[Congressional Bills 116th Congress]
[From the U.S. Government Publishing Office]
[H.R. 3436 Introduced in House (IH)]

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116th CONGRESS
  1st Session
                                H. R. 3436

To amend title XVIII of the Social Security Act to remove cost-sharing 
    responsibilities for chronic care management services under the 
                           Medicare program.


_______________________________________________________________________


                    IN THE HOUSE OF REPRESENTATIVES

                             June 24, 2019

Ms. DelBene (for herself and Mr. Welch) introduced the following bill; 
  which was 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

_______________________________________________________________________

                                 A BILL


 
To amend title XVIII of the Social Security Act to remove cost-sharing 
    responsibilities for chronic care management services under the 
                           Medicare program.

    Be it enacted by the Senate and House of Representatives of the 
United States of America in Congress assembled,

SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Chronic Care Management Improvement 
Act''.

SEC. 2. REMOVING COST-SHARING RESPONSIBILITIES FOR CHRONIC CARE 
              MANAGEMENT SERVICES UNDER PART B OF THE MEDICARE PROGRAM.

    (a) In General.--Section 1833 of the Social Security Act (42 U.S.C. 
1395l) is amended--
            (1) in subsection (a)(1), by striking subparagraph (Z) and 
        inserting the following: ``(Z) with respect to chronic care 
        management services (as described in section 1848(b)(8)) 
        furnished on or after January 1, 2021, the amount paid shall be 
        an amount equal to 100 percent of the lesser of the actual 
        charge for such services or the amount determined under section 
        1848,''; and
            (2) in subsection (b)--
                    (A) in paragraph (9), by striking ``and'' at the 
                end; and
                    (B) in paragraph (10), by striking the period at 
                the end and inserting the following: ``, and (11) such 
                deductible shall not apply with respect to chronic care 
                management services (as described in section 
                1848(b)(8)) furnished on or after January 1, 2021.''.
    (b) Technical Amendments.--
            (1) In general.--Section 1833(a) of the Social Security Act 
        (42 U.S.C. 1395l(a)) is amended--
                    (A) in paragraph (3)--
                            (i) in subparagraph (A)--
                                    (I) by striking ``subparagraph 
                                (B)'' and inserting ``subparagraphs 
                                (B), (C), and (D)''; and
                                    (II) by striking ``or'' at the end; 
                                and
                            (ii) by adding at the end the following new 
                        subparagraphs:
                    ``(C) with respect to Federally qualified health 
                center services (other than such services that are 
                described in clause (i) or (ii) of subparagraph (D)) 
                furnished on or after the implementation date of the 
                prospective payment system under section 1834(o) for 
                which payment is made under such section, the amounts 
                paid shall be 80 percent of the lesser of the actual 
                charge or the amount determined under such section; and
                    ``(D) with respect to Federally qualified health 
                center services and rural health clinic services that 
                are--
                            ``(i) personalized prevention plan services 
                        (as described in paragraph (1)(X)) or 
                        preventive services (as described in paragraph 
                        (1)(Y)) furnished on or after January 1, 2011; 
                        or
                            ``(ii) chronic care management services (as 
                        described in paragraph (1)(Z)) furnished on or 
                        after January 1, 2021;
                the amounts paid shall be equal to 100 percent of the 
                lesser of the actual charge or the amount determined 
                under subparagraph (A), section 1834(o), or section 
                1848, as applicable);''; and
                    (B) by striking the matter following paragraph (9).
            (2) Conforming amendments.--Section 1834(o) of the Social 
        Security Act (42 U.S.C. 1395m(o)) is amended--
                    (A) in paragraph (1)(A), by inserting ``(other than 
                such services described in clause (i) or (ii) of 
                section 1833(a)(3)(D))'' after ``Federally qualified 
                health center services''; and
                    (B) in paragraph (2)--
                            (i) in subparagraph (A), by inserting 
                        ``(other than such services described in clause 
                        (i) or (ii) of section 1833(a)(3)(D))'' after 
                        ``services''; and
                            (ii) in subparagraph (B)(i)--
                                    (I) by inserting ``(other than such 
                                services described in clause (i) or 
                                (ii) of section 1833(a)(3)(D))'' after 
                                ``Federally qualified health center 
                                services''; and
                                    (II) by striking ``section 
                                1833(a)(1)(Z)'' and inserting 
                                ``subparagraphs (C) and (D) of section 
                                1833(a)(3)''.
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