US HB5506 | 2015-2016 | 114th Congress

Status

Spectrum: Bipartisan Bill
Status: Introduced on June 16 2016 - 25% progression, died in committee
Action: 2016-06-16 - Referred to the Subcommittee on Health.
Pending: House Subcommittee on Health Committee
Text: Latest bill text (Introduced) [PDF]

Summary

Dialysis PATIENT Demonstration Act of 2016 Patient Access To Integrated-care, Empowerment, Nephrologists and Treatment Demonstration Act of 2016 Official Titles: Official Titles - House of Representatives Official Title as Introduced: To amend title XVIII of the Social Security Act to establish a demonstration program to provide integrated care for Medicare beneficiaries with end-stage renal disease, and for other purposes. This bill amends title XVIII (Medicare) of the Social Security Act to establish a demonstration program for the provision of integrated care to Medicare beneficiaries with end-stage renal disease (ESRD). Under the voluntary program, eligible participating providers may form organizations to offer ESRD integrated care models and serve as medical homes for program-eligible beneficiaries. Such a model: (1) shall cover medical and hospital services, other than hospice care, under Medicaid; (2) must include benefits for transition into palliative care; and (3) may cover prescription drug benefits. An organization must offer at least one open network model but may also offer one or more preferred network models. An organization shall return savings achieved under the models to program-eligible beneficiaries. A beneficiary shall have the opportunity to: (1) opt out of the program, (2) make an assignment change into an open network model offered by a different organization, or (3) elect a preferred network model. The bill establishes requirements regarding: (1) benefits for program-eligible beneficiaries who are also eligible for Medicaid benefits, (2) program quality and reporting, (2) ESRD integrated care strategy, (3) program operation and scope, (4) beneficiary notification, and (5) payment.

Tracking Information

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Title

Dialysis PATIENT Demonstration Act of 2016 Patient Access To Integrated-care, Empowerment, Nephrologists and Treatment Demonstration Act of 2016 Official Titles: Official Titles - House of Representatives Official Title as Introduced: To amend title XVIII of the Social Security Act to establish a demonstration program to provide integrated care for Medicare beneficiaries with end-stage renal disease, and for other purposes.

Sponsors

Sen. Todd Young [R-IN]Rep. Earl Blumenauer [D-OR]Rep. Cathy McMorris Rodgers [R-WA]Rep. Tony Cardenas [D-CA]
Sen. Kyrsten Sinema [I-AZ]Rep. Brenda Lawrence [D-MI]Rep. Brett Guthrie [R-KY]Rep. Ryan Costello [R-PA]
Rep. Yvette Clarke [D-NY]Rep. Filemon Vela [D-TX]Rep. Renee Ellmers [R-NC]Rep. Charles Boustany [R-LA]
Rep. Billy Long [R-MO]Rep. Joseph Heck [R-NV]Rep. Scott Peters [D-CA]Rep. Devin Nunes [R-CA]
Sen. Marsha Blackburn [R-TN]Rep. Grace Napolitano [D-CA]Rep. Robin Kelly [D-IL]Rep. Matthew Cartwright [D-PA]
Rep. Kristi Noem [R-SD]Rep. Tom Reed [R-NY]Rep. Bill Flores [R-TX]Rep. Pete Aguilar [D-CA]
Rep. Ken Calvert [R-CA]Rep. Lynn Jenkins [R-KS]Rep. Diana DeGette [D-CO]Rep. Collin Peterson [D-MN]
Rep. Alcee Hastings [D-FL]Rep. Denny Heck [D-WA]Rep. Mike Coffman [R-CO]Rep. Ted Lieu [D-CA]
Rep. David Joyce [R-OH]Rep. Gregg Harper [R-MS]Rep. Joyce Beatty [D-OH]Rep. Daniel Donovan [R-NY]
Rep. Mike Kelly [R-PA]Rep. Blake Farenthold [R-TX]Sen. Martha McSally [R-AZ]Rep. Garland Barr [R-KY]
Rep. David Loebsack [D-IA]Rep. Elijah Cummings [D-MD]Rep. Eleanor Norton [D-DC]Rep. Patrick Meehan [R-PA]
Rep. Diane Black [R-TN]Rep. Lacy Clay [D-MO]Rep. Michelle Lujan Grisham [D-NM]Rep. Leonard Lance [R-NJ]
Rep. Henry Cuellar [D-TX]Rep. Barbara Comstock [R-VA]Rep. Steve Cohen [D-TN]Rep. Jaime Herrera Beutler [R-WA]
Rep. Mike D. Rogers [R-AL]Rep. Debbie Wasserman Schultz [D-FL]Sen. Kevin Cramer [R-ND]Rep. Julia Brownley [D-CA]
Rep. Glenn Thompson [R-PA]Rep. Raul Ruiz [D-CA]Rep. Ed Perlmutter [D-CO]Rep. Joe Courtney [D-CT]
Rep. Peter DeFazio [D-OR]

History

DateChamberAction
2016-06-16HouseReferred to the Subcommittee on Health.
2016-06-16HouseReferred to House Ways and Means
2016-06-16HouseReferred to House Energy and Commerce
2016-06-16HouseReferred 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.
2016-06-16HouseIntroduced in House

Same As/Similar To

SB3090 (Same As) 2016-06-23 - Read twice and referred to the Committee on Finance.

Subjects


US Congress State Sources


Bill Comments

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