US Congress House Bill 3244 (Prior Session Legislation)

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Sponsorship: Bipartisan Bill
Status: Introduced on July 28 2015 - 25% progression, died in committee
Action: 2015-08-05 - Referred to the Subcommittee on Health.
Pending: House Subcommittee on Health Committee
Text: Latest bill text (Introduced) [PDF]

Providing Innovative Care for Complex Cases Demonstration Act of 2015 This bill amends title XVIII (Medicare) of the Social Security Act to establish a pilot program to demonstrate improvements in patient care and cost savings for the highest-cost Medicare fee-for-service (FFS) beneficiaries through enrollment of such beneficiaries with participating organizations. The program shall be designed to provide comprehensive and integrated care management and services through a network of health care providers to meet the specialized needs of such beneficiaries. The Centers for Medicare & Medicaid Services (CMS) must design the program in such a manner as to preserve the operation of the Medicare prescription drug benefit. A participating organization must meet the same requirements that apply to a Medicare Advantage (MA) organization. CMS must develop quality performance standards and, using an integrated care model, care management requirements for participating organizations. For each individual enrolled under the program, CMS shall make a monthly capitated payment to the participating organization as would be made for an individual enrolled in an MA plan (excluding MA prescription drug plans), except that the amount of payment shall: (1) equal 98% of the projected cost under the Medicare FFS program for the highest-cost Medicare FFS beneficiaries; and (2) be adjusted to account for differences in costs among different geographic areas and among high-cost Medicare FFS beneficiaries, including outlier costs. CMS must report to Congress on the performance of the program within two years of initial enrollment.

Providing Innovative Care for Complex Cases Demonstration Act of 2015

Rep. Cathy McMorris Rodgers [R-WA]	Rep. John Larson [D-CT]	Rep. Tom Reed [R-NY]	Rep. Kurt Schrader [D-OR]
Rep. Mike Kelly [R-PA]	Rep. Tim Ryan [D-OH]	Rep. Joe Courtney [D-CT]	Rep. Ami Bera [D-CA]
Sen. Kyrsten Sinema [I-AZ]	Rep. Patrick Meehan [R-PA]	Rep. Ron Kind [D-WI]

Date	Chamber	Action
2015-08-05	House	Referred to the Subcommittee on Health.
2015-07-31	House	Referred to the Subcommittee on Health.
2015-07-28	House	Referred to House Energy and Commerce
2015-07-28	House	Referred to House Ways and Means
2015-07-28	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.
2015-07-28	House	Introduced in House

SB2498 (Related) 2016-02-04 - Read twice and referred to the Committee on Finance.

Type	Source
Summary	https://www.congress.gov/bill/114th-congress/house-bill/3244/all-info
Text	https://www.congress.gov/114/bills/hr3244/BILLS-114hr3244ih.pdf