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119th CONGRESS
1st Session |
To amend title XVIII of the Social Security Act to require Medicare Advantage plans to automatically reconsider determinations denying coverage.
Mr. Pocan (for himself, Mr. Carson, Mr. Cohen, Ms. DeLauro, Mr. Doggett, Ms. Jayapal, Mr. Khanna, Ms. Norton, Ms. Ocasio-Cortez, Ms. Schakowsky, Mr. Takano, Mr. Thanedar, Ms. Tlaib, Mr. Bell, and Ms. Omar) introduced the following bill; which was 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
To amend title XVIII of the Social Security Act to require Medicare Advantage plans to automatically reconsider determinations denying coverage.
Be it enacted by the Senate and House of Representatives of the United States of America in Congress assembled,
SECTION 1. Requiring Medicare Advantage plans to automatically reconsider of determinations denying coverage.
Section 1852(g)(2)(A) of the Social Security Act (42 U.S.C. 1395–22(g)(2)(A)) is amended—
(1) by striking “a determination” and inserting “each determination”;
(2) by striking “upon request by the enrollee involved”; and
(3) by striking “of the receipt of the request for reconsideration” and inserting “on which the determination described in paragraph (1)(B) is made”.