CENTERS FOR MEDICARE & MEDICAID SERVICES

Bills and resolutions

Center for Medicare & Medicaid Innovation: clarify parameters for model testing and add accountability to model expansion (see H.R. 6732), H6859 [12DE]

Center for Medicare and Medicaid Innovation: provide comprehensive dementia care management services, eliminate patient cost-sharing, support caregivers, and provide outreach to underrepresented populations (see S. 626), S635 [2MR] (see H.R. 1637), H1292 [17MR]

Congress: require two-thirds supermajority vote by House and Senate to pass any legislation to reduce benefits provided under Social Security or Medicare (see H.R. 814), H679 [2FE]

Dept. of HHS: conduct demonstration program to test providing preferential treatment under Medicare, Medicaid, and Children’s Health Insurance Program for certain drugs and biologicals manufactured in U.S. (see S. 3311), S5540 [15NO]

——— eliminate short-term limited duration insurance exemption relative to individual health insurance coverage (see H.R. 711), H626 [1FE]

——— issue and disseminate guidance to States to clarify strategies to address social determinants of health under Medicaid and State Children’s Health Insurance Program (see H.R. 1066), H852 [17FE]

——— prohibit from finalizing proposed rule on minimum staffing for nursing facilities and establish advisory panel on nursing home workforce (see S. 3410), S5750 [5DE] (see H.R. 5796), H4853 [28SE]

——— provide certain adjustments to Medicare payment for durable medical equipment included in DMEPOS (Durable Medical Equipment, Prosthetics, Orthotics and Supplies) Competitive Bidding Program (see H.R. 5555), H4406 [19SE]

——— study and report on actions taken to expand access to telehealth services under Medicare, Medicaid, and Children’s Health Insurance programs (see H.R. 1110), H864 [21FE]

FDA: provide for regulation of in-vitro clinical tests (see H.R. 2369), H1640 [29MR]

Health: require disclosure of information relative to private equity investments in healthcare and report on how healthcare consolidation and private equity contribute to health quality and cost indicators (see H.R. 1754), H1408 [23MR]

Health care facilities: enhance compliance with hospital price transparency requirements (see S. 468), S455 [16FE]

——— ensure nursing facilities report information on medical directors of such facilities and make such information available to public (see H.R. 177), H104 [9JA]

Health care professionals: extend Emergency Declaration Blanket Waiver beyond coronavirus emergency period relative to training and certification of nurse aides (see H.R. 468), H276 [24JA]

Immigration: prohibit rule relative to determination of whether individual is lawfully present in U.S. for purposes of eligibility for enrollment in certain health insurance programs (see H.R. 5336), H4217 [1SE]

Information technology: make Care Compare website and its data more accessible by individuals using search engines (see S. 2112), S2222 [22JN]

Medicaid: provide for demonstration project for political subdivisions of States to provide medical assistance for expansion population (see H.R. 31), H98 [9JA]

Medicare: delay implementation of inclusion of oral-only End-Stage Renal Disease (ESRD) related drugs in End-Stage Renal Disease prospective payment system (see H.R. 5074), H4151 [28JY]

——— establish national graduate nurse education program (see S. 1586), S1624 [11MY] (see H.R. 3623), H2595 [24MY]

——— extend Independence at Home Demonstration program (see H.R. 6794), H6983 [14DE]

——— extend Quality Payment Program-Small Practice, Underserved, and Rural Support program (see H.R. 5935), H5007 [12OC]

——— improve access to diabetes outpatient self-management training services and require Center for Medicare and Medicaid Innovation to test virtual diabetes outpatient self-management training services (see S. 1832), S1983 [6JN] (see H.R. 3842), H2761 [6JN]

——— make improvements to physician fee schedule (see H.R. 6371), H5727 [13NO] (see H.R. 6545), H6079 [1DE] (see H.R. 6683), H6740 [7DE]

——— promote laboratory price transparency (see H.R. 4882), H3949 [25JY]

——— provide phase-in for plasma-derived products under manufacturer discount program (see H.R. 6465), H5902 [21NO]

——— provide review process for adverse national coverage determinations relative to drug coverage of certain new, innovative treatments (see H.R. 2408), H1690 [30MR]

——— remove physician certification requirement for inpatient critical access hospital services (see H.R. 1565), H1279 [10MR]

——— require certain facilities to disclose certain information relating to charges and prices (see H.R. 4839), H3895 [24JY]

——— require each off-campus outpatient department of provider to include unique identifier on claims for items and services and to submit attestation with respect to each such department (see H.R. 3237), H2308 [11MY]

——— test payment of blood transfusions separately from hospice all-inclusive per diem payment (see S. 2186), S2224 [22JN]

Medicare/Medicaid: improve access to care for beneficiaries through models tested under Center for Medicare & Medicaid Innovation (see S. 1296), S1381 [26AP] (see H.R. 3069), H2125 [2MY]

——— improve access to Program of All-Inclusive Care for the Elderly (see H.R. 6590), H6143 [5DE]

Senior citizens: develop mobility metric to guide providers in preventing mobility loss among hospitalized older adults (see H. Res. 550), H3142 [23JN]

Social Security: review and simplify processes, forms, and communications for family caregivers to assist individuals in establishing eligibility, enrolling in, and maintaining benefits under certain Federal aid programs (see S. 3109), S5143 [24OC]

Remarks in House

Dept. of HHS: prohibit funding to implement certain bulletin on State use of health care-related taxes to fund Medicaid and rule to improve access and quality of care for Medicaid and Children’s Health Insurance Program enrollees, H5844, H5845 [14NO]

Government regulations: prohibit funding for proposed rule entitled ‘‘Medicare and Medicaid Programs—Minimum Staffing Standards for Long-Term Care Facilities and Medicaid Institutional Payment Transparency Reporting’’, H5838, H5839 [14NO]

——— prohibit funding to enforce coronavirus vaccine reporting requirements for ambulatory surgical centers, H5852, H5853 [14NO]

Medicaid: provide for demonstration project for political subdivisions of States to provide medical assistance for expansion population (H.R. 31), H222 [12JA]

Remarks in Senate

Health care facilities: impact of proposed rule relative to minimum staffing standards at long-term care facilities, S5686 [30NO]