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    <number>4878</number>
    <updateDate>2023-01-11T13:31:49Z</updateDate>
    <updateDateIncludingText>2023-01-11T13:31:49Z</updateDateIncludingText>
    <originChamber>House</originChamber>
    <type>HR</type>
    <introducedDate>2016-03-23</introducedDate>
    <congress>114</congress>
    <constitutionalAuthorityStatementText><![CDATA[<pre>[Congressional Record Volume 162, Number 46 (Wednesday, March 23, 2016)]From the Congressional Record Online through the Government Publishing Office [<a href='http://www.gpo.gov'>www.gpo.gov</a>]By Mr. PAULSEN:H.R. 4878.Congress has the power to enact this legislation pursuantto the following:Article 1, Section 8, Clauses 1 and 18[Page H1585]</pre>]]></constitutionalAuthorityStatementText>
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        <actionDate>2016-03-29</actionDate>
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        <text>Referred to the Subcommittee on Health.</text>
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        <actionDate>2016-03-25</actionDate>
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        <text>Referred to the Subcommittee on Health.</text>
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        <actionDate>2016-03-23</actionDate>
        <text>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.</text>
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        <actionDate>2016-03-23</actionDate>
        <text>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.</text>
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        <actionDate>2016-03-23</actionDate>
        <text>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.</text>
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    <sponsors>
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        <bioguideId>P000594</bioguideId>
        <fullName>Rep. Paulsen, Erik [R-MN-3]</fullName>
        <firstName>Erik</firstName>
        <lastName>Paulsen</lastName>
        <party>R</party>
        <state>MN</state>
        <district>3</district>
        <isByRequest>N</isByRequest>
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        <bioguideId>W000800</bioguideId>
        <fullName>Rep. Welch, Peter [D-VT-At Large]</fullName>
        <firstName>Peter</firstName>
        <lastName>Welch</lastName>
        <party>D</party>
        <state>VT</state>
        <district>0</district>
        <sponsorshipDate>2016-03-23</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
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    <policyArea>
      <name>Health</name>
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          <name>Education programs funding</name>
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        <item>
          <name>Health care costs and insurance</name>
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        <item>
          <name>Health care quality</name>
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        <item>
          <name>Health facilities and institutions</name>
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          <name>Health information and medical records</name>
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          <name>Health programs administration and funding</name>
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        <item>
          <name>Health promotion and preventive care</name>
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        <item>
          <name>Health technology, devices, supplies</name>
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        <item>
          <name>Long-term, rehabilitative, and terminal care</name>
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          <name>Medicaid</name>
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          <name>Medical education</name>
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          <name>Medical research</name>
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          <name>Medical tests and diagnostic methods</name>
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        <item>
          <name>Medicare</name>
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          <name>Performance measurement</name>
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        <item>
          <name>Prescription drugs</name>
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          <name>Rural conditions and development</name>
        </item>
        <item>
          <name>Teaching, teachers, curricula</name>
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      <policyArea>
        <name>Health</name>
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    <summaries>
      <summary>
        <versionCode>00</versionCode>
        <actionDate>2016-03-23</actionDate>
        <actionDesc>Introduced in House</actionDesc>
        <updateDate>2016-12-06T17:37:01Z</updateDate>
        <text><![CDATA[ <p><strong>Better Care, Lower Cost Act</strong></p> <p>This bill amends titles XVIII (Medicare) and XIX (Medicaid) of the Social Security Act to establish an integrated chronic care delivery program through which qualified "Better Care Programs" (BCPs) shall: (1)&nbsp; promote accountability and better care management for chronically ill patient populations, (2)&nbsp;coordinate items and services under Medicare, and (3)&nbsp;encourage investment in infrastructure and redesigned care processes. A health plan (including a Medicare Advantage plan) or group of providers may participate as a BCP if certified to do so by the Department of Health and Human Services (HHS).</p> <p>The program shall focus on containing long-term costs and improving the overall health of the Medicare population by implementing, through qualified BCPs, strategies that prevent, delay, or minimize the progression of illness or disability associated with chronic conditions.</p> <p>With respect to a BCP enrollee who is dually eligible for both Medicare and Medicaid, Medicare shall be the primary payor.</p> <p>A Medigap policy (supplemental insurance that covers health care costs not covered by Medicare) may not provide for coverage of cost-sharing for Medicare services furnished to a BCP enrollee by a provider that is not a qualified BCP professional.</p> <p>HHS, acting through the Agency for Healthcare Research and Quality, shall designate and provide core funding for at least three Chronic Care Innovation Centers. To be eligible for such designation and funding, an eligible entity must partner with other specified entities to develop new, evidence-based curricula that addresses the need for chronic care management.</p>]]></text>
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    </summaries>
    <title>Better Care, Lower Cost Act</title>
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        <titleType>Display Title</titleType>
        <title>Better Care, Lower Cost Act</title>
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        <titleType>Official Title as Introduced</titleType>
        <title>To amend title XVIII of the Social Security Act to establish a Medicare Better Care Program to provide integrated care for Medicare beneficiaries with chronic conditions, and for other purposes.</title>
        <billTextVersionName>Introduced in House</billTextVersionName>
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        <title>Better Care, Lower Cost Act</title>
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        <type>Introduced in House</type>
        <date>2016-03-23T04:00:00Z</date>
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            <url>https://www.govinfo.gov/content/pkg/BILLS-114hr4878ih/xml/BILLS-114hr4878ih.xml</url>
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    <latestAction>
      <actionDate>2016-03-29</actionDate>
      <text>Referred to the Subcommittee on Health.</text>
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    <dc:language>EN</dc:language>
    <dc:rights>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.</dc:rights>
    <dc:contributor>Congressional Research Service, Library of Congress</dc:contributor>
    <dc:description>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.</dc:description>
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