US HB1083 | 2015-2016 | 114th Congress

Status

Spectrum: Partisan Bill (Democrat 1-0)
Status: Introduced on February 25 2015 - 25% progression, died in committee
Action: 2015-03-27 - Referred to the Subcommittee on Health.
Pending: House Subcommittee on Health Committee
Text: Latest bill text (Introduced) [PDF]

Summary

Medicaid Physician Self-Referral Act of 2015 Amends title XIX (Medicaid) of the Social Security Act (SSAct) with respect to physician self-referral limitations to repeal the prohibition against payment of federal funds to a state for medical assistance expenditures for a designated health service furnished to an individual on the basis of a referral (self-referral) that would result in denial of payment under SSAct title XVIII (Medicare). Requires a state plan for medical assistance to prohibit payment for a Medicaid designated health service furnished to an individual on the basis of a physician's referral if the physician (or an immediate family member) has an ownership or investment interest or a compensation arrangement with the entity furnishing the service that would not comply with Medicare requirements. Requires application of certain reporting requirements and sanctions to a provider of a Medicaid designated health service the same way they apply under Medicare. Amends SSAct title XVIII to: (1) apply the False Claims Act to violations of the self-referral prohibition, and (2) declare the authority of the Secretary of Health and Human Services to issue regulations under Medicaid limited to the application of self-referral limitations to state plan requirements. Directs the Secretary to establish a protocol consistent with the Medicare self-referral disclosure protocol required under the Patient Protection and Affordable Care Act that enables health care providers to disclose an actual or potential violation of Medicare self-referral limitations as applied to Medicaid.

Tracking Information

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Title

Medicaid Physician Self-Referral Act of 2015

Sponsors


History

DateChamberAction
2015-03-27HouseReferred to the Subcommittee on Health.
2015-02-27HouseReferred to the Subcommittee on Health.
2015-02-25HouseReferred to House Ways and Means
2015-02-25HouseReferred to House Energy and Commerce
2015-02-25HouseReferred 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.
2015-02-25HouseSponsor introductory remarks on measure. (CR E251)
2015-02-25HouseIntroduced in House

Subjects


US Congress State Sources


Bill Comments

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