I 112th CONGRESS 1st Session H. R. 3587 IN THE HOUSE OF REPRESENTATIVES December 7, 2011 Mr. Bilbray (for himself and Ms. Eshoo) introduced the following bill; which was referred to the Committee on Energy and Commerce A BILL To amend title XIX of the Social Security Act to provide for the application of Medicaid prompt pay requirement to claims for payment for covered items and services furnished by any Medicaid health care entity.

1.

Short title

This Act may be cited as the Fair Pay to Medicaid Providers Act of 2011.

2.

Application of Medicaid prompt pay requirements to all Medicaid health care entities

(a)

In general

Section 1902 of the Social Security Act (42 U.S.C. 1396a) is amended in subsection (a), in the matter following paragraph (83), by striking For purposes of this title and inserting Subject to the previous sentence, a State plan shall not be in compliance with the requirement of clause (A) of paragraph (37) unless (i) such plan applies such requirement to claims for payment made for items and services covered under the plan and furnished by any person or entity eligible for payment under such plan (insofar as such person or entity is paid under this title on the basis of submission of claims) in the same or similar manner (but applying the same timeframes specified under such clause) as such plan applies such requirement to such services furnished by a practitioner described in such clause; and (ii) such plan provides for quarterly reports to be submitted by the State to the Secretary, presented by provider type, on the extent to which the State during each month of the previous quarter was in compliance with the requirement under such clause, including as applied under this sentence. For purposes of this title. (b)

Effective date

The amendment made by subsection (a) shall apply to claims made for covered services after the date of the enactment of this Act.