US Congress House Bill 4998 (Prior Session Legislation)

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Spectrum: Partisan Bill (Democrat 11-0)
Status: Introduced on June 26 2014 - 25% progression, died in committee
Action: 2014-06-26 - Referred to House Energy and Commerce
Pending: House Energy And Commerce Committee
Text: Latest bill text (Introduced) [PDF]

Medicare Advantage Participant Bill of Rights Act of 2014 - Amends part C (Medicare+Choice) of title XVIII (Medicare) of the Social Security Act to require a Medicare Advantage (MA) organization to remove a service provider or a supplier from a plan network only for cause, subject to completion of a fair notice and appeals process. Lists as cause for removal: (1) medical negligence, (2) violation of any legal or contractual requirement for the provider or supplier acting within the lawful scope of practice, or (3) unfitness to furnish items and services in accordance with Medicare requirements. Requires an MA organization offering an MA plan to include information on the measures used to establish or modify the plan's provider network: (1) in the annual bid information submitted about the MA plan, and (2) on the plan's Internet Web. Subjects to certain sanctions MA organizations with contracts which fail to meet these information requirements. Directs the Secretary of Health and Human Services (HHS) to: (1) seek input from patient advocacy groups and others in applying network access adequacy standards, and (2) take necessary measures to ensure that the Medicare Advantage Compare Tool takes into account the preferences and utilization needs of such individuals.

Medicare Advantage Participant Bill of Rights Act of 2014

Rep. Rosa DeLauro [D-CT]	Rep. Timothy Bishop [D-NY]	Rep. Earl Blumenauer [D-OR]	Rep. Steve Cohen [D-TN]
Rep. Elizabeth Esty [D-CT]	Rep. Jared Huffman [D-CA]	Rep. Doris Matsui [D-CA]	Rep. Jerrold Nadler [D-NY]
Rep. Charles Rangel [D-NY]	Rep. Adam Schiff [D-CA]	Rep. Mark Takano [D-CA]

Date	Chamber	Action
2014-06-26	House	Referred to House Energy and Commerce
2014-06-26	House	Referred to House Ways and Means
2014-06-26	House	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.

SB2552 (Same As) 2014-06-26 - Read twice and referred to the Committee on Finance.

Type	Source
Summary	https://www.congress.gov/bill/113th-congress/house-bill/4998/all-info
Text	https://www.congress.gov/113/bills/hr4998/BILLS-113hr4998ih.pdf