penalties for certain acts involving federal health care programs.

With respect to negative Medicare payment adjustments for physicians and hospitals that fail to comply with certain requirements related to electronic health records (EHR), the bill authorizes a temporary blanket exception.

A patient encounter occurring at an ambulatory surgical center shall not be used to determine whether an eligible professional qualifies as a meaningful EHR user. This prohibition applies until a specified period has passed following a determination by the Department of Health and Human Services that certified EHR technology is applicable to that setting.

Current law limits state reimbursement for DME under Medicaid to Medicare payment rates beginning January 1, 2019. The bill accelerates this limitation such that it begins October 1, 2018. 

]]> Medicare and Medicaid Improvements and Adjustments Act of 2015 Display Title Medicare and Medicaid Improvements and Adjustments Act of 2015 Official Title as Introduced To amend titles XVIII and XIX of the Social Security Act to improve payments for hospital outpatient department services and complex rehabilitation technology and to improve program integrity, and for other purposes. Introduced in House IH Short Titles as Introduced Medicare and Medicaid Improvements and Adjustments Act of 2015 Introduced in House 2015-12-16T05:00:00Z https://www.govinfo.gov/content/pkg/BILLS-114hr4273ih/xml/BILLS-114hr4273ih.xml 2015-12-18 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.