US Congress House Bill 2085 (Prior Session Legislation)

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Spectrum: Slight Partisan Bill (Republican 18-7)
Status: Introduced on May 22 2013 - 25% progression, died in committee
Action: 2013-06-03 - Referred to the Subcommittee on Health.
Pending: House Subcommittee on Health Committee
Text: Latest bill text (Introduced) [PDF]

Diagnostic Innovation Testing and Knowledge Advancement Act of 2013 - Sets forth additional factors for the Secretary of Health and Human Services (HHS) to consider in determining the payment amount for new clinical diagnostic laboratory tests under gapfilling procedures which are used when no comparable existing test is available. Directs the Secretary to convene an independent advisory panel to inform and make recommendations to the Secretary regarding any new test. Requires the Secretary to justify publicly the basis and rate determination for any payments made under the clinical laboratory fee schedule for new clinical diagnostic laboratory tests, including a detailed summary of information received regarding the additional factors considered. Requires the Secretary then, after publishing such justification, to provide for a reasonable period of reconsideration to: (1) receive any appeal of the payment determination, and (2) evaluate any additional information received regarding the justification and the factors considered. Requires the Secretary, following the period of reconsideration, to make a final payment basis and payment rate determination, providing a justification for it with an explanation of what additional information was evaluated during reconsideration and how it was taken into account. Directs the Secretary to: (1) establish a process for application for the assignment of a temporary national HCPCS (Healthcare Common Procedure Coding System) code to uniquely identify a diagnostic test until a permanent national HCPCS code is available for assignment to that test, (2) analyze the process used for the gapfilling procedures used in determining payment amounts for new clinical diagnostic laboratory tests, and (3) implement improvements in the process after public notice and opportunity for comment. Applies this Act to payment basis and payment rate determinations made on or after January 1, 2013.

Diagnostic Innovation Testing and Knowledge Advancement Act of 2013

Rep. Peter Roskam [R-IL]	Rep. Larry Bucshon [R-IN]	Rep. Rodney Davis [R-IL]	Sen. Tammy Duckworth [D-IL]
Sen. Cory Gardner [R-CO]	Rep. Tim Griffin [R-AR]	Rep. Brett Guthrie [R-KY]	Rep. Denny Heck [D-WA]
Rep. Randy Hultgren [R-IL]	Rep. Mike Kelly [R-PA]	Rep. Ron Kind [D-WI]	Rep. Adam Kinzinger [R-IL]
Rep. Leonard Lance [R-NJ]	Rep. Tom Latham [R-IA]	Sen. Ben Lujan [D-NM]	Rep. Richard Neal [D-MA]
Rep. Erik Paulsen [R-MN]	Rep. Todd Rokita [R-IN]	Rep. Bradley Schneider [D-IL]	Rep. Aaron Schock [R-IL]
Rep. Pete Sessions [R-TX]	Rep. Marlin Stutzman [R-IN]	Rep. Patrick Tiberi [R-OH]	Sen. Peter Welch [D-VT]
Rep. Kevin Yoder [R-KS]

Date	Chamber	Action
2013-06-03	House	Referred to the Subcommittee on Health.
2013-05-24	House	Referred to the Subcommittee on Health.
2013-05-22	House	Referred to House Ways and Means
2013-05-22	House	Referred to House Energy and Commerce
2013-05-22	House	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.

HB3091 (Related) 2013-10-15 - Referred to the Subcommittee on Courts, Intellectual Property, and the Internet.
HB3116 (Related) 2014-01-09 - Referred to the Subcommittee on Courts, Intellectual Property, and the Internet.
SB2086 (Related) 2014-06-30 - Became Public Law No: 113-125.

Type	Source
Summary	https://www.congress.gov/bill/113th-congress/house-bill/2085/all-info
Text	https://www.congress.gov/113/bills/hr2085/BILLS-113hr2085ih.pdf